Quali pazienti traggono effettivo vantaggio dall'intervento psicologico effettuato durante un ciclo di riabilitazione cardiologica?

Translated title of the contribution: Who are the patients that take advantage from psychological intervention during cardiac rehabilitation?

Research output: Contribution to journalArticle

Abstract

The Italian Task Force for the Psychological Guidelines in Cardiac Rehabilitation (2003) recommended screening coronary patients for anxiety and depression and to treat adequately those emerging with these emotional disturbances. Our retrospective study had the aim to evaluate the short term efficacy of a cognitive-behavioral brief intervention on cardiac patients in a rehabilitation setting. One hundred and fifty-two in-patients were interviewed by the psychologist the day of admission and assessed for state anxiety and depression symptoms using STAI-X1 and QD questionnaires the day after. On the basis of the psychologist's judgement and the questionnaires' scores, patients were divided in two groups: one receiving an health educational programme (HEP) and one other receiving the same educational programme plus some sessions of cognitive-behavioral counselling (CBT). Before being discharged from the hospital (about 12-15 days after the admission), all of the patients filled in the same questionnaires again. Results showed that patients with critical scores in anxiety, in the CBT group were correctly inserted patients with critical scores in anxiety, depression or both, were correctly placed in the CBT group. These patients were younger than those of HEP group and all of them still working. They reported a significant decrease in emotional disturbances when compared to that of the HEP group. The most important result, however, was the evidence that 44% of CBT patients were not identified by the questionnaires' scores but by the psychologist's interview. This suggests caution in using the questionnaires' scores as discriminative of the patients' needs, and underlines the importance of involving the psychologist to realize a good clinical practice.

Original languageItalian
Pages (from-to)293-306
Number of pages14
JournalPsicoterapia Cognitiva e Comportamentale
Volume17
Issue number3
Publication statusPublished - 2011

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Psychology
Anxiety
Affective Symptoms
Depression
Health
Cardiac Rehabilitation
Patient Admission
Advisory Committees
Counseling
Rehabilitation
Retrospective Studies
Surveys and Questionnaires
Guidelines
Interviews

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

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title = "Quali pazienti traggono effettivo vantaggio dall'intervento psicologico effettuato durante un ciclo di riabilitazione cardiologica?",
abstract = "The Italian Task Force for the Psychological Guidelines in Cardiac Rehabilitation (2003) recommended screening coronary patients for anxiety and depression and to treat adequately those emerging with these emotional disturbances. Our retrospective study had the aim to evaluate the short term efficacy of a cognitive-behavioral brief intervention on cardiac patients in a rehabilitation setting. One hundred and fifty-two in-patients were interviewed by the psychologist the day of admission and assessed for state anxiety and depression symptoms using STAI-X1 and QD questionnaires the day after. On the basis of the psychologist's judgement and the questionnaires' scores, patients were divided in two groups: one receiving an health educational programme (HEP) and one other receiving the same educational programme plus some sessions of cognitive-behavioral counselling (CBT). Before being discharged from the hospital (about 12-15 days after the admission), all of the patients filled in the same questionnaires again. Results showed that patients with critical scores in anxiety, in the CBT group were correctly inserted patients with critical scores in anxiety, depression or both, were correctly placed in the CBT group. These patients were younger than those of HEP group and all of them still working. They reported a significant decrease in emotional disturbances when compared to that of the HEP group. The most important result, however, was the evidence that 44{\%} of CBT patients were not identified by the questionnaires' scores but by the psychologist's interview. This suggests caution in using the questionnaires' scores as discriminative of the patients' needs, and underlines the importance of involving the psychologist to realize a good clinical practice.",
keywords = "Anxiety, Cardiac rehabilitation, Cognitive-behavioral therapy, Depression, Health education",
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AU - Balestroni, Gianluigi

AU - Cerutti, Paola

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