Effectiveness of therapist-supported internet-based cognitive behavioural therapy interventions on depression, anxiety and quality of life among patients with cardiovascular disease: a systematic review and meta-analysis.
Aims Psychological distress is prevalent among patients with cardiovascular disease (CVD), driven by physiological mechanisms, complex treatment regimens, lifestyle changes and death anxiety. Depression and anxiety significantly impact their quality of life (QoL), highlighting the need for accessibl...
| Publicado en: | European Journal of Cardiovascular Nursing Vol. 24; no. 6; pp. 860 - 871 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | pictorial research systematic review tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187976435&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187976435 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14745151 KJC jtl: European Journal of Cardiovascular Nursing issn: 14745151 maglogo: N pubinfo: dt: Aug2025 vid: 24 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 187976435 187976435 187976435 10.1093/eurjcn/zvaf084 187976435 ppf: 860 ppct: 11 formats: tig: atl: Effectiveness of therapist-supported internet-based cognitive behavioural therapy interventions on depression, anxiety and quality of life among patients with cardiovascular disease: a systematic review and meta-analysis. aug: au: Kwek, Shi Qi Yeo, Tin Mei Teo, Jun Yi Claire Seah, Chuen Wei Alvin Ning, Kai Wang, Wenru affil: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 5, Centre for Translational Medicine, Block MD 6, 14 Medical Drive, Singapore 117599, Singapore sug: subj: Internet-Based Intervention Telepsychiatry Professional-Client Relations Cognitive Therapy Depression Therapy Anxiety Therapy Quality of Life Cardiac Patients Cardiovascular Diseases Psychosocial Factors Treatment Outcomes Human Systematic Review Meta Analysis CINAHL Database Cochrane Library Embase Psycinfo PubMed Descriptive Statistics Data Analysis Software Confidence Intervals Behavior Therapy Mental Health Support, Psychosocial Health Services Accessibility Checklists ab: Aims Psychological distress is prevalent among patients with cardiovascular disease (CVD), driven by physiological mechanisms, complex treatment regimens, lifestyle changes and death anxiety. Depression and anxiety significantly impact their quality of life (QoL), highlighting the need for accessible psychological support. Internet-based cognitive behavioural therapy (iCBT) offers a promising approach to address these mental health challenges, however, its effectiveness in patients with CVD has yet to be systematically synthesized. This review evaluates the effectiveness of therapist-assisted iCBT on depression, anxiety and QoL in patients with CVD. Methods and results Ten databases (CINAHL, Cochrane Library, Embase, PsycINFO, PubMed, Scopus and Web of Science, Opengray, Clinicaltrials.gov , Proquest Dissertations) were searched from inception until June 2024. Randomized controlled trials published in English, involving CVD patients receiving therapist-assisted iCBT were included. Study quality was evaluated using Cochrane Risk of Bias. Meta-analysis was undertaken with RevMan Web, and narrative synthesis was performed when meta-analysis was not feasible. A total of 1690 records were identified and eight studies (10 reports) met the inclusion criteria. Meta-anaysis demonstrated that therapist-assisted iCBT had small to medium effects on depression (SMD = −0.31, 95% CI: −0.55 to −0.08, P = 0.009) and medium effects on QoL (SMD = 0.64, 95% CI: 0.31 to 0.98, P = 0.0002). Narrative synthesis on anxiety showed mixed effects. Conclusion Therapist-assisted iCBT offers a promising, accessible intervention for patients with CVD, particularly for depression and QoL. However, its long-term effectiveness remains unclear due to limited studies. Future research should focus on identifying strategies in enhancing adherence and long-term effectiveness of iCBT interventions, and its impact on anxiety in patients with CVD. Registration PROSPERO: CRD42024535797 pubtype: Academic Journal doctype: meta analysis pictorial research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|