Efficacy of internet-delivered cognitive behavioural therapy following an acute coronary event: A randomized controlled trial
Open accessAbstract
Depression and anxiety are common among people who have experienced an acute coronary event (e.g., heart attack). Multidisciplinary cardiac rehabilitation programs often focus on reducing risk factors associated with future cardiac events, however, mental health interventions are not routinely available. Given known difficulties with access to mental health treatment, the present study sought to explore the efficacy and acceptability of an Internet-delivered cognitive behavioural therapy program (Cardiac Wellbeing Course) among participants who experienced an acute coronary event. The five-lesson course was delivered over eight weeks and was provided with brief weekly contact, via telephone and secure email with a guide. Participants were randomized to the Cardiac Wellbeing Course (n = 25) or waiting-list control group (n = 28). Symptoms were assessed at pre-treatment, post-treatment, and four-week follow-up. Completion rates (84%) and satisfaction ratings (95%) were high. Statistically significant between-group improvements were observed for the treatment group on primary measures of general anxiety (Cohen's d = 1.62; 67% reduction), depression (Cohen's d = 1.09; 61% reduction), and physical activity levels (Cohen's d = 0.27; 70% increase). Statistically significant improvements were also observed on secondary measures of distress (Cohen's d = 0.98; 51% reduction), cardiac anxiety (Cohen's d = 0.92; 34% reduction), and mental-health quality of life (Cohen's d = 0.23; 24% improvement). The changes were maintained at four-week follow-up. The current findings add to the existing literature and highlight the potential of Internet-delivered cognitive behavioural therapy programs among participants who have experienced an acute coronary event.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Schneider et al. evaluated a transdiagnostic iCBT programme in CVD patients after a newly acute coronary event and reported strong effects on depression, distress, and fear disorder as measured by GAD-7 and CAQ total, avoidance, and fear.
“Schneider et al. 20 evaluated a transdiagnostic programme in CVD patients who had experienced a newly acute coronary event and reported strong effects on depression, as well as on distress and fear disorder, as measured using GAD-7 and CAQ total, avoidance, and fear.”
From The effects of internet-based cognitive behaviour therapy for depression in cardiovascular disease on symptoms of anxiety: a secondary analysis of a randomized trial. (2024) · cites this paper as [20]
The Discussion identifies a transdiagnostic iCBT programme for people with CVD after an acute coronary event, and the Results report large effects on depression, distress, and CAQ total and fear scores. But the Results > Clinical significance describes the CAQ avoidance effect as small, not strong. The Methods > Measures also identify GAD-7 as a measure of general anxiety and CAQ as a measure of cardiac anxiety, not depression or distress. Page numbers are unavailable in our copy. (LLM, conf=0.91)
Experimental — accuracy not yet measuredOnly few studies have examined the efficacy of an approach like eMindYourHeart to treat compromised mental health in patients with ischaemic heart disease, with mixed results.
“Only few studies [27–29] have examined the efficacy of an approach like eMindYourHeart to treat compromised mental health in patients with IHD, with the studies showing mixed results.”
In another study by Schneider et al., a transdiagnostic iCBT programme was found to reduce symptoms of GAD and heart-focused anxiety.
“In another study by Schneider et al., 20 a transdiagnostic iCBT programme was found to reduce symptoms of GAD (i.e. distress disorder) and heart-focused anxiety (i.e. fear disorder).”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392 · see citing works
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770 · see citing works
(2008) · Medical Entomology and Zoology · Cited by 7,477 · see citing works
(1995) · Cited by 6,909 · see citing works
Henry, J. D., & Crawford, J. R. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29657 · Cited by 5,801 · see citing works
Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2010) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2010.03.006 · Cited by 4,057 · see citing works
A simple method to assess exercise behavior in the community.
