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.
Observational (n=88)
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.
O’Rourke et al. (Mon,) conducted a 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.