September 12, 2018

Cardiac rehabilitation (CR) is an effective treatment for cardiovascular disease, yet many referred patients do not participate. The efficacy of motivational interviewing with prospective CR patients, which could be beneficial in this context, has not been examined. This study investigated the impact of motivational interviewing on intention to participate in CR. This RCT concluded that a single collaborative conversation about CR can increase both intention to attend CR and actual program adherence. The findings will inform future efforts to optimize behavioral interventions to enhance CR participation.

September 12, 2018

This analysis examined the effects of cognitive-behavioral therapy weight loss (CBTWL) interventions on weight loss, psychological outcomes (eating behaviors [cognitive restraint, emotional/binge eating], and depressive/anxiety symptoms) in adults with overweight or obesity. In addition to weight loss, current evidence suggests that CBTWL is an efficacious therapy for increasing cognitive restraint and reducing emotional eating. However, CBTWL does not seem to be superior to other interventions for decreasing depressive symptoms. Future studies should focus on understanding how psychological factors impact weight loss and management.

September 12, 2018

Although it is well established that heavy alcohol consumption increases the risk of hypertension, the risk associated with low levels of alcohol intake in men and women is unclear. We searched for original cohort studies on the association between average alcohol consumption and incidence of hypertension in people without hypertension. Data from 20 articles with 361 254 participants and 90 160 incident cases of hypertension were included. Any alcohol consumption was associated with an increase in the risk for hypertension in men, but there was no risk increase for consumption of 1 to 2 drinks/day for women.

May 25, 2017

Silent myocardial ischemia is thought to be associated with worse cardiovascular outcomes due to a lack of perception of pain cues that initiate treatment seeking. Negative and positive affect (NA and PA) have been associated with increased/decreased pain reporting, respectively but these psychological factors have not been examined within the context of myocardial ischemia. This study evaluated the associations between PA, NA, and chest pain reporting in patients with and without ischemia during exercise testing. Results suggest that high levels of PA as well as NA may increase the experience and/or reporting of chest pain.

May 25, 2017

Panic disorder (PD) is common among asthmatics and is associated with worse asthma outcomes. This may occur due to psychophysiological factors or to cognitive/affective factors. This study evaluated the impact of panic attacks (PAs) on bronchoconstriction and subjective distress in asthmatics with and without PD. Results, presented as hypothesis generating, suggest that asthmatics with PD/PA exhibit increased panic-like anxiety, breathlessness and a respiratory pattern consistent with hyperventilation that was not linked to statistically significant drops in bronchoconstriction.

May 25, 2017

Women diagnosed with coronary artery disease (CAD) typically experience worse outcomes relative to men, possibly through diagnosis and treatment delays. This may be influenced by mood and anxiety disorders, which are more prevalent in women and have symptoms (eg, palpitations and fatigue) that may be confounded with CAD. Our study concluded that women with anxiety and no CAD history had higher rates of ischemia than women without anxiety, suggesting that anxiety symptoms might mask CAD symptoms and contribute to referral and diagnostic delays.

May 25, 2017

Nonadherence to clinical practice guidelines is referred to as clinical inertia. We review evidence for the ubiquity of clinical inertia across a variety of chronic health conditions, and the the organizational, system, patient, and provider factors that serve to maintain it. An evidence-based framework to address these limitations is proposed that uses behavior change theory and advocates for shared decision making and enhanced guideline development and dissemination.

May 25, 2017

COPD is highly prevalent and associated with substantial morbidity and mortality. Many studies have evaluated the prevalence of neuropsychiatric conditions in patients with COPD. This review presents evidence regarding the prevalence of neuropsychiatric conditions in COPD, their risk factors, and their impact on relevant outcomes. It also discusses assessment and treatment of neuropsychiatric conditions and makes recommendations for improved screening and treatment.

May 25, 2017

High rates (34%) of psychiatric disorders in patients evaluated for occupational asthma have been reported. This study concludes that psychiatric morbidity is associated with lower employment rates and greater use of emergency services. Greater efforts should be made to assess and treat psychiatric disorders in this population.

March 23, 2015

Dr. Simon Bacon’s presentation at the 2015 iCEPS conference in Montpellier, France.

February 23, 2015

Les Drs Lavoie et Bacon présentent deux conférences lors du Symposium sur la réadaptation cardiorespiratoire de l’Université Laval en février 2015.

February 12, 2015

The vasovagal response (VVR) is a common medical problem, complicating and deterring people from various procedures. VVR involves processes similar to those observed during episodes of strong emotions and pain. We hypothesized that heightened perceived control would reduce symptoms of VVR.

March 23, 2014

Dr. Kim Lavoie offers a session on motivational communication at the 2004 DNA annual meeting.

January 1, 2014

The first study to assess the prospective impact of mood and anxiety disorders on incident hypertension.

March 23, 2013

MBMC team of researchers puts forth an imperative to improve the measure of psychiatric status by developing new tools and increasing the discriminative performance of existing tools.