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Review: cognitive care and combined cognitive and emotional care interventions may influence patients' health outcomes

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 QUESTION: Do cognitive and emotional care interventions during patient–clinician interactions affect patients' health outcomes?

Data sources

Studies were identified by searching Medline, EMBASE/Excerpta Medica, the Cochrane Controlled Trials Register, CINAHL, PsycLIT, Amed, Sociofile, Social Science Citation Index, Science Citation Index, SIGLE, and Dissertation Abstracts databases; requesting studies from Evidence-Based Health (internet discussion list); and contacting experts.

Study selection

Randomised controlled trials were selected if they had ≥ 1 treatment that was a contextual intervention related to a patient–practitioner relationship and patients had a physical illness. Studies were excluded if they examined contextual factors relating to characteristics of the treatment and identified psychological interventions, or had a theoretical base (such as psychotherapy, counselling, or health education [including communication skills training]), or were directed at drug addicted or psychiatric patients.

Data extraction

Data were extracted by using guidelines from the National Health Service Centre for Reviews …

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  • Sources of funding: National Institutes of Health and the John E Fetzer Institute.

  • For correspondence: Ms Z Di Blasi, Department of Health Sciences and Clinical Evaluation, University of York, York Y010 5DD, UK. Fax +44(0) 190 443 4517.