|Year : 2022 | Volume
| Issue : 2 | Page : 43-44
Recognition and treatment of psychosomatic diseases
Shenzhen People's Hospital, Shenzhen, China
|Date of Submission||18-Apr-2022|
|Date of Acceptance||20-Apr-2022|
|Date of Web Publication||16-May-2022|
Prof Qingshan Geng
Shenzhen People's Hospital, Shenzhen
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Geng Q. Recognition and treatment of psychosomatic diseases. Heart Mind 2022;6:43-4
As we all know, psychosomatic diseases are causing more and more medical burdens globally. The relationship between heart and psychology has been gradually recognized and widely studied. In the past 2 years, the Heart and Mind journal has published many types of research and literature reviews to explore this field and attracted extensive attention.
In the second issue of 2022, we collected many exciting topics and chose some excellent articles for publication, such as major depressive disorder (MDD) predicting clinical outcomes, discharge disposition after coronary artery bypass grafting (CABG), and Internet addiction predicted insomnia.
A narrative review entitled “Anxiety in individuals with cardiovascular diseases: A narrative review and expert opinion” by Wei Jiang overviewed the relationship between mental disorders such as depression and anxiety and cardiovascular diseases (CVDs). It summarizes the current understanding of anxiety with CVDs and introduces the prevalence, clinical significance, and clinical management of anxiety in individuals with CVDs. Opinion on clinical management is shared as well. The related data demonstrate that the prevalence of anxiety has become nonnegligible in patients with CVDs. Hence, the author calls for more attention to assessing and managing anxiety in patients with CVDs.
Mental stress has been recognized as an essential risk factor for hypertension. Therefore, experts specializing in cardiology, psychiatry, and Traditional Chinese Medicine proposed a consensus entitled “Expert consensus on diagnosis and treatment of adult mental stress induced hypertension in China (2022 revision): Part A.” This consensus has two parts: Part A and Part B. In the consensus (Part A), we can find the background, epidemiological characteristics, pathogenesis, and diagnosis of mental stress-induced hypertension. The consensus (Part B) will be published in the next issue. The authors hope this consensus will facilitate the clinical practice of this type of hypertension in China.
“Functional seizures (FS)” are a common worldwide phenomenon. Ali A. Asadi-Pooya et al. provided their article entitled “Functional (psychogenic) seizures are associated with thyroid disorders” and investigated medical comorbidities in patients with FS and epilepsy. A study conducted at Shiraz University of Medical Sciences in Iran showed that 19.8% of patients who were included with idiopathic generalized epilepsies, temporal lobe epilepsy, and FS reported having medical comorbidities. Therefore, they concluded that thyroid disorders are significantly associated with FS.
Andrew Del Re et al. contributed their work on “Trends and outcomes of CABG in patients with MDD: A perspective from the national inpatient sample.” They queried the national inpatient sample from 2000 to 2017 for patients ≥18 years undergoing CABG with and without MDD, and those who left against medical advice were excluded from this research. Multivariable models were used for the various outcomes, and each model was adjusted for confounding variables. The study indicates that patients with a preoperative diagnosis of MDD had a lower association with adverse effects following CABG and were less likely to be discharged home after admission. They found that patients diagnosed with MDD have decreased odds of postoperative morbidity and mortality after CABG and lower odds of home discharge. The study suggests a need for prospective investigations on the impact of MDD diagnosis and outcomes after CABG to understand this relationship further.
Yuping Wu et al.'s study, entitled “Mental status in patients with cerebral infarction in Central China at the early stage of coronavirus disease-19 pandemic,” investigated the changes in mental health and social support in patients with cerebral infarction during the recovery period at the early stage of the pandemic. They enrolled 98 patients with cerebral infarction, with a solitary group of 42 patients living alone and a spouse group of 56 patients living with their spouses. The total patients were assessed the degrees of anxiety and depression by the Self-Rating Anxiety Scale and Self-Rating Depression Scale. They evaluated the received social support by Multi-Dimensional Scale of Perceived Social Support. This study found that patients with cerebral infarction, especially those living alone, had obvious symptoms of anxiety and depression, while social support was significantly limited. Therefore, they suggest that local government and medical staff pay attention to such patients' physical and mental health, providing psychological counseling, social support, and symptomatic treatment drugs.
Mohammad Ali et al. contributed a research entitled “Internet addiction predicted insomnia among Bangladeshi undergraduate students at the time of the COVID-19 pandemic.” They aim to determine the prevalence of Internet addiction (IA) and insomnia and then assess the relationship between the problems during the pandemic. This study used electronically randomly selected E-mail addresses to invite undergraduate students as objects. They found that undergraduate students in Bangladesh had a high load of IA and insomnia, and IA is independently associated with insomnia. The results suggest that institutions should take action to reduce the prevalence of the two problems. However, the current study is a primary analysis with small samples, so a more significant sample size is recommended to further generalize the interaction between IA and insomnia during and after the pandemic.
An interesting case report entitled “Adenosine-induced myocardial ischemia in a patient with myocardial bridge: A case report” by Bingqing Bai et al. presented a rare case of a myocardial bridge with long-term chest discomfort. The case demonstrates that the adenosine stress test may be more sensitive than the exercise stress tests in predicting the degree of coronary artery stenosis, especially when patients take beta-blockers. Moreover, this case may break new ground for myocardial bridge's indication of open-chest surgery.
All articles about psychosomatic diseases are full of highlights and arouse a lot of discussion in this area. We also hope to take this opportunity to help clinicians and researchers study more about the related work of psychosomatics to serve patients better. We expect that the publication of this issue can encourage more researchers to join in and make relevant contributions in the corresponding area. We thank all the contributors for the success of this issue.