Related Experiment Video
Updated: Oct 5, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.5K
Effectiveness of Internet-Based Cognitive Behavioral Therapy With Telephone Support for Noncardiac Chest Pain:
Terje Thesen1,2, Joseph A Himle3, Egil W Martinsen4
1Distriktspsykiatrisk senter Solvang, Sørlandet Hospital, Sørlandet sykehus Helse Foretak, Kristiansand, Norway.
Journal of Medical Internet Research
|January 24, 2022
Summary
Internet-based cognitive behavioral therapy significantly reduced cardiac anxiety and improved quality of life for patients with noncardiac chest pain. This low-cost intervention also increased physical activity levels over a 12-month follow-up.
Area of Science:
- Psychological interventions
- Digital health
- Cardiology
Background:
- Noncardiac chest pain (NCCP) is prevalent, impacting quality of life and incurring societal costs.
- Effective, accessible interventions for NCCP are lacking.
Purpose of the Study:
- To investigate the effectiveness of internet-based cognitive behavioral therapy (iCBT) with telephone support for NCCP.
- To assess iCBT's impact on cardiac anxiety, fear of bodily sensations, depression, quality of life, and physical activity.
Main Methods:
- A randomized controlled trial compared iCBT (6 weekly sessions + physical exercises) to treatment as usual in 162 NCCP patients.
- Outcomes included cardiac anxiety, fear of bodily sensations, depression, quality of life, and physical activity, assessed over 12 months.
- Subgroup analysis focused on participants with baseline depressive symptoms.
Main Results:
- iCBT significantly improved cardiac anxiety and health-related quality of life at 12 months.
- Physical activity significantly increased during the 6-week intervention.
- Participants with baseline depression showed greater improvements in anxiety and quality of life.
Conclusions:
- Internet-based cognitive behavioral therapy with minimal therapist support is effective for NCCP.
- This intervention reduces cardiac anxiety and enhances quality of life.
- The focus on physical activity contributes to positive outcomes in NCCP patients.
Related Concept Videos
01:25Cognitive Therapy
507
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
507
01:28Acute Coronary Syndrome IV: Interprofessional Care
45
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
45
01:24Chest Physiotherapy
863
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
863
01:24Rational Emotive Behavior Therapy
142
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
142
01:20Angina V: Nursing Management
83
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
83
01:26Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
275
Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
275