{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T03:05:45Z","timestamp":1793070345522,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T00:00:00Z","timestamp":1692057600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Our understanding of the psychological impact of living with pulmonary hypertension (PH) is growing, particularly for how anxiety and depression present in this group. There is evidence for the use of psychological interventions in other chronic lung conditions; however, trials focusing on adults with PH have yet to be subject to a systematic review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We systematically searched four databases for evidence examining the effectiveness of psychological interventions for adults with PH. A narrative approach has been used to present findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 186 unique articles were identified of which four were suitable. Data was gathered from 143 individuals. Cognitive behavioural therapy (CBT), metacognitive therapy (MCT) or counselling were investigated. All three studies reported a significant reduction in anxiety and depression, and some secondary outcomes were also associated with change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The evidence supporting the use of psychological therapies for adults with PH is promising, although limited. There is an urgent need for more research in this area to better understand how we can support this clinical group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.13685","type":"journal-article","created":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T08:49:26Z","timestamp":1692089366000},"page":"966-972","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A systematic review of psychological interventions in adults with pulmonary hypertension: Is the evidence\u2010base disproportionate to the problem?"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4962-3551","authenticated-orcid":false,"given":"Gregg H.","family":"Rawlings","sequence":"first","affiliation":[{"name":"School of Social Sciences Nottingham Trent University  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9638-7032","authenticated-orcid":false,"given":"Barbora","family":"Novakova","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Service Sheffield IAPT, Sheffield Health and Social Care NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5898-3087","authenticated-orcid":false,"given":"Iain","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Sheffield Pulmonary Vascular Disease Unit Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6788-7222","authenticated-orcid":false,"given":"Andrew R.","family":"Thompson","sequence":"additional","affiliation":[{"name":"South Wales Clinical Psychology Training Programme Cardiff and Vale University Health Board and Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2028"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010062564"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp\u20102017\u2010000263"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.765461"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pul2.12174"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2018.04.002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pul2.12208"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.13226"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000145593.37594.39"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S147173"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970\u20102113.173072"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00526\u20102021"},{"issue":"4","key":"e_1_2_7_14_1","first-page":"533","article-title":"Psychological counselling interventions to improve perceived quality of life and counter anxiety and depression in pulmonary\u2010arterial\u2010hypertension patients: a clinical trial","volume":"5","author":"Tarantino E","year":"2020","journal-title":"J Health Soc Sci"},{"issue":"1","key":"e_1_2_7_15_1","first-page":"3","article-title":"Effects of an outpatient service rehabilitation programme in patients affected by pulmonary arterial hypertension: an observational study","volume":"17","author":"Bussotti M","year":"2016","journal-title":"Cardiovasc Haematol Dis\u2010Drug Targets"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.00143"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2045893217724750"},{"key":"e_1_2_7_18_1","unstructured":"The King's Fund and Centre for Mental Health.Long\u2010term conditions and mental health: The cost of co\u2010morbidities. 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