Korean J Adult Nurs.  2015 Apr;27(2):223-232. 10.7475/kjan.2015.27.2.223.

Effect of a Telephone-administered Cognitive Behavioral Therapy for the Management of Depression, Anxiety, and Chronic Illness Anticipated Stigma in Parkinson's Disease

• Bae ES
• Yeum DM

• KMID: 2298136
• DOI: http://doi.org/10.7475/kjan.2015.27.2.223

Abstract

PURPOSE
Parkinson's disease (PD) has a high incidence of psychiatric comorbidity, specifically depression and anxiety. This study examined the effectiveness of group cognitive behavioral therapy (CBT) in treating depression and anxiety.
METHODS
The study included 42 participants, aged between 52 and 77 years, who were diagnosed with idiopathic Parkinson's disease (IPD) and reported suffering from depression and anxiety. Patients were attending a department of outpatient neurology at D University Schools of Medicine in B Metropolitan city. A structured telephone-administered cognitive behavioral therapy was conducted for eight weeks. A repeated measure ANOVA was used to analyze results at pretest, post-test, and four weeks follow up.
RESULTS
According to service method, there were significant differences between the two groups in depression, anxiety and stigma was significant difference between time (p<.05). Analysis of the interaction between time and service method revealed significant differences in depression and anxiety (p<.05).
CONCLUSION
The results suggest that telephoneadministered cognitive behavioral therapy may be effective and may provide opportunity to adapt to individual needs for treating depression and anxiety in patients with Parkinson's disease.

MeSH Terms

Anxiety*
Chronic Disease*
Cognitive Therapy*
Comorbidity
Depression*
Follow-Up Studies
Humans
Incidence
Neurology
Outpatients
Parkinson Disease*

Figure

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  Figure 1. Research design of the study.

Reference

1.Pandya M1., Kubu CS. Giroux ML Parkinson's disease: not just a movement disorder. Cleveland Clinical Journal of Medicine. 2008. 75(12):856–64. http://dx.doi.org/10.3949/ccjm.75a.07005.

2.McDonald WM., Righard IH., DeLong MR. Prevalence, etiology and treatment ofdepressionin Parkinson's disease. Society of Biological Psychiatry. 2003. 54(3):363–75. http://dx.doi.org/10.1016/S0006-3223(03)00530-4.

3.Cubo E., Bernard B., Leurgans S., Raman R. Cognitive and motor function in patients with Parkinson's disease with and without depression. Clinical Neuropharmacology. 2000. 23(6):331–4.

4.Veazey C., Aki SOE., Cook KJ., Lai E., Kunik ME. Prevalence and treatment of depression in Parkinson's disease. Journal of Neuropsychiatry and Clinical Neurosciences. 2005. 17(3):310–23. http://dx.doi.org/10.1176/jnp.17.3.310.

5.Veazy C., Cook KF., Stanley M., Lai EC., Junik ME. Telephone-administered cognitive behavioral therapy: a case of anxiety and depression in Parkinson's disease. Journal of Clinical Psychologic Medical Settings. 2009. 16:243–53. http://dx.doi.org/10.1007/s10880-009-9167-6.

6.Brooks DJ., Doder M. Depression in Parkinson's disease. Current Opinion in Neurology. 2001. 14:465–70.

7.Starkstein S., Dragovic M., Jorge R., Brockman1 S., Merello M., Robinson RG, et al. Diagnostic criteria for depression in Parkinson's disease: a study of symptom patterns using latent class analysis. Movement Disorders. 2011. 26(12):2239–45. http://dx.doi.org/10.1002/mds.23836.

8.Ragnhild SH., Kjersti RL., Kathleen MG., Tom W., Martin E., Knut W, et al. The clinical effectiveness of web-based cognitive behavioral therapy with face-to-face therapist support for depressed primary care patients: randomized controlled trial. Journal of Medical Internet Research. 2013. 15(8):e153. http://dx.doi.org/10.2196/jmir.2714.

9.Wrigley S., Jackson H., Judd F., Komiti A. The role of stigma and attitudes towards help seeking for mental health problems in a rural town. Australian & New Zealand Journal of Psychiatry. 2005. 39(6):514–21. http://dx.doi.org/10.1111/j.1440-1614.2005.01612.x.

10.Weintraub D., Moberg PJ., Duda JE., Katz IR., Stem MB. Recognition and treatment of depression in Parkinson's disease. Journal of Geriatric Psychiatry and Neurology. 2003. 16(3):178–83. http://dx.doi.org/10.1177/0891988703256053.

