Journal article 1447 views 336 downloads
Psychological interventions for coronary heart disease
Suzanne H Richards,
Lindsey Anderson,
Caroline E Jenkinson,
Ben Whalley,
Karen Rees,
Philippa Davies,
Paul Bennett,
Zulian Liu,
Robert West,
David R Thompson,
Rod S Taylor,
Rod S Taylor
Cochrane Database of Systematic Reviews
Swansea University Author: Paul Bennett
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DOI (Published version): 10.1002/14651858.CD002902.pub4
Abstract
A meta-analysis was conducted on 35 trials involving 10,703 individuals who had experienced a myocardial infarction and were randomised to an intervention involving some form of psychological therapy. Ten of these studies involved individuals with confirmed psychiatric diagnoses. Moderate quality ev...
| Published in: | Cochrane Database of Systematic Reviews |
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| ISSN: | 1469-493X |
| Published: |
2017
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa33259 |
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| Abstract: |
A meta-analysis was conducted on 35 trials involving 10,703 individuals who had experienced a myocardial infarction and were randomised to an intervention involving some form of psychological therapy. Ten of these studies involved individuals with confirmed psychiatric diagnoses. Moderate quality evidence found no reduction of risk for total mortality or revascularisation procedures in comparison to usual care. Low quality evidence found no risk reduction for non-fatal MI although there was a 21% reduction in cardiac mortality. There was also some evidence of benefit on measures of psychological morbidity including anxiety, depression, and stress. It is concluded that psychological interventions may reduce cardiac mortality, although stronger evidence is required before this can be definitively concluded. It is also not clear who benefits most from psychological interventions. |
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| Keywords: |
meta-analysis psychological intervention mortality morbidity |
| College: |
Faculty of Medicine, Health and Life Sciences |