Internet-based treatment of stress and anxiety among patients after myocardial infarction with MINOCA or takotsubo


In two articles published in Trials and Internet Interventions, respectively, the authors investigate whether internet-based cognitive behavioural therapy (CBT) can be implemented to reduce stress among patients with myocardial infarction with non-obstructive coronary arteries (MINOCA) or broken heart syndrome, Takotsubo syndrome (TS).

Image of patient holding a mobile phone.

Mental illness among patients with MINOCA and Takotsubo syndrome

Compared to the overall patient group with myocardial infarction, MINOCA and TS are more common among younger patients and women. To a further extent, these patients also have a history of mental illness. Stress and anxiety are precursors to MINOCA and TS. However, patients also experience it as a consequence of these special types of cardiac events. Despite this, the authors argue that psychological interventions are missing for patients with these diagnoses.

Internet-based CBT treatment

In the study published in Internet Interventions 9 participants underwent an internet-based CBT treatment, designed to address stress and anxiety. The aim is to explore the feasibility of the study to eventually conduct a more extensive study where the effects of CBT treatment is compared to a control group.

The general consensus among participants was that the programme was helpful and relevant, and that the personal contact with the psychologist was highly valued. The authors found that the study protocol was feasible, which means that the researchers will move on to a full-scale study.

Read the full paper in Internet Interventions, ’Reducing stress and anxiety in patients with myocardial infarction with non-obstructive coronary arteries or Takotsubo syndrome: A non-randomized feasibility study’. It is written by Elisabet Rondung, Sophia Humphries, Erik Olsson, Runa Sundelin, Fredrika Norlund, Claes Held, Jonas Spaak, Per Tornvall, and Patrik Lyngå.

Read the full paper in Trials, ‘The e-mental health treatment in Stockholm myocardial infarction with non-obstructive coronaries or Takotsubo syndrome study (E-SMINC): a study protocol for a randomised controlled trial’. It is written by Erik Olsson, Fredrika Norlund, Elisabet Rondung, Sophia Humphries, Claes Held, Patrik Lyngå, Jonas Spaak, Örjan Sundin, Runa Sundelin, Philip Leissner, Lena Kövamees, and Per Tornvall.

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Last modified: 2023-03-24