How to improve the well-being of patients in cardiac rehabilitation? A contribution of psychological treatments

IntroductionThe relationship between psychological factors and cardiovascular disease (CVD) has been extensively studied, with a focus on predictive factors and patients’ responses in the acute and chronic phases. However, less is known about the impact of specific psychological treatments on the ps...

Full description

Saved in:
Bibliographic Details
Main Authors: Maura Crepaldi, Elisa Zambetti, Fiorella Lanfranchi, Emanuela Zenoni, Irene Bariletti, Francesco Quarenghi, Luigina Viscardi, Ginevra Rizzola, Valentina Regazzoni, Alessandra Bigoni, Francesca Brivio, Massimiliano Anselmi Kaiser, Irma Maria Soddu, Vittorio Giudici, Andrea Greco
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1592591/full
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:IntroductionThe relationship between psychological factors and cardiovascular disease (CVD) has been extensively studied, with a focus on predictive factors and patients’ responses in the acute and chronic phases. However, less is known about the impact of specific psychological treatments on the psychological status of patients in cardiovascular rehabilitation.MethodsThis study compares anxiety, depression and illness perception in patients with different CVD at three-time points: baseline (T0), end of the rehabilitation program (T1), and 3 months later (T2). One hundred and eighty-one patients in cardiovascular rehabilitation participated at three psychological treatments: psychoeducational intervention group, progressive muscle relaxation training with Jacobson’s technique and imaginative stabilization techniques, and individual counseling. The study included patients with Acute Coronary Syndrome (ACS), heart failure (HF), or undergoing cardiac surgery (CS), undergoing cardiovascular rehabilitation at ASST Bergamo Est between January and August 2023. Levels of anxiety, depression, and illness perception were measured by HADS and Brief-IPQ.ResultsSignificant differences were observed between T0, T1, and T2 in the three psychological treatments, with individual counseling showing the greatest improvements in anxiety, depression, and illness perception.DiscussionThe study shows that individual counseling significantly reduces the levels of depression and anxiety, while promoting a healthier perception of the disease in comparison with the other two psychological treatments offered. This process is critical to improving the psychological well-being of patients, and these results could be useful to better address health care policies.
ISSN:1664-1078