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Cognitive behavioral group therapy versus psychoeducational intervention in Parkinson’s disease

Authors Berardelli I, Bloise MC, Bologna M, Conte A, Pompili M, Lamis DA, Pasquini M, Fabbrini G

Received 21 September 2017

Accepted for publication 10 November 2017

Published 26 January 2018 Volume 2018:14 Pages 399—405


Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Prof. Dr. Roumen Kirov

Peer reviewer comments 2

Editor who approved publication: Dr Roger Pinder

Isabella Berardelli,1 Maria Carmela Bloise,2 Matteo Bologna,2,3 Antonella Conte,2,3 Maurizio Pompili,1 Dorian A Lamis,4 Massimo Pasquini,2 Giovanni Fabbrini2,3

1Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, 2Department Human Neurosciences, Sapienza University of Rome, Rome, 3Neuromed Institute (IRCCS), Pozzilli (IS), Italy; 4Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA

Objective: The aim of the current study was to evaluate whether cognitive behavioral group therapy has a positive impact on psychiatric, and motor and non-motor symptoms in Parkinson’s disease (PD).
Methods: We assigned 20 PD patients with a diagnosis of psychiatric disorder to either a 12-week cognitive behavioral therapy (CBT) group or a psychoeducational protocol. For the neurological examination, we administered the Unified Parkinson’s Disease Rating Scale and the non-motor symptoms scale. The severity of psychiatric symptoms was assessed by means of the Hamilton Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Brief Psychiatric Rating Scale, and the Clinical Global Impressions.
Results: Cognitive behavioral group therapy was effective in treating depression and anxiety symptoms as well as reducing the severity of non-motor symptoms in PD patients; whereas, no changes were observed in PD patients treated with the psychoeducational protocol.
Conclusion: CBT offered in a group format should be considered in addition to standard drug therapy in PD patients.

Keywords: Parkinson’s disease, cognitive behavioral group therapy, psychoeducation, motor symptoms, non-motor symptoms

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