Navigation Links
Psychotherapy Can Ease Post-Surgical Depression
Date:4/6/2009

Two techniques worked for patients after heart bypass procedures, study finds

MONDAY, April 6 (HealthDay News) -- Two non-drug treatments -- cognitive behavior therapy and supportive stress management -- seem to be more effective than usual care for treating depression in patients who've had coronary artery bypass graft (CABG) surgery, a new study finds.

About 20 percent of bypass patients suffer major depression and another 20 percent experience milder forms of depression, according to background information in the study by Kenneth E. Freedland, of the Washington University School of Medicine in St. Louis, and colleagues.

The study included 123 patients who had major or minor depression one year after bypass. They were randomly selected to receive either usual care (40 patients) as determined by a physician, 12 weeks of cognitive behavior therapy (41 patients), or 12 weeks of supportive stress management (42 patients).

In cognitive behavioral therapy, a psychologist or social worker helped patients identify problems and develop cognitive techniques for overcoming them. In supportive stress management, patients were counseled about how to improve their ability to cope with stressful life events.

All the patients were assessed at the start of the study and again after three, six and nine months. After three months, remission of depression was seen in 71 percent of patients in the cognitive behavior therapy group, 57 percent of patients in the supportive stress management group, and 33 percent of the usual care group.

After nine months, the rates were 73 percent for the cognitive behavior therapy group, 57 percent for the supportive stress management group and 35 percent for the usual care group.

"Cognitive behavior therapy was also superior to usual care on most secondary psychological outcomes, including anxiety, hopelessness, perceived stress and the mental (but not the physical) component of health-related quality of life. On most of these measures, differences between cognitive behavior therapy and usual care were found at all three follow-up assessments. Supportive stress management was superior to usual care only on some of these measures," Freedland and colleagues wrote.

"In conclusion, this randomized, controlled trial showed that cognitive behavior therapy was an efficacious treatment for depression in patients with a recent history of coronary bypass surgery," the researchers said. "Supportive stress management was also superior to usual care for depression in these patients, but it had smaller and less durable effects than cognitive behavior therapy."

The study appears in the April issue of the Archives of General Psychiatry.

More information

The U.S. National Institute of Mental Health has more about depression.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, April 6, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Family-based treatment more effective than supportive psychotherapy in treating bulimia
2. Drug Plus Psychotherapy Best Treatment for Depressed Teens
3. New psychotherapy has potential to treat majority of cases of eating disorders
4. New National Patient and Surgeon Surveys Show Post-Surgical Care Critical to Optimal Weight Loss After Bariatric Surgery
5. Clinical depression linked to abnormal emotional brain circuits
6. Depression Taking Toll on Returning U.S. Vets
7. Damp, Moldy Homes May Cause Depression
8. Treating depression may improve recovery of heart rate variability following coronary syndromes
9. Study finds primary care depression treatment often does not follow quality guidelines
10. Hot ice, measuring depression, perfect invisibility and flu vaccine incentives
11. Depression May Be Worlds Most Disabling Disease
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Psychotherapy Can Ease Post-Surgical Depression
(Date:12/9/2016)... (PRWEB) , ... December 09, 2016 , ... ... planning assistance from offices in Pasco and Richland, is initiating a charity drive ... serious injuries resulting from a recent automobile collision. , On October 29th ...
(Date:12/9/2016)... ... December 09, 2016 , ... "I have gout, and ... this old family recipe, which is meant to relieve gout and pain caused by ... a 12-hour energy boost every time. It relieved what VA doctors called the worst ...
(Date:12/9/2016)... ... December 09, 2016 , ... An inventor from Cana, Va., wanted ... all types of amusement park rides. , The patent-pending SAFETY STRAP FOR AMPUTEES improves ... use and could be set up in a matter of minutes, or even seconds. ...
(Date:12/9/2016)... ... December 09, 2016 , ... ... proudly announced today that a new solution for Emergency Departments (ED) has been ... tight space in Emergency Department examination rooms, and with a simplified pallet of ...
(Date:12/8/2016)... ... December 08, 2016 , ... The West Virginia Medical ... 2017. The name change aligns the entire company with its existing Quality ... quality. , “We are very proud of the achievements associated with the West ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... , Dec. 8, 2016 Australia Glaucoma ... GlobalData,s new report, "Australia Glaucoma Surgery Devices ... on the Australia Glaucoma Surgery Devices market. The ... volume (in units) and average prices (USD) within ... report also provides company shares and distribution shares ...
(Date:12/8/2016)... , Dec. 8, 2016 KEY FINDINGS ... poised to grow in 2017-2023. Various reasons for growth ... obese population, higher incidences of chronic diseases, high recovery ... mobility aid services. Medical lifting sling refers to ... with limited mobility. These slings connect to the lift ...
(Date:12/8/2016)... INDIANAPOLIS , Dec. 8, 2016  Eli Lilly ... detailed results of its phase 3 EXPEDITION3 trial at ... (CTAD) meeting. As previously disclosed, solanezumab did not meet ... study of solanezumab initiated in people with mild dementia ... pursue regulatory submissions for solanezumab for the treatment of ...
Breaking Medicine Technology: