TY - JOUR
T1 - The value of COPE therapy in the perioperative care of heart failure patients receiving left ventricular assist device implantation
AU - Harris, Aaron
AU - Parrish, Evelyn
AU - Keshavamurthy, Suresh
AU - Saha, Sibu
N1 - Publisher Copyright:
© 2023, Indian Association of Cardiovascular-Thoracic Surgeons.
PY - 2023/5
Y1 - 2023/5
N2 - Purpose: This pilot study implemented Creating Opportunities for Personal Empowerment (COPE), a cognitive behavioral therapy (CBT) intervention, in the perioperative care of patients with advanced heart failure awaiting left ventricular assist device (LVAD) implantation. Methods: Using a quasi-experimental study design, the patients were screened for anxiety and depression using the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) screening tools. If patients scored 5 or greater on either tool, they received COPE. Patients were re-evaluated following intervention. Results: Average scores for depression and anxiety symptoms pre-intervention were 10.6 and 10.2, respectively. Post intervention, scores decreased to an average of 5.4 and 3.2, respectively. Qualitative data suggests that they felt the intervention was helpful. Conclusion: Results show that it is possible to implement a multi-session CBT intervention in this population. The improvements in the severity of depression and anxiety symptoms in the five participants with LVAD is interesting and needs to be verified in a study with a larger sample size.
AB - Purpose: This pilot study implemented Creating Opportunities for Personal Empowerment (COPE), a cognitive behavioral therapy (CBT) intervention, in the perioperative care of patients with advanced heart failure awaiting left ventricular assist device (LVAD) implantation. Methods: Using a quasi-experimental study design, the patients were screened for anxiety and depression using the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) screening tools. If patients scored 5 or greater on either tool, they received COPE. Patients were re-evaluated following intervention. Results: Average scores for depression and anxiety symptoms pre-intervention were 10.6 and 10.2, respectively. Post intervention, scores decreased to an average of 5.4 and 3.2, respectively. Qualitative data suggests that they felt the intervention was helpful. Conclusion: Results show that it is possible to implement a multi-session CBT intervention in this population. The improvements in the severity of depression and anxiety symptoms in the five participants with LVAD is interesting and needs to be verified in a study with a larger sample size.
KW - Anxiety
KW - Cognitive behavioral therapy
KW - COPE therapy
KW - Depression
KW - Left ventricular assist device implantation
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U2 - 10.1007/s12055-023-01493-9
DO - 10.1007/s12055-023-01493-9
M3 - Article
C2 - 37124589
AN - SCOPUS:85149804242
SN - 0970-9134
VL - 39
SP - 258
EP - 261
JO - Indian Journal of Thoracic and Cardiovascular Surgery
JF - Indian Journal of Thoracic and Cardiovascular Surgery
IS - 3
ER -