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 patients (ENRICHD): study design and methods. The ENRICHD investigators.
Psychosocial factors , particularly depression and lack of social support , are important predictors of morbidity and mortality in patients with coronary heart disease . This article describes the design and methods of the Enhancing Recovery in Coronary Heart Disease Patients ( ENRICHD ) study , a multicenter , r and omized clinical trial involving 3000 patients enrolled after acute myocardial infa rct ion . ENRICHD aims to investigate the effects of a psychosocial intervention that targets depression and /or low social support on survival and reinfa rct ion among adult men and women who are at high risk for recurrent cardiac events because of psychosocial factors ( depressive or social isolation ) . Design features include the use of an individually tailored yet st and ardized intervention , rigorous clinical trial methods , and enrollment of a large number of women and minorities
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 .