A Novel Approach to Treating Anxiety and Enhancing Executive Skills in an Older Adult With Parkinson’s Disease

Mohlman, Jan; Reel, Dorian Hunter; Chazin, Daniel; Ong, Diana Bee-Lan; Georgescu, Bianca; Tiu, Jade; Dobkin, Roseanne D.

doi:10.1177/1534650109351305

Cited by 30 publications

(19 citation statements)

References 68 publications

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“…This finding contributes to a growing number of studies demonstrating simultaneous reductions in depressive and/or anxiety symptomatology and negative cognitions following CBT treatment in PD [13,14,19] however further research is required to establish the mechanisms of change in CBT.…”

Section: Discussionmentioning

confidence: 68%

A waitlist-controlled trial of group cognitive behavioural therapy for depression and anxiety in Parkinson’s disease

2014

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BackgroundThe aim of this study was to evaluate the efficacy of a group Cognitive Behavioural Therapy (CBT) treatment for depression and anxiety in Parkinson’s disease (PD).MethodsA waitlist-controlled trial design was used. Eighteen adults with PD and a comorbid DSM-IV-TR diagnosis of depression and/or anxiety were randomised to either Intervention (8-week group CBT treatment) or Waitlist (8-week clinical monitoring preceding treatment). The Depression, Anxiety, Stress Scale-21 (DASS-21) was the primary outcome. Assessments were completed at Time 1 (pretreatment), Time 2 (posttreatment/post-waitlist) and 1-month and 6-month follow-ups.ResultsAt Time 2, participants who received CBT reported greater reductions in depression (Mchange = -2.45) than Waitlist participants (Mchange = .29) and this effect was large, d = 1.12, p = .011. Large secondary effects on anxiety were also observed for CBT participants, d = .89, p = .025. All treatment gains were maintained and continued to improve during the follow-up period. At 6-month follow-up, significant and large effects were observed for both depression (d = 2.07) and anxiety (d = 2.26).ConclusionsGroup CBT appears to be an efficacious treatment approach for depression and anxiety in PD however further controlled trials with larger numbers of participants are required.Trial registrationAustralian New Zealand Clinical Trials Registry (Trial ID: ACTRN12610000455066)

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Section: Discussionmentioning

confidence: 68%

A waitlist-controlled trial of group cognitive behavioural therapy for depression and anxiety in Parkinson’s disease

2014

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“…A number of initial case studies, small group, and single-case design series studies have shown the efficacy of CBT in reducing symptoms of anxiety and depression in PD. 19,[38][39][40][41][42] Two studies using single-case experimental design methodology reported efficacy of CBT for anxiety and depression in PD. Cole and Vaughan 43 reported on 5 individuals with PD and depression who received 7 sessions of CBT.…”

Section: Efficacy Of Cbt For Depression and Anxiety In Pdmentioning

confidence: 99%

Clinical issues in the treatment of anxiety and depression in older adults with Parkinson's disease

et al. 2013

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A significant proportion of persons affected by Parkinson's disease (PD) are over age 65 years. Mental health issues are often less a focus of treatment in this population than physical manifestations of the illness. Anxiety or depression alone, as well as comorbid depression and anxiety, are underrecognized in patients with PD and are associated with deleterious effects on physical and interpersonal functioning, negatively impacting quality of life and well-being. We offer a brief overview of salient clinical points with respect to assessment and treatment approaches to enhance efficacy of the treatment of mental health symptoms in older adults with PD. Cognitive behavior therapy involves the patient learning to overcome behavioral avoidance associated with anxiety and challenge unhelpful negative cognitions. It is suggested that cognitive behavior therapy is an effective approach to treatment of anxiety and depression in PD and should be offered as a treatment to patients.

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“…The fundamental supposition is that (1) training will enhance or preserve function in a given area and (2) improvements will generalize outside the training tasks (Clare & Woods, 2003). Initial case study data suggests that cognitive training directed at executive control can improve psychosocial intervention outcome in the elderly (Mohlman et al, 2010). …”

Section: Introductionmentioning

confidence: 99%

Feasibility of a pocket-PC based cognitive control intervention in dementia spousal caregivers

Callan

Siegle

Abebe

et al. 2015

Aging & Mental Health

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Objectives Spousal caregivers of patients with dementia are in need of interventions to bolster their quality of life. Computer-based, self-administered cognitive training is an innovative approach to targeting spousal caregiver distress and coping. We tested the feasibility of administering one such intervention with minimal clinician intervention. Methods Twenty-seven elderly adults (> 64 years old), who each were the primary caregiver for a spouse with dementia, were recruited through the Memory Disorders Clinic of the Alzheimer Disease Research Center in Pittsburgh, PA. Spousal caregivers were instructed to use a handheld computer version of the Adaptive Paced Visual Serial Attention Task (APVSAT) at least three times per week for 4 weeks as part of a larger caregiver intervention trial (P01 AG020677). Feasibility was explored by examining the frequency of APVSAT usage. Results Results suggest that self-directed cognitive training is feasible for spousal caregivers of dementia patients. The mean usage of the APSVAT was 42 (SD = 28.58). Performance increased from the beginning to the end of the trial, and usage was not affected by stress, worry, or poor sleep quality. Conclusion Findings suggest the potential utility of cognitive training via handheld computer for spousal caregivers of dementia patients to improve problem solving, coping and adaptation, planning, and persevering with goal-directed tasks.

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A Novel Approach to Treating Anxiety and Enhancing Executive Skills in an Older Adult With Parkinson’s Disease

Cited by 30 publications

References 68 publications

A waitlist-controlled trial of group cognitive behavioural therapy for depression and anxiety in Parkinson’s disease

A waitlist-controlled trial of group cognitive behavioural therapy for depression and anxiety in Parkinson’s disease

Clinical issues in the treatment of anxiety and depression in older adults with Parkinson's disease

Feasibility of a pocket-PC based cognitive control intervention in dementia spousal caregivers

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