Godin, G., & Shephard, R. J. (1985) · PubMed · Cited by 3,759 · see citing works
Generalized Estimating Equations
Hardin, J. W., & Hilbe, J. M. (2002) · doi:10.1201/9781420035285 · Cited by 1,766 · see citing works
Crawford, J. R., & Henry, J. D. (2003) · British Journal of Clinical Psychology · doi:10.1348/014466503321903544 · Cited by 1,756 · see citing works
Advantages and limitations of Internet-based interventions for common mental disorders
Andersson, G., & Titov, N. (2014) · World Psychiatry · doi:10.1002/wps.20083 · Cited by 1,160 · see citing works
Self-citationHubbard (2010) · doi:10.1097/ede.0b013e3181caeb90 · Cited by 1,139 · see citing works
Osman, A., Wong, J. L., Bagge, C. L., Freedenthal, S. L., Gutierrez, P. M., & Lozano, G. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.21908 · Cited by 1,097 · see citing works
Cardiac Rehabilitation and Secondary Prevention of Coronary Heart Disease
Leon, A. S., Franklin, B. A., Costa, F., Balady, G. J., Berra, K. A., Stewart, K. J., Thompson, P. D., Williams, M. A., & Lauer, M. S. (2005) · Circulation · doi:10.1161/01.cir.0000151788.08740.5c · Cited by 1,066 · see citing works
Andrews, G., Basu, A., Cuijpers, P., Craske, M. G., McEvoy, P., English, C. L., & Newby, J. M. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.01.001 · Cited by 922 · see citing works
Physical Activity Interventions for People With Mental Illness
Rosenbaum, S., Tiedemann, A., Sherrington, C., Curtis, J., & Ward, P. B. (2014) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.13r08765 · Cited by 696 · see citing works
Little, T. D., Jorgensen, T. D., Lang, K. M., & Moore, E. W. G. (2013) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jst048 · Cited by 681 · see citing works
Hedman, E., Ljótsson, B., & Lindefors, N. (2012) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/erp.12.67 · Cited by 672 · see citing works
Psychological interventions for coronary heart disease.
Richards, S. H., Anderson, L., Jenkinson, C. E., Whalley, B., Rees, K., Davies, P., Bennett, P., Liu, Z., West, R., Thompson, D. R., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002902.pub4 · Cited by 571 · see citing works
Amireault, S., & Godin, G. (2015) · Perceptual and Motor Skills · doi:10.2466/03.27.pms.120v19x7 · Cited by 565 · see citing works
O’Halloran, P. D., Blackstock, F., Shields, N., Holland, A., Iles, R., Kingsley, M., Bernhardt, J., Lannin, N., Morris, M. E., & Taylor, N. F. (2014) · Clinical Rehabilitation · doi:10.1177/0269215514536210 · Cited by 398 · see citing works
Consensus statement on defining and measuring negative effects of internet interventions
Rozental, A., Andersson, G., Boettcher, J., Ebert, D. D., Cuijpers, P., Knaevelsrud, C., Ljótsson, B., Kaldo, V., Titov, N., & Carlbring, P. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.02.001 · Cited by 371 · see citing works
Self-citationThe Cardiac Anxiety Questionnaire: development and preliminary validity
Eifert, G. H., Thompson, R. N., Zvolensky, M. J., Edwards, K., Frazer, N. L., Haddad, J. W., & Davig, J. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00132-1 · Cited by 349 · see citing works
Enhancing recovery rates: Lessons from year one of IAPT
Gyani, A., Shafran, R., Layard, R., & Clark, D. M. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.06.004 · Cited by 347 · see citing works
Păsărelu, C. R., Andersson, G., Bergman Nordgren, L., & Dobrean, A. (2017) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2016.1231219 · Cited by 335 · see citing works
Arnberg, F. K., Linton, S. J., Hultcrantz, M., Heintz, E., & Jonsson, U. (2014) · PLoS ONE · doi:10.1371/journal.pone.0098118 · Cited by 330 · see citing works
Andersson, G., Carlbring, P., Titov, N., & Lindefors, N. (2019) · The Canadian Journal of Psychiatry · doi:10.1177/0706743719839381 · Cited by 324 · cited 1× · see citing works
“There are several reviews that support the efficacy of ICBT as a treatment for a variety of psychological disorders, with large effect sizes reported for disorder-specific programs (Andersson et al., 2019; Andrews et al., 2018).”
BackgroundSelf-citationCardiac rehabilitation past, present and future: an overview.
Mampuya, W. M. (2012) · Europe PMC (PubMed Central) · doi:10.3978/j.issn.2223-3652.2012.01.02 · Cited by 316 · see citing works
Transdiagnostic internet treatment for anxiety and depression: a randomised controlled trial
Titov, N., Dear, B. F., Schwencke, G., Andrews, G., Johnston, L., Craske, M. G., & McEvoy, P. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.03.007 · Cited by 285 · cited 1× · see citing works
“However, difficulties in recruitment resulted in conducting a secondary power analysis which assumed large (rather than medium) effects based on similar ICBT programs (Reinholt and Krogh, 2014; Titov et al., 2011).”
BackgroundSelf-citationPsychological treatment of cardiac patients: a meta-analysis
Linden, W., Phillips, M. J., & Leclerc, J. (2007) · European Heart Journal · doi:10.1093/eurheartj/ehm504 · Cited by 284 · see citing works
Stafford, L., Berk, M., & Jackson, H. J. (2007) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.06.005 · Cited by 265 · see citing works
Blumenthal, J. A., Sherwood, A., Smith, P. J., Watkins, L., Mabe, S., Kraus, W. E., Ingle, K., Miller, P., & Hinderliter, A. (2016) · Circulation · doi:10.1161/circulationaha.115.018926 · Cited by 257 · see citing works
Müller‐Nordhorn, J., Roll, S., & Willich, S. N. (2004) · Heart · doi:10.1136/hrt.2003.013995 · Cited by 251 · see citing works
Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., McEvoy, P. M., et al. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.09.003 · Cited by 230 · see citing works
Self-citationTitov, N., Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Sheehan, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., et al. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.08.002 · Cited by 223 · see citing works
Self-citationMcManus, D. D., Pipkin, S. S., & Whooley, M. A. (2005) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2005.06.037 · Cited by 222 · see citing works
Richards, D. A., & Borglin, G. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.03.024 · Cited by 217 · see citing works
van Beugen, S., Ferwerda, M., Hoeve, D., Rovers, M. M., Spillekom-van Koulil, S., van Middendorp, H., & Evers, A. W. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2777 · Cited by 189 · cited 2× · see citing works
“…outcomes of this study are also in-line with the positive results reported in meta-analytic studies of ICBT for anxiety and depression (Andrews et al., 2018; Arnberg et al., 2014; Hedman et al., 2012) and for ICBT programs targeting somatic conditions (Mehta et al., 2018; van Beugen et al., 2014).”
BackgroundResultReavell, J., Hopkinson, M., Clarkesmith, D., & Lane, D. A. (2018) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000626 · Cited by 189 · see citing works
Dear (2015) · doi:10.1097/j.pain.0000000000000251 · Cited by 187 · see citing works
Self-citationTitov, N., Dear, B. F., Staples, L. G., Bennett-Levy, J., Klein, B., Rapee, R. M., Andersson, G., Purtell, C., Bezuidenhout, G., & Nielssen, O. B. (2017) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867416671598 · Cited by 183 · see citing works
Self-citationGermon, K. (1997) · Journal of Neuroscience Nursing · doi:10.1097/01376517-199702000-00013 · Cited by 155 · see citing works
Mehta, S., Peynenburg, V. A., & Hadjistavropoulos, H. D. (2019) · Journal of Behavioral Medicine · doi:10.1007/s10865-018-9984-x · Cited by 153 · see citing works
