The efficacy of cognitive behavioral therapy-based interventions on patients with hypertension: a systematic review and meta-analysis
View/ Open
File version
Accepted Manuscript (AM)
Author(s)
Li, Yanni
Buys, Nicholas
Li, Zhanjiang
Li, Li
Song, Qifa
Sun, Jing
Griffith University Author(s)
Year published
2021
Metadata
Show full item recordAbstract
Recently, the benefits of cognitive behavioral therapy (CBT)-based interventions for patients with hypertension have been recognized, but there has been no systematic review that has comprehensively analyzed the efficacy of CBT on health outcomes in this population. We aimed to explore the therapeutic effect of CBT-based interventions on hypertension patients through a meta-analysis.
Relevant randomized controlled trials (RCTs) were obtained by searching electronic databases. The primary outcomes were physiological indicators (blood pressure, blood lipid profile). Secondary outcomes were psychological indicators (anxiety, ...
View more >Recently, the benefits of cognitive behavioral therapy (CBT)-based interventions for patients with hypertension have been recognized, but there has been no systematic review that has comprehensively analyzed the efficacy of CBT on health outcomes in this population. We aimed to explore the therapeutic effect of CBT-based interventions on hypertension patients through a meta-analysis. Relevant randomized controlled trials (RCTs) were obtained by searching electronic databases. The primary outcomes were physiological indicators (blood pressure, blood lipid profile). Secondary outcomes were psychological indicators (anxiety, depression), and the quality of sleep. Stata version 15.0 software was used to analyze the results. A total of 15 RCTs were included. The main analysis revealed that CBT-based interventions reduced systolic pressure: -8.67 (95% CI: -10.67 to -6.67, P=0.000); diastolic pressure: −5.82 (95% CI: -7.82 to -3.81, P=0.000); total cholesterol levels: -0.43 (95% CI: -0.76 to -0.10, P=0.010); depressive symptoms: -3.13 (95% CI: -4.02 to -2.24, P=0.000); anxiety symptoms: -3.63 (95% CI: -4.40 to -2.87, P=0.000); and improved quality of sleep: -2.93 (95% CI: -4.40 to -1.47, P=0.000). Additionally, the results of subgroup analysis indicated that long-term group-based CBT-based interventions were particularly beneficial for blood pressure management in hypertension patients. CBT-based interventions are effective in reducing systolic pressure, diastolic pressure, total cholesterol levels, anxiety symptoms, depressive symptoms, and improving quality of sleep in hypertension patients.
View less >
View more >Recently, the benefits of cognitive behavioral therapy (CBT)-based interventions for patients with hypertension have been recognized, but there has been no systematic review that has comprehensively analyzed the efficacy of CBT on health outcomes in this population. We aimed to explore the therapeutic effect of CBT-based interventions on hypertension patients through a meta-analysis. Relevant randomized controlled trials (RCTs) were obtained by searching electronic databases. The primary outcomes were physiological indicators (blood pressure, blood lipid profile). Secondary outcomes were psychological indicators (anxiety, depression), and the quality of sleep. Stata version 15.0 software was used to analyze the results. A total of 15 RCTs were included. The main analysis revealed that CBT-based interventions reduced systolic pressure: -8.67 (95% CI: -10.67 to -6.67, P=0.000); diastolic pressure: −5.82 (95% CI: -7.82 to -3.81, P=0.000); total cholesterol levels: -0.43 (95% CI: -0.76 to -0.10, P=0.010); depressive symptoms: -3.13 (95% CI: -4.02 to -2.24, P=0.000); anxiety symptoms: -3.63 (95% CI: -4.40 to -2.87, P=0.000); and improved quality of sleep: -2.93 (95% CI: -4.40 to -1.47, P=0.000). Additionally, the results of subgroup analysis indicated that long-term group-based CBT-based interventions were particularly beneficial for blood pressure management in hypertension patients. CBT-based interventions are effective in reducing systolic pressure, diastolic pressure, total cholesterol levels, anxiety symptoms, depressive symptoms, and improving quality of sleep in hypertension patients.
View less >
Journal Title
Preventive Medicine Reports
Copyright Statement
© 2021 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
Note
This publication has been entered in Griffith Research Online as an advanced online version.
Subject
Biomedical and clinical sciences
Cardiology (incl. cardiovascular diseases)
Health services and systems
Public health
Cognitive and computational psychology
Epidemiology