Comparison of the effectiveness of cognitive-behavioral group intervention for coronary heart disease and cognitive therapy in groups on type D personality and psychological distress on coronary heart patients- a randomized clinical trial

Nejati, Maryam; Sharifinia, Azadeh; Maleki, Masoud; Bayazi, Mohammad Hossein

doi:10.1007/s12144-020-00917-8

Cited by 3 publications

(15 citation statements)

References 32 publications

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“…Five studies[ 34 , 38 - 41 ] used remote interventions, such as through the internet or telephone, and 17[ 14 , 16 , 18 , 24 - 33 , 35 - 37 , 42 ] used traditional face-to-face interventions. Twelve[ 16 , 24 - 26 , 29 , 32 - 34 , 38 - 40 , 42 ] studies used an individual CBT intervention, eight studies[ 18 , 27 , 30 , 31 , 35 - 37 , 41 ] used a group-based CBT intervention, and one[ 14 ] used both. Only six studies[ 18 , 24 , 29 , 33 , 37 , 41 ] reported using an instruction manual.…”

Section: Resultsmentioning

confidence: 99%

“…Effects on psychological factors: Eighteen studies[ 14 , 16 , 18 , 25 , 27 , 29 - 36 , 38 - 42 ] analyzed the effect of CBT-based intervention on depression symptoms in 3579 participants. The number of intervention and control group participants was 1798 and 1781, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…The effect on anxiety symptoms was analyzed in 14 studies[ 16 , 18 , 25 , 27 - 30 , 32 , 33 , 36 , 38 , 40 - 42 ] with 1293 patients. There were 639 patients in the intervention group and 654 in the control group.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies[ 26 , 27 , 30 , 33 , 40 ] with a total participant number of 369 analyzed the effect of CBT on stress symptoms. There were 184 patients in the intervention group and 185 in the control group.…”

Section: Resultsmentioning

confidence: 99%

“…The PEDro tool was used to evaluate the methodology quality of included studies, with one being high quality, accounting for 4.55%, and the remaining 21 being medium quality, accounting for 95.45%. Specifically, one study[ 39 ] scored 9, 11 studies[ 14 , 16 , 18 , 29 , 30 , 33 , 35 , 37 , 38 , 40 , 42 ] scored 7, four studies[ 25 , 27 , 31 , 32 ] scored 6, four studies[ 26 , 34 , 36 , 41 ] scored 5, and two studies[ 24 , 28 ] scored 4.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

Li¹,

Buys²,

Ferguson³

et al. 2021

WJP

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BACKGROUND Recently, the efficacy of cognitive behavioral therapy (CBT)-based intervention on health outcomes in patients with coronary heart disease (CHD) has been recognized in randomized controlled trials (RCTs), but no comprehensive systematic review has been conducted. To address this research gap, our study aimed to evaluate whether comprehensive CBT-based interventions positively affect health outcomes in CHD patients. It was hypothesized that CBT-based interventions are effective in: (1) Reducing depression, anxiety, and stress symptoms; (2) Reducing body mass index, blood pressure, and lipid levels; and (3) Improving quality of life, and exercise endurance. AIM To verify the effectiveness of CBT-based interventions on CHD patients through a meta-analysis of previous publications. METHODS Relevant RCTs published in English were obtained by searching electronic databases, including PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, and Proquest, with the retrieval time from inception to August 2020. The primary outcomes were psychological factors (depression, anxiety, and stress symptoms), physiological factors (body mass index, blood pressure, blood lipids). The secondary outcomes included quality of life and exercise endurance. We used Review Manager 5.3 to conduct the meta-analysis and used the Physiotherapy Evidence Database tool to evaluate the quality of studies. RESULTS A total of 22 RCTs comprising 4991 patients with CHD were included in the systematic review and meta-analysis. The main analysis revealed that CBT-based intervention can reduce depression symptoms: -2.00 [95% confidence interval (CI): -2.83 to -1.16, P < 0.001]; anxiety symptoms: -2.07 (95%CI: -3.39 to -0.75, P = 0.002); stress symptoms: -3.33 (95%CI: -4.23 to -2.44, P < 0.001); body mass index: -0.47 (95%CI: -0.81 to -0.13, P = 0.006); and improve physical functioning: 3.36 (95%CI: 1.63 to 5.10, P = 0.000) and mental functioning: 6.91 (95%CI: 4.10 to 9.73, P < 0.001). Moreover, subgroup analysis results showed that CBT-based interventions were more effective for symptoms of depression and anxiety in CHD patients when individual, as opposed to group treatment, and psycho-education, behavioral and cognitive strategies were applied as the core treatment approaches. CONCLUSION CBT-based interventions are effective treatment strategies for CHD patients, significantly improving their symptoms of depression, anxiety and stress, body mass index, and health-related quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

Li¹,

Buys²,

Ferguson³

et al. 2021

WJP

View full text Add to dashboard Cite

show abstract

The effectiveness of cognitive behavioral group intervention on depression and anxiety in patients with type II diabetes

Alahyari

Bayazi

Rajaei

2021

European Review of Applied Psychology

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Efficacy of Cognitive Behavior Therapy in Reducing Depression among Patients with Coronary Heart Disease: An Updated Systematic Review and Meta-Analysis of RCTs

et al. 2023

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Purpose: The aim of this review is to identify the efficacy of cognitive behavior therapy (CBT) and the characteristics of CBT therapy that effectively improve depression among patients with coronary heart disease (CHD). Methods: Studies that assessed CBT efficacy in decreasing depression among CHD patients with randomized controlled trials (RCTs) were searched through PsycINFO, PubMed, CINAHL, Academic Search Complete, Scopus, and Google Scholar. Two reviewers independently screened and critically appraised them using the Cochrane risk-of-bias tool. The fixed- and random-effect models were applied to pool standardized mean differences. Results: Fourteen RCTs were included in the quantitative analysis. Depression was significantly lower in the CBT group (SMD −0.37; 95% CI: −0.44 to −0.31; p < 0.00001; I2 = 46%). Depression in the CBT group was significantly lower in the short-term follow-up (SMD −0.46; 95% CI: −0.69 to −0.23; p < 0.0001; I2 = 52%). Moreover, the subsequent therapy approaches were effective in reducing depression, including face-to-face and remote CBT, CBT alone or combination therapy (individual or mixed with a group), and frequent meetings. Conclusions: CBT therapy effectively reduces depression, particularly in short-term follow-up. The application of CBT therapy in CHD patients should consider these findings to increase the efficacy and efficiency of therapy. Future research is needed to address generalizability.

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Comparison of the effectiveness of cognitive-behavioral group intervention for coronary heart disease and cognitive therapy in groups on type D personality and psychological distress on coronary heart patients- a randomized clinical trial

Cited by 3 publications

References 32 publications

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis

The effectiveness of cognitive behavioral group intervention on depression and anxiety in patients with type II diabetes

Efficacy of Cognitive Behavior Therapy in Reducing Depression among Patients with Coronary Heart Disease: An Updated Systematic Review and Meta-Analysis of RCTs

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