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Sample records for group cognitive-behavioral intervention

  1. Supportive and cognitive behavioral group interventions on Bam earthquake related PTSD symptoms in adolescents

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    J Mahmoudi-Gharaei

    2006-08-01

    Full Text Available Background: Psychological debriefing has been widely advocated for routine use following major traumatic events. Cognitive Behavioral Interventions, art supportive therapies, and sport and recreational support activities are other interventions for reducing posttraumatic stress disorder. We assessed the effects of theses methods individually and in combination on reduction posttraumatic stress disorder symptoms in adolescents who had experienced Bam earthquake. Methods: In a field trial, we evaluated the efficacy of psychological debriefing, group cognitive-behavioral therapy, art and sport supportive interventions in 200 adolescents with PTSD symptoms who survived of Bam earthquake and compare it with a control group. Patients were randomly assigned to one of intervention programs including: group cognitive-behavioral therapy; group CBT plus art and sport interventions; art and sport interventions without group CBT; and control group. Results: Thirty one individuals were excluded because of migration. A statistically significant reduction in overall PTSD symptoms as well as in avoidance symptoms was observed after group cognitive-behavioral therapy. There was no significant difference in reduction of overall PTSD and avoidance symptoms between the other groups. Conclusion: Psychological interventions in form of group cognitive behavioral therapy can reduce the symptoms of PTSD symptoms but we couldn't find the art and sport supportive therapy alone or in combination with group CBT to be useful in this regard.

  2. Moms in motion: a group-mediated cognitive-behavioral physical activity intervention

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    Brawley Lawrence R

    2006-08-01

    Full Text Available Abstract Background When examining the prevalence of physical inactivity by gender and age, women over the age of 25 are at an increased risk for sedentary behavior. Childbearing and motherhood have been explored as one possible explanation for this increased risk. Post natal exercise studies to date demonstrate promising physical and psychological outcomes, however few physical activity interventions have been theory-driven and tailored to post natal exercise initiates. The purpose of this study was to compare the effects of a group-mediated cognitive behavioral intervention based upon social-cognitive theory and group dynamics (GMCB to a standard care postnatal exercise program (SE. Method A randomized, two-arm intervention design was used. Fifty-seven post natal women were randomized to one of two conditions: (1 a standard exercise treatment (SE and (2 a standard exercise treatment plus group-mediated cognitive behavioral intervention (GMCB. Participants in both conditions participated in a four-week intensive phase where participants received standard exercise training. In addition, GMCB participants received self-regulatory behavioral skills training via six group-mediated counseling sessions. Following the intensive phase, participants engaged in a four-week home-based phase of self-structured exercise. Measures of physical activity, barrier efficacy, and proximal outcome expectations were administered and data were analyzed using ANCOVA procedures. Results and discussion ANCOVA of change scores for frequency, minutes, and volume of physical activity revealed significant treatment effects over the intensive and home-based phases (p's Conclusion While both exercise programs resulted in improvements to exercise participation, the GMCB intervention produced greater improvement in overall physical activity, barrier efficacy and proximal outcome expectations.

  3. Cognitive-behavior intervention group counseling manual for reducing adolescents’ career indecision

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    Datu, Jesus Alfonso

    2013-01-01

    Full Text Available The current manual is purported to provide an empirical guide in facilitating a group intervention that will address career indecision among adolescents. It utilized Cognitive-Behavioral Therapy as the major framework of the treatment protocol. Prior to the group facilitation, prospective members will be screened through an interview and Career Decision Profile. It consists of six sessions (one and a half hour every session which will be executed on a weekly basis. With the intention of modifying negative beliefs that the members hold about themselves in relation to career decision-making, specific activities and processing procedures were charted each session that ranged from individual cognitive exercises to dyadic behavioral role-plays. Each session will be monitored by the group counselor via group case notes to properly document therapeutic encounters which is essential in achieving the intended outcomes. At the end of the group intervention, members will be assessed through group feedback and administering of Career Decision Profile to look at the positive changes on their levels of capabilities to make career decisions.

  4. Effectiveness of Cognitive Behavioral Group Intervention on Acculturation: A Study of Students in Hong Kong from Mainland China

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    Pan, Jia-Yan; Ng, Petrus; Young, Daniel Kim-Wan; Caroline, Schoepf

    2017-01-01

    Objective: This study examined the effectiveness of group cognitive behavioral intervention (CBI) in improving mental health and promoting postmigration growth for Mainland university students in Hong Kong. Methods: Thirty-six Mainland students with mild-to-moderate levels of psychological distress have completed an 8-session CBI group. Various…

  5. Effectiveness of Cognitive Behavioral Group Intervention on Acculturation: A Study of Students in Hong Kong from Mainland China

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    Pan, Jia-Yan; Ng, Petrus; Young, Daniel Kim-Wan; Caroline, Schoepf

    2017-01-01

    Objective: This study examined the effectiveness of group cognitive behavioral intervention (CBI) in improving mental health and promoting postmigration growth for Mainland university students in Hong Kong. Methods: Thirty-six Mainland students with mild-to-moderate levels of psychological distress have completed an 8-session CBI group. Various…

  6. The Effects of a Short-term Cognitive Behavioral Group Intervention on Bam Earthquake Related PTSD Symptoms in Adolescents

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    Fatemeh Naderi

    2009-04-01

    Full Text Available "n "n "nObjective :Post traumatic stress disorder (PTSD may be the first reaction after disasters. Many studies have shown the efficacy of cognitive- behavioral therapy in treatment of post traumatic stress disorder. The main objective of this study is to evaluate the effect of group CBT in adolescent survivors of a large scale disaster (Bam earthquake. "n "nMethods: In a controlled trial, we evaluated the efficacy of a short term method of group cognitive-behavioral therapy in adolescent survivors of Bam earthquake who had PTSD symptoms and compared it with a control group. The adolescents who had severe PTSD or other psychiatric disorders that needed pharmacological interventions were excluded. We evaluated PTSD symptoms using Post traumatic Stress Scale (PSS pre and post intervention and compared them with a control group. "n "nResults: 100 adolescents were included in the study and 15 were excluded during the intervention. The mean age of the participants was 14.6±2.1 years. The mean score of total PTSD symptoms and the symptoms of avoidance was reduced after interventions, and was statistically significant. The mean change of re-experience and hyper arousal symptoms of PTSD were not significant. "n "nConclusion: Psychological debriefing and group cognitive behavioral therapy may be effective in reducing some of the PTSD symptoms.

  7. A cognitive behavioral based group intervention for children with a chronic illness and their parents: a multicentre randomized controlled trial

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    Schuengel Carlo

    2011-07-01

    Full Text Available Abstract Background Coping with a chronic illness (CI challenges children's psychosocial functioning and wellbeing. Cognitive-behavioral intervention programs that focus on teaching the active use of coping strategies may prevent children with CI from developing psychosocial problems. Involvement of parents in the intervention program may enhance the use of learned coping strategies in daily life, especially on the long-term. The primary aim of the present study is to examine the effectiveness of a cognitive behavioral based group intervention (called 'Op Koers' 1 for children with CI and of a parallel intervention for their parents. A secondary objective is to investigate why and for whom this intervention works, in order to understand the underlying mechanisms of the intervention effect. Methods/design This study is a multicentre randomized controlled trial. Participants are children (8 to 18 years of age with a chronic illness, and their parents, recruited from seven participating hospitals in the Netherlands. Participants are randomly allocated to two intervention groups (the child intervention group and the child intervention combined with a parent program and a wait-list control group. Primary outcomes are child psychosocial functioning, wellbeing and child disease related coping skills. Secondary outcomes are child quality of life, child general coping skills, child self-perception, parental stress, quality of parent-child interaction, and parental perceived vulnerability. Outcomes are evaluated at baseline, after 6 weeks of treatment, and at a 6 and 12-month follow-up period. The analyses will be performed on the basis of an intention-to-treat population. Discussion This study evaluates the effectiveness of a group intervention improving psychosocial functioning in children with CI and their parents. If proven effective, the intervention will be implemented in clinical practice. Strengths and limitations of the study design are discussed

  8. Early intervention in pregnant women with elevated anxiety and depressive symptoms: efficacy of a cognitive-behavioral group program.

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    Bittner, Antje; Peukert, Judith; Zimmermann, Cornelia; Junge-Hoffmeister, Juliane; Parker, Lisa S; Stöbel-Richter, Yve; Weidner, Kerstin

    2014-01-01

    To examine whether a cognitive-behavioral group program among pregnant women with elevated levels of anxiety or depression may reduce anxious and depressive symptoms and has a positive impact on risk factors for anxiety disorders and depression. A total of 753 participants were recruited. After completion of the clinical standardized interview, 160 participants were randomized to an intervention group or a control condition. Psychometric assessments took place at T1 (preintervention), T2 (antenatal follow-up), and T3 (3 months postpartum). Analyses included women who took part in all 3 assessments (intervention group, N = 21; control group, N = 53). The subjective program evaluation by the participants was highly positive, but with the exception of a short-term effect on the quality of an intimate partnership (F1/67 = 4.056; P anxiety or depressive symptoms were not found. However, there was an intervention effect 3 months postpartum for participants with high depressive symptoms at T1 (Edinburgh Postnatal Depression Scale score of ≥10) (F1/69 = 5.410; P women with rather low levels of anxiety and depression. For women with higher depressive symptoms during pregnancy, a cognitive-behavioral group program may have a positive impact on the course of depressive symptoms during the postpartum period.

  9. Exploring the Effectiveness of a Mixed-Diagnosis Group Cognitive Behavioral Therapy Intervention Across Diverse Populations

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    Hamilton, Kate E.; Wershler, Julie L.; Macrodimitris, Sophie D.; Backs-Dermott, Barb J.; Ching, Laurie E.; Mothersill, Kerry J.

    2012-01-01

    Depression and anxiety are the most common mental health disorders seen in clinical practice and they are highly comorbid. Cognitive behavioral therapy (CBT) has been demonstrated as an effective treatment for both depression and anxiety but is often not available to all individuals who could benefit from it. This paper investigates the…

  10. Exploring the Effectiveness of a Mixed-Diagnosis Group Cognitive Behavioral Therapy Intervention Across Diverse Populations

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    Hamilton, Kate E.; Wershler, Julie L.; Macrodimitris, Sophie D.; Backs-Dermott, Barb J.; Ching, Laurie E.; Mothersill, Kerry J.

    2012-01-01

    Depression and anxiety are the most common mental health disorders seen in clinical practice and they are highly comorbid. Cognitive behavioral therapy (CBT) has been demonstrated as an effective treatment for both depression and anxiety but is often not available to all individuals who could benefit from it. This paper investigates the…

  11. A cognitive behavioral based group intervention for children with a chronic illness and their parents: a multicentre randomized controlled trial

    NARCIS (Netherlands)

    L. Scholten; A.M. Willemen; M.A. Grootenhuis; H. Maurice-Stam; C. Schuengel; B.F. Last

    2011-01-01

    Coping with a chronic illness (CI) challenges children's psychosocial functioning and wellbeing. Cognitive-behavioral intervention programs that focus on teaching the active use of coping strategies may prevent children with CI from developing psychosocial problems. Involvement of parents in the int

  12. Development and pilot-testing of a cognitive behavioral coping skills group intervention for patients with chronic hepatitis C

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    Donna M. Evon, Ph.D.

    2017-06-01

    Full Text Available Psychosocial interventions for patients with chronic hepatitis C viral (HCV infection are needed to attenuate the impact of extrahepatic symptoms, comorbid conditions, and treatment side effects on HCV health outcomes. We adapted empirically-supported interventions for similar patient populations to develop a Cognitive Behavioral Coping Skills group intervention for HCV patients (CBCS-HCV undergoing treatment. The objectives of this paper are to describe the research activities associated with CBCS-HCV development and pilot testing, including: (1 formative work leading to intervention development; (2 preliminary study protocol; and (3 pilot feasibility testing of the intervention and study design. Formative work included a literature review, qualitative interviews, and adaption, development, and review of study materials. A preliminary study protocol is described. We evaluate the feasibility of conducting a randomized controlled trial (RCT of the CBCS-HCV with 12 study participants in Wave 1 testing to examine: (a feasibility of intervention delivery; (b patient acceptability; (c recruitment, enrollment, retention; (d feasibility of conducting a RCT; (d therapist protocol fidelity; and (e feasibility of data collection. Numerous lessons were learned. We found very high rates of data collection, participant attendance, engagement, retention and acceptability, and therapist protocol fidelity. We conclude that many aspects of the CBCS-HCV intervention and study protocol were highly feasible. The greatest challenge during this Wave 1 pilot study was efficiency of participant enrollment due to changes in standard of care treatment. These findings informed two additional waves of pilot testing to examine effect sizes and potential improvements in clinical outcomes, with results forthcoming.

  13. Effect of Group Cognitive-Behavioral Therapy on Depression

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    F Ranjbar

    2010-09-01

    Full Text Available Introduction: Depression is the most prevalent psychotic disorder. In order to cure and prevent the recurrence of this disease, it is necessary to gain more information about remedial methods like Group Cognitive- Behavior Therapy. The aim of this study was to investigate the effects of group cognitive-behavioral therapy on the amount of depression on the patients. Methods: This study was experimental and it included both experimental and control group with a pre test. The subjects were selected from patients with mild depression. Their Beck inventory score ranged between 17-20. Patients were randomly divided in two groups. The subjects of experimental group received eight sessions of group cognitive-behavioral therapy. The Beck depression test was completed by the subjects in three phases before the intervention, after the intervention and one month after that. The data was transferred to SPSS program and analyzed. Results: The results indicated a significant difference between the experimental and control group after the intervention at Beck tests (P=0.043. Furthermore, there was a significant difference in the experimental group between the depression score in patients before and after the intervention (p=0.033 and the score of patients before and one month after the intervention (p=0.492. Conclusion: Group Cognitive-Behavioral therapy decreases depression in patients who suffer from mild depression.

  14. The Effectiveness of Marlaat’s Cognitive Behavior Intervention and Group Treatment Based on Change Stages for Recovery and Relapse Prevention Rates in Male Heroin Crack Addicts

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    S Khodadust

    2014-11-01

    Full Text Available Objective: The aim of this study was the Study of effectiveness of Marlaat’s cognitive behavior intervention and group treatment based on change stages for recovery and relapse rates in male heroin crack addictions. Method: In a experimental research design, 45 men addictions, who were diagnosed as the dependence of the heroin crack on the basis of DSM-IV-TR criteria, were chosen after successfully detoxified. They were divided two experimental groups (30 participants and a control group (15 participants that have been selected by random sampling. The first experimental group was undergone group treatment based on change stages underwent 16 sessions of 1.5 hours, totally 24 hours and the second experimental groups who were undergone Marlaat’s cognitive behavior intervention has been held 15 sessions of 2 hours, totally 24 hours. The control group were just received MMT without any psychotherapy. All participants were assessed by structured interview, urine test, before treatment, after treatment and after 3 months follow up. Results: Results showed that both psychotherapy treatments were affected on recovery and relapse rates. Conclusion: It seems that psychological problems and conflicts before addiction and after addiction could be caused for individuals’ tendency to narcotics consumption. Therefore, applying of psychotherapy could be useful in relapse prevention.

  15. Evaluation of Group Cognitive Behavioral Therapy for Adults with ADHD

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    Bramham, Jessica; Young, Susan; Bickerdike, Alison; Spain, Deborah; McCartan, Denise; Xenitidis, Kiriakos

    2009-01-01

    Objective: A brief cognitive behavioral therapy (CBT) group intervention was designed to treat comorbid anxiety, depression, and low self-esteem and self-efficacy in adults with ADHD. It was hypothesised that participants would gain knowledge about ADHD, experience a reduction in comorbid symptoms, and benefit from the supportive aspect of group…

  16. Cognitive behavioral group intervention for pain and well-being in children with juvenile idiopathic arthritis: a study of feasibility and preliminary efficacy

    DEFF Research Database (Denmark)

    Lomholt, Johanne Jeppesen; Thastum, Mikael; Christensen, Anne Estmann

    2015-01-01

    % of the invited families participated. However, the participants rated the intervention's credibility and satisfaction with the intervention as high. The dropout rate was low and attendance rate high. Increased quality of life and improvements in adaptive pain cognitions was reported in the intervention condition...... and their parents were allocated to six sessions' group cognitive-behavioral therapy (n = 9) or a waitlist control condition (n = 10). Results were measured from self-reported scales and one-week pain diaries. Clinical data was collected by a rheumatologist. RESULTS: The participation rate was low; 33...... the severity of the disease status increased, an increase in quality of life, reduction in pain catastrophizing, and an improvement in adaptive pain cognitions (the beliefs in controlling pain and self-efficacy) were seen in the intervention condition. The study highlights the importance of considering...

  17. A Cognitive-Behavioral Mindfulness Group Therapy Intervention for the Treatment of Binge Eating in Bariatric Surgery Patients

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    Leahey, Tricia M.; Crowther, Janis H.; Irwin, Sharon R.

    2008-01-01

    Binge eating is a negative indicator of post-surgical weight loss and health outcome in bariatric surgery patients (Hsu, Bentancourt, Sullivan, 1996). Cognitive-behavioral techniques and mindfulness-based practices have been shown to successfully treat binge eating (Agras, Telch, Arnow, Eldredge, & Marnell, 1997; Kristeller & Hallett, 1999). This…

  18. A Cognitive-Behavioral Mindfulness Group Therapy Intervention for the Treatment of Binge Eating in Bariatric Surgery Patients

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    Leahey, Tricia M.; Crowther, Janis H.; Irwin, Sharon R.

    2008-01-01

    Binge eating is a negative indicator of post-surgical weight loss and health outcome in bariatric surgery patients (Hsu, Bentancourt, Sullivan, 1996). Cognitive-behavioral techniques and mindfulness-based practices have been shown to successfully treat binge eating (Agras, Telch, Arnow, Eldredge, & Marnell, 1997; Kristeller & Hallett, 1999). This…

  19. COGNITIVE-BEHAVIORAL INTERVENTION FOR PTSD IN COLOMBIAN COMBAT VETERANS

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    CAROLINA BOTERO GARCÍA

    2005-07-01

    Full Text Available The results of cognitive-behavioral group interventions applied from 2002 to 2004 to 42 colombian combat veteranswith Post Traumatic Stress Disorder (PTSD are presented. The goal of the study was to stablish the effectiveness ofthe group interventions based in Prolonged Exposition and Stress Inoculation treatment processes. Differencesbetween pre-in-post symptomatology scores of PTSD were measured by Foa Posttraumatic Stress Diagnostic Scale(PDS and the Beck Depression Inventory. The statistical analysis was made by t test for paired samples, with alpha of0.05. Results show significant decrease in symptomatology and severity level after the intervention both in depressionand PTSD symptoms.

  20. Insights into the Feelings, Thoughts, and Behaviors of Children with Visual Impairments: A Focus Group Study Prior to Adapting a Cognitive Behavior Therapy-Based Anxiety Intervention

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    Visagie, Lisa; Loxton, Helene; Stallard, Paul; Silverman, Wendy K.

    2017-01-01

    Introduction: Anxiety is the most common psychological problem reported among children with visual impairments. Although cognitive behavior therapy interventions have proven successful in treating childhood anxiety, it is unclear whether they are suitable and accessible for children who have visual impairments. This study aimed to determine if and…

  1. Cognitive Behavioral Interventions with Maltreated Children and Adolescents.

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    Verduyn, Chrissie; Calam, Rachel

    1999-01-01

    Discussion of cognitive behavioral interventions with abused children and adolescents covers use of cognitive therapy with adults, therapeutic processes in cognitive therapy, involvement of parents and carers in cognitive behavioral therapy, and cognitive schema and maltreatment. Application is made to types of abuse (physical, emotional, sexual)…

  2. Three applications of functional analysis with group dynamic cognitive behavioral group therapy.

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    Scharwächter, Peter

    2008-01-01

    Case illustrations from group dynamic cognitive behavioral group therapy are presented to demonstrate three applications of functional analysis and the resulting cognitive behavioral interventions. The principles of group dynamic cognitive behavioral group therapy are explained. A functional analysis is applied first to the problem behavior of an individual group member. A clinical case illustrates how the group members help to change this individual group member's behavior from a learning theory perspective. Next, the circular interactional problem behavior between two group members is reduced to the individual functional analysis of each of the two member's problem behaviors. It is then illustrated how the two group member's problem behaviors, as well as feedback from others, contribute toward helping to change each others behavior. The paper concludes that functional analysis and ensuing behavioral interventions can be also applied to group as a whole behavior.

  3. 肿瘤患者的短期团体认知行为干预%Short-term group cognitive behavioral intervention in cancer patients

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    郑儒君; 符琰; 陈林; 牟倩倩; 刘珊珊; 李俊英; 余春华

    2015-01-01

    目的 探讨认知行为干预对肿瘤患者的生命质量和心理痛苦的影响.方法 本研究为随机对照研究,计算机随机化分组,试验组和对照组最终分别纳入64例和66例肿瘤患者.对照组只接受常规健康教育;试验组接受每周2次的认知行为干预.所有研究对象在认知行为干预前后接受生命质量的调查及心理痛苦的评估.结果 认知行为干预后试验组的生命质量得分为(71.7±17.5)分,显著高于对照组(63.9±18.3)分,差异有统计学意义,t=2.2,P<0.05;试验组心理痛苦评分为(2.6±0.6)分,显著低于对照组的(3.9±0.7)分,差异有统计学意义,t=11.8,P<0.05,其中试验组在担忧、疼痛、抑郁和睡眠4方面的心理痛苦问题所占比例[ 42.2%(27/64)、29.7%(19/64)、35.9%(23/64)、23.4%(15/64)]显著低于对照组 [ 60.6%(40/66)、47.0%(31/66)、53.0%(35/66)、39.4%(26/66)],差异有统计学意义,X2=4.4、4.1、3.9和4.5,P<0.05.结论 短期团体认知行为干预可缓解肿瘤患者的心理痛苦和躯体疼痛,改善其不良情绪和睡眠状态,最终提高患者的生命质量.%Objective To explore the effect of cognitive behavioral intervention on quality of life and distress of cancer patients. Methods The research was a random control study, and computer randomized grouping, the experimental group and control group contained 64 cases, 66 cases, respectively. The control group only accepted health education, while experimental group accepted cognitive behavioral intervention twice a week. Before and after the research, the patients were investigated with quality of life and distress scale. Results After the study of cognitive behavioral intervention, quality of life of experimental group scored (71.7±17.5) points which showed greater improvement than the control group scored (63.9±18.3) points (t=2.2,P<0.05), the distress score of experimental group was (2.6±0.6) points which was significant lower than the control group scored (3.9 ±0

  4. Cognitive-behavioral Intervention for Older Hypertensive Patients

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    René García Roche

    2016-03-01

    Full Text Available Background: aging-associated diseases contribute to morbidity and mortality in the population; therefore, it is necessary to develop intervention strategies to prevent and/or minimize their consequences. Objectives: to evaluate the effectiveness of a cognitive-behavioral intervention aimed at older hypertensive patients treated in primary care in Cardenas and Santiago de Cuba municipalities during 2011-2013. Methods: an intervention study of older adults with hypertension was conducted in two municipalities: Santiago de Cuba and Cárdenas. The intervention group was composed of 399 older patients living in the catchment areas of the Carlos Juan Finlay and Héroes del Moncada polyclinics while the control group included 377 older adults served by the Julian Grimau and Jose Antonio Echeverría polyclinics. The intervention consisted of a systematic strategy to increase knowledge of the disease in order to change lifestyles. Results: in the intervention group, there were more patients with sufficient knowledge of the disease (OR: 1.82, greater control of hypertension (OR: 1.51 and better adherence to treatment (OR: 1.70. By modeling the explanatory variables with hypertension control, being in the intervention group (OR: 0.695 and adhering to treatment (OR: 0.543 were found to be health protective factors. Conclusion: the congnitive-behavioral intervention for older adults treated in primary care of the municipalities studied was effective in improving blood pressure control since it contributed to a greater adherence to treatment.

  5. Effectiveness of Cognitive- behavioral Group Therapy on Insomnia Symptoms in Students

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    A Abollahi

    2015-04-01

    Full Text Available Background & aim: Insomnias is associated with considerable problems in educational, vocational, social and familial performance. The purpose of present research was to investigate the effectiveness of Cognitive-Behavior group therapy on improvement of insomnia symptoms in students. Methods: The present clinical trial study was conducted on twenty-four students who were randomly assigned into two groups of case and the control (n = 12. The experimental group was participated in eight sessions of cognitive behavior therapy, while the control group received no intervention. Research tools include the Pittsburgh Sleep Quality Index and the Insomnia Severity Index that completed by both participants. Data were analyzed using ANOVA, t-test. Results: Analysis of covariance showed that the performance of cognitive behavioral therapy may improve symptoms and reduce the severity of insomnia in the experimental group compared with the control group (p < 0.05. Conclusion: Group cognitive-behavioral therapy is effective on symptoms of insomnia in students.

  6. Teaching Effort and the Future of Cognitive-Behavioral Interventions

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    Gerber, Michael M.; Solari, Emily J.

    2005-01-01

    In this article we discuss two impediments to widespread adoption and implementation of cognitive-behavioral intervention (CBI) procedures by teachers of students with behavior disorders. First, its principles can be difficult, even for researchers and other specialists. Second, despite ample demonstration that teachers can be taught CBI…

  7. Cognitive Behavioral Principles within Group Mentoring: A Randomized Pilot Study

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    Jent, Jason F.; Niec, Larissa N.

    2009-01-01

    This study evaluated the effectiveness of a group mentoring program that included components of empirically supported mentoring and cognitive behavioral techniques for children served at a community mental health center. Eighty-six 8- to 12-year-old children were randomly assigned to either group mentoring or a wait-list control group. Group…

  8. The effectiveness of cognitive-behavioral interventions in reduction of distress resulting from dentistry procedures

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    Abolghasemi A

    2007-06-01

    Full Text Available Background and Aim: Dental anxiety is a common problem in pediatric dentistry and results in behaviors like fear and anger that can negatively affect dental treatments. Exposure to various dental treatments and distressful experiences are reasons for anxiety during dental treatments. The aim of this study was to evaluate effect of cognitive behavioral interventions in reduction of stress during dental procedures in children. Materials and Methods: In this clinical trial, 42 boys and girls, undergoing dental treatments were selected from dental clinics in Tehran. Patients were assigned to cognitive-behavioral interventions, placebo and control conditions. The fear scale, anger facial scale, pain facial scale and physiologic measure of pulse beat were evaluated. One way ANOVA and Tukey test were used to analyze the results and p<0.05 was the level of significance. Results: Results showed significant differences between cognitive-behavioral interventions, placebo and control groups regarding fear, anger, pain and pulse beat. Comparison tests revealed that cognitive-behavioral interventions were more effective in reducing fear, anger, pain and pulse beat compared to the placebo or control.Conclusion: According to the results of this study cognitive-behavioral interventions can be used to reduce distress of children undergoing dental procedures.

  9. Individual Cognitive Behavioral Intervention for Anger

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    Rose, John L.; Dodd, Louise; Rose, Nicola

    2008-01-01

    There is growing evidence for the efficacy of programs to reduce inappropriate aggression in people with intellectual disabilities. These have been provided in groups and for individuals in forensic settings. People with intellectual disability and inappropriately expressed anger who were referred to a community psychology service were assigned to…

  10. The effectiveness of cognitive-behavioral group counseling on ...

    African Journals Online (AJOL)

    ... of cognitive-behavioral group counseling on stress and self-education. ... This research is a pre-test and post-test experimental design along with the control group. ... Data collection tool is Morgan- Jinks (MJSES) Student Efficacy Scale ...

  11. Assessing a multi-component math intervention within a cognitive-behavioral framework on the word problem-solving responses of a diverse group of third graders

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    Sheri Kingsdorf

    2016-12-01

    Full Text Available In third grade the focus on math word problems becomes prominent. In the limited third grade research, teacher-mediated explicit instruction with multiple exemplars, teaching students to use visual representations, and the incorporation of self-strategies, have proven effective. For these practices to reach their full potential though, their content must be relevant and provide for growth to mature mathematical concepts. Based on these conclusions, additional research was needed. Therefore, the focus of this study was to evaluate the effectiveness of a multi-component word problem-solving intervention with explicit instruction strategies, multiple exemplars, the teaching of student-generated visual representations, incorporation of a self-monitoring checklist, and Common Core State Standards’ appropriate curriculum. Within a multiple baseline across behaviors design, the study evaluated the paraphrasing, visualizing, and computing word problem-solving responses of 10 third graders identified as learning disabilities, at-risk, and/or ESOL. The study revealed that all students made gains in some behaviors related to problem solving. Results are discussed in relation to a cognitive-behavioral framework and individual student characteristics, including discussions of limitations and educational significance.

  12. Group Cognitive-Behavior Therapy and Supportive Art and Sport Interventions on Bam Earthquake Related Post Traumatic Stress Symptoms in Children: A Field Trial

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    Narges Joshaghani

    2009-12-01

    Full Text Available "n Objective: "n "nThe main objective of this study is to evaluate the effect of psychological therapies and art/sport supportive interventions separately,and in combination on post traumatic stress symptoms in children and compare them with a control group . "nMethods: In a field trial, we evaluated the efficacy of group behavioral therapy, art and sport supportive interventions in Bam earthquake children survivors with PTSD symptoms and compared it with a control group. Before and after interventions we evaluated the PTSD symptoms using K-SADS-PL semi-structural interview for each group and compared them using appropriate statistical methods. "nResults: The participants were 200 individuals who were randomized in four groups according to an intervention program including: Group behavioral therapy; Group behavioral therapy plus art and sport interventions; Art and sport interventions; and control group. During the interventions, 39 individuals were excluded. None of the participants had severed PTSD or other psychiatry disorders that needed pharmacological interventions. In interventional groups, the reduction of total PTSD symptoms and the symptoms of re-experience, avoidance and hyper arousal was not statistically significant. However, in the control group, the PTSD symptoms increased during the study which was statistically significant. "nConclusion: Group behavior therapy and supportive interventions (art and sport may have preventive effects on PTSD symptoms.

  13. One-year evaluation of cognitive-behavioral intervention in osteoarthritis.

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    Calfas, K J; Kaplan, R M; Ingram, R E

    1992-12-01

    We compared a cognitive-behavior modification and a traditional education intervention for adults with osteoarthritis (OA). Forty OA patients were randomly assigned to one of two groups: cognitive-behavior modification or didactic lectures. During ten weekly sessions, the cognitive-behavior group learned methods for coping with pain and the disabilities associated with OA. The traditional education group experienced a series of lectures from health care professionals. Prior to the interventions and following 2, 6, and 12 months, patients in both groups were evaluated with a general Quality of Well-being (QWB) scale, the Arthritis Impact Measurement Scales (AIMS), the Beck Depression Inventory (BDI), and other measures. Although there were some differences between the two groups at 2-month follow-up, by the end of 1 year, physical and psychological functioning did not differ significantly between the two groups. In comparison to baseline, both groups demonstrated initial changes on QWB, depression, and the pain component of the AIMS. Improvements in depression remained through the 1-year follow-up. Multiple regression analysis demonstrated that the mobility and physical activity aspects of the AIMS were significant long-term predictors of outcome (1 year) for general quality-of-life measures. One-year outcomes for depression were significantly predicted from scores on social support and mobility measures from the AIMS. We conclude that cognitive-behavior modification and education produce similar effects on long-term physical and psychological functioning in OA patients.

  14. Social Skills Training Augments the Effectiveness of Cognitive Behavioral Group Therapy for Social Anxiety Disorder

    Science.gov (United States)

    Herbert, James D.; Gaudiano, Brandon A.; Rheingold, Alyssa A.; Myers, Valerie H.; Dalrymple, Kristy; Nolan, Elizabeth M.

    2005-01-01

    Cognitive Behavioral Group Therapy (CBGT) is the most widely researched intervention program for social anxiety disorder (SAD, also known as social phobia), with a number of studies demonstrating its effectiveness. Another common treatment, social skills training (SST), has also been shown to be efficacious for SAD. The present study compared the…

  15. Effectiveness of a positive psychology intervention combined with cognitive behavioral therapy in university students

    Directory of Open Access Journals (Sweden)

    Rosario-Josefa Marrero

    Full Text Available The aim of this study was to design and implement a positive intervention combined with cognitive-behavioral therapy to enhance subjective and psychological well-being and other positive functioning constructs in a convenience sample. Participants analysed were 48 university students (mean age 22.25, 25 assigned nonrandomized to intervention condition and 23 to no-treatment waiting-list control condition. All participants were assessed pre- and post-intervention to test the treatment program effectiveness. Repeated-measures ANCOVAs, controlling baseline differences between the two groups, indicated that the intervention group reported greater social support after the intervention period than the waiting-list control group. Within-group differences were found for happiness, selfacceptance, positive relations with others, optimism, and self-esteem in the intervention group; these differences did not appear in the waiting-list control group. These findings suggest the limited capacity of this intervention program for improving well-being through positive activities combined with cognitive-behavioral therapy. Future research should analyse what kind of activities could be more effective in promoting well-being depending on the characteristics of participants.

  16. Brief Cognitive-Behavioral Depression Prevention Program for High-Risk Adolescents Outperforms Two Alternative Interventions: A Randomized Efficacy Trial

    Science.gov (United States)

    Stice, Eric; Rohde, Paul; Seeley, John R.; Gau, Jeff M.

    2008-01-01

    In this depression prevention trial, 341 high-risk adolescents (mean age = 15.6 years, SD = 1.2) with elevated depressive symptoms were randomized to a brief group cognitive-behavioral (CB) intervention, group supportive-expressive intervention, bibliotherapy, or assessment-only control condition. CB participants showed significantly greater…

  17. Cognitive-Behavioral and Pharmacologic Interventions for Children's Distress during Painful Medical Procedures.

    Science.gov (United States)

    Jay, Susan M.; And Others

    1987-01-01

    Evaluated efficacy of cognitive-behavioral intervention package and low-risk pharmacologic intervention (oral Valium) as compared with minimal treatment-attention control condition, in reducing children leukemia patients' distress during bone marrow aspirations. The cognitive-behavioral therapy reduced behavioral distress, pain ratings and pulse…

  18. Cognitive behavioral group intervention for pain and well-being in children with juvenile idiopathic arthritis: a study of feasibility and preliminary efficacy

    DEFF Research Database (Denmark)

    Lomholt, Johanne Jeppesen; Thastum, Mikael; Christensen, Anne Estmann

    2015-01-01

    % of the invited families participated. However, the participants rated the intervention's credibility and satisfaction with the intervention as high. The dropout rate was low and attendance rate high. Increased quality of life and improvements in adaptive pain cognitions was reported in the intervention condition......BACKGROUND: Pain is still a part of everyday living for several children with juvenile idiopathic arthritis (JIA) despite improvement in treatment. Psychological interventions may contribute to diminish pain complaints and improve well-being in children with JIA. Only few studies have investigated...... the severity of the disease status increased, an increase in quality of life, reduction in pain catastrophizing, and an improvement in adaptive pain cognitions (the beliefs in controlling pain and self-efficacy) were seen in the intervention condition. The study highlights the importance of considering...

  19. Introduction to The Special Issue: Cognitive-Behavioral Interventions with Students with EBD

    Science.gov (United States)

    Mayer, Matthew; Lochman, John; Van Acker, Richard

    2005-01-01

    Significant progress has been made in developing models of social information processing, and cognitive-behavioral processes and related interventions. While there has been limited attention to cognitive-behavioral modification (CBM) in the special education literature, the majority of the contributions have come from the fields of school,…

  20. Evaluation of a Group Cognitive-Behavioral Depression Prevention Program for Young Adolescents: A Randomized Effectiveness Trial

    Science.gov (United States)

    Gillham, Jane E.; Reivich, Karen J.; Brunwasser, Steven M.; Freres, Derek R.; Chajon, Norma D.; Kash-MacDonald, V. Megan; Chaplin, Tara M.; Abenavoli, Rachel M.; Matlin, Samantha L.; Gallop, Robert J.; Seligman, Martin E. P.

    2012-01-01

    Depression is a common psychological problem in adolescence. Recent research suggests that group cognitive-behavioral interventions can reduce and prevent symptoms of depression in youth. Few studies have tested the effectiveness of such interventions when delivered by school teachers and counselors (as opposed to research team staff). We…

  1. Group versus Internet-based cognitive-behavioral therapy for procrastination: Study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Alexander Rozental

    2014-04-01

    Full Text Available Procrastination is defined as a voluntarily delay of an intended course of action despite expecting to be worse-off for the delay, and is considered a persistent behavior pattern that can result in major psychological suffering. About one-fifth of the adult population and half of the student population are presumed having substantial difficulties due to recurrent procrastination in their everyday lives. However, chronic and severe procrastinators seldom receive adequate care due to preconceptions and the lack of understanding regarding procrastination and the treatment interventions that are assumed beneficial. Cognitive-behavioral therapy is often deemed a treatment of choice, although the evidence supporting its use is scarce, and only one randomized controlled trial has been performed. The primary aim of the proposed study is therefore to test the efficacy of cognitive-behavioral therapy delivered as either a group intervention or via the Internet. Participants will consist of students recruited through the Student Health Centre at Karolinska Institutet. A randomized controlled trial with a sample size of 100 participants divided into blocks of thirty will be used, comparing an eight-week Internet-based cognitive-behavioral therapy intervention, and an eight-week group cognitive-behavioral therapy based intervention. It is believed that the proposed study will result in two important findings. First, different treatment interventions in cognitive-behavioral therapy are assumed to be helpful for people suffering from problems caused by procrastination. Second, both an Internet-based cognitive-behavioral therapy intervention and a group intervention are presumed suitable for administering treatment for procrastination, which is considered important as the availability of adequate care is limited, particularly among students. The proposed study will increase the knowledge regarding the efficacy of different treatments of procrastination, as well

  2. Effectiveness of a positive psychology intervention combined with cognitive behavioral therapy in university students

    National Research Council Canada - National Science Library

    Rosario Josefa Marrero; Mónica Carballeira; Sabrina Martín; Miriam Mejías

    2016-01-01

      The aim of this study was to design and implement a positive intervention combined with cognitive-behavioral therapy to enhance subjective and psychological well-being and other positive functioning...

  3. Cognitive-Behavioral Interventions with Type A Faculty.

    Science.gov (United States)

    Thurman, Christopher W.

    1984-01-01

    Discusses the use of cognitive behavioral techniques (cognitive restructuring, rational emotive therapy, and anger management) among college faculty. Each was successfully used in a treatment program for faculty at North Texas State University which emphasized reducing unnecessary expressions of Type A behavior while remaining productive and…

  4. Cognitive-Behavioral Group Therapy: Applications with Adolescents Who Are Cognitively Impaired and Sexually Acting Out.

    Science.gov (United States)

    Butler, Scott F.; Fontenelle, Scuddy F., III

    1995-01-01

    Measured the effect of cognitive-behavioral group therapy used to decrease inappropriate sexual behaviors among male adolescents in a residential treatment program who are mildly and moderately cognitively impaired. Findings indicated that with adolescents who are cognitively impaired, group and cognitive-behavioral approaches that specifically…

  5. Cognitive-behavioral group treatment for perinatal anxiety: a pilot study.

    Science.gov (United States)

    Green, Sheryl M; Haber, Erika; Frey, Benicio N; McCabe, Randi E

    2015-08-01

    Along with physical and biological changes, a tremendous amount of upheaval and adjustment accompany the pregnancy and postpartum period of a woman's life that together can often result in what is commonly known as postpartum depression. However, anxiety disorders have been found to be more frequent than depression during pregnancy and at least as common, if not more so, during the postpartum period, e.g., Brockington et al., (Archieves Women's Ment Health 9:253-263, 2006; Wenzel et al. (J Anxiety Disord, 19:295-311, 2005). Cognitive-behavioral therapy (CBT) is a well-established psychological treatment of choice for anxiety; however, few studies have specifically examined a cognitive-behavioral intervention targeting perinatal anxiety. This pilot study examined the effectiveness of a cognitive-behavioral group treatment (CBGT) program specifically tailored to address perinatal anxiety in 10 women who were either pregnant or within 12 months postpartum. Participants were recruited from a women's clinic at an academic hospital setting, with anxiety identified as their principal focus of distress. Following a diagnostic interview confirming a primary anxiety disorder and completion of assessment measures, participants completed a 6-week CBGT program. There was a statistically significant reduction in anxiety and depressive symptoms following the CBGT program (all p anxiety. These findings suggest that CBGT for perinatal anxiety is a promising treatment for both anxiety and depressive symptoms experienced during the perinatal period. Further studies are needed to evaluate the treatment efficacy through larger controlled trials.

  6. Effectiveness of Cognitive Behavioral Group Therapy for Treatment of Panic Disorder: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Servet Kacar Basaran

    2016-03-01

    Full Text Available This study aims to review empirical studies that evaluate effectiveness of cognitive-behavioral group therapy programs for treatment for panic disorder. Articles in English and Turkish that were published between the years of 2000 and 2015 (February have been searched in the national and international databases. The articles that were not therapy effectiveness studies, and group therapies that not based on cognitive behavioral approach were eliminated. The remaining 19 studies that were met the criteria were introduced in terms of method, therapy characteristics and results. The results of the studies showed that cognitive behavioral group therapies have similar efficacy with individual cognitive behavioral therapy on panic disorder symptoms (panic attacks frequency, the level of agoraphobia etc. and comorbid disorders (depression, anxiety sensitivity. However, cognitive behavioral group therapy is more cost-effective. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(Supplement 1: 79-94

  7. Effectiveness of group cognitive-behavioral therapy ‎on ‎symptoms of premenstrual syndrome (PMS ‎

    Directory of Open Access Journals (Sweden)

    Maryam Maddineshat

    2016-02-01

    Full Text Available Objective: Standards of care and treatment of premenstrual syndrome (PMS vary. Non-drug ‎psychosocial intervention therapy is recommended for women with any kind of ‎discomfort or distress caused by PMS. The current study examined the effectiveness of ‎group cognitive-behavioral therapy on the symptoms of PMS at a girls’ dormitory of ‎North Khorasan University of Medical Sciences.Method: In this quasi-experimental study, 32 female students with PMS who were majoring in ‎nursing and midwifery and residing in the dormitory were selected using the ‎convenience sampling method and were assigned to experimental and control groups. ‎The Standardized Premenstrual Symptoms Screening Tool was used as the research ‎tool. Eight sessions of cognitive-behavioral group therapy were held for the studentsResults: There was a significant difference in psychological symptoms before and after ‎cognitive-behavioral therapy (p=0.012. Furthermore, cognitive-behavioral therapy was ‎effective on social interferences caused by PMS symptoms (p=0.012.‎Conclusion: Group cognitive-behavioral therapy effectively alleviates PMS symptoms in female ‎college students.‎

  8. Examining Effectiveness of Group Cognitive-Behavioral Therapy for Externalizing and Internalizing Disorders in Urban Schools.

    Science.gov (United States)

    Eiraldi, Ricardo; Power, Thomas J; Schwartz, Billie S; Keiffer, Jackie N; McCurdy, Barry L; Mathen, Manju; Jawad, Abbas F

    2016-07-01

    This article presents outcome data of the implementation of three group cognitive-behavioral therapy (GCBT) interventions for children with externalizing behavior problems, anxiety, and depression. School counselors and graduate students co-led the groups in two low-income urban schools. Data were analyzed to assess pre-treatment to post-treatment changes in diagnostic severity level. Results of the exploratory study indicated that all three GCBT protocols were effective at reducing diagnostic severity level for children who had a primary diagnosis of an externalizing disorder, anxiety disorder, or depressive disorder at the clinical or intermediate (at-risk) level. All three GCBT protocols were implemented with relatively high levels of fidelity. Data on the effectiveness of the interventions for reducing diagnostic severity level for externalizing and internalizing spectrum disorders and for specific disorders are presented. A discussion of implementation of mental health evidence-based interventions in urban schools is provided. © The Author(s) 2016.

  9. Brief parent-child group therapy for childhood anxiety disorders: a developmental perspective on cognitive-behavioral group treatment.

    Science.gov (United States)

    Ben-Amitay, Galit; Rosental, Batya; Toren, Paz

    2010-01-01

    The use of cognitive-behavioral group psychotherapy in treating childhood anxiety disorders has become widespread. This paper examines the dynamic processes underlying cognitive-behavioral group treatment for children with anxiety disorders and for their parents, with particular focus on the process of separation-individuation. Both children and their parents were empowered through processes of sub-grouping and thus helped to differentiate and separate. We consider this parallel dynamic process an important factor that can enhance cognitive-behavioral treatment.

  10. Cognitive-behavioral Intervention to Reduce Stress in Patients with Ischemic Heart Disease

    Directory of Open Access Journals (Sweden)

    Leonor Canales Reyes

    2011-07-01

    Full Text Available The aim of this paper was to evaluate the effectiveness of a cognitive-behavioral treatment to reduce the perceived stress level in patients with isquemic cardiopathy. This was a study with intervention without control group. Nine people with isquemic cardiophaty participated, their age were between 40 and 60 years old; all of them were patients of a public hospital in north of Mexico. Stress inoculation training was used in eight sessions’ intervention; each session was about two hours. To measure stress level, Perceived Stress Scale was used, and Wilcoxon test to compare it before and after treatment. The main results confirmed a significant reduction of perceived stress after treatment; also, every participant had a decrease in the stress level.

  11. Utilizing Cognitive Behavioral Interventions to Positively Impact Academic Achievement in Middle School Students

    Science.gov (United States)

    Zyromski, Brett; Joseph, Arline Edwards

    2008-01-01

    Empirical research suggests a correlation between Cognitive Behavioral Therapy (CBT) interventions and increased academic achievement of students in middle schools. An argument was presented for utilizing CBT intervention within the delivery system of comprehensive school counseling programs in middle schools; specifically in individual…

  12. Randomized controlled trial of a brief dyadic cognitive-behavioral intervention designed to prevent PTSD

    Directory of Open Access Journals (Sweden)

    Alain Brunet

    2013-08-01

    Full Text Available Background : There is a dearth of effective interventions to prevent the development of post-traumatic stress disorder (PTSD. Method : We evaluated the efficacy of a brief dyadic two-session cognitive-behavioral intervention through a controlled trial involving trauma-exposed individuals recruited at the hospital's emergency room. Participants were randomly assigned to either the dyadic intervention group (n=37 or to a waiting list (assessment only group (n=37. Results : In an intent-to-treat analysis, a time-by-group interaction was found, whereby the treated participants had less PTSD symptoms at the post-treatment but not at the pre-treatment compared to controls. Controlling for the improvement observed in the control participants, the intervention yielded a net effect size of d=0.39. Conclusions : A brief, early, and effective intervention can be provided by nurses or social workers in hospital settings, at a fairly low cost to individuals presenting to the emergency room as the result of trauma exposure.

  13. Psychotherapeutic process of cognitive-behavioral intervention in HIV-infected persons: Results from a controlled, randomized prospective clinical trial

    OpenAIRE

    Znoj, H J; Messerli-Burgy, N; Tschopp, S; Weber, R.; Christen, L; Christen, S; Grawe, K

    2010-01-01

    The aim of this exploratory study was to examine the possible mechanisms of behavioral change in a cognitive-behavioral intervention supporting medication adherence in HIV-infected persons. A total of 60 persons currently under medical treatment were randomized to psychotherapy or usual care and were compared with a sociodemographically matched group of general psychotherapy clients. Outcome measures included therapy adherence using medication event-monitoring system psychotherapeutic process...

  14. Cost-effectiveness of Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: results from a randomized controlled trial.

    Science.gov (United States)

    Hedman, Erik; Andersson, Erik; Ljótsson, Brjánn; Andersson, Gerhard; Rück, Christian; Lindefors, Nils

    2011-11-01

    Social anxiety disorder (SAD) is highly prevalent and associated with a substantial societal economic burden, primarily due to high costs of productivity loss. Cognitive behavior group therapy (CBGT) is an effective treatment for SAD and the most established in clinical practice. Internet-based cognitive behavior therapy (ICBT) has demonstrated efficacy in several trials in recent years. No study has however investigated the cost-effectiveness of ICBT compared to CBGT from a societal perspective, i.e. an analysis where both direct and indirect costs are included. The aim of the present study was to investigate the cost-effectiveness of ICBT compared to CBGT from a societal perspective using a prospective design. We conducted a randomized controlled trial where participants with SAD were randomized to ICBT (n=64) or CBGT (n=62). Economic data were assessed at pre-treatment, immediately following treatment and six months after treatment. Results showed that the gross total costs were significantly reduced at six-month follow-up, compared to pre-treatment in both treatment conditions. As both treatments were equivalent in reducing social anxiety and gross total costs, ICBT was more cost-effective due to lower intervention costs. We conclude that ICBT can be more cost-effective than CBGT in the treatment of SAD and that both treatments reduce societal costs for SAD. Copyright © 2011 Elsevier Ltd. All rights reserved.

  15. A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear

    DEFF Research Database (Denmark)

    Spindler, Helle; Staugaard, Søren Risløv; Nicolaisen, Camilla;

    2015-01-01

    The objective of this study was to examine the effect of a brief cognitive-behavioral intervention for patients with dental fear in a private dental clinic. Patients presenting with subjectively reported dental fear were randomly assigned to either an immediate intervention (n = 53) or a waiting...... list (n = 51) group. Both groups received an identical intervention, but delayed by 4-6 weeks in the waiting list group. Participants were asked to fill out two self-report questionnaires of dental fear at pre- and post-intervention, and again at a 2-year follow-up assessment. Analysis of variance...... showed that dental fear was significantly reduced in the immediate intervention group (d = 1.5-2.2), compared with the waiting list group (d = 0.3-0.4). Additionally, all participants showed a significant reduction of dental fear following the brief intervention, and in the subgroup available for follow...

  16. Paradoxical versus Cognitive-Behavioral Interventions: Effects on Perceptions of Counselor Characteristics.

    Science.gov (United States)

    McMillan, Douglas N.; Johnson, Mark E.

    1990-01-01

    Studied undergraduate student (N=96) perceptions of counselor characteristics during audiotaped counseling sessions in which counselor used either paradoxical intervention combining symptom prescription and restraining directives or cognitive-behavior directive with a client describing severe anxiety reactions. Found perceptions of counselor using…

  17. Cancer Patients with Major Depressive Disorder: Testing a Biobehavioral/Cognitive Behavior Intervention

    Science.gov (United States)

    Brothers, Brittany M.; Yang, Hae-Chung; Strunk, Daniel R.; Andersen, Barbara L.

    2011-01-01

    Objective: In this Phase II trial, we evaluated a novel psychological treatment for depressed patients coping with the stresses of cancer. Effectiveness of a combined biobehavioral intervention (BBI) and cognitive behavior therapy (CBT) was studied. Method: Participants were 36 cancer survivors (mean age = 49 years; 88% Caucasian; 92% female)…

  18. Cognitive-Behavioral Intervention Increases Abstinence Rates for Depressive-History Smokers.

    Science.gov (United States)

    Hall, Sharon M.; And Others

    1994-01-01

    Tested hypothesis that cognitive-behavioral mood management intervention would be effective for smokers with history of major depressive disorder (MDD). Findings from 149 smokers, 31% of whom had history of MDD, revealed that history-positive subjects were more likely to be abstinent when treated with mood management; treatment condition…

  19. Cognitive-Behavioral Intervention for Worry, Uncertainty, and Insomnia for Cancer Survivors

    Science.gov (United States)

    2017-04-04

    Anxiety Disorder; Worry; Uncertainty; Sleep Disorders; Insomnia; Fatigue; Pain; Depression; Cognitive-behavioral Therapy; Psychological Intervention; Esophageal Cancer; Pancreatic Cancer; Leukemia; Lung Cancer; Multiple Myeloma; Ovarian Neoplasm; Stage III or IV Cervical or Uterine Cancer; Stage IIIB, IIIC, or IV Breast Cancer; Glioblastoma Multiforme; Relapsed Lymphoma; Stage III or IV Colorectal Cancer; Stage IIIC or IV Melanoma

  20. Group Training of Stress Management vs. Group Cognitive-Behavioral Therapy in Reducing Depression, Anxiety and Perceived Stress Among HIV-Positive Men

    OpenAIRE

    Hemmati Sabet, Akbar; Khalatbari, Javad; Abbas Ghorbani, Maryam; Haghighi, Mohammad; Ahmadpanah, Mohammad

    2013-01-01

    Objective: To compare the effectiveness of group training of stress management with cognitive-behavioral therapy (CBT) in reducing depression, anxiety and stress perceived among HIV-positive men. Methods:Inthis semi-experimental study, three groups of HIV-positive men (CBT group, stress management group, and control group) including 15 patients in each group were compared regarding depression, anxiety, and stress using pre-test and post-test tools. Results: Both interventions (CBT and stress ...

  1. Effectiveness of Group Cognitive-Behavioral Therapy on Anxiety, Depression and Glycemic Control in Children with Type 1 Diabetes

    Directory of Open Access Journals (Sweden)

    Somaye Ahmadi

    2014-06-01

    Full Text Available Introduction: The present study aimed to investigate the effectiveness of group cognitive behavioral therapy in reducing anxiety and depression and glycemic control in children with type I diabetes. Methods and Matherials: The study was quasi- experimental with a pre-test, post-test design with control group. For this purpose, 30 children with diabetes were selected from Imam Reza Hospital in Mashhad. The children were randomly assigned into two experimental group (15 and control group (15. The experimental group was undergone eight 2-hour sessions of cognitive-behavioral training. Before and after the intervention, the Multidimensional Anxiety Scale for Children, which included four components of social anxiety, physical symptoms, harm avoidance, and separation anxiety, and Children Depression Inventory was administrated in both groups. Results: The findings from the covariance analysis test revealed that depression and anxiety and glycemic control in experimental group was controlled at post-test and depression score in experimental group compared to the control group at post-test was decreased. The findings from the multivariate covariance analysis test between components of, physical symptoms, harm avoidance, separation anxiety, and social anxiety revealed meaningful differences between the two groups in social anxiety post-test score. Conclusions: According to the article, cognitive behavior therapy can be effective for depression, anxiety, and blood sugar control in children.

  2. Effectiveness of a cognitive behavioral intervention in patients with medically unexplained symptoms: cluster randomized trial

    Directory of Open Access Journals (Sweden)

    López-García-Franco Alberto

    2012-05-01

    Full Text Available Abstract Background Medically unexplained symptoms are an important mental health problem in primary care and generate a high cost in health services. Cognitive behavioral therapy and psychodynamic therapy have proven effective in these patients. However, there are few studies on the effectiveness of psychosocial interventions by primary health care. The project aims to determine whether a cognitive-behavioral group intervention in patients with medically unexplained symptoms, is more effective than routine clinical practice to improve the quality of life measured by the SF-12 questionary at 12 month. Methods/design This study involves a community based cluster randomized trial in primary healthcare centres in Madrid (Spain. The number of patients required is 242 (121 in each arm, all between 18 and 65 of age with medically unexplained symptoms that had seeked medical attention in primary care at least 10 times during the previous year. The main outcome variable is the quality of life measured by the SF-12 questionnaire on Mental Healthcare. Secondary outcome variables include number of consultations, number of drug (prescriptions and number of days of sick leave together with other prognosis and descriptive variables. Main effectiveness will be analyzed by comparing the percentage of patients that improve at least 4 points on the SF-12 questionnaire between intervention and control groups at 12 months. All statistical tests will be performed with intention to treat. Logistic regression with random effects will be used to adjust for prognostic factors. Confounding factors or factors that might alter the effect recorded will be taken into account in this analysis. Discussion This study aims to provide more insight to address medically unexplained symptoms, highly prevalent in primary care, from a quantitative methodology. It involves intervention group conducted by previously trained nursing staff to diminish the progression to the chronicity

  3. Effectiveness of Cognitive Behavior Therapy for Diagnostically Heterogeneous Groups: A Benchmarking Study

    Science.gov (United States)

    McEvoy, Peter M.; Nathan, Paula

    2007-01-01

    Researchers have recently suggested that the commonalities across the emotional disorders outweigh the differences, and thus similar treatment principles could be applied in unified interventions. In this study, the authors used a benchmarking strategy to investigate the transportability of cognitive-behavioral therapy (CBT) for anxiety and…

  4. Effectiveness of Cognitive Behavioral Group Therapy for Treatment of Substance-Related Disorders: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Zeynep Erdogan Yildirim

    2016-03-01

    Full Text Available This study aims to review empirical studies that were used to evaluate the effectiveness of cognitive-behavioral group therapy programs for the treatment of substance-related disorders. Articles in English and Turkish that were published between the years of 2000 and 2015 (January have been screened in national and international databases. Studies that consisted nicotine addicts in sample and that group therapies that not based on cognitive behavioral group therapy approach were excluded. The remaining 36 studies were introduced in the context of method and therapy character-istics, pre / post treatment and follow up results. Consequently, it is understood that cognitive behavioral group therapies for substance- related disorders are effective in decreasing the symptoms of the disorders and recurrence and/or comorbid disorders (anxiety, depression etc. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(Supplement 1: 108-128

  5. Effectiveness of Cognitive Behavioral Group Therapy for Treatment of Posttraumatic Stress Disorder: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Seda Tokgunaydin

    2016-03-01

    Full Text Available This study aims to review empirical studies that were used to evaluate the effectiveness of cognitive-behavioral group therapy programs for the treatment for posttraumatic stress disorder. Articles in English and Turkish that were published between the years of 2000 and 2015 (February have been searched in national and international databases. The articles that were gathered by the search have been read and the ones that were not therapy effectiveness studies, cognitive behavioral group therapies and that included posttraumatic stress disorder comorbid with alcohol/substance abuse, personality disorders and psychotic disorders were eliminated. The remaining 13 studies that fulfiilrf research criteria were introduced in the context of method and therapy characteristics. It can be seen that the cognitive behavioral group therapies are effective in decreasing the symptoms of posttraumatic stress disorder and/or comorbid disorders. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(Supplement 1: 95-107

  6. Pilot trial of a dissonance-based cognitive-behavioral group depression prevention with college students.

    Science.gov (United States)

    Rohde, Paul; Stice, Eric; Shaw, Heather; Gau, Jeff M

    2016-07-01

    Conduct a pilot trial testing whether a new cognitive-behavioral (CB) group prevention program that incorporated cognitive-dissonance change principles was feasible and appeared effective in reducing depressive symptoms and major depressive disorder onset relative to a brochure control condition in college students with elevated depressive symptoms. 59 college students (M age = 21.8, SD = 2.3; 68% female, 70% White) were randomized to the 6-session Change Ahead group or educational brochure control condition, completing assessments at pretest, posttest, and 3-month follow-up. Recruitment and screening methods were effective and intervention attendance was high (86% attended all 6 sessions). Change Ahead participants showed medium-large reductions in depressive symptoms at posttest (M d = 0.64), though the effect attenuated by 3-month follow-up. Incidence of major depression onset at 3-month follow-up was 4% for Change Ahead participants versus 13% (difference ns). Change Ahead appears highly feasible and showed positive indications of reduced acute phase depressive symptoms and MDD onset relative to a minimal intervention control in this initial pilot. Given the brevity of the intervention, its apparent feasibility, and the lack of evidence-based depression prevention programs for college students, continued evaluation of Change Ahead appears warranted. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Group cohesion in cognitive-behavioral group therapy for social phobia.

    Science.gov (United States)

    Taube-Schiff, Marlene; Suvak, Michael K; Antony, Martin M; Bieling, Peter J; McCabe, Randi E

    2007-04-01

    Cognitive-behavior therapy (CBT) for Social Phobia is effective in both group and individual formats. However, the impact of group processes on treatment efficacy remains relatively unexplored. In this study we examined group cohesion ratings made by individuals at the midpoint and endpoint of CBT groups for social phobia. Symptom measures were also completed at the beginning and end of treatment. We found that cohesion ratings significantly increased over the course of the group and were associated with improvement over time in social anxiety symptoms, as well as improvement on measures of general anxiety, depression, and functional impairment. In conclusion, findings are consistent with the idea that changes in group cohesion are related to social anxiety symptom reduction and, therefore, speak to the importance of nonspecific therapeutic factors in treatment outcome.

  8. Group Cognitive Behavioral Treatment for PTSD: Treatment of Motor Vehicle Accident Survivors

    Science.gov (United States)

    Beck, J. Gayle; Coffey, Scott F.

    2005-01-01

    Individual cognitive behavioral therapies (CBT) are now considered the first-line treatment for posttraumatic stress disorder (PTSD; Foa, Keane, & Friedman, 2000). As mental health reimbursement becomes more restricted, it is imperative that we adapt individual-format therapies for use in a small group format. Group therapies have a number of…

  9. Cognitive-Behavioral Groups for Children Manifesting ADHD and Other Disruptive Behavior Disorders.

    Science.gov (United States)

    Braswell, Lauren

    1993-01-01

    Presents a model for school-based, cognitive-behavioral groups for children manifesting problem behaviors. Discusses key aspects of organizational readiness to conduct this type of program, particularly the importance of having the support of the children's classroom teachers. Describes the child group format and content, including recommended…

  10. Cognitive-behavioral intervention to promote smoking cessation for pregnant and postpartum inner city women.

    Science.gov (United States)

    Lee, Minsun; Miller, Suzanne M; Wen, Kuang-Yi; Hui, Sui-kuen Azor; Roussi, Pagona; Hernandez, Enrique

    2015-12-01

    This study evaluated a theory-guided cognitive-behavioral counseling (CBC) intervention for smoking cessation during pregnancy and postpartum. It also explored the mediating role of cognitive-affective variables on the impact of CBC. Underserved inner city pregnant women (N = 277) were randomized to the CBC or a best practice (BP) condition, each of which consisted of two prenatal and two postpartum sessions. Assessments were obtained at baseline, late pregnancy, and 1- and 5-months postpartum. An intent-to-treat analysis found no differences between the two groups in 7-day point-prevalence abstinence. However, a respondents-only analysis revealed a significantly higher cessation rate in the CBC (37.3 %) versus the BP (19.0 %) condition at 5-months postpartum follow-up. This effect was mediated by higher quitting self-efficacy and lower cons of quitting. CBC, based on the Cognitive-Social Health Information Processing model, has the potential to increase postpartum smoking abstinence by assessing and addressing cognitive-affective barriers among women who adhere to the intervention.

  11. Effectively Utilizing the "Behavioral" in Cognitive-Behavioral Group Therapy of Sex Offenders

    Science.gov (United States)

    Jennings, Jerry L.; Deming, Adam

    2013-01-01

    Although cognitive-behavioral therapy (CBT) is touted as the predominant approach in sex offender-specific group treatment, a review of the field shows that the "behavioral" part of CBT has become minimal in relation to that which is cognitive. The authors show how a revitalized "behavioral sensibility" may help to enhance…

  12. Impact Evaluation of a Cognitive Behavioral Group Therapy Model in Brazilian Sexually Abused Girls

    Science.gov (United States)

    Habigzang, Luisa Fernanda; Damasio, Bruno Figueiredo; Koller, Silvia Helena

    2013-01-01

    This study evaluated the impact of a cognitive behavioral group therapy model in Brazilian girls who had experienced sexual abuse. The effect of the waiting period before treatment and the enduring effectiveness of the treatment after six and 12 months were also evaluated. Forty-nine female sexual abuse victims between the ages of 9 and 16…

  13. Cognitive-Behavioral Therapy for Insomnia: Comparison of Individual Therapy, Group Therapy, and Telephone Consultations

    Science.gov (United States)

    Bastien, Celyne H.; Morin, Charles M.; Ouellet, Marie-Christine; Blais, France C.; Bouchard, Sebastien

    2004-01-01

    Forty-five adults with primary insomnia received cognitive-behavioral therapy (CBT) implemented in a group therapy format, in individual face-to-face therapy or through brief individual telephone consultations. The results indicate that CBT was effective in improving sleep parameters with all 3 methods of treatment implementation, and there was no…

  14. Adults with ADHD Benefit from Cognitive-Behaviorally Oriented Group Rehabilitation: A Study of 29 Participants

    Science.gov (United States)

    Virta, Maarit; Vedenpaa, Anita; Gronroos, Nina; Chydenius, Esa; Partinen, Markku; Vataja, Risto; Kaski, Markus; Iivanainen, Matti

    2008-01-01

    Objective: In clinical practice, a growing need exists for effective nonpharmacological treatments of adult ADHD. The authors present results from a cognitive-behaviorally oriented psychological group rehabilitation for adult ADHD. Method: A total of 29 adults with ADHD participated. Rehabilitation consisted of 10 or 11 weekly sessions.…

  15. Cognitive Behavioral Group Therapy for Mood Management in Individuals with Intellectual Disabilities: A Pilot Study

    Science.gov (United States)

    Ghafoori, Bita; Ratanasiripong, Paul; Holladay, Christina

    2010-01-01

    Individuals with intellectual disabilities (ID) often display mental health symptoms that may benefit from psychotherapy. In this pilot study, a newly designed cognitive behavioral therapy (CBT) group treatment targeting mood difficulties was provided to 8 adults with mild-borderline ID. Assessment occurred at pretreatment, posttreatment, and 4…

  16. Group Cognitive-Behavioral Therapy for Insomnia in a VA Mental Health Clinic

    Science.gov (United States)

    Perlman, Lawrence M.; Arnedt, J. Todd; Earnheart, Kristie L.; Gorman, Ashley A.; Shirley, Katherine G.

    2008-01-01

    Effective cognitive-behavioral therapies for insomnia have been developed over the past 2 decades, but they have not been systematically evaluated in some clinical settings. While insomnia is common among veterans with mental health problems, the availability of effective treatments is limited. We report on the group application of a…

  17. Cognitive-Behavioral and Psychodynamic Group Psychotherapy in Treatment of Geriatric Depression.

    Science.gov (United States)

    Steuer, Joanne L.; And Others

    1984-01-01

    Assessed whether depressed geriatric patients (N=33) would respond to group psychotherapy and, if they would respond differently to cognitive-behavioral and psychodynamic modes. Results indicated that patients showed statistically and clinically significant reductions on observer-rated measures of depression and anxiety, as well as on self-report…

  18. The Comparison of Effectiveness of Cognitive-Behavioral Group Therapy Based on Coping Skills and Methadone Maintenance Treatment in Improvement of Emotional Regulation Strategies and Relapse Prevention

    Directory of Open Access Journals (Sweden)

    Tahereh Ghorbany

    2011-05-01

    Full Text Available Purpose: This study compared the effectiveness of group cognitive-behavioral therapy based on coping skills (CBT and methadone maintenance therapy (MMT in improvement of emotional regulation strategies and prevention of relapse. Method: The method of the present study was semi-experimental research design (pre-test-post-test with witness group. For sampling 45 substance abuse people who had referred to addiction treatment centers were selected and assigned to three groups of cognitive behavior therapy, methadone maintenance treatment and witness group randomly. The participants in all three groups completed the emotional intelligence questionnaire before and after the intervention. Data were analyzed by covariance method. Results: The results showed that cognitive-behavior therapy in comparison to methadone maintenance therapy and witness group led to significant improvement of emotional regulation in substance abusers, but there was no significant difference between the methadone maintenance treatment group and control group. Also, the rate of relapse in individuals who assigned to cognitive-behavior therapy group in comparison to methadone maintenance therapy and the witness group was significantly lower, but there was no significant difference between methadone therapy and witness. Conclusion: Cognitive-behavior therapy was an effective treatment that can change the cognitive and behavioral variables related to substance abuse, such as emotional regulation strategies. Thus, results suggested that drug abuse treatment programs must target these mediator variables.

  19. The Comparison of the Effectiveness of Group Cognitive-Behavior Therapy and Methadone Maintenance Therapy on Changing Beliefs Related to Substance and Relapse Prevention

    Directory of Open Access Journals (Sweden)

    Taherh Ghorbani

    2012-08-01

    Full Text Available Introduction: This study was aimed to compare of the effectiveness of group cognitive-behavioral therapy and methadone maintenance therapy on changing beliefs toward substance abuse among addicted people. Method: The research method was a quasi-experimental pretest-posttest with witness group. 30 addicted people who were referred to the addiction treatment centers selected by available sampling, and they randomly assigned to three groups namely: cognitive-behavioral therapy, methadone maintenance therapy and witness groups. Substance abuse beliefs questionnaire was administered among all participants before and after intervention. Results: Results showed that in both experimental groups, beliefs toward drug was reduced significantly in comparison with witness group. Conclusion: Cognitive-behavioral therapy can be changed on cognitive mediator variables, like beliefs toward substance therefore, it can reduce the risk of relapse. However, the programs of treatment of substance abuse should be targeted this type of intermediate variables.

  20. Effects of Group-Focused Cognitive-Behavioral Coaching Program on Depressive Symptoms in a Sample of Inmates in a Nigerian Prison.

    Science.gov (United States)

    Eseadi, Chiedu; Obidoa, Mabel A; Ogbuabor, Shulamite E; Ikechukwu-Ilomuanya, Amaka B

    2017-01-01

    This study investigated the effects that a group-focused cognitive-behavioral coaching program had on depressive symptoms of a sample of inmates from Nsukka Prisons, Enugu State, Nigeria. The design of the study was pretest-posttest control group . The participants were 30 male inmates, experiencing high levels of depressive symptoms, and randomly assigned to treatment and control groups. The primary outcome measure was depression symptoms as measured using Beck's Depression Inventory. Repeated-measures ANOVA and the Mann-Whitney U Test were used for data analysis. Results show that exposing inmates to the group-focused cognitive-behavioral coaching program significantly reduced the depressive symptoms of inmates in the treatment group compared with those in the control group. Our results support the use of cognitive-behavioral coaching interventions designed to assist the severely depressed inmates in Nigeria. Further studies should be conducted both in other states of Nigeria and in other countries.

  1. Effectiveness of group cognitive-behavioral therapy in reducing self-stigma in Japanese psychiatric patients.

    Science.gov (United States)

    Shimotsu, Sakie; Horikawa, Naoshi; Emura, Rina; Ishikawa, Shin-Ichi; Nagao, Ayako; Ogata, Akiko; Hiejima, Shigeto; Hosomi, Jun

    2014-08-01

    There is evidence that the stigma surrounding mental illness may be greater in Japan than elsewhere. However, few Japanese studies have focused on self-stigma (the internalization of social stigma), and few interventions to reduce self-stigma exist. To remedy this deficiency, we evaluated the efficacy of group cognitive-behavioral therapy (CBT) in reducing self-stigma and examined the relationship between cognitive restructuring and self-stigma. We administered a 10-session group CBT program to 46 Japanese outpatients with anxiety and depressive symptoms (36 men, 10 women; mean age=38.57 years, SD=8.33; 20 diagnosed with mood disorders; 24 with neurotic, stress-related, or somatoform disorders; and 2 with other disorders). A pretest-posttest design was used to examine the relationship between cognitive restructuring and self-stigma. Outcomes were measured using the Japanese versions of the Devaluation-Discrimination Scale, Dysfunctional Attitude Scale, Beck Depression Inventory-II, State-Trait Anxiety Inventory State-Form, and Rosenberg's Self Esteem Scale. Participants exhibited significant improvements in depression, anxiety, and maladjusted cognitive bias and reductions in self-stigma. Cognitive bias was significantly correlated with self-stigma. Group CBT is effective in improving both emotional symptoms and self-stigma in outpatients with anxiety and depressive symptoms. Reduction in self-stigma plays a mediating role in alleviating emotional symptoms and improving cognition. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy.

    Science.gov (United States)

    Jiménez-Murcia, Susana; Granero, Roser; Fernández-Aranda, Fernando; Arcelus, Jon; Aymamí, M Neus; Gómez-Peña, Monica; Tárrega, Salome; Moragas, Laura; Del Pino-Gutiérrez, Amparo; Sauchelli, Sarah; Fagundo, Ana B; Brewin, Nicola; Menchón, Jose M

    2015-01-01

    The aim of this study was to evaluate posttreatment changes of individuals with a diagnosis of gambling disorder (GD) treated with group cognitive behavioral therapy (CBT), to assess the potential moderator effect of sex on CBT outcome, and to explore the best predictors of posttreatment changes, relapse, and dropout rates. A cohort design was applied with a prospective follow-up. The sample comprised 440 patients and the CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Patients showed significant improvements in both the level of psychopathology and the severity of the gambling behavior. High self-transcendence and the involvement of the spouse or partner in the therapy predicted a higher risk of relapse. Younger age and low education predicted a higher risk of dropout. Many patients with GD can be treated with strategies to improve self-control and emotional regulation, but other techniques should be incorporated to address the individual characteristics of each patient. This is particularly important in group therapy, in which the same treatment is applied to several patients simultaneously. The involvement of a family member needs to be carefully considered since it may have a negative effect on the response to treatment if not adequately managed.

  3. COPING SKILLS IN CHILDREN WITH EPILEPSY--EVALUATION OF COGNITIVE BEHAVIORAL THERAPY INTERVENTION.

    Science.gov (United States)

    Batista, Maja; Mestrović, Antonela; Vekić, Ana Marija; Malenical, Masa; Kukuruzović, Monika; Begovac, Ivan

    2015-12-01

    A pilot study was conducted to examine the efficiency and satisfaction of cognitive behavioral therapy (CBT) intervention in youth with epilepsy regarding coping strategies. The CBT intervention was based on the main principles and empirically supported cognitive-behavioral techniques. The intervention consists of epilepsy education, stress education, and coping skill strategies. Seventeen children and adolescents aged 9-17 diagnosed with epilepsy for at least one year, with at least average intelligence and no history of serious mental illness completed the CBT intervention during summer camp, providing data on the efficiency of and satisfaction with CBT intervention. Upon completion of the CBT intervention, study subjects achieved significantly higher scores on the following Scale of Coping with Stress subscales: Problem solving; Seeking for social support from friends; Seeking for social support from family; and Cognitive restructuring, for both measures of usage frequency and effectiveness of each subscale. The participants reported a high level of satisfaction with the CBT intervention. This study provided explanation of research limitations and recommendations for future clinical trials.

  4. Effectiveness of Cognitive- behavioral Group Therapy on Insomnia Symptoms in Students

    OpenAIRE

    A Abollahi; AM Nazar; J Hasani; M Darharaj; A Behnam Moghadam

    2015-01-01

    Background & aim: Insomnias is associated with considerable problems in educational, vocational, social and familial performance. The purpose of present research was to investigate the effectiveness of Cognitive-Behavior group therapy on improvement of insomnia symptoms in students. Methods: The present clinical trial study was conducted on twenty-four students who were randomly assigned into two groups of case and the control (n = 12). The experimental group was participated in eight se...

  5. The Treatment of Recurrent Abdominal Pain in Children: A Controlled Comparison of Cognitive-Behavioral Family Intervention and Standard Pediatric Care.

    Science.gov (United States)

    Sanders, Matthew R.; And Others

    1994-01-01

    Conducted controlled clinical trial involving 44 children with recurrent abdominal pain randomly assigned to cognitive-behavioral family intervention (CBFI) or standard pediatric care (SPC). Both treatments resulted in significant improvements on measures of pain intensity and pain behavior. CBFI group had higher rate of complete elimination of…

  6. Comparison of Cognitive Behavioral and Mindfulness Meditation Interventions on Adaptation to Rheumatoid Arthritis for Patients with and without History of Recurrent Depression

    Science.gov (United States)

    Zautra, Alex J.; Davis, Mary C.; Reich, John W.; Nicassio, Perry; Tennen, Howard; Finan, Patrick; Kratz, Anna; Parrish, Brendt; Irwin, Michael R.

    2008-01-01

    This research examined whether cognitive behavioral therapy and mindfulness interventions that target responses to chronic stress, pain, and depression reduce pain and improve the quality of everyday life for adults with rheumatoid arthritis (RA). The 144 RA participants were clustered into groups of 6-10 participants and randomly assigned to 1 of…

  7. The moderating effects of group cognitive-behavioral therapy for depression among substance users.

    Science.gov (United States)

    Hunter, Sarah B; Witkiewitz, Katie; Watkins, Katherine E; Paddock, Susan M; Hepner, Kimberly A

    2012-12-01

    This study examined the prospective longitudinal relationship between changes in depressive symptoms on alcohol and/or drug (i.e., substance) use among addiction participants in treatment, and whether group cognitive-behavioral therapy for depression (GCBT-D) moderated the relationship. Using a quasi-experimental intent-to-treat design, 299 residential addiction treatment clients with depressive symptoms (Beck Depression Inventory-II, BDI-II scores > 17; Beck, Steer, & Brown, 1996) were assigned to either usual care (n = 159) or usual care plus a 16-session GCBT-D intervention (n = 140). Two follow-up interviews were conducted, one 3 months after the baseline interview corresponding to the end of the intervention, and then one 3 months later. Parallel-process growth modeling was used to examine changes in depressive symptoms and the associated changes in abstinence and negative consequences from substance use over time. Treatment group was included as a moderator of the association. Participants in the GCBT-D condition showed a greater increase in abstinence and greater decreases in depressive symptoms and negative consequences over time. There were significant interaction effects, such that the associations between depressive symptoms, negative consequences, and abstinence changes were larger in the usual-care condition than in the GCBT-D condition. The results suggest that the intervention may be effective by attenuating the association between depressive symptoms and substance use outcomes. These findings contribute to the emerging literature on the prospective longitudinal associations between depressive symptoms and substance use changes by being the first to examine them among a sample receiving GCBT-D in an addiction treatment setting. 2013 APA, all rights reserved

  8. Group Cognitive Behavioral Treatment for Parents and Children At-Risk for Physical Abuse: An Initial Study

    Science.gov (United States)

    Runyon, Melissa K.; Deblinger, Esther; Steer, Robert A.

    2010-01-01

    To compare the relative efficacy of two types of group cognitive-behavioral therapy for treating the traumatized child and at-risk or offending parent in cases of child physical abuse (CPA), 24 parents and their children were treated with Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT) and 20 parents were treated with Parent-Only CBT.…

  9. Effects of a group-focused cognitive behavioral health education program on cigarette smoking in a sample of Nigerian prisoners

    Science.gov (United States)

    Onyechi, Kay C.N.; Eseadi, Chiedu; Umoke, Prince C.I.; Ikechukwu-Ilomuanya, Amaka B.; Otu, Mkpoikanke S.; Obidoa, Jaachimma C.; Agu, Fedinand U.; Nwaubani, Okechukwu O.; Utoh-Ofong, Anthonia N.; Ncheke, Chijioke D.; Ugwuozor, Felix O.

    2017-01-01

    Abstract Background: Smoking is a learned habit that has an impact on the psychological and biochemical health of individuals. It is the leading preventable cause of chronic illness worldwide. The purpose of this study was to examine the effects of a group-focused cognitive behavioral health education program (GCBHEP) on cigarette smoking in a sample of Nigerian prisoners. Methods: The study used a pretest–posttest randomized control group design. Twenty inmates were identified through self-reporting, 1-to-1 counseling, and observation. The treatment group took part in a GCBHEP for 10 weeks, while the control group received 10 weeks’ conventional counseling. After the intervention program, both the treatment and control groups were evaluated. The repeated measures analysis of variance was used for data analysis and partial η2 was also used as a measure of effect size. Results: The findings showed that the GCBHEP had a strong effect on cigarette-smoking habits among the inmates in the treatment group compared with those in the control group. The effect of the GCBHEP by age was moderate, and modest by educational qualification. Conclusion: Group-focused cognitive behavioral health education is effective in breaking the habit of cigarette smoking among Nigerian prisoners. Therefore, future researchers are encouraged to adopt this approach in helping individuals with a smoking problem and other drug-abuse behaviors in Nigerian prisons. PMID:28072681

  10. Effects of a group-focused cognitive behavioral health education program on cigarette smoking in a sample of Nigerian prisoners.

    Science.gov (United States)

    Onyechi, Kay C N; Eseadi, Chiedu; Umoke, Prince C I; Ikechukwu-Ilomuanya, Amaka B; Otu, Mkpoikanke S; Obidoa, Jaachimma C; Agu, Fedinand U; Nwaubani, Okechukwu O; Utoh-Ofong, Anthonia N; Ncheke, Chijioke D; Ugwuozor, Felix O

    2017-01-01

    Smoking is a learned habit that has an impact on the psychological and biochemical health of individuals. It is the leading preventable cause of chronic illness worldwide. The purpose of this study was to examine the effects of a group-focused cognitive behavioral health education program (GCBHEP) on cigarette smoking in a sample of Nigerian prisoners. The study used a pretest-posttest randomized control group design. Twenty inmates were identified through self-reporting, 1-to-1 counseling, and observation. The treatment group took part in a GCBHEP for 10 weeks, while the control group received 10 weeks' conventional counseling. After the intervention program, both the treatment and control groups were evaluated. The repeated measures analysis of variance was used for data analysis and partial η was also used as a measure of effect size. The findings showed that the GCBHEP had a strong effect on cigarette-smoking habits among the inmates in the treatment group compared with those in the control group. The effect of the GCBHEP by age was moderate, and modest by educational qualification. Group-focused cognitive behavioral health education is effective in breaking the habit of cigarette smoking among Nigerian prisoners. Therefore, future researchers are encouraged to adopt this approach in helping individuals with a smoking problem and other drug-abuse behaviors in Nigerian prisons.

  11. Cognitive-behavioral group therapy in obsessive-compulsive disorder: a clinical trial

    Directory of Open Access Journals (Sweden)

    Cordioli Aristides V

    2002-01-01

    Full Text Available Objective: To develop a cognitive-behavioral group therapy protocol and to verify its efficacy to reduce obsessive-compulsive symptoms. Methods: An open clinical trial with 32 obsessive-compulsive patients was performed, in which a cognitive-behavioral group therapy protocol of 12 weekly sessions of two hours, in 5 consecutive groups, was applied. The severity of symptoms was rated with the Yale-Brown Obsessive-Compulsive (Y-BOCS, Hamilton Anxiety (HAM A and Hamilton Depression (HAM D scales. The patients were followed up for 3 months after the end of the treatment. Results: There was a significant reduction in the scores of Y-BOCS, HAM A and HAM D scales with the treatment regardless the use of anti-obsessive medications. The rate of improved patients (decrease of > or = 35% in Y-BOCS was 78.1%. Two patients (6.25% dropped out from the study. The effect size calculated for the Y-BOCS scale was 1.75. Conclusions: This study suggests that cognitive-behavioral group therapy reduces obsessive-compulsive symptoms. In addition, patients presented good compliance.

  12. Group cognitive behavioral treatment in female soldiers diagnosed with binge/purge eating disorders.

    Science.gov (United States)

    Carter, Rinat; Yanykulovitch-Levy, Dana; Wertheim, Hadas; Gordon-Erez, Shirley; Shahimov, Meital; Weizman, Abraham; Stein, Daniel

    2016-01-01

    Cognitive behavioral treatment (CBT) is the recommended intervention in bulimia nervosa (BN) and eating disorders not otherwise specified with binge/purge (EDNOS-B/P) symptoms. There are fewer data on its application in a group format. We sought to investigate the effect of group CBT in female soldiers with B/P symptomatology in an open trial design. For this purpose we assessed 64 female soldiers serving in the Israeli Defense Force diagnosed with BN and EDNOS-B/P who participated in a group CBT format of 16 weekly sessions and one follow-up session. In this study, 42 participants (65.6%) completed treatment and 22 participants (34.4%) did not. A total of 39 treatment completers (92.8% of treatment completers) and 19 non-completers (86.4% of treatment non-completers) were assessed around 12 months after treatment. Participants completed at baseline and following treatment questionnaires assessing eating-related symptoms, depression, anxiety, and overall functioning. At follow-up they were assessed for eating-related symptoms. Our findings show only minimal baseline differences between treatment completers and non-completers. Significant improvement from baseline to post-treatment was shown for B/P and restrictive symptoms, depression, anxiety, and overall functioning. At that time, more than a third of treatment completers were abstinent from binging and more than a half from vomiting. The improvement in B/P and restricting symptoms was maintained at 1 year follow-up for treatment completers. At that time around 60% were abstinent from binging and more than 70% from vomiting. Participants not completing treatment were also improved at follow-up but to a lesser extent. The findings of the present study suggest that group CBT may be effective for the treatment of female soldiers with BN and EDNOS-B/P.

  13. Dysfunctional beliefs in group and individual cognitive behavioral therapy for obsessive compulsive disorder

    DEFF Research Database (Denmark)

    Jónsson, Hjalti; Hougaard, Esben; Bennedsen, Birgit

    2011-01-01

    The primary aim of the study was to investigate dysfunctional beliefs in the form of inflated responsibility (IR) and thought action fusion (TAF) as predictive and mediating variables in Individual (n = 33) and Group (n = 37) Cognitive Behavioral Therapy (CBT) for Obsessive Compulsive Disorder (OCD...... of the study with pre-and post-therapy measurements only does not allow for a causal mediator analysis...

  14. Effectiveness of Cognitive Behavioral Group Therapy in Infertility: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Ezgi Gocek Yorulmaz

    2016-03-01

    Full Text Available The aim of this study is to make a systematic review the effectiveness of cognitive behavioral group therapy which is designed to decrease psychological distress of individuals with infertility problem. The articles published between 2000 and 2015 (February were screened in the certain national and international scientific databases. Eleven studies that met the research criteria of inclusion and exclusion were evaluated in terms of the method, psychotherapeutic techniques and results. The findings of the current studies revealed that the cognitive behavioral group therapy designed for psychological distress in individuals with infertility is effective to reduce stress, anxiety, depression and relevant psychological problems. Moreover, this approach seems to be lead an increase in use of more adaptive ways of coping, optimism and resilience. In sum, it can be concluded that cognitive behavioral group therapy for infertile individuals has a positive impact on psychological well-being of those people. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(Supplement 1: 144-156

  15. One-Year Follow-Up of the Effectiveness of Cognitive Behavioral Group Therapy for Patients’ Depression: A Randomized, Single-Blinded, Controlled Study

    OpenAIRE

    Kai-Jo Chiang; Tsai-Hui Chen; Hsiu-Tsu Hsieh; Jui-Chen Tsai; Keng-Liang Ou; Kuei-Ru Chou

    2015-01-01

    The aim of the study was to investigate the long-term (one year) effectiveness of a 12-session weekly cognitive behavior group therapy (CBGT) on patients with depression. This was a single-blind randomized controlled study with a 2-arm parallel group design. Eighty-one subjects were randomly assigned to 12 sessions intervention group (CBGT) or control group (usual outpatient psychiatric care group) and 62 completed the study. The primary outcome was depression measured with Beck Depression In...

  16. Psychotherapeutic process of cognitive-behavioral intervention in HIV-infected persons: results from a controlled, randomized prospective clinical trial.

    Science.gov (United States)

    Znoj, Hans-Jörg; Messerli-Burgy, Nadine; Tschopp, Simone; Weber, Rainer; Christen, Lisanne; Christen, Stephan; Grawe, Klaus

    2010-03-01

    The aim of this exploratory study was to examine the possible mechanisms of behavioral change in a cognitive-behavioral intervention supporting medication adherence in HIV-infected persons. A total of 60 persons currently under medical treatment were randomized to psychotherapy or usual care and were compared with a sociodemographically matched group of general psychotherapy clients. Outcome measures included therapy adherence using medication event-monitoring system psychotherapeutic processes and changes of experience and behavior. The general psychotherapy group was initially more distressed than HIV psychotherapy patients and reached higher levels of psychotherapeutic effect. In the HIV psychotherapy patients, a significant effect was found for maintaining adherence to medical treatment (Weber et al., 2004). These findings show that psychotherapy is a beneficial intervention for HIV-infected persons, and therapeutic alliance and activation of resources do not differ from a general psychotherapy treatment. Differential effects were detected for specific process variables, namely problem actuation.

  17. Effectiveness of Cognitive/Behavioral Small Group Intervention for Reduction of Depression and Stress in Non-Hispanic White and Hispanic/Latino Women Dementia Family Caregivers: Outcomes and Mediators of Change

    OpenAIRE

    Gallagher-Thompson, Dolores; Gray, Heather L.; Dupart, Tamarra; Jimenez, Daniel; Thompson, Larry W.

    2008-01-01

    This study enrolled 184 middle-aged and older women (95 Non-Hispanic White and 89 Hispanic/Latino) who provided in-home hands-on care to an elderly relative with Alzheimer's disease or another form of dementia. Within ethnic group they were randomly assigned to either a CBT-based small group intervention program called “Coping with Caregiving” (CWC) that taught a variety of cognitive and behavioral skills to reduce stress and depression, or to a minimal telephone based control condition (TSC)...

  18. An effectiveness study of individual vs. group cognitive behavioral therapy for anxiety disorders in youth.

    Science.gov (United States)

    Wergeland, Gro Janne H; Fjermestad, Krister W; Marin, Carla E; Haugland, Bente Storm-Mowatt; Bjaastad, Jon Fauskanger; Oeding, Kristin; Bjelland, Ingvar; Silverman, Wendy K; Ost, Lars-Göran; Havik, Odd E; Heiervang, Einar R

    2014-06-01

    Conducted a randomized controlled trial to investigate the effectiveness of cognitive behavioral therapy (CBT), and compared the relative effectiveness of individual (ICBT) and group (GCBT) treatment approaches for anxiety disorders in children and adolescents. Referred youth (N = 182, M age = 11.5 years, range 8-15 years, 53% girls) with separation anxiety, social phobia, or generalized anxiety disorder were randomly assigned to ICBT, GCBT or a waitlist control (WLC) in community clinics. Pre-, post-, and one year follow-up assessments included youth and parent completed diagnostic interview and symptom measures. After comparing CBT (ICBT and GCBT combined) to WLC, ICBT and GCBT were compared along diagnostic recovery rates, clinically significant improvement, and symptom measures scores using traditional hypothesis tests, as well as statistical equivalence tests. Significantly more youth lost all anxiety disorders after CBT compared to WLC. Full diagnostic recovery rate was 25.3% for ICBT and 20.5% in GCBT, which was not significantly different. There was continued lack of significant differences between ICBT and GCBT at one year follow-up. However, equivalence between GCBT and ICBT could only be demonstrated for clinical severity rating of the principal anxiety disorder and child reported anxiety symptoms post-treatment. Findings support the effectiveness of CBT compared to no intervention for youth with anxiety disorders, with no significant differences between ICBT and GCBT. However, the relatively low recovery rates highlight the need for further improvement of CBT programs and their transportability from university to community settings. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Return to work after work-related stress: a randomized controlled trial of a work-focused cognitive behavioral intervention.

    Science.gov (United States)

    Dalgaard, Vita Ligaya; Aschbacher, Kirstin; Andersen, Johan Hviid; Glasscock, David John; Willert, Morten Vejs; Carstensen, Ole; Biering, Karin

    2017-09-01

    Objectives This study aimed to evaluate the effect of a stress management intervention (SMI) on lasting return to work (RTW) among patients with work-related stress complaints. Methods Sickness benefit departments from three local municipalities referred patients on sick leave with work-related adjustment disorders or mild depression to the Department of Occupational Medicine, Regional Hospital West Jutland. A 2× randomization procedure allocated patients into one of three groups: intervention (N=58), control A (which received a clinical assessment; N=56), or control B (no assessment; N=49). Treatment comprised individual work-focused cognitive behavioral therapy (CBT) with an optional workplace intervention. The outcome was time until lasting RTW (16 and 44 weeks follow-up) using register data. Results Median number of weeks until lasting RTW was 15, 19, and 32 for the intervention group, control A, and control B respectively. However, for group B, clinical assessment was not part of the inclusion process, which may have introduced selection bias. In the fully-adjusted Cox regression model, the intervention group exhibited significantly faster lasting RTW at 44 weeks; hazard ratio (HR) 1.57 [95% confidence interval (95% CI) 1.01-2.44] relative to control group A, with a non-significant trend evident at 16 weeks; HR 1.70 (95% CI 0.94-3.10), when controlling for age, gender, occupation, sick leave during previous year, full or partial sick leave, and diagnosis. Unadjusted analyses remained directionally consistent but were reduced to marginal significance. Conclusions There was a tendency towards faster lasting RTW in the intervention group compared to control A, which received clinical assessment, in all analyses. The intervention group returned to work about 4 weeks earlier than control A, which could translate into substantial financial gains.

  20. Positive effects of a cognitive-behavioral intervention program for family caregivers of demented elderly

    Directory of Open Access Journals (Sweden)

    Patrícia Paes Araujo Fialho

    2012-10-01

    Full Text Available OBJECTIVE: It was to examine the effects of a Cognitive-Behavioral Therapy (CBT program administered to family caregivers of dementia patients. METHODS: Forty family caregivers were enrolled in a CBT intervention across eight weekly sessions. Cognitive, functional and behavioral status of patients were evaluated, as well as their own and their family caregivers' perceptions of quality of life. Specific instruments were also applied to evaluate caregiver stress level, coping, anxiety and depression. RESULTS: At the end of the program, family caregivers reported fewer neuropsychiatric symptoms among patients and an improvement in patients' quality of life. In addition, caregivers changed their coping strategies, whereas a significant decrease was observed in their anxiety levels. CONCLUSION: The CBT program employed appears to be a promising and useful tool for clinical practice, displaying positive effects on quality of life and neuropsychiatric symptoms of dementia, as well as proving beneficial for alleviating anxiety and stress in family caregivers.

  1. Adaptation and implementation of cognitive behavioral intervention for trauma in schools with American Indian youth.

    Science.gov (United States)

    Goodkind, Jessica R; Lanoue, Marianna D; Milford, Jaime

    2010-01-01

    American Indian adolescents experience higher rates of suicide and psychological distress than the overall U.S. adolescent population, and research suggests that these disparities are related to higher rates of violence and trauma exposure. Despite elevated risk, there is limited empirical information to guide culturally appropriate treatment of trauma and related symptoms. We report a pilot study of an adaptation to the Cognitive Behavioral Intervention for Trauma in Schools in a sample of 24 American Indian adolescents. Participants experienced significant decreases in anxiety and posttraumatic stress disorder symptoms, and avoidant coping strategies, as well as a marginally significant decrease in depression symptoms. Improvements in anxiety and depression were maintained 6 months postintervention; improvements in posttraumatic stress disorder and avoidant coping strategies were not.

  2. On the Effectiveness of Group Cognitive-Behavioral Therapy on Aggression in Addicts

    Directory of Open Access Journals (Sweden)

    mahmood najafy

    2016-05-01

    Full Text Available : This study aimed to investigate the effectiveness of group cognitive-behavioral therapy on aggression among addicts. Method: A quasi-experimental design along with pre-posttest stages, control group, and follow-up was employed for the conduct of this study. The number of 24 addicts referring to rehabilitation clinics in Tehran was selected as the sample size of this study via convenience sampling method in accordance with the inclusion criteria. These participants were randomly assigned to experimental and control groups. In this study, Buss-Perry Aggression Questionnaire was used for data collection purposes. Results: Data analysis showed that group cognitive-behavioral therapy reduces verbal and physical aggression, anger, and hostility in addicted people. However, this therapy only led to the reduction of verbal aggression, anger, and hostility in addicted people. Conclusion: Since aggression has a high comorbidity with substance abuse, this factor can be as an obstacle to withdrawal. Therefore, it must be considered in addiction treatment.

  3. Applying Trauma-Focused Cognitive-Behavioral Therapy in Group Format.

    Science.gov (United States)

    Deblinger, Esther; Pollio, Elisabeth; Dorsey, Shannon

    2016-02-01

    Trauma-focused cognitive-behavioral therapy (TF-CBT), a well-established, evidence-based treatment for children who have experienced trauma, has been increasingly utilized in a group format. Group therapy formats are appealing because they can be highly effective and have the potential to reach larger numbers of clients. Moreover, TF-CBT group delivery may be particularly valuable in reducing the feelings of shame, isolation, and stigma experienced by youth and their caregivers in the aftermath of traumatic experiences. This article reviews the group TF-CBT research, discusses the therapeutic benefits of TF-CBT therapy groups, and provides clinical and logistical guidance for implementing TF-CBT in group format, including a session-by-session protocol. Future directions for research and clinical work in this area are also discussed.

  4. The effective comparison between emotion-focused cognitive behavioral group therapy and cognitive behavioral group therapy in children with separation anxiety disorder.

    Science.gov (United States)

    Afshari, Afrooz; Neshat-Doost, Hamid Taher; Maracy, Mohammad Reza; Ahmady, Mozhgan Kar; Amiri, Shole

    2014-03-01

    Emotion-focused cognitive behavioral therapy (ECBT) is a new form of CBT with emotion regulation components. This form of treatment is suggested to be employed to improve dysregulation of anxiety and other kind of emotions in anxious children. This study observed and compared the effectiveness of CBT and ECBT on anxiety symptoms; sadness and anger management; and cognitive emotion regulation strategies in children with separation anxiety disorder (SAD). This study is a randomized clinical trial. Subjects were 30 children from 9 to 13-years-old (15 girls and 15 boys) with diagnosis of SAD, being randomly assigned to CBT, ECBT, and control groups (five girls and five boys in each group). Subject children in CBT group participated in 10-h weekly sessions within Coping Cat manual; whereas, subject children in ECBT group contributed in 12-h weekly sessions within ECBT. The control group received no treatment. The Screen for Child Anxiety Related Emotional Disorders (SCARED; child and parent forms), Children's Emotion Management Scale (CEMS; anger and sadness forms), and Cognitive Emotion Regulation Questionnaire (CERQ) tests administered to all subjects in pretest, posttest, and the follow-up measurement (3 months later). Analysis of covariance (ANCOVA) repeated measure and Kruskal-Wallis were applied to analyze data by Statistical Package for Social Sciences (SPSS) software package (v. 20). CBT and ECBT; demonstrated no significant difference in reducing separation anxiety and total anxiety symptoms from parent and children's reports. ECBT effectively increased anger coping and decreased negative cognitive strategies and dysregulation of anger in children, both in posttest and follow-up. Also, ECBT reduced sadness dysregulation and increased sadness coping, though these significant advantages were lost in 3 months later follow-up. CBT reduced negative cognitive strategies in follow-up and increased sadness coping in posttest. None of treatments affected on anger and

  5. The effect of a family-based intervention with a cognitive-behavioral approach on elder abuse.

    Science.gov (United States)

    Khanlary, Zahra; Maarefvand, Masoomeh; Biglarian, Akbar; Heravi-Karimooi, Majideh

    2016-01-01

    Elder abuse may become a health issue in developing countries, including Iran. The purpose of this investigation was to study the effectiveness of Family-Based Cognitive-Behavioral Social Work (FBCBSW) in reducing elder abuse. In a randomized clinical trial in Iran, 27 elders participated in intervention and control groups. The intervention groups received a five-session FBCBSW intervention and completed the Domestic-Elder-Abuse-Questionnaire (DEAQ), which evaluates elder abuse at baseline and follow-ups. Repeated measures of analysis of variance (ANOVA) and the Wilcoxon test were used to analyze the data. The repeated measures ANOVA revealed that FBCBSW was successful in reducing elder abuse. The Wilcoxon test indicated that emotional neglect, care neglect, financial neglect, curtailment of personal autonomy, psychological abuse, and financial abuse significantly decreased over time, but there was no statistically significant difference in physical abuse before and after the intervention. The findings from this study suggest that FBCBSW is a promising approach to reducing elder abuse and warrants further study with larger samples.

  6. The impact of informational interventions about cognitive behavioral therapy for chronic fatigue syndrome on GPs referral behavior.

    NARCIS (Netherlands)

    Scheeres, K.; Wensing, M.J.P.; Mes, C.; Bleijenberg, G.

    2007-01-01

    OBJECTIVE: This study investigated the impact of an informational intervention among general practitioners (GPs) about a new treatment with cognitive behavioral therapy (CBT) for chronic fatigue syndrome (CFS) in a mental health center (MHC). The outcome measures concerned GPs knowledge and attitude

  7. Impact of Prenatal Cognitive-Behavioral Stress Management Intervention on Maternal Anxiety and Depression and Newborns’ Apgar Scores

    Directory of Open Access Journals (Sweden)

    Mahsa Karamoozian

    2015-06-01

    Full Text Available Background: Motherhood is a transformative and pleasing experience in a woman’s life. However, given the physical and psychological changes, it can induce a degree of stress and anxiety in mothers. The aim of the present study was to evaluate the effects of cognitive-behavioral stress management (CBSM on maternal anxiety and depression during pregnancy and newborns’ Apgar scores. Methods: This semi-experimental study was performed by applying a pretest-posttest control-group design. Overall, 30 primiparous mothers were selected among women referring to health clinics of Kerman, Iran, using convenience sampling. Subjects were randomly allocated to experimental and control groups. Data were collected, using Pregnancy-Related Anxiety Questionnaire and Edinburgh Postnatal Depression Questionnaire. After completing the pretest, the experimental group was subjected to 12 sessions of CBSM training; posttest data were collected after the intervention. Multivariate analysis of covariance was performed, using SPSS version 16. P-value < 0.05 was considered statistically significant. Results: The obtained results revealed a significant decrement in the average posttest scores of anxiety and depression in the experimental group, compared to pretest scores and the control group. Moreover, differences in 1- and 5-minute Apgar scores between the two groups were statistically significant. These findings indicated the effectiveness of CBSM during pregnancy in reducing maternal anxiety and depression. Conclusion: Pregnant women can benefit from psychological interventions such as CBSM in medical and health care centers.

  8. Assessing barriers to care and readiness for cognitive behavioral therapy in early acute care PTSD interventions.

    Science.gov (United States)

    Trusz, Sarah Geiss; Wagner, Amy W; Russo, Joan; Love, Jeff; Zatzick, Douglas F

    2011-01-01

    Cognitive Behavioral Therapy (CBT) interventions are efficacious in reducing posttraumatic stress disorder (PTSD) but are challenging to implement in acute care and other non-specialty mental health settings. This investigation identified barriers impacting CBT delivery through a content analysis of interventionist chart notes from an acute care PTSD prevention trial. Only 8.5% of all intervention patients were able to complete CBT. Lack of engagement, clinical and logistical barriers had the greatest impact on CBT entry. Treatment preferences and stigma only prevented entry when more primary barriers resolved. Patients with prior diagnosis of alcohol abuse or dependence were able to enter CBT after six months of sobriety. Based on the first trial, we developed a CBT readiness assessment tool. We implemented and evaluated the tool in a second early intervention trial. Lack of engagement emerged again as the primary impediment to CBT entry. Patients who were willing to enter CBT treatment but demonstrated high rates of past trauma or diagnosis of PTSD were also the least likely to engage in any PTSD treatment one month post-discharge. Findings support the need for additional investigations into engagement and alternative delivery strategies, including those which dismantle traditional office-based, multi-session CBT into stepped, deliverable components.

  9. A meta-analytic review of exposure in group cognitive behavioral therapy for posttraumatic stress disorder.

    Science.gov (United States)

    Barrera, T L; Mott, J M; Hofstein, R F; Teng, E J

    2013-02-01

    Although the efficacy of exposure is well established in individual cognitive behavioral treatments for posttraumatic stress disorder (PTSD), some clinicians and researchers have expressed concerns regarding the use of in-session disclosure of trauma details through imaginal exposure in group cognitive behavioral therapy (GCBT) for PTSD. Thus, the aim of the present study was to conduct a systematic review of the empirical support for GCBT in the treatment of PTSD and to compare GCBT protocols that encourage the disclosure of trauma details via in-session exposure to GCBT protocols that do not include in-session exposure. Randomized controlled trials that assessed the efficacy of GCBT for PTSD were included in the meta-analysis. A total of 651 participants with PTSD were included in the 12 eligible GCBT treatment conditions (5 conditions included in-group exposure, 7 conditions did not include in-group exposure). The overall pre-post effect size of GCBT for PTSD (ES=1.13 [SE=0.22, 95% CI: 0.69 to 1.56, pPTSD. No significant differences in effect sizes were found between GCBT treatments that included in-group exposure and those that did not. Although the attrition rate was higher in treatments that included exposure in-group, this rate is comparable to attrition rates in individual CBT treatments and pharmacotherapy for PTSD. The results from this meta-analysis suggest that concerns about the potentially negative impact of group exposure may be unwarranted, and support the use of exposure-based GCBT as a promising treatment option for PTSD.

  10. Group cognitive-behavioral therapy for depression in Spanish: culture-sensitive manualized treatment in practice.

    Science.gov (United States)

    Aguilera, Adrian; Garza, Monica J; Muñoz, Ricardo F

    2010-08-01

    The authors applied cognitive-behavioral therapy (CBT) for depression using the Healthy Management of Reality treatment manual. This 16-week group treatment comprised four 4-week modules: thoughts (cognitive restructuring), activities (behavioral activation), people (interpersonal skills training), and health (addresses physical health and depression). They illustrated the use of the culture-sensitive treatment manuals by way of the member characteristics and clinical process of a Spanish-language CBT group for depression. They highlighted the challenges and satisfactions of working with a Spanish-speaking population in the public sector, and focused on how culture and socioeconomic status influence patients, and how to adapt treatment to these factors. Last, they demonstrated how technological advances integrate with culture-sensitive, evidence-based treatments to better serve this population and reduce disparities.

  11. The effective comparison between emotion-focused cognitive behavioral group therapy and cognitive behavioral group therapy in children with separation anxiety disorder

    Directory of Open Access Journals (Sweden)

    Afrooz Afshari

    2014-01-01

    Full Text Available Background: Emotion-focused cognitive behavioral therapy (ECBT is a new form of CBT with emotion regulation components. This form of treatment is suggested to be employed to improve dysregulation of anxiety and other kind of emotions in anxious children. This study observed and compared the effectiveness of CBT and ECBT on anxiety symptoms; sadness and anger management; and cognitive emotion regulation strategies in children with separation anxiety disorder (SAD. Materials and Methods: This study is a randomized clinical trial. Subjects were 30 children from 9 to 13-years-old (15 girls and 15 boys with diagnosis of SAD, being randomly assigned to CBT, ECBT, and control groups (five girls and five boys in each group. Subject children in CBT group participated in 10-h weekly sessions within Coping Cat manual; whereas, subject children in ECBT group contributed in 12-h weekly sessions within ECBT. The control group received no treatment. The Screen for Child Anxiety Related Emotional Disorders (SCARED; child and parent forms, Children′s Emotion Management Scale (CEMS; anger and sadness forms, and Cognitive Emotion Regulation Questionnaire (CERQ tests administered to all subjects in pretest, posttest, and the follow-up measurement (3 months later. Analysis of covariance (ANCOVA repeated measure and Kruskal-Wallis were applied to analyze data by Statistical Package for Social Sciences (SPSS software package (v. 20. Results: CBT and ECBT; demonstrated no significant difference in reducing separation anxiety and total anxiety symptoms from parent and children′s reports. ECBT effectively increased anger coping and decreased negative cognitive strategies and dysregulation of anger in children, both in posttest and follow-up. Also, ECBT reduced sadness dysregulation and increased sadness coping, though these significant advantages were lost in 3 months later follow-up. CBT reduced negative cognitive strategies in follow-up and increased sadness coping

  12. Group cognitive behavioral therapy targeting intolerance of uncertainty: a randomized trial for older Chinese adults with generalized anxiety disorder.

    Science.gov (United States)

    Hui, Chen; Zhihui, Yang

    2016-09-03

    China has entered the aging society, but the social support systems for the elderly are underdeveloped, which may make the elderly feel anxiety about their health and life quality. Given the prevalence of generalized anxiety disorder (GAD) in the elderly, it is very important to pay more attention to the treatment for old adults. Although cognitive behavioral therapy targeting intolerance of uncertainty (CBT-IU) has been applied to different groups of patients with GAD, few studies have been performed to date. In addition, the effects of CBT-IU are not well understood, especially when applied to older adults with GAD. Sixty-three Chinese older adults with a principal diagnosis of GAD were enrolled. Of these, 32 were randomized to receive group CBT-IU (intervention group) and 31 were untreated (control group). GAD and related symptoms were assessed using the Penn State Worry Questionnaire, Intolerance of Uncertainty Scale-Chinese Version, Beck Anxiety Inventory, Beck Depression Inventory, Why Worry-II scale, Cognitive Avoidance Questionnaire, Generalized Anxiety Disorder Questionnaire-IV, and Generalized Anxiety Disorder Severity Scale across the intervention. The changes between pre and after the intervention were collected, as well as the six-month follow-up. F test and repeated-measures ANOVA were conducted to analyze the data. Compared to control group, the measures' scores of experimental group decreased significantly after the intervention and six-month follow-up. Besides the main effects for time and group were significant, the interaction effect for group × time was also significant. These results indicated the improvement of the CBT-IU group and the persistence of effect after six months. Group CBT-IU is effective in Chinese older adults with GAD. The effects of CBT-IU on GAD symptoms persist for at least six months after treatment.

  13. Effects of a cognitive-behavioral intervention program on the health of caregiversof people with autism spectrum disorder

    OpenAIRE

    Nicolás Ruiz-Robledillo; Luis Moya-Albiol

    2015-01-01

    Caregivers of people with autism spectrum disorder (ASD) are chronically exposed to high levels of stress.In turn, such stress is associated with high rates of negative health outcomes. However, few studies haveanalyzed the effects of psychotherapeutic interventions in improving health in this population. The mainaim of the present study was to evaluate the effectiveness of a cognitive-behavioral intervention program,based on the model proposed by Ruiz-Robledillo and Moya-Albiol (2014a). For ...

  14. The Effects of a Cognitive-Behavioral Intervention on a Sport Performer’s Appraisals of Organizational Stressors

    OpenAIRE

    Didymus, FF; Fletcher, D

    2014-01-01

    The purpose of this study was to assess the effects of a cognitive-behavioral based intervention on appraisals of organizational stressors in a sport performer who typically experienced threat or loss appraisals. In addition, this study aimed to evaluate whether changes in the performer’s appraisals contributed to desirable changes in emotions and subjective performance satisfaction. A case study research design was adopted. One high-level field hockey player participated in the intervention,...

  15. Evaluation of a Short-term, Cognitive-Behavioral Intervention for Primary Age Children with Anger-Related Difficulties

    Science.gov (United States)

    Cole, Rachel L.; Treadwell, Susanne; Dosani, Sima; Frederickson, Norah

    2013-01-01

    This study evaluated the school-based short-term, cognitive-behavioral group anger management programme, "Learning How to Deal with our Angry Feelings" (Southampton Psychology Service, 2003). Thirteen groups of children aged 7- to 11-years-old were randomly allocated to two different cohorts: One cohort ("n"?=?35) first received the intervention…

  16. Role of gender in depressive disorder outcome for individual and group cognitive-behavioral treatment.

    Science.gov (United States)

    Watson, Hunna J; Nathan, Paula R

    2008-12-01

    Gender in cognitive-behavioral therapy (CBT) for outcome for depression has been inadequately examined in previous research. Thirty-five men and 55 women diagnosed with a depressive disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; American Psychiatric Association, 1994) completed individual CBT at an outpatient community mental health clinic and 56 men and 105 women completed group CBT. Depression severity was measured before treatment and at endpoint using the Beck Depression Inventory-II (Beck, Steer, & Brown, 1996) along with secondary outcomes of anxiety (Beck Anxiety Inventory; Beck, Epstein, Brown, & Steer, 1988) and quality of life (Quality of Life Enjoyment and Satisfaction Questionnaire; Endicott, Nee, Harrison, & Blumenthal, 1993). Men and women demonstrated equivalent pretreatment and posttreatment illness severity, a comparable gradient of improvement on outcomes, and attainment of clinically meaningful benchmarks. (c) 2008 Wiley Periodicals, Inc.

  17. The Effectiveness of Healthy Lifestyle Promotion Intervention on Quality of Life in Patients with Congestive Heart Failure via Cognitive-Behavioral Procedure

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    M Zeraatkar

    2016-02-01

    Full Text Available Introduction: Reduced quality of life in cardiac patients and their frequent hospitalizations in the coronary care units is regarded as a main challenge for such patients. Therefore, this study aimed to explore the effectiveness of healthy lifestyle promotion intervention on quality of life in patients with congestive heart failure via cognitive-behavioral procedure. Methods: In this randomized controlled trial, assessment in pretest, posttest, and follow-up along with the control group were applied. Twenty-six patients with congestive heart failure were selected via convenience sampling among patients attended to Shahid Rajaee Heart hospital in Tehran. Then, they were randomly assigned to the experimental group (n=11; under administration of healthy lifestyle promotion intervention via cognitive-behavioral procedure during eight group sessions once a week and control group (n=15. Quality of life was measured for all the participants in three phases of pre-test, post-test and follow-up by Questionnaire of Quality of Life in Patients with Heart Failure (IHF-QoL and Depression Anxiety Stress Scales (DASS. Results: According to the results of variance analysis with repeated measures, this intervention was proved to have short-time effects on quality of life and its psychological components (P<0.001. Following the therapy termination, patients were returned to baseline, though the effect of intervention on depression was continued within 2 month follow-up (P<0.001. Conclusion: In regard with the effectiveness of healthy lifestyle promotion intervention via cognitive-behavioral procedure in improving quality of life and its psychological aspects, as well as high costs of hospital and prolonged treatment for these patients, applying this intervention in a permanent manner seem to be beneficial.

