What is the clinical evidence from this study?

Study design: Cohort. Population: Recent myocardial infarction (n=61). Intervention: Psychological distress and stressful life circumstances. Primary outcome: Cardiovascular events.

What question did this study set out to answer?

This research aims to assess psychological distress in patients undergoing cardiac rehabilitation after myocardial infarction.

January 1, 2003Psychotherapy and Psychosomatics

Psychological Assessment in Cardiac Rehabilitation

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Key result

High levels of self-perceived stressful life circumstances and psychological distress approached statistical significance as a risk factor for cardiovascular events after myocardial infarction.

Why the study?

Does psychological distress predict cardiovascular events in patients with recent myocardial infarction undergoing cardiac rehabilitation?

Population

61 patients with recent myocardial infarction participating in a cardiac rehabilitation program

Design

Cohort

Follow-up

median 2 years

Authors

CRChiara RafanelliIstituto Nazionale di Fisica Nucleare, Sezione di Bologna RRRenzo RoncuzziCasa di Cura Columbus LFLivio FinosUniversity of Padua

Discussion

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Implication

Supports hypothesis that psychological distress may increase post-MI risk but requires confirmation; should not yet change practice.

Key Points

This research aims to assess psychological distress in patients undergoing cardiac rehabilitation after myocardial infarction.
Evaluated 61 patients with recent myocardial infarction in a consecutive series.
Utilized DSM and DCPR for observer-rated assessments and the Psychosocial Index for self-rated evaluations.
Conducted a follow-up after a median of 2 years and performed survival analysis on the clinical course.
20% of patients had a DSM-IV diagnosis, mostly minor depression.
30% exhibited DCPR clusters like type A behavior or irritable mood.
High levels of perceived stress and psychological distress were near statistically significant as risk factors for cardiovascular events.

Study Design

Type

Cohort (n=61)

Structured PICO

Does psychological distress predict cardiovascular events in patients with recent myocardial infarction undergoing cardiac rehabilitation?

Population

61 patients with recent myocardial infarction participating in a cardiac rehabilitation program, followed for a median of 2 years.

Exposure

Psychological evaluation using observer-rated (DSM and DCPR) and self-rated (Psychosocial Index) methods

Outcome

Cardiovascular events after myocardial infarctionhard clinical

Psychological distress and subclinical psychiatric syndromes are highly prevalent in cardiac rehabilitation patients and may serve as risk factors for future cardiovascular events.

Cite This Study

Rafanelli et al. (2003) conducted a cohort in Recent myocardial infarction (n=61). Psychological distress and stressful life circumstances was evaluated on Cardiovascular events. High levels of self-perceived stressful life circumstances and psychological distress approached statistical significance as a risk factor for cardiovascular events after myocardial infarction.

synapsesocial.com/papers/6a62785d97b5083e7689a5ef https://doi.org/10.1159/000073031

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Psychological Assessment in Cardiac Rehabilitation

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Psychological Assessment in Cardiac Rehabilitation

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

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