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QUESTION: Can psychoeducational programmes (stress management and health education) reduce cardiac morbidity, mortality, and risk factors in patients with coronary artery disease (CAD)?
Data sources
Studies were identified by searching Medline and PsycLIT (1974–98) and by scanning bibliographies of relevant articles.
Study selection
Published studies were selected if they involved patients who had had a cardiac event (myocardial infarction [MI], coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, or combination) within 6 months before treatment and if the study design was a randomised controlled trial (RCT) or quasi-randomised trial. Studies reporting effects on emotional distress were included only if effects on risk factors, related behaviours, morbidity, or cardiac mortality were also reported. Quasi-randomised trials were included only if samples were stratified or matched pairwise or if patients from the …
Footnotes
Source of funding: Netherlands Organization for Scientific Research.
For correspondence: Ms E Dusseldorp, Data Theory Group, Faculty of Social and Behavioral Sciences, Leiden University, PO Box 9555, 2300 RB Leiden, the Netherlands. Fax +31 71 5273865.
A modified version of this abstract appears in ACP Journal Club.