BraveHeart Begins: Pilot Results of Group Cognitive Behaviour Therapy for Depression and Anxiety in Cardiac Patients
Abstract
Objective: In a general medical hospital with limited mental health resources, a clinical need arose for an effective treatment for depression and anxiety symptoms in cardiac rehabilitation patients. Method: A total of 628 cardiac rehabilitation outpatients at a tertiary care centre were screened with the Hospital Anxiety and Depression Scale at week 4 of their programme, and 182 of 558 responders (33%) scored ≥8 on the Depression and/or Anxiety subscales. A 6 week group cognitive behaviour therapy programme was developed to assist these identified patients. The resulting programme, BraveHeart, was piloted on 39 patients still experiencing significant symptoms of depression or anxiety at the end of rehabilitation. Patients were assessed at baseline, after treatment, 1 and 6 months after treatment using the Hospital Anxiety and Depression Scale and the Beck Depression Inventory-II. Results: Significant improvement in levels of depression and anxiety symptoms occurred from baseline to post-treatment assessment, and this change was maintained at 6 months, with moderate–strong effect sizes. Feedback from the group members was positive. Conclusions: A specialized group treatment programme for cardiac patients with existing depression and anxiety was created that resulted in significant reductions in symptoms.
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Hambridge et al. found a moderate pre-to-post effect of their CBT group program (six sessions) for patients with coronary artery disease and comorbid depression.
“Hambridge et al. [29] found a moderate pre to post effect of their CBT group program (six sessions) for patients with coronary artery disease and comorbid depression.”
Studies focusing on the effects of group therapy on comorbid depression or adjustment disorder in physically ill patients are relatively rare; the few existing studies report significant treatment effects but inconsistent effect sizes.
“Studies focusing on the effects of group therapy on comorbid depression or adjustment disorder in physically ill patients are relatively rare. The few existing studies report significant treatment effects but inconsistent effect sizes.”
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- Authors
- Hambridge, J. A., Turner, A., & Baker, A. L.
- Affiliations
- John Hunter Hospital (AU)
- University of Newcastle Australia (AU)
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2009-12
- Volume
- 43
- Issue
- 12
- Pages
- 1171-1177
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2104913870
- Cited by
- 21
- References
- 21
- Citations by year
- 2022: 1 · 2021: 1 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 1 · 2013: 1 · 2012: 4
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- group cognitive behavioral therapy, depression, anxiety, cardiac rehabilitation, cardiac patients, pilot study, Hospital Anxiety and Depression Scale, Beck Depression Inventory-II
- MeSH terms
- Aged, Anxiety Disorders, Depressive Disorder, Female, Health Status, Heart Diseases, Humans, Male, Middle Aged, Pilot Projects, Psychiatric Status Rating Scales, Psychotherapy, Group, Surveys and Questionnaires, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome
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