July 1, 2004Psychosomatic Medicine
Psychosocial Treatment Within Sex by Ethnicity Subgroups in the Enhancing Recovery in Coronary Heart Disease Clinical Trial
Why the study?
Does cognitive behavior therapy reduce total mortality or recurrent nonfatal MI in patients with recent MI and depression or low social support?
Population
2481 patients within 28 days after myocardial infarction who had major or minor depression and/or low…
Comparison
Cognitive behavior therapy vs Usual medical care
Design
RCT, randomly allocated
Authors
Discussion
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Member takes
Implication
May warrant CBT consideration in white men post-MI; challenges uniform efficacy and leaves open benefits in other subgroups.
Structured PICO
Does cognitive behavior therapy reduce total mortality or recurrent nonfatal MI in patients with recent MI and depression or low social support?
P
Population
2481 patients within 28 days after myocardial infarction (MI) who had major or minor depression and/or low perceived social support (973 white men, 424 minority men, 674 white women, 410 minority women)
I
Intervention
Cognitive behavior therapy
C
Comparator
Usual medical care
O
Outcome
Composite of total mortality or recurrent nonfatal MIcomposite
Cognitive behavior therapy for depression or low social support post-MI may reduce cardiac mortality or recurrent MI specifically in white men, highlighting the need for tailored interventions in other demographic groups.
Limitations
- post hoc analysis
Cite This Study
Schneiderman et al. (2004) studied this question.