  18. Long Term Effectiveness of Cognitive Behavioral Group Therapy for Treatment of Major Depressive Disorder: A Systematic Review

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    Ceren Gokdag

    2016-03-01

    Full Text Available The aim of the study was to conduct systematic review the articles on long term effectiveness of cognitive-behavioral group therapy for treatment of major depressive disorder. Articles in English and Turkish published between the years of 2000 and 2015 (January were searched in national and international databases. The articles that did not include follow-up studies were excluded. Although the main aim of this study is to evaluate permanent effect of the cognitive behavioral group therapy, 21 articles that met the criteria were examined also in terms of some other variables such as research method, therapy characteristics and post test results. The findings of the articles revealed that cognitive-behavioral group therapy is effective for major depressive disorder and post therapy gains are maintained for a long time. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(Supplement 1: 23-38

  19. Predictors of Dropout by Female Obese Patients Treated with a Group Cognitive Behavioral Therapy to Promote Weight Loss.

    Science.gov (United States)

    Sawamoto, Ryoko; Nozaki, Takehiro; Furukawa, Tomokazu; Tanahashi, Tokusei; Morita, Chihiro; Hata, Tomokazu; Komaki, Gen; Sudo, Nobuyuki

    2016-01-01

    To investigate predictors of dropout from a group cognitive behavioral therapy (CBT) intervention for overweight or obese women. 119 overweight and obese Japanese women aged 25-65 years who attended an outpatient weight loss intervention were followed throughout the 7-month weight loss phase. Somatic characteristics, socioeconomic status, obesity-related diseases, diet and exercise habits, and psychological variables (depression, anxiety, self-esteem, alexithymia, parenting style, perfectionism, and eating attitude) were assessed at baseline. Significant variables, extracted by univariate statistical analysis, were then used as independent variables in a stepwise multiple logistic regression analysis with dropout as the dependent variable. 90 participants completed the weight loss phase, giving a dropout rate of 24.4%. The multiple logistic regression analysis demonstrated that compared to completers the dropouts had significantly stronger body shape concern, tended to not have jobs, perceived their mothers to be less caring, and were more disorganized in temperament. Of all these factors, the best predictor of dropout was shape concern. Shape concern, job condition, parenting care, and organization predicted dropout from the group CBT weight loss intervention for overweight or obese Japanese women. © 2016 S. Karger GmbH, Freiburg.

  20. Predictors of Dropout by Female Obese Patients Treated with a Group Cognitive Behavioral Therapy to Promote Weight Loss

    Directory of Open Access Journals (Sweden)

    Ryoko Sawamoto

    2016-01-01

    Full Text Available Objective: To investigate predictors of dropout from a group cognitive behavioral therapy (CBT intervention for overweight or obese women. Methods: 119 overweight and obese Japanese women aged 25-65 years who attended an outpatient weight loss intervention were followed throughout the 7-month weight loss phase. Somatic characteristics, socioeconomic status, obesity-related diseases, diet and exercise habits, and psychological variables (depression, anxiety, self-esteem, alexithymia, parenting style, perfectionism, and eating attitude were assessed at baseline. Significant variables, extracted by univariate statistical analysis, were then used as independent variables in a stepwise multiple logistic regression analysis with dropout as the dependent variable. Results: 90 participants completed the weight loss phase, giving a dropout rate of 24.4%. The multiple logistic regression analysis demonstrated that compared to completers the dropouts had significantly stronger body shape concern, tended to not have jobs, perceived their mothers to be less caring, and were more disorganized in temperament. Of all these factors, the best predictor of dropout was shape concern. Conclusion: Shape concern, job condition, parenting care, and organization predicted dropout from the group CBT weight loss intervention for overweight or obese Japanese women.

  1. Comparisons of short-term efficacy between individual and group cognitive behavioral therapy for primary insomnia

    Science.gov (United States)

    Yamadera, Wataru; Sato, Miki; Harada, Daisuke; Iwashita, Masayuki; Aoki, Ryo; Obuchi, Keita; Ozone, Motohiro; Itoh, Hiroshi; Nakayama, Kazuhiko

    2013-01-01

    The purpose of this study was to compare the efficacy of individual and group cognitive behavioral therapy for insomnia (CBT-I) in outpatients with primary insomnia diagnosed by DSM-IV-TR. The participants were 20 individually treated (I-CBT-I) and 25 treated in a group therapy format (three to five patients per group) (G-CBT-I), which showed no significant difference regarding demographic variables between groups. The same components of CBT-I stimulus control therapy, sleep restriction therapy, cognitive therapy, and sleep hygiene education were applied on both groups. The short-term outcome (4 weeks after treatment) was measured by sleep logs, actigraphy, the Pittsburgh Sleep Quality Index (PSQI), and the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), and was compared between I-CBT-I and G-CBT-I. The results indicated that CBT-I was effective in improving subjective and objective sleep parameters and subjective sleep evaluations for both individual and group treatment. However, I-CBT-I resulted in significantly better improvements over G-CBT-I, in (i) objective and subjective sleep onset latency time, (ii) objective sleep efficacy and moving time during sleeping, (iii) overall sleep quality and duration of actual sleep time in PSQI, (iv) consequences of insomnia, control and predictability of sleep, sleep requirement expectation, and sleep-promoting practices in DBAS. The present study suggested the superiority of I-CBT-I over G-CBT-I in clinical settings, and further evaluations are necessary. PMID:24098091

  2. Comparisons of short-term efficacy between individual and group cognitive behavioral therapy for primary insomnia.

    Science.gov (United States)

    Yamadera, Wataru; Sato, Miki; Harada, Daisuke; Iwashita, Masayuki; Aoki, Ryo; Obuchi, Keita; Ozone, Motohiro; Itoh, Hiroshi; Nakayama, Kazuhiko

    2013-07-01

    The purpose of this study was to compare the efficacy of individual and group cognitive behavioral therapy for insomnia (CBT-I) in outpatients with primary insomnia diagnosed by DSM-IV-TR. The participants were 20 individually treated (I-CBT-I) and 25 treated in a group therapy format (three to five patients per group) (G-CBT-I), which showed no significant difference regarding demographic variables between groups. The same components of CBT-I stimulus control therapy, sleep restriction therapy, cognitive therapy, and sleep hygiene education were applied on both groups. The short-term outcome (4 weeks after treatment) was measured by sleep logs, actigraphy, the Pittsburgh Sleep Quality Index (PSQI), and the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), and was compared between I-CBT-I and G-CBT-I. The results indicated that CBT-I was effective in improving subjective and objective sleep parameters and subjective sleep evaluations for both individual and group treatment. However, I-CBT-I resulted in significantly better improvements over G-CBT-I, in (i) objective and subjective sleep onset latency time, (ii) objective sleep efficacy and moving time during sleeping, (iii) overall sleep quality and duration of actual sleep time in PSQI, (iv) consequences of insomnia, control and predictability of sleep, sleep requirement expectation, and sleep-promoting practices in DBAS. The present study suggested the superiority of I-CBT-I over G-CBT-I in clinical settings, and further evaluations are necessary.

  3. Acceptance and Commitment Therapy and Cognitive-Behavioral Therapy as Treatments for Academic Procrastination: A Randomized Controlled Group Session

    Science.gov (United States)

    Wang, Shuo; Zhou, Ya; Yu, Shi; Ran, Li-Wen; Liu, Xiang-Ping; Chen, Yu-Fei

    2017-01-01

    Objective: This study tested the efficacy of Acceptance and Commitment Therapy (ACT), compared with Cognitive-Behavioral Therapy (CBT), in alleviating academic procrastination. Method: A total of 60 (53.3% male) undergraduates suffering from academic procrastination were randomly assigned to two treatment groups (ACT and CBT) and a control group.…

  4. Acceptance and Commitment Therapy and Cognitive-Behavioral Therapy as Treatments for Academic Procrastination: A Randomized Controlled Group Session

    Science.gov (United States)

    Wang, Shuo; Zhou, Ya; Yu, Shi; Ran, Li-Wen; Liu, Xiang-Ping; Chen, Yu-Fei

    2017-01-01

    Objective: This study tested the efficacy of Acceptance and Commitment Therapy (ACT), compared with Cognitive-Behavioral Therapy (CBT), in alleviating academic procrastination. Method: A total of 60 (53.3% male) undergraduates suffering from academic procrastination were randomly assigned to two treatment groups (ACT and CBT) and a control group.…

  5. A Comparative Investigation of the Effects of Cognitive-Behavioral Group Practices and Psychodrama on Adolescent Aggression

    Science.gov (United States)

    Karatas, Zeynep; Gokcakan, Zafer

    2009-01-01

    The aim of this research is to investigate whether cognitive-behavioral group practices and psychodrama decrease adolescent aggression. This is a quasi-experimental, pre-post and follow up study with two experiments and one control group. The Aggression Scale (Buss & Warren, 2000) adapted to Turkish by Can (2002) was administered as a pretest to…

  6. A Qualitative Examination of a New Combined Cognitive-Behavioral and Neuromuscular Training Intervention for Juvenile Fibromyalgia.

    Science.gov (United States)

    Kashikar-Zuck, Susmita; Tran, Susan T; Barnett, Kimberly; Bromberg, Maggie H; Strotman, Daniel; Sil, Soumitri; Thomas, Staci M; Joffe, Naomi; Ting, Tracy V; Williams, Sara E; Myer, Gregory D

    2016-01-01

    Adolescents with juvenile fibromyalgia (JFM) are typically sedentary despite recommendations for physical exercise, a key component of pain management. Interventions such as cognitive-behavior therapy (CBT) are beneficial but do not improve exercise participation. The objective of this study was to obtain preliminary information about the feasibility, safety, and acceptability of a new intervention--Fibromyalgia Integrative Training for Teens (FIT Teens), which combines CBT with specialized neuromuscular exercise training modified from evidence-based injury prevention protocols. Participants were 17 adolescent females (aged 12 to 18 y) with JFM. Of these, 11 completed the 8-week (16 sessions) FIT Teens program in a small-group format with 3 to 4 patients per group. Patients provided detailed qualitative feedback via individual semistructured interviews after treatment. Interview content was coded using thematic analysis. Interventionist feedback about treatment implementation was also obtained. The intervention was found to be feasible, well tolerated, and safe for JFM patients. Barriers to enrollment (50% of those approached) included difficulties with transportation or time conflicts. Treatment completers enjoyed the group format and reported increased self-efficacy, strength, and motivation to exercise. Participants also reported decreased pain and increased energy levels. Feedback from participants and interventionists was incorporated into a final treatment manual to be used in a future trial. Results of this study provided initial support for the new FIT Teens program. An integrative strategy of combining pain coping skills via CBT enhanced with tailored exercise specifically designed to improve confidence in movement and improving activity participation holds promise in the management of JFM.

  7. Cost-Effectiveness of Group and Internet Cognitive Behavioral Therapy for Insomnia in Adolescents : Results from a Randomized Controlled Trial

    NARCIS (Netherlands)

    de Bruin, E.J.; van Steensel, F.J.A.; Meijer, A.M.

    2016-01-01

    Study Objectives: To investigate cost-effectiveness of adolescent cognitive behavioral therapy for insomnia (CBTI) in group- and Internet-delivered formats, from a societal perspective with a time horizon of 1 y Methods: Costs and effects data up to 1-y follow-up were obtained from a randomized cont

  8. Clinical effectiveness of a cognitive behavioral group treatment program for anxiety disorders: a benchmarking study.

    Science.gov (United States)

    Oei, Tian P S; Boschen, Mark J

    2009-10-01

    Previous research has established efficacy of cognitive behavioral therapy (CBT) for anxiety disorders, yet it has not been widely assessed in routine community clinic practices. Efficacy research sacrifices external validity to achieve maximum internal validity. Recently, effectiveness research has been advocated as more ecologically valid for assessing routine clinical work in community clinics. Furthermore, there is a lack of effectiveness research in group CBT. This study aims to extend existing research on the effectiveness of CBT from individual therapy into group therapy delivery. It aimed also to examine outcome using not only symptom measures, but also measures of related symptoms, cognitions, and life quality and satisfaction. Results from a cohort of patients with various anxiety disorders demonstrated that treatment was effective in reducing anxiety symptoms to an extent comparable with other effectiveness studies. Despite this, only 43% of individuals showed reliable change, and 17% were 'recovered' from their anxiety symptoms, and the post-treatment measures were still significantly different from the level of anxiety symptoms observed in the general population.

  9. Enhanced cognitive behavioral therapy for eating disorders adapted for a group setting.

    Science.gov (United States)

    Wade, Stephanie; Byrne, Sue; Allen, Karina

    2017-08-01

    This randomized control trial is an evaluation of the effectiveness of enhanced cognitive behavioral treatment (CBT-E) for eating disorders adapted for a group setting. The study aimed to examine the effects of group CBT-E on eating disorder psychopathology and additional maintaining pathology. A transdiagnostic sample of individuals with eating disorders with a BMI ≥ 18 kg/m(2) (N = 40) were randomized to an immediate-start or delayed-start condition so as to compare therapeutic effects of group CBT-E with a waitlist control. Global Eating Disorder Examination Questionnaire (EDE-Q) scores, BMI, and measures of Clinical Perfectionism, Self-Esteem, Interpersonal Difficulties, and Mood Intolerance were measured across the 8-week control period, throughout the group treatment and at 3-months post-treatment. Over 70% of those who entered the trial completed treatment. The first eight weeks of group CBT-E were more effective at reducing Global EDE-Q scores than no treatment (waitlist control). By post-treatment, good outcome (a Global EDE-Q within 1 SD of Australian community norms plus BMI ≥ 18.5) was achieved by 67.9% of treatment completers and 66.7% of the total sample. Symptom abstinence within the previous month was reported by 14.3% of treatment completers and 10.3% of the total sample. Significant reductions in Clinical Perfectionism, Self-Esteem, Interpersonal Difficulties, and Mood Intolerance were also observed. This study demonstrated that a group version of CBT-E can be effective at reducing eating disorder psychopathology in a transdiagnostic sample of individuals with eating disorders. Group CBT-E could provide a means of increasing availability of evidence-based treatment for eating disorders. © 2017 Wiley Periodicals, Inc.

  10. Effectiveness of Group Cognitive Behavioral Therapy for Insomnia (CBT-I) in a Primary Care Setting.

    Science.gov (United States)

    Davidson, Judith R; Dawson, Samantha; Krsmanovic, Adrijana

    2017-05-02

    Primary care is where many patients with insomnia first ask for professional help. Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended treatment for chronic insomnia. Although CBT-I's efficacy is well established, its effectiveness in real-life primary care has seldom been investigated. We examined the effectiveness of CBT-I as routinely delivered in a Canadian primary care setting. The patients were 70 women and 11 men (mean age = 57.0 years, SD = 12.3); 83% had medical comorbidity. For the first 81 patients who took the six-session group program we compared initial and postprogram sleep diaries, sleep medication use, Insomnia Severity Index (ISI), the Hospital Anxiety and Depression Scale (HADS), and visits to the family physician. Sleep onset latency, wake after sleep onset, total sleep time, sleep efficiency, and ISI scores improved significantly (p sleep medication decreased (p 7). Wait-list data from 42 patients showed minimal sleep and mood improvements with the passage of time. Number of visits to the family physician six months postprogram decreased, although not significantly (p = .108). The CBT-I program was associated with improvement on all sleep and mood measures. Effect sizes were similar to, or larger than, those found in randomized controlled trials, demonstrating the real-world effectiveness of CBT-I in an interdisciplinary primary care setting.

  11. Psychosocial functioning in patients with treatment-resistant depression after group cognitive behavioral therapy

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    Kunisato Yoshihiko

    2010-03-01

    Full Text Available Abstract Background Although patients with Treatment Resistant Depression (TRD often have impaired social functioning, few studies have investigated the effectiveness of psychosocial treatment for these patients. We examined whether adding group cognitive behavioral therapy (group-CBT to medication would improve both the depressive symptoms and the social functioning of patient with mild TRD, and whether any improvements would be maintained over one year. Methods Forty-three patients with TRD were treated with 12 weekly sessions of group-CBT. Patients were assessed with the Global Assessment of Functioning scale (GAF, the 36-item Short-Form Health Survey (SF-36, the Hamilton Rating Scale for Depression (HRSD, the Dysfunctional Attitudes Scale (DAS, and the Automatic Thought Questionnaire-Revised (ATQ-R at baseline, at the termination of treatment, and at the 12-month follow-up. Results Thirty-eight patients completed treatment; five dropped out. For the patients who completed treatment, post-treatment scores on the GAF and SF-36 were significantly higher than baseline scores. Scores on the HRSD, DAS, and ATQ-R were significantly lower after the treatment. Thus patients improved on all measurements of psychosocial functioning and mood symptoms. Twenty patients participated in the 12-month follow-up. Their improvements for psychosocial functioning, depressive symptoms, and dysfunctional cognitions were sustained at 12 months following the completion of group-CBT. Conclusions These findings suggest a positive effect that the addition of cognitive behavioural group therapy to medication on depressive symptoms and social functioning of mildly depressed patients, showing treatment resistance.

  12. Preliminary study on the effectiveness of short group cognitive behavioral therapy (GCBT) on Indonesian older adults.

    Science.gov (United States)

    Utoyo, Dharmayati Bambang; Lubis, Dharmayati Utoyo; Jaya, Edo Sebastian; Arjadi, Retha; Hanum, Lathifah; Astri, Kresna; Putri, Maha Decha Dwi

    2013-01-01

    This research aims to develop evidence based affordable psychological therapy for Indonesian older adults. An affordable psychological therapy is important as there is virtually no managed care or health insurance that covers psychological therapy in Indonesia. Multicomponent group cognitive behavior therapy (GCBGT) was chosen as a starting point due to its extensive evidence, short sessions, and success for a wide range of psychological problems. The group format was chosen to address both the economic and the cultural context of Indonesia. Then, the developed treatment is tested to common psychological problems in older adults' population (anxiety, chronic pain, depression, and insomnia). The treatment consists of 8 sessions with twice a week meetings for 2.5 hours. There are similarities and differences among the techniques used in the treatment for the different psychological problems. The final participants are 38 older adults that are divided into the treatment groups; 8 participants joined the anxiety treatment, 10 participants for the chronic pain treatment, 10 participants for depression treatment, and lastly, 10 participants joined the insomnia treatment. The research design is pre-test post-test with within group analysis. We used principal outcome measure that is specific for each treatment group, as well as additional outcome measures. Overall, the result shows statistical significance change with large effect size for the principal outcome measure. In addition, the result for the additional measures varies from slight improvement with small effect size to statistically significant improvement with large effect size. The result indicates that short multicomponent GCBT is effective in alleviating various common psychological problems in Indonesian older adults. Therefore, multicomponent GCBT may be a good starting point to develop an effective and affordable psychological therapy for Indonesian older adults. Lastly, this result adds to the accumulating

  13. Preliminary study on the effectiveness of short group cognitive behavioral therapy (GCBT on Indonesian older adults.

    Directory of Open Access Journals (Sweden)

    Dharmayati Bambang Utoyo

    Full Text Available This research aims to develop evidence based affordable psychological therapy for Indonesian older adults. An affordable psychological therapy is important as there is virtually no managed care or health insurance that covers psychological therapy in Indonesia. Multicomponent group cognitive behavior therapy (GCBGT was chosen as a starting point due to its extensive evidence, short sessions, and success for a wide range of psychological problems. The group format was chosen to address both the economic and the cultural context of Indonesia. Then, the developed treatment is tested to common psychological problems in older adults' population (anxiety, chronic pain, depression, and insomnia. The treatment consists of 8 sessions with twice a week meetings for 2.5 hours. There are similarities and differences among the techniques used in the treatment for the different psychological problems. The final participants are 38 older adults that are divided into the treatment groups; 8 participants joined the anxiety treatment, 10 participants for the chronic pain treatment, 10 participants for depression treatment, and lastly, 10 participants joined the insomnia treatment. The research design is pre-test post-test with within group analysis. We used principal outcome measure that is specific for each treatment group, as well as additional outcome measures. Overall, the result shows statistical significance change with large effect size for the principal outcome measure. In addition, the result for the additional measures varies from slight improvement with small effect size to statistically significant improvement with large effect size. The result indicates that short multicomponent GCBT is effective in alleviating various common psychological problems in Indonesian older adults. Therefore, multicomponent GCBT may be a good starting point to develop an effective and affordable psychological therapy for Indonesian older adults. Lastly, this result adds to

  14. Participants' Experiences of an Early Cognitive Behavioral Intervention for Adolescents with Symptoms of Depression

    Science.gov (United States)

    Bru, Lene; Solholm, Roar; Idsoe, Thormod

    2013-01-01

    Cognitive-behavioral therapy (CBT) has been documented to be effective in treating depression in adolescence, but there is great variability in the clinical outcome of CBT trials. This may in part be due to variations in the content of, and emphasis on different CBT components. Moreover, little is known about adolescents' subjective experiences of…

  15. Participants' Experiences of an Early Cognitive Behavioral Intervention for Adolescents with Symptoms of Depression

    Science.gov (United States)

    Bru, Lene; Solholm, Roar; Idsoe, Thormod

    2013-01-01

    Cognitive-behavioral therapy (CBT) has been documented to be effective in treating depression in adolescence, but there is great variability in the clinical outcome of CBT trials. This may in part be due to variations in the content of, and emphasis on different CBT components. Moreover, little is known about adolescents' subjective experiences of…

  16. Striving for Effectiveness in the Treatment of Adolescent Depression: Cognitive Behavior Therapy for Multisite Community Intervention

    Science.gov (United States)

    Curry, John F.; Wells, Karen C.

    2005-01-01

    The Treatment for Adolescents With Depression Study (TADS) was designed to compare the relative and combined effectiveness of cognitive behavior therapy (CBT) and fluoxetine, each of which had demonstrated efficacy in carefully controlled single-site studies. Models of CBT from these efficacy studies served as the foundation for the TADS…

  17. The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: A meta-analytic review

    NARCIS (Netherlands)

    Smits, J.A.J.; Berry, A.C.; Tart, C.D.; Powers, M.B.

    2008-01-01

    The present study meta-analytically reviewed the efficacy of cognitive-behavioral therapy (CBT) vs. control conditions in the reduction of anxiety sensitivity. A computerized search was conducted to indentify CBT outcome studies that included the Anxiety Sensitivity Index as a dependent variable. Of

  18. Cognitive-Behavioral Stress Management Interventions for Ethnic-Minority HIV-Positive Alcohol/Drug Abusers in Resource Limited and Culturally Diverse Communities

    Directory of Open Access Journals (Sweden)

    Robert M. Malow

    2009-01-01

    Full Text Available The article reports our intervention work with Alcohol and Other Drug Abusing (AOD People Living With HIV (PLWH. Present research has involved adapting Cognitive Behavioral Stress Management (CBSM and other strategies to improve quality of life and health outcomes for PLWH. Historically, CBSM has used relaxation and coping skills training to reduce negative mood and improve coping behaviors. The efficacy of CBSM interventions to improve functioning has been demonstrated in many disease groups and, more recently, in ethnic-minority HIV+ samples in the US CBSM HIV risk reduction interventions are similar to other cognitive-behavioral therapies in emphasizing skills training and stress reduction. Among the most precarious and challenging clinical populations are HIV infected individuals with a history of alcohol and/or drug abuse. Compared to their counterparts with no history of alcohol or drug abuse, not only are they more likely to transmit the virus to others, but they are also at risk for problems in adhering to antiretroviral regimens. A main focus of this article is to report on our intervention work with very resource-limited, ethnic-minority PLWH with substance abuse problems, particularly our NIH funded projects in Miami and Haiti and the opportunities presented by the emerging science of biological vulnerability and genomic factors.

  19. Cognitive behavioral therapy for depression among adults in Japanese clinical settings: a single-group study

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    Kikuchi Toshiaki

    2010-06-01

    Full Text Available Abstract Background Empirical support for cognitive behavioral therapy (CBT for treating Japanese patients with major depression is lacking, therefore, a feasibility study of CBT for depression in Japanese clinical settings is urgently required. Findings A culturally adapted, 16-week manualized individual CBT program for Japanese patients with major depressive disorder was developed. A total of 27 patients with major depression were enrolled in a single-group study with the purpose of testing the feasibility of the program. Twenty six patients (96% completed the study. The mean total score on the Beck Depression Inventory-II (BDI-II for all patients (Intention-to-treat sample improved from 32.6 to 11.7, with a mean change of 20.8 (95% confidence interval: 17.0 to 24.8. Within-group effect size at the endpoint assessment was 2.64 (Cohen's d. Twenty-one patients (77.7% showed treatment response and 17 patients (63.0% achieved remission at the end of the program. Significant improvement was observed in measurement of subjective and objective depression severity (assessed by BDI-II, Quick Inventory of Depressive Symptomatology-Self Rated, and Hamilton Depression Rating Scale, dysfunctional attitude (assessed by Dysfunctional Attitude Scale, global functioning (assessed by Global Assessment of Functioning of DSM-IV and subjective well-being (assessed by WHO Subjective Well-being Inventory (all p values Conclusions Our manualized treatment comprised of a 16-week individual CBT program for major depression appears feasible and may achieve favorable treatment outcomes among Japanese patients with major depression. Further research involving a larger sample in a randomized, controlled trial design is warranted. Trial registration UMIN-CTR UMIN000002542.

  20. Effects of a group-focused cognitive behavioral health education program on cigarette smoking in a sample of Nigerian prisoners

    OpenAIRE

    Onyechi, Kay C.N.; Eseadi, Chiedu; Umoke, Prince C.I.; Ikechukwu-Ilomuanya, Amaka B.; Otu, Mkpoikanke S.; Obidoa, Jaachimma C.; Agu, Fedinand U.; Nwaubani, Okechukwu O.; Utoh-Ofong, Anthonia N.; Ncheke, Chijioke D.; Ugwuozor, Felix O.

    2017-01-01

    Abstract Background: Smoking is a learned habit that has an impact on the psychological and biochemical health of individuals. It is the leading preventable cause of chronic illness worldwide. The purpose of this study was to examine the effects of a group-focused cognitive behavioral health education program (GCBHEP) on cigarette smoking in a sample of Nigerian prisoners. Methods: The study used a pretest–posttest randomized control group design. Twenty inmates were identified through self-r...

  1. Coping Strategies in Bulimia Nervosa Treatment: Impact on Outcome in Group Cognitive-Behavioral Therapy

    Science.gov (United States)

    Binford, Roslyn B.; Mussell, Melissa Pederson; Crosby, Ross D.; Peterson, Carol B.; Crow, Scott J.; Mitchell, James E.

    2005-01-01

    This study's purpose was to examine the extent to which participants (N = 143) receiving cognitive-behavioral therapy for bulimia nervosa (BN) reported implementing therapeutic strategies to abstain from BN behaviors, and to assess whether use of specific strategies predicts outcome at treatment end and 1-and 6-month follow-up. Frequency of…

  2. Coping Strategies in Bulimia Nervosa Treatment: Impact on Outcome in Group Cognitive-Behavioral Therapy

    Science.gov (United States)

    Binford, Roslyn B.; Mussell, Melissa Pederson; Crosby, Ross D.; Peterson, Carol B.; Crow, Scott J.; Mitchell, James E.

    2005-01-01

    This study's purpose was to examine the extent to which participants (N = 143) receiving cognitive-behavioral therapy for bulimia nervosa (BN) reported implementing therapeutic strategies to abstain from BN behaviors, and to assess whether use of specific strategies predicts outcome at treatment end and 1-and 6-month follow-up. Frequency of…

  3. Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study

    Directory of Open Access Journals (Sweden)

    Khatri N

    2014-05-01

    Full Text Available Nasreen Khatri, Elsa Marziali, Illia Tchernikov, Nancy ShepherdRotman Research Institute, Toronto, ON, CanadaBackground: The primary objective of this pilot study was to demonstrate reliable adherence to a group cognitive behavioral (CBT therapy protocol when delivered using on-line video conferencing as compared with face-to-face delivery of group CBT. A secondary aim was to show comparability of changes in subject depression inventory scores between on-line and face-to-face delivery of group CBT.Methods: We screened 31 individuals, 18 of whom met the criteria for a DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition diagnosis of mood and/or anxiety disorder. All qualifying participants had the necessary equipment (computer, webcam, Internet for participation in the study, but could exercise their preference for either the on-line or face-to-face format. Eighteen completed the 13 weekly session intervention program (ten face-to-face; eight video conferencing. We coded adherence to protocol in both intervention formats and generated pre–post changes in scores on the Beck Depression Inventory Second Edition (BDI-II for each participant.Results: Application of the CBT protocol coding system showed reliable adherence to the group CBT intervention protocol in both delivery formats. Similarly, qualitative analysis of the themes in group discussion indicated that both groups addressed similar issues. Pre–post intervention scores for the BDI-II were comparable across the two delivery formats, with 60% of participants in each group showing a positive change in BDI-II severity classification (eg, from moderate to low symptoms.Conclusion: This pilot study demonstrates that group CBT could be delivered in a technology-supported environment (on-line video conferencing and can meet the same professional practice standards and outcomes as face-to-face delivery of the intervention program.Keywords: psychotherapy, gerontology, mood

  4. Chronotype and Improved Sleep Efficiency Independently Predict Depressive Symptom Reduction after Group Cognitive Behavioral Therapy for Insomnia.

    Science.gov (United States)

    Bei, Bei; Ong, Jason C; Rajaratnam, Shantha M W; Manber, Rachel

    2015-09-15

    Cognitive behavioral therapy for insomnia (CBT-I) has been shown to improve both sleep and depressive symptoms, but predictors of depression outcome following CBT-I have not been well examined. This study investigated how chronotype (i.e., morningness-eveningness trait) and changes in sleep efficiency (SE) were related to changes in depressive symptoms among recipients of CBT-I. Included were 419 adult insomnia outpatients from a sleep disorders clinic (43.20% males, age mean ± standard deviation = 48.14 ± 14.02). All participants completed the Composite Scale of Morningness and attended at least 4 sessions of a 6-session group CBT-I. SE was extracted from sleep diary; depressive symptoms were assessed using the Beck Depression Inventory (BDI) prior to (Baseline), and at the end (End) of intervention. Multilevel structural equation modeling revealed that from Baseline to End, SE increased and BDI decreased significantly. Controlling for age, sex, BDI, and SE at Baseline, stronger evening chronotype and less improvement in SE significantly and uniquely predicted less reduction in BDI from Baseline to End. Chronotype did not predict improvement in SE. In an insomnia outpatient sample, SE and depressive symptoms improved significantly after a CBT-I group intervention. All chronotypes benefited from sleep improvement, but those with greater eveningness and/or less sleep improvement experienced less reduction in depressive symptom severity. This suggests that evening preference and insomnia symptoms may have distinct relationships with mood, raising the possibility that the effect of CBT-I on depressive symptoms could be enhanced by assessing and addressing circadian factors. © 2015 American Academy of Sleep Medicine.

  5. Defense mechanisms after brief cognitive-behavior group therapy for panic disorder: one-year follow-up.

    Science.gov (United States)

    Heldt, Elizeth; Blaya, Carolina; Kipper, Leticia; Salum, Giovanni A; Otto, Michael W; Manfro, Gisele G

    2007-06-01

    Changes in defense mechanisms have been shown in long-term psychodynamic treatment. The aim of this study was to examine the changes that occurred after brief cognitive-behavior group therapy in the defense style of panic disorder patients that had failed to respond to pharmacotherapy. Forty-seven patients participated in the study and severity of panic disorder was evaluated by Clinical Global Impression. Defense mechanisms were evaluated by the Defense Style Questionnaire. Patients decreased the use of maladaptive defenses after cognitive-behavior group therapy, and the change in immature defenses was maintained at 1-year follow-up evaluation (p = 0.022). These modifications were associated with reduction of symptoms (F = 0.359; p = 0.047). These findings are consistent with the hypothesis that defense styles are malleable in short-term treatment and are, at least partially, symptom-state dependent.

  6. Effectiveness of Cognitive Behavioral Group Therapy for Social Anxiety Disorder in Children and Adolescent: A Systematic Review

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    Nesibe Olgun Kaval

    2016-03-01

    Full Text Available The aim of the study was to review the articles on the effectiveness of cognitive-behavioral group therapy programs for the treatment of social anxiety disorder in children and adolescents. In this systematic review, articles in English and Turkish that were published between the years of 2000 and 2015 (March have been searched in the national and international databases. 20 studies that were met the search criteria were examined in terms of research method, therapy characteristics and results. The findings of the articles revealed that cognitive behavioral group therapy is effective for symptoms of social anxiety and the problems that accompany social anxiety (depression, anxiety, etc. in children and adolescents. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(Supplement 1: 3-22

  7. RELATIONSHIP OF COGNITIVE BEHAVIORAL THERAPY EFFECTS AND HOMEWORK IN AN INDICATED PREVENTION OF DEPRESSION INTERVENTION FOR NON-PROFESSIONAL CAREGIVERS (.).

    Science.gov (United States)

    Otero, Patricia; Vázquez, Fernando L; Hermida, Elisabet; Díaz, Olga; Torres, Ángela

    2015-06-01

    Activities designed to be performed outside of the intervention are considered an essential aspect of the effectiveness of cognitive-behavioral therapy. However, these have received little attention in interventions aimed at individuals with subclinical depressive symptoms who do not yet meet diagnostic criteria for depression (indicated prevention). In this study, the completion of tasks given as homework and their relationship with post-treatment depressive symptoms was with relation to an indicated prevention of depression intervention. Eighty-nine female non-professional caregivers recruited from an official registry completed an intervention involving 11 homework tasks. Tasks performed were recorded and depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale (CES-D). Among caregivers, 80.9% completed 9-11 tasks. The number of tasks performed was associated with post-treatment depressive symptoms, with 9 being optimal for clinically significant improvement. These findings highlight the relationship between homework and post-treatment depressive symptoms.

  8. Effectiveness of group cognitive behavioral therapy for somatoform pain disorder patients in Japan: A preliminary non-case-control study.

    Science.gov (United States)

    Yoshino, Atsuo; Okamoto, Yasumasa; Doi, Mitsuru; Horikoshi, Masaru; Oshita, Kyoko; Nakamura, Ryuji; Otsuru, Naofumi; Yoshimura, Shinpei; Tanaka, Keisuke; Takagaki, Koki; Jinnin, Ran; Yamashita, Hidehisa; Kawamoto, Masashi; Yamawaki, Shigeto

    2015-12-01

    Somatoform pain disorder is associated with psychosocial dysfunction, and psychotherapies, such as cognitive behavioral therapy (CBT), are thought to provide useful interventions to address such dysfunction as well as the pain itself. However, little is known about whether CBT for somatoform pain disorder is effective, including the long-term course of the illness, in non-Western populations. We therefore tailored such a program based on an existing CBT protocol and examined its effectiveness in Japan. Thirty-four Japanese participants (22 women; mean age = 52.5 years) enrolled in a weekly 12-session group treatment, with 32 completing both wait-list and treatment conditions. The primary outcome measure was pain intensity. Secondary outcome measures included pain characteristics, as measured by pain catastrophizing and psychometric evaluations, including depression, anxiety, and quality of life. The patients were followed up for 12 months after treatment. We found that pain intensity, anxiety, depressive symptoms, and social functioning all significantly improved after treatment compared with the wait-list period, and the improvements in pain intensity, depressive symptoms, and social functioning were sustained at 12 months following the completion of CBT. There were strong positive correlations (P anxiety, and pain catastrophizing. These results show that the present CBT program was effective for Japanese patients with somatoform pain disorder and that gains were maintained over the long term. More work is needed to further clarify the effects of CBT interventions on somatoform symptoms, particularly in Japan. © 2015 The Authors. Psychiatry and Clinical Neurosciences © 2015 Japanese Society of Psychiatry and Neurology.

  9. Development of a novel mindfulness and cognitive behavioral intervention for stress-eating: a comparative pilot study.

    Science.gov (United States)

    Corsica, Joyce; Hood, Megan M; Katterman, Shawn; Kleinman, Brighid; Ivan, Iulia

    2014-12-01

    Stress-related eating is increasingly cited as a difficulty in managing healthy eating behaviors and weight. However few interventions have been designed to specifically target stress-related eating. In addition, the optimal target of such an intervention is unclear, as the target might be conceptualized as overall stress reduction or changing emotional eating-related thoughts and behaviors. This pilot study compared the effects of three interventions targeting those components individually and in combination on stress-related eating, perceived stress, and weight loss to determine whether the two intervention components are effective alone or are more effective when combined. Fifty-three overweight participants (98% female) who reported elevated levels of stress and stress-eating and were at risk for obesity were randomly assigned to one of three six-week interventions: a modified mindfulness-based stress reduction (MBSR) intervention, a cognitive behavioral stress-eating intervention (SEI), and a combined intervention that included all MBSR and SEI components. All three interventions significantly reduced perceived stress and stress-eating, but the combination intervention resulted in greater reductions and also produced a moderate effect on short term weight loss. Benefits persisted at six week follow-up.The pattern of results preliminarily suggests that the combination intervention (MBSR+SEI) may yield promise in the treatment of stress-related eating.

  10. Helping Schoolchildren Cope with Anger: A Cognitive-Behavioral Intervention. Second Edition

    Science.gov (United States)

    Larson, Jim; Lochman, John E.

    2010-01-01

    This guide presents information and clinical tools to implement the Anger Coping Program, an empirically supported intervention for students in grades 3-6. Practitioners are taken step by step through setting up treatment groups, teaching vital skills for reducing aggression and disruptive behavior, and building strong partnerships with teachers…

  11. Work-focused cognitive behavioral intervention for psychological complaints in patients on sick leave due to work-related stress: Results from a randomized controlled trial.

    Science.gov (United States)

    Dalgaard, Vita Ligaya; Andersen, Lars Peter Sønderbo; Andersen, Johan Hviid; Willert, Morten Vejs; Carstensen, Ole; Glasscock, David John

    2017-08-22

    Work-related stress is a global problem with negative implications for individuals and society. The purpose of the current study was to evaluate a stress management intervention for patients on sick leave due to work-related stress complaints using a three-armed randomized controlled design. Participants were patients referred from three municipalities to the regional Department of Occupational Medicine. Inclusion criteria were: 1) sick leave due to work-related stress complaints, 2) a diagnosis of adjustment disorder or reactions to severe stress (ICD 10 code: F43,2 - F 43,9 not PTSD) or mild depressive episode (F 32.0). Through a double randomization procedure patients (n = 163) were randomized to either an intervention group (n = 58), a 'control group A' receiving a clinical examination (n = 56), or 'control group B' (n = 49) receiving no offers at the department. The intervention comprised six sessions of individual cognitive behavioral therapy and the offer of a small workplace intervention. Questionnaire data were analyzed with multivariate repeated measurements analysis. Primary outcomes assessed were perceived stress and general mental health. Secondary outcomes were sleep quality and cognitive failures. Follow-up was at four and 10 months after baseline. Complaints were significantly reduced in all groups over time. No group effects were observed between the intervention group and control group A that was clinically assessed. Significant group effects were found for perceived stress and memory when comparing the intervention group to group B, but most likely not due to an intervention effect. Psychological complaints improved substantially over time in all groups, but there was no significant treatment effect on any outcomes when the intervention group was compared to control group A that received a clinical assessment. ISRCTN ISRCTN91404229. Registered 03 August 2012 (retrospectively registered).

  12. Cognitive behavioral therapy for compulsive buying disorder.

    Science.gov (United States)

    Mitchell, James E; Burgard, Melissa; Faber, Ron; Crosby, Ross D; de Zwaan, Martina

    2006-12-01

    To our knowledge, no psychotherapy treatment studies for compulsive buying have been published. The authors conducted a pilot trial comparing the efficacy of a group cognitive behavioral intervention designed for the treatment of compulsive buying to a waiting list control. Twenty-eight subjects were assigned to receive active treatment and 11 to the waiting list control group. The results at the end of treatment showed significant advantages for cognitive behavioral therapy (CBT) over the waiting list in reductions in the number of compulsive buying episodes and time spent buying, as well as scores on the Yale-Brown Obsessive Compulsive Scale--Shopping Version and the Compulsive Buying Scale. Improvement was well-maintained at 6-month follow-up. The pilot data suggests that a cognitive behavioral intervention can be quite effective in the treatment of compulsive buying disorder. This model requires further testing.

  13. Mindfulness and acceptance-based group therapy and traditional cognitive behavioral group therapy for social anxiety disorder: Mechanisms of change.

    Science.gov (United States)

    Kocovski, Nancy L; Fleming, Jan E; Hawley, Lance L; Ho, Moon-Ho Ringo; Antony, Martin M

    2015-07-01

    The present study investigated mechanisms of change for two group treatments for social anxiety disorder (SAD): cognitive behavioral group therapy (CBGT) and mindfulness and acceptance-based group therapy (MAGT). Participants were treatment completers (n = 37 for MAGT, n = 32 for CBGT) from a randomized clinical trial. Cognitive reappraisal was the hypothesized mechanism of change for CBGT. Mindfulness and acceptance were hypothesized mechanisms of change for MAGT. Latent difference score (LDS) analysis results demonstrate that cognitive reappraisal coupling (in which cognitive reappraisal is negatively associated with the subsequent rate of change in social anxiety) had a greater impact on social anxiety for CBGT than MAGT. The LDS bidirectional mindfulness model (mindfulness predicts subsequent change in social anxiety; social anxiety predicts subsequent change in mindfulness) was supported for both treatments. Results for acceptance were less clear. Cognitive reappraisal may be a more important mechanism of change for CBGT than MAGT, whereas mindfulness may be an important mechanism of change for both treatments. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Randomized controlled trial of group cognitive behavioral therapy compared to a discussion group for co-morbid anxiety and depression in older adults.

    Science.gov (United States)

    Wuthrich, V M; Rapee, R M; Kangas, M; Perini, S

    2016-03-01

    Co-morbid anxiety and depression in older adults is associated with worse physical and mental health outcomes and poorer response to psychological and pharmacological treatments in older adults. However, there is a paucity of research focused on testing the efficacy of the co-morbid treatment of anxiety and depression in older adults using psychological interventions. Accordingly, the primary objective of the current study was to test the effects of a group cognitive behavior therapy (CBT) program in treating co-morbid anxiety and depression in a sample of older age adults. A total of 133 community-dwelling participants aged ⩾60 years (mean age = 67.35, s.d. = 5.44, male = 59) with both an anxiety disorder and unipolar mood disorder, as assessed on the Anxiety Disorder Interview Schedule (ADIS), were randomly allocated to an 11-week CBT group or discussion group. Participants with Mini-Mental State Examination scores group × time interaction effects emerged at post-treatment only for diagnostic severity of the primary disorder, mean severity of all anxiety disorders, mood disorders, and all disorders, and recovery rates on primary disorder. Group CBT produced faster and sustained improvements in anxiety and depression on diagnostic severity and recovery rates compared to an active control in older adults.

  15. Effectiveness of Cognitive-Behavioral Group Therapy on Improving Quality of Life in Opiate Addicts under Methadone Maintenance Treatment

    Directory of Open Access Journals (Sweden)

    Fereshteh Momeni

    2013-04-01

    Full Text Available Objective: This study was aimed to assess the effectiveness of cognitive- behavioral group therapy on improvement of quality of life in opiate patients under methadone maintenance treatment. Method: This was a semi experimental study using control group also pre-test, post-test and follow-up. Thirty six patients on MMT were selected between the entire opiate addicts referred to Iranian national center for addiction studies within judgmental sampling and were randomly assigned into experimental and control groups. They were all administered the WHOQOL-BREF. In experimental group, cognitive behavior group therapy was performed in 8 sessions and the control group was registered in the waiting list for the CBGT. Findings: Data analysis revealed that the mean WHOQOL-BREF score in the experimental group had significant higher increase when compared with that of the control group. But it wasn’t significant in follow up. Conclusion: Results demonstrated the effectiveness of cognitive–behavior group therapy On improvement of quality of life of opiate addicts on MMT in short term but didn’t seem to be effective in long term.

  16. Clinical effectiveness and cost-effectiveness of Internet- vs. group-based cognitive behavior therapy for social anxiety disorder: 4-year follow-up of a randomized trial.

    Science.gov (United States)

    Hedman, Erik; El Alaoui, Samir; Lindefors, Nils; Andersson, Erik; Rück, Christian; Ghaderi, Ata; Kaldo, Viktor; Lekander, Mats; Andersson, Gerhard; Ljótsson, Brjánn

    2014-08-01

    Social anxiety disorder (SAD) is common, debilitating and associated with high societal costs. The disorder can be effectively treated with Internet-based cognitive behavior therapy (ICBT), but no previous study has investigated the long-term clinical or health economic effects of ICBT for SAD in comparison to an evidence-based control treatment. The aim of the study was to investigate the clinical effectiveness and cost-effectiveness of ICBT compared to cognitive behavioral group therapy (CBGT) four years post-treatment. We conducted a 4-year follow-up study of participants who had received ICBT or CBGT for SAD within the context of a randomized controlled non-inferiority trial. The cost-effectiveness analyses were conducted taking a societal perspective. Participants in both treatment groups made large improvements from baseline to 4-year follow-up on the primary outcome measure (d = 1.34-1.48) and the 95% CI of the mean difference on the primary outcome was well within the non-inferiority margin. ICBT and CBGT were similarly cost-effective and both groups reduced their indirect costs. We conclude that ICBT for SAD yields large sustainable effects and is at least as long-term effective as CBGT. Intervention costs of both treatments are offset by net societal cost reductions in a short time. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Response to "Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study"

    NARCIS (Netherlands)

    de Jongh, A.; ten Broeke, E.

    2014-01-01

    Last November, the European Journal of Psychotraumatology published an interesting paper entitled "Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study". This article

  18. Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people : A pilot randomized controlled trial

    NARCIS (Netherlands)

    Kraaij, Vivian; van Emmerik, Arnold; Garnefski, Nadia; Schroevers, Maya J.; Lo-Fo-Wong, Deborah; van Empelen, Pepijn; Dusseldorp, Elise; Witlox, Robert; Maes, Stan

    2010-01-01

    Objective: The aim of the present study was to examine whether low-resource, cost-effective intervention programs can be effective in improving depressed mood in people with HIV. The efficacy of a cognitive-behavioral self-help program (CBS) and a computerized structured writing intervention (SWI) w

  19. A Comparative Study of Mindfulness Efficiency Based on Islamic-Spiritual Schemes and Group Cognitive Behavioral Therapy on Reduction of Anxiety and Depression in Pregnant Women

    Science.gov (United States)

    Aslami, Elahe; Alipour, Ahmad; Najib, Fatemeh Sadat; Aghayosefi, Alireza

    2017-01-01

    ABSTRACT Background: Anxiety and depression during the pregnancy period are among the factors affecting the pregnancy undesirable outcomes and delivery. One way of controlling anxiety and depression is mindfulness and cognitive behavioral therapy. The purpose of this study was to compare the efficiency of mindfulness based on the Islamic-spiritual schemas and group cognitive behavioral therapy on reduction of anxiety and depression in pregnant women. Methods: The research design was semi-experimental in the form of pretest-posttest using a control group. Among the pregnant women in the 16th to 32nd weeks of pregnancy who referred to the health center, 30 pregnant women with high anxiety level and 30 pregnant women with high depression participated in the research. Randomly 15 participants with high depression and 15 participants with high anxiety were considered in the intervention group under the treatment of mindfulness based on Islamic-spiritual schemes. In addition, 15 participants with high scores regarding depression and 15 with high scores in anxiety were considered in the other group. .The control group consisted of 15 pregnant women with high anxiety and depression. Beck anxiety-depression questionnaire was used in two steps of pre-test and post-test. Data were analyzed using SPSS, version 20, and P≤0.05 was considered as significant. Results: The results of multivariate analysis of variance test and tracking Tokey test showed that there was a significant difference between the mean scores of anxiety and depression in the two groups of mindfulness based on spiritual- Islamic scheme (Pdepression scores decreased in the intervention group, but it increased in the control group. Conclusion: Both therapy methods were effective in reduction of anxiety and depression of pregnant women, but the effect of mindfulness based on spiritual- Islamic schemes was more.

  20. Cognitive Behavioral Group Therapy Reduces Stress and Improves the Quality of Life in Patients with Parkinson’s Disease

    Science.gov (United States)

    Hadinia, Anousha; Meyer, Antonia; Bruegger, Viviane; Hatz, Florian; Nowak, Karolina; Taub, Ethan; Nyberg, Elisabeth; Stieglitz, Rolf-Dieter; Fuhr, Peter; Gschwandtner, Ute

    2017-01-01

    Objective: The aim of this study is to compare a cognitive behavioral group therapy (CBT) with a health enhancement program (HEP) for stress reduction and the impact on quality of life (QoL) in patients with Parkinson’s disease (PD). Method: Thirty patients with PD participated in the study: 16 received CBT including stress-reducing elements and 14 took part in a HEP. The two groups did not differ significantly in their baseline demographic characteristics. The patients in both groups underwent weekly sessions of 2 h duration for 9 weeks. The Parkinson’s Disease Questionnaire with 39 items (PDQ-39), the Burden Questionnaire for Parkinson’s Disease (translated from the original German: Belastungsfragebogen für Parkinsonpatienten (BELA) and the Disease-Related Questionnaire [Fragebogen zur krankheitsbezogenen Kommunikation (FKK)] were used for assessment. Ratings were completed at baseline and after 9 weeks (immediately after the last treatment session). Results: The patients in the CBT group achieved significantly better BELA, FKK and PDQ-39 scores (p < 0.05). Subscale analysis revealed that the scores on the BELA subscales “emotional well-being” and “somatic motor function” contributed significantly to stress reduction (p < 0.05). The FKK revealed significant improvement in social skills in the CBT group (p < 0.05). Conclusion: Cognitive Behavioral Group Therapy appears to be an effective way for patients with PD to lessen stress and improve their quality of life. PMID:28101066

  1. Enhancing positive body image: An evaluation of a cognitive behavioral therapy intervention and an exploration of the role of body shame.

    Science.gov (United States)

    Cassone, Sarah; Lewis, Vivienne; Crisp, Dimity A

    2016-01-01

    This study investigated the effectiveness of a 6-week cognitive-behavioral group intervention in promoting the development of positive body image. The study also examined if, in accordance with the objectification theory, participants who reported higher levels of body shame would (a) report higher levels of body dissatisfaction, and (b) demonstrate less improvement in response to the Positive Bodies program. A total of 52 women aged 17-54 years completed self-report measures of self-esteem, body area satisfaction, body image quality of life, body shame, and self-surveillance at the commencement and conclusion of the program. The results provided preliminary support for the overall effectiveness of the program. Contrary to predictions, higher body shame was associated with greater improvements in indicators of body image over time. Further comparisons with a control or treatment comparison group are required; however, the results support benefits for individuals with body dissatisfaction, particularly those reporting higher levels of body shame.

  2. Effects of a cognitive-behavioral intervention program on the health of caregiversof people with autism spectrum disorder

    Directory of Open Access Journals (Sweden)

    Nicolás Ruiz-Robledillo

    2015-04-01

    Full Text Available Caregivers of people with autism spectrum disorder (ASD are chronically exposed to high levels of stress.In turn, such stress is associated with high rates of negative health outcomes. However, few studies haveanalyzed the effects of psychotherapeutic interventions in improving health in this population. The mainaim of the present study was to evaluate the effectiveness of a cognitive-behavioral intervention program,based on the model proposed by Ruiz-Robledillo and Moya-Albiol (2014a. For this, we used a sample of 17informal caregivers of people diagnosed with ASD. The study was based on a pre-post design. Caregivershad lower levels of burden immediately after the intervention than at baseline, while both immediatelyafter the intervention and at 1 month of follow-up, they had fewer somatic symptoms, lower levels ofdepression, and better mood states than at baseline. These results provide evidence of the efficacy of thecognitive-behavioral intervention developed for reducing stress and health complaints in chronicallystressed caregivers. Additionally, the program could be useful in early stages of the caring process, toprovide caregivers with effective skills for preventing future health problems. The integration of theprogram in general psychosocial interventions would be highly beneficial for this population.

  3. Internet-delivered eating disorder prevention: A randomized controlled trial of dissonance-based and cognitive-behavioral interventions.

    Science.gov (United States)

    Chithambo, Taona P; Huey, Stanley J

    2017-08-11

    The current study evaluated two web-based programs for eating disorder prevention in high-risk, predominantly ethnic minority women. Two hundred and seventy-one women with elevated weight concerns were randomized to Internet dissonance-based intervention (DBI-I), Internet cognitive-behavioral intervention (CBI-I), or no intervention (NI). Both interventions consisted of four weekly online sessions. Participants were assessed at pre- and post-intervention. Outcome measures included eating pathology, body dissatisfaction, dieting, thin-ideal internalization, and depression. At postintervention, DBI-I and CBI-I led to greater reductions in body dissatisfaction, thin-ideal internalization, and depression than NI. In addition, CBI-I was effective at reducing dieting and composite eating pathology relative to NI. No outcome differences were found between the active conditions. Moderation analyses suggested that both active conditions were more effective for ethnic minorities than Whites relative to NI. Results suggest that both DBI-I and CBI-I are effective at reducing eating disorder risk factors in a high-risk, predominantly minority population relative to no intervention. © 2017 Wiley Periodicals, Inc.

  4. Group cohesion and between session homework activities predict self-reported cognitive-behavioral skill use amongst participants of SMART Recovery groups.

    Science.gov (United States)

    Kelly, Peter J; Deane, Frank P; Baker, Amanda L

    2015-04-01

    SMART Recovery groups are cognitive-behaviorally oriented mutual support groups for individuals with addictions. The aim of the study was to assess the extent to which the quality of group facilitation, group cohesion and the use of between session homework activities contribute to self-rated use of cognitive-behavioral skills amongst group participants. Participants attending SMART Recovery groups in Australia completed a cross sectional survey (N=124). The survey included measures of cognitive and behavioral skill utilization, group cohesion, quality of group facilitation and a rating of how frequently participants leave group meetings with an achievable between session homework plan. On average, participants had been attending SMART Recovery meetings for 9 months. Participants were most likely to attend SMART Recovery for problematic alcohol use. Regression analyses indicated that group cohesion significantly predicted use of cognitive restructuring, but that only provision of homework at the end of each group session predicted self-reported behavioral activation. Both group cohesion and leaving a group with an achievable homework plan predicted participant use of cognitive behavioral skills. The concrete actions associated with homework activities may facilitate behavioral activation. There is a need for longitudinal research to examine the relationship between the utilization of cognitive and behavioral skills and participant outcomes (e.g. substance use, mental health) for people attending SMART Recovery groups.

  5. A randomized, controlled trial of group cognitive-behavioral therapy for compulsive buying disorder: posttreatment and 6-month follow-up results.

    Science.gov (United States)

    Mueller, Astrid; Mueller, Ulrike; Silbermann, Andrea; Reinecker, Hans; Bleich, Stefan; Mitchell, James E; de Zwaan, Martina

    2008-07-01

    The purpose of this study was to conduct a randomized trial comparing the efficacy of a group cognitive-behavioral therapy (CBT) intervention designed for the treatment of compulsive buying disorder to a waiting list control (WLC) group. Thirty-one patients with compulsive buying problems according to the criteria developed by McElroy et al. were assigned to receive active treatment (12 weekly sessions and 6-month follow-up) and 29 to the WLC group. The treatment was specifically aimed at interrupting and controlling the problematic buying behavior, establishing healthy purchasing patterns, restructuring maladaptive thoughts and negative feelings associated with shopping and buying, and developing healthy coping skills. Primary outcome measures were the Compulsive Buying Scale (CBS), the Yale-Brown Obsessive Compulsive Scale-Shopping Version (YBOCS-SV), and the German Compulsive Buying Scale (G-CBS). Secondary outcome measures were the Symptom Checklist-90-Revised (SCL-90-R), the Barratt Impulsiveness Scale (BIS-11), and the Saving Inventory-Revised (SI-R). The study was completed between November 2003 and May 2007 at the University Hospital of Erlangen, Bavaria, Germany. Multivariate analysis revealed significant differences between the CBT and the WLC groups on the primary outcome variables (outcome-by-time-by-group effect, Pillai's trace, F = 6.960, df = 1, p = .002). The improvement was maintained during the 6-month follow-up. The treatment did not affect other psychopathology, e.g., compulsive hoarding, impulsivity, or SCL-90-R scores. We found that lower numbers of visited group therapy sessions and higher pretreatment hoarding traits as measured with the SI-R total score were significant predictors for nonresponse. The results suggest that a disorder-specific cognitive-behavioral intervention can significantly impact compulsive buying behavior.

  6. Effectiveness of group versus individual cognitive-behavioral therapy in patients with abridged somatization disorder: a randomized controlled trial.

