Title: psychological characteristics of the elderly and psychological care Abstract Objective: To understand the heart disease patients the incidence of depression and anxiety and its relationship with social support, alexithymia correlated to heart disease patients for the establishment of integrated community treatment model to improve the physical and psychological health of cardiac patients provide an objective basis. Key words: psychological characteristics of elderly Methods: According to heart disease prevention guidelines in 2005, heart disease diagnostic criteria, 100 were selected for the observation group, from March 1, 2007 to November 30, 2008 a community health service centers have been on file for heart disease patients, age 41 ~ 75 (57 ± 7.78) years, male 56, female 44; junior high school or higher, be able to correctly understand the meaning of scale; into the group of the first three months without taking any drugs, psychotropic substances or five half-lives have passed. With Hamilton (HAMD), Hamilton Anxiety Scale (HAMA), Social Support Rating Scale (SSRS), Coping Style Questionnaire (CSQ), Toronto Alexithymia Scale (TAS). Filling in a unified language and methods of guiding premise, let two groups object to complete the above scale. Scale by professional software score right score the results were analyzed statistically. Results: 1) heart disease, depression, anxiety and the incidence of (respectively 11.11%, 30.16%) was higher than the normal control group (respectively 0.00%, 7.69%), both have more significant difference (p <0.025); HAMD , HAMA total score divided equally (respectively, 12.11 ± 4.83,12.59 ± 6.26) than those in the control group (7.96 ± 4.56,7.25 ± 4.56) high, in comparison with a significant difference (p <0.001). And found that heart disease group systolic and diastolic blood pressure with the HAMD, HAMA total score was positively correlated. Prompted the community with heart disease has obvious negative emotional experience depression and anxiety. 2) heart disease patients, equally divided among social support total score (35.38 ± 6.17), subjective support sharing (19.59 ± 4.06) and the use of degree of equalization of social support (6.79 ± 2.27) were lower than the control group (39.54 ± 6.74 , 22.44 ± 4.02,7.71 ± 2.08), two groups had significant difference (p <0.001 or p <0.05). The objective support points (9.17 ± 3.19) and the control group (9.53 ± 3.17) are similar, both showed no significant difference (p> 0.05). Tip of social support in patients with heart defects, especially in subjective support and utilization aspects of social support. HAMD total score and social support total score (P <0.01), objective support points (P <0.01), subjective support points (P <0.01), and to support the use of degree (P <0.01) negative correlation; heart disease group HAMA total split between the social support total score (P <0.01), subjective support points (P <0.01), and to support the use of sub-degree (P <0.01) negative correlation. Conclusion: The patients with heart disease have a significant negative emotions such as depression and anxiety, their depression, anxiety and social support, coping style and alexithymia related to their psychological health education to improve the poor cognitive behavioral patterns and social support, to choose suitable psychological treatments, comprehensive treatment of heart disease is one effective way. Key words: psychological characteristics of elderly