Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis

Whalley, Ben, Thompson, David R. and Taylor, Rod S. (2014) Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis. International Journal of Behavioral Medicine, 21 1: 109-121. doi:10.1007/s12529-012-9282-x

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Author Whalley, Ben
Thompson, David R.
Taylor, Rod S.
Title Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis
Journal name International Journal of Behavioral Medicine   Check publisher's open access policy
ISSN 1070-5503
1532-7558
Publication date 2014-02
Year available 2012
Sub-type Article (original research)
DOI 10.1007/s12529-012-9282-x
Open Access Status
Volume 21
Issue 1
Start page 109
End page 121
Total pages 13
Place of publication New York, United States
Publisher Springer
Collection year 2013
Language eng
Formatted abstract
Background Depression and anxiety are common in cardiac patients, and psychological interventions may also be used as part of general cardiac rehabilitation programs.
Purpose This study aims to estimate effects of psychological interventions on mortality and psychological symptoms in this group, updating an existing Cochrane Review.
Method Systematic review and meta-regression analyses of randomized trials evaluating a psychological treatment delivered by trained staff to patients with a diagnosed cardiac disease, with a follow-up of at least 6 months, were used.
Results There was no strong evidence that psychological intervention reduced total deaths, risk of revascularization, or non-fatal infarction. Psychological intervention did result in small/moderate improvements in depression and anxiety, and there was a small effect for cardiac mortality.
Conclusion Psychological treatments appear effective in treating patients with psychological symptoms of coronary heart disease. Uncertainty remains regarding the subgroups of patients who would benefit most from treatment and the characteristics of successful interventions.
Keyword Coronary heart disease
Psychological interventions
Cardiac rehabilitation
Secondary prevention
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 24 November 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 21 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 24 times in Scopus Article | Citations
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Created: Mon, 10 Dec 2012, 13:46:43 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work