liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • 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
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 Medical and Health Sciences, 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, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Cardiology in Linköping. Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine.ORCID iD: 0000-0002-3756-207X
Show others and affiliations
2016 (English)In: Trials, ISSN 1745-6215, E-ISSN 1745-6215, Vol. 17, 1-12 p., 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, 2016. Vol. 17, 1-12 p., 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: 2017-05-03Bibliographically approved

Open Access in DiVA

fulltext(1386 kB)117 downloads
File information
File name FULLTEXT01.pdfFile size 1386 kBChecksum SHA-512
c357937f3841551f8cba307aa2d5ae074c49b9a14b74175f544de06515687803407e67e7aa8915adf5bf70b933d620cc722a6438cc7c83c0a6d063e61d38e893
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Mourad, GhassanStrömberg, AnnaGustafsson, MikaelJohansson, PeterJaarsma, Tiny
By organisation
Division of Nursing ScienceFaculty of Medicine and Health SciencesDivision of Nursing ScienceDepartment of Cardiology in LinköpingDivision of Cardiovascular Medicine
In the same journal
Trials
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar
Total: 117 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 96 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • 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