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

Dissanayaka, Nadeeka N. W. and Pye, Deidre and Mitchell, Leander K. and Byrne, Gerard J. and O’Sullivan, John D. and 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. ISSN 0731-7115


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.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 06 Apr 2017 06:01
Last Modified: 24 Nov 2020 05:14
Uncontrolled Keywords: anxiety; caregivers; cognitive behavioral therapy; Parkinson’s disease;
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1701 Psychology > 170113 Social and Community Psychology
17 Psychology and Cognitive Sciences > 1702 Cognitive Sciences > 170299 Cognitive Science not elsewhere classified
Fields of Research (2020): 52 PSYCHOLOGY > 5205 Social and personality psychology > 520599 Social and personality psychology not elsewhere classified
52 PSYCHOLOGY > 5204 Cognitive and computational psychology > 520401 Cognition
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