Depressivität und Ängstlichkeit bei Patienten mit koronarer Herzerkrankung: Spontanverlauf und Ergebnisse einer psychotherapeutischen Pilotstudie

Merswolken, Melanie; Albert, Wolfgang; Orth‐Gomér, Kristina; Pauschinger, Matthias; Deter, Hans‐Christian

doi:10.13109/zptm.2008.54.4.381

Cited by 8 publications

(3 citation statements)

References 15 publications

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“…It is important to note that the intervention effects in these studies were based on stable or increasing anxiety scores in the control group compared to a decrease in the intervention group. The same effect could be observed in our own pilot study [20]. The present study shows comparable reductions of anxiety in the intervention group but anxiety scores in the control group decreased as well.…”

Section: Discussionsupporting

confidence: 91%

“…To meet the needs of anxious CHD patients this program was modified and translated. The modified program was tested in a pilot study and resulted in a significant reduction of HADS anxiety as well as HADS depression scores in the intervention group [20]. …”

Section: Methodsmentioning

confidence: 99%

“…Therefore, the main purpose of this study was to investigate whether a psychotherapeutic intervention would reduce the level of anxiety in anxious patients with a medically stable CHD. In our own pilot study [20] we demonstrated that our intervention led to a significant 60% reduction of anxiety in a group of psychologically distressed patients while anxiety scores in the control group remained stable.…”

Section: Introductionmentioning

confidence: 96%

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Treating Anxiety in Patients with Coronary Heart Disease: A Randomized Controlled Trial

Merswolken¹,

Siebenhuener²,

Orth‐Gomér³

et al. 2011

Psychother Psychosom

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Background: Anxiety is frequent in patients with coronary heart disease (CHD) and influences the course of the disease, but no randomized controlled trial has investigated the effects of a psychotherapy intervention in CHD patients with elevated anxiety scores. The main aim of this study was to evaluate the effects of a 6-month psychotherapy intervention on anxiety in this group of patients. Methods: Fifty-two patients (61 ± 8.0 years, 14 female) with CHD and elevated levels of anxiety completed the study after randomization into a 6-month psychotherapy intervention or a control condition. Medically eligible patients were screened for anxiety with the Hospital Anxiety and Depression Scale (HADS) and were included if they had a score of 8 or higher. Anxiety scores were reevaluated at 6-month follow-up (after the treatment). Results: At 6-month follow-up significant reductions (intervention group: –2.0 ± 2.3; control group: –1.8 ± 2.8; p < 0.01) were found in both groups in the HADS anxiety scale but no significant differences between the groups were observed. Adjustment for baseline differences and disease severity did not change these results. Conclusions: Our study showed that elevated anxiety scores were reduced over time but there was no statistically significant effect of the psychotherapy intervention in anxious patients with CHD. Changes in the design of the intervention and study might be useful to further investigate this topic in the future.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Treating Anxiety in Patients with Coronary Heart Disease: A Randomized Controlled Trial

Merswolken¹,

Siebenhuener²,

Orth‐Gomér³

et al. 2011

Psychother Psychosom

Self Cite

View full text Add to dashboard Cite

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Cognitive Programs, Dynamic Concepts, and Interpersonal Relations: Some Results of the Berlin Anxiety Clinical Trial

Deter

2014

Psychosocial Stress and Cardiovascular Disease in Women

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Psychokardiologie in der stationären Rehabilitation

Fuchs-Strizek¹,

Berger²

2017

Wien Med Wochenschr

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Psychosocial risk factors contribute to the development and progression of cardiovascular diseases. They are associated with an unhealthy lifestyle, low patient adherence, alterations in autonomic function and endocrine markers. Thus, in cardiac rehabilitation, psychosocial risk factors should be assessed besides somatic factors. Patients with clinically significant symptoms ought to be referred for further psychological diagnostics. Depending on the findings, patients should be offered psychological interventions like relaxation training, stress management courses, smoking cessation programmes and individual counselling. Individual counselling includes psychoeducation, focused interventions and building motivation for further treatment. With regard to evidence-based interventions, motivating communication as well as behaviour and coping planning deserves particular notice. In terms of clinical efficacy, psychological interventions are evaluated and partially effective on cardiac prognosis. Hence, the significance of psychocardiology in inpatient rehabilitation should be enhanced.

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Depressivität und Ängstlichkeit bei Patienten mit koronarer Herzerkrankung: Spontanverlauf und Ergebnisse einer psychotherapeutischen Pilotstudie

Cited by 8 publications

References 15 publications

Treating Anxiety in Patients with Coronary Heart Disease: A Randomized Controlled Trial

Treating Anxiety in Patients with Coronary Heart Disease: A Randomized Controlled Trial

Cognitive Programs, Dynamic Concepts, and Interpersonal Relations: Some Results of the Berlin Anxiety Clinical Trial

Psychokardiologie in der stationären Rehabilitation

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