Key result
Cognitive behavioural methods were effective in reducing chest pain, disability, and use of medication in patients with atypical non-cardiac chest pain.
Why the study?
Do cognitive behavioural methods reduce chest pain, disability, and medication use in patients with atypical non-cardiac chest pain?
RCT
Do cognitive behavioural methods reduce chest pain, disability, and medication use in patients with atypical non-cardiac chest pain?
Cognitive behavioral therapy is an effective intervention for reducing symptoms, disability, and medication use in patients with atypical non-cardiac chest pain.
Supports CBT for atypical non-cardiac chest pain to cut symptoms, disability, and medication; extends efficacy to patients with or without psychiatric disorders.
Atypical, non-cardiac chest pain is common and disabling, and often persists despite negative medical investigations. Aetiology is disputed and management is difficult. A multi-causal model in which both psychological and physical factors play a part is helpful; a fundamental factor is continued misinterpretation of minor physical symptoms as evidence of heart disease. We report supportive evidence and describe a psychological treatment derived from the model. In a randomized trial, cognitive behavioural methods were effective in reducing chest pain, disability and use of medication, in patients both with and without psychiatric disorder. The clinical implications are discussed.
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Pearce et al. (1990) conducted an RCT in Atypical, non-cardiac chest pain. Cognitive behavioural methods was evaluated on Reduction in chest pain, disability and use of medication. Cognitive behavioural methods were effective in reducing chest pain, disability, and use of medication in patients with atypical non-cardiac chest pain.
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