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Velikanov A.A., Stoljarova A.A., Kruglova N.E. (2020). The role of psychological rehabilitation in complex cardiac rehabilitation of patients with coronary heart disease. National Psychological Journal, [Natsional’nyy psikhologicheskiy zhurnal], (13)4, 85–97. doi: 10.11621/npj.2020.0407

Abstract

BackgroundCoronary artery disease (CHD) remains the most common disease and a common cause of death worldwide. In this regard, much attention is paid to preventive measures in relation to coronary heart disease. Providing high-quality and timely psychological rehabilitation as part of secondary prevention programs has the potential to improve the prognosis of patients with coronary disease. Therefore, it is urgent to improve the measures of psychological rehabilitation.

Objective: review and analysis of data from modern foreign and domestic studies on the psychological rehabilitation of patients with coronary heart disease (within the framework of complex cardiac rehabilitation).

Results. Despite the obvious, recognized by experts, benefits of rehabilitation programs, there is a problem of insufficient active participation of patients with coronary heart disease in such programs. Research is needed to identify factors and develop methods that improve patient motivation to participate in and complete rehabilitation activities. The main targets of psychological rehabilitation of patients with coronary heart disease include the correction of such psychological characteristics as: hostility, emotional tension, manifestations of depressive and anxious behavior, maladaptive personality traits. The importance of dealing with anxiety and depression is emphasized. According to scientific literature, the most effective and appropriate methods of psycho-correction in the system of psychological rehabilitation of patients with coronary heart disease are cognitive-behavioral methods, as well as the use of an integrative approach. It is important to develop and implement general organizational standards for psychological rehabilitation of patients with coronary artery disease, as well as the inclusion of positions of medical psychologists in the staffing of cardiological medical institutions.

Conclusions. Despite the use of modern methods of treatment and rehabilitation, the mortality rate from CHD remains high. Therefore, it is necessary to continue research aimed at optimizing treatment and rehabilitation measures with the expansion of the set of psychological rehabilitation.

Received: 05/20/2020
Accepted: 11/06/2020
Pages: 85-97
DOI: 10.11621/npj.2020.0407

Sections: Clinical psychology;

PDF:

Keywords: coronary heart disease; cardiac rehabilitation; psychological rehabilitation; depression; anxiety; secondary prevention

Available Online 30.10.2020

(2020) Physical and Rehabilitation Medicine: National Guide (ed. G.N. Ponomarenko). Moscow: GEOTAR-Media, 688 p.

Ades, P. A., Keteyian, S.J., Wright, J.S., Hamm, L.F., Lui, K., Newlin, K., … & Thomas, R.J. (2017). Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative. Mayo Clinic proceedings, 92 (2), 234–242. doi:10.1016/j.mayocp.2016.10.014

Albus C. (2017). Psychosocial risk factors: Time for action in the lifelong prevention of coronary heart disease. European Journal of Preventive Cardiology, 24 (13), 1369–1370. doi:10.1177/2047487317715770

Albus, C., & Geiser, F. (2019). Was ist gesichert in der Therapie depressiver Komorbidität? Internist,60, 1226–1234. doi:10.1007/s00108-019-00694-y

Alsaleh, E., Windle, R., & Blake, H. (2016). Behavioural intervention to increase physical activity in adults with coronary heart disease in Jordan. BMC public health, 16, 643. doi:10.1186/s12889-016-3313-5

Anderson, L., Oldridge, N., Thompson, D.R., Zwisler, A.D., Rees, K., Martin, N., & Taylor, R.S. (2016). Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease: Cochrane Systematic Review and Meta-Analysis. J Am Coll Cardiol., 67 (1), 1–12. doi: 10.1016/j.jacc.2015.10.044.

Barth, J., Jacob, T., Daha, I., & Critchley, J.A. (2015). Psychosocial interventions for smoking cessation in patients with coronary heart disease. Cochrane Database of Systematic Reviews, 7, CD006886. doi: 10.1002/14651858.CD006886.pub2.

