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Mindfulness therapy for patients with coronary heart disease: A systematic review and meta-analysis
Weina Li1, Xiaoqin Liao1, Dandan Geng1
1School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Insights
Mindfulness-based interventions (MBIs) effectively reduced anxiety, depression, and stress in coronary heart disease (CHD) patients. MBIs also improved sleep quality and lowered systolic blood pressure, but did not significantly impact diastolic blood pressure, quality of life, or BMI.
Area of Science:
- Cardiology
- Psychology
- Health Sciences
Background:
- Coronary heart disease (CHD) is a leading cause of mortality globally.
- Psychological stress is common in CHD patients, negatively impacting sleep and quality of life.
- Mindfulness-based interventions (MBIs) show potential for managing psychological distress in CHD.
Purpose of the Study:
- To evaluate the effectiveness of MBIs for improving health outcomes in patients with CHD.
- To synthesize evidence on MBIs' impact on psychological distress, physiological markers, and quality of life in CHD.
Main Methods:
- Systematic review and meta-analysis of eight English-language studies.
- Involved 802 participants with CHD.
- Data extracted and analyzed using Review Manager 5.3; literature quality was assessed.
Main Results:
- MBIs significantly reduced anxiety, depression, perceived stress, and systolic blood pressure compared to control groups.
- No significant effects were observed on diastolic blood pressure, quality of life, or body mass index.
- One study indicated improved sleep quality in post-MI patients after PCI.
Conclusions:
- MBIs demonstrate significant benefits for anxiety and depression in CHD patients.
- MBIs are associated with reduced perceived stress, lower systolic blood pressure, and improved sleep quality.
- MBIs did not significantly influence diastolic blood pressure, quality of life, or body mass index.
Aim:
Coronary heart disease (CHD) is a prevalent cardiovascular disease with high mortality rates worldwide. Patients with CHD often experience adverse psychological stress related to the disease's diagnosis, treatment and recovery phases. This stress can hurt sleep quality and overall quality of life. Mindfulness-based interventions (MBIs) have been studied as a psychotherapeutic approach to alleviating the psychological stress associated with CHD. This study aimed to determine the effectives of MBIs for health outcomes in patients with CHD.
Methods:
A total of eight English-language databases were searched, and eight relevant studies were included in the analysis. The included studies were assessed for literature quality, and data were extracted and analysed using Review Manager 5.3.
Results:
A total of eight studies involving 802 participants were included in the analysis. Compared to control groups, MBIs significantly reduced anxiety, depression, perceived stress, and systolic blood pressure. However, there was no significant effect on diastolic blood pressure, quality of life or body mass index. One study reported that MBIs significantly improved sleep quality in patients with acute myocardial infarction after percutaneous coronary intervention but had no significant effect on body mass index.
Conclusion:
MBIs had significant effects on anxiety and depression in patients with CHD, reduced perceived stress and were associated with reductions in systolic blood pressure and improvements in sleep quality. However, they did not significantly affect diastolic blood pressure, quality of life or body mass index.
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