Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia

Introduction: Psychiatric symptoms are well recognised co-morbid traits in adult-onset idiopathic, isolated, focal cervical dystonia (AOIFCD), although few studies have sought to address their management. Internet-based cognitive behavioural therapy (iCBT) may provide an accessible solution. Here, w...

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Autores principales:	Megan E. Wadon, Claire MacIver, Mia Winter, Kathryn J. Peall
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Feasibility studies Cognitive behavioural therapy Anxiety Depression Dystonia Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/3ad3648650814ac286c2c81d2f548335
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spelling	oai:doaj.org-article:3ad3648650814ac286c2c81d2f5483352021-12-04T04:35:47ZInternet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia2590-112510.1016/j.prdoa.2021.100121https://doaj.org/article/3ad3648650814ac286c2c81d2f5483352021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2590112521000335https://doaj.org/toc/2590-1125Introduction: Psychiatric symptoms are well recognised co-morbid traits in adult-onset idiopathic, isolated, focal cervical dystonia (AOIFCD), although few studies have sought to address their management. Internet-based cognitive behavioural therapy (iCBT) may provide an accessible solution. Here, we determine the feasibility of using iCBT in the management of non-motor symptoms for individuals with AOIFCD. Methods: Participants were randomised to receive an 8-week iCBT programme (n = 10) or not (n = 10), both alongside routine clinical care. All participants underwent assessments at baseline, 3-, and 6- months for anxiety, depression, quality of life and motor symptoms, and engagement with iCBT was recorded. Group differences over time were determined using two-way mixed ANOVA, and simple statistics evaluated change on an individual participant level. Results: Over half of participants receiving iCBT (6/10) showed high engagement, with feedback indicating most participants found iCBT useful (6/8), would continue to use it (7/8), and try it again if offered (7/8). Although no between-group significant differences were observed (e.g. Beck’s Depression Inventory p = 0.067) anxiety and depression levels showed trends towards improvement at 3-months in those receiving iCBT. Individual level analysis also indicated higher percentage level improvements in these symptoms, with this sustained in 86% participants. Conclusion: iCBT represents a feasible therapeutic option in the management of co-morbid anxiety and depression in AOIFCD. Further work is needed to replicate these findings in a larger cohort, identify those most likely to benefit from this form of therapy and overcome barriers hindering those less likely to engage with this form of treatment.Megan E. WadonClaire MacIverMia WinterKathryn J. PeallElsevierarticleFeasibility studiesCognitive behavioural therapyAnxietyDepressionDystoniaNeurology. Diseases of the nervous systemRC346-429ENClinical Parkinsonism & Related Disorders, Vol 5, Iss , Pp 100121- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Feasibility studies Cognitive behavioural therapy Anxiety Depression Dystonia Neurology. Diseases of the nervous system RC346-429
spellingShingle	Feasibility studies Cognitive behavioural therapy Anxiety Depression Dystonia Neurology. Diseases of the nervous system RC346-429 Megan E. Wadon Claire MacIver Mia Winter Kathryn J. Peall Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
description	Introduction: Psychiatric symptoms are well recognised co-morbid traits in adult-onset idiopathic, isolated, focal cervical dystonia (AOIFCD), although few studies have sought to address their management. Internet-based cognitive behavioural therapy (iCBT) may provide an accessible solution. Here, we determine the feasibility of using iCBT in the management of non-motor symptoms for individuals with AOIFCD. Methods: Participants were randomised to receive an 8-week iCBT programme (n = 10) or not (n = 10), both alongside routine clinical care. All participants underwent assessments at baseline, 3-, and 6- months for anxiety, depression, quality of life and motor symptoms, and engagement with iCBT was recorded. Group differences over time were determined using two-way mixed ANOVA, and simple statistics evaluated change on an individual participant level. Results: Over half of participants receiving iCBT (6/10) showed high engagement, with feedback indicating most participants found iCBT useful (6/8), would continue to use it (7/8), and try it again if offered (7/8). Although no between-group significant differences were observed (e.g. Beck’s Depression Inventory p = 0.067) anxiety and depression levels showed trends towards improvement at 3-months in those receiving iCBT. Individual level analysis also indicated higher percentage level improvements in these symptoms, with this sustained in 86% participants. Conclusion: iCBT represents a feasible therapeutic option in the management of co-morbid anxiety and depression in AOIFCD. Further work is needed to replicate these findings in a larger cohort, identify those most likely to benefit from this form of therapy and overcome barriers hindering those less likely to engage with this form of treatment.
format	article
author	Megan E. Wadon Claire MacIver Mia Winter Kathryn J. Peall
author_facet	Megan E. Wadon Claire MacIver Mia Winter Kathryn J. Peall
author_sort	Megan E. Wadon
title	Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
title_short	Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
title_full	Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
title_fullStr	Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
title_full_unstemmed	Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
title_sort	internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/3ad3648650814ac286c2c81d2f548335
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Internet-based cognitive behavioural therapy as a feasible treatment of adult-onset, focal, isolated, idiopathic cervical dystonia

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