Request Appointment Anxiety: A cause of high blood pressure? Recent research generally shows that anxiety has some prognostic significance (6, 10, 11), and research on the effects of the first line anxiety medications (SSRIs, SNRIs) on anxiety and heart disease in patients with both illnesses will be important in the future. Shuldham CM, Fleming S, Goodman H. The impact of pre-operative education on recovery following coronary artery bypass surgery. Three studies (3%) included patients who did not have CHD. Nyklek I, Dijksman SC, Lenders PJ, Fonteijn WA, Koolen JJ. It may be that similar research has not been conducted in patients with anxiety because anxiety has received less attention as a risk factor in CHD until recently, and therefore receives less attention and funding for treatment. Some doctors also prescribe them to ease the symptoms of anxiety.
Anxiety disorders - Symptoms and causes - Mayo Clinic Both groups decreased in anxiety, but more in intervention group, No diagnoses; 7 or greater on any HADS subscale, Telephone-based cognitive-behavioral intervention addressing common fears of individuals with chronic illness, Booklet on coping with cardiac illness and instructions to follow up with primary care/specialty physicians, Lower score of in experimental group compared to control at month 6, History of MI or CHD, no MI/CABG/ACS in prior 3 months, Group-based psychotherapy intervention, carried out by clinical psychologists, including information on CHD and anxiety, stress management techniques, cognitive restructuring, 6 months; 12 weekly sessions plus 3 monthly boosters, Supporting visits by volunteer former patient, Lower anxiety in intervention group at 24 hours, 5 days, 4 weeks after surgery, CBT and motivational interviewing based program, Established cardiac disease, >2 months post-cardiac event, Beck Depression Inventory score > 13 at screening, Cognitive-behavioral group therapy including psychoeducation, activity planning, thought monitoring and challenging, problem solving, motivation strategies, Single brief intervention with individualized verbal feedback, Diagnosed with MI, first hospitalization MI, Family-centered empowerment model: group support sessions concerning awareness/cognition about illness, expectations, acceptance, evaluation, 3 months post-intervention, then every 3 months for 24 months, significant main effect of group and time group interaction in state anxiety, with greater improvement in intervention group; NS for trait anxiety, Angina plan, a cognitive-behavioral, nurse-facilitated self-help intervention, Coronary risk factor management sessions with nurse, Educational and supportive calls with CR nurse during home period, Anxiety lower in treatment group compared with control at end of study, Angina, MI, post-angioplasty or post CABG, Anxiety lower in treatment group after 1 month, not after 4 months or 1 year, Meetings with a nurse focused on patient perceptions of their disease, Home visits from nurses including education and counseling, Subjects with improvement in their GHQ scores had lower anxiety at 1 year compared to those without improvement, Mentoring groups, meetings led by trained health mentors, Patients and families attended one group CPR session, then families attended further sessions in one of 3 groups: CPR-social support; CPR-education about heart disease and risk factors; CPR-only, 90 minute class in CPR, plus 30-45 minute group discussion, Completed a questionnaire, family member did not attend class, CPR-social support had greatest reduction in anxiety at 6 months compared to other groups, Education session and telephone follow-up, Reduced anxiety in educational group compared to control; anxiety decreased in intervention group but increased in control group, Angina plan delivered by lay facilitators, relaxation, workbook, telephone calls, Angina nurse specialist meeting and written information, Lower anxiety in intervention group at 3,6 months, Hospitalized for MI, CABG, angioplasty, stable angina, Individualized information and support via telephone counseling, Pre-CABG, at least one poorly controlled risk factor, Psychoeducational lifestyle counseling around illness related concerns, risk factors, and preparation for surgery at monthly intervals, Anxiety lowed in treatment group at day 2 at home, otherwise no group differences, Education and group discussion classes led by nurse, Usual care and standardized educational program, Telephone based health program after hospital discharge, < 8 weeks since hospitalization for acute MI or unstable angina, Telephone lifestyle coaching intervention related to cardiac risk factors, Greater reduction in anxiety at 6 months in experimental group, CHD, no clinic visits within last 6 months, Frequently asked questions checklist provided at home before outpatient cardiology visit, State anxiety lower in experimental group compared to controls before their cardiology visit, < 1 month on waiting list for elective CABG, Monthly health education sessions, customized by patients' motivation and readiness to change, carried out by liaison nurse at the patient's home and nurse in clinic (alternating), Average of 8.5 months, maximum of 1 year, minimum of 2 sessions to have completed intervention, Definite cases of anxiety increased in the control group between baseline and CABG, but reduced among individuals in the intervention group, Manual-based, telephone-based individual counseling on health behaviors and psychosocial issues, as well as 6 written flyers concerning those topics, Anxiety scores increased in control group but decreased in intervention group at a non-significant level; for women specifically, p = 0.05, Angina Plan manual; address misconceptions on angina, set goals for physical activity and relaxation, dietary advice, Anxiety change greater in intervention group than control group, Educational session and one follow-up phone call, Reduced anxiety after 12 months but not at 3 months in men (not in women); reduced anxiety over time in intervention group but not control, Secondary prevention clinic; review of symptoms, treatment, blood pressure and lipid management, and lifestyle factors, as well as behavioral change negotiated, secondary clinics every 2 to 6 months depending on patient's needs, Advice to eat fatty fish or fish oil capsules if fish unpalatable, Scripted telephone sessions with a health coach encouraging self-management strategies, Usual care - written materials and a newsletter every 3 months, Intervention group showed decreased anxiety at 6 months compared to controls, Psychoeducational intervention--risk factor advice and telehealth coaching, intervention group had significantly lower anxiety at 6 months