Abstract 13961: A Single Cognitive Behavior Therapy Session Improves Short-Term Depressive Symptoms in Hospitalized Patients with Heart Failure
Background: Hospitalized patients with heart failure (HF) are at high risk for depressive symptoms which contribute to poorer outcomes. Interventions are needed to manage depressive symptoms in these patients.
Purpose: To test the effects of a single cognitive behavior therapy (CBT) session on depressive symptoms one week post-hospital discharge.
Methods: This was a combined data analysis of two sequential randomized, controlled pilot studies testing a brief CBT intervention for the treatment of depressive symptoms. Similar inclusion and exclusion criteria were used in both studies. Patients were randomly assigned to usual care or a 30-minute CBT session, delivered by the same cardiac nurse prior to hospital discharge. A total of 24 patients with HF and depressive symptoms were included (57 ± 9 years, 44% female, 48% NYHA Class III). Depressive symptoms were measured with the Patient Health Questionnaire-9 (PHQ-9). Repeated measures analysis of variance was used to describe changes in depressive symptoms between groups, and chi square analysis was used to compare the proportion of patients in each group with moderate to severe depressive symptoms (PHQ-9 score ≥ 10) one week after discharge.
Results: Both groups had similar clinical characteristics and depressive symptom levels at baseline. There was a significant interaction effect between group and time with depressive symptoms (see Figure). At one week, the average PHQ-9 score in the usual care group remained above the cut point for major depression, while the average score for the intervention group fell below the cut-point. Furthermore, only 23% of the intervention group had moderate to severe depressive symptoms, compared to 77% in the usual care group (p = .015).
Conclusion: These results suggest nurses caring for hospitalized patients with HF can deliver a brief intervention that improves short-term depressive symptoms. Future research is needed to determine the long-term effects of the intervention.
Author Disclosures: R.L. Dekker: None. E.G. Tovar: None. L.V. Doering: None. A.L. Bailey: None. C.L. Campbell: None. J.H. Wright: None. M.L. Bishop: None. D.K. Moser: None.
- © 2014 by American Heart Association, Inc.