Magazine article Clinical Psychiatry News

CBT Improves Post-CABG Depression in Women

Magazine article Clinical Psychiatry News

CBT Improves Post-CABG Depression in Women

Article excerpt

NEW ORLEANS -- Cognitive-behavioral therapy reduced depressive symptoms and enhanced immune function in a small pilot study of women with depression following coronary artery bypass graft surgery, Lynn V. Doering D.N.Sc., reported at the annual scientific sessions of the American Heart Association.

Women who received a course of cognative-behavioral therapy (CBT) also experienced significantly fewer colds and other minor infectious illness episodes during 6 months of follow-up than did depressed controls who got usual care, said Dr. Doering, chair of the acute care section in the school of nursing at the University of California, Los Angeles.

An estimated 20% of patients experience major depression following CABG surgery. They have worse outcomes than nondepressed patients post CABG. To learn more about the relationship between depression and immunity after CABG, Dr. Doering and her coinvestigators twice interviewed 52 women post CABG, once at hospital discharge and again 2 weeks later.

Based upon these interviews, 15 patients were diagnosed as having major depression. They were randomized to an 8-week program of individual CBT or usual care, consisting of routine postoperative medical and nursing follow-up, plus a consultation by a psychiatrist. …

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