Effects of cognitive behavioral therapy on depression, anxiety, sleep and quality of life for patients with heart failure and coronary heart disease. a systematic review of clinical trials 2010 – 2020
Published:
Jul 6, 2021
Keywords:
Psychological interventions cardiovascular diseases quality of life cardiac rehabilitation
Abstract
Background: There is a growning evidence that CBT (Cognitive Behavioral Therapy) improves mental health of patients with chronic illnesses but its effectiveness is not well established in patients with heart diseases. The present systematic review was conducted to evaluate the effects of CBT in heart failure (HF) and coronary heart disease (CHD) patients.
Methods: Pubmed, Cohraine and Google Scholar were searched for studies with randomized controlled trials. Studies were required to assess the effectiveness of CBT in depression, anxiety, sleep and quality of life of patients suffering from heart failure and coronary heart disease. SStudies identified were independently screened by two reviewers and critically appraised using the PedroScale.
Results: Sixteen randomized controlled trials were included in the review. The majority of the studies indicated that CBT therapy was effective treatment for reducing depression and anxiety and can also be beneficial for sleeping disorders and improve quality of life of patients with heart failure and coronary heart disease. Althought face to face CBT therapy seems to be clinicaly effective, internet-based CBT therapy was not superior to a guided web-based discussion forum.
Conclusions: CBT can improve psychological health and quality of life of cardiac patients and further enhance benefits of rehabilitation programs. Findings suggest that face-to-face CBT is superior to usual care and it can be incorporated in cardiac rehabilitations programs. Future studies are needed to identify the effectiveness of internet-based CBT on cardiac patients and address the factors that will increase treatment adherence.
Article Details
- How to Cite
-
Pizga, A., Kordoutis, P., Tsikrika, S., Vasileiadis, I., Nanas, S., & Karatzanos, E. (2021). Effects of cognitive behavioral therapy on depression, anxiety, sleep and quality of life for patients with heart failure and coronary heart disease. a systematic review of clinical trials 2010 – 2020. Health & Research Journal, 7(3), 123–141. https://doi.org/10.12681/healthresj.27572
- Section
- Systematic Reviews
Copyright notice:
Authors retain copyright of their work and grant the Health and Research Journal the right of first publication.
License:
Articles are published under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license permits use, sharing, adaptation, distribution, and reproduction in any medium or format, including for commercial purposes, provided that appropriate credit is given to the author(s) and the original publication in this journal, a link to the license is provided, and any changes are indicated.
Attribution requirement:
Any reuse must include the article citation and DOI (where available), and indicate if changes were made.
Downloads
Download data is not yet available.
References
Ishihara S. Stress of patients with cardiovascular disease and their families/caregivers. Stress Science Research. 2017; 32.
Dimsdale J. Psychological Stress and Cardiovascular Dis-ease. Journal of the American College of Cardiology 2008; 51(13):1237-1246.
Gradus J, Farkas D, Svensson E, Ehrenstein V, Lash T, Mil-stein A et al. Associations between stress disorders and cardiovascular disease events in the Danish population. British Medical Association Open 2015; 5(12):e009334.
Huffman J, Celano C, Beach S, Motiwala S, Januzzi J. De-pression and Cardiac Disease: Epidemiology, Mechanisms, and Diagnosis. Cardiovascular Psychiatry and Neurology 2013; 2013:1-14.
Dhar A, Barton D. Depression and the Link with Cardiovas-cular Disease. Frontiers in Psychiatry 2016; 7: 33.
Hare D, Toukhsati S, Johansson P, Jaarsma T. Depression and cardiovascular disease: a clinical review. European Heart Journal; 35(21):1365-1372.
Hayes D, Anstead M, Ho J, Phillips B. Insomnia and chronic heart failure. Heart Failure Reviews. 2008; 14(3):171-182.
