Healthcare最新文献

{"title":"Caregiver Burden in Caring for Family Members with Cancer in the Makkah Region, Saudi Arabia: A Cross-Sectional Study.","authors":"Nuha Mahdi, Hashim A Mahdi","doi":"10.3390/healthcare14081113","DOIUrl":"10.3390/healthcare14081113","url":null,"abstract":"<p><p><b>Background:</b> The present study aimed to assess the caregiving burden among family caregivers of adult patients with various cancer types and stages in the Kingdom of Saudi Arabia (KSA), and to examine the associations with caregiver and patient characteristics. <b>Materials and Methods:</b> A cross-sectional study involving 212 family caregivers of cancer patients was conducted between March and April 2024 at King Abdullah Medical City in Makkah, KSA. The Arabic version of the Zarit Burden Interview (ZBI) scale was used to assess overall and specific burdens. Associations between overall burden and sociodemographic variables were analyzed using significance tests. <b>Results:</b> Over half (55%) of participants experienced burden, with a mean ZBI score of 26.33 ± 16.86, indicating a mild to moderate level. Low levels of psychological (7.34 ± 5.41), social (2.27 ± 2.93), physical (1.96 ± 2.22), and financial (1.22 ± 1.41) burdens were found. Financial difficulties and patient immobility significantly contributed to higher burden scores. Caregivers with financial hardships scored higher (31 ± 14.8 vs. 24 ± 17.3, <i>p</i> = 0.01), and those caring for bedridden patients experienced greater burdens (38 ± 21.8 vs. 18 ± 12.5, <i>p</i> = 0.001). <b>Conclusions:</b> Although financial difficulties and patient immobility significantly contribute to caregiver burden, the overall burden in the Makkah region remains relatively moderate. Strong cultural and familial support systems in KSA may alleviate challenges, yet coping strategies targeting financial and physical burdens are necessary.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147813871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Adjustment to Metastatic Cancer: A Comparative Longitudinal Analysis of Breast vs. Lung Cancer Patients.","authors":"Mitar Saveljic, Milovan Roganovic, Emir Muzurovic, Nikica Sutalo, Marin Mamic, Sanja Plestina","doi":"10.3390/healthcare14081112","DOIUrl":"10.3390/healthcare14081112","url":null,"abstract":"<p><p><b>Background:</b> Psychological distress, including anxiety, stress, and depression, is common and expected in women with newly diagnosed metastatic breast (MBC) or lung (MLC) cancer. This study examined short-term changes in depression, anxiety, and stress and the associations of such changes with demographic, lifestyle, and religiosity factors. <b>Methods:</b> This prospective longitudinal study included 121 women (66 with MBC and 55 with MLC) who attended two oncology clinics in Montenegro between July 2024 and February 2025. Psychological symptoms were assessed at baseline (T1) and three months after treatment initiation (T2) using the Depression Anxiety Stress Scale-21 (DASS-21) and the Anxiety Sensitivity Index (ASI). Due to the non-normal distribution of residuals, multivariable quantile regression models (median regression, tau = 0.5) were used to examine independent predictors of psychological outcomes at T2, adjusting for baseline symptom severity, demographics, and clinical factors. <b>Results:</b> Baseline DASS-21 and ASI scores were comparable between the MBC and MLC patients. At three-month follow-up, depressive symptoms decreased in the overall cohort, driven by improvement among patients with MLC. Patients with MBC showed increased anxiety and stress over time, whereas patients with MLC showed reductions in depression and stress. At follow-up, anxiety was significantly higher in the MBC group than in the MLC group. The perceived importance of faith showed weak negative correlations with distress (ρ ranging from -0.227 to -0.242; all <i>p</i> = 0.01), while younger age was strongly associated with higher baseline distress in the MLC group (ρ = -0.431 to -0.688; all <i>p</i> < 0.001). In the multivariable median regression models, baseline symptom severity was the strongest predictor of psychological outcomes at T2 (<i>p</i> < 0.001). Additionally, cancer type was a significant independent predictor of depression at follow-up (B = -1.258; <i>p</i> < 0.001), with MLC associated with lower scores compared to MBC. <b>Conclusions:</b> Psychological distress is a common phenomenon during the first months after the diagnosis of metastatic cancer. Our results support the importance of early psychological assessment and tailored support in routine oncology practice.