Depression Clinical Trial
Official title:
Treatment of Depression After Coronary Bypass Surgery
This randomized controlled trial will test the efficacy of (1) cognitive behavior therapy and (2) supportive stress management as treatments for depression in people who have recently undergone coronary artery bypass graft surgery.
Depression is a very common problem for people who have had CABG surgery, and recent studies
have shown that it may increase the risk of additional medical problems and death during the
first few years after surgery. Cognitive behavior therapy (CBT) has been shown to be
efficacious for depression in otherwise healthy individuals, and supportive stress
management (SSM) interventions have also been shown to improve depressive symptoms. These
therapies have not, however, been tested for depression in individuals who have undergone
CABG surgery.
Participants will be screened for depression within 1 year after CABG surgery. Those who
have depression will return for additional testing 1 week later. Eligible participants will
be randomized to receive CBT, SSM, or usual care (UC), with no restrictions on nonstudy
antidepressants, for 12 weeks. Patients will be monitored for worsening depression referred
for additional care if needed. Depression, anxiety, and health-related quality of life will
be assessed at baseline, 12 weeks after randomization, and 6 months after surgery (2 months
after termination of CBT or SSM).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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