11.Shimotsu S., Horikawab N., Emurac R., Ishikawad SI., Nagaob A., Ogataf A, et al. Effectiveness of group cognitive-behavioral therapy in reducing self-stigma in Japanese psychiatric patients. Asian Journal of Psychiatry. 2014. 10:39–44. http://dx.doi.org/10.1016/j.ajp.2014.02.006.

12.Simpson J., McMillan H., Reeve D. Reformulating psycholo-gicaldifficulties inpeople withParkinson'sdisease: the potential of a social relational approach to disablism. Parkinson's Disease. 2013. Article ID 608562:. 1–8. http://dx.doi.org/10.1155/2013/608562.

13.Beck JS. Cognitive therapy: basics and beyond. New York: Guilford press;1995.

14.Chambless DL., Ollendick TH. Empirically supported psychologic intervention: controversies and evidence. Annual Review of Psycology. 2001. 52:685–716. http://dx.doi.org/10.1177/10.1146/annurev.psych.52.1.685.

15.Yeh AH., Taylor S., Thordarson DS., Corcoran KM. Efficacy of telephone-administered cognitive behavioral therapy for obsessive-compulsive spectrum disorders: case studies. cognitive behavioral therapy. 2003. 32(2):75–81. http://dx.doi.org/10.1080/16506070302323.

16.Ludman E., Simon GE., Tutty S., VonKorff M. Arandomizedtrial of telephone psychotherapy and pharmacotherapy for depression: continuation durability of effects. Journal of Counselling and Clinical Psychology. 2007. 75(2):257–66. http://dx.doi.org/10.1037/0022-006X.75.2.257.

17.Hoehn MM., Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology. 1967. 17:427–42.

18.Fahn S. Marsden C, Jennifer P, Teychenne P. Eds. Recent development in Parkinson's disease. Florham Park NJ: Macmillan Health care Information;1987. p. 2.

19.Beck AT. Depression: clinical, experimental and theoretical aspects. New York: Harper & Row;1967.

20.Lee YH. The relations between attributionalstyle, life events, event attribution, hopelessness and depression. [dissertation]. Seoul National University;1992.

21.Spielberger CD. Manual for the State-trait anxiety inventory. Palo alto, CA: Consulting Psychologist Press;1970.

22.Kim JT. Correlation between trait anxiety and sociality: Spiel-berger's STA. [dissertation]. Seoul: Korea University;1978.

23.Kurzban R., Leary MR. Evolutionary origins of stigmatization: the functions of social exclusion. PsychologicalBulletin. 2001. 127:187–208. http://dx.doi.org/10.1037/0033-2909.127.2.187.

24.Earnshaw VA., Quinn DM., Kalichman SC., Park CL. Development and psychometric evaluation of the chronic illness anticipated stigma scale. Journal of Behavioral Medicine. 2013. 36930:270–82. http://dx.doi.org/10.1007/s10865-012-9422-4.

25.Robert LL., Stephen JF. Lata KM. Treatment plans and interventions for depression and anxiety disorders. The Guilford Press;Second Edition. 2011.

26.Yang S., Sajatovic M., Walter BL. Psychosocial intervention for depression and anxiety in Parkinson's disease. Journal of Geriatric Psychiatry and Neurology. 2012. 25(2):113–21. http://dx.doi.org/10.1177/0891988712445096.

27.Simmon GE., Ludman EJ., Opeskaliski BH. Randomized trialof telephone care management program: for outpatient starting antidepressant treatment. Psychiatric Services. 2006. 57(10):1441–5.

28.Dobkin RD., Allen LA., Menza M. Cognitive behavioral therapy for depression in Parkinson's disease: a pilot study. Movement Disorders. 2007. 22(7):946–52. http://dx.doi.org/10.1002/mds.21455.

29.Dobkin RD., Allen LA., Menza M., Gara MA., Mark MH., Jade Tiu J. Cognitive-behavioral therapy for depression in Parkinson's disease: a randomized, controlled trial. America Journal of Psychiatry. 2011. 168(10):1066–74. http://dx.doi.org/10.1176/appi.ajp.2011.10111669.

30.Cole K., Vaughan FL. The feasibility of using cognitive behavioral therapy for depression associated with Parkinson's disease: a literature review. Parkinsonism & Related Disorders. 2005. 11(5):270–6. http://dx.doi.org/10.1016/j.parkreldis.2005.03.002.