What question did this study set out to answer?

Determine whether men and women experience equivalent reductions in psychological distress during outpatient cardiac rehabilitation and evaluate if women present with greater baseline psychological impairment.

December 1, 2009Journal of Women s Health

Gender Differences in Cardiac Rehabilitation Outcomes: Do Women Benefit Equally in Psychological Health?

View Full Paper

Ask AI

Bookmark

Why the study?

Do women and men with CHD benefit equally from a 12-week outpatient cardiac rehabilitation program in terms of reduction in psychological distress?

Population

441 patients with coronary heart disease (CHD), mean age 58+/-11 years, 79.8% men

Design

Cohort

Follow-up

12 weeks

Authors

JBJürgen BarthGeneral / Preventive / Lipids AVAndreas VolzUniversity of Bern JSJean‐Paul SchmidPreventive Cardiology

Discussion

Member takes

Implication

Gender differences in psychological response to CR may exist; hypothesis-generating and should not yet change practice without prospective confirmation.

Key Points

Determine whether men and women experience equivalent reductions in psychological distress during outpatient cardiac rehabilitation and evaluate if women present with greater baseline psychological impairment.
Enrolled 441 coronary heart disease patients (mean age 58±11 years, 79.8% men) participating in a 12-week outpatient cardiac rehabilitation program.
Evaluated psychological domains—anxiety, depression, vital exhaustion, social inhibition, and negative affect—at baseline and post-rehabilitation.
Analyzed baseline differences and changes using multivariate analysis of variance (MANOVA) adjusted for age, disease severity, and exercise capacity, complemented by gender-specific effect sizes.
No baseline differences emerged between men and women across any assessed psychological dimension.
Rehabilitation generated small to moderate treatment effect sizes across overall psychological dimensions.
Gender significantly modulated changes in vital exhaustion (F=5.040, p<0.05), with women experiencing smaller reductions than men, and social inhibition (F=5.74, p<0.05), where women showed greater improvements than men.

Structured PICO

Do women and men with CHD benefit equally from a 12-week outpatient cardiac rehabilitation program in terms of reduction in psychological distress?

Population

441 patients with coronary heart disease (CHD), mean age 58+/-11 years, 79.8% men

Intervention

12-week outpatient cardiac rehabilitation (CR) program

Outcome

Change in psychological dimensions (anxiety, depression, vital exhaustion, social inhibition, and negative affect) from baseline to post-CRpatient reported

Cardiac rehabilitation yields gender-specific psychological benefits, with women experiencing greater improvements in social inhibition but lesser improvements in vital exhaustion compared to men.

Limitations

Possible exclusion of highly distressed women from treatment

Cite This Study

Barth et al. (2009) studied this question.

synapsesocial.com/papers/6a720e1da2d7cf2e39c2e481 https://doi.org/10.1089/jwh.2008.1058

Topics

Women and heart disease

View Full Paper

Ask AI

Bookmark

Implication

Gender differences in psychological response to CR may exist; hypothesis-generating and should not yet change practice without prospective confirmation.

Gender Differences in Cardiac Rehabilitation Outcomes: Do Women Benefit Equally in Psychological Health?

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Topics

Gender Differences in Cardiac Rehabilitation Outcomes: Do Women Benefit Equally in Psychological Health?

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider