Effects of cognitive-behavioral group psychotherapy on depression, anxiety and medication adherence in aged patients with coronary heart disease
10.3760/cma.j.issn.0254-9026.2018.04.013
- VernacularTitle:认知-行为团体心理咨询对老年冠心病患者抑郁和焦虑及服药依从性的影响研究
- Author:
Meiqin WU
1
;
Yi CHEN
;
Qian YANG
;
Shan BU
Author Information
1. 青海省心脑血管病专科医院高血压科
- Keywords:
Coronary disease;
Depression;
Anxiety;
Medication adherence
- From:
Chinese Journal of Geriatrics
2018;37(4):413-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the effects of cognitive-behavioral group psychotherapy on depression,anxiety and medication adherence in elderly patients with coronary heart disease.Methods Eighty patients from two communities in Qinghai province were randomly divided into intervention group (n=40) and control group (n=40).In addition to regular care for both groups,patients in the intervention group also received eognitive-behavioral group psychotherapy.Depression,anxiety and medication adherence were measured with the Zung Self-Rating Depression Scale (SDS),the Zung Self-Rating Anxiety Scale (SAS) and the eight-item Morisky Medication Adherence Scale (MMAS-8),respectively,at baseline,immediately after intervention,at 3 months after intervention,and at 6 months after intervention.Results The repeated-measures ANOVA showed that improvement in depression,anxiety and medication adherence before and after intervention in the intervention group was greater than in the control group (F =22.805,48.058,128.058,all P＜0.05).Scores for depression and anxiety were lower and scores for medication adherence were higher (all P＜0.05) in the intervention group than in the control group at all the time points after intervention.Conclusions Cognitive-behavioral group psychotherapy can alleviate depression and anxiety,and improve medication adherence in elderly patients with coronary heart disease.
