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…
481 Citations
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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.
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To improve transparency of psychosocial interventions and enable their reproducibility, comparison and evaluation, a proposed taxonomy that cuts across four dimensions is helpful.
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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
- Medicine, PsychologyPsychosomatic medicine
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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.
- Medicine, Psychology
- 1999
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- Medicine, PsychologyEvidence-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.
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Reducing Emotional Distress Improves Prognosis in Coronary Heart Disease: 9-Year Mortality in a Clinical Trial of Rehabilitation
- Medicine, PsychologyCirculation
- 2001
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.
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