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A controlled trial of cognitive behavioural therapy for non-cardiac chest pain
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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“patients with excessive health anxiety set a very low bar for such a call and also attend emergency departments frequently, but very few have any significant medical pathology.20,21”
From Why health anxiety needs to be recognised in hospital practice (2020) · cites this paper as [21]
Citations
Cites
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650
Pilowsky, I. (1967) · British Journal of Psychiatry · doi:10.1192/bjp.113.494.89 · Cited by 865
Chest pain with normal coronary arteries: a comparative study of psychiatric and social morbidity
Bass, C., & Wade, C. (1984) · Psychological Medicine · doi:10.1017/s003329170000307x · Cited by 206
Self-citationNon-cardiac chest pain and benign palpitations in the cardiac clinic.
Mayou, R., Bryant, B., Forfar, C., & Clark, D. M. (1994) · Heart · doi:10.1136/hrt.72.6.548 · Cited by 119
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Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.181940 · Cited by 1,972
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2007) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2007.02.013 · Cited by 1,506
BARSKY, A. J., & Borus, J. F. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-130-11-199906010-00016 · Cited by 964
Anderson, J. L., Adams, C. D., Antman, E. M., Bridges, C. R., Califf, R. M., Casey, D. E., Chavey, W. E., Fesmire, F. M., Hochman, J. S., Levin, T. N., et al. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.01.014 · Cited by 968
Psychological factors in chronic pain: Evolution and revolution
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.3.678 · Cited by 1,017
Metadata
- 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
- 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
- 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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