Effectiveness of psychological interventions in reducing post-traumatic stress among post-myocardial infarction patients: a systematic review and meta-analysis
European Journal of Cardiovascular Nursing,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 31, 2025
Abstract
Aims
Myocardial
infarction
(MI)
can
lead
to
post-traumatic
stress
disorder
(PTSD)
which
frequently
occurs
with
anxiety
and
depression,
impairing
daily
functioning
increasing
the
risk
of
recurrent
cardiovascular
events.
While
psychological
interventions
have
shown
promise
in
reducing
their
effectiveness
for
PTSD
post-MI
patients
remains
unexplored.
This
systematic
review
meta-analysis
aim
evaluate
on
PTSD,
anxiety,
depression
patients.
Methods
results
A
comprehensive
search
databases
(Cochrane,
CINAHL,
PubMed,
PsycINFO,
Scopus,
Embase,
Web
Science,
CNKI,
Wanfang,
CBM,
ProQuest
Dissertations
Theses
Global,
ClinicalTrials.gov)
was
conducted
until
June
2024,
identifying
randomized
controlled
trials
quasi-experimental
studies
assessing
Study
quality
evaluated
using
Cochrane
Risk
Bias
ROBINS-I
tools.
Post-traumatic
outcomes
were
pooled
RevMan
5.4.
Narrative
synthesis
where
not
feasible.
Nine
involving
1065
participants
included.
Psychological
significantly
reduced
symptoms
{standardized
mean
difference
(SMD)
=
−0.43
[95%
confidence
interval
(CI):
−0.70
−0.16,
P
0.002]},
post-intervention.
Subgroup
analyses
found
that
intervention
components
influenced
effectiveness,
first-line
treatments
[eye
movement
desensitization
reprocessing
(EMDR)
cognitive-behavioural
therapy
(CBT)]
demonstrating
a
medium
effect
(SMD
−0.40;
95%
CI:
−0.74
−0.07;
0.02).
No
significant
subgroup
differences
based
control
condition
or
geographical
location
studies.
Conclusion
interventions,
particularly
CBT
EMDR,
effective
alleviating
Future
high-quality
research
is
needed
identify
active
optimize
these
interventions.
Registration
Prospero
CRD42024528138.
Язык: Английский
The Effect of Medication Adherence and Spirituality in Quality of Life of Patients with Rheumatic Diseases
Healthcare,
Год журнала:
2025,
Номер
13(4), С. 436 - 436
Опубликована: Фев. 18, 2025
Background:
Spirituality
is
significantly
associated
with
the
quality
of
life
patients
suffering
from
rheumatic
diseases,
helping
them
to
cope
pain
and
improve
emotional
well-being.
There
a
gap
in
literature
regarding
relationship
between
spirituality,
treatment
adherence
especially
rheumatoid
arthritis
(RA)
systemic
lupus
erythematosus
(SLE),
as
relevant
studies,
Greek
population,
are
limited.
Aims:
The
present
study
aimed
evaluate
effect
medication
spirituality
on
diseases.
Methods:
This
was
cross-sectional
conducted
adult
region
Crete.
Data
were
collected
via
self-administrated
questionnaire
consisting
four
parts,
including
questions
demographic
clinical
information;
WHOQoL-BREF,
3,
FACIT-Sp-12,
SMAQ
questionnaires
used.
level
statistical
significance
set
at
α
=
0.05
for
all
analyses.
Results:
sample
consisted
115
participants,
majority
being
women
(90%).
participants
suffered
RA
(62%),
while
38%
SLE.
mean
age
49.15
years
(SD
11.7),
46%
described
their
health
good.
We
found
that
dimensions
positively
related
life.
peace
dimension
has
strong
correlation
psychological
(r
0.679,
p
<
0.001)
overall
(QOL
Global,
r
0.671,
0.001).
Meaning
also
shows
positive
0.563,
0.506,
0.001),
whereas
low
but
0.192,
0.040).
Conclusions:
findings
support
can
be
protective
mechanism,
improving
mental
resilience
adaptability
patients.
potential
contribute
development
evidence-based
guidelines
integration
spiritual
care
into
practice,
objective
enhancing
well-being
Язык: Английский