Key result
An exercise and education-based rehabilitation programme significantly reduced anxiety and depression at 12 weeks and 6 months post-CABG, but not at 12 months.
Why the study?
Does an exercise and education-based rehabilitation programme improve levels of anxiety and depression in patients following CABG surgery?
Observational (n=88)
Does an exercise and education-based rehabilitation programme improve levels of anxiety and depression in patients following CABG surgery?
Standard exercise and education-based cardiac rehabilitation may not provide sustained long-term improvements in anxiety and depression for CABG patients with clinically significant baseline psychological distress, highlighting the need for targeted psychological interventions.
May not sustain anxiety and depression reductions to 12 months post-CABG; leaves open whether targeted psychological interventions are needed.
OBJECTIVE: to evaluate whether an exercise and education-based rehabilitation programme is sufficient treatment for individuals with clinically significant levels of anxiety or depression following coronary artery bypass graft (CABG) surgery. DESIGN: follow-up and repeated assessment after surgery. SETTING: outpatient cardiac rehabilitation programme. PATIENTS: all 88 attenders after CABG surgery. ASSESSMENTS: structured interview and Hospital Anxiety and Depression (HAD) scale (using 8 as the cut-off) administered by rehabilitation nurses at start of course and HAD repeated at 12 weeks and 6 and 12 months (by post after discharge). RESULTS: return rates of 76 and 80% at 6- and 12-month assessments, respectively; statistically significant reductions in levels of anxiety and depression found between first and all subsequent assessments; subdividing into groups revealed significant reduction in anxiety and depression in the anxious and depressed groups at 12 weeks and 6 months, respectively, but at 12 months there was no significant reduction. CONCLUSIONS: there is a need to address the problems of anxiety and depression directly by screening and treatment, and to provide more psychologically-orientated cardiac rehabilitation programmes.
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O’Rourke et al. (1990) conducted an observational in Coronary artery bypass graft (CABG) surgery (n=88). Exercise and education-based rehabilitation programme was evaluated on Levels of anxiety and depression measured by the Hospital Anxiety and Depression (HAD) scale. An exercise and education-based rehabilitation programme significantly reduced anxiety and depression at 12 weeks and 6 months post-CABG, but not at 12 months.
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