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Guided Internet-delivered cognitive behavioural therapy in patients with non-cardiac chest pain - a pilot randomized controlled study
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-4259-3671
More and Romsdal Hospital Trust, Norway; Norwegian University of Science and Technology, Norway.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-3756-207X
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2016 (English)In: Trials, ISSN 1745-6215, E-ISSN 1745-6215, Vol. 17, no 352Article in journal (Refereed) Published
Abstract [en]

Background: Patients with recurrent episodes of non-cardiac chest pain may experience cardiac anxiety and avoidance behavior, leading to increased healthcare utilization. These patients might benefit from help and support to evaluate the perception and management of their chest pain. The purpose of this study was to test the feasibility of a short guided Internet-delivered cognitive behavioural therapy (CBT) program and explore the effects on cardiac anxiety, fear of body sensations, depressive symptoms, and chest pain in patients with non-cardiac chest pain, compared with usual care. Methods: A pilot randomized controlled study was conducted. Fifteen patients with non-cardiac chest pain with cardiac anxiety or fear of body sensations, aged 22-76 years, were randomized to intervention (n = 7) or control (n = 8) groups. The four-session CBT program contained psychoeducation, physical activity, and relaxation. The control group received usual care. Data were collected before and after intervention. Results: Five of seven patients in the intervention group completed the program, which was perceived as user-friendly with comprehensible language, adequate and varied content, and manageable homework assignments. Being guided and supported, patients were empowered and motivated to be active and complete the program. Patients in both intervention and control groups improved with regard to cardiac anxiety, fear of body sensations, and depressive symptoms, but no significant differences were found between the groups. Conclusions: The Internet-delivered CBT program seems feasible for patients with non-cardiac chest pain, but needs to be evaluated in larger groups and with a longer follow-up period.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD , 2016. Vol. 17, no 352
Keyword [en]
Cardiac anxiety; Cognitive behavioural therapy; Fear of body sensations; Internet-delivered; Non-cardiac chest pain; Randomized controlled study
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-131181DOI: 10.1186/s13063-016-1491-1ISI: 000381074800003PubMedID: 27456689OAI: oai:DiVA.org:liu-131181DiVA: diva2:971963
Note

Funding Agencies|County Council of Ostergotland, Sweden; Medical Research of Southeast Sweden

Available from: 2016-09-19 Created: 2016-09-12 Last updated: 2016-09-19

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Mourad, GhassanStrömberg, AnnaGustafsson, MikaelJohansson, PeterJaarsma, Tiny
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDepartment of Cardiology in LinköpingDepartment of Medical and Health Sciences
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Trials
Physiotherapy

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