Randomized Controlled Trial of Cognitive Behavioral Therapy vs Standard Treatment to Prevent Recurrent Cardiovascular Events in Patients With Coronary Heart Disease

Gulliksson, Mats; Burell, Gunilla; Vessby, Bengt; Lundin, Lennart; Toss, Henrik; Svärdsudd, Kurt

doi:10.1001/archinternmed.2010.510

Cited by 331 publications

(233 citation statements)

References 27 publications

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“…251 In addition to the treatment of mood symptoms, there are several other approaches to psychosocial intervention that have proved useful. Two RCTs 252,253 have shown the favourable impact of stress management and social support groups on the prognosis of clinical CAD. Nurse-led interventions reveal beneficial effects on anxiety, depression and general well-being in CAD patients.…”

Section: Joint Esc Guidelinesmentioning

confidence: 99%

2016 European Guidelines on cardiovascular disease prevention in clinical practice

Piepoli¹,

Hoes²,

et al. 2016

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Section: Joint Esc Guidelinesmentioning

confidence: 99%

2016 European Guidelines on cardiovascular disease prevention in clinical practice

Piepoli¹,

Hoes²,

et al. 2016

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“…11 Terminolojik açıdan bakıldığında, KR'de sunulduğu gibi, stres yönetimi için hasta çoğu zaman dinlenme (gevşeme) metotlarını da kapsayan çok bileşenli tedavilere yönlendirilir. 77 Araştırmalar hâlâ sınırlı olmasına rağmen, KVH'nin prognozunu iyileştirecek olan psikososyal girişimler için çok önemli olan stres yönetimi, vasküler endotelyal fonksiyon ve kardiyak otonomik kontrol gibi aterotrombotik hastalıklarda biyolojik mekanizmaları etkileyebilir. 78 CABG geçirmiş hastalarda depresyon ve öfkeyi azaltmanın yanı sıra, yaşam memnuniyetini de artırarak bir psikososyal beceri eğitimi girişiminin hem istirahatte hem de öfke sı-rasında KB'yi ve kalp hızını azalttığı görülmüş-tür.…”

Section: Psi̇kososyal Ri̇sk Faktörleri̇ni̇n Medi̇kal Tedavi̇ Yaklaşimiunclassified

Psychosocial Approach in the Rehabilitation of Heart Patients: Review

Uysal¹

2016

Turkiye Klinikleri J Nurs Sci

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sikolojik durum ve kalp sağlığı arasındaki ilişki komplekstir ve hem direkt (örneğin; immünolojik fonksiyon üzerine psikolojik etkileri) hem de indirekt (örneğin; davranışsal faktörler) mekanizmaların rol A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Rehabilitasyon; sosyal destek; psikoloji A AB BS S T TR RA AC CT T The relationship between psychological status and heart health is complex. Both direct (e.g., psychological effects on immunological function) and indirect mechanisms (e.g., behavioral factors) play a role. Rehabilitation of heart patients is based on the addition of seven core components; health behavior change and education, lifestyle risk factor management, psychosocial health, management of risk factors, preventive therapy for heart health, long-term management, control and evaluation.American Association of Cardiovascular and Pulmonary Rehabilitation, Cardiac Rehabilitation / Secondary Prevention Program focuses on the importance of evaluating the psychological distress of heart patients. In addition, this program suggests routed to the appropriate professional for the stress management, social support and treatment of anxiety or depression. In the INTERHEART case-control study, low socioeconomic status possessed by a powerful effect on coronary heart disease development, this situation is described as the lack of environmental factors and psychosocial resources that lead to despair and chronic stress, tension, loss of ability to deal. As can be seen, evaluating psychosocial approach is one of the most basic issues required for the rehabilitation of heart patients. Psychosocial support is important to provide for improving the quality of life of patients with heart disease, reduction of the recurrence risk of cardiovascular disease and biological risk factors.K Ke ey y W Wo or rd ds s: : Rehabilitation; social support; psychology T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J N Nu ur rs s S Sc ci i 2 20 01 16 6; ;8 8( (3 3) ): :2 25 57 7--7 70 0

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“…[66,67]. Although stress management interventions with cardiac patients have successfully targeted potential triggers such as anger [28], overall there is currently no strong evidence for specific modes of prevention for acute stressors in individuals. In light of this, efforts to buffer the cardiovascular impact of acute stressors via health behaviours (e.g.…”

Section: Stress and Cvdmentioning

confidence: 99%

“…However, while a recent Cochrane review of psychological interventions for patients with CHD demonstrated small to moderate improvements in depression and anxiety with such interventions, there was no strong evidence that they reduced cardiac morbidity or mortality [70].Similarly, although encouraging results have been reported for interventions such as mindfulness-based stress reduction, TM, and yoga, overall these studies have been of low quality and thus no firm recommendations can be made for their ancillary use with cardiac populations [30; 71]. Stress management programmes most likely to be effective with cardiac populations should be multimodal, intensive, initiated only after the acute phase of illness has passed, delivered by appropriately trained clinicians and possibly should involve booster sessions after the intervention has been completed [72,28,73].…”

Section: Stress and Cvdmentioning

confidence: 99%

“…Some observers have suggested that TABP may have suffered a premature demise given recent evidence showing that interventions targeting TABP have led to improved depression [27], and even improved cardiac endpoints for female CHD patients in particular [28,29]. Aspects of TAPB are also implicitly addressed in interventions such as transcendental meditation (TM) and mindfulness based stress reduction (MBSR) which are sometimes available to patients attending CR [30].…”

Section: Introductionmentioning

confidence: 99%

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Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

2015

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Psychological aspects of cardiac care & rehabilitation: Time to wake up to sleep? Abstract:Psychological and psychosocial factors have long been linked to cardiovascular disease. These psychosocial factors, including low socioeconomic status, social support/isolation, stress and distress, personality and sleep disturbance increase risk of cardiovascular events and negatively impact on quality of life. These factors may have direct effects on cardiovascular disease via immune or neuroendocrine pathways, or more indirect effects, by for example limiting adherence to recommended therapies and cardiac rehabilitation. Most psychosocial risk factors can be assessed relatively easily using standardised tools. Sleep disturbance, in particular, is gaining evidence for its importance, and may be crucial to address. While the management of certain psychosocial risk factors is an ethical requirement for care and improves quality of life, unfortunately there is little evidence that such strategies impact on 'hard' endpoints such as recurrent myocardial infarction. A comprehensive biopsychosocial approach to management of these psychosocial factors is required to maximise the benefits patients derive from cardiac care.

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Randomized Controlled Trial of Cognitive Behavioral Therapy vs Standard Treatment to Prevent Recurrent Cardiovascular Events in Patients With Coronary Heart Disease

Abstract: A CBT intervention program decreases the risk of recurrent CVD and recurrent acute myocardial infarction. This may have implications for secondary preventive programs in patients with coronary heart disease. Trial Registration clinicaltrials.gov Identifier: NCT00888485.

Cited by 331 publications

References 27 publications

2016 European Guidelines on cardiovascular disease prevention in clinical practice

2016 European Guidelines on cardiovascular disease prevention in clinical practice

Psychosocial Approach in the Rehabilitation of Heart Patients: Review

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

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