Key result
A brief 3-day Cognitive Behavioral Therapy intervention significantly reduced mean scores for depression, anxiety, and stress compared to usual care among hospitalized patients with congestive heart failure.
Why the study?
Psychological problems in heart failure patients contribute to worsening clinical symptoms and higher rehospitalization risk, motivating evaluation of cognitive behavior therapy (CBT) on psychological symptoms.
Does cognitive behavior therapy reduce depression, anxiety, and stress in hospitalized patients with congestive heart failure?
RCT (n=30)
Open-label
Simple randomization
No
Does cognitive behavior therapy reduce depression, anxiety, and stress in hospitalized patients with congestive heart failure?
Absolute Event Rate: 14.27% vs 22.93%
p-value: p=0.005
Brief cognitive behavioral therapy significantly reduces short-term psychological symptoms such as depression, anxiety, and stress in hospitalized patients with congestive heart failure.
Supports brief CBT for mood symptoms in hospitalized HF patients; hypothesis-generating and requires larger randomized confirmation.
Introduction: Psychological problems in patients with heart failure are the result of a combination of the influence of behavior and interactions with physiological responses, which if not handled properly will contribute to worsening clinical symptoms and have a higher risk of rehospitalization. The objective of the study was to evaluate the effects of cognitive behavior therapy (CBT) on psychological symptoms among CHF patients.Methods: This was a quasi-experimental, pretest-posttest control study that applying a CBT to overcome depression, anxiety, and stress. Thirty eligible respondents were recruited and were randomly divided into a case group and waiting list group. Psychological symptoms of respondents were measured using Depression, Anxiety and Stress Scale – 21 questionnaires (DASS-21). Chi-square was used to compare demographic data between groups and T-test analysis was used to describe changes in mean scores between and within groups. Both groups had similar characteristics and psychological symptoms level at baseline.Results: The mean score of depression, anxiety and stress showed a significant difference within the group after the intervention (p<0.05).Conclusion: A recent study found that CBT was effective to reduce psychological symptoms among CHF patients. Based on the study results it can be highlighted that it is important for nurses to provide brief CBT to hospitalized patients in an effort to reduce short term psychological symptoms.
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Hudiyawati et al. (2020) conducted an RCT in Congestive Heart Failure (n=30). Cognitive Behavioral Therapy (CBT) vs. Usual care (wait-list control) was evaluated on Mean depression score at post-test (DASS-21) (p=0.005). A brief 3-day Cognitive Behavioral Therapy intervention significantly reduced mean scores for depression, anxiety, and stress compared to usual care among hospitalized patients with congestive heart failure.
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