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Psychological interventions for coronary heart disease / Paul, Bennett

Cochrane Database of Systematic Reviews

Swansea University Author: Paul, Bennett

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...

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Published in: Cochrane Database of Systematic Reviews
ISSN: 1469-493X
Published: 2017
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URI: https://cronfa.swan.ac.uk/Record/cronfa33259
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first_indexed 2017-05-09T10:57:31Z
last_indexed 2018-08-15T12:38:23Z
id cronfa33259
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spelling 2018-08-15T11:36:33.5150662 v2 33259 2017-05-09 Psychological interventions for coronary heart disease 20803717bf274c582f30f80916c596d3 0000-0003-2252-6065 Paul Bennett Paul Bennett true false 2017-05-09 HPS 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. Journal Article Cochrane Database of Systematic Reviews 1469-493X meta-analysis psychological intervention mortality morbidity 1 1 2017 2017-01-01 10.1002/14651858.CD002902.pub4 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University 2018-08-15T11:36:33.5150662 2017-05-09T10:48:04.4753983 College of Human and Health Sciences Psychology Suzanne H Richards 1 Lindsey Anderson 2 Caroline E Jenkinson 3 Ben Whalley 4 Karen Rees 5 Philippa Davies 6 Paul Bennett 0000-0003-2252-6065 7 Zulian Liu 8 Robert West 9 David R Thompson 10 Rod S Taylor 11 Rod S Taylor 12 0033259-24052017131738.pdf Richards_et_al-2017-The_Cochrane_Library.pdf 2017-05-24T13:17:38.4170000 Output 1889970 application/pdf Version of Record true 2018-04-28T00:00:00.0000000 true eng
title Psychological interventions for coronary heart disease
spellingShingle Psychological interventions for coronary heart disease
Paul, Bennett
title_short Psychological interventions for coronary heart disease
title_full Psychological interventions for coronary heart disease
title_fullStr Psychological interventions for coronary heart disease
title_full_unstemmed Psychological interventions for coronary heart disease
title_sort Psychological interventions for coronary heart disease
author_id_str_mv 20803717bf274c582f30f80916c596d3
author_id_fullname_str_mv 20803717bf274c582f30f80916c596d3_***_Paul, Bennett
author Paul, Bennett
format Journal article
container_title Cochrane Database of Systematic Reviews
publishDate 2017
institution Swansea University
issn 1469-493X
doi_str_mv 10.1002/14651858.CD002902.pub4
college_str College of Human and Health Sciences
hierarchytype
hierarchy_top_id collegeofhumanandhealthsciences
hierarchy_top_title College of Human and Health Sciences
hierarchy_parent_id collegeofhumanandhealthsciences
hierarchy_parent_title College of Human and Health Sciences
department_str Psychology{{{_:::_}}}College of Human and Health Sciences{{{_:::_}}}Psychology
document_store_str 1
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description 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.
published_date 2017-01-01T12:49:45Z
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