Interdisciplinary treatment of morbidity in benign chest pain.
Identifieur interne : 001A65 ( PubMed/Curation ); précédent : 001A64; suivant : 001A66Interdisciplinary 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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Mccully</name></author><author><name sortKey="Goldberg, W M" sort="Goldberg, W M" uniqKey="Goldberg W" first="W M" last="Goldberg">W M Goldberg</name></author><author><name sortKey="Tanser, P H" sort="Tanser, P H" uniqKey="Tanser P" first="P H" last="Tanser">P H Tanser</name></author><author><name sortKey="Parkinson, W" sort="Parkinson, W" uniqKey="Parkinson W" first="W" last="Parkinson">W. 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Cott</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, McMaster University, Hamilton, Ontario</wicri:regionArea></affiliation></author><author><name sortKey="Mccully, J" sort="Mccully, J" uniqKey="Mccully J" first="J" last="Mccully">J. Mccully</name></author><author><name sortKey="Goldberg, W M" sort="Goldberg, W M" uniqKey="Goldberg W" first="W M" last="Goldberg">W M Goldberg</name></author><author><name sortKey="Tanser, P H" sort="Tanser, P H" uniqKey="Tanser P" first="P H" last="Tanser">P H Tanser</name></author><author><name sortKey="Parkinson, W" sort="Parkinson, W" uniqKey="Parkinson W" first="W" last="Parkinson">W. Parkinson</name></author></analytic><series><title level="j">Angiology</title><idno type="ISSN">0003-3197</idno><imprint><date when="1992" type="published">1992</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Analysis of Variance</term><term>Chest Pain (complications)</term><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></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Chest Pain</term><term>Mitral Valve Prolapse</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Chest Pain</term><term>Mitral Valve Prolapse</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chest Pain</term><term>Mitral Valve Prolapse</term></keywords><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></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chest Pain</term><term>Mitral Valve Prolapse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Analysis of Variance</term><term>Disability Evaluation</term><term>Humans</term><term>Treatment Outcome</term><term>Waiting Lists</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1575367</PMID><DateCreated><Year>1992</Year><Month>06</Month><Day>03</Day></DateCreated><DateCompleted><Year>1992</Year><Month>06</Month><Day>03</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-3197</ISSN><JournalIssue CitedMedium="Print"><Volume>43</Volume><Issue>3 Pt 1</Issue><PubDate><Year>1992</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Angiology</Title><ISOAbbreviation>Angiology</ISOAbbreviation></Journal><ArticleTitle>Interdisciplinary treatment of morbidity in benign chest pain.</ArticleTitle><Pagination><MedlinePgn>195-202</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cott</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Medicine, McMaster University, Hamilton, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McCully</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Goldberg</LastName><ForeName>W M</ForeName><Initials>WM</Initials></Author><Author ValidYN="Y"><LastName>Tanser</LastName><ForeName>P H</ForeName><Initials>PH</Initials></Author><Author ValidYN="Y"><LastName>Parkinson</LastName><ForeName>W</ForeName><Initials>W</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Angiology</MedlineTA><NlmUniqueID>0203706</NlmUniqueID><ISSNLinking>0003-3197</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002637" MajorTopicYN="N">Chest Pain</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015928" MajorTopicYN="N">Cognitive Therapy</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004185" MajorTopicYN="N">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008945" MajorTopicYN="N">Mitral Valve Prolapse</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010348" MajorTopicYN="Y">Patient Care Team</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011615" MajorTopicYN="N">Psychotherapy, Group</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014850" MajorTopicYN="N">Waiting Lists</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1992</Year><Month>3</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1992</Year><Month>3</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1992</Year><Month>3</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1575367</ArticleId><ArticleId IdType="doi">10.1177/000331979204300304</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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