Self-citationReinholt, N., & Krogh, J. (2014) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2014.897367 · Cited by 146 · see citing works
Glozier, N., Christensen, H., Naismith, S., Cockayne, N., Donkin, L., Neal, B., Mackinnon, A., & Hickie, I. (2013) · PLoS ONE · doi:10.1371/journal.pone.0059139 · Cited by 129 · see citing works
Sikes, E. M., Richardson, E. V., Cederberg, K. L. J., Sasaki, J. E., Sandroff, B. M., & Motl, R. W. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2018.1424956 · Cited by 115 · see citing works
Norlund, F., Wallin, E., Olsson, E. M. G., Wallert, J., Burell, G., von Essen, L., & Held, C. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9710 · Cited by 110 · see citing works
Lundgren, J. G., Dahlström, Ö., Andersson, G., Jaarsma, T., Kärner Köhler, A., & Johansson, P. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5556 · Cited by 104 · see citing works
Hadjistavropoulos, H. D., Nugent, M. M., Alberts, N. M., Staples, L., Dear, B. F., & Titov, N. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.05.006 · Cited by 103 · see citing works
Self-citationSystematic review of cardiac rehabilitation guidelines: Quality and scope
Mehra, V. M., Gaalema, D. E., Pakosh, M. T., & Grace, S. L. (2019) · European Journal of Preventive Cardiology · doi:10.1177/2047487319878958 · Cited by 96 · see citing works
Panaite, V., Salomon, K., Jin, A. B., & Rottenberg, J. A. (2015) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000171 · Cited by 81 · see citing works
Johansson, P., Westas, M., Andersson, G., Alehagen, U., Broström, A., Jaarsma, T., Mourad, G., & Lundgren, J. (2019) · JMIR Mental Health · doi:10.2196/14648 · Cited by 77 · see citing works
Hadjistavropoulos, H. D., Schneider, L. H., Edmonds, M., Karin, E., Nugent, M. N., Dirkse, D., Dear, B. F., & Titov, N. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.09.006 · Cited by 71 · see citing works
Self-citationDepressive Symptoms and Sex Affect Completion Rates and Clinical Outcomes in Cardiac Rehabilitation
Caulin‐Glaser, T., Maciejewski, P. K., Snow, R. J., Lalonde, M., & Mazure, C. M. (2007) · Preventive Cardiology · doi:10.1111/j.1520-037.2007.05666.x · Cited by 67 · see citing works
Karin, E., Dear, B. F., Heller, G. Z., Crane, M. F., & Titov, N. (2018) · JMIR Mental Health · doi:10.2196/mental.8363 · Cited by 67 · see citing works
Self-citationGeneralized Estimating Equations
Ziegler, A., & Vens, M. (2013) · Springer eBooks · doi:10.1007/978-0-387-09834-0_45 · Cited by 61 · see citing works
Compare, A., Germani, E., Proietti, R., & Janeway, D. (2011) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901107010148 · Cited by 53 · see citing works
Kuhl, E. A., Sears, S. F., & CONTI, J. B. (2006) · Heart & Lung · doi:10.1016/j.hrtlng.2006.02.004 · Cited by 48 · see citing works
Development and impact of exercise self-efficacy types during and after cardiac rehabilitation.
Rodgers, W. M., Murray, T. C., Selzler, A., & Norman, P. E. (2013) · Rehabilitation Psychology · doi:10.1037/a0032018 · Cited by 48 · see citing works
Habibović, M., Cuijpers, P., Alings, M., van der Voort, P., Theuns, D., Bouwels, L., Herrman, J.-P., Valk, S., & Pedersen, S. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2809 · Cited by 47 · see citing works
Chan, R., Dear, B., Titov, N., Chow, J., & Suranyi, M. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.08.012 · Cited by 43 · see citing works
Self-citationGandy, M., Karin, E., Fogliati, V. J., McDonald, S., Titov, N., & Dear, B. F. (2016) · Epilepsia · doi:10.1111/epi.13569 · Cited by 41 · see citing works
