Format

Send to

Choose Destination
Am J Med. 1999 Apr;106(4):424-9.

Cognitive-behavioral therapy for noncardiac chest pain: a randomized trial.

Author information

1
Department of Psychiatry, Leiden University Medical Center, Oegstgeest, The Netherlands.

Abstract

PURPOSE:

Patients with nonischemic chest pain frequently experience recurrent symptoms, have persistent functional and occupational disability, and are high utilizers of health-care resources. Our aim was to evaluate the efficacy of a cognitive-behavioral treatment for patients with noncardiac chest pain.

PATIENTS AND METHODS:

Subjects were recruited from patients with at least weekly episodes of noncardiac chest pain, as diagnosed by a cardiologist. The main outcome measures were frequency and intensity of chest pain at 6 and 12 months.

RESULTS:

Seventy-two patients were enrolled in the study; 37 were assigned to cognitive-behavior therapy and 35 to usual care. Sixty-five patients completed the study. Intervention patients improved significantly with regard to frequency and intensity of chest pain: 15 (48%) of the 31 patients in the treatment group were pain free at 12-month follow-up compared with 4 (13%) of the 33 patients in the control group (P = 0.002).

CONCLUSIONS:

Cognitive-behavioral therapy for noncardiac chest pain patients was effective compared with usual care.

Comment in

  • ACP J Club. 2000 Jan-Feb;132(1):8.
PMID:
10225245
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center