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Cited by 195Cardiac Health and Mental HealthPsychotherapy Techniques and ApplicationsCardiac Imaging and Diagnostics

The DOI matches its Crossref record; 179 of the 180 references it cites were found in a registry or an index.

Psychological interventions for coronary heart disease

Open access
Whalley, Ben, Rees, Karen, Davies, Philippa, Bennett, Paul, Ebrahim, Shah, Liu, Zulian, West, Robert, Moxham, Tiffany, Thompson, David R, Taylor, Rod S·2011·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd002902.pub3
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Abstract

BACKGROUND: Psychological symptoms are strongly associated with coronary heart disease (CHD), and many psychological treatments are offered following cardiac events or procedures. OBJECTIVES: Update the existing Cochrane review to (1) determine the independent effects of psychological interventions in patients with CHD (principal outcome measures included total or cardiac-related mortality, cardiac morbidity, depression, and anxiety) and (2) explore study-level predictors of the impact of these interventions. SEARCH STRATEGY: The original review searched Cochrane Controleed Trials Register (CCTR, Issue 4, 2001), MEDLINE, EMBASE, PsycINFO, and CINAHL to December 2001. This was updated by searching the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE, PsycINFO and CINAHL from 2001 to January 2009. In addition, we searched reference lists of papers, and expert advice was sought for the original and update review. SELECTION CRITERIA: Randomised controlled trials of psychological interventions compared to usual care, administered by trained staff. Only studies estimating the independent effect of the psychological component with a minimum follow-up of six months. Adults with specific diagnosis of CHD. DATA COLLECTION AND ANALYSIS: Titles and abstracts of all references screened for eligibility by two reviewers independently; data extracted by the lead author and checked by a second reviewer. Authors contacted where possible to obtain missing information. MAIN RESULTS: There was no strong evidence that psychological intervention reduced total deaths, risk of revascularisation, or non-fatal infarction. Amongst a smaller group of studies reporting cardiac mortality there was a modest positive effect of psychological intervention (relative risk: 0.80 (95% CI 0.64 to 1.00)). Furthermore, psychological intervention did result in small/moderate improvements in depression, standardised mean difference (SMD): -0.21 (95% CI -0.35, -0.08) and anxiety, SMD: -0.25 (95% CI -0.48 to -0.03). Results for mortality indicated some evidence of small-study bias, though results for other outcomes did not. Meta regression analyses revealed four significant predictors of intervention effects on depression were found: (1) an aim to treat type-A behaviours (ß = -0.32, p = 0.03) were more effective than other interventions. In contrast, interventions which (2) aimed to educate patients about cardiac risk factors (ß = 0.23, p = 0.03), (3) included client-led discussion and emotional support as core therapeutic components (ß = 0.31, p < 0.01), or (4) included family members in the treatment process (ß = 0.26, p < 0.01) were significantly less effective. AUTHORS' CONCLUSIONS: Psychological treatments appear effective in treating psychological symptoms of CHD patients. Uncertainly remains regarding the subgroups of patients who would benefit most from treatment and the characteristics of successful interventions.

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  1. Burell, 1995, Behaviour modification after coronary artery bypass graft surgery: effects on cardiac morbidity and mortality, Journal of Rehabilitation Science, 8, 39
  2. Burell, 1996, Group psychotherapy in Project New Life: treatment of coronary-prone behaviors for patients who have had coronary artery bypass graft surgery, 291
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  4. Peng, 2005, Psychotherapy on negative emotions for the incidence of ischemia-related events in patients with coronary heart disease, Chinese Journal of Clinical Rehabilitation, 9, 38
  5. Chen, 2005, Effect of cognitive education on the physical and psychological rehabilitation of patients with coronary heart disease after interventional therapy, Chinese Journal of Clinical Rehabilitation, 9, 1
  6. Erdman, 1983, Psychologic evaluation of a cardiac rehabilitation program: a randomized clinical trial in patients with myocardial infarction, Journal of Cardiopulmonary Rehabilitation and Prevention, 3, 696
  7. Fang, 2003, Control study of general psychological intervention for patients with myocardial infarction, Chinese Journal of Clinical Rehabilitation, 7, 1382
  8. Friedman, 1986, Alteration of type A behavior and its effect on cardiac recurrences in post myocardial infarction patients: summary results of the recurrent coronary prevention project, American Heart Journal, 112, 653, 10.1016/0002-8703(86)90458-8 · DOI
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  10. Mandel, 2008, Effects of Music-Assisted Relaxation and Imagery (MARI) on health-related outcomes in cardiac rehabilitation: follow-up study [PhD dissertation]
  11. van, 1991, Self-observation in cardiac rehabilitation, 130
  12. Wan, 2005, Influence of psychological intervention on the negative emotion of patients with coronary heart disease, Chinese Journal of Clinical Rehabilitation, 9, 40
  13. Zhu, 2006, Interventional effect of Chinese daoistic cognitive therapy on type-A behavior of patients with coronary heart disease, Chinese Journal of Clinical Rehabilitation, 10, 157
  14. James, 2006, Effect of a psychosocial intervention on inflammatory markers in patients with coronary artery disease, Dissertation Abstracts International: Section B: The Sciences and Engineering, 67, 2271
  15. Beck, 1997, Cognitive Therapy: Reflections
  16. Cohen-Cole, 1993, Assessment of depression and grief reaction in the medically ill, 53-71
  17. DeBusk, 1994, A case-management system for coronary risk factor modification after acute myocardial infarction, Annals of Internal Medicine, 120, 721, 10.7326/0003-4819-120-9-199405010-00001 · DOI · Paper page
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  19. Spielberger, 1970, STAI Manual

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Metadata

Authors
Whalley, B., Rees, K., Davies, P., Bennett, P., Ebrahim, S., Liu, Z., West, R., Moxham, T., Thompson, D. R., & Taylor, R. S.
Affiliations
  • University of Bristol (GB)
  • University of Warwick (GB)
  • Cardiff University (GB)
  • London School of Hygiene & Tropical Medicine (GB)
  • University of Exeter (GB)
  • Florida Atlantic University (US)
  • Australian Catholic University (AU)
  • Peninsula College of Medicine and Dentistry (GB)
ORCID
Venue
Cochrane Database of Systematic Reviews
Publisher
John Wiley & Sons, Ltd
Published
2011-08-10
Issue
8
Pages
CD002902-CD002902
ISSN
1361-6137 (ISSN-L)
DOI
10.1002/14651858.cd002902.pub3
OpenAlex
W2340820090
Cited by
194
References
180
Citations by year
2026: 1 · 2025: 2 · 2024: 6 · 2023: 7 · 2022: 12 · 2021: 8 · 2020: 9 · 2019: 14 · 2018: 9 · 2017: 16 · 2016: 25 · 2015: 20 · 2014: 19 · 2013: 23 · 2012: 12
Type
reference entry
Language
en
Update notices
new_version (2017-04-28)
Open access
Locations
  • Cochrane Database of Systematic Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
  • Research Portal (Queen's University Belfast) (submittedVersion)
Funders
Economic and Social Research Council (ES/G022593/1)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
Keywords
coronary artery disease, psychological intervention, cardiac mortality, depression, anxiety, myocardial infarction, Type A behavior pattern, cardiac rehabilitation
MeSH terms
Aged, Anxiety, Coronary Disease, Depression, Female, Humans, Male, Myocardial Infarction, Myocardial Revascularization, Psychotherapy, Reoperation

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