Evid Based Nurs 7:114 doi:10.1136/ebn.7.4.114
  • Treatment

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?


GraphicData sources:

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.

GraphicStudy 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 …

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