Treatment of depression and inadequate self-care in patients with heart failure: One-year outcomes of a randomized controlled trial

Both depression and inadequate self-care are common in patients with heart failure. This secondary analysis examines the one-year outcomes of a randomized controlled trial of a sequential approach to treating these problems. Patients with heart failure and major depression were randomly assigned to...

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Bibliographic Details
Published in:General hospital psychiatry 2023-09, Vol.84, p.82-88
Main Authors: Freedland, Kenneth E., Skala, Judith A., Carney, Robert M., Steinmeyer, Brian C., Rich, Michael W.
Format: Article
Language:English
Subjects:
Cognitive therapy
Depressive disorder
Heart failure
Patient readmission
Self-care
Self-management
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Summary:Both depression and inadequate self-care are common in patients with heart failure. This secondary analysis examines the one-year outcomes of a randomized controlled trial of a sequential approach to treating these problems. Patients with heart failure and major depression were randomly assigned to usual care (n = 70) or to cognitive behavior therapy (n = 69). All patients received a heart failure self-care intervention starting 8 weeks after randomization. Patient-reported outcomes were assessed at Weeks 8, 16, 32, and 52. Data on hospital admissions and deaths were also obtained. One year after randomization, Beck Depression Inventory (BDI-II) scores were − 4.9 (95% C.I., −8.9 to −0.9; p 
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2023.06.001