Secondary Prevention of Ischemic Heart Disease

Ketterer, Mark W.

doi:10.1016/s0033-3182(93)71821-6

Cited by 39 publications

(3 citation statements)

References 47 publications

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“…In addition, Ketterer (1993) compared risk reduction associated with behavioral therapies (psychoeducational interventions) with risk reduction associated with medical therapy offered to ischemic heart disease patients. With the possible exception of aspirin use in patients with unstable angina, the relative risk reduction of nonfatal myocardial infarctions (MIs) and cardiac deaths observed so far for behavioral therapies are superior to those for any form of medical therapy.…”

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confidence: 99%

“…In our view, in both randomized and nonrandomized trials population effect size estimates will be more accurate when pretest differences are taken into account. As Ketterer (1993) stated, correcting for base rates is “the only meaningful way to compare efficacy of therapies” (p. 480). Fifth, comparison of the results of the reviews is difficult, because different effect size statistics were used.…”

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confidence: 99%

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A meta-analysis of psychoeducational programs for coronary heart disease patients.

Dusseldorp¹,

Elderen²,

Maes³

et al. 1999

Health Psychology

425

231

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In a meta-analysis of 37 studies, the effects of psychoeducational (health education and stress management) programs for coronary heart disease patients were examined. The results suggest that these programs yielded a 34% reduction in cardiac mortality; a 29% reduction in recurrence of myocardial infarction (MI); and significant (p < .025) positive effects on blood pressure, cholesterol, body weight, smoking behavior, physical exercise, and eating habits. No effects of psychoeducational programs were found in regard to coronary bypass surgery, anxiety, or depression. The results also suggest that cardiac rehabilitation programs that were successful on proximal targets (systolic blood pressure, smoking behavior, physical exercise, emotional distress) were more effective on distal targets (cardiac mortality and MI recurrences) than programs without success on proximal targets.

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confidence: 99%

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confidence: 99%

A meta-analysis of psychoeducational programs for coronary heart disease patients.

Dusseldorp¹,

Elderen²,

Maes³

et al. 1999

Health Psychology

425

231

View full text Add to dashboard Cite

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“…The reasons why psychiatric illness is unrecognised in many patients in general hospitals are likely to be complex and include such factors as workload and the prevailing culture with the dominance of a mechanistic paradigm for disease (Ketterer, 1993). A change in the emphasis of psychiatric undergraduate teaching based on the major psychiatric disorders to that based on the emotional aspects of illness presenting to general practitioners and to general hospitals may better equip junior doctors to recognise and treat patients who have a psychiatric disorder.…”

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confidence: 99%

Pre-registration house officers' psychiatric knowledge in practice

Williams¹,

Wilson²

1996

Psychiatr. bull.

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Psychiatric distress is commonly found in general hospital patients and is associated with a poorer outcome and increased complexity of care. It is important for non-psychiatric hospital doctors to possess skills of assessment and treatment of common psychiatric problems. Thissurvey of all house officers in their first pre-registration posts in three large teaching hospitals found that junior doctors rarely ask about or consider the presence of psychiatric problems in their patients. Where psychiatric problems are found, house officers often feel they lack the appropriate skills of assessment and management.This has important implications for medical school course content and emphasis.

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