Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy

Kisely, Steve; Campbell, Leslie Anne; Yelland, Michael; Paydar, Anita

doi:10.1002/14651858.cd004101.pub5

Cited by 58 publications

(21 citation statements)

References 106 publications

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“…Expectation interventions (i.e., verbal suggestion, conditioning, and imagery) have been previously found to have a moderate potential to alleviate pain (Peerdeman et al, 2016). Similarly, Kisely, Campbell, Yelland, and Paydar (2015) indicated a moderate benefit for psychological interventions (e.g., CBT) on chest pain frequency for individuals with recurrent chest pain in the absence of CAD. CAM interventions were reported to have a moderate impact on chronic pain in a recent review and meta-analysis of 207 clinical trials; however, the evidence was deemed to be uncertain due to high heterogeneity across the included trials (Houzé, El-Khatib, & Arbour, 2017).…”

Section: Discussionmentioning

confidence: 94%

Self-Management of Cardiac Pain in Women: A Meta-Summary of the Qualitative Literature

et al. 2018

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Symptom recognition and self-management is instrumental in reducing the number of deaths related to coronary artery disease (CAD) in women. The purpose of this study was to synthesize qualitative research evidence on the self-management of cardiac pain and associated symptoms in women. Seven databases were systematically searched, and the concepts of the Individual and Family Self-Management Theory were used as the framework for data extraction and analysis. Search strategies yielded 22,402 citations, from which 35 qualitative studies were included in a final meta-summary, comprising data from 769 participants, including 437 (57%) women. The available literature focused cardiac pain self-management from a binary sex and gender perspective. Ethnicity was indicated in 19 (54%) studies. Results support individualized intervention strategies that promote goal setting and action planning, management of physical and emotional responses, and social facilitation provided through social support.

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Section: Discussionmentioning

confidence: 94%

Self-Management of Cardiac Pain in Women: A Meta-Summary of the Qualitative Literature

et al. 2018

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“…Также около 50 % первичных обращений в амбулаторные кардио-логические учреждения заканчиваются исключением сердечно-сосудистых причин для болей в грудной клетке. В исследовании, проведённом в отделении, специализирующемся на оказании помощи при остром коронарном синдроме (ОКС), было показано, что у пациентов с необъяснимой болью в грудной клетке при нормальной коронарной анатомии пани-ческое расстройство встречается в 55 % случаев, при том, что у лиц, страдающих ИБС, оно диагностируется в 11 % случаев [15].…”

Section: результаты предложен алгоритм для выделения среди пациентовunclassified

“…В то же время в Кокрановском обзоре эффектив-ности психологических вмешательств у лиц с неспец-ифической болью в грудной клетке при нормальной коронарной анатомии было показано, что терапия давала положительный эффект -от скромного до умеренного -в особенности в течение первых трёх месяцев после её проведения [15]. Высокая эффек-тивность психофармакотерапии при депрессии у больных ИБС наблюдалась у пациентов после острого инфаркта миокарда (ОИМ), которые уже переносили депрессивные эпизоды (средней тяжести и тяжёлые) до ОКС, страдали рекуррентным депрессивным рас-стройством [17].…”

Section: результаты предложен алгоритм для выделения среди пациентовunclassified

About the Allocation of Mental Disorders Risk Groups in the Practice of Cardiology Department

Дорофейкова¹,

Zadvorev²,

Zadvorev³

et al. 2018

Acta Biomedica Scientifica

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“…In the UK the ‘Improving Access to Psychological Therapies’ (IAPT) programme provides psychological services to patients with medically unexplained symptoms in general (Kellett et al , 2016), and this group includes NCCP (Wilkinson et al , 2019). CBT yields promising results (Kisely et al , 2015). CBT is a psychological intervention aimed at improving negative emotions by developing skills intended to identify and modify cognitive distortions and associated maladaptive behaviours.…”

Section: Introductionmentioning

confidence: 99%

Internet-assisted cognitive behavioural therapy for non-cardiac chest pain: a pilot and feasibility study

Thesen

Jonsbu

Martinsen

et al. 2021

tCBT

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Nearly half of patients with non-cardiac chest pain (NCCP) experience significant complaints after a negative cardiac evaluation, at considerable costs for society. Due to the lack of treatment capacity and low interest for psychological treatment among patients with somatic complaints, only a minority receive effective treatment. The aim of this study was to assess the feasibility and usefulness of internet-assisted cognitive behavioural therapy (I-CBT), including encouragement of physical activity for this condition. Ten patients with NCCP received a six-session I-CBT intervention with minimal support from a therapist. Questionnaires assessing cardiac anxiety, fear of bodily sensations, depression, interpretation of symptoms, frequency of chest pain and impact of chest pain symptoms were collected at baseline, post-treatment and at 3-month follow-up. Semi-structured interviews employing a phenomenological hermeneutic approach assessed the participants’ experience of the intervention. Quantitative results showed clear improvements in several measures both at end of treatment and at 3-month follow-up. The retention rate was 100% and client satisfaction was high. The intervention was feasible to implement in a cardiac setting. This setting made it easier for patients to accept a psychological approach. Qualitative interviews revealed that the participants felt respected and taken care of, and they obtained a better understanding of their chest pain and how to cope with it. This pilot study yielded promising results regarding feasibility, clinical effect and patient satisfaction from a brief I-CBT intervention for NCCP in a cardiac setting. These results indicate that a randomized controlled trial with a larger sample size is warranted. Key learning aims (1) Feasibility of internet-assisted cognitive behavioural therapy (I-CBT) for non-cardiac chest pain (NCCP). (2) How NCCP patients experience I-CBT. (3) Possible effects of I-CBT. (4) How I-CBT can be delivered at the Cardiac Department.

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Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy

Cited by 58 publications

References 106 publications

Self-Management of Cardiac Pain in Women: A Meta-Summary of the Qualitative Literature

Self-Management of Cardiac Pain in Women: A Meta-Summary of the Qualitative Literature

About the Allocation of Mental Disorders Risk Groups in the Practice of Cardiology Department

Internet-assisted cognitive behavioural therapy for non-cardiac chest pain: a pilot and feasibility study

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