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

Dissanayaka, Nadeeka N. W., Pye, Deidre, Mitchell, Leander K., Byrne, Gerard J., O'Sullivan, John D., Marsh, Rodney and Pachana, Nancy A. (2016) Cognitive behavior therapy for anxiety in Parkinson’s disease: outcomes for patients and caregivers. Clinical Gerontologist, 1-13. doi:10.1080/07317115.2016.1240131


Author Dissanayaka, Nadeeka N. W.
Pye, Deidre
Mitchell, Leander K.
Byrne, Gerard J.
O'Sullivan, John D.
Marsh, Rodney
Pachana, Nancy A.
Title Cognitive behavior therapy for anxiety in Parkinson’s disease: outcomes for patients and caregivers
Journal name Clinical Gerontologist   Check publisher's open access policy
ISSN 1545-2301
0731-7115
Publication date 2016-10-04
Sub-type Article (original research)
DOI 10.1080/07317115.2016.1240131
Open Access Status Not yet assessed
Start page 1
End page 13
Total pages 13
Place of publication Philadelphia, PA, United States
Publisher Routledge
Collection year 2017
Language eng
Formatted 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.
Keyword Anxiety
Caregivers
Cognitive behavioral therapy
Parkinson’s disease
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
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