Psychological treatments in cardiac rehabilitation
Journal of Psychosomatic ResearchPublished 1 April 2000
Wolfgang Linden
Citations133
SJR quartileQ1
SJR score1.31
SNIP1.10
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The aggregated findings support the use of psychosocial interventions and they also help to explain critical differences in outcome in that studies which fail to reduce distress also fail to lead to reduced mortality or reduced event recurrence.
Abstract
Gender differences in outcome and recent trends in cardiology are discussed because both have distinct consequences for the effective delivery of psychological services to cardiac patients.
Keywords
Medicine
New England Journal of MedicineEquipoise and the Ethics of Clinical Research
2,305 Citations1987Benjamin Freedman
An alternative concept of equipoise is suggested, which would be based on present or imminent controversy in the clinical community over the preferred treatment, which is satisfied if there is genuine uncertainty within the expert medical community--not necessarily on the part of the individual investigator--about the preferredreatment.
The LancetCan lifestyle changes reverse coronary heart disease?
2,112 Citations1990Dean Ornish, Shirley Brown +8 more
Comprehensive lifestyle changes may be able to bring about regression of even severe coronary atherosclerosis after only 1 year, without use of lipid-lowering drugs.
CirculationDepression and 18-Month Prognosis After Myocardial Infarction
1,562 Citations1995Nancy Frasure‐Smith, François Lespérance +1 more
Depression while in the hospital after an MI is a significant predictor of 18-month post- MI cardiac mortality and significantly improves a risk-stratification model based on traditional post-MI risks, including previous MI, Killip class, and PVCs.
New England Journal of MedicineCumulative Meta-Analysis of Therapeutic Trials for Myocardial Infarction
1,141 Citations1992Joseph Lau, Elliott M. Antman +4 more
Cumulative meta-analysis of therapeutic trials facilitates the determination of clinical efficacy and harm and may be helpful in tracking trials, planning future trials, and making clinical recommendations for therapy.
JAMACardiac Rehabilitation After Myocardial Infarction
796 Citations1988Neil Oldridge
It is suggested that, for appropriately selected patients, comprehensive cardiac rehabilitation has a beneficial effect on mortality but not on nonfatal recurrent myocardial infarction.
Journal of the American College of CardiologyImpact of a Comprehensive Heart Failure Management Program on Hospital Readmission and Functional Status of Patients With Advanced Heart Failure
543 Citations1997Gregg C. Fonarow, Lynne W. Stevenson +7 more
Comprehensive heart failure management led to improved functional status and an 85% decrease in the hospital admission rate for transplant candidates discharged after evaluation, which suggests that referral to a heart failure program may be appropriate not only for potential heart transplantation, but also for medical management of persistent functional class III and IV heart failure.
The LancetRandomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction
468 Citations1997Nancy Frasure‐Smith, François Lespérance +6 more
The results do not warrant the routine implementation of programmes that involve psychological-distress screening and home nursing intervention for patients recovering from MI, and the poorer overall outcome for women, underline the need for further research and the inclusion of adequate numbers of women in future post-MI trials.
Health PsychologyA meta-analysis of psychoeducational programs for coronary heart disease patients.
445 Citations1999Elise Dusseldorp, Thérèse van Elderen +3 more
In a meta-analysis of 37 studies, the effects of psychoeducational programs for coronary heart disease patients were examined and it is suggested that cardiac rehabilitation programs that were successful on proximal targets were more effective on distal targets than programs without success on proximate targets.
Archives of Internal MedicinePsychosocial Interventions for Patients With Coronary Artery Disease
370 Citations1996Wolfgang Linden
PubMedQuality of life in patients with advanced heart failure.
316 Citations1992Kathleen Dracup, J A Walden +2 more
It is suggested that interventions to improve the quality of life of patients with advanced heart failure need to be targeted at reducing depression and hostility and increasing daily activity levels.
Psychosomatic MedicinePersonality and Mortality After Myocardial Infarction
315 Citations1995Johan Denollet, Stanislas U. Sys +1 more
Personality traits may play a role in the detrimental effect of emotional distress in MI patients, and an important personality effect was observed despite the low power of this study.