Blumenthal, J.A., Sherwood, A., Smith, P.J., Watkins, L., Mabe, S., Kraus, W. E., … & Hinderliter, A. (2016). Enhancing Cardiac Rehabilitation With Stress Management Training: A Randomized, Clinical Efficacy Trial. Circulation, 133 (14), 1341–1350. doi:10.1161/CIRCULATIONAHA.115.018926

Bockeria L.A., Aronov D.M. (2016). Russian clinical guidelines.Coronary artery bypass grafting in patients with ischemic heart disease: rehabilitation and secondary prevention. Cardiosomatika, 7, (3–4), 5–71.

Boytsov S.A., Pogosova N.V., Bubnova M.G.et al. (2018).Cardiovascular prevention 2017. Russian national guidelines. Russian journal of cardiology[Rossiiskii Kardiologicheskii zhurnal], 23 (6), 7–122. doi: 10.15829 / 1560-4071-2018-6-7-122

Bradt, J., Dileo, C., & Potvin, N. (2013). Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database of Systematic Reviews, 12, CD006577. doi: 10.1002/14651858.CD006577.pub3.

British Association for Cardiovascular Prevention and Rehabilitation. BACPR Guidance. 3rd Edition. London: British Cardiovascular Society, 2017. Retrieve from http://www.bacpr.com/resources/6A7_BACR_Standards_and_Core_Components_2017.pdf

Brouwers, R.W., Kraal, J.J., Traa, S.C., Spee, R.F., Oostveen, L.M., & Kemps, H.M. (2017). Effects of cardiac telerehabilitation in patients with coronary artery disease using a personalised patient-centred web application: protocol for the SmartCare-CAD randomised controlled trial. BMC cardiovascular disorders, 17 (1), 46. doi:10.1186/s12872-017-0477-6

Bunevicius, A., Staniute, M., Brozaitiene, J., Pop, V.J., Neverauskas, J., & Bunevicius, R. (2013). Screening for anxiety disorders in patients with coronary artery disease. Health and quality of life outcomes, 11, 37. doi:10.1186/1477-7525-11-37

Celano, C.M., Daunis, D.J., Lokko, H.N., Campbell, K.A., & Huffman, J.C. (2016). Anxiety Disorders and Cardiovascular Disease. Current psychiatry reports, 18 (11), 101. doi:10.1007/s11920-016-0739-5

Cohen, B.E., Edmondson, D., & Kronish, I.M. (2015). State of the Art Review: Depression, Stress, Anxiety, and Cardiovascular Disease. American Journal of Hypertension, 28 (11), 1295–1302. doi:10.1093/ajh/hpv047.

Conway B. (2015). Understanding illness perception as a barrier to cardiac rehabilitation uptake. British Journal of Cardiac Nursing, 10 (1), 21–25.doi:10.12968/bjca.2015.10.1.21

Dahale, A.B., Menon, J.C., & Jaisoorya, T.S. (2017). A Narrative Review of the Relationship Between Coronary Heart Disease and Anxiety. Iran J Psychiatry Behav Sci., 11(3):e7722. doi: 10.5812/ijpbs.7722.

Dhar, A.K., & Barton, D.A. (2016). Depression and the Link with Cardiovascular Disease. Frontiers in psychiatry, 7, 33. doi:10.3389/fpsyt.2016.00033

Dubinina E.A. (2018).Psychological aspects of rehabilitation of patients after myocardial infarction.Medical psychology in Russia [Meditsinskayapsychologiya v Rissii], 10 (2), 3. doi: 10.24411 / 2219-8245-2018-12030

Edwards, B.L., & Sydeman, S.J. (2019). Depression Is Associated With Reduced Outpatient Cardiac Rehabilitation Completion Rates: A systematic literature review and meta-analysis. J Cardiopulm Rehabil Prev., 39 (6), 365–372. doi: 10.1097/HCR.0000000000000419.

