ISSN 1225-8709 (Print)
ISSN 2005-7571 (Online)
Volume 26, Number 1 (1/2019)
Review Article <page. 1-7 >

Efficacy of Computerized Cognitive Behavioral Therapy in Individuals with Non-Cardiac Chest Discomfort : Review and Suggestions for a New Protocol

In Kyoon Lyoo, MD1,2;Jungyoon Kim, MD*1,2; and Jieun E. Kim, MD*2;

1;Ewha Brain Institute, Ewha Womans University, Seoul, 2;Department of Brain and Cognitive Sciences, Division of Convergence, Scranton College, Ewha Womans University, Seoul, Korea

Since non-cardiac chest discomfort (NCCD) can result in substantial healthcare burden and lower quality of life, interventions such as cognitive behavioral therapy (CBT) have been investigated for the relief of NCCD. In this review, we aimed to summarize the evidence on the efficacy of the CBT for the treatment of NCCD while introducing a newly-developed computerized CBT program for NCCD. Studies applying CBT to individuals with NCCD were searched for from both English and Korean electronic databases. Among 37 studies, 11 randomized controlled trials, 4 case-control studies, 1 case series, and 2 review articles were eligible for this review. Efficacy of conventional CBT for NCCD was shown in a series of studies as most of them reported improved symptom severity of NCCD or NCCD-related anxiety. However, a substantial variability existed among these studies in participants, treatment procedures and durations. High attrition rates were also reported in these studies on conventional CBT. Computerized CBT could be an alternative to the conventional CBT as it can be standardized and more easily accessible, but it was only reported in one previous study. In addition to the literature review, we presented a newly-developed computerized CBT program for NCCD which may overcome some of the limitations of conventional CBT. A computerized CBT could be an alternative treatment of NCCD, however, need further studies on its usefulness.


Key words : Chest pain;Cognitive behavioral therapy;Computer-assisted therapy.

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