Review: some evidence suggests that cognitive behaviour therapy may reduce chest pain in the short term in patients with non-specific chest pain and normal coronary anatomy
Q Are psychological treatments effective for patients with non-specific chest pain and normal coronary anatomy?
Cochrane Review Group Specialised registers (November 2002); Cochrane Library (Issue 3, 2002); Medline (1966–2002); CINAHL (1982–2002); EMBASE/Excerpta Medica (1980–2002); PsycLIT (1887–2002); Biological Abstracts BIOSIS (1980–2002); reference lists of relevant studies and reviews; abstracts from cardiology, psychiatry, and psychiatry conferences; and personal communication with authors.
Study selection and assessment:
randomised controlled trials (RCTs) that compared psychological interventions (cognitive behaviour therapy [CBT], relaxation therapy, hyperventilation control, or other psychotherapy, talking, or counselling therapy) with standard care, an attention placebo, or no intervention in patients with non-specific chest pain, atypical chest pain, or syndrome X and normal coronary anatomy. Patients receiving drug treatment for psychiatric disorders were excluded. Individual study quality was assessed based on randomisation, allocation concealment, blinding, and loss to follow up.
significant reduction in chest pain (pain intensity measured by categorical or visual analogue scales; or mean difference in …