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. 2025 Jan 7;25(1):22.
doi: 10.1186/s12888-024-06457-w.

The role of CBT in enhancing health outcomes in coronary artery bypass graft patients: a systematic review

Danya Ibrahim  1 , Ibrahim H Elkhidir  2   3 , Zainab Mohammed  2 , Da'ad Abdalla  2 , Omer A Mohammed  2 , Lina Hemmeda  2 , Salma Alrawa  2 , Mohamed Ahmed  2   3 , Rahma Abdalla  2 , Abrar Batran  4 , Zaynab Abdalla  2 , Nida Bakri Elhaj  2 , Basil Ibrahim  2   5 , Roaa B Albashir  6
Affiliations

The role of CBT in enhancing health outcomes in coronary artery bypass graft patients: a systematic review

Danya Ibrahim et al. BMC Psychiatry. .

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

Keywords: Anxiety; Cognitive-behavioral therapy; Coronary artery bypass graft; Depression; Quality of life.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Prisma flow diagram illustrates the study selection process. (For more information, visit: http://www.prisma-statement.org/)
Fig. 2
Fig. 2
The percentage of risk of bias in the included studies shows low risk in the five domains, with some concerns about deviations from intended interventions
Fig. 3
Fig. 3
Risk of bias of the included studies showing low risk in the five domains with some concerns in deviations from intended interventions. D = Domain
See this image and copyright information in PMC

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References

    1. 1, Bachar BJ, Manna B. (2023). Coronary artery bypass graft. In StatPearls. StatPearls Publishing. Retrieved from https://www.statpearls.com
    1. 2, Blachly PH, Blachly BJ. Vocational and emotional status of 263 patients after heart surgery. Circulation. 1968;38(3):524–32. 10.1161/01.cir.38.3.524. - PubMed
    1. Lie I, Bunch EH, Smeby NA, Arnesen H, Hamilton G. Patients’ experiences with symptoms and needs in the early rehabilitation phase after coronary artery bypass grafting. Eur J Cardiovasc Nurs. 2012;11(1):14–24. 10.1016/j.ejcnurse.2010.09.004. - PubMed
    1. Correa-Rodríguez M, Abu Ejheisheh M, Suleiman-Martos N, Membrive-Jiménez MJ, Velando-Soriano A, Schmidt-RioValle J, Gómez-Urquiza JL. Prevalence of depression in coronary artery bypass surgery: a systematic review and meta-analysis. J Clin Med. 2020;9(4):909. 10.3390/jcm9040909. - PMC - PubMed
    1. Pirraglia PA, Peterson JC, Williams-Russo P, Gorkin L, Charlson ME. Depressive symptomatology in coronary artery bypass graft surgery patients. Int J Geriatr Psychiatry. 1999;14(8):668–80.https://doi.org/10.1002/(sici)1099-1166(199908)14:8%668::aid-gps988%3.0.co;2-9. - PubMed

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