Most Read Articles
6 days ago
The consumption of red and processed meats does not seem to affect the likelihood of symptom relapse among Crohn’s disease (CD) patients in relapse, reports a recent study.
Pearl Toh, 4 days ago
In addition to the known evils of maternal smoking during pregnancy on the son’s semen quality, prenatal exposure to paternal smoking can also be harmful, according to data from a large Danish National Birth Cohort (DNBC) presented at the ESHRE 2019 Meeting.
6 days ago
Treatment with metformin may improve whole-body and peripheral insulin resistance (IR) in youth who are overweight/obese with type 1 diabetes (T1D), according to a study.
4 days ago
Fluticasone, swallowed from a multidose inhaler, and oral viscous budesonide slurry have comparable efficacies as initial treatment for eosinophilic oesophagitis, a recent study has found.

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.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
6 days ago
The consumption of red and processed meats does not seem to affect the likelihood of symptom relapse among Crohn’s disease (CD) patients in relapse, reports a recent study.
Pearl Toh, 4 days ago
In addition to the known evils of maternal smoking during pregnancy on the son’s semen quality, prenatal exposure to paternal smoking can also be harmful, according to data from a large Danish National Birth Cohort (DNBC) presented at the ESHRE 2019 Meeting.
6 days ago
Treatment with metformin may improve whole-body and peripheral insulin resistance (IR) in youth who are overweight/obese with type 1 diabetes (T1D), according to a study.
4 days ago
Fluticasone, swallowed from a multidose inhaler, and oral viscous budesonide slurry have comparable efficacies as initial treatment for eosinophilic oesophagitis, a recent study has found.