Rapelli Giada, Giusti Emanuele Maria, Tarquinio Claudia, Varallo Giorgia, Franceschini Christian, Musetti Alessandro, Gorini Alessandra, Castelnuovo Gianluca, Pietrabissa Giada
Department of Medicine and Surgery, University of Parma, Parma, Italy.
EPIMED Research Center, Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Front Psychol. 2023 Sep 29;14:1194767. doi: 10.3389/fpsyg.2023.1194767. eCollection 2023.
This scoping review aims to provide an accessible summary of available evidence on the efficacy of psychological couple-based interventions among patients with heart disease and their partners focusing on specific aspects and strategies by assessing different emotional and physical cardiac-related outcome measures.
A literature search was performed in PubMed, Scopus, Medline, PsycINFO, and Web of Science databases using the keywords "heart diseases" and "couple-based intervention." A literature search using systematic methods was applied. Data were extracted to address the review aims and were presented as a narrative synthesis.
The database search produced 11 studies. Psychological couple-based interventions varied in terms of the type of intervention, personnel, format (group or individual, phone or in person), number of sessions, and duration. Most of the contributions also lacked adequate details on the training of professionals, the contents of the interventions, and the theoretical models on which they were based. Finally, although partners were involved in all the treatment, in most studies, the psychological strategies and outcomes were focused on the patient.
The variability of the psychological couple-based interventions of included studies represents a challenge in summarizing the existing literature. Regarding their impact, psychological interventions for patients with cardiovascular disease and their partners were found to moderately improve patients' and partners' outcomes.
本范围综述旨在通过评估不同的与心脏相关的情绪和身体结局指标，针对特定方面和策略，提供关于心脏病患者及其伴侣基于夫妻关系的心理干预疗效的现有证据的易懂总结。
在PubMed、Scopus、Medline、PsycINFO和Web of Science数据库中使用关键词“心脏病”和“基于夫妻关系的干预”进行文献检索。采用系统方法进行文献检索。提取数据以满足综述目的，并以叙述性综合的形式呈现。
数据库检索产生了11项研究。基于夫妻关系的心理干预在干预类型、人员、形式（团体或个体、电话或面对面）、疗程数量和持续时间方面各不相同。大多数研究在专业人员培训、干预内容及其所基于的理论模型方面也缺乏足够的细节。最后，尽管伴侣参与了所有治疗，但在大多数研究中，心理策略和结局都集中在患者身上。
纳入研究中基于夫妻关系的心理干预的变异性是总结现有文献的一个挑战。关于其影响，发现针对心血管疾病患者及其伴侣的心理干预适度改善了患者和伴侣的结局。
