Cognitive-behavioral therapy for patients with post-COVID-19 condition (CBT-PCC) : a feasibility trial

BACKGROUND: The post-COVID-19 condition describes the persistence or onset of somatic symptoms (e.g. fatigue) after acute COVID-19. Based on an existing cognitive-behavioral treatment protocol, we developed a specialized group intervention for individuals with post-COVID-19 condition. The present study examines the feasibility, acceptance, and effectiveness of the program for inpatients in a neurological rehabilitation setting.

METHODS: The treatment program comprises eight sessions and includes psychoeducational and experience-based interventions on common psychophysiological mechanisms of persistent somatic symptoms. A feasibility trial was conducted using a one-group design in a naturalistic setting. N = 64 inpatients with a history of mild COVID-19 that fulfilled WHO criteria for post-COVID-19 condition were enrolled. After each session, evaluation forms were completed and psychometric questionnaires on somatic and psychopathological symptom burden were collected pre- and post-intervention.

RESULTS: The treatment program was well received by participants and therapists. Each session was rated as comprehensible and overall satisfaction with the sessions was high. Pre-post effect sizes (of standard rehabilitation incl. new treatment program; intention-to-treat) showed significantly reduced subjective fatigue (p < 0.05, dav = 0.33) and improved disease coping (ps < 0.05, dav = 0.33-0.49).

CONCLUSIONS: Our results support the feasibility and acceptance of the newly developed cognitive-behavioral group intervention for individuals with post-COVID-19 condition. Yet, findings have to be interpreted cautiously due to the lack of a control group and follow-up measurement, the small sample size, and a relatively high drop-out rate.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Psychological medicine - 54(2024), 6 vom: 21. März, Seite 1122-1132

Sprache:

Englisch

Beteiligte Personen:

Huth, Daniel [VerfasserIn]
Bräscher, Anne-Kathrin [VerfasserIn]
Tholl, Sarah [VerfasserIn]
Fiess, Johanna [VerfasserIn]
Birke, Gunnar [VerfasserIn]
Herrmann, Christoph [VerfasserIn]
Jöbges, Michael [VerfasserIn]
Mier, Daniela [VerfasserIn]
Witthöft, Michael [VerfasserIn]

Links:

Volltext

Themen:

Clinical Trial
Cognitive-behavioral therapy
Fatigue
Feasibility trial
Journal Article
Neurological rehabilitation
Persistent somatic symptoms
Post-COVID-19 condition

Anmerkungen:

Date Completed 15.03.2024

Date Revised 22.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S0033291723002921

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363355774