Efficacy of cognitive behavioral therapy for insomnia comorbid to Parkinson's disease: A focus on psychological and daytime functioning with a single‐case design with multiple baselines

2019 ◽  
Vol 76 (3) ◽  
pp. 356-376 ◽  
Author(s):  
Cindy Lebrun ◽  
Marie‐Christine Gély‐Nargeot ◽  
Alexia Rossignol ◽  
Christian Geny ◽  
Sophie Bayard
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Single Case ◽  
Cognitive Behavioral ◽  
Single Case Design ◽  
Daytime Functioning ◽  
Case Design

PENERAPAN TERAPI PERILAKU KOGNITIF (COGNITIVE BEHAVIORAL THERAPY) UNTUK MENGURANGI SIMTOM PADA SUBJEK YANG MENGALAMI GANGGUAN KECEMASAN UMUM

2016 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Wina Lova Riza
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Single Case ◽  
Cognitive Behavioral ◽  
Generalized Anxiety ◽  
Test Results ◽  
Single Case Design ◽  
Post Test ◽  
Case Design

This study aims to obtain results from the application of cognitive behavioral therapy (CBT) to individuals who experience generalized anxiety disorder. This research uses a qualitative single case design approach. The results of the study were subjects who experienced generalized anxiety disorder characterized by continuous anxiety, unable to control their worries, difficulty seeing problems objectively, being irritable and being offensive, experiencing somatic complaints, and worrying that something bad might happen. The results of the intervention are supported by pre-test and post-test. Pre-test results with GAD-7 with a score of 13 which shows that S is in the category of moderate anxiety (moderate anxiety). Then after intervening for 10 sessions, there were changes in anxiety symptoms that were shown in the GAD-7 post test results with a score of 6, the subjects were in the category of mild anxiety. This shows that cognitive behavioral therapy (CBT) can provide positive changes and can reduce the symptoms of subject anxiety. Keywords: Anxiety Disorder, CBT   Penelitian ini bertujuan untuk memperoleh hasil dari penerapan terapi perilaku kognitif (CBT) terhadap individu yang mengalami gangguan kecemasan umum. Penelitian ini menggunakan pendekatan kualitatif single case design. Hasil penelitian adalah subjek yang mengalami gangguan kecemasan umum ditandai dengan kecemasan yang terus menerus, tidak dapat mengontrol kekhawatirannya, sulit melihat masalah secara objektif, mudah marah dan bersikap ofensif, mengalami keluhan somatik, dan khawatir sesuatu yang buruk akan terjadi. Hasil intervensi didukung oleh pre test dan post test. Hasil pre test dengan GAD-7 dengan skor 13 yang menunjukkan bahwa S berada pada kategori kecemasan sedang (moderate anxiety). Kemudian setelah diintervensi selama 10 kali sesi, terdapat perubahan pada gejala kecemasan yang ditunjukkan pada hasil post test GAD-7 dengan skor 6, subjek berada dalam kategori kecemasan ringan (mild anxiety). Hal ini menunjukkan bahwa terapi perilaku kognitif (CBT) dapat memberikan perubahan positif dan dapat menurunkan simtom kecemasan subjek. Keyword: Gangguan Kecemasan Umum, CBT.

scholarly journals Cognitive-Behavioral Therapy for Anxiety in Parkinson’s Disease

2019 ◽  
Vol 44 (4) ◽  
pp. 552-579 ◽  
Author(s):  
Gretchen O. Reynolds ◽  
Marie Saint-Hilaire ◽  
Cathi A. Thomas ◽  
David H. Barlow ◽  
Alice Cronin-Golomb
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Single Case ◽  
Preliminary Evidence ◽  
Post Treatment ◽  
Cognitive Behavioral ◽  
Baseline Phase

Parkinson’s disease (PD) is characterized by motor symptoms, but nonmotor symptoms also significantly impair daily functioning and reduce quality of life. Anxiety is prevalent and debilitating in PD, but remains understudied and undertreated. Much affective research in PD focuses on depression rather than anxiety, and as such, there are no evidence-based treatments for anxiety in this population. Cognitive-behavioral therapy (CBT) has shown promise for treating depression in PD and may be efficacious for anxiety. This exploratory study implemented a multiple-baseline single-case experimental design to evaluate the utility and feasibility of CBT for individuals with PD who also met criteria for a DSM-5 anxiety disorder ( n = 9). Participants were randomized to a 2-, 4-, or 6-week baseline phase, followed by 12 CBT sessions, and two post treatment assessments (immediately post treatment and 6-week follow-up). Multiple outcome measures of anxiety and depression were administered weekly during baseline and intervention. Weekly CBT sessions were conducted in-person ( n = 5) or via secure videoconferencing ( n = 4). At post treatment, seven of the nine participants showed significant reductions in anxiety and/or depression, with changes functionally related to treatment and most improvements maintained at 6-week follow-up. Effects of CBT on secondary outcomes varied across participants, with preliminary evidence for reduction in fear of falling. Adherence and retention were high, as were treatment satisfaction and acceptability. The findings of this pilot study provide preliminary evidence for the utility of CBT as a feasible treatment for anxiety and comorbid depressive symptoms in PD and highlight the potential of telehealth interventions for mood in this population.

