Effects in Cognitive-Behavioral Intervention on Psychological Risk Factors of Cardiac Patients
Keywords:
Cardiovascular diseases, Risk factors, Cognitive-behavioral interventionAbstract
Reducing risk factors for cardiovascular diseases may increase quality of life and decrease mortality and
morbidity secondary to these disorders.The present study evaluated the efficacy of a cognitive-behavioral group intervention on
anxiety, depression, stress and cardiovascular health of cardiac patients. Ninety-one patients were assessed before and after the
group intervention by means of semi-structured interviews, the Beck Anxiety and Depression Inventories and the Lipp’s Stress
Symptoms Inventory for Adults. Cardiovascular status was estimated using the Framingham Score. The intervention decreased
anxiety, depression, and stress, and improved coping with stress. No significant differences were seen for the Framingham
Scores. The intervention was effective in improving psychological risk factors for the investigated sample.
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References
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attitudes, beliefs and feelings towards food in bulimic patients.
Archivos Latinoamericanos de Nutrición, 58(3), 274-279.
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(1991). An updated coronary risk profile.Circulation, 83,
356-362.
Barnason, S., Zimmerman, L., & Young, L. (2011).An integrative
review of interventions promoting self-care of patients with
heart failure. Journal of Clinical Nursing, 21, 448-475.
Bauer, L. K.,Caro, M. A., Beach, S. R., Mastromauro, C. A.,
Lenihan, E., Januzzi, J. L., &Huffman, J. C. (2012). Effects
of depression and anxiety improvement on adherence to
medication and health behaviors in recently hospitalized
cardiac patients. American Journal of Cardiology, 109(9),
1266-1271.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1998).The
Beck Anxiety Inventory. Journal of Consulting and Clinical
Psychology, 56, 893-897.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., &Erbaugh, G.
(1961). An inventory for measuring depression. Archives of
General Psychiatry,4, 53-63.
Berben, L., Bogert, L., Leventhal, M. E., Fridlund, B., Jaarsma,
T., Norekvål, T. M., Smith, K., Strömberg, A., Thompson, D.
R., & ...De Geest, S. (2011). Which interventions are used by
health care professionals to enhance medication adherence in
cardiovascular patients? A survey of current clinical practice.
European Journal of Cardiovascular Nursing, 10(1), 14-21.
Berkman, L.F., Blumenthal, J., Burg, M., Carney, R.M., Catellier,
D., Cowan, M.J., … Schneiderman, N. (2003). Effects of
treating depression and low perceived social support on clinical
events after myocardial infarction: The Enhancing Recovery
in Coronary Heart Disease Patients (ENRICHD) Randomized
Trial. The Journal of the American Medical Association,
289(23), 3106-3116.
Canto, J. G., Kiefe, C.I., Rogers, W. J., Peterson, E. D., Frederick, P.
D., French, W. J., Gibson, C. M., PollackJr, C. V., Ornato, J. P.,
Zalenski, R. J., Penney, J., Tiefenbrunn, A. J.,& ...Greenland,
P. (2011).Number of coronary heart disease risk factors and
mortality in patients with first myocardial infarction. The
Journal of the American Medical Association, 306(19), 2120-
2127.
Cunha, J. A. (2001). Manual da versão em português das Escalas
Beck. São Paulo: Casa do Psicólogo.
DATASUS. (2012a). Taxa de mortalidade específica por doenças
do aparelho circulatório. Banco de dados. Retrievedfromhttp://
www.datasus.gov.br
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por grupo de causas. Banco de dados. Retrievedfromhttp://
www.datasus.gov.br
Dekker, R. L., Moser, D. K., Peden, A. R., & Lennie, T. A.
(2012). Cognitive therapy improves three-month outcomes
in hospitalized patients with heart failure. Journal of Cardiac
Failure, 18(1), 10-20.
Dimsdale, J. E. (2008). Psychological stress and cardiovascular
disease. Journal of the American College of Cardiology,
51(13), 1237-1246.
Djoussé, L., Driver, J. A.,& Gaziano, J. M. (2009). Relation between
modifiable lifestyle factors and lifetime risk of heart failure.
JAMA: The Jounal of the American Medical Association,
302(4), 394-400.
Fiscella, K., &Tancredi, D. (2008). Socioeconomic status and
coronary heart disease risk prediction. Journal of the American
Medical Association, 300(22), 2666-2668.
Ford, E. S. (2012). Ideal cardiovascular health: Start young, finish
strong. Circulation. Retrieved from http://circ.ahajournals.org/
Freedland, K. E., Carney, R. M., Hayano, J., Steinmeyer, B. C.,
Reese, R. L., &Roest, A. M. (2012). Effect of obstructive sleep
apnea on response to cognitive behavior therapy for depression
after an acute myocardial infarction. Journal of Psychosomatic
Research, 72, 276-281.