Archives of Internal MedicineStress Management and Exercise Training in Cardiac Patients With Myocardial Ischemia
273 Citations1997James A. Blumenthal
Examining the extent to which ischemia induced by mental stress can be modified by exercise or stress management suggests that behavioral interventions offer additional benefit over and above usual medical care in cardiac patients with evidence of myocardial ischemIA.
JAMAEffects of Stress Management Training and Dietary Changes in Treating Ischemic Heart Disease
272 Citations1983Dean Ornish
In this selected sample, short-term improvements in cardiovascular status seem to result from these adjuncts to conventional treatments of IHD.
The American Journal of CardiologyIn-hospital symptoms of psychological stress as predictors of long-term outcome after acute myocardial infarction in men
270 Citations1991Nancy Frasure‐Smith
There was little evidence of impact among patients with low levels of stress in the hospital, and highly stressed patients who took part in the 1-year program of stress monitoring and intervention did not experience any significant long-term increase in risk.
BMJPsychological rehabilitation after myocardial infarction: multicentre randomised controlled trial
245 Citations1996Daniel A. Jones, Rebecca West
Rehabilitation programmes based on psychological therapy, counselling, relaxation training, and stress management seem to offer little objective benefit to patients who have experienced myocardial infarction compared with previous reports of smaller trials.
Psychosomatic MedicineChronic and Acute Psychological Risk Factors for Clinical Manifestations of Coronary Artery Disease
240 Citations1999Willem J. Kop
American Heart JournalAlteration of type A behavior and reduction in cardiac recurrences in postmyocardial infarction patients
219 Citations1984Meyer Friedman, Carl E. Thoresen +10 more
The data suggest that type A behavior can be altered in a sizable fraction of postinfarction patients and that such alteration is associated with a significantly reduced rate of nonfatal myocardial infarctions.
Psychosomatic MedicineThe ischemic heart disease life stress monitoring program: impact on mortality.
215 Citations1985Nancy Frasure‐Smith, Richard C. Prince
It is suggested that stress‐relieving programs may have a greater impact in reducing cardiac deaths than in preventing nonlethal coronary episodes.
The American Journal of CardiologyEconomic evaluation of cardiac rehabilitation soon after acute myocardial infarction
210 Citations1993Neil Oldridge, William Furlong +5 more
Comprehensive costs and health-related quality of life, measured with the time trade-off preference score, and together with survival data derived from published meta-analyses, cost-utility and cost-effectiveness of early cardiac rehabilitation were estimated.
Psychosomatic MedicinePsychosocial Factors and Heart Rate Variability in Healthy Women
209 Citations1999Myriam Horsten, Mats Erigson +4 more
These findings suggest heart rate variability to be a mediating mechanism that could explain at least part of the reported associations between social isolation, suppressed anger, and health outcomes.
CHEST JournalNonpharmacologic Therapy Improves Functional and Emotional Status in Congestive Heart Failure
185 Citations1994John B. Kostis, Raymond C. Rosen +3 more
Nonpharmacologic therapy improved functional capacity, body weight, and mood state in patients with congestive heart failure and digoxin improved ejection fraction without corresponding changes in exercise tolerance or quality of life.
PsychophysiologyEffect of relaxation training on cardiac parasympathetic tone
182 Citations1994Masahito Sakakibara, Satoshi Takeuchi +1 more
The increased high-frequency amplitude without changes in the respiratory parameters indicates enhanced cardiac parasympathetic tone, which may explain an important mechanism underlying the beneficial effect of the relaxation response.
Journal of the American College of CardiologyEffects of exercise training in patients with congestive heart failure: A critical review
180 Citations1995Robert S. McKelvie, Koon Teo +4 more
No data exist as to the impact of exercise training on left ventricular function, hospital stay or mortality in this population of patients with congestive heart failure, however, the results have been promising and exercise training has been found to improve exercise capacity and reduce symptoms.
