Cognitive-behavioral rehabilitation in patients with cardiovascular diseases: a randomized controlled trial (CBR-CARDIO, DRKS00029295)

被引：7

作者：

Bethge, Matthias ^{[1
]}

Thome-Soos, Friederike ^{[1
]}

Raso, Luka Marko ^{[1
]}

Weier, Lisa ^{[2
]}

Benninghoven, Dieter ^{[2
]}

机构：

[1] Univ Lubeck, Inst Social Med & Epidemiol, Ratzeburger Allee 160, D-23562 Lubeck, Germany

[2] Muhlenbergklin Holstein Schweiz, Frahmsallee 1-7, D-23714 Malente, Germany

来源：

BMC CARDIOVASCULAR DISORDERS | 2023年 / 23卷 / 01期

关键词：

Cardiac rehabilitation; Cardiovascular diseases; Psychosocial intervention; Behavioral symptoms; Emotions; INPATIENT REHABILITATION; SOCIETAL PERSPECTIVE; WORK ABILITY; QUESTIONNAIRE; ANXIETY; ACCEPTANCE; COMMITMENT; DISORDERS; QUALITY; EQ-5D;

D O I：

10.1186/s12872-023-03272-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BackgroundDepression, generalized and cardiac anxiety, and posttraumatic stress disorder negatively affect disease severity, participation, and mortality in patients with cardiovascular disease. Psychological treatments within cardiac rehabilitation may improve the outcomes of these patients. We therefore developed a cognitive-behavioral rehabilitation program for patients with cardiovascular disease and mild or moderate mental illness or stress or exhaustion. In Germany, similar programs are well established in musculoskeletal rehabilitation and cancer rehabilitation. However, no randomized controlled trials have evaluated if such programs achieve better outcomes in patients with cardiovascular disease compared with standard cardiac rehabilitation.MethodsOur randomized controlled trial compares cognitive-behavioral cardiac rehabilitation with standard cardiac rehabilitation. The cognitive-behavioral program complements standard cardiac rehabilitation with additional psychological and exercise interventions. Both rehabilitation programs last for four weeks. We enroll 410 patients with cardiovascular disease and mild or moderate mental illness or stress or exhaustion aged 18 to 65 years. Half of the individuals are randomly assigned to cognitive-behavioral rehabilitation and the other half to standard cardiac rehabilitation. Our primary outcome is cardiac anxiety 12 months after the end of rehabilitation. Cardiac anxiety is assessed with the German 17-item version of the Cardiac Anxiety Questionnaire. Secondary outcomes cover outcomes assessed by clinical examinations and medical assessments and a range of patient-reported outcome measures.DiscussionThis randomized controlled trial is designed to determine the effectiveness of cognitive-behavioral rehabilitation at decreasing cardiac anxiety in patients with cardiovascular disease and mild or moderate mental illness or stress or exhaustion.

引用

页数：11

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