    Science.gov (United States)

    Moreno, Sergio; Gili, Margalida; Magallón, Rosa; Bauzá, Natalia; Roca, Miquel; Del Hoyo, Yolanda Lopez; Garcia-Campayo, Javier

    2013-01-01

    To evaluate the effectiveness and feasibility of a cognitive-behavioral program for patients in primary care units who were diagnosed as having abridged somatization disorder. A multicenter, randomized controlled trial was designed. One hundred sixty-eight patients were recruited from 29 primary care units and randomly assigned to one of three arms: treatment as usual (TAU), individual cognitive-behavioral therapy (CBT), and group CBT. Somatic symptoms were measured using the Screening for Somatoform Disorders and the Severity of Somatic Symptoms scale. The Hamilton Anxiety Rating Scale and the Hamilton Depression Rating Scale were used to assess the severity of anxiety and depression. Individual CBT achieves greater changes in the Screening for Somatoform Disorders posttreatment compared with group CBT (mean [95% confidence interval], 14.17 [11.9-16.3] versus 11.63 [9.4-13.7], p anxiety scores compared with group CBT and TAU (7.33 [5.4-9.2] versus 11.47 [9.4-13.9] versus 13.07 [10.9-15.2], p disorder compared with TAU. Individual CBT results in greater posttreatment improvements at 6-month and 12-month follow-ups. current controlled trials identifier ISRCTN69944771.

  7. 认知行为集体治疗在社交焦虑障碍患者中的应用%Application of cognitive behavioral group therapy for patients with social anxiety disorder

    Institute of Scientific and Technical Information of China (English)

    吴满花; 叶雪花; 佘玉宇

    2011-01-01

    目的 观察认知行为集体治疗用于社交焦虑障碍患者的效果.方法 成立心理干预小组,制定认知行为集体治疗方案,对29例社交焦虑障碍患者进行心理干预.采用惧怕否定量表、列波威兹社交焦虑量表、主观不适度表评估干预效果.结果 干预后患者主观不适感觉明显改善,惧怕否定量表、列波威兹社交焦虑量表各因子分下降,与干预前比较有统计学意义(P均≤0.01).结论 认知行为集体治疗有利于社交焦虑障碍患者形成合理的认知行为模式,逐步恢复社会交往功能.%Objective To study the effect of cognitive behavioral group therapy for patients with social anxiety disorder.Method 29 patients with social anxiety disorder receive psychological intervention by cognitive behavioral group therapy from psychological intervention group. Assess the intervention effect by Fear of Negation Scale, Liebowitz Social Anxiety Scale and subjective discomfort level Result Subjective discomfort level is obviously relieved after intervention. Scores of factors in Negation Scale and Liebowitz Social Anxiety Scale reduce. There is significant difference compared to the scores before intervention (P≤0. 01). Conclusion Cognitive behavioral group therapy can help form a reasonable cognitive behavioral mode for patients with social anxiety disorder and recover their social communication ability gradually.

  8. A tailored-guided internet-based cognitive-behavioral intervention for patients with rheumatoid arthritis as an adjunct to standard rheumatological care: results of a randomized controlled trial.

    Science.gov (United States)

    Ferwerda, Maaike; van Beugen, Sylvia; van Middendorp, Henriët; Spillekom-van Koulil, Saskia; Donders, A Rogier T; Visser, Henk; Taal, Erik; Creemers, Marjonne C W; van Riel, Piet C L M; Evers, Andrea W M

    2017-05-01

    For patients with chronic pain conditions such as rheumatoid arthritis (RA), who experience elevated levels of distress, tailored-guided internet-based cognitive-behavioral treatment may be effective in improving psychological and physical functioning, and reducing the impact of RA on daily life. A multicenter, randomized controlled trial was conducted for RA patients with elevated levels of distress as assessed by a disease-specific measure. The control group (n = 71) received standard care and the intervention group (n = 62) additionally received an internet-based tailored cognitive-behavioral intervention. Main analyses were performed using a linear mixed model estimating differences between the intervention and control groups in scores of psychological functioning, physical functioning, and impact of RA on daily life at preassesment and postassessment, and at 3, 6, 9, and 12 months. Patients who received the internet-based intervention reported a larger improvement in psychological functioning compared with the control group, indicating less depressed mood (P physical functioning, a trend was found for the intervention group reporting less fatigue than the control group (P = 0.06, d = 0.24), whereas no effect was found on pain. No effects were found for the impact of RA on daily life, except for the intervention group experiencing fewer role limitations due to emotional problems (P therapy is a promising development to aid patients with psychological distress particularly in improving psychological functioning. Further research on adherence and specific intervention ingredients is warranted.

  9. Effect of cognitive behavioral group therapy for recovery of self-esteem on community-living individuals with mental illness: Non-randomized controlled trial.

    Science.gov (United States)

    Kunikata, Hiroko; Yoshinaga, Naoki; Nakajima, Kazuo

    2016-10-01

    The aim of this study was to examine over a 12-month post-intervention period whether the participation of community-living individuals with mental illness in cognitive behavioral group therapy for recovery of self-esteem (CBGTRS) resulted in improved outcomes. This was a non-randomized controlled trial. The participants were persons with mental illness who resided in communities in the Chugoku region of Japan. In total, 41 were assigned to an experimental group (CBGTRS intervention, 12 group sessions), and 21 to a control group. Outcome indices (self-esteem, moods, cognition, subjective well-being, psychiatric symptoms) were measured for the experimental group prior to intervention (T0), immediately post-intervention (T1), and at 3 (T2) and 12 (T3) months post-intervention. The control group was measured at the same intervals. For the experimental group, self-esteem scores at T1, T2, and T3 were significantly higher than at T0. Moods and cognition scores remained significantly low until T2. Scores for Inadequate Mental Mastery in the subjective well-being index had not decreased by T3. Confidence in Coping remained significantly high until T2. Psychiatric symptoms scores at T0, T1, T2, and T3 were significantly lower than at T0. The means and standard errors for self-esteem and Inadequate Mental Mastery increased until T3, and those for Tension-Anxiety, Depression-Dejection, and Confusion decreased until T2. From within-group trends and between-group differences in self-esteem, we conclude that CBGTRS may have a relatively long-term effect on self-esteem recovery. T2 is the turning point for moods and cognition; thus, follow-up is needed 3 months following the initial program. © 2016 The Authors. Psychiatry and Clinical Neurosciences © 2016 Japanese Society of Psychiatry and Neurology.

  10. Efficacy of Cognitive-Behavioral Interventions Targeting Personality Risk Factors for Youth Alcohol Misuse

    Science.gov (United States)

    Conrod, Patricia J.; Stewart, Sherry H.; Comeau, Nancy; Maclean, A. Michael

    2006-01-01

    Sensation seeking, anxiety sensitivity, and hopelessness are personality risk factors for alcohol use disorders, each associated with specific risky drinking motives in adolescents. We developed a set of interventions and manuals that were designed to intervene at the level of personality risk and associated maladaptive coping strategies,…

  11. Cognitive-Behavioral Interventions for Treatment of Depression in Alzheimer's Patients.

    Science.gov (United States)

    Teri, Linda; Gallagher-Thompson, Dolores

    1991-01-01

    Presents two strategies for treating depression in Alzheimer's patients: cognitive therapy for mildly demented adults which challenges patient's negative cognitions to reduce distortions and enable patient to generate more adaptive ways of viewing specific events; and behavioral intervention for moderately or severely demented adults which…

  12. People with gambling disorder and risky alcohol habits benefit more from motivational interviewing than from cognitive behavioral group therapy

    Directory of Open Access Journals (Sweden)

    Henrik Josephson

    2016-03-01

    Full Text Available Background. Effective psychological treatment, including cognitive behavioral therapy and motivational interviewing (MI, is available for people with problematic gambling behaviors. To advance the development of treatment for gambling disorder, it is critical to further investigate how comorbidity impacts different types of treatments. The purpose of this study was to investigate whether screening for risky alcohol habits can provide guidance on whether people with gambling disorder should be recommended cognitive behavioral group therapy (CBGT or MI. Methods. The present study is a secondary analysis of a previous randomized controlled trial that compared the effects of CBGT, MI and a waitlist control group in the treatment of disordered gambling. Assessment and treatment was conducted at an outpatient dependency clinic in Stockholm, Sweden, where 53 trial participants with gambling disorder began treatment. A modified version of the National Opinion Research Centre DSM-IV Screen for gambling problems was used to assess gambling disorder. The Alcohol Use Disorders Identification Test (AUDIT was used to screen for risky alcohol habits. Results. The interaction between treatment and alcohol habits was significant and suggests that patients with gambling disorder and risky alcohol habits were better helped by MI, while those without risky alcohol habits were better helped by CBGT. Conclusions. The results support a screening procedure including the AUDIT prior to starting treatment for gambling disorder because the result of the screening can provide guidance in the choice of treatment. Patients with gambling disorder and risky alcohol habits are likely to be best helped if they are referred to MI, while those without risky alcohol habits are likely to be best helped if they are referred to CBGT.

  13. People with gambling disorder and risky alcohol habits benefit more from motivational interviewing than from cognitive behavioral group therapy.

    Science.gov (United States)

    Josephson, Henrik; Carlbring, Per; Forsberg, Lars; Rosendahl, Ingvar

    2016-01-01

    Background. Effective psychological treatment, including cognitive behavioral therapy and motivational interviewing (MI), is available for people with problematic gambling behaviors. To advance the development of treatment for gambling disorder, it is critical to further investigate how comorbidity impacts different types of treatments. The purpose of this study was to investigate whether screening for risky alcohol habits can provide guidance on whether people with gambling disorder should be recommended cognitive behavioral group therapy (CBGT) or MI. Methods. The present study is a secondary analysis of a previous randomized controlled trial that compared the effects of CBGT, MI and a waitlist control group in the treatment of disordered gambling. Assessment and treatment was conducted at an outpatient dependency clinic in Stockholm, Sweden, where 53 trial participants with gambling disorder began treatment. A modified version of the National Opinion Research Centre DSM-IV Screen for gambling problems was used to assess gambling disorder. The Alcohol Use Disorders Identification Test (AUDIT) was used to screen for risky alcohol habits. Results. The interaction between treatment and alcohol habits was significant and suggests that patients with gambling disorder and risky alcohol habits were better helped by MI, while those without risky alcohol habits were better helped by CBGT. Conclusions. The results support a screening procedure including the AUDIT prior to starting treatment for gambling disorder because the result of the screening can provide guidance in the choice of treatment. Patients with gambling disorder and risky alcohol habits are likely to be best helped if they are referred to MI, while those without risky alcohol habits are likely to be best helped if they are referred to CBGT.

  14. Cognitive Behavioral Interventions with Older Adults: Integrating Clinical and Gerontological Research

    OpenAIRE

    Satre, Derek; Knight, Bob G.; David, Steven

    2006-01-01

    Psychotherapeutic interventions utilizing cognitive–behavioral strategies have been used widely with older adults. To appropriately adapt these techniques, characteristics unique to older adults must be taken into account. These factors include aspects of the social environment, cohort effects, cognitive changes with aging, personality, and emotional development, which have been described in an emerging body of research literature from the field of gerontology. In addition, clinical studies h...

  15. Common Elements Treatment Approach based on a Cognitive Behavioral Intervention: implementation in the Colombian Pacific

    Directory of Open Access Journals (Sweden)

    Sara Gabriela Pacichana-Quinayáz

    2016-06-01

    Full Text Available Abstract Due to the limited supply of mental health services for Afro-Colombian victims of violence, a Common Elements Treatment Approach (CETA intervention has been implemented in the Colombian Pacific. Given the importance of improvement in mental health interventions for this population, it is necessary to characterize this process. This article seeks to describe the implementation of CETA for Afro-Colombian victims of violence in Buenaventura and Quibdó, Colombia through case studieswith individual in-depth interviews with Lay Psychosocial Community Workers (LPCW, supervisors, and coordinators responsible for implementing CETA. From this six core categories were obtained: 1. Effect of armed conflict and poverty 2. Trauma severity 3. Perceived changes with CETA 4. Characteristics and LPCW’s performance 5. Afro-Colombian culturalapproach and 6. Strategies to promote users’ well-being.Colombian Pacific’s scenario implies several factors, such as the active armed conflict, economic crisis, and lack of mental health care resources, affecting the implementation process and the intervention effects. This implies the need to establish and strengthen partnerships between institutions in order to administer necessary mental health care for victims of violence in the Colombian Pacific.

  16. Common Elements Treatment Approach based on a Cognitive Behavioral Intervention: implementation in the Colombian Pacific.

    Science.gov (United States)

    Pacichana-Quinayáz, Sara Gabriela; Osorio-Cuéllar, Gisel Viviana; Bonilla-Escobar, Francisco Javier; Fandiño-Losada, Andrés; Gutiérrez-Martínez, María Isabel

    2016-06-01

    Due to the limited supply of mental health services for Afro-Colombian victims of violence, a Common Elements Treatment Approach (CETA) intervention has been implemented in the Colombian Pacific. Given the importance of improvement in mental health interventions for this population, it is necessary to characterize this process. This article seeks to describe the implementation of CETA for Afro-Colombian victims of violence in Buenaventura and Quibdó, Colombia through case studieswith individual in-depth interviews with Lay Psychosocial Community Workers (LPCW), supervisors, and coordinators responsible for implementing CETA. From this six core categories were obtained: 1. Effect of armed conflict and poverty 2. Trauma severity 3. Perceived changes with CETA 4. Characteristics and LPCW's performance 5. Afro-Colombian culturalapproach and 6. Strategies to promote users' well-being.Colombian Pacific's scenario implies several factors, such as the active armed conflict, economic crisis, and lack of mental health care resources, affecting the implementation process and the intervention effects. This implies the need to establish and strengthen partnerships between institutions in order to administer necessary mental health care for victims of violence in the Colombian Pacific.

  17. A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa.

    Science.gov (United States)

    Andersen, Lena S; Magidson, Jessica F; O'Cleirigh, Conall; Remmert, Jessica E; Kagee, Ashraf; Leaver, Matthew; Stein, Dan J; Safren, Steven A; Joska, John

    2016-04-26

    Depression is prevalent among people living with HIV in South Africa and interferes with adherence to antiretroviral therapy. This study evaluated a nurse-delivered, cognitive behavioral therapy intervention for adherence and depression among antiretroviral therapy users with depression in South Africa (n = 14). Primary outcomes were depression, antiretroviral therapy adherence, feasibility, and acceptability. Findings support robust improvements in mood through a 3-month follow up. Antiretroviral therapy adherence was maintained during the intervention period. Participant retention supports acceptability; however, modest provider fidelity despite intensive supervision warrants additional attention to feasibility. Future effectiveness research is needed to evaluate this nurse-delivered cognitive behavioral therapy intervention for adherence and depression in this context.

  18. One-Year Follow-Up of the Effectiveness of Cognitive Behavioral Group Therapy for Patients’ Depression: A Randomized, Single-Blinded, Controlled Study

    Directory of Open Access Journals (Sweden)

    Kai-Jo Chiang

    2015-01-01

    Full Text Available The aim of the study was to investigate the long-term (one year effectiveness of a 12-session weekly cognitive behavior group therapy (CBGT on patients with depression. This was a single-blind randomized controlled study with a 2-arm parallel group design. Eighty-one subjects were randomly assigned to 12 sessions intervention group (CBGT or control group (usual outpatient psychiatric care group and 62 completed the study. The primary outcome was depression measured with Beck Depression Inventory (BDI-II and Hamilton Rating Scale for Depression (HRSD. The secondary outcomes were automatic thoughts measured by automatic thoughts questionnaire (ATQ. Both groups were evaluated at the pretest (before 2 weeks, posttest (after 12 therapy sessions, and short- (3 months, medium- (6 months, and long-term (12 months follow-up. After receiving CBGT, the experimental group had a statistically significant reduction in the BDI-II from 40.30 at baseline to 17.82 points at session eight and to 10.17 points at postintervention (P<0.001. Similar effects were seen on the HRSD. ATQ significantly decreased at the 12th session, 6 months after sessions, and 1 year after the sessions ended (P<0.001. We concluded that CBGT is effective for reducing depression and continued to be effective at 1 year of follow-up.

  19. One-Year Follow-Up of the Effectiveness of Cognitive Behavioral Group Therapy for Patients' Depression: A Randomized, Single-Blinded, Controlled Study.

    Science.gov (United States)

    Chiang, Kai-Jo; Chen, Tsai-Hui; Hsieh, Hsiu-Tsu; Tsai, Jui-Chen; Ou, Keng-Liang; Chou, Kuei-Ru

    2015-01-01

    The aim of the study was to investigate the long-term (one year) effectiveness of a 12-session weekly cognitive behavior group therapy (CBGT) on patients with depression. This was a single-blind randomized controlled study with a 2-arm parallel group design. Eighty-one subjects were randomly assigned to 12 sessions intervention group (CBGT) or control group (usual outpatient psychiatric care group) and 62 completed the study. The primary outcome was depression measured with Beck Depression Inventory (BDI-II) and Hamilton Rating Scale for Depression (HRSD). The secondary outcomes were automatic thoughts measured by automatic thoughts questionnaire (ATQ). Both groups were evaluated at the pretest (before 2 weeks), posttest (after 12 therapy sessions), and short- (3 months), medium- (6 months), and long-term (12 months) follow-up. After receiving CBGT, the experimental group had a statistically significant reduction in the BDI-II from 40.30 at baseline to 17.82 points at session eight and to 10.17 points at postintervention (P session, 6 months after sessions, and 1 year after the sessions ended (P < 0.001). We concluded that CBGT is effective for reducing depression and continued to be effective at 1 year of follow-up.

  20. Cognitive behavior evaluation based on physiological parameters among young healthy subjects with yoga as intervention.

    Science.gov (United States)

    Nagendra, H; Kumar, Vinod; Mukherjee, S

    2015-01-01

    To investigate the effect of yoga practice on cognitive skills, autonomic nervous system, and heart rate variability by analyzing physiological parameters. The study was conducted on 30 normal young healthy engineering students. They were randomly selected into two groups: yoga group and control group. The yoga group practiced yoga one and half hour per day for six days in a week, for a period of five months. The yoga practising group showed increased α, β, and δ EEG band powers and significant reduction in θ and γ band powers. The increased α and β power can represent enhanced cognitive functions such as memory and concentration, and that of δ signifies synchronization of brain activity. The heart rate index θ/α decreased, neural activity β/θ increased, attention resource index β/(α + θ) increased, executive load index (δ + θ)/α decreased, and the ratio (δ + θ)/(α + β) decreased. The yoga practice group showed improvement in heart rate variability, increased SDNN/RMSSD, and reduction in LF/HF ratio. Yoga practising group showed significant improvement in various cognitive functions, such as performance enhancement, neural activity, attention, and executive function. It also resulted in increase in the heart rate variability, parasympathetic nervous system activity, and balanced autonomic nervous system reactivity.

  1. Cognitive Behavior Evaluation Based on Physiological Parameters among Young Healthy Subjects with Yoga as Intervention

    Directory of Open Access Journals (Sweden)

    H. Nagendra

    2015-01-01

    Full Text Available Objective. To investigate the effect of yoga practice on cognitive skills, autonomic nervous system, and heart rate variability by analyzing physiological parameters. Methods. The study was conducted on 30 normal young healthy engineering students. They were randomly selected into two groups: yoga group and control group. The yoga group practiced yoga one and half hour per day for six days in a week, for a period of five months. Results. The yoga practising group showed increased α, β, and δ EEG band powers and significant reduction in θ and γ band powers. The increased α and β power can represent enhanced cognitive functions such as memory and concentration, and that of δ signifies synchronization of brain activity. The heart rate index θ/α decreased, neural activity β/θ increased, attention resource index β/(α+θ increased, executive load index (δ+θ/α decreased, and the ratio (δ+θ/(α+β decreased. The yoga practice group showed improvement in heart rate variability, increased SDNN/RMSSD, and reduction in LF/HF ratio. Conclusion. Yoga practising group showed significant improvement in various cognitive functions, such as performance enhancement, neural activity, attention, and executive function. It also resulted in increase in the heart rate variability, parasympathetic nervous system activity, and balanced autonomic nervous system reactivity.

  2. An Application Study on the Cognitive-Behavioral Group Therapy in Medical Students with Social Anxiety%认知行为团体疗法在社交焦虑医学生中的应用研究

    Institute of Scientific and Technical Information of China (English)

    黄爱华; 张乃正; 李磊; 王娟丽

    2016-01-01

    目的:探讨认知行为团体疗法对改善医学生社交焦虑的效果,以期改善医学生社交沟通能力。方法根据纳入排除标准对某校三年制高职存在社交焦虑医学生随机分为实验组、对照组,对照组常规参加学校心理健康教育,实验组在此基础上采用认知行为团体疗法进行干预。运用交往焦虑量表( IAS)、惧怕否定量表( FNE)、社交回避与困扰量表( SAD)对干预前、后社交焦虑医学生认知、情绪、行为水平进行测量,评价干预效果。结果干预后实验组医学生社交焦虑认知、情绪、行为三方面水平均较对照组有显著改善(P<0.05)。结论认知行为团体疗法能够有效改善医学生社交焦虑水平。%Objective:To explore the effects of cognitive-behavioral group therapy on relieving social anxiety of medical students and thus improve the communication ability of medical students. Methods: The medical students with social anxiety in our school were randomly divided into two groups. The subjects in the control group and the experiment group were given with the routine mental health education and the cognitive-behavioral group therapy respectively. The cognitive, emotional, and behavioral levels were measured before and after intervention using Interaction Anxious-ness Scale ( IAS ) , Fear of Negative Evaluation Scale ( FNE ) , Social Avoidance and Distress Scale ( SAD) , and in order to evaluate the effects of cognitive-behavioral group therapy. Results:After the intervention of cognitive-behavioral group therapy in medical students, all the three levels of anxiety were im-proved significantly in the experimental group than those in the control group ( P<0 . 05 ) . Conclusion:Cognitive-behavioral group therapy could effectively decrease the level of social anxiety for medical students.

  3. Impact of a Cognitive Behavioral Intervention on Health-Related Quality of Life and General Heart Rate Variability in Patients Following Cardiac Surgery: An Effectiveness Study.

    Science.gov (United States)

    Beresnevaitė, Margarita; Benetis, Rimantas; Taylor, Graeme J; Rašinskienė, Svetlana; Stankus, Albinas; Kinduris, Sarunas

    Although there is evidence supporting the efficacy of cognitive-behavioral therapy (CBT) in decreasing psychologic symptoms and improving health-related quality of life in patients who have undergone coronary artery bypass graft surgery, the effectiveness of these interventions in usual health care practice, and their effect on general heart rate variability (HRV), has not been tested. This study investigated the effectiveness of CBT in improving health-related quality of life and HRV in patients with postcardiac surgery. However, 2 months following surgery, 150 patients were assigned sequentially to a CBT group that received the intervention for 9 months or a comparison group that received usual care. Patients were assessed at baseline and after 10 months with the 36-item Short Form Health Survey. HRV was also assessed. In total, 43 patients in the CBT group and 46 in the usual care group completed the study. The CBT group demonstrated significant improvements in health-related quality of life and significant increases in general HRV. Significant group-by-time interaction effects were found for the several 36-item Short Form Health Survey scales and mental component summary and a time-domain HRV parameter indicating that the pattern of change in scores over time differed significantly between the 2 groups. CBT administered in a "real-world" clinical setting can effectively improve health-related quality of life and the general HRV in patients who have undergone cardiac surgery. Copyright © 2016 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  4. Effect of cognitive behavioral intervention therapy on adolescent orthodontic treatment%认知行为干预疗法对青少年正畸疗效的影响

    Institute of Scientific and Technical Information of China (English)

    李炎钊; 黄念全

    2015-01-01

    Objective This study aimed to investigate the clinical value of cognitive behavioral intervention therapy on orthodontic treatment for adolescents. Methods A total of 120 adolescent orthodontic patients were selected and randomly categorized into experimental and control groups. Patients in the experimental group received orthodontic treatment combined with cognitive behavior intervention therapy, whereas those in the control group were administered with orthodontic treatment only. Results Patients in the experimental group demonstrated more active cooperation, better effect, lower rate of recurrence, and higher overall satisfaction compared with those in the control group. The two groups were significantly different. Conclusion Cognitive behavioral intervention therapy positively affects orthodontic treatment for adolescent patients, and thus, should be promoted in clinical applications.%目的:探讨认知行为干预疗法对青少年正畸治疗的临床意义。方法选取青少年正畸患者120例,随机分成试验组和对照组,试验组进行正畸治疗联合认知行为干预疗法心理辅导,对照组进行单纯的正畸治疗。结果试验组与对照组相比较,试验组更加积极地配合治疗,治疗效果更好,复发率较低,总体满意度较高。两组患者比较,差异有统计学意义。结论认知行为干预在青少年正畸治疗中有着积极的作用,值得推广。

  5. A Cognitive Behavioral Therapy-Based Text Messaging Intervention Versus Medical Management for HIV-Infected Substance Users: Study Protocol for a Pilot Randomized Trial.

    OpenAIRE

    Glasner-Edwards, S; Patrick, K; Ybarra, ML; Reback, CJ; Rawson, RA; Chokron Garneau, H; Chavez, K; Venegas, A

    2016-01-01

    Background Evidence-based psychosocial interventions for addictions and related conditions such as cognitive behavioral therapy (CBT) are underutilized. Obstacles to implementation of CBT in clinical settings include limited availability of quality training, supervision, and certification in CBT for clinicians; high rates of clinician turnover and high caseloads; and limited qualifications of the workforce to facilitate CBT expertise. Objective Mobile phone–based delivery of CBT, if demonstra...

  6. Cancer-Related Fatigue and Rehabilitation: A Randomized Controlled Multicenter Trial Comparing Physical Training Combined With Cognitive-Behavioral Therapy With Physical Training Only and With No Intervention

    OpenAIRE

    Van Weert, E.; May, A. M.; Korstjens, I.; Post, W.J.; van der Schans, C. P.; van den Borne, B; Mesters, I.; Ros, W J G; Hoekstra-Weebers, J.E.H.M.

    2010-01-01

    textabstractBackground. Research suggests that cancer rehabilitation reduces fatigue in survivors of cancer. To date, it is unclear what type of rehabilitation is most beneficial. Objective. This randomized controlled trial compared the effect on cancerrelated fatigue of physical training combined with cognitive behavioral therapy with physical training alone and with no intervention. Design. In this multicenter randomized controlled trial, 147 survivors of cancer were randomly assigned to a ...

  7. Cerebellar Neural Circuits Involving Executive Control Network Predict Response to Group Cognitive Behavior Therapy in Social Anxiety Disorder.

    Science.gov (United States)

    MinlanYuan; Meng, Yajing; Zhang, Yan; Nie, Xiaojing; Ren, Zhengjia; Zhu, Hongru; Li, Yuchen; Lui, Su; Gong, Qiyong; Qiu, Changjian; Zhang, Wei

    2017-02-02

    Some intrinsic connectivity networks including the default mode network (DMN) and executive control network (ECN) may underlie social anxiety disorder (SAD). Although the cerebellum has been implicated in the pathophysiology of SAD and several networks relevant to higher-order cognition, it remains unknown whether cerebellar areas involved in DMN and ECN exhibit altered resting-state functional connectivity (rsFC) with cortical networks in SAD. Forty-six patients with SAD and 64 healthy controls (HC) were included and submitted to the baseline resting-state functional magnetic resonance imaging (fMRI). Seventeen SAD patients who completed post-treatment clinical assessments were included after group cognitive behavior therapy (CBT). RsFC of three cerebellar subregions in both groups was assessed respectively in a voxel-wise way, and these rsFC maps were compared by two-sample t tests between groups. Whole-brain voxel-wise regression was performed to examine whether cerebellar connectivity networks can predict response to CBT. Lower rsFC circuits of cerebellar subregions compared with HC at baseline (p circuits involving DMN and ECN are possible neuropathologic mechanisms of SAD. Stronger pretreatment cerebellar rsFC circuits involving ECN suggest potential neural markers to predict CBT response.

  8. Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Preliminary Investigation

    Science.gov (United States)

    Misurell, Justin R.; Springer, Craig; Tryon, Warren W.

    2011-01-01

    This preliminary investigation examined the efficacy of a game-based cognitive-behavioral therapy group program for elementary school-aged children who have experienced sexual abuse. Treatment aimed to improve: (a) internalizing symptoms, (b) externalizing behaviors, (c) sexually inappropriate behaviors, (d) social skills deficits, (e) self-esteem…

  9. Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Three-Month Follow-Up Investigation

    Science.gov (United States)

    Springer, Craig; Misurell, Justin R.; Hiller, Atara

    2012-01-01

    This study examined the efficacy of a game-based cognitive-behavioral group therapy program for addressing problems typically found among elementary school-aged victims of child sexual abuse immediately after treatment and at three months following treatment. It was hypothesized that positive gains would be observed among the following domains:…

  10. Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Preliminary Investigation

    Science.gov (United States)

    Misurell, Justin R.; Springer, Craig; Tryon, Warren W.

    2011-01-01

    This preliminary investigation examined the efficacy of a game-based cognitive-behavioral therapy group program for elementary school-aged children who have experienced sexual abuse. Treatment aimed to improve: (a) internalizing symptoms, (b) externalizing behaviors, (c) sexually inappropriate behaviors, (d) social skills deficits, (e) self-esteem…

  11. Effectiveness of Cognitive Behavioral and Supportive-Expressive Group Therapy for Women Diagnosed with Breast Cancer: A Review of the Literature

    Science.gov (United States)

    Boutin, Daniel L.

    2007-01-01

    A review of the literature revealed 20 studies that examined the extent to which cognitive behavioral therapy (CBT), supportive-expressive group therapy (SEGT), and a combination of these two treatments impact women with breast cancer. Based on this review, it is determined that CBT and SEGT have repeated experimental support for positively…

  12. Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Three-Month Follow-Up Investigation

    Science.gov (United States)

    Springer, Craig; Misurell, Justin R.; Hiller, Atara

    2012-01-01

    This study examined the efficacy of a game-based cognitive-behavioral group therapy program for addressing problems typically found among elementary school-aged victims of child sexual abuse immediately after treatment and at three months following treatment. It was hypothesized that positive gains would be observed among the following domains:…

  13. Efficacy of Cognitive Behavioral Therapy for insomnia in adolescents: A randomized controlled trial with internet therapy, group therapy and a waiting list condition

    NARCIS (Netherlands)

    de Bruin, E.J.; Bögels, S.M.; Oort, F.J.; Meijer, A.M.

    2015-01-01

    Study Objectives: To investigate the efficacy of cognitive behavioral therapy for insomnia (CBTI) in adolescents. Design: A randomized controlled trial of CBTI in group therapy (GT), guided internet therapy (IT), and a waiting list (WL), with assessments at baseline, directly after treatment (post-t

  14. Evaluation of an integrated group cognitive-behavioral treatment for comorbid mood, anxiety, and substance use disorders: A pilot study.

    Science.gov (United States)

    Milosevic, Irena; Chudzik, Susan M; Boyd, Susan; McCabe, Randi E

    2017-03-01

    This paper presents the development and preliminary evaluation of an integrated group cognitive-behavioral treatment (CBT) for comorbid mood, anxiety, and substance use disorders. The 12-session, manualized treatment was developed collaboratively by a mental health program in a teaching hospital and a community-based addictions service and administered in both settings. Results from an uncontrolled effectiveness trial of 29 treatment completers suggest that integrated group CBT may reduce stress and alcohol use symptoms and improve substance refusal self-efficacy. Changes in symptoms of anxiety, depression, and drug use were not significant, although the effect size for anxiety reduction was in the medium range. Nonetheless, the clinical significance of treatment effects on mood, anxiety, and substance use symptoms was modest. Changes in coping skills and quality of life were not significant, although medium-to-large effects were observed for changes in several coping skills. Participants reported being highly satisfied with treatment, found the treatment strategies to be useful, and noted an improvement in their functioning, particularly socially. Methodological and sample size limitations warrant more rigorous follow-up investigations of this treatment. Results are considered in the context of the current literature on integrated psychological treatments for these common comorbidities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Cognitive-behavioral group therapy for youths with anxiety disorders in the community: effectiveness in low and middle income countries.

    Science.gov (United States)

    de Souza, Maria Augusta Mansur; Salum, Giovanni A; Jarros, Rafaela Behs; Isolan, Luciano; Davis, Roberta; Knijnik, Daniela; Manfro, Gisele Gus; Heldt, Elizeth

    2013-05-01

    Although cognitive-behavioral therapy (CBT) is established as a first line treatment for anxiety disorders in children and adolescents, there is little evidence about the effectiveness of CBT protocols in cases identified in the community in low and middle income countries (LaMICs). To evaluate the effectiveness of group CBT protocol for youths with anxiety disorders identified in a community sample in LaMICs. A total of 14 sessions of group CBT for youths and 2 concurrent sessions for parents based on Kendall's Coping Cat program were offered. Participants were selected from a cross-sectional community study; 45 subjects fulfilled inclusion criteria and 28 agreed to participate in the open clinical trial. Treatment effectiveness was evaluated with standard clinical, self- and parent-rated measures of anxiety, depression, externalizing symptoms and quality of life (QoL). Twenty youths completed the protocol. All scales showed an improvement of anxiety and reduction in externalizing symptoms over time, with a moderate to large effect size (d = 0.59 to 2.06; p effective in treating anxiety disorders in youths. Results encourage further randomized clinical trials using CBT protocols adapted and developed to be used in LaMICs.

  16. Comorbidity of Deployment-Related Posttraumatic Disorders and Their Treatment with Cognitive-Behavioral Group

    Science.gov (United States)

    2011-04-01

    traumatic healing process. Sessions include subjects such as “asking for help”, “ talking about feelings as partners”, “how to set personal boundaries...homework, in which they study healthy and dysfunctional attitudes in relationships with other people. In the last group session, results are summarised

  17. Cognitive Behavioral Anger Management for Man Transexuals in Prison a Group Study

    Directory of Open Access Journals (Sweden)

    Tuğba Görgülü

    2014-04-01

    Full Text Available Transsexuals who have been rejected because of their sexual orientations or exposed to sarcastic jokes or comments live a great deal of psychological and social problems such as anger and aggression. The feeling of stress comes from their being in a prison make these problems forcer they are living through. These stress elements cause transsexual individuals to have negative psychological consequences like crime behaviours. In the light of mentioned information, the aim of this group work is to provide anger management to those transsexuals who are in prison, help them to gain positive feelings and behaviours and minimise their maladaptive behaviours. In line with this purpose, an Anger Management Program focused on Cognitive Behavioural Therapy (CBT which was developed by General Directorate of Prisons in Ministry of Justice within the scope of modernization of justice and the project of prison reform have been applied on this study. The group work was carried out with three male transsexual prisoners who were in Ankara Penal Institution Campus between the dates 31.10.2011 and 31.12.2011. In this article it is submits about administer of Anger Management Programme, group process and assessments.  As a result of the group work, it was observed that Anger Management Programme was an useful one, the anger of transsexual individuals and the core beliefs which used to be reasons of their anger changed in a positive way and they have started to show positive behaviour changes. Key Words: transsexual; anger management; cognitive behavioural therapy; closed prison

  18. Cognitive behavior therapy-based psychoeducational groups for adults with ADHD and their significant others (PEGASUS): an open clinical feasibility trial

    OpenAIRE

    Hirvikoski, T.; Waaler, E.; Lindström, T; Bölte, S.; Jokinen, J

    2014-01-01

    The aim of this pilot study was to investigate the feasibility and effectiveness of a new psychoeducative intervention program (PEGASUS) for adults with ADHD and their significant others in a psychiatric outpatient context. At three outpatient psychiatric clinics, adults with ADHD and their significant others took part in PEGASUS, a psychoeducational program based on theories from cognitive behavioral therapy, neuropsychology, and cross-disciplinary evidence regarding ADHD. In total, 108 adul...

  19. Group cognitive-behavioral therapy for insomnia: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Beatriz Navarro-Bravo

    2015-01-01

    Full Text Available Background: insomnia is a highly prevalent disorder in the general population and in clinical practice. Although pharmacological treatment is the most widespread choice, psychological treatment appears to have longer lasting effects. The main objective of this meta-analysis was to assess the cognitive-behavioural group therapy treatment for insomnia. Method: a systematic search for cognitive-behavioural therapy clinical trials in Pubmed, PsycINFO, PsycARTICLES, Scielo, WOK, Cochrane, Scopus and Embase. 153 articles were reviewed, of which 9 met inclusion criteria for the metaanalysis. Adding up the data from all 9 trials, a total of 699 people completed the post-test phase. Results: after finishing cognitive-behavioural therapy, significant improvements regarding insomnia were found according to the Pittsburgh Sleep Quality Index and Insomnia Severity Index, sleep latency, wake after sleep onset and sleep efficiency. There were no significant improvements in total sleep time. Conclusions: the results from experimental studies on cognitive-behavioural therapy as an insomnia treatment clearly suggest a positive impact on symptoms, as assessed using both validated scales and sleep diaries.

  20. Treating maladaptive grief and posttraumatic stress symptoms in orphaned children in Tanzania: group-based trauma-focused cognitive-behavioral therapy.

    Science.gov (United States)

    O'Donnell, Karen; Dorsey, Shannon; Gong, Wenfeng; Ostermann, Jan; Whetten, Rachel; Cohen, Judith A; Itemba, Dafrosa; Manongi, Rachel; Whetten, Kathryn

    2014-12-01

    This study was designed to test the feasibility and child clinical outcomes for group-based trauma-focused cognitive behavior therapy (TF-CBT) for orphaned children in Tanzania. There were 64 children with at least mild symptoms of grief and/or traumatic stress and their guardians who participated in this open trial. The TF-CBT for Child Traumatic Grief protocol was adapted for use with a group, resulting in 12 weekly sessions for children and guardians separately with conjoint activities and 3 individual visits with child and guardian. Using a task-sharing approach, the intervention was delivered by lay counselors with no prior mental health experience. Primary child outcomes assessed were symptoms of grief and posttraumatic stress (PTS); secondary outcomes included symptoms of depression and overall behavioral adjustment. All assessments were conducted pretreatment, posttreatment, and 3 and 12 months after the end of treatment. Results showed improved scores on all outcomes posttreatment, sustained at 3 and 12 months. Effect sizes (Cohen's d) for baseline to posttreatment were 1.36 for child reported grief symptoms, 1.87 for child-reported PTS, and 1.15 for guardian report of child PTS.

  1. E-mail support as an adjunct to cognitive-behavioral group therapy for social anxiety disorder: Impact on dropout and outcome.

    Science.gov (United States)

    Delsignore, Aba; Rufer, Michael; Emmerich, Juliane; Weidt, Steffi; Brühl, Annette Beatrix; Moergeli, Hanspeter

    2016-10-30

    The present study evaluates the impact of semi-individualized e-mail support as an adjunct to cognitive behavioral group therapy (CBGT) for social anxiety disorder (SAD) on dropout and outcome. The effectiveness of additional semi-individualized e-mail support was evaluated for the whole sample and for a subsample of patients at risk of dropping out of therapy. A total of 91 patients with SAD were allocated either to the intervention condition (CBGT with e-mail support), or to the control condition (CBGT without e-mail support). Anxiety symptoms, depression, global symptomatology and life satisfaction were assessed at pretreatment, post-treatment and follow-up (3, 6 and 12 months). From pre-treatment to post-treatment, both groups improved significantly on all symptom measures. Therapy gains were maintained at the 1-year follow-up. Subsample analyses showed that CBGT+e-mail was more effective than CGBT alone in reducing symptom severity among patients missing at least two therapy sessions. Additionally, in this subgroup, those receiving additional e-mail support showed a tendency towards lower dropout rates. Based on the results of this study, semi-individualized e-mail support between sessions seems to enhance the effectiveness of CBGT for SAD patients at risk of dropping out of treatment and should be considered as an additional tool in clinical practice.

  2. Cognitive Behavioral Intervention for Depression%认知行为干预对抑郁症的影响

    Institute of Scientific and Technical Information of China (English)

    韩丽霞; 韩冰

    2012-01-01

    目的:观察认知行为疗法(CBT)联合舍曲林药物治疗对抑郁症的临床疗效.方法:抑郁症患者62例,随机分为2组各31例,药物组给予口服抗抑郁药物舍曲林治疗,联合组此基础上联合认知自动思维,列举认知歪曲,改变极端的信念或原则等CBT治疗.治疗前后采用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)评定临床疗效.结果:治疗4及8周末,2组HAMD及HAMA评分均较治疗前呈下降趋势(P<0.05),但联合组更低于对照组(P<0.05).治疗后随访8个月,联合组HAMD及HAMA评分仍显著低于药物组(P<0.01).结论:认知行为疗法可显著提高抑郁症患者的治疗效果,且远期疗效较好.%Objective: To observe the clinical effectiveness of cognitive behavioral therapy (CBT) combined with sertraline in the treatment of depression. Methods: Sixty-two cases of depression were randomly divided into two groups. The drug group was given oral administration of sertraline, and combination group given CBT besides sertraline. Before and after treatment, the Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HA-MA) were used to assess the clinical effectiveness. Results: After treatment for 4 and 8 weeks, the HAMD and HAMA scores showed a declined trend as compared with those before treatment (P<0. 05), and those in the combination group were significantly lower than in the drug group (P<0. 05). Eight months after treatment HAMD and HAMA scores in the combination group were significantly lower than in the drug group (P<0. 01). Conclu-sion;CBT can significantly improve the clinical effectiveness and long-term efficacy of patients with depression.

  3. Integrating Motivational Interviewing and Cognitive Behavioral Therapy in the Treatment of Eating Disorders: Tailoring Interventions to Patient Readiness for Change

    Science.gov (United States)

    Geller, Josie; Dunn, Erin C.

    2011-01-01

    This paper focuses on the integration of Motivational Interviewing (MI) and cognitive behavioral therapy (CBT) in the treatment of eating disorders. Although CBT is regarded as the treatment of choice in this population, it nevertheless has limitations: some patients fail to engage, drop out from treatment prematurely, or simply do not improve.…

  4. Nurse-led cognitive-behavioral group therapy for recovery of self-esteem in patients with mental disorders: A pilot study.

    Science.gov (United States)

    Kunikata, Hiroko; Yoshinaga, Naoki; Shiraishi, Yuko; Okada, Yoshie

    2016-07-01

    To design a program targeting recovery of self-esteem in patients with mental disorders, and to clarify the changes after the program to determine its effectiveness. This study employed a one group pre- and post design, which comprised baseline, post-intervention, and 3 month follow-up phases, and recruited 41 Japanese patients with mental disorders living in the community. The authors administered the nurse-led group cognitive-behavioral therapy program for the recovery of self-esteem, which comprised 12 sessions, to the participants. The follow-up investigations were conducted immediately and 3 months after the program. The present authors used the Rosenberg Self-Esteem Scale (RSES), Profile of Mood States (POMS), Subjective Well-Being Inventory (SUBI), and Test to Determine the Characteristics of Ideas as subjective measures and the Brief Psychiatric Rating Scale (BPRS) as an objective measure. After controlling for the factors of medication and use of social services, improvement was observed in all measures of evaluation. The authors identified improvement at post-intervention and follow up. The scores for the RSES, BPRS, confidence in coping, and inadequate mental mastery at post-intervention and follow up were significantly higher than those at baseline, and these beneficial effects were maintained 3 months after the program. The program may aid in recovering and maintaining self-esteem of patients suffering from mental disorders. However, it is necessary to conduct a randomized controlled clinical trial to confirm these findings. © 2016 Japan Academy of Nursing Science.

  5. An evaluation of the effects of diagnostic composition on individual treatment outcome within transdiagnostic cognitive-behavioral group therapy for anxiety.

    Science.gov (United States)

    Chamberlain, Lance D; Norton, Peter J

    2013-01-01

    Recently, studies have supported the efficacy of treating anxiety disorders utilizing a transdiagnostic, or non-diagnosis-specific, framework (Erickson, D. H. (2003). Group cognitive behavioural therapy for heterogeneous anxiety disorders. Cognitive Behaviour Therapy, 32, 179-186; Garcia, M. S. (2004). Effectiveness of cognitive-behavioural group therapy in patients with anxiety disorders. Psychology in Spain, 8, 89-97; Norton, P. J., & Hope, D. A. (2005). Preliminary evaluation of a broad-spectrum cognitive-behavioral group therapy for anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 36, 79-97). Transdiagnostic group treatment packages focus on the common aspects inherent across the anxiety disorders such as behavioral and cognitive avoidance, and faulty cognitive appraisals of threat potential or meaning (Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205-230). Although research supports the overall efficacy of transdiagnostic cognitive behavior therapy (CBT) for anxiety disorders (Norton, P. J., & Philipp, L. M. (2008). Transdiagnostic approaches to the treatment of anxiety disorders: A quantitative review. Psychotherapy: Theory, Research, Practice and Training, 45, 214-226), the effect of diagnostically mixed group composition on individual outcomes is less clear. This study investigated the relationship between group composition and treatment outcome within diagnostically heterogeneous groups with the purpose of determining if diagnostic heterogeneity differentially impacted treatment outcome for 84 individuals during a 12-week transdiagnostic cognitive-behavioral group anxiety treatment program (Norton, P. J. (2012a). Group cognitive-behavioral therapy of anxiety: A transdiagnostic treatment manual. New York: Guilford). The diagnostic makeup of the treatment group was examined at the beginning of treatment and at the end of treatment, and the results indicated

  6. Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy

    Directory of Open Access Journals (Sweden)

    Iva Bicanic

    2014-06-01

    Full Text Available Background: Efficacy studies on treatment in adolescent victims of single rape are lacking, even though sexual victimization is most likely to occur during adolescence and despite the fact that adolescents are at risk to develop subsequent posttraumatic stress disorder. Aim: The aim of this prospective observational study was to evaluate the short- and long-term outcomes of a nine-session cognitive behavior group therapy (STEPS, including a parallel six-session parents’ group on rape-related symptomatology in female adolescents (13–18 years. STEPS includes psychoeducation, exposure in sensu as well as in vivo, cognitive restructuring, and relapse prevention. Methods: Fifty-five female adolescents with mental health problems due to single rape, but without prior sexual trauma, received STEPS while their parents participated in a support group. Subjects were assessed on posttraumatic stress (PTS and comorbid symptoms using self-report questionnaires prior to and directly after treatment, and at 6 and 12 months follow-up. Results: Repeated measures analysis showed a significant and large decrease in symptoms of PTS, anxiety, depression, anger, dissociation, sexual concerns, and behavior problems directly after treatment, which maintained at 12 months follow-up. Time since trauma did not influence the results. Dropout during STEPS was 1.8%. Conclusions: The results potentially suggest that the positive treatment outcomes at short- and long-term may be caused by STEPS. The encouraging findings need confirmation in future controlled studies on the effectiveness of STEPS because it may be possible that the treatment works especially well for more chronic symptoms, while the less chronic part of the sample showed considerable improvement on its own.

  7. Overcoming Perfectionism: Protocol of a Randomized Controlled Trial of an Internet-Based Guided Self-Help Cognitive Behavioral Therapy Intervention.

    Science.gov (United States)

    Kothari, Radha; Egan, Sarah; Wade, Tracey; Andersson, Gerhard; Shafran, Roz

    2016-11-11

    Perfectionism is elevated across, and increases risk for, a range of psychological disorders as well as having a direct negative effect on day-to-day function. A growing body of evidence shows that cognitive behavioral therapy (CBT) reduces perfectionism and psychological disorders, with medium to large effect sizes. Given the increased desire for Web-based interventions to facilitate access to evidence-based therapy, Internet-based CBT self-help interventions for perfectionism have been designed. Existing Web-based interventions have not included personalized guidance which has been shown to improve outcome rates. To assess the efficacy of an Internet-based guided self-help CBT intervention for perfectionism at reducing symptoms of perfectionism and psychological disorders posttreatment and at 6-month follow-up. A randomized controlled trial method is employed, comparing the treatment arm (Internet-based guided self-help CBT) with a waiting list control group. Outcomes are examined at 3 time points, T1 (baseline), T2 (postintervention at 12 weeks), T3 (follow-up at 24 weeks). Participants will be recruited through universities, online platforms, and social media and if eligible will be randomized using an automatic randomizer. Data will be analyzed to estimate the between group (intervention, control) effect on perfectionism, depression, and anxiety. Completer and intent-to-treat analyses will be conducted. Additional analysis will be conducted to investigate whether the number of modules completed is associated with change. Data collection should be finalized by December 2016, with submission of results for publication expected in mid-year 2017. Results will be reported in line with recommendations in the Consolidated Standards of Reporting Trials Statement for Randomized Controlled Trials of Electronic and Mobile Health Applications and Online TeleHealth (CONSORT-EHEALTH). Findings will contribute to the literature on treatment of perfectionism, the effect of

  8. 糖耐量减低患者饮食治疗认知行为干预效果分析%Analysis of the cognitive behavioral intervention result with the diet therapy for the patients with impaired glucose tolerance

    Institute of Scientific and Technical Information of China (English)

    张芳

    2012-01-01

      目的:探讨饮食治疗认知行为干预对糖耐量减低(IGT)患者的效果.方法:将92例 IGT 患者随机分为干预组(46例)与对照组(46例).对干预组进行为期12个月的饮食治疗认知行为干预,对照组患者进行常规门诊治疗.比较干预前、后两组患者饮食治疗知识知晓率、糖尿病年转化率和血糖指标的差异.结果:干预12个月后干预组患者的饮食治疗知识知晓率高于对照组,糖尿病年转化率、血糖值明显低于对照组,差异有统计学意义(P <0.01).结论:饮食治疗认知行为干预对降低患者糖尿病的发生有一定效果.%  Objective: To explore the result of the diet therapy cognitive behavioral intervention for the patients with impaired glucose tolerance. Method:92 cases of IGT were divided into the intervention group (46 cases ) and the control group(46 cases ) at random. The intervention group received the dietary treatment of the cognitive behavioral intervention for 12 months and the control group was treated with the general out-patient service. The difference of the diet therapy knowledge awareness and diabetes annual conversion rate and the glycemic index was compared before and after the two groups’ intervention. Result: After 12 months the diet therapy knowledge awareness of the intervention group was higher than that of the control group. The diabetes annual conversion rate and blood glucose levels were obviously lower than those of the control group, whose difference had statistical significance (P<0.01). Conclusion: The diet therapy cognitive behavioral intervention has certain effect to reduce the occurrence of the diabetes.

  9. Individual and Group Cognitive-Behavioral Treatment for Work-Related Stress Complaints and Sickness Absence: A Randomized Controlled Trial

    NARCIS (Netherlands)

    Vente, W.de; Kamphuis, J.H.; Emmelkamp, P.M.G.; Blonk, R.W.B.

    2008-01-01

    Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was

  10. Individual and Group Cognitive-Behavioral Treatment for Work-Related Stress Complaints and Sickness Absence: A Randomized Controlled Trial

    NARCIS (Netherlands)

    Vente, W.de; Kamphuis, J.H.; Emmelkamp, P.M.G.; Blonk, R.W.B.

    2008-01-01

    Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was

  11. Efficacy of internet and group-administered cognitive behavioral therapy for insomnia in adolescents: a pilot study

    NARCIS (Netherlands)

    de Bruin, E.J.; Oort, F.J.; Bögels, S.M.; Meijer, A.M.

    2014-01-01

    Research indicates that adolescents are at risk for insomnia, but are reluctant to seek help. Treatment of insomnia has been extensively examined in adults, but studies with adolescents are sparse. The purpose of this pilot study was to assess feasibility and efficacy of cognitive behavioral therapy

  12. Pattern of structural brain changes in social anxiety disorder after cognitive behavioral group therapy: a longitudinal multimodal MRI study.

    Science.gov (United States)

    Steiger, V R; Brühl, A B; Weidt, S; Delsignore, A; Rufer, M; Jäncke, L; Herwig, U; Hänggi, J

    2016-12-06

    Social anxiety disorder (SAD) is characterized by fears of social and performance situations. Cognitive behavioral group therapy (CBGT) has in general positive effects on symptoms, distress and avoidance in SAD. Prior studies found increased cortical volumes and decreased fractional anisotropy (FA) in SAD compared with healthy controls (HCs). Thirty-three participants diagnosed with SAD attended in a 10-week CBGT and were scanned before and after therapy. We applied three neuroimaging methods-surface-based morphometry, diffusion tensor imaging and network-based statistics-each with specific longitudinal processing protocols, to investigate CBGT-induced structural brain alterations of the gray and white matter (WM). Surface-based morphometry revealed a significant cortical volume reduction (pre- to post-treatment) in the left inferior parietal cortex, as well as a positive partial correlation between treatment success (indexed by reductions in Liebowitz Social Anxiety Scale) and reductions in cortical volume in bilateral dorsomedial prefrontal cortex. Diffusion tensor imaging analysis revealed a significant increase in FA in bilateral uncinate fasciculus and right inferior longitudinal fasciculus. Network-based statistics revealed a significant increase of structural connectivity in a frontolimbic network. No partial correlations with treatment success have been found in WM analyses. For, we believe, the first time, we present a distinctive pattern of longitudinal structural brain changes after CBGT measured with three established magnetic resonance imaging analyzing techniques. Our findings are in line with previous cross-sectional, unimodal SAD studies and extent them by highlighting anatomical brain alterations that point toward the level of HCs in parallel with a reduction in SAD symptomatology.Molecular Psychiatry advance online publication, 6 December 2016; doi:10.1038/mp.2016.217.

  13. The Effectiveness of Cognitive-Behavioral Group Therapy on Reduction of Craving, Depression and Anxiety Symptoms among the Opiate Abusers Under MMT

    Directory of Open Access Journals (Sweden)

    Fereshtwh Momeni

    2009-10-01

    Full Text Available Introduction: The aim of this study was to examine the effectiveness of cognitive behavior group therapy on reduction of craving, depression and anxiety symptoms among the Opiate abusers under MMT. Method: In this experimental research, 36 addicts on MMT were selected between the entire opiate addicts referred to Iranian national center for addiction studies (INCAS by convenience sampling and were randomly assigned into experimental and control groups. In experimental group, cognitive behavior group therapy was performed in 8 sessions, one each week. Sessions were performed for craving, depression and anxiety management. Data was gathered by demographic questionnaire, scale of relapse predicts craving assessment, BDI-II and BAI for depression and anxiety symptoms assessment. The data was analyzed, independent and paired samples t test. Results: Data analysis revealed that craving index was decreased in post- test and follow-up and it was statistically significant. Also beck depression and anxiety symptoms were decreased significantly in post-test and follow-up. Conclusion: The results show that cognitive-behavior group therapy was efficient on reduction of drug craving, depression, and anxiety symptoms in post-test and follow-up, and it can apply as a method of treatment.

  14. 对首发抑郁症患者实施认知行为干预的效果观察%The effect of cognitive behavioral intervention in patients with first-episode depression

    Institute of Scientific and Technical Information of China (English)

    何丽婵; 苏保育; 谢雪华; 肖旭曼; 黎建容

    2015-01-01

    Objective To explore the effect of cognitive behavioral intervention in patients with first -episode depression. Methods 80 patients with first -episodewere randomly divided into observation group and control group, 40 cases in each group. Patients in both groups were received routine treatment and nursing, moreover, patients in observation group were dealing with cognitive behavioral intervention. Using Automatic Thoughts Questionnaire ( ATQ) and Social Supporting Rating Scale ( SSRS) to assess the effect of the intervention. Results The score of three dimension and total scores of SSRS in observation group were higher than that in control group (P<0.01,P<0.05).But the score of ATQ in observation group was lower than that in control group( P<0.01 ). Conclusions Early cognitive behavioral intervention can effectively improvesocial support level of patients with first -episode depression, reduce frequency of the negative automatic thoughts, and it is helpful to reduce disease situation, shorten the course of the disease.%目的:探讨对首发抑郁症患者实施认知行为干预的效果。方法将80例首发抑郁症患者随机分为观察组和对照组,各组40例。两组均进行常规治疗和护理,观察组在此基础上实施认知行为干预。采用社会支持评定量表(SSRS)、自动思维问卷(ATQ),于干预前、干预8周后对两组患者进行效果评定。结果干预8周后,观察组社会支持的3个维度和总分均高于对照组( P<0.01,P<0.05);负性自动思维问卷评分明显低于对照组(P<0.01)。结论对首发抑郁症患者作早期的认知行为干预能够提高其社会支持水平,降低负性自动思维的频率,有助于减轻病情,缩短病程。

  15. Integrating cognitive-behavioral and expressive therapy interventions:applying the trauma outcome process in treating children with sexually abusive behavior problems.

    Science.gov (United States)

    Rasmussen, L A

    2001-01-01

    This article presents intervention strategies based on the Trauma Outcome Process, an integrated treatment model for guiding clinical practice with children with sexually abusive behavior problems. The steps for completing a comprehensive assessment are reviewed, and strategies are presented to help clinicians create a therapeutic alliance and increase these children's self-awareness of their thoughts, feelings, and body sensations. Treatment techniques based on an integrated approach combining cognitive-behavioral and expressive therapy approaches are described. These exercises help children accept responsibility for sexually inappropriate behavior and select adaptive responses for coping with the effects of traumatic experiences.

