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Cognitive Behavioral Therapy in Movement Disorders: A Review
Isabella Berardelli1, Massimo Pasquini1, Valentina Roselli1
1Department of Neurology and Psychiatry Sapienza University of Rome Rome Italy.
Movement Disorders Clinical Practice
|October 27, 2018
Summary
Cognitive Behavioral Therapy (CBT) shows promise for treating psychiatric issues in movement disorders like Parkinson's disease and Tourette's syndrome. Further research is needed to confirm its effectiveness in other conditions.
Area of Science:
- Neurology
- Psychiatry
- Behavioral Science
Background:
- Movement disorders frequently present with psychiatric disturbances, impacting patient prognosis and quality of life.
- Standard treatments may not fully address these non-motor symptoms, necessitating exploration of alternative approaches.
- Cognitive Behavioral Therapy (CBT) is a prominent non-pharmacological intervention for psychiatric conditions.
Purpose of the Study:
- To review existing literature on the efficacy of CBT for psychiatric disturbances in common movement disorders.
- To evaluate the current evidence base for CBT's application in conditions such as Parkinson's disease and Tourette's syndrome.
Main Methods:
- Systematic review of clinical trials and case reports published up to 2014.
- Focus on studies reporting primary data on CBT's effects in movement disorder patients.
Main Results:
- CBT demonstrated short-term benefits for depression and anxiety in Parkinson's disease (PD).
- Controlled trials indicated CBT improves psychiatric symptoms and tics in Tourette's syndrome (TS).
- Limited controlled data exists for CBT's efficacy in dystonia, Huntington's disease, and essential tremor.
Conclusions:
- Cognitive Behavioral Therapy (CBT) is considered useful for psychiatric disturbances in Tourette's syndrome and likely beneficial for Parkinson's disease.
- Further randomized controlled trials are recommended to investigate CBT and group CBT for psychiatric comorbidities in movement disorders.
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