Mills P, Dimsdale J, Natarajan L, Ziegler M, Maisel A, Green-berg B. Sleep and Health-Related Quality of Life in Heart Failure. Congestive Heart Failure 2009;15(5):228-233
Whooley MA. Wong JM. Depression and cardiovascular disorders. Annual Review of Clinical Psychology 2013;9:327–354
Williams MS. Platelets and depression in cardiovascular disease: a brief review of the current literature. World Jour-nal Psychiatry 2012; 2(6):114–123.
Kim DA., McClure WG., Neighoff JB., Vaidya D., Williams MS. Platelet response to serotonin in patients with stable coronary heart disease. American Journal of Cardiology 2014; 114(2):181–186.
Barth J., Schumacher M., Herrmann-Lingen C. Depression as a risk factor for mortality in patients with coronary heart disease: a meta-analysis. Psychosomatic Medicine 2004;66(6):802–813
AbuRuz M. Anxiety and depression predicted quality of life among patients with heart failure. Journal of Multidiscipli-nary Healthcare 2018;11:367-373.
Chaddha A, Robinson E, Kline-Rogers E, Alexandris-Souphis T, Rubenfire M. Mental Health and Cardiovascular Disease. The American Journal of Medicine 2016;129(11):1145-1148.
Seligman F, Nemeroff CB. The interface of depression and cardiovascular disease: therapeutic implications. Ann New York of Academy of Sciences 2015;1345:25–35.
Williams MS. Platelets and depression in cardiovascular disease: a brief review of the current literature. World Jour-nal Psychiatry 2012; 2(6):114–123.
Cohen BE, Edmondson D, Kronish IM. State of the art re-view: depression, stress, anxiety, and cardiovascular dis-ease. American Journal of Hypertension 2015; 28(11):1295–1302.
Ren Y, Yang H, Browning C, Thomas S, Liu M. Performance of screening tools in detecting major depressive disorder among patients with coronary heart disease: a systematic review. Medical Science Monitor 2015; 21:646–653.
Nicholson A, Kuper H, Hemingway H. Depression as an aetiologic and prognostic factor in coronary heart disease: a meta-analysis of 6362 events among 146 538 partici-pants in 54 observational studies. European Heart Journal 2006; 27:2763–2774.
Lichtman JH Froelicher ES Blumenthal JA Carney RM Doering LV Frasure-Smith N Freedland KE Jaffe AS Leifheit-Limson EC Sheps DS Vaccarino V Wulsin L ; American Heart Association Statistics Committee of the Council on Epide-miology and Prevention and the Council on Cardiovascular and Stroke Nursing. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation 2014;129:1350–1369.
Yusuf S, Hawken S, Ôunpuu S, Dans T, Avezum A, Lanas F et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. The Lancet 2004; 364(9438):937-952.
Dhar A, Barton D. Depression and the Link with Cardiovas-cular Disease. Frontiers in Psychiatry 2016;7.
Krantz D, Burg M. Current Perspective on Mental Stress–Induced Myocardial Ischemia. Psychosomatic Medicine 2014; 76(3):168-170.
Richardson S, Shaffer J, Falzon L, Krupka D, Davidson K, Edmondson D. Meta-Analysis of Perceived Stress and Its Association With Incident Coronary Heart Disease. The American Journal of Cardiology 2012;110(12):1711-1716.
Stanley R. Anxiety and its Disorders? The Nature and Treatment of Anxiety and Panic David H. Barlow (Editor), the Guilford Press, New York, 2002. No. of pages: 704 pp., ISBN 1-57230-430-8. Stress and Health 2002;18(4):193-194.
Roest AM Martens EJ de Jonge P Denollet J. Anxiety and risk of incident coronary heart disease: a meta-analysis. Journal of the American College of Cardiology 2010; 56:38–46.
Lao X, Liu X, Deng H, Chan T, Ho K, Wang F et al. Sleep Quality, Sleep Duration, and the Risk of Coronary Heart Disease: A Prospective Cohort Study With 60,586 Adults. Journal of Clinical Sleep Medicine 2018;14(01):109-117
Abed M, Kloub M, Moser D. Anxiety and Adverse Health Outcomes among Cardiac Patients. The Journal of Cardio-vascular Nursing 2014;29(4).
