Gender considerations in psychosocial-behavioral interventions for coronary heart disease

Neil Schneiderman, Kristina Orth-Gomér, Gunilla Burell

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Citations (Scopus)

Abstract

Six randomized clinical trials (RCT) have been published in major peer review journals, using psychosocial-behavioral interventions with patients who previously experienced major adverse coronary events (MACE). All dealt with important psychological and psychosocial factors that contribute to coronary heart disease (CHD). These RCT obtained either positive or null outcomes for CHD morbidity or mortality. The three RCT reporting positive results (Recurrent Coronary Prevention Project (RCPP), Stockholm Women’s Intervention Trial for CHD (SWITCHD), Secondary Prevention Trial in Uppsala (SUPRIM) used group-based cognitive behavior therapy (CBT), relaxation exercises, coping skills training, and addressed modifiable risk factors and lifestyle planning. Patients began treatment at least 3 months after MACE, received at least 20 intervention sessions, and were followed for an average of 4.5-7.8 years. Therapists were trained in CBT and used manualized treatment. Almost all patients were run in same sex groups. In contrast, the three RCT that obtained null results (WALES, M-HART, ENRICHD) did not use group-based CBT or lifestyle planning for all patients, began behavioral treatment shortly after MACE, provided fewer intervention sessions, and followed patients for an average less than 2.5 years. Whereas patients in the first of the positive trials (RCPP) consisted primarily of men (90%), the two most recent positive RCT were conducted only with women (SWITCHD) or women and men (SUPRIM) treated in separate sex groups. These RCT were therefore able to focus on problems salient to each sex. Techniques included role playing exercises sensitive to problems important to each sex. This led to group discussions about solving problems germane to these patients. Verbal comments obtained from women, in particular, were positive about such discussions, and both patients and therapists felt that the women could better express themselves in single-sex groups and deal more openly with problems in their lives.

Original languageEnglish (US)
Title of host publicationPsychosocial Stress and Cardiovascular Disease in Women: Concepts, Findings, Future Perspectives
PublisherSpringer International Publishing
Pages233-250
Number of pages18
ISBN (Print)9783319092416, 9783319092409
DOIs
StatePublished - Jan 1 2015

Fingerprint

heart disease
Coronary Disease
Randomized Controlled Trials
gender
Cognitive Therapy
behavior therapy
cognition
Life Style
Group
therapist
Role Playing
Exercise
event
Psychology
Peer Review
Psychological Adaptation
Secondary Prevention
planning
psychosocial factors
psychological factors

Keywords

  • Cognitive Behavior Therapy (CBT)
  • Coronary heart disease (CHD)
  • Major Adverse Coronary Events (MACE)
  • Psychosocial-behavioral intervention
  • Randomized clinical trial
  • Same sex groups
  • Secondary prevention

ASJC Scopus subject areas

  • Psychology(all)
  • Medicine(all)
  • Social Sciences(all)

Cite this

Schneiderman, N., Orth-Gomér, K., & Burell, G. (2015). Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In Psychosocial Stress and Cardiovascular Disease in Women: Concepts, Findings, Future Perspectives (pp. 233-250). Springer International Publishing. https://doi.org/10.1007/978-3-319-09241-6_15

Gender considerations in psychosocial-behavioral interventions for coronary heart disease. / Schneiderman, Neil; Orth-Gomér, Kristina; Burell, Gunilla.

Psychosocial Stress and Cardiovascular Disease in Women: Concepts, Findings, Future Perspectives. Springer International Publishing, 2015. p. 233-250.

Research output: Chapter in Book/Report/Conference proceedingChapter

Schneiderman, N, Orth-Gomér, K & Burell, G 2015, Gender considerations in psychosocial-behavioral interventions for coronary heart disease. in Psychosocial Stress and Cardiovascular Disease in Women: Concepts, Findings, Future Perspectives. Springer International Publishing, pp. 233-250. https://doi.org/10.1007/978-3-319-09241-6_15
Schneiderman N, Orth-Gomér K, Burell G. Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In Psychosocial Stress and Cardiovascular Disease in Women: Concepts, Findings, Future Perspectives. Springer International Publishing. 2015. p. 233-250 https://doi.org/10.1007/978-3-319-09241-6_15
Schneiderman, Neil ; Orth-Gomér, Kristina ; Burell, Gunilla. / Gender considerations in psychosocial-behavioral interventions for coronary heart disease. Psychosocial Stress and Cardiovascular Disease in Women: Concepts, Findings, Future Perspectives. Springer International Publishing, 2015. pp. 233-250
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