Long Term Effect of Cognitive Behavioral Therapy in Patients with Health Anxiety

IntroductionCognitive-behavioral therapy (CBT) has been found to be an effective treatment of excessive health anxiety (HA), but the long-term effect over 18months has not been examined.ObjectivesSeveral studies have shown effect of CBT for HA-patients. However, these effects have been short or immediate after therapy. To our knowledge no studies have examined long-term effect of CBT for HA over 18 months.AimsTo investigate the long-term effect of CBT on HA, focusing on level of HA, quality of life, subjective health complaints and general anxiety. Follow-up time was at least 10 years. Our hypothesis was that the effect was sustained.MethodsPatients with HA received 16 sessions of CBT over a period of 12–18 months, and were followed up over at least 10 years. All patients fulfilled criteria for F45.2, hypochondriacal disorder according to ICD-10.The patients answered several questionnaires, exploring areas such as HA, Quality of life, somatization, and mental health problems. Questionnaires were answered before CBT, after CBT and at follow up. Mixed model analysis was performed in SPSS 23.0 for all questionnaires.ResultsAll scores were found to be significant in the Pre-CBT–Post-CBT and Pre-CBT–FU (0.034– < 0.001), and none were found to be significant in the Post-CBT–FU.ConclusionsOur findings suggest that for the majority of patients with HA, CBT has a significant and lasting long-term effect. This effect lasts up to ten years post therapy.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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Long-term effects on cancer survivors’ quality of life of physical training versus physical training combined with cognitive-behavioral therapy: results from a randomized trial

Supportive Care in Cancer ◽

10.1007/s00520-008-0519-9 ◽

2008 ◽

Vol 17 (6) ◽

pp. 653-663 ◽

Cited By ~ 48

Author(s):

Anne M. May ◽

Irene Korstjens ◽

Ellen van Weert ◽

Bart van den Borne ◽

Josette E. H. M. Hoekstra-Weebers ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Behavioral Therapy ◽

Cancer Survivors ◽

Randomized Trial ◽

Physical Training ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Long Term Effects

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Therapist-Guided Internet-Based Treatments for Loneliness: A Randomized Controlled Three-Arm Trial Comparing Cognitive Behavioral Therapy and Interpersonal Psychotherapy

Psychotherapy and Psychosomatics ◽

10.1159/000516989 ◽

2021 ◽

pp. 1-8

Author(s):

Anton Käll ◽

Malin Bäck ◽

Camilla Welin ◽

Hanna Åman ◽

Rasmus Bjerkander ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Behavioral Therapy ◽

Primary Outcome ◽

Behavioral Therapy ◽

Interpersonal Psychotherapy ◽

Cognitive Behavioral ◽

Control Group ◽

Wait List

Introduction: Chronic loneliness has been linked to many adverse outcomes, including mental health problems. Psychological treatment of loneliness can be effective, but the evidence base is limited. Objective: To investigate the efficacy of 2 internet-based interventions based on cognitive behavioral therapy (ICBT) and interpersonal psychotherapy (IIPT) relative to a wait-list control group and each other. Methods: A total of 170 participants were recruited and randomized to either 9 weeks of ICBT (n = 68), IIPT (n = 68), or a wait-list condition (n = 34). The primary outcome was loneliness, measured using the UCLA Loneliness Scale before, during, and after treatment. Secondary measures of psychiatric disorders and quality of life were administered before and after treatment. Follow-up was conducted 4 months after the treatment had ended. Primary outcome data were analyzed using growth curve modeling. Secondary outcomes were analyzed using robust regression models. The trial was preregistered (ClinicalTrials.gov ID: NCT03807154). Results: The ICBT condition had a significantly greater impact on loneliness compared to the wait-list and IIPT conditions. Effect sizes were moderate to large (Cohen d = 0.71) compared to the wait-list and moderate (d = 0.53) compared to IIPT. The IIPT condition did not differ significantly from the wait-list. Both active treatments led to significant increases in quality of life. Only the ICBT group had significantly lower symptoms of depression and generalized anxiety compared to the wait-list group. Treatment gains were maintained but not improved at follow-up. Conclusions: ICBT can be an efficacious option for alleviating loneliness. The IIPT intervention was not as effective.