Samartzis L, Dimopoulos S, Tziongourou M, Nanas S. Ef-fect of Psychosocial Interventions on Quality of Life in Pa-tients With Chronic Heart Failure: A Meta-analysis of Ran-domized Controlled Trials. Journal of Cardiac Failure 2013;19(2):125-134.
Kroustalli E, Papadopoulos C, Vasileiadis I, Karatzanos E. and Nanas S. Educational interventions for patients with heart failure: a systematic review of randomized controlled trials. Health & Research Journal 2019;5(3):109-123.
White C. Cognitive behavioral principles in managing chronic disease. Western Journal of Medicine 2001; 175(5):338-342.
Lim J, Choi S, Lee W, Jang J, Moon J, Kim Y et al. Cogni-tive-behavioral therapy for patients with chronic pain. Med-icine 2018;97(23):e10867.
van Beugen S, Ferwerda M, Hoeve D, Rovers M, Spillekom-van Koulil S, van Middendorp H et al. Internet-Based Cog-nitive Behavioral Therapy for Patients With Chronic Somatic Conditions: A Meta-Analytic Review. Journal of Medical In-ternet Research 2014; 16(3):e88.
Cully J, Stanley M, Deswal A, Hanania N, Phillips L, Kunik M. Cognitive-Behavioral Therapy for Chronic Cardiopulmonary Conditions. The Primary Care Companion to the Journal of Clinical Psychiatry 2010;12(4): PCC.09m00896.
Vedaa Ø, Hagatun S, Kallestad H, Pallesen S, Smith O, Thorndike F et al. Long-Term Effects of an Unguided Online Cognitive Behavioral Therapy for Chronic Insomnia. Journal of Clinical Sleep Medicine 2019;15(01):101-110.
Hajihasani A, Rouhani M, Salavati M, Hedayati R, Kahlaee A. The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physi-cal Therapy for Chronic Low Back Pain: A Systematic Re-view. Physical Medicine and Rehabilitation 2019;11(2):167-176.
What Is Cognitive Behavioral Therapy? [Internet]. https://www.apa.org. 2021 [cited 4 February 2021]. Availa-ble from: https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral.
De Morton N. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy 2009;55(2):129-133.
Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of ran-domized controlled trials. Phys Ther 2003;83(8):713-21.
Smagula S, Freedland K, Steinmeyer B, Wallace M, Carney R, Rich M. Moderators of response to cognitive behavior therapy for major depression in patients with heart failure. Psychosomatic Medicine 2019;81(6):506-512.
Johansson P, Jaarsma T, Andersson G, Lundgren J. The impact of internet-based cognitive behavioral therapy and depressive symptoms on self-care behavior in patients with heart failure. A secondary analysis of a randomised controlled trial. Int J Nurs Stud 2021;116:103454.
Redeker N, Conley S, Anderson G, Cline J, Andrews L, Mohsenin V et al. Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure. Behavioral Sleep Medicine 2018; 18(2):190-202.
Redeker N, Jeon S, Andrews L, Cline J, Mohsenin V, Jacoby D. Effects of Cognitive Behavioral Therapy for Insomnia on Sleep-Related Cognitions Among Patients with Stable Heart Failure. Behavioral Sleep Medicine 2017;17(3):342-354.
Redeker N, Jeon S, Andrews L, Cline J, Jacoby D, Mohsenin V. Feasibility and Efficacy of a Self-Management Interven-tion for Insomnia in Stable Heart Failure. J Clin Sleep Med 2015;11(10):1109-19.
Lv J, Zhang X, Ou S, Gu S, Su Z, Tong S, Liu B, Song Z, Chi L. Influence of Cognitive Behavioral Therapy on Mood and Quality of Life After Stent Implantation in Young and Mid-dle-Aged Patients with Coronary Heart Disease. Int Heart J 2016;57(2):167-72.
