Category: Health Psychology / Behavioral Medicine - Adult

PS10- #C73 - Integrating Physical Health Into Brief CBT for Medically Ill Veterans With Depression and Anxiety

Saturday, Nov 18
11:00 AM – 12:00 PM
Location: Indigo Ballroom CDGH, Level 2, Indigo Level

Keywords: Health Psychology | Treatment-CBT | Adult Anxiety

The current study examined the relative impact of integrating physical health treatment elements as part of a brief cognitive behavioral therapy (bCBT) for medically ill Veterans.  Analyses examined the impact of physical health elements on patient outcomes – health-related quality of life (HRQoL), anxiety, and depression— as well as utilization of physical health elements and their association with bCBT treatment completion.  Brief (6-session) CBT was delivered to 180 Veterans, as part of a larger randomized controlled trial, by primary care mental health providers using a flexible skill-based approach where providers and patients selected skill modules from a list of intervention strategies. Modules included skills related to managing physical health, cognitive restructuring, behavioral activation, and relaxation. Analysis of utilization data revealed that patients selected the physical health skill module more frequently and earlier in treatment than other bCBT skill modules. Receiving the physical health module earlier in treatment was associated with a high likelihood of treatment completion. Outcome data indicated that the physical health skill module was effective for both patients with chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF). Notably, for CHF patients, modules involving physical health skills were significantly more effective than other bCBT modules.  Taken together, these results suggest that incorporating elements relevant to physical health early in treatment and collaborating with patients to tailor treatments specific to their pressing complaints may be helpful for some types of medically ill patients .

Megan L. Whelen

Michael E. DeBakey Veterans' Affairs Medical Center

Charles Brandt

Baylor College of Medicine

Frances Deavers

Michael E. DeBakey Veterans' Affairs Medical Center

Natalie Hundt

Michael E. DeBakey Veterans' Affairs Medical Center

Melinda Stanley

Michael E. DeBakey Veterans' Affairs Medical Center

Terri Barrera

VA South Central MIRECC

Jeffrey Cully

Associate Professor, Menninger Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine