Combination of Exercise and CBT Improves Outcomes in Depressed Patients with Heart Failure

newstudy-graphic-66x60.jpg A recent study appearing in the Journal of Psychosomatic Research aimed to examine the effectiveness of exercise combined with Cognitive Behavioral Therapy (CBT) as a treatment for heart failure. Participants were divided into four groups: 18 patients were assigned to complete a 12-week home-based exercise program in addition to 12 weeks of CBT, 19 patients were assigned to complete 12 weeks of CBT alone, 20 patients were assigned to complete only a 12-week home-based exercise program, and 17 patients were assigned to receive usual care. All of the participants were stable New York Heart Association Class II (mild) to III (moderate) heart failure patients that had been diagnosed with depression.  Patients with Class II heart failure experience fatigue, palpitations or dyspnea when undergoing ordinary physical activity.  Patients with Class III heart failure experience those same symptoms when undergoing less than ordinary physical activity. The patients were evaluated before treatment, after 12 weeks of treatment, and 3 months after the end of treatment. To evaluate the participants, the researchers used the Hamilton Rating Scale for Depression (HAM-D) to determine depressive symptom severity, a 6-minute walk test (6MWT) to determine physical function, and the Minnesota Living with Heart Failure Questionnaire to determine health-related quality of life (HRQOL). The combination group showed the greatest decrease in HAM-D scores (-10.4), while the usual care group showed the least decrease (-6.2), though none of the groups showed a statistically significant decrease. The combination group also showed a large improvement in the 6MWT at the three-month follow-up. Within the cross-section of moderately-to-severely depressed participants across all groups, only those in the combination group sustained lower HAM-D scores, showed significant improvement in the 6MWT, and showed the greatest increase in HRQOL.

Extramural Training Workshop at Beck Institute: October 25-26, 2010

Aaron T. Beck, M.D.

OCTOBER/2010: (Left) Dr. Aaron Beck conducts a case discussion with Extramural Workshop participants. The workshop was attended by psychiatrists, psychologists, social workers, professors, physicians, counselors and other mental health professionals. Participants traveled from Canada, Mexico, Sweden the United Kingdom, and nine U.S. states.

Certification in CBT

The Beck Institute Supervision Program provides intensive, one-on-one CBT supervision to professionals seeking to enhance their clinical skills and work towards certification in Cognitive Behavior Therapy. Click here to learn more about receiving supervision in CBT from Beck Institute.

Professional training in Cognitive Behavior Therapy for depression was provided by Beck Institute faculty members Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., Norman Cotterell, Ph.D., and Cory F. Newman, Ph.D.

Extramural Participants ~ October 2010 Cory Newman, Ph.D. SOKOLNorman Cotterell, Ph.D. Case ConferencePatrick Link, M.D., MPH

Cognitive Behavior Therapy Workshop for Professionals at Beck Institute: September 27 – 29, 2010

Aaron T. Beck, M.D.SEPTEMBER 2010: Psychologists, psychiatrists, social workers, professors, school counselors, nurse practitioners, and other professionals from mental health, medical, and related fields traveled from 18 states and 10 countries, including Australia, Brazil, Canada, Germany, Hong Kong, Jamaica, Japan, Netherlands, Pakistan and United Kingdom. Pictured above-left, Aaron T. Beck, M.D. answers questions after conducting a live patient session that was viewed (via closed-circuit television) by participants in the Cognitive Behavior Therapy workshop at Beck Institute.

Aaron T Beck, M.D., also met with scholarship winners Ellen Driessen, MSc, Jordana Muroff, Ph.D., LICSW, and Scott Ries, MSW, who were all granted full tuition scholarships to attend one of our 3-Day workshops.  They represent three out of ten winners from our Scholarship Competition held in March 2010, which received over 880 entries from around the world!

Participants received professional training in Cognitive Behavior Therapy from Aaron T. Beck, M.D., Judith S. Beck, Ph.D., Leslie Sokol, Ph.D., and Norman Cotterell, Ph.D. Trainees participated in seminars and case discussions, reviewed videos of therapy sessions, and observed demonstration roleplays among other activities. More event highlights:

Beck Institute Participants (1)Beck Institute Participants (2)Judith S. Beck, Ph.D. and Aaron T. Beck, M.D.Leslie Sokol, Ph.D.Norman Cotterell, Ph.D.Judith S. Beck, Ph.D.