Psychotherapy for Ischemic Heart Disease by Adriana Roncella & Christian Pristipino

Author:Adriana Roncella & Christian Pristipino
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

10.5 Conclusions

Despite our ambitions, the current work has several shortcomings, including those typical of both systematic and umbrella reviews [46–50]. In addition, since any meta-analysis or overview of reviews clearly reflects the quality and breadth of the primary research evaluated, this umbrella review and updated meta-analysis cannot redress the limitations of the original trials included, some of which were at risk of significant bias (e.g., those allocating patients according to an alternate assignment scheme).

Nonetheless, though psychotherapy and ancillary psychological interventions might improve the prognosis of patients with ischemic heart disease, several unsettled issues remain, particularly the real impact of psychotherapy and psychological interventions in the current era of modern, multifaceted cardiovascular care. Further large trials are therefore still needed to definitely gauge the risk-benefit profile of this type of intervention in the setting of ischemic heart disease.

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