Ibrahim Danya, Elkhidir Ibrahim H, Mohammed Zainab, Abdalla Da'ad, Mohammed Omer A, Hemmeda Lina, Alrawa Salma, Ahmed Mohamed, Abdalla Rahma, Batran Abrar, Abdalla Zaynab, Elhaj Nida Bakri, Ibrahim Basil, Albashir Roaa B
Faculty of Medicine, University of Khartoum, P.O. Box 11115, Khartoum, Sudan.
Internal Medicine, Ribat University Hospital, Khartoum, Sudan.
BMC Psychiatry. 2025 Jan 7;25(1):22. doi: 10.1186/s12888-024-06457-w.
Coronary artery bypass graft (CABG) is a common intervention for managing coronary artery disease, which is often accompanied by postoperative psychological challenges such as anxiety and depression. This systematic review aims to evaluate the benefits of cognitive behavioral therapy (CBT) in reducing anxiety and depression symptoms and improving overall health outcomes in patients' post-coronary artery bypass graft (CABG) surgery.
A search of Science Direct, PsycINFO, PubMed, Google Scholar, VHL, Cochrane, and Scopus databases was conducted until October 2023. Inclusion criteria encompassed randomized controlled trials reporting on CBT or CBT-based interventions tailored for CABG patients, with anxiety and depression symptoms, as well as quality of life, as primary outcomes. Hospital stay and satisfaction with therapy were considered secondary outcomes.
The findings highlighted that CBT led to improvements in anxiety and depression symptoms, as well as reduced hospital stays, lowered hopelessness levels, and increased satisfaction with therapy. The long-term effects of CBT on CABG patients need to be studied, focusing on larger samples and patient compliance. Furthermore, assessment of CBT implementation in real-world clinical settings is important for feasibility, acceptability, and effectiveness across different regions.
This review underscores the positive impact of CBT on mitigating depression and anxiety symptoms and boosting the quality of life of individuals post-CABG surgery.
冠状动脉旁路移植术（CABG）是治疗冠状动脉疾病的常见干预措施，术后常伴有焦虑和抑郁等心理挑战。本系统评价旨在评估认知行为疗法（CBT）在减轻冠状动脉旁路移植术（CABG）患者术后焦虑和抑郁症状以及改善总体健康结局方面的益处。
截至2023年10月，对科学Direct、PsycINFO、PubMed、谷歌学术、VHL、Cochrane和Scopus数据库进行了检索。纳入标准包括报告针对CABG患者的CBT或基于CBT的干预措施的随机对照试验，以焦虑和抑郁症状以及生活质量作为主要结局。住院时间和对治疗的满意度被视为次要结局。
研究结果表明，CBT可改善焦虑和抑郁症状，缩短住院时间，降低绝望感，并提高对治疗的满意度。需要研究CBT对CABG患者的长期影响，重点关注更大样本和患者依从性。此外，评估CBT在实际临床环境中的实施情况对于不同地区的可行性、可接受性和有效性至关重要。
本综述强调了CBT对减轻CABG术后个体抑郁和焦虑症状以及提高生活质量的积极影响。
