Effectiveness of cognitive behavioural therapy in a community-based pulmonary rehabilitation programme: A controlled clinical trial
Journal article
Luk, Edwin K., Gorelik, Alex, Irving, Louis and Khan, Fary. (2017). Effectiveness of cognitive behavioural therapy in a community-based pulmonary rehabilitation programme: A controlled clinical trial. Journal of Rehabilitation Medicine. 49(3), pp. 264 - 269. https://doi.org/10.2340/16501977-2189
Authors | Luk, Edwin K., Gorelik, Alex, Irving, Louis and Khan, Fary |
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Abstract | Objective: To investigate whether the use of cognitive behavioural therapy in pulmonary rehabilitation addresses the depression and anxiety burden and thereby improves rehabilitation outcomes. Design: Prospective controlled clinical trial. Patients: A total of 70 patients with chronic obstructive pulmonary disease who were referred to a community centre for pulmonary rehabilitation. Methods: Patients were allocated to either the control group, consisting of pulmonary rehabilitation alone, or to the treatment group, receiving pulmonary rehabilitation and an additional 6 sessions of group-based cognitive behavioural therapy. Assessments consisting of questionnaires and walk tests were conducted pre- and post-pulmonary rehabilitation. Results: A total of 28 patients were enrolled. The cognitive behavioural therapy group had significant improvements in exercise capacity following pulmonary rehabilitation (mean change 32.9 m, p = 0.043), which was maintained at 3 months post-pulmonary rehabilitation (mean change 23.4 m, p = 0.045). Patients in the cognitive behavioural therapy group showed significant short-term improvements in fatigue, stress and depression (mean change 2.4, p = 0.016, 3.9, p = 0.024 and 4.3, p = 0.047, respectively) and a 3-month post-pulmonary rehabilitation improvement in anxiety score (mean change 3.1, p = 0.01). No significant changes were seen in the control group. Conclusion: The addition of cognitive behavioural therapy improved patients’ physical, psychological and quality of life results. Cognitive behavioural therapy should be considered for inclusion in a pulmonary rehabilitation programme to enhance outcomes. |
Keywords | pulmonary disease; chronic obstructive; pulmonary rehabilitation; cognitive therapy; psychotherapy |
Year | 2017 |
Journal | Journal of Rehabilitation Medicine |
Journal citation | 49 (3), pp. 264 - 269 |
Publisher | Foundation for Rehabilitation Information |
ISSN | 1650-1977 |
Digital Object Identifier (DOI) | https://doi.org/10.2340/16501977-2189 |
Scopus EID | 2-s2.0-85015236328 |
Page range | 264 - 269 |
Publisher's version | File Access Level Controlled |
Place of publication | Sweden |
https://acuresearchbank.acu.edu.au/item/89yw3/effectiveness-of-cognitive-behavioural-therapy-in-a-community-based-pulmonary-rehabilitation-programme-a-controlled-clinical-trial
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