Mindfulness-based stress reduction program in coronary heart disease: A randomized control trial

Parswani, Manish J; Sharma, Mohit; Iyengar, S. S.

doi:10.4103/0973-6131.113405

Cited by 113 publications

(138 citation statements)

References 36 publications

(41 reference statements)

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“…Parswani, et al 16) performed decompression therapy in patients with CHD who presented with depression and anxiety symptoms. Through a period of treatment, depression and anxiety symptoms were significantly alleviated.…”

mentioning

confidence: 99%

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Zhang²,

Shulin

et al. 2016

Int. Heart J.

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SummaryCognitive behavioral therapy (CBT), established only a few decades ago, is widely used by clinical psychologists. This study aimed to investigate the effects of CBT on mental status and quality of life (QOL) after percutaneous coronary intervention (PCI) in young and middle-aged patients with coronary heart disease (CHD). Seventy-five anxiety/depression patients (mean age, 52.2 ± 6.2 years, including 8 individuals < 45 years old) with CHD treated with PCI were randomly divided into a CBT group (n = 38) and control group (n = 37). The CBT group received 8 weeks of CBT in addition to the routine postoperative treatment that was also administered to control patients. The 17-item Hamilton Depression Rating Scale (HAM-D17), Hamilton anxiety scale (HAM-A), and Coronary Revascularization Outcome Questionnaire (CROQ-PTCA-POST, Chinese version) were administered before, 3 days, and 8 weeks after intervention. HAM-D17 and HAM-A scores were decreased after treatment, but were more substantially reduced in patients that underwent CBT than those in the control group (11.7 ± 4.5 versus 15.1 ± 3.9, P = 0.001 and 10.6 ± 3.4 versus 16.5 ± 4.6, P = 0.003, respectively). QOL was improved in both groups, but overall satisfaction was higher in the CBT group compared with control patients (89.3 ± 5.2 versus 77.8 ± 9.5, P < 0.05). CBT can relieve depression and anxiety after PCI in young and middle-aged patients with CHD. CBT can improve patient QOL. (Int Heart J 2016; 57: 167-172) Key words: Cognitive behavioral therapy, Percutaneous stent implantation, Anxiety, Depression C oronary heart disease (CHD) is one of the leading causes of death worldwide. The China Cardiovascular Disease report published in 2010 stated that the incidence of CHD in China continues to increase, and that the age at onset is decreasing.1) The relationship between CHD and a change toward a negative mental status has attracted more and more attention, particularly the clinical studies of therapeutic intervention with regards to psychological and social factors of CHD.2-4) Authors agree that many patients with CHD have persistent symptoms of depression and anxiety, 5,6) which significantly influence their quality of life (QOL) and prognosis, often leading to a vicious cycle. 7) However, whether the presence of depressive symptoms is due to depression after CHD or originates from the CHD itself is controversial. 8,9) Nevertheless, there is an association between depressive symptoms and post-CHD mortality. 10,11) Chinese studies performed by Li, et al 12) confirmed that the incidence of anxiety in young and middle-aged CHD patients who underwent percutaneous coronary intervention (PCI) was higher than that of senior patients, which is supported by other studies. [13][14][15] They stated that it might be because young and middle-aged patients are more likely to worry about the effects of stent implantation on their work and social life. These studies also found that the incidence of depression among young and middle-aged people was slightly higher than ...

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mentioning

confidence: 99%

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Zhang²,

Shulin

et al. 2016

Int. Heart J.

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“…his questionnaire is prepared by Lovibond & Lovibondd (1995) to measure depression, anxiety, and stress (Parswani 2013). Also, the results of conf irmatory factor analysis have conf irmed the existence of three factors of depression, anxiety, and stress.…”

Section: Methodsmentioning

confidence: 99%

Effect of Mindfulness-based Cognitive Therapy on Psychological Sequelsin HypertensivePeople(HBPPatients)

Gozal¹,

Zeinali²,

Ahmadi³

et al. 2016

AMBIENT SCIENCE

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Hypertension is a common, chronic and relapsing disease which is indeed one of the major public health issues. In our study, we employed quasi-experimental research method.Total 30 patients were randomly divided into two groups; test (n= 15) and control group (n= 15). To collect the required information we gave some depression, anxiety and stress-related questionnaire to the members of both the groups to f ill up in the pre-test, post-test and follow-up phases. The test group received the treatment program in eight sessions of 90 minutes each. The results showed that there was a signif icant difference between levels of depression, and stress in two groups and mindfulnessbased cognitive therapy has signif icantly reduced depression and stress in patients within the test group. But no signif icant difference was observed for the component of anxiety. Thus the program could be referred as effective in reducing psychological consequences in patients with hypertension. AbstractIntroduction:

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“…Mindfulness was found to have significant positive effects on people with cardiovascular problems (Parswani, Sharma, & Iyengar, 2013), high blood pressure (Hughes et al, 2013), cancer (Matchim, 2010), acute pain (Zeidan et al, 2011), depression caused by fibriomyalgia (Sephton et al, 2007), irritable bowel syndrome (Gaylord et al, 2011), attachment anxiety (Pepping, O'Donovan, & Davis, 2014) and several other physical and psychological conditions. It improves immune function (Davidson et al, 2003) and positively alters brain structure (Hölzel et al, 2011).…”

Section: Mindfulness and Its Significancementioning

confidence: 99%

Mindfulness and Sustainability: Utilizing the Tourism Context

Lengyel¹

2015

JSD

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After several decades of sustainability efforts humanity is still on track to worst-case climate scenario. Other planetary boundaries have also been transgressed. The symptoms point to a root cause termed by many as a crisis of perception and value system. Our consumption-oriented world view is unsustainable. What can catalyze a perceptual paradigm shift needed to avoid global socio-ecological collapse in the long-run? Besides its manifold beneficial effects tested clinically, mindfulness has been found to be positively correlated with sustainable behavior. The article gives a theoretical grounding of mindfulness highlighting some new aspects and argues that the tourism context serves as an exceptionally suitable medium for learning mindfulness techniques. Expanding on earlier openness to new experience and Google Trends research of the author it is demonstrated that tourists have a markedly raised level of openness to new experience and also that there is a strong demand side business case for developing more mindfulness-based tourism products both globally and specifically for Hungary. The study provides further evidence of the short fade-out period of positive vacation effects and shows what type of destinations and accommodations potential wellness and ecotourists consider best for learning mindfulness.

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Mindfulness-based stress reduction program in coronary heart disease: A randomized control trial

Cited by 113 publications

References 36 publications

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease

Effect of Mindfulness-based Cognitive Therapy on Psychological Sequelsin HypertensivePeople(HBPPatients)

Mindfulness and Sustainability: Utilizing the Tourism Context

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