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We aim to evaluate anxiety and depression symptoms and quality of life in MI sufferers followed in a CRP without dedicated MH resources. We prospectively included 164 MI patients in our CRP without dedicated MH resources. Patient Health Questionnaire 2-item (PHQ-2) and Generalized Anxiety Disorder 2-item (GAD-2) questionnaires for depression and anxiety screening (altered if \u22653 points) and the 36-Item Short Form Survey Instrument (SF-36) to analyze four MH components and Mental Component Summary (MCS) were assessed at the beginning and after CRP. The mean age was 61.35 \u00b1 10.76 years, and most patients were male (86.6%). A significant improvement in SF-36 mental components (from +5.94 \u00b1 27.98 to +8.31 \u00b1 25 points, p &lt; 0.001) and SF-36-MCS (+1.85 \u00b1 10.23 points, p = 0.02) was noted, as well as a reduction in depression and anxiety symptoms in PHQ-2 and GAD-2 (p &lt; 0.001). However, 33 (20.1%) patients showed a positive screening for depression and\/or anxiety at the end of the program. These patients were younger (56.6 \u00b1 8.05 vs. 62.55 \u00b1 11.05 years, p = 0.004) and showed significantly worse initial scores of SF-36 mental components, PHQ-2, and GAD-2 (p &lt; 0.001). We conclude that a Phase 2 CRP without dedicated MH resources can achieve significant improvements in MH well-being after MI. However, one-fifth of the population had substantial depression and\/or anxiety symptoms at the end of the program. This subset, characterized by worse initial MH scores, may benefit from specific MH interventions during CRP.<\/jats:p>","DOI":"10.3390\/jcdd12030092","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T09:01:33Z","timestamp":1741078893000},"page":"92","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4751-5859","authenticated-orcid":false,"given":"Carlos","family":"Bertol\u00edn-Boronat","sequence":"first","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"},{"name":"INCLIVA Health Research Institute, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5565-5547","authenticated-orcid":false,"given":"V\u00edctor","family":"Marcos-Garc\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"},{"name":"INCLIVA Health Research Institute, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1734-0381","authenticated-orcid":false,"given":"H\u00e9ctor","family":"Merenciano-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"},{"name":"INCLIVA Health Research Institute, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Luz","family":"Mart\u00ednez Mas","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josefa In\u00e9s","family":"Climent Alberola","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3527-0337","authenticated-orcid":false,"given":"Nerea","family":"Perez","sequence":"additional","affiliation":[{"name":"INCLIVA Health Research Institute, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4024-0418","authenticated-orcid":false,"given":"Laura","family":"L\u00f3pez-Bueno","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Concepci\u00f3n","family":"Esteban Argente","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Valls Reig","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Ariz\u00f3n Benito","sequence":"additional","affiliation":[{"name":"Occupational Risk Prevention Service, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8009-809X","authenticated-orcid":false,"given":"Alfonso","family":"Pay\u00e1 Rubio","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6405-6279","authenticated-orcid":false,"given":"C\u00e9sar","family":"R\u00edos-Navarro","sequence":"additional","affiliation":[{"name":"INCLIVA Health Research Institute, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"de Dios","sequence":"additional","affiliation":[{"name":"Network Biomedical Research Center for Cardiovascular Diseases (CIBER-CV), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3483-7066","authenticated-orcid":false,"given":"Jose","family":"Gavara","sequence":"additional","affiliation":[{"name":"Centre for Biomaterials and Tissue Engineering, Universitat Polit\u00e8nica de Val\u00e8ncia, 46022 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel F.","family":"Jim\u00e9nez-Navarro","sequence":"additional","affiliation":[{"name":"Network Biomedical Research Center for