Wellness Program for Depression and Anxiety in Surgical Patients
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to evaluate the effectiveness of a Wellness Program for older Black surgical patients experiencing serious symptoms of depression or anxiety. The program includes therapy sessions, such as Cognitive Behavioral Therapy (CBT), and assists in adjusting any necessary medications. Participants complete surveys before and after surgery to track changes. It suits Black or African American patients aged 60 and up who are planning surgery and struggling with depression or anxiety. As an unphased trial, this study provides a unique opportunity for participants to contribute to research that could enhance mental health care for their community.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.
What prior data suggests that the Wellness Program is safe for surgical patients with depression and anxiety?
Research has shown that the Wellness Program, which includes Cognitive Behavioral Therapy (CBT) and medication adjustments, is generally easy for people to handle. Studies have found that CBT can greatly reduce symptoms of depression and anxiety. One study showed that CBT improved mood and reduced anxiety, with participants feeling noticeably better afterward.
Additionally, CBT has been linked to other benefits, such as shorter hospital stays after surgery. This suggests that the program not only supports mental health but also aids in overall recovery. No reports of serious side effects make the program a safe option for many people.12345Why are researchers excited about this trial?
Researchers are excited about the Wellness Program for depression and anxiety in surgical patients because it combines Cognitive Behavioral Therapy (CBT) with personalized medication optimization. Unlike standard treatments, which often rely solely on medication or therapy, this program integrates both approaches for a more holistic treatment. By adjusting medications and providing CBT specifically tailored to patients undergoing surgery, this program aims to address the unique mental health challenges faced by these individuals, potentially improving their recovery and overall well-being in a comprehensive manner.
What evidence suggests that the Wellness Program is effective for depression and anxiety in surgical patients?
Research shows that a Wellness Program combining Cognitive Behavioral Therapy (CBT) and medication adjustments can effectively help surgical patients with depression and anxiety. This trial will evaluate the Wellness Program, which includes psychological preparation before surgery and has significantly reduced symptoms like anxiety, depression, and even pain post-surgery. Studies have found that screening patients before surgery can identify 80% of those at risk for these mental health issues. Additionally, addressing these conditions can lead to better recovery and shorter hospital stays. This evidence supports the potential benefits of the Wellness Program for patients facing surgery with depression or anxiety.16789
Who Is on the Research Team?
Joanna Abraham, Ph.D., FACMI, FAMIA
Principal Investigator
Washington University School of Medicine
Are You a Good Fit for This Trial?
This trial is for older Black surgical patients who are experiencing noticeable symptoms of depression and/or anxiety. The study aims to assess the practicality of a Wellness Program designed specifically for them.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive Cognitive Behavioral Therapy (CBT) and medication optimization as part of the Wellness Program
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Wellness Program
Trial Overview
The focus is on testing the feasibility of a Wellness Program tailored for Black patients undergoing surgery, with an emphasis on recruitment, screening processes, outcome measures, and adaptability of the intervention.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Enrolled participants will participate in the study for approximately 3 months after surgery. The participants will complete questionnaires at baseline, 1 month after surgery, and 3 months after surgery. The Wellness Program will consist of Cognitive Behavioral Therapy (CBT) and medication optimization.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Washington University School of Medicine
Lead Sponsor
The Foundation for Barnes-Jewish Hospital
Collaborator
Citations
Mental health and surgery: integrating psychological care ...
Preoperative psychological screening is highly effective (80%) in identifying patients at risk of anxiety and depression (Table 1). Cognitive ...
A Perioperative Wellness Program Tailored for Black ...
In this study, the investigators will evaluate the feasibility of the Wellness Program, including patient recruitment, screening and outcome ...
A Perioperative Mental Health Intervention for Depressed ...
Those with depression and/or anxiety have an increased risk of adverse surgical outcomes. We assessed the feasibility of a perioperative mental health ...
4.
uclahealth.org
uclahealth.org/news/release/psychological-prehabilitation-improves-surgical-recoveryPsychological prehabilitation improves surgical recovery ...
The study found that psychological prehabilitation significantly reduces the length of hospital stay, pain, anxiety, and depression after surgery.
A Perioperative Mental Health Intervention for Depressed and ...
Those with depression and/or anxiety have an increased risk of adverse surgical outcomes. We assessed the feasibility of a perioperative mental ...
A Patient-Centered Perioperative Mental Health ...
We developed and adapted a perioperative mental health (PMH) bundle for older patients comprised of behavioral activation (BA) and medication optimization (MO)
Perioperative mental health intervention bundle for older ...
Researchers have examined the use of counselling, cognitive–behavioral therapy (CBT), and other psycho- logical treatments (eg, relaxation, ...
Cognitive Behavioral Therapy Optimizing Post-Operative ...
Results indicated that both CBT and SSM led to improvements in anxiety and depression symptoms, accompanied by reduced hospital stays, decreased ...
Cognitive behavioral therapies for depression and anxiety ...
The overall effect of CBTs was g = 0.61 (95% CI, 0.49, 0.72) for depression and g = 0.56 (95% CI, 0.42, 0.70) for anxiety. A range of methodological features ...
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