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Review: psychological interventions do not reduce all cause or cardiac mortality in coronary heart disease

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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?


Embedded ImageData 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.

Embedded ImageStudy 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.

Embedded ImageOutcomes:

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 …

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  • For correspondence: Dr K Rees, Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol, BS8 2PR, UK

  • Source of funding: British Heart Foundation UK.