The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Patient-led integrated cognitive behavioural therapy for management of long COVID with comorbid depression and anxiety in primary care-a case study
Abstract
OBJECTIVE: Long COVID affects approximately ten-percent of people following post-acute Coronavirus infection. Long COVID is a complex, multisystemic recent illness. Therefore, there are currently no unitary guidelines on its management. The UK national guidelines currently recommended that interventions are guided by objective research evidence and subjective experiences of patients. They also emphasise multidisciplinary/interdisciplinary professional care and patient self-management. METHODS: The current case study applied patient-led integrated cognitive behavioural therapy in a 36-year-old male presenting with long COVID symptoms with comorbid depression and anxiety. It applied integrated interdisciplinary CBT with emphasis on enhancing patient self-management. The patient attended twelve, individual, 60 min video sessions, via Microsoft Teams over a period of five months. The treatment was conducted in collaboration with the patient's general practitioner, physiotherapists and cardiopulmonary specialists. In line with the National Institute for Health and Care Excellence guidelines, it applied symptom monitoring, graded pacing and behavioural experiments. RESULTS: At the end of therapy, the patient showed reliable change in his somatic symptoms, depression and anxiety symptoms. He also showed improved quality of life. DISCUSSION: This case illustrates the effective use of patient-led CBT for managing symptoms of long COVID with comorbid depression and anxiety in primary care.
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“For instance, studies have explored self-guided CBT for depression and anxiety17 and trauma-focused cognitive therapy for PTSD.18”
From Psychological treatments for the mental health symptoms among individuals infected with COVID-19: a scoping review protocol (2023) · cites this paper as [17]
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Cites
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“Typical symptoms can range from fatigue, breathlessness, brain fog, body aches, chest pain and cough amongst many.(6) These physical health impacts have also been shown to parallel mental health impacts such as posttraumatic stress disorder (PTSD), depression and anxiety.”
BackgroundThe PHQ-15: Validity of a New Measure for Evaluating the Severity of Somatic Symptoms
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Mantle, D., Hargreaves, I. P., Domingo, J. C., & Castro‐Marrero, J. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25010574 · Cited by 70
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Metadata
- Authors
- Skilbeck, L.
- Affiliations
- East London NHS Foundation Trust (GB)
- Corresponding author
- Skilbeck, Lilian
- ORCID
- Skilbeck, Lilian
- Venue
- Chronic Illness
- Publisher
- SAGE Publications
- Published
- 2022-07-12
- Volume
- 18
- Issue
- 3
- Pages
- 691-701
- ISSN
- 1742-3953 (ISSN-L)
- 1745-9206
- OpenAlex
- W4285093840
- Cited by
- 23
- References
- 13
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 7 · 2022: 2
- FWCI
- 2.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chronic Illness (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Keywords
- long COVID, comorbid depression, anxiety, patient self-management, primary care, multidisciplinary care, behavioural experiments, symptom monitoring, somatic symptoms, quality of life
- MeSH terms
- COVID-19, Post-Acute COVID-19 Syndrome, Adult, Anxiety, Cost-Benefit Analysis, Depression, Humans, Male, Primary Health Care, Quality of Life, Cognitive Behavioral Therapy
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