Adherence
A group-based psychosocial stress reduction intervention significantly reduces all-cause mortality in women with coronary heart disease compared to usual care.
If you are a woman recovering from a heart event, ask your doctor about a structured, group-based stress management program. This is not just 'talking'; it involves specific cognitive and relaxation techniques. The evidence suggests that committing to about 20 sessions over a year can significantly lower your risk of dying from heart disease, independent of the medications you take.
From randomization until end of follow-up (mean duration, 7.1 years), 25 women (20%) in the usual care and 8 women (7%) in the stress reduction died, yielding an almost 3-fold protective effect of the intervention (odds ratio, 0.33; 95% CI, 0.15 to 0.74; P<0.007).
Why this rating
Randomized controlled trial with long-term follow-up (mean 7.1 years) and robust statistical adjustment, though the mechanism is not fully elucidated.
Source
Stress Reduction Prolongs Life in Women With Coronary Disease
Kristina Orth‐Gomér et al. · Circulation Cardiovascular Quality and Outcomes · 2009
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