TY - JOUR
AU - J. A. Cully
AU - M. A. Stanley
AU - A. Deswal
AU - N. A. Hanania
AU - L. L. Phillips
AU - M. E. Kunik
A1 - 
AB - OBJECTIVE: To examine the effectiveness of tailored cognitive-behavioral therapy (CBT) for veterans with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) with comorbid symptoms of depression and/or anxiety. METHOD: Twenty-three veterans with CHF and/or COPD, identified from electronic medical records at a large Veterans Affairs medical center, with clinically significant symptoms of depression (Beck Depression Inventory-II [BDI-II] score >/= 14) and/or anxiety (State Trait Anxiety Inventory [STAI] score >/= 40) were enrolled in an open trial from August 2007 to August 2008. All patients received CBT delivered mostly by advanced psychology trainees that consisted of 6 weekly sessions and 3 telephone booster calls. The intervention expanded traditional CBT techniques in order to address patients' emotional and physical health difficulties using in-person and telephone-based sessions. Outcomes examined depression (BDI-II), anxiety (STAI), and disease-specific quality of life (Chronic Respiratory Questionnaire [CRQ] and Kansas City Cardiomyopathy Questionnaire [KCCQ]) postintervention and at 3-month follow-up. RESULTS: Symptoms of depression (effect size = 0.97) and anxiety (effect size = 0.57) were improved at 8 weeks and maintained at 3-month follow-up. Physical disease outcomes were also improved for COPD (CRQ mastery effect size = 0.65, CRQ fatigue effect size = 0.75) and CHF (KCCQ overall summary score effect size = 1.19). CONCLUSIONS: Modifications to traditional CBT approaches have the potential to address the emotional and physical health challenges associated with complex cardiopulmonary patients. The brief duration and use of telephone-based sessions increase the opportunity for CBT interventions to be integrated within primary care settings, but additional trials are needed. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00727155.
BT - Primary care companion to the Journal of clinical psychiatry
C5 - General Literature
CP - 4
CY - United States
DO - 10.4088/PCC.09m00896blu
IS - 4
JF - Primary care companion to the Journal of clinical psychiatry
N2 - OBJECTIVE: To examine the effectiveness of tailored cognitive-behavioral therapy (CBT) for veterans with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) with comorbid symptoms of depression and/or anxiety. METHOD: Twenty-three veterans with CHF and/or COPD, identified from electronic medical records at a large Veterans Affairs medical center, with clinically significant symptoms of depression (Beck Depression Inventory-II [BDI-II] score >/= 14) and/or anxiety (State Trait Anxiety Inventory [STAI] score >/= 40) were enrolled in an open trial from August 2007 to August 2008. All patients received CBT delivered mostly by advanced psychology trainees that consisted of 6 weekly sessions and 3 telephone booster calls. The intervention expanded traditional CBT techniques in order to address patients' emotional and physical health difficulties using in-person and telephone-based sessions. Outcomes examined depression (BDI-II), anxiety (STAI), and disease-specific quality of life (Chronic Respiratory Questionnaire [CRQ] and Kansas City Cardiomyopathy Questionnaire [KCCQ]) postintervention and at 3-month follow-up. RESULTS: Symptoms of depression (effect size = 0.97) and anxiety (effect size = 0.57) were improved at 8 weeks and maintained at 3-month follow-up. Physical disease outcomes were also improved for COPD (CRQ mastery effect size = 0.65, CRQ fatigue effect size = 0.75) and CHF (KCCQ overall summary score effect size = 1.19). CONCLUSIONS: Modifications to traditional CBT approaches have the potential to address the emotional and physical health challenges associated with complex cardiopulmonary patients. The brief duration and use of telephone-based sessions increase the opportunity for CBT interventions to be integrated within primary care settings, but additional trials are needed. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00727155.
PP - United States
PY - 2010
SN - 1555-211X; 1523-5998
T1 - Cognitive-behavioral therapy for chronic cardiopulmonary conditions: preliminary outcomes from an open trial
T2 - Primary care companion to the Journal of clinical psychiatry
TI - Cognitive-behavioral therapy for chronic cardiopulmonary conditions: preliminary outcomes from an open trial
U1 - General Literature
U2 - 21085552
U3 - 10.4088/PCC.09m00896blu
VL - 12
VO - 1555-211X; 1523-5998
Y1 - 2010
ER -