Cognitive behavioural intervention for adults with anxiety complications of asthma: Prospective randomised trial
Open accessAbstract
Background High levels of asthma-related fear and panic exacerbate asthma symptoms and complicate the management of asthma. Asthma-specific fear may be reduced by a cognitive behavioural intervention. We aimed to test if there is a reduction in asthma-specific fear after cognitive behavioural intervention compared with routine treatment.Methods Adults with asthma registered with family doctors in Sheffield UK were screened for anxiety and 94 highly anxious patients were randomly allocated to receive either a cognitive behavioural intervention to improve self-management of their anxiety (n = 50) or routine clinical care (n = 44). Asthma-specific fear at the end of treatment and at six month follow up were the primary endpoints. Service usage in the six months prior to and six months following the intervention was monitored to allow estimation of costs. Data were analysed by intention to treat.Findings At the end of treatment, there was a significantly greater reduction in asthma-specific fear for people in the CBT group compared with controls. At six months after treatment the reduction in asthma-specific fear in the CBT group was increased and the difference between treatment and control group was statistically significant. Service use costs were not reduced in the CBT group.Interpretation A brief cognitive behavioural intervention was found to have efficacy in reducing asthma-specific panic fear immediately after treatment and at 6 months follow up. There was no cost advantage to cognitive behavioural treatment.
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Our results are consistent with previous studies on CBT for anxiety-related asthma.
“Our results are consistent with previous studies on CBT for anxiety-related asthma.”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Parry, Cooper, Moore et al. (2012)
Parry et al. (2012) saw a reduction in asthma-specific fear after CBT.
“Parry, Cooper, Moore et al. (2012) saw a reduction in asthma-specific fear after CBT”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Parry, Cooper, Moore et al. (2012)
Evidence for the use of CBT in asthma is lacking and no studies focus specifically on severe asthma.
“evidence for its use in cases of asthma is lacking and no studies focus specifically on the pattern of severe asthma [10,11].”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [11]
Similar recruitment and retention difficulties have been previously reported in trials of one-to-one CBT in asthma.
“Similar recruitment and retention difficulties have been previously reported in trials of one-to-one CBT in asthma [10,11].”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [11]
Previous studies evaluating the effectiveness of individual CBT in the general asthma population have found the AQLQ to be sensitive to change.
“Previous studies evaluating the effectiveness of individual CBT in the general asthma population have found the AQLQ [10,11, 33, 34] to be sensitive to change.”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [11]
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- Authors
- Parry, G. D., Cooper, C. L., Moore, J. M., Yadegarfar, G., Campbell, M. J., Esmonde, L., Morice, A. H., & Hutchcroft, B. J.
- Affiliations
- University of Sheffield (GB)
- Isfahan University of Medical Sciences (IR)
- Castle Hill Hospital (GB)
- Northern General Hospital (GB)
- Corresponding author
- Parry, Glenys D.
- Cooper, Cindy L.
- Moore, Julia M.
- Yadegarfar, Ghasem
- Campbell, Mike J.
- Esmonde, Lisa
- Morice, Alyn H.
- Hutchcroft, Bruce J.
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 106
- Issue
- 6
- Pages
- 802-810
- ISSN
- 0954-6111 (ISSN-L)
- OpenAlex
- W2035815902
- Cited by
- 58
- References
- 30
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 7 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 4
- FWCI
- 3.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Respiratory Medicine (publishedVersion)
- PubMed (publishedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion)
- Funders
- National Institute for Health and Care Research
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, asthma, anxiety, panic, asthma self-management, primary care
- MeSH terms
- Adult, Aged, Anxiety, Asthma, Cost-Benefit Analysis, Female, Humans, Male, Middle Aged, Panic, Prospective Studies, Psychiatric Status Rating Scales, Quality of Life, Social Class, Cognitive Behavioral Therapy, Treatment Outcome, Health Care Costs, Young Adult
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