Cited by 39Cardiac Health and Mental HealthPsychotherapy Techniques and ApplicationsCardiac Imaging and Diagnostics

Efficacy of psychological interventions on clinical outcomes of coronary artery disease: Systematic review and meta-analysis

Magán, Inés, Jurado-Barba, Rosa, Casado, Laura, Barnum, Haley, Jeon, Anne, Hernandez, Adrian V., Bueno, Héctor·2022·Journal of Psychosomatic Research

Abstract

Objectives Psychological factors influence clinical outcomes in patients with coronary artery disease (CAD). Therefore, psychological interventions (PIs) may have beneficial effects in these patients. We evaluated the efficacy of PIs based on cognitive-behavioral therapy (CBT) and positive psychology therapy (PPT) on clinical and laboratory outcomes in CAD.Methods Randomized controlled trials evaluating CBT or PPT in CAD patients published until May 2020 were systematically reviewed and analyzed. Primary outcomes were all-cause mortality, cardiovascular mortality, any cardiovascular event, myocardial infarction (MI), stroke, coronary revascularization, angina, and readmission. Random effects meta-analyses using the inverse variance method were performed. Effects were expressed as risk ratios (RR) or standardized mean difference (SMD) with 95% confidence intervals (CIs).Results Twenty-five trials were included (n = 8119); 22 evaluating the effects of multi-component CBT (n = 7909), and three PPT (n = 210). Thirteen RCTs were at high risk of bias due to limitations in randomization or blinding. Compared with control groups any cardiovascular event (RR 0.82; 0.70 to 0.97; 5 studies), MI (RR 0.72; 0.52 to 0.98; 9 studies), and angina duration and intensity (SMD -0.64; -0.98 to -0.30; 4 studies; and -0.64; -1.17 to -0.11; 2 trials) were significantly reduced with PIs at the end of follow-up. PIs had no effect on other primary outcomes, laboratory or anthropometrical results and presented a moderate to high heterogeneity.Conclusions CBT- and PPT-based PIs reduce the risk of cardiovascular events, MI and angina in patients with CAD. Future research should assess the individual role of CBT and PPT in CAD populations.

Integrity signals

Registry

Crossref · 10.1016/j.jpsychores.2021.110710

Cites

55 of 55 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

  • People living with chronic conditions including mental illness, heart disease or acquired brain injury have tremendous capacity to improve the determinants of wellbeing.

    “This claim is supported by findings that people living with chronic conditions including mental illness (Goodman et al., 2018), heart disease (Magán et al., 2021) or acquired brain injury (Wilkie et al., 2021) have tremendous capacity to improve the determinants of wellbeing (see also Kemp et al., 2022).”

    From The Complex Construct of Wellbeing and the Role of Vagal Function (2022) · cites this paper as Magán et al., 2021

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Magán, I., Jurado-Barba, R., Casado, L., Barnum, H., Jeon, A., Hernandez, A. V., & Bueno, H.
Affiliations
  • Camilo José Cela University (ES)
  • University of Connecticut (US)
  • Spanish National Centre for Cardiovascular Research (ES)
Corresponding author
Magán, Inés
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2022-02
Volume
153
Pages
110710
ISSN
0022-3999 (ISSN-L)
OpenAlex
W4200513843
Cited by
39
References
55
Citations by year
2026: 6 · 2025: 15 · 2024: 10 · 2023: 6 · 2022: 2
FWCI
0.88
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
  • Depósito Digital e-UCJC (submittedVersion)
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, cognitive behavioral therapy, cardiovascular events, myocardial infarction, angina pectoris, cardiovascular mortality, all-cause mortality, coronary revascularization, hospital readmission, stroke
MeSH terms
Psychosocial Intervention, Coronary Artery Disease, Humans, Myocardial Infarction, Cognitive Behavioral Therapy

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