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Social Support and Psychological Stress Among Nursing Students: Evidence from a Cross-Sectional Study.","authors":"Bandar S Alharbi, Majed M Aljabri, Endale Alemayehu Ali","doi":"10.3390/healthcare14081111","DOIUrl":"10.3390/healthcare14081111","url":null,"abstract":"<p><p><b>Background</b>: Psychological stress is a common concern among university students, which is also pronounced among nursing students due to the academic and clinical demands of their training. Persistent stress can negatively affect students' mental well-being, academic performance, and professional development. Social support has been identified as an important protective factor. However, evidence on the relationship between perceived social support and stress among nursing students in Middle Eastern educational contexts remains limited. <b>Methods</b>: A cross-sectional survey was conducted among nursing students. The survey included the Multidimensional Scale of Perceived Social Support (MSPSS) and the 10-item Perceived Stress Scale (PSS-10), along with sociodemographic and academic characteristics. Multivariable linear regression was used to examine the association between perceived social support and perceived stress after adjusting for age group, sex, program type, living arrangement, and employment status. Differences in stress across levels of social support were also examined using analysis of variance (ANOVA). <b>Results</b>: A total of 182 nursing students participated in the study. The mean perceived social support score was 4.95 (SD = 1.42), while the mean perceived stress score was 15.49 (SD = 2.82). We found that higher perceived social support was significantly associated with lower perceived stress (β = -1.9, 95% CI: -3.4 to -0.44), indicating that a one-point increase in the MSPSS score was associated with a 1.9-point decrease in perceived stress. Other sociodemographic factors were not significantly associated with stress. ANOVA indicated significant differences in stress across social support levels (F(2,179) = 6.91, <i>p</i> = 0.001). <b>Conclusions</b>: Perceived social support was significantly associated with lower levels of perceived stress among nursing students. These findings highlight the potential importance of strengthening supportive social environments to promote psychological well-being in nursing education.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central European Sample Analysis of Traumatic Vertebral Fractures: A One-Year Retrospective Cohort Study.","authors":"Eleonora Colella, Hans-Christoph Pape, Ladislav Mica","doi":"10.3390/healthcare14081114","DOIUrl":"10.3390/healthcare14081114","url":null,"abstract":"<p><strong>Background/objectives: </strong>The purpose of this study was to examine the sex-specific distribution of traumatic spinal fractures and potential predictive clinical factors for a more well-founded treatment evaluation.</p><p><strong>Methods: </strong>This study is a retrospective cohort study. Data from electronic medical records were analyzed and compiled in a database. Demographic information, trauma-specific characteristics, and radiological measurements, as well as laboratory values and surgical treatments, were collected. Only surgical cases were included in this study. Statistical analyses were performed using the IBM SPSS Statistics program. Chi-square tests, effect sizes, and 95 confidence intervals were used for comparison of categorical variables, and means and standard deviations were calculated, as well as Levene's test for equality and <i>t</i>-tests for analyzing continuous variables. The statistical significance was set at a two-tailed <i>p</i> < 0.05.</p><p><strong>Results: </strong>A total of 164 patients were included, with a mean age of 58.03 years. Statistically significant differences between sexes were found in age (<i>p</i> = 0.04), GCS (<i>p</i> = 0.03), hemoglobin (<i>p</i> = 0.03), hematocrit (<i>p</i> = 0.007), and the one-year post-surgical intervertebral angle (<i>p</i> = 0.004). AIS score showed statistically significant differences in the cervical and lumbar sections (<i>p</i> < 0.015; <i>p</i> = 0.022) and the overall spine (<i>p</i> = 0.049). No statistically significant difference in the HU values in the vertebra above the fracture was found between men and women. Women showed significantly larger one-year postoperative intervertebral angles than men.