Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial.

This study examined whether baseline (3–14 days pre-surgery) levels of (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs moderate the effects of additional preoperative interventions before coronary artery bypass graft surgery on (i) depressive or (ii) anxiety symptoms and (iii) illn...

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Publicado en:Journal of Behavioral Medicine Vol. 45; no. 3; pp. 350 - 366
Autores principales: Horn, Nicole, Laferton, Johannes A. C., Shedden-Mora, Meike C., Moosdorf, Rainer, Rief, Winfried, Salzmann, Stefan
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Baseline depressive symptoms, personal control, and concern moderate the effects of preoperative psychological interventions: the randomized controlled PSY-HEART trial.
      aug:
        au:
          Horn, Nicole
          Laferton, Johannes A. C.
          Shedden-Mora, Meike C.
          Moosdorf, Rainer
          Rief, Winfried
          Salzmann, Stefan
        affil: Department of Clinical Psychology and Psychotherapy, Philipps University of Marburg, Gutenbergstraße 18, 35032, Marburg, Germany
      sug:
        subj:
          Coronary Arteriosclerosis Surgery
          Coronary Artery Bypass Psychosocial Factors
          Depression Symptoms
          Anxiety Symptoms
          Control (Psychology) Evaluation
          Psychosocial Intervention
          Attitude to Illness Evaluation
          Patient Attitudes Evaluation
          Treatment Outcomes Evaluation
          Preoperative Care
          Human
          Surgical Patients Psychosocial Factors
          Descriptive Statistics
          Support, Psychosocial
          Randomized Controlled Trials
          Random Assignment
      ab: This study examined whether baseline (3–14 days pre-surgery) levels of (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs moderate the effects of additional preoperative interventions before coronary artery bypass graft surgery on (i) depressive or (ii) anxiety symptoms and (iii) illness beliefs 1 day before surgery, 1 week and 6 months after surgery. In the PSY-HEART trial, 115 patients were assessed. They were randomized into one of three groups: 1. receiving standard medical care only (SMC), additional psychological interventions: 2. aiming to optimize patients' expectations (EXPECT), or 3. focusing on emotional support. Patients with a higher baseline level of depressive symptoms receiving a preoperative psychological intervention indicated lower depressive symptoms 6 months after surgery compared to SMC. EXPECT increased personal control and concern levels in patients with low baseline personal control/concern 1 day before surgery. Brief preoperative psychological interventions can improve psychological outcomes in heart surgery patients. Baseline status may moderate these effects. The study has been approved by the medical ethics committee of the Philipps University of Marburg and has been pre-registered at www.clinicaltrials.gov (NCT01407055) on August 1, 2011.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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