Effectiveness of An Islamic Approach to Hope Therapy on Hope, Depression, and Anxiety in Comparison with Conventional Hope Therapy in Patients with Coronary Heart Disease

Purpose Depression and anxiety have been extensively associated with adverse outcomes in coronary heart disease patients. However, psychological and physiological processes underlying the persistence of these troubles in coronary heart disease patients attending cardiac rehabilitation are poorly investigated. Trait emotional competencies and heart rate variability could be some of these processes. Thus, the aim of this study was to assess the predictive value of trait emotional competencies and heart rate variability on depression and anxiety symptoms persistence in coronary heart disease patients. Methods Eighty-four patients who recently presented a myocardial infarction were evaluated at the beginning of cardiac rehabilitation. Forty-two patients continued their rehabilitation program and were then assessed three months later. They completed the Profile of Emotional Competence as well as the Hospital Anxiety and Depression Scale and underwent a 5-minute resting heart rate variability measure. Results Low trait emotional competencies score predicted depression symptoms persistence, but unexpectedly, high trait emotional competencies score was also associated with withdrawal from cardiac rehabilitation. Contrary to our expectations, heart rate variability did not predict depression or anxiety symptoms persistence and was not associated with trait emotional competencies. Conclusions This study is the first to report an association between trait emotional competencies and depression symptoms persistence in coronary heart disease patients. However, heart rate variability was not associated with either depression or anxiety supporting the idea of mixed literature and highlighting the need of future research.

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P191 The effectiveness of mindfulness-based interventions on perceived stress, depression and anxiety in patients with coronary heart disease: A systematic review and meta-analysis

European Heart Journal ◽

10.1093/ehjci/ehz872.066 ◽

2020 ◽

Vol 41 (Supplement_1) ◽

Author(s):

H Zou ◽

S Y Chair ◽

X Cao

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Active Control ◽

Perceived Stress ◽

Psychological Health ◽

Meta Analysis ◽

Small Sample ◽

Significant Heterogeneity ◽

Depression And Anxiety ◽

Post Intervention

Abstract Background An increasing number of people are living with coronary heart disease (CHD) globally. Psychological conditions such as stress, depression, and anxiety are prevalent for people with CHD, which impose a great challenge for secondary prevention of CHD. Mindfulness-based interventions (MBIs), which incorporate mindfulness skills and cognitive or behavioural therapy, are suggested as a promising approach to help patients with CHD to improve their psychological health. However, the effectiveness of MBIs for patients with CHD has not been systematically reviewed. Purpose To synthesise the evidence regarding the effects of MBIs on reducing perceived stress, depression, and anxiety in patients with CHD. Methods Search was conducted in seven English electronic databases and two Chinese electronic databases from inception to January 2019. Randomized controlled trials (RCTs) that evaluated the effects of MBIs on stress, depression, and anxiety in adults with CHD were included. Two reviewers independently screened records for eligibility, extracted data, and assessed risks of bias using the Cochrane tool. Meta-analysis was conducted by combining the standard mean difference (SMD) with 95% confidence interval (CI) of post-intervention outcome measures using Review Manager Version 5.3. We used a fixed-effects model if no significant heterogeneity (I² < 50%), while in case of significant heterogeneity (50% < I² < 75%), we used a random-effects model. Results Six RCTs involving 473 participants were included. Five of all studies compared MBIs with inactive controls (i.e., usual care and waitlist control). The remaining study utilized a self-help group that received a booklet containing identical mindfulness information as an active control. There were high concerns about the risk of bias across studies, mainly in performance bias and detection bias. The meta-analysis of two studies showed MBIs may reduce perceived stress at post-intervention (SMD -0.82; 95% CI -1.28 to -0.36; P < 0.001; I² 0%) compared with inactive controls. Compared with active control, the single study did not observe a significant reduction of perceived stress in intervention group. The meta-analysis of five studies revealed that MBIs appear effective in reducing depression (SMD -1.08; 95% CI -1.28 to -0.87; P < 0.001; I² 22%) and anxiety (SMD -1.16; 95% CI -1.57 to -0.75; P < 0.001; I² 71%) immediately after intervention, compared with inactive or active controls. Conclusions The results of this review provide evidence for the effects of MBIs on reduction in perceived stress, depression and anxiety at post-intervention in patients with CHD. However, these findings need to be interpreted with caution given the small sample size and methodological limitations within included studies. Rigorous-designed research is urgently needed to further confirm the effectiveness of MBIs on improving psychological health and explore its sustainable effects in patients with CHD.

