A meta-analysis of psychoeducational programs for coronary heart disease patients.

Dusseldorp, Elise; Elderen, Thérèse van; Maes, Stan; Meulman, Jacqueline J.; Kraaij, Vivian

doi:10.1037/0278-6133.18.5.506

Cited by 421 publications

(272 citation statements)

References 53 publications

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“…Further, exercise interventions can reduce hypertension and depressive symptoms Blumenthal et al, 1999) and have been found to increase heart rate variability among CHD patients (Stahle, Nordlander, & Bergfeldt, 1999). Hence, unless medically contraindicated, the broad psychological and physiological benefits of exercise (Dubbert, 2002;Salmon, 4 It is important to note that this pattern of outcomes is inconsistent with the meta-analytic finding of Dusseldorp et al (1999) in which interventions that improved psychosocial functioning were more likely to have beneficial effects of morbidity and mortality. However, additional-albeit preliminary-analyses from the ENRICHD trial indicate that the psychosocial intervention significantly reduced recurrent CHD events among White men (Schniederman, 2002).…”

Section: Implications For Patient Carecontrasting

confidence: 47%

“…The most recent and complete of these (Dusseldorp, van Elderen, Maes, Meulman, & Kraaij, 1999) found evidence of beneficial effects and provided a potential explanation for inconsistent findings. Health education (e.g., targeted toward behavioral risk reduction) and stress management had equivalent significant effects on cardiac recurrences, producing on average a 34% reduction in cardiac mortality and a 29% reduction in recurrent MI.…”

Section: Findings From Quantitative Reviewsmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice.

Smith¹,

Ruiz²

2002

Journal of Consulting and Clinical Psychology

289

207

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Psychosocial characteristics predict the development and course of coronary heart disease (CHD). In this review, the authors discussed human and animal research on psychophysiological mechanisms influencing coronary artery disease and its progression to CHD. They then reviewed literature on personality and characteristics of the social environment as risk factors for CHD. Hostility confers increased risk, and a group of risk factors involving depression and anxiety may be especially important following myocardial infarction. Social isolation, interpersonal conflict, and job stress confer increased risk. Psychosocial interventions may have beneficial effects on CHD morbidity and mortality, although inconsistent results and a variety of methodological limitations preclude firm conclusions. Finally, they discussed implications for clinical care and the agenda for future research.Coronary heart disease (CHD) is the leading cause of death in the United States; each year about 450,000 people die from CHD, and 1,000,000 experience an initial or recurrent coronary event (American Heart Association, 2001). Among healthy 40-year olds, between 40% and 50% of men and between 25% and 35% of women will later develop CHD (Lloyd-Jones, Larson, Beiser, & Levy, 1999). Over $100 billion is spent on CHD each year in the United States in direct medical costs, disability payments, and lost productivity (American Heart Association, 2001). This disease involves the three major topics composing behavioral medicine and health psychology, making it a central focus throughout their 30-year history. In the first (i.e., health behavior and prevention), modifiable behavioral risk factors (e.g., smoking, activity level, diet) are important risk factors for the development of CHD (Stamler et al., 1999;Wannamethee, Shaper, Walker, & Ebrahim, 1998), and behavior change is an essential component of prevention. In the second topic (i.e., stress and disease or psychosomatics), other psychological and social factors have more direct effects on the development and course of CHD through the intervening psychobiological effects of stress and negative emotions. In the third (i.e., psychosocial aspects of medical illness and care), established CHD has extensive emotional and social impacts on patients and their families, behavior is a key element of standard care (e.g., medication adherence, dietary change, exercise), and psychosocial interventions are useful additions to traditional medical and surgical treatment.Like the article on CHD in the previous special issue on behavioral medicine in this journal (Thoresen & Powell, 1992), we focused primarily on the second major topic-psychosocial influences on the development and course of CHD. We also reviewed one aspect of the third topic-interventions targeting psychosocial risk factors and their underlying psychophysiological mechanisms. Perhaps the most important implication of research on psychosocial risk factors for coronary disease is that interventions targeting these factors could reduce cardiac morb...

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Section: Implications For Patient Carecontrasting

confidence: 47%

Section: Findings From Quantitative Reviewsmentioning

confidence: 99%

Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice.

Smith¹,

Ruiz²

2002

Journal of Consulting and Clinical Psychology

289

207

View full text Add to dashboard Cite

show abstract

“…Previous reviews have reported a reduction in mortality, [16][17][18] but were not fully systematic in their coverage and did not differentiate the different psychosocial and stress management interventions. 15 …”

Section: Effectiveness Of Cardiac Rehabilitationmentioning

confidence: 99%

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Jolly¹,

Taylor²,

Gy³

et al. 2007

Health Technol Assess

166

260

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email.Paying by official purchase order You can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA The Birmingham Rehabilitation Uptake Maximisation Study (BRUM NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) programme, now part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the costs, effectiveness and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs-led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in the NHS, the public and consumer groups and professional bodies such as royal colleges and NHS trusts. These suggestions are carefully prioritised by panels of independent experts (including NHS service users). The HTA Programme then commissions the research by competitive tender. Secondly, the HTA Programme provides grants for cl...

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“…A review of 37 studies showed a 34% reduction in cardiac mortality, 29% reduction in recurrence of MI and positive effects on blood pressure, cholesterol, body weight, smoking behaviour, physical exercise, and eating habits (Dusseldorp, Elderen, Maes, Meulman, & Kraaij, 1999). Cardiac rehabilitation is recognized by the UK government as a cost-effective approach to reduce future health problems (National Service Framework on Coronary Heart Disease, 2000; National Institute for Clinical Excellence, 2001).…”

Section: Introductionmentioning

confidence: 99%

Cardiac rehabilitation: The psychological changes that predict health outcome and healthy behaviour

Michie

O’Connor

Bath

et al. 2005

Psychology, Health & Medicine

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Although there is good evidence that cardiac rehabilitation is effective in improving health outcomes, little is known about the psychological changes that may contribute to these outcomes. This study describes changes in cognition, emotion, behaviour, and health following cardiac rehabilitation and investigates predictors of health outcome and healthy behaviour. Sixty-two people were followed up 2 months after the end of a cardiac rehabilitation programme and 29 people were followed up for 8 months. Compared with before the programme, patients showed increased perceived control over their illness, more confidence in their ability to change their eating habits, and decreased anxiety and depression at both 2 and 8 months after the end of the programme. The increase in perceived control, predicted anxiety and depression 2 months after the course and increased confidence in change predicted better mental health 8 months after. The decrease in depression predicted lower anxiety at 8 weeks and lower anxiety, depression and better mental health at 8 months. The decrease in anxiety predicted lower depression at 8 weeks and lower anxiety, depression, and a trend towards better physical health at 8 months. These results suggest that changing health cognitions after myocardial infarction may reduce distress and this may have long-term benefits for physical health.

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A meta-analysis of psychoeducational programs for coronary heart disease patients.

Cited by 421 publications

References 53 publications

Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice.

Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice.

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Cardiac rehabilitation: The psychological changes that predict health outcome and healthy behaviour

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