Cognitive behavior therapy for anxiety in Parkinson’s Disease: outcomes for patients and caregivers
Article
Article Title | Cognitive behavior therapy for anxiety in Parkinson’s Disease: outcomes for patients and caregivers |
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ERA Journal ID | 36216 |
Article Category | Article |
Authors | Dissanayaka, 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 Title | Clinical Gerontologist |
Clinical Gerontologist: the journal of aging and mental health | |
Journal Citation | 40 (3), pp. 159-171 |
Number of Pages | 13 |
Year | 2017 |
Place of Publication | United States |
ISSN | 0270-3122 |
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. |
Keywords | anxiety; caregivers; cognitive behavioral therapy; Parkinson’s disease; |
ANZSRC Field of Research 2020 | 520599. Social and personality psychology not elsewhere classified |
520401. Cognition | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | University of Queensland |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q3z68/cognitive-behavior-therapy-for-anxiety-in-parkinson-s-disease-outcomes-for-patients-and-caregivers
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