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Effects of Expanded Cardiac Rehabilitation on Psychosocial Status in Coronary Artery Disease with Focus on Type D Characteristics
Karolinska Institutet Department of Cardiology, Karolinska University Hospital Stockholm.
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2007 (English)In: Journal of behavioral medicine, ISSN 0160-7715, E-ISSN 1573-3521, Vol. 30, no 3, 253-261 p.Article in journal (Refereed) Published
Abstract [en]

Type D personality has been shown to increase the risk for cardiovascular events in patients with coronary artery disease (CAD). We investigated the effects of expanded cardiac rehabilitation on type D score and psychosocial characteristics in 224 CAD patients randomised to either expanded cardiac rehabilitation (stress management, increased physical training, stay at a “Patient Hotel” after discharge and cooking sessions), or routine rehabilitation. Follow-up was 1 year. At baseline patients with a high type D score [patients in the upper quartile of type D score (Q4) i.e., type D patients] had a lower sense of coherence (p < 0.001), a lower quality of life (p < 0.001), more depressive symptoms (p < 0.001) and increased anxiety (p < 0.001) as compared to patients with a low type D score (Q1). During follow-up, type D patients (Q4) randomised to intervention had significant decrements in type D-score (p < 0.01), depression and anxiety (p < 0.05) and an increment in quality of life scores (p < 0.001). Quality of life was also improved in control type D patients (Q4; p < 0.01) but no significant changes were seen in type D score, depression or anxiety. Expanded cardiac rehabilitation reduces type D score, anxiety and depressive symptoms, and improves the quality of life in type D patients.

Place, publisher, year, edition, pages
2007. Vol. 30, no 3, 253-261 p.
Keyword [en]
Coronary artery disease, Type D personality, Cardiac rehabilitation
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-11255DOI: 10.1007/s10865-007-9096-5ISI: 000247276300007OAI: oai:DiVA.org:uu-11255DiVA: diva2:39023
Available from: 2007-08-20 Created: 2007-08-20 Last updated: 2012-07-11Bibliographically approved

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Held, Claes
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