Details
| Original language | English |
|---|---|
| Article number | 1138475 |
| Journal | Frontiers in psychiatry |
| Volume | 14 |
| Publication status | Published - 28 Sept 2023 |
Abstract
Background: Many patients with cardiovascular disease also show a high comorbidity of mental disorders, especially such as anxiety and depression. This is, in turn, associated with a decrease in the quality of life. Psychocardiological treatment options are currently limited. Hence, there is a need for novel and accessible psychological help. Recently, we demonstrated that a brief face-to-face metacognitive therapy (MCT) based intervention is promising in treating anxiety and depression. Here, we aim to translate the face-to-face approach into digital application and explore the feasibility of this approach. Methods: We translated a validated brief psychocardiological intervention into a novel non-blended web app. The data of 18 patients suffering from various cardiac conditions but without diagnosed mental illness were analyzed after using the web app over a two-week period in a feasibility trial. The aim was whether a non-blended web app based MCT approach is feasible in the group of cardiovascular patients with cardiovascular disease. Results: Overall, patients were able to use the web app and rated it as satisfactory and beneficial. In addition, there was first indication that using the app improved the cardiac patients’ subjectively perceived health and reduced their anxiety. Therefore, the approach seems feasible for a future randomized controlled trial. Conclusion: Applying a metacognitive-based brief intervention via a non-blended web app seems to show good acceptance and feasibility in a small target group of patients with CVD. Future studies should further develop, improve and validate digital psychotherapy approaches, especially in patient groups with a lack of access to standard psychotherapeutic care.
Keywords
- anxiety, cardiovascular disease, depression, digital intervention, e-health, mental health, metacognitive therapy, psychocardiology
ASJC Scopus subject areas
- Medicine(all)
- Psychiatry and Mental health
Sustainable Development Goals
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In: Frontiers in psychiatry, Vol. 14, 1138475, 28.09.2023.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Improving mental well-being in psychocardiology
T2 - a feasibility trial for a non-blended web application as a brief metacognitive-based intervention in cardiovascular disease patients
AU - Larionov, Katharina
AU - Petrova, Ekaterina
AU - Demirbuga, Nurefsan
AU - Werth, Oliver
AU - Breitner, Michael H.
AU - Gebhardt, Philippa
AU - Caldarone, Flora
AU - Duncker, David
AU - Westhoff-Bleck, Mechthild
AU - Sensenhauser, Anja
AU - Maxrath, Nadine
AU - Marschollek, Michael
AU - Kahl, Kai G.
AU - Heitland, Ivo
N1 - Funding Information: We acknowledge support by the German Research Foundation (DFG) and the Open Access Publication Fund of Hannover Medical School (MHH). Funding Information: This study was supported by Else Kröner-Fresenius-Stiftung (Promotionsprogramm DigiStrucMed 2020_EKPK.20).
PY - 2023/9/28
Y1 - 2023/9/28
N2 - Background: Many patients with cardiovascular disease also show a high comorbidity of mental disorders, especially such as anxiety and depression. This is, in turn, associated with a decrease in the quality of life. Psychocardiological treatment options are currently limited. Hence, there is a need for novel and accessible psychological help. Recently, we demonstrated that a brief face-to-face metacognitive therapy (MCT) based intervention is promising in treating anxiety and depression. Here, we aim to translate the face-to-face approach into digital application and explore the feasibility of this approach. Methods: We translated a validated brief psychocardiological intervention into a novel non-blended web app. The data of 18 patients suffering from various cardiac conditions but without diagnosed mental illness were analyzed after using the web app over a two-week period in a feasibility trial. The aim was whether a non-blended web app based MCT approach is feasible in the group of cardiovascular patients with cardiovascular disease. Results: Overall, patients were able to use the web app and rated it as satisfactory and beneficial. In addition, there was first indication that using the app improved the cardiac patients’ subjectively perceived health and reduced their anxiety. Therefore, the approach seems feasible for a future randomized controlled trial. Conclusion: Applying a metacognitive-based brief intervention via a non-blended web app seems to show good acceptance and feasibility in a small target group of patients with CVD. Future studies should further develop, improve and validate digital psychotherapy approaches, especially in patient groups with a lack of access to standard psychotherapeutic care.
AB - Background: Many patients with cardiovascular disease also show a high comorbidity of mental disorders, especially such as anxiety and depression. This is, in turn, associated with a decrease in the quality of life. Psychocardiological treatment options are currently limited. Hence, there is a need for novel and accessible psychological help. Recently, we demonstrated that a brief face-to-face metacognitive therapy (MCT) based intervention is promising in treating anxiety and depression. Here, we aim to translate the face-to-face approach into digital application and explore the feasibility of this approach. Methods: We translated a validated brief psychocardiological intervention into a novel non-blended web app. The data of 18 patients suffering from various cardiac conditions but without diagnosed mental illness were analyzed after using the web app over a two-week period in a feasibility trial. The aim was whether a non-blended web app based MCT approach is feasible in the group of cardiovascular patients with cardiovascular disease. Results: Overall, patients were able to use the web app and rated it as satisfactory and beneficial. In addition, there was first indication that using the app improved the cardiac patients’ subjectively perceived health and reduced their anxiety. Therefore, the approach seems feasible for a future randomized controlled trial. Conclusion: Applying a metacognitive-based brief intervention via a non-blended web app seems to show good acceptance and feasibility in a small target group of patients with CVD. Future studies should further develop, improve and validate digital psychotherapy approaches, especially in patient groups with a lack of access to standard psychotherapeutic care.
KW - anxiety
KW - cardiovascular disease
KW - depression
KW - digital intervention
KW - e-health
KW - mental health
KW - metacognitive therapy
KW - psychocardiology
UR - http://www.scopus.com/inward/record.url?scp=85173636072&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2023.1138475
DO - 10.3389/fpsyt.2023.1138475
M3 - Article
AN - SCOPUS:85173636072
VL - 14
JO - Frontiers in psychiatry
JF - Frontiers in psychiatry
SN - 1664-0640
M1 - 1138475
ER -