Psychological intervention improves psychological symptoms and reduces cardiac mortality for people with Coronary Heart Disease (CHD)

This is a Cochrane review of thirty-five studies with 10,703 participants (median follow-up was 12 months). [1] Psychological interventions led to a reduction in cardiovascular mortality (relative risk 0.79, 95% confidence interval [CI] 0.63 to 0.98) and improved depressive symptoms (standardised mean difference [SMD] –0.27, 95% CI –0.39 to –0.15), anxiety (SMD –0.24, 95% CI –0.38 to –0.09) and stress (SMD –0.56, 95% CI –0.88 to –0.24).

The authors conclude that there remains considerable uncertainty regarding the magnitude of these effects and the specific techniques most likely to benefit people with different presentations of CHD.

1          Richards SH, Anderson L, Jenkinson CE, et al. Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis. Eur J Prev Cardiol 2018;25:247–59. doi:10.1177/2047487317739978