Effects of cardiac rehabilitation and exercise training programs on depression in patients after major coronary events

Milani, Richard V.; Lavie, Carl J.; Cassidy, Mark M.

doi:10.1016/s0002-8703(96)90304-x

Cited by 204 publications

(118 citation statements)

References 30 publications

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“…Our results are consistent with previous studies, which indicated that exercise can reduce depressive symptoms in healthy individuals [15,16,[40][41][42] as well as patients with conditions such as heart disease [18][19][20][21][22][23][24][25]43] and arthritis [44]. Because both hypertension [28,29] and elevated depressive symptoms [45,46] are independent risk factors for CHD, an exercise intervention that reduces blood pressure and depression may be especially beneficial among hypertensive patients, a group at elevated risk for the development of CHD.…”

Section: Discussionsupporting

confidence: 92%

Effects of exercise and weight loss on depressive symptoms among men and women with hypertension

Smith

Blumenthal

Babyak

et al. 2007

Journal of Psychosomatic Research

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Objective-To investigate changes in depressive symptoms in hypertensive individuals participating in an exercise and weight loss intervention.Methods-133 sedentary men and women with high blood pressure (130-180 mmHg SBP and/or 85-110 mmHg DBP) who participated in a 6 month intervention consisting of three groups: aerobic exercise, aerobic exercise and weight loss, and a waiting list control.Results-Participants in both treatment groups demonstrated significant improvements in aerobic capacity and lower BP compared with participants in the control group. Participants in the active treatment groups who had mild to moderate depressive symptoms at baseline also exhibited greater reductions in depressive symptoms compared to participants in the control group. Conclusion: Results from the present study suggest that an exercise, alone or combined with weight management, may reduce self-reported depressive symptoms among patients with hypertension.

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Section: Discussionsupporting

confidence: 92%

Effects of exercise and weight loss on depressive symptoms among men and women with hypertension

Smith

Blumenthal

Babyak

et al. 2007

Journal of Psychosomatic Research

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“…A possibility is to motivate them to engage in club membership and sports activities, as these determinants were inversely associated with persistent depression. A meta-analysis by Lawlor and Hopker [36], as well as evidence from cardiac rehabilitation programmes, clearly shows that exercise, both aerobic and non-aerobic, has a beneficial effect in the management of depression [36,37,38,391, presumably through a combination of psychological, social and physiological mechanisms. Those interventions are neither expensive nor difficult, and, with the prerequisite that pharmacological and/or psychothera-peutic treatment is provided first, they may improve patients' psychosocial well being in the long-term after heart transplantation.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of depression symptoms at 10 years after heart transplantation: continuous attention required

et al. 2004

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Prevalence and correlates of depression symptoms at 10 years after heart -- transplantation: continuous attention requiredAbstract This study investigates the presence and correlates of symptoms of depression at 5 and 10 years after heart transplantation, with particular attention given to patients showing symptoms at both time points. Prevalence of depression symptoms were studied in 41 patients, prospectively, at 5 and 10 years after heart transplantation. We examined potential correlates of depression symptoms (i.e. worse functional capacity, inadequate coping mechanisms and lack of social contacts) 10 years after transplantation. The prevalence of depression symptoms was 30% at 5 years and 22% at 10 years. Of the 41 patients, 20% were depressed at both time points. Those patients had significantly higher scores on passive coping and had significantly lower club membership. They also tended to have more negative emotions (i.e. anger, hostility and irritability) and less engagement in sports activities. Functional capacity was not different. Depression symptoms were prevalent and persistent in the longterm after heart transplantation. This study opens perspectives for beyond-standard pharmacological and psychotherapeutic treatment for depression, i.e. training patients who are using passive coping to use problem-solving capacities instead and motivating them to engage in social life and sports activities.

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“…82,83 In fact, the AHA has recently targeted the evaluation and treatment of depression in patients with established CHD, 84 listing CRSP services as a major therapeutic modality to decrease depression and its associated risks. 85 Although most of the attention has been directed at depression, 84,86 other adverse psychological characteristics, including anxiety, 87,88 hostility, [88][89][90] and total psychosocial stress, 82,91,92 may also be significant CHD risk factors. In this regard, we have demonstrated reductions of between 40% and 70% in the prevalence of depression, anxiety, and hostility after formal, early outpatient CRSP services.…”

Section: Cicero 81mentioning

confidence: 99%

“…In this regard, we have demonstrated reductions of between 40% and 70% in the prevalence of depression, anxiety, and hostility after formal, early outpatient CRSP services. [85][86][87][88][89][90][91] Depressed patients with CHD have 3-fold higher mortality than do nondepressed patients. 85,86 Moreover, depressed patients with CHD who attend formal CRSP services have nearly a 70% reduction in mortality risk ( Figure 3).…”

Section: Cicero 81mentioning

confidence: 99%

Exercise Training and Cardiac Rehabilitation in Primary and Secondary Prevention of Coronary Heart Disease

Lavie

Thomas

Squires

et al. 2009

Mayo Clinic Proceedings

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241

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Effects of cardiac rehabilitation and exercise training programs on depression in patients after major coronary events

Cited by 204 publications

References 30 publications

Effects of exercise and weight loss on depressive symptoms among men and women with hypertension

Effects of exercise and weight loss on depressive symptoms among men and women with hypertension

Prevalence and correlates of depression symptoms at 10 years after heart transplantation: continuous attention required

Exercise Training and Cardiac Rehabilitation in Primary and Secondary Prevention of Coronary Heart Disease

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