Gulliksson, M., Burell, G., Bessby, B., Lundin, L., Toss, H., &
Svärdsudd, K. (2011). Randomized controlled trial of cognitive
behavioral therapy vs standard treatment to prevent recurrent
cardiovascular events in patients with coronary heart disease.
Archives of Internal Medicine, 171(2),134-140.
Hamer, M., Molloy, G. J., &Stamatakis, E. (2008). Psychological
distress as a risk factor for cardiovascular events:
Pathophysiological and behavioral mechanisms. Journal of
the American College of Cardiology, 52(25), 2156-62.
Huffman, J. C., Mastromauro, C. A., Sowden, G., Fricchione, G.
L., Healy, B. C., &Januzzi, J. L. (2011). Impact of a depression
care management program for hospitalizes cardiac patients.
Circulation: Cardiovascular Quality and Outcomes, 4(2),
198-205.
Irvine, J., Firestone, J., Ong, L., Cribbie, R., Dorian, P., Harris,
L., Ritvo, P., Katz, J., Newman, D., Cameron, D., Johnson,
S., Bilanovic, A., Hill, A., O’Donnell, S., & ...Sears Jr,
S.(2011). A randomized controlled trial of cognitive behavior
therapy tailored to psychological adaptation to an implantable
cardioverter defibrillator. Psychosomatic Medicine, 73(3),
226-233.
Kannel, W. B. (1990). Contribution of the Framingham Study to
Preventive Cardiology. Journal of the American College of
Cardiology, 15(1), 206-211.
Kuklina, E. V., Tong, X., George, M. G., &Bansil, P. (2012).
Epidemiology and prevention of stroke: A worldwide
perspective. Expert Review of Neurotherapeutics, 12(2),
199-208.
Ladwing, K. H., Lederbogen, F., Albus, C., Angermann, C.,
Borggrefe, M., Fischer, D., … Herrmann-Lingen, C. (2014).
Position paper on the importance of psychosocial factors in
cardiology: Update 2013. German Medical Science, 12, 1-24.
Lemos, C., Gottschall, C. A. M., Pellanda, L. C., & Müller, M.
(2008). Associação entre depressão, ansiedade e qualidade de
vida após infarto do miocárdio. Psicologia: Teoria e Pesquisa,
24(4), 471-476.
Lipp, M. E. N. (2000). Inventário de sintomas de stress de Lipp.
São Paulo: Casa do Psicólogo.
Lipp, M.E.N. (2007). Controle do estresse e hipertensão arterial
sistêmica. Revista Brasileira de Hipertensão,14( 2), 89-93.
Lipp, M. E. N., Frare, A., & Santos, F. U. (2007). Efeitos de variáveis
psicológicas na reatividade cardiovascular em momentos de
stress emocional. Estudos de Psicologia, 24(2), 161-167.
Lotufo, P. A. (2008). O escore de risco de Framingham para
doenças cardiovasculares. Revista Medicina (São Paulo),
87(4), 232-237.
Maragno, L., Goldbaum, M., Gianini, R. J., Novaes, H. M. D., &
César, C. L. G. (2006). Prevalência de transtornos mentais
comuns em populações atendidas pelo Programa Saúde
da Família (QUALIS) no Município de São Paulo, Brasil.
Cadernos de Saúde Pública, 22(8), 1639-1648.
Mattos, M. A., Lougon, M., Tura, B. R., & Pereira, B. B. (2005).
Depressão e Síndrome Isquêmica Coronariana Aguda. Revista
da Sociedade de Cardiologia do Estado de São Paulo, 18,
288-294.
Miller, W. M., Franklin, B. A., NoriJanosz, K. E., Vial, C., Kaitner,
R., &Mccullough, P. A. (2009). Advantages of group treatment
and structures exercise in promoting short-term weight loss and
cardiovascular risk reduction in adults with central obesity.
Metabolic Syndrome and Related Disorders, 7(5), 441-446.
National Center for Health Statistics. (2007). National Health and
Nutrition. Examination Survey. NHANES III, Data, Files,
Documentation, and SAS Code. Retrieved from http://www.
cdc.gov/nchs/about/major/nhanes/nh3data.htm
Neves, A. S., & Molina, R. A. (2011). Terapia analítico
comportamental e cognitivo-comportamental em grupo:
intervenções com portadores de doença crônica. UNICiências,
15(1), 129-140.
