OPTIMA: Psychological Distress and the Effect of Intensive Group Based Cognitive Therapy in Patients With Newly Diagnosed Ischemic Heart Disease
Ischemic Heart Disease, Heart Valve Diseases, Psychological Distress
About this trial
This is an interventional treatment trial for Ischemic Heart Disease focused on measuring Group based cognitive therapy, Ischemic Heart Disease, Heart Valve Diseases, Psychological Distress
Eligibility Criteria
Inclusion Criteria:
- HADS score > 8 for HADS-A or HADS-D
- Age < 65 years
- Able to speak and understand Danish
Exclusion Criteria:
- Participation in rehabilitation program within the last 2 years
- Ejection Fraction (EF) < 35%
- Other serious comorbidity that are expected to have a serious impact on life expectancy
- Known abuse of alcohol or euphoric drugs. Known more serious psychopathology such as schizophrenia, bipolar disorder, severe personality disorder, and treatment with psychoactive drugs
Sites / Locations
- Cardiology department, Bispebjerg-Frederiksberg Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
No Intervention
No Intervention
Cardiac rehabilitation+cognitive therapy
Cardiac rehabilitation
Control group without psychological distress
The intervention group receives usual cardiac rehabilitation, which consists of 8-wk supervised outpatient exercise with 2 weekly sessions of 1,5 hr with high-intensity interval and resistance training. The program was complemented with a weekly session of group-based patient education for 1,5 hr on heart disease, psychological issues and diet counseling. In addition, patients had one or more individual sessions with a cardiologist and a nurse respectively. In addition, the intervention group follows a standardized group based cognitive therapy program with participation of maximum four patients, consisting of 5 sessions (each 2 hours) performed by a trained cardiac rehabilitation nurse.
The control group receives usual cardiac rehabilitation, which consists of 8-wk supervised outpatient exercise with 2 weekly sessions of 1,5 hr with high-intensity interval and resistance training. The program was complemented with a weekly session of group-based patient education for 1,5 hr on heart disease, psychological issues and diet counseling. In addition, patients had one or more individual sessions with a cardiologist and a nurse respectively. .
The control group receives usual cardiac rehabilitation, which consists of 8-wk supervised outpatient exercise with 2 weekly sessions of 1,5 hr with high-intensity interval and resistance training. The program was complemented with a weekly session of group-based patient education for 1,5 hr on heart disease, psychological issues and diet counseling. In addition, patients had one or more individual sessions with a cardiologist and a nurse respectively. .