A Pilot Study of a Cognitive-Behavioral Treatment for Anxiety and Depression in Patients With Parkinson Disease.
Identifieur interne : 000048 ( Main/Exploration ); précédent : 000047; suivant : 000049A Pilot Study of a Cognitive-Behavioral Treatment for Anxiety and Depression in Patients With Parkinson Disease.
Auteurs : Jessica. Calleo [États-Unis] ; Amber. Amspoker [États-Unis] ; Aliya. Sarwar [États-Unis] ; Mark. Kunik ; Joseph Jankovic [États-Unis] ; Laura Marsh [États-Unis] ; Michele York [États-Unis] ; Melinda. StanleySource :
- Journal of geriatric psychiatry and neurology [ 0891-9887 ] ; 2015.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Anxiety (diagnosis), Anxiety (etiology), Anxiety (therapy), Cognition, Cognitive Therapy (methods), Depression (diagnosis), Depression (etiology), Depression (therapy), Feasibility Studies, Female, Humans, Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (psychology), Pilot Projects, Program Evaluation, Psychiatric Status Rating Scales, Surveys and Questionnaires, Telemedicine, Telephone, Treatment Outcome.
- MESH :
- complications : Parkinson Disease.
- diagnosis : Anxiety, Depression.
- etiology : Anxiety, Depression.
- methods : Cognitive Therapy.
- psychology : Parkinson Disease.
- therapy : Anxiety, Depression.
- Aged, Aged, 80 and over, Cognition, Feasibility Studies, Female, Humans, Male, Middle Aged, Pilot Projects, Program Evaluation, Psychiatric Status Rating Scales, Surveys and Questionnaires, Telemedicine, Telephone, Treatment Outcome.
Abstract
Anxiety and depression often remain unrecognized or inadequately treated in patients with Parkinson disease (PD). Cognitive-behavioral therapy (CBT) is effective, but limited evidence supports its use for anxiety and depression in patients with PD. Sixteen patients with PD having significant anxiety and/or depressive symptoms were assigned to CBT or enhanced usual care. Assessments occurred at baseline, posttreatment, and 1-month follow-up. The CBT intervention included tools for anxiety, depression, and healthy living with PD symptoms. Individual sessions were delivered by telephone or in person, based on patient preference. Treatment was feasible with participants choosing 67% of sessions by telephone and 80% completed treatment. The between-group effect sizes for change scores from baseline to posttreatment and baseline to 1-month follow-up were large (posttreatment: d = 1.49 for depression and 1.44 for anxiety; 1-month follow-up: d = .73 for depression and 1.24 for anxiety), although only the posttreatment effect size for depression was significant. This pilot CBT program is feasible for treatment of anxiety and depression in patients with PD.
DOI: 10.1177/0891988715588831
PubMed: 26047635
Affiliations:
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Calleo</name><affiliation wicri:level="2"><nlm:affiliation>Houston VA Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA jcalleo@bcm.edu.</nlm:affiliation><country wicri:rule="url">États-Unis</country><wicri:regionArea>Houston VA Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Amspoker, Amber B" sort="Amspoker, Amber B" uniqKey="Amspoker A" first="Amber" last="Amspoker">Amber. Amspoker</name><affiliation wicri:level="2"><nlm:affiliation>Houston VA Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Houston VA Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Sarwar, Aliya I" sort="Sarwar, Aliya I" uniqKey="Sarwar A" first="Aliya" last="Sarwar">Aliya. Sarwar</name><affiliation wicri:level="2"><nlm:affiliation>Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Michael E. 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DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA VA South Central Mental Illness Research, Education and Clinical Center.</nlm:affiliation><wicri:noCountry code="subField">Education and Clinical Center</wicri:noCountry></affiliation></author><author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name><affiliation wicri:level="2"><nlm:affiliation>Baylor College of Medicine, Houston, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university" n="3">Baylor College of Medicine</orgName></affiliation></author><author><name sortKey="Marsh, Laura" sort="Marsh, Laura" uniqKey="Marsh L" first="Laura" last="Marsh">Laura Marsh</name><affiliation wicri:level="2"><nlm:affiliation>Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="York, Michele" sort="York, Michele" uniqKey="York M" first="Michele" last="York">Michele York</name><affiliation wicri:level="2"><nlm:affiliation>Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Stanley, Melinda A" sort="Stanley, Melinda A" uniqKey="Stanley M" first="Melinda" last="Stanley">Melinda. Stanley</name><affiliation><nlm:affiliation>Houston VA Health Services Research and Development (HSR&D) Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA VA South Central Mental Illness Research, Education and Clinical Center.