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Pearl Toh, 10 Oct 2019
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Cognitive behavioural therapy ineffective for noncardiac chest pain

13 Jun 2019
The prevalence of psychological disorders such as panic disorder, anxiety, and depression in NCCP patients have been reported in several studies.

A brief cognitive behavioural therapy (CBT) intervention neither improves psychological health nor cuts representation of patients with a history of noncardiac chest pain (NCCP), reports a new study.

Researchers randomly assigned patients presenting with chest pain to receive either CBT (n=214) or treatment-as-usual (n=210). The primary outcome was the change in utilization of healthcare resources, measured as representation of patients to the emergency department and NCCP hospitalizations. Psychological health, chest pain, quality of life and social functioning were secondary outcomes.

After 3 months of follow-up, 16.2 percent of the CBT group required repeat presentation to the hospital. This was not significantly different than that in the control group (18.4 percent; p>0.50). This between-group discrepancy continued to be null at the 12-month follow-up (28.5 percent vs 24.0 percent; p>0.30).

CBT likewise yielded no significant improvements in terms of secondary outcomes. Self-report chest pain, for instance, occurred with comparable frequencies between the treatment and control groups at 3 months (37.0 percent vs 35.7 percent; p>0.70) and 12 months (33.3 percent vs 38.0 percent; p>0.30).

The same was true for depression/anxiety (3 months: 4.88 percent vs 5.73 percent; p>0.10; 12 months: 4.20 percent vs 4.67 percent; p>0.30) and mental (3 months: 43.20 percent vs 42.78 percent; p>0.40; 12 months: 42.94 percent vs 42.66 percent; p>0.60) and physical (3 months: 48.83 percent vs 48.57 percent; p>0.50; 12 months: 48.51 percent vs 47.91 percent; p>0.20) quality of life.

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Most Read Articles
Pearl Toh, 10 Oct 2019
Adding a LAMA* to the double combination therapy of ICS** plus LABA*** in a single inhaler improves lung function and reduces exacerbations in patients whose asthma is inadequately controlled with the combination treatment, according to the TRIMARAN and TRIGGER# studies presented at ERS 2019.
2 days ago
Environmental quality and exposure to pollution may play a small part in the development of metabolic diseases, such as diabetes, a new study has found.
Tristan Manalac, 4 days ago
Sleep deprivation impairs adolescents’ long-term retention of classroom material, according to a recent Singapore study.
6 days ago
Eating alone may help in weight management as findings of a recent study suggest that eating with friends lead to higher food intake.