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Association of Apelin and Apelin Receptor Polymorphisms With the Risk of Comorbid Depression and Anxiety in Coronary Heart Disease Patients

Frontiers in Genetics ◽

10.3389/fgene.2020.00893 ◽

2020 ◽

Vol 11 ◽

Author(s):

Ying Wang ◽

Wenhui Liu ◽

Yiwen Xiao ◽

Haiyan Yuan ◽

Feng Wang ◽

...

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Depression And Anxiety ◽

Comorbid Depression ◽

Apelin Receptor

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GW27-e0987 Effects of Enhanced External Counterpulsation on Relieving Depression and Anxiety in Patients with Coronary Heart Disease

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2016.07.633 ◽

2016 ◽

Vol 68 (16) ◽

pp. C168

Author(s):

Li Weijie ◽

Wenjuan Zhou ◽

Xiaoling Li ◽

Huanji Zhang ◽

Guifu Wu ◽

...

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Depression And Anxiety ◽

External Counterpulsation ◽

Enhanced External Counterpulsation

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Chest pain, depression and anxiety in coronary heart disease: Consequence or cause? A prospective clinical study in primary care

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2019.109891 ◽

2020 ◽

Vol 129 ◽

pp. 109891 ◽

Cited By ~ 3

Author(s):

Eric W. de Heer ◽

Jorge E. Palacios ◽

Herman J. Adèr ◽

Harm W.J. van Marwijk ◽

Andre Tylee ◽

...

Keyword(s):

Primary Care ◽

Coronary Heart Disease ◽

Heart Disease ◽

Clinical Study ◽

Chest Pain ◽

Prospective Clinical Study ◽

Depression And Anxiety

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Coronary Heart Disease and Depression or Anxiety: A Bibliometric Analysis

Frontiers in Psychology ◽

10.3389/fpsyg.2021.669000 ◽

2021 ◽

Vol 12 ◽

Author(s):

Yan Zhou ◽

Xue-Ping Zhu ◽

Jing-Jing Shi ◽

Guo-Zhen Yuan ◽

Zi-Ang Yao ◽

...

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Bibliometric Analysis ◽

Depressive Disorders ◽

The United States ◽

Future Research ◽

Depression And Anxiety ◽

Duke University ◽

The Relationship ◽

Research Frontiers

This study aimed to conduct a bibliometric analysis of published studies on the association between coronary heart disease (CHD) and depression or anxiety. The study also aimed to identify leading authors, institutions, and countries to determine research hotspots and obtain some hints from the speculated future frontiers. Publications about CHD and depression or anxiety between 2004 and 2020 were collected from the Web of Science Core Collection (WOSCC) database. Bibliographic information, such as authorship, country, citation frequency, and interactive visualization, was generated using VOSviewer1.6.16 and CiteSpace5.6.R5. In total, 8,073 articles were identified in the WOSCC database. The United States (2,953 publications), Duke University and Harvard University (214 publications), Psychosomatic Medicine (297 publications), and Denollet Johan. (99 publications) were the most productive country, institutions, journal, and author, respectively. The three hotspots of the research were “The relationship between depression and CHD,” “depression and myocardial infarction,” and “The characteristic of women suffering depression after MI.” The four future research frontiers are predicted to be “treating depression in CHD patients with multimorbidity,” “psychometric properties of instruments for assessing depression and anxiety in CHD patients,” “depression or anxiety in post-PCI patients,” and “other mental diseases in CHD patients.” Bibliometric analysis of the association between CHD and depressive disorders might identify new directions for future research.

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