Psychosocial interventions for patients with coronary artery disease: a meta-analysis.

  title={Psychosocial interventions for patients with coronary artery disease: a meta-analysis.},
  author={Wolfgang Linden and C Stossel and J Maurice},
  journal={Archives of internal medicine},
  volume={156 7},
BACKGROUND Narrative review strategies and meta-analyses have shown that drug treatment and exercise rehabilitation regimens can reduce psychological distress and postmyocardial infarction mortality and recurrence. OBJECTIVE To question whether the addition of psychosocial interventions improves the outcome of a standard rehabilitation regimen for patients with coronary artery disease. METHODS We performed a statistical meta-analysis of 23 randomized controlled trials that evaluated the… 

Psychosocial interventions in coronary artery disease.

Evidence that coronary artery disease (CAD) is a psychosomatic condition is shown and the addition of psychosocial treatments to standard cardiac rehabilitation regimens reduces mortality, morbidity, and some biological risk factors is found.

Relationships between Psychoeducational Rehabilitation and Health Outcomes—A Systematic Review Focused on Acute Coronary Syndrome

Patients with ACS can receive significant benefits through individualized psychoeducation sessions through type and dose of psychological intervention, and major adverse cardiovascular events, quality of life, hospitalizations, lipidogram, creatinine, NYHA class, smoking, physical behavior, and emotional state were significantly improved.

Psychosocial interventions in cardiovascular disease – what are they?

To improve transparency of psychosocial interventions and enable their reproducibility, comparison and evaluation, a proposed taxonomy that cuts across four dimensions is helpful.

The effect of a psychosocial intervention and quality of life after acute myocardial infarction: the Enhancing Recovery in Coronary Heart Disease (ENRICHD) clinical trial.

Psychosocial interventions of limited duration confer modest QOL benefits in post-MI patients who are depressed or have low perceived social support and interventions of longer duration or greater intensity may be required to produce more substantial improvements in QOL in these patients.

Clinical Implications of a Reduction in Psychological Distress on Cardiac Prognosis in Patients Participating in a Psychosocial Intervention Program

Post–myocardial infarction interventions that reduce psychological distress have the potential to improve long-term prognosis and psychological status for both men and women.

A meta-analysis of psychoeducational programs for coronary heart disease patients.

In a meta-analysis of 37 studies, the effects of psychoeducational programs for coronary heart disease patients were examined and it is suggested that cardiac rehabilitation programs that were successful on proximal targets were more effective on distal targets than programs without success on proximate targets.

Review: psychological interventions do not reduce all cause or cardiac mortality in coronary heart disease

  • H. Stokes
  • Medicine, Psychology
    Evidence-based nursing
  • 2004
In patients with CHD, combined psychological interventions have some beneficial effects on psychological wellbeing, but not on all cause or CHD related mortality and stress management alone does not appear to significantly affect these outcomes.

Psychological treatments in cardiac rehabilitation: review of rationales and outcomes.

  • W. Linden
  • Psychology, Medicine
    Journal of psychosomatic research
  • 2000

Reducing Emotional Distress Improves Prognosis in Coronary Heart Disease: 9-Year Mortality in a Clinical Trial of Rehabilitation

Warding off deterioration in negative affect is a mechanism that may explain the beneficial effect of comprehensive rehabilitation on prognosis in patients with CHD and is associated with a high long-term mortality risk.



Stress management for patients with heart disease: a pilot study.

Depressive Symptoms Predict Functional Improvement Following Cardiac Rehabilitation and Exercise Program

Baseline characteristics including age, sex, body mass index, low-density lipoprotein cholesterol, high-density cholesterol, functional class, and exercise capacity were not significantly different in the two groups, and improvement in LDL-C and HDL-C were quite similar in both groups.

The ischemic heart disease life stress monitoring program: impact on mortality.

It is suggested that stress‐relieving programs may have a greater impact in reducing cardiac deaths than in preventing nonlethal coronary episodes.

Depression following myocardial infarction. Impact on 6-month survival.

Major depression in patients hospitalized following an MI is an independent risk factor for mortality at 6 months and its impact is at least equivalent to that of left ventricular dysfunction (Killip class) and history of previous MI.

Cardiac events after myocardial infarction: possible effect of relaxation therapy.

It is suggested that a combination of a behavioural treatment such as relaxation therapy with exercise training is more favourable for the long-term outcome after myocardial infarction than is exercise training alone.

Psychologic treatment for the type A behavior pattern and for coronary heart disease: a meta‐analysis of the literature.

It is concluded that psychologic intervention to reduce TABP may improve clinical outcome of CHD and that this deserves further study and preliminary clinical application.