<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332025000600390</article-id>
<article-id pub-id-type="doi">10.24875/rccar.25000057</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Intervenciones en salud mental en los programas de rehabilitación cardiovascular]]></article-title>
<article-title xml:lang="en"><![CDATA[Mental health interventions in cardiovascular rehabilitation programs]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamayo-Mejía]]></surname>
<given-names><![CDATA[María C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rentería-Daboin]]></surname>
<given-names><![CDATA[Johny A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Valencia]]></surname>
<given-names><![CDATA[Jenny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caraballo-Gracia]]></surname>
<given-names><![CDATA[Domingo I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toro]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espíndola-Fernández]]></surname>
<given-names><![CDATA[Diego A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Departamento de Psiquiatría ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>6</numero>
<fpage>390</fpage>
<lpage>398</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332025000600390&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332025000600390&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332025000600390&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las enfermedades cardiovasculares se asocian con síntomas psicológicos que afectan negativamente el pronóstico clínico. La rehabilitación cardiovascular, tradicionalmente enfocada en la recuperación física, puede beneficiarse de intervenciones psicosociales que impactan la salud mental, la adherencia y la calidad de vida, mejorando así los desenlaces cardiovasculares. Este artículo sintetiza evidencia sobre la eficacia de intervenciones en salud mental, implementadas en programas de rehabilitación cardiovascular para desenlaces clínicos, psicológicos y funcionales. Se realizó una revisión narrativa de la literatura, para lo cual se consultaron bases de datos biomédicas y repositorios académicos como PubMed, Scopus, EMBASE, Web of Science, Cochrane Library, ClinicalKey, SciELO, LILACS y PsycINFO. Se incluyeron estudios publicados entre 2000 y 2024 en inglés o español. Médicos especialistas en psiquiatría y en rehabilitación cardiovascular realizaron la selección, evaluación crítica y extracción de la información de forma independiente. Las intervenciones más efectivas fueron la terapia cognitivo-conductual, el mindfulness, las técnicas de relajación y la terapia metacognitiva. Estas se asociaron con menor sintomatología ansiosa y depresiva, mejor calidad de vida y tendencia a reducir eventos cardiovasculares no fatales y hospitalizaciones. Las intervenciones psicológicas en rehabilitación cardiovascular, como la terapia cognitivo-conductual, el mindfulness, la relajación y el yoga, mejoran la salud mental y la calidad de vida, y es posible que reduzcan los eventos cardiovasculares. Su integración estructurada en los programas, especialmente en entornos con recursos limitados, es clave para optimizar los desenlaces clínicos y psicosociales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Cardiovascular diseases are frequently associated with psychological symptoms that negatively affect clinical outcomes. Cardiac rehabilitation, traditionally focused on physical recovery, may benefit from incorporating psychosocial interventions that enhance mental health, adherence, and quality of life, leading to improved cardiovascular outcomes. This article synthesizes the available evidence on the effectiveness of mental health interventions within cardiac rehabilitation programs and their impact on clinical, psychological, and functional outcomes. A narrative review of the literature was conducted. Biomedical databases and academic repositories including PubMed, Scopus, EMBASE, Web of Science, Cochrane Library, ClinicalKey, SciELO, LILACS, and PsycINFO were searched for studies published between 2000 and 2024 in English or Spanish. Article selection, critical appraisal, and data extraction were independently performed by psychiatrists and cardiac rehabilitation specialists. The most effective interventions included cognitive behavioral therapy, mindfulness, relaxation techniques, and metacognitive therapy. These approaches were associated with reduced anxiety and depressive symptoms, improved quality of life, and a trend toward lower incidence of nonfatal cardiovascular events and hospitalizations. Psychological interventions in cardiac rehabilitation, such as cognitive behavioral therapy, mindfulness, relaxation, and yoga, improve mental health and quality of life, with a potential reduction in cardiovascular events. Their structured integration into programs, especially in resource-limited settings, is essential to optimize clinical and psychosocial outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Rehabilitación cardíaca]]></kwd>
<kwd lng="es"><![CDATA[Trastornos mentales]]></kwd>
<kwd lng="es"><![CDATA[Psicoterapia]]></kwd>
<kwd lng="es"><![CDATA[Enfermedades cardiovasculares]]></kwd>
<kwd lng="es"><![CDATA[Calidad de vida]]></kwd>
<kwd lng="en"><![CDATA[Cardiac rehabilitation]]></kwd>
<kwd lng="en"><![CDATA[Mental disorders]]></kwd>
<kwd lng="en"><![CDATA[Psychotherapy]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular diseases]]></kwd>
<kwd lng="en"><![CDATA[Quality of life]]></kwd>
</kwd-group>
</article-meta>
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