Farquhar, J.M., Stonerock, G.L., & Blumenthal, J.A. (2018). Treatment of Anxiety in Patients With Coronary Heart Disease: A Systematic Review. Psychosomatics, 59 (4), 318–332. doi:10.1016/j.psym.2018.03.008

García-Bravo, S., Cuesta-Gómez, A., Campuzano-Ruiz, R., López-Navas, M.J., Domínguez-Paniagua, J., Araújo-Narváez, A., Barreñada-Copete, E., García-Bravo, C., Flórez-García, M.T., Botas-Rodríguez, J., & Cano-de-la-Cuerda, R. (2019). Virtual reality and video games in cardiac rehabilitation programs. A systematic review. Disabil Rehabil., 1–10. doi: 10.1080/09638288.2019.1631892.

Goodwin, L., Ostuzzi, G., Khan, N., Hotopf, M. H., & Moss-Morris, R. (2016). Can We Identify the Active Ingredients of Behaviour Change Interventions for Coronary Heart Disease Patients? A Systematic Review and Meta-Analysis. PloS one, 11 (4), e0153271. doi:10.1371/journal.pone.0153271

Houchen-Wolloff, L., Gardiner, N., Devi, R.,et al. (2018).Web-based cardiac REhabilitatioN alternative for those declining or dropping out of conventional rehabilitation: results of the WREN feasibility randomised controlled trial. Open Heart, 5:e000860. doi: 10.1136/openhrt-2018-000860

Janssen, V., De Gucht, V., van Exel, H. et al. (2013). Changes in illness perceptions and quality of life during participation in cardiac rehabilitation. Int.J. Behav. Med., 20 (4), 582–9. doi: 10.1007/s12529-012-9260-3.

Jha, M.K., Qamar, A., Vaduganathan, M., Charney, D.S., & Murrough, J.W. (2019). Screening and Management of Depression in Patients With Cardiovascular Disease: JACC State-of-the-Art Review. J Am Coll Cardiol., 73 (14), 1827-1845. doi: 10.1016/j.jacc.2019.01.041.

Jin, K., Khonsari, S., Gallagher, R., Gallagher, P., Clark, A. M., Freedman, B., … & Neubeck, L. (2019). Telehealth interventions for the secondary prevention of coronary heart disease: A systematic review and meta-analysis. European Journal of Cardiovascular Nursing,18 (4), 260–271. doi:10.1177/1474515119826510

Keenan J. (2017). Improving adherence to medication for secondary cardiovascular disease prevention. European Journal of Preventive Cardiology, 24 (3_suppl), 29–35. doi:10.1177/2047487317708145

Khandaker, G.M., Zuber, V., Rees, J.M.B. et al. (2019). Shared mechanisms between coronary heart disease and depression: findings from a large UK general population-based cohort. Mol Psychiatry. doi:10.1038/s41380-019-0395-3

Kolva V.O. (2018).Features of the work of a psychologist with clients suffering from coronary heart disease. The development and education of the individual in the modern educational space: a collection of articles of the All-Russian Scientific and Practical Conference. Armavir: RIO ASPU, 79–83.

Kryuchkova O.N., Itskova E.A., Lutai Yu.A., Turna E.Yu., Kostyukova E.A. (2016). Features of psychological rehabilitation of patients with acute coronary syndrome.Crimean therapeutic journal[Krimski terapevticheski zhurnal]. 4 (31), 5–8.

Kuhlmann, S.L., Arolt, V., Haverkamp, W., Martus, P., Ströhle, A., Waltenberger, J., Rieckmann, N., & Müller-Nordhorn, J. (2019). Prevalence, 12-Month Prognosis, and Clinical Management Need of Depression in Coronary Heart Disease Patients: A Prospective Cohort Study. Psychother Psychosom., 88 (5), 300–311. doi: 10.1159/000501502.

Kuntz, J, Safford, M, & Singh, J. (2014). Patient centred interventions to improve medication management and adherence: A qualitative review of research findings. Patient Ed Couns., 97, 310–326.doi:10.1016/j.pec.2014.08.021

LaValley, G., Storer, A., Szalai, H., Farah, M., & Pack, Q.R. (2019). A Motivational Telephone Intervention to Reduce Early Dropouts in Cardiac Rehabilitation: A FEASIBILITY PILOT STUDY. J Cardiopulm Rehabil Prev.,39 (5), 318–324. doi: 10.1097/HCR.0000000000000425.

Lehmann, M, Kohlmann, S, Gierk, B, Murray, A.M, & Löwe, B. (2018). Suicidal ideation in patients with coronary heart disease and hypertension: Baseline results from the DEPSCREEN-INFO clinical trial. Clin Psychol Psychother., 25, 754–764. doi:10.1002/cpp.2305

Levashkevich Yu.L., Velikanov A.A., Yurlova T.G., Isaeva E.R., Demchenko E.A. (2015). Cognitive errors as a target of psycho-correction in patients with ischemic heart disease before and after coronary artery bypass grafting. Preventive and clinical medicine[Profilakticheskaua I klinicheskaya meditsina], 1 (54), 110–114.

Lin, T.K., Yu, P.T., Lin, L.Y., Liu, P.Y., Li, Y.D., Hsu, C.T., … & Weng, C.Y. (2018). A pilot-study to assess the feasibility and acceptability of an Internet-based cognitive-behavior group therapy using video conference for patients with coronary artery heart disease. PloS one, 13 (11), e0207931. doi:10.1371/journal.pone.0207931

Lv, J., Zhang, X., Ou, S., Gu, S., Su, Z., Tong, S., Liu, B., Song, Z., & Chi, L. (2016). Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Middle-Aged Patients With Coronary Heart Disease. Int Heart J., 57 (2), 167–72. doi: 10.1536/ihj.15-259.

McMahon, S.R., Ades, P.A., & Thompson, P.D. (2017). The role of cardiac rehabilitation in patients with heart disease. Trends in cardiovascular medicine, 27 (6), 420–425. doi:10.1016/j.tcm.2017.02.005

Mosleh, S.M., & Almalik, M.M. (2016). Illness perception and adherence to healthy behaviour in Jordanian coronary heart disease patients. European Journal of Cardiovascular Nursing, 15 (4), 223–230. doi:10.1177/1474515114563885.

Nikolaev E.L., Lazareva E.Yu. (2015). Psychotherapy and psychological assistance to patients with cardiovascular diseases. Bulletin of psychiatry and psychology of Chuvashia[Vestnik psychiatrii i psychologi i chuvashii],11 (1), 57–76.

Nikolaev E.L., Lazareva E.Yu., (2014). Organizational aspects of psychological assistance to patients with cardiovascular diseases. Bulletin of psychotherapy[Vestnik psychoterapii],49 (54), 79–90.

Nowbar, A.N., Gitto, M., Howard, J.P., Francis, D.P., & Al-Lamee, R. (2019). Mortality From Ischemic Heart Diseaseю. Analysis of Data From the World Health Organization and Coronary Artery Disease Risk Factors From NCD Risk Factor Collaboration. Circulation: Cardiovascular Quality and Outcomes., 12:e005375 doi:10.1161/CIRCOUTCOMES.118.005375

Nur K.R.M. (2018). Illness perception and cardiovascular health behaviour among persons with ischemic heart disease in Indonesia. International Journal of Nursing Sciences,5 (2), 174–180. doi:10.1016/j.ijnss.2018.04.007.

