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Behavior Modification
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Effect of Intense Lifestyle Modification and Cardiac Rehabilitation on Psychosocial Cardiovascular Disease Risk Factors and Quality of Life

Steven G. Aldana

Brigham Young University

William R. Whitmer

Health Enhancement Research Organization

Roger Greenlaw

Swedish American Center for Complementary Medicine

Andrew L. Avins

University of California, San Francisco

Dean Thomas

Audrey Salberg

Swedish American Center for Complementary Medicine

Andrea Greenwell

Brigham Young University

Lee Lipsenthal

Lifestyle Advantage

Gill W. Fellingham

Brigham Young University

This study examined the effect of the Ornish Program for Reversing Heart Disease and cardiac rehabilitation(CR) on psychosocialrisk factors and qualityof life in patients with confirmedcoronary artery disease. Participants had previously undergone a revascularization procedure. The 84 patients self-selected to participate in the Ornish Program for Reversing Heart Disease (n = 507 28), CR (n = 28), or a control group (n = 28). Twelve psychosocial risk factors and quality of life variables were collected from all three groups at baseline, 3 months, and 6 months. At 3 and 6 months, Ornish group participants demonstrated significant improvements in all 12 outcome measures. The rehabilitationgroupimproved in 7 of the 12, and the controlgroupshowed significant improvements in 6 of the variables. Intensive lifestyle modification programs significantly affect psychosocial risk factors and quality of life.

Key Words: Ornish • lifestyle • cardiovascular disease • quality of life • depression

Behavior Modification, Vol. 30, No. 4, 507-525 (2006)
DOI: 10.1177/0145445504267797


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