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Mental Stress Reduction in Defibrillator Patients

US Department of Veterans Affairs (VA) logo

US Department of Veterans Affairs (VA)

Status and phase

Terminated
Phase 3

Conditions

Cardiomyopathy, Dilated
Arrhythmia
Anger
Stress

Treatments

Other: Patient Education
Behavioral: Cognitive Behavioral Stress Management (CBSM)

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT00624520
CLIN-008-07F

Details and patient eligibility

About

The purpose of this study is to assess the effectiveness of a 10 week program of Stress Management versus control Patient Education sessions on cardiac responses to mental stress in veterans with Implantable Cardioverter-Defibrillators

Full description

The study is a randomized controlled small clinical trial designed to determine whether a 10-week program of group cognitive-behavioral stress management (CBSM) versus a control "Patient Education" program can improve hemodynamic responses to mental stress testing in patients with Implantable Cardioverter Defibrillators. Comparison will be made between groups of heart rate and blood pressure responses to mental arithmetic and anger-recall mental stress, psychometric profiles, arrhythmia frequency and implantable cardioverter defibrillator firings before, immediately and up to 6 months after intervention. If benefit of CBSM is proven, study findings could lead to wider use of stress management programs, with increased life expectancy for implantable cardioverter-defibrillator patients.

Enrollment

129 patients

Sex

All

Ages

21 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age >21 years,
  • ICD Implantation,
  • > 3 months following ICD implantation,
  • willingness to give informed consent

Exclusion criteria

  • Episodes within prior 3 months of: acute coronary syndrome, myocardial infraction, Coronary Artery By-pass Graft surgery, percutaneous coronary intervention, hospital admission any cause,
  • severe mental illness,
  • life expectancy < 1 year,
  • hyperkalemia,
  • hypokalemia,
  • hypomagnesemia,
  • hypermagnesemia,
  • unwillingness to give informed consent

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

129 participants in 2 patient groups

Cognitive Behavioral Stress Management
Active Comparator group
Description:
10 week program of Cognitive Behavioral Stress Management (CBSM) group sessions
Treatment:
Behavioral: Cognitive Behavioral Stress Management (CBSM)
Patient Education
Active Comparator group
Description:
10 week program of once weekly Patient Education group sessions
Treatment:
Other: Patient Education

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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