Diana C. Tamayo-Lopera, Grupo de Rehabilitación en Salud, Departamento de Medicina Física y Rehabilitación, Facultad de Medicina, Universidad de Antioquía, Medellín, Colombia
Ana M. Posada-Borrero, Grupo de Rehabilitación en Salud, Departamento de Medicina Física y Rehabilitación, Facultad de Medicina, Universidad de Antioquía, Medellín, Colombia
Luisa F. Mesa-Franco, Grupo de Rehabilitación en Salud, Departamento de Medicina Física y Rehabilitación, Facultad de Medicina, Universidad de Antioquía, Medellín, Colombia
Luz H. Lugo-Agudelo, Grupo de Rehabilitación en Salud, Departamento de Medicina Física y Rehabilitación, Facultad de Medicina, Universidad de Antioquía, Medellín, Colombia
Background: In advanced stages of heart failure, the prevalence of depressive illness can exceed 50%, which is associated with a worse clinical state, also increasing medical care costs. Objective: To identify and synthesize the most effective non-pharmacological interventions for the treatment of depression in patients with heart failure. Method: Studies published up to September 2021 involving depression and hear failure were identified by reviewing main databases. Two authors independently carried out the selection of the literature found. Results: Cognitive behavioral therapy and exercise were the most commonly used non-pharmacological interventions for depressive symptoms in patients with heart failure, with moderate to large effect sizes (Cohen’s d between 0.5 and 3.4). Conclusion: In patients with heart failure, cognitive behavioral therapy and exercise were shown to be better than usual care for depressive symptoms.
Keywords: Heart failure. Depression. Cognitive behavioral therapy. Exercise.
