Internetbaserad behandling för psykisk ohälsa hos patienter med hjärtinfarkt med icke-obstruktiva kranskärl

Tidsperiod: 2019-01-01 till 2021-12-31

Projektledare: Erik Olsson

Medarbetare: Per Tornvall, Claes Held, Örjan Sundin, Patrik Lyngå, Fredrika Norlund

Finansiär: Vetenskapsrådet

Bidragstyp: Projektbidrag

Budget: 2 400 000 SEK

Myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA) is common (6-8% of all MIs) and affects mainly working women. A majority of the patients have Takotsubo syndrome (also known as broken heart syndrome) which is often preceded by a stressful experience. Studies have shown that psychological distress and certain aspects of QoL are worse in MINOCA than in MI due to coronary heart disease. Mechanisms, diagnostics and treatment of this new clinical entity are largely unexplored. The present project aims at studying if an internet-based cognitive behavioral therapy program (ICBT) can reduce psychological distress in MINOCA patients.A tailored ICBT, aiming at reducing psychological distress, will be developed specifically for, and in close collaboration with, patients with MINOCA. The development of the intervention will follow the UK Medical Research Council guidance for development of complex interventions and utilize patient involvement. The ICBT will be tested in a randomized trial of 150 patients shortly after the acute event in comparison to usual care. Reduced levels of psychological distress, improved overall QoL and less consumption of medical care are expected as a result of the intervention.Patients with MINOCA is a resourceful group when it comes to physical capacity and education, but more challenged regarding psychological distress. A guided self-help ICBT program may be a good complement to today’s cardiac rehabilitation.