Psychological interventions for patients with coronary heart disease and their partners: a systematic review

Reid, Jane, Ski, Chantal F. and Thompson, David R. (2013) Psychological interventions for patients with coronary heart disease and their partners: a systematic review. PLoS One, 8 9: e73459.1-e73459.13. doi:10.1371/journal.pone.0073459

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Author Reid, Jane
Ski, Chantal F.
Thompson, David R.
Title Psychological interventions for patients with coronary heart disease and their partners: a systematic review
Journal name PLoS One   Check publisher's open access policy
ISSN 1932-6203
Publication date 2013-09-05
Sub-type Article (original research)
DOI 10.1371/journal.pone.0073459
Open Access Status DOI
Volume 8
Issue 9
Start page e73459.1
End page e73459.13
Total pages 13
Place of publication San Francisco, CA, United States
Publisher Public Library of Science
Collection year 2014
Language eng
Formatted abstract
Objectives: Despite evidence that patients with coronary heart disease (CHD) and their partners report significant psychological distress, and suggestions that involving partners in interventions alleviates such distress, no systematic reviews have examined this. The objective of this study was to systematically review evidence on the effectiveness of psychological interventions for patients with CHD and their partners.

Methods: CENTRAL, Medline, EMBASE, CINAHL and PsycINFO databases were searched through October 2012. Randomized controlled trials evaluating psychological interventions for patients with CHD and their partners were included. Selection of studies, study appraisal, data extraction and analysis were undertaken using standard methods.

Results: Seven studies comprising 673 participants were included, two of which indicated that psychological interventions result in modest improvements in patients' depressive symptoms, anxiety, knowledge of disease and treatment, and satisfaction with care, and in partners' anxiety, knowledge and satisfaction. In partners, there was a non-significant trend for improvements in depressive symptoms. One study showed a beneficial effect on blood pressure. There was no evidence of a significant effect on mortality, morbidity or cardiovascular risk factors for patients or social support for patients and partner.

Conclusions: The small number of studies included in the review had generally poor methodology, as shown by the risk of bias, and were performed over 10 years ago. As only two of the seven studies resulted in modest improvements in outcomes, no firm conclusions can be drawn as to the effectiveness of such interventions in this population.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Fri, 15 Nov 2013, 11:55:47 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work