Brief psychological intervention in phase I of cardiac rehabilitation after acute coronary syndrome

Fernandes, Ana Cláudia; McIntyre, Teresa; Coelho, Rui P. Cardoso; Prata, Joana C.; Maciel, Maria Júlia

doi:10.1016/j.repce.2017.01.005

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…Forty-four trials potentially had relevant information, and finally 19 trials ( n = 1956) were found to have outcomes of interest. These 19 trials were reported in 20 studies (Table 1) (Bishop et al, 2005; Blumenthal et al, 2005; Dao et al, 2011; del Pino, Gaos, Dorta, & Garcia, 2005; Fernandes, McIntyre, Coelho, Prata, & Maciel, 2017; Freedland et al, 2009; Karlsson et al, 2007; Lv et al, 2016; Merswolken, Siebenhuener, Orth-Gomér, Zimmermann-Viehoff, & Deter, 2011; Michalsen et al, 2005; Mohammadi et al, 2018; Murphy et al, 2013; Nikrahan et al, 2016; Nyklíček, Dijksman, Lenders, Fonteijn, & Koolen, 2014; O'Neil et al, 2014; 2015; Rakowska, 2015; Sanjuan et al, 2016; Sebregts, Falger, Appels, Kester, & Bär, 2005; Trzcieniecka-Green & Steptoe, 1996). The results of one trial were reported separately in two publications (O'Neil et al, 2014, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Three trials evaluated PPTs (Mohammadi et al, 2018; Nikrahan et al, 2016; Sanjuan et al, 2016) and there was also heterogeneity of this type of intervention among studies. Interventions lasted between 1 week (Fernandes et al, 2017) and 12 months (Karlsson et al, 2007). Depression, anxiety, and stress were the outcomes more frequently reported, both after the intervention and at the end of follow-up.…”

Section: Resultsmentioning

confidence: 99%

“…Depression, anxiety, and stress were the outcomes more frequently reported, both after the intervention and at the end of follow-up. The time intervals defining post-treatment (at the end of the intervention) and end of follow-up showed high variability across RCTs, with post-treatment time ranging from 2–3 days (Fernandes et al, 2017) to 1 year (Karlsson et al, 2007; Michalsen et al, 2005), and follow-up assessment ranging from 3–4 weeks (Dao et al, 2011) to 2.5 years (Rakowska, 2015).…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of psychological interventions on psychological outcomes in coronary artery disease: systematic review and meta-analysis

et al. 2020

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Background The benefits of cognitive-behavioral treatment (CBT) and positive psychology therapy (PPT) in patients with cardiovascular disease are still not well defined. We assessed the efficacy of CBT and PPT on psychological outcomes in coronary artery disease (CAD) patients. Methods Randomized controlled trials evaluating CBT or PPT in CAD patients published until May 2018 were systematically analyzed. Primary outcomes were depression, stress, anxiety, anger, happiness, and vital satisfaction. Random effects meta-analyses using the inverse variance method were performed. Effects were expressed as standardized mean difference (SMD) or mean differences (MD) with their 95% confidence intervals (CIs); risk of bias was assessed with the Cochrane tool. Results Nineteen trials were included (n = 1956); sixteen evaluated CBT (n = 1732), and three PPT (n = 224). Compared with control groups, depressive symptoms (13 trials; SMD −0.80; 95% CI −1.33 to −0.26), and anxiety (11 trials; SMD −1.26; 95% CI −2.11 to −0.41) improved after the PI, and depression (6 trials; SMD −2.08; 95% CI −3.22 to −0.94), anxiety (5 trials; SMD −1.33; 95% CI −2.38 to −0.29), and stress (3 trials; SMD −3.72; 95% CI −5.91 to −1.52) improved at the end of follow-up. Vital satisfaction was significantly increased at follow-up (MD 1.30, 0.27, 2.33). Non-significant effects on secondary outcomes were found. Subgroup analyses were consistent with overall analyses. Conclusion CBT and PPT improve several psychological outcomes in CAD patients. Depression and anxiety improved immediately after the intervention while stress and vital satisfaction improve in the mid-term. Future research should assess the individual role of CBT and PPT in CAD populations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Efficacy of psychological interventions on psychological outcomes in coronary artery disease: systematic review and meta-analysis

et al. 2020

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“…eHealth‐based psychological intervention in self‐efficacy : It started the day after the psychoeducational session and lasted 14 days. We opted for a brief intervention because of its cost effectiveness and promising results shown in cardiac rehabilitation programs (Armitage, 2015; Fernandes et al, 2017). The main objective of this intervention was to train patients in self‐efficacy in order to improve their management of CVD.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of an eHealth intervention to improve subjective well‐being and self‐efficacy in cardiovascular disaease patients: A pilot non‐randomized controlled trial

et al. 2022

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Aim To evaluate the effectiveness of a multicomponent, eHealth‐based self‐efficacy intervention to promote subjective well‐being and self‐efficacy in patients with cardiovascular disease, exploring sex differences. Design A pilot study of a two‐arm non‐randomized controlled trial. Methods Forty‐two cardiovascular patients (31% women) participated in the study. The experimental group received a personalized psychoeducational session and a 14‐days eHealth intervention. Subjective well‐being (positive and negative affect) and self‐efficacy (chronic and cardiac) were assessed at baseline, post‐psychoeducational session, post‐eHealth intervention and at two follow‐ups. Results The levels of the experimental group in positive affect, at post‐eHealth and follow‐up 1, and self‐efficacy, at post‐eHealth, and both follow‐ups, were statistically significantly higher compared to the control group (all p s < .05). When considering sex, the intervention was effective only for men. The results highlight the potential of eHealth interventions for cardiac patients and underline the importance of considering a gender perspective in their treatment.

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“…With consideration to the study design and insufficient data presented, 108 articles were rejected. Finally, 17 papers were selected for analysis (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). The literature search process, the inclusion and exclusion criteria, and the final sample size are illustrated in Figure 1.…”

Section: Search Processmentioning

confidence: 99%

Systematic review and meta-analysis of psychological intervention on patients with coronary heart disease

et al. 2021

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Coronary heart disease is a cardiovascular disease with a high incidence rate in clinic. The prevalence of coronary heart disease continues to rise, especially in the elderly, the prevalence over 60 years old is more than 30%. The symptoms of coronary heart disease mainly depend on the degree of ischemia involving the heart (1). Plaque composed of cholesterol and other deposits accumulate in the coronary artery wall, which can lead to coronary artery stenosis or occlusion, and then lead to coronary heart disease. Generally, when the diameter of coronary artery stenosis is more than 75%, angina pectoris, arrhythmia, and even sudden death can occur (2). It seriously threatens the physical and mental health of patients, and reduces their quality of life (3).At present, coronary heart disease is recognized as a psychosomatic disease, bad emotional stimulation can cause anxiety, tension, fear and other emotional changes in patients, thus affecting the conduction velocity of the

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Brief psychological intervention in phase I of cardiac rehabilitation after acute coronary syndrome

Cited by 3 publications

References 28 publications

Efficacy of psychological interventions on psychological outcomes in coronary artery disease: systematic review and meta-analysis

Efficacy of psychological interventions on psychological outcomes in coronary artery disease: systematic review and meta-analysis

Effectiveness of an eHealth intervention to improve subjective well‐being and self‐efficacy in cardiovascular disaease patients: A pilot non‐randomized controlled trial

Systematic review and meta-analysis of psychological intervention on patients with coronary heart disease

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