Neuropsychiatric symptoms occur frequently in Parkinson’s disease (PD) patients. Pharmacological treatment of the psychiatric symptoms has been found to be inadequate. Cognitive behavior therapy (CBT) is an evidence based form of psychotherapy that is effective in treating a number of psychiatric disorders. In this article we examine the evidence of CBT in treating common psychiatric symptoms seen in PD patients, namely depression, anxiety, insomnia and impulse control behaviors. Most of the studies adapted CBT to address PD related concerns. Caregivers were frequently part of the CBT programs. Among the studies reviewed, randomized controlled trials showed significant effects in treating depression with CBT in PD patients. Studies have also provided preliminary data for effects of CBT on anxiety, impulse-control behaviors and insomnia. There is a need for more well designed studies with sufficient power for CBT to be established as a useful non-pharmacological treatment for psychiatric symptoms in PD.

帕金森病 (PD) 患者经常出现神经精神症状。已经发现精神症状的药物治疗是不充分的。认知行为疗法 (CBT) 是一种基于证据的心理疗法，可有效治疗多种精神疾病。在本文中，我们研究了 CBT 治疗 PD 患者常见精神症状的证据，即抑郁、焦虑、失眠和冲动控制行为。大多数研究采用 CBT 来解决 PD 相关问题。护理人员经常是 CBT 计划的一部分。在审查的研究中，随机对照试验显示，使用 CBT 治疗 PD 患者的抑郁症有显着效果。研究还提供了 CBT 对焦虑、冲动控制行为和失眠的影响的初步数据。