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The impact of psychosis on treatment response to cognitive behavioral therapy for depression in Parkinson's disease
Descriptive
TitleInfo
Title
The impact of psychosis on treatment response to cognitive behavioral therapy for depression in Parkinson's disease
SubTitle
a case series
Name
(type = personal)
NamePart
(type = family)
Nessel
NamePart
(type = given)
Kimberly
NamePart
(type = date)
1983-
DisplayForm
Kimberly Nessel
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Dobkin
NamePart
(type = given)
Roseanne D
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Roseanne D Dobkin
Affiliation
Advisory Committee
Role
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(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Isenhower
NamePart
(type = given)
Robert W
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Robert W Isenhower
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
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NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
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NamePart
Graduate School of Applied and Professional Psychology
Role
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(authority = RULIB)
school
TypeOfResource
Text
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theses
OriginInfo
DateCreated
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2018
DateOther
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(type = degree)
2018-08
CopyrightDate
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2018
Place
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(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
Depression and psychosis are common psychiatric features of Parkinson’s disease that have a severe impact on quality of life, disease progression, and caregiver burden. There are currently several clinical trials investigating the efficacy of cognitive behavioral therapy (CBT) in treating depression in individuals diagnosed with Parkinson’s disease (PD). Psychosis is frequently an exclusionary criterion, as it may affect treatment response. The present study aimed to examine the impact of psychosis on treatment response to CBT for depression. Three individuals diagnosed with PD experiencing symptoms of psychosis as well as depression received ten weekly sessions of telehealth cognitive behavioral therapy. Each participant completed evaluations at baseline, the midpoint of the treatment, the end of treatment, and at one month follow-up. A case series format was utilized to further understand differences in treatment response between the three participants and to inform treatment recommendations for this population. Change scores and observed treatment effects were compared to those in published studies providing CBT to individuals experiencing depression without co-occurring symptoms of psychosis. In this study, two out of three participants showed clinically significant improvement in symptoms of depression. However, clinical improvement was minimal and only occurred in relation to symptoms of depression, without generalizing to other areas such as anxiety or negative thinking. It appears that co-occurring symptoms of psychosis may affect treatment response to a CBT intervention for depression in PD. With appropriate tailoring and modification, telehealth CBT could be an effective intervention for depression individuals with Parkinson’s disease experiencing symptoms of psychosis. Clinical recommendations and directions for future research are discussed. Results of this study should be considered carefully as the sample size was small.
Subject
(authority = RUETD)
Topic
Clinical Psychology
RelatedItem
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
ETD_9158
PhysicalDescription
Form
(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (vi, 44 p.)
Note
(type = degree)
Psy.D.
Note
(type = bibliography)
Includes bibliographical references
Subject
(authority = LCSH)
Topic
Cognitive therapy
Subject
(authority = LCSH)
Topic
Parkinson's disease--Treatment
Note
(type = statement of responsibility)
by Kimberly Nessel
RelatedItem
(type = host)
TitleInfo
Title
Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
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rucore10001800001
Location
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3QZ2FGP
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Nessel
GivenName
Kimberly
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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(qualifier = exact);
(point = start)
2018-08-23 09:55:48
AssociatedEntity
Name
Kimberly Nessel
Role
Copyright holder
Affiliation
Rutgers University. Graduate School of Applied and Professional Psychology
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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ETD
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windows xp
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2018-08-23T09:49:42
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Microsoft® Word 2013
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