Clinical Psychology ReviewThe power of nonspecific effects in healing: Implications for psychosocial and biological treatments
174 Citations1993Alan H. Roberts, Donald G. Kewman +2 more
It is concluded that, under conditions of heightened expectations, the power of nonspecific effects far exceeds that commonly reported in the literature.
Psychosomatic MedicineLong-term follow-up of the Ischemic Heart Disease Life Stress Monitoring Program.
151 Citations1989Nancy Frasure‐Smith, Richard C. Prince
Patient outcomes up to seven years after a one‐year, post‐myocardial infarction (MI) stress monitoring and management program are examined, suggesting that, regardless of their approach, all such programs may share a common therapeutic mechanism: the provision of emotional support during a period of high vulnerability to stress.
PubMedPredictors of quality of life in patients with advanced heart failure awaiting transplantation.
137 Citations1995Kathleen L. Grady, Anne Jalowiec +5 more
Eleven of 19 variables were significant predictors of higher quality of life in patients with advanced heart failure awaiting heart transplantation and accounted for 49% of explained variance.
Psychosomatic MedicineImpact on Patients and Partners of Inpatient and Extended Cardiac Counseling and Rehabilitation
126 Citations1999Marie Johnston, Joan Foulkes +3 more
It is likely that the Inpatient cardiac counseling and rehabilitation program resulted in significant and enduring benefits of clinical value and would be acceptable to most post-MI patients, many of whom are not offered or are unable to accept outpatient cardiac rehabilitation.
British Journal of Clinical PsychologyEffects of rehabilitation exercise programmes on anxiety and depression in coronary patients: A meta‐analysis
107 Citations1994Joachim Kügler, H. Seelbach +1 more
It is concluded that exercise programmes should not be considered the only treatment for emotional disturbances in coronary patients, but that they can be psychologically beneficial as an additional treatment component.
Psychosomatic MedicinePsychologic treatment for the type A behavior pattern and for coronary heart disease: a meta-analysis of the literature.
107 Citations1987Edward V. Nunes, Kristin Frank +1 more
It is concluded that psychologic intervention to reduce TABP may improve clinical outcome of CHD and that this deserves further study and preliminary clinical application.
Psychosomatic MedicineEffect of Slowed Respiration on Cardiac Parasympathetic Response to Threat
91 Citations1996Masahito Sakakibara, Junichiro Hayano
Results suggest that a slowed respiration decreases the cardiac parasympathetic withdrawal response to the threat, providing a rationale for the therapeutic uses of the slow respiration maneuver in attenuating the cardiac autonomic responses in patients with anxiety disorder.
BMJPsychological rehabilitation after myocardial infarction.
89 Citations1979L D Naismith, Jerome Robinson +2 more
All patients with a negative attitude towards their illness and future had a poor outcome but those with a positive attitude did well, and selection by simple methods of patients who would benefit from psychological rehabilitation seems desirable.
Psychosomatic MedicineCognitive Adaptation as a Predictor of New Coronary Events After Percutaneous Transluminal Coronary Angioplasty
77 Citations1999Vicki S. Helgeson, Heidi L. Fritz
The results suggest that persons who respond to their illness by perceiving control over their future, by having positive expectations about their futures, and by holding a positive view of themselves seem to be at less risk for a new cardiac event after a first PTCA.
American Heart JournalPhysical training and relaxation therapy in cardiac rehabilitation assessed through a composite criterion for training outcome
59 Citations1989Jan van Dixhoorn, Hugo J. Duivenvoorden +2 more
The results indicate that exercise training is not successful in all myocardial infarction patients and that relaxation therapy enhances training benefit.
Journal of Psychosomatic ResearchPsychic effects of physical training and relaxation therapy after myocardial infarction
58 Citations1990Jan van Dixhoorn, Hugo J. Duivenvoorden +2 more
It was concluded that exercise training was effective for some but not for all cardiac patients, and that a psychic effect of exercise could not be demonstrated.
