Cognitive-behavioral therapy for noncardiac chest pain: a randomized trial
| Autor: | Philip Spinhoven, Jan Willem van der Does, Yanda R. van Rood, Harry G. M. Rooijmans, Anke S. Van Peski-Oosterbaan, Albert V Bruschke |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Thorax Chest Pain medicine.medical_specialty Time Factors Randomization medicine.medical_treatment Chest pain law.invention Randomized controlled trial Behavior Therapy law medicine Humans Aged Cognitive Behavioral Therapy business.industry Noncardiac chest pain General Medicine Middle Aged Cognitive behavioral therapy Treatment Outcome Physical therapy Cognitive therapy Female medicine.symptom business Psychopathology |
| Zdroj: | The American Journal of Medicine. 106:424-429 |
| ISSN: | 0002-9343 |
| DOI: | 10.1016/s0002-9343(99)00049-2 |
| Popis: | PURPOSE: Patients with nonischemic chest pain frequently experience recurrent symptoms, have persistent functional and occupational disability, and are high utilizers of health-care resources. Our aim was to evaluate the efficacy of a cognitive-behavioral treatment for patients with noncardiac chest pain. PATIENTS AND METHODS: Subjects were recruited from patients with at least weekly episodes of noncardiac chest pain, as diagnosed by a cardiologist. The main outcome measures were frequency and intensity of chest pain at 6 and 12 months. RESULTS: Seventy-two patients were enrolled in the study; 37 were assigned to cognitive-behavior therapy and 35 to usual care. Sixty-five patients completed the study. Intervention patients improved significantly with regard to frequency and intensity of chest pain: 15 (48%) of the 31 patients in the treatment group were pain free at 12-month follow-up compared with 4 (13%) of the 33 patients in the control group ( P = 0.002). CONCLUSIONS: Cognitive-behavioral therapy for noncardiac chest pain patients was effective compared with usual care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|