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Effectiveness of cognitive behavioural therapy in a community-based pulmonary
rehabilitation programme : A controlled clinical trial

LUK EK; GORELIK A; IRVING L; KHAN F
J REHABIL MED , 2017, vol. 49, n° 3, p. 264-269
Doc n°: 182939
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2340/16501977-2189
Descripteurs : FD5 - TECHNIQUES DE REEDUCATION - APPAREIL RESPIRATOIRE

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.

Langue : ANGLAIS

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