  16. Cognitive-behavioral Intervention of Depression in Infertile Women%认知行为干预对女性不孕症患者抑郁的影响研究

    Institute of Scientific and Technical Information of China (English)

    程丽; 汤观秀; 秦楠; 王云; 曹逸; 雷俊

    2013-01-01

    目的 探讨认知行为干预对女性不孕症患者抑郁的影响.方法 将两个时间段收集到的符合入组标准的患者分为干预组和对照组,随机确定两组干预实施的先后顺序.干预组在常规护理的基础上实施认知行为干预,对照组仅给予常规护理.采用一般资料问卷、自评抑郁量表、医学应对问卷、自尊量表、社会支持评定量表对患者进行调查分析.结果 干预前,两组患者各量表得分差异均无统计学意义(P>0.05);干预后,对照组患者的自尊得分[(26.8±3.5)分和(30.1±2.9)分]、面对得分[(20.0±2.7)分和(22.8±3.0)分]、社会支持总分[(35.8±5.5)分和(40.8±5.8)分]、主观支持得分[(20.4±4.2)分和(23.9±3.2)分]、对支持的利用度得分[(6.8±1.4)分和(8.4±1.9)分]均低于干预组,屈服得分[(11.2±2.9)分和(8.5±2.6)分]、抑郁得分[(56.3±7.2)分和(44.6±7.7)分]均高于干预组,差异均有统计学意义(P<0.05).结论 认知行为干预可以有效地改善女性不孕症患者抑郁情绪.%Objective To explore the effect of cognitive - behavioral intervention on depression in infertile women. Methods Qualified patients collected in two time slots were randomly assigned as the control group and the intervention group. The patients in the control group were only given routine nursing care, and those in the trial group based were given additional intervention of cognitive behavior based on the routine nursing care. Results Before intervention, there was no significantly difference in the scores of each scale between two groups ( P > 0. 05 ). After cognitive - behavioral intervention, the scores of self - esteem [ ( 26. 8 ± 3. 5 ) vs. ( 30. 1 ± 2. 9 ) ], confrontation [ ( 20. 0 ± 2. 7 ) vs. ( 22. 8 ± 3. 0 ) ], the total social support [ ( 35. 8 ±5.5 ) vs. (40. 8 ±5. 8)], subjective support [ ( 20. 4 ±4. 2 ) vs. (23. 9 ±3.2)], support utilization [ ( 6. 8 ± 1. 4 ) vs. ( 8. 4 ± 1. 9 ) ] in the intervention

  17. Cognitive-behavioral Intervention for Patients with Behavioral and Psychological Symptoms of Dementia%心理行为干预辅助治疗痴呆并发行为和精神症状

    Institute of Scientific and Technical Information of China (English)

    吴越; 杨国平; 汤莉; 顾君

    2011-01-01

    Objective: To explore the effect of cognitive-behavioral intervention on patients with behavioral and psychological symptoms of dementia (BPSD). Methods: Sixty patients with BPSD were randomly divided into study group (treated with combination of cognitive-behavioral intervention and risperidone) and control group (treated with risperidone) for six weeks, and curative effectiveness was evaluate by using the BEHAVE-AD, MMSE and ADL scales. Results: The BEHAVE-AD scores in two groups were significantly decreased after 6 weeks as compared with those before treatement. However, reduction of BEHAVE-AD scores was more prominent in study group than that in control group. The scores of MMSE were significantly higher, and those of ADL were significantly lower in study group than in control group. Conclusion: Cognitive-behavioral intervention combined with risperidone has better efficacy in the treatment of BPSD, and it can improve the quality of life and cognitive function in patients.%目的:探讨心理行为干预辅助治疗痴呆并发行为和精神症状(BPSD)的效果.方法:60例BPSD患者随机分为研究组和对照组各30例,均口服利培酮和脑复康药物治疗.研究组同时辅助心理行为干预治疗.包括记忆、文体活动及ADL训练、行为矫正等.于治疗前后采用痴呆病理行为评定量表(BEHAVE-AD)、简易智能状态量表(MMSE)及ADL能力量表(ADL)评定2组患者的痴呆程度、行为症状及ADL.结果:治疗6周后,2组BEHAVEAD评分均较治疗前有明显下降(P<0.01),2组间比较,研究组下降更明显(P<0.05).MMSE评分研究组较治疗前及对照组明显提高,ADL评分明显下降(均P<0.05),而对照组治疗前后变化不明显.结论:心理行为干预辅助治疗BPSD患者,可有效改善其认知,提高残存记忆功能和ADL能力.

  18. Cognitive-Behavioral Therapy Plus Hypnosis for Distress During Breast Radiotherapy: A Randomized Trial.

    Science.gov (United States)

    Montgomery, Guy H; Sucala, Madalina; Dillon, Matthew J; Schnur, Julie B

    2017-10-01

    Radiotherapy is a common and effective treatment for women with breast cancer. However, radiotherapy has also been shown to adversely affect patients' emotional well-being. Currently, few mind-body interventions are designed to improve patients' quality of life during radiotherapy. One intervention which has demonstrated clinical efficacy in the breast cancer radiotherapy setting is Cognitive-Behavioral Therapy plus Hypnosis. The goal of this study was to investigate the impact of Cognitive-Behavioral Therapy plus Hypnosis on emotional distress in women with breast cancer undergoing radiotherapy. One hundred patients were randomly assigned to either the Cognitive-Behavioral Therapy plus Hypnosis (n = 50) or Attention Control (n = 50) group. Results revealed significant benefits of Cognitive-Behavioral Therapy plus Hypnosis on emotional distress at the mid-point (d = 0.54), the conclusion (d = 0.64), and 4 weeks following the conclusion (d = 0.65) of radiotherapy (all ps < 0.05). In summary, results support further study of Cognitive-Behavioral Therapy plus Hypnosis as an evidence-based intervention to reduce emotional distress in women with breast cancer. Cognitive-Behavioral Therapy plus Hypnosis has the benefits of being brief, noninvasive, lacking side-effects, and producing beneficial effects which last beyond the conclusion of radiotherapy. Given these strengths, we propose that Cognitive-Behavioral Therapy plus Hypnosis is a strong candidate for greater dissemination and implementation in cancer populations.

  19. Group schema therapy versus group cognitive behavioral therapy for social anxiety disorder with comorbid avoidant personality disorder: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Baljé, Astrid; Greeven, Anja; van Giezen, Anne; Korrelboom, Kees; Arntz, Arnoud; Spinhoven, Philip

    2016-10-08

    Social anxiety disorder (SAD) with comorbid avoidant personality disorder (APD) has a high prevalence and is associated with serious psychosocial problems and high societal costs. When patients suffer from both SAD and APD, the Dutch multidisciplinary guidelines for personality disorders advise offering prolonged cognitive behavioral therapy (CBT). Recently there is increasing evidence for the effectiveness of schema therapy (ST) for personality disorders such as borderline personality disorder and cluster C personality disorders. Since ST addresses underlying personality characteristics and maladaptive coping strategies developed in childhood, this treatment might be particularly effective for patients with SAD and comorbid APD. To our knowledge, there are no studies comparing CBT with ST in this particular group of patients. This superiority trial aims at comparing the effectiveness of these treatments. As an additional goal, predictors and underlying mechanisms of change will be explored. The design of the study is a multicentre two-group randomized controlled trial (RCT) in which the treatment effect of group cognitive behavioral therapy (GCBT) will be compared to that of group schema therapy (GST) in a semi-open group format. A total of 128 patients aged 18-65 years old will be enrolled. Patients will receive 30 sessions of GCBT or GST during a period of approximately 9 months. Primary outcome measures are the Liebowitz Social Anxiety Scale Self-Report (LSAS-SR) for social anxiety disorder and the newly developed Avoidant Personality Disorder Severity Index (AVPDSI) for avoidant personality disorder. Secondary outcome measures are the MINI section SAD, the SCID-II section APD, the Schema Mode Inventory (SMI-2), the Inventory of Depressive Symptomatology Self-Report (IDS-SR), the World Health Organization Quality of Life-BREF (WHOQOL-BREF), the Difficulties in Emotion Regulation Scale (DERS), the Rosenberg Self-Esteem Scale (RSES) and the Acceptance and Action

  20. [IDEM-depression: Characteristics and evaluation of an open group that combines psychoeducation and cognitive-behavior therapy].

    Science.gov (United States)

    Weiner, L; Garcia-Krafes, E; Garcia, S; Berthomier, C; Morali, A; Metzger, J-Y; Weibel, S; Javelot, H; Bertschy, G

    2016-10-28

    Depression is a highly prevalent mental illness that is associated with high rates of morbidity and functional impairment. At the psychiatric unit of the University Hospital of Strasbourg, France, we have developed an open group that combines psychoeducation and cognitive-behavior therapy (CBT), the information, discovery, exchange and mobilization for depression group (IDEM-depression). IDEM-depression is composed of 17 thematic, structured, and independent sessions, which address different aspects of depression (i.e., rumination, pharmacological treatments). Because of its flexible format, patients with varying degrees of depression severity (from remission up to severe depressive symptoms) and whose depression might be bipolar or unipolar, are able to participate in the group. Thus, the group is well suited to a large number of patients with major depression. In the present study we aimed at describing the IDEM-depression group and presenting results regarding patients' overall satisfaction, assessed via two self-report questionnaires (the Client Satisfaction Questionnaire, the CSQ-8, and the IDEM ad hoc questionnaire), as well as its effect on mood following each session assessed via a visual analog scale (VAS) ranging from 0 up to 100. Sixty-five patients participated in 50 sessions of the IDEM-depression group in two hospitals in Alsace. 61% of the patients had bipolar disorder, and 41% of them were inpatients. Sessions took place on a weekly basis, lasted 2hours and were proposed by a CBT-trained clinical psychologist. Patients were asked to fill-out the VAS at the beginning and at the end of each session. Moreover, they were asked to fill-out the CSQ-8 and the IDEM ad hoc questionnaire when they left the group. Other than one session ("yoga and mindfulness"), all the sessions (16 out of 17) were structured on a Powerpoint(©) presentation. During the first hour information was given regarding the topic (i.e., rumination), and a shared CBT

  1. Influence of early cognitive behavior intervention on psychology of patients with traumatic brain inj ury%早期认知行为干预对颅脑损伤病人心理的影响

    Institute of Scientific and Technical Information of China (English)

    吴玲玲; 孙建芳; 孙洁瑾; 郭慧洁; 王吉平

    2015-01-01

    Objective:To probe into the influence of early cognitive behavior intervention on psychological state of the patients with traumatic brain injury.Methods:A total of 110 cases of craniocerebral injury patients in de-partment of neurosurgery were randomly divided into intervention group and control group based on random number table,5 5 cases in each.The patients in control group received routine psychological care.In addition,the patients in intervention group received early cognitive behavior interventions.The patients were assessed by u-sing Early Psychological Scale of Trauma Patients before intervention and one week after intervention.The pa-tients received the followed up at 3 months and 6 months after discharge and filled the questionnaire of PTSD (PCL C).Results:At one week after intervention,the anxiety,depression and total score of early psychological assessment scale in intervention group were lower than that in control group,and the difference was statistically significant(P<0.05);at 3 months and 6 months,the PCL C score of patients in intervention group was lower than that of patients in control group,the difference between groups was statistically significant(P<0.05).Con-clusion:Early cognitive behavioral intervention can effectively improve the level of psychological stress in pa-tients with traumatic brain inj ury,relieve anxiety and depression,improve the symptoms of post traumatic stress disorder syndrome,PTSD.%[目的]探讨早期认知行为干预对颅脑损伤病人心理的影响。[方法]选取神经外科颅脑损伤病人110例按随机数字表分为干预组和对照组各55例,干预组在常规心理护理方法的基础上实施早期认知行为干预,对照组给予常规心理护理。在入组时及干预1周后应用意外创伤病人早期心理他评量表进行评估,出院3个月及6个月随访病人并填写创伤后应激障碍检查量表平民版(PCL C)。[结果]干预1周后,干预组早期心理他评量表焦

  2. Tratamento cognitivo-comportamental de grupo na fobia social: resultados de 12 semanas Cognitive-behavioral group treatment in social phobia: 12-week outcome

    Directory of Open Access Journals (Sweden)

    Gustavo J. Fonseca D'El Rey

    2008-01-01

    Full Text Available CONTEXTO: A fobia social é um dos transtornos mentais mais prevalentes na população geral. A terapia cognitivo-comportamental é o modelo não-farmacológico mais estudado nesse transtorno de ansiedade. OBJETIVOS: Este estudo teve como objetivo verificar a efetividade da terapia cognitivo-comportamental de grupo em pacientes com fobia social generalizada. MÉTODOS: Trinta e um pacientes com diagnóstico de fobia social generalizada foram randomicamente distribuídos em dois grupos: um de terapia cognitivo-comportamental de grupo - TCCG (n = 15 e um grupo-controle na Lista de Espera - LE (n = 16. Os pacientes preencheram quatro escalas de avaliação (Inventário de Fobia Social, Escala de Medo de Avaliação Negativa, Inventário de Ansiedade Beck e Escala de Impressão Clínica Global na semana 1 de tratamento e na semana 12. RESULTADOS: Em todas as medidas de avaliações, ao final de 12 semanas, os pacientes que receberam TCCG apresentaram melhoras superiores aos da LE. CONCLUSÕES: Neste ensaio clínico randomizado, simples-cego, a terapia cognitivo-comportamental de grupo foi superior à Lista de Espera no tratamento da fobia social generalizada.BACKGROUND: Social phobia is a widespread mental disorder in the general population. Cognitive-behavioral therapy is the most thoroughly studied nonpharmacologic approach in this anxiety disorder. OBJECTIVES: The aim of this study is to assess the effectiveness of cognitive-behavioral group therapy in patients with generalized social phobia. METHODS: Thirty one patients with diagnosis of generalized social phobia were randomly allocated in two groups. One group of cognitive-behavioral group therapy - CBGT (n = 15 and one Waiting List control group - WL (n = 16. The patients completed four rating scales (Social Phobia Inventory, Fear of Negative Evaluation Scale, Beck Anxiety Inventory and Clinical Global Impression Scale in the weeks 1 and 12. RESULTS: In all rating scales in the week 12 of

  3. Pilot Study of an Exercise Intervention for Depressive Symptoms and Associated Cognitive-Behavioral Factors in Young Adults With Major Depression.

    Science.gov (United States)

    Nasstasia, Yasmina; Baker, Amanda L; Halpin, Sean A; Lewin, Terry J; Hides, Leanne; Kelly, Brian J; Callister, Robin

    2016-10-31

    This study assesses the feasibility of integrating motivational interviewing (MI) with an exercise intervention. It also explores patterns of depressive symptom changes (cognitive, affective, and somatic subscales) and their relationship to cognitive, behavioral, and immunological factors (interleukin 6, IL-6, a marker for inflammation) across the exercise intervention. Twelve young adults (20.8 ± 1.7 years) meeting DSM-IV criteria for major depressive disorder received a brief MI intervention followed by a 12-week exercise intervention. Assessments were conducted preintervention, postintervention, throughout the intervention, and at follow-up. Preliminary results show differential effects of exercise, with the largest standardized mean improvements for the affective subscale (-1.71), followed by cognitive (-1.56) and somatic (-1.39) subscales. A significant relationship was observed between increased behavioral activation and lower levels of IL-6. Despite study limitations, the magnitude of changes suggests that natural remission of depressive symptoms is an unlikely explanation for the findings. A randomized controlled trial has commenced to evaluate effectiveness of the intervention.

  4. A comparative study on the effectiveness of positive psychotherapy and group cognitive-behavioral therapy for the patients suffering from major depressive disorder.

    Science.gov (United States)

    Asgharipoor, Negar; Asgharnejad Farid, Aliasghar; Arshadi, Hamidreza; Sahebi, Ali

    2012-01-01

    Aim of this experimental study is evaluating the effectiveness of two different approaches towards the treatment of major depressive disorder (MDD): Positive-oriented psychotherapy and group cognitive-behavior therapy. Eighteen out-patients suffering from major depression were randomly divided into two groups to be treated according to either of these two approaches. Both groups undertook the treatments for 12 weeks. All the subjects were tested by Beck Depression Inventory, Subjective Wellbeing Scale, Oxford test of Happiness, and the scale of Subjective Units of Distress before and after the treatments. The results show significant differences between the two groups in terms of the variables of happiness and mental distress, suggesting that effectiveness of positive psychotherapy is more than cognitive-behavioral therapy in increasing happiness. These two approaches were significantly different in neither decreasing the acuteness of depression symptoms nor increasing subjective wellbeing. As a whole, the results of this comparative study indicate that positive psychotherapy is more effective in increasing happiness among MDD patients.

  5. 认知行为干预对孕产妇焦虑情绪和免疫功能的影响%Influence of cognitive-behavioral intervention on anxious emotion and immune function in pregnant women

    Institute of Scientific and Technical Information of China (English)

    石妮; 尹斐

    2013-01-01

    Objective To explore the influence of cognitive - behavioral intervention on the psychosomatic reaction of pregnant women and neonates. Methods A total of 60 pregnant women were recruited and divided into the intervention group and the control group, each with 30 cases. The control group received conventional health education, while the intervention group received the cognitive — behavioral intervention. The cognitive - behavioral intervention measures included, changing cognitive appraisal, positive coping style guidance and relaxation training. All cases received evaluation of psychosomatic reaction before and 3 - week after intervention and after 24 h delivery. Results The anxiety scores and the serum cortisol contents in the two groups both increased with time, but the growth trend in the intervention group was slower than that in control group (P < 0. 01). Besides, there were statistical differences between the two groups in anxiety score,serum cortisol content and the humoral immune factors (IgG、IgM、C3)content (P<0.01 or P <0.05). Conclusion Cognitive -behavioral intervention can decrease the pregnant women's stress level of delivery and improve their immune function.%目的 探讨认知行为干预对孕产妇和新生儿心理和生理的影响.方法 将60例初产妇分为干预组和对照组各30例,对照组进行常规健康教育,干预组在此基础上行认知行为干预,包括改变认知评价、积极应对方式指导和放松训练.并分别于干预前、干预3周后、分娩后24 h内评定孕产妇心理和生理反应.结果 两组焦虑得分、血清皮质醇含量均随时间变化而升高,干预后干预组焦虑得分、血清皮质醇含量升高趋势慢于对照组(P<0.0l);干预后干预组焦虑得分、皮质醇、母儿免疫因子(IgG、IgM、C3)与对照组比较差异具有统计学意义(P<0.01或P<0.05).结论 认知行为干预可以降低孕产妇分娩应激水平,提高免疫功能.

  6. A Cognitive Behavioral Therapy-Based Text Messaging Intervention Versus Medical Management for HIV-Infected Substance Users: Study Protocol for a Pilot Randomized Trial.

    Science.gov (United States)

    Glasner-Edwards, Suzette; Patrick, Kevin; Ybarra, Michele L; Reback, Cathy J; Rawson, Richard A; Chokron Garneau, Helene; Chavez, Kathryn; Venegas, Alexandra

    2016-06-24

    Evidence-based psychosocial interventions for addictions and related conditions such as cognitive behavioral therapy (CBT) are underutilized. Obstacles to implementation of CBT in clinical settings include limited availability of quality training, supervision, and certification in CBT for clinicians; high rates of clinician turnover and high caseloads; and limited qualifications of the workforce to facilitate CBT expertise. Mobile phone-based delivery of CBT, if demonstrated to be feasible and effective, could be transformative in broadening its application and improving the quality of addiction treatment. No experimental interventions that deliver CBT targeting both drug use and medication adherence using text messaging have been previously reported; as such, the objective of this study is to develop and test an SMS-based treatment program for HIV-positive adults with comorbid substance use disorders. With user input, we developed a 12-week CBT-based text messaging intervention (TXT-CBT) targeting antiretroviral (ART) adherence, risk behaviors, and drug use in a population of HIV-infected substance users. The intervention has been developed and is presently being tested in a pilot randomized clinical trial. Results will be reported later this year. This investigation will yield valuable knowledge about the utility of a cost-effective, readily deployable text messaging behavioral intervention for HIV-infected drug users.

  7. A Cognitive Behavioral Therapy–Based Text Messaging Intervention Versus Medical Management for HIV-Infected Substance Users: Study Protocol for a Pilot Randomized Trial

    Science.gov (United States)

    Patrick, Kevin; Ybarra, Michele L; Reback, Cathy J; Rawson, Richard A; Chokron Garneau, Helene; Chavez, Kathryn; Venegas, Alexandra

    2016-01-01

    Background Evidence-based psychosocial interventions for addictions and related conditions such as cognitive behavioral therapy (CBT) are underutilized. Obstacles to implementation of CBT in clinical settings include limited availability of quality training, supervision, and certification in CBT for clinicians; high rates of clinician turnover and high caseloads; and limited qualifications of the workforce to facilitate CBT expertise. Objective Mobile phone–based delivery of CBT, if demonstrated to be feasible and effective, could be transformative in broadening its application and improving the quality of addiction treatment. No experimental interventions that deliver CBT targeting both drug use and medication adherence using text messaging have been previously reported; as such, the objective of this study is to develop and test an SMS-based treatment program for HIV-positive adults with comorbid substance use disorders. Methods With user input, we developed a 12-week CBT-based text messaging intervention (TXT-CBT) targeting antiretroviral (ART) adherence, risk behaviors, and drug use in a population of HIV-infected substance users. Results The intervention has been developed and is presently being tested in a pilot randomized clinical trial. Results will be reported later this year. Conclusions This investigation will yield valuable knowledge about the utility of a cost-effective, readily deployable text messaging behavioral intervention for HIV-infected drug users. PMID:27341852

  8. Development of a Guided Internet-based Psycho-education Intervention Using Cognitive Behavioral Therapy and Self-Management for Individuals with Chronic Pain.

    Science.gov (United States)

    Perry, Jennifer; VanDenKerkhof, Elizabeth G; Wilson, Rosemary; Tripp, Dean A

    2017-04-01

    Evidence-based chronic pain treatment includes nonpharmacologic therapies. When addressing barriers to treatment, there is a need to deliver these therapies in a way that is accessible to all individuals who may benefit. To develop a guided Internet-based intervention for individuals with chronic pain, program content and sequence of evidence-based treatments for chronic pain, traditionally delivered via in-person sessions, were identified to be adapted for Internet delivery. With consideration to historical barriers to treatment, and through use of a concept map, therapeutic components and educational material were situated, in an ordered sequence, into six modules. An Internet-based chronic pain intervention was constructed to improve access to evidence-based chronic pain therapies. Research using this intervention, in the form of a pilot study for intervention refinement, was conducted, and a large-scale study to assess effectiveness is necessary prior to implementation. As clients may face barriers to multimodal treatment for chronic pain, nurses could introduce components of education, cognitive behavioral therapy and self-management to clients and prepare them for the "work" of managing chronic pain, through use of this Internet-based intervention. Copyright © 2016 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  9. Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care workers - a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Holtermann Andreas

    2011-08-01

    Full Text Available Abstract Background Health care workers comprise a high-risk workgroup with respect to deterioration and early retirement. There is high prevalence of obesity and many of the workers are overweight. Together, these factors play a significant role in the health-related problems within this sector. The present study evaluates the effects of the first 3-months of a cluster randomized controlled lifestyle intervention among health care workers. The intervention addresses body weight, general health variables, physical capacity and musculoskeletal pain. Methods 98 female, overweight health care workers were cluster-randomized to an intervention group or a reference group. The intervention consisted of an individually dietary plan with an energy deficit of 1200 kcal/day (15 min/hour, strengthening exercises (15 min/hour and cognitive behavioral training (30 min/hour during working hours 1 hour/week. Leisure time aerobic fitness was planned for 2 hour/week. The reference group was offered monthly oral presentations. Body weight, BMI, body fat percentage (bioimpedance, waist circumference, blood pressure, musculoskeletal pain, maximal oxygen uptake (maximal bicycle test, and isometric maximal muscle strength of 3 body regions were measured before and after the intervention period. Results In an intention-to-treat analysis from pre to post tests, the intervention group significantly reduced body weight with 3.6 kg (p Conclusion The significantly reduced body weight, body fat, waist circumference and blood pressure as well as increased aerobic fitness in the intervention group show the great potential of workplace health promotion among this high-risk workgroup. Long-term effects of the intervention remain to be investigated. Trial registration ClinicalTrials.gov: NCT01015716

  10. A Preliminary Study of an Integrated and Culturally Attuned Cognitive Behavioral Group Treatment for Chinese Problem Gamblers in Hong Kong.

    Science.gov (United States)

    Wong, Daniel Fu Keung; Chung, Catherine Lai Ping; Wu, Janet; Tang, Joe; Lau, Patrick; Wan, Jennie Po Ching

    2015-09-01

    Chinese people may have a higher rate of gambling problems than other cultural groups. However, there are very few clinical outcome studies that have demonstrated the effectiveness of clinical interventions for helping Chinese gamblers. Cognitive behavioural therapy (CBT) has been found to be effective for helping problem gamblers to significantly reduce their gambling problems in western countries. Very few CBT clinical trials have been conducted with the Chinese populations, and the results were masked by methodological limitations. This preliminary study attempted to test the effectiveness of an integrated and culturally attuned CBT group treatment for Chinese problem gamblers in Hong Kong. This study adopted a randomized control design and 38 participants were allocated randomly to the experimental condition (n = 18) and control condition (n = 20). The experimental group received 10 weekly CBT group sessions and individual counseling services while control group only received the individual counseling services. Significant decreases in gambling severity and frequencies of gambling were found in the experimental group. The findings also showed that a change in gambling cognitions predicted the changes in gambling severity and gambling urge while a change in gambling severity was also linked to a change in depression. Preliminary evidence highlights the potential benefits of an integrated and culturally attuned CBT group treatment for Chinese problem gamblers in Hong Kong. However, a more vigorous research design with a larger sample is needed to provide solid evidence of the effectiveness of the model for Chinese problem gamblers.

  11. Cognitive Interventions and Nutritional Supplements (The CINS Trial): A Randomized Controlled, Multicenter Trial Comparing a Brief Intervention With Additional Cognitive Behavioral Therapy, Seal Oil, and Soy Oil for Sick-Listed Low Back Pain Patients.

    Science.gov (United States)

    Reme, Silje E; Tveito, Torill H; Harris, Anette; Lie, Stein Atle; Grasdal, Astrid; Indahl, Aage; Brox, Jens Ivar; Tangen, Tone; Hagen, Eli Molde; Gismervik, Sigmund; Ødegård, Arit; Fryland, Livar; Fors, Egil A; Chalder, Trudie; Eriksen, Hege R

    2016-10-15

    A randomized controlled trial. The aim of this study was to evaluate whether a tailored and manualized cognitive behavior therapy (CBT) or nutritional supplements of seal oil and soy oil had any additional benefits over a brief cognitive intervention (BI) on return to work (RTW). Brief intervention programs are clinically beneficial and cost-effective for patients with low back pain (LBP). CBT is recommended for LBP, but evidence on RTW is lacking. Seal oil has previously been shown to have a possible effect on muscle pain, but no randomized controlled trials have so far been carried out in LBP patients. Four hundred thirteen adults aged 18 to 60 years were included. Participants were sick-listed 2 to 10 months due to LBP. Main outcome was objectively ascertained work participation at 12-month follow-up. Participants were randomly assigned to BI (n = 100), BI and CBT (n = 103), BI and seal oil (n = 105), or BI and soy oil (n = 105). BI is a two-session cognitive, clinical examination program followed by two booster sessions, while the CBT program is a tailored, individual, seven-session manual-based treatment. At 12-month follow-up, 60% of the participants in the BI group, 50% in the BI and CBT group, 51% in the BI and seal oil group, and 53% in the BI and soy oil group showed reduced sick leave from baseline, and had either partly or fully RTW. The differences between the groups were not statistically significant (χ = 2.54, P = 0.47). There were no significant differences between the treatment groups at any of the other follow-up assessments either, except for a significantly lower sick leave rate in the BI group than the other groups during the first 3 months of follow-up (χ = 9.50, P = 0.02). CBT and seal oil had no additional benefits over a brief cognitive intervention on sick leave. The brief cognitive intervention alone was superior in facilitating a fast RTW. 2.

  12. Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study.

    Science.gov (United States)

    Dorrepaal, Ethy; Thomaes, Kathleen; Smit, Johannes H; Veltman, Dick J; Hoogendoorn, Adriaan W; van Balkom, Anton J L M; Draijer, Nel

    2013-01-01

    In the empirical and clinical literature, complex posttraumatic stress disorder (PTSD) and personality disorders (PDs) are suggested to be predictive of drop-out or reduced treatment effectiveness in trauma-focused PTSD treatment. In this study, we aimed to investigate if personality characteristics would predict treatment compliance and effectiveness in stabilizing complex PTSD treatment. In a randomized controlled trial on a 20-week stabilizing group cognitive behavioral treatment (CBT) for child-abuse-related complex PTSD, we included 71 patients of whom 38 were randomized to a psycho-educational and cognitive behavioral stabilizing group treatment. We compared the patients with few PD symptoms (adaptive) (N=14) with the non-adaptive patients (N=24) as revealed by a cluster analysis. We found that non-adaptive patients compared to the adaptive patients showed very low drop-out rates. Both non-adaptive patients, classified with highly different personality profiles "withdrawn" and "aggressive," were equally compliant. With regard to symptom reduction, we found no significant differences between subtypes. Post-hoc, patients with a PD showed lower drop-out rates and higher effect sizes in terms of complex PTSD severity, especially on domains that affect regulation and interpersonal problems. Contrary to our expectations, these preliminary findings indicate that this treatment is well tolerated by patients with a variety of personality pathology. Larger sample sizes are needed to study effectiveness for subgroups of complex PTSD patients.

  13. An open trial of outpatient group therapy for bulimic disorders: combination program of cognitive behavioral therapy with assertive training and self-esteem enhancement.

    Science.gov (United States)

    Shiina, Akihiro; Nakazato, Michiko; Mitsumori, Makoto; Koizumi, Hiroki; Shimizu, Eiji; Fujisaki, Mihisa; Iyo, Masaomi

    2005-12-01

    The purposes of this study were to examine the therapeutic efficacy of combined group cognitive behavioral therapy (CGCBT) and to explore the characteristics of the patients who failed to complete it. Our group cognitive behavioral therapy combined with assertiveness training for alexithymia and self-esteem enhancement therapy were attended over a 10-week period. Twenty-five participants were enrolled in the study. The clinical symptoms were assessed before and after treatment, using rating scales including the Eating Disorder Inventory-2, the Bulimic Investigatory Test, Edinburgh, the Toronto Alexithymia Scale, the Rosenberg Self-Esteem Scale, and Global Assessment of Functioning. Sixteen participants (64%) completed the CGCBT program. Completion of the CGCBT resulted in significant improvements in reducing binge-eating behavior and improving social functioning. Eight patients (32%) significantly improved using the Clinical Global Impression Change (CGI-C). Stepwise logistic regression analysis of the results indicated that a lower age (P=0.04) and psychiatric comorbidity (P=0.06) were predictors of dropout from the CGCBT program. Our CGCBT program is a promising first-line treatment for bulimic outpatients. Lower age and the presence of comorbidity had effects on dropout rates.

  14. Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study

    Directory of Open Access Journals (Sweden)

    Ethy Dorrepaal

    2013-11-01

    Full Text Available Background: In the empirical and clinical literature, complex posttraumatic stress disorder (PTSD and personality disorders (PDs are suggested to be predictive of drop-out or reduced treatment effectiveness in trauma-focused PTSD treatment. Objective: In this study, we aimed to investigate if personality characteristics would predict treatment compliance and effectiveness in stabilizing complex PTSD treatment. Method: In a randomized controlled trial on a 20-week stabilizing group cognitive behavioral treatment (CBT for child-abuse-related complex PTSD, we included 71 patients of whom 38 were randomized to a psycho-educational and cognitive behavioral stabilizing group treatment. We compared the patients with few PD symptoms (adaptive (N=14 with the non-adaptive patients (N=24 as revealed by a cluster analysis. Results: We found that non-adaptive patients compared to the adaptive patients showed very low drop-out rates. Both non-adaptive patients, classified with highly different personality profiles “withdrawn” and “aggressive,” were equally compliant. With regard to symptom reduction, we found no significant differences between subtypes. Post-hoc, patients with a PD showed lower drop-out rates and higher effect sizes in terms of complex PTSD severity, especially on domains that affect regulation and interpersonal problems. Conclusion: Contrary to our expectations, these preliminary findings indicate that this treatment is well tolerated by patients with a variety of personality pathology. Larger sample sizes are needed to study effectiveness for subgroups of complex PTSD patients.

  15. Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study.

    Directory of Open Access Journals (Sweden)

    Cristina eGiner-Bartolomé

    2015-07-01

    Full Text Available Background: Several studies have highlighted the implications of impulsivity and novelty seeking for both the maintenance and the process of recovery from bulimia nervosa. Cognitive behavioral therapy (CBT is the treatment of choice for bulimia nervosa, but for some cases, this treatment alone might not be sufficient for reducing the high levels of impulsivity. The paper presents a case report of a patient with bulimia nervosa, examining the effectiveness of using a videogame (Playmancer as an additional intervention designed to address impulsivity. Design: Psychometric and neuropsychological measures were collected at baseline. After this assessment, Playmancer was applied prior to CBT, following an A-B-A-C-A single case experimental design. Impulsivity levels were assessed with the Conners’ Continuous Performance Test II (CPT-II. After the Playmancer treatment, the patient started CBT, and the levels of impulsivity were recorded again. Finally, psychometric and neuropsychological measures were collected after treatment. Weekly frequency of binges and vomiting were also recorded during the entire procedure. Results: After the videogame intervention, psychometric measures such as anxiety levels, impulsivity and novelty seeking decreased. Regarding the neuropsychological measures, impulsivity levels (measured with the CPT-II progressively decreased throughout the intervention, and an improvement in decision making capacities was observed. Furthermore, the frequency of binges also decreased during and after the videogame intervention. Discussion: This case report suggests that using the Playmancer videogame to reduce impulsivity prior to CBT may enhance the final results of the treatment for bulimia nervosa.

  16. 认知行为干预在慢性心力衰竭患者中的应用%Application of cognitive - behavioral intervention in patients with chronic heart failure condition

    Institute of Scientific and Technical Information of China (English)

    罗容莲; 谢美琼

    2015-01-01

    Objective:Explored the effect of cognitive behavioral intervention for improving cardiac function in patients with chronic heart failure. Methods:120 patients with chronic heart failure were randomly divided into experimental group and control group,the control group received routine care,the experi-mental group received cognitive behavioral intervention,include:the development of cognitive interventions in patients with chronic heart failure clinical road map,ability to teach patients self - management,and encourage patients to establish the behavior of reconstruction,teach your family to master the correct way to rescue establish network platform Q group of patients after discharge telephone interviews and home visits. Results:Six months after the intervention using 6min walk test,cardiac functional status of patients in the experimental group than the control group;comparing two groups of heart rate,pulse,blood pressure in the experimental group than the control group (P < 0. 05),Two groups of patients discharged within a year,the experimental patient readmission rate was significantly lower than the control group (P < 0. 05). there are significant differences. Conclusion:Cognitive - behavioral intervention can improve heart function in patients with chronic heart failure condition,the heart rate,pulse,reduce readmission rates for patients.%目的::探讨认知行为干预在慢性心力衰竭(CHF)患者中的应用效果。方法:选择我院内科2012年1月~2013年6月住院的的老年CHF 患者120例,将其随机等分为试验组和对照组,对照组给予常规护理,试验组实施认知行为干预,包括制定 CHF 患者认知干预临床路径图,指导患者培养自我管理的能力,鼓励患者树立行为重建,教导家人掌握正确施救的方法,建立患者 Q 群网络平台,出院后电话回访及家庭探视。结果:干预半年后采用6 min 步行试验,试验组患者心功能状况明显优于对照组

  17. 团体认知行为疗法治疗贪食行为的疗效研究%Outcomes of group cognitive behavior therapy for polyhagia

    Institute of Scientific and Technical Information of China (English)

    吴金庭; 刘新民

    2012-01-01

    Objective: To observe the effects of group cognitive behavior therapy ( GCBT ) on bulimia nervosa. Methods : Eating Disorders Inventory was used to investigate the bulimia behavior in 1 900 students in a medical college,and 126 subjects were included concerning whose scores were under 41 on the questionnaire as potential eating disorders. Further confirmation by DSM-IV,30 of the 126 participants were diagnosed as bulimia nervosa and evenly randomized into groups of treatment and controls. The treatment group were given GCBT once a week for 8 consecutive weeks,and both groups were compared after 8 weeks of intervention for the difference. Results: There was no significant difference between the two groups regarding the estimation by questionnaire BMI, stress and scores on SCL-90 before intervention( P >0. 05 ),whereas the two groups differed a lot, especially the treatment group were found with significant improvement in tendency of eating disorders,stress and mental health sta-tus( P 0. 05 ). Conclusion: GCBT may be effective to management of bulimia nervosa in college students.%目的:研究团体认知行为疗法对大学生贪食行为的疗效.方法:采用进食障碍调查问卷对某医学院在校学生1 900人进行问卷调查,选取进食障碍调查问卷得分小于41分者(有进食障碍倾向)126人,参照DSM-IV诊断标准进行筛选,选取具有贪食行为的医学生30名,随机分为甲、乙两组,每组15人:甲组为治疗组,实施团体CBT治疗方法进行干预,每周1次,共8周;乙组为对照组.8周后观察甲乙两组之间的差异.结果:治疗前两组间进食障碍问卷、体质量指数(BMI)、压力和SCL-90得分上无显著性差异(P>0.05);治疗后,甲组在治疗前后进食障碍发生倾向、压力改善和心理健康状况上改善明显(P<0.05),且甲乙两组间存在显著差异(P<0.05).乙组在治疗前后无明显改善(P>0.05).结论:团体认知行为疗法可显著改善大学生贪食行为.

  18. A randomized, controlled clinical trial of standard, group and brief cognitive-behavioral therapy for panic disorder with agoraphobia: a two-year follow-up.

    Science.gov (United States)

    Marchand, André; Roberge, Pasquale; Primiano, Sandra; Germain, Vanessa

    2009-12-01

    A randomized controlled clinical trial with a wait-list control group was conducted to examine the effectiveness of three modalities (brief, group, and standard) of cognitive-behavioral treatment (CBT) for panic disorder with agoraphobia. A total of 100 participants meeting DSM-IV criteria were randomly assigned to each treatment condition: a 14-session standard CBT (n=33), a 14-session group CBT (n=35) and a 7-session brief CBT (n=32). Participants received a self-study manual and were assigned weekly readings and exercises. The results indicate that regardless of the treatment condition, CBT for moderate to severe PDA is beneficial in medium and long term. To this effect, all three-treatment conditions significantly reduced the intensity of symptoms, increased participants' quality of life, offered high effect sizes, superior maintenance of gains over time, and lower rates of relapse, compared to the wait-list control.

  19. 舍曲林联合认知行为治疗对产后抑郁症疗效的对照研究%The therapeutic effects of sertraline with cognitive-behavioral therapy intervention on postpartum depression

    Institute of Scientific and Technical Information of China (English)

    宋传福; 张恩; 夏仲

    2013-01-01

    Objective; To explore the therapeutic effects of sertraline plus cognitive-behavioral therapy ( CBT) intervention on postpartum depression. Method:78 patients with postpartum depression who fulfilled the inclusion criteria were divided into two groups(sertraline plus cognitive-behavioral therapy group vs sertraline group). All the patients received the tests of HAMD and automatic thoughts questionnaire(ATQ) before and after treatment every two weeks. The patients in the study group were given sertraline and 50 minutes cognitive-behavioral therapy twice every week and the control group took sertraline only. The therapy continued for 8 weeks. Results:64 patients finished this research. The study group was similar to the control group in effective rate (76.5% vs.73. 3% respectively,χ2 = 1.58,P >0. 05). The two groups patients showed decreased scores in HAMD,and no decrease differences between two groups (P>0.05). The study group patients showed more decrease in ATQ compared with the controls after the treatment ( P < 0.01). Conclusion; Sertraline plus cognitive-behavioral therapy may have better effects in treatment of postpartum depression than sertraline only.%目的:探讨舍曲林加认知行为治疗对产后抑郁症的疗效. 方法:78例产后抑郁症患者分为研究组(舍曲林联合认知行为治疗)与对照组(仅舍曲林治疗),两组舍曲林剂量50~100 mg/d,研究组认知行为治疗每周2次,每次50 min.在基线与治疗8周采用汉密顿抑郁量表(HAMD)和自动思维问卷(ATQ)评定. 结果:64例完成研究(研究组34例,对照组30例).治疗8周后,研究组有效率76.5%,对照组有效率73.3%,两组有效率差异无统计学意义(x2=1.58,P>0.05).HAMD评分均有下降,但两组差异无统计学意义(P>0.05).治疗8周后研究组ATQ评分下降比对照组显著(P<0.01). 结论:舍曲林联合认知行为治疗对产后抑郁可能治疗效果更好.

  20. Cognitive-behavioral group therapy for girls victims of sexual violence in Brazil: Are there differences in effectiveness when applied by different groups of psychologists?: effectiveness of group therapy for girls victims of sexual violence

    Directory of Open Access Journals (Sweden)

    Luisa Fernanda Habigzang

    Full Text Available The effectiveness of a cognitive-behavioral group therapy model for the treatment of girls victims of sexual violence (SV was investigated when applied by different groups of practitioners: researchers/psychologists who developed it (G1 and psychologists from the public social care network trained by the first group (G2. A quasi-experimental study was carried out, in which the group therapy model was applied by the two groups. A total of 103 girls victims of sexual violence (SV, aged between seven and 16 years (M=11.76 years, SD=2.02 years were included, with 49 attended by G1, and 54 by G2. The results indicated a significant reduction in the symptoms of depression, anxiety, stress, and PTSD. The comparison between the results obtained by the two groups of practitioners in the application of the model indicated no significant differences in the rates of improvement of the participants. These results indicate the effectiveness of the cognitive-behavioral group therapy model evaluated and the possibility of it being used as a care strategy by psychology practitioners working in public services.

  1. Development of a Multi-Disciplinary Intervention for the Treatment of Childhood Obesity Based on Cognitive Behavioral Therapy

    Science.gov (United States)

    Bathrellou, Eirini; Yannakoulia, Mary; Papanikolaou, Katerina; Pehlivanidis, Artemios; Pervanidou, Panagiota; Kanaka-Gantenbein, Christina; Tsiantis, John; Chrousos, George P.; Sidossis, Labros S.

    2010-01-01

    Along the lines of the evidence-based recommendations, we developed a multi-disciplinary intervention for overweight children 7- to 12-years-old, primarily aiming at helping children to adopt healthier eating habits and a physically active lifestyle. The program combined nutrition intervention, based on a non-dieting approach, with physical…

  2. Development of a Multi-Disciplinary Intervention for the Treatment of Childhood Obesity Based on Cognitive Behavioral Therapy

    Science.gov (United States)

    Bathrellou, Eirini; Yannakoulia, Mary; Papanikolaou, Katerina; Pehlivanidis, Artemios; Pervanidou, Panagiota; Kanaka-Gantenbein, Christina; Tsiantis, John; Chrousos, George P.; Sidossis, Labros S.

    2010-01-01

    Along the lines of the evidence-based recommendations, we developed a multi-disciplinary intervention for overweight children 7- to 12-years-old, primarily aiming at helping children to adopt healthier eating habits and a physically active lifestyle. The program combined nutrition intervention, based on a non-dieting approach, with physical…

  3. Effect of Strengthening Cognitive Behavioral Intervention on the Rehabilitation of Patients Schizophrenia%强化认知行为干预对精神分裂症患者康复效果的影响分析

    Institute of Scientific and Technical Information of China (English)

    韦红梅; 王翠棋; 杨勇; 夏志春; 何艳君

    2014-01-01

    目的:研究强化认知行为干预对精神分裂症患者康复效果的影响。方法将我院收治的240例精神分裂症患者随机分成3组(A组、B组、C组),三组患者均予以抗精神病药物治疗和常规护理。A组接受常规干预;B组接受临床导向的自知力教育;C组接受认知为导向的自知力教育。结果 A组干预前后的IPROS各项评分比较,无明显差异(P>0.05);B组、C组干预后的IPROS各项评分均较干预前显著降低(P0.05);B组、C组干预后的NOSIE评分均较干预前有显著改善(P0.05); B group, C group after the intervention of IPROS scores were signiifcantly lower than those before intervention (P0.05); B group, C group after the intervention of NOSIE scores were signiifcantly improved compared with before intervention by (P<0.05); C group improved signiifcantly better than the B group (P<0.05).ConclusionFor patients with schizophrenia cognitive behavior intervention, residual symptoms can effectively improve patient, improve social function, quality of life of the patients, accelerate rehabilitation.

  4. Cognitive Behavioral Social Rhythm Group Therapy for Veterans with posttraumatic stress disorder, depression, and sleep disturbance: Results from an open trial.

    Science.gov (United States)

    Haynes, Patricia L; Kelly, Monica; Warner, Lesley; Quan, Stuart F; Krakow, Barry; Bootzin, Richard R

    2016-03-01

    Cognitive Behavioral Social Rhythm Therapy (CBSRT) is a group psychotherapy tailored for Veterans with Posttraumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), and sleep disturbances. The aims of this study were to introduce and present initial outcomes of Cognitive Behavioral Social Rhythm Therapy (CBSRT), a 12-week skills group therapy designed to improve sleep and mood by reducing chaotic or isolated lifestyles in Veterans with PTSD. Twenty-four male Veterans with at least moderate PTSD and MDD participated in this open trial. Main outcomes were the daily sleep diary for sleep disturbances, the Clinician-Administered PTSD Scale (CAPS) for PTSD, and the Hamilton Depression Rating scale for MDD. Veterans improved on all measures (a) with large within subject effects on PTSD symptoms, MDD symptoms, and sleep quality, and (b) with 46-58% of the sample receiving clinically significant benefits on MDD and PTSD symptoms respectively. The consistency of social rhythms was associated with the average reduction in global CAPS scores over time. Only 13% of participants dropped-out of the group therapy prematurely suggesting that this new group therapy is relatively well-tolerated by Veterans. Future research that employs a control condition is necessary to establish efficacy of CBSRT. Data from this initial pilot study demonstrate that CBSRT may be an effective group treatment option for Veterans presenting with all three symptom complaints. These data also suggest that daily routine may be an important mechanism to consider in the treatment of PTSD symptoms comorbid with depression. Copyright © 2015 Elsevier B.V. All rights reserved.

  5. Predictors of improvement in subjective sleep quality reported by older adults following group-based cognitive behavior therapy for sleep maintenance and early morning awakening insomnia.

    Science.gov (United States)

    Lovato, Nicole; Lack, Leon; Wright, Helen; Kennaway, David J

    2013-09-01

    Cognitive behavior therapy is an effective nonpharmacologic treatment for insomnia. However, individualized administration is costly and often results in substantial variability in treatment response across individual patients, particularly so for older adults. Group-based administration has demonstrated impressive potential for a brief and inexpensive answer to the effective treatment of insomnia in the older population. It is important to identify potential predictors of response to such a treatment format to guide clinicians when selecting the most suitable treatment for their patients. The aim of our study was to identify factors that predict subjective sleep quality of older adults following group-based administration of cognitive behavior therapy for insomnia (CBT-I). Eighty-six adults (41 men; mean age, 64.10 y; standard deviation [SD], 6.80) with sleep maintenance or early morning awakening insomnia were selected from a community-based sample to participate in a 4-week group-based treatment program of CBT-I. Participants were required to complete 7-day sleep diaries and a comprehensive battery of questionnaires related to sleep quality and daytime functioning. Hierarchical multiple regression analyses were used to identify factors predicting subjective sleep quality immediately following treatment and at 3-month follow-up. Sleep diaries reported average nightly sleep efficiency (SE), which was used as the outcome measure of sleep quality. Participants with the greatest SE following treatment while controlling for pretreatment SE were relatively younger and had more confidence in their ability to sleep at pretreatment. These characteristics may be useful to guide clinicians when considering the use of a group-based CBT-I for sleep maintenance or early morning awakening insomnia in older adults. Copyright © 2013 Elsevier B.V. All rights reserved.

  6. 强化认知行为干预对精神分裂症患者康复效果的影响%Enhanced cognitive behavioral intervention on the evaluation of rehabilitation in patients with schizophrenia

    Institute of Scientific and Technical Information of China (English)

    张少军; 田梅; 刘艳芳

    2011-01-01

    Objective:To disscuss the rehabiliation effect of enhanced cognitive behavioral intervention in patients with schizophrenia. Methods:g4 cases in the recovery period after hospitalization in patients with schizophrenia were randomly divided into observation group and control group, the observation group and conventional anfipsychotics in the nursing care given to addition, while giving enhanced cognitive behavioral intervention, control group only given antipsychotic and routine care, using nurse - patient observation scale ( NOSIE), psychiatric in - patient rehabilitation effects rating scale (IPROS) for 6 weeks of rehabilitation patients were the assessment of the state. Results: Observed after 6 weeks of intervention group compared with the control group NOSIE scores, the difference was significant ( P < 0.01 ), ali factor scores with the control group, the difference was significant ( P < 0.05 and P < 0.01 ),IPROS Total and all factor scores were lower than the control group, the difference was significant (P <0.05 and P <0.01 ). Conclusion:Enhanced cognitive behavioral intervention can improve residual symptoms of schizophrenia, lower social disability, to improve the quality of llfe and social function, and promote recovery from disease and so have a positive effect.%目的:探讨强化认知行为干预对精神分裂症患者康复效果的影响.方法:将84例经住院治疗处于恢复期的精神分裂症患者随机分为观察组和对照组各42例,观察组在给予抗精神病药物治疗及常规护理基础上,同时给予强化认知行为干预,对照组只给予抗精神病药物及常规护理.采用护士用住院病人观察量表(NOSIE)、住院精神病人康复疗效评定量表(IPROS)对两组患者进行6周康复状态的评定.结果:干预6周后观察组 NOSIE总分与对照组比较,差异有显著性(P<0.01),各个因子分与对照组比较,差异均有显著性(P<0.05,P<0.01);IPROS总分及各个因子得分均

  7. Responding to the need for sleep among survivors of interpersonal violence: A randomized controlled trial of a cognitive-behavioral insomnia intervention followed by PTSD treatment.

    Science.gov (United States)

    Pigeon, Wilfred R; Heffner, Kathi L; Crean, Hugh; Gallegos, Autumn M; Walsh, Patrick; Seehuus, Martin; Cerulli, Catherine

    2015-11-01

    Sleep disturbance is a common feature of posttraumatic stress disorder (PTSD), but is not a focus of standard PTSD treatments. Psychological trauma exposure is associated with considerable physical and mental health morbidity, possibly due to the alterations in neuroendocrine function and inflammation observed in trauma exposed individuals. Although PTSD treatments are efficacious, they are associated with high drop-out rates in clinical trials and clinical practice. Finally, individuals with PTSD stemming from exposure to interpersonal violence represent an especially under-treated population with significant sleep disturbance. Community-based participatory research was utilized to design and prepare a clinical trial that randomizes recent survivors of interpersonal violence who have PTSD, depression, and insomnia to receive either: (1) Cognitive Behavioral Therapy for Insomnia (CBTi) followed by Cognitive Processing Therapy (CPT) for trauma, or (2) attention control followed by CPT. Outcome measures include subjective and objective measures of sleep, clinician-administered PTSD and depression scales, inflammatory cytokines, and salivary cortisol. Assessments are conducted at baseline, following the sleep or control intervention, and again following CPT. The design allows for: (1) the first test of a sleep intervention in this population; (2) the comparison of sequenced CBTi and CPT to attention control followed by CPT, and (3) assessing the roles of neuroendocrine function, inflammatory processes, and objective sleep markers in mediating treatment outcomes. The study's overarching hypothesis is that treating insomnia will produce reduction in insomnia, PTSD, and depression severity, allowing patients to more fully engage in, and derive optimal benefits from, cognitive processing therapy.

  8. Group versus Internet-based cognitive-behavioral therapy for procrastination: study protocol for a randomized controlled trial

    National Research Council Canada - National Science Library

    Rozental, Alexander; Forsström, David; Nilsson, Sam; Rizzo, Angela; Carlbring, Per

    2014-01-01

    .... However, chronic and severe procrastinators seldom receive adequate care due to preconceptions and the lack of understanding regarding procrastination and the treatment interventions that are assumed beneficial...

  9. Effects of Cognitive Behavior Intervention on Anxiety and Depression of Patients with Dry Eye Emotions%认知行为干预对干眼症患者焦虑抑郁情绪的影响

    Institute of Scientific and Technical Information of China (English)

    罗平; 余妤; 邓珊珊

    2015-01-01

    【目的】探讨认知行为干预(Cognitive behavioral therapy ,CBT )对干眼症患者焦虑抑郁情绪的影响。【方法】将90例干眼症患者按随机数字表法分为观察组和对照组,每组45例,对照组进行眼科常规护理,观察组在常规护理的基础上给予CBT ,采用zung氏焦虑自评量表(SAS )与抑郁自评量表(SDS )对两组患者出入院时的焦虑和抑郁情绪进行评价,对两组患者护理满意度、疗效进行比较。【结果】观察组患者出院时SAS评分为(40.25±8.14)分明显低于对照组(45.21±8.05)分;SDS评分为(39.95±8.07)分,也明显低于对照组SDS评分(44.68±8.28)分,两组评分比较差异均有统计学意义( tsas=3.17,P<0.01,tsds =2.52,P<0.05);观察组患者对护理的总满意度高于对照组,差异有显著意义(100% v s 73.33%,χ2=13.85, P <0.01);观察组有效率也高于对照组,差异有显著意义(93.33% v s 77.78%,χ2=4.41, P <0.05)。【结论】CBT能降低干眼症患者焦虑和抑郁情绪,规范健康认知和行为,改善患者预后,提高患者生活质量,方法简单,值得推广。%[Objective] To explore the effects of cognitive behavior intervention on anxiety and depression of patients with dry eye emotions .[Methods]A total of 90 patients were randomly divided into intervention and control groups (n=45 each) .The control group was subject to routine care while the intervention group received cognitive behavioral intervention on the basis of routine care .And two groups were compared with re‐gards to anxiety ,depression ,satisfaction and efficacy .[Results] The self‐rating anxiety scale (SAS) score was 40 .25 ± 8 .14 in intervention group versus 45 .21 ± 8 .05 in control group .And the self‐rating depression scale (SDS) score was 39 .95 ± 8 .07 in intervention group versus 44 .68 ± 8 .28

  10. Efficacy of group cognitive-behavioral treatment on rehabilitation of chronic schizophrenics in community%团体认知行为治疗对社区精神分裂症患者康复疗效的评估

    Institute of Scientific and Technical Information of China (English)

    吴迎春; 李俊英; 赵业华; 杨雅芬; 张铁; 谢春梅; 卢绍龙; 高婷婷

    2013-01-01

    Objective:To investigate the efficacy of group cognitive -behavioral therapy on rehabilitation of schizophrenia in communi-ty.Methods:60 schizophrenic patients in community rehabilitation were divided into two groups .the treatment group received group cogni-tive-behavioral therapy combined with drug treatment , the control group , only to the general community and disease follow -up guid-ance, using the Positive and Negative Syndrome Scale ( PANSS) , Morning -side rehabilitation status Scale ( MRSS) social Disability screening Schedule (SDSS) insight questionnaire (SAI) were used to assess the two group at pre -therapy ,12 weeks after ,and 38 weeks after intervention .Results:After treatment, the study group PANSS total score , MRSS and SDSS score decreased , lower than the control group ,and SIA scores statistically higher in intervention group than in control group (P <0.05, there are significant differences). Conclusion:the Group cognitive behavioral therapy could enhance the level of rehabilitation in schizophrenia in community .%目的:探讨团体认知行为治疗对社区精神分裂症患者的康复疗效。方法:将60例社区康复的精神分裂症患者分成2组,治疗组予以团体认知行为治疗联合药物治疗,对照组仅予一般的社区随访和疾病指导,采用阳性与阴性症状综合征量表(PANSS),Morning-side康复状态量表(MRSS),社会功能缺陷筛选量表(SDSS)及自知力问卷(SAI),分别于治疗前,12周,38周末进行评定。结果:治疗后2组比较,研究组的PANSS总分,MRSS总分及SDSS总分值均下降,低于对照组, SAI总分值高于对照组(P<0.05,有统计学差异)。结论:团体认知行为治疗对社区精神分裂症患者康复有促进作用。

  11. Cognitive behavior therapy-based psychoeducational groups for adults with ADHD and their significant others (PEGASUS): an open clinical feasibility trial.