Oliveira Jr, W. (2005). Relação médico-paciente em Cardiologia:
um olhar psicossomático. Revista de Medicina Psicossomática
Sul Mineira, 4, 41-46.
attitudes, beliefs and feelings towards food in bulimic patients.
Archivos Latinoamericanos de Nutrición, 58(3), 274-279.
Anderson, K. M., Wilson, P. W. F., Odell, P. M, &Kannel, W. B.
(1991). An updated coronary risk profile.Circulation, 83,
356-362.
Barnason, S., Zimmerman, L., & Young, L. (2011).An integrative
review of interventions promoting self-care of patients with
heart failure. Journal of Clinical Nursing, 21, 448-475.
Bauer, L. K.,Caro, M. A., Beach, S. R., Mastromauro, C. A.,
Lenihan, E., Januzzi, J. L., &Huffman, J. C. (2012). Effects
of depression and anxiety improvement on adherence to
medication and health behaviors in recently hospitalized
cardiac patients. American Journal of Cardiology, 109(9),
1266-1271.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1998).The
Beck Anxiety Inventory. Journal of Consulting and Clinical
Psychology, 56, 893-897.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., &Erbaugh, G.
(1961). An inventory for measuring depression. Archives of
General Psychiatry,4, 53-63.
Berben, L., Bogert, L., Leventhal, M. E., Fridlund, B., Jaarsma,
T., Norekvål, T. M., Smith, K., Strömberg, A., Thompson, D.
R., & ...De Geest, S. (2011). Which interventions are used by
health care professionals to enhance medication adherence in
cardiovascular patients? A survey of current clinical practice.
European Journal of Cardiovascular Nursing, 10(1), 14-21.
Berkman, L.F., Blumenthal, J., Burg, M., Carney, R.M., Catellier,
D., Cowan, M.J., … Schneiderman, N. (2003). Effects of
treating depression and low perceived social support on clinical
events after myocardial infarction: The Enhancing Recovery
in Coronary Heart Disease Patients (ENRICHD) Randomized
Trial. The Journal of the American Medical Association,
289(23), 3106-3116.
Canto, J. G., Kiefe, C.I., Rogers, W. J., Peterson, E. D., Frederick, P.
D., French, W. J., Gibson, C. M., PollackJr, C. V., Ornato, J. P.,
Zalenski, R. J., Penney, J., Tiefenbrunn, A. J.,& ...Greenland,
P. (2011).Number of coronary heart disease risk factors and
mortality in patients with first myocardial infarction. The
Journal of the American Medical Association, 306(19), 2120-
2127.
Cunha, J. A. (2001). Manual da versão em português das Escalas
Beck. São Paulo: Casa do Psicólogo.
DATASUS. (2012a). Taxa de mortalidade específica por doenças
do aparelho circulatório. Banco de dados. Retrievedfromhttp://
www.datasus.gov.br
DATASUS. (2012b). Proporção de internações hospitalares (SUS)
por grupo de causas. Banco de dados. Retrievedfromhttp://
www.datasus.gov.br
Dekker, R. L., Moser, D. K., Peden, A. R., & Lennie, T. A.
(2012). Cognitive therapy improves three-month outcomes
in hospitalized patients with heart failure. Journal of Cardiac
Failure, 18(1), 10-20.
Dimsdale, J. E. (2008). Psychological stress and cardiovascular
disease. Journal of the American College of Cardiology,
51(13), 1237-1246.
Djoussé, L., Driver, J. A.,& Gaziano, J. M. (2009). Relation between
modifiable lifestyle factors and lifetime risk of heart failure.
JAMA: The Jounal of the American Medical Association,
302(4), 394-400.
Fiscella, K., &Tancredi, D. (2008). Socioeconomic status and
coronary heart disease risk prediction. Journal of the American
Medical Association, 300(22), 2666-2668.
Ford, E. S. (2012). Ideal cardiovascular health: Start young, finish
strong. Circulation. Retrieved from http://circ.ahajournals.org/
Freedland, K. E., Carney, R. M., Hayano, J., Steinmeyer, B. C.,
Reese, R. L., &Roest, A. M. (2012). Effect of obstructive sleep
apnea on response to cognitive behavior therapy for depression
after an acute myocardial infarction. Journal of Psychosomatic
Research, 72, 276-281.
Gulliksson, M., Burell, G., Bessby, B., Lundin, L., Toss, H., &
Svärdsudd, K. (2011). Randomized controlled trial of cognitive
behavioral therapy vs standard treatment to prevent recurrent
cardiovascular events in patients with coronary heart disease.
Archives of Internal Medicine, 171(2),134-140.
