Cognitive-Behavioral Therapy: Innovations for Cardiopulmonary Patients With Depression and Anxiety |
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| Authors: | Jeffrey A Cully Amber Paukert Jessica Falco Melinda Stanley |
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| Institution: | Houston Center for Quality of Care and Utilization Studies, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Michael E. DeBakey VA Medical Center, Houston, and Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center;Veterans Affairs, Puget Sound Health Care System, Seattle;Houston Center for Quality of Care and Utilization Studies, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine and Michael E. DeBakey VA Medical Center, Houston;Houston Center for Quality of Care and Utilization Studies, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine Michael E. DeBakey VA Medical Center, Houston, and Veterans Affairs South Central Mental Illness Research, Education, & Clinical Center |
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| Abstract: | Medically ill patients face unique physical and emotional challenges that place them at increased risk for symptoms of depression and anxiety. Despite high prevalence and significant impact, depression and anxiety are infrequently treated in the medically ill because of a variety of patient, provider, and system factors. The current article describes the development of an innovative, modular-based cognitive-behavioral intervention (Adjusting to Chronic Conditions Using Education Support and Skills ACCESS]) that integrates treatment for symptoms of anxiety and depression with medical disease self-management in patients with heart failure and chronic obstructive pulmonary disease. Data from 3 patients who participated in an ongoing open clinical trial are reviewed to illustrate the feasibility, acceptability, and potential strengths and limitations of this intervention. |
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