Self-help cognitive behavioural therapy for anxiety in pulmonary hypertension: pilot randomised controlled trial

Rawlings, Gregg H.; Beail, Nigel; Armstrong, Iain; Thompson, Andrew R.

doi:10.1183/23120541.00526-2021

Cited by 10 publications

(28 citation statements)

References 29 publications

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“…While there is a dearth of evidence examining psychological interventions in PH, there is some evidence to support their use 23 45. A pilot randomised controlled trial of a self-help cognitive–behavioural therapy (CBT) intervention for anxiety in PH found changes in unhelpful cognitions and behaviours mediated the relationship between intervention group (CBT vs waitlist) and change in anxiety and depression 46. The use of cognitive techniques to alleviate distress is at the core of CBT where positive reframing and distraction are often used, as well as third-wave CBT approaches, such as acceptance and commitment therapy (ACT), which makes use of acceptance and mindfulness.…”

Section: Discussionmentioning

confidence: 99%

Coping styles associated with depression, health anxiety and health-related quality of life in pulmonary hypertension: cross-sectional analysis

et al. 2022

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ObjectivesPulmonary hypertension (PH) is a life-shortening disease associated with early mortality and high morbidity. With advancements in medical treatment, people are living longer with the disease, and research is now needed to explore variables that help to enhance patient-reported outcomes. This study investigated the coping strategies of individuals with PH and examined the relationship between coping, depression, health anxiety and health-related quality of life (HRQoL).DesignA cross-sectional survey design was used.ParticipantsParticipants (n=121) were recruited from membership of Pulmonary Hypertension Association (PHA) UK.Outcome measuresParticipants completed a series of questionnaires assessing depression (Patient Health Questionnaire-9), health anxiety (Short Health Anxiety Inventory), HRQoL (emPHasis-10) and coping (Brief COPE). A principal component analysis was used to identify participants’ coping profile. A series of correlational, linear and moderated multiple regression analyses were performed to examine the relationship between coping and health-related outcomes.ResultsOverall, 43% participants met criteria for potential clinical depression. Depression and health anxiety were strongly associated with HRQoL, explaining 37% and 30% of variance respectively (p<0.001). A principal component analysis identified a four-component model of coping. Dimensions were named based on construct items: ‘cognitive and affirmation coping’ (seven items), ‘passive coping’ (four items), ‘external coping’ (seven items) and ‘substance use coping’ (two items). Cognitive and affirmation and external coping moderated the relationship between depression and HRQoL, with high use of these coping strategies reducing the impact of depression on HRQoL. External coping also moderated the effect of health anxiety on HRQoL.ConclusionsThe results uniquely highlight the importance of coping styles and psychological distress in predicting HRQoL in PH. Our findings indicate the importance to assess for psychological distress in this population and suggest the need to offer psychological interventions that take into account coping resources and strategies.

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Section: Discussionmentioning

confidence: 99%

Coping styles associated with depression, health anxiety and health-related quality of life in pulmonary hypertension: cross-sectional analysis

et al. 2022

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“…It is important to note that the number of participants scoring above the clinical cut off for anxiety (70.1%) and depression (63.6%) exceeded the pooled prevalence reported by Mai et al 12 This finding is more than likely a reflection of our sample, who were initially recruited for an intervention designed for people self‐reporting difficulties with anxiety. 25 Given the strong association between anxiety and depression observed in this sample and elsewhere, 13 it also makes sense that rates of depression were high. Moreover, scoring above the clinical cut off on the screening measures is not a diagnosis but rather suggests people may benefit from consulting with a medical professional.…”

Section: Discussionmentioning

confidence: 67%

“…Results support the small number of studies demonstrating the use of psychological interventions targeting the sequelae of PH. 25 , 30 , 31 , 32 …”

Section: Discussionmentioning

confidence: 99%

“…Participants were initially recruited for a randomized controlled trial investigating a self‐help intervention targeting anxiety in adults (18 years) living with PH. 25 The intervention was based on CBT, consisting of four booklets that participants were asked to complete weekly. Participants were either randomized to the intervention ( n = 37) or a wait‐list control condition ( n = 40).…”

Section: Methodsmentioning

confidence: 99%

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Cognitive and behavioral processes predict anxiety and depression in patients with pulmonary hypertension

et al. 2022

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Emotional and psychological difficulties cannot fully be explained by disease‐related factors in people with pulmonary hypertension (PH). This study examined the relationship between anxiety, depression, demographic, objective and subjective PH factors, and self‐reported cognitive and behavioral processes, which have been associated with mood in clinical and nonclinical samples. This is a secondary analysis of baseline data from 77 adults with PH who took part in a randomized controlled trial of a self‐help intervention targeting anxiety in PH. Participants completed self‐report measures including: demographic (age, gender, ethnicity, education, employment) and clinical questionnaire (PH diagnosis, functional class, years since diagnosis), depression (PHQ‐9), anxiety (GAD‐7), health‐related quality of life (emPHAsis‐10), dyspnea (D12), and cognitive and behavioral processes (CBP‐Q) scale. Data were analyzed using correlational and regression analyses. Overall, 70% and 63% of participants scored above the clinical cut off for anxiety and depression, respectively. Demographics were not associated with anxiety or depression. PH‐related factors were correlated with depression but not anxiety. A multiple regression analysis suggested dyspnea and cognitive processes significantly predicted anxiety whereas behavioral processes were not a unique predictor. In contrast, dyspnea and behavioral processes predicted depression whereas cognitive processes did not. While a body of evidence exists demonstrating people with PH are more likely to experience anxiety and depression, less is known about factors that cause and maintain these disorders. Findings highlight the significance of subjective factors that could be a target for screening and psychological treatments for emotional difficulties, such as cognitive behavioral therapy.

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“…According to Rawlings et al (2022), during the pandemic many students experience symptoms of anxiety and depression, and changes in cognition and behavior related to the impact of online learning and restrictions on social activities. Elements related to psychology, especially those related to self-development and self-control of students (Wall et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Strategies for Self-Mastery and Physical Education Learning During the COVID-19 Pandemic

Purnomo

Cahyani²,

Jermaina

et al. 2022

IJORER Int. J. Recent Educ. Res.

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Self-control strategy is a way for a person to determine how to control himself. The purpose of this study was to examine how much influence online learning has on students' self-control in physical education subjects. Researchers used a Likert scale questionnaire as the medium to get data from respondents . The results showed that the self-mastery strategy for online learning resulted in students who tended to be passive but had good self-control. Then, we found that the self-control strategy needed by students is the enthusiasm and motivation of physical education teachers. So that students are not bored during the process of making assignments. Then the results of this study indicate that when online learning takes place, students tend to be passive and bored.However, we also found that students had good self-control even though the results of their assignments did not meet the learning modules, such as being respectful to the teacher and to their groupmates.

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Self-help cognitive behavioural therapy for anxiety in pulmonary hypertension: pilot randomised controlled trial

Cited by 10 publications

References 29 publications

Coping styles associated with depression, health anxiety and health-related quality of life in pulmonary hypertension: cross-sectional analysis

Coping styles associated with depression, health anxiety and health-related quality of life in pulmonary hypertension: cross-sectional analysis

Cognitive and behavioral processes predict anxiety and depression in patients with pulmonary hypertension

Strategies for Self-Mastery and Physical Education Learning During the COVID-19 Pandemic

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