{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T23:01:35Z","timestamp":1773788495862,"version":"3.50.1"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The relationship between psychological factors and cardiovascular disease (CVD) has been extensively studied, with a focus on predictive factors and patients\u2019 responses in the acute and chronic phases. However, less is known about the impact of specific psychological treatments on the psychological status of patients in cardiovascular rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study compares anxiety, depression and illness perception in patients with different CVD at three-time points: baseline (T0), end of the rehabilitation program (T1), and 3 months later (T2). One hundred and eighty-one patients in cardiovascular rehabilitation participated at three psychological treatments: psychoeducational intervention group, progressive muscle relaxation training with Jacobson\u2019s technique and imaginative stabilization techniques, and individual counseling. The study included patients with Acute Coronary Syndrome (ACS), heart failure (HF), or undergoing cardiac surgery (CS), undergoing cardiovascular rehabilitation at ASST Bergamo Est between January and August 2023. Levels of anxiety, depression, and illness perception were measured by HADS and Brief-IPQ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant differences were observed between T0, T1, and T2 in the three psychological treatments, with individual counseling showing the greatest improvements in anxiety, depression, and illness perception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The study shows that individual counseling significantly reduces the levels of depression and anxiety, while promoting a healthier perception of the disease in comparison with the other two psychological treatments offered. This process is critical to improving the psychological well-being of patients, and these results could be useful to better address health care policies.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1592591","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T05:50:47Z","timestamp":1749793847000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["How to improve the well-being of patients in cardiac rehabilitation? 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J. Prev. Cardiol."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.annepidem.2012.06.103","article-title":"Understanding the role of depression and anxiety on cardiovascular disease risk, using structural equation modeling; the mediating effect of the Mediterranean diet and physical activity: the ATTICA study","volume":"22","author":"Antonogeorgos","year":"2012","journal-title":"Ann. Epidemiol."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1016\/j.jacc.2012.04.040","article-title":"Exercise and pharmacological treatment of depressive symptoms in patients with coronary heart disease","volume":"60","author":"Blumenthal","year":"2012","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1714\/4191.41785","article-title":"Linee guida ESC 2023 per il trattamento delle sindromi coronariche acute","volume":"25","author":"Byrne","year":"2024","journal-title":"G. Ital. Cardiol."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"102348","DOI":"10.1016\/j.cpcardiol.2023.102348","article-title":"Cardiac rehabilitation and acute aortic dissection: understanding and addressing the evidence GAP a systematic review","volume":"49","author":"Carbone","year":"2024","journal-title":"Curr. Probl. Cardiol."},{"key":"ref6","first-page":"124S","article-title":"Therapeutic non-adherence: the hidden risk factor","volume":"11","author":"Colivicchi","year":"2010","journal-title":"G. Ital. Cardiol. (2006)"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"zwaf283","DOI":"10.1093\/eurjpc\/zwaf283","article-title":"Self-selected cardiac rehabilitation trajectories: increasing patient empowerment","volume":"7","author":"Coninx","year":"2025","journal-title":"Eur. J. Prev. 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Hear. J."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e21","DOI":"10.1016\/j.jacc.2021.09.006","article-title":"2021 ACC\/AHA\/SCAI guideline for coronary artery revascularization","volume":"79","author":"Lawton","year":"2022","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"3599","DOI":"10.1093\/eurheartj\/ehab368","article-title":"2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: developed by the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) with the special contribution of the heart failure association (HFA) of the ESC","volume":"42","author":"McDonagh","year":"2021","journal-title":"Eur. Heart J."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1016\/j.tcm.2017.02.005","article-title":"The role of cardiac rehabilitation in patients with heart disease","volume":"27","author":"McMahon","year":"2017","journal-title":"Trends Cardiovasc. Med."},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-47738-1","volume-title":"Cardiac rehabilitation manual","author":"Niebauer","year":"2017"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1400\/91143","article-title":"Development of Italian version of brief-IPQ, a method for assessing the illness representations (article in Italian). Sviluppo della versione italiana del brief-IPQ, strumento psicometrico per lo studio delle rappresentazioni di malattia","volume":"2006","author":"Pain","year":"2006","journal-title":"Psicologia della Salute"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/HJR.0b013e3283313592","article-title":"Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the cardiac rehabilitation section of the European Association of Cardiovascular Prevention and Rehabilitation","volume":"17","author":"Piepoli","year":"2010","journal-title":"Eur. J. Cardiovasc. Prev. Rehabil."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"2315","DOI":"10.1093\/eurheartj\/ehw106","article-title":"2016 European guidelines on cardiovascular disease prevention in clinical practice","volume":"37","author":"Piepoli","year":"2016","journal-title":"Eur. Heart J."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"CD013508","DOI":"10.1002\/14651858.CD013508.pub3","article-title":"Psychological interventions for depression and anxiety in patients with coronary heart disease, heart failure or atrial fibrillation","volume":"4","author":"Ski","year":"2024","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/1477-7525-1-29","article-title":"The hospital anxiety and depression scale","volume":"1","author":"Snaith","year":"2003","journal-title":"Health Qual. Life Outcomes"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.jpsychores.2014.10.001","article-title":"The anxious heart in whose mind? A systematic review and meta-regression of factors associated with anxiety disorder diagnosis, treatment and morbidity risk in coronary heart disease","volume":"77","author":"Tully","year":"2014","journal-title":"J. Psychosom. 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