Cognitive behavioural interventions for depression in chronic neurological conditions: A systematic review

Abstract Objective Chronic neurological conditions (CNCs) affect over one million people in the UK alone. Individuals with CNCs endure an increased prevalence of comorbid depression and anxiety. Poor mental health exacerbates the cost of the treatment and management of CNCs. CBT is recommended for t...

Full description

Saved in:
Bibliographic Details
Published in:Journal of psychosomatic research 2015-05, Vol.78 (5), p.411-419
Main Authors: Fernie, Bruce A, Kollmann, Josianne, Brown, Richard G
Format: Article
Language:English
Subjects:
Alzheimer's disease
Anxiety - diagnosis
Anxiety - etiology
Anxiety - therapy
CBT
Chronic Disease
Cognitive Therapy - methods
Depression
Depression - diagnosis
Depression - etiology
Depression - therapy
Epilepsy
Female
Humans
Mental Health
Multiple sclerosis
Nervous System Diseases - complications
Parkinson's disease
Psychiatric Status Rating Scales
Psychiatry
Sensitivity and Specificity
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective Chronic neurological conditions (CNCs) affect over one million people in the UK alone. Individuals with CNCs endure an increased prevalence of comorbid depression and anxiety. Poor mental health exacerbates the cost of the treatment and management of CNCs. CBT is recommended for the treatment of depression. However the application of CBT to individuals with CNCs may be limited by disease characteristics (e.g. mobility issues restricting therapy attendance and reducing engagement with behavioural activation, as well as difficulties challenging the veracity of disease-related negative thoughts that may reflect accurate appraisals). The objective of this review is to assess the clinical effectiveness of cognitive and behavioural interventions for depressive symptoms in individuals with non-acquired, medically explained CNCs. Data sources Searches of The Cochrane Controlled Trials Register, PubMed, and PsychINFO were conducted. Results All studies suggested that CBT is an effective treatment for depression comorbid to CNCs, however when CBT was compared to an active therapy control condition, between group differences were unstable. Conclusion CBT has promise for the treatment for depression in such conditions; however treatment protocols and outcome measures should be adapted for this population. Future trials should control for non-specific effects of therapy and, as much as possible, introduce blinding into methodologies.
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2015.02.012