    Science.gov (United States)

    Hirvikoski, T; Waaler, E; Lindström, T; Bölte, S; Jokinen, J

    2015-03-01

    The aim of this pilot study was to investigate the feasibility and effectiveness of a new psychoeducative intervention program (PEGASUS) for adults with ADHD and their significant others in a psychiatric outpatient context. At three outpatient psychiatric clinics, adults with ADHD and their significant others took part in PEGASUS, a psychoeducational program based on theories from cognitive behavioral therapy, neuropsychology, and cross-disciplinary evidence regarding ADHD. In total, 108 adults were allocated to treatment (51 with ADHD and their 57 significant others). Feasibility was evaluated regarding suitability of the intervention at a psychiatric outpatient clinic and treatment completion. Preliminary efficacy was evaluated per protocol from baseline to post-intervention (n = 41 adults with ADHD and 40 significant others). In a feasibility analysis, the intervention was judged to be a suitable treatment option for 94.5 % of all individuals with a primary diagnosis of ADHD at an outpatient psychiatric clinic. In total, 43 out of 51 allocated individuals with ADHD (84.3 %) completed the intervention. The corresponding figures for their significant others were 42 out of 57 (73.7 %). Knowledge about ADHD increased, and both the quality of relationships and psychological well-being improved from baseline to post-intervention in all participants. The significant others reported a reduction in the subjective burden of care, such as worry and guilt. The objective burden of care (such as financial problems) did not change. The findings support the potential value of psychoeducation for adults with ADHD and their significant others. An ongoing randomized controlled trial will generate further evidence concerning the PEGASUS program.

  12. The Chinese Life-Steps Program: A Cultural Adaptation of a Cognitive-Behavioral Intervention to Enhance HIV Medication Adherence

    Science.gov (United States)

    Shiu, Cheng-Shi; Chen, Wei-Ti; Simoni, Jane; Fredriksen-Goldsen, Karen; Zhang, Fujie; Zhou, Hongxin

    2013-01-01

    China is considered to be the new frontier of the global AIDS pandemic. Although effective treatment for HIV is becoming widely available in China, adherence to treatment remains a challenge. This study aimed to adapt an intervention promoting HIV-medication adherence--favorably evaluated in the West--for Chinese HIV-positive patients. The…

  13. 认知行为干预心理护理在透析护理中的应用价值分析%Application Value of Cognitive Behavior Intervention in Psychological Nursing Care of Dialysis

    Institute of Scientific and Technical Information of China (English)

    石翠; 庞庆华; 卢茵

    2014-01-01

    目的:分析讨论心理护理中认知行为干预的方法对尿毒症透析患者情绪及其他各项指标的影响。方法:选取笔者所在医院2012年6月-2013年9月需进行血液透析的尿毒症患者共227例,按照随机数字表法分成受试组122例与对照组105例。受试组患者接受认知行为干预及常规护理,对照组仅进行常规护理。记录两组患者一般情况,设计问卷调查表对患者焦虑、抑郁等不良情绪进行得分评价。并对患者体重、营养等指标进行检测评估。结果:对每个患者连续记录3个月后,受试组患者焦虑、抑郁不良情绪评分低于对照组,两组比较差异均有统计学意义(P<0.05)。受试组患者体重、营养等指标较对照组好转,两组比较差异均有统计学意义(P<0.05)。结论:认知行为干预方案对尿毒症血液透析患者的护理临床效果明显,可减轻患者焦虑、抑郁等负面情绪,改善患者体重、营养等各项生理指标。%Objective:To discuss the effects of cognitive behavior intervention on the emotional method and index of dialysis in uremic patients. Method:Two hundred and twenty-seven patients were selected with uremia hemodialysis patients during the period of June 2012 to September 2013,which were randomly divided into trial group 122 cases and control group of 105 cases.In test group cognitive behavior intervention and usual care,the control group was given conventional nursing.Recorded in two groups of patients,questionnaire design of score evaluation of patients with anxiety,depression and other negative emotions. To assess the patients body weight,nutrition index.Result:For each patient record for 3 consecutive months,the group of patients with anxiety and depression, bad mood score lower than those in the control group (P<0.05).The subjects were weight,nutrition and other indicators improved compared with the control group, the difference was all statistical

  14. Moderators of the Effects of Indicated Group and Bibliotherapy Cognitive Behavioral Depression Prevention Programs on Adolescents’ Depressive Symptoms and Depressive Disorder Onset

    Science.gov (United States)

    Müller, Sina; Rohde, Paul; Gau, Jeff M.; Stice, Eric

    2015-01-01

    We investigated factors hypothesized to moderate the effects of cognitive behavioral group-based (CB group) and bibliotherapy depression prevention programs. Using data from two trials (N = 631) wherein adolescents (M age = 15.5, 62% female, 61% Caucasian) with depressive symptoms were randomized into CB group, CB bibliotherapy, or an educational brochure control condition, we evaluated the moderating effects of individual, demographic, and environmental factors on depressive symptom reductions and major depressive disorder (MDD) onset over 2-year follow-up. CB group and bibliotherapy participants had lower depressive symptoms than controls at posttest but these effects did not persist. No MDD prevention effects were present in the merged data. Relative to controls, elevated depressive symptoms and motivation to reduce depression amplified posttest depressive symptom reduction for CB group, and elevated baseline symptoms amplified posttest symptom reduction effects of CB bibliotherapy. Conversely, elevated substance use mitigated the effectiveness of CB group relative to controls on MDD onset over follow-up. Findings suggest that both CB prevention programs are more beneficial for youth with at least moderate depressive symptoms, and that CB group is more effective for youth motivated to reduce their symptoms. Results also imply that substance use reduces the effectiveness of CB group-based depression prevention. PMID:26480199

  15. Moderators of the effects of indicated group and bibliotherapy cognitive behavioral depression prevention programs on adolescents' depressive symptoms and depressive disorder onset.

    Science.gov (United States)

    Müller, Sina; Rohde, Paul; Gau, Jeff M; Stice, Eric

    2015-12-01

    We investigated factors hypothesized to moderate the effects of cognitive behavioral group-based (CB group) and bibliotherapy depression prevention programs. Using data from two trials (N = 631) wherein adolescents (M age = 15.5, 62% female, 61% Caucasian) with depressive symptoms were randomized into CB group, CB bibliotherapy, or an educational brochure control condition, we evaluated the moderating effects of individual, demographic, and environmental factors on depressive symptom reductions and major depressive disorder (MDD) onset over 2-year follow-up. CB group and bibliotherapy participants had lower depressive symptoms than controls at posttest but these effects did not persist. No MDD prevention effects were present in the merged data. Relative to controls, elevated depressive symptoms and motivation to reduce depression amplified posttest depressive symptom reduction for CB group, and elevated baseline symptoms amplified posttest symptom reduction effects of CB bibliotherapy. Conversely, elevated substance use mitigated the effectiveness of CB group relative to controls on MDD onset over follow-up. Findings suggest that both CB prevention programs are more beneficial for youth with at least moderate depressive symptoms, and that CB group is more effective for youth motivated to reduce their symptoms. Results also imply that substance use reduces the effectiveness of CB group-based depression prevention. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Cognitive Behavioral Intervention in Patients with Atrial Fibrillation taking Warfarin Self-management Ability%认知行为干预对房颤服用华法令患者自我管理能力的影响

    Institute of Scientific and Technical Information of China (English)

    易小红; 魏婵娟; 漆红梅; 董立杰

    2015-01-01

    Objective To explore the cognitive behavioral intervention in patients with atrial fibril ation taking warfarin self-management ability. Methods Wil my family hospital 80 cases of atrial fibril ation in patients receiving warfarin therapy were randomly divided into intervention group and control group, 40 cases in the control group using conventional care and health education, intervention group on the basis of through slides explain, print the health education prescription, in the form of fol ow-up after discharge and cognitive intervention and behavior intervention. Respectively to evaluate patients after intervention for 3 months, assessing patients on medication, diet, monitor INR value and complications of self management ability. Results Two groups after the intervention of atrial fibril ation in patients with disease and drug knowledge and self-management ability were increased, the observation group knowledge and self-management ability score is significantly higher than control group ( <0.05). Conclusion Using cognitive behavioral intervention can significantly improve patients self management ability, improve the subjective initiative of disease, so as to keep the patient's level of INR in steady state, reduce the occur ence of complications.%目的探讨认知行为干预对心房颤动服用华法令患者自我管理能力的影响。方法将我科住院的80例心房颤动接受华法令治疗的患者随机分为干预组和对照组各40例,对照组采用常规护理和健康教育,干预组在此基础上通过幻灯片讲解,纸质版健康教育处方、出院后随访等方式进行认知干预和行为干预。分别在干预3个月后对患者进行评估,即评估患者对服药、饮食、监测INR值、并发症等方面的自我管理能力。结果干预后两组患者对心房颤动的疾病及用药等知识和自我管理能力均有提高,观察组知识掌握和自我管理能力评分显著高于对照组(<0.05)。

  17. Effect of cognitive behavioral stress management program on psychosomatic patients’ quality of life

    Science.gov (United States)

    Ghazavi, Zahra; Rahimi, Esmat; Yazdani, Mohsen; Afshar, Hamid

    2016-01-01

    Background: Level of stress and its management affects the dimensions of psychosomatic patients’ quality of life (QoL), which is an important psychological issue. The present study aimed to investigate the effect of cognitive behavioral stress management program on psychosomatic patients’ QoL. In cognitive behavioral method, patients discover thought and behavioral mistakes and recover them. The criterion to evaluate the success of the present study was measurement of the patients’ QoL and its notable improvement after intervention. Materials and Methods: This is a before-and-after clinical trial with a control group. The study participants comprised 70 psychosomatic patients referred to subspecial psychiatry clinic in Isfahan who were selected through convenient sampling and allocated to the study and control groups. Quality of Life Questionnaire (SF36) was adopted to collect the data. The questionnaire was completed by the participants in three stages of before-and-after up to a month after intervention. Cognitive behavioral stress management program was administrated in study group for eight straight sessions, two month, and a month after intervention. Along with this, conventional medical treatments were conducted for both the groups. Data were analyzed by ANOVA. The significance level was P < 0.001. Results: There was no significant difference in QoL mean scores between the two groups before intervention (44, 43.1), but mean scores of QoL were significantly higher in intervention G (55.7, 59.1), compared to control (39.8, 35.7), after intervention (P < 0.001) and one month after intervention (P < 0.001). Conclusions: Cognitive behavioral stress management, conducted in the present study, had a notable effect on QoL. Therefore, designing psychological interventions based on cognitive behavioral stress management is suggested as an efficient clinical intervention. PMID:27904636

  18. Intervention effect of cognitive behavioral therapy on negative emotion in patients with rheumatoid arthritis%认知行为疗法对类风湿关节炎患者负性情绪的干预效果

    Institute of Scientific and Technical Information of China (English)

    姜志宇

    2015-01-01

    Objective To investigate intervention effect of cognitive behavioral therapy on negative emotion in patients with rheumatoid arthritis.Methods 142 patients with rheumatoid arthritis in hospital from December 2012 to December 2014 were divided into two groups by random number table method. 71 patients treated routine nursing as control group. 71 patients treated cognitive behavioral therapy as observation group. Pain score; life quality score; anxiety score; depression score; joint activity index were evaluated before and after nursing treatment compliance and satisfaction were compared between two groups.Results After nursing, pain score; anxiety score; depression score decreased significantly while life quality score; joint activity index increased significantly in two groups. Pain score; anxiety score; depression score in observation group were significantly lower than control group. Life quality score; joint activity index in observation group were significantly higher than control group. Variation degree of pain score; life quality score; anxiety score; depression score; joint activity index before and after nursing in observation group were significantly bigger than control group. Treatment compliance; nursing satisfaction in observation group were significantly higher than control group (P<0.05).Conclusion Cognitive behavior therapy can significantly improve negative emotions of patients with rheumatoid arthritis, which can reduce pain and improve life quality.%目的:探讨认知行为疗法对类风湿关节炎患者负性情绪的干预效果。方法本院2012年12月~2014年12月类风湿关节炎患者142例,采用随机数字表法分为两组,71例患者实施常规护理为对照组,71例患者实施认知行为疗法为观察组,于护理前后给予患者疼痛评分、生活质量评分、焦虑评分、抑郁评分、关节活动指数评定,比较两组患者治疗依从性和护理满意度。结果护理后,两组疼痛评分

  19. Waking self-hypnosis efficacy in cognitive-behavioral treatment for pathological gambling: an effectiveness clinical assay.

    Science.gov (United States)

    Lloret, Daniel; Montesinos, Rosa; Capafons, Antonio

    2014-01-01

    Cognitive-behavioral therapy for pathological gambling has a long-term success rate of more than 50%. This study evaluated the effect of self-hypnosis in cognitive-behavioral treatment of pathological gamblers. Forty-nine participants were assigned to 2 groups. Both groups received a cognitive-behavioral protocol, and Group 1, the no-hypnosis group, received an 11-session intervention and Group 2, the hypnosis group, received 7 sessions that included self-hypnosis. Both groups were equal in gambling chronicity, frequency, intensity, change motivation, and problems derived from gambling. All participants reported significant improvement in gambling behavior and consequences at both treatment end and 6-month follow-up. Data show no differences between the interventions in abstinence, therapeutic compliance, fulfillment, and satisfaction. Results suggest that self-hypnosis reinforces treatment and can be a supportive technique for future brief interventions.

  20. PSYCHOSOCIAL GROUP INTERVENTION AND THE RATE OF DECLINE OF IMMUNOLOGICAL PARAMETERS IN ASYMPTOMATIC HIV-INFECTED HOMOSEXUAL MEN

    NARCIS (Netherlands)

    MULDER, CL; ANTONI, MH; EMMELKAMP, PMG; VEUGELERS, PJ; SANDFORT, TGM; VANDEVIJVER, FAJR; DEVRIES, MJ

    1995-01-01

    The aim of the study was to determine changes in the rate of decline of immunological parameters after psychosocial group intervention. Subjects were 26 asymptomatic HIV-infected homosexual men who participated in a cognitive-behavioral group therapy (CBT; n = 14), or an experiential group therapy p

  1. Comparison of the efficacy of electromyographic biofeedback, cognitive-behavioral therapy, and conservative medical interventions in the treatment of chronic musculoskeletal pain.

    Science.gov (United States)

    Flor, H; Birbaumer, N

    1993-08-01

    In this study, three types of treatments for chronic musculoskeletal pain were compared. Fifty-seven patients who suffered from chronic back pain and 21 patients who suffered from temporomandibular pain and dysfunction were randomly assigned to either electromyographic (EMG) biofeedback, cognitive-behavioral therapy, or conservative medical treatment. At posttreatment, improvements were noted in all three treatment groups, with the biofeedback group displaying the most substantial change. At the 6- and 24-month follow-up, only the biofeedback group maintained significant reductions in pain severity, interference, affective distress, pain-related use of the health care system, stress-related reactivity of the affected muscles, and an increase in active coping self-statements. Treatment outcome was predicted by chronicity and treatment-specific variables. Analysis of attrition showed a significant effect for therapist and extent of somatic pathology. Results suggest that pain patients who suffer from musculoskeletal pain problems and display few physical disabilities may profit the most from short-term EMG biofeedback treatment.

  2. COGNITIVE-BEHAVIORAL AND EXPERIENTIAL GROUP-PSYCHOTHERAPY FOR HIV-LNFECTED HOMOSEXUAL MEN - A COMPARATIVE-STUDY

    NARCIS (Netherlands)

    MULDER, CL; EMMELKAMP, PMG; ANTONI, MH; MULDER, JW; SANDFORT, TGM; DEVRIES, MJ

    1994-01-01

    The knowledge of being infected with the human immunodeficiency virus type 1 (HIV-1) brings about psychological distress and social problems including anxiety, depression, and social isolation. Participating in psychosocial intervention programs can help to reduce these problems. To date, however, v

  3. COGNITIVE-BEHAVIORAL AND EXPERIENTIAL GROUP-PSYCHOTHERAPY FOR HIV-LNFECTED HOMOSEXUAL MEN - A COMPARATIVE-STUDY

    NARCIS (Netherlands)

    MULDER, CL; EMMELKAMP, PMG; ANTONI, MH; MULDER, JW; SANDFORT, TGM; DEVRIES, MJ

    1994-01-01

    The knowledge of being infected with the human immunodeficiency virus type 1 (HIV-1) brings about psychological distress and social problems including anxiety, depression, and social isolation. Participating in psychosocial intervention programs can help to reduce these problems. To date, however,

  4. Group Intervention in Pediatric Rehabilitation

    Science.gov (United States)

    LaForme Fiss, Alyssa

    2012-01-01

    Group intervention in pediatric physical and occupational therapy is an alternative to individual intervention allowing the therapist to meet the needs of multiple children at one time. Survey research indicates that approximately 40% to 60% of pediatric physical and occupational therapists use group intervention at least occasionally in practice,…

  5. The Effectiveness of Social Skills Training by Cognitive-Behavioral Group in the Increase of Girls’ Self-Esteem and Assertiveness with Addicted Parents

    Directory of Open Access Journals (Sweden)

    Maryam Esmaeili

    2011-02-01

    Full Text Available Objective: The aim of the study was the survey of social skills training by cognitive behavioral group in the increase of girls’ self-esteem and assertiveness with addicted parents in Isfahan. Method: 20 students with addicted parents who had the lowest rate of assertiveness were selected by semi-experimental method in third to fifth grades. Randomly research projects pre-test-post-test control group. Questionnaire to measure assertiveness and assertiveness Gmbryl and Richie Esteem Questionnaire to measure students' self-esteem was used. After the pre-test training program assertiveness over 10 weeks, each week, one session, lasting from one hour and half and at the end of the test was performed after 40 days in both groups re-testing were results using software spss case were analyzed by descriptive statistical methods and two-factor analysis of variance with repeated measures on one factor was used. Results: The results showed that participants in the program and self-assertiveness therapy increased. These results were confirmed in a follow up phase. Conclusion: the training of social skills speeds up assertiveness and self-esteem of students.

  6. The efficacy of attendance and semi-attendance group cognitive-behavioral therapy (CBT) on the anxiety disorders of adolescent girls

    Science.gov (United States)

    Karbasi, Afsaneh; Arman, Soroor; Maracy, Mohamad Reza

    2010-01-01

    BACKGROUND: Anxiety disorders are one of the most psychiatric disorders in children and adolescents that can cause long life functional disability. The first line treatment for this disorder is cognitive behavioral therapy that has primary, secondary and tertiary preventive effect, but is expensive and long time. Today there is some effort to find short term, group, semi-attendance and low cost therapies. METHODS: Subjects were 42 girls (12- 17 y) with at least one anxiety disorder according to DSM-IV-TR with their parents who were divided into two groups randomly: group A which participated in 8 sessions and group B which participated in 4 sessions and the contents of sessions 3, 4, 6, and 7 were recorded on a CD for them. The tests used in this study were: SCARED, CATS, CAIS-C, CAIS-P, conducted before (T0), just after (T1) and three months after the treatment (T2). The collected data were analyzed by multivariate analysis of covariance test using SPSS software package, version 15.0. RESULTS: There was no significant difference between efficacy of semi-attendance group CBT and attendance group CBT in T0, T1 and T2 according to 4 tests (p = 0.311). The difference between the scores of these tests between T0 andT1 and T0 and T2 was significant in both groups (p < 0.001) but the difference between T1 and T2 was not significant. (p = 0.771). CONCLUSIONS: The efficacy of semi-attendance group CBT and attendance group CBT is similar and would sustain after 3 months. PMID:21526093

  7. The efficacy of attendance and semi-attendance group cognitive-behavioral therapy (CBT on the anxiety disorders of adolescent girls

    Directory of Open Access Journals (Sweden)

    Afsaneh Karbasi

    2010-01-01

    Full Text Available Background: Anxiety disorders are one of the most psychiatric disorders in children and adolescents that can cause long life functional disability. The first line treatment for this disorder is cognitive behavioral therapy that has primary, secondary and tertiary preventive effect, but is expensive and long time. Today there is some effort to find short term, group, semi-attendance and low cost therapies. Methods: Subjects were 42 girls (12- 17 y with at least one anxiety disorder according to DSM-IV-TR with their parents who were divided into two groups randomly: group A which participated in 8 sessions and group B which participated in 4 sessions and the contents of sessions 3, 4, 6, and 7 were recorded on a CD for them. The tests used in this study were: SCARED, CATS, CAIS-C, CAIS-P, conducted before (T0, just after (T1 and three months after the treatment (T2. The collected data were analyzed by multivariate analysis of covariance test using SPSS software package, version 15.0. Results: There was no significant difference between efficacy of semi-attendance group CBT and attendance group CBT in T0, T1 and T2 according to 4 tests (p = 0.311. The difference between the scores of these tests between T0 andT1 and T0 and T2 was significant in both groups (p < 0.001 but the difference between T1 and T2 was not significant. (p = 0.771. Conclusions: The efficacy of semi-attendance group CBT and attendance group CBT is similar and would sustain after 3 months.

  8. The "RAPID" Cognitive-Behavioral Therapy Program for Inattentive Children: Preliminary Findings

    Science.gov (United States)

    Young, Susan

    2013-01-01

    Objective: The objectives of the current study were to ascertain feasibility and acceptability of directly delivering a cognitive-behavioral therapy (CBT) group intervention for inattentive children in a school setting, to examine the reliability of the RATE-C Questionnaires that accompany the program, and to determine whether they can be used to…

  9. Cognitive-Behavioral Therapy to Promote Smoking Cessation among African American Smokers: A Randomized Clinical Trial

    Science.gov (United States)

    Webb, Monica S.; de Ybarra, Denise Rodriguez; Baker, Elizabeth A.; Reis, Isildinha M.; Carey, Michael P.

    2010-01-01

    Objective: The health consequences of tobacco smoking disproportionately affect African Americans, but research on whether efficacious interventions can be generalized to this population is limited. This study examined the efficacy of group-based cognitive-behavioral therapy (CBT) for smoking cessation among African Americans. Method: Participants…

  10. Cognitive Behavioral Therapy in Cancer Patients

    Directory of Open Access Journals (Sweden)

    Cem Soylu

    2014-09-01

    Full Text Available Cognitive behavioral therapy is one of the structured but flexible psychosocial interventions that could be applied to patients with cancer. In many studies the positive effects of cognitive behavioral therapy in reducing psychological morbidity and improving the quality of life of cancer patients have been shown. In this article, the contents and techniques of adapted cognitive behavioral therapy for patients with cancer and its effectiveness in commonly seen psychiatric disorders have been reviewed. The aim of this article is to contribute positively to physicians and nurses in Turkey for early detection of psychological distress and referral to the therapist that would clearly increase the quality of life of cancer patients. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(3.000: 257-270

  11. Does group cognitive-behavioral therapy module type moderate depression symptom changes in substance abuse treatment clients?

    Science.gov (United States)

    Paddock, Susan M; Hunter, Sarah B; Leininger, Thomas J

    2014-07-01

    Little is known about the effect of group therapy treatment modules on symptom change during treatment and on outcomes post-treatment. Secondary analyses of depressive symptoms collected from two group therapy studies conducted in substance use treatment settings were examined (n=132 and n=44). Change in PHQ-9 scores was modeled using longitudinal growth modeling combined with random effects modeling of session effects, with time-in-treatment interacted with module theme to test moderation. In both studies, depressive symptoms significantly decreased during the active treatment phase. Symptom reductions were not significantly moderated by module theme in the larger study. However, the smaller pilot study's results suggest that future examination of module effects is warranted, given the data are compatible with differential reductions in reported symptoms being associated with attending people-themed module sessions versus thoughts-themed sessions.

  12. Double-blind placebo-controlled trial of fluoxetine in smoking cessation treatment including nicotine patch and cognitive-behavioral group therapy.

    Science.gov (United States)

    Saules, Karen K; Schuh, Leslie M; Arfken, Cynthia L; Reed, Karen; Kilbey, M Marlyne; Schuster, Charles R

    2004-01-01

    Smoking cessation attempts are often complicated by dysphoria/depression, weight gain, craving, and other nicotine withdrawal symptoms. Fluoxetine's antidepressant and anorectant properties, along with its capacity to attenuate compulsive behavior, suggest that this medication might facilitate smoking cessation treatment. We examined the effect of fluoxetine on smoking cessation in the context of a program that included group cognitive-behavioral therapy (six weeks) and transdermal nicotine patch(ten weeks). In a double-blind randomized trial of fluoxetine for smoking cessation, 150 daily smokers were assigned to placebo (n=48), 20 mg (n=51), or 40 mg fluoxetine (n=51). Fluoxetine did not significantly improve smoking cessation rates, either for those with or without major depressive disorder(MDD)histories or elevated current depression. Our results suggest that fluoxetine may moderate withdrawal symptoms, even if that was not manifested in improved smoking cessation rates. Our results, however, clearly favor the use of fluoxetine if weight gain is a major clinical obstacle to smoking cessation.

  13. The effects of three interventions:cognitive behavioral therapy,family intervention and vocational reha-bilitation intervention on outpatients and their family burden with chronic schizophrenia%3种干预方法对社区慢性精神分裂症患者症状及其家庭负担影响的比较

    Institute of Scientific and Technical Information of China (English)

    舒京平; 李洪建; 黄承保; 孙菡; 朱颖之; 汪四美; 蒋嘉慧

    2015-01-01

    Objective:To explore the effects of three interventions:cognitive behavioral therapy,family intervention and vocational rehabilitation intervention on outpatients and their family burden with chronic schizo-phrenia. Method:Two hundred of outpatients with chronic schizophrenia were randomly assigned to the cog-nitive behavioral therapy group,family intervention group,vocational rehabilitation intervention group and the control group. The corresponding treatments were given to the intervention group for one year. All the subjects were evaluated with positive and negative syndrome scale( PANSS ) and family burden scale of diseases ( FBS). Results:The total score and factor scores of PANSS of three intervention groups decreased signifi-cantly after treatment(P<0. 01). The total score and factor scores(family economy,family daily life,family en-tertainment activities,family relationship)of FBS of three intervention groups decreased significantly after treat-ment,and the physical health score of FBS of cognitive behavioral therapy group decreased significantly after treatment(P<0. 05). The difference of family economy score of FBS of Cognitive behavioral therapy group be-tween pre and post treatment increased both in family intervention group and vocational rehabilitation interven-tion group(P<0. 05). Conclusion:Three interventions can significantly alleviate psychiatric symptoms of chronic schizophrenia and improve their family burden.%目的:探讨认知行为治疗、家庭治疗、职业康复3种干预方法对慢性精神分裂症患者及其家庭负担的影响。方法:将慢性精神分裂症患者随机分为干预组(包括认知行为治疗组48例、家庭治疗组46例、职业康复组40例)及对照组44例,在维持原药物治疗基础上进行相应的干预治疗,历时1年。入组时和干预结束采用阳性与阴性症状量表( PANSS)和家庭负担会谈量表( FBS)对患者及家属进行评估。结果:干预组干预

  14. [Cognitive behavior therapy].

    Science.gov (United States)

    Munezawa, Takeshi

    2009-08-01

    Insomnia is one of the most frequently encountered disorders in general clinical practices. At present, the most commonly used therapy for insomnia is pharmacotherapy. There are some problems in pharmacotherapy such as side effects. Therefore nonpharmacological therapy for insomnia is needed. The cognitive behavior therapy for insomnia (CBT-I) is a nonpharmacological therapy attracting attention most. CBT-I not only alleviates insomnia symptoms in patients but also enables them to reduce/discontinue the use of hypnotics. I reviewed a study about the effectiveness of CBT-I and commented the future directions of CBT-I.

  15. The Influence of Trimester Maternal Intrapartum Intervention and Support on the Cognitive-behavioral and Childbirth Outcomes%孕期干预支持对孕妇认知行为及分娩结局的影响

    Institute of Scientific and Technical Information of China (English)

    陈润琴

    2013-01-01

    目的探讨孕期干预支持对孕妇产时认知行为及分娩结局的影响。方法选择孕周在32周以上的孕妇110例,随机分为干预组和对照组,各55例。对照组采用常规产检及护理。干预组在对照组基础上参加医院组织的“轻松分娩”特色培训课程。结果授课前两组孕妇的分娩知识、分娩态度比较无显著性差异(P>0.05),产后干预组孕妇的分娩知识、分娩态度及产时应对行为均高于对照组,有显著性差异(P<0.05);两组分娩结局的比较,干预组自然产率明显高于对照组,有显著性差异(P<0.05);两组对孕期护理干预的满意度比较,有显著性差异(P<0.05)。结论在孕期对孕妇进行护理干预,可以有效提高孕妇的分娩知识,改变其对分娩的态度,改善产时应对行为,提高自然分娩率,同时也提高了孕妇对护理工作的满意度。%Objective To investigate the influence of nursing intervention on the cognitive -behavioral and childbirth outcomes for pregnant women in late pregnancy intrapartumand delivery .Methods :110 pregnant women ,32 weeks or more of gestation ,were randomly assigned to the intervention group (55 cases) and control group (55 cases) .The pregnant women in the control group accepted regular check care and based on it ,participated in the hospital organization's "Easy childbirth "Featured training courses in the intervention group .Results Before teaching ,there were no significant difference in childbirth knowledge and attitude in two groups .The knowledge ,attitudes and intrapartum maternity coping behavior of postpartum maternal childbirth in the intervention group were higher than the control group ,the difference was statistically significant (P<0 .05) .The natural birth rate of pregnant women in the intervention group was significantly higher than the control group .The difference was statistically significant (P<0 .05

  16. [Cognitive behavior therapy for anxiety disorders].

    Science.gov (United States)

    Sakano, Yuji

    2012-01-01

    It is necessary to take the psychological characteristics of anxiety into account when we consider the improvement of anxiety. Anxiety is generally observed basic emotion in human and never extinguishable. Therefore, it is important for patients with anxiety disorders to learn how to manage their daily anxious responses, even after their pathological anxiety is successfully treated and improved. Considering these points, comprehensive psychological treatment, including not only effective intervention to pathological anxiety but also anxiety management program, is needed in treating anxiety disorders effectively. Reviewing previous studies on effectiveness of psychotherapy for anxiety disorders shows that the cognitive behavior therapy is the most effective intervention in terms of extinction of pathological anxiety, prolonged effectiveness of the treatment, prognosis, prevention of recurrence, and improvement of patients' quality of life. In this article, firstly, basic conceptualization and case formulation of anxiety disorders are discussed theoretically. Secondly, effectiveness of cognitive behavior therapy for anxiety disorders, including panic disorder, obsessive compulsive disorder, social anxiety disorder, post-traumatic stress disorder, general anxiety disorder, and specific phobia, is reviewed. And finally, challenges of cognitive behavior therapy are discussed in terms of further development and dissemination of cognitive behavior therapy in Japan.

  17. A randomized controlled trial on the efficacy of mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronically depressed patients.

    Science.gov (United States)

    Michalak, Johannes; Schultze, Martin; Heidenreich, Thomas; Schramm, Elisabeth

    2015-10-01

    Mindfulness-based cognitive therapy (MBCT) has recently been proposed as a treatment option for chronic depression. The cognitive behavioral analysis system of psychotherapy (CBASP) is the only approach specifically developed to date for the treatment of chronically depressed patients. The efficacy of MBCT plus treatment-as-usual (TAU), and CBASP (group version) plus TAU, was compared to TAU alone in a prospective, bicenter, randomized controlled trial. One hundred and six patients with a current DSM-IV defined major depressive episode and persistent depressive symptoms for more than 2 years were randomized to TAU only (N = 35), or to TAU with additional 8-week group therapy of either 8 sessions of MBCT (n = 36) or CBASP (n = 35). The primary outcome measure was the Hamilton Depression Rating Scale (24-item HAM-D, Hamilton, 1967) at the end of treatment. Secondary outcome measures were the Beck Depression Inventory (BDI; Beck, Steer, & Brown, 1996) and measures of social functioning and quality of life. In the overall sample as well as at 1 treatment site, MBCT was no more effective than TAU in reducing depressive symptoms, although it was significantly superior to TAU at the other treatment site. CBASP was significantly more effective than TAU in reducing depressive symptoms in the overall sample and at both treatment sites. Both treatments had only small to medium effects on social functioning and quality of life. Further studies should inquire whether the superiority of CBASP in this trial might be explained by the more active, problem-solving, and interpersonal focus of CBASP. (c) 2015 APA, all rights reserved).

  18. A randomized, controlled trial of the effectiveness of cognitive-behavioral therapy and sertraline versus a waitlist control group for anxiety disorders in older adults.

    Science.gov (United States)

    Schuurmans, Josien; Comijs, Hannie; Emmelkamp, Paul M G; Gundy, Chad M M; Weijnen, Ingrid; van den Hout, Marcel; van Dyck, Richard

    2006-03-01

    This study is the first to investigate the relative effectiveness of cognitive-behavioral therapy (CBT) compared with a selective serotonin reuptake inhibitor (SSRI; sertraline) in a randomized, controlled trial on the treatment of anxiety disorders in older adults. Eighty-four patients 60 years of age and over with a principal diagnosis of generalized anxiety disorder, panic disorder, agoraphobia, or social phobia were randomly assigned to one of three conditions: 15 sessions of CBT, pharmacologic treatment with an SSRI (sertraline; maximum dosage 150 mg), or a waitlist control group. Participants completed measures of primary outcome (anxiety) and coexistent worry and depressive symptoms at baseline, posttreatment, and at three-month follow up. Attrition rates were high in both treatment groups. Consequently, findings are based on a relatively small sample of completers (N = 52). Although both CBT and sertraline led to significant improvement in anxiety, worry, and depressive symptoms both at posttreatment and at three-month follow up, sertraline showed superior results on worry symptoms. Effect size estimates for CBT were in the small to medium range both at posttreatment (mean d = 0.42) and at three-month follow up (mean d = 0.35), whereas effect sizes for sertraline fell into the large range (posttreatment mean d = 0.94 and three-month follow up mean d = 1.02). The waitlist condition showed virtually no effects (posttreatment mean d = .03). Our findings strongly suggest that the pharmacologic treatment of late-life anxiety with SSRIs has not been given the proper attention in research to date.

  19. Short-term group schema cognitive-behavioral therapy for young adults with personality disorders and personality disorder features: associations with changes in symptomatic distress, schemas, schema modes and coping styles.

    Science.gov (United States)

    Renner, Fritz; van Goor, Michiel; Huibers, Marcus; Arntz, Arnoud; Butz, Betty; Bernstein, David

    2013-08-01

    The aim of this pilot study was to document the effects of a group schema cognitive-behavioral therapy intervention (SCBT-g; van Vreeswijk & Broersen, 2006) on global symptomatic distress in young adults with personality disorders or personality disorder features. We also sought to determine the stability of maladaptive schemas, schema modes, and coping responses throughout treatment as well as relations among these variables with improvement in symptomatic distress during treatment. Twenty-six young adults (mean age 22.5 years; range: 18-29 years) with a primary diagnosis of a DSM-IV Cluster-B or Cluster-C personality disorder or with personality disorder features participated in the 20-session SCBT-g protocol. Global symptomatic distress decreased substantially from pre-treatment to post-treatment (d = 0.81). Maladaptive schemas, schema modes and dysfunctional coping responses decreased with medium to large effect sizes (d's = 0.56 and 0.98, respectively), however decrease in maladaptive schemas was not significant after controlling for symptomatic distress. Adaptive schema modes increased slightly (d = 0.40) throughout treatment. Baseline levels of maladaptive schemas predicted symptomatic distress concurrently and at mid-treatment but not at post-treatment. Our findings provide preliminary evidence that SCBT-g might be an effective treatment for young adults with personality disorders or personality disorder features in terms of improvements in global symptomatic distress and underlying vulnerability.

  20. Effects of cognitive behavioral coaching on depressive symptoms in a sample of type 2 diabetic inpatients in Nigeria.

    Science.gov (United States)

    Onyechi, Kay Chinonyelum Nwamaka; Eseadi, Chiedu; Okere, Anthony U; Onuigbo, Liziana N; Umoke, Prince C I; Anyaegbunam, Ngozi Joannes; Otu, Mkpoikanke Sunday; Ugorji, Ngozi Juliet

    2016-08-01

    Depression is one of the mental health problems confronting those with diabetes mellitus and may result from self-defeating thoughts and lifestyles. Therefore, the aim of this study was to investigate the effects of cognitive behavioral coaching (CBC) program on depressive symptoms in a sample of the Type 2 diabetic inpatients in Onitsha metropolis of Anambra State, Nigeria. The design of the study was pretest-post-test randomized control group design. The participants were 80 Type 2 diabetic inpatients randomly assigned to the treatment and control groups. The primary outcome measures were Beck's Depression Inventory-II and a Diabetic Inpatient's Depressive Symptoms Observation Checklist. Mean, standard deviation, repeated measures analysis of covariance, and partial eta squared were used for data analysis. The results revealed that the baseline of depressive symptoms was similar between the control and treatment groups of the Type 2 diabetic inpatients. But, exposing the Type 2 diabetic inpatients to a cognitive behavioral coaching program significantly reduced the depressive symptoms in the treatment group compared to those in the control group at the end of the intervention. The effects of cognitive behavioral coaching program on the depressive symptoms of those in the treatment group remained consistent at a 6 month follow-up meetings compared to the control group. Given the potential benefits of a cognitive behavioral coaching program, clinicians and mental health professionals are urged to support and implement evidence-based cognitive-behavioral coaching interventions aimed at promoting diabetic inpatients' wellbeing in the Nigerian hospitals.

  1. Predicting the outcome of a cognitive-behavioral group training for patients with unexplained physical symptoms: A one-year follow-up study

    NARCIS (Netherlands)

    L.N.L. Zonneveld (Lyonne); Y.R. van Rood (Yanda); C.G. Kooiman (Cornelis); R. Timman (Reinier); A. van 't Spijker (Adriaan); J.J. van Busschbach (Jan)

    2012-01-01

    textabstractAbstract. Background: Although Cognitive-Behavioral Therapy (CBT) is effective for Unexplained Physical Symptoms (UPS), some therapists in clinical practice seem to believe that CBT outcome will diminish if psychiatric comorbidity is present. The result is that patients with a psychiatri

  2. A randomized controlled trial of the effectiveness of cognitive-behavioral therapy and sertraline versus a wait-list control group for anxiety disorders in older adults.

    NARCIS (Netherlands)

    Schuurmans, J.; Comijs, H.; Emmelkamp, P.M.; Gundy, C.M.; Weijnen, I.J.C.; Hout, van M.A.

    2006-01-01

    Objective: This study is the first to investigate the relative effectiveness of cognitive? behavioral therapy (CBT) compared with a selective serotonin reuptake inhibitor (SSRI; sertraline) in a randomized, controlled trial on the treatment of anxiety disorders in older adults. Method: Eighty-four p

  3. The effectiveness of a training for patients with unexplained physical symptoms: protocol of a cognitive behavioral group training and randomized controlled trial

    NARCIS (Netherlands)

    L.N.L. Zonneveld (Lyonne); A. van 't Spijker (Adriaan); J. Passchier (Jan); J.J. van Busschbach (Jan); H.J. Duivenvoorden (Hugo)

    2009-01-01

    textabstractAbstract: BACKGROUND: In primary care, up to 74% of physical symptoms is classified as unexplained. These symptoms can cause high levels of distress and healthcare utilization. Cognitive behavioral therapy has shown to be effective, but does not seem to be attractive to patients. An exce

  4. A randomized controlled trial of the effectiveness of cognitive-behavioral therapy and sertraline versus a wait-list control group for anxiety disorders in older adults.

    NARCIS (Netherlands)

    Schuurmans, J.; Comijs, H.; Emmelkamp, P.M.; Gundy, C.M.; Weijnen, I.J.C.; Hout, van M.A.

    2006-01-01

    Objective: This study is the first to investigate the relative effectiveness of cognitive? behavioral therapy (CBT) compared with a selective serotonin reuptake inhibitor (SSRI; sertraline) in a randomized, controlled trial on the treatment of anxiety disorders in older adults. Method: Eighty-four p

  5. The impact of cognitive behavioral therapy on post event processing among those with social anxiety disorder.

    Science.gov (United States)

    Price, Matthew; Anderson, Page L

    2011-02-01

    Individuals with social anxiety are prone to engage in post event processing (PEP), a post mortem review of a social interaction that focuses on negative elements. The extent that PEP is impacted by cognitive behavioral therapy (CBT) and the relation between PEP and change during treatment has yet to be evaluated in a controlled study. The current study used multilevel modeling to determine if PEP decreased as a result of treatment and if PEP limits treatment response for two types of cognitive behavioral treatments, a group-based cognitive behavioral intervention and individually based virtual reality exposure. These hypotheses were evaluated using 91 participants diagnosed with social anxiety disorder. The findings suggested that PEP decreased as a result of treatment, and that social anxiety symptoms for individuals reporting greater levels of PEP improved at a slower rate than those with lower levels of PEP. Further research is needed to understand why PEP attenuates response to treatment.

  6. Effect of Cognitive-Behavior Intervention on Well-Being and Oral Health-Related Quality of Life in Patients with Dental Implant%认知行为干预对种植牙患者幸福感及口腔健康相关生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    张振华; 张晓惠

    2016-01-01

    [目的]探讨认知行为干预对种植牙患者幸福感及口腔健康相关生活质量的影响.[方法]选取接受种植修复的患者90例,随机分为观察组和对照组,每组45例.对照组采用义齿种植修复和常规护理,观察组在此基础上给予认知行为干预.比较两组干预前、干预后6、12个月的幸福感指数和口腔健康相关生活质量影响程度量表(OHRQoL-UK)评分.[结果]干预后6、12个月,观察组幸福感指数量表和OHRQoL-UK的评分显著高于对照组(P<0.05).[结论]认知行为干预可通过改变种植牙患者的认知,显著提高患者的幸福感及口腔健康相关生活质量,值得临床推广.%[Objective]To investigate the effect of cognitive-behavior intervention on well-being and oral health-related quality of life in patients with dental implant.[Methods]Ninety patients with dental implant were enrolled in the study and randomly divided into observation group and control group,45 cases in each group .Pa-tients in the control group were given dental implant and routine nursing.Based on it,cases in the observation group were given cognitive-behavior intervention.The scores of Index of Well-being and the UK oral health-related quality of life questionnaire (OHRQoL-UK)were compared between the two groups before and 6,12 months after intervention.[Results]The scores of Index of Well-being and OHRQoL-UK in patients in the observation group were all significantly higher than those of the control group 6,12 months after intervention (P <0.05).[Conclu-sion]Cognitive-behavior intervention could significantly improve the well-being and oral health-related quality of life by changing the cognition of patients with dental implant,and is worthy of clinical promotion.

  7. The negative emotional impact of cognitive-behavioral intervention on high school students with chronic hepatitis B virus carriers%认知行为干预对高中生慢性乙型肝炎病毒携带者负性情绪的影响

    Institute of Scientific and Technical Information of China (English)

    李静娣; 陈桂凤; 张静

    2010-01-01

    目的 探讨认知行为干预对高中生慢性乙型肝炎病毒携带者负性情绪的影响.方法 将120例体检的高中生慢性乙型肝炎病毒携带者随机分为对照组和观察组各60例,对照组按常规的方法进行宣教;观察组在常规的宣教方法基础上采用认知行为干预.分别在干预前及干预后第6周进行焦虑自评量表(SAS)和抑郁自评量表(SDS)评定.结果 干预后2组对象SAS、SDS评分较干预前下降(P<0.05),观察组与对照组比较,差异有统计学意义(P<0.05).结论 认知行为干预能改善高中生慢性乙型肝炎病毒携带者负性情绪,帮助其矫正不良认知,重塑健康行为,保持乐观自信的良好个性.%Objective To investigate the negative emotional impact of cognitive-behavioral intervention on high school students with chronic hepatitis B virus carriers. Methods A total of 120 cases of high school students with chronic hepatitis B virus carriers who received physical examination were randomly divided into control group and observation group (60 cases respectively ). The cases in the control group received conventional methods, while those in experiment group received cognitive-behavioral intervention . Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were assessed before and 6 months postintervention between groups. Results The SAS, SDS score were lower after 6 months intervention than before the intervention in two groups ( P < 0. 05 ). The SAS, SDS score reduced much more in experiment group than those in the control group ( P < 0. 05 ). Conclusions Cognitive-behavioral intervention can improve the negative emotions of high school students with chronic hepatitis B virus carriers, help them correct the negative perception, reshape health behavior, self-confident optimism and a good personality.

  8. The effectiveness of a training for patients with unexplained physical symptoms: protocol of a cognitive behavioral group training and randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Passchier Jan

    2009-07-01

    Full Text Available Abstract Background In primary care, up to 74% of physical symptoms is classified as unexplained. These symptoms can cause high levels of distress and healthcare utilization. Cognitive behavioral therapy has shown to be effective, but does not seem to be attractive to patients. An exception herein is a therapy based on the consequences model, which distinguishes itself by its labeling of psychosocial distress in terms of consequences rather than as causes of physical symptoms. In secondary care, 81% of the patients accepts this therapy, but in primary care the outcome is poor. We assume that positive outcome can also be reached in primary care, when the consequences model is modified and used bottom-up in an easily accessible group training, in which patients are relieved of being blamed for their symptoms. Our aim is to investigate the (cost-effectiveness of this training. Methods and design A randomized controlled trial is designed. One hundred patients are randomized to either the group training or the waiting list. Physicians in general practices and outpatients clinics of general hospitals refer patients. Referral leads to inclusion if patients are between 18 and 65 years old, understand Dutch, have no handicaps impeding participation and the principal DSM-IV-TR classification is undifferentiated somatoform disorder or chronic pain disorder. In contrast to other treatment effect studies, the co-morbidity of a personality disorder does not lead to exclusion. By this, we optimize the comparability between the study population and patients in daily practice enlarging the generalization possibilities. Also in contrast to other effect studies, we chose quality of life (SF-36 instead of physical symptoms as the primary outcome measure. The SF-6D is used to estimate Quality Adjusted Life Years (QALYs. Costs are measured with the Trimbos/iMTA Questionnaire for Costs associated with Psychiatric Illness. Measurements are scheduled at baseline, after

  9. Short-term intensive psychodynamic group therapy versus cognitive-behavioral group therapy in day treatment of anxiety disorders and comorbid depressive or personality disorders: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Suszek, Hubert; Holas, Paweł; Wyrzykowski, Tomasz; Lorentzen, Steinar; Kokoszka, Andrzej

    2015-07-29

    Psychodynamic and cognitive-behavioral group therapies are frequently applied in day hospitals for the treatment of anxiety disorders and comorbid depressive or personality disorders in Poland and other Eastern European countries. Yet there is not enough evidence as to their effectiveness in this environment; this study addresses this gap. The aim of the study is to determine the effectiveness of these two kinds of day treatment care consisting of intensive, short-term group psychodynamic and cognitive-behavioral therapy, for patients with anxiety disorders and/or comorbid depressive or personality disorders. Our objectives are to: 1) show the effectiveness of each treatment in a day-care setting relative to the wait-list control group; 2) demonstrate the relative short- and long-term effectiveness of the two active treatments; 3) carry out a preliminary examination of the predictors and moderators of treatment response; 4) carry out a preliminary examination of the mediators of therapeutic change; and 5) compare the impact of both methods of treatment on the outcome of the measures used in this study. In this randomized controlled trial, a total of 199 patients with anxiety disorders and comorbid depressive and/or personality disorders will be assigned to one of three conditions: 1) psychodynamic group therapy; 2) cognitive-behavioral group therapy; or 3) wait-list control group. The therapy will last 12 weeks. Both treatments will be manualized (the manuals will address comorbidity). Primary outcome measures will include self-reported symptoms of anxiety, observer-rated symptoms of anxiety, global improvement, and recovery rate. Secondary outcome measures will include the number of pathological personality traits, depression, self-esteem, defense mechanisms, beliefs about self and others, interpersonal problems, object relations, parental bonding, meta-cognition, and quality of life. Measures will be taken at baseline, post-treatment, and at six months following

  10. Efficacy Trial of a Brief Cognitive-Behavioral Depression Prevention Program for High-Risk Adolescents: Effects at 1- and 2-Year Follow-Up

    Science.gov (United States)

    Stice, Eric; Rohde, Paul; Gau, Jeff M.; Wade, Emily

    2010-01-01

    Objective: To evaluate the effects of a brief group cognitive-behavioral (CB) depression prevention program for high-risk adolescents with elevated depressive symptoms at 1- and 2-year follow-up. Method: In this indicated prevention trial, 341 at-risk youths were randomized to a group CB intervention, group supportive expressive intervention, CB…

  11. Combining Mindfulness Meditation with Cognitive-Behavior Therapy for Insomnia: A Treatment-Development Study

    OpenAIRE

    Ong, Jason C.; Shapiro, Shauna L.; Manber, Rachel

    2007-01-01

    This treatment-development study is a Stage I evaluation of an intervention that combines mindfulness meditation with cognitive-behavior therapy for insomnia (CBT-I). Thirty adults who met research diagnostic criteria for Psychophysiological Insomnia (Edinger et al., 2004) participated in a 6-week, multi-component group intervention using mindfulness meditation, sleep restriction, stimulus control, sleep education, and sleep hygiene. Sleep diaries and self-reported pre-sleep arousal were asse...

  12. Predicting the outcome of a cognitive-behavioral group training for patients with unexplained physical symptoms: a one-year follow-up study

    Directory of Open Access Journals (Sweden)

    Zonneveld Lyonne NL

    2012-10-01

    Full Text Available Abstract Background Although Cognitive-Behavioral Therapy (CBT is effective for Unexplained Physical Symptoms (UPS, some therapists in clinical practice seem to believe that CBT outcome will diminish if psychiatric comorbidity is present. The result is that patients with a psychiatric comorbidity are redirected from treatment for UPS into treatment for mental health problems. To explore whether this selection and allocation are appropriate, we explored whether CBT outcomes in UPS could be predicted by variables assessed at baseline and used in routine-practice assessments. Methods Patients (n=162 with UPS classified as undifferentiated somatoform disorder or chronic pain disorder were followed up until one year after they had attended a CBT group training. The time-points of the follow-up were at the end of CBT (immediate outcome, three months after CBT (short-term outcome, and one year after CBT (long-term outcome. CBT outcome was measured using the Physical Component Summary of the SF-36, which was the primary outcome measure in the randomized controlled trial that studied effectiveness of the CBT group training. Predictors were: 1. psychological symptoms (global severity score of SCL-90, 2. personality-disorder characteristics (sum of DSM-IV axis II criteria confirmed, 3. psychiatric history (past presence of DSM-IV axis I disorders, and 4. health-related quality of life in the mental domain (mental component summary of SF-36. The effect of this predictor set was explored using hierarchical multiple regression analyses into which these predictors had been entered simultaneously, after control for: a. pretreatment primary outcome scores, b. age, c. gender, d. marital status, and e. employment. Results The predictor set was significant only for short-term CBT outcome, where it explained 15% of the variance. A better outcome was predicted by more psychological symptoms, fewer personality-disorder characteristics, the presence of a psychiatric

  13. Predicting the outcome of a cognitive-behavioral group training for patients with unexplained physical symptoms: a one-year follow-up study

    OpenAIRE

    Zonneveld Lyonne NL; van Rood Yanda R; Kooiman Cornelis G; Timman Reinier; van ’t Spijker Adriaan; Busschbach Jan JV

    2012-01-01

    Abstract Background Although Cognitive-Behavioral Therapy (CBT) is effective for Unexplained Physical Symptoms (UPS), some therapists in clinical practice seem to believe that CBT outcome will diminish if psychiatric comorbidity is present. The result is that patients with a psychiatric comorbidity are redirected from treatment for UPS into treatment for mental health problems. To explore whether this selection and allocation are appropriate, we explored whether CBT outcomes in UPS could be p...

  14. Cognitive Behavioral Psychotherapy with Older Adults

    OpenAIRE

    Knight, Bob G.; Satre, Derek

    1999-01-01

    Cognitive behavioral psychotherapy is readily adaptable to use with older adults. This review integrates discussion of cognitive and behavioral intervention techniques with recent research and clinical observations in the field of gerontology. Cognitive changes with aging, personality and emotional development, cohort effects, and the social environment of older adults are discussed in relation to psychotherapy. Applications of cognitive behaivor therapy to specific late life problems such as...

  15. Effect of postoperative cognitive behavior intervention on the understanding of health knowledge and satisfaction of patients with ostomy for rectal cancer%术后认知行为干预对直肠癌造口术患者健康知识及满意度的影响

    Institute of Scientific and Technical Information of China (English)

    梁义; 雒洪志; 李德芳

    2014-01-01

    目的:探讨术后认知行为干预在直肠癌造口术患者中的应用效果。方法:将我院收治的90例直肠癌患者随机分为观察组和对照组各45例,对照组术后采用常规护理,观察组术后采用认知行为干预,比较两组的护理效果。结果:观察组的健康知识水平、自我概念、自我责任感、自我护理技能以及自我护理总分均高于对照组,观察组术后的焦虑程度和抑郁程度显著轻于对照组,护理满意度高于对照组,以上两组比较均有统计学意义( P﹤0.05)。结论:认知行为干预重视改变患者的认知方式和认知-情感-行为三者的和谐,能够增加直肠癌造口术患者的健康知识,提高护理满意度。%Objective:To investigate the effect of postoperative cognitive behavior intervention on patients with ostomy for rectal cancer. Methods:90 patients with rectal cancer treated in our hospital were randomly divided into the observation group and the control group(45 cases in each group). The routine nursing care was taken after operation in the control group;the postoperative cognitive behavior interven-tion was adopted in the observation group. The nursing effects were compared between the two groups. Results:The level of health knowl-edge,self concept,self responsibility and self care skills of the patients were better in the observation group than those in the control group, the degree of anxiety and depression of the patients was significantly lower and satisfaction rate was higher in the observation group than the control group(P﹤0. 05). Conclusion:The cognitive behavior intervention focuses on changing patient′s cognitive style,and it can increase the health knowledge of patients with ostomy for rectal cancer and improve their satisfaction.

  16. [Cognitive behavioral treatment in the integral management of obesity in adolescents].

    Science.gov (United States)

    Rodríguez-Morán, Martha; Mendoza-Ávila, Eduardo; Cumplido-Fuentes, Agustín; Simental-Mendía, Luis E; Rodríguez-Ramírez, Gabriela; Sánchez-Lazcano, Gloria Janeth; Ramírez-Bonilla, Paulina; Cumplido-González, Guadalupe; Ortiz-Martínez, Guadalupe; Pinedo-Rodríguez, Gustavo Alan; Meza-Villa, Ángel; Ortiz-Ramos, Alma Fátima; Puerta-Mota, Gerardo; Guerrero-Romero, Fernando

    2014-01-01

    Obesity in children and adolescents is associated to a morbidity that has increased significantly. It has become a public health problem around the world. The objective of this paper was to evaluate the efficacy of the cognitive behavioral treatment strategy in the comprehensive management of obesity in adolescents. Double blind, randomized, and controlled intervention study, of four months of follow-up, with a total of 115 obese adolescents, aged 12 to 16 years. The intervention group received cognitive behavioral treatment strategy, as well as advise on diet and exercise. At the same time, the control group only received advise on diet and exercise. The percentage of adolescents who showed adherence to diet was 73.7 % versus 41.4 %, (p = 0.0009) and to exercise, 61.4 % versus 19.0 %, (p adolescents (17.5 %) in the intervention group and 26 (44.8 %) in the control group dropped-out (p = 0.003). Despite there were significant differences between groups, adolescents in the intervention group exhibited a higher and sustained decrease in body weight, body mass index, as well as in the body fat percentage. The cognitive behavioral treatment strategy improves adherence and decreases desertion of the weight reduction program in adolescents.

  17. Outcome expectancy as a predictor of treatment response in cognitive behavioral therapy for public speaking fears within social anxiety disorder.

    Science.gov (United States)

    Price, Matthew; Anderson, Page L

    2012-06-01

    Outcome expectancy, the extent that clients anticipate benefiting from therapy, is theorized to be an important predictor of treatment response for cognitive-behavioral therapy. However, there is a relatively small body of empirical research on outcome expectancy and the treatment of social anxiety disorder. This literature, which has examined the association mostly in group-based interventions, has yielded mixed findings. The current study sought to further evaluate the effect of outcome expectancy as a predictor of treatment response for public-speaking fears across both individual virtual reality and group-based cognitive-behavioral therapies. The findings supported outcome expectancy as a predictor of the rate of change in public-speaking anxiety during both individual virtual reality exposure therapy and group cognitive-behavioral therapy. Furthermore, there was no evidence to suggest that the impact of outcome expectancy differed across virtual reality or group treatments.

  18. Early psychological intervention for auditory hallucinations: an exploratory study of young people's voices groups.

    Science.gov (United States)

    Newton, Elizabeth; Landau, Sabine; Smith, Patrick; Monks, Paul; Shergill, Sukhi; Wykes, Til

    2005-01-01

    Twenty to fifty percent of people with a diagnosis of schizophrenia continue to hear voices despite taking neuroleptic medication. Trials of group cognitive behavioral therapy for adults with auditory hallucinations have shown promising results. Auditory hallucinations may be most amenable to psychological intervention during a 3-year critical period after symptom onset. This study evaluates the effectiveness of group cognitive behavioral therapy (CBT) for young people with recent-onset auditory hallucinations (N = 22), using a waiting list control. Outcome measures were administered at four separate time points. Significant reductions in auditory hallucinations occurred over the total treatment phase, but not over the waiting period. Further investigations in the form of randomized controlled trials are warranted.

