Cognitive behavioral therapy in depressed cardiac surgery patients: role of ejection fraction.
Cognitive behavioral therapy in depressed cardiac surgery patients: role of ejection fraction.
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DOI：
10.1097/jcn.0000000000000155
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发表时间：
2015-07
期刊：
影响因子：
--
通讯作者：
Doering LV
中科院分区：
文献类型：
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作者：
Hwang B;Eastwood JA;McGuire A;Chen B;Cross-Bodán R;Doering LV
为了评估接受护士指导的认知行为治疗 (CBT) 或常规护理 (UC) 的心脏手术患者的射血分数 (EF) 和抑郁症状的关系，使用贝克抑郁量表 (BDI) 评估抑郁症状。 77 名患者（31% 为女性，年龄 63.6±9.8 岁）接受了 8 周的 CBT 或 UC。使用重复测量方差分析来评估抑郁症状随时间的变化。时间、治疗组和 EF 状态之间存在显着的交互作用 (p = .019)。在 EF 保留的患者（≥ 40%）中，UC 组的平均 BDI 评分恶化了 1.9%，而 CBT 组的平均 BDI 评分改善了 31.0%。在 EF 低（< 40%）的患者中，UC 组和 CBT 组的平均 BDI 评分分别恶化了 26.8% 和改善了 75.3%。护士指导的 CBT 可有效减少心脏手术后的抑郁症状，特别是对于低 EF 患者。
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) Depressive symptoms were assessed using the Beck Depression Inventory (BDI). Seventy-seven patients (31% female, age 63.6±9.8 years) received 8 weeks of either CBT or UC. Using repeated measures ANOVA, changes in depressive symptoms over time were evaluated. There was a significant interaction among time, treatment group and EF status (p = .019). In patients with preserved EF (≥ 40%), mean BDI scores in the UC group worsened by 1.9%, while those in the CBT group improved by 31.0%. In patients with low EF (< 40%), mean BDI scores worsened by 26.8% and improved by 75.3% in the UC and CBT groups, respectively. Nurse-guided CBT is effective in reducing depressive symptoms after cardiac surgery, particularly in patients with low EF.