Cited by 179Psychosomatic Disorders and Their TreatmentsCardiac Health and Mental HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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A controlled trial of cognitive behavioural therapy for non-cardiac chest pain

MAYOU, R. A., BRYANT, B. M., SANDERS, D., BASS, C., KLIMES, I., FORFAR, C.·1997·Psychological Medicine

DOI 10.1017/s0033291797005254

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Abstract

BACKGROUND: The majority of patients presenting to cardiac clinics with chest pain who are reassured they do not have heart disease or other serious physical disorder continue to experience symptoms, worry about heart disease and restrict their activities. This randomized trial investigated the effectiveness of psychological treatment within routine cardiac care. METHODS: Consecutive patients presenting with chest pain and reassured by a cardiologist they do not have heart disease were reassessed 6 weeks later. Those with persistent limiting symptoms were offered the opportunity to participate in a trial of cognitive behavioural therapy. RESULTS: Thirty-seven subjects agreed to take part. A number of subjects were unenthusiastic about psychological intervention or, following explanation of the study, regarded further treatment as not being necessary. At 3 months there were significant differences between the treatment group and the control group on key outcome measures of symptoms, mood and activity. At 6 months there were fewer differences but significant advantages of treatment in terms of limitation of activities and worry about physical symptoms. CONCLUSION: We conclude that there is a need for 'stepped' further care following reassurance in the cardiac clinic and that cognitive behavioural treatment is effective with those with persistent disabling symptoms.

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Authors: MAYOU, R. A., BRYANT, B. M., SANDERS, D., BASS, C., KLIMES, I., & FORFAR, C.
Affiliations: Warneford Hospital (GB)
John Radcliffe Hospital (GB)
ORCID: SANDERS, D.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 1997-09
Volume: 27
Issue: 5
Pages: 1021-1031
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291797005254
OpenAlex: W2065507730
Cited by: 179
References: 4
Citations by year: 2025: 1 · 2024: 2 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 3 · 2013: 14 · 2012: 10
FWCI: 8.07
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: cognitive behavioral therapy, non-cardiac chest pain, psychological intervention, activity limitation, mood, stepped care
MeSH terms: Adult, Analysis of Variance, Attitude to Health, Chest Pain, Cross-Sectional Studies, Female, Follow-Up Studies, Heart Diseases, Humans, Male, Middle Aged, Severity of Illness Index, Somatoform Disorders, Stress, Psychological, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome, Cost of Illness

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A controlled trial of cognitive behavioural therapy for non-cardiac chest pain

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