TY - JOUR
AU - E. Mubarak
AU - J. Cleman
AU - G. Romain
AU - C. Mena-Hurtado
AU - K. G. Smolderen
A1 - 
AB - PURPOSE OF REVIEW: Peripheral artery disease (PAD) is a growing global epidemic. Women with PAD are at elevated risk of experiencing psychosocial stressors that influence the diagnosis, management, and course of their illness due to unique sex- and gender-based factors. RECENT FINDINGS: We review existing evidence for increased psychosocial risk in women with PAD with a focus on mood disorders, chronic stress, pain experiences, substance use disorders, health behaviors and illness perceptions, and healthcare access. We discuss how these factors exacerbate PAD symptomatology and lead to adverse outcomes. Existing gaps in women's vascular care are reviewed and potential solutions to bridge these gaps through psychosocial care integration are proposed. Current care paradigms for women's vascular care do not adequately screen for and address psychosocial comorbidities. Clinician education, integration of evidence-based psychological care strategies, implementation of workflows for the management of individuals with PAD and mental health comorbidities, reform to reimbursement structures, and further advocacy are needed in this space. This review provides a construct for integrated behavioral health care for women with PAD and advocates for further integration of care.
AD - Vascular Medicine Outcomes Program (VAMOS), Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University, 789 Howard Avenue, New Haven, CT, 06519, USA.; Vascular Medicine Outcomes Program (VAMOS), Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University, 789 Howard Avenue, New Haven, CT, 06519, USA. carlos.mena-hurtado@yale.edu.; Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
AN - 39073508
BT - Curr Cardiol Rep
C5 - Healthcare Disparities; Medically Unexplained Symptoms
CP - 10
DA - Oct
DO - 10.1007/s11886-024-02106-6
DP - NLM
ET - 20240729
IS - 10
JF - Curr Cardiol Rep
LA - eng
N2 - PURPOSE OF REVIEW: Peripheral artery disease (PAD) is a growing global epidemic. Women with PAD are at elevated risk of experiencing psychosocial stressors that influence the diagnosis, management, and course of their illness due to unique sex- and gender-based factors. RECENT FINDINGS: We review existing evidence for increased psychosocial risk in women with PAD with a focus on mood disorders, chronic stress, pain experiences, substance use disorders, health behaviors and illness perceptions, and healthcare access. We discuss how these factors exacerbate PAD symptomatology and lead to adverse outcomes. Existing gaps in women's vascular care are reviewed and potential solutions to bridge these gaps through psychosocial care integration are proposed. Current care paradigms for women's vascular care do not adequately screen for and address psychosocial comorbidities. Clinician education, integration of evidence-based psychological care strategies, implementation of workflows for the management of individuals with PAD and mental health comorbidities, reform to reimbursement structures, and further advocacy are needed in this space. This review provides a construct for integrated behavioral health care for women with PAD and advocates for further integration of care.
PY - 2024
SN - 1523-3782
SP - 1085
EP - 1095+
ST - Addressing Psychosocial Care Needs in Women with Peripheral Artery Disease
T1 - Addressing Psychosocial Care Needs in Women with Peripheral Artery Disease
T2 - Curr Cardiol Rep
TI - Addressing Psychosocial Care Needs in Women with Peripheral Artery Disease
U1 - Healthcare Disparities; Medically Unexplained Symptoms
U3 - 10.1007/s11886-024-02106-6
VL - 26
VO - 1523-3782
Y1 - 2024
ER -