The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease
Dublin Core
Title
The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease
Subject
coronary heart disease; depression; psychoeducation;
transtheoretical model
transtheoretical model
Description
Background: Depression is the most common psychological condition among
patients with coronary heart disease (CHD). Although psychoeducational
programs (PEPs) based on the Transtheoretical Model (TTM) have shown
promise for psychiatric patients, their application among individuals with
medical conditions, particularly cardiovascular disease, remains limited—
especially in Indonesia.
Purpose: This study aimed to assess the effectiveness of a TTM-based
PEP intervention in reducing depression among CHD patients.
Methods: A quasi-experimental design was employed, involving 80 CHD
patients hospitalized in the coronary care unit (CCU) of a private hospital in
West Java, Indonesia, in 2022. Participants in the intervention group attended
seven sessions, each lasting 60 to 90 minutes. Depression symptoms were
measured using the Hamilton Depression Rating Scale (HDRS). An ANOVA
was performed to compare pre- and post-intervention mean HDRS scores
and subscale scores between the two groups. After accounting for attrition,
the final analysis included data from 76 patients.
Results: The participants had a mean age of 59.39 years (SD = 11.10) and
a mean disease duration of 4.05 years (SD = 1.69). A paired t-test showed
a significant reduction in the mean HDRS score of the intervention group,
from 13.79 ± 2.84 pre-intervention to 10.16 ± 2.16 post-intervention (p <
0.0001). Most HDRS subscale scores also decreased significantly, except for
insomnia, somatic/genital symptoms, and weight loss. ANCOVA confirmed
significant differences between the two groups in overall HDRS scores.
Conclusion: The findings suggest that TTM-based PEP is effective in
reducing depression among CHD patients. Incorporating such programs
alongside standard treatments is recommended for enhanced patient
outcomes.
patients with coronary heart disease (CHD). Although psychoeducational
programs (PEPs) based on the Transtheoretical Model (TTM) have shown
promise for psychiatric patients, their application among individuals with
medical conditions, particularly cardiovascular disease, remains limited—
especially in Indonesia.
Purpose: This study aimed to assess the effectiveness of a TTM-based
PEP intervention in reducing depression among CHD patients.
Methods: A quasi-experimental design was employed, involving 80 CHD
patients hospitalized in the coronary care unit (CCU) of a private hospital in
West Java, Indonesia, in 2022. Participants in the intervention group attended
seven sessions, each lasting 60 to 90 minutes. Depression symptoms were
measured using the Hamilton Depression Rating Scale (HDRS). An ANOVA
was performed to compare pre- and post-intervention mean HDRS scores
and subscale scores between the two groups. After accounting for attrition,
the final analysis included data from 76 patients.
Results: The participants had a mean age of 59.39 years (SD = 11.10) and
a mean disease duration of 4.05 years (SD = 1.69). A paired t-test showed
a significant reduction in the mean HDRS score of the intervention group,
from 13.79 ± 2.84 pre-intervention to 10.16 ± 2.16 post-intervention (p <
0.0001). Most HDRS subscale scores also decreased significantly, except for
insomnia, somatic/genital symptoms, and weight loss. ANCOVA confirmed
significant differences between the two groups in overall HDRS scores.
Conclusion: The findings suggest that TTM-based PEP is effective in
reducing depression among CHD patients. Incorporating such programs
alongside standard treatments is recommended for enhanced patient
outcomes.
Creator
Linlin Lindayani1* , Iyus Yosep2 , Heni Purnama3 , Astri Mutiar4 ,
Anisa Dwi Putri5
Anisa Dwi Putri5
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
December 25, 2024
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Linlin Lindayani1* , Iyus Yosep2 , Heni Purnama3 , Astri Mutiar4 ,
Anisa Dwi Putri5, “The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease,” Repository Horizon University Indonesia, accessed February 11, 2026, https://repository.horizon.ac.id/items/show/10736.