The impact of telephone‐delivered cognitive behaviour therapy and befriending on mood disorders in people with chronic obstructive pulmonary disease: A randomized controlled trial

Abstract

Cognitive behaviour therapy reduced depression symptoms but not anxiety. Befriending reduced depression symptoms in the short term and anxiety symptoms in both the short term and long term. Further research is needed to demonstrate non-inferiority of telephone delivery compared with other formats, and to understand the impact of befriending which has the potential to be a cost-effective support for people with COPD. Statement of contribution What is already known on this subject? Depression and anxiety are common comorbidities in people with chronic obstructive pulmonary disease. Mood disorders are not commonly routinely treated in people with chronic obstructive pulmonary disease. Telephone-administered CBT has been shown to be as effective as face-to-face CBT in reducing depression and anxiety. What does this study add? Telephone-administered CBT can reduce depression symptoms in people with COPD. Telephone-administered befriending can reduce anxiety and depression symptoms in people with COPD. People with COPD who have mood disorders would prefer to have CBT than befriending.

Effects of cognitive behavioral therapy on anxiety and depression in patients with chronic obstructive pulmonary disease:A Meta-analysis and Systematic Review

“…It is an effective treatment for anxiety, depressive symptoms and physical health. Methods of dysfunction, there is evidence that it is effective for patients with COPD combined with anxiety and depression [12,13]. Relevant evidence suggests that CBT is as effective as medication and may be the first choice for patients with mental health problems [14,15].…”

Cognitive behavioural therapy (CBT) for patients with chronic lung disease and psychological comorbidities undergoing pulmonary rehabilitation

“…The use of CBT has gained traction because of its effectiveness in achieving symptomatic relief for patients with chronic illnesses (100,168). In the COPD population, there have been numerous studies of varying quality and sample size that have shown promising results (37,(169)(170)(171)(172)(173)(174)(175)(176) Cost-effectiveness is undoubtedly an important issue, particularly given tightening health budgets, and increasing service imperatives to reduce health care spending. One study has shown that face-to-face CBT is effective and also may be cost-neutral when implemented in COPD patients (168).…”

“…The use of telephone-based interventions for depression has shown to be just as effective as face-to-face (177)(178)(179), has shown to be beneficial for patients with anxiety and depression associated with other chronic diseases (180,181) and to be costsaving among patients with COPD (182). A recent study evaluating the role of telephone-based CBT treatment for anxiety and depression for patients with COPD showed a significant reduction in depression but not anxiety symptoms (37).…”

“…Other options for rehabilitation such as home rehabilitation (283) are possibly as effective as usual pulmonary rehabilitation, making telephone-based CBT an ideal additional therapy for this form of rehabilitation. Another aspect that needs clarification is which method of delivery is the most efficient and cost-effective; as face-to-face may be more effective for anxiety symptoms (173), while telephone-based therapy may have better patient engagement (37).…”

“…The only studies performed have been done in COPD patients, and these studies have been of varied quality and consequently have a range of results (1). Cognitive behavioural therapy (CBT) has shown potential among patients with COPD, asthma and bronchiectasis (1,(32)(33)(34)(35)(36)(37). Pulmonary rehabilitation has the strongest evidence regarding its benefit in these patients, caused mainly through improved physical capacity (38)(39)(40).…”