Cardiovascular diseases are the major cause of death worldwide. Emotions such as anger and anxiety could be risk factors for coronary heart disease. Scientific evidence confirmed that chronic anxiety increases the risk of coronary heart disease through effects on unhealthy behaviors and autonomic nervous system activity. Difficulties in negative emotion regulation were associated with the onset of cardiovascular diseases and their worse prognosis and mortality. This systematic review aims to investigate the effectiveness of group psychological interventions in improving behavioral, psychological, and clinical outcomes of patients with cardiovascular disease. Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) checklist. Studies were identified through the following electronic databases: Pubmed, Scopus, and Web of Science. The following search string was used: (emotion training OR psychological intervention* OR psychotherapeutic intervention* OR psychotherap* OR psychological rehabilitation OR emotion focused therapy OR emotion* regulation intervention*) AND (hypertension OR cardiovascular disease OR coronary heart disease OR heart failure OR cardiac morbidity OR cardiac patients OR myocardial infarction OR heart attack OR angina pectoris OR cardiac rehabilitation OR stroke OR Major adverse cardiovascular events OR MACE*) AND (group*) AND (outcome* OR mortality). Results: 43 studies were selected and a total of 12,324 patients were included. The most common conditions were coronary artery disease, myocardial infarction, and acute coronary syndrome. Group psychological interventions were shown to be useful in patients with cardiovascular disorders, being associated with improved quality of life and mental health, reduced cardiovascular risk factors, increased healthy behaviors, and improved perceptions of the disease. However, many interventions showed lower efficacy in clinical outcomes in terms of mortality or rehospitalization.
Group psychological interventions in patients with cardiovascular disorders. A Systematic Review
Melania Severo;Benedetta Ragni;Adriana Leccese
2024-01-01
Abstract
Cardiovascular diseases are the major cause of death worldwide. Emotions such as anger and anxiety could be risk factors for coronary heart disease. Scientific evidence confirmed that chronic anxiety increases the risk of coronary heart disease through effects on unhealthy behaviors and autonomic nervous system activity. Difficulties in negative emotion regulation were associated with the onset of cardiovascular diseases and their worse prognosis and mortality. This systematic review aims to investigate the effectiveness of group psychological interventions in improving behavioral, psychological, and clinical outcomes of patients with cardiovascular disease. Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) checklist. Studies were identified through the following electronic databases: Pubmed, Scopus, and Web of Science. The following search string was used: (emotion training OR psychological intervention* OR psychotherapeutic intervention* OR psychotherap* OR psychological rehabilitation OR emotion focused therapy OR emotion* regulation intervention*) AND (hypertension OR cardiovascular disease OR coronary heart disease OR heart failure OR cardiac morbidity OR cardiac patients OR myocardial infarction OR heart attack OR angina pectoris OR cardiac rehabilitation OR stroke OR Major adverse cardiovascular events OR MACE*) AND (group*) AND (outcome* OR mortality). Results: 43 studies were selected and a total of 12,324 patients were included. The most common conditions were coronary artery disease, myocardial infarction, and acute coronary syndrome. Group psychological interventions were shown to be useful in patients with cardiovascular disorders, being associated with improved quality of life and mental health, reduced cardiovascular risk factors, increased healthy behaviors, and improved perceptions of the disease. However, many interventions showed lower efficacy in clinical outcomes in terms of mortality or rehospitalization.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
