Interdisciplinary treatment of morbidity in benign chest pain.
Identifieur interne : 000512 ( Ncbi/Curation ); précédent : 000511; suivant : 000513Interdisciplinary treatment of morbidity in benign chest pain.
Auteurs : A. Cott [Canada] ; J. Mccully ; W M Goldberg ; P H Tanser ; W. ParkinsonSource :
- Angiology [ 0003-3197 ] ; 1992.
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 medical 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 treatment, self-monitoring attention control, or a wait-list control group. Results indicate 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. Correlation analysis indicated that functional improvements were not dependent on reductions 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.
DOI: 10.1177/000331979204300304
PubMed: 1575367
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pubmed:1575367Le document en format XML
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<author><name sortKey="Cott, A" sort="Cott, A" uniqKey="Cott A" first="A" last="Cott">A. Cott</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation>
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<wicri:regionArea>Department of Medicine, McMaster University, Hamilton, Ontario</wicri:regionArea>
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<placeName><settlement type="city">Hamilton (Ontario)</settlement>
<region type="state">Ontario</region>
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<author><name sortKey="Mccully, J" sort="Mccully, J" uniqKey="Mccully J" first="J" last="Mccully">J. Mccully</name>
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<author><name sortKey="Goldberg, W M" sort="Goldberg, W M" uniqKey="Goldberg W" first="W M" last="Goldberg">W M Goldberg</name>
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<author><name sortKey="Tanser, P H" sort="Tanser, P H" uniqKey="Tanser P" first="P H" last="Tanser">P H Tanser</name>
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<author><name sortKey="Parkinson, W" sort="Parkinson, W" uniqKey="Parkinson W" first="W" last="Parkinson">W. Parkinson</name>
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<affiliation wicri:level="4"><nlm:affiliation>Department of Medicine, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation>
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<wicri:regionArea>Department of Medicine, McMaster University, Hamilton, Ontario</wicri:regionArea>
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<author><name sortKey="Mccully, J" sort="Mccully, J" uniqKey="Mccully J" first="J" last="Mccully">J. Mccully</name>
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<author><name sortKey="Goldberg, W M" sort="Goldberg, W M" uniqKey="Goldberg W" first="W M" last="Goldberg">W M Goldberg</name>
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<author><name sortKey="Tanser, P H" sort="Tanser, P H" uniqKey="Tanser P" first="P H" last="Tanser">P H Tanser</name>
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<series><title level="j">Angiology</title>
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<term>Chest Pain (diagnosis)</term>
<term>Chest Pain (epidemiology)</term>
<term>Chest Pain (therapy)</term>
<term>Cognitive Therapy (statistics & numerical data)</term>
<term>Disability Evaluation</term>
<term>Humans</term>
<term>Mitral Valve Prolapse (complications)</term>
<term>Mitral Valve Prolapse (diagnosis)</term>
<term>Mitral Valve Prolapse (epidemiology)</term>
<term>Mitral Valve Prolapse (therapy)</term>
<term>Patient Care Team (statistics & numerical data)</term>
<term>Psychotherapy, Group (statistics & numerical data)</term>
<term>Self Care (statistics & numerical data)</term>
<term>Treatment Outcome</term>
<term>Waiting Lists</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Chest Pain</term>
<term>Mitral Valve Prolapse</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Chest Pain</term>
<term>Mitral Valve Prolapse</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chest Pain</term>
<term>Mitral Valve Prolapse</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Cognitive Therapy</term>
<term>Patient Care Team</term>
<term>Psychotherapy, Group</term>
<term>Self Care</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chest Pain</term>
<term>Mitral Valve Prolapse</term>
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<keywords scheme="MESH" xml:lang="en"><term>Analysis of Variance</term>
<term>Disability Evaluation</term>
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<term>Treatment Outcome</term>
<term>Waiting Lists</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 medical 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 treatment, self-monitoring attention control, or a wait-list control group. Results indicate 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. Correlation analysis indicated that functional improvements were not dependent on reductions 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>
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