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 .
Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction.
OBJECTIVE To compare the impact of network support and different types of perceived functional support on all-cause mortality or nonfatal reinfa rct ion for patients with a recent acute myocardial infa rct ion ( AMI ) . DESIGN Participants were recruited from the Enhancing Recovery in Coronary Heart Disease ( ENRICHD ) trial ; 2,481 AMI patients with depression or low social support were r and omized to a cognitive-behavioral intervention or to a usual care control group . Data collection for certain measures of social support was limited : 2,466 participants completed the ENRICHD Social Support Inventory ; 2,457 completed the Perceived Social Support Scale ; 1,296 completed the Social Network Question naire ; and 707 completed the Interpersonal Support and Evaluation List , Tangible Support subscale . Patients also completed the Beck Depression Inventory and were followed for up to 4.5 years . MAIN OUTCOME MEASURE Time to death or nonfatal reinfa rct ion . RESULTS Over the follow-up period , 599 patients ( 24 % ) died or had a nonfatal AMI . Survival models controlling age , sex , race , socioeconomic status , smoking , antidepressant use , and a composite measure of increased risk revealed that higher levels of perceived social support were associated with improved outcome for patients without elevated depression but not for patients with high levels of depression . Neither perceived tangible support nor network support were associated with more frequent adverse events . CONCLUSION AMI patients should be assessed for multiple dimensions of perceived functional support and depression to identify those at increased psychosocial risk who may benefit from treatment
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 .