compared to controls, Mobile phone-based comprehensive CR program, Intervention group had significantly greater anxiety than control group at 6 months, Pre-operative education program, with videos and written information, Videotape on sexual education after MI at home, Greater anxiety in the experimental group at 1 month, no group differences at 3 or 5 months, Stratified by patients who had high distress levels at baseline, Telephone-based nurse case managed, home based, multifactorial, risk reduction program, 6 months (possibly longer depending on patient factors), Intervention reported significantly reduced anxiety compared to controls in patients with low anxiety; no difference between groups for those with existing anxiety, Self-report history of cardiovascular disease, Individual education and counseling concerning signs of MI, typical emotional responses, and actions to take, Audiotape for in-hospital and home use, with information on CABG recovery plus relaxation exercises and music, Usual care plus visits/calls from researcher matching intervention group timetable, Psychoeducational telephone coaching sessionstargeting risk factors and illness awareness, Usual care with telephone check-in at 2 weeks, Anxiety reduced in both groups, significantly larger reduction in treatment group, Psychoeducational health education and counseling program--individual and group counselling and health education programs around risk factors, anxiety, depression, Education session, with a home-based self-management manual plus telephone follow-up, Intervention group with greater decrease in anxiety over time; main effects not reported, Self-help heart health behavior manual, with introduction by principal investigator, Significant main effect of time and time group interaction; intervention group with lower anxiety scores at all follow-up points, Twice weekly exercise training, education and reinforcement, monthly phone call from nurse, 6-8 weeks after surgery, 6 months after surgery, Refractory angina>6 months; history of MI, CABG, or angioplasty; >2 episodes per week, Low compared to high intensity exercise regimen, Ischemic heart disease and exercise induced myocardial ischemia, Usual care with supervised aerobic exercise training, or usual care with weekly stress management, Omega 3 fatty acids as augmentation to sertraline, Patient choice of hospital CR or self-help package of 6 weeks supported by nurse, Moderate to high level of anxiety for outdoor walking, Walking group had significantly greater decrease in task specific anxiety, Patients with implantable cardioverter defibrillator due to chronic heart disease, Experimental group with lower anxiety end-intervention compared to control; lower post-treatment anxiety compared to pre-treatment in all patients, Significantly lower state-and trait-anxiety for both groups over time; STAI-S significantly decreased for intervention group after adjusting for baseline variables, No group differences; improvement in all groups, Expanded CR--stress management, increased physical training, stay at patient hotel, cooking sessions, Type D patients in intervention group had significantly lower anxiety (not significant in type D control patients), Hospital biking/home walking, unsupervised exercise groups with more anxiety improvement than hospital/home biking, Subgroup of psychologically distressed patients based on clinically significant depression or anxiety from HADS score, Self-help home rehabilitation program based on a cardiac manual- sections including education, home exercise program, tape-based stress management and relaxation program, Standard care with information package and informal counselling, Anxiety lower in treatment group than control group at 6 weeks, 1 year; in those who were psychologically distressed at baseline, anxiety was lower in treatment group at 6 weeks, 6 months, 1 year, Mood disorder--poor adherence, fatigue, insomnia, somatoform symptoms, Western medicine (aspirin, beta-blocker, and a lipid blocker, most often a statin) plus Xinkeshu tablets, Reduced anxiety in the group receiving xinkeshu tablets, Improved anxiety scores in intervention group, no change in scores in control; no between-group differences reported although higher proportion of patients with decreased anxiety in intervention group, Intervention group showed greater improvement in HADS, >65 years old with recent coronary event including MI, angioplasty, or CABG, declined center-based CR, Home visits from physiotherapist to create home physical training program, Presence of anxiety or depressive symptoms measured prior to hospital discharge (STAI-State > 42), Low-level exercise prescription plus group cognitive-behavioral counseling focusing on coping strategies, Program of exercise conditioning and behavioral counseling, Decreased state anxiety at 8 weeks for intervention group compared to controls, >6 months since MI, angioplasty, CABG, or classic angina pectoris, Aerobic interval training (exercise bike), three sessions/week, >6 months after a major coronary event (acute MI, CABG, ACS); chronic CHD, Nonsignificant change for trait, significant change in state anxiety at 6 months for intervention group; no between-groups comparison found, CR plus educational programs (diet, weight, stress management, smoking cessation, relaxation), Significant main effect of time such that all participants' anxiety decreased; no main effect of Group; significant Time Group interaction such that individuals in intervention group saw steeper decrease in anxiety (9 points vs 6 for controls), Rated as anxious/depressed and/or mean workload <7mets on treadmill test, Exercise greater reduction compared to control at 3 months; group counseling less anxiety compared to controls at 6 months; no difference at 1 year, Residential multifactorial CR, outpatient multifactorial CR, stress management, Symptom limited treadmill plus home exercise training, treadmill plus medically supervised gym training, treadmill without formal exercise program, Admitted to coronary care unit with acute MI, Family based yoga program with control of risk factors, dietary modifications, stress management, <6 weeks post- AMI or post-angioplasty for angina pectoris, CR: inpatient ambulation, outpatient education and exercise; followed by home exercise program and long-term maintenance, 2 years total: 1-2 weeks inpatient, then twice weekly for 8 weeks; home exercise for 6 months; long-term maintenance through end of 2 years, Lower anxiety at follow-up assessments than baseline for intervention group (p < .05) and no change in control group; no between group differences, Spielberger State-Trait Anxiety Inventory.
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