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J Assoc Physicians India. 2002 Jul;50:896-900.

Cognitive behavioural intervention in bronchial asthma.

Author information

1
Department of Clinical Psychology, NIMHANS, Bangalore.

Abstract

OBJECTIVE:

The aim of the present study was to find out the efficacy of cognitive behaviour therapy, as an adjunct to standard pharmacotherapy in bronchial asthma.

DESIGN:

An experimental design with pre- and post-therapy assessments was adopted.

SETTING:

The Medicine Out-patient Department of St. John's Medical College and Hospital, and Department of Clinical Psychology, NIMHANS, Bangalore.

PATIENTS:

Ten asthma patients who fulfilled the inclusion and exclusion criteria, matched for use of drugs, were sequentially allotted to two groups: a) experimental group, who were exposed to cognitive behaviour therapy along with standard pharmacotherapy, b) control group, who were exposed to standard pharmacotherapy alone.

INTERVENTION:

Cognitive behaviour therapy included 15 individual sessions consisting of asthma education, Jacobson progressive muscle relaxation (JPMR), behavioural techniques, cognitive restructuring, cognitive coping skills and behavioural counseling to significant others.

MEASUREMENTS:

The measures used for pre- and post-therapy assessments were--Asthma symptom checklist, asthma diary, state trait anxiety inventory-Y1 and Y2, Beck depression inventory, asthma quality of life questionnaire and peak expiratory flow rate.

RESULTS:

There was significant decrease in asthma symptoms, anxiety and depression; and significant increase in quality of life in the experimental group (p < 0.05) at the post-assessment. The control group did not show any significant change at the post-assessment.

CONCLUSION:

Cognitive behaviour therapy helps in improving the management of asthma.

PMID:
12126343
[Indexed for MEDLINE]

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