The primary purpose of this study is to understand whether psychosocial interventions can meaningfully support the recovery of young and middle aged patients who have experienced a myocardial infarction. Although medical treatment remains central to cardiac care, many patients continue to struggle with stress, anxiety, depression and reduced quality of life after discharge. These psychological challenges often slow recovery and may heighten the risk of future cardiac events. The protocol therefore focuses on introducing a structured psychosocial program that works alongside standard medical care to improve emotional wellbeing and overall functioning in post MI patients.

The study aims to implement three major components. The first is psychoeducation, which helps patients develop a clearer understanding of myocardial infarction, its causes and its impact on both physical and psychological health. This promotes better insight and reduces fear related to the illness. The second component includes stress management techniques such as deep breathing, progressive muscle relaxation and guided imagery. These practices are introduced to help patients regulate stress responses, improve sleep and manage everyday distress more effectively. The third component is cognitive behavioral therapy which supports patients in identifying and modifying unhelpful thoughts, fears and behavioural patterns that may interfere with recovery.

By integrating these elements into a structured intervention over a three month period, the protocol aims to observe whether participants show measurable improvement in stress, anxiety, depression and quality of life when compared to a control group receiving standard care. The study intends to generate evidence on the usefulness of psychosocial interventions in cardiac healthcare settings in India, where such approaches are not yet a routine part of secondary prevention. The findings may help strengthen multidisciplinary care models and highlight the importance of psychological support in chronic illness management.

The central hypothesis of the study is that psychosocial interventions will have a positive effect on the recovery of young and middle aged myocardial infarction patients. Specifically, it is expected that patients who receive the combined intervention of psychoeducation, cognitive behavioral therapy and stress management techniques will show a significant reduction in stress, anxiety and depressive symptoms. It is also hypothesized that their quality of life scores will improve when compared to their own baseline levels and when compared to patients receiving standard care alone. The combined effect of these interventions is expected to support better emotional adjustment, greater sense of control and improved overall wellbeing during the recovery period. This hypothesis aligns with the growing evidence that psychological and emotional factors play a meaningful role in cardiac health. The study therefore assumes that addressing these factors through structured psychosocial methods will contribute to better recovery outcomes and may support long term health benefits for myocardial infarction patients.