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An Investigation of the Benefits of Stress Management Within a Cardiac Rehabilitation Population.
MedLine Citation:
PMID:  22936158     Owner:  NLM     Status:  Publisher    
PURPOSE:: Research describing whether stress management can improve clinical outcomes for patients in cardiac rehabilitation (CR) has yielded equivocal findings. METHODS:: The present investigation retrospectively examined the incremental impact of exercise and stress management (n = 188), relative to exercise only (n = 1389), on psychosocial and physical health outcomes following a 12-week CR program. RESULTS:: Participation in stress management and exercise was associated with greater reductions in waist circumference and systolic blood pressure, relative to exercise alone, for patients with baseline clinical elevations on these measures. The stress management group had more depressive symptoms (as measured by the Hospital Anxiety and Depression Scale; t[1] = 3.81, P < .001) and lower physical quality of life (as measured by the 12-Item Short Form Health Survey Physical Component; t[1] = 3.00, P = .003) than the exercise-only group at baseline, but there were no differences between the groups at 12 weeks in terms of depressive symptoms (t[1] = 1.74, P = .082) or physical quality of life (t[1] = 1.56, P = .120). CONCLUSION:: These findings suggest that stress management may offer additional benefits in selected patients over and above exercise in CR.
Tavis S Campbell; Andrea Stevenson; Ross Arena; Trina Hauer; Simon L Bacon; Codie R Rouleau; Colleen Cannon; James A Stone
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Publication Detail:
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  32     ISSN:  1932-751X     ISO Abbreviation:  J Cardiopulm Rehabil Prev     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-8-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  296-304     Citation Subset:  -    
Department of Psychology, University of Calgary (Dr Campbell and Mss Stevenson and Rouleau), Cardiac Wellness Institute of Calgary (Ms Hauer and Dr Stone), Libin Cardiovascular Institute of Alberta (Dr Stone), and University of Calgary (Dr Stone), Calgary, Alberta, Canada; Physical Therapy Program, Department of Orthopeadics and Division of Cardiology, and Department of Internal Medicine, University of New Mexico, Albuquerque (Dr Arena); Department of Exercise Science, Concordia University, Montréal, Québec, Canada (Dr Bacon); and Heart Centre, St. Paul's Hospital, Vancouver, British Columbia, Canada (Dr Cannon).
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