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
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

Byline AffiliationsUniversity of Queensland
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q3z68/cognitive-behavior-therapy-for-anxiety-in-parkinson-s-disease-outcomes-for-patients-and-caregivers

  • 1407
    total views
  • 14
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

National Survey on the Impact of COVID-19 on the Mental Health of Australian Residential Aged Care Residents and Staff
Brydon, Aida, Bhar, Sunil, Doyle, Colleen, Batchelor, Frances, Lovelock, Harry, Almond, Helen, Mitchell, Leander, Nedeljkovic, Maja, Savvas, Steven and Wuthrich, Viviana. 2022. "National Survey on the Impact of COVID-19 on the Mental Health of Australian Residential Aged Care Residents and Staff." Clinical Gerontologist. 45 (1), pp. 58-70. https://doi.org/10.1080/07317115.2021.1985671
Nonpharmacological Interventions for Anxiety and Dementia in Nursing Homes: A Systematic Review The Gerontologist
Brown Wilson, Christine, Arendt, Lars, Nguyen, Mynhi, Scott, Theresa L., Neville, Christine C. and Pachana, Nancy A.. 2019. "Nonpharmacological Interventions for Anxiety and Dementia in Nursing Homes: A Systematic Review The Gerontologist." The Gerontologist. 59 (6), pp. e731-e742. https://doi.org/10.1093/geront/gnz020
Characteristics and effectiveness of cognitive behavioral therapy for older adults living in residential care: a systematic review
Chan, Phoebe, Bhar, Sunil, Davison, Tanya E., Doyle, Colleen, Knight, Bob G., Koder, Deborah, Laidlaw, Ken, Pachana, Nancy, Wells, Yvonne and Wuthrich, Viviana M.. 2021. "Characteristics and effectiveness of cognitive behavioral therapy for older adults living in residential care: a systematic review." Aging and Mental Health. 25 (2), pp. 187-205. https://doi.org/10.1080/13607863.2019.1686457
Wisdom across the ages and its modern day relevance
Mitchell, Leander. K., Knight, Bob G. and Pachana, Nancy. A.. 2017. "Wisdom across the ages and its modern day relevance." International Psychogeriatrics. 29 (8), pp. 1231-1234. https://doi.org/10.1017/S1041610217000783
Financial capacity in older adults: a growing concern for clinicians
Gardiner, Paul A., Byrne, Gerard J., Mitchell, Leander K. and Pachana, Nancy A.. 2015. "Financial capacity in older adults: a growing concern for clinicians." Medical Journal of Australia. 202 (2), pp. 82-86. https://doi.org/10.5694/mja14.00201
Decisional capacity: toward an inclusionary approach
Peisah, Carmelle, Sorinmade, Oluwatoyin A., Mitchell, Leander and Hertogh, Cees M. P. M.. 2013. "Decisional capacity: toward an inclusionary approach." International Psychogeriatrics. 25 (10), pp. 1571-1579. https://doi.org/10.1017/S1041610213001014
Contextual Adult Life Span Theory for Adapting Psychotherapy (CALTAP) and clinical geropsychology
Mitchell, Leander K.. 2017. "Contextual Adult Life Span Theory for Adapting Psychotherapy (CALTAP) and clinical geropsychology." Pachana, Nancy A. (ed.) Encyclopedia of geropsychology. Singapore. Springer. pp. 602-608
The availability of psychological services for aged care residents in australia: a survey of facility staff
Stargatt, Jennifer, Bhar, Sunil S., Davison, Tanya E., Pachana, Nancy A., Mitchell, Leander, Koder, Deborah, Hunter, Carol, Doyle, Colleen, Wells, Yvonne and Helmes, Edward. 2017. "The availability of psychological services for aged care residents in australia: a survey of facility staff." Australian Psychologist. 52 (6), pp. 406-413. https://doi.org/10.1111/ap.12244
Promoting the use of enduring powers of attorney in older adults: a literature review
Mitchell, Leander K., Pachana, Nancy A., Wilson, Jill, Vearncombe, Katharine, Massavelli, Bronwyn, Byrne, Gerard J. and Tilse, Cheryl. 2014. "Promoting the use of enduring powers of attorney in older adults: a literature review." Australasian Journal on Ageing. 33 (1), pp. 2-7. https://doi.org/10.1111/ajag.12043
Memory and communication support in dementia: research-based strategies for caregivers
