BACKGROUND Recently,the efficacy of cognitive behavioral therapy(CBT)-based intervention on health outcomes in patients with coronary heart disease(CHD)has been recognized in randomized controlled trials(RCTs),but no ...BACKGROUND Recently,the efficacy of cognitive behavioral therapy(CBT)-based intervention on health outcomes in patients with coronary heart disease(CHD)has been recognized in randomized controlled trials(RCTs),but no comprehensive systematic review has been conducted.To address this research gap,our study aimed to evaluate whether comprehensive CBT-based interventions positively affect health outcomes in CHD patients.It was hypothesized that CBT-based interventions are effective in:(1)Reducing depression,anxiety,and stress symptoms;(2)Reducing body mass index,blood pressure,and lipid levels;and(3)Improving quality of life,and exercise endurance.AIM To verify the effectiveness of CBT-based interventions on CHD patients through a meta-analysis of previous publications.METHODS Relevant RCTs published in English were obtained by searching electronic databases,including PubMed,Embase,Cochrane Central Register of Controlled Trials,Scopus,and Proquest,with the retrieval time from inception to August 2020.The primary outcomes were psychological factors(depression,anxiety,and stress symptoms),physiological factors(body mass index,blood pressure,blood lipids).The secondary outcomes included quality of life and exercise endurance.We used Review Manager 5.3 to conduct the meta-analysis and used the Physiotherapy Evidence Database tool to evaluate the quality of studies.RESULTS A total of 22 RCTs comprising 4991 patients with CHD were included in the systematic review and meta-analysis.The main analysis revealed that CBT-based intervention can reduce depression symptoms:-2.00[95%confidence interval(CI):-2.83 to-1.16,P<0.001];anxiety symptoms:-2.07(95%CI:-3.39 to-0.75,P=0.002);stress symptoms:-3.33(95%CI:-4.23 to-2.44,P<0.001);body mass index:-0.47(95%CI:-0.81 to-0.13,P=0.006);and improve physical functioning:3.36(95%CI:1.63 to 5.10,P=0.000)and mental functioning:6.91(95%CI:4.10 to 9.73,P<0.001).Moreover,subgroup analysis results showed that CBT-based interventions were more effective for symptoms of depression and anxiety in CHD patients when individual,as opposed to group treatment,and psycho-education,behavioral and cognitive strategies were applied as the core treatment approaches.CONCLUSION CBT-based interventions are effective treatment strategies for CHD patients,significantly improving their symptoms of depression,anxiety and stress,body mass index,and health-related quality of life.展开更多
Knee instability as a symptom of ligament injury usually only receives attention when it causes pain or impacts patients’mobility in China.In this study both the physical and psychosocial impact of an innovative appr...Knee instability as a symptom of ligament injury usually only receives attention when it causes pain or impacts patients’mobility in China.In this study both the physical and psychosocial impact of an innovative approach to treatment,Half-cut Wood Training,was examined.Twenty individuals with knee instability who received Halfcut Wood Training(Intervention group)and twenty two individuals with knee instability who did not receive Half-cut Wood Training(as Control group)participated in the study.The electric WIFI based HBF-306 was used to collect the anthropometry and biomedical data.Symptom severity was assessed by a doctor and through response to a specific question.Half-cut Wood Training was used as the intervention for the knee instability patients,and the effects among pre-intervention,post-intervention and control group on self-esteem,self-efficacy,quality of life and reductions in knee instability were assessed and compared to patients in the control group.The Half-cut Wood Training has significantly improved the physical health,self-esteem,self-efficacy,legs and feet functioning of patients in the intervention group compared with control group.Moreover,the Symptom were decreased(F=15.47,P<0.001),and the doctor reported knee function was improved(F=36.20,P<0.001).The subgroups including number of sessions of attending the Half-cut Wood Training had effects on the reduction of symptoms and duration of training time more than one month has effect on the improvement of physical health.Half-cut Wood Training provides beneficial means of improving knee function,self-esteem,self-efficacy,and physical health of the quality of life of patients with the knee instability.展开更多
文摘BACKGROUND Recently,the efficacy of cognitive behavioral therapy(CBT)-based intervention on health outcomes in patients with coronary heart disease(CHD)has been recognized in randomized controlled trials(RCTs),but no comprehensive systematic review has been conducted.To address this research gap,our study aimed to evaluate whether comprehensive CBT-based interventions positively affect health outcomes in CHD patients.It was hypothesized that CBT-based interventions are effective in:(1)Reducing depression,anxiety,and stress symptoms;(2)Reducing body mass index,blood pressure,and lipid levels;and(3)Improving quality of life,and exercise endurance.AIM To verify the effectiveness of CBT-based interventions on CHD patients through a meta-analysis of previous publications.METHODS Relevant RCTs published in English were obtained by searching electronic databases,including PubMed,Embase,Cochrane Central Register of Controlled Trials,Scopus,and Proquest,with the retrieval time from inception to August 2020.The primary outcomes were psychological factors(depression,anxiety,and stress symptoms),physiological factors(body mass index,blood pressure,blood lipids).The secondary outcomes included quality of life and exercise endurance.We used Review Manager 5.3 to conduct the meta-analysis and used the Physiotherapy Evidence Database tool to evaluate the quality of studies.RESULTS A total of 22 RCTs comprising 4991 patients with CHD were included in the systematic review and meta-analysis.The main analysis revealed that CBT-based intervention can reduce depression symptoms:-2.00[95%confidence interval(CI):-2.83 to-1.16,P<0.001];anxiety symptoms:-2.07(95%CI:-3.39 to-0.75,P=0.002);stress symptoms:-3.33(95%CI:-4.23 to-2.44,P<0.001);body mass index:-0.47(95%CI:-0.81 to-0.13,P=0.006);and improve physical functioning:3.36(95%CI:1.63 to 5.10,P=0.000)and mental functioning:6.91(95%CI:4.10 to 9.73,P<0.001).Moreover,subgroup analysis results showed that CBT-based interventions were more effective for symptoms of depression and anxiety in CHD patients when individual,as opposed to group treatment,and psycho-education,behavioral and cognitive strategies were applied as the core treatment approaches.CONCLUSION CBT-based interventions are effective treatment strategies for CHD patients,significantly improving their symptoms of depression,anxiety and stress,body mass index,and health-related quality of life.
文摘Knee instability as a symptom of ligament injury usually only receives attention when it causes pain or impacts patients’mobility in China.In this study both the physical and psychosocial impact of an innovative approach to treatment,Half-cut Wood Training,was examined.Twenty individuals with knee instability who received Halfcut Wood Training(Intervention group)and twenty two individuals with knee instability who did not receive Half-cut Wood Training(as Control group)participated in the study.The electric WIFI based HBF-306 was used to collect the anthropometry and biomedical data.Symptom severity was assessed by a doctor and through response to a specific question.Half-cut Wood Training was used as the intervention for the knee instability patients,and the effects among pre-intervention,post-intervention and control group on self-esteem,self-efficacy,quality of life and reductions in knee instability were assessed and compared to patients in the control group.The Half-cut Wood Training has significantly improved the physical health,self-esteem,self-efficacy,legs and feet functioning of patients in the intervention group compared with control group.Moreover,the Symptom were decreased(F=15.47,P<0.001),and the doctor reported knee function was improved(F=36.20,P<0.001).The subgroups including number of sessions of attending the Half-cut Wood Training had effects on the reduction of symptoms and duration of training time more than one month has effect on the improvement of physical health.Half-cut Wood Training provides beneficial means of improving knee function,self-esteem,self-efficacy,and physical health of the quality of life of patients with the knee instability.
