Cognitive behavioral therapy in depressed cardiac surgery patients: role of ejection fraction.

Autor:	Hwang B; Boyoung Hwang, PhD Assistant Professor, School of Nursing, University of California, Los Angeles. Jo-Ann Eastwood, PhD Assistant Professor, School of Nursing, University of California, Los Angeles. Anthony McGuire, PhD Assistant Professor, School of Nursing, California State University, Long Beach. Belinda Chen, MPH Project Director, School of Nursing, University of California, Los Angeles. Rebecca Cross-Bodán, PhD Assistant Professor, School of Nursing, California State University, Fullerton. Lynn V. Doering, DNSc Professor and Chair, Translational Sciences, School of Nursing, University of California, Los Angeles., Eastwood JA, McGuire A, Chen B, Cross-Bodán R, Doering LV
Jazyk:	angličtina
Zdroj:	The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2015 Jul-Aug; Vol. 30 (4), pp. 319-24.
DOI:	10.1097/JCN.0000000000000155
Abstrakt:	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.
Databáze:	MEDLINE
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