Cardiovascular Health in Anxiety or Mood Problems Study (CHAMPS): study protocol for a randomized controlled trial.
Identifieur interne : 000F53 ( Main/Exploration ); précédent : 000F52; suivant : 000F54Cardiovascular Health in Anxiety or Mood Problems Study (CHAMPS): study protocol for a randomized controlled trial.
Auteurs : Phillip J. Tully [Allemagne, France, Australie] ; Deborah A. Turnbull [Australie] ; John D. Horowitz [Australie] ; John F. Beltrame [Australie] ; Terina Selkow [Australie] ; Bernhard T. Baune [Australie] ; Elizabeth Markwick [Australie] ; Shannon Sauer-Zavala [États-Unis] ; Harald Baumeister [Allemagne] ; Suzanne Cosh [Australie] ; Gary A. Wittert [Australie]Source :
- Trials [ 1745-6215 ] ; 2016.
Descripteurs français
- KwdFr :
- Humains (MeSH), Interprétation statistique de données (MeSH), Maladies cardiovasculaires (psychologie), Norme de soins (MeSH), Plan de recherche (MeSH), Protocoles cliniques (MeSH), Trouble dépressif (thérapie), Troubles anxieux (thérapie), Émotions (MeSH), Études de faisabilité (MeSH), Études prospectives (MeSH).
- MESH :
English descriptors
- KwdEn :
- Anxiety Disorders (therapy), Cardiovascular Diseases (psychology), Clinical Protocols (MeSH), Data Interpretation, Statistical (MeSH), Depressive Disorder (therapy), Emotions (MeSH), Feasibility Studies (MeSH), Humans (MeSH), Prospective Studies (MeSH), Research Design (MeSH), Standard of Care (MeSH).
- MESH :
Abstract
BACKGROUND
Previous psychological and pharmacological interventions have primarily focused on depression disorders in populations with cardiovascular diseases (CVDs) and the efficacy of anxiety disorder interventions is only more recently being explored. Transdiagnostic interventions address common emotional processes and the full range of anxiety and depression disorders often observed in populations with CVDs. The aim of CHAMPS is to evaluate the feasibility of a unified protocol (UP) for the transdiagnostic treatment of emotional disorders intervention in patients recently hospitalized for CVDs. The current study reports the protocol of a feasibility randomized controlled trial to inform a future trial.
METHODS/DESIGN
This is a feasibility randomized, controlled trial with a single-center design. A total of 50 participants will be block-randomized to either a UP intervention or enhanced usual care. Both groups will receive standard CVD care. The UP intervention consists of 1) enhancing motivation, readiness for change, and treatment engagement; (2) psychoeducation about emotions; (3) increasing present focused emotion awareness; (4) increasing cognitive flexibility; (5) identifying and preventing patterns of emotion avoidance and maladaptive emotion-driven behaviors (EDBs, including tobacco smoking, and alcohol use); (6) increasing tolerance of emotion-related physical sensations; (7) interoceptive and situation-based emotion-focused exposure; and (8) relapse prevention strategies. Treatment duration is 12 to 18 weeks. Relevant outcomes include the standard deviation of self-rated anxiety, depression and quality of life symptoms. Other outcomes include intervention acceptability, satisfaction with care, rates of EDBs, patient adherence, physical activity, cardiac and psychiatric readmissions. Parallel to the main trial, a nonrandomized comparator cohort will be recruited comprising 150 persons scoring below the predetermined depression and anxiety severity thresholds.
DISCUSSION
CHAMPS is designed to evaluate the UP for the transdiagnostic treatment of emotional disorders targeting emotional disorder processes in a CVD population. The design will provide preliminary evidence of feasibility, attrition, and satisfaction with treatment to design a definitive trial. If the trial is feasible, it opens up the possibility for interventions to target broader emotional processes in the precarious population with CVD and emotional distress.
TRIAL REGISTRATION
ACTRN12615000555550 , registered on 29/05/2015.
DOI: 10.1186/s13063-015-1109-z
PubMed: 26754447
PubMed Central: PMC4707770
Affiliations:
- Allemagne, Australie, France, États-Unis
- Aquitaine, Bade-Wurtemberg, District de Fribourg-en-Brisgau, Massachusetts, Nouvelle-Aquitaine
- Bordeaux, Boston, Fribourg-en-Brisgau
Links toward previous steps (curation, corpus...)
