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  • The efficacy of cognitive behavioral therapy-based interventions on patients with hypertension: a systematic review and meta-analysis

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    Accepted Manuscript (AM)
    Author(s)
    Li, Yanni
    Buys, Nicholas
    Li, Zhanjiang
    Li, Li
    Song, Qifa
    Sun, Jing
    Griffith University Author(s)
    Sun, Jing
    Buys, Nicholas J.
    Year published
    2021
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    Abstract
    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, ...
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    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.
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    Journal Title
    Preventive Medicine Reports
    DOI
    https://doi.org/10.1016/j.pmedr.2021.101477
    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
    Publication URI
    http://hdl.handle.net/10072/405732
    Collection
    • Journal articles

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