Cognitive Behavioral Therapy in Depressed Cardiac Surgery Patients: Role of Ejection Fraction. Issue 4 (July 2015)

• Record Type: Journal Article
• Authors: Hwang, Boyoung; Eastwood, Jo-Ann; McGuire, Anthony; Chen, Belinda; Cross-Bodán, Rebecca; Doering, Lynn V.
• Is Part Of: Journal of cardiovascular nursing. Volume 30:Issue 4(2015)
• Publication Date: 2015-07
• Subjects: cardiac surgery -- cognitive behavioral therapy -- depressive symptoms -- ejection fraction; Cardiovascular system -- Diseases -- Nursing -- Periodicals; Cardiovascular system -- Diseases -- Prevention -- Periodicals; Heart -- Diseases -- Nursing -- Periodicals; Heart -- Diseases -- Prevention -- Periodicals; 616.10231
• DOI: 10.1097/JCN.0000000000000155
• Languages: English
• ISSNs: 0889-4655

Abstract

Abstract : Aims: The aim of this study was to evaluate the relationship of ejection fraction (EF) and depressive symptoms in cardiac surgery patients assigned to nurse-guided cognitive behavioral therapy (CBT) or usual care (UC). Methods: Depressive symptoms were assessed using the Beck Depression Inventory (BDI). Seventy-seven patients (31% women; mean [SD] age, 63.6 [9.8] years) received 8 weeks of either CBT or UC. Using repeated-measures analysis of variance, changes in depressive symptoms over time were evaluated. Results: There was a significant interaction among time, treatment group, and EF status ( p = 0.019). In the patients with preserved EF (≥40%), mean BDI scores in the UC group worsened by 1.9%, whereas those in the CBT group improved by 31.0%. In the patients with low EF (<40%), mean BDI scores worsened by 26.8% and improved by 75.3% in the UC and CBT groups, respectively. Conclusions: Nurse-guided CBT is effective in reducing depressive symptoms after cardiac surgery, particularly in patients with low EF.