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 … Lire la suite
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, … Lire la suite
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 … Lire la suite
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 … Lire la suite
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 … Lire la suite
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 … Lire la suite
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 … Lire la suite
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 … Lire la suite
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.
Dr. Simon Bacon’s presentation at the 2015 iCEPS conference in Montpellier, France.
Les Drs Lavoie et Bacon présentent deux conférences lors du Symposium sur la réadaptation cardiorespiratoire de l’Université Laval en février 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.
Dr. Kim Lavoie offers a session on motivational communication at the 2004 DNA annual meeting.
The first study to assess the prospective impact of mood and anxiety disorders on incident hypertension.
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.