Lundgren J, Dahlström Ö, Andersson G, Jaarsma T, Kärner Köhler A, Johansson P. The Effect of Guided Web-Based Cognitive Behavioral Therapy on Patients With Depressive Symptoms and Heart Failure: A Pilot Randomized Con-trolled Trial. Journal of Medical Internet Research 2016; 18(8):e194.
Blumenthal J, Sherwood A, Smith P, Watkins L, Mabe S, Kraus W et al. Enhancing Cardiac Rehabilitation With Stress Management Training. Circulation 2016; 133(14):1341-1350.
Cajanding R. The Effectiveness of a Nurse-Led Cognitive–Behavioral Therapy on the Quality of Life, Self-Esteem and Mood Among Filipino Patients Living With Heart Failure: a Randomized Controlled Trial. Applied Nursing Research 2016; 31:86-93.
Freedland K, Carney R, Rich M, Steinmeyer B, Rubin E. Cog-nitive Behavior Therapy for Depression and Self-Care in Heart Failure Patients. JAMA Internal Medicine 2015; 175(11):1773.
Tully P, Selkow T, Bengel J, Rafanelli C. A dynamic view of comorbid depression and generalized anxiety disorder symptom change in chronic heart failure: the discrete ef-fects of cognitive behavioral therapy, exercise, and psycho-tropic medication. Disability and Rehabilitation 2014; 37(7):585-592.
Doering L, Chen B, Cross Bodán R, Magsarili M, Nyamathi A, Irwin M. Early Cognitive Behavioral Therapy for Depres-sion after Cardiac Surgery. The Journal of Cardiovascular Nursing 2013; 28(4):370-379.
Turner A, Hambridge J, Baker A, Bowman J, McElduff P. Randomised controlled trial of group cognitive behaviour therapy versus brief intervention for depression in cardiac patients. Australian & New Zealand Journal of Psychiatry 2012; 47(3):235-243.
Gulliksson M, Burell G, Vessby B, Lundin L, Toss H, Svärd-sudd K. Randomized Controlled Trial of Cognitive Behav-ioral Therapy vs Standard Treatment to Prevent Recurrent Cardiovascular Events in Patients With Coronary Heart Dis-ease. Archives of Internal Medicine 2011;171(2).
Zetta S, Smith K, Jones M, Allcoat P, Sullivan F. Evaluating the Angina Plan in Patients Admitted to Hospital with An-gina: A Randomized Controlled Trial. Cardiovascular Thera-peutics 2011; 29(2):112-124.
Gary R, Dunbar S, Higgins M, Musselman D, Smith A. Combined exercise and cognitive behavioral therapy im-proves outcomes in patients with heart failure. Journal of Psychosomatic Research 2010;69(2):119-131.
Goldstein C, Gathright E, Garcia S. Relationship between depression and medication adherence in cardiovascular disease: the perfect challenge for the integrated care team. Patient Preference and Adherence 2017;11:547-559.
Chang L, Wu S, Chiang C, Tsai P. Depression and self-care maintenance in patients with heart failure: A moderated mediation model of self-care confidence and resilience. Eu-ropean Journal of Cardiovascular Nursing 2017;16(5):435-443.
Albus C, Herrmann-Lingen C, Jensen K, Hackbusch M, Münch N, Kuncewicz C, Grilli M, Schwaab B, Rauch B. Addi-tional effects of psychological interventions on subjective and objective outcomes compared with exercise-based cardiac rehabilitation alone in patients with cardiovascular disease: A systematic review and meta-analysis. European Journal of Preventive Cardiology 2019;26(10):1035-1049.
McGinn L, Sanderson W. What Allows Cognitive Behavioral Therapy to Be Brief: Overview, Efficacy, and Crucial Factors Facilitating Brief Treatment. Clinical Psychology: Science and Practice 2006; 8(1):23-37.
McAlpine C, Kiss M, Rattik S, He S, Vassalli A, Valet C et al. Sleep modulates haematopoiesis and protects against ath-erosclerosis. Nature 2019;566(7744):383-387.
