Key result
Cognitive behavior therapy and supportive stress management improved depression remission rates at 3 months (71% and 57%, respectively) compared to usual care (33%, P=0.002).
Why the study?
Does cognitive behavior therapy or supportive stress management improve remission of depression in patients with depression after coronary artery bypass surgery?
RCT (n=123)
Single-blind
randomized
No
Does cognitive behavior therapy or supportive stress management improve remission of depression in patients with depression after coronary artery bypass surgery?
Absolute Event Rate: 71% vs 33%
p-value: p=.002
Cognitive behavior therapy and supportive stress management are efficacious for treating depression after coronary artery bypass surgery compared to usual care, with cognitive behavior therapy showing greater and more durable effects.
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Supports CBT or stress management for post-CABG depression; extends evidence for nonpharmacologic interventions in cardiac patients.
Freedland et al. (2009) conducted an RCT in Depression after coronary artery bypass surgery (n=123). Cognitive behavior therapy or supportive stress management vs. Usual care was evaluated on Remission of depression, defined as a score of less than 7 on the 17-item Hamilton Rating Scale for Depression at 3 months (p=.002). Cognitive behavior therapy and supportive stress management improved depression remission rates at 3 months (71% and 57%, respectively) compared to usual care (33%, P=0.002).
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