Enhancing Quality of Life in Symptomatic Paroxysmal Atrial Fibrillation Patients: A Systematic Analysis of Cognitive Behavioral Therapy Interventions.

Autor: Agarwal P; PearResearch, Dehradun, India., Sethi Y; PearResearch, Dehradun, India., Goyal A; Department of Respiratory Medicine, Graphic Era Institute of Medical Sciences, Dehradun, India., Padda I; PearResearch, Dehradun, India.; Department of Internal Medicine, Richmond University Medical Center/Mount Sinai, Staten Island, New York, USA., Fabian D; Department of Internal Medicine, Richmond University Medical Center/Mount Sinai, Staten Island, New York, USA., Emran TB; Department of Pharmacy, Faculty of Allied Health Sciences, Daffodil International University, Dhaka, Bangladesh., Johal G; Valley Medical Centre, University of Washington, Seattle, Washington, USA., Mareddy C; Cardiac Electrophysiology, Centra Medical Group, Stroobants Cardiovascular Center, Lynchburg, Virginia, USA.
Jazyk: angličtina
Zdroj: Clinical cardiology [Clin Cardiol] 2024 Nov; Vol. 47 (11), pp. e70034.
DOI: 10.1002/clc.70034
Abstrakt: Background: Paroxysmal atrial fibrillation (PAF) significantly impacts patients' lives, contributing to morbidity, reduced quality of life (QoL), and psychological distress. Conventional treatment approaches primarily focus on rhythm control through pharmacologic therapy, often overlooking the patient's holistic well-being.
Hypothesis: Cognitive behavioral therapy (CBT), a well-established intervention for modifying dysfunctional thoughts and behaviors, may provide a beneficial nonpharmacological approach to improving QoL in symptomatic PAF patients.
Methods: A systematic review was conducted in accordance with Cochrane methodology and PRISMA guidelines. A comprehensive search was performed using PubMed, Scopus, and Google Scholar to identify relevant studies on the effects of CBT on QoL in PAF patients. Various CBT interventions, including exposure-based, internet-delivered, and mindfulness-based approaches, were analyzed. Study quality was assessed using JBI and Cochrane tools to evaluate the risk of bias.
Results: The review found that CBT interventions led to statistically significant improvements in several QoL domains, including physical and emotional well-being. Psychological well-being and self-management skills were notably enhanced, as CBT helped address maladaptive cognitive patterns and improved coping strategies. The studies reviewed consistently demonstrated a low risk of bias, indicating reliability in the findings.
Conclusions: CBT shows promise as a holistic, nonpharmacological intervention for managing PAF, improving both psychological and physical QoL. However, future research is needed to establish standardized protocols, increase sample sizes, and conduct long-term follow-ups to further validate its effectiveness in this population. Incorporating CBT into PAF management could substantially enhance patient outcomes and well-being.
(© 2024 The Author(s). Clinical Cardiology published by Wiley Periodicals, LLC.)
Databáze: MEDLINE
Externí odkaz: