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15 - Cardiorespiratory disorders

from Part III - Working with specific units

Published online by Cambridge University Press:  10 December 2009

By
Christopher Bass
Edited by
Geoffrey Lloyd  and
Elspeth Guthrie
Geoffrey Lloyd
Affiliation:
Priory Hospital, London
Elspeth Guthrie
Affiliation:
University of Manchester
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Summary

Introduction

This chapter attempts to describe how psychosocial factors influence both cardiovascular and respiratory diseases. This will include an exploration of not only the ways in which psychosocial factors contribute to ‘disease risk’, but also the psychological consequences of disorders such as coronary heart disease (CHD) and chronic obstructive pulmonary disease (COPD). Psychosocial aspects of the transplantation of major organs will also be described. Only brief mention will be made of other topics such as non-cardiac chest pain and hyperventilation, which will be dealt with elsewhere (Chapter 7).

Cardiovascular disorders

Coronary heart disease

Around one-quarter of all deaths among men and one-fifth of all deaths of women in Britain are due to CHD. Among women the proportion is relatively stable throughout the adult years, whilst in men it peaks among 55–64-year-olds, for whom CHD accounts for a third of all deaths. The National Health Service in England deals with around 200 000 inpatient episodes due to CHD for men and 100 000 for women each year, representing around 5% of all hospital inpatient episodes for men and 3% for women. In addition, there are about 30 million work days lost due to certified incapacity for CHD among men and over 4 million among women each year in Britain (Ness & Davey-Smith 2003).

Coronary heart disease rates in Britain increased from the beginning of the century until the 1980s for men, but since the late 1970s CHD mortality has declined steadily in both men and women.

Keywords

cardiovascular diseasechronic obstructive pulmonary diseasecoronary heart diseaseheart transplantationrespiratory diseaselung transplantationpsychosocial factor
Type
Chapter
Information
Handbook of Liaison Psychiatry , pp. 365 - 389
Publisher: Cambridge University Press
Print publication year: 2007

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