</nlm:affiliation><wicri:noCountry code="subField">Education and Clinical Center</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of geriatric psychiatry and neurology</title><idno type="ISSN">0891-9887</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Anxiety (diagnosis)</term><term>Anxiety (etiology)</term><term>Anxiety (therapy)</term><term>Cognition</term><term>Cognitive Therapy (methods)</term><term>Depression (diagnosis)</term><term>Depression (etiology)</term><term>Depression (therapy)</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (psychology)</term><term>Pilot Projects</term><term>Program Evaluation</term><term>Psychiatric Status Rating Scales</term><term>Surveys and Questionnaires</term><term>Telemedicine</term><term>Telephone</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Anxiety</term><term>Depression</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anxiety</term><term>Depression</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cognitive Therapy</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety</term><term>Depression</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cognition</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Program Evaluation</term><term>Psychiatric Status Rating Scales</term><term>Surveys and Questionnaires</term><term>Telemedicine</term><term>Telephone</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Anxiety and depression often remain unrecognized or inadequately treated in patients with Parkinson disease (PD). Cognitive-behavioral therapy (CBT) is effective, but limited evidence supports its use for anxiety and depression in patients with PD. Sixteen patients with PD having significant anxiety and/or depressive symptoms were assigned to CBT or enhanced usual care. Assessments occurred at baseline, posttreatment, and 1-month follow-up. The CBT intervention included tools for anxiety, depression, and healthy living with PD symptoms. Individual sessions were delivered by telephone or in person, based on patient preference. Treatment was feasible with participants choosing 67% of sessions by telephone and 80% completed treatment. The between-group effect sizes for change scores from baseline to posttreatment and baseline to 1-month follow-up were large (posttreatment: d = 1.49 for depression and 1.44 for anxiety; 1-month follow-up: d = .73 for depression and 1.24 for anxiety), although only the posttreatment effect size for depression was significant. This pilot CBT program is feasible for treatment of anxiety and depression in patients with PD.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region><settlement><li>Houston</li></settlement><orgName><li>Baylor College of Medicine</li></orgName></list><tree><noCountry><name sortKey="Kunik, Mark E" sort="Kunik, Mark E" uniqKey="Kunik M" first="Mark" last="Kunik">Mark. Kunik</name><name sortKey="Stanley, Melinda A" sort="Stanley, Melinda A" uniqKey="Stanley M" first="Melinda" last="Stanley">Melinda. Stanley</name></noCountry><country name="États-Unis"><region name="Texas"><name sortKey="Calleo, Jessica S" sort="Calleo, Jessica S" uniqKey="Calleo J" first="Jessica" last="Calleo">Jessica. Calleo</name></region><name sortKey="Amspoker, Amber B" sort="Amspoker, Amber B" uniqKey="Amspoker A" first="Amber" last="Amspoker">Amber. Amspoker</name><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name><name sortKey="Marsh, Laura" sort="Marsh, Laura" uniqKey="Marsh L" first="Laura" last="Marsh">Laura Marsh</name><name sortKey="Sarwar, Aliya I" sort="Sarwar, Aliya I" uniqKey="Sarwar A" first="Aliya" last="Sarwar">Aliya. Sarwar</name><name sortKey="York, Michele" sort="York, Michele" uniqKey="York M" first="Michele" last="York">Michele York</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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