Effects of a stress management program on vital exhaustion and depression in women with coronary heart disease: a randomized controlled intervention study

Koertge, Jenny; Janszky, Imre; Sundin, Örjan; Blom, May; Georgiades, Anastasia; László, Krisztina D.; Alinaghizadeh, Hassan; Ahnve, Staffan

doi:10.1111/j.1365-2796.2007.01887.x

Cited by 44 publications

(25 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One study 15 found a reduction of the number of exhausted patients after a behavioral intervention, but exclusively so in persons without a history of CHD. Another study 16 showed a decrease of VE in women with CHD after a stress management training in a randomized controlled intervention study, both in the intervention group and the control group. Although these studies revealed VE changes over time, the factors contributing to these changes remained unclear.…”

Section: Discussionmentioning

confidence: 97%

“…No significant effect on VE was observed in women with CHD in the second study. 16 In addition, several studies showed sex differences in VE with scores being higher in women relative to men. 7,17,18 The protective role of positive affect (PA) in cardiovascular health is increasingly acknowledged.…”

Section: Downloaded By [Kungliga Tekniska Hogskola] At 02:19 03 Octobmentioning

confidence: 98%

See 1 more Smart Citation

Change in Positive Affect During Outpatient Cardiac Rehabilitation Predicts Vital Exhaustion in Patients with Coronary Heart Disease

Stauber¹,

Schmid²,

Saner³

et al. 2013

Behavioral Medicine

View full text Add to dashboard Cite

Vital exhaustion is an acknowledged psychosocial risk factor of incident coronary heart disease (CHD) and recurrent CHD events. Little is known about trajectories in vital exhaustion in patients with CHD and the factors predicting this change. We hypothesized that vital exhaustion would decrease during outpatient cardiac rehabilitation and that an increase in positive affect over time would be associated with decreased vital exhaustion at discharge from cardiac rehabilitation. We also explored the role of the patient's sex in this context. Vital exhaustion was reduced during outpatient cardiac rehabilitation, especially in patients who experienced an increase in positive affect over time (p < .001). This relationship was significant in men (p < .001) but not in women (p = .11).

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Downloaded By [Kungliga Tekniska Hogskola] At 02:19 03 Octobmentioning

confidence: 98%

Change in Positive Affect During Outpatient Cardiac Rehabilitation Predicts Vital Exhaustion in Patients with Coronary Heart Disease

Stauber¹,

Schmid²,

Saner³

et al. 2013

Behavioral Medicine

View full text Add to dashboard Cite

show abstract

“…This instrument is extensively used to evaluate treatment effects, for instance in Swedish studies on cardiac disease [30][31][32]. Responses to the 19 items were given on three-point scales (0-2), total range 0-38, high scores indicating a high degree of 'vital exhaustion'.…”

Section: Psychometric Datamentioning

confidence: 99%

Cognitive behaviour therapy in women with fibromyalgia: A randomized clinical trial