Le document en format XML
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Tully</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085, Germany. phillip.tully@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>INSERM, U897-Epidemiology and Biostatistics, Bordeaux, France. phillip.tully@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, U897-Epidemiology and Biostatistics, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. phillip.tully@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Turnbull, Deborah A" sort="Turnbull, Deborah A" uniqKey="Turnbull D" first="Deborah A" last="Turnbull">Deborah A. 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Tully</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085, Germany. phillip.tully@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>INSERM, U897-Epidemiology and Biostatistics, Bordeaux, France. phillip.tully@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, U897-Epidemiology and Biostatistics, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. phillip.tully@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Turnbull, Deborah A" sort="Turnbull, Deborah A" uniqKey="Turnbull D" first="Deborah A" last="Turnbull">Deborah A. Turnbull</name><affiliation wicri:level="1"><nlm:affiliation>School of Psychology, The University of Adelaide, Adelaide, Australia. deborah.turnbull@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. deborah.turnbull@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Horowitz, John D" sort="Horowitz, John D" uniqKey="Horowitz J" first="John D" last="Horowitz">John D. Horowitz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. john.horowitz@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Beltrame, John F" sort="Beltrame, John F" uniqKey="Beltrame J" first="John F" last="Beltrame">John F. Beltrame</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. john.beltrame@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Selkow, Terina" sort="Selkow, Terina" uniqKey="Selkow T" first="Terina" last="Selkow">Terina Selkow</name><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. Terina.Selkow@health.sa.gov.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Baune, Bernhard T" sort="Baune, Bernhard T" uniqKey="Baune B" first="Bernhard T" last="Baune">Bernhard T. Baune</name><affiliation wicri:level="1"><nlm:affiliation>Discipline of Psychiatry, The University of Adelaide, Adelaide, Australia. bernhard.baune@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Discipline of Psychiatry, The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Markwick, Elizabeth" sort="Markwick, Elizabeth" uniqKey="Markwick E" first="Elizabeth" last="Markwick">Elizabeth Markwick</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, The Queen Elizabeth Hospital, Woodville West, Australia. Elizabeth.Markwick@health.sa.gov.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Psychiatry, The Queen Elizabeth Hospital, Woodville West</wicri:regionArea><wicri:noRegion>Woodville West</wicri:noRegion></affiliation></author><author><name sortKey="Sauer Zavala, Shannon" sort="Sauer Zavala, Shannon" uniqKey="Sauer Zavala S" first="Shannon" last="Sauer-Zavala">Shannon Sauer-Zavala</name><affiliation wicri:level="3"><nlm:affiliation>Center for Anxiety & Related Disorders, Department of Psychology, Boston University, Boston, USA. shannonezavala@gmail.com.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Anxiety & Related Disorders, Department of Psychology, Boston University, Boston</wicri:regionArea><placeName><settlement type="city">Boston</settlement><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Baumeister, Harald" sort="Baumeister, Harald" uniqKey="Baumeister H" first="Harald" last="Baumeister">Harald Baumeister</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085, Germany. harald.baumeister@psychologie.uni-freiburg.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Cosh, Suzanne" sort="Cosh, Suzanne" uniqKey="Cosh S" first="Suzanne" last="Cosh">Suzanne Cosh</name><affiliation wicri:level="1"><nlm:affiliation>School of Psychology, The University of Adelaide, Adelaide, Australia. Suzie.cosh@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Wittert, Gary A" sort="Wittert, Gary A" uniqKey="Wittert G" first="Gary A" last="Wittert">Gary A. Wittert</name><affiliation wicri:level="1"><nlm:affiliation>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. gary.wittert@adelaide.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author></analytic><series><title level="j">Trials</title><idno type="eISSN">1745-6215</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anxiety Disorders (therapy)</term><term>Cardiovascular Diseases (psychology)</term><term>Clinical Protocols (MeSH)</term><term>Data Interpretation, Statistical (MeSH)</term><term>Depressive Disorder (therapy)</term><term>Emotions (MeSH)</term><term>Feasibility Studies (MeSH)</term><term>Humans (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Research Design (MeSH)</term><term>Standard of Care (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains (MeSH)</term><term>Interprétation statistique de données (MeSH)</term><term>Maladies cardiovasculaires (psychologie)</term><term>Norme de soins (MeSH)</term><term>Plan de recherche (MeSH)</term><term>Protocoles cliniques (MeSH)</term><term>Trouble dépressif (thérapie)</term><term>Troubles anxieux (thérapie)</term><term>Émotions (MeSH)</term><term>Études de faisabilité (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladies cardiovasculaires</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cardiovascular Diseases</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety Disorders</term><term>Depressive Disorder</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Trouble dépressif</term><term>Troubles anxieux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Clinical Protocols</term><term>Data Interpretation, Statistical</term><term>Emotions</term><term>Feasibility Studies</term><term>Humans</term><term>Prospective Studies</term><term>Research Design</term><term>Standard of Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Interprétation statistique de données</term><term>Norme de soins</term><term>Plan de recherche</term><term>Protocoles cliniques</term><term>Émotions</term><term>Études de faisabilité</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Previous psychological and pharmacological interventions have primarily focused on depression disorders in populations with cardiovascular diseases (CVDs) and the efficacy of anxiety disorder interventions is only more recently being explored. Transdiagnostic interventions address common emotional processes and the full range of anxiety and depression disorders often observed in populations with CVDs. The aim of CHAMPS is to evaluate the feasibility of a unified protocol (UP) for the transdiagnostic treatment of emotional disorders intervention in patients recently hospitalized for CVDs. The current study reports the protocol of a feasibility randomized controlled trial to inform a future trial.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS/DESIGN</b></p><p>This is a feasibility randomized, controlled trial with a single-center design. A total of 50 participants will be block-randomized to either a UP intervention or enhanced usual care. Both groups will receive standard CVD care. The UP intervention consists of 1) enhancing motivation, readiness for change, and treatment engagement; (2) psychoeducation about emotions; (3) increasing present focused emotion awareness; (4) increasing cognitive flexibility; (5) identifying and preventing patterns of emotion avoidance and maladaptive emotion-driven behaviors (EDBs, including tobacco smoking, and alcohol use); (6) increasing tolerance of emotion-related physical sensations; (7) interoceptive and situation-based emotion-focused exposure; and (8) relapse prevention strategies. Treatment duration is 12 to 18 weeks. Relevant outcomes include the standard deviation of self-rated anxiety, depression and quality of life symptoms. Other outcomes include intervention acceptability, satisfaction with care, rates of EDBs, patient adherence, physical activity, cardiac and psychiatric readmissions. Parallel to the main trial, a nonrandomized comparator cohort will be recruited comprising 150 persons scoring below the predetermined depression and anxiety severity thresholds.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>CHAMPS is designed to evaluate the UP for the transdiagnostic treatment of emotional disorders targeting emotional disorder processes in a CVD population. The design will provide preliminary evidence of feasibility, attrition, and satisfaction with treatment to design a definitive trial. If the trial is feasible, it opens up the possibility for interventions to target broader emotional processes in the precarious population with CVD and emotional distress.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION</b></p><p>ACTRN12615000555550 , registered on 29/05/2015.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26754447</PMID><DateCompleted><Year>2016</Year><Month>12</Month><Day>13</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1745-6215</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><PubDate><Year>2016</Year><Month>Jan</Month><Day>11</Day></PubDate></JournalIssue><Title>Trials</Title><ISOAbbreviation>Trials</ISOAbbreviation></Journal><ArticleTitle>Cardiovascular Health in Anxiety or Mood Problems Study (CHAMPS): study protocol for a randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>18</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13063-015-1109-z</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Previous psychological and pharmacological interventions have primarily focused on depression disorders in populations with cardiovascular diseases (CVDs) and the efficacy of anxiety disorder interventions is only more recently being explored. Transdiagnostic interventions address common emotional processes and the full range of anxiety and depression disorders often observed in populations with CVDs. The aim of CHAMPS is to evaluate the feasibility of a unified protocol (UP) for the transdiagnostic treatment of emotional disorders intervention in patients recently hospitalized for CVDs. The current study reports the protocol of a feasibility randomized controlled trial to inform a future trial.