Self-citationNorlund, F., Olsson, E. M., Burell, G., Wallin, E., & Held, C. (2015) · Trials · doi:10.1186/s13063-015-0689-y · Cited by 33 · see citing works
Mehta, S., Hadjistavropoulos, H., Nugent, M., Karin, E., Titov, N., & Dear, B. F. (2020) · Spinal Cord · doi:10.1038/s41393-019-0398-6 · Cited by 27 · see citing works
Self-citationLehmann, M., Kohlmann, S., Gierk, B., Murray, A., & Löwe, B. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2305 · Cited by 25 · see citing works
Dear, B. F., Fogliati, V. J., Fogliati, R., Gandy, M., McDonald, S., Talley, N. J., Holtmann, G., Titov, N., & Jones, M. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.02.015 · Cited by 23 · see citing works
Self-citationMesserli‐Bürgy, N., Barth, J., & Berger, T. (2012) · Trials · doi:10.1186/1745-6215-13-245 · Cited by 22 · see citing works
Komasi, S., Soroush, A., Saeidi, M., Brugnera, A., Rabboni, M., Fulcheri, M., Carrozzino, D., Marchettini, P., & Compare, A. (2018) · Journal of Cardiovascular and Thoracic Research · doi:10.15171/jcvtr.2018.16 · Cited by 8 · see citing works
Okutucu, S. (2016) · Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology · doi:10.5543/tkda.2016.30788 · Cited by 6 · see citing works
Flagged first, then by citations
1 of the 71 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- National Research Council The prevention and treatment of missing data in clinical trials https://www.ncbi.nlm.nih.gov/books/NBK209904/pdf/Bookshelf_NBK209904.pdf 2010 24983040
Cited by
Sorted by citations
Exercise-based cardiac rehabilitation for coronary heart disease
Dibben, G. O., Faulkner, J., Oldridge, N., Rees, K., Thompson, D. R., Zwisler, A., & Taylor, R. S. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001800.pub4 · Cited by 597 · see citing works
Andersson, G., Carlbring, P., Titov, N., & Lindefors, N. (2019) · The Canadian Journal of Psychiatry · doi:10.1177/0706743719839381 · Cited by 324 · see citing works
Self-citationPedretti, R. F. E., Hansen, D., Ambrosetti, M., Bäck, M., Berger, T., Ferreira, M. C., Cornelissen, V., Davos, C. H., Doehner, W., Zarzosa, C. D. P., et al. (2022) · European Journal of Preventive Cardiology · doi:10.1093/eurjpc/zwac204 · Cited by 119 · see citing works
Li, Y., Buys, N. J., Ferguson, S., Li, Z., & Sun, J. (2021) · World Journal of Psychiatry · doi:10.5498/wjp.v11.i11.1147 · Cited by 65 · see citing works
Tully, P. J., Ang, S. Y., Lee, E. J., Bendig, E., Bauereiß, N., Bengel, J., & Baumeister, H. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008012.pub4 · Cited by 66 · see citing works
Särnholm, J., Skúladóttir, H., Rück, C., Axelsson, E., Bonnert, M., Bragesjö, M., Venkateshvaran, A., Ólafsdóttir, E., Pedersen, S. S., Ljótsson, B., et al. (2023) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2023.04.044 · Cited by 62 · see citing works
Hadjistavropoulos, H. D., Peynenburg, V., Thiessen, D. L., Nugent, M., Karin, E., Staples, L., Dear, B. F., & Titov, N. (2022) · The Canadian Journal of Psychiatry · doi:10.1177/07067437211006873 · Cited by 52 · see citing works
Self-citationHumphries, S., Wallert, J., Norlund, F., Wallin, E., Burell, G. K., von Essén, L., Held, C., & Olsson, E. M. G. (2021) · Journal of Medical Internet Research · doi:10.2196/25465 · Cited by 42 · see citing works
Adrian Wells, A., Reeves, D., Heal, C., Fisher, P., Doherty, P., Davies, L. M., Heagerty, A. M., & Capobianco, L. (2023) · PLoS Medicine · doi:10.1371/journal.pmed.1004161 · Cited by 26 · see citing works
