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The effect of guided web-based cognitive behavioral therapy on patients with depressive symptoms and heart failure-: A randomized controlled trial.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-4753-6745
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
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2016 (English)Conference paper, Poster (Other academic)
Abstract [en]

Background: The aims of this study were to: (I) evaluate the effect of a nine-week guided Internet-based Cognitive Behavioral Therapy (ICBT) program on depressive symptoms (DS) in patients with HF; (II) to assess factors associated with the change in DS; and (III) to investigate the effect of the ICBT program on cardiac anxiety and QoL.

Methods: Fifty participants were included and randomized into two treatment arms: ICBT or an online moderated discussion forum (DF). Data were collected at baseline and at the nine-week follow-up; the Patient Health Questionnaire- nine, (DS); the Cardiac Anxiety Questionnaire, (cardiac-related anxiety); the Minnesota Living with Heart Failure questionnaire, (QoL). Intention to treat analysis was used. Between group differences were determined by analysis of covariance.

Results: In the ICBT-group (n=25), DS improved significantly (P=.02). Also cardiac anxiety in the subscale of fear decreased significantly (P=.04) between baseline and the follow up in the ICBT-group. QoL improved in the ICBT-group by 6 points in the total score and 2.4 points in the physical factor, but this was not significant (P=.09 and P=.12). In the DF-group (n=25) no significant change in the level of DS was found (P=.36). There were no significant differences in the change in DS between the DF- and the ICBT-group (P=.21), nor in cardiac related anxiety (P=.22) or in QoL (total score P=.09, physical factor P=.07). In the ICBT-group, the number of logins to the web-portal correlated significantly with improvement in DS (P=.02), whereas higher age (P=.01) and male sex (P=.048) were associated with less change in DS.

Conclusions: Guided ICBT adapted for persons with HF and DS can potentially reduce DS, cardiac anxiety and increase QoL, but is not statistically superior to participation in an online DF.

Place, publisher, year, edition, pages
2016. Poster 123
Keyword [en]
heart failure, depressive symptoms, internet based cognitive behavioural therapy, eHealth, telehealth
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-130819OAI: oai:DiVA.org:liu-130819DiVA: diva2:955694
Conference
18:e Svenska Kardiovaskulära vårmötet, Göteborg, 27-29 april 2016
Available from: 2016-08-26 Created: 2016-08-26 Last updated: 2016-09-01Bibliographically approved

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Lundgren, JohanDahlström, ÖrjanAndersson, GerhardJaarsma, TinyKärner Köhler, AnitaJohansson, Peter
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDisability ResearchFaculty of Arts and SciencesDepartment of Medical and Health Sciences
Nursing

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