Chen, Biqun, Wen, Juanling, You, Deyi et al. · Irish journal of medical science · 2024 · DOI
This study tested whether a type of talk therapy called cognitive-behavioral stress management (CBSM) could help heart attack patients feel less anxious and depressed after receiving a stent procedure. Over 6 months, patients who received CBSM weekly for 12 weeks showed improvements in anxiety, depression, and overall quality of life compared to those receiving standard care. However, the therapy did not reduce the risk of future heart problems.
Although this study focuses on cardiac patients rather than ME/CFS, it provides evidence that cognitive-behavioral stress management can meaningfully improve anxiety, depression, and quality of life—outcomes that are also significantly impaired in ME/CFS patients. The results support exploring CBSM as an adjunctive psychological intervention for ME/CFS patients, particularly those with comorbid mood and anxiety symptoms.
This study does not establish that CBSM prevents future medical complications or addresses underlying biological mechanisms of heart disease or chronic fatigue. The cardiac population differs substantially from ME/CFS patients, so findings may not directly transfer. Additionally, improvements in psychological measures do not prove CBSM addresses core physiological dysfunction in either condition.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Chen, Biqun, Wen, Juanling, You, Deyi, & Zhang, Yu (2024). Implication of cognitive-behavioral stress management on anxiety, depression, and quality of life in acute myocardial infarction patients after percutaneous coronary intervention: a multicenter, randomized, controlled study.. Irish journal of medical science. https://doi.org/10.1007/s11845-023-03422-6
BibTeX
@article{mecfsatlas-chen-2024-implication-cognitive,
author = {Chen, Biqun and Wen, Juanling and You, Deyi and Zhang, Yu},
title = {Implication of cognitive-behavioral stress management on anxiety, depression, and quality of life in acute myocardial infarction patients after percutaneous coronary intervention: a multicenter, randomized, controlled study.},
journal = {Irish journal of medical science},
year = {2024},
doi = {10.1007/s11845-023-03422-6},
note = {PubMed: 37351826},
url = {https://www.mecfsatlas.com/evidence/chen-2024-implication-cognitive},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/chen-2024-implication-cognitive
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