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Enhancing Recovery in Coronary Heart Disease (ENRICHD) study intervention: rationale and design.

Publication ,  Journal Article
ENRICHD Investigators,
Published in: Psychosom Med
2001

OBJECTIVE: Depression and low social support are risk factors for medical morbidity and mortality after acute MI. The ENRICHD study is a multicenter, randomized, controlled clinical trial of a cognitive-behavioral treatment for depression and low social support in post-MI patients. A total of 2481 patients were recruited (26% with low social support, 39% with depression, and 34% with low social support and depression). Our objective is to describe the rationale, design, and delivery of the ENRICHD intervention. METHODS: Key features of the intervention include the integration of cognitive-behavioral and social learning approaches to the treatment of depression and a diverse set of problems that can contribute to low social support; rapid initiation of treatment after MI; a combination of individual and group modalities; adjunctive pharmacotherapy for severe or intractable depression; training, 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 is delivered in an individualized manner to accommodate a demographically, medically, and psychiatrically diverse patient population. Additional research will be needed to identify optimal matches between patient characteristics and specific components of the intervention.

Duke Scholars

Published In

Psychosom Med

ISSN

0033-3174

Publication Date

2001

Volume

63

Issue

5

Start / End Page

747 / 755

Location

United States

Related Subject Headings

  • United States
  • Social Support
  • Research Design
  • Psychotherapy, Group
  • Psychiatry
  • Outcome Assessment, Health Care
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Humans
 

Citation

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ENRICHD Investigators, . (2001). Enhancing Recovery in Coronary Heart Disease (ENRICHD) study intervention: rationale and design. Psychosom Med, 63(5), 747–755.
ENRICHD Investigators, A. “Enhancing Recovery in Coronary Heart Disease (ENRICHD) study intervention: rationale and design.Psychosom Med 63, no. 5 (2001): 747–55.
ENRICHD Investigators, A. “Enhancing Recovery in Coronary Heart Disease (ENRICHD) study intervention: rationale and design.Psychosom Med, vol. 63, no. 5, 2001, pp. 747–55.

Published In

Psychosom Med

ISSN

0033-3174

Publication Date

2001

Volume

63

Issue

5

Start / End Page

747 / 755

Location

United States

Related Subject Headings

  • United States
  • Social Support
  • Research Design
  • Psychotherapy, Group
  • Psychiatry
  • Outcome Assessment, Health Care
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Humans