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An Internet-Based Cognitive Behavioral Therapy Program Adapted to Patients With Cardiovascular Disease and

Peter Johansson^1,2, Mats Westas¹, Gerhard Andersson^3,4

¹Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.

JMIR Mental Health

|October 5, 2019

Summary

Nurse-delivered internet-based cognitive behavioral therapy (iCBT) significantly reduced depression and improved quality of life in cardiovascular disease (CVD) patients. This home-based intervention offers an effective treatment option for depression in this population.

Keywords:

cardiovascular disease cognitive behavior therapy depression internet randomized controlled trial

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Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method

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Published on: August 2, 2021

Area of Science:

Cardiology
Psychiatry
Digital Health

Background:

Depression frequently impacts well-being and prognosis in cardiovascular disease (CVD) patients.
Effective interventions for depression in CVD populations are limited.

Purpose of the Study:

To evaluate a nurse-delivered, adapted internet-based cognitive behavioral therapy (iCBT) program for reducing depression in CVD patients.

Main Methods:

A randomized controlled trial involved 144 CVD patients with mild depression.
Participants were assigned to a 9-week iCBT program or an online discussion forum (ODF).
Depression (PHQ-9, MADRS-S), HRQoL (SF-12, EQ-VAS) were primary and secondary outcomes.

Main Results:

iCBT showed significant moderate effects on reducing depression (PHQ-9, Cohen d=0.62) versus ODF.
iCBT demonstrated significant large effects on MADRS-S (Cohen d=0.86) and moderate effects on SF-12 mental component and EQ-VAS (Cohen d=0.66, 0.62).
Module completion rates were 60% for all modules and 82% for at least half.

Conclusions:

Nurse-delivered iCBT effectively reduces depression in CVD patients.
The intervention improves health-related quality of life (HRQoL) in this population.
iCBT provides a convenient, home-based treatment for depression, accessible at the patient's preferred time.