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The value of COPE therapy in the perioperative care of heart failure patients receiving left ventricular assist device implantation

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Purpose

This pilot study implemented Creating Opportunities for Personal Empowerment (COPE), a cognitive behavioral therapy (CBT) intervention, in the perioperative care of patients with advanced heart failure awaiting left ventricular assist device (LVAD) implantation.

Methods

Using a quasi-experimental study design, the patients were screened for anxiety and depression using the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) screening tools. If patients scored 5 or greater on either tool, they received COPE. Patients were re-evaluated following intervention.

Results

Average scores for depression and anxiety symptoms pre-intervention were 10.6 and 10.2, respectively. Post intervention, scores decreased to an average of 5.4 and 3.2, respectively. Qualitative data suggests that they felt the intervention was helpful.

Conclusion

Results show that it is possible to implement a multi-session CBT intervention in this population. The improvements in the severity of depression and anxiety symptoms in the five participants with LVAD is interesting and needs to be verified in a study with a larger sample size.

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References

  1. National Institute of Mental Health [Internet]. Bethesda: 2017. Mental Health Information; [about 2 screens]. Available from https://www.nimh.nih.gov/health/statistics/major-depression.shtml

  2. National Institute of Mental Health [Internet]. Bethesda: 2017. Mental Health Information; [about 2 screens]. Available from https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder.shtml

  3. Celano CM, Villegas AC, Albanese AM, Gaggin HK, Huffman JC. Depression and anxiety in heart failure: a review. Harv Rev Psychiatry. 2018;26:175–84. https://doi.org/10.1097/HRP.0000000000000162.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Jackson SL, Tong X, King RJ, Loustalot F, Hong Y, Ritchey MD. National burden of heart failure events in the United States, 2006 to 2014. Circ Heart Fail. 2018;11:e004873. https://doi.org/10.1161/CIRCHEARTFAILURE.117.004873.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Rustad JK, Stern TA, Hebert KA, Musselman DL. Diagnosis and treatment of depression in patients with congestive heart failure: a review of the literature. Prim Care Companion CNS Disord. 2013. https://doi.org/10.4088/PCC.13r01511.

  6. Ghosh RK, Ball S, Prasad V, Gupta A. Depression in heart failure: intricate relationship, pathophysiology and most updated evidence of interventions from recent clinical studies. Int J Cardiol. 2016;224:170–7. https://doi.org/10.1016/j.ijcard.2016.09.063.

    Article  PubMed  Google Scholar 

  7. Lusk P, Melnyk BM. COPE for the treatment of depressed adolescents: lessons learned from implementing an evidence-based practice change. J Am Psychiatr Nurses Assoc. 2011;17:297–309. https://doi.org/10.1177/1078390311416117.

    Article  PubMed  Google Scholar 

  8. Feldman D, Pamboukian SV, Teuteberg JJ, Birks E, Lietz K, Moore SA, et al. The 2013 International Society for Heart and Lung Transplantation Guidelines for mechanical circulatory support: executive summary. J Heart Lung Transplant. 2013;32:157–87. https://doi.org/10.1016/j.healun.2012.09.013.

  9. Tigges-Limmer K, Brocks Y, Winkler Y, Gissendanner SS, Morshvis M, Gummert JF. Mental health interventions during ventricular assist device therapy: a scoping review†. Interact Cardiovasc Thorac Surg. 2018;27:958–64. https://doi.org/10.1093/icvts/ivy125.

  10. Heilmann C, Kuijpers N, Beyersdorf F, Berchtold-Herz M, Trummer G, Stroh AL, et al. Supportive psychotherapy for patients with heart transplantation or ventricular assist devices. Eur J Cardiothorac Surg. 2011;39:e44–50. https://doi.org/10.1016/j.ejcts.2010.11.074.

  11. Levelink M, Brutt AL. Factors influencing health-related quality of life of patients with a left ventricular assist device: a systematic review and thematic synthesis. Eur J Cardiovasc Nurs. 2021;20:803–15. https://doi.org/10.1093/eurjcn/zvab056.

    Article  PubMed  Google Scholar 

  12. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606–13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166:1092–7. https://doi.org/10.1001/archinte.166.10.1092.

  14. Costelle D, Herman J, Moser D. The effect of an educational video on device-related concerns in a single-center left ventricular assist device population. J Card Fail. 2019;25:S134.

  15. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2020 update: a report from the American Heart Association. Circulation. 2020;141:e139–596. https://doi.org/10.1161/CIR.0000000000000757.

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Funding

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Author information

Authors and Affiliations

  1. University of Kentucky Healthcare Critical Care Services, 1000 South Limestone St, Lexington, KY, 40536, USA

    Aaron Harris

  2. University of Kentucky College of Nursing, 751 Rose Street, Lexington, KY, 40536, USA

    Evelyn Parrish

  3. Division of Cardiothoracic Surgery, Department of Surgery, University of Kentucky College of Medicine, 740 S. Limestone St, Lexington, KY, 40536, USA

    Suresh Keshavamurthy & Sibu Saha

Authors
  1. Aaron Harris
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  2. Evelyn Parrish
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  3. Suresh Keshavamurthy
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  4. Sibu Saha
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Corresponding author

Correspondence to Aaron Harris.

Ethics declarations

Institutional review board approval

IRB approval was obtained through the office of Research Integrity. IRB approval # 60426 dated 12/21/20–12/20/21.

Informed consent

Obtained from each participant in this pilot program.

Conflict of interest

There are no conflicts of interest to disclose.

Statement of human and animal rights

There was no infringement of human or animal rights with this study which was conducted as per norms of Declaration of Helsinki, 1964.

Additional information

This pilot program was conducted to fulfil graduation requirements for doctorate degree completion for Psychiatric Mental Health Nurse Practitioner. Special thanks to Dr. Andrew Kolodziej, Dr. Sheila Melander, and Dr. Lacey Buckler for their support of this project.

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Harris, A., Parrish, E., Keshavamurthy, S. et al. The value of COPE therapy in the perioperative care of heart failure patients receiving left ventricular assist device implantation. Indian J Thorac Cardiovasc Surg 39, 258–261 (2023). https://doi.org/10.1007/s12055-023-01493-9

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  • DOI: https://doi.org/10.1007/s12055-023-01493-9

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