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Supporting Emotional Recovery After Spontaneous Coronary Artery Dissection: Development and Pilot Testing an Online
Michelle C Rogerson1, Rosemary O Higgins2, Michael R Le Grande2
1Australian Centre for Heart Health, PO Box 2137, The Royal Melbourne Hospital, VIC, 3050, Australia. michelle.rogerson@australianhearthealth.org.au.
Journal of Clinical Psychology in Medical Settings
|May 17, 2025
Summary
A pilot online support program for Spontaneous Coronary Artery Dissection (SCAD) survivors demonstrated feasibility and acceptability. The program, co-designed by experts and survivors, showed potential for improving mental health outcomes in SCAD patients.
Area of Science:
- Cardiology
- Psychology
- Digital Health
Background:
- Spontaneous Coronary Artery Dissection (SCAD) is a significant medical event associated with substantial psychosocial challenges.
- SCAD survivors often require specialized psychological support for effective recovery.
- Existing support systems may not adequately address the unique needs of SCAD patients.
Purpose of the Study:
- To conduct feasibility testing of a novel online group support program for Spontaneous Coronary Artery Dissection survivors.
- To co-design and iteratively refine the program with input from clinicians, researchers, and survivors.
- To evaluate the acceptability and preliminary effectiveness of the online support program.
Main Methods:
- A four-session, manualized online group support program based on Acceptance and Commitment Therapy principles was developed.
- The program was facilitated by a psychologist and a SCAD survivor, with 33 survivors participating in small groups.
- Feasibility, acceptability, and preliminary mental health outcomes (engaged living, self-efficacy, anxiety, depression, cardiac distress) were assessed using qualitative and quantitative measures.
Main Results:
- The SCAD Online Support Program was successfully co-designed, implemented, and modified based on feedback.
- Participant feedback indicated high acceptability, with reported benefits including support, camaraderie, and skill acquisition.
- Significant improvements were observed in life fulfillment, valued living, enrichment, self-efficacy, and reductions in anxiety, depression, and cardiac distress.
Conclusions:
- The SCAD Online Support Program is a feasible and acceptable intervention for SCAD survivors.
- The program demonstrates potential for improving psychological well-being and mental health outcomes in this population.
- Further research is warranted to confirm the long-term efficacy of this digital health intervention for SCAD recovery.
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