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 .
Effect of intervention for psychological distress on rehospitalization rates in cardiac rehabilitation patients.
Psychosocial factors affect the development of coronary heart disease and morbidity and mortality of patients with known coronary heart disease . A prior study has shown that psychological distress in patients with known coronary heart disease increased medical and economic costs . This study examined the effects of commonly available psychological interventions offered to patients entering cardiac rehabilitation after hospitalization for angina , myocardial infa rct ion , angioplasty , or coronary artery bypass grafting . A total of 380 patients were screened with the Symptom Checklist-90-Revised ( SCL-90-R ) . Those with T-scores > or = 63 ( > or = 91 percentile ) on the General Severity Index ( GSI ) subscale were r and omly assigned to usual care or special intervention . Special intervention included a psychiatric evaluation , plus one to seven sessions of behavioral therapy . The percentage of patients rehospitalized for cardiac symptoms within 12 months of psychological evaluation was 43 % for special intervention and 40 % for usual care ( NS ) . A correction for crossover between the treatment groups result ed in a favorable trend toward intervention , with 35 % of the psychologically treated patients rehospitalized vs. 48 % of the untreated patients ( NS ) . Although there was a nonsignificant reduction of the SCL-90-R 's GSI T-score , the depression score was significantly reduced in the special intervention group
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 .