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Published on: September 26, 2018
Psychological treatment of cardiovascular disease
Insights
Psychological interventions show promise for cardiovascular diseases like hypertension and arrhythmias. Further controlled studies are needed to confirm the effectiveness of these mental health treatments.
Area of Science:
- Cardiovascular Psychology
- Behavioral Medicine
- Clinical Psychology
Background:
- Cardiovascular diseases encompass a range of conditions including hypertension, cardiac arrhythmias, coronary artery disease, and peripheral circulatory disease.
- Psychological treatments are increasingly explored as adjuncts to traditional medical management for these conditions.
- Existing research highlights the potential role of psychological interventions in managing cardiovascular health.
Purpose of the Study:
- To review recent clinical research on psychological treatments for four major cardiovascular disease categories.
- To synthesize findings on the efficacy of various psychological interventions.
- To identify areas requiring further rigorous investigation.
Main Methods:
- Systematic review of clinical research.
- Categorization of studies by cardiovascular disease type: hypertension, cardiac arrhythmias, coronary artery disease, and peripheral circulatory disease.
- Analysis of reported psychological interventions, including biofeedback, relaxation training, and group therapy.
Main Results:
- Biofeedback (blood pressure, heart rate, skin temperature) and relaxation training show utility in hypertension and arrhythmias.
- Supportive group therapy is beneficial for patients recovering from myocardial infarction.
- Biofeedback for skin temperature is helpful for Raynaud's disease.
- Limited number of large-scale trials and controlled outcome studies exist.
Conclusions:
- Psychological interventions demonstrate notable potential in managing various cardiovascular conditions.
- Evidence suggests the need for more systematic, controlled research to establish definitive efficacy.
- Further investigation is warranted across all reviewed cardiovascular disease categories.
Abstract:
Recent clinical research on the psychological treatment of cardiovascular diseases is reviewed in four categories: hypertension, cardiac arrhythmias, coronary artery disease, and peripheral circulatory disease. In the treatment of hypertension biofeedback of blood pressure, electromyography and galvanic skin responses both seem useful, as does systematic relaxation training of either an active or passive-meditative nature. Biofeedback of heart rate has shown some utility in treating premature ventricular contractions and sinus tachycardia. Supportive and educational group therapy for patients recovering from myocardial infarctions has shown some utility. In the treatment of Raynaud's disease, biofeedback of skin temperature is helpful. In no area has a large scale clinical trial been conducted, and only three controlled group outcome studies have been reported (two in hypertension, one in coronary artery disease). Overall, the evidence is impressive enough to warrant more systematic controlled investigation in all four areas.
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