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The prevalence and correlates of mind-body therapy practices in acute coronary syndrome patients

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The prevalence and correlates of mind-body therapy practices in acute coronary syndrome patients

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Title: The prevalence and correlates of mind-body therapy practices in acute coronary syndrome patients
Author: Leung, Y.W.; Tamim, H.; Stewart, D.E.; Arthur, H.M.; Grace, Sherry L.
Abstract: Objectives: While the benefits of mind-body therapy (MBT) for cardiac secondary prevention
continues to be investigated, the prevalence of such practices by cardiac patients is not well
known. The aim of this study was to quantitatively examine the prevalence of MBT practice
and its sociodemographic, clinical, psychosocial and behavioral correlates among patients with
acute coronary syndrome (ACS).
Methods: Six hundred and sixty-one ACS in-patients (75% response rate) recruited from three
hospitals completed a demographic survey, and clinical data were extracted from charts. Four
hundred and sixty five patients (81% retention rate; 110 (23.7%) female) responded to an 18month
post-discharge survey that queried about MBT use and its correlates.
Results: One hundred and sixty-three (35.1%) ACS patients practised MBT in their lifetime,
and 118 (25.4%) were currently practising. MBT users were more often women (OR = 2.98), nonwhite
(OR = 2.17), had higher levels of education (OR = 2.22), past smokers (OR = 3.33), reported
poorer mental health (OR =2.15), and engaged in more exercise (OR =1.65).
Conclusion: One-third of ACS patients practised some form of MBT. The greater MBT practice
among female ACS patients is noteworthy, given their generally lower physical activity and
lower receipt of evidence-based treatments including cardiac rehabilitation. In addition, there
is some evidence that MBT can promote mental well-being, and thus such practice might reduce
risk related to negative affect in cardiac patients.
Sponsorship: This research was funded by the Canadian Health Services Research Foundation, Ontario Ministry of Health and LongTerm Care, and administered by the Canadian Institutes of Health Research. Ms. Leung is supported by GENESIS, Gender and Sex Determinants of Circulatory and Respiratory Diseases: Interdisciplinary Capacity Enhancement Teams Grant Program, the Canadian Institute of Health Research and the Heart and Stroke Foundation of Canada. Dr. Grace is supported by a Career Scientist award from the Ministry of Health and Long-Term Care.
Subject: acute coronary syndrome
cardiovascular disease
relaxation techniques
women
mind-body therapies
Type: Article
Rights: http://www.elsevier.com/locate/issn/09652299
URI: http://hdl.handle.net/10315/2578
Published: Elsevier
Citation: Complementary Therapies in Medicine, 16, 254-261.
ISSN: 0965-2299
Date: 2008-10

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