Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
| Autor: | Claire MacIver, Megan E. Wadon, Kathryn J. Peall, Mia Winter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Short Communication education Cognitive behavioural therapy Anxiety behavioral disciplines and activities Feasibility studies Quality of life Internet based mental disorders otorhinolaryngologic diseases Medicine Cervical dystonia RC346-429 Depression (differential diagnoses) business.industry Depression Cognition General Medicine medicine.disease nervous system diseases Dystonia Mixed-design analysis of variance Cohort Physical therapy Neurology. Diseases of the nervous system medicine.symptom business |
| Zdroj: | Clinical Parkinsonism & Related Disorders Clinical Parkinsonism & Related Disorders, Vol 5, Iss, Pp 100121-(2021) |
| ISSN: | 2590-1125 |
| Popis: | Highlights • Internet-based CBT is feasible for individuals with adult-onset cervical dystonia. • Internet-based CBT reduces depression and anxiety in adult-onset cervical dystonia. • Effects from internet-based CBT are sustained in some individuals at six months. Introduction Psychiatric symptoms are well recognised co-morbid traits in adult-onset idiopathic, isolated, focal cervical dystonia (AOIFCD), although few studies have sought to address their management. Internet-based cognitive behavioural therapy (iCBT) may provide an accessible solution. Here, we determine the feasibility of using iCBT in the management of non-motor symptoms for individuals with AOIFCD. Methods Participants were randomised to receive an 8-week iCBT programme (n = 10) or not (n = 10), both alongside routine clinical care. All participants underwent assessments at baseline, 3-, and 6- months for anxiety, depression, quality of life and motor symptoms, and engagement with iCBT was recorded. Group differences over time were determined using two-way mixed ANOVA, and simple statistics evaluated change on an individual participant level. Results Over half of participants receiving iCBT (6/10) showed high engagement, with feedback indicating most participants found iCBT useful (6/8), would continue to use it (7/8), and try it again if offered (7/8). Although no between-group significant differences were observed (e.g. Beck’s Depression Inventory p = 0.067) anxiety and depression levels showed trends towards improvement at 3-months in those receiving iCBT. Individual level analysis also indicated higher percentage level improvements in these symptoms, with this sustained in 86% participants. Conclusion iCBT represents a feasible therapeutic option in the management of co-morbid anxiety and depression in AOIFCD. Further work is needed to replicate these findings in a larger cohort, identify those most likely to benefit from this form of therapy and overcome barriers hindering those less likely to engage with this form of treatment. |
| Databáze: | OpenAIRE |
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