Karlsson

Burell

Anderberg

et al. 2015

Scandinavian Journal of Pain

View full text Add to dashboard Cite

Background and aims Stress has been pointed out as an important influential factor in the development and maintaining of the fibromyalgia syndrome (FMS) . Since stress may worsen the pain experience, the development of individual strategies for coping with stress is essential to reduce the impact of FMS on daily life. The aim of the study was to investigate whether a group based stress management cognitive behaviour therapy (CBT) programme could influence self-reported stress, wellbeing and life control, as well as self-reported pain behaviour in female FMS patients. Methods 48 female FMS patient were randomized into a cognitive behaviour therapy treatment group (n = 24) and a waitlist control group (n = 24) . When the 6 months waitlist period was over the control group received the same CBT programme. This allowed two analytical approaches, one based on the randomized controlled trial design and one based on a before-and-after design to improve the statistical power of the study. Four psychometric instruments were used: The West Haven-Yale Multidimensional Pain Inventory (three parts, MPI-1 to MPI-3), the Maastricht Questionnaire, the Everyday Life Stress, and the Montgomery-Åsberg Depression rating scale - self-reported. Primary outcome was the MPI-1 dimension 'life control', secondary outcomes were the MPI-1 dimensions 'interference', 'affective distress' and 'support from spouses or significant others', the various MPI-2 dimensions, the 'general activity level' in the MPI-3 dimension, and 'vital exhaustion', 'stress behaviour', and 'depression'. The only tertiary outcome was the MPI-1 dimension 'pain severity'. Results In the RCT design the West Haven-Yale Multidimensional Pain Inventory dimensions 'life control', 'interference from pain', 'affective distress', 'support from spouses or significant others', and 'distracting responses' and ratings for depression improved in the treatment group as compared with the control group. In the before-and after design these improvements were maintained and enhanced during 1-year follow-up, and so was the 'vital exhaustion' and 'stress behaviour'. 'Pain severity' was rated higher after the intervention. Conclusions Cognitive behaviour therapy improved the life control in a female population with FMS. Coping behaviour in response to chronic pain was improved at the same time and in spite of higher subjective ratings of pain. Positive effects were seen on depression, vital exhaustion and stress behaviour. The effects of therapy were maintained and enhanced during the follow up period. It appears that women with FMS after the CBT treatment, according to this protocol obtained tools leading to better acceptance of their disorder. Implications FMS is a disorder with great therapeutic challenges. Total abolishment of pain symptoms is extremely difficult or impossible to achieve. Thus, the development of individual strategies for coping with pain is essential to reduce its impact on daily life. Since stress may worsen the pain experience, coping with stress might be a promising...

show abstract

“…The diagnosis of AMI was based on World Health Organization's criteria of typical enzyme patterns and chest pain and/or diagnostic electrocardiographic changes [35]. Consecutively, all eligible women below 75 years were approached and offered to participate in a cardiac rehabilitation program specifically designed for women [36]. Subsequently, all those who agreed to participate were randomly assigned to either the control (128 patients) or to the intervention group (119 patients).…”

Section: Study Populationmentioning

confidence: 99%

Income and recurrent events after a coronary event in women

2008

View full text Add to dashboard Cite

Strong evidence supports the existence of a social gradient in poor prognosis in patients with coronary heart disease (CHD). However, knowledge regarding what factors may explain this relationship is limited. We aimed to analyze in women CHD patients the association between personal income and recurrent events and to determine whether lifestyle, biological and psychosocial factors contribute to the explanation of this relationship. Altogether 188 women hospitalized for a cardiac event were assessed for personal income, demographic factors, lipids, inflammatory markers, cortisol, creatinine, lifestyle and psychosocial factors, i.e. alcohol consumption, smoking habits, body-mass index, depressive symptoms, anxiety, vital exhaustion, availability of social interaction, hostility and anger-related characteristics and were followed for cardiovascular death and recurrent acute myocardial infarction (AMI). During the 6-year follow-up 18 patients deceased and 31 experienced cardiovascular death or nonfatal AMI. After adjustment for confounders, patients with medium and high income had lower risk for recurrent events relative to those with low income (HR (95% CI): 0.38 (0.15-0.97) and 0.39 (0.17-0.93), respectively). Controlling for smoking reduced by 12.8% the risk for recurrent events associated with high versus low income, while adjusting for depression decreased the risk for middle versus low income by 13.5%. Anger symptoms explained 16.7% of the risk for recurrent events associated with middle versus low income and 10.2% of the risk for high versus low income. We suggest that in women with CHD low income is associated with recurrent events and that smoking, depressive symptomatology and anger symptoms may contribute to the explanation of this relationship.

show abstract

Effects of a stress management program on vital exhaustion and depression in women with coronary heart disease: a randomized controlled intervention study

Cited by 44 publications

References 41 publications

Change in Positive Affect During Outpatient Cardiac Rehabilitation Predicts Vital Exhaustion in Patients with Coronary Heart Disease

Change in Positive Affect During Outpatient Cardiac Rehabilitation Predicts Vital Exhaustion in Patients with Coronary Heart Disease

Cognitive behaviour therapy in women with fibromyalgia: A randomized clinical trial

Income and recurrent events after a coronary event in women

Contact Info

Product

Resources

About