The use of cognitive behavioral therapy in the treatment of depression in patients with Parkinson's disease: an integrative review
DOI:
https://doi.org/10.25118/2763-9037.2024.v14.1282Keywords:
Parkinson disease, depression, cognitive behavioral therapyAbstract
Introduction: Parkinson's disease (PD) is a neurodegenerative condition characterized by black substance degeneration and is associated with debilitating motor and non-motor complications. The emergence of depressive symptoms sometimes precedes motor symptoms, and can be characterized as the first signs of PD. The application of pharmacological therapy through the use of antidepressants in patients affected by depression on PD is frequently reported. Meanwhile, non-pharmacological therapies can be integrated into the therapeutic protocol, logo, or objective of this study to investigate the applicability and viability of cognitive-behavioral therapy, considering both the in-person modality and the telehealth approaches. Methods: This is an integrative literature review based on the Whittemore and Knafl method, which is not configured as a research method that makes it possible to synthesize and analyze what exists in the production of cognitive behavioral therapy in the treatment of depression in patients with Parkinson's disease. Results: In this study, we carried out an integrative review on the effectiveness of cognitive-behavioral therapy (CBT) in the treatment of depression in patients with Parkinson's disease (PD). We note that, while some studies suggest additional benefits when CBT is combined with medications, there is interest in investigating its isolated effectiveness. Different scales are used to assess depressive symptoms, highlighting Hamilton's Depression Assessment Scale. Some interventions include sound strategies to improve overall well-being. Notably, the methodology varied between studies, with some opting for virtual interventions, or showing a lower dropout rate. Conclusion: In summary, our review highlights the effectiveness of cognitive-behavioral therapy (CBT) in the treatment of depression in patients with Parkinson's Disease (DP). Although the combination of medications seems promising, our results indicate that isolated CBT can also be beneficial. However, we suggest additional research focused on virtual interventions, aiming to improve accessibility and adequacy of treatment for this population.
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