Impact of a brief psychological intervention on lifestyle, risk factors and disease knowledge during phase I of cardiac rehabilitation after acute coronary syndrome

Fernandes, Ana Cláudia; McIntyre, Teresa; Coelho, Rui; Prata, Joana; Maciel, Maria Júlia

doi:10.1016/j.repc.2018.09.009

Cited by 11 publications

(43 citation statements)

References 23 publications

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“…It has been demonstrated that a psychological intervention can reduce emotional distress, promote positive health habits, and enhance immune responses for patients with cancer and other diseases (12)(13)(14). As for infectious diseases, optimism and related constructs could improve the anxiety control and life quality of chronic hepatic B patients (15), as well as the pain management in people with HIV (16).…”

Section: Introductionmentioning

confidence: 99%

Effect of Psychological–Behavioral Intervention on the Depression and Anxiety of COVID-19 Patients

Kong¹,

Kong

Zheng³

et al. 2020

Front. Psychiatry

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The COVID-19 epidemic has caused increasing public panic and mental health stress. In this study, we explore the prevalence and factors linked to anxiety and depression in hospitalized patients with COVID-19. A total of 144 patients diagnosed with COVID-19 underwent depression and anxiety assessment by using the Hospital Anxiety and Depression Scale (HADS). Social support level was also evaluated by the Perceived Social Support Scale (PSSS) at admission. Results showed that gender, age, oxygen saturation, and social support were associated with anxiety for COVID-19 patients. In addition, age, family infection with SARS-CoV-2, and social support were the risk factors associated with depression. Moreover, we designed a psychological–behavioral intervention (PBI) program that included psychological support and breathing exercises, and explored its effects on patients with COVID-19. Of the 144 participants, 26 patients with both anxiety and depression symptoms (cutoff score of ≥8 on HADS-A and HADS-D) were randomly assigned to the intervention group and the control group at a 1:1 ratio. After 10-day treatment, the HADS scores of depression and anxiety were significantly reduced in the intervention group, and PSSS scores were also significantly improved. However, no significant differences in HADS and PSSS scores between pre- and post-treatment were found in the control group. Our findings indicate that mental concern and appropriate intervention are essential parts of clinical care for COVID-19 patients.

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Section: Introductionmentioning

confidence: 99%

Effect of Psychological–Behavioral Intervention on the Depression and Anxiety of COVID-19 Patients

Kong¹,

Kong

Zheng³

et al. 2020

Front. Psychiatry

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“…There are already studies that have incorporated brief psychological interventions into cardiac rehabilitation [ 8 , 9 ]. Their low cost and promising results that seem to have lasting benefits [ 10 , 11 , 12 ] place this type of intervention as an interesting supplement to be considered when treating patients with CVD [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…The difficulty of modifying lifestyle and adherence to treatment is added to the anxiety-depressive symptomatology as possible conditioning factors for the physical vulnerability of a cardiac pathology [ 14 , 15 ]. Brief psychological interventions improve the prognosis of cardiac rehabilitation, helping patients to adapt to the long-term challenges related to CVD [ 8 ]. This kind of intervention appears to have a positive effect in this sense, enhancing psychological well-being, reducing anxiety and depressive symptoms, encouraging the promotion of healthy habits, promoting awareness of the disease, and controlling risk factors [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

A Brief mHealth-Based Psychological Intervention in Emotion Regulation to Promote Positive Subjective Well-Being in Cardiovascular Disease Patients: A Non-Randomized Controlled Trial

