An attachment-based intervention for patients with cardiovascular disease and their partners: A proof-of-concept

Heather Tulloch1, Susan Johnson2, Natasha Demidenko1

  • 1Division of Cardiac Prevention and Rehabilitation.

Insights

The Healing Hearts Together (HHT) intervention improved relationship quality, mental health, and quality of life for couples coping with cardiovascular disease (CVD). This attachment-based program showed significant benefits for both patients and partners.

Area of Science:

  • Cardiology
  • Psychology
  • Relationship Science

Background:

  • Couple distress is linked to cardiovascular disease (CVD) risk factors.
  • Relationship support is associated with heart-healthy behaviors and better CVD outcomes.

Purpose of the Study:

  • To evaluate the clinical benefits of the Healing Hearts Together (HHT) intervention.
  • The HHT intervention is an attachment-based program designed to enhance relationship quality, mental health, and quality of life (QoL) for couples where one partner has CVD.

Main Methods:

  • A total of 78 participants (39 couples) from a tertiary cardiac care center attended an 8-session HHT group.
  • Validated self-report questionnaires (DAS, CSI, HADS, SF-36) were administered pre- and post-intervention.
  • Analysis of variance and paired-sample t tests were used to assess changes in relationship quality, mental health, and QoL.

Main Results:

  • Participants reported significant improvements in relationship distress (Dyadic Adjustment Scale, Couple Satisfaction Index) and depression.
  • Statistically significant reductions in anxiety and improvements in physical and mental quality of life were observed.
  • Patients showed significant improvements in QoL-mental component summary, while partners showed significant changes in anxiety.

Conclusions:

  • The HHT intervention demonstrated significant benefits for both patients with CVD and their partners regarding relationship quality, mental health, and QoL.
  • Further research through a larger randomized controlled trial is recommended to validate these findings.

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