A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure

IntroductionChronic heart failure is a severe condition that influences not just the physical dimension but also the mental dimension in patients. Comorbidity of depression and anxiety are prevalent and the quality of life is reduced. Despite the psychological impact there are no recommendations in...

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Main Author: Catarina Nahlén Bose
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1095665/full
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author Catarina Nahlén Bose
author_facet Catarina Nahlén Bose
author_sort Catarina Nahlén Bose
collection DOAJ
description IntroductionChronic heart failure is a severe condition that influences not just the physical dimension but also the mental dimension in patients. Comorbidity of depression and anxiety are prevalent and the quality of life is reduced. Despite the psychological impact there are no recommendations in the guidelines for psychosocial interventions for people with heart failure. The aim of this meta-review is to synthesize results of systematic reviews and meta-analyses on the outcomes of psychosocial interventions in heart failure.MethodsSearches were conducted in PubMed, PsychInfo, Cinahl and the Cochrane Library. In total, seven articles were included after screening 259 studies for eligibility.ResultsThe included reviews had, in total, 67 original studies included. The measured outcomes in the systematic reviews and meta-analyses were; depression, anxiety, quality of life, hospitalization, mortality, self-care and physical capacity. The results are inconsistent but show some short-term benefit of psychosocial interventions for reduced depression and anxiety and improved quality of life. However, the long-term effects were sparsely followed up.DiscussionThis meta-review appears to be the first in the field of the efficacy of psychosocial interventions in chronic heart failure. This meta-review identifies gaps in the current available evidence that need to be further explored, such as booster sessions, longer follow-up time for evaluation and incorporating clinical outcomes and measures of stress processes.
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spelling doaj.art-578e1657f842457c98c0827e87d5aba62023-03-10T05:20:34ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-03-011410.3389/fpsyt.2023.10956651095665A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failureCatarina Nahlén BoseIntroductionChronic heart failure is a severe condition that influences not just the physical dimension but also the mental dimension in patients. Comorbidity of depression and anxiety are prevalent and the quality of life is reduced. Despite the psychological impact there are no recommendations in the guidelines for psychosocial interventions for people with heart failure. The aim of this meta-review is to synthesize results of systematic reviews and meta-analyses on the outcomes of psychosocial interventions in heart failure.MethodsSearches were conducted in PubMed, PsychInfo, Cinahl and the Cochrane Library. In total, seven articles were included after screening 259 studies for eligibility.ResultsThe included reviews had, in total, 67 original studies included. The measured outcomes in the systematic reviews and meta-analyses were; depression, anxiety, quality of life, hospitalization, mortality, self-care and physical capacity. The results are inconsistent but show some short-term benefit of psychosocial interventions for reduced depression and anxiety and improved quality of life. However, the long-term effects were sparsely followed up.DiscussionThis meta-review appears to be the first in the field of the efficacy of psychosocial interventions in chronic heart failure. This meta-review identifies gaps in the current available evidence that need to be further explored, such as booster sessions, longer follow-up time for evaluation and incorporating clinical outcomes and measures of stress processes.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1095665/fullanxietydepressionheart failureinterventionpsychosocialquality of life
spellingShingle Catarina Nahlén Bose
A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure
Frontiers in Psychiatry
anxiety
depression
heart failure
intervention
psychosocial
quality of life
title A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure
title_full A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure
title_fullStr A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure
title_full_unstemmed A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure
title_short A meta-review of systematic reviews and meta-analyses on outcomes of psychosocial interventions in heart failure
title_sort meta review of systematic reviews and meta analyses on outcomes of psychosocial interventions in heart failure
topic anxiety
depression
heart failure
intervention
psychosocial
quality of life
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1095665/full
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