Daily Stress and Social Support among Women with CAD: Results from a 1-year Randomized Controlled Stress Management Intervention Study
Abstract
Background Psychosocial stress may play a causative role in development and progression of coronary artery disease (CAD). Purpose We investigated the effects of a 1-year stress management program on daily stress behavior and social support among female CAD patients. Method Women, 247 ( Results Daily stress scores for the intervention and control groups were at baseline 39.5 +/- 8.1 vs. 37.2 +/- 9.1 (p = 0.06), 10 weeks 37.2 +/- 8.0 vs. 35.5 +/- 9.4 (p = 0.20), 1-year 36.1 +/- 7.2 vs. 35.9 +/- 8.5 (p = 0.85), and at 1-2 year follow-up 34.0 +/- 7.8 vs. 35.3 +/- 8.7 (p = 0.32), respectively. Intention to treat analyses showed interaction between treatment and time [F(3,213) = 2.72; p = 0.01] reflecting that the decrease was more pronounced in the intervention group. There was no evidence for a difference in change concerning social support. Conclusion CAD women in the intervention group had a more pronounced reduction of self-rated daily stress behavior over time compared to controls. However, as the intervention group had higher baseline values, due to regression toward the mean, we have no evidence that the difference in decrease of daily stress was due to the intervention.
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A trial of a group-based psychosocial intervention program that focused on relaxation training and coping skills demonstrated lower mortality in the intervention group (OR, 0.33; 95% CI, 0.15-0.74).
“A trial of a group-based psychosocial intervention program that focused on relaxation training and coping skills demonstrated lower mortality in the intervention group (OR, 0.33 [95% CI, 0.15-0.74]). 202”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [202]
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- Authors
- Blom, M., Georgiades, A., Janszky, I., Alinaghizadeh, H., Lindvall, B., & Ahnve, S.
- Affiliations
- Region Stockholm (SE)
- Karolinska University Hospital (SE)
- Corresponding author
- Ahnve, Staffan
- Venue
- International Journal of Behavioral Medicine
- Published
- 2009-03-11
- Volume
- 16
- Issue
- 3
- Pages
- 227-235
- ISSN
- 1070-5503 (ISSN-L)
- 1532-7558
- OpenAlex
- W1981773134
- Cited by
- 24
- References
- 3
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 2
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fondation pour la Recherche Médicale
- Stockholms Läns Landsting
- Vetenskapsrådet
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- coronary artery disease, women, daily stress, social support, stress management interventions, group therapy, psychosocial stress, cardiac rehabilitation, regression to the mean
- MeSH terms
- Adult, Aged, Assertiveness, Coronary Artery Disease, Female, Follow-Up Studies, Humans, Longitudinal Studies, Middle Aged, Patient Education as Topic, Problem Solving, Relaxation Therapy, Social Support, Stress, Psychological, Cognitive Behavioral Therapy, Intention to Treat Analysis
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