Effects of a psychosocial skills training workshop on psychophysiological and psychosocial risk in patients undergoing coronary artery bypass grafting

Journal Publication ResearchOnline@JCU
Bishop, George D;Kaur, Divjyot;Tan, Vicky L.M.;Chua, Yeow-Leng;Liew, Siok-Moey;Mak, Koon-Hou
Abstract

Exaggerated CVR to stress has been shown to be associated with accelerated atherosclerosis, increased CVD risk, and stroke incidence. Interventions for reducing psychosocial coronary risk factors and promoting recovery from coronary heart disease (CHD) have included both educational programs aimed at lifestyle and behavior change and cognitive-behavioral interventions targeted at changing specific psychosocial risk factors such as hostility. A recent meta-analysis found that stress management and educational programs for CHD patients significantly reduced blood pressure (BP), cholesterol, body weight, and emotional distress and lowered the recurrence of MI and mortality by 29% and 34%, respectively. However, not all of the trials evaluating these interventions have been randomized, and some have had small sample sizes. Method Participants All male patients, regardless of baseline psychosocial risk factors, who were <70 years and undergoing CABG from February 2001 to November 2001 at the National Heart Centre of Singapore were invited to participate. Because this was a first efficacy study to establish proof of principle and given the small number of female patients relative to male patients, only male patients were involved.

Journal

American Heart Journal

Publication Name

American Heart Journal

Volume

150

ISBN/ISSN

0002-8703

Edition

N/A

Issue

3

Pages Count

8

Location

N/A

Publisher

Elsevier

Publisher Url

N/A

Publisher Location

N/A

Publish Date

N/A

Url

N/A

Date

N/A

EISSN

N/A

DOI

10.1016/j.ahj.2004.10.015