“I’m not depressed!” – and other ways we deny the stigma of mental illness after a heart attack

by Carolyn Thomas  @HeartSisters

“This is the most thorough review article I have seen on psychological interventions after heart events,” writes cardiac psychologist Dr. Stephen Parker* about a U.K. study on heart patients. And he should know. Dr. Steve is also a heart attack survivor himself who has explored his own profound experiences with the depression and anxiety that commonly accompany any cardiac event.

The study, reported in the British Journal of Cardiology in July 2010, followed over 400 London heart patients for two years – of whom at least half showed symptoms of anxiety or depression when first interviewed.  But the study authors described their participants in this way:

“Many of these heart patients were reluctant to accept a diagnosis of anxiety or depression and expressed reservations to the clinical psychologist by rejecting the term ‘depression’ for describing their problems, or by expressing negative views about attending a mental health service for treatment.”

In fact, these ‘negative views’ associated with the stigma of having mental health problems were so strong that all psychological interventions studied were provided to heart patients as part of a scheduled Cardiac Rehabilitation program at St. Thomas’s Hospital in London – instead of at a mental health facility.   Continue reading ““I’m not depressed!” – and other ways we deny the stigma of mental illness after a heart attack”

Caring for elderly parents: why daughters pay a heavier toll than sons

by Carolyn Thomas  @HeartSisters

At the Canadian Stroke Congress in Quebec City recently, researchers presented a review of 42 published studies that had looked at the effects of caregiving on adult children who take care of parents who have survived a stroke. More than half of the studies looked at daughters who served as caregivers.

Although this review focused on the care of parents who were stroke survivors, no woman I know with ailing parents of any diagnosis would be surprised at the review’s findings: that adult daughters suffer more than adult sons from poor relationships with aging parents who need their care.  Review author Marina Bastawrous of the University of Toronto explained:

“Adult daughters place greater emphasis on their relationships with their parents, and when those relationships go awry, it takes a worse toll on the adult daughters than the adult sons. Overall, the studies suggest that daughters suffer more than sons when they don’t get along with their ailing and elderly parents. The relationships rupture when there is less cooperation, less communication and more conflict. ”  Continue reading “Caring for elderly parents: why daughters pay a heavier toll than sons”

Depressing news about depression and women’s heart disease

.by Carolyn Thomas    @HeartSisters

Women suffering from depression have higher risks of developing heart disease, and women with heart disease have higher risks of becoming depressed. I find this reality a bit depressing…

I was stunned to find myself in that latter group within weeks of my own heart attack. With no personal experience of depression, I knew something was terribly wrong with me, but I couldn’t put my finger on exactly what that might be. I had just survived a massive heart attack – shouldn’t I be feeling fabulous and grateful?  Continue reading “Depressing news about depression and women’s heart disease”