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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

Psychological interventions (PSIs) (with or without rehabilitation) v control (usual care or rehabilitation) for coronary heart disease*

Outcomes at 5 months to 5 years Number of trials (n) Comparisons Weighted event rates RRR (95% CI) NNT (CI)
*MI  =  myocardial infarction; SMT  =  stress management training. Other abbreviations defined in glossary; weighted event rates, RRR, NNT, and CI calculated from data in article using a fixed effects model.
†Borderline significance.
Non-fatal MI 18 (10 200) All PSIs v control 7% v 9% 20% (9 to 30) 50 (34 to 100)
Non-fatal MI 8 (3990) SMT v control 4% v 6% 29% (8 to 45) 50 (34 to ∞)†
Cardiac mortality 4 (1412) SMT v control 3% v 6% 37% (0 to 60) 34 (20 to ∞)†

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