TY  - JOUR
U1  - Wissenschaftlicher Artikel
A1  - Larionov, Katharina
A1  - Petrova, Ekaterina
A1  - Demirbuga, Nurefsan
A1  - Werth, Oliver
A1  - Breitner, Michael H.
A1  - Gebhardt, Philippa
A1  - Caldarone, Flora
A1  - Duncker, David
A1  - Westhoff-Bleck, Mechthild
A1  - Sensenhauser, Anja
A1  - Maxrath, Nadine
A1  - Marschollek, Michael
A1  - Kahl, Kai G.
A1  - Heitland, Ivo
T1  - Improving mental well-being in psychocardiology — a feasibility trial for a non-blended web application as a brief metacognitive-based intervention in cardiovascular disease patients
JF  - Frontiers in Psychiatry
N2  - Background: 
Many patients with cardiovascular disease also show a high comorbidity of mental disorders, especially such as anxiety and depression. This is, in turn, associated with a decrease in the quality of life. Psychocardiological treatment options are currently limited. Hence, there is a need for novel and accessible psychological help. Recently,  we demonstrated that a brief face-to-face metacognitive therapy (MCT) based intervention is promising in treating anxiety and depression. Here, we aim to translate the face-to-face approach into digital application and explore the feasibility of this approach.

Methods: 
We translated a validated brief psychocardiological intervention into a novel non-blended web app. The data of 18 patients suffering from various cardiac conditions but without diagnosed mental illness were analyzed after using the web app over a two-week period in a feasibility trial. The aim was whether a nonblended web app based MCT approach is feasible in the group of cardiovascular patients with cardiovascular disease.

Results: 
Overall, patients were able to use the web app and rated it as satisfactory and beneficial. In addition, there was first indication that using the app improved the cardiac patients’ subjectively perceived health and reduced their anxiety. Therefore, the approach seems feasible for a future randomized controlled trial.

Conclusion: 
Applying a metacognitive-based brief intervention via a nonblended web app seems to show good acceptance and feasibility in a small target group of patients with CVD. Future studies should further develop, improve and validate digital psychotherapy approaches, especially in patient groups with a lack of access to standard psychotherapeutic care.
KW  - psychocardiology
KW  - cardiovascular disease
KW  - anxiety
KW  - depression
KW  - mental health
KW  - metacognitive therapy
KW  - digital intervention
KW  - Kardiovaskuläre Krankheit
KW  - Psychokardiologie
KW  - Angst
KW  - Depression
KW  - Psychische Gesundheit
KW  - Metakognitive Therapie
KW  - E-Health
Y1  - 2023
UN  - https://nbn-resolving.org/urn:nbn:de:bsz:960-opus4-29830
SN  - 1664-0640
SS  - 1664-0640
U6  - https://doi.org/10.25968/opus-2983
DO  - https://doi.org/10.25968/opus-2983
VL  - 14
SP  - 11
S1  - 11
ER  -