Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
June 12, 2026European Journal of Preventive CardiologyOpen Access

Patients with no emotional distress showed the most consistent improvements across all outcomes, whereas anxiety-depression comorbidity and isolated depression were associated with poorer outcomes across multiple domains.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does baseline psychological distress influence body composition, fitness, and quality of life outcomes in patients undergoing a multidisciplinary cardiac rehabilitation program?

Population

159 patients who completed a multidisciplinary Cardiac Rehabilitation Program, stratified by baseline…

Comparison

Multidisciplinary Cardiac Rehabilitation Program. vs Comparison across four baseline emotional…

Design

Cohort

Follow-up

3 months

Authors

RGR Salinas GonzalezCBC BolanosCPC Pappalettere

Discussion

Loading...

Member takes

Overview

Baseline psychological distress, particularly depression and anxiety-depression comorbidity, attenuates the benefits of cardiac rehabilitation, highlighting the need for personalized psychological care.

Key Points

  • The study aims to explore how baseline psychological distress influences outcomes in a multidisciplinary cardiac rehabilitation program.
  • Retrospective observational study conducted from Jan 2023 to Oct 2025
  • Included patients enrolled in a multidisciplinary cardiac rehabilitation program
  • Psychological distress was assessed using the Hospital Anxiety and Depression Scale (HADS) at baseline.
  • Out of 209 assessed, 159 completed the program and were included in the analysis.
  • The no emotional distress group showed significant improvements in body composition, muscle strength, cardiopulmonary fitness, and quality of life.
  • The depression group exhibited limited response with an increase in BMI and decline in quality of life.

Structured PICO

Does baseline psychological distress influence body composition, fitness, and quality of life outcomes in patients undergoing a multidisciplinary cardiac rehabilitation program?

P
Population
159 patients who completed a multidisciplinary Cardiac Rehabilitation Program, stratified by baseline psychological distress using the Hospital Anxiety and Depression Scale (no distress n=88, anxiety n=27, depression n=8, emotional comorbidity n=36).
I
Intervention
Multidisciplinary Cardiac Rehabilitation Program (supervised aerobic and resistance training 2x/week for 3 months with structured education sessions on diet and stress management, without integrated psychological intervention).
C
Comparator
Comparison across four baseline emotional distress groups (no distress, anxiety, depression, emotional comorbidity).
O
Outcome
Changes in body composition, muscle strength, cardiopulmonary fitness, and patient-reported measures.surrogate

Baseline psychological distress, particularly depression and anxiety-depression comorbidity, attenuates the benefits of cardiac rehabilitation, highlighting the need for personalized psychological care.

Limitations

  • small sample size

Cite This Study

Gonzalez et al. (2026) studied this question.

synapsesocial.com/papers/6a2bd11d6550ea4541ffe924https://doi.org/10.1093/eurjpc/zwag249.333
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The relationship of psychological aspects and the satisfaction of the quality of life of patients under exercise-based cardiology rehabilitation2026
  2. 2Trends in mental health and behavioural risk factors of patients in exercise-based cardiac rehabilitation over 25 years: a retrospective cohort study2026
  3. 3Mental Health and Quality of Life in Those Entering Cardiovascular Rehabilitation During the COVID-19 Pandemic2026
  4. 4Heartfelt gains: quality of life in phase II cardiac rehabilitation2026
  5. 5Sex Differences in Anxiety and Depression Among Coronary Heart Disease Patients During Cardiac Rehabilitation: A Quasi-Experimental Study2025