liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Internet-based cognitive behavior therapy for patients with heart failure and depressive symptoms: A proof of concept study
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Institute, Sweden.ORCID iD: 0000-0003-4753-6745
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
Show others and affiliations
2015 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 98, no 8, 935-942 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aim was (1) to describe the development of a guided internet-based CBT (ICBT) program adapted to patients with heart failure (HF) and (2) to evaluate the feasibility of the ICBT program in regard to depressive symptoms, the time used by health care providers to give feedback, and participants perceptions of the ICBT program. Method: A multi-professional team developed the program and seven HF patients with depressive symptoms were recruited to the study. The Patient Health Questionnaire-9 (PHQ-9) and the Montgomery Asberg Depression Rating-Self-rating scale (MADRS-S) were used to measure depression, and patients were interviewed about their perceptions of the program. Results: Based on research in HF and CBT, a nine-week program was developed. The median depression score decreased from baseline to the end of the study (PHQ-9: 11-8.5; MADRS-S: 25.5-16.5) and none of the depression scores worsened. Feedback from health care providers required approximately 3 h per patient. Facilitating perceptions.(e.g. freedom of time) and demanding perceptions (e.g. part of the program demanded a lot of work) were described by the patients. Conclusion: The program appears feasible and time-efficient. However, the program needs to be evaluated in a larger randomized study.

Place, publisher, year, edition, pages
Elsevier , 2015. Vol. 98, no 8, 935-942 p.
Keyword [en]
Internet; Cognitive behavior therapy; Heart failure; Depression
National Category
Sociology Basic Medicine
Identifiers
URN: urn:nbn:se:liu:diva-120266DOI: 10.1016/j.pec.2015.04.013ISI: 000357246000003PubMedID: 25990216OAI: oai:DiVA.org:liu-120266DiVA: diva2:843043
Available from: 2015-07-24 Created: 2015-07-24 Last updated: 2016-08-31

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Lundgren, JohanAndersson, GerhardDahlström, ÖrjanJaarsma, TinyKärner Köhler, AnitaJohansson, Peter
By organisation
Division of Health, Activity and CareFaculty of Medicine and Health SciencesPsychologyFaculty of Arts and SciencesDisability ResearchDepartment of Cardiology in LinköpingDivision of Cardiovascular Medicine
In the same journal
Patient Education and Counseling
SociologyBasic Medicine

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 403 hits
ReferencesLink to record
Permanent link

Direct link