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<p>Patients with inherited cardiac conditions (ICCs) face unique psychological challenges, including trauma responses, health anxiety, identity disruption, and family-based guilt. These difficulties often arise in the context of life-altering diagnoses, unpredictable risk, and the intergenerational nature of inherited disease. Despite their prevalence, psychological concerns are frequently under-addressed in cardiogenetic care. This clinical practice paper presents a model for integrating cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) into routine care within a multidisciplinary cardiology clinic. Drawing on a clinical vignette and practice-based experience, we describe key psychological themes and outline CBT and ACT interventions that address panic, avoidance, trauma, and values-based functioning. In alignment with the 2025 ESC Clinical Consensus Statement on Mental Health and Cardiovascular Disease, we argue that embedding mental health professionals into cardiac care can enhance patient outcomes and promote a whole-person, resilience-based approach to managing inherited cardiac risk.</p>

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Integrated Psychological Care for Inherited Cardiac Conditions: CBT and ACT in Multidisciplinary Clinical Practice

  • 期刊论文

  • 发表日期：

    2026年2月20日

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  • Vasiliki Varela,
  • Maria Vlachopoulou,
  • Antigoni Miliou,
  • Christos Papageorgiou,
  • Alexios S. Antonopoulos,
  • Konstantinos Tsioufis,
  • Charalambos Papageorgiou,
  • Charalambos Vlachopoulos

摘要

Patients with inherited cardiac conditions (ICCs) face unique psychological challenges, including trauma responses, health anxiety, identity disruption, and family-based guilt. These difficulties often arise in the context of life-altering diagnoses, unpredictable risk, and the intergenerational nature of inherited disease. Despite their prevalence, psychological concerns are frequently under-addressed in cardiogenetic care. This clinical practice paper presents a model for integrating cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) into routine care within a multidisciplinary cardiology clinic. Drawing on a clinical vignette and practice-based experience, we describe key psychological themes and outline CBT and ACT interventions that address panic, avoidance, trauma, and values-based functioning. In alignment with the 2025 ESC Clinical Consensus Statement on Mental Health and Cardiovascular Disease, we argue that embedding mental health professionals into cardiac care can enhance patient outcomes and promote a whole-person, resilience-based approach to managing inherited cardiac risk.