Conclusion
depression, traumatic stress symptoms, CVD, anxiety
CVD
Self-help metacognitive therapy significantly improved total anxiety and depression symptoms when added to usual cardiac rehabilitation. The treatment also resulted in significantly improved traumatic stress symptoms and impacted on hypothesised psychological causal variables. An important incidental finding was preliminary evidence that the addition of self-help MCT might also reduce rates of psychological deterioration in CVD patients. The implication is that self-help MCT could be offered to distressed CVD patients as an effective psychological intervention in addition to or as an alternative to group-based therapist-led MCT.