Division of Cardiac Prevention and Rehabilitation.
Department of Psychoeducation and Psychology.
Health Psychol. 2021 Dec;40(12):909-919. doi: 10.1037/hea0001034. Epub 2020 Dec 21.
Couple distress is associated with cardiovascular disease (CVD) risk factors, whereas support is associated with heart-healthy behaviors and better CVD outcomes.
To assess the clinical benefit of the Healing Hearts Together (HHT) intervention, an attachment-based relationship enhancement program for couples in which 1 partner has CVD, on relationship quality, mental health, and quality of life (QoL).
Patients from a tertiary cardiac care center and their partners (N = 78; 39 couples) attended the 8-session HHT group. Participants completed validated, self-report questionnaires pre- and postintervention, including the Dyadic Adjustment Scale (DAS), Couple Satisfaction Index (CSI), Hospital Anxiety and Depression Scale (HADS), and the SF-36 (QoL). At intervention completion, participants completed a satisfaction survey. Between-groups comparisons (patient/partner) were examined with analysis of variance. Paired-sample t tests were used to assess changes over time with HHT participation for the complete sample and for patients and partners separately.
Many participants reported relationship and psychological distress at baseline. Clinically and statistically significant changes from pre to postintervention were observed for relationship distress (DAS: +7.8 points; p < .001; CSI changes [+3.6] were clinically significant) and depression (-1.8; p < .001), whereas statistically significant changes occurred for anxiety (-1.5; p < .001), and physical (+2.1; p = .047) and mental (+3.3; p < .001) QoL. Patients, but not partners, reported statistically significant changes in QoL-mental component summary. Clinically and statistically significant changes were observed for anxiety for partners, but not patients.
The HHT intervention was beneficial for patients' and partners' relationship quality, mental health, and QoL. A larger randomized controlled trial evaluating the impact of this intervention on relationship quality, mental health and QoL is warranted. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
夫妻关系紧张与心血管疾病（CVD）风险因素有关，而支持则与心脏健康行为和更好的 CVD 结果有关。
评估“一起治愈心灵”（HHT）干预的临床益处，这是一种基于依恋的伴侣关系增强计划，适用于一方患有 CVD 的夫妻，该计划评估了对夫妻关系质量、心理健康和生活质量（QoL）的影响。
来自三级心脏护理中心的患者及其伴侣（N=78；39 对夫妻）参加了 8 节 HHT 小组。参与者在干预前后完成了经过验证的自我报告问卷，包括对偶调整量表（DAS）、夫妻满意度指数（CSI）、医院焦虑抑郁量表（HADS）和 SF-36（QoL）。在干预结束时，参与者完成了一份满意度调查。采用方差分析比较组间差异（患者/伴侣）。使用配对样本 t 检验评估了完整样本以及患者和伴侣分别随 HHT 参与的时间变化。
许多参与者在基线时报告了关系和心理困扰。与干预前相比，干预后观察到关系困扰（DAS：+7.8 分；p<0.001；CSI 变化[+3.6]具有临床意义）和抑郁（-1.8；p<0.001）显著改善，而焦虑（-1.5；p<0.001）、身体（+2.1；p=0.047）和心理（+3.3；p<0.001）QoL 也有统计学意义的改善。患者而非伴侣报告 QoL 心理成分综合有统计学意义的变化。伴侣的焦虑也观察到了有临床意义和统计学意义的变化，但患者没有。
HHT 干预对患者和伴侣的关系质量、心理健康和 QoL 有益。需要更大规模的随机对照试验来评估该干预对关系质量、心理健康和 QoL 的影响。