scholarly journals Efficacy of Cognitive Behavioral Therapy on Mood Disorders, Sleep, Fatigue, and Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Fangyi Luo ◽  
Mengfei Ye ◽  
Tingting Lv ◽  
Baiqi Hu ◽  
Jiaqi Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Behavioral Therapy ◽  
Mood Disorders ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Significant Difference

Objective: The aim of this study was to perform a quantitative analysis to evaluate the efficacy of cognitive behavioral therapy (CBT) on mood disorders, sleep, fatigue, and its impact on quality of life (QOL) in Parkinson's Disease (PD).Methods: We searched for randomized controlled trials in three electronic databases. Fourteen studies, including 507 patients with PD, met the inclusion criteria. We determined the pooled efficacy by standard mean differences and 95% confidence intervals, using I2 to reveal heterogeneity.Results: The result showed CBT had a significant effect on depression [−0.93 (95%CI, −1.19 to −0.67, P < 0.001)] and anxiety [−0.76 (95%CI, −0.97 to −0.55, P < 0.001)]. Moderate effect sizes were noted with sleep disorders [−0.45 (95% CI, −0.70 to −0.20, P = 0.0004)]. There was no evident impact of CBT on fatigue or QOL. We found an intervention period >8 weeks was advantageous compared with <8 weeks, and CBT implemented in non-group was more effective than in group. Between the delivery methods, no significant difference was found.Conclusion: We found that CBT in patients with PD was an efficacious therapy for some non-motor symptoms in PD, but not efficacious for fatigue and QOL. These results suggest that CBT results in significant improvement in PD and should be used as a conventional clinical intervention.

Cognitive behavioral therapy improves diverse profiles of depressive symptoms in Parkinson's disease

2019 ◽  
Vol 34 (5) ◽  
pp. 722-729 ◽  
Author(s):  
Roseanne D. Dobkin ◽  
Sarah L. Mann ◽  
Alejandro Interian ◽  
Michael A. Gara ◽  
Matthew Menza
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Depressive Symptoms ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

scholarly journals tDCS to treat freezing of gait in Parkinson's disease: A single-case design

2014 ◽  
Vol 57 ◽  
pp. e363
Author(s):  
E. Andrenelli ◽  
C. Orni ◽  
L. Provinciali ◽  
M.G. Ceravolo ◽  
M. Capecci
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Single Case ◽  
Freezing Of Gait ◽  
Single Case Design ◽  
Case Design

scholarly journals Efficacy of cognitive behavioral therapy on non-motor symptoms and quality of life in Parkinson’s disease: A systematic review and meta-analysis

2020 ◽  
Author(s):  
Fangyi Luo ◽  
Mengfei Ye ◽  
Tingting Lv ◽  
Baiqi Hu ◽  
Jiaqi Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Motor Symptoms ◽  
Non Motor Symptoms

AbstractObjectiveThe aim of this study was to perform a quantitative analysis to evaluate the efficacy of cognitive behavioral therapy (CBT) on non-motor symptoms and its impact on quality of life (QOL) in Parkinson’s disease (PD).MethodsWe searched for randomized controlled trials in three electronic databases. Twelve studies, including 358 patients with PD, met the inclusion criteria. We determined the pooled efficacy by standard mean differences and 95% confidence intervals, using I2 to reveal heterogeneity.ResultsThe result showed CBT had a significant effect on depression [-0.94 (95% CI, -1.25 to -0.64, P < 0.001)] and anxiety [-0.78 (95% CI, -1.05 to -0.50, P < 0.001)]. Moderate effect sizes were noted with stress [-0.60 (95% CI, -1.06 to -0.14, P = 0.01)] and sleep disorders [-0.44 (95% CI, -0.74 to -0.15, P = 0.003)]. There was no evident impact of CBT on fatigue or QOL. We found an intervention period > 8 weeks was advantageous compared with < 8 weeks, and CBT intervention was more effective than CBT developmental therapy.ConclusionWe found that CBT in patients with PD was an efficacious therapy for some non-motor symptoms in PD, but not efficacious for fatigue and QOL. These results suggest that CBT results in significant improvement in PD and should be used as a conventional clinical intervention.

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