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 .
One-year results of the randomized, controlled, short-term psychotherapy in acute myocardial infarction (STEP-IN-AMI) trial.
BACKGROUND Previous studies on cognitive and interpersonal interventions have yielded inconsistent results in ischemic heart disease patients . METHODS 101 patients aged ≤ 70 years , and enrolled one week after complete revascularization with urgent/emergent angioplasty for an AMI , were r and omized to st and ard cardiological therapy plus short-term humanistic-existential psychotherapy ( STP ) versus st and ard cardiological therapy only . Primary composite end point was : one-year incidence of new cardiological events ( re-infa rct ion , death , stroke , revascularization , life-threatening ventricular arrhythmias , and the recurrence of typical and clinical ly significant angina ) and of clinical ly significant new comorbidities . Secondary end points were : rates for individual components of the primary outcome , incidence of re-hospitalizations for cardiological problems , New York Heart Association class , and psychometric test scores at follow-up . RESULTS 94 patients were analyzed at one year . The two treatment groups were similar across all baseline characteristics . At follow-up , STP patients had had a lower incidence of the primary endpoint , relative to controls ( 21/49 vs. 35/45 patients ; p=0.0006 , respectively ; NNT=3 ) ; this benefit was attributable to the lower incidence of recurrent angina and of new comorbidities in the STP group ( 14/49 vs. 22/45 patients , p=0.04 , NNT=5 ; and 5/49 vs. 25/45 , p<0.0001 , NNT=3 , respectively ) . Patients undergoing STP also had statistically fewer re-hospitalizations , a better NYHA class , higher quality of life , and lower depression scores . CONCLUSION Adding STP to cardiological therapy improves cardiological symptoms , quality of life , and psychological and medical outcomes one year post AMI , while reducing the need for re-hospitalizations . Larger studies remain necessary to confirm the generalizability of these results . CLINICAL TRIAL REGISTRATION Clinical Trial.gov : NCT00769366
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 .