Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review

This article aims to highlight high-quality observational and intervention studies focused on promoting psychological well-being among cardiac arrest (CA) survivors and their families. Following CA, many patients experience significant psychological distress, including depression, generalized anxiet...

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Main Authors: Sachin Agarwal, Mette Kirstine Wagner, Marco Mion
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Neurotherapeutics
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Online Access:http://www.sciencedirect.com/science/article/pii/S187874792400196X
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author Sachin Agarwal
Mette Kirstine Wagner
Marco Mion
author_facet Sachin Agarwal
Mette Kirstine Wagner
Marco Mion
author_sort Sachin Agarwal
collection DOAJ
description This article aims to highlight high-quality observational and intervention studies focused on promoting psychological well-being among cardiac arrest (CA) survivors and their families. Following CA, many patients experience significant psychological distress, including depression, generalized anxiety, and post-traumatic stress. Recent studies indicate that this distress can narrow patients’ focus, resulting in heightened awareness of cardiac signals—such as fluctuations in heart rate or blood pressure—that lead to constant monitoring and increased anxiety. This anxiety, compounded by behavioral avoidance toward cardioprotective behaviors and physiological hyperarousal, may elevate the risk of secondary cardiovascular diseases and adversely affect the quality of life. Current research is exploring behavioral interventions aimed at reducing this psychological distress, strategies to enhance coping mechanisms, and improving overall health in the survivor-family dyad. Unlike other cardiovascular conditions, no clinical practice guidelines exist for assessing or treating the psychological consequences of CA. Future research should prioritize identifying and treating modifiable psychological factors using targeted therapies and behavioral interventions.
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spelling doaj-art-fbdee728bb6e4ee0ada0ab73246d135a2025-02-01T04:11:54ZengElsevierNeurotherapeutics1878-74792025-01-01221e00509Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art reviewSachin Agarwal0Mette Kirstine Wagner1Marco Mion2Columbia University Irving Medical Center, Department of Neurology, USA; Corresponding author.Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, DenmarkEssex Cardiothoracic Centre, Mid and South Essex NHS Foundation Trust, Basildon, Essex, UK; MTRC, Anglia Ruskin School of Medicine, Chelmsford, Essex, UKThis article aims to highlight high-quality observational and intervention studies focused on promoting psychological well-being among cardiac arrest (CA) survivors and their families. Following CA, many patients experience significant psychological distress, including depression, generalized anxiety, and post-traumatic stress. Recent studies indicate that this distress can narrow patients’ focus, resulting in heightened awareness of cardiac signals—such as fluctuations in heart rate or blood pressure—that lead to constant monitoring and increased anxiety. This anxiety, compounded by behavioral avoidance toward cardioprotective behaviors and physiological hyperarousal, may elevate the risk of secondary cardiovascular diseases and adversely affect the quality of life. Current research is exploring behavioral interventions aimed at reducing this psychological distress, strategies to enhance coping mechanisms, and improving overall health in the survivor-family dyad. Unlike other cardiovascular conditions, no clinical practice guidelines exist for assessing or treating the psychological consequences of CA. Future research should prioritize identifying and treating modifiable psychological factors using targeted therapies and behavioral interventions.http://www.sciencedirect.com/science/article/pii/S187874792400196XCardiac arrestCardiovascular diseasePsychological distressHealth related quality of lifeBehavioral interventionsFamily stress
spellingShingle Sachin Agarwal
Mette Kirstine Wagner
Marco Mion
Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review
Neurotherapeutics
Cardiac arrest
Cardiovascular disease
Psychological distress
Health related quality of life
Behavioral interventions
Family stress
title Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review
title_full Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review
title_fullStr Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review
title_full_unstemmed Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review
title_short Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review
title_sort psychological and behavioral dimensions in cardiac arrest survivors and their families a state of the art review
topic Cardiac arrest
Cardiovascular disease
Psychological distress
Health related quality of life
Behavioral interventions
Family stress
url http://www.sciencedirect.com/science/article/pii/S187874792400196X
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