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Reducing Coronary Artery Disease Mortality with Stress Control

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A recent review assessed the effect of nonpharmacological psychological interventions for stress management on major adverse cardiovascular events (MACE) and mortality in patients with coronary artery disease (CAD). The review included seven randomized clinical trials and demonstrated that psychological stress management interventions led to a 37% reduction in all-cause mortality in patients with CAD, but did not show a statistically significant effect on MACE reduction. The stress management programs employed cognitive-behavioral strategies, relaxation training, and self-monitoring, delivered primarily in group settings, without pharmacologic support. Further studies are needed to explore the potential link to improved survival outcomes with nonpharmacologic stress management.

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