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Treatment of Depression After Coronary Bypass Surgery



Treatment of Depression After Coronary Bypass Surgery

For Condition: Depressive Disorder,Coronary Disease
Status: Recruiting
Sponsor(s): National Institute of Mental Health (NIMH) ,
Synopsis: The purpose of this study is to test the efficacy of cognitive behavior therapy (CBT) and stress management (SM) therapy as treatments for depression in people who have recently undergone coronary artery bypass graft (CABG) surgery.
Details: Depression is a very common problem for people who have had CABG surgery. It is associated with concentration and memory problems, and recent studies have shown that it may increase the risk of additional medical problems and death during the first few years after surgery. Both CBT and SM therapy have been shown to be effective in the treatment of depression in otherwise healthy individuals. These therapies have not, however, been tested for depression in individuals who have undergone CABG surgery. Participants are screened for depression 4 to 6 weeks after surgery. Those who have depression return for additional testing 1 week later. Patients are then randomized to receive CBT, SM, or usual care (with no restriction on nonstudy antidepressants) for 12 weeks. Patients are monitored for worsening depression and are referred for additional care if needed. Depression outcomes, which include daily activities, concentration and memory, and quality of life, are assessed 12 weeks after randomization and 6 months after surgery (2 months after termination of CBT or SM).
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 21 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Coronary Artery Bypass Graft (CABG) surgery (alone or combined with valvular or carotid surgery) within past 12 months - Meets DSM-IV criteria for major or minor depressive episode Exclusion Criteria: - Severe cognitive impairment - Severe psychiatric comorbidity (e.g., alcoholism or schizophrenia) - Severely debilitating or life-threatening illness other than coronary disease
Total Enrollment: 165

Location and Contact Information:

Overall Study Official:
KennethFreedland,  Principal Investigator,  Washington University School of Medicine

Washington University School of Medicine *Recruiting*
St. Louis,  Missouri,  63108
United States
Recruiting Kenneth  Freedland


Additional Information:
Study ID Numbers:
  60735-01A2; 
Study Start Date: January 2002
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00042198

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