Hamer, M., Molloy, G. J., &Stamatakis, E. (2008). Psychological
distress as a risk factor for cardiovascular events:
Pathophysiological and behavioral mechanisms. Journal of
the American College of Cardiology, 52(25), 2156-62.
Huffman, J. C., Mastromauro, C. A., Sowden, G., Fricchione, G.
L., Healy, B. C., &Januzzi, J. L. (2011). Impact of a depression
care management program for hospitalizes cardiac patients.
Circulation: Cardiovascular Quality and Outcomes, 4(2),
198-205.
Irvine, J., Firestone, J., Ong, L., Cribbie, R., Dorian, P., Harris,
L., Ritvo, P., Katz, J., Newman, D., Cameron, D., Johnson,
S., Bilanovic, A., Hill, A., O’Donnell, S., & ...Sears Jr,
S.(2011). A randomized controlled trial of cognitive behavior
therapy tailored to psychological adaptation to an implantable
cardioverter defibrillator. Psychosomatic Medicine, 73(3),
226-233.
Kannel, W. B. (1990). Contribution of the Framingham Study to
Preventive Cardiology. Journal of the American College of
Cardiology, 15(1), 206-211.
Kuklina, E. V., Tong, X., George, M. G., &Bansil, P. (2012).
Epidemiology and prevention of stroke: A worldwide
perspective. Expert Review of Neurotherapeutics, 12(2),
199-208.
Ladwing, K. H., Lederbogen, F., Albus, C., Angermann, C.,
Borggrefe, M., Fischer, D., … Herrmann-Lingen, C. (2014).
Position paper on the importance of psychosocial factors in
cardiology: Update 2013. German Medical Science, 12, 1-24.
Lemos, C., Gottschall, C. A. M., Pellanda, L. C., & Müller, M.
(2008). Associação entre depressão, ansiedade e qualidade de
vida após infarto do miocárdio. Psicologia: Teoria e Pesquisa,
24(4), 471-476.
Lipp, M. E. N. (2000). Inventário de sintomas de stress de Lipp.
São Paulo: Casa do Psicólogo.
Lipp, M.E.N. (2007). Controle do estresse e hipertensão arterial
sistêmica. Revista Brasileira de Hipertensão,14( 2), 89-93.
Lipp, M. E. N., Frare, A., & Santos, F. U. (2007). Efeitos de variáveis
psicológicas na reatividade cardiovascular em momentos de
stress emocional. Estudos de Psicologia, 24(2), 161-167.
Lotufo, P. A. (2008). O escore de risco de Framingham para
doenças cardiovasculares. Revista Medicina (São Paulo),
87(4), 232-237.
Maragno, L., Goldbaum, M., Gianini, R. J., Novaes, H. M. D., &
César, C. L. G. (2006). Prevalência de transtornos mentais
comuns em populações atendidas pelo Programa Saúde
da Família (QUALIS) no Município de São Paulo, Brasil.
Cadernos de Saúde Pública, 22(8), 1639-1648.
Mattos, M. A., Lougon, M., Tura, B. R., & Pereira, B. B. (2005).
Depressão e Síndrome Isquêmica Coronariana Aguda. Revista
da Sociedade de Cardiologia do Estado de São Paulo, 18,
288-294.
Miller, W. M., Franklin, B. A., NoriJanosz, K. E., Vial, C., Kaitner,
R., &Mccullough, P. A. (2009). Advantages of group treatment
and structures exercise in promoting short-term weight loss and
cardiovascular risk reduction in adults with central obesity.
Metabolic Syndrome and Related Disorders, 7(5), 441-446.
National Center for Health Statistics. (2007). National Health and
Nutrition. Examination Survey. NHANES III, Data, Files,
Documentation, and SAS Code. Retrieved from http://www.
cdc.gov/nchs/about/major/nhanes/nh3data.htm
Neves, A. S., & Molina, R. A. (2011). Terapia analítico
comportamental e cognitivo-comportamental em grupo:
intervenções com portadores de doença crônica. UNICiências,
15(1), 129-140.
Oliveira Jr, W. (2005). Relação médico-paciente em Cardiologia:
um olhar psicossomático. Revista de Medicina Psicossomática
Sul Mineira, 4, 41-46.
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Published
2015-11-17
How to Cite
Gorayeb, R., Schmidt, A., Facchini, G. B., de Almeida, P. de L., Suguihura, A. L. M., & Nakao, R. (2015). Effects in Cognitive-Behavioral Intervention on Psychological Risk Factors of Cardiac Patients. Psicologia: Teoria E Pesquisa, 31(3), 355–363. Retrieved from https://periodicos.unb.br/index.php/revistaptp/article/view/18609
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Section
Estudos Empíricos
