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

@article{Linden1996PsychosocialIF,
  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},
  year={1996},
  volume={156 7},
  pages={
          745-52
        }
}
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… Expand
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Effect of intervention for psychological distress on rehospitalization rates in cardiac rehabilitation patients.
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Although there was a nonsignificant reduction of the SCL-90-R's GSI T-score, the depression score was significantly reduced in the special intervention group, and the percentage of patients rehospitalized for cardiac symptoms within 12 months of psychological evaluation was 43% for special intervention and 40% for usual care. Expand
Psychosocial interventions in coronary artery disease.
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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. Expand
Relationships between Psychoeducational Rehabilitation and Health Outcomes—A Systematic Review Focused on Acute Coronary Syndrome
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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. Expand
Psychosocial interventions in cardiovascular disease – what are they?
TLDR
To improve transparency of psychosocial interventions and enable their reproducibility, comparison and evaluation, a proposed taxonomy that cuts across four dimensions is helpful. Expand
The effect of a psychosocial intervention and quality of life after acute myocardial infarction: the Enhancing Recovery in Coronary Heart Disease (ENRICHD) clinical trial.
TLDR
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. Expand
Clinical Implications of a Reduction in Psychological Distress on Cardiac Prognosis in Patients Participating in a Psychosocial Intervention Program
TLDR
Post–myocardial infarction interventions that reduce psychological distress have the potential to improve long-term prognosis and psychological status for both men and women. Expand
A meta-analysis of psychoeducational programs for coronary heart disease patients.
TLDR
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. Expand
Review: psychological interventions do not reduce all cause or cardiac mortality in coronary heart disease
TLDR
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. Expand
Psychological treatments in cardiac rehabilitation: review of rationales and outcomes.
  • W. Linden
  • Psychology, Medicine
  • Journal of psychosomatic research
  • 2000
TLDR
The aggregated findings support the use of psychosocial interventions and they also help to explain critical differences in outcome in that studies which fail to reduce distress also fail to lead to reduced mortality or reduced event recurrence. Expand
Reducing Emotional Distress Improves Prognosis in Coronary Heart Disease: 9-Year Mortality in a Clinical Trial of Rehabilitation
TLDR
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. Expand
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