The effects of physical exercise training and cardiac education on levels of anxiety and depression in the rehabilitation of coronary artery bypass graft patients

International Disability Studies
A O'RourkeW Pacey

Abstract

to evaluate whether an exercise and education-based rehabilitation programme is sufficient treatment for individuals with clinically significant levels of anxiety or depression following coronary artery bypass graft (CABG) surgery. follow-up and repeated assessment after surgery. outpatient cardiac rehabilitation programme. all 88 attenders after CABG surgery. structured interview and Hospital Anxiety and Depression (HAD) scale (using 8 as the cut-off) administered by rehabilitation nurses at start of course and HAD repeated at 12 weeks and 6 and 12 months (by post after discharge). return rates of 76 and 80% at 6- and 12-month assessments, respectively; statistically significant reductions in levels of anxiety and depression found between first and all subsequent assessments; subdividing into groups revealed significant reduction in anxiety and depression in the anxious and depressed groups at 12 weeks and 6 months, respectively, but at 12 months there was no significant reduction. there is a need to address the problems of anxiety and depression directly by screening and treatment, and to provide more psychologically-orientated cardiac rehabilitation programmes.

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Citations

Apr 1, 1995·Journal of Psychosomatic Research·J J Thomas
Dec 9, 2003·International Journal of Cardiology·Sally C TurnerJonathan Goddard
Sep 23, 2014·Archivos de cardiología de México·Victor Dayan, Roberto Ricca
Apr 22, 2006·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Elizabeth P TolmiePhilip R Belcher
Oct 7, 2011·The Cochrane Database of Systematic Reviews·Susanne Heiwe, Stefan H Jacobson
Oct 8, 2003·Critical Care Medicine·Christina JonesMelanie Gager
May 31, 2014·The Physician and Sportsmedicine·Garrett N CoyanJames L Vacek

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