Cognitive behavior therapy for anxiety in Parkinson’s Disease: outcomes for patients and caregivers

Article

Dissanayaka, Nadeeka N. W., Pye, Deidre, Mitchell, Leander K., Byrne, Gerard J., O’Sullivan, John D., Marsh, Rodney and Pachana, Nancy A.. 2017. "Cognitive behavior therapy for anxiety in Parkinson’s Disease: outcomes for patients and caregivers." Clinical Gerontologist. 40 (3), pp. 159-171. https://doi.org/10.1080/07317115.2016.1240131
Article Title

Cognitive behavior therapy for anxiety in Parkinson’s Disease: outcomes for patients and caregivers

ERA Journal ID36216
Article CategoryArticle
AuthorsDissanayaka, Nadeeka N. W. (Author), Pye, Deidre (Author), Mitchell, Leander K. (Author), Byrne, Gerard J. (Author), O’Sullivan, John D. (Author), Marsh, Rodney (Author) and Pachana, Nancy A. (Author)
Journal TitleClinical Gerontologist
Clinical Gerontologist: the journal of aging and mental health
Journal Citation40 (3), pp. 159-171
Number of Pages13
Year2017
Place of PublicationUnited States
ISSN0270-3122
0731-7115
1545-2301
Digital Object Identifier (DOI)https://doi.org/10.1080/07317115.2016.1240131
Web Address (URL)http://www.tandfonline.com/doi/full/10.1080/07317115.2016.1240131
Abstract

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 6 months) 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.

Keywordsanxiety; caregivers; cognitive behavioral therapy; Parkinson’s disease;
ANZSRC Field of Research 2020520599. Social and personality psychology not elsewhere classified
520401. Cognition
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Byline AffiliationsUniversity of Queensland
Institution of OriginUniversity of Southern Queensland
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