Psychological effects of training in coronary patients: a critical review of the literature

Langosch, W.

doi:10.1093/eurheartj/9.suppl_m.37

Cited by 28 publications

(9 citation statements)

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“…Findings are less conclusive regarding the relationship between exercise and depression scores among nondepressed individuals (Lennox, Bestell, & Stone, 1990;Raglin, 1990). The only well-controlled, randomassignment, and prospective design studies to examine the psychosocial effects of exercise among MI survivors found no consistent beneficial effects (Erdman & Duivenvoorden, 1983;Greenland & Chu, 1988;Langosch, 1988;Stem & Clearly, 1982). Greenland and Chu (1988) argued that among MI survivors it is more likely that mood disturbance affects exercise performance than that exercise performance affects mood.…”

Section: Discussionmentioning

confidence: 99%

Anxiety, Depression, Quality of Life, and Self-Care Among Survivors of Myocardial Infarction

Conn

Taylor

Wiman

1991

Issues in Mental Health Nursing

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This article examines the relationship between anxiety, depression, quality of life, and performance of suggested self-care behaviors among older adult myocardial infarction survivors. Interviews were conducted with 94 adults aged 65 years and older. The Profile of Mood States was used to measure anxiety and depression. Quality of life was measured with the Perceived Quality of Life scale. The Health Behavior Scale was used to measure performance of suggested self-care behaviors (modify diet, administer medications, manage stress, exercise, and reduce smoking). Depression scores accounted for 49% of the variance in quality of life scores. Depression scores predicted each of the self-care behavior scores. Anxiety scores did not predict quality of life scores or any self-care behavior score. Findings suggest that mental health interventions should become an integral part of formal cardiac rehabilitation programs soon after the infarction; interventions for depression long after the infarction are needed as well.

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Section: Discussionmentioning

confidence: 99%

Anxiety, Depression, Quality of Life, and Self-Care Among Survivors of Myocardial Infarction

Conn

Taylor

Wiman

1991

Issues in Mental Health Nursing

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“…The few studies of rehabilitation that have used appropriate measures and control groups have shown rather little benefit for exercise rehabilitation [10][11][12][13], They have also show'n that the majority of patients re cover very well without any special form of extra care. Our own evaluation of standard care, extra counselling exercise classes and a battery of specific measures found few dif ferences between the three groups [ 10], How ever, patients were more satisfied with exer cise and counselled patients described longer working time and greater frequency of sex eighteen months later.…”

Section: Myocardial Infarctionmentioning

confidence: 99%

Quality of Life in Cardiovascular Disease

Mayou¹

1990

Psychother Psychosom

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Psychosomatic understanding of the consequences of cardiovascular disorders has had relatively little influence on the separate literature describing quality of life and evaluating interventions. This is partly because psychosmatic research has been too narrowly focussed but mainly because concepts and measures of quality of life take a limited view of its psychological aspects and neglect the significance of individual meaning. There is a need for more research which is based on carefully selected specific measures of quality of life chosen as being of particular importance to patients and to the hypotheses being tested. It is also essential to be aware of the wide range of individual response to cardiovascular disorders. Review of syndromes shows that there is considerable scope to improve understanding of the psychological aspects of quality of life and to develop and evaluate psychological interventions.

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“…In coronary patients, emotional disturbances in the sense of increased anxiety and depression are often documented (Blodgett & Pekarik, 1987;Mayou e t a/., 1978a, h ;Wishnie, Hackett & Cassem, 1971). General reviews of studies on effects of exercise on anxiety and depression in clinical populations (Fletcher e t al., 1992;Hughes, 1984;Langosch, 1988) emphasize inconclusive results.…”

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confidence: 99%

Effects of rehabilitation exercise programmes on anxiety and depression in coronary patients: A meta‐analysis

Kügler

Seelbach

Krüskemper

1994

British J Clinic Psychol

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In coronary patients, emotional disturbances in the sense of increased anxiety and depression have often been documented. Over the last years, there has been a growing interest in the effects of exercise on emotion. This meta-analysis, based on 13 to 15 studies on psychological effects of exercise programmes in coronary patients, showed a positive effect size both for anxiety (dmean = .3137) and depression (dmean = .4569). Nevertheless, these effect sizes have to be evaluated as less than medium by convention and in comparison to the effect size of psychotherapeutic interventions. The effect sizes on anxiety or depression were not related to methodological characteristics of the included studies, like duration of the exercise programme, time chosen for follow-up, publication year or use of control groups. But there was a significantly negative correlation between sample size and effect size. This might indicate a potential publication bias in the sense that significant rather than non-significant results may be published on small subject samples. We concluded that exercise programmes should not be considered the only treatment for emotional disturbances in coronary patients, but that they can be psychologically beneficial as an additional treatment component.

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Psychological effects of training in coronary patients: a critical review of the literature

Cited by 28 publications

References 0 publications

Anxiety, Depression, Quality of Life, and Self-Care Among Survivors of Myocardial Infarction

Anxiety, Depression, Quality of Life, and Self-Care Among Survivors of Myocardial Infarction

Quality of Life in Cardiovascular Disease

Effects of rehabilitation exercise programmes on anxiety and depression in coronary patients: A meta‐analysis

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