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Is CBT an effective approach to the secondary prevention of cardiovascular disease (CVD) events?
362 adults (aged ≤75 years) who were consecutively discharged from hospital following a coronary heart disease event. Inclusion criteria: hospitalisation for acute myocardial infarction, percutaneous coronary angiography or coronary artery bypass graft; being healthy enough to be referred back to primary care within 1 year of admission; not having participated in similar programmes and being Swedish speaking, living in the hospital catchment area and willing to undergo study randomisation. The sample represents 71.0% of the eligible population – 76.5% were male and 51.1% had been admitted following a myocardial infarction.
Uppsala University Hospital, Sweden; patients recruited between May 1996 and August 2002 and followed up to 2008.
Cognitive behavioural therapy (CBT) delivered as 20 two-hour sessions over 1 year by an expert nurse or clinical psychologist, in addition to homework assignments. The intervention focused on stress management, time urgency and hostility, with key components of education, self-monitoring, skills …
Sources of funding Swedish Medical Research Council, Vardal Foundation, Swedish Council for Working Life and Social Research, Swedish National Board of Health and Welfare, Swedish Heart and Lung Association, Uppsala Primary Healthcare Administration and Uppsala University.
Competing interests None.
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