  19. Cognitive behavior therapy for chronic insomnia.

    Science.gov (United States)

    Smith, Michael T; Neubauer, David N

    2003-01-01

    Approximately 20% of patients presenting in general medical settings have severe and persistent insomnia. Studies consistently find that trouble initiating and maintaining sleep are independent risk factors for medical and psychiatric morbidity, but insomnia is often underdetected and undertreated in primary care settings. Cognitive-behavioral treatment approaches for chronic insomnia and related sleep disorders have been shown to be effective in various patient populations. This article reviews the most common cognitive-behavioral interventions for insomnia, and discusses their efficacy and durability. Possible adaptations for the integration of these approaches into primary care settings and a description of the emerging field of behavioral sleep medicine as a resource for health care providers treating patients with chronic insomnia are also presented.

  20. The effect of stress management training on stress and depression in women with depression disorders: Using cognitive-behavioral techniques

    OpenAIRE

    Abbasian, Farahzad; Najimi, Arash; Meftagh, Sayyed Davood; Ghasemi, Gholamreza; Afshar, Hamid

    2014-01-01

    Background: The present study aimed to investigate the effect of stress management training through cognitive-behavioral techniques on stress, social adaptability and depression in women with depression disorders. Materials and Methods: In this study, 40 patients diagnosed with depression who had referred to psychiatry and consultation clinics of Isfahan were randomly selected and assigned to intervention and control groups (20 patients in each group). The intervention group received eight 90...

  1. Feasibility and Initial Efficacy Evaluation of a Community-Based Cognitive-Behavioral Lifestyle Intervention to Prevent Excessive Weight Gain During Pregnancy in Latina Women.

    Science.gov (United States)

    Gesell, Sabina B; Katula, Jeffrey A; Strickland, Carmen; Vitolins, Mara Z

    2015-08-01

    About 48 % of US women gain more weight during pregnancy than recommended by the Institute of Medicine (IOM). Excessive gestational weight gain is a major risk factor for obesity in both women and offspring over their lifetimes, and should be avoided. This study was designed to test the feasibility and initial efficacy of a prenatal behavioral intervention in a sample of low-income, predominantly Latina women. The intervention was delivered in groups of 8-10 women in a community recreation center, and structured to reduce the proportion of women who gained weight in excess of IOM guidelines. Recruitment targets were met in 3 months: 135 pregnant women (>10 and lifestyle intervention during pregnancy was feasible in a hard-to-reach, high-risk population of low-income Latina women, and showed efficacy in preventing excessive gestational weight gain. Due to frequently changing work schedules, strategies are needed to either increase attendance at group sessions (e.g., within a group prenatal care format) or to build core skills necessary for behavior change through other modalities.

  2. Pilot randomized controlled trial of a mindfulness-based group intervention in adolescent girls at risk for type 2 diabetes with depressive symptoms.

    Science.gov (United States)

    Shomaker, Lauren B; Bruggink, Stephanie; Pivarunas, Bernadette; Skoranski, Amanda; Foss, Jillian; Chaffin, Ella; Dalager, Stephanie; Annameier, Shelly; Quaglia, Jordan; Brown, Kirk Warren; Broderick, Patricia; Bell, Christopher

    2017-06-01

    (1) Evaluate feasibility and acceptability of a mindfulness-based group in adolescent girls at-risk for type 2 diabetes (T2D) with depressive symptoms, and (2) compare efficacy of a mindfulness-based versus cognitive-behavioral group for decreasing depressive symptoms and improving insulin resistance. Parallel-group, randomized controlled pilot trial conducted at a university. Thirty-three girls 12-17y with overweight/obesity, family history of diabetes, and elevated depressive symptoms were randomized to a six-week mindfulness-based (n=17) or cognitive-behavioral program (n=16). Both interventions included six, one-hour weekly group sessions. The mindfulness-based program included guided mindfulness awareness practices. The cognitive-behavioral program involved cognitive restructuring and behavioral activation. Adolescents were evaluated at baseline, post-intervention, and six-months. Feasibility/acceptability were measured by attendance and program ratings. Depressive symptoms were assessed by validated survey. Insulin resistance was determined from fasting insulin and glucose, and dual energy x-ray absorptiometry was used to assess body composition. Most adolescents attended ≥80% sessions (mindfulness: 92% versus cognitive-behavioral: 87%, p=1.00). Acceptability ratings were strong. At post-treatment and six-months, adolescents in the mindfulness condition had greater decreases in depressive symptoms than adolescents in the cognitive-behavioral condition (psmindfulness-based intervention also had greater decreases in insulin resistance and fasting insulin at post-treatment, adjusting for fat mass and other covariates (psmindfulness-based intervention shows feasibility and acceptability in girls at-risk for T2D with depressive symptoms. Compared to a cognitive-behavioral program, after the intervention, adolescents who received mindfulness showed greater reductions in depressive symptoms and better insulin resistance. ClinicalTrials.gov identifier: NCT02218138

  3. Intervention of Cognitive Behavioral Therapy for Children with ADHD%认知行为疗法对ADHD儿童的干预效果研究

    Institute of Scientific and Technical Information of China (English)

    高倩; 买合甫来提·坎吉

    2014-01-01

    注意力缺陷多动障碍是儿童时期发病的精神疾病之一,本研究在以往认知行为疗法的基础上增加了基础注意力训练,对6名ADHD儿童进行两阶段训练,旨在提出一种全面的治疗方案,为日后临床工作者提供实践依据。%Attention deficit hyperactivity disorder is one of the incidence of childhood psychiatric disorders, On the basis of previous cognitive behavioral therapy increased attention to training six ADHD children for two-stage . The purpose is to propose a comprehensive treatment program that provides practical basis for future clinicians.

  4. Parental Involvement in Cognitive-Behavioral Intervention for Anxious Children: Parents' In-Session and Out-Session Activities and Their Relationship with Treatment Outcome.

    Science.gov (United States)

    Pereira, Ana Isabel; Muris, Peter; Mendonça, Denisa; Barros, Luisa; Goes, Ana Rita; Marques, Teresa

    2016-02-01

    The present study explored the role of parents' in-session and out-session involvement in CBT for anxious children. Fifty 8- to 12-year-old children with a principal DSM-IV anxiety disorder participated in a group CBT program. Parental involvement in the therapy was assessed by the clinician and the children and parents completed a standardized anxiety scale as the main therapy outcome measure, at pre- and post-intervention. In addition, the parents completed questionnaires to evaluate a number of possible correlates of parental involvement, namely, child's anxiety symptoms intensity and interference, parental beliefs about anxiety, expectancies regarding the efficacy of the intervention, and parental anxiety. The results indicated that the parents were moderately involved in the therapy and that socio-economic status and parental beliefs about anxiety were significant correlates of parental involvement. Finally, partial support was found for the idea that parents' involvement in the therapy might have a positive impact on therapy outcome.

  5. The Impact of a Cognitive Behavioral Pain Management Program on Sleep in Patients with Chronic Pain: Results of a Pilot Study.

    Science.gov (United States)

    Blake, Catherine; Cunningham, Jennifer; Power, Camillus K; Horan, Sheila; Spencer, Orla; Fullen, Brona M

    2016-02-01

    To determine the impact of a cognitive behavioral pain management program on sleep in patients with chronic pain. Prospective nonrandomized controlled pilot study with evaluations at baseline and 12 weeks. Out-patient multidisciplinary cognitive behavioral pain management program in a university teaching hospital. Patients with chronic pain who fulfilled the criteria for participation in a cognitive behavioral pain management program. Patients assigned to the intervention group (n = 24) completed a 4 week cognitive behavioral pain management program, and were compared with a waiting list control group (n = 22). Assessments for both groups occurred at baseline and two months post cognitive behavioral pain management program. Outcome measures included self-report (Pittsburgh Sleep Quality Index) and objective (actigraphy) sleep measures, pain and quality of life measures. Both groups were comparable at baseline, and all had sleep disturbance. The Pittsburgh Sleep Quality Index correlated with only two of the seven objective sleep measures (fragmentation index r = 0.34, P = 0.02, and sleep efficiency percentage r = -0.31, P = 0.04). There was a large treatment effect for cognitive behavioral pain management program group in mean number of wake bouts (d = 0.76), where a significant group*time interaction was also found (P = 0.016), showing that the CBT-PMP group improved significantly more than controls in this sleep variable. Patients attending a cognitive behavioral pain management program have high prevalence of sleep disturbance, and actigraphy technology was well tolerated by the patients. Preliminary analysis of the impact of a cognitive behavioral pain management program on sleep is promising, and warrants further investigation.

  6. The Efficacy of a Group Cognitive Behavioral Therapy for War-Affected Young Migrants Living in Australia: A Cluster Randomized Controlled Trial

    Science.gov (United States)

    Ooi, Chew S.; Rooney, Rosanna M.; Roberts, Clare; Kane, Robert T.; Wright, Bernadette; Chatzisarantis, Nikos

    2016-01-01

    Background: Preventative and treatment programs for people at risk of developing psychological problems after exposure to war trauma have mushroomed in the last decade. However, there is still much contention about evidence-based and culturally sensitive interventions for children. The aim of this study was to examine the efficacy of the Teaching Recovery Techniques in improving the emotional and behavioral outcomes of war-affected children resettled in Australia. Methods and Findings: A cluster randomized controlled trial with pre-test, post-test, and 3-month follow-up design was employed. A total of 82 participants (aged 10–17 years) were randomized by school into the 8-week intervention (n = 45) or the waiting list (WL) control condition (n = 37). Study outcomes included symptoms of post-traumatic stress disorder, depression, internalizing and externalizing problems, as well as psychosocial functioning. A medium intervention effect was found for depression symptoms. Participants in the intervention condition experienced a greater symptom reduction than participants in the WL control condition, F(1, 155) = 5.20, p = 0.024, partial η2 = 0.07. This improvement was maintained at the 3-month follow-up, F(2, 122) = 7.24, p = 0.001, partial η2 = 0.20. Conclusions: These findings suggest the potential benefit of the school and group-based intervention on depression symptoms but not on other outcomes, when compared to a waiting list control group. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12611000 948998. PMID:27843435

  7. The effect of group cognitive behavior therapy in patients with multiple myeloma%团体认知行为疗法在多发性骨髓瘤患者中的应用效果

    Institute of Scientific and Technical Information of China (English)

    朱丽; 郭丝锦; 夏效升; 王旭

    2016-01-01

    Objective To study the effect of group cognitive behavior therapy (GCBT) in patients with multiple my-eloma (MM). Method 70 MM patients were enrolled in this study, and were randomized into either study group or con-trol group (n=35 each) according to a random number table. Patients in the control group were given conventional treat-ment and nursing care, while study group was administered with GCBT plus conventional therapy. After 6 weeks of nurs-ing, the quality of life, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and satisfaction of nursing of the two groups were evaluated. Result The health promotion lifestyle scores were similar before nursing (P>0.05);while significantly improved in both groups after intervention, and a higher score was observed in study group compared with the control group (P<0.05);the SAS, SDS score of the study group was significantly lower than that of the control group after intervention (P<0.05);the total satisfaction rate was 82.8%in study group, significantly higher than that of the control group at 68.6%(Z=3.593, P<0.01). Conclusion Group cognitive behavioral therapy may improve the quality of life of patients with multiple myeloma, and relieve anxiety and depression and other negative emotions, while improve pa-tient care satisfaction, making it a clinical practicable therapy.%目的:探讨团体认知行为疗法在多发性骨髓瘤(MM)患者中的应用效果。方法选择多发性骨髓瘤患者70例为研究对象,将其按随机数字表法分为研究组和对照组各35例。对照组患者给予多发性骨髓瘤的常规治疗及护理;研究组患者在对照组的治疗和护理基础上实施团体认知行为疗法。护理6周后,对两组患者生活质量、焦虑抑郁状况及护理满意度进行评价。结果干预前两组的健康促进生活方式评分比较,差异无统计学意义(P﹥0.05);两组干预后健康促进生活方式评分较干预前均显著提

  8. A randomized trial comparing Tai Chi with and without cognitive-behavioral intervention (CBI) to reduce fear of falling in community-dwelling elderly people.

    Science.gov (United States)

    Liu, Yat Wa Justina; Tsui, Chi Man

    2014-01-01

    The aim of this randomized trial was to compare the effects of Tai Chi with and without CBI on a primary outcome of reducing the fear of falling, and on secondary outcomes including encouraging better social engagement, improving self-perceived personal wellbeing, and achieving better mobility among elderly people with fear of falling. One hundred and twenty-two community-dwelling elderly people aged ≥ 65 were randomly assigned to either a Tai Chi or a Tai Chi plus CBI group. Participants' level of fear of falling, physical mobility, self-perceived personal wellbeing and social participation were compared before and after completing the 8-week intervention and then at a 2-month follow-up. The findings showed that Tai Chi both with and without CBI had a similar effect on reducing elderly people's fear of falling, but only Tai Chi plus CBI had a positive effect on participants' self-perceived personal wellbeing. Tai Chi both with and without CBI had no effect on participants' self-perceived social participation and mobility. Apart from a slight improvement in participants' self-perceived personal wellbeing, other outcome effects were similar for Tai Chi with and without CBI. This finding raises a question about the additive effects of combined intervention over Tai Chi alone in reducing elderly people's fear of falling. In view of the higher demand for resources and manpower to implement a combined intervention, further study is still required to confirm the potential additional benefits of this combined intervention prior to recommending it to community services.

  9. The effectiveness of cognitive behavioral group therapy in treating bipolar disorder: a randomized controlled study A eficácia da terapia cognitivo-comportamental para o tratamento do transtorno bipolar: um estudo controlado e randomizado

    Directory of Open Access Journals (Sweden)

    Rafael Thomaz da Costa

    2011-06-01

    Full Text Available OBJECTIVE: Recent studies suggest that, when combined with pharmacotherapy, structured psychotherapy may modify the course of bipolar disorder. However, there are few studies that have examined the effects of cognitive behavioral group therapy on the course of this disorder. The aim of the present study was to evaluate the effectiveness of 14 sessions of cognitive behavioral group therapy, combined with pharmacotherapy, on the treatment of patients with bipolar disorder, and to compare our results against those from the use of pharmacotherapy alone. METHOD: Forty-one patients with bipolar I and II disorder participated in the study and were randomly allocated to one of two treatment groups; thirty-seven patients remained in the study until its completion. Mood and anxiety symptoms were measured in all subjects. Statistical analysis was used to investigate if the groups differed with respect to demographic characteristics and the scores recorded in the pre- and post-treatment stages, as well as during treatment (intra/inter groups. RESULTS: Patients showed statistically similar population characteristics. The association of cognitive behavioral group therapy and pharmacological treatment proved to be effective. Patients who had undergone cognitive behavioral group therapy presented fewer symptoms of mania, depression and anxiety, as well as fewer and shorter mood change episodes. CONCLUSION: Cognitive behavioral group therapy sessions substantially contributed to the improvement of depression symptoms.OBJETIVO: Estudos recentes sugerem que uma psicoterapia estruturada aplicada junto com a farmacoterapia pode alterar o curso do transtorno afetivo bipolar. Entretanto, poucos estudos investigam os resultados da terapia cognitivo-comportamental em grupo sobre este transtorno psiquiátrico. O objetivo desta pesquisa foi avaliar a eficácia de 14 sessões de terapia cognitivo-comportamental em grupo concomitante à farmacoterapia para bipolares e

  10. The effectiveness of cognitive behavioral group therapy in treating bipolar disorder: a randomized controlled study A eficácia da terapia cognitivo-comportamental para o tratamento do transtorno bipolar: um estudo controlado e randomizado

    Directory of Open Access Journals (Sweden)

    Rafael Thomaz da Costa

    2011-01-01

    Full Text Available OBJECTIVE: Recent studies suggest that, when combined with pharmacotherapy, structured psychotherapy may modify the course of bipolar disorder. However, there are few studies that have examined the effects of cognitive behavioral group therapy on the course of this disorder. The aim of the present study was to evaluate the effectiveness of 14 sessions of cognitive behavioral group therapy, combined with pharmacotherapy, on the treatment of patients with bipolar disorder, and to compare our results against those from the use of pharmacotherapy alone. METHOD: Forty-one patients with bipolar I and II disorder participated in the study and were randomly allocated to one of two treatment groups; thirty-seven patients remained in the study until its completion. Mood and anxiety symptoms were measured in all subjects. Statistical analysis was used to investigate if the groups differed with respect to demographic characteristics and the scores recorded in the pre- and post-treatment stages, as well as during treatment (intra/inter groups. RESULTS: Patients showed statistically similar population characteristics. The association of cognitive behavioral group therapy and pharmacological treatment proved to be effective. Patients who had undergone cognitive behavioral group therapy presented fewer symptoms of mania, depression and anxiety, as well as fewer and shorter mood change episodes. CONCLUSION: Cognitive behavioral group therapy sessions substantially contributed to the improvement of depression symptoms.OBJETIVO: Estudos recentes sugerem que uma psicoterapia estruturada aplicada junto com a farmacoterapia pode alterar o curso do transtorno afetivo bipolar. Entretanto, poucos estudos investigam os resultados da terapia cognitivo-comportamental em grupo sobre este transtorno psiquiátrico. O objetivo desta pesquisa foi avaliar a eficácia de 14 sessões de terapia cognitivo-comportamental em grupo concomitante à farmacoterapia para bipolares e

  11. 团体认知行为治疗对强迫症患者生存质量的影响%Cognitive-behavioral therapy in groups on the quality of life of patients with obsessive-compulsive disorder

    Institute of Scientific and Technical Information of China (English)

    宋晓红; 李建明; 杨文丽; 郝剑辉

    2012-01-01

    目的 观察团体认知行为治疗改善强迫症患者生存质量的临床疗效.方法 将81例强迫症患者随机分为研究组40例(帕罗西汀+团体认知行为治疗)和对照组41例(帕罗西汀治疗),疗程14周.采用耶鲁-布朗强迫量表(Y-BOCS)、世界卫生组织生存质量量表(WHOQOL)评定临床疗效.结果 治疔14周后两组Y-BOCS均明显下降,两组下降幅度相比差异无显著性(P>0.05).WHOQOL量表评分水平较治疗前有显著改善,且治疗后研究组低于对照组(P<0.05).结论 团体认知行为联合帕罗西汀治疗和单纯帕罗西汀药物治疗均能改善强迫症状,但联合治疗能明显改善强迫症患者的生存质量.%Objective To observe cognitive behavioral therapy in groups to improve the clinical efficacy of the quality of life of patients with ohsessive-compulsive disorder.Methods 81 cases of obsessive-compulsive disorder patients were randonly divided into study group (Paroxetine therapy + cognitive behavioral therapy in groups) and control group (Paroxetine),40 cases for study group,41 cases in control group,14 weeks of treatment.The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and the World Health Organization Quality of Life Scale (WHOQOL) were used to assess the clinical efficacy.Results At the end of treatment of 14 weeks Y-BOCS of two groups were all significantly decreased,there were no significant difference in the two groups (P>0.05).The improving level of WHOQOL Scale scores was better than that before treatment with statistical significance,and the study group lower than the control group (P<0.05).Conclusions Combination therapy and simple Paroxetine drug therapy can all improve obsessive-compulsive symptoms,but Paroxetine medication at the same joint cognitive behavior therapy in groups can significantly improve the quality of life of patients with obsessive-compulsive disorder.

  12. Cognitive behavioral hypnotherapy for dissociative disorders.

    Science.gov (United States)

    Fine, Catherine G

    2012-04-01

    Dissociative disorders (DD) prevail as sequelae to overwhelming experiences in childhood. These readily formed post-traumatic responses and trance states develop in high hypnotizable subjects whose dysregulations become organized into ego states. A cognitive behavioral hypnotherapeutic treatment model will effectively contain, explore, metabolize, and resolve these life-endangering conditions. This article will detail the cognitive hypnotic world of DD patients, the relational spaces of the ego states, and the triphasic treatment mode to successfully resolve the dissociative pathology. Structured and phase appropriate hypnotic interventions will be described.

  13. Cognitive behavioral therapy for sleep disorders.

    Science.gov (United States)

    Babson, Kimberly A; Feldner, Matthew T; Badour, Christal L

    2010-09-01

    More than 70 million people in the United States experience primary insomnia (PI) at some point in their life, resulting in an estimated $65 billion in health care costs and lost productivity. PI is therefore one of the most common health care problems in the United States. To mollify the negative effects of PI, scholars have sought to evaluate and improve treatments of this costly health care problem. A breadth of research has demonstrated that cognitive behavioral therapy (CBT) is an effective intervention for PI. The goal of this article is to provide an overview of CBT for PI, including evidence regarding treatment efficacy, effectiveness, and practitioner considerations.

  14. Application of Cognitive Behavioral Therapies for Comorbid Insomnia and Depression.

    Science.gov (United States)

    Haynes, Patricia

    2015-03-01

    This article provides an overview of cognitive behavioral therapy (CBT) for insomnia and depression. Included is a discussion of how CBT for insomnia affects depression symptoms and how CBT for depression affects insomnia symptoms. The extant literature is reviewed on ways that depression/insomnia comorbidity moderates CBT response. The article concludes with an introduction to cognitive behavioral social rhythm therapy, a group therapy that integrates tenets of CBT for both disorders.

  15. Effectiveness of cognitive-behavioral training in mental health in high school students

    Directory of Open Access Journals (Sweden)

    Rahim Goal Garmekhani

    2016-09-01

    Full Text Available In the behavioral sciences generally and in psychology and specifically a special attention to the importance of mental health in successes there in different spheres life of people. The present study aimed investigates the effectiveness of training cognitive-behavioral on mental health high school students the city Kermanshah.Therefore, through applying a semi-experimental method with control group design a sample of 36 individuals was selected through multi-cluster sampling from Among of all high school students in Kermanshah. The sample was assigned into the experimental and control groups (experimental group=18, control group=18. The experimental group underwent the cognitive behavioral training. Post test was administered subsequent to the intervention on both groups. The covariance analysis was used to analyze the data. The results of the research indicated that there exists significant difference between the mental healthof individuals in the experimental groups and their counterparts in the control groups in terms of mental health. Overall, it can be concluded that cognitive-behavioral training on improving mental health of students

  16. A brief cognitive-behavioral intervention for treating depression and panic disorder in patients with noncardiac chest pain: a 24-week randomized controlled trial.

    Science.gov (United States)

    van Beek, M H C T; Oude Voshaar, R C; Beek, A M; van Zijderveld, G A; Visser, S; Speckens, A E M; Batelaan, N; van Balkom, A J L M

    2013-07-01

    Most patients with noncardiac chest pain experience anxiety and depressive symptoms. Commonly they are reassured and referred back to primary care, leaving them undiagnosed and untreated. Some small studies have suggested efficacy of 12 cognitive behavioral therapy (CBT) sessions. Our aim was to examine efficacy of brief CBT in reducing anxiety and depressive symptoms in patients with noncardiac chest pain and comorbid panic and/or depressive disorders. In this 24-week randomized controlled trial comparing CBT (n = 60) versus treatment as usual (TAU, n = 53), we included all adults who presented at the cardiac emergency unit of a university hospital with noncardiac chest pain, scored ≥8 on the hospital anxiety and depression scale (HADS) and were diagnosed with a comorbid panic and/or depressive disorder with the Mini International Neuropsychiatric Interview. CBT consisted of six individual sessions. Main outcome was disease severity assessed with the clinical global inventory (CGI) by a blinded independent rater. ANCOVA in the intention-to-treat and completer sample showed that CBT was superior to TAU after 24 weeks in reducing disease severity assessed with CGI (P depressive symptoms (Hamilton depression rating scale) were in line with these results except for HADS-depression (P = .10), fear questionnaire (P = .13), and STAI-state (P = .11). Brief CBT significantly reduces anxiety and depressive symptoms in patients with noncardiac chest pain who are diagnosed with panic and/or depressive disorders. Patients presenting with noncardiac chest pain should be screened for psychopathology and if positive, CBT should be considered. © 2013 Wiley Periodicals, Inc.

  17. History of cognitive-behavioral therapy in youth.

    Science.gov (United States)

    Benjamin, Courtney L; Puleo, Connor M; Settipani, Cara A; Brodman, Douglas M; Edmunds, Julie M; Cummings, Colleen M; Kendall, Philip C

    2011-04-01

    The numerous intervention strategies that comprise cognitive-behavioral therapy (CBT) reflect its complex and integrative nature and include such topics as extinction, habituation, modeling, cognitive restructuring, problem solving, and the development of coping strategies, mastery, and a sense of self-control. CBT targets multiple areas of potential vulnerability (eg, cognitive, behavioral, affective) with developmentally guided strategies and traverses multiple intervention pathways. Although CBT is often considered the "first-line treatment" for many psychological disorders in youth, additional work is necessary to address nonresponders to treatment and to facilitate the dissemination of efficacious CBT approaches.

  18. 认知行为综合干预对成人正畸患者焦虑水平及口腔健康相关生活质量的影响%The efficacy of cognitive-behavioral intervention on anxiety and oral health-related quality of life in adult orthodontic patients

    Institute of Scientific and Technical Information of China (English)

    夏春鹏; 李克义; 林燕辉; 张彬

    2014-01-01

    Objective To explore the influence of cognitive-behavioral intervention on the anxiety and oral health-related quality of life in adult orthodontic patients.Methods 152 adult orthodontic patients whose MDAS scores were greater than 11 were divided into the intervention group and the control group according Multistage Grouping Process.The former were treated with MBT appliance combined with cognitive-behavioral intervention,and the latter were treated with MBT appliance only.The State-Trait Anxiety Inventory(STAI) was adopted to evaluate anxiety in all patients during orthodontic treatment,and the UK oral health-related quality of life questionnaire(OHRQoL-UK) was adopted to evaluate the oral health-related quality of life in all patients before and after orthodontic treatment,respectively.Results 1.After 3 and 6 months cognitive-behavioral intervention,the scores of SAI in the intervention group(50.37±9.18,35.65±8.92) were significantly reduced compared to the control group(56.62± 10.52,54.13± 10.03) (P<0.01).After 6 months cognitive-behavioral intervention,the scores of TAI in the intervention group(47.92±6.82) were significantly reduced compared to the control group(51.52±7.41) (P <0.05).2.After the orthodontic treatment,the scores of OHRQoL-UK in the intervention group(58.27±13.43) were significantly improved compared to the control group (51.99± 11.69) (P< 0.01).3.The oral health-related quality of life after the orthodontic treatment were significantly related to post-treatment anxiety of adult orthodontic patients(r=-0.192 ~-0.459,P< 0.05).Conclusion Cognitive-behavioral intervention can effectively reduce anxiety and improve the oral health-related life quality in the adult orthodontic patients.%目的 探讨认知行为干预对成人正畸患者焦虑状态及口腔健康相关生活质量的影响.方法 将成人正畸焦虑患者152例采用分段随机分组的方法分为干预组与对照组,两组各76例.干预组采用直丝弓

  19. Cognitive Behavioral Intervention and Support Threatened Abortion on Maternal Mental Health and Birth outcomes%认知行为干预及信息支持对先兆流产产妇心理状况及分娩结局的影响

    Institute of Scientific and Technical Information of China (English)

    谭雪飞

    2016-01-01

    目的:探析认知行为干预及信息支持对先兆流产产妇心理状况及分娩结局的影响。方法整群选取2015年1月―2016年1月在该院治疗的124例先兆流产产妇随机分为研究组和对照组,每组62例,对照组患者予以常规护理,而研究组患者在此基础上加强认知行为干预及信息支持,对比干预前后两组患者的焦虑、抑郁评分以及分娩结局。结果干预后,研究组产妇焦虑评分为(47.9±4.3﹚分,抑郁评分为(44.7±3.8﹚分;对照组产妇焦虑评分为(52.9±4.1﹚分,抑郁评分(54.2±4.1﹚分。研究组产妇焦虑、抑郁评分均明显低于对照组,且研究组的保胎成功率(93.55%﹚也显著高于对照组(80.56%﹚,差异均有统计学意义(P<0.05﹚。结论认知行为干预及信息支持能有效缓解先兆流产产妇紧张、焦虑等不良情绪,提高保胎成功率。%Objective Analysis of Cognitive Behavioral Intervention and Support Threatened abortion on maternal mental health and birth outcomes.Methods Group selection form January 2015 to January 2016 in our hospital 124 cases of threat-ened abortion pregnant women were randomly divided into study group and control group,each of the 62 patients in the control group were treated with routine care, and strengthen the study group patients cognitive behavioral intervention and support information on this basis, comparing before and after the intervention of two of anxiety, depression scores and birth outcomes in patients.Results After the intervention, the study group of maternal anxiety score was (47.9 ± 4.3﹚points, depres-sion score was (44.7 ± 3.8﹚points; control group, maternal anxiety score was (52.9 ± 4.1﹚points, depression score (54.2 ± 4.1﹚points. Study Group maternal anxiety and depression scores were significantly lower than the control group, and the suc-cess rate of miscarriage study group were also significantly higher, were significantly different (P

  20. Cognitive behavioral therapy for back pain

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000415.htm Cognitive behavioral therapy for back pain To use the sharing features on this page, please enable JavaScript. Cognitive behavioral therapy (CBT) can help many people deal with chronic ...

  1. The Development of a Transdiagnostic, Cognitive Behavioral Group Intervention for Childhood Anxiety Disorders and Co-Occurring Depression Symptoms

    Science.gov (United States)

    Ehrenreich-May, Jill; Bilek, Emily L.

    2012-01-01

    Anxiety and depression are highly prevalent and frequently comorbid classes of disorder associated with significant impairment in youth. While current transdiagnostic protocols address a range of potential anxiety and depression symptoms among adult and adolescent populations, there are few similar treatment options for school-aged children with…

  2. The Development of a Transdiagnostic, Cognitive Behavioral Group Intervention for Childhood Anxiety Disorders and Co-Occurring Depression Symptoms

    Science.gov (United States)

    Ehrenreich-May, Jill; Bilek, Emily L.

    2012-01-01

    Anxiety and depression are highly prevalent and frequently comorbid classes of disorder associated with significant impairment in youth. While current transdiagnostic protocols address a range of potential anxiety and depression symptoms among adult and adolescent populations, there are few similar treatment options for school-aged children with…

  3. 认知行为干预对慢性精神分裂症患者社会功能恢复及院外康复的促进作用%Effect of Cognitive-behavioral Intervention on Chronic Schizophrenia Patients’ Social Function and Rehabilitation

    Institute of Scientific and Technical Information of China (English)

    李娜

    2015-01-01

    Objective: To analyze the effectof cognitive-behavioral intervention on chronic schizophrenia patients’ social function and rehabilitation.Methods:Choosed chronic schizophrenia patients in our hospital as research subjects,treated with conventional intervention and targeted cognitive-behavioral intervention,compared with social function score,psychiatric symptom scores,insight and treatment attitudes Rating.Results:(1)Oservation group patients’ social disability score,total score and total negative factors score were significantly lower than control group patients,total positive factor score was significantly higher than control group patients (P<0.05);(2)Observation group patients’ total psychiatric symptom score,positive scores and negative scores were significantly lower than control group patients(P<0.05);(3)Observation group patients various time points ITAQ scores after receiving intervention were significantly higher than control group patients (P<0.05).Conclusion:Cognitive-behavioral interventions can effectively improve social function in patients with chronic schizophrenia,reduce psychotic symptoms,improve insight.%目的:分析认知行为干预对慢性精神分裂症患者社会功能恢复及院外康复的影响。方法:选择在本院接受治疗的慢性精神分裂症患者作为研究对象,分别接受常规干预及针对性认知行为干预,比较两组患者的社会功能评分、精神病症状评分、自知力与治疗态度评分差异。结果:(1)观察组患者接受认知行为干预后的社会功能缺陷评分、护士观察病情总分及总消极因素分均明显低于对照组患者,护士观察量表总积极因素分明显高于对照组患者(P<0.05);(2)观察组患者接受认知行为干预后的精神病症状总分、阳性量表分、阴性量表分均明显低于对照组患者(P<0.05);(3)观察组接受干预后的各个时间点ITAQ评分均明

  4. Obesity and Cognitive Behavioral Therapy

    Directory of Open Access Journals (Sweden)

    Gulay Oguz

    2016-06-01

    Full Text Available Today, obesity is a public health problem with significant negative effects on mortality and morbidity rates in developing countries, and impact on all levels of the society. In recent years cognitive behavioral therapy approach has been considered as an important part of the obesity treatment. Behavioral therapy for obesity includes sections like self-monitoring, stimulus control, food control, consolidation and reinforcement, cognitive restructuring, proper nutrition education, increase in physical activity, and behavior contracts. As part of the obesity treatment, combining cognitive-behavioral treatments with lifestyle changes such as increase in physical activity increases effectiveness of the treatment and ensures durability of the achieved weight loss. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(2: 133-144

  5. Effects of cognitive behavioral counseling on body Image following mastectomy*

    Science.gov (United States)

    Fadaei, Simin; Janighorban, Mojgan; Mehrabi, Tayebe; Ahmadi, Sayed Ahmadi; Mokaryan, Fariborz; Gukizade, Abbas

    2011-01-01

    BACKGROUND: Breast cancer is the most common cancer in women. Surgical treatment of breast cancer may cause body image alterations. The purpose of the current study was to examine the effects of cognitive behavioral counseling on body image among Iranian women with primary breast cancer. METHODS: In this quasi-experimental designed study, 72 patients diagnosed as breast cancer and surgically treated were enrolled in Isfahan, Iran. The patients were entered the study by convenience sampling method and were randomly divided in two groups of intervention (n = 32) and control (n = 40). The intervention group received consultation based on Ellis rational emotive behavior therapy (REBT) method for 6 sessions during 3 weeks. The control group did not receive any consultation Paired t-test was used to compare the changes in groups and independent t-test was conducted to compare two groups. The average values represented as mean ± standard deviation. RESULTS: Before the study, the body image score was not significantly different between the intervention (16 97 ± 5 44) and control (15 95 ± 4 66) groups (t = 0 86, P = 0 395). The body image score was significantly lower in the interven-tion group (9 03 ± 6 11) compared to control group (17 18 ± 5 27) after the intervention (t = -6 07, P < 0 001). CONCLUSIONS: Since a woman's body image influences her breast cancer treatment decision, oncology professionals need to recognize the value of a woman's favorite about appearance and body image. This study emphasizes the importance of offering consultation in breast cancer patients. PMID:22279481

  6. Effects of cognitive behavioral counseling on body Image following mastectomy.

    Science.gov (United States)

    Fadaei, Simin; Janighorban, Mojgan; Mehrabi, Tayebe; Ahmadi, Sayed Ahmadi; Mokaryan, Fariborz; Gukizade, Abbas

    2011-08-01

    Breast cancer is the most common cancer in women. Surgical treatment of breast cancer may cause body image alterations. The purpose of the current study was to examine the effects of cognitive behavioral counseling on body image among Iranian women with primary breast cancer. In this quasi-experimental designed study, 72 patients diagnosed as breast cancer and surgically treated were enrolled in Isfahan, Iran. The patients were entered the study by convenience sampling method and were randomly divided in two groups of intervention (n = 32) and control (n = 40). The intervention group received consultation based on Ellis rational emotive behavior therapy (REBT) method for 6 sessions during 3 weeks. The control group did not receive any consultation Paired t-test was used to compare the changes in groups and independent t-test was conducted to compare two groups. The average values represented as mean ± standard deviation. Before the study, the body image score was not significantly different between the intervention (16 97 ± 5 44) and control (15 95 ± 4 66) groups (t = 0 86, P = 0 395). The body image score was significantly lower in the interven-tion group (9 03 ± 6 11) compared to control group (17 18 ± 5 27) after the intervention (t = -6 07, P < 0 001). Since a woman's body image influences her breast cancer treatment decision, oncology professionals need to recognize the value of a woman's favorite about appearance and body image. This study emphasizes the importance of offering consultation in breast cancer patients.

  7. Effects of cognitive behavioral counseling on body Image following mastectomy

    Directory of Open Access Journals (Sweden)

    Simin Fadaei

    2011-01-01

    Full Text Available Background: Breast cancer is the most common cancer in women. Surgical treatment of breast cancer may cause body image alterations. The purpose of the current study was to examine the effects of cognitive behavioral counseling on body image among Iranian women with primary breast cancer. Methods: In this quasi-experimental designed study, 72 patients diagnosed as breast cancer and surgically treated were enrolled in Isfahan, Iran. The patients were entered the study by convenience sampling method and were randomly di-vided in two groups of intervention (n = 32 and control (n = 40. The intervention group received consultation based on Ellis rational emotive behavior therapy (REBT method for 6 sessions during 3 weeks. The control group did not re-ceive any consultation Paired t-test was used to compare the changes in groups and independent t-test was conducted to compare two groups. The average values represented as mean ± standard deviation. Results: Before the study, the body image score was not significantly different between the intervention (16 97 ± 5 44 and control (15 95 ± 4 66 groups (t = 0 86, P = 0 395. The body image score was significantly lower in the interven-tion group (9 03 ± 6 11 compared to control group (17 18 ± 5 27 after the intervention (t = -6 07, P < 0 001. Conclusions: Since a woman′s body image influences her breast cancer treatment decision, oncology professionals need to recognize the value of a woman′s favorite about appearance and body image. This study emphasizes the impor-tance of offering consultation in breast cancer patients.

  8. Clinical efficacy of venlafaxine combined with cognitive behavioral intervention for Parkinson's disease with depression and cognitive dysfunction%文拉法辛联合认知行为干预治疗帕金森症合并抑郁、认知功能障碍的临床疗效

    Institute of Scientific and Technical Information of China (English)

    聂利珞

    2015-01-01

    目的:探讨文拉法辛联合认知行为疗法治疗帕金森症合并抑郁、认知功能障碍的临床疗效。方法选择58例帕金森症合并抑郁患者,根据治疗方法分为联合组和对照组。对照组给予文拉法辛胶囊口服治疗,联合组在此基础上给予认知行为疗法,比较两组患者的临床疗效。结果两组组内比较,治疗后焦虑、抑郁评分显著下降(P<0.01),治疗后两组组间比较,联合组评分显著低于对照组(P<0.01)。联合组在干预后认知功能总分、视空间与执行能力、命名能力、语言能力、延迟回忆以及定向力评分显著高于对照组(P<0.01)。结论文拉法辛联合认知行为干预治疗帕金森症合并抑郁、认知功能障碍,具有较好的临床疗效,能够显著改善患者焦虑、抑郁、认知功能障碍等情况。%Objective To discuss clinical efficacy of venlafaxine combined with cognitive behavioral intervention for Parkinson's disease with depression and cognitive dysfunction. Methods 58 cases of Parkinson's disease with depression and cognitive dysfunction were selected, and they were divided into combination group and control group according to treatment methods. Control group was treated by venlafaxine treatment. Combination group was treated by venlafaxine combined with cognitive behavioral intervention treatment. Clinical efficacy of two groups were compared. Results After treatment, HAMA and HAMD scores of two groups decreased apparently(P<0.01). HAMA and HAMD scores of combination group after treatment were lower than those of control group(P < 0.01). Cognitive function scores, depending on space and ability to execute, naming ability, language ability, delayed recall and disorientation ratings of combination group after treatment were higher than those of control group(P<0.01). Conclusion Venlafaxine combined with cognitive behavioral intervention for Parkinson's disease with depression and

  9. Internet-based cognitive behavioral therapy for depression and anxiety in Parkinson's disease — A pilot study

    National Research Council Canada - National Science Library

    Kraepelien, Martin; Svenningsson, Per; Lindefors, Nils; Kaldo, Viktor

    2015-01-01

    .... The availability of evidence-based psychological interventions is low. Objective: This pilot study investigates the feasibility and preliminary effect of internet-based cognitive behavioral therapy (ICBT...

  10. The Restructuring of Family Schemas: A Cognitive-Behavior Perspective

    Science.gov (United States)

    Dattilio, Frank M.

    2005-01-01

    Cognitive-behavior therapists define schemas as cognitive structures that organize thought and perception. Schemas are also viewed as having an integral influence on emotion and behavior. In this article, I examine the role of schema in family conflict and the specific interventions used in restructuring them during the course of family therapy.…

  11. Breaking the rhythm of depression : Cognitive Behavior Therapy and relapse prevention for depression

    NARCIS (Netherlands)

    Bockting, Claudi L.H.

    2010-01-01

    A crucial part of the treatment of depression is the prevention of relapse and recurrence. Psychological interventions, especially cognitive behavior therapy (CBT) are helpful in preventing relapse and recurrence in depression. The effectivity of four types of relapse prevention cognitive behavior

  12. Breaking the rhythm of depression : Cognitive Behavior Therapy and relapse prevention for depression

    NARCIS (Netherlands)

    Bockting, Claudi L.H.

    2010-01-01

    A crucial part of the treatment of depression is the prevention of relapse and recurrence. Psychological interventions, especially cognitive behavior therapy (CBT) are helpful in preventing relapse and recurrence in depression. The effectivity of four types of relapse prevention cognitive behavior t

  13. Breaking the rhythm of depression : Cognitive Behavior Therapy and relapse prevention for depression

    NARCIS (Netherlands)

    Bockting, Claudi L.H.

    2010-01-01

    A crucial part of the treatment of depression is the prevention of relapse and recurrence. Psychological interventions, especially cognitive behavior therapy (CBT) are helpful in preventing relapse and recurrence in depression. The effectivity of four types of relapse prevention cognitive behavior t

  14. 认知行为疗法对甲基苯丙胺成瘾患者负性情绪及复吸倾向的干预效果%Intervention effect of cognitive behavior therapy on negative emotion and relapse tendency of methamphetamine addicts

    Institute of Scientific and Technical Information of China (English)

    王玮

    2015-01-01

    目的:观察认知行为疗法对甲基苯丙胺成瘾患者负性情绪及复吸倾向的干预效果。方法306例甲基苯丙胺成瘾患者,随机分为试验组和对照组各153例,试验组进行认知行为疗法干预和常规戒毒教育,对照组只进行常规戒毒教育,采用情绪状态量表和自编复吸倾向问卷评价两组干预前及干预1个月后的情绪状态及复吸倾向。结果与对照组相比,试验组干预后情绪状态量表的紧张、抑郁、疲乏和迷惑维度得分低,活力维度得分高(P均<0.05)。与对照组相比,试验组干预后复吸倾向问卷的戒毒意愿、身心状况、社会支持维度得分及总均分较低(P均<0.05)。结论认知行为疗法可以改善甲基苯丙胺成瘾患者的情绪状态,并纠正其复吸倾向。%Objective To observe the intervention effect of cognitive behavior therapy on the negative emotion and re -lapse tendency of methamphetamine addicts .Methods Totally 306 methamphetamine addicts were randomly divided into two groups:the experimental group and the control group , 153 patients in each group .The cognitive behavior therapy and routine drug education were used in the experimental group .However, only routine drug education was used in the control group.The mood state and the relapse tendency of the two groups before and after 1-month intervention were evaluated with the mood state scale and the self-designed questionnaire .Results Compared with the control group , the scores of tension , depression , fatigue and confusion of emotional state scale were lower , and the vigor dimension score was higher in the ex-perimental group, and there was statistical significance difference between these two groups (all P<0.05).Compared with the control group , the thoughts of rehabilitation , the physical and mental status , social support scores and the total average score were lower in the experimental group , and there was statistical

  15. Integrating Cognitive-Behavioral and Expressive Therapy Interventions: Applying the Trauma Outcome Process in Treating Children with Sexually Abusive Behavior Problems.

    Science.gov (United States)

    Rasmussen, Lucinda A.

    2001-01-01

    Presents intervention strategies based on the Trauma Outcome Process, an integrated treatment model for guiding clinical practice with children with sexually abusive behavior problems. The steps for completing a comprehensive assessment are reviewed, and strategies are presented to help clinicians create a therapeutic alliance and increase these…

  16. 药物治疗和认知行为疗法结合心理社会支持治疗抑郁症的临床效果%The Intervention Study of Cognitive Behavioral Therapy and Psychosocial Support Interventions Combined with Drug Therapy for Depression

    Institute of Scientific and Technical Information of China (English)

    王春雁; 张琳; 魏安

    2015-01-01

    Objective:To investigate the effect of cognitive -behavioral therapy and psychosocial sup-port interventions combined with drug therapy for depression.Me thods:Screening treatment in our hospi-tal,medical data integrity ,and with a clear diagnosis of depression treatment ,all patients were randomly divided into three groups ,including the control group received paroxetine tablets medication ,cognitive be-havioral observation group was given a therapy combined with psychosocial support interventions ,observed two groups while giving paroxetine tablets medication and cognitive behavioral therapy combined with psy -chosocial support interventions .Results:EPDS scores in three treatment groups were no significant differ-ences between patients before treatment;Treatment was observed in one , two groups of patients , EPDS scores were significantly decreased after treatment 4,8 weekend,three EPDS score differences between groups were significant (U=4.923,7.145;P<0.01);HAMD total scores of three groups before treat-ment were no significant differences;From two weeks after treatment , two observation groups'HAMD scores decreased significantly than before treatment ,after treatment,2,6 weekend,HAMD total scores a-mong three groups were statistically significant differences ( U=3 .912 ,P<0 .05 ) .Conclusion:Cognitive behavioral therapy and psychosocial support interventions combined treatment for depression can signifi -cantly improve patients'depression ,anxiety ,it is worthy of further research and extension .%目的:探讨药物治疗和认知行为疗法结合心理社会支持干预治疗抑郁症的临床效果。方法:筛选在我院治疗、病历资料完整,诊断明确并配合治疗的抑郁症患者160例,随机将所有患者分为3组,其中对照组给予帕罗西汀片药物治疗,观察一组给予认知行为疗法结合心理社会支持干预,观察二组同时给予帕罗西汀片药物治疗和认知行为疗法结合心理社会支持

  17. 团体认知行为治疗对2型糖尿病患者的影响%Effects of cognitive behavioral group therapy on patients with type 2 diabetes

    Institute of Scientific and Technical Information of China (English)

    杨琴

    2016-01-01

    Objective:To explore effects of cognitive behavior group therapy on patients with type 2 diabetes. Methods:125 patients with type 2 diabetes were randomly divided into two groups:the control group (n=63) received a conventional treatment and health education, while the study group (n=62) was given cognitive behavioral group therapy based on those of control group. Then, the therapeutic effects of the two groups were compared. The changes of psychological and blood sugar indicators of the two groups be-fore and after the treatment were assessed by self-rating anxiety scale ( SAS) , self-rating Depression Scale ( SDS) , and quality of life questionnaire (SF-36). Results:After the treatment, the depression scores and anxiety scores, fasting blood glucose, 2h postprandial blood glucose and glycosylated hemoglobin of study group were all lower than those of control group; however, the scores of each di-mension of quality of life was higher than that of control group (P<0. 05). Conclusions: The cognitive behavioral group therapy can improve depression and anxiety emotions, and quality of life of the patients with type 2 diabetes, and can affect the blood sugar levels.%目的::探究团体认知行为治疗对2型糖尿病患者的影响。方法:将125例2型糖尿病患者随机分为对照组(63例)和研究组(62例)。对照组患者仅进行常规治疗和健康教育;研究组患者在此基础上给予团体认知行为治疗,比较两组患者的治疗效果。通过焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量量表(SF-36)及血糖指标评估两组患者治疗前后心理指标和血糖指标的变化。结果:研究组患者经团体认知行为治疗后其抑郁评分及焦虑评分均低于对照组。研究组患者生活质量各维度评分均高于对照组(P<0.05)。研究组患者在治疗后其空腹血糖、餐后2h血糖及糖化血红蛋白均低于对照组。结论:团体认知行为治疗能改善2型糖尿病

  18. Group Intervention With Adolescent Vietnamese Refugees.

    Science.gov (United States)

    Tsui, Alice M.; Sammons, Morgan T.

    1988-01-01

    Describes group intervention model, based on primary prevention schemes, for work with adolescent Vietnamese refugees. Addresses special cultural and therapeutic issues and concerns. Notes that while group therapies are generally difficult to implement with Vietnamese participants, group intervention work is feasible if clinicians modify…

  19. Personalized multistep cognitive behavioral therapy for obesity

    Directory of Open Access Journals (Sweden)

    Dalle Grave R

    2017-06-01

    Full Text Available Riccardo Dalle Grave, Massimiliano Sartirana, Marwan El Ghoch, Simona Calugi Department of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy Abstract: Multistep cognitive behavioral therapy for obesity (CBT-OB is a treatment that may be delivered at three levels of care (outpatient, day hospital, and residential. In a stepped-care approach, CBT-OB associates the traditional procedures of weight-loss lifestyle modification, ie, physical activity and dietary recommendations, with specific cognitive behavioral strategies that have been indicated by recent research to influence weight loss and maintenance by addressing specific cognitive processes. The treatment program as a whole is delivered in six modules. These are introduced according to the individual patient’s needs in a flexible and personalized fashion. A recent randomized controlled trial has found that 88 patients suffering from morbid obesity treated with multistep residential CBT-OB achieved a mean weight loss of 15% after 12 months, with no tendency to regain weight between months 6 and 12. The treatment has also shown promising long-term results in the management of obesity associated with binge-eating disorder. If these encouraging findings are confirmed by the two ongoing outpatient studies (one delivered individually and one in a group setting, this will provide evidence-based support for the potential of multistep CBT-OB to provide a more effective alternative to standard weight-loss lifestyle-modification programs. Keywords: obesity, cognitive behavioral therapy, lifestyle modification, weight loss, weight maintenance, outcome

  20. Effect of a cognitive behavioral self-help intervention on depressive symptoms and mental health status of ifrst-episode depression outpatients%基于认知行为疗法的自助干预对门诊首发抑郁症患者心理健康水平影响的研究

    Institute of Scientific and Technical Information of China (English)

    王霞; 杨敏; 陈琼妮

    2016-01-01

    Objective: To explore the effect of self-help intervention based on Cognitive Behavioral Therapy on depressive symptoms and mental health status of ifrst-episode depression outpatients. Methods: We randomly divided 126 ifrst-episode depression outpatients from two tertiary hospitals in Changsha into the no-guided experimental group (n=42) ,the guided experimental group (n=42) and the control group (n=42). During and after the intervention, 25 subjects were lost to follow-up, Finally, there were 39 subjects in the no-guided experimental group, 32 in the guided experimental group and 30 in the control group. An antidepressant skills workbook was provided for each patient in the non-guided experimental group, besides, one telephone guidence every two weeks was provided for each patient in the guided experimental group, while no speciifc training was supplied to the control group. We evaluated all subjects with Beck Depression Inventory (BDI) and 10-item Kessler Scale (K10) before the self-help intervention and 2 months after the intervention. Results: After the intervention, the scores of both BDI and K10 in three groups decreased signiifcantly (P0.05). Conclusions: The cognitive behavioral self-help intervention by self-help manual could not effectively improve depressive symptoms and mental health status of ifrst-episode depression outpatients. We suggest that intensity of intervention should be strengthened in future study.%目的:评价基于认知行为疗法的自助干预对改善门诊首发抑郁症患者抑郁症状与心理健康水平的效果。方法:将126名门诊首发抑郁症患者随机分成无指导的干预组(n=42)、有指导的干预组(n=42)和对照组(n=42),干预中及干预结束后共失访25人,最终入组的无指导的干预组39人,有指导的干预组32人,对照组30人。无指导的干预组接受自助手册形式的自助干预,有指导的干预组接受自助手册加上电话形式的自助干预,对照

  1. 认知行为团体治疗对住院抑郁症患者的疗效%Efficacy of cognitive-behavioral group therapy in patients with major depression in inpatient department

    Institute of Scientific and Technical Information of China (English)

    汤臻; 吴天诚; 李鸣

    2011-01-01

    目的:探讨认知行为团体治疗对住院抑郁症患者的疗效. 方法:64例住院抑郁症患者随机分为研究组和对照组各32例.两组均给予盐酸舍曲林治疗,研究组同时接受为期8周,每周1次的认知行为团体治疗.两组分别于入组前及治疗8周接受汉密尔顿抑郁量表( HAMD-17)、汉密尔顿焦虑量表(HAMA)及自动思维问卷(ATQ)的评定;治疗8周后接受团体治疗疗效因子问卷调查. 结果:两组HAMD、HAMA及ATQ评分均较治疗前显著降低(P均<0.01),以研究组HAMD、HAMA及ATQ评分显著低于对照组(t=-2.63,-2.93,-2.81;P <0.05或P<0.01).研究组团体治疗疗效因子中普同性、情绪宣泄、人际学习(获取)、人际学习(付出)、团体凝聚力等因子显著优于对照组(t =11.74,7.18,5.88,6.09,3.39;P均=0.001). 结论:认知行为团体治疗可有效提高住院抑郁症患者的疗效.%Objective:To investigate the efficacy of cognitive-behavioral group therapy in patients with major depression in inpatient department. Method;64 patients with major depression were randomly assigned to 8 weeks of treatment with cognitive-behavioral group therapy combined with sertraline ( study group, n = 32) or with sertraline only ( control group, n = 32 ). Efficacy was assessed with Hamilton depression rating scale (HAMD-17) .Hamilton anxiety scale(HAMA) and automatic thoughts questionnaire (ATQ) at the baseline and the end of 8 weeks after treatment. Two groups were also assessed by Yaloms therapeutic factors questionnaire at the end of 8 weeks. Results;Both groups had significant improvement with the assessment of HAMD, HAMA and ATQ after 8 week treatment(all P <0.01). However,compared to control group,study group had significant reduction in the scores of HAMD,HAMA and ATQ at the end of the 8 week treatment (t = -2. 63, -2.93, - 2. 81 ;P <0. 05 or P <0.01). It was suggested the important therapeutic factors were university, catharsis,interpersonal learning (input

  2. The effectiveness of cognitive- behavior therapy on illness representations of multiple-sclerosis and improving their emotional states

    Directory of Open Access Journals (Sweden)

    Farhad Hazhir

    2012-01-01

    Full Text Available Background: Illness representations (based on Leventhal's model are associated with chronic illness outcomes. It has been suggested that targeting these cognitive components improves illness outcomes. Multiple sclerosis is a common disorder between neural and immune systems that creates physical and psychological consequences. There are few pre psychological trails on these patients. The aim of this study was to determine effectiveness of cognitive-behavior therapy on altering illness representations and improving emotional states of the patients.Methods: By using a randomized controlled trial design, among 52 selected patients, 35 volunteers randomly were allocated into intervention and control groups. An extensive interventional cognitive behavior therapy based package was conducted to intervention group in 10 weekly sessions. The control group stayed in waiting list and participated in 5 group meeting sessions. (IPQR and (DASS-42 psychological scales were administered, Leven and T statistical tests were applied for dat analysis.Results: The results showed positive changes in four illness representation components of patients including illness (identity, consequences, coherence and personal control. Associated improvement occurred in depression, anxiety, stress and emotional representations.Conclusion: Mooney and Padeskey's theoretically based cognitive-behavior therapy, is effective on illness representations modification and improving emotional states of the patients. The findings are less similar to Goodman's trial on Systemic Lupus Erythematosus patients and more similar to Petrie's trail on cardiac patients.

  3. [Cognitive-behavioral therapy for insomnia].

    Science.gov (United States)

    Yamadera, Wataru

    2015-06-01

    Insomnia is very common in older adults, but is generally related to medical and psychiatric illness, medication, circadian rhythm change. Cognitive-behavioral therapy for insomnia(CBT-I) is a brief, sleep-focused, multimodal intervention by psychological and behavioral procedures. The most common approach includes a behavioral (sleep restriction, stimulus control, relaxation) component combined cognitive and educational (cognitive strategies, sleep hygiene education) component. CBT-I has adequate evidence from clinical trials to support the management of insomnia. CBT-I has proved successful for older adults with primary and comorbid insomnia and for those with dependency on hypnotics. Proper treatment of insomnia is effective and can improve overall physical and mental health and quality of life in the elderly patient.

  4. Effectiveness of a nurse cognitive behavioral intervention to reduce stress on the health professionals in emergency extra hospital devices of SUMMA 112

    Directory of Open Access Journals (Sweden)

    Natalia Cámara Conde

    2010-03-01

    Full Text Available Work-related stress is one of the most widespread illnesses over the developed countries during the last decades of the twentieth century and the twenty-first century. The high costs generated as well as the increased prevalence have made various institutions worldwide to study and consider the need to create laws to prevent them.This pre-post-type randomized clinical trial has as its main objective to assess whether an nurse intervention based on the cognitive-behavioural therapy reduces the effect of stressors cause of job stress in health professionals working in the emergency extra hospital devices at the Emergency Medical Service of the Community of Madrid (SUMMA 112, as these professionals, due to the specific characteristics of their jobs, the crisis in health care that work and the lack of training in techniques to overcome and control Stress makes them particularly sensitive to disorders arising from the stress at work.