et al. 2022

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The emotional impact that a cardiovascular disease may have on a person’s life can affect the prognosis and comorbidity of the disease. Therefore, emotion regulation is most important for the management of the disease. The aim of this study was to analyze the effectiveness of a brief mHealth psychological intervention in emotion regulation to promote positive subjective well-being in cardiovascular disease patients. The study sample (N = 69, 63.7 ± 11.5 years) was allocated to either the experimental group (n = 34) or control group (n = 35). The intervention consisted of a psychoeducational session in emotion regulation and an mHealth-based intervention for 2 weeks. Positive subjective well-being as a primary outcome and self-efficacy to manage the disease as a secondary outcome were assessed at five time points evaluated over a period of 6 weeks. The experimental group showed higher improvement in positive subjective well-being and self-efficacy for managing the disease compared to the control group over time. The experimental group also improved after the intervention on all outcome measures. Brief mHealth interventions in emotion regulation might be effective for improving positive subjective well-being and self-efficacy to manage the disease in cardiovascular patients.

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“…The differences in patient characteristic variables between the intervention and control groups were tested with chi-square tests [ 31 , 32 , 33 , 34 , 36 , 38 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ], t -tests [ 31 , 33 , 34 , 36 , 38 , 39 , 43 , 44 , 45 , 46 ], paired t -tests [ 37 ], or Fisher’s test [ 36 , 39 , 43 , 44 , 45 , 46 ]. Repeated measures analysis of variance with a heterogeneous compound symmetry covariance structure was used to test the differences in the changes between the groups, applying Mann–Whitney U tests [ 38 , 40 , 41 , 42 , 43 , 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…Thus, O’Brien et al [ 38 ] demonstrated a substantial effect of individualized educational intervention on knowledge ( p < 0.001), attitude ( p = 0.003), and belief ( p < 0.001) about ACS. In addition, Fernandes et al [ 34 ] proved a notable impact of psychoeducational intervention in improving knowledge about the disease and maintaining it throughout the follow-up ( p = 0.000).…”

Section: Resultsmentioning

confidence: 99%

Relationships between Psychoeducational Rehabilitation and Health Outcomes—A Systematic Review Focused on Acute Coronary Syndrome

Cojocariu

Maștaleru

Sascău

et al. 2021

JPM

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(1) Background: Cardiac rehabilitation is a multidisciplinary program that includes psychoeducational support in addition to physical exercise. Psychoeducational intervention is a component that has had accelerated interest and development in recent decades. The aim was to analyze the current evidence on the effectiveness of psychoeducational interventions for patients with acute coronary syndrome (ACS). (2) Methods: We conducted a systematic search of the literature via four databases: PubMed, CENTRAL, PsycINFO, and EMBASE. We included randomized controlled trials that evaluated the effectiveness of a psychoeducational intervention compared to usual care in ACS patients. We assessed the risk of bias using a modified version of the Cochrane tool. We analyzed data regarding the population, intervention, comparator, outcomes, and timing. (3) Results: We identified 6248 studies. After a rigorous screening, we included in the analysis 11 articles with a total of 3090 participants. Major adverse cardiovascular events, quality of life, hospitalizations, lipidogram, creatinine, NYHA class, smoking, physical behavior, and emotional state were significantly improved. In addition, illness perception, knowledge, and beliefs were substantially ameliorated (all p < 0.001). All this was related to the type and dose of psychological intervention. (4) Conclusions: Patients with ACS can receive significant benefits through individualized psychoeducation sessions. The cardiac rehabilitation program should include personalized psychological and educational intervention by type and dose.

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Impact of a brief psychological intervention on lifestyle, risk factors and disease knowledge during phase I of cardiac rehabilitation after acute coronary syndrome

Cited by 11 publications

References 23 publications

Effect of Psychological–Behavioral Intervention on the Depression and Anxiety of COVID-19 Patients

Effect of Psychological–Behavioral Intervention on the Depression and Anxiety of COVID-19 Patients

A Brief mHealth-Based Psychological Intervention in Emotion Regulation to Promote Positive Subjective Well-Being in Cardiovascular Disease Patients: A Non-Randomized Controlled Trial

Relationships between Psychoeducational Rehabilitation and Health Outcomes—A Systematic Review Focused on Acute Coronary Syndrome

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