TY - JOUR
AU - O. Dewidar
AU - A. Abdi
AU - H. Sabri
AU - H. Dawit
AU - S. Philip
AU - V. Barbeau
AU - P. Benoit
AU - P. Antunes
AU - J. Jetté
AU - J. Assaouré
AU - D. Plourde
AU - J. Seguin
AU - R. Sabbagh
AU - E. Skaff
AU - D. Archibald
AU - V. Welch
AU - Kehoe MacLeod
A1 - 
AB - BACKGROUND: Poor mental health is a recognized risk factor for adverse cardiovascular outcomes, yet depression, anxiety, and stress remain underdiagnosed and undertreated in individuals with cardiovascular disease (CVD). Effective strategies to promote early recognition and management of these conditions are not well established. We conducted a rapid scoping review to identify interventions aimed at improving mental health recognition and management in adult CVD population without diagnosed mental health conditions. METHODS: We systematically searched MEDLINE, EMBASE, CENTRAL, PsycINFO, CINAHL, Web of Science, and Epistemonikos for articles published between January 1, 2014, and December 28, 2024. RESULTS: Of 11,645 screened studies, 24 met inclusion criteria: 12 systematic reviews and meta-analyses, and 12 randomized controlled trials (RCTs). Most focused on coronary artery disease or stroke patients. Interventions included mindfulness interventions (n = 9), routine screening (n = 2), interactive mHealth education (n = 2), psychosocial interventions (n = 4), caregiver education (n = 4), self-care (n = 1), and integrated care (n = 1). Interventions were multimodal pairing patient education with structured clinical encounters. Reporting of delivery methods was inconsistent and fewer than half assessed adherence. Only two RCTs involved patients in intervention design. Primary outcomes included changes in psychological distress symptoms and quality-of-life measures. CONCLUSION: A variety of interventions target early recognition and management of mental health symptoms in CVD patients. The approach of combining self-management with clinician check-ins aligns with contemporary models of integrated care. Standardized reporting and greater interest-holder engagement are needed to improve intervention development, implementation, and evaluation.
AD - Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; Bruyère Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada.; Centre de Santé de l'Estrie, Cornwall, Ontario, Canada.; Archipel Ontario Health Team, Ottawa, Ontario, Canada.; Great River Ontario Health Team, Cornwall, Ontario, Canada.; University of Ottawa, Ottawa, Ontario, Canada.; Orleans Cardiopulmonary Group, Orléans, Ontario, Canada.; Montfort Hospital, Ottawa, Ontario, Canada.; Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
AN - 41732586
BT - CJC Open
C5 - HIT & Telehealth; Education & Workforce
CP - 1
DA - Jan
DO - 10.1016/j.cjco.2025.10.002
DP - NLM
ET - 20251010
IS - 1
JF - CJC Open
LA - eng
N2 - BACKGROUND: Poor mental health is a recognized risk factor for adverse cardiovascular outcomes, yet depression, anxiety, and stress remain underdiagnosed and undertreated in individuals with cardiovascular disease (CVD). Effective strategies to promote early recognition and management of these conditions are not well established. We conducted a rapid scoping review to identify interventions aimed at improving mental health recognition and management in adult CVD population without diagnosed mental health conditions. METHODS: We systematically searched MEDLINE, EMBASE, CENTRAL, PsycINFO, CINAHL, Web of Science, and Epistemonikos for articles published between January 1, 2014, and December 28, 2024. RESULTS: Of 11,645 screened studies, 24 met inclusion criteria: 12 systematic reviews and meta-analyses, and 12 randomized controlled trials (RCTs). Most focused on coronary artery disease or stroke patients. Interventions included mindfulness interventions (n = 9), routine screening (n = 2), interactive mHealth education (n = 2), psychosocial interventions (n = 4), caregiver education (n = 4), self-care (n = 1), and integrated care (n = 1). Interventions were multimodal pairing patient education with structured clinical encounters. Reporting of delivery methods was inconsistent and fewer than half assessed adherence. Only two RCTs involved patients in intervention design. Primary outcomes included changes in psychological distress symptoms and quality-of-life measures. CONCLUSION: A variety of interventions target early recognition and management of mental health symptoms in CVD patients. The approach of combining self-management with clinician check-ins aligns with contemporary models of integrated care. Standardized reporting and greater interest-holder engagement are needed to improve intervention development, implementation, and evaluation.
PY - 2026
SN - 2589-790x
SP - 82
EP - 92+
ST - Interventions to Enhance Early Recognition and Management of Mental Health Symptoms in Patients with Cardiovascular Disease: A Rapid Scoping Review
T1 - Interventions to Enhance Early Recognition and Management of Mental Health Symptoms in Patients with Cardiovascular Disease: A Rapid Scoping Review
T2 - CJC Open
TI - Interventions to Enhance Early Recognition and Management of Mental Health Symptoms in Patients with Cardiovascular Disease: A Rapid Scoping Review
U1 - HIT & Telehealth; Education & Workforce
U3 - 10.1016/j.cjco.2025.10.002
VL - 8
VO - 2589-790x
Y1 - 2026
ER -