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Exposure‐based cognitive behavior therapy for anxiety related to asthma

A feasibility study with multivariate baseline design

Bibliographic Data

ID21392053
AuthorsMarianne Bonnert (0000-0002-0140-773X, Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden, corresponding author), Erik Andersson (0000-0003-4433-1218, Department of Clinical Neuroscience Division of Psychology Karolinska Institutet Stockholm Sweden), Eva Serlachius (0000-0001-7115-6422, Department of Clinical Neuroscience Centre for Psychiatry Research Karolinska Institutet Stockholm Sweden), Ida‐Kaisa Manninen (0000-0003-4865-5324, Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden), Sten‐Erik Bergström (0000-0003-2483-3296, Pediatric Allergy and Pulmonology Unit at Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden), Catarina Almqvist (0000-0002-1045-1898, Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden)
Year2020
Volume61
Issue6
Pages827-834
Publication date2020-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueScandinavian Journal of Psychology (JOURNAL)
Journal identifiersISSN: 0036-5564 • E-ISSN: 1467-9450
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sjop.12674
PMID32706124
OpenAlexW3044262218
LanguageEN
Citations received1
References cited53

In the presence of asthma, the risk of having an anxiety disorder is increased twofold. The few trials conducted on cognitive behavior therapy (CBT) for anxiety and asthma have mainly targeted panic disorder, and with mixed results. Experimental laboratory research indicates that increased anxiety may lead to hypervigilance toward asthma. Hence, fear and avoidance associated with increased anxiety due to asthma may be an important treatment target. A treatment that learn participants to differentiate between anxiety and asthma through gradual exposure to situations that risk triggering anxiety for asthma may be a possible avenue. As a first step to investigate this issue further, we developed a 10‐week exposure‐based CBT protocol for anxiety related to asthma and tested it in six participants using multivariate baseline design with repeated assessments throughout treatment. All participants reported satisfaction with treatment, as well as subjective overall improvement after treatment. Visual analysis, using graphs over each individual's trajectory, as well as potential efficacy on group level analyzing standardized mean change, indicated improvements in important outcomes. We conclude that exposure‐based CBT is feasible and may improve anxiety related to asthma. Further investigation under randomized controlled trial conditions is warranted

Anxiety · Anxiety disorder · Asthma · Cognition · Cognitive behavioral therapy · Hypervigilance · Intervention (counseling) · Multiple baseline design · Multivariate analysis · Panic · Panic disorder · Psychiatry · Randomized controlled trial · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Internal Medicine · Medicine · Mental Health Research Topics · Psychology

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Unique citing works1
Citations per year0,17
Citation span2020 - 2020 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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