A 12-week cognitive-behavioural cardiac rehabilitation programme significantly reduced anxiety and depression and improved quality of life in ICD patients.
RCT
Immediate treatment vs waiting list
No
Does a 12-week cognitive-behavioural cardiac rehabilitation programme improve psychological and functional adaptation in patients with an implanted cardioverter defibrillator?
A 12-week cognitive-behavioral cardiac rehabilitation program significantly improves anxiety, depression, and quality of life in patients with an ICD.
OBJECTIVES: The effectiveness of a comprehensive 12-week CR programme for ICD patients was evaluated. DESIGN: All surviving and suitable ICD patients being cared for by a regional implantation centre were invited to attend a 12-week cognitive-behavioural cardiac rehabilitation programme that had been modified to meet the needs of this group. Patients assenting were randomized to either an immediate treatment or a waiting treatment group. Measures were taken prior to randomization, at the end of the treatment or waiting period, at the end of the second treatment group for that group only and at three months post-treatment for both groups. OUTCOME MEASURES: The Hospital Anxiety and Depression Scale, the Total Concerns Questionnaire, the Quality of Life after Myocardial Infarction Questionnaire, the EuroQual (subjective health rating scale), the Shuttle Test and a number of ICD shocks and ATP episodes were used in this study. RESULTS: For those patients willing and able to attend, the cognitive-behavioural CR programme produced significant benefits in terms of psychological and functional adaptation to living with the device. CONCLUSIONS: A comprehensive 12-week CR programme that incorporated both psychological and exercise-based components significantly reduced anxiety and depression and improved quality of life of ICD patients. It is not clear if these benefits are sustained.
Frizelle et al. (2004) conducted an RCT in Implanted cardioverter defibrillator (ICD). Cognitive-behavioural cardiac rehabilitation programme vs. Waiting treatment group was evaluated on Psychological and functional adaptation (measured via Hospital Anxiety and Depression Scale, Total Concerns Questionnaire, Quality of Life after MI Questionnaire, EuroQual, Shuttle Test, and ICD shocks/ATP episodes). A 12-week cognitive-behavioural cardiac rehabilitation programme significantly reduced anxiety and depression and improved quality of life in ICD patients.