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A brief cognitive -behavioral intervention for patients with non -cardiac chest pain.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	A brief cognitive -behavioral intervention for patients with non -cardiac chest pain./
作者:	Esler, Jeanne Lawton.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2000,
面頁冊數:	202 p.
附註:	Source: Dissertations Abstracts International, Volume: 62-06, Section: B.
Contained By:	Dissertations Abstracts International62-06B.
標題:	Psychotherapy. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9977598
ISBN:	9780599835092

A brief cognitive -behavioral intervention for patients with non -cardiac chest pain.
Esler, Jeanne Lawton.

A brief cognitive -behavioral intervention for patients with non -cardiac chest pain. - Ann Arbor : ProQuest Dissertations & Theses, 2000 - 202 p.

Source: Dissertations Abstracts International, Volume: 62-06, Section: B.

Thesis (Ph.D.)--State University of New York at Albany, 2000.

This item must not be sold to any third party vendors.

Many patients with non-cardiac chest pain (NCCP) exhibit marked levels of distress, functional impairment, and high levels of medical utilization despite having a good long-term survival prognosis. Randomized controlled trials have demonstrated that cognitive behavioral treatment (CBT) programs (8-38 hours of treatment) are an effective treatment for NCCP. This study assessed whether the addition of a brief (60 minute) CBT intervention improved outcomes for patients who present to an emergency department (ED) for the treatment of non-cardiac chest pain. Participants were fifty-nine patients who presented to the ED with a chief complaint of chest pain. Patients were recruited after their medical evaluation was complete and they were ready for discharge. Participants were randomized to a brief structured cognitive behavioral intervention (CBT) prior to discharge or treatment as usual (TAU). The essential components of the 60-minute intervention included psychoeducation, diaphragmatic breathing exercises, cognitive restructuring, and a take-home package. Participants were contacted by mail one-month and three-months after enrollment. Outcome measures included chest pain episodes, self-report measures of quality of life, functioning, psychological distress, anxiety, and medical utilization. The principal hypothesis of this study, that patients with NCCP who receive a brief intervention would show greater improvement relative to TAU, was partially supported. On some measures, both groups were significantly improved from baseline (number and severity of chest pain episodes in past month, BSI somatization subscale). However, there were many measures on which the intervention group showed greater improvement from baseline relative to the TAU group. These included chest pain severity in past week, Anxiety Sensitivity Index; BSI global severity index, positive symptom total, and positive symptom distress index, SF-36 Role Functioning-Physical, Bodily Pain, and Social Functioning subscales. There were no instances where the TAU group showed greater improvement than the intervention group. Finally, on several measures, neither group exhibited a significant change from baseline. The addition of a brief CBT intervention for patients who presented to an ED with NCCP resulted in greater improvement relative to TAU on several self-report measures at both follow-ups. Additional studies are recommended to further assess the utility and feasibility of this intervention.

ISBN: 9780599835092Subjects--Topical Terms:

519158
Psychotherapy.
Subjects--Index Terms:

Anxiety

A brief cognitive -behavioral intervention for patients with non -cardiac chest pain.
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