Cardiovascular Diseases (CIBER-CV), 28029 Madrid, Spain"},{"name":"Servicio de Cardiolog\u00eda y Cirug\u00eda Cardiovascular-\u00c1rea del Coraz\u00f3n, Hospital Universitario Virgen de la Victoria, 29010 M\u00e1laga, Spain"},{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina (IBIMA Plataforma BIONAND), 29590 M\u00e1laga, Spain"},{"name":"Departamento de Medicina y Dermatolog\u00eda, Facultad de Medicina, Universidad de M\u00e1laga, 29010 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Javier","family":"Chorro","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"},{"name":"INCLIVA Health Research Institute, 46010 Valencia, Spain"},{"name":"Network Biomedical Research Center for Cardiovascular Diseases (CIBER-CV), 28029 Madrid, Spain"},{"name":"Department of Medicine, Faculty of Medicine and Odontology, University of Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0797-8709","authenticated-orcid":false,"given":"Juan","family":"Sanchis","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain"},{"name":"INCLIVA Health Research Institute, 46010 Valencia, Spain"},{"name":"Network Biomedical Research Center for Cardiovascular Diseases (CIBER-CV), 28029 Madrid, Spain"},{"name":"Department of Medicine, Faculty of Medicine and Odontology, University of Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente","family":"Bodi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, 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States","volume":"12","author":"Lui","year":"2023","journal-title":"J. Am. Heart Assoc."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e000068","DOI":"10.1161\/JAHA.112.000068","article-title":"Association of Anxiety and Depression With All-Cause Mortality in Individuals With Coronary Heart Disease","volume":"2","author":"Watkins","year":"2013","journal-title":"J. Am. Heart Assoc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.hrtlng.2018.09.011","article-title":"Effect of Exercise-Based Cardiac Rehabilitation on Anxiety and Depression in Patients with Myocardial Infarction: A Systematic Review and Meta-Analysis","volume":"48","author":"Zheng","year":"2019","journal-title":"Heart Lung"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.genhosppsych.2011.02.007","article-title":"Prognostic Association of Depression Following Myocardial Infarction with Mortality and Cardiovascular Events: A Meta-Analysis of 25 Years of Research","volume":"33","author":"Meijer","year":"2011","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Sakamoto, M., Suematsu, Y., Yano, Y., Kaino, K., Teshima, R., Matsuda, T., Fujita, M., Tazawa, R., Fujimi, K., and Miura, S. (2022). Depression and Anxiety Are Associated with Physical Performance in Patients Undergoing Cardiac Rehabilitation: A Retrospective Observational Study. J. Cardiovasc. Dev. Dis., 9.","DOI":"10.3390\/jcdd9010021"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1093\/eurheartj\/ehac747","article-title":"Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease: A Meta-Analysis","volume":"44","author":"Dibben","year":"2023","journal-title":"Eur. Heart J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC Guidelines for the Management of Acute Coronary Syndromes","volume":"44","author":"Byrne","year":"2023","journal-title":"Eur. Heart J."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.1161\/CIR.0000000000001168","article-title":"2023 AHA\/ACC\/ACCP\/ASPC\/NLA\/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines","volume":"148","author":"Virani","year":"2023","journal-title":"Circulation"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3415","DOI":"10.1093\/eurheartj\/ehae177","article-title":"2024 ESC Guidelines for the Management of Chronic Coronary Syndromes","volume":"45","author":"Vrints","year":"2024","journal-title":"Eur. Heart J."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Mansilla-Chac\u00f3n, M., G\u00f3mez-Urquiza, J.L., Martos-Cabrera, M.B., Albend\u00edn-Garc\u00eda, L., Romero-B\u00e9jar, J.L., Ca\u00f1adas-De La Fuente, G.A., and Suleiman-Martos, N. (2021). Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis. J. Cardiovasc. Dev. Dis., 8.","DOI":"10.3390\/jcdd8120166"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.hrtlng.2022.04.016","article-title":"Safety of Home-Based Cardiac Rehabilitation: A Systematic Review","volume":"55","author":"Stefanakis","year":"2022","journal-title":"Heart Lung"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1038\/s41569-021-00611-7","article-title":"The Role of Cardiac Rehabilitation in Improving Cardiovascular Outcomes","volume":"19","author":"Taylor","year":"2021","journal-title":"Nat. Rev. Cardiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.pcad.2021.12.006","article-title":"Psychosocial Management in Cardiac Rehabilitation: Current Practices, Recommendations, and Opportunities","volume":"73","author":"Hughes","year":"2022","journal-title":"Prog. Cardiovasc. Dis."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e328","DOI":"10.1161\/CIR.0000000000001289","article-title":"Core Components of Cardiac Rehabilitation Programs: 2024 Update: A Scientific Statement From the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation","volume":"150","author":"Brown","year":"2024","journal-title":"Circulation"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Bush, M., Evenson, K.R., Aylward, A., Cyr, J.M., and Kucharska-Newton, A. (2023). Psychosocial Services Provided by Licensed Cardiac Rehabilitation Programs. Front. Rehabil. Sci., 4.","DOI":"10.3389\/fresc.2023.1093086"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.hlc.2016.04.018","article-title":"Psychosocial Screening and Assessment Practice within Cardiac Rehabilitation: A Survey of Cardiac Rehabilitation Coordinators in Australia","volume":"26","author":"Jackson","year":"2017","journal-title":"Heart Lung Circ."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/HCR.0000000000000101","article-title":"Screening for Depression in Cardiac Rehabilitation: A REVIEW","volume":"35","author":"Cahill","year":"2015","journal-title":"J. Cardiopulm. Rehabil. Prev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"100100","DOI":"10.1016\/j.ahjo.2022.100100","article-title":"A Prospective Cohort Study of the Impact of Outpatient Intensive Cardiac Rehabilitation on Depression and Cardiac Self-Efficacy","volume":"13","author":"McKenzie","year":"2022","journal-title":"Am. Heart J. Plus Cardiol. Res. Pract."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2290","DOI":"10.1001\/jama.2020.6504","article-title":"Accuracy of the PHQ-2 Alone and in Combination With the PHQ-9 for Screening to Detect Major Depression: Systematic Review and Meta-Analysis","volume":"323","author":"Levis","year":"2020","journal-title":"JAMA"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Hlynsson, J.I., and Carlbring, P. (2024). Diagnostic Accuracy and Clinical Utility of the PHQ-2 and GAD-2: A Comparison with Long-Format Measures for Depression and Anxiety. Front. Psychol., 15.","DOI":"10.3389\/fpsyg.2024.1259997"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.genhosppsych.2018.11.003","article-title":"Psychometric Properties and Clinical Utility of Brief Measures of Depression, Anxiety, and General Distress: The PHQ-2, GAD-2, and K-6","volume":"56","author":"Staples","year":"2019","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Garc\u00eda-S\u00e1nchez, E., Santamar\u00eda-Pel\u00e1ez, M., Benito Figuerola, E., Carballo Garc\u00eda, M.J., Chico Hernando, M., Garc\u00eda Garc\u00eda, J.M., Gonz\u00e1lez-Bernal, J.J., and Gonz\u00e1lez-Santos, J. (2024). Comparison of SF-36 and RAND-36 in Cardiovascular Diseases: A Reliability Study. J. Clin. Med., 13.","DOI":"10.20944\/preprints202409.0158.v1"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.2106\/JBJS.O.00030","article-title":"Scoring the SF-36 in Orthopaedics: A Brief Guide","volume":"97","author":"Laucis","year":"2015","journal-title":"J. Bone Jt. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/S0025-7753(03)73775-0","article-title":"Valores de referencia de la versi\u00f3n espa\u00f1ola del Cuestionario de Salud SF-36 en poblaci\u00f3n adulta de m\u00e1s de 60 a\u00f1os","volume":"120","author":"Banegas","year":"2003","journal-title":"Med. Cl\u00ednica"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2787","DOI":"10.1007\/s11136-016-1316-4","article-title":"International SF-36 Reference Values in Patients with Ischemic Heart Disease","volume":"25","author":"Huber","year":"2016","journal-title":"Qual. Life Res."},{"key":"ref_27","unstructured":"(2025, January 04). Inicio\u2014Pacientes\u2014Aula Abierta RC. Available online: https:\/\/pacientes.aularc.es\/."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1177\/2047487319871716","article-title":"The Prevalence and Impact of Depression and Anxiety in Cardiac Rehabilitation: A Longitudinal Cohort Study","volume":"27","author":"Rao","year":"2020","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"100133","DOI":"10.1016\/j.ajpc.2020.100133","article-title":"Mental Health Disorders among Patients with Acute Myocardial Infarction in the United States","volume":"5","author":"Sreenivasan","year":"2021","journal-title":"Am. J. Prev. Cardiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e14596","DOI":"10.1097\/MD.0000000000014596","article-title":"Prevalence of Depression in Myocardial Infarction: A PRISMA-Compliant Meta-Analysis","volume":"98","author":"Feng","year":"2019","journal-title":"Medicine"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/PSY.0b013e3181dbff97","article-title":"Prognostic Association of Anxiety Post Myocardial Infarction With Mortality and New Cardiac Events: A Meta-Analysis","volume":"72","author":"Roest","year":"2010","journal-title":"Psychosom. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s11126-021-09921-y","article-title":"Prevalence of Moderate to Severe Anxiety Symptoms among Patients with Myocardial Infarction: A Meta-Analysis","volume":"93","author":"Lian","year":"2022","journal-title":"Psychiatr. Q."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e4464","DOI":"10.1097\/MD.0000000000004464","article-title":"Risk of Anxiety and Depressive Disorders in Patients with Myocardial Infarction: A Nationwide Population-Based Cohort Study","volume":"95","author":"Feng","year":"2016","journal-title":"Medicine"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3109\/13651501.2014.940049","article-title":"Contribution of Depression and Anxiety to Impaired Quality of Life in Survivors of Myocardial Infarction","volume":"18","author":"Hosseini","year":"2014","journal-title":"Int. J. Psychiatry Clin. Pract."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Garrels, E., Kainth, T., Silva, B., Yadav, G., Gill, G., Salehi, M., and Gunturu, S. (2023). Pathophysiological Mechanisms of Post-Myocardial Infarction Depression: A Narrative Review. Front. Psychiatry, 14.","DOI":"10.3389\/fpsyt.2023.1225794"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e2246317","DOI":"10.1001\/jamanetworkopen.2022.46317","article-title":"Assessment of Depression and Adherence to Guideline-Directed Medical Therapies Following Percutaneous Coronary Intervention","volume":"5","author":"Lapa","year":"2022","journal-title":"JAMA Netw. Open"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Ashour, A.M., Masa\u2019deh, R., Hamaideh, S.H., Elshatarat, R.A., Yacoub, M.I., Almagharbeh, W.T., Alhejaili, A.A., Alshahrani, B.D., Sobeh, D.E., and Eltayeb, M.M. (2024). Examining the Influence of Anxiety and Depression on Medication Adherence among Patients Diagnosed with Acute Myocardial Infarction. BMC Psychol., 12.","DOI":"10.1186\/s40359-024-01959-4"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1177\/2047487320913379","article-title":"Secondary Prevention through Comprehensive Cardiovascular Rehabilitation: From Knowledge to Implementation. 2020 Update. A Position Paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology","volume":"28","author":"Ambrosetti","year":"2021","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.ijcard.2023.04.023","article-title":"Association of Anxiety or Depression with Risk of Recurrent Cardiovascular Events and Death after Myocardial Infarction: A Nationwide Registry Study","volume":"381","author":"Flygare","year":"2023","journal-title":"Int. J. Cardiol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1093\/eurjcn\/zvae036","article-title":"Association of Anxiety and Recurrent Cardiovascular Events: Investigating Different Aspects of Anxiety","volume":"23","author":"Leissner","year":"2024","journal-title":"Eur. J. Cardiovasc. Nurs."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.jad.2024.03.043","article-title":"Prevalence and Impact of Depression and Anxiety among Older Myocardial Infarction Survivors: A Nationwide Cohort Study","volume":"354","author":"Cha","year":"2024","journal-title":"J. Affect. Disord."