Why the study?
In advanced heart failure, depression prevalence can exceed 50% and is linked to worse clinical state and increased costs, necessitating synthesis of effective non-pharmacological treatments.
Do non-pharmacological interventions such as cognitive behavioral therapy and exercise improve depressive symptoms in patients with heart failure?
Systematic Review
Do non-pharmacological interventions such as cognitive behavioral therapy and exercise improve depressive symptoms in patients with heart failure?
Cognitive behavioral therapy and exercise are effective non-pharmacological interventions for improving depressive symptoms in patients with heart failure compared to usual care.
Answers are grounded in this paper and cite their sources.
Supports CBT and exercise for depression in heart failure; extends Level 1 synthesis of non-pharmacological options.
Background:In advanced stages of heart failure, the prevalence of depression can exceed 50%, which is associated with a worse clinical state and increases medical care costs.Objective: To identify and synthesize the most effective non-pharmacological interventions for the treatment of depression in patients with heart failure.Method: Studies published up to September 2021 involving depression and heart failure were identified by reviewing the main databases.Two authors independently selected the literature.Results: Cognitive behavioral therapy and exercise were the most commonly used non-pharmacological interventions for depressive symptoms in patients with heart failure, with moderate to large effect sizes (Cohen's d between 0.5 and 3.4).Conclusion: In patients with heart failure, cognitive behavioral therapy and exercise were shown to be better than the usual care for depressive symptoms.
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Tamayo-Lopera et al. (2023) conducted a systematic review in Heart failure and depression. Cognitive behavioral therapy and exercise vs. Usual non-pharmacological care was evaluated on Difference between groups on the depression scale at the end of the interventions (Cohen's d 0.5-3.4).
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