</p><p><strong>Conclusion: </strong>Vertebrae with lower HU values tend to collapse despite stable surgical treatment; therefore, additional bone quality assessment should be contemplated. These findings highlight sex-specific considerations for future clinical decision-making.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147813902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Experiences of Older Adults with an LGBT+ Identity: An Integrative Review.","authors":"Anders Valentin Johansen, Christine Elise Swane, Lotte Evron, Laila Twisttmann Bay, Sinthuja Vasantharajan, Dorthe Susanne Nielsen","doi":"10.3390/healthcare14081110","DOIUrl":"10.3390/healthcare14081110","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Older adults with an LGBT+ identity represent an under-researched population within healthcare systems. Existing evidence suggests that they experience distinct health challenges compared to their heterosexual counterparts, partly shaped by lifelong experiences of stigma and discrimination. Such experiences may contribute to minority stress, which is associated with adverse mental health outcomes and lifestyle-related health issues. This review aims to synthesise the existing literature on how older adults with an LGBT+ identity experience encounters with healthcare. <b>Methods</b>: An integrative literature review was conducted following PRISMA guidelines. A systematic search of multiple databases was performed, and studies were screened using predefined inclusion and exclusion criteria. Data were analysed using systematic text condensation. <b>Results:</b> A total of 18 studies were included, comprising approximately 450 participants. All studies contained a qualitative component. Three overarching themes were identified: (1) double-edged discrimination-experiences of stigma and anticipated fear in healthcare; (2) relational networks as essential yet fragile sources of support in later life; and (3) healthcare practices as shaping inclusion or invisibility-the need for competence and recognition. <b>Conclusions:</b> The findings highlight significant barriers faced by older adults with an LGBT+ identity in healthcare, including fear of discrimination and challenges related to disclosure. Social networks play a crucial role as sources of support, while healthcare professionals' competencies and practices are central to ensuring inclusive and equitable care.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Fall Risk, Prevention Knowledge, Behavior and Social Support Among Older Adults: Insights from a Hospital-Based Study in Riyadh.","authors":"Anwar Alhashem, Norah Aldarwish, Rahaf Almoqbel, Reem Alsaeed, Sabba Alanazi, Mohammed S Khusheim","doi":"10.3390/healthcare14081109","DOIUrl":"10.3390/healthcare14081109","url":null,"abstract":"<p><strong>Background/objectives: </strong>Falls are a significant public health issue and the second most common cause of injury and death worldwide. The risk is exceptionally high for older adults, and fall-related injuries can significantly affect their well-being and lead to pain, disability, and loss of independence, necessitating urgent redressal of this issue. This study assesses the fall risk among older patients at a referral hospital in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>This cross-sectional study included 246 older adults aged 65 years and older from the Internal Medicine Department. Data were gathered through a survey addressing sociodemographic characteristics, fall risk assessment, prevention knowledge, behaviors, and social support.</p><p><strong>Results: </strong>A high fall risk and good knowledge of fall prevention were observed in older adults. A weak-to-moderate positive correlation was found between behavior and fall risk. Correlations were observed among age, fall prevention behavior, educational level, and fall prevention knowledge.</p><p><strong>Conclusions: </strong>While a weak-to-moderate positive association was found between fall risk and positive behaviors, no statistically significant association was observed between fall risk and fall prevention knowledge or social support. This indicates that factors other than knowledge and social support may play a critical role in influencing fall risk. Behavioral interventions alone may not reduce fall incidence sufficiently unless other underlying factors are addressed.