Depression Clinical Trial
Official title:
Cognitive Behavior Therapy for Anxiety and Depression for Patients With Chronic Obstructive Pulmonary Disease (COPD): A Randomized, Controlled Clinical Trial in an Outpatient Pulmonary Clinic.
The purpose of this study was to examine the efficacy of manualized, short-term group cognitive behavioral therapy for COPD patients suffering from clinically significant symptoms of anxiety and/or depression.
Anxiety and depressive disorders have been demonstrated in 16-50% of patients with chronic
obstructive pulmonary disease (COPD), and clinically significant levels of anxiety or
depressive symptoms seem to be even more common.Despite the multiple, severe consequences,
majority of COPD patients with co-morbid anxiety or depression do not seem to receive any
treatment for the psychological disturbance.
Cognitive behavioral therapy (CBT) is a well-known approach for treating anxiety and
depression, and data has demonstrated effectiveness of CBT for older individuals with
anxiety. CBT has also improved exercise tolerance compliance in COPD patients, and pilot
studies using CBT components have shown effectiveness in improving mental health and
functional status for patients with COPD.
Given the increasing number of patients suffering from COPD and the high prevalence of
anxiety and depression in the population, the current study was designed to examine the
efficacy of CBT in groups for anxiety and depression in patients with COPD. At present,
CBT-based interventions focusing on mental health symptoms are not widely available for COPD
patients, and the potential of CBT for improving emotional well-being is not systematically
considered in existing treatment alternatives. The study expands the findings from previous
pilot studies by focusing on COPD patients with clinically significant levels of anxiety and
depression. The wide breadth of coping skills included in the CBT intervention target
symptoms of both anxiety and depression, and thus the utility of the intervention for
managing mental health symptoms is not restricted to any specific DSM-IV diagnosis.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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