Efficacy of psychological interventions on clinical outcomes of coronary artery disease: Systematic review and meta-analysis

Sex differences in potential triggers of myocardial infarction

“… 25 Cognitive behaviour therapy and stress management programmes have shown decreased, persistent depression and social isolation, 26 , 27 and a recently published meta-analysis shows mildly beneficial effects from psychological interventions even in reducing new cardiovascular events, MI, and angina duration and intensity. 28 However, further research is warranted due to previous divergent results.…”

Effect of a nonpharmacological psychological stress management intervention on major cardiovascular events and mortality in patients with coronary artery disease: A systematic review and meta-analysis of randomized clinical trials.

“…This meta-analysis of RCTs verified the effects of psychological stress management interventions on cardiovascular events and mortality. Other meta-analyses have been already investigated the benefits of nonpharmacological psychological interventions on psychosocial aspects like Type A behavior, depression, anxiety (Dickens et al, 2013; Klainin-Yobas et al, 2016; Linden et al, 2007; Magán et al, 2021; Rutledge et al, 2013; Zou et al, 2021), physical (Abbott et al, 2014; Rainforth et al, 2007), and hard outcomes (Magán et al, 2022; Richards et al, 2018) in patients with cardiovascular disease. However, as far as we know, this is the first study to investigate the exclusively effects of stress management interventions on MACE and mortality in patients with CAD.…”

“…Psychological interventions for stress management have been proposed in the last decade (Blumenthal et al, 2016; Gulliksson et al, 2011; Schneider et al, 2012) and although the effectiveness of psychological interventions for reducing cardiovascular events in patients with CAD has been recently published (Magán et al, 2022), there are still doubts regarding the effectiveness of these stress management-focused psychological interventions in reducing cardiovascular events. Thus, the objective of this study was to perform a systematic review (SR) of randomized clinical trials (RCTs) and evaluate the effects of nonpharmacological psychological interventions for stress management to synthesize their effects on cardiovascular mortality and major adverse cardiovascular events (MACE) in patients with CAD.…”

The Complex Construct of Wellbeing and the Role of Vagal Function

“…While illbeing and wellbeing are partly related, they are also distinct (Westerhof, 2010 ; Fisher et al, 2020 ; Hunter, 2020 ). This claim is supported by findings that people living with chronic conditions including mental illness (Goodman et al, 2018 ), heart disease (Magán et al, 2021 ) or acquired brain injury (Wilkie et al, 2021 ) have tremendous capacity to improve the determinants of wellbeing (see also Kemp et al, 2022 ). The field of positive psychology initiated its study on “human flourishing” using a concept of wellbeing defined purely by positive experiences.…”