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Psychological interventions for depression in heart failure.
D A Lane1, A Y Chong, G Y H Lip
1University Department of Medicine, City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham, UK, B18 7QH. deirdre.lane@swbh.nhs.uk
The Cochrane Database of Systematic Reviews
|January 28, 2005
Summary
No studies were found on psychological interventions for depression in heart failure patients. More randomized controlled trials are needed to assess the impact on patient outcomes and mortality.
Area of Science:
- Cardiology
- Psychiatry
- Psychology
Background:
- Depression is common in heart failure patients, increasing mortality risk.
- Depression may worsen heart failure prognosis via pathophysiological or behavioral mechanisms.
- Psychological interventions' effects on depression and prognosis in heart failure are unknown.
Purpose of the Study:
- To assess psychological interventions for depression in heart failure patients.
- Evaluate effects on depression, quality of life, morbidity, and mortality.
Main Methods:
- Searched multiple databases (Cochrane, MEDLINE, PsycINFO, CINAHL, EMBASE) and conference abstracts.
- Included randomized controlled trials (RCTs) of psychological interventions in adults with heart failure.
- Primary outcome: depression reduction; Secondary outcomes: quality of life, morbidity, mortality.
Main Results:
- No randomized controlled trials (RCTs) were identified for psychological interventions in heart failure patients with depression.
Conclusions:
- Depression is prevalent in heart failure patients.
- RCTs are needed to evaluate psychological interventions' impact on depression, quality of life, and cardiac outcomes.
- Further research is crucial due to the increasing prevalence of heart failure and lack of evidence.