Review: psychological interventions do not reduce all cause or cardiac mortality in coronary heart disease
Q In patients with coronary heart disease (CHD), do psychological interventions (PSIs), particularly stress management training (SMT), reduce mortality and morbidity and improve psychological wellbeing?
Cochrane Controlled Trials register (Issue 4, 2001), Medline (1999–2001), EMBASE/Excerpta Medica (1998–2001), PsycINFO, and CINAHL (up to 2001); bibliographies of relevant articles; and experts.
Study selection and assessment:
randomised controlled trials (RCTs) (published in any language) that lasted ⩾6 months and compared non-pharmacological PSIs with usual care or no intervention in adults with CHD.
all cause and CHD related mortality; myocardial infarction (MI); revascularisation (coronary artery bypass grafting or percutaneous transluminal coronary angioplasty); and anxiety and depression (each measured using several different scales).
36 RCTs (12 841 patients) met the selection criteria. All PSIs. Comparisons included PSIs alone (15 …