Improving the effectiveness of psychological interventions for depression and anxiety in the cardiac rehabilitation pathway: a single blind randomised controlled trial with four month and twelve month follow up comparing GroupMCT plus usual CR (intervention) with usual CR (control).

Manchester Mental Health & Social Care Trust0 个研究点目标入组 332 人开始时间: 2015年4月8日最近更新: 2024年7月22日

适应症

试验速览

2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/32912974/ protocol (added 15/09/2020) 2018 Protocol article in https://pubmed.ncbi.nlm.nih.gov/29615092/ protocol (added 11/02/2021) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/34148379/ (added 28/09/2021) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/35722590/ (added 21/06/2022) 2020 Other publications in https://pubmed.ncbi.nlm.nih.gov/32714216/ internal pilot acceptability and feasibility study (added 09/07/2024)

•1. Heart disease patients referred to CR who meet DoH and/or BACPR CR eligibility criteria
•2. Minimum of 18 years old
•3. Competent level of English language skills (able to read, understand and complete questionnaires in English).
•4. Acute coronary syndrome used for any condition brought on by sudden, reduced blood flow to the heart
•5. Following revascularisation is the restoration of perfusion to a body part or organ that has suffered ischemia
•6. Stable heart failure
•7. Stable angina is chest pain or discomfort that most often occurs with activity or stress
•8. Following implantation of cardioverter defibrillators/cardiac resynchronisation devices
•9. Heart valve repair/replacement
•10. Heart transplantation and ventricular assist devices
•11. Adult congenital heart disease identified in adulthood
•12. A score of = 8 on either the depression or anxiety subscale of the HADS.

•1. Cognitive impairment which precludes informed consent or ability to participate
•2. Acute suicidality
•3. Active psychotic disorders (i.e., two [or more] of the following: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behaviour, negative symptoms)
•4. Current drug/alcohol abuse a maladaptive pattern of drinking, leading to clinically significant impairment or distress
•5. Concurrent psychological intervention for emotional distress
•6. Antidepressant or anxiolytic medications initiated in the previous 8 weeks
•7. Life expectancy of less than 12 months

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