Abstract 11188: A Brief Cognitive Therapy Intervention Improves Three-Month Outcomes in Hospitalized Patients with Heart Failure
Background: Hospitalized patients with heart failure (HF) are at high risk for experiencing depressive symptoms which contribute to poorer outcomes. Interventions are needed to manage depressive symptoms in these patients.
Purpose: To test the short-term effects of a brief cognitive therapy (CT) intervention on cardiac event-free survival, depressive symptoms, and health-related quality of life.
Methods: A total of 41 hospitalized patients with depressive symptoms (66 ±11 yrs, 45% female, 81% NYHA Class III/IV) were randomly assigned to usual care or a brief, nurse-delivered CT intervention focused on reducing negative thinking. The intervention was delivered during hospitalization and followed by a booster phone call one week post-discharge. The primary endpoint was three-month cardiac event-free survival. Depressive symptoms and health-related quality of life were measured at one week and three months. Kaplan-Meier survival curves and mixed models repeated measures analysis of variance were used for data analysis.
Results: Both groups had similar clinical characteristics and depressive symptom levels at baseline. There were significant improvements in depressive symptoms and health-related quality of life in both groups but no interactions between group and time. The intervention group had longer three-month cardiac event-free survival than the control group (Figure), and there were fewer cardiac events in the intervention group (mean 0.2 vs 0.8, p < .008).
Conclusions: These results suggest nurses caring for hospitalized patients with HF can deliver a simple, brief intervention that improves short-term event-free survival. Future research is needed to verify these results with a larger sample size.
- © 2010 by American Heart Association, Inc.