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Trends and Emerging Directions in Non-Pharmacological Interventions for Autism Spectrum Disorder: A Bibliometric Analysis (2001-2025).","authors":"Yuting Lu, Wenliang Guo, Yanlin Zou, Ailing Wei, Jianwen Xu","doi":"10.3390/healthcare14081108","DOIUrl":"10.3390/healthcare14081108","url":null,"abstract":"<p><p><b>Background</b>: Autism Spectrum Disorder (ASD) is a heterogeneous neurodevelopmental condition for which non-pharmacological interventions remain the primary therapeutic approach. Although research output in this field has increased substantially, a comprehensive synthesis of its developmental trajectory and emerging directions is still lacking. <b>Methods</b>: We conducted a bibliometric analysis of publications on non-pharmacological interventions for ASD indexed in the Web of Science Core Collection between 2001 and 2025. Knowledge structures, research hotspots, and temporal trends were visualized and analyzed using CiteSpace. <b>Results</b>: The field has transitioned from an early focus on behavioral interventions in children to a diversified and interdisciplinary research ecosystem spanning the lifespan. Recent growth has been driven by the integration of neuroscience-based approaches, particularly neuromodulation techniques, alongside continued refinement of behavioral, sensorimotor, and complementary therapies. Increasing attention has been paid to individual heterogeneity, methodological rigor, and mechanism-oriented research. Current frontiers emphasize multimodal intervention strategies, neural plasticity-based mechanisms, and the development of personalized precision intervention frameworks. <b>Conclusions</b>: This bibliometric analysis delineates the intellectual evolution of non-pharmacological intervention research for ASD and identifies key research gaps, particularly the need for longitudinal and pragmatic studies targeting individualized treatment response. The findings provide an evidence-informed overview of current concepts and emerging research directions in non-pharmacological care for ASD, with important implications for future clinical research, intervention design, and strategic research planning.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolution of the Mental Health-Acute Coronary Syndrome Intersection: A 50-Year Bibliometric Mapping and Changepoint Analysis (1975-2025).","authors":"Alexandra Herlaș-Pop, Andrei-Flavius Radu, Ada Radu, Gabriela S Bungau, Delia Mirela Tit, Cristiana Bustea, Elena Emilia Babes","doi":"10.3390/healthcare14081115","DOIUrl":"10.3390/healthcare14081115","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The intersection of mental health and acute coronary syndromes has become an increasingly prominent area of cardiovascular and psychosomatic research, yet its temporal dynamics and intellectual structure remain incompletely characterized. <b>Methods</b>: This study analyzed 13,646 peer-reviewed documents spanning five decades, employing advanced changepoint detection (PELT) algorithms, network visualization (VOSviewer), and bibliometric performance metrics (Bibliometrix) to quantify the evolution of the mental health-ACS intersection. <b>Results</b>: Statistical analysis identified two robust inflection points at 1990 and 2005 that demarcate distinct developmental periods. The 1990 breakpoint marked an important transition, although additional metadata-completeness analysis indicated that part of the increase from 72 to 142 publications may reflect improved availability of non-title Topic-field metadata in WoSCC around 1990-1991. The 2005 breakpoint represented the most critical transition (Cohen's d = 4.05, <i>p</i> < 0.000001), initiating exponential growth from 349 to over 600 annual publications by 2022 and coinciding with growing research attention to psychiatric comorbidity within ACS literature. Keyword co-occurrence networks revealed a shift in research focus: early publications predominantly addressed mental health as a psychological reaction to cardiac events, whereas more recent publications increasingly frame depression, anxiety, and PTSD alongside mechanistic constructs such as inflammatory pathways, autonomic dysfunction, and platelet reactivity. Although seminal intervention trials (i.e., ENRICHD, SADHART) established pharmacological safety and symptom improvement, keyword analyses indicate that following these trials, research attention increasingly shifted toward precision psychiatry concepts and mechanistic pathway elucidation. <b>Conclusions:</b> These findings provide a quantitative map of how publication activity at the mental health-ACS intersection has evolved, offering a structured basis for identifying under-researched areas and informing future research agendas.