Intensive Patients’ Education and Lifestyle Improving Program in CAD Patients

Abstract

The objective of this article is to investigate the effects of intensive patients’ education and lifestyle improving program (IPEL) on anxiety, depression, and overall survival (OS) in coronary artery disease (CAD) patients with anxiety and depression. In all, 224 CAD patients with anxiety and depression were randomly assigned to IPEL or control group. In Stage I, the IPEL group received IPEL and usual care, while the control group only received usual care. In Stage II, patients were further followed up and OS analysis was performed. Hospital Anxiety and Depression Scale–anxiety (HADS-A) and HADS–depression (HADS-D) were used to assess anxiety and depression. IPEL reduced HADS-A score at Month 9 (M9)/M12, and the percentage of anxiety at M12 and HADS-A score changed. IPEL reduced HADS-D score at M12, and the percentage of depression at M12 and HADS-D score changed compared with control. Patients with nonanxiety/nondepression at M12 in the IPEL group showed better OS. IPEL reduces anxiety and depression and improves OS in CAD patients.

Smartphone-delivered multicomponent lifestyle medicine intervention for depressive symptoms: A randomized controlled trial.

“…Our findings demonstrated that Lifestyle Hub is comparable to the current first-line treatments (e.g., cognitive behavioral therapy, antidepressant medication, and their combination) (Carpenter et al, 2018) and superior to the various smartphone-based psychological interventions for generalized anxiety symptoms (e.g., cognitive bias modification, acceptance and commitment therapy, and gamified diaphragmatic breathing) (Firth et al, 2017). In comparison with previous RCTs examining multicomponent LM interventions for generalized anxiety symptoms (Forsyth et al, 2015; Nie et al, 2019), the larger effect size observed in our study may be attributed to the differences in methodological and intervention design variability. First, the addition of stress and sleep management as components in Lifestyle Hub may have had synergistic effects in improving generalized anxiety symptoms, considering that more lifestyle risk factors that are involved in the development and progression of generalized anxiety symptoms were being addressed.…”

“…Second, the results of previous RCTs that examined multicomponent LM interventions for generalized anxiety symptoms may subject to the floor effect, leaving little room for improvement throughout the course of treatment. Third, the comparison group (i.e., the WLG) used in the present study was different from those used in the studies by Forsyth et al (2015) and Nie et al (2019), which were an attention control group and a usual care control group, respectively. Thus, the effect size resulted in our study might have been inflated due to the use of a WL control group (Cuijpers et al, 2016; Furukawa et al, 2014).…”

Efeito de um programa educativo na realização de atividade física em indivíduos submetidos à primeira intervenção coronária percutânea: ensaio clínico aleatorizado

“…Entretanto, a RCV e o aconselhamento pré-alta são capazes de melhorar o prognostico da doença (LIU et al, 2019), por ser também considerada como o melhor momento para gerenciar emoções negativas e distúrbios psicológicos em cardiopatas (CHAUVET-GELINIER; BONIN, 2017). GUO, 2019). Semelhante aos resultados encontrados em relação ao estado de saúde percebido, o impacto da intervenção implementada no presente estudo sobre os sintomas de ansiedade e depressão, talvez fosse mais positivo se avaliado em um período maior que cinco a sete meses, como no estudo de Nie, Li e Guo (2019).…”