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Cognitive Behavioral Therapy for Management of Dyspnea: A Pilot Study
- Source :
- Respiratory care. 60(9)
- Publication Year :
- 2015
-
Abstract
- BACKGROUND: In patients with COPD, psychological interventions usually target generalized anxiety and depression rather than the sensation of breathlessness. The objectives of this pilot study were to develop and implement a cognitive behavioral therapy (CBT) program specific to the perceptual experience of breathlessness, identify practical issues in the study protocol, and estimate beneficial effects of combining the CBT program with comprehensive pulmonary rehabilitation METHODS: The CBT program for the sensation of breathlessness (Breathing: Recognize sensations, Explore thoughts and beliefs, Validate thoughts as useful or harmful, Evolve and change behavior [BREVE]) was developed as a sequential series of 8 modules enabling it to be embedded within an 8-week comprehensive pulmonary rehabilitation program. When appropriate, outcomes from the pilot group (comprehensive pulmonary rehabilitation program + BREVE) were compared with those from a retrospective control group (comprehensive pulmonary rehabilitation program only). Outcomes included feedback provided by pilot study subjects, sensation of breathlessness (volunteered and endorsed descriptors of breathlessness), 6-min walk distance (6MWD), and St George Respiratory Questionnaire (SGRQ) total score. Within-group analyses were undertaken for descriptors of breathlessness (the McNemar test), whereas between-group analyses (repeated-measures analysis of variance, effect-size comparison) were conducted for the 6MWD and SGRQ total score RESULTS: Pilot (n = 11) and control (n = 58) groups were not significantly different at baseline. Feedback indicated that the program structure and content were positively received. No significant changes were evident for the sensation of breathlessness or the SGRQ score (
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
medicine.medical_treatment
media_common.quotation_subject
Psychological intervention
Pilot Projects
Walking
Critical Care and Intensive Care Medicine
Severity of Illness Index
chronic obstructive pulmonary disease
law.invention
Pulmonary Disease, Chronic Obstructive
McNemar's test
Physical medicine and rehabilitation
Randomized controlled trial
law
Perception
Surveys and Questionnaires
Sensation
Medicine
Humans
Pulmonary rehabilitation
media_common
Aged
Aged, 80 and over
COPD
Analysis of Variance
psychological intervention
Exercise Tolerance
Cognitive Behavioral Therapy
business.industry
breathlessness
Disease Management
General Medicine
respiratory system
Patient Acceptance of Health Care
medicine.disease
cognitive behavioral therapy
exercise capacity
Cognitive behavioral therapy
Dyspnea
Physical therapy
Exercise Test
Feasibility Studies
Female
business
Pulmonary Ventilation
Program Evaluation
Subjects
Details
- ISSN :
- 19433654
- Volume :
- 60
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Respiratory care
- Accession number :
- edsair.doi.dedup.....15eb6869910c9937d05b711f8197a68a