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The long term effect of group cognitive behavioral therapy focusing on problems of after reinstatement

The Proceedings of the Annual Convention of the Japanese Psychological Association ◽

10.4992/pacjpa.84.0_pd-108 ◽

2020 ◽

Vol 84 (0) ◽

pp. PD-108-PD-108

Author(s):

Kazuhiro Kiyonuma ◽

Asuka Watanabe ◽

Maki Nakaza ◽

Ayako Ishihara ◽

Kazuyoshi Yamamoto ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Term Effect ◽

Cognitive Behavioral ◽

Long Term Effect

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Effectiveness of cognitive-behavioral therapy and amitriptyline in patients with chronic temporomandibular disorders: a pilot study

Brazilian Dental Journal ◽

10.1590/s0103-64402011000500012 ◽

2011 ◽

Vol 22 (5) ◽

pp. 415-421 ◽

Cited By ~ 6

Author(s):

Patrícia dos Santos Calderon ◽

Maria de Lourdes Merighi Tabaquim ◽

Luiz Carlos de Oliveira ◽

Ana Paula Afonso Camargo ◽

Tatiana de Cássia Ramos Netto ◽

...

Keyword(s):

Quality Of Life ◽

Pilot Study ◽

Cognitive Behavioral Therapy ◽

Temporomandibular Disorders ◽

Behavioral Therapy ◽

Tricyclic Antidepressant ◽

Cognitive Behavioral ◽

Significance Level

The aim of this pilot study was to evaluate the effectiveness of cognitive-behavioral therapy (CBT) and use of amitriptyline, a tricyclic antidepressant, in patients with chronic temporomandibular disorders (TMD). Forty-seven women (mean age = 35.4 years old) with chronic TMD were enrolled in the study and divided into 4 groups: amitriptyline; amitriptyline and CBT; placebo and CBT; and placebo only (control). Patients were managed for 7 consecutive weeks. Follow-up evaluations were done at the 1st, 7th and 11th weeks of treatment. The presence and severity of pain, levels of depression, and quality of life and sleep were measured. Data were analyzed using ANOVA, Chi-square and Cochran tests, considering a significance level of 5%. Improvements were found for all factors considered in the intragroup analysis, although no significant differences were detected among groups. However, at the end of the treatment (11 weeks of follow-up), these positive outcomes persisted only for the women treated with amitriptyline and CBT. The obtained results suggest that the combination of amitriptyline and CBT may be effective in reducing pain and depression levels as well as in improving the quality of life and sleep in patients with chronic TMD.

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Long-term effect of physical activity on menopause-related quality of life – a 4 year follow-up study of a randomized controlled trial

Maturitas ◽

10.1016/j.maturitas.2015.02.122 ◽

2015 ◽

Vol 81 (1) ◽

pp. 139

Author(s):

Kirsi Mansikkamäki ◽

Jani Raitanen ◽

Clas-Håkan Nygård ◽

Eija Tomás ◽

Reetta Rutanen ◽

...

Keyword(s):

Quality Of Life ◽

Controlled Trial ◽

Term Effect ◽

Follow Up Study ◽

Randomized Controlled ◽

Long Term Effect ◽

Related Quality

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Descriptive review of internet-based cognitive behavior therapy on anxiety-related problems in children under the circumstances of COVID-19

BioPsychoSocial Medicine ◽

10.1186/s13030-021-00233-y ◽

2022 ◽

Vol 16 (1) ◽

Author(s):

Kentaro Shirotsuki ◽

Nagisa Sugaya ◽

Mutsuhiro Nakao

Keyword(s):

Mental Health ◽

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Anxiety Symptoms ◽

Cognitive Behavioral ◽

Current State ◽

Long Term Effect ◽

Children’S Anxiety Symptoms

Abstract Background COVID-19 continues to have a global impact and has yet to converge. Behavioral restrictions in daily life are widespread, forcing changes to the behavioral patterns of people. Significant changes have also occurred in children’s lives, raising concerns about mental health. The same is true for anxiety symptoms. Research In this paper, we described the COVID-19 pandemic effects on mental health, summarized Internet-based cognitive behavioral therapy (ICBT) as an applicability of cognitive behavioral therapy (CBT) for COVID-19, and summarized ICBT’s current state as a response for anxiety. An overview of previous intervention studies, including randomized controlled trials (RCTs) on ICBT, showed that many studies were highly effective against anxiety symptoms. Furthermore, regarding the follow-up of ICBT’s intervention effect, long-term effect maintenance was also clarified. It was likewise pointed out that ICBT may be used in the future since it is beneficial for children’s anxiety symptoms in telemedicine. Conclusions Based on these results from previous studies, we discuss ICBT’s applicability during the COVID-19 pandemic. Additionally, future measures and prospects for children’s mental health during the pandemic are discussed in this study.

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