Conclusions We found that psychological intervention  improved psychological symptoms and reduced cardiac mortality for people with CHD .
However , there remains considerable uncertainty regarding the magnitude of these effects and the specific techniques most likely to benefit people with different presentations of CHD
Background Although psychological interventions are recommended for the management of coronary heart disease ( CHD ) , there remains considerable uncertainty regarding their effectiveness .
Enhancing Recovery in Coronary Heart Disease (ENRICHD) Study Intervention: Rationale and Design
Objective Depression and low social support are risk factors for medical morbidity and mortality after acute MI . The ENRICHD study is a multicenter , r and omized , controlled clinical trial of a cognitive-behavioral treatment for depression and low social support in post-MI patients . A total of 2481 patients were recruited ( 26 % with low social support , 39 % with depression , and 34 % with low social support and depression ) . Our objective is to describe the rationale , design , and delivery of the ENRICHD intervention . Methods Key features of the intervention include the integration of cognitive-behavioral and social learning approaches to the treatment of depression and a diverse set of problems that can contribute to low social support ; rapid initiation of treatment after MI ; a combination of individual and group modalities ; adjunctive pharmacotherapy for severe or intractable depression ; training , certification , and supervision of therapists ; and quality assurance procedures . Results The trial ’s psychosocial and medical outcomes will be presented in future reports . Conclusions The ENRICHD protocol targets two complex psychosocial risk factors with a multifaceted intervention , which is delivered in an individualized manner to accommo date a demographically , medically , and psychiatrically diverse patient population . Additional research will be needed to identify optimal matches between patient characteristics and specific components of the intervention
Conclusions We found that psychological intervention  improved psychological symptoms and reduced cardiac mortality for people with CHD .
However , there remains considerable uncertainty regarding the magnitude of these effects and the specific techniques most likely to benefit people with different presentations of CHD
Background Although psychological interventions are recommended for the management of coronary heart disease ( CHD ) , there remains considerable uncertainty regarding their effectiveness .