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Published on: December 11, 2017

Psychological effects of a short behavior modification program in patients with acute myocardial infarction or

Ellen H W J Sebregts1, Paul R J Falger, Ad Appels

  • 1Department of Medical, Clinical and Experimental Psychology, Maastricht University, The Netherlands. ehwj.sebregts@adhesie.nl

Journal of Psychosomatic Research
|July 20, 2005
PubMed

Insights

A short intervention effectively reduced Type A behavior and hostility in coronary artery disease patients. However, it did not impact vital exhaustion or depression, with unexpected findings in the control group.

Area of Science:

  • Cardiology
  • Behavioral Medicine
  • Psychology

Background:

  • Coronary artery disease (CAD) patients often exhibit behavioral risk factors.
  • Type A behavior, vital exhaustion, and depression are associated with CAD prognosis.
  • Interventions targeting behavioral modification are crucial for cardiac patient care.

Purpose of the Study:

  • To evaluate the impact of a brief behavioral intervention on Type A behavior, vital exhaustion, and depression in CAD patients.
  • To assess the efficacy of a multiple risk modification program in patients post-acute myocardial infarction (AMI) or coronary artery bypass grafting (CABG).

Main Methods:

  • A randomized controlled trial was conducted with AMI or CABG patients.
  • Participants were assigned to an 8-week risk modification program (n=94) or usual care (n=90).
  • Assessments occurred pre-intervention, post-intervention, and at 9-month follow-up.

Main Results:

  • The intervention significantly reduced hostility and total Type A behavior at post-intervention and 9-month follow-up (P=.01, P=.03).
  • No significant overall impact was observed on vital exhaustion or depression (Beck Depression Inventory).
  • An unexpected decrease in major depression was noted in the control group, not the intervention group.

Conclusions:

  • A short behavioral intervention can achieve persistent reductions in cognitive aspects of Type A behavior and hostility in coronary patients.
  • The intervention's effect on depression requires further investigation due to unexpected findings.
  • The intervention is not unequivocally recommended for all AMI and CABG patients due to depression-related outcomes.
Abstract

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