Cochrane · systematic review · CD002902
Psychological interventions for coronary heart disease
Richards, SH, Anderson, L, Jenkinson, CE, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 4 · 57.1%Moderate 2 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Psychological intervention with or without other rehabilitation compared to control (usual care/other rehabilitation) for coronary heart disease (third update)
Population: people with coronary heart disease (third update)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total mortalityDeaths Psychological intervention with or without other rehabilitation vs control (usual care/other rehabilitation) | RR 0.9 [0.77, 1.05] | 23 studies · 7776 participants | Moderate Downgraded: risk of bias |
Cardiac mortalityDeaths Psychological intervention with or without other rehabilitation vs control (usual care/other rehabilitation) | RR 0.79 [0.63, 0.98] | 11 studies · 4792 participants | Low Downgraded: risk of bias, publication bias |
Non‐fatal MI Psychological intervention with or without other rehabilitation vs control (usual care/other rehabilitation) | RR 0.82 [0.64, 1.05] | 13 studies · 7845 participants | Low Downgraded: risk of bias |
Revascularisation (CABG and PCI combined) Psychological intervention with or without other rehabilitation vs control (usual care/other rehabilitation) | RR 0.94 [0.81, 1.11] | 13 studies · 6822 participants | Moderate Downgraded: risk of bias |
Anxiety Psychological intervention with or without other rehabilitation vs control (usual care/other rehabilitation) | no estimate extracted | 12 studies · 3165 participants | Low Downgraded: risk of bias, publication bias |
Depression Psychological intervention with or without other rehabilitation vs control (usual care/other rehabilitation) | no estimate extracted | 19 studies · 5829 participants | Low Downgraded: risk of bias, inconsistency |
Stress Psychological intervention with or without other rehabilitation vs control (usual care/other rehabilitation) | no estimate extracted | 8 studies · 1255 participants | Very low Downgraded: risk of bias, inconsistency |