General Hospital PsychiatryPsychosocial interventions in adult patients with coronary heart disease and cancer
56 Citations1992Dana Hill, Kelly J. Kelleher +1 more
A review of the studies conducted with adult patients diagnosed either with coronary heart disease or cancer suggests that psychosocial interventions are, in general, efficacious in relieving self-reported psychological distress.
Journal of Psychosomatic ResearchThe effect of a psychological intervention program on the risk of a new coronary event after angioplasty: A feasibility study
55 Citations1997A. Appels, Frits W. Bär +3 more
Results indicate that a clinical trial to test the hypothesis that a reduction of vital exhaustion and hostility reduces the risk of a new cardiac event after PTCA, is feasible and merits the efforts required.
European Heart JournalCardiac events after myocardial infarction: Possible effect of relaxation therapy
55 Citations1987Jan van Dixhoorn, H.J. Duivenvoorden +3 more
It is suggested that a combination of a behavioural treatment such as relaxation therapy with exercise training is more favourable for the long-term outcome after myocardial infarction than is exercise training alone.
Psychosomatic MedicineElectrocardiographic T-wave changes are more pronounced in type A than in type B men during mental work.
54 Citations1986Hal Scher, Luke Hartman +2 more
This pattern of results, wherein a significant Type A‐B difference was observed in a phasic measure of ventricular performance (TWA), but not in one of supraventricularperformance (HR), suggests that Type As experience excessive neurally mediated sympathetic stimulation of the myocardium during mental work.
PsychosomaticsSecondary Prevention of Ischemic Heart Disease
46 Citations1993Mark W. Ketterer
Routine psychometric screening of IHD patients may provide a cost-effective means of alerting cardiologists and internists to the relatively high levels of distress among their patients.
Psychosomatic MedicinePsychosocial Intervention in Coronary Artery Disease: A Review
45 Citations1982Andrew M. Razin
It is concluded that the current state of knowledge in this area is promising but controversial, and that advance beyond this point requires a shift from global, clinically derived impressions to specific, tested hypotheses.
Journal of the American College of CardiologySuccess and failure of exercise training after myocardial infarction: Is the outcome predictable?
31 Citations1990Jan van Dixhoorn, Hugo J. Duivenvoorden +1 more
It is concluded that the physical benefit of exercise training in patients after myocardial infarction is highly predictable and validation will make it possible to optimally apply exercise training as a therapeutic modality in these patients.
European Heart JournalPsychological effects of training in coronary patients: a critical review of the literature
28 Citations1988W. Langosch
Results of controlled studies suggest that a significant antidepressant effect of exercise on postinfarction patients has not been shown reliably, and the evidence also suggests that in the long run neither anxiety and pain threshold nor social anxiety are reduced by physical exertion.
The Journal of Cardiovascular NursingNonpharmacologic interventions in the treatment of heart failure
26 Citations1996Martin J. Sullivan, Mary H. Hawthorne
It appears that many patients with heart failure may benefit significantly from participation in long-term aerobic exercise conditioning programs, and psychological and biobehavioral interventions also have the potential to substantially enhance treatment outcomes and quality of life for patients with chronic heart failure.
Cardiology ClinicsPsychobehavioral Treatment in Cardiac Rehabilitation
19 Citations1993James A. Blumenthal, Wei Jiang
It is concluded that psychobehavioral therapies offer considerable promise to coronary patients in improving quality and quantity of life.
Journal of Cardiopulmonary RehabilitationPsychosocial Factors in Rehabilitation
17 Citations1993C. Barr Taylor, Kathy Berra
The Journal of Cardiovascular NursingMaximizing therapy in the advanced heart failure patient
12 Citations1996Debra K. Moser
Information important to maximizing both types of therapy in the advanced heart failure patient is presented and the importance of effective patient and family education is emphasized.
Journal of Cardiopulmonary RehabilitationDecreased Medical Costs After Cardiac Rehabilitation
9 Citations1993Philip A. Ades
Medicine & Science in Sports & ExercisePsychosocial Interventions For Cardiopulmonary Patients
5 Citations1997Barry A. Franklin
Reading this book with the PDF psychosocial interventions for cardiopulmonary patients will let you know more things.
