Abstract
ObjectiveDepression and anxiety are up to three times more prevalent in cardiac patients than the general population and are linked to increased risks of future cardiac events and mortality. Psychological interventions for cardiac patients vary in content and are often associated with weak outcomes. A recent treatment, metacognitive therapy (MCT) has been shown to be highly effective at treating psychological distress in mental health settings. This is the first study to explore qualitatively, cardiac rehabilitation (CR) patients’ experiences and understanding of group MCT with the aim of examining aspects of treatment that patients experienced as helpful.MethodsIn-depth qualitative interviews were conducted with 24 purposively sampled CR patients following group MCT. Data were analysed using thematic analysis.ResultsTwo main themes were identified: (1) general therapy factors that were seen largely as beneficial, where patients highlighted interaction with other CR patients and CR staff delivery of treatment and their knowledge of cardiology; (2) group MCT-specific factors that were seen as beneficial encompassed patients’ understanding of the intervention and use of particular group MCT techniques. Most patients viewed MCT in a manner consistent with the metacognitive model. All the patients who completed group MCT were positive about it and described self-perceived changes in their thinking and well-being. A minority of patients gave specific reasons for not finding the treatment helpful.ConclusionCR patients with anxiety and depression symptoms valued specific group MCT techniques, the opportunity to learn about other patients, and the knowledge of CR staff. The data supports the transferability of treatment to a CR context and advantages that this might bring.
Funder
National Institute for Health Research
Subject
Cardiology and Cardiovascular Medicine
Reference40 articles.
1. Global, Regional, and National Burden of Cardiovascular Diseases for 10 Causes, 1990 to 2015
2. World Health Organization . WHO global NCD action plan 2013–2020, 2013. Available: https://www.who.int/nmh/events/ncd_action_plan/en/ [Accessed 22 Apr 2021].
3. Prevalence of depression in survivors of acute myocardial infarction
4. Anxiety and cardiovascular disease risk: a review;Tully;Curr Cardiol Rep,2016
5. National Audit of Cardiac Rehabilitation . Quality and outcomes report, 2019. Available: https://www.bhf.org.uk/informationsupport/publications/statistics/national-audit-of-cardiac-rehabilitation-quality-and-outcomes-report-2019 [Accessed 22 Apr 2021].
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献