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on September 29, 2008

A more recent version of this article appeared on October 21, 2008

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Depression and Coronary Heart Disease. Recommendations for Screening, Referral, and Treatment. A Science Advisory From the American Heart Association Prevention Committee of the Council on Cardiovascular Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Interdisciplinary Council on Quality of Care and Outcomes Research

Judith H. Lichtman PhD, MPH, Co-Chair, J. Thomas Bigger Jr MD, James A. Blumenthal PhD, ABPP, Nancy Frasure-Smith PhD, Peter G. Kaufmann PhD, François Lespérance MD, Daniel B. Mark MD, MPH, David S. Sheps MD, MSPH, C. Barr Taylor MD, and Erika Sivarajan Froelicher RN, MA, MPH, PhD, Co-Chair

Abstract—Depression is commonly present in patients with coronary heart disease (CHD) and is independently associated with increased cardiovascular morbidity and mortality. Screening tests for depressive symptoms should be applied to identify patients who may require further assessment and treatment. This multispecialty consensus document reviews the evidence linking depression with CHD and provides recommendations for healthcare providers for the assessment, referral, and treatment of depression.

Key words: AHA Scientific Statement • depression • coronary disease • psychosocial factors • assessment, patient outcomes

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