Article

Depression is common following an acute cardiac event and can occur at
a time when behaviour change is strongly recommended to reduce the risk of
further cardiovascular events. The 'Beating Heart Problems' programme was
designed to support cardiac patients in behaviour change and mood management.
METHODS: The programme was based on cognitive behaviour therapy and motivational
interviewing. A randomized controlled trial (RCT) comparing the 8-week group
programme with usual care was undertaken between 2007 and 2010. All patients
attended a hospital-based clinic for assessment of physiological risk factors at
baseline (6 weeks after their acute event), and at 4- and 12-month follow up.
Psychological and behavioural indicators were assessed by self-report
questionnaires. Of the 275 patients enrolled into the RCT, 42 (15%) had Beck
Depression Inventory-II scores >13 at baseline. Treatment and control group
comparisons were undertaken for this subgroup, using growth curve modelling and
testing for group differences over time in psychological, physiological, health
behaviour, and self-efficacy measures. RESULTS: Significantly greater
improvements (p < 0.01) in depression symptoms and self-rated health were
reported for the intervention group, as well as significantly larger gains in
confidence in managing depression (p < 0.05) and anger (p < 0.01). Trends (0.05 <
p < 0.10) for larger treatment group improvements were also seen for anxiety
symptoms and confidence in managing anxiety. CONCLUSION: A group
secondary-prevention programme that integrates behavioural and mood management
strategies leads to decreased depression, increased confidence, and improved
health perceptions in depressed cardiac patients.

Langue : ANGLAIS