Pedersen, S. S., Andersen, C. M., Ahm, R., Skovbakke, S. J., Kok, R., Helmark, C., Wiil, U. K., Schmidt, T., Olsen, K. R., Hjelmborg, J., et al. (2021) · BMC Cardiovascular Disorders · doi:10.1186/s12872-020-01801-w · Cited by 24 · see citing works
Westas, M., Lundgren, J., Andersson, G., Mourad, G., & Johansson, P. (2022) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvab131 · Cited by 22 · see citing works
Bendig, E., Bauereiß, N., Buntrock, C., Habibović, M., Ebert, D. D., & Baumeister, H. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100375 · Cited by 20 · see citing works
Li, Y., Peng, J., Yang, P., Weng, J., Lu, Y., Liu, J., Xu, S., Guan, L., Huang, D., Wang, Q., et al. (2024) · General Psychiatry · doi:10.1136/gpsych-2023-101434 · Cited by 19 · see citing works
Wang, S., Gao, L., Wang, C., Bai, J., Shen, M., Zhao, X., & Lin, M. F. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1433558 · Cited by 20 · see citing works
Helmark, C., Ahm, R., Andersen, C. M., Skovbakke, S. J., Kok, R., Wiil, U. K., Schmidt, T., Hjelmborg, J., Frostholm, L., Frydendal, D. H., et al. (2021) · European Heart Journal - Digital Health · doi:10.1093/ehjdh/ztab037 · Cited by 15 · see citing works
Effect of the COVID-19 pandemic on complications and mortality of patients with cardiac surgery
Wang, X., Heng Jun, G. A. O., Zhang, Z., Deng, C., Yang, Y., & Shi, T. (2021) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-021-01744-z · Cited by 15 · see citing works
Carolan, M. C., Vasilevski, V., Nagle, C., & Stepto, N. K. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100393 · Cited by 13 · see citing works
Johnsson, A., Ljótsson, B., Liliequist, B. E., Skúladóttir, H., Maurex, L., Boberg, I., Ólafsdóttir, E., Klavebäck, S., Braunschweig, F., Mellbin, L., et al. (2025) · European Heart Journal Open · doi:10.1093/ehjopen/oeaf020 · Cited by 12 · see citing works
Kwek, S. Q., Yeo, T. M., Teo, J. Y. C., Seah, A. C. W., Kai Ning, J. P., & Wang, W. (2025) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvaf084 · Cited by 11 · see citing works
El-Malahi, O., Mohajeri, D., Bäuerle, A., Mincu, R. I., Rammos, C., Jansen, C., Teufel, M., Rassaf, T., & Lortz, J. (2025) · Journal of Medical Internet Research · doi:10.2196/67118 · Cited by 11 · see citing works
Pedersen, S. S., Skovbakke, S. J., Skov, O., Carlbring, P., Burg, M. M., Habibović, M., & Ahm, R. (2023) · Current Cardiology Reports · doi:10.1007/s11886-023-01867-w · Cited by 11 · see citing works
Mourad, G., Lundgren, J., Andersson, G., Husberg, M., & Johansson, P. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-059939 · Cited by 9 · see citing works
Westas, M., Mourad, G., Andersson, G., Neher, M., Lundgren, J., & Johansson, P. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03939-7 · Cited by 10 · see citing works
Westas, M., Mourad, G., Andersson, G., Lundgren, J., & Johansson, P. (2024) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvad097 · Cited by 8 · see citing works
“20 However, considering the NNT results in our study, it is important to note that the iCBT programme was originally designed to address depression rather than anxiety.”
BackgroundMethodInfluentialRogerson, M. C., Jackson, A. C., Navaratnam, H. S., Grande, M. R. L., Higgins, R. O., Clarke, J., & Murphy, B. M. (2023) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvad034 · Cited by 8 · see citing works
Psychological distress in patients with cardiovascular disease: time to do something about it?
Johansson, P., Andersson, G., Jaarsma, T., Lundgren, J., Westas, M., & Mourad, G. (2021) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvab007 · Cited by 8 · see citing works
Lim, G., Tang, A., Chin, Y. H., Yong, J. N., Tan, D., Tay, P., Chan, Y.-Y., Lim, D. M. W., Yeo, J. W., Chan, K. E., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0278326 · Cited by 6 · see citing works
Helmark, C., Ahm, R., Brandes, A., Skovbakke, S. J., Nielsen, J. C., Frostholm, L., Taylor, R. S., & Pedersen, S. S. (2025) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01586-1 · Cited by 6 · see citing works
Kirchberger, I., Fischer, S., Berghaus, T. M., Linseisen, J., & Meisinger, C. (2025) · Respiratory Medicine · doi:10.1016/j.rmed.2025.108079 · Cited by 3 · see citing works
Israfil, I. (2023) · Gaceta Médica de Caracas · doi:10.47307/gmc.2023.131.s3.22 · Cited by 3 · see citing works
Ding, M., Wang, M., Gao, M., Zou, J., Li, L., Chen, J., Yan, L., Li, M., Zhong, X., & Yuan, F. (2026) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvag052 · Cited by 2 · see citing works
Mental Health Factors and Lifestyle Adherence After Myocardial Infarction: An Integrative Review
Al-Faraj, H., Kum, C., Warner, L. C., Lee, R. C., Becker, R. C., & Bakas, T. (2025) · Western Journal of Nursing Research · doi:10.1177/01939459251326816 · Cited by 2 · see citing works
Setoudeh, F., Molazem, Z., Setoodeh, G., & Ghaemmaghami, P. (2025) · BMC Cardiovascular Disorders · doi:10.1186/s12872-025-05060-5 · Cited by 1 · see citing works
Dewidar, O., Abdi, A., Sabri, H., Dawit, H., Philip, S. C., Barbeau, V. I., Benoît, P., Antunes, P., Jetté, J., Assaouré, J., et al. (2025) · CJC Open · doi:10.1016/j.cjco.2025.10.002 · Cited by 1 · see citing works
Thought Content and Thinking Processes in Psychotherapy: Cognitive Versus Metacognitive Approaches
Batmaz, S., & Altınöz, A. E. (2023) · Integrated science · doi:10.1007/978-3-031-15959-6_18 · Cited by 1 · see citing works
Павловна, Л. Н., Golubev, M. V., & Zaitsev, V. P. (2023) · Cardiosomatics · doi:10.17816/cs502983 · Cited by 3 · see citing works
Nafisah, & Weliangan, H. (2021) · International Journal of Research Publications · doi:10.47119/ijrp100801720212049 · Cited by 1 · see citing works
Exposure-based cognitive behavior therapy for atrial fibrillation : a novel treatment paradigm
Särnholm, J. (2021) · Figshare
Westas, M. (2022) · Linköping University Medical Dissertations · doi:10.3384/9789179293796
Telehealth interventions in Mental Health: a Systematic Review (Preprint)Preprint
Torres-Silva, E. A., Pereira-Montiel, E., Arenas, D. A. M., Uribe, A., Montoya, M. A. A., & Florez-Arango, J. F. (2023) · doi:10.2196/preprints.52249
Mehta, S., Barua, U., Nugent, M., Hansen, K., Sondhi, L., Upper, R., Wolfe, D., Roh, E., Sequeira, K., Teasell, R., et al. (2025) · Journal of Rehabilitation Medicine · doi:10.2340/jrm.v57.40898
Self-citationExpanding the reach of psychological care: reflections on iCBT in cardiovascular populations
Johansson, P. (2025) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvaf095
Westas, M., Mourad, G., Andersson, G., Neher, M., Lundgren, J., & Johansson, P. (2022) · Figshare · doi:10.6084/m9.figshare.19654717
- Authors
- Schneider, L. H., Hadjistavropoulos, H. D., Dear, B. F., & Titov, N.
- Affiliations
- University of Regina (CA)
- Macquarie University (AU)
- Corresponding author
- Hadjistavropoulos, H.D.
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2020-09
- Volume
- 21
- Pages
- 100324
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC7235608
- OpenAlex
- W3022482498
- Cited by
- 43
- References
- 71
- Citations by year
- 2026: 1 · 2025: 11 · 2024: 1 · 2023: 9 · 2022: 6 · 2021: 14 · 2019: 1
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- oURspace (University of Regina) (submittedVersion)
- UREG-DEV
- Funders
- Canadian Institutes of Health Research (293379)
- Saskatchewan Health Research Foundation
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- internet-based cognitive behavioral therapy, acute coronary events, depression, anxiety, cardiac anxiety, cardiac rehabilitation, physical activity, mental health, treatment acceptability, telephone-delivered intervention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
