Eficacia de la intervención psicológica en rehabilitación cardíaca / Effectiveness of psychological intervention in cardiac rehabilitation

OBJETIVO: El objetivo del presente estudio fue describir y analizar los resultados de la intervención cognitivo-conductual en los pacientes beneficiarios del programa multidisciplinar de rehabilitación cardíaca del Hospital General Universitario de Elche. MATERIAL Y MÉTODO: Para ello se dispuso de una muestra de 33 pacientes que habían tenido un infarto agudo de miocardio o que padecían angina de pecho inestable remitidos desde el Servicio de Cardiología para su inclusión en el Programa de Prevención y Rehabilitación Cardíaca durante los meses comprendidos en el período de septiembre de 2014 a octubre de 2015. Todos los participantes fueron evaluados mediante una batería de cuestionarios pre y postratamiento. RESULTADOS: Los resultados obtenidos mostraron una disminución estadísticamente significativa tras la intervención en gran parte de los factores de riesgo, como ansiedad (p < 0,001, d = 0,38), depresión (p < 0,005, d = 0,25) e ira (p < 0,005, d = 0,35). CONCLUSIONES: Este estudio constituye una nueva evidencia de la eficacia de la intervención psicológica en rehabilitación cardíaca

OBJECTIVE: The aim of this study was to describe and analyze the results of the cognitive-behavioral intervention in the patients beneficiaries of the multidisciplinary Cardiac Rehabilitation program of the Hospital General Universitario de Elche (Spain). MATERIAL AND METHOD: A sample that included 33 patients who had suffered an acute myocardial infarction or who suffer from unstable angina pectoris. These patients were referred from the Cardiology Department for inclusion in the Cardiac Prevention and Rehabilitation Program during the period from September 2014 to October 2015. All the patients were evaluated using a battery of pre- and post- treatment questionnaires. RESULTS: The results showed a statistically significant decrease in a large part of the risk factors after the intervention, such as anxiety (P < .001, d = 0.38), depression (P < .005, d = 0.25) and anger (P < .005, d = 0.35). CONCLUSIONS: This study provides new evidence of the effectiveness of psychological intervention in cardiac rehabilitation

Eficacia de la intervención psicológica grupal en atención primaria / Effectiveness of psychological intervention by groups in Primary Care

OBJETIVO: El objetivo del presente estudio es analizar la eficacia de la aplicación de un tratamiento psicológico grupal, realizado en el servicio de atención primaria por psicología clínica, dirigido a reducir sintomatología ansiosa siguiendo un modelo transdiagnóstico. MATERIAL Y MÉTODOS: La evaluación se realizó mediante el cuestionario Clinical Outcomes in Routine Evaluation-Short Form A (CORE-SFA). Se aplicó un tratamiento cognitivo-conductual grupal de 4 sesiones de duración, con una frecuencia semanal, que incluía como componentes psicoeducación, reestructuración cognitiva, entrenamiento en asertividad, higiene del sueño, solución de problemas, técnicas de relajación y manejo del tiempo. Los datos del estudio fueron recabados entre enero de 2015 y octubre de 2016, con una muestra total de 48 pacientes. RESULTADOS: Con la intervención, como se evidencia en la evaluación pretest-postest, se consiguió una reducción estadísticamente significativa de la sintomatología ansiosa. Además, un 79,2% de los pacientes recibieron el alta tras la intervención grupal. CONCLUSIONES: Se discuten las implicaciones de los resultados del estudio, que apoyan la eficacia de la terapia cognitivo-conductual transdiagnóstica grupal en atención primaria para el tratamiento de la sintomatología ansiosa y depresiva subclínica

OBJECTIVE: The aim of this study is to analyse the efficacy of a trans-diagnostic psychological therapy group aimed at reducing anxiety symptomatology. This was delivered within a Primary Care setting by clinical psychology. MATERIAL AND METHODS: The assessment was completed through the outcome measure Clinical Outcomes in Routine Evaluation-Short Form A (CORE-SFA). The intervention consisted of a Cognitive Behavioural Therapy group that delivered one session a week for 4 weeks. Components of this therapy included: psycho-education, cognitive restructuring, assertiveness training, sleep hygiene, problem solving, relaxation techniques, and time management. The data for this study was collected between January 2015 and October 2016, with a sample of 48 patients. RESULTS: Results from the data collected demonstrated a statistically significant reduction of the anxiety symptomatology. Moreover, 79.2% of the sample was discharged from services following this group intervention. CONCLUSIONS: The clinical implications of this study are discussed, supporting the efficacy of a trans-diagnostic Cognitive Behavioural Therapy group in a Primary Care setting for the treatment of symptoms of sub-clinical anxiety and depression

[Effectiveness of psychological intervention in cardiac rehabilitation]. / Eficacia de la intervención psicológica en rehabilitación cardíaca.

OBJECTIVE: The aim of this study was to describe and analyze the results of the cognitive-behavioral intervention in the patients beneficiaries of the multidisciplinary Cardiac Rehabilitation program of the Hospital General Universitario de Elche (Spain). MATERIAL AND METHOD: A sample that included 33 patients who had suffered an acute myocardial infarction or who suffer from unstable angina pectoris. These patients were referred from the Cardiology Department for inclusion in the Cardiac Prevention and Rehabilitation Program during the period from September 2014 to October 2015. All the patients were evaluated using a battery of pre- and post- treatment questionnaires. RESULTS: The results showed a statistically significant decrease in a large part of the risk factors after the intervention, such as anxiety (P < .001, d = 0.38), depression (P < .005, d = 0.25) and anger (P < .005, d = 0.35). CONCLUSIONS: This study provides new evidence of the effectiveness of psychological intervention in cardiac rehabilitation.

[Effectiveness of psychological intervention by groups in Primary Care]. / Eficacia de la intervención psicológica grupal en atención primaria.

OBJECTIVE: The aim of this study is to analyse the efficacy of a trans-diagnostic psychological therapy group aimed at reducing anxiety symptomatology. This was delivered within a Primary Care setting by clinical psychology. MATERIAL AND METHODS: The assessment was completed through the outcome measure Clinical Outcomes in Routine Evaluation-Short Form A (CORE-SFA). The intervention consisted of a Cognitive Behavioural Therapy group that delivered one session a week for 4 weeks. Components of this therapy included: psycho-education, cognitive restructuring, assertiveness training, sleep hygiene, problem solving, relaxation techniques, and time management. The data for this study was collected between January 2015 and October 2016, with a sample of 48 patients. RESULTS: Results from the data collected demonstrated a statistically significant reduction of the anxiety symptomatology. Moreover, 79.2% of the sample was discharged from services following this group intervention. CONCLUSIONS: The clinical implications of this study are discussed, supporting the efficacy of a trans-diagnostic Cognitive Behavioural Therapy group in a Primary Care setting for the treatment of symptoms of sub-clinical anxiety and depression.