Open AccessIdentifying critical psychotherapy targets in serious cardiac conditions: The importance of addressing coping with symptoms, healthcare navigation, and social support
Author(s) -
David B. Bekelman,
Christopher E. Knoepke,
Carolyn Turvey
Publication year - 2019
Publication title -
palliative and supportive care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.786
H-Index - 48
eISSN - 1478-9523
pISSN - 1478-9515
DOI - 10.1017/s1478951518001037
Subject(s) - psychosocial , coping (psychology) , randomized controlled trial , interpersonal communication , collaborative care , interpersonal psychotherapy , health care , medicine , palliative care , psychotherapist , clinical psychology , psychology , psychiatry , mental health , nursing , social psychology , surgery , economics , economic growth
In seriously ill cardiac patients, several psychotherapy efficacy studies demonstrate little to no reduction in depression or improvement in quality of life, and little is known about how to improve psychotherapies to best address the range of patient needs. An interpersonal and behavioral activation psychotherapy was a key component of the Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) multisite randomized clinical trial. Although depressive symptoms did improve in the CASA trial, questions remain about how best to tailor psychotherapies to the needs of seriously ill patient populations. The study objective was to describe psychosocial needs emerging during a clinical trial of a palliative care and interpersonal and behavioral activation psychotherapy intervention that were not specifically addressed by the psychotherapy.