ENHANCING RECOVERY IN CORONARY HEART DISEASE PATIENTS

这项研究将评估心理社会干预的效果 心肌梗死后抑郁或社会支持程度低的患者 死亡率和再梗塞的综合终点(与通常相比 医疗保健)。这项研究还将：a)评估 对二级医疗和心理社会终点的干预；b) 评估按性别、少数民族地位和性别划分的亚组的影响 心理社会风险的病因学(在可能的范围内 统计能力)；c)对行为和行为进行探索性研究 生理机制。

This study will evaluate the effects of a psychosocial intervention in post-MI patients, who are depressed or have low social support on a combined endpoint of mortality and re-infarction (compared to usual medical care). This study will also: a) to evaluate the effect of the intervention on secondary medical and psychosocial endpoints; b) to evalute the effect of subgroups defined by gender, minority status, and etiology of psychosocial risk (to the extent possible given limited statistical power); c) to conduct exploratory studies of behavioral and physiologic mechanisms.