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VNA of Care New England

Self-Help Program Ups Mental Health in Rheumatic Disease

Depression, anxiety down; coping self-efficacy strengthened with cognitive-behavioral program
WEDNESDAY, July 24 (HealthDay News) -- A cognitive-behavioral, self-help intervention can improve depression and anxiety in patients with rheumatic conditions, according to a study published in the July issue of Arthritis Care & Research.
Nadia Garnefski, Ph.D., from Leiden University in the Netherlands, and colleagues randomized 82 people with a rheumatic disease to a group receiving a self-help program (a cognitive-behavioral program with minimal coaching) or a waiting list control condition group. The depression and anxiety scales of the Hospital Anxiety and Depression Scale and an adaptation of the Generalized Self-Efficacy Scale were used to assess outcomes.
The researchers found that the symptoms of depression and anxiety were effectively reduced with the self-help program, and coping self-efficacy was strengthened. After a follow-up period of two months the positive effects persisted.
"This cost-effective program could very well be used as a first step in a stepped care approach or as one of the treatment possibilities in a matched care approach," the authors write. "Future studies should also focus on determining which persons benefit most from self-help interventions and under what circumstances."
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/acr.21936/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/acr.21936/full )
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