Smith, Erin R., Broughton, Megan, Baker, Rosemary, Pachana, Nancy A., Angwin, Anthony J., Humphreys, Michael S., Mitchell, Leander, Byrne, Gerard J., Copland, David A., Gallois, Cindy, Hegney, Desley and Chenery, Helen J.. 2011. "Memory and communication support in dementia: research-based strategies for caregivers." International Psychogeriatrics. 23 (2), pp. 256-263. https://doi.org/10.1017/S1041610210001845
Rehabilitation in residential aged care facilities: barriers and facilitators in a dementia context
Mitchell, Leander K. and Pachana, Nancy A.. 2013. "Rehabilitation in residential aged care facilities: barriers and facilitators in a dementia context." The Australian Journal of Rehabilitation Counselling. 19 (1), pp. 57-63. https://doi.org/10.1017/jrc.2013.5
Predictors of financial capacity performance in older adults using the Financial Competence Assessment Inventory
Pachana, Nancy A., Byrne, Gerard J., Wilson, Jill, Tilse, Cheryl, Pinsker, Donna M., Massavelli, Bronwyn, Vearncombe, Katharine J. and Mitchell, Leander K.. 2014. "Predictors of financial capacity performance in older adults using the Financial Competence Assessment Inventory." International Psychogeriatrics. 26 (6), pp. 921-927. https://doi.org/10.1017/S1041610214000209
Adapting psychotherapy for older adults with Parkinson's disease
Knight, Bob, Dissanayaka, Nadeeka N. W. and Pachana, Nancy A.. 2016. "Adapting psychotherapy for older adults with Parkinson's disease." International Psychogeriatrics. 28 (10), pp. 1631-1636. https://doi.org/10.1017/S1041610216000569
Brief on the role of psychologists in residential and home care services for older adults
Davison, Tanya E., Koder, Deborah, Helmes, Edward, Doyle, Colleen, Bhar, Sunil, Mitchell, Leander, Hunter, Carol, Knight, Bob and Pachana, Nancy. 2016. "Brief on the role of psychologists in residential and home care services for older adults." Australian Psychologist. https://doi.org/10.1111/ap.12209
Psychological assessment and therapy with older adults
Knight, Bob G. and Pachana, Nancy A.. 2015. Psychological assessment and therapy with older adults. United Kingdom. Oxford University Press.
Using the CALTAP life span developmental framework with older adults
Pachana, Nancy A., Mitchell, Leander K. and Knight, Bob G.. 2015. "Using the CALTAP life span developmental framework with older adults." GeroPsych. 28 (2), pp. 77-86. https://doi.org/10.1024/1662-9647/a000126
Can we do better? Researchers' experiences with ethical review boards on projects with later life as a focus
Pachana, Nancy A., Liddle, Jacki, Peel, Nancye M., Beattie, Elizabeth, Juang, Christine and Knight, Bob G.. 2015. "Can we do better? Researchers' experiences with ethical review boards on projects with later life as a focus." Journal of Alzheimer's Disease. 43 (3), pp. 701-707. https://doi.org/10.3233/JAD-141956
Utility of a computerised cognitive screen in MCI and depression in an older population
Kingsbury, Rachell, Pachana, Nancy A., Humphreys, Michael, Tehan, Gerry and Byrne, Gerard J. A.. 2010. "Utility of a computerised cognitive screen in MCI and depression in an older population." The Australian Journal of Rehabilitation Counselling. 16 (1), pp. 14-26.
Measuring episodic memory: a novel approach with an indefinite number of alternative forms
Humphreys, Michael S., Smith, Simon, Pachana, Nancy A., Tehan, Gerry and Byrne, Gerard J.. 2010. "Measuring episodic memory: a novel approach with an indefinite number of alternative forms." Applied Cognitive Psychology. 24 (8), pp. 1080-1094. https://doi.org/10.1002/acp.1591
Behaviour of older people admitted for residential respite care
Neville, Christine C. and Byrne, Gerard J. A.. 2002. "Behaviour of older people admitted for residential respite care." Australian Journal of Advanced Nursing. 20 (1), pp. 8-12.
The impact of residential respite care on the behavior of older people
Neville, Christine C. and Byrne, Gerard J. A.. 2006. "The impact of residential respite care on the behavior of older people." International Psychogeriatrics. 18 (1), pp. 163-170. https://doi.org/10.1017/S1041610205002553