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International Journal of Behavioral Medicine

Published in:

01-02-2014

Psychological Interventions for Coronary Heart Disease: Cochrane Systematic Review and Meta-analysis

Authors: Ben Whalley, David R. Thompson, Rod S. Taylor

Published in: International Journal of Behavioral Medicine | Issue 1/2014

Abstract

Background

Depression and anxiety are common in cardiac patients, and psychological interventions may also be used as part of general cardiac rehabilitation programs.

Purpose

This study aims to estimate effects of psychological interventions on mortality and psychological symptoms in this group, updating an existing Cochrane Review.

Method

Systematic review and meta-regression analyses of randomized trials evaluating a psychological treatment delivered by trained staff to patients with a diagnosed cardiac disease, with a follow-up of at least 6 months, were used.

Results

There was no strong evidence that psychological intervention reduced total deaths, risk of revascularization, or non-fatal infarction. Psychological intervention did result in small/moderate improvements in depression and anxiety, and there was a small effect for cardiac mortality.

Conclusion

Psychological treatments appear effective in treating patients with psychological symptoms of coronary heart disease. Uncertainty remains regarding the subgroups of patients who would benefit most from treatment and the characteristics of successful interventions.

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Title: Psychological Interventions for Coronary Heart Disease: Cochrane Systematic Review and Meta-analysis
Authors: Ben Whalley
David R. Thompson
Rod S. Taylor
Publication date: 01-02-2014
Publisher: Springer US
Published in: International Journal of Behavioral Medicine / Issue 1/2014
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-012-9282-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Psychological Interventions for Coronary Heart Disease: Cochrane Systematic Review and Meta-analysis

Abstract

Background

Purpose

Method

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Purpose

Method

Results

Conclusion

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