Treating depression and anxiety in Heart Failure outpatients in managed care.

Treating depression and anxiety in Heart Failure outpatients in managed care: A pilot study investigating the therapeutic effect of a group mood management program.

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12613001301752

Enrollment

Registered

2013-11-22

Start date

2013-09-23

Completion date

2013-12-20

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Heart Failure (HF) is a debilitating and chronic disease that is associated with a high rate of comorbid mental illness. Depression is associated with increased risk of mortality and cardiac events. Cognitive Behaviour Therapy (CBT) is recommended as a preferred treatment in HF and cardiovascular disease (CVD) management. However determining the effect of CBT in CVD and HF patients is implicated by a history of limited randomised controlled trials, confounded sampling issues and reduced functioning ability. Furthermore, research in the field of anxiety management in cardiac patients is lacking although emerging research indicates that clinical anxiety is as prevalent as depression. This study seeks to investigate the therapeutic impact of a CBT intervention targeted to both depression and anxiety on HF outpatients in managed care. The treatment model “mood management” has been trialled and evaluated to be efficacious in depressed and anxious nonmedical clients. Participants (n=5) will be offered the program as a treatment option from a HF nurse and self refer to the study. It is hypothesised that participants will display improved scores on measures of depression and anxiety. Results will help inform current and future research on effective therapeutic treatment of CBT group therapy and the utility for depressed and anxious HF outpatients.

Interventions

Cognitive Behaviour Therapy Treatment will compose of weekly, eight 2-hr group sessions for as per Nathan, P. R., Rees, C. S., & Smith, L. M. (2001). Mood management course: A group cognitive behavioral programme for anxiety disorders and depression. Perth, Australia: Rioby. (Available from http:// www.cci.health.wa.gov.au/index.html). Therapist intervention will be monitored in weekly supervision sessions with a Registered Clinical Psychologist.

Study design

Allocation

Non-randomised trial

Intervention model

Single group

Primary purpose

Treatment

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Have a diagnosis of NYHA Class I, II or III heart failure. Case managed by a case- worker within the Heart Failure Service . Meet a diagnosis for depression or anxiety disorder.

Exclusion criteria

Psychotic comorbid diagnosis, Suicide risk Abuse of alcohol and other drugs Concurrent or recent (past 6 months) psychotherapy.

Outcome results