Imperial College London
Alternate

Emeritus ProfessorPeterTyrer

Faculty of Medicine, Department of Brain Sciences

Emeritus Professor in Community Psychiatry - Clinical
 
 
 
//

Contact

 

+44 (0)20 3313 4161p.tyrer

 
 
//

Location

 

Commonwealth BuildingHammersmith Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Mulder:2019:10.1016/j.ijcard.2019.01.067,
author = {Mulder, R and Zarifeh, J and Boden, J and Lacey, C and Tyrer, P and Tyrer, H and Than, M and Troughton, R},
doi = {10.1016/j.ijcard.2019.01.067},
journal = {Int J Cardiol},
pages = {6--11},
title = {An RCT of brief cognitive therapy versus treatment as usual in patients with non-cardiac chest pain.},
url = {http://dx.doi.org/10.1016/j.ijcard.2019.01.067},
volume = {289},
year = {2019}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Non-cardiac chest pain (NCCP) is a common reason for presenting to an emergency department (ED). Many patients re-present with similar symptoms despite reassurance. OBJECTIVE: To investigate the clinical value of a brief cognitive behavioural treatment (CBT) in reducing re-presentations of patients who present with NCCP. METHOD: A randomised controlled trial (RCT) comparing three or four sessions of NCCP directed CBT with treatment as usual (TAU). The primary outcome measure was reducing health service use measured as re-presentations to the ED and hospitalisations for NCCP over 12months of follow-up. Secondary outcomes were chest pain, health anxiety, depression, anxiety, quality of life and social functioning. RESULTS: 214 patients received CBT and 210 TAU. There was no difference in ED visits or hospitalisation at three months or 12months follow-up. Those with prior ED presentations for NCCP were significantly less likely to present with NCCP at three months follow-up but not at 12months. Health anxiety was less at three months in those who received CBT but this effect was not present at 12months. No other differences in secondary outcome measures were present. CONCLUSIONS: A brief CBT intervention for NCCP failed to reduce representations or improve psychological health over 12months. We do not recommend such an intervention to unselected patients with NCCP. Patients presenting with prior episodes of NCCP obtain benefit for a three month period. Working with those patients to sustain their improvement might be worthwhile.
AU  - Mulder,R
AU  - Zarifeh,J
AU  - Boden,J
AU  - Lacey,C
AU  - Tyrer,P
AU  - Tyrer,H
AU  - Than,M
AU  - Troughton,R
DO  - 10.1016/j.ijcard.2019.01.067
EP  - 11
PY  - 2019///
SP  - 6
TI  - An RCT of brief cognitive therapy versus treatment as usual in patients with non-cardiac chest pain.
T2  - Int J Cardiol
UR  - http://dx.doi.org/10.1016/j.ijcard.2019.01.067
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30770262
VL  - 289
ER  -
Download