Randomized controlled study of CBT in bronchial asthma

Grover, Naveen; Thennarasu, K.; Kumaraiah, V.

doi:10.4103/0970-2113.44209

Cited by 9 publications

(12 citation statements)

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“…Previous studies evaluating the effectiveness of individual CBT in the general asthma population have found the AQLQ [10,11,33,34] to be sensitive to change. Although this study was not powered to detect significant differences between G-CBT and control groups, the negative results for these outcomes is somewhat surprising.…”

Section: Discussionmentioning

confidence: 99%

A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma

et al. 2016

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Word Count: Abstract = 300; main paper = 4192Key words: psychological, cognitive behavioural therapy, anxiety, depression, quality of life, breathlessness 2 AbstractObjectives: Evidence for the efficacy of Cognitive Behavioural Therapy (CBT) in asthma is developing but it is not known if this translates to benefits in severe asthma or if a group approach is acceptable to this patient group. This study aimed to assess the feasibility and acceptability of Group-CBT in severe asthma.Method: This was a two-centre, randomised controlled parallel group feasibility study. Eligible participants (patients with severe asthma and a clinically significant diagnosis of anxiety and/or depression -Hospital Anxiety and Depression Scale (HAD) score greater than 8 for the anxiety or depression sub-scale) received Group-CBT in weekly sessions for eight consecutive weeks and usual care or usual care only. Follow-up was for 16 weeks and end points were: Asthma Quality of Life Questionnaire, Asthma Control Questionnaire, HAD, Dyspnoea-12, EuroQual-5D and EuroQuol-VAS.Results: 51 patients were randomised: 36% (51 out of 140) consent rate and 25% (13/51) attrition at week 16.Screening logs indicated that study take-up was influenced by patients living long distances from the treatment centre and inability to commit to the weekly demands of the programme. Drop-out was higher in Group-CBT compared due to inability to commit to the weekly programme because of poor health. Participants who contributed to focus group discussions reported that Group-CBT contributed to a better understanding of their illness and related approaches to anxiety management and acceptance of their asthma condition. Although weekly face-to-face sessions were challenging, this was the preferred method of delivery for these participants.Conclusions: This feasibility study shows that Group-CBT warrants further investigation as a potentially promising treatment option for patients with severe asthma. It has been possible but not easy to recruit and retain the sample.Options for a less demanding intervention schedule, such as less frequent face-to-face visits and the use of webbased interventions, require careful consideration.3

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Section: Discussionmentioning

confidence: 99%

A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma

et al. 2016

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“…Mindfulness training involves learning to recognize and discriminate between components of experience, including thoughts, feelings and sensations, and developing a nonreactive awareness of these [40]. One study evaluated mindfulness-based stress Meuret et al [24] x x x x x Lehrer et al [25] x x x x x Lehrer et al [26] x x x CBT Parry et al [27] x x x Grover et al [28] x x x x Ross et al [29] x x x x x Put et al [30] x reduction (MBSR) compared to an educational control programme [38]. Patients with intermittent or well controlled asthma were excluded, with more than 80% of participants prescribed inhaled corticosteroids or oral prednisolone.…”

Section: Summary Of the Interventions And Resultsmentioning

confidence: 98%

“…One study [29] hypothesized that their intervention would reduce panic disorder in women with asthma, so their intervention focused on CBT and asthma education to reduce panic attacks and another [27] focused on improving the selfmanagement of asthma-specific fear for their group of patients. The other studies delivered interventions designed to reduce generalized anxiety and/or promote asthma self-management [28,30,31]. The delivery of the interventions varied with respect to duration of sessions (from 60 to 90 min), and the number of sessions delivered varying from 3 to 12.…”

Section: Summary Of the Interventions And Resultsmentioning

confidence: 99%

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Nonpharmacological interventions aimed at modifying health and behavioural outcomes for adults with asthma: a critical review

Yorke

Fleming

Shuldham

et al. 2015

Clin Experimental Allergy

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Evidence suggests that living with asthma is linked with psychological and behavioural factors including self-management and treatment adherence, and therefore, there is a reasonable hypothesis that nonpharmacological treatments may improve health outcomes in people living with this condition. A systematic review of randomized controlled trials (RCTs) of nonpharmacological interventions for adults with asthma was designed. Databases searched included The Cochrane Airways Group Register of trials, CENTRAL and Psychinfo. The literature search was conducted until May 2014. Twenty-three studies met the inclusion criteria and were organized into four groups: relaxation-based therapies (n = 9); mindfulness (n = 1), biofeedback techniques (n = 3); cognitive behavioural therapies (CBT) (n = 5); and multicomponent interventions (n = 5). A variety of outcome measures were used, even when trials belonged to the same grouping, which limited the ability to conduct meaningful meta-analyses. Deficiencies in the current evidence base, notably trial heterogeneity, means that application to clinical practice is limited and clear guidelines regarding the use of nonpharmacological therapies in asthma is limited. Relaxation and CBT, however, appear to have a consistent positive effect on asthma-related quality of life and some psychological outcomes, and lung function (relaxation only). Future trials should be informed by previous work to harmonize the interventions under study and outcome measures used to determine their effectiveness; only then will meaningful meta-analyses inform clinical practice.

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“…There are many studies on the impact of its effectiveness, for example: Grover et al [18] used CBT in bringing about an improvement in patients control of the disease. Studies of Ross et al [19] and Parry et al [20] also used a CBT program to reduce the severity of the state of anxiety and fear in the patients from asthma attacks, which in turn was reflected in the increase in the flow of the breath rate and improve lung function they have.…”

Section: Interventionsmentioning

confidence: 99%

The Effectiveness of Self-Control and Anxiety Management Training to Reduce Anxiety and Improve Health-Related Quality of Life in Children with Asthma

Elfatah¹

2015

J Psychol Psychother

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The study aimed to identify the effect of using two behavioral intervention, self-control and anxiety management training AMT in reducing both the degree of anxiety, and recurrence of asthma attacks and it improve health-related quality of life HRQoL in a sample of asthma patients from school children. The study sample consisted of (10) children from asthma patients enrolled in primary and middle basic education in Egypt, the ages ranged between (10-13) years, were divided randomly into two groups are equal in number, age, and social level. Experimental group consists of (5) children received a program based on self-control and AMT, and a control group consists of (5) children did not receive any experimental procedure. The study included all of the tools: Anxiety scale for children and HRQoL questionnaire for asthmatic children, in addition to the intervention program based on selfcontrol and AMT. The results showed the effectiveness of the behavioral intervention program in reducing both of the degree of anxiety, number of asthma attacks, and improve HRQoL in the experimental group, comparing to the two measurements pre and post then the follow up, as well as comparing to the control group in the post measurement.

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Randomized controlled study of CBT in bronchial asthma

Cited by 9 publications

References 0 publications

A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma

A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma

Nonpharmacological interventions aimed at modifying health and behavioural outcomes for adults with asthma: a critical review

The Effectiveness of Self-Control and Anxiety Management Training to Reduce Anxiety and Improve Health-Related Quality of Life in Children with Asthma

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