Effectiveness of cognitive behavioural therapy (CBT) interventions for anxiety in patients with chronic obstructive pulmonary disease (COPD) undertaken by respiratory nurses: the COPD CBT CARE study: (ISRCTN55206395)

BMC Pulmonary Medicine

Anthony De Soyza²  Debbie Carrick-Sen⁴  Graham Burns¹  Christine Baker³  Julia Newton⁴  Karen Heslop² 

[1] Chest Clinic, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, Tyne & Wear NE1 4LP, UK;Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, Tyne & Wear NE1 7RU, UK;Psychology Department, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, Tyne & Wear NE1 4LP, UK;NIHR Biomedical Research Centre in Ageing and Chronic Disease, Newcastle, UK

关键词: Respiratory nurses;    Depression;    Cognitive behavioural therapy (CBT);    Chronic obstructive pulmonary disease (COPD);    Anxiety;   

Others  :  1109644
DOI  :  10.1186/1471-2466-13-62

 received in 2013-07-03, accepted in 2013-10-18,  发布年份 2013

【 摘 要 】

Background

Anxiety and depression are common co-morbidities in patients with chronic obstructive pulmonary disease (COPD). Serious implications can result from psychological difficulties in COPD including reduced survival, lower quality of life, and reduced physical and social functioning, increased use of health care resources and are associated with unhealthy behaviours such as smoking. Cognitive behavioural therapy (CBT) is a psychological intervention which is recommended for the treatment of many mental health problems including anxiety and depression. Unfortunately access to trained CBT therapists is limited. The aim of this study is to test the hypothesis that CBT delivered by respiratory nurses is effective in the COPD population. In this paper the design of the Newcastle Chronic Obstructive Pulmonary Disease Cognitive Behavioural Therapy Study (Newcastle COPD CBT Care Study) is described.

Methods/Design

This is a prospective open randomised controlled trial comparing CBT with self-help leaflets. The primary outcome measure is the Hospital Anxiety & Depression Scale (HADS) – anxiety subscale. Secondary outcome measures include disease specific quality of life COPD Assessment Tool (CAT), generic quality of life (EQ5D) and HADS-depression subscale. Patients will be followed up at three, six and 12 months following randomisation.

Discussion

This is the first randomised controlled trial to evaluate the use of cognitive behavioural therapy undertaken by respiratory nurses. Recruitment has commenced and should be complete by February 2014.

Trial registration

Current Controlled Trials, ISRCTN55206395

【 授权许可】

   
2013 Heslop et al.; licensee BioMed Central Ltd.

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