Evidence map›Paper›PMID 34321436›Full record

Trial reportThe Journal of cardiovascular nursing

Preliminary Efficacy of an Emotion Regulation Intervention on Physical Activity and Depressive and Anxious Symptoms in Individuals in Cardiac Rehabilitation.

Kelly L Wierenga, David M Fresco, Megan Alder, Abdus Sattar, Shirley M Moore

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 2 countries.

Kelly L Wierenga
David M Fresco
Megan Alder
Abdus Sattar
Shirley M Moore
U.S. National Science Foundation · US

Funding

Mindfulness-Based Stress Reduction for High Blood Pressure: A Two-Site RCTR01HL119977 · NHLBI · KENT STATE UNIVERSITY · PI FRESCO, DAVID M · 2014 to 2018
$3.8M
A Randomized Controlled Trial of Emotion Regulation Therapy for Cancer Caregivers: A Mechanism-Targeted Approach to Addressing Caregiver DistressR01CA244185 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI APPLEBAUM, ALLISON, MENNIN, DOUGLAS · 2020 to 2024
$3.1M
SMART Center II Brain Behavior Connections in Self Management ScienceP30NR015326 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI DECKER, MICHAEL JOHN · 2014 to 2018
$2.8M
Emotion Regulation in Distress Disorders: Elucidating the Role of Cognitive Processes and Person-Situation Fit in the Laboratory and Daily LifeR01MH118218 · NIMH · UNIVERSITY OF WESTERN AUSTRALIA · PI GAINEY, KRISTIN · 2019 to 2023
$2.2M
Multiple Chronic Conditions_Interdisciplinary Nurse Scientist TrainingT32NR015433 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MOORE, SHIRLEY M · 2015 to 2019
$1.9M
Neural Mechanisms of Mindfulness-Based Cognitive Therapy (MBCT) for Post-Traumatic Stress Disorder (PTSD)R61AT009867 · NCCIH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, ANTHONY P · 2018 to 2020
$1.1M
Reducing Emotional Eating in Obese Low-Income Adolescents with Mindfulness-Based Behavioral Weight ManagementR21HD095099 · NICHD · KENT STATE UNIVERSITY · PI SATO, AMY F · 2019 to 2020
$437k
NCCIH NIH HHS R61 AT009867NCI NIH HHS R01 CA244185NHLBI NIH HHS R01 HL119977NICHD NIH HHS R21 HD095099NIMH NIH HHS R01 MH118218NINR NIH HHS P30 NR015326NINR NIH HHS T32 NR015433
6 · The paper itself

Abstract

backgroundFor the 720 000 Americans expected to experience a new acute cardiac event this year, cardiac rehabilitation is an important part of recovery. Symptoms of depression and anxiety undermine recovery efforts, leaving recovering patients at risk for diminished functional capacity and heightened risk of mortality. Poor emotion regulation can worsen symptoms of depression and anxiety and hinder recovery efforts.

objectiveThe purpose of this randomized controlled trial was to evaluate the early efficacy testing of a theoretically based emotion regulation treatment (Regulating Emotions to Improve Self-management of Nutrition, Exercise, and Stress [RENEwS]) designed to assist survivors of an acute cardiac event in cardiac rehabilitation to optimize recovery.

methodsSurvivors of an acute cardiac event in cardiac rehabilitation (n = 30, 83% men) were randomized to five 1-hour in-person group sessions of RENEwS or a phone-based attention-control group. Participants completed measures of depression and anxiety symptoms at 3 time points. Moderate to vigorous physical activity (MVPA) was objectively measured for 7 days at each time point using waist-worn actigraphy monitors. Between-group differences were calculated using analysis of variance with Cohen f effect sizes calculated to evaluate initial efficacy.

resultsThere was no statistically significant difference in depression, anxiety, or MVPA over time based on group assignment (all P > .05). Compared with attention control participants, in RENEwS participants, preliminary effects showed greater reductions in depression (Cohen f = 0.34) and anxiety (Cohen f = 0.40) symptoms but only modest improvements in MVPA from baseline to 5 months (Cohen f = 0.08).

conclusionsFindings show that RENEwS is a promising emotion regulation intervention to enhance cardiac rehabilitation and potentially decrease symptoms of depression and anxiety.

Indexed as

Cardiac RehabilitationEmotional RegulationAnxietyDepressionExerciseFemaleHumansMale

Identifiers

PMID34321436
PMCPMC8783925
OpenAlexW3183888249

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.