Cognitive Behavior Therapy for Anxiety in Parkinson's Disease: Outcomes for Patients and Caregivers

被引：43
作者：
Dissanayaka, Nadeeka N. W. [1 ,2 ]
Pye, Deidre [1 ]
Mitchell, Leander K. [1 ]
Byrne, Gerard J. [1 ,2 ]
O'Sullivan, John D. [1 ,2 ]
Marsh, Rodney [1 ,2 ]
Pachana, Nancy A. [1 ]
机构：
[1] Univ Queensland, Brisbane, Qld, Australia
[2] Royal Brisbane & Womens Hosp, Brisbane, Qld, Australia
来源：
CLINICAL GERONTOLOGIST | 2017年 / 40卷 / 03期
关键词：
Anxiety; caregivers; cognitive behavioral therapy; Parkinson's disease; RATING-SCALE; CONTROLLED TRIAL; DEPRESSION; RELIABILITY; PREVALENCE; VALIDATION; DISORDERS; INTERVIEW; PREDICTORS; INVENTORY;
D O I：
10.1080/07317115.2016.1240131
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Objective: Anxiety negatively impacts the quality of life of Parkinson's disease (PD) patients and caregivers. Despite high prevalence, there is a paucity of trials investigating effective treatments for anxiety in PD. This uncontrolled study investigated the use of a manualized and tailored Cognitive Behavior Therapy (CBT) for anxiety in PD.Methods: Participants completed 6 weekly CBT sessions. Pre-, post- and follow-up (3 and 6months) assessments were made. Change in outcomes were analysed using t-tests and Reliability Change Index. Of 17 PD patients who agreed to CBT, 12 completed the intervention.Results: This study showed a significant reduction in Hamilton Anxiety Rating Scale scores in PD immediately post CBT (t(11)=3.59, p<.01), maintained at 3-month (t(8)=2.83, p=.02) and 6-month (t(7)=2.07, p=.04) follow-up. A reduction in caregiver burden (t(11)=2.68, p=.03) was observed post intervention. Improvements in motor disability (t(11)=2.41, p=.04) and cognitive scores (t(11)=-2.92, p=.01) were also observed post intervention and at follow-up.Conclusions: Tailored CBT can be used to treat anxiety in PD.Clinical Implications: This study provides preliminary evidence suggesting that tailored CBT reduces anxiety in PD with persisting benefits, and lowers caregiver burden.
引用
收藏
页码：159 / 171
页数：13
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