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Cited by 27Cardiac Health and Mental HealthHeart Rate Variability and Autonomic ControlCancer survivorship and care

The DOI matches its Crossref record; 43 of the 46 references it cites were found in a registry or an index.

Stress management for patients with heart disease: A pilot study

Turner, Linda, Linden, Wolfgang, Wal, Rena van der, Schamberger, Wolf·1995·Heart & Lung
DOI 10.1016/s0147-9563(05)80009-3
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Abstract

Objective To conduct a feasibility study on stress management for patients with heart disease; more specifically, to test the availability of patients, determine dropout rates, and investigate the sensitivity to change of a large number of psychologic and biologic stress indexes.Design Random assignment, two-group clinical trial.Setting Pacific Northwest university-affiliated teaching hospital.Patients Forty-five patients with heart disease (mean age 56 years), who either had a myocardial infarction or coronary bypass surgery.Outcome measures Hostility, subjective distress, resting electrocardiogram, resting blood pressure and blood pressure reactivity to a psychologic stressor, and blood lipid, cortisol, and catecholamine levels.Intervention Patients were randomly assigned to either (1) exercise rehabilitation (ER) and an 8-week stress management (SM) program (ER + SM) or (2) ER only. Although the recruitment rate was satisfactory, 67% of patients assigned to the control condition and 40% of the SM subjects were not available for posttesting.Results Computed effect sizes indicated that blood pressure reactivity to a psychologic challenge was reduced after treatment in the ER + SM group but not in ER group. The ER + SM group showed improvement in perceived health status and had clinically meaningful reductions in triglyceride levels, whereas the ER group did not. The ER group had a reduction in high-density lipoproteins, whereas the high-density lipoprotein levels of the ER + SM group did not change.Conclusions Patients randomly assigned to a control condition may be less willing to participate in time-consuming and invasive posttests than treated patients. Reducing the invasiveness of measurement may increase cost-effectiveness and reduce the dropout rate under controlled conditions. Blood pressure reactivity to a psychologic stress test and changes in serum lipid levels may be sensitive and cost-effective measures to include in future studies of cardiac rehabilitation.

Overview

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Crossref · 10.1016/s0147-9563(05)80009-3

Cites

43 of 43 references verified0 citation errors · 0 not checkable

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  • CBT has been shown to be an effective treatment for reducing anxiety symptoms in various somatic pathologies and in subjects with high levels of perceived stress or anxiety or burnout, particularly in the workplace.

    “CBT has been shown to be an effective treatment for reducing anxiety symptoms in various somatic pathologies such as cardiovascular disease [10,11], diabetes [12], chronic fatigue syndrome [13], and breast cancer [14] and in subjects with high levels of perceived stress or anxiety or burnout, particularly in the workplace [15].”

    From Efficacy of Seren@ctif, a computer-based stress management program for patients with adjustment disorder with anxiety: Protocol for a controlled trial (2017) · cites this paper as [10]

Citations

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3 of the 46 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. Stoney, 1994, Lipid metabolism in related to psychological characteristics, Psychosom Med, 56, 147
  2. Terrell, 1994, Vascular responsivity to mental stress and serum lipids in females, Ann Behav Med, 16, S48
  3. Linden, 1994, Cortisol responses to acute stress: a selective review, Psychosom Med, 56, 153

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Metadata

Authors
Turner, L., Linden, W., Wal, R. V. D., & Schamberger, W.
Affiliations
University of British Columbia (CA)
Corresponding author
Schamberger, Wolf
ORCID
Venue
Heart & Lung
Publisher
Elsevier BV
Published
1995-03
Volume
24
Issue
2
Pages
145-153
ISSN
0147-9563 (ISSN-L)
DOI
10.1016/s0147-9563(05)80009-3
OpenAlex
W2164588935
Cited by
27
References
46
Citations by year
2020: 1 · 2017: 2 · 2016: 3 · 2015: 1
FWCI
0.31
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Heart & Lung (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
stress management, heart disease, cardiac rehabilitation, exercise rehabilitation, myocardial infarction, coronary artery bypass grafting, blood pressure reactivity, serum lipids, triglycerides, high-density lipoprotein, cortisol, catecholamines, hostility, subjective distress, health perception, dropout rates, feasibility
MeSH terms
Adult, Aged, Coronary Artery Bypass, Coronary Disease, Exercise Therapy, Feasibility Studies, Female, Humans, Male, Middle Aged, Myocardial Infarction, Pilot Projects, Stress, Psychological, Single-Blind Method, Treatment Outcome

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