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 .
Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial.
OBJECTIVES To determine the effectiveness of individualised educational behavioural treatment delivered by cardiac nurses in hospital compared to usual care for patients following acute myocardial infa rct ion . METHODS One hundred and fourteen consecutive patients were r and omised to receive the intervention or usual care . Outcome assessment was by self-report question naire ( the Hospital Anxiety and Depression Scale and Dartmouth COOP Health Status ) , interview at 1 month , and self-report at 3 and 12 months . The primary outcome was improvement in the Dartmouth COOP total score from baseline to 3 months . RESULTS Four patients needed to be treated to give an additional patient with improvement in health status at 3 months ( number needed to treat [ NNT ] 4 , 95 % confidence intervals [ CIs ] 3 to 12 ) . The intervention group were more confident about returning to activities 1 month after discharge from hospital . Treated patients had fewer further treatment needs . CONCLUSIONS An individualised educational behavioural treatment delivered by cardiac nurses in hospital may have substantial benefits . A large-scale pragmatic RCT is needed
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 .