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Criticism in Preventive Guided Self-Help Interventions: Greater Gains or Greater Risks? Its Effect on Adherence, Treatment Success, and Working Alliance.","authors":"Micaela Di Consiglio, Francesca D'Olimpio, Alessandro Couyoumdjian","doi":"10.3390/healthcare14081107","DOIUrl":"10.3390/healthcare14081107","url":null,"abstract":"<p><strong>Background: </strong>Self-criticism is a transdiagnostic factor associated with psychological distress and poorer outcomes in traditional psychotherapy, yet recent evidence suggests it may facilitate change in preventive and low-intensity interventions. This study examined the role of self-criticism in adherence, working alliance, and outcomes within NoiBene, a guided self-help program designed to promote well-being and prevent psychological distress among non-clinical university students.</p><p><strong>Methods: </strong>A total of 455 participants (82% female; M = 23.5 years) completed measures of internalized and comparative self-criticism, and key psychological processes (e.g., emotional awareness, rumination, worry, perfectionism, psychological inflexibility, and assertiveness) were assessed before and after the intervention. Adherence and working alliance were measured only after the intervention.</p><p><strong>Results: </strong>Contrary to evidence from clinical settings, severe self-criticism was not associated with increased dropout or weaker alliance. Instead, individuals with severe self-criticism exhibited the greatest improvements across multiple domains, suggesting a higher potential for therapeutic gain. Moreover, participants with moderate levels of both internalized and comparative self-criticism showed higher dropout and lower adherence.</p><p><strong>Conclusions: </strong>These findings indicate that, in preventive guided self-help contexts, self-criticism does not necessarily hinder engagement and outcomes and may, under certain conditions, function as a catalyst for change. Implications for tailoring digital preventive interventions and addressing dropout risk are discussed.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Yoga and Mindfulness-Based Rehabilitation After Myocardial Infarction: A Systematic Review.","authors":"Chiara Bianchi, Laura Rotondo, Claudio Bersani, Rita Pavasini, Federico Marchini, Serena Caglioni, Andrea Raisi, Gianluca Campo, Elisabetta Tonet","doi":"10.3390/healthcare14081106","DOIUrl":"10.3390/healthcare14081106","url":null,"abstract":"<p><p><b>Background:</b> Psychological distress, autonomic dysregulation, and unhealthy lifestyle behaviors are common after myocardial infarction (MI) and negatively affect cardiovascular outcomes. In recent years, integrative mind-body interventions, such as yoga and mindfulness-based approaches, have gained increasing attention as adjuncts to conventional cardiac rehabilitation (CR) programs. However, evidence regarding their effectiveness in post-MI populations remains fragmented. <b>Objective:</b> This systematic review aimed to synthesize the available evidence on the effects of yoga- and mindfulness-based interventions in patients following myocardial infarction. <b>Methods:</b> A systematic literature search was conducted across major electronic databases to identify randomized controlled trials and observational studies evaluating yoga- or mindfulness-based interventions in post-MI patients. Eligible studies included adult MI populations. Study selection and quality assessment were performed according to predefined criteria. <b>Results:</b> The 10 included studies suggest that yoga-based cardiac rehabilitation programs may provide benefits beyond standard care, particularly in terms of self-rated health, psychological well-being, and return to pre-infarction daily activities. Mindfulness-based interventions were associated with reductions in anxiety and perceived stress, improvements in blood pressure control, enhanced social support, and better health-related quality of life. Several studies also reported favorable effects on autonomic balance and stress-related physiological markers. Finally, a study reported benefits in terms of MACE (<i>p</i> = 0.032). However, heterogeneity in intervention protocols, outcome measures, and study designs limited direct comparisons across studies. <b>Conclusions:</b> Yoga and mindfulness-based interventions appear to be promising complementary strategies in post-MI care.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"14 8","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}