{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T16:31:40Z","timestamp":1793464300219,"version":"4.5.0"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T00:00:00Z","timestamp":1610409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To assess the effects of mindfulness\u2010based interventions for patients with coronary heart disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A systematic review with meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Eight mainstream databases, including Ovid MEDLINE, Embase, Ovid Emcare, PsycInfo, CINAHL complete, Web of Science, CENTRAL and PubMed, were searched from January 1979\u2013March 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods<\/jats:title>\n                    <jats:p>Randomized controlled trials that evaluated mindfulness\u2010based interventions on psychological outcomes, cardiovascular risk factors and quality of life in adults with coronary heart disease were considered. We conducted meta\u2010analyses using the random\u2010effects model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nine studies involving 644 participants were included. Compared with inactive controls (e.g. usual care), mindfulness\u2010based interventions significantly reduced depression (SMD \u22120.72, 95% CI \u22121.23 to \u22120.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.01) and stress (SMD \u22120.67, 95% CI \u22121.00 to \u22120.34,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.01), but not anxiety and blood pressure. There were no significant psychological effects compared with active controls (e.g. other psychological interventions). In one of three studies that assessed generic quality of life, mindfulness\u2010based interventions significantly improved psychological and social domains compared with active control. The intervention effects on other cardiovascular risk factors were inconclusive given that only one study assessed each outcome with non\u2010significant findings. Subgroup analyses suggest that intervention type and participants\u2019 depression and anxiety status may influence intervention effects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mindfulness\u2010based interventions may benefit patients with coronary heart disease in reducing depression and stress, but the effects on cardiovascular risk factors and quality of life are inconclusive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This review offers preliminary evidence for the potential of mindfulness\u2010based interventions as an effective complementary approach to addressing psychological distress among people with coronary heart disease. Given the limitations in current studies, further rigorously designed and well\u2010reported research is necessary to give robust evidence. Studies exploring the intervention effects on cardiovascular risk factors and quality of life are warranted to remedy the research and knowledge gap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14738","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T02:37:00Z","timestamp":1610678220000},"page":"2197-2213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["A systematic review and meta\u2010analysis of mindfulness\u2010based interventions for patients with coronary heart disease"],"prefix":"10.1111","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5656-5364","authenticated-orcid":false,"given":"Huijing","family":"Zou","sequence":"first","affiliation":[{"name":"Faculty of Medicine The Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Cao","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sek Ying","family":"Chair","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2014.02.012"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105314550350"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy163"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/8295054"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2019.03.022"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpv047"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-042716-051139"},{"key":"e_1_2_11_9_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 5.2.0","author":"Deeks J. 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