heart attack myocardinfarct
Conditions
Interventions
The applied intervention is a mindfulness training based on MBSR, developed by
dr. J. Kabatt-Zinn at the University of Massachusetts19,8. The adjusted program
offered in this study is less intensive
Sponsors
Catharina-ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Documented cardiovascular disease Age: 18-85 years Participation in the cardiac rehabilitation program
Exclusion criteria
Exclusion criteria: Severe somatic co-morbidity Psychiatric co-morbidity insufficient command of the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Demographic and clinical characteristics Age, sex, marital status, level of education and employment will be determined by questionnaire. Biomedical variables will be obtained form the medical records, including medications, diagnose and co-morbidity. Psychological well-being Psychological well-being will be assessed by using the following five constructs: symptoms of depression and anxiety, perceived stress, quality of life and self-worth. Symptoms of depression and anxiety will be assessed using two self-report questionnaires: the Hospital Anxiety Depression Scales (HADS) and the Patient Health Questionnaire (PHQ-9). The HADS is a 14-item self-report screening measure originally developed to evaluate the presence of anxiety and depressive states in a medical setting20. It consists of two 7-item scales: anxiety and depression. Evidence for a two-factor solution is found, although anxiety and depression subscales were strongly correlated. Internal consistency of the two subscales has been shown to be satisfactory to good (range .71 to .90) and test-retest stability for anxiety, depression and total scale scores proved to be very high (.89, .86 and .91 respectively). The PHQ is a self-report questionnaire used to make criteria-based diagnoses of depressive and other mental disorders commonly used in primary care21. The PHQ-9 is the depression module, which inquires all nine DSM-IV criteria on a 4-point scale, ranging from 0 (not at all) to 3 (nearly every day). Major depression is diagnosed if 5 or more of the 9 depressive symptom criteria have been present more than half the days in the past 2 weeks, and at least depressed mood or anhedonia is reported. Next to establishing depressive disorder diagnoses, the PHQ-9 can also establish grade depressive symptom severity. Both internal reliability (Cronbach*s a = .89) and test-retest reliability (.84) have been shown to be excellent. Criterion, construct and external validity have been shown to | — |
Countries
Netherlands
Outcome results
None listed