Interdisciplinary Treatment of Morbidity in Benign Chest Pain
Identifieur interne : 004571 ( Main/Exploration ); précédent : 004570; suivant : 004572Interdisciplinary Treatment of Morbidity in Benign Chest Pain
Auteurs : Arthur Cott ; Jane Mccully ; William M. Goldberg ; Paul H. Tanser [Canada] ; William ParkinsonSource :
- Angiology [ 0003-3197 ] ; 1992-03.
English descriptors
- KwdEn :
- Analysis of Variance, Chest Pain (complications), Chest Pain (diagnosis), Chest Pain (epidemiology), Chest Pain (therapy), Cognitive Therapy (statistics & numerical data), Disability Evaluation, Humans, Mitral Valve Prolapse (complications), Mitral Valve Prolapse (diagnosis), Mitral Valve Prolapse (epidemiology), Mitral Valve Prolapse (therapy), Patient Care Team (statistics & numerical data), Psychotherapy, Group (statistics & numerical data), Self Care (statistics & numerical data), Treatment Outcome, Waiting Lists.
- MESH :
- complications : Chest Pain, Mitral Valve Prolapse.
- diagnosis : Chest Pain, Mitral Valve Prolapse.
- epidemiology : Chest Pain, Mitral Valve Prolapse.
- statistics & numerical data : Cognitive Therapy, Patient Care Team, Psychotherapy, Group, Self Care.
- therapy : Chest Pain, Mitral Valve Prolapse.
- Analysis of Variance, Disability Evaluation, Humans, Treatment Outcome, Waiting Lists.
Abstract
This study tested the hypothesis that functional morbidity in benign chest pain can be modified independently of symptoms through interdisciplinary med ical and cognitive-behavioral intervention. Analyses used data collected in a sixteen-week trial of interdisciplinary treatment for disability in benign chest pain. One hundred four chest pain patients having normal coronary arteriograms (NCA) (n = 14) or mitral valve prolapse (MVP) with no other known cardiac or arterial disease (n = 90) were assigned to individual treatment, group treat ment, self-monitoring attention control, or a wait-list control group. Results in dicate that interdisciplinary intervention, in group or individualized format, was successful for improving short-term and long-term (follow-up range = six to sixteen months) functional status, in both MVP and NCA patients. Correlational analysis indicated that functional improvements were not dependent on reduc tions in the frequency of symptoms. In fact, significant reductions in disability were obtained in those treated patients (13 of 43) who reported no reduction, or an actual increase, in the frequency of chest symptoms. These data indicate that disability in benign chest pain may be modified independently of symptoms by an integration of medical and cognitive-behavioral strategies.
Url:
DOI: 10.1177/000331979204300304
Affiliations:
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Le document en format XML
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<term>Chest Pain (therapy)</term>
<term>Cognitive Therapy (statistics & numerical data)</term>
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<term>Mitral Valve Prolapse (complications)</term>
<term>Mitral Valve Prolapse (diagnosis)</term>
<term>Mitral Valve Prolapse (epidemiology)</term>
<term>Mitral Valve Prolapse (therapy)</term>
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<term>Mitral Valve Prolapse</term>
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<front><div type="abstract" xml:lang="en">This study tested the hypothesis that functional morbidity in benign chest pain can be modified independently of symptoms through interdisciplinary med ical and cognitive-behavioral intervention. Analyses used data collected in a sixteen-week trial of interdisciplinary treatment for disability in benign chest pain. One hundred four chest pain patients having normal coronary arteriograms (NCA) (n = 14) or mitral valve prolapse (MVP) with no other known cardiac or arterial disease (n = 90) were assigned to individual treatment, group treat ment, self-monitoring attention control, or a wait-list control group. Results in dicate that interdisciplinary intervention, in group or individualized format, was successful for improving short-term and long-term (follow-up range = six to sixteen months) functional status, in both MVP and NCA patients. Correlational analysis indicated that functional improvements were not dependent on reduc tions in the frequency of symptoms. In fact, significant reductions in disability were obtained in those treated patients (13 of 43) who reported no reduction, or an actual increase, in the frequency of chest symptoms. These data indicate that disability in benign chest pain may be modified independently of symptoms by an integration of medical and cognitive-behavioral strategies.</div>
</front>
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<name sortKey="Parkinson, William" sort="Parkinson, William" uniqKey="Parkinson W" first="William" last="Parkinson">William Parkinson</name>
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