Pedersen, S. S., von Känel, R., Tully, P. J., & Denollet, J. (2017). Psychosocial perspectives in cardiovascular disease.European Journal of Preventive Cardiology, 24 (3_suppl), 108–115. doi:10.1177/2047487317703827

Piepoli, M.F., Hoes, A.W., Agewall, S., Albus, C., Brotons, C., Catapano, A.L., Cooney, M.T., Corrà, U., Cosyns, B., Deaton, C., Graham, I., Hall, M.S., Hobbs, F.D.R., Løchen, M.L., Löllgen, H., Marques-Vidal, P., Perk, J., Prescott, E., Redon, J., Richter, D.J., Sattar, N., Smulders, Y., Tiberi, M., van der Worp, H.B., van Dis, I., Verschuren, W.M.M., Binno, S., ESC Scientific Document Group. (2016). 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J., 37 (29), 2315–2381.doi:10.1093/eurheartj/ehw106

Pogosova, N., Kotseva, K., De Bacquer, D., von Känel, R., De Smedt, D., Bruthans, J., Dolzhenko, M.; EUROASPIRE Investigators. (2017). Psychosocial risk factors in relation to other cardiovascular risk factors in coronary heart disease: Results from the EUROASPIRE IV survey. A registry from the European Society of Cardiology. Eur J Prev Cardiol., 24 (13), 1371-1380. doi: 10.1177/2047487317711334.

Pogosova, N., Saner, H., Pedersen, S. S., Cupples, M.E., McGee, H., Höfer, S., … &von Känel, R. (2015). Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology. European Journal of Preventive Cardiology, 22 (10), 1290–1306. doi:10.1177/2047487314543075.

Price, K. J., Gordon, B. A., Bird, S. R., & Benson, A. C. (2016). A review of guidelines for cardiac rehabilitation exercise programmes: Is there an international consensus? European Journal of Preventive Cardiology, 23 (16), 1715–1733. doi:10.1177/2047487316657669.

Rao, A., Zecchin, R., Newton, P., Phillips, J., DiGiacomo, M., Denniss, A., & Hickman, L. (2019). The prevalence and impact of depression and anxiety in cardiac rehabilitation: A longitudinal cohort study. European Journal of Preventive Cardiology, 2047487319871716. doi: 10.1177/2047487319871716.

Reavell, J., Hopkinson, M., Clarkesmith, D., &Lane, D.A. (2018). Effectiveness of Cognitive Behavioral Therapy for Depression and Anxiety in Patients With Cardiovascular Disease: A Systematic Review and Meta-Analysis. Psychosom Med.,80 (8), 742–753. doi: 10.1097/PSY.0000000000000626.

Resurrección, D.M., Motrico, E., Rubio-Valera, M., Mora-Pardo, J.A., & Moreno-Peral, P. (2018). Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study. PloS one, 13 (7), e0200636. doi:10.1371/journal.pone.0200636

Resurrección, D.M., Moreno-Peral, P., Gómez-Herranz, M., Rubio-Valera, M., Pastor, L., Caldas de Almeida, J.M., & Motrico, E. (2019). Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies. Eur J Cardiovasc Nurs., 18 (1), 38–47. doi: 10.1177/1474515118783157.

Rouleau, C.R., King-Shier, K.M., Tomfohr-Madsen, L.M., Bacon, S.L., Aggarwal, S., Arena, R., & Campbell, T.S. (2018). The evaluation of a brief motivational intervention to promote intention to participate in cardiac rehabilitation: A randomized controlled trial. Patient Educ Couns., 101 (11), 1914–1923. doi: 10.1016/j.pec.2018.06.015.

Sery A.V., Yanitskiy M.S., Solodukhin A.V., Trubnikova O.A. (2017). Methodological grounds for the development of an integrated approach in psychological correction and psychotherapy of cardiac patients before and after coronary artery bypass grafting. Siberian Psychological Journal [Sibirskii Psychologicheskii Zhurnal], 63, 89–101. doi: 10.17223/17267080/63/7

Sundell, K, & Jonsson, A. (2016). Beliefs about medicines are strongly associated with medicine-use patterns among the general population. Int J Clin Pract., 70, 277–285. doi:10.1111/ijcp.12781.

