Psychosocial interventions in adult patients with coronary heart disease and cancer. A literature review.
A growing body of evidence suggests that chronic medical illness is associated with an increased prevalence and incidence of psychiatric and psychological disturbances. The present literature review is based on two theses: first, that chronic illness is viewed as a stressor and is associated with increased psychological distress, and secondly, that interventions can minimize the distress. A review of the studies conducted with adult patients diagnosed either with coronary heart disease or cancer suggests that psychosocial interventions are, in general, efficacious in relieving self-reported psychological distress. The review also recommends psychosocial interventions for high-risk patients rather than all patients, and that researchers need to identify other outcomes such as health care costs, disability, days in hospital, morbidity, and mortality in order to convince policy makers that these interventions are worthwhile. Recommendations for future research are also discussed.
Hill
D R
DR
Behavioral Medicine Branch, National Heart, Lung and Blood Institute, Bethesda, MD 20892.
Kelleher
K
K
Shumaker
S A
SA
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D003327:Coronary Disease / Q000523:psychology* / Q000534:rehabilitation; D003376:Counseling; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology / Q000534:rehabilitation; D009369:Neoplasms / Q000523:psychology* / Q000534:rehabilitation; D010348:Patient Care Team; D012803:Sick Role