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 .
Daily Stress and Social Support among Women with CAD: Results from a 1-year Randomized Controlled Stress Management Intervention Study
Background Psychosocial stress may play a causative role in development and progression of coronary artery disease ( CAD ) . Purpose We investigated the effects of a 1-year stress management program on daily stress behavior and social support among female CAD patients . Method Women , 247 ( ≤75 years ) , hospitalized for a cardiac event were r and omized to either a control or an intervention group . Controls obtained usual health care ; intervention patients participated in 20 2-h group sessions of stress management therapy and obtained health care by a cardiologist . Measurements were at baseline , 10 weeks ( after ten sessions ) , 1-year ( end of intervention ) , and at a 1- to 2-year follow-up . Results Daily stress scores for the intervention and control groups were at baseline 39.5 ± 8.1 vs. 37.2 ± 9.1 ( p = 0.06 ) , 10 weeks 37.2 ± 8.0 vs. 35.5 ± 9.4 ( p = 0.20 ) , 1-year 36.1 ± 7.2 vs. 35.9 ± 8.5 ( p = 0.85 ) , and at 1–2 year follow-up 34.0 ± 7.8 vs. 35.3 ± 8.7 ( p = 0.32 ) , respectively . Intention to treat analyses showed interaction between treatment and time [ F(3,213 ) = 2.72 ; p = 0.01 ] reflecting that the decrease was more pronounced in the intervention group . There was no evidence for a difference in change concerning social support . Conclusion CAD women in the intervention group had a more pronounced reduction of self-rated daily stress behavior over time compared to controls . However , as the intervention group had higher baseline values , due to regression toward the mean , we have no evidence that the difference in decrease of daily stress was due to the intervention
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 .