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Although Parkinson's disease (PD) is mainly characterized by dyskinesia, resting tremor, bradykinesia, stiffness and postural instability, at least one-third of patients also suffer from anxiety
The anxiety of PD may be the result of a complex interaction between pathophysiological and psychological factors
Because of its phenomenological overlap with depression, autonomic dysfunction, and other physical symptoms related to PD (such as weight loss), it is often difficult to recognize
Cognitive behavioral therapy (CBT) is the most commonly used psychotherapy for anxiety in the general population
In this way, Anja JH Moonen of Maastricht University Medical Centre in the Netherlands evaluated the clinical effectiveness of a CBT program specifically used to treat PD anxiety in a multi-center RCT
The main hypothesis: CBT is more effective than pure clinical monitoring (CMO) in reducing the level of anxiety symptoms
They randomly divided 48 PD patients with anxiety disorders into CBT and clinical monitor only (CMO) groups at a ratio of 1:1
The CBT program here is specifically developed to solve the anxiety symptoms of PD and includes 10 lessons per week
They found that both the CBT group and the CMO group showed clinically relevant improvements
Although the results of the Hamilton Anxiety Scale were not different between groups (CBT group decreased by 6.
However, in the total amount of PAS, the CBT group had significant statistical differences and clinically relevant differences (the CBT group decreased by 9.
The novelty of this interdisciplinary study is that it is found that CBT is an effective method to treat anxiety in PD patients, which can reduce situational anxiety, social anxiety and avoidance behavior
It is found that CBT is an effective method to treat anxiety in PD patients, which can reduce situational anxiety, social anxiety and avoidance behavior
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