Gandhi Medical College, Hyderabad, Telangana, India.
Faculty of Medicine, Vinnytsia National Medical University, Vinnytsya, Ukraine.
J Int Med Res. 2023 Sep;51(9):3000605231198371. doi: 10.1177/03000605231198371.
Heart failure (HF) remains a major cause of morbidity, mortality and healthcare costs, despite available treatments. Psychological issues such as depression, anxiety and poor self-care are prevalent in HF patients. Such issues adversely affect patients' daily lives and increase hospitalization and mortality rates; therefore, effective approaches to address these are needed. Cognitive-behavioral therapy (CBT) has been proposed as potentially useful for psychological comorbidities in HF patients, but its efficacy is not well-established. This narrative review aimed to summarize the evidence on the effectiveness of CBT for HF patients. A search was conducted using PubMed and Google Scholar for randomized controlled trials (RCTs) on CBT for HF patients. Ten studies (nine RCTs and one case study) were included in the review. CBT was found to be an effective intervention for managing depression, anxiety, low quality of life, and impaired social and physical functioning in HF patients. The results suggest that CBT can improve psychological well-being and enhance the benefits of rehabilitation programs. Face-to-face CBT appears to be superior to conventional therapy and can be implemented in cardiac rehabilitation settings. Further research is needed to evaluate the efficacy of internet-based CBT for cardiac patients and identify factors that promote treatment adherence.
尽管有可用的治疗方法，但心力衰竭（HF）仍然是发病率、死亡率和医疗保健成本的主要原因。在 HF 患者中，心理问题如抑郁、焦虑和自我护理不良很常见。这些问题对患者的日常生活产生不利影响，并增加住院率和死亡率；因此，需要有效的方法来解决这些问题。认知行为疗法（CBT）已被提议对 HF 患者的心理合并症可能有用，但它的疗效尚未得到充分证实。本叙述性综述旨在总结 CBT 对 HF 患者有效性的证据。使用 PubMed 和 Google Scholar 对 CBT 治疗 HF 患者的随机对照试验（RCT）进行了检索。综述纳入了 10 项研究（9 项 RCT 和 1 项病例研究）。CBT 被发现是一种有效的干预措施，可用于管理 HF 患者的抑郁、焦虑、生活质量低下以及社会和身体功能受损。结果表明，CBT 可以改善心理健康状况，并增强康复计划的益处。面对面的 CBT 似乎优于传统疗法，并且可以在心脏康复环境中实施。需要进一步研究来评估基于互联网的 CBT 对心脏病患者的疗效，并确定促进治疗依从性的因素。
