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Editor's Correspondence
Sep 12, 2011

The Use of Cognitive Behavioral Therapy for Secondary Prevention in Patients With Coronary Heart Disease—Reply

Author Affiliations

Author Affiliations: Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Section, Uppsala University, Uppsala, Sweden.

Arch Intern Med. 2011;171(16):1506-1507. doi:10.1001/archinternmed.2011.389

In reply

We welcome the letter by O’Neil and Sanderson, which in essence deals with the possibility that the results of our study1 depend on group differences in depression, anxiety, and social support. In a previous publication, the levels of depressive mood, anxiety, and social support among 346 cases from our present study population in their first post–myocardial infarction (MI) year were compared with the corresponding data among 610 age-, sex-, and residency-matched referents from the general population.2 Unexpectedly, we found no significant differences between cases and referents regarding everyday life stress, stressful life events, vital exhaustion, depressive mood, coping, or optimism. The cases reported a better social support—quality as well as size of supporting network.

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