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.jad.2019.09.059","article-title":"Impact of Depression at Early and Late Phases Following Acute Coronary Syndrome on Long-Term Cardiac Outcomes","volume":"260","author":"Kim","year":"2020","journal-title":"J. Affect. Disord."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1002\/clc.23605","article-title":"Anxiety and Prognosis of Patients with Myocardial Infarction: A Meta-analysis","volume":"44","author":"Wen","year":"2021","journal-title":"Clin. Cardiol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ijcard.2022.02.004","article-title":"Systematic Screening for Anxiety and Depression in Cardiac Rehabilitation\u2014Are We There Yet?","volume":"352","author":"Helmark","year":"2022","journal-title":"Int. J. Cardiol."},{"key":"ref_45","first-page":"CD001800","article-title":"Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease","volume":"2021","author":"Dibben","year":"2021","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Bravo-Escobar, R., Gonz\u00e1lez-Represas, A., G\u00f3mez-Gonz\u00e1lez, A.M., and Heredia-Torres, \u00c1. (2021). Effectiveness of E-Health Cardiac Rehabilitation Program on Quality of Life Associated with Symptoms of Anxiety and Depression in Moderate-Risk Patients. Sci. Rep., 11.","DOI":"10.1038\/s41598-021-83231-y"},{"key":"ref_47","first-page":"CD007130","article-title":"Home-Based versus Centre-Based Cardiac Rehabilitation","volume":"2017","author":"Anderson","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"101412","DOI":"10.1016\/j.physio.2024.07.003","article-title":"Psychologically-Enhanced Cardiac Rehabilitation for Psychological and Functional Improvement in Patients with Cardiovascular Disease: A Systematic Review with Meta-Analysis and Future Research Directions","volume":"125","author":"Wrzeciono","year":"2024","journal-title":"Physiotherapy"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1177\/2047487319832393","article-title":"Additional Effects of Psychological Interventions on Subjective and Objective Outcomes Compared with Exercise-Based Cardiac Rehabilitation Alone in Patients with Cardiovascular Disease: A Systematic Review and Meta-Analysis","volume":"26","author":"Albus","year":"2019","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1161\/CIRCULATIONAHA.115.018926","article-title":"Enhancing Cardiac Rehabilitation With Stress Management Training: A Randomized, Clinical Efficacy Trial","volume":"133","author":"Blumenthal","year":"2016","journal-title":"Circulation"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1161\/CIRCULATIONAHA.120.052428","article-title":"Improving the Effectiveness of Psychological Interventions for Depression and Anxiety in Cardiac Rehabilitation: PATHWAY\u2014A Single-Blind, Parallel, Randomized, Controlled Trial of Group Metacognitive Therapy","volume":"144","author":"Wells","year":"2021","journal-title":"Circulation"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Zhamaliyeva, L.M., Zhamankulova, D.G., Abenova, N.A., and Koshmaganbetova, G.K. (2023). Educational Intervention Effects on Depression and Anxiety in Patients after Myocardial Infarction: A Randomized Controlled Trial. J. Cardiovasc. Dev. Dis., 10.","DOI":"10.20944\/preprints202305.1559.v1"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e018686","DOI":"10.1161\/JAHA.120.018686","article-title":"Psychiatric and Psychological Interventions for Depression in Patients With Heart Disease: A Scoping Review","volume":"9","author":"Zambrano","year":"2020","journal-title":"J. Am. Heart Assoc."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.pcad.2023.02.008","article-title":"Exercise as a Therapeutic Modality for the Prevention and Treatment of Depression","volume":"77","author":"Blumenthal","year":"2023","journal-title":"Prog. Cardiovasc. Dis."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Murphy, B., Le Grande, M., Alvarenga, M., Worcester, M., and Jackson, A. (2020). Anxiety and Depression After a Cardiac Event: Prevalence and Predictors. Front. Psychol., 10.","DOI":"10.3389\/fpsyg.2019.03010"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/1474515116643869","article-title":"Improving Health Professionals\u2019 Self-Efficacy to Support Cardiac Patients\u2019 Emotional Recovery: The \u2018Cardiac Blues Project\u2019","volume":"16","author":"Murphy","year":"2017","journal-title":"Eur. J. Cardiovasc. 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