ITA
ENG

Enhancing recovery in coronary heart disease (ENRICHD) study intervention:Rationale and design

Authors

Berkman, L Jaffe, A Carney, R Czajkowski, S Kaufman, P Blumenthal, JA Arias, P Babyak, M Baldewicz, T Barefoot, J Bennett, J Carels, R Crenshaw, B Curtis, S Davis, L Fath, K Forman, L Hassett, A Hegde, SB Herman, SH Hinderliter, A Khatri, P Kraus, W Krishnan, R Levenberg, S Mark, D Marz, P McCarthy, R Miller, G Norten, J O'Connor, C Puma, J Rutt, L Sessions, W Siegler, I Watkins, L Waugh, R Williams, R Wilson, A Zakhary, BG Powell, LH Calvin, JE Clark, DC Creech, S Downs, D Eaton, C Elliott, WJ Kassem, L Luten, A de Leon, CM Miles, WS Munoz-Dunbar, R Pfenninger, P Pitula, CR Szeplakay, S Zajecka, J Zander, J DeBusk, RF Balenesi, L Casteneda, A Deeter, A Duenke, S Forseth, LF Froelicher, ES Hanna, R Kaiser, H Lamb, S Madan, S Marnell, M Miller, NH Parker, K Strachowski, D Taylor, CB Thoresen, CE Raczynski, J Adams, B Allison, S Bandy, M Barton, J Bates, L Bittner, V Cole, M Cornell, CE DiLillo, V Dolce, J Gilliland, MJ Jordan, S Markovitz, F Mason, D Shuster, J White, P Winders, S Schneiderman, N Gellman, M Ironson, G Kilbourn, K Manrique-Reichard, ME McCalla, JR Mellman, T Mendoza, CV Myerburg, R Robinson, EV Saab, P Sequeira, R Teixeiro, P Mitchell, P Betrus, P Bridges, E Budzynski, HK Buzaitis, A Chen, W Concannon, V Cowan, MJ Cunningham, SL DeRook, F Erickson, C Hanrahan, P Hardin, P Kimball, B Kirkness, C Kosins, D Kunz, D Raskind, M Sholl, S Stewart, F Sturm, K Veith, RC Wilkinson, C Woods, SL Carney, RM Beller, L Benoist, T Berger, S Breeden, S Cohen, JD Csik, I Eisenberg, PR Finn, J Freedland, KE Hoffman, P Meyer, J Misuraco, A Rich, MW Ristvedt, S Sitton, D Skala, J Weiss, ES Burg, MM Berkman, L Abrams, D Beck, D Clark, PP Farber, S Ginter, S Gonsor, KR Hall, J Hartley, LH Jacobs, S Kochevar-Sukkarie, R Krumholz, H Littman, A Manzo, P Mc Gloin, J Metalides, T Mukherjee, S Muller, F Polishuk, E Sherwood, J Stewart, T Stohl, A Stone, P Wu, K Zarich, S Hosking, JD Cattelier, DJ Cowan, MJ Hartig, LA Johnson, JA Keefe, F Light, K Mauer, BM Ooro, A Sheps, D Youngblood, ME Jaffe, AS Chaitman, B Belgeri, T Stocke, K Beck, JS Dank, N Reilly, CJ Sokol, L Czajkowski, SM Hill, R Hunsberger, S Jennings, CA Kaufmann, P Knox, S Norman, J Voorhees, CC Wenger, N Brody, B Clark, L Coyne, J Kaplan, RM Kathol, R Knatterud, G Powell, LH Blumenthal, JA Burg, MM Carney, RM Cornell, CE Cowan, MJ Czajkowski, SM DiLillo, V Froelicher, ES Gellman, M Herman, SH Hill, R Kaufmann, P Keefe, F Mitchell, P Pitula, CR Saab, P Schneiderman, N Taylor, CB Thoresen, CE Veith, RC Voorhees, CC Williams, R Winders, S Taylor, GB Burg, MM Carney, RM Cattelier, DJ DiLillo, V Forman, L Herman, SH Jaffe, AS Kaufmann, P Krishnan, R Mellman, T Miles, WS Norman, J Powell, LH Youngblood, ME Cowan, MJ Burg, MM Barefoot, J Cattelier, DJ Cornell, CE Freedland, KE Hill, R Jennings, CA Luten, A Saab, P Youngblood, ME

Citation

L. Berkman et al., Enhancing recovery in coronary heart disease (ENRICHD) study intervention:Rationale and design, PSYCHOS MED, 63(5), 2001, pp. 747-755

Citations number

Categorie Soggetti

Psychiatry,"Clinical Psycology & Psychiatry","Neurosciences & Behavoir

Journal title

PSYCHOSOMATIC MEDICINE

ISSN journal

00333174 → ACNP

Volume

Issue

Year of publication

2001

Pages

747 - 755

Database

ISI

SICI code

0033-3174(200109/10)63:5<747:ERICHD>2.0.ZU;2-G

Abstract

Objective: Depression and low social support are risk factors for medical m orbidity and mortality after acute MI. The ENRICHD study is a multicenter, randomized, controlled clinical trial of a cognitive-behavioral treatment f or depression and low social support in post-MI patients. A total of 2481 p atients were recruited (26% with low social support, 39% with depression, a nd 34% with low social support and depression). Our objective is to describ e the rationale, design, and delivery of the ENRICHD intervention, Methods: Key features of the intervention include the integration of cognitive-beha vioral and social learning approaches to the treatment of depression and a diverse set of problems that can contribute to low social support; rapid in itiation of treatment after MI; a combination of individual and group modal ities; adjunctive pharmacotherapy for severe or intractable depression; tra ining, certification, and supervision of therapists; and quality assurance procedures. Results: The trial's psychosocial and medical outcomes will be presented in future reports. Conclusions: The ENRICHD protocol targets two complex psychosocial risk factors with a multifaceted intervention, which i s delivered in an individualized manner to accommodate a demographically, m edically, and psychiatrically diverse patient population. Additional resear ch will be needed to identify optimal matches between patient characteristi cs and specific components of the intervention.