Evidence map›Paper›PMID 37550665›Full record

SynthesisBMC complementary medicine and therapies2023

Clinical effects of cognitive behavioral therapy in heart failure patients: a meta-analysis of randomized controlled trials.

Mahmoud Balata, Mohamed Ibrahim Gbreel, Asmaa Ahmed Elrashedy, Ralf Westenfeld, Roman Pfister, Sebastian Zimmer, Georg Nickenig, Marc Ulrich Becher, Atsushi Sugiura

Open access · goldAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC complementary medicine and therapies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Home-based telemonitoring care and executive function in patients with heart failure.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Mahmoud BalataDepartment of Internal Medicine and Polyclinic II, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. dr.mahmoud.balata@gmail.com.ORCID http://orcid.org/0000-0003-4744-1703
Mohamed Ibrahim GbreelFaculty of Medicine, October 6 University, Giza, Egypt.
Asmaa Ahmed ElrashedyFaculty of Medicine, Kafr El-Shaikh University, Kafr El-Shaikh, Egypt.
Ralf WestenfeldDepartment of Internal Medicine and Cardiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Roman PfisterDepartment of Internal Medicine and Cardiology, University Hospital Cologne, Cologne, Germany.
Sebastian ZimmerDepartment of Internal Medicine and Polyclinic II, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Georg NickenigDepartment of Internal Medicine and Polyclinic II, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Marc Ulrich BecherDepartment of Internal Medicine and Polyclinic II, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Atsushi SugiuraDepartment of Internal Medicine and Polyclinic II, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
University Hospital Bonn · DEDüsseldorf University Hospital · DEKafrelsheikh University · EGOctober 6 University · EGUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbout 20-40% of people with Heart failure (HF) suffer from some depression, which is 4-5% greater than the overall population. This depression can lead to undesirable outcomes, including elevated mortality rate and frequent hospitalization. PURPOSE: The current study aims to evaluate the impact of cognitive behavioural therapy (CBT) on self-care and the symptoms of depression and anxiety in HF patients.

methodsWe searched PubMed, Web of Science (WOS), Scopus, and Cochrane Library till 15 October 2022. All relevant randomized controlled trials (RCTs) were included. The data were extracted and pooled using Review Manager software (RevMan 5.4). Continuous data were pooled as mean difference and 95% confidence interval (CI).

resultsOur search retrieved 1146 records, and 7 studies (611 patients) were finally included. We assessed the Beck Depression Inventory-II (BDI-II) as the primary outcome of the study. Hamilton Rating Scale for Depression (HRSD-17), Change in Beck Anxiety Inventory, Kansas City Cardiomyopathy Questionnaire (KCCQ), and Self-Care of Heart Failure Index (SCHFI) were also assessed as secondary outcomes. With CBT, BDI-II showed a significant reduction after 4 to 6 months follow-up (MD = -4.87, 95% CI: [-8.06; -1.69], P = 0.003) as well as 8 to 9 months follow-up (MD = -5.71, 95% CI: [-8.95; -2.46], P = 0.0006). But no significant difference was shown with 3 months follow-up (M.D=-4.34; 95%CI: [-10.70; 2.03], P = 0.18).

conclusionsCBT has long-term (4-9 months) significant favorable outcomes decreasing anxiety and depression compared to non-CBT groups. No significant short-term (less than 3 months) impact on HF patients' self-care, depression, or anxiety were shown.

Indexed as

Cognitive Behavioral TherapyHeart FailureAnxietyAnxiety DisordersHumansRandomized Controlled Trials as TopicAnd Meta-analysisAnxietyCognitive behavioral therapyDepressionHeart failure care

Identifiers

PMID37550665
PMCPMC10405476
OpenAlexW4385633769

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.