Zečević Ivan
Department of Psychosocial Rehabilitation, Center for Rehabilitation Stančić, Zagreb, Croatia.
Clin Psychol Psychother. 2020 Jul;27(4):504-514. doi: 10.1002/cpp.2448. Epub 2020 Apr 2.
The purpose of this review is to provide psychologists and other health care professional enough knowledge about available cognitive-behavioural interventions for comorbidities in Parkinson's disease that include depression, anxiety, impulsive disorder, pain, and sleep disturbances. This review has clear clinical practical suggestions how to adapt psychological interventions and techniques to the motor and/or cognitive impairments of patients with Parkinson's disease, based on earlier available research results. Every available research that could be found with the help of search engines from Medline, Springer, PsychINFO, and Google Scholar, which used cognitive-behavioural therapy to treat Parkinson's comorbidities, was cited and explained. Cognitive-behavioural interventions and techniques are presented based on available research results for Parkinson's comorbidities. It is recommended to use treatment plans and interventions that are earlier suggested as efficient in patients with Parkinson's disease. Strongest available research based recommendations are available for depression and anxiety. There are only few available research studies that used cognitive and/or behavioural interventions for pain, impulsive disorder, or sleeping disturbances, except insomnia in Parkinson's disease. Cognitive-behavioural therapy is safe to use and should be adapted to the specific needs of patients and with the scientific approved treatment interventions and techniques. Psychologists should be careful on how they adapt their treatment plan for patients.
本综述的目的是为心理学家和其他医疗保健专业人员提供足够的知识，使其了解针对帕金森病合并症（包括抑郁、焦虑、冲动障碍、疼痛和睡眠障碍）的现有认知行为干预措施。基于早期可得的研究结果，本综述就如何使心理干预和技术适应帕金森病患者的运动和/或认知障碍提出了明确的临床实用建议。引用并解释了通过搜索引擎在Medline、Springer、PsychINFO和谷歌学术上检索到的每一项使用认知行为疗法治疗帕金森病合并症的现有研究。基于帕金森病合并症的现有研究结果介绍了认知行为干预措施和技术。建议采用先前被认为对帕金森病患者有效的治疗方案和干预措施。对于抑郁和焦虑，有基于现有最强研究的建议。除了帕金森病中的失眠外，仅有少数现有研究使用认知和/或行为干预来治疗疼痛、冲动障碍或睡眠障碍。认知行为疗法使用安全，应根据患者的具体需求以及科学认可的治疗干预措施和技术进行调整。心理学家在为患者调整治疗方案时应谨慎。