  5. Breaking the Rhythm of Depression: Cognitive Behavior Therapy and Relapse Prevention for Depression

    Directory of Open Access Journals (Sweden)

    Claudi L.H. Bockting

    2010-12-01

    Full Text Available A crucial part of the treatment of depression is the prevention of relapse and recurrence. Psychological interventions, especially cognitive behavior therapy (CBT are helpful in preventing relapse and recurrence in depression. The effectivity of four types of relapse prevention cognitive behavior therapy strategies will be addressed, i.e. acute prophylactic cognitive behavior therapy, continuation cognitive behavior therapy, sequential cognitive behavior therapy and cognitive behavior therapy in partial remission.Specific ingredients of three sequential cognitive behavior therapy programs (well-being cognitive therapy, preventive cognitive therapy, and mindfulness-based cognitive therapy will be discussed as applied after remission in patients that experienced previous depressive episodes. Sequential preventive cognitive behavior therapy after acute treatment may be an attractive alternative treatment for many patients who currently use antidepressants for years and years to prevent relapse and recurrence. This is an extremely challenging issue to research thoroughly. Future studies must rule out what intervention for whom is the best protection against relapse and recurrence in depression.

  6. Development of a Cognitive-Behavioral Intervention Program to Treat Anxiety and Social Deficits in Teens with High-Functioning Autism

    Science.gov (United States)

    White, Susan W.; Albano, Anne Marie; Johnson, Cynthia R.; Kasari, Connie; Ollendick, Thomas; Klin, Ami; Oswald, Donald; Scahill, Lawrence

    2010-01-01

    Anxiety is a common co-occurring problem among young people with autism spectrum disorders (ASD). Characterized by deficits in social interaction, communication problems, and stereotyped behavior and restricted interests, this group of disorders is more prevalent than previously realized. When present, anxiety may compound the social deficits of…

  7. Rationale and Baseline Characteristics of PREVENT: A Second-Generation Intervention Trial in Subjects At-Risk (Prodromal) of Developing First-Episode Psychosis Evaluating Cognitive Behavior Therapy, Aripiprazole, and Placebo for the Prevention of Psychosis

    Science.gov (United States)

    Bechdolf, Andreas; Müller, Hendrik; Stützer, Hartmut; Wagner, Michael; Maier, Wolfgang; Lautenschlager, Marion; Heinz, Andreas; de Millas, Walter; Janssen, Birgit; Gaebel, Wolfgang; Michel, Tanja Maria; Schneider, Frank; Lambert, Martin; Naber, Dieter; Brüne, Martin; Krüger-Özgürdal, Seza; Wobrock, Thomas; Riedel, Michael; Klosterkötter, Joachim

    2011-01-01

    Antipsychotics, cognitive behavioral therapy (CBT), and omega-3-fatty acids have been found superior to control conditions as regards prevention of psychosis in people at-risk of first-episode psychosis. However, no large-scale trial evaluating the differential efficacy of CBT and antipsychotics has been performed yet. In PREVENT, we evaluate CBT, aripiprazole, and clinical management (CM) as well as placebo and CM for the prevention of psychosis in a randomized, double-blind, placebo-controlled trial with regard to the antipsychotic intervention and a randomized controlled trial with regard to the CBT intervention with blinded ratings. The hypotheses are first that CBT and aripiprazole and CM are superior to placebo and CM and second that CBT is not inferior to aripiprazole and CM combined. The primary outcome is transition to psychosis. By November 2010, 156 patients were recruited into the trial. The subjects were substantially functionally compromised (Social and Occupational Functioning Assessment Scale mean score 52.5) and 78.3% presented with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition axis I comorbid diagnosis. Prior to randomization, 51.5% of the participants preferred to be randomized into the CBT arm, whereas only 12.9% preferred pharmacological treatment. First, assessments of audiotaped treatment sessions confirmed the application of CBT-specific skills in the CBT condition and the absence of those in CM. The overall quality rating of the CBT techniques applied in the CBT condition was good. When the final results of the trial are available, PREVENT will substantially expand the current limited evidence base for best clinical practice in people at-risk (prodromal) of first-episode psychosis. PMID:21860040

  8. Outcomes from a Randomized Controlled Trial of a Group Intervention for HIV Positive Men and Women Coping with AIDS-Related Loss and Bereavement

    Science.gov (United States)

    Sikkema, Kathleen J.; Hansen, Nathan B.; Kochman, Arlene; Tate, David C.; DiFranceisco, Wayne

    2004-01-01

    The purpose of this study was to examine the impact of a group coping intervention for HIV-positive men and women who have lost a loved one(s) to AIDS in the past 2 years. Two hundred thirty-five participants, diverse with respect to race/ethnicity and sexual orientation, were randomly assigned to a 12-week cognitive-behavioral group intervention…

  9. Effect of cognitive behavioral intervention on the anxiety and depression of patients with CABG%认知行为干预对冠状动脉旁路移植术患者焦虑抑郁状态的影响

    Institute of Scientific and Technical Information of China (English)

    尹桂华; 刘照旭

    2015-01-01

    Objective:To discuss the influence of cognitive behavior on anxiety,depression,hemodynamics and cardiac function recovery in patients with coronary artery bypass grafting( CABG). Methods:66 patients undergoing CABG were randomly divided into the control group(n=30)and the intervention group(n=36). The routine nursing care and cognitive behavioral intervention were respectively given to the patients in the control and intervention groups. The mental state,hemodynamic test results,indwelling time of catheter,the time of monitoring and hospitalization were observed in the two groups before and after intervention. Results:After the intervention,the SAS and SDS scores were superior in the intervention group to the control group(P<0. 05);the hemodynamic parameters of HR,SBP,CO and SVR were better in the intervention group than the control group 12 hours before operation and 72 hours after operation(P<0. 05);the postop-erative tracheal intubation time,length of stay in ICU and hospitalization time was shorter in the intervention group than the control group ( P<0. 05);the regularity of diet and exercise,medication compliance and satisfaction of the patients were significantly better in the inter-vention group than the control group(P<0. 05). Conclusion:The cognitive behavioral intervention can improve perioperative psychological status of patients with CABG,effectively reduce the reflective heart rate and elevation of blood pressure resulting from stress of the patients;it can also reduce the scores of anxiety and depression and stabilize hemodynamics and increase postoperative cardiac output so as to pro-mote postoperative recovery and improve the quality of life of the patients.%目的:探讨认知行为对冠状动脉旁路移植术( CABG)患者焦虑、抑郁状态、血流动力学和心脏功能恢复的影响。方法:将冠心病并行CABG的患者66例随机分为对照组30例和干预组36例,对照组给予常规护理,干预组在常规护

  10. "A randomized controlled trial on the efficacy of mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronically depressed patients": Correction to Michalak et al. (2015).

    Science.gov (United States)

    2016-06-01

    Reports an error in "A randomized controlled trial on the efficacy of mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronically depressed patients" by Johannes Michalak, Martin Schultze, Thomas Heidenreich and Elisabeth Schramm (Journal of Consulting and Clinical Psychology, 2015[Oct], Vol 83[5], 951-963). In the article there was an error in the Method section in the Statistical Analysis subsection. The last sentence in the seventh paragraph should read "A remitter was defined as a participant with a HAM-D score of 8 or less at posttreatment." (The following abstract of the original article appeared in record 2015-36864-001.) Mindfulness-based cognitive therapy (MBCT) has recently been proposed as a treatment option for chronic depression. The cognitive behavioral analysis system of psychotherapy (CBASP) is the only approach specifically developed to date for the treatment of chronically depressed patients. The efficacy of MBCT plus treatment-as-usual (TAU), and CBASP (group version) plus TAU, was compared to TAU alone in a prospective, bicenter, randomized controlled trial. One hundred and six patients with a current DSM-IV defined major depressive episode and persistent depressive symptoms for more than 2 years were randomized to TAU only (N = 35), or to TAU with additional 8-week group therapy of either 8 sessions of MBCT (n = 36) or CBASP (n = 35). The primary outcome measure was the Hamilton Depression Rating Scale (24-item HAM-D, Hamilton, 1967) at the end of treatment. Secondary outcome measures were the Beck Depression Inventory (BDI; Beck, Steer, & Brown, 1996) and measures of social functioning and quality of life. In the overall sample as well as at 1 treatment site, MBCT was no more effective than TAU in reducing depressive symptoms, although it was significantly superior to TAU at the other treatment site. CBASP was significantly more effective than TAU in reducing depressive

  11. Cognitive behavioral therapy in combination with systemic family therapy improves mild to moderate postpartum depression

    Directory of Open Access Journals (Sweden)

    Yongmei Hou

    2014-03-01

    Full Text Available Objective: To explore the effect of cognitive behavioral therapy (CBT in combination with systemic family therapy (SFT on mild to moderate postpartum depression and sleep quality. Methods: 249 primiparous women with mild to moderate postpartum depression were recruited and randomly assigned to a control group (n=128, which received conventional postpartum care, or to a psychological intervention group (n=121, which received conventional postpartum care combined with psychological intervention. The Edinburgh Postnatal Depression Scale (EPDS and Pittsburgh Sleep Quality Index (PSQI were employed to evaluate depression and sleep quality, respectively. Results: 104 patients in the intervention group and 109 in the control group completed the study. After intervention, the EPDS score, PSQI score, sleep quality score, sleep latency score, sleep duration score, habitual sleep efficiency score, sleep disturbance score, and daytime dysfunction score were significantly lower in the intervention group than in the control group. The EPDS and PSQI scores of each group at different time points after intervention were markedly decreased compared with those before intervention, and the reduction in the intervention group was more evident than that in the control group. Conclusion: CBT in combination with SFT can improve depression and sleep quality in patients with mild to moderate postpartum depression.

  12. 认知行为干预结合运动治疗对康复期抑郁症患者交往焦虑的作用%The Role of Cognitive-behavioral Intervention Combined with Exercise Therapy on Interaction Anxiety in Rehabilitation of Patients with Depression

    Institute of Scientific and Technical Information of China (English)

    孙华风

    2015-01-01

    Objective:To investigate interaction anxiety in rehabilitation of patients with depression and explore the effect of cognitive-behavioral intervention combined with exercise therapy on anxiety interaction.Method:70 rehabilitation patients received Interaction Anxiousness Scale(IAS) survey,the survey findings were compared with the norm.At the same time,the subjects were randomly divided into conventional treatment group(n=35) and the combined treatment group(n=35),and the differences of anxiety interaction of two groups were compared.Result:(1)All of the subjects were conducted before the intervention IAS investigation and comparison with the norm.IAS patients scored was higher than the norm,the difference was statistically significant(t=6.61,P0.05).After eight weeks of treatment,the combination therapy group value decreased anxiety group interaction,and was significantly lower than that of the conventional treatment group,the differences were statistically significant(t=5.20,3.93, P0.05)。经8周治疗后,联合治疗组交往焦虑值下降,且显著低于常规治疗组,差异均有统计学意义(t=5.20、3.93,P<0.05)。结论:康复期抑郁症患者存在一定程度的交往焦虑,认知行为干预结合运动治疗可以有效缓解患者的交往焦虑。

  13. 认知行为干预对癌痛及癌痛自我效能感的影响%Effect of cognitive behavioral intervention on cancer pain and cancer pain self-efficacy

    Institute of Scientific and Technical Information of China (English)

    何海燕; 朱京慈; 彭娜

    2011-01-01

    目的 观察结合疼痛自我效能感、癌痛药物治疗的认知行为干预方案对癌痛自我效能感和疼痛的影响.方法 收集癌痛患者30例,采用自身前后对照.第1阶段,第1~7天为常规护理阶段;第2阶段,第8~21天,在常规护理的基础上实施认知行为干预,包括癌痛健康教育、技能学习、活动锻炼、情绪支持.健康教育和技能学习每周3次,由研究者面对面指导进行,每次30 min.健康教育前后,应用疼痛控制障碍评估工具(BQ-L)评估患者疼痛控制障碍变化.在第0,7,21天进行疼痛评估、止痛药物分析和癌痛自我效能感测评.结果 第1阶段末吗啡用量、按时用药人数较基线测评明显增多,疼痛自我效能感、疼痛强度差异没有统计学意义,但疼痛持续时间明显减少(P<0.05);第2阶段末吗啡用量、按时用药人数较第1阶段末明显增多,疼痛自我效能感显著增强,疼痛强度、疼痛持续时间均显著下降,差异有统计学意义(P<0.05).结论 本研究对癌痛患者实施认知行为干预,通过健康教育、技能学习、活动锻炼、情绪支持等癌痛综合管理,能显著增强患者的癌痛自我效能感、并有效改善癌痛控制效果.%Objective To observe the influence of cognitive behavioral intervention combining cancer pain self-relief with pharmacological therapies on pain and cancer pain self-efficacy. Methods Thirty patients suffering from cancer pain were enrolled into the study and self-contrast experiment was made on each patient.The experiment included two stages, in the first stage, the routine nursing was conducted from the first day to the seventh day; in the second stage, the cognitive behavioral intervention was implemented along with the routine nursing from the eighth day to the twenty-first day. The intervention consisted of cancer pain health education,skill learning, exercises and emotional support. The health education and skill learning were

  14. Brief Exposure to Cognitive Behavioral Therapy Reduces Side-Effect Symptoms in Patients on Antiretroviral Therapy.

    Science.gov (United States)

    Doerfler, R Eric; Goodfellow, Linda

    2016-01-01

    No study has tested the effectiveness of individualized cognitive behavioral therapy (CBT) interventions to reduce persistent nausea, pain, anxiety, and fatigue in patients on continuous antiretroviral therapy (ART). Our objective was to determine if CBT could reduce nausea, pain, anxiety, and fatigue in patients with HIV on ART. Men ages 40 to 56 years on ART (n = 18) at a suburban HIV clinic were randomly assigned to a control group or the CBT intervention. Usual adherence education and side-effect management were provided to both groups. Symptoms, health perception, medication adherence, and side-effect-reducing medication use were measured at four time points over 3 months. Participants in the intervention group rated usual fatigue and worst fatigue at 60 days, and nausea duration at 90 days significantly lower than controls (p HIV undergoing ART.

  15. 糖调节异常者认知行为团体心理治疗方案的编制及疗效%Development and efficacy of group cognitive behavioral therapy program in impaired glucose regulation patients

    Institute of Scientific and Technical Information of China (English)

    卢勤; 张岚; 李旭; 李晓靖; 陈蒂丝; 廖红; 宫飙; 孙学礼

    2012-01-01

    Objective: To develop a group cognitive behavioral therapy program and to explore the effects of the program on glucose control and psychological condition in patients with impaired glucose regulation (IGR). Methods: The group cognitive behavioral therapy program was developed on the basis of interviews, literature analysis and expert panel discussion. Twenty-one patients with IGR were randomized into first group treated with group cognitive behavioral therapy (GCBT) combined with health education, and 17 patients with IGR were randomized into second group treated with health education as control. They were tested with the oral glucose tolerance test to test blood glucose level and assessed with the Self-Rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Coping Styles Questionnaire ( CSQ) and Social Support Rating Scale ( SSRS) before and after treatments. Results: At the end of the therapy, the levels of fasting blood glucose [(5. 8 ± 0. 7) mmol/Lvs. (6. 6 ± 1. l)mmol/L] and blood glucose [(8.9 ±2. 3)mmol/L vs. (11.0 ±3. l)mmol/L] in the GCBT group decreased in the second hour after meal (Ps 0. 05). The scores of SDS [(40. 2 ±5.4) vs. (45. 3 ±9. 6)] and SAS [(32. 5 ±4.2) vs. (37. 9 ±8. 3)] decreased, and the SSRS total scores [(41. 0 ±8. 0) vs. (39. 5 ±8. 0)] and subjective support scores [(22. 8 ±3. 9) vs. (19. 6 ± 3. 9) ] increased in the GCBT group (Ps 0. 05). Conclusion: It suggests that the group cognitive behavioral therapy could effectively improve blood glucose level, depression, anxiety and social support in impaired glucose regulation patients.%目的:编制一套针对糖调节异常者的认知行为团体心理治疗方案,并初步考察方案对糖调节异常者血糖控制及心理状况的影响.方法:在深度访谈、文献分析、专家论证基础上编制心理治疗方案.选取糖调节异常者38例,随机分为认知行为团体心理治疗组(简称团体治疗组)和对照组,两组均接受糖尿病健康

  16. Effectiveness of Cognitive Behavioral Therapy on Spiritual Well-Being and Emotional Intelligence of the Elderly Mourners.

    Science.gov (United States)

    Solaimani Khashab, Abas; Ghamari Kivi, Hosain; Fathi, Davod

    2017-04-01

    Objective: Grief is one of the most painful experiences of the humans after linking emotions. In the literature of trauma, grief and mourning can be seen on many topics. Intervention and treatment of grief seems necessary as the period of mourning is prolonged. Thus, this study aimed at understanding the effectiveness of cognitive behavioral therapy on spiritual well-being and emotional intelligence in the elderly bereavement. Method: This was an experimental study with pre-and posttest design, and control group. The population of this study was the elderly mourners in city of Ardabil in 15-2014. After conducting clinical interviews and diagnostic tests using the sampling method, 30 elderly mourners selected. Spiritual Well-Being questionnaire and Emotional Intelligence questionnaire were used for data collection. The questionnaire and pretest-posttest were used in this study. Data were analyzed using multivariate analysis of covariance. Results: The results of the data analysis revealed that cognitive behavioral therapy increased spiritual well-being and emotional intelligence of the mourners was not significantly different between the 2 groups (PEmotional Intelligence at pretest was not significant in the intervention group compared with the control group (P>0.05). Conclusion: Method of cognitive behavioral therapy helps confront the emotional drain and grief acceptance, increasing the spiritual well-being and emotional intelligence of the elderly bereavement.‏.

  17. Effectiveness of Cognitive Behavioral Therapy on Spiritual Well-Being and Emotional Intelligence of the Elderly Mourners

    Directory of Open Access Journals (Sweden)

    Abas Solaimani Khashab

    2017-04-01

    Full Text Available Objective: Grief is one of the most painful experiences of the humans after linking emotions. In the literature of trauma, grief and mourning can be seen on many topics. Intervention and treatment of grief seems necessary as the period of mourning is prolonged. Thus, this study aimed at understanding the effectiveness of cognitive behavioral therapy on spiritual well-being and emotional intelligence in the elderly bereavement.Method: This was an experimental study with pre-and posttest design, and control group. The population of this study was the elderly mourners in city of Ardabil in 15-2014. After conducting clinical interviews and diagnostic tests using the sampling method, 30 elderly mourners selected. Spiritual Well-Being questionnaire and Emotional Intelligence questionnaire were used for data collection. The questionnaire and pretest-posttest were used in this study. Data were analyzed using multivariate analysis of covariance.Results: The results of the data analysis revealed that cognitive behavioral therapy increased spiritual well-being and emotional intelligence of the mourners was not significantly different between the 2 groups (P<0.01. However, the means of Spiritual Well-Being and Emotional Intelligence at pretest was not significant in the intervention group compared with the control group (P>0.05.Conclusion: Method of cognitive behavioral therapy helps confront the emotional drain and grief acceptance, increasing the spiritual well-being and emotional intelligence of the elderly bereavement.‏

  18. Stabilizing Group Treatment for Complex Posttraumatic Stress Disorder Related to Childhood Abuse Based on Psycho-Education and Cognitive Behavioral Therapy: A Pilot Study

    Science.gov (United States)

    Dorrepaal, Ethy; Thomaes, Kathleen; Smit, Johannes H.; van Balkom, Anton J. L. M.; van Dyck, Richard; Veltman, Dick J.; Draijer, Nel

    2010-01-01

    Objective: This study tests a Stabilizing Group Treatment protocol, designed for the management of the long-term sequelae of child abuse, that is, Complex Posttraumatic Stress Disorder (Complex PTSD). Evidence-based treatment for this subgroup of PTSD patients is largely lacking. This stabilizing treatment aims at improving Complex PTSD using…

  19. Stabilizing Group Treatment for Complex Posttraumatic Stress Disorder Related to Childhood Abuse Based on Psycho-Education and Cognitive Behavioral Therapy: A Pilot Study

    Science.gov (United States)

    Dorrepaal, Ethy; Thomaes, Kathleen; Smit, Johannes H.; van Balkom, Anton J. L. M.; van Dyck, Richard; Veltman, Dick J.; Draijer, Nel

    2010-01-01

    Objective: This study tests a Stabilizing Group Treatment protocol, designed for the management of the long-term sequelae of child abuse, that is, Complex Posttraumatic Stress Disorder (Complex PTSD). Evidence-based treatment for this subgroup of PTSD patients is largely lacking. This stabilizing treatment aims at improving Complex PTSD using…

  20. Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study

    OpenAIRE

    Dorrepaal, Ethy; Thomaes, Kathleen; Smit, Johannes H; Veltman, Dick J.; Hoogendoorn, Adriaan W.; van Balkom, Anton J. L. M.; Draijer, Nel

    2013-01-01

    Background: In the empirical and clinical literature, complex posttraumatic stress disorder (PTSD) and personality disorders (PDs) are suggested to be predictive of drop-out or reduced treatment effectiveness in trauma-focused PTSD treatment.Objective: In this study, we aimed to investigate if personality characteristics would predict treatment compliance and effectiveness in stabilizing complex PTSD treatment. Method: In a randomized controlled trial on a 20-week stabilizing group cognitive ...

  1. Double blinding requirement for validity claims in cognitive-behavioral therapy intervention trials for major depressive disorder. Analysis of Hollon S,  et al., Effect of cognitive therapy with antidepressant medications vs antidepressants alone on the rate of recovery in major depressive disorder: a randomized clinical trial.

    Science.gov (United States)

    Berger, Douglas

    2015-01-01

    This paper will focus on problems in the inability to double-blind cognitive-behavioral therapy (CBT) studies for major depressive disorder (MDD), and provides an analysis of a recently published study to show how this problem can lead to faulty conclusions. A study by Hollon et al. published in JAMA Psychiatry that compared an antidepressant medication-only arm with a combined CBT/antidepressant arm concluded that the cognitive therapy/antidepressant combination enhanced the recovery rates compared with antidepressant alone, and that the magnitude of this increment nearly doubled for patients with more severe depression. We propose that for subjects with greater severity, there could have been both antidepressant efficacy as well as more hope and expectation in the group who knew they had received combined cognitive therapy/medication, leading to an erroneous conclusion of greater efficacy for the combined group. The large subject number in this study could easily lead to an erroneous finding on statistical testing as a small amount of bias in the subjects adds-up. We opine that the conclusions of unblind CBT outcome research in conditions with subjective endpoints such as MDD need to be given with great caution. The validity of CBT (and its derivatives such as dialectical behavioral therapy) for indications other than MDD is also part of a larger problem in  the inability to blind outcome studies for these interventions.

  2. Double blinding requirement for validity claims in cognitive-behavioral therapy intervention trials for major depressive disorder. Analysis of Hollon S, et al., Effect of cognitive therapy with antidepressant medications vs antidepressants alone on the rate of recovery in major depressive disorder: a randomized clinical trial [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Douglas Berger

    2015-08-01

    Full Text Available This paper will focus on problems in the inability to double-blind cognitive-behavioral therapy (CBT studies for major depressive disorder (MDD, and provides an analysis of a recently published study to show how this problem can lead to faulty conclusions. A study by Hollon et al. published in JAMA Psychiatry that compared an antidepressant medication-only arm with a combined CBT/antidepressant arm concluded that the cognitive therapy/antidepressant combination enhanced the recovery rates compared with antidepressant alone, and that the magnitude of this increment nearly doubled for patients with more severe depression. We propose that for subjects with greater severity, there could have been both antidepressant efficacy as well as more hope and expectation in the group who knew they had received combined cognitive therapy/medication, leading to an erroneous conclusion of greater efficacy for the combined group. The large subject number in this study could easily lead to an erroneous finding on statistical testing as a small amount of bias in the subjects adds-up. We opine that the conclusions of unblind CBT outcome research in conditions with subjective endpoints such as MDD need to be given with great caution. The validity of CBT (and its derivatives such as dialectical behavioral therapy for indications other than MDD is also part of a larger problem in  the inability to blind outcome studies for these interventions.

  3. Tailored cognitive-behavioral therapy for fibromyalgia: two case studies.

    NARCIS (Netherlands)

    Koulil, S. van; Lankveld, W. van; Kraaimaat, F.W.; Helmond, T. van; Vedder, A.; Hoorn, H. van; Cats, H.; Riel, P.L.C.M. van; Evers, A.W.

    2008-01-01

    OBJECTIVE: To illustrate a multidisciplinary group treatment for patients with fibromyalgia (FM) tailored to the patient's cognitive-behavioral pattern. METHOD: In a case-study design the tailored treatment approaches of two FM patients were described. One patient characterized by avoidance behavior

  4. Optimizing Cognitive-Behavioral Therapy for Childhood Psychiatric Disorders

    Science.gov (United States)

    Piacentini, John

    2008-01-01

    Reports that expand the understanding of the treatment of childhood obsessive-compulsive disorder by using exposure-based cognitive-behavioral therapy in the age group of 5 to 8-year-olds are presented. A model for collecting the common core elements of evidence-based psychosocial treatments for childhood disorders is also presented.

  5. Cognitive-behavioral therapy for insomnia in patients with cancer.

    Science.gov (United States)

    Woodward, Susan Crump

    2011-08-01

    Sleep-wake disturbances, particularly insomnia, are among the most prevalent and distressing symptoms experienced by patients with cancer. As a result of extensive interdisciplinary research conducted since 2000, cognitive-behavioral therapy now is considered the standard of care for the treatment of insomnia in the general population and also has been upgraded to "likely to be effective" in the Oncology Nursing Society Putting Evidence Into Practice weight of evidence category. Cognitive-behavioral therapy is a multicomponent psychological and behavioral treatment designed to eliminate the perpetuating factors of insomnia. The most frequently used strategies are stimulus control, sleep restriction and relaxation therapies, paradoxical intention, sleep hygiene, and cognitive restructuring. Although this insomnia treatment recommendation has been well publicized, the nursing literature has not effectively translated the theories and principles of cognitive-behavioral therapy into practical guidelines or considerations for use by oncology staff nurses and advanced practitioners. This article attempts to demystify cognitive-behavioral therapy and provide nurses at different levels of practice a foundation from which to evaluate and potentially deliver this promising insomnia intervention.

  6. A Cognitive Behavioral Intervention for Seasickness

    Science.gov (United States)

    2000-01-01

    and Wendy A. Law, Ph.D.: faculty in the Department of Medical and Clinical Psychology and Jerome E. Singer, Ph.D: Department Chair (retired) Medical...will increase feelings of nausea associated with seasickness ( Bruner , 1955). Another hypothesis regarding the nauseogenic effect ofcigarette smoking is...be palliative for seasickness ( Bruner , 1939). Good physical condition in general has been anecdotally associated with low motion sickness

  7. Psychosocial and Clinical Outcomes of a Cognitive Behavioral Therapy for Asians and Pacific Islanders with Type 2 Diabetes: A Randomized Clinical Trial.

    Science.gov (United States)

    Inouye, Jillian; Li, Dongmei; Davis, James; Arakaki, Richard

    2015-11-01

    Asian Americans and Pacific Islanders are twice as likely to be diagnosed with type 2 diabetes compared to Caucasians. The objective was to determine the effect of cognitive behavioral therapy on quality of life, general health perceptions, depressive symptoms, and glycemia in Asians and Pacific Islanders with type 2 diabetes. The design was a randomized controlled clinical trial comparing cognitive behavioral therapy to diabetes education and support for six weekly sessions. Participants were recruited from two endocrinology practices; 207 were enrolled. The cognitive behavioral therapy group was provided self-management tools which included biofeedback, breathing exercises, and stress relievers, while the diabetes education and support group included diabetes education and group discussions. Assessments of psychosocial and clinical outcomes were obtained before and after sessions and 12 months PostSession. Differences between the two groups were examined using linear mixed-effects models with linear contrasts. The cognitive behavioral therapy group had improved depressive symptom scores from PreSession to EndSession compared to the diabetes education and support group (P < .03), but the improvement did not extend to 12 months PostSession. Similar results were observed with misguided support scores in the Multidimensional Diabetes Questionnaire (P < .03) and susceptibility in health beliefs (P < .01), but no significant differences in HbA1c improvement were found between the two groups. Both interventions improved outcomes from baseline but were not sustained for 1 year.

  8. What does best evidence tell us about the efficacy of group cognitive-behavioral therapy for obsessive-compulsive disorder? Protocol for a systematic review and meta-analysis.

    Science.gov (United States)

    Pozza, Andrea; Andersson, Gerhad; Dèttore, Davide

    2015-01-01

    Group cognitive-behavioral therapy (GCBT) may be a cost-effective alternative modality for the treatment of obsessive-compulsive disorder (OCD). In the last decade, a great deal of research has been conducted to evaluate the efficacy of GCBT for OCD. Despite promising results, studies have produced inconclusive evidence. The current paper will present a protocol for a systematic review and meta-analysis of randomized controlled trials assessing the efficacy of GCBT compared with control conditions or individual CBT at post-treatment and follow-up on OCD symptoms, anxiety, depression, obsessive beliefs, quality of life, and functioning. Another aim will be to compare the levels of early drop out from GCBT relative to control conditions or individual CBT. Finally, the study will investigate potential outcome moderators (age, sex, OCD severity, severity of concurrent depression, comorbid personality disorders, duration of OCD symptom onset, duration of treatment, intensity of treatment, generation cohort, methodological quality, and publication date). A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines will be conducted using random-effects meta-analyses. Online databases and trial registries will be searched, the corresponding authors will be contacted, and conference proceedings and relevant journals will be hand-searched to locate published and unpublished studies. Risk of bias will be assessed using the Cochrane Collaboration's tool.

  9. Influence of cognitive-behavioral intervention on compliance and life quality of patiets with schizophrenia in remission%认知行为干预对精神分裂症缓解期患者治疗依从性和生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    聂莎; 邓利章; 杨勇; 周永梅

    2016-01-01

    目的:探讨认知行为干预对精神分裂症缓解期患者治疗依从性和生活质量的影响。方法将160例住院精神分裂症缓解期患者随机分为对照组和研究组各80例。对照组接受常规的治疗和护理,研究组在对照组基础上进行个体认知行为干预。评价2组患者干预前、出院时、出院3个月后的生活质量、服药依从性、自知力与治疗态度。结果2组患者生存质量评分、自知力与治疗态度评分均显著提高,且研究组提高更显著。出院3个月后,研究组服药依从性高于对照组(Z=-2.468,P=0.014)。结论认知行为干预能改变精神分裂症缓解期患者对客观事物的不良认知情绪及行为反应,有效改善其生活质量,提高其服药依从性,对患者的病情康复及生活能力和社会功能改善有很好的促进作用。%Objective To discuss the influence of cognitive-behavioral intervention on compliance and life quality of patients with schizophrenia in remission.Methods Totally 160 schizophrenia patients in remission were randomly divided into a study group (n=80)and a control group (n= 80).Both groups received the routine nursing care and health education,while the study group was additionally given cognitive and behavioral therapy.Both groups were evaluated before the intervention,at discharge and 3 months after hospitalization using the world health organization quality of life brief evaluation form (WHOQOI-BREF), insight and treatment attitude questionnaire (ITAQ )and self medication compliance questionnaire .Results All the measurements of the WHOQOI-BREF and ITAQ in the study group improved significantly compared to those before it and those in the control group.Three months after discharge,the medication compliance of the study group was significantly higher than that of the control group.Conclusion Cognitive-behavioral intervention can effectively improve the life quality and medication compliance of patiets with

  10. Therapeutic Effect of Early Intervention with Electro-Acupuncture and Cognitive Behavioral Therapy on Mild Depression of 30 Cases%电针联合认知行为疗法早期干预轻度抑郁状态30例疗效观察

    Institute of Scientific and Technical Information of China (English)

    杨学琴; 张文悦; 马文昊; 郭天蔚; 秦丽娜; 杨昕婧; 王思涵; 图娅

    2012-01-01

    目的 观察电针联合认知行为疗法早期干预轻度抑郁状态的临床疗效.方法 将90例轻度抑郁状态患者随机分为心理组、电针组、综合组各30例,心理组采用认知行为疗法进行心理干预,每周1次;电针组选取百会、印堂为主穴进行电针治疗,每周2次;综合组同时采用认知行为疗法及电针治疗,疗程均为8周.治疗前后分别采用汉密尔顿抑郁量表(H AMD)、抑郁自评量表(CES-D)对各组患者进行评价,并比较临床疗效.结果 综合组总有效率为93.33%,明显优于心理组(总有效率68.97%)以及电针组(总有效率79.31%),差异有统计学意义(P<0.05).各组患者治疗后HAMD、CES-D评分较治疗前明显下降,差异有统计学意义(P<0.01),治疗后综合组与心理组、电针组比较差异有统计学意义(P<0.05).结论 电针联合认知行为疗法是轻度抑郁状态较优化的干预治疗方案.%Objective To observe the therapeutic effect of early intervention with electro-acupuncture (EA) and cognitive behavioral therapy (CBT) on mild depression. Methods Ninety mild depression patients were randomized into CBT group, EA group and combined treatment group, with 30 in each. CBT group was intervented with cognitive behavioral therapy, once a week. EA group was given electro-acupuncture at Baihui (GV 20), Yintang (EX-HN3), twice a week. Combined treatment group was given both treatment of CBT group and EA group. The treatment course lasted for 8 weeks. The therapeutic effect was observed and compared before and after the treatment according to Hamilton Depression Rating Scale for Depression (HAMD) and Center for Epidemiological Studies Depression Scale (CES-D). Results The total effective rate of the combined treatment group was 93. 33%, which was superior to 68. 97% of CBT group and 79. 31% of EA group (P<0. 05). After treatment, the average scores of HAMD and CES-D decreased significantly in the three groups (P<0. 01

  11. 认知行为干预对老年冠心病患者心理健康与心血管危险因素的影响%Effect of cognitive-behavioral intervention on mental state and quality of life in elderly patients with coronary heart disease

    Institute of Scientific and Technical Information of China (English)

    杨伯泉; 朱慧民; 王灵红; 凌爱香; 林祖近

    2011-01-01

    将90例≥65岁伴焦虑、抑郁、吸烟、饮酒、血脂、血压、血糖、体重指数异常的冠心病患者,依就诊顺序随机分为两组(各45例),分别行常规治疗(对照组)与常规治疗+认知行为干预(CBT)(CBT组).治疗1个月后,CBT组的各心身指标除健康状况问卷(SF-36)评分外均优于对照组(P<0.05或<0.01),6个月后SF-36评分(85±16)、症状自评量表评分(104±4)、汉密顿焦虑量表评分(10±4)、汉密顿抑郁量表评分(12±3)、吸烟(0.6±0.2)支/d、饮酒(10.1±2.3)g/d、血压[收缩压(123±11)mm Hg(1 mm Hg=0.133 kPa)、舒张压(77±5)mm Hg]、空腹血糖[(4.2±2.6)mmol/L]、体重指数(22.5±0.5),均显著优于对照组(P<0.01).提示结合CBT能显著提高冠心病患者心身健康和生存质量.%Ninety elderly patients with coronary heart disease were randomly divided into 2 groups:in study group (n = 45) the cognitive-behavioral intervention as well as conventional medical treatment were performed and in control group ( n = 45 ) only conventional treatment was given. Short Form-36 ( SF-36),symptom checklist 90(SCL-90), Hamilton anxiety scale( HAMA), Hamilton depression scale( HAMD)were evaluated before and after intervention, the serum total cholesterol (TC), triglyceride (TG)and body mass index (BMI)were measured, the smoking and drinking behaviors were recorded. After 6-month of intervention the smoking [(0. 6 ± 0. 2)cigarettes/d] and drinking [(10. 1 ± 2. 3)g/d] behaviors, the scores of SF-36 (85 ± 16), SCL-90 (104 ±4), HAMA (10 ±4) and HAMD (12 ±3), the systolic blood pressure [( 123 ± 11 ) mm Hg ( 1 mm Hg = 0. 133 kPa)], diastolic blood pressure [(77 ± 5 ) mm Hg], the fasting blood glucose [(4. 2 ± 2. 6 ) mmol/L] and BMI ( 22.5 ± 0. 5 ) in study group were significantly improved compared to control group ( P < 0. 01 ). The results indicate that cognitive-behavioral intervention can improve the mental state and quality of life in elderly patients with coronary

  12. Four-Year Follow-up of Cognitive Behavioral Therapy in Persons at Ultra-High Risk for Developing Psychosis : The Dutch Early Detection Intervention Evaluation (EDIE-NL) Trial

    NARCIS (Netherlands)

    Ising, Helga K.; Kraan, Tamar C.; Rietdijk, Judith; Dragt, Sara; Klaassen, Rianne M. C.; Boonstra, Nynke; Nieman, Dorien H.; Willebrands-Mendrik, Monique; van den Berg, David P. G.; Linszen, Don H.; Wunderink, Lex; Veling, Wim; Smit, Filip; van der Gaag, Mark

    2016-01-01

    Background: Previously, we demonstrated that cognitive behavior therapy for ultra-high risk (called CBTuhr) halved the incidence of psychosis over an 18-month period. Follow-up data from the same study are used to evaluate the longer-term effects at 4 years post-baseline. Method: The Dutch Early Det

  13. The Effect of Mindfulness-integrated Cognitive Behavior Therapy on Depression and Anxiety among Pregnant Women: a Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Reza Yazdanimehr

    2016-09-01

    Full Text Available Introduction: Pregnancy can be associated with different psychological problems such as depression and anxiety. These problems are often neglected and left untreated. This study aimed to examine the effect of mindfulness-integrated cognitive behavior therapy on depression and anxiety among pregnant women. Methods: A convenient sample of 80 pregnant women were selected. Participants were randomly allocated to either the experimental or the control groups. Participants in the experimental group received mindfulness-integrated cognitive behavior therapy while women in the control group only received routine prenatal care services. A demographic questionnaire, the Edinburgh Postnatal Depression Scale, and the Beck Anxiety Inventory were used for data collection. Descriptive statistics measures such as frequency, mean, and standard deviation as well as the repeated-measures analysis of variance test were used for data analysis. Results: After the study intervention, the mean scores of anxiety and depression in the experimental group were significantly lower than the control group. Conclusion: Mindfulness-integrated cognitive behavior therapy can significantly alleviate pregnant women’s depression and anxiety. So implementation of this method alongside with other prenatal care services is recommended.

  14. The Effect of Mindfulness-integrated Cognitive Behavior Therapy on Depression and Anxiety among Pregnant Women: a Randomized Clinical Trial

    Science.gov (United States)

    Yazdanimehr, Reza; Omidi, Abdollah; Sadat, Zohreh; Akbari, Hossein

    2016-01-01

    Introduction: Pregnancy can be associated with different psychological problems such as depression and anxiety. These problems are often neglected and left untreated. This study aimed to examine the effect of mindfulness-integrated cognitive behavior therapy on depression and anxiety among pregnant women. Methods: A convenient sample of 80 pregnant women were selected. Participants were randomly allocated to either the experimental or the control groups. Participants in the experimental group received mindfulness-integrated cognitive behavior therapy while women in the control group only received routine prenatal care services. A demographic questionnaire, the Edinburgh Postnatal Depression Scale, and the Beck Anxiety Inventory were used for data collection. Descriptive statistics measures such as frequency, mean, and standard deviation as well as the repeated-measures analysis of variance test were used for data analysis. Results: After the study intervention, the mean scores of anxiety and depression in the experimental group were significantly lower than the control group. Conclusion: Mindfulness-integrated cognitive behavior therapy can significantly alleviate pregnant women’s depression and anxiety. So implementation of this method alongside with other prenatal care services is recommended. PMID:27752485

  15. 正畸治疗联合认知-行为干预疗法在治疗颞下颌关节紊乱病中的疗效分析%Curative effect analysis of orthodontic treatment combined with cognition-behavior intervention therapy in the treatment of temporomandibular disorders

    Institute of Scientific and Technical Information of China (English)

    李炎钊; 黄念全

    2015-01-01

    目的:研究比较正畸治疗联合认知-行为干预对颞下颌关节紊乱病(TMD)青壮年患者的临床疗效。方法48例TMD患者随机分成实验组和对照组,每组24例。实验组患者进行正畸治疗联合认知-行为干预,对照组患者单纯进行正畸治疗。比较两组和治疗效果。结果对照组治愈12例,治愈率为50.0%;有效6例,占25.0%;无效6例,占25.0%;成功率为75.0%。实验组治愈14例,治愈率为58.3%;有效9例,占37.5%;无效1例,占4.2%;成功率95.8%。实验组疗效优于对照组,差异有统计学意义(P<0.05)。结论在正畸治疗TMD青壮年患者中,有必要考虑社会心理因素,并对症给予心理疏导。%Objective To study and compare the clinical effect of orthodontic treatment combined with cognition-behavior intervention in the treatment of young adults with temporomandibular disorders (TMD). Methods A total of 48 TMD patients were randomly divided into experimental group and control group, with 24 cases in each group. The experimental group received orthodontic treatment combined with cognition-behavior intervention, while the control group received orthodontic treatment alone. Curative effects of the two groups were compared.Results There were 12 cured cases in the control group, and the cure rate was 50.0%. Among them, there were 6 effective cases, accounting for 25.0%, and 6 ineffective cases, accounting for 25.0%. The success rate was 75.0%. The cured cases in the experimental group were 14 cases, and the cure rate was 58.3%. There were 9 effective cases, accounting for 37.5%, and 1 ineffective case, accounting for 4.2%. The success rate was 95.8%. The curative effect of the experimental group was better than that of the control group, and the difference had statistical significance (P<0.05).Conclusion In the orthodontic treatment of young adults with TMD, it is necessary for consideration of the social-psychological factors and providing

  16. Anger Management - Evaluation of a Cognitive-Behavioral Training Program for Table Tennis Players

    Directory of Open Access Journals (Sweden)

    Steffgen Georges

    2017-01-01

    Full Text Available Based on a systematic review of the literature on anger and anger management in sport, there is evidence that anger might be dysfunctional, especially in sports requiring selective attention and fine-tuned motor skills. The research literature suggests that cognitive-behavioral intervention programs can be fruitful in helping athletes to understand and control dysfunctional anger. Therefore, the main goal of the present study was to evaluate the effectiveness of a brief training program for table tennis players in cognitive-behavioral anger management that aimed at changing their noneffective anger reactions. The sample comprised 18 young competitive table tennis players (age range from 16 to 22 years divided randomly into a treatment (n = 10 and a control group (n = 8. A trained group leader instructed the treatment group. Six sessions were held over a period of two months. Cognitive-relaxation coping skills associated with social skills of subjects from the treatment group were compared to no-treatment controls. Psychological measurements (i.e., self-reports on anger were applied before, during and after treatment as well as in a follow-up session. The one-year follow-up session revealed that, in contrast to the control group, the treatment group showed a significant reduction in outwardly negative anger expression as well as anger reactions specific to table tennis. Despite limitations inherent in the research design, the training program was deemed effective.

  17. Anger Management - Evaluation of a Cognitive-Behavioral Training Program for Table Tennis Players.

    Science.gov (United States)

    Steffgen, Georges

    2017-01-01

    Based on a systematic review of the literature on anger and anger management in sport, there is evidence that anger might be dysfunctional, especially in sports requiring selective attention and fine-tuned motor skills. The research literature suggests that cognitive-behavioral intervention programs can be fruitful in helping athletes to understand and control dysfunctional anger. Therefore, the main goal of the present study was to evaluate the effectiveness of a brief training program for table tennis players in cognitive-behavioral anger management that aimed at changing their noneffective anger reactions. The sample comprised 18 young competitive table tennis players (age range from 16 to 22 years) divided randomly into a treatment (n = 10) and a control group (n = 8). A trained group leader instructed the treatment group. Six sessions were held over a period of two months. Cognitive-relaxation coping skills associated with social skills of subjects from the treatment group were compared to no-treatment controls. Psychological measurements (i.e., self-reports on anger) were applied before, during and after treatment as well as in a follow-up session. The one-year follow-up session revealed that, in contrast to the control group, the treatment group showed a significant reduction in outwardly negative anger expression as well as anger reactions specific to table tennis. Despite limitations inherent in the research design, the training program was deemed effective.

  18. Anger Management - Evaluation of a Cognitive-Behavioral Training Program for Table Tennis Players

    Science.gov (United States)

    2017-01-01

    Abstract Based on a systematic review of the literature on anger and anger management in sport, there is evidence that anger might be dysfunctional, especially in sports requiring selective attention and fine-tuned motor skills. The research literature suggests that cognitive-behavioral intervention programs can be fruitful in helping athletes to understand and control dysfunctional anger. Therefore, the main goal of the present study was to evaluate the effectiveness of a brief training program for table tennis players in cognitive-behavioral anger management that aimed at changing their noneffective anger reactions. The sample comprised 18 young competitive table tennis players (age range from 16 to 22 years) divided randomly into a treatment (n = 10) and a control group (n = 8). A trained group leader instructed the treatment group. Six sessions were held over a period of two months. Cognitive-relaxation coping skills associated with social skills of subjects from the treatment group were compared to no-treatment controls. Psychological measurements (i.e., self-reports on anger) were applied before, during and after treatment as well as in a follow-up session. The one-year follow-up session revealed that, in contrast to the control group, the treatment group showed a significant reduction in outwardly negative anger expression as well as anger reactions specific to table tennis. Despite limitations inherent in the research design, the training program was deemed effective. PMID:28210339

  19. Cognitive behavioral therapy to reduce overt aggression behavior in Chinese young male violent offenders.

    Science.gov (United States)

    Chen, Chen; Li, Chun; Wang, Hong; Ou, Jian-Jun; Zhou, Jian-Song; Wang, Xiao-Ping

    2014-01-01

    This 9-week study was designed to determine whether a commercial cognitive-behavioral training program could effectively reduce overt aggression behavior in Chinese young male violent offenders. Sixty-six participants were randomly assigned to receive routine intervention alone (control group) or routine intervention plus Williams LifeSkills Training (WLST group) in a 1:1 ratio. The primary outcome was change scores on the Modified Overt Aggression Scale (MOAS) from baseline to one week following end of training. Secondary outcomes were change scores on the Barratt Impulsiveness Scale-11 (BIS-11) and Cook-Medley Hostility Scale (CMHS). There were significant between-group differences in change of MOAS total score (P young male violent offenders.

  20. Effects of group interpersonal psychotherapy and group cognitive behavioral therapy on social anxiety in college students%团体人际心理干预与团体认知行为干预对社交焦虑的疗效

    Institute of Scientific and Technical Information of China (English)

    黄慧兰; 刘新民

    2011-01-01

    divided into 3 groups, namely IPT group, CBT group and control group.IPT group and CBT group were intervened for 8 weeks.The effects were assessed with Interaction Anxiousness Scale (IAS), Social Avoidance and Distress Scale (SADS).Results: Before intervention, there was no significant difference between these groups (Ps > 0.05).After intervention, social anxiety levels of IPT group and CBT group were lower than control group.There was no significant difference between these two groups.The scores of IAS, SADS, avoidance and distress significantly decreased in IPT group [For example, IAS (57.5 ± 5.8) vs.(46.6 ± 7.0), P < 0.05].And CBT group had lower scores of SADS, avoidance and distress[For example, SADS (20.4 ±4.9) vs.( 14.4 ±6.2), P <0.05].There was no significant difference in SADS score and so on between baseline and after 8 weeks in control group.Conclusion: Both interpersonal psychotherapy and cognitive behavioral therapy are effective on social anxiety.Interpersonal psychotherapy may be another important way to treat social anxiety.

  1. Effects of the Cognitive-Behavioral Therapy for Stress Management on Executive Function Components.

    Science.gov (United States)

    Santos-Ruiz, Ana; Robles-Ortega, Humbelina; Pérez-García, Miguel; Peralta-Ramírez, María Isabel

    2017-02-13

    This study aims to determine whether it is possible to modify executive function in stressed individuals by means of cognitive-behavioral therapy for stress management. Thirty-one people with high levels of perceived stress were recruited into the study (treatment group = 18; wait-list group = 13). The treatment group received 14 weeks of stress management program. Psychological and executive function variables were evaluated in both groups pre and post-intervention. The treatment group showed improved psychological variables of perceived stress (t = 5.492; p = .001), vulnerability to stress (t = 4.061; p = .001) and superstitious thinking (t = 2.961; p = .009). Likewise, the results showed statistically significant differences in personality variables related to executive function, positive urgency (t = 3.585; p = .002) and sensitivity to reward (t = -2.201; p = .042), which improved after the therapy. These variables showed a moderate to high effect size (oscillates between 1.30 for perceived stress and .566 for sensitivity to reward). The cognitive-behavioral therapy for stress management may be an appropriate strategy for improving personality construct components related to executive function, however effects of the therapy are not showed on performance on the tests of executive function applied, as presented studies previous.

  2. Itervenção cognitivo-comportamental em violência sexual: estudo de caso Itervención de cognitivo-comportamental en un caso de violencia sexual Cognitive-behavior intervention with sexual violence: case report

    Directory of Open Access Journals (Sweden)

    Eliane Regina Lucânia

    2009-12-01

    , problemas comportamentales, síntomas indicativos del estrés post-traumático y los síntomas moderados de la depresión, agravados por el episodio de la violencia. También fueron observadas repeticiones de padrones transgeneracionales: el comportamiento promiscuo, el alcoholismo, el abuso sexual y la inestabilidad en las relaciones. Resultados muestran la reducción de las quejas iniciales, la adquisición del nuevo repertorio comportamental, mejor funcionamiento psico social y el impacto positivo de la intervención. Los datos indican la necesidad de la inclusión de las familias en el proceso.Sexual violence is a serious problem of public health: it reaches all social classes, ethnics, religions and cultures, specially children and adolescents of the female sex. The objective of the present study is to describe the impact of a cognitive-behavior intervention on a 13-year-old adolescent, victim of rape attempt. The process included 45 sessions, distributed in initial evaluation, intervention, final evaluation and follow-up. It also used semi-directed interview, DSM-IV diagnostic criteria, Children’s Depression Inventory (CDI, cognitive-behavior techniques, and mother counseling. On the first interview the therapist identified school and behavior problems, symptoms of pos-traumatic stress disorder and moderate symptoms of depression, intensified by the episode of violence. Transgerational standard repetition was also observed: promiscuous behavior, alcoholism, sexual violence and relationship instability. Results demonstrated reduction of the initial complaints, acquisition of new behavior repertoire, better psicossocial functioning and positive impact of the intervention. The data indicate the need for inclusion of the family in the process.

  3. Cognitive-Behavior Therapy for Disaster-Exposed Youth with Posttraumatic Stress: Results from a Multiple-Baseline Examination

    Science.gov (United States)

    Taylor, Leslie K.; Weems, Carl F.

    2011-01-01

    Youth traumatized by natural disasters report high levels of posttraumatic stress such as symptoms of posttraumatic stress disorder, other anxiety disorders, and depression. Research suggests that cognitive behavioral therapies are promising interventions for symptom reduction; however, few cognitive behavioral treatments have been systematically…

  4. The Effectiveness of a Nurse-Led Cognitive-Behavioral Therapy on the Quality of Life, Self-Esteem and Mood Among Filipino Patients Living With Heart Failure: a Randomized Controlled Trial.

    Science.gov (United States)

    Cajanding, Ruff Joseph Macale

    2016-08-01

    The diagnosis and complications associated with heart failure (HF) have been very well established to adversely impact an individual's physical and psychosocial well-being, and interventions such as cognitive-behavioral techniques have demonstrated potential positive benefits among patients with HF. However, the effects of such interventions among Filipino HF patients have not been studied. This study aimed to determine the effectiveness of a nurse-led cognitive-behavioral intervention program on the quality of life, self-esteem and mood among Filipino patients with HF. A randomized control two-group design with repeated measures and collected data before and after the intervention was used in this study. Participants were assigned to either the control (n=48) or the intervention group (n=52). Control group participants received traditional care. Intervention participants underwent a 12-week nurse-led cognitive-behavioral intervention program focusing on patient education, self-monitoring, skills training, cognitive restructuring and spiritual development. Measures of quality of life, self-esteem and mood were obtained at baseline and after the intervention. At baseline, participants in both groups have poor quality of life, low self-esteem, and moderate depressive symptom scores. After the 12-week intervention period, participants in the intervention group had significant improvement in their quality of life, self-esteem and mood scores compared with those who received only standard care. Nurse-led cognitive-behavioral intervention is an effective strategy in improving the quality of life, self-esteem and mood among Filipino patients living with HF. It is recommended that this intervention be incorporated in the optimal care of patients with this cardiac condition. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. [Clinical perfectionism and cognitive behavioral therapy].

    Science.gov (United States)

    Papadomarkaki, E; Portinou, S

    2012-01-01

    The present study constitutes a brief literature overview, in which the term of clinical perfectionism, its etiopathology, its assessment and its relation to psychopathology, as well as the therapeutic interventions based on the Cognitive Behavioral Model are discussed. According to Frost, perfectionism is associated with one's desire to achieve the greatest degree of performance and it is accompanied by an extremely strict evaluation of that particular performance. The relationship with oneself as well as the relationship with others are both characterised by high standards and demands which tend to exhaust one individual and dramatically toughen the development of proximity with the others. Perfectionism, as a personality trait, presents functional and dysfunctional elements for a person. Dysfunctional, clinical perfectionism -a term recently coined by researchers- has been linked to a number of disorders, such as social phobia, obsessive-compulsive disorder, eating disorders -anorexia and bulimia nervosa- depression and personality disorders. From a perfectionist's point of view, perfection exists and its attaintment is feasible. The existence of a particularly high and often unrealistic goal can lead the person to severe disappointment when this specific goal is not finally reached. A person with functional perfectionism is possible to set another, more achievable, goal next time, while a person with clinical perfectionism will interpret this failure as a sign of personal inadequacy and will either make another attempt to reach the same goal or will abandon the effort altogether. A sense of weakness and subsequent negative automatic thoughts are the aftermath of both the first and the second choice. Cognitive Behavioral Therapy focuses on the realisation that clinical perfectionism is undesirable, on the dispute of negative automatic thoughts and on the replacement of unfunctional cognitive schemas with other, more functional ones. In the therapeutic process

  6. Overcoming Deception in Evolution of Cognitive Behaviors

    DEFF Research Database (Denmark)

    Lehman, Joel; Miikkulainen, Risto

    2014-01-01

    .e. evolution converges to a behavior unrelated to the desired solution. More specifically, cognitive behaviors often require accumulating neural structure that provides no immediate fitness benefit, and evolution often thus converges to non-cognitive solutions. To investigate this hypothesis, a common...... evolutionary robotics T-Maze domain is adapted in three separate ways to require agents to communicate, remember, and learn. Indicative of deception, evolution driven by objective-based fitness often converges upon simple non- cognitive behaviors. In contrast, evolution driven to explore novel behaviors, i.......e. novelty search, often evolves the desired cognitive behaviors. The conclusion is that open-ended methods of evolution may better recognize and reward the stepping stones that are necessary for cognitive behavior to emerge....

  7. Third Wave of Cognitive Behavioral Therapies

    Directory of Open Access Journals (Sweden)

    Sevginar Vatan

    Full Text Available The psychological functioning of an individual includes well-being, cognitions, emotions and behaviors as a whole. In the current models of psychopathologies, as similar to well-being, reciprocal interaction between emotions, behaviors and cognitions is emphasized. Notwithstanding that the effects of these three components on cognitive behavior therapies can be mentioned too, it can be claimed that emotions were remained in the background by the behaviors and cognitions until the third wave of cognitive behavior therapies. Emotions have became prominent with the third wave approaches in the field of cognitive behavior therapy. In this review article, similarities and differences of third wave of cognitive behavior therapy with other waves, the constructs of emotion and emotion regulation in the third wave and the impacts of these on treatment were included. Additionally, throughout this perspective, treatment processes focusing on emotion regulation skills were discussed. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(3.000: 190-203

  8. Gestalt Therapy Interventions for Group Counseling

    Science.gov (United States)

    Passons, William R.

    1972-01-01

    The author offers a brief introduction to some of the basic tenets of Gestalt therapy, noting goals that are similar to those in counseling theories. He also suggests several interventions from Gestalt therapy to be considered for group counseling and discusses their applications. (Author)

  9. Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.

    Directory of Open Access Journals (Sweden)

    Alessandra Pereira Lopes

    Full Text Available Natural disasters can have devastating consequences. Each year, about 225 million people are victims of natural disasters worldwide, and up to 13,5 million of these people can develop post-traumatic stress disorder (PTSD in the first or second year following the disaster. Cognitive-behavior therapy (CBT is the first-choice treatment for this disorder. In order to evaluate the efficacy of psychotherapeutic treatment based on cognitive-behavior therapy for people who developed