Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/52235
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dc.contributor.authorTully, Phillip Jen
dc.contributor.authorTurnbull, Deborah Aen
dc.contributor.authorHorowitz, John Den
dc.contributor.authorBeltrame, John Fen
dc.contributor.authorBaune, Bernhard Ten
dc.contributor.authorSauer-Zavala, Shannonen
dc.contributor.authorBaumeister, Haralden
dc.contributor.authorBean, Christopher Gen
dc.contributor.authorPinto, Ronette Ben
dc.contributor.authorCosh, Suzieen
dc.contributor.authorWittert, Gary Aen
dc.date.accessioned2022-05-20T01:12:33Z-
dc.date.available2022-05-20T01:12:33Z-
dc.date.issued2022-04-14-
dc.identifier.citationFrontiers in Psychiatry, v.13, p. 1-12en
dc.identifier.issn1664-0640en
dc.identifier.urihttps://hdl.handle.net/1959.11/52235-
dc.description.abstract<p><b>Objective:</b> The aim of the Cardiovascular Health in Anxiety and Mood Problems Study (CHAMPS) is to pilot the Unified Protocol (UP) for the transdiagnostic treatment of depression and anxiety disorders in patients recently hospitalized for cardiovascular diseases (CVDs) and evaluate the feasibility.</p><p><b>Methods:</b> The present study is a controlled, block randomized pragmatic pilot-feasibility trial incorporating qualitative interview data, comparing UP (n = 9) with enhanced usual care (EUC, <i>n</i> = 10). Eligible trial participants had a recent CVD-cause admission and were above the severity threshold for depression or anxiety denoted by Patient Health Questionnaire (PHQ-9) total scores ≥10 and/or Generalized Anxiety Disorder (GAD-7) total scores ≥7 respectively on two occasions, and met criteria for one or more depression or anxiety disorders determined by structured clinical interview. Study outcomes were analyzed as intention-to-treat using linear mixed models and qualitative interview data were analyzed with content analysis.</p><p><b>Results:</b> Quantitative and qualitative measured indicated acceptability of the transdiagnostic CBT intervention for CVD patients with depression or anxiety disorders. Satisfaction with UP was comparable to antidepressant therapy and higher than general physician counseling. However, there were difficulties recruiting participants with current disorders and distress on two occasions. The UP was associated with a reduction in total number of disorders determined by blinded raters. Linear mixed models indicated that a significantly greater reduction in anxiety symptoms was evident in the UP group by comparison to the EUC group (GAD-7, ,em>p</i> between groups = 0.011; Overall Anxiety Severity and Impairment Scale, <i>p</i> between groups = 0.013). Results favored the UP group by comparison to EUC for change over 6 months on measures of physical quality of life and harmful alcohol use. There was no difference between the two groups on changes in depression symptoms (PHQ-9), stress, metacognitive worry beliefs, physical activity, or adherence.</p><p><b>Discussion:</b> In conclusion, this feasibility trial indicates acceptability of transdiagnostic CBT intervention for CVD patients with depression or anxiety disorders that is tempered by difficulties with recruitment. Larger trials are required to clarify the efficacy of transdiagnostic depression and anxiety disorder CBT in populations with CVDs and depressive or anxiety disorders.</p>en
dc.languageenen
dc.publisherFrontiers Research Foundationen
dc.relation.ispartofFrontiers in Psychiatryen
dc.rightsAttribution 4.0 International-
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/-
dc.titleTransdiagnostic Cognitive-Behavioral Therapy for Depression and Anxiety Disorders in Cardiovascular Disease Patients: Results From the CHAMPS Pilot-Feasibility Trialen
dc.typeJournal Articleen
dc.identifier.doi10.3389/fpsyt.2022.741039en
dc.identifier.pmid35492726en
dcterms.accessRightsUNE Greenen
local.contributor.firstnamePhillip J-
local.contributor.firstnameDeborah A-
local.contributor.firstnameJohn D-
local.contributor.firstnameJohn F-
local.contributor.firstnameBernhard T-
local.contributor.firstnameShannon-
local.contributor.firstnameHarald-
local.contributor.firstnameChristopher G-
local.contributor.firstnameRonette B-
local.contributor.firstnameSuzie-
local.contributor.firstnameGary A-
local.relation.isfundedbyNHMRCen
local.profile.schoolSchool of Psychologyen
local.profile.schoolSchool of Psychologyen
local.profile.emailptully2@une.edu.auen
local.profile.emailscosh@une.edu.auen
local.output.categoryC1en
local.grant.number1053578en
local.record.placeau-
local.record.institutionUniversity of New England-
local.publisher.placeSwitzerlanden
local.identifier.runningnumber741039en
local.format.startpage1en
local.format.endpage12en
local.identifier.scopusid85133934732en
local.peerreviewedYesen
local.identifier.volume13en
local.title.subtitleResults From the CHAMPS Pilot-Feasibility Trial-
local.access.fulltextYesen
local.contributor.lastnameTully-
local.contributor.lastnameTurnbull-
local.contributor.lastnameHorowitz-
local.contributor.lastnameBeltrame-
local.contributor.lastnameBaune-
local.contributor.lastnameSauer-Zavala-
local.contributor.lastnameBaumeister-
local.contributor.lastnameBean-
local.contributor.lastnamePinto-
local.contributor.lastnameCosh-
local.contributor.lastnameWittert-
dc.identifier.staffune-id:ptully2en
dc.identifier.staffune-id:scoshen
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local.profile.orcid0000-0002-8003-3704en
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local.identifier.unepublicationidune:1959.11/52235-
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local.title.maintitleTransdiagnostic Cognitive-Behavioral Therapy for Depression and Anxiety Disorders in Cardiovascular Disease Patients-
local.relation.fundingsourcenoteNational Heart Foundation of Australia Vanguard Grant (100593) and the Menzies Foundation Allied Health Scholars Grant (AHS_004).en
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journal-
local.relation.grantdescriptionNHMRC/1053578-
local.search.authorTully, Phillip J-
local.search.authorTurnbull, Deborah A-
local.search.authorHorowitz, John D-
local.search.authorBeltrame, John F-
local.search.authorBaune, Bernhard T-
local.search.authorSauer-Zavala, Shannon-
local.search.authorBaumeister, Harald-
local.search.authorBean, Christopher G-
local.search.authorPinto, Ronette B-
local.search.authorCosh, Suzie-
local.search.authorWittert, Gary A-
local.open.fileurlhttps://rune.une.edu.au/web/retrieve/bb60b226-141c-4cb7-940c-ccdf7a218fc7-
local.uneassociationYesen
local.atsiresearchNoen
local.sensitive.culturalNoen
local.identifier.wosid000796337200001en
local.year.published2022-
local.fileurl.openhttps://rune.une.edu.au/web/retrieve/bb60b226-141c-4cb7-940c-ccdf7a218fc7-
local.fileurl.openpublishedhttps://rune.une.edu.au/web/retrieve/bb60b226-141c-4cb7-940c-ccdf7a218fc7-
local.subject.for2020520302 Clinical psychologyen
local.subject.for2020520304 Health psychologyen
local.subject.seo2020280121 Expanding knowledge in psychologyen
local.subject.seo2020200409 Mental healthen
local.subject.seo2020200305 Mental health servicesen
local.profile.affiliationtypeUnknownen
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School of Psychology
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