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Internet-based cognitive behavioral therapy for depression and anxiety in Parkinson's disease: A pilot study
Karolinska Institutet.
Karolinska Institutet.
Karolinska Institutet.
Karolinska Institutet.ORCID iD: 0000-0002-6443-5279
2015 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 2, no 1, p. 1-6Article in journal (Refereed) Published
Abstract [en]

Background

Parkinson's disease (PD) is often associated with depression and anxiety. The availability of evidence-based psychological interventions is low.

Objective

This pilot study investigates the feasibility and preliminary effect of internet-based cognitive behavioral therapy (ICBT) for depression and anxiety in PD.

Methods

9 patients with PD with comorbid symptoms on the relevant subscale of Hospital Anxiety and Depression Scale (HADS), of either depression (HADS-D > 7) or anxiety (HADS-A > 7) received 12 weeks of ICBT, specially adapted for depression and anxiety in PD. Primary outcome was change in depression and anxiety symptoms, measured with HADS total score. Effects on non-motor symptoms, PD specific health and quality of life and insomnia were explored, plus the participant's involvement, satisfaction, and subjective evaluation of the treatment.

Results

Participants reported lower symptoms on HADS after ICBT (Cohen's d = 0.79, p < 0.05). However, levels of inactivity were rather high and questionnaires and comments from participants suggested that the treatment can be improved, for example by adding more therapist support.

Conclusions

The results suggest that ICBT could be a feasible way to alleviate depression and anxiety in PD. However, a somewhat simplified treatment and different ways to provide support to enhance adherence and outcome are warranted.

Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 2, no 1, p. 1-6
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-73909DOI: 10.1016/j.invent.2014.11.006OAI: oai:DiVA.org:lnu-73909DiVA, id: diva2:1203871
Available from: 2018-05-04 Created: 2018-05-04 Last updated: 2018-05-08Bibliographically approved

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Kaldo, Viktor

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf