Psychological Interventions for Coronary Heart Disease: Cochrane Systematic Review and Meta-analysis
- 24 November 2012
- journal article
- review article
- Published by Springer Science and Business Media LLC in International Journal of Behavioral Medicine
- Vol. 21 (1), 109-121
- https://doi.org/10.1007/s12529-012-9282-x
Abstract
Depression and anxiety are common in cardiac patients, and psychological interventions may also be used as part of general cardiac rehabilitation programs. This study aims to estimate effects of psychological interventions on mortality and psychological symptoms in this group, updating an existing Cochrane Review. 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. 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. 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.Keywords
This publication has 57 references indexed in Scilit:
- The Cochrane Collaboration's tool for assessing risk of bias in randomised trialsBMJ, 2011
- Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventionsBMC Public Health, 2011
- Evaluating the causal relevance of diverse risk markers: horizontal systematic reviewBMJ, 2009
- A taxonomy of behavior change techniques used in interventions.Health Psychology, 2008
- Recognition of Depression by Non-psychiatric Physicians—A Systematic Literature Review and Meta-analysisJournal of General Internal Medicine, 2007
- Inflammatory Markers and Onset of Cardiovascular EventsCirculation, 2003
- Humor, laughter, and physical health: Methodological issues and research findings.Psychological Bulletin, 2001
- Effects of a health education programme with telephone follow‐up during cardiac rehabilitationBritish Journal of Clinical Psychology, 1994
- A randomized control trial of cardiac rehabilitationSocial Science & Medicine, 1987
- Feasibility of altering type A behavior pattern after myocardial infarction. Recurrent Coronary Prevention Project Study: methods, baseline results and preliminary findings.Circulation, 1982