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Rollman and colleagues' randomised control trial (RCT) concerns treatment of depression after coronary artery bypass graft (CABG) surgery. Increased mortality risk attributable to depression after CABG1 and myocardial infarction2 is a pressing reason to identify effective depression treatment in these patients.
The RCT involved an 8-month, bi-weekly nurse-led, telephone-delivered intervention for depression after ‘on pump’ or ‘off pump’ surgery across seven hospitals in Pennsylvania, USA. Patients were randomised to intervention (n=150) or usual care (n=152), and 151 non-depressed individuals served as a control group. The intervention, tailored to patient preference, consisted of psychoeducation, antidepressant pharmacotherapy, referral to a community mental health specialist (MHS), behavioural activation and pleasant activity scheduling, avoidance of tobacco, alcohol and unhealthy foods, a depression handbook and ‘watchful waiting’.
Competing interests None.