Effects of brief psychotherapy during the hospitalization period on the recovery process in heart attacks.

Gruen, Walter

doi:10.1037/h0076527

Cited by 136 publications

(42 citation statements)

References 28 publications

(22 reference statements)

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“…However, only three well-controlled studies of in-hospital psychological intervention have been reported (Gruen 1975, Langosch et al 1982. In a study of 70 patients, Gruen (1975) showed that daily supportive individual psychotherapy beginning on the second day post-MI produced a marked improvement in psychological and physical state.…”

Section: Hospital-based Counsellingmentioning

confidence: 97%

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A randomized controlled trial of in‐hospital nursing support for first time myocardial infarction patients and their partners: effects on anxiety and depression*

Thompson

1989

Journal of Advanced Nursing

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This study monitored and compared levels of anxiety and depression reported by first myocardial infarction (MI) male patients and their partners, throughout the patients' hospital stay. An independent variable of a programme of supportive-educative counselling provided by a coronary care nurse was introduced to determine whether it significantly affected reactions. Sixty couples were randomly assigned to one of two groups: (a) the treatment group (in which they received the systematic programme of nursing support in addition to routine care), or (b) the control group (in which they received routine care but no other intervention). Anxiety and depression were measured by the Hospital Anxiety and Depression (HAD) scale at 24 hours and 5 days after the patient's admission to hospital. At 5 days there were statistically significant differences between both groups with respect to the HAD scale mean scores. These findings strongly suggest that a simple programme of in-hospital couple counselling, provided by a coronary care nurse, statistically significantly reduces anxiety and depression in first MI male patients and anxiety in their partners.

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Section: Hospital-based Counsellingmentioning

confidence: 97%

“…In a study of 70 patients, Gruen (1975) showed that daily supportive individual psychotherapy beginning on the second day post-MI produced a marked improvement in psychological and physical state. Compared with a control group, treated patients had less anxiety and depression and fewer physical symptoms while in hospital.…”

Section: Hospital-based Counsellingmentioning

confidence: 98%

A randomized controlled trial of in‐hospital nursing support for first time myocardial infarction patients and their partners: effects on anxiety and depression*

Thompson

1989

Journal of Advanced Nursing

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“…9 Two subsequent studies of elderly orthopedic surgical patients found that inpatients who received a psychiatric consultation had shorter hospital stays than their counterparts who do not receive a consultation. Psychiatric consultation was associated with 80 percent savings in inpatient costs.…”

Section: Findings From the Literaturementioning

confidence: 99%

Mental Health/Medical Care Cost Offsets: Opportunities For Managed Care

Olfson¹,

Sing²,

Schlesinger³

1999

Health Affairs

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“…Des recherches antérieures sur. l'effet des interventions sur le processus de convalescence de la maladie coronarienne ont démontré que les malades, ayant reçu une intervention sous forme de psychothérapie, présentaient moins de complications cardiaques que les sujets d'un groupe contrôle (1,6,15). Nos résultats suggèrent que, plus les interventions relatives au stress sont intenses, moins il y a de risques de réhospitalisation.…”

Section: Discussionunclassified

Stress et prévention de la récurrence de la maladie coronarienne

Iida-Miranda¹,

Prince²

2006

smq

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Les facteurs habituellement associés à l'augmentation du risque de maladie coronarienne (MC), tels le régime alimentaire, l'hyperlipidémie, la cigarette, l'inactivité physique et l'hérédité sont maitenant bien connus. Toutefois, Keys et al ainsi que d'autres auteurs ont montré que ces facteurs jouent un rôle dans seulement la moitié ou moins des cas de maladie coronarienne et qu'il y a assez d'exceptions pour indiquer la présence d'autres facteurs étiologiques. L'apparition de cette malade est aussi reliée à des caractéristiques psychologiques et sociales aussi bien qu'à des événements stressants de la vie. Enfin, d'autre études ont suggéré que les survivants d'épisodes coronariens ont une vie plus stressante, parfois aggravée par l'interaction d'autres facteurs intervenant avant, durant, et après l'infarctus ; par exemple, la durée de la maladie, la période de convalescence, l'attitude des amis, les conditions familiales et de travail. La nature de la réaction du patient et de sa famille au stress et aux conflits apparaît alors essentielle pour déterminer s'il y aura ou non rechute de la maladie ou nécessité d'une réhospitalisation. De plus, en s'appuyant sur les précédentes données, il devrait être possible de prédire, par la surveillance du niveau de stress, à quel moment une personne atteinte de cette maladie aura un nouvel épisode coronarien. Mieux encore, il devrait être possible d'aider les patients à résoudre les problèmes qui engendrent ce stress et dans certains cas, prévenir ainsi les rechutes.A good deal of recent research suggests that a period of mounting life stress is a precursor of many physical illnesses, including episodes of coronary heart disease (CHD). It should be possible then, by monitoring levels of stress to predict when a high risk individual is likely to suffer a further illness episode, and in some cases to prevent the episode by alleviating stress producing problems.Based on this concept, we have telephone-monitored (at monthly intervals) 37 CHD patients discharged from the coronary unit of the Montreal General Hospital. Stress was measured using a 20-item, self-report scale (Goldberg), and charted for each patient over a seven month period. When a patient's stress rose above a critical level he received a home visit by the project nurse, who investigated his problems and attempted to alleviate them. Interventions varied from simple reassurance to referral for psychiatric treatment or legal aid.Monitoring stress in this way revealed a picture remarkably like the theoretical model. None of the 15 consistently low-scoring patients required rehospitalization. Eleven patients had low scores at the time of discharge, but their scores rose above the critical level in subsequent months. Nine of them responded in a gratifying way- to the home visit and subsequent intervention by the nurse, and none required rehospitalization. The one patient of this type who did require hospitalization had not received a home visit because no nurse was available at the time. Four...

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Effects of brief psychotherapy during the hospitalization period on the recovery process in heart attacks.

Cited by 136 publications

References 28 publications

A randomized controlled trial of in‐hospital nursing support for first time myocardial infarction patients and their partners: effects on anxiety and depression*

A randomized controlled trial of in‐hospital nursing support for first time myocardial infarction patients and their partners: effects on anxiety and depression*

Mental Health/Medical Care Cost Offsets: Opportunities For Managed Care

Stress et prévention de la récurrence de la maladie coronarienne

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