Cognitive Behavior Therapy (CBT) Intervention in Chronic Illness: A Systematic Review
Author :
Indari
Affiliation :
Master of Nursing Program, Universitas Brawijaya, Malang, Indonesia
Abstract :
Introduction
A Chronic disease can lead to mental health disorders such as cognitive impairment, instability of feeling, mood disorders, decrease in daily activities and difficulties in connecting with others. Patients who have one chronic disease are at risk of suffering 2.6 times greater emotional mental disorders. Chronic illness can also cause anxiety and depression. Cognitive behavior therapy (CBT) is one of the recommended interventions for mental health problems including anxiety and depression. This systematic review aims to identify the impact of Cognitive Behavior Therapy (CBT) against mental health problems associated with chronic diseases.
Method
This study is a systematic review derived from related literature on mental disorders due to chronic illness with the management of CBT. Relevant studies were identified through EBSCO Host, Proquest and Science Direct from 2010 through 2018 using the keywords CBT and chronic diseases
Result
The study provides a clear picture of how CBT influence on mental health problems associated with chronic diseases. CBT was an effective psychotherapy to reduce depression, anxiety, fatigue and pain felt by clients suffering from chronic diseases. Detection of depression in chronic diseases mostly using BDI II and HADS (Hospital Depression and anxiety scale) and Chalder Fatigue Questionnaire for fatigue assessment.
Conclusions
Individual psychotherapy using CBT Was one of many psychotherapies that can be used in the management of depression, anxiety and comorbidities of chronic disease itself.
Keywords :
Cognitive Behavior Therapy (CBT); Chronic Illness
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