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The role of cardiac rehabilitation in influencing psychological outcomes

journal contribution
posted on 2008-08-01, 00:00 authored by M U C Worcester, Michael Le GrandeMichael Le Grande
Anxiety and depression are common after acute cardiac events. They can have a major adverse impact upon outcomes, although past studies report conflicting results regarding the relationships between anxiety, depression and outcomes such as mortality. Depression has been shown to be associated with non-adherence of patients. Cardiac rehabilitation programmes conducted during early convalescence provide a valuable opportunity to identify and support patients who experience anxiety and depression, and encourage adherence to advice. Clinical data support the positive effects upon patients' psychological outcomes of cardiac rehabilitation programmes offering group exercise, education and behavioural interventions. However, more rigorous research is required to confirm such benefits. Systematic screening of patients should be undertaken on entry to cardiac rehabilitation to identify high-risk patients and to assist them. Copyright © 2008 John Wiley & Sons, Ltd.

History

Journal

Stress and Health

Volume

24

Issue

3

Pagination

267 - 277

ISSN

1532-3005

eISSN

1532-2998

Publication classification

C1.1 Refereed article in a scholarly journal