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dc.contributor.authorMagan, Ines
dc.contributor.authorCasado, Laura
dc.contributor.authorJurado-Barba, Rosa
dc.contributor.authorBarnum, Haley
dc.contributor.authorRedondo, Marta M
dc.contributor.authorHernandez, Adrian V
dc.contributor.authorBueno, Hector 
dc.date.accessioned2021-07-22T06:43:51Z
dc.date.available2021-07-22T06:43:51Z
dc.date.issued2020-04-06
dc.identifier.citationPsychol Med. 2020es_ES
dc.identifier.issn0033-2917es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/13251
dc.description.abstractThe benefits of cognitive-behavioral treatment (CBT) and positive psychology therapy (PPT) in patients with cardiovascular disease are still not well defined. We assessed the efficacy of CBT and PPT on psychological outcomes in coronary artery disease (CAD) patients. Randomized controlled trials evaluating CBT or PPT in CAD patients published until May 2018 were systematically analyzed. Primary outcomes were depression, stress, anxiety, anger, happiness, and vital satisfaction. Random effects meta-analyses using the inverse variance method were performed. Effects were expressed as standardized mean difference (SMD) or mean differences (MD) with their 95% confidence intervals (CIs); risk of bias was assessed with the Cochrane tool. Nineteen trials were included (n = 1956); sixteen evaluated CBT (n = 1732), and three PPT (n = 224). Compared with control groups, depressive symptoms (13 trials; SMD -0.80; 95% CI -1.33 to -0.26), and anxiety (11 trials; SMD -1.26; 95% CI -2.11 to -0.41) improved after the PI, and depression (6 trials; SMD -2.08; 95% CI -3.22 to -0.94), anxiety (5 trials; SMD -1.33; 95% CI -2.38 to -0.29), and stress (3 trials; SMD -3.72; 95% CI -5.91 to -1.52) improved at the end of follow-up. Vital satisfaction was significantly increased at follow-up (MD 1.30, 0.27, 2.33). Non-significant effects on secondary outcomes were found. Subgroup analyses were consistent with overall analyses. CBT and PPT improve several psychological outcomes in CAD patients. Depression and anxiety improved immediately after the intervention while stress and vital satisfaction improve in the mid-term. Future research should assess the individual role of CBT and PPT in CAD populations.es_ES
dc.description.sponsorshipDr. Bueno receives research funding from the Instituto de Salud Carlos III, Spain (PIE16/00021 &PI17/01799), Astra-Zeneca, BMS, Janssen and Novartis; has received consulting fees from Astra-Zeneca, Bayer, BMS-Pfizer, Novartis; and speaking fees or support for attending scientific meetings from Astra-Zeneca, Bayer, BMS-Pfizer, Novartis, and MEDSCAPE-theheart.org. Dr. Jurado receives research funding from the Ministerio de Ciencia, Innovación y Universidades, Spain (PSI2015-68851-P). Dr. Magán, Dr. Jurado, Dr. Redondo and Dr. Bueno have received funding from Universidad Camilo José Cela, Madrid – Spain (2015-18). Dr. Hernandez receives funding from the Agency Health Care Research and Quality (AHRQ) (HHSA290201500012I). The CNIC is supported by the Instituto de Salud Carlos III (ISCIII), the Ministerio de Ciencia e Innovación and the Pro CNIC Foundation, and is a Severo Ochoa Center of Excellence (SEV-2015-0505).es_ES
dc.language.isoenges_ES
dc.publisherCambridge University Press es_ES
dc.type.hasVersionAMes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.titleEfficacy of psychological interventions on psychological outcomes in coronary artery disease: systematic review and meta-analysis.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.identifier.pubmedID32249725es_ES
dc.format.page1-15es_ES
dc.identifier.doi10.1017/S0033291720000598es_ES
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderAstraZeneca 
dc.contributor.funderMinisterio de Ciencia, Innovación y Universidades (España) 
dc.contributor.funderCamilo José Cela University (España) 
dc.contributor.funderAgency for Healthcare Research and Quality (Estados Unidos) 
dc.contributor.funderMinisterio de Ciencia e Innovación (España) 
dc.contributor.funderFundación ProCNIC 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1469-8978es_ES
dc.relation.publisherversionhttps://doi.org/10.1017/S0033291720000598es_ES
dc.identifier.journalPsychological medicinees_ES
dc.repisalud.orgCNICCNIC::Grupos de investigación::Investigación Cardiovascular Traslacional Multidisciplinariaes_ES
dc.repisalud.institucionCNICes_ES
dc.rights.accessRightsopen accesses_ES
dc.relation.projectFECYTinfo:eu-repo/grantAgreement/ES/PSI2015-68851-Pes_ES
dc.relation.projectFECYTinfo:eu-repo/grantAgreement/ES/SEV-2015-0505es_ES


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 Internacional