Social Medical Progression of Coronary Heart Disease With Associated Psychosocial Comorbidity -Interval Rehabilitation.

Study Overview
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Brief Summary
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The purpose of the study is to verfiy the hypothesis if a short intensive psychocardiological interval-intervention, combined with a structured follow up, decreases the rate of disability retirements caused by psychosocial co-morbidity of patients with coronary heart disease.

Detailed Description
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The purpose of the study is to verfiy the hypothesis if a short intensive psychocardiological interval intervention, combined with a structured follow up, decreases the rate of disability retirements caused by psychosocial co-morbidity of patients with coronary heart disease.

Official Title
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Improvement of the Social Medical Progression of Coronary Heart Disease With Associated Psychosocial Comorbidity by the Use of Interval Rehabilitation.

Conditions
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Cardiovascular Events

Intervention / Treatment
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* Other: interval-rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Coronary heart disease Disease-related psychosocial morbidity not a disability retirements Insured with the German Rheinland pension (deutsche Rentenversicherung Rheinland) Sufficient language skills Age 18-58 Exclusion Criteria: Acute cardiac decompensation consuming the underlying disease psychotic disorder Acute suicidality pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 58 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interventiongroup<br>A Stationary psychocardiological interval-rehabilitation. | Other: interval-rehabilitation<br>* The Patients in the intervention group receive a Stationary psychocardiological interval-rehabilitation.The Interval rehabilitation is divided into individual psychological therapy with focus of Behavior therapy and relaxation therapy.<br>* Other names: sarah;|
| No Intervention: controlgroup<br>The Patients in the control group receive a personal recommendation concerning psychotherapy outpatient counseling and therapy services at home and take therapeutic help. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement of the social medical progression of coronary heart disease with associated psychosocial comorbidity by the use of interval rehabilitaion | Reducing the rate of disability pension of 18%of 9% by interval-rehabilitation with aftercare. | 24 months after including study | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement of the social medical progression of coronary heart disease with associated psychosocial comorbidity by the use of interval rehabilitaion | Reduction of cardiovascular events, including deaths Improving the risk profile Improvement of health-related quality of life Improvement of mental comorbidity | 24 months after including study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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psychocardiological, interval intervention, disability pension, risk profile, mental comorbidity