Supervía, M., Medina-Inojosa, J.R., Yeung, C., Lopez-Jimenez, F., Squires, R.W., Pérez-Terzic, C.M., … & Thomas, R.J. (2017). Cardiac Rehabilitation for Women: A Systematic Review of Barriers and Solutions. Mayo Clinic proceedings, S0025-6196(17)30026-5. doi:10.1016/j.mayocp.2017.01.002.

Thomas,R.J., Beatty,A.L., Beckie,T.M., Brewer,L.C., Brown, T.M., Forman,D.E., Franklin,B.A., Keteyian,S.J., Kitzman,D.W., Regensteiner,J.G., Sanderson,B.K., & Whooley,M.A. (2019). Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. Circulation,140 (1), e69–e89. doi:10.1161/CIR.0000000000000663.

Vaccarino, V., Badimon, L., Bremner, J.D., Cenko, E., Cubedo, J., Dorobantu, M., Duncker, D.J., Koller, A., Manfrini, O., Milicic, D., Padro, T., Pries, A.R., Quyyumi, A.A., Tousoulis, D., Trifunovic, D., Vasiljevic, Z., de Wit, C., Bugiardini, R., ESC Scientific Document Group Reviewers. (2019). Depression and coronary heart disease: 2018 position paper of the ESC working group on coronary pathophysiology and microcirculation. European Heart Journal, 0, 1–15, doi:10.1093/eurheartj/ehy913

Velikanov A.A., Demchenko E.A., Zelenskaya I.A., Lubinskaya E.I., Protasov E.A. (2018).Organizational foundations of the work of a medical psychologist in a cardiac hospital. Medical psychology in Russia [Meditsinskayapsychologiya v Rissii],10 (3), 9. doi: 10.24411 / 2219-8245-2018-13090

Venuleo, C., Mangeli, G., Mossi, P., Amico, A.F., Cozzolino, M., Distante, A., Ignone, G., Savarese, G., & Salvatore, S. (2018). The Cardiac Rehabilitation Psychodynamic Group Intervention (CR-PGI): An Explorative Study. Frontiers in Psychology, 9. doi:10.3389/fpsyg.2018.00976. 

World Health Organization (2017). Cardiovascular diseases (CVDs). Fact sheet, updated May 2017. Retrieved from http://www.who.int/mediacentre/factsheets/fs317/en/

Wu, Q., & Kling, J.M. (2016). Depression and the risk of myocardial infarction and coronary death: a meta-analysis of prospective cohort studies. Medicine, 95, e2815.doi:10.1097/MD.0000000000002815

Wurst, R., Kinkel, S., Lin, J., Goehner, W., &Fuchs, R. (2019). Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial. J Behav Med., 42 (6), 1104–1116. doi: 10.1007/s10865-019-00047-y.

Xu, L., Li, F., Zhou, C., Li, J., Hong, C., & Tong, Q. (2019). The effect of mobile applications for improving adherence in cardiac rehabilitation: a systematic review and meta-analysis. BMC Cardiovasc Disord., 19 (1), 166. doi: 10.1186/s12872-019-1149-5.

Yudin V.E., Dybov M.D., Yaroshenko V.P., Sychev V.V., Annushkin A.D., Tseplyaeva S.V. (2015).The use of integrative psychotherapy in the complex medical rehabilitation of patients with coronary heart disease after coronary artery bypass grafting. Bulletin of restorativemedicine [Vestnik vosstanovitel’noi meditsini],5 (69), 5–19.

Zubareva O.A.(2014).Targets for psycho-correction of patients with acute forms of ischemic heart disease. Scientific notes of the P.F. Lesgaft university [Ucheniye zapiski universiteta imeni P.F. Lesgafta], 8 (114), 74–79. doi: 10.5930/issn.1994-4683.2014.08.114.p74-79/

For citing this article:

Velikanov A.A., Stoljarova A.A., Kruglova N.E. (2020). The role of psychological rehabilitation in complex cardiac rehabilitation of patients with coronary heart disease. National Psychological Journal, [Natsional’nyy psikhologicheskiy zhurnal], (13)4, 85–97. doi: 10.11621/npj.2020.0407

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