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Journal of Clinical Psychology in Medical Settings

, Volume 16, Issue 3, pp 243–253 | Cite as

Telephone-Administered Cognitive Behavioral Therapy: A Case Study of Anxiety and Depression in Parkinson’s Disease

  • Connie Veazey
  • Karon F. Cook
  • Melinda Stanley
  • Eugene C. Lai
  • Mark E. Kunik
Article

Abstract

Parkinson’s disease (PD) is a chronic medical illness with a high incidence of psychiatric comorbidity, specifically depression and anxiety. Research on treatment of such psychiatric complications is scarce. Non-pharmaceutical treatment options are especially attractive. Cognitive behavioral therapy (CBT) is a psychotherapeutic treatment option that has been successful in other chronically medically ill populations with comorbid depression and anxiety. The current research had two aims. The first was to pilot the feasibility of screening and identifying PD patients with symptoms of anxiety and depression in a specialized outpatient clinic. The second aim was to pilot the feasibility of telephone-administered CBT for the treatment of depression and anxiety in persons with PD, which was done through a case series comparing telephone-administered CBT to a Support strategy. A fairly large portion (67.5%) of patients screened in the outpatient clinic were identified as having symptoms of anxiety and/or depression. Results also indicated that CBT delivered via the telephone is a useful approach for targeting psychiatric symptoms in this population. A case example is given to illustrate the clinical considerations associated with delivering therapy via telephone to persons with PD.

Keywords

Cognitive behavioral therapy Parkinson’s disease Anxiety Depression Chronic illness 

Notes

Acknowledgments

This work was supported in part by the Houston VA HSR&D Center of Excellence (Houston Center for Quality of Care & Utilization Studies; HFP-90-020).

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Connie Veazey
    • 1
  • Karon F. Cook
    • 2
  • Melinda Stanley
    • 3
    • 4
    • 5
    • 6
  • Eugene C. Lai
    • 4
    • 7
    • 8
  • Mark E. Kunik
    • 3
    • 4
    • 5
    • 6
    • 9
  1. 1.Department of PsychologyUniversity of Louisiana at LafayetteLafayetteUSA
  2. 2.Department of Rehabilitation MedicineUniversity of WashingtonSeattleUSA
  3. 3.Houston Center for Quality of Care and Utilization StudiesHealth Services Research and Development ServiceHoustonUSA
  4. 4.Michael E. DeBakey Veterans Affairs Medical CenterHoustonUSA
  5. 5.Menninger Department of Psychiatry and Behavioral SciencesBaylor College of MedicineHoustonUSA
  6. 6.Veterans Affairs South Central Mental Illness Research, Education, & Clinical CenterHoustonUSA
  7. 7.Department of NeurologyBaylor College of MedicineHoustonUSA
  8. 8.Houston VA Parkinson’s Disease Research, Education, & Clinical CenterHoustonUSA
  9. 9.Department of MedicineBaylor College of MedicineHoustonUSA

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