The primary objective of this multicenter trial is to evaluate the effects of psychosocial interventions on the cardiac-related morbidity and mortality of MI patients at high psychosocial risk. High psychosocial risk is defined as the presence of depression and/or social isolation. The study design will compare a psychosocial intervention group, in which patients are provided with social support and psychological treatment designed to decrease social isolation and depression, with a health education control and a standard medical care group, using a combined endpoint of CHD death + reinfarction. Secondary endpoints include health- related quality of life; adherence to medications and health-promoting behaviors; and ischemic events, measured by ambulatory electrocardiogram (AECG) and exercise tolerance testing (ETT). To accomplish its objective, this program proposes to recruit approximately eight Clinical Units for patient accession, intervention, and data collection, as well as a Clinical Coordinating Center for coordinating all data collection, storage of data, analysis activities, reviewing the medical progress of the study, and for organizing the Steering Committee and the Data and Safety Monitoring Board meetings. It is anticipated that a total of 3,000 patients, or approximately 375 patients shall be enrolled per Clinical Unit. In order to assure that the study will provide meaningful data on women and diverse racial/ethnic groups, the overall goal will be to recruit 50% women and 50% minorities. The numbers of women and minority patients may vary from clinic to clinic depending on local population composition and other characteristics that influence access to care.

Project Start
1995-09-29
Project End
2001-09-28
Budget Start
1996-09-20
Budget End
1998-01-15
Support Year
Fiscal Year
1996
Total Cost
Indirect Cost
Name
Stanford University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
800771545
City
Stanford
State
CA
Country
United States
Zip Code
94305
Denollet, Johan; Freedland, Kenneth E; Carney, Robert M et al. (2013) Cognitive-affective symptoms of depression after myocardial infarction: different prognostic importance across age groups. Psychosom Med 75:701-8
Roest, Annelieke M; Carney, Robert M; Freedland, Kenneth E et al. (2013) Changes in cognitive versus somatic symptoms of depression and event-free survival following acute myocardial infarction in the Enhancing Recovery In Coronary Heart Disease (ENRICHD) study. J Affect Disord 149:335-41
Bekke-Hansen, S; Trockel, M; Burg, M M et al. (2012) Depressive symptom dimensions and cardiac prognosis following myocardial infarction: results from the ENRICHD clinical trial. Psychol Med 42:51-60
Wu, Colin O; Tian, Xin; Jiang, Wenhua (2011) A shared parameter model for the estimation of longitudinal concomitant intervention effects. Biostatistics 12:737-49
Lett, Heather S; Blumenthal, James A; Babyak, Michael A et al. (2009) Dimensions of social support and depression in patients at increased psychosocial risk recovering from myocardial infarction. Int J Behav Med 16:248-58
Saab, Patrice G; Bang, Heejung; Williams, Redford B et al. (2009) The impact of cognitive behavioral group training on event-free survival in patients with myocardial infarction: the ENRICHD experience. J Psychosom Res 67:45-56
Lopez-Jimenez, Francisco; Wu, Colin O; Tian, Xin et al. (2008) Weight change after myocardial infarction--the Enhancing Recovery in Coronary Heart Disease patients (ENRICHD) experience. Am Heart J 155:478-84
Cowan, Marie J; Freedland, Kenneth E; Burg, Matthew M et al. (2008) Predictors of treatment response for depression and inadequate social support--the ENRICHD randomized clinical trial. Psychother Psychosom 77:27-37
Lett, Heather S; Blumenthal, James A; Babyak, Michael A et al. (2007) Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction. Health Psychol 26:418-27
Blumenthal, James A; Babyak, Michael A; Ironson, Gail et al. (2007) Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosom Med 69:501-8

Showing the most recent 10 out of 26 publications