A Self-Help Metacognitive Therapy for Cardiac Rehabilitation Patients (PATHWAY WS3)

Launched by UNIVERSITY OF MANCHESTER · Jun 24, 2019

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Eligibility criteria

• Inclusion Criteria:
• 1. Patients who are referred to the CR pathway who meet Department of Health (DoH) and/or British Association for Cardiovascular Prevention and Rehabilitation (BACPR) CR eligibility criteria:
• • Acute coronary syndrome used for any condition brought on by sudden, reduced blood flow to the heart
• • Following revascularisation is the restoration of perfusion to a body part or organ that has suffered ischemia
• • Stable heart failure
• • Stable angina is chest pain or discomfort that most often occurs with activity or stress
• • Following implantation of cardioverter defibrillators/cardiac resynchronisation devices
• • Heart valve repair/replacement
• • Heart transplantation and ventricular assist devices
• • Adult congenital heart disease identified in adulthood
• • Other (atypical heart presentation: nausea, dizziness, lower chest discomfort, upper abdominal pressure or discomfort that feels like indigestion and upper back pain)
• • 2. A score of ≥ 8 on either the depression or anxiety subscale of the Hospital Anxiety and Depression Scale
• • 3. Minimum of 18 years old
• • 4. Competent level of English language skills
• Exclusion Criteria:
• • 1. Cognitive impairment which precludes informed consent or ability to participate
• • 2. Acute suicidality
• • 3. Active psychotic disorders (i.e., two \[or more\] of the following: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behaviour, negative symptoms).
• • 4. Current drug/alcohol abuse (A maladaptive pattern of drinking, leading to clinically significant impairment or distress)
• • 5. Concurrent psychological intervention for emotional distress that is not part of usual care
• • 6. Antidepressant or anxiolytic medications initiated in the previous 8 weeks
• • 7. Life expectancy of less than 12 months
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