</AbstractText><AbstractText Label="METHODS/DESIGN" NlmCategory="METHODS">This is a feasibility randomized, controlled trial with a single-center design. A total of 50 participants will be block-randomized to either a UP intervention or enhanced usual care. Both groups will receive standard CVD care. The UP intervention consists of 1) enhancing motivation, readiness for change, and treatment engagement; (2) psychoeducation about emotions; (3) increasing present focused emotion awareness; (4) increasing cognitive flexibility; (5) identifying and preventing patterns of emotion avoidance and maladaptive emotion-driven behaviors (EDBs, including tobacco smoking, and alcohol use); (6) increasing tolerance of emotion-related physical sensations; (7) interoceptive and situation-based emotion-focused exposure; and (8) relapse prevention strategies. Treatment duration is 12 to 18 weeks. Relevant outcomes include the standard deviation of self-rated anxiety, depression and quality of life symptoms. Other outcomes include intervention acceptability, satisfaction with care, rates of EDBs, patient adherence, physical activity, cardiac and psychiatric readmissions. Parallel to the main trial, a nonrandomized comparator cohort will be recruited comprising 150 persons scoring below the predetermined depression and anxiety severity thresholds.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">CHAMPS is designed to evaluate the UP for the transdiagnostic treatment of emotional disorders targeting emotional disorder processes in a CVD population. The design will provide preliminary evidence of feasibility, attrition, and satisfaction with treatment to design a definitive trial. If the trial is feasible, it opens up the possibility for interventions to target broader emotional processes in the precarious population with CVD and emotional distress.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">ACTRN12615000555550 , registered on 29/05/2015.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tully</LastName><ForeName>Phillip J</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085, Germany. phillip.tully@adelaide.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>INSERM, U897-Epidemiology and Biostatistics, Bordeaux, France. phillip.tully@adelaide.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. phillip.tully@adelaide.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Turnbull</LastName><ForeName>Deborah A</ForeName><Initials>DA</Initials><AffiliationInfo><Affiliation>School of Psychology, The University of Adelaide, Adelaide, Australia. deborah.turnbull@adelaide.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. deborah.turnbull@adelaide.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Horowitz</LastName><ForeName>John D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. john.horowitz@adelaide.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beltrame</LastName><ForeName>John F</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. john.beltrame@adelaide.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Selkow</LastName><ForeName>Terina</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Basil Hetzel Institute, The Queen Elizabeth Hospital and The University of Adelaide, Adelaide, Australia. Terina.Selkow@health.sa.gov.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baune</LastName><ForeName>Bernhard T</ForeName><Initials>BT</Initials><AffiliationInfo><Affiliation>Discipline of Psychiatry, The University of Adelaide, Adelaide, Australia. bernhard.baune@adelaide.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Markwick</LastName><ForeName>Elizabeth</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, The Queen Elizabeth Hospital, Woodville West, Australia. Elizabeth.Markwick@health.sa.gov.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sauer-Zavala</LastName><ForeName>Shannon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Center for Anxiety & Related Disorders, Department of Psychology, Boston University, Boston, USA. shannonezavala@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baumeister</LastName><ForeName>Harald</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, Freiburg, 79085, Germany. harald.baumeister@psychologie.uni-freiburg.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cosh</LastName><ForeName>Suzanne</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>School of Psychology, The University of Adelaide, Adelaide, Australia. Suzie.cosh@adelaide.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wittert</LastName><ForeName>Gary A</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Freemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Medicine, The University of Adelaide, Adelaide, Australia. gary.wittert@adelaide.edu.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ANZCTR</DataBankName><AccessionNumberList><AccessionNumber>ACTRN12615000555550</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>01</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trials</MedlineTA><NlmUniqueID>101263253</NlmUniqueID><ISSNLinking>1745-6215</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001008" MajorTopicYN="N">Anxiety Disorders</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002318" MajorTopicYN="N">Cardiovascular Diseases</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002985" MajorTopicYN="Y">Clinical Protocols</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003627" MajorTopicYN="N">Data Interpretation, Statistical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003866" MajorTopicYN="N">Depressive 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