A comparison of brief cognitive behavioural therapy (CBT) and standard CBT in patients experiencing anxiety and depression in palliative care: a randomised controlled trial

Institute of Psychiatry (UK)0 个研究点目标入组 56 人开始时间: 2011年1月13日最近更新: 2016年10月17日

适应症

试验速览

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•Adult patients (greater than or equal to 18 years) with ongoing and persistent distress/emotional problems (as measured by a Hospital Anxiety and Depression Scale [HADS] score of 8 or more on anxiety or depression) which are directly related to some aspect of the patient's disease/treatment and are not responding to the existing provision of psychological care within the hospice system. This includes:
•1. Difficulties making treatment decisions or difficulties adhering to treatment
•2. Anticipatory symptoms (e.g. nausea and vomiting)
•3. Phobias that are interfering with treatment (e.g. needle or blood phobia)
•4. Extreme emotion which appears to be disproportionate to reality
•5. Post traumatic symptoms (flashbacks)
•6. Body image issues, disfigurement or loss of function
•7. Psychosexual problems
•8. Extreme fears about the terminal stage of illness
•9. Rigid thinking styles (all or nothing, overgeneralisation etc.)

•1. Those who do not wish to have CBT
•2. Psychosis or personality disorder
•3. Very high suicide risk (psychiatric assessment required)
•4. Moderate to severe drug and alcohol related problems
•5. Patients already receiving psychological therapy or counselling
•6. Patients who are not well enough to attend an outpatient clinic (e.g. unable to stay alert/awake for 50 mins, uncontrolled vomiting etc..)
•7. Language or communication problems which prevent the patient from engaging in a talking treatment

发起方

Institute of Psychiatry (UK)