Vård: U-CARE: Heart - En randomiserad kontrollerad studie av effekten av kognitiv beteendeterapi via internet mot oro och ned...
Tidsperiod: 2014-12-01 till 2017-11-30
Projektledare: Erik Olsson
Budget: 3 330 000 SEK
Depression and/or anxiety occurs in about 30% of all patients after a myocardial infarction (MI) and about half of these have symptoms up to a year later. There is a clear association between depression and cardiac disease. Cognitive behavior therapy (CBT) is recommended as treatment for mild to moderate depression and anxiety in guidelines. Internet-mediated CBT (iCBT) has been shown to be effective in patients with depression and anxiety in other patient groups but has not been tested prospectively in patients with a recent MI. iCBT is accessible to patients also in remote areas or with other access problems. Further, women with MI show somewhat different characteristics and are more prone to depression and anxiety compared to men. No study have hitherto studied gender specific effects of iCBT treatments in MI patients.The study is designed as a prospective multi-center randomized controlled trial. Five hundred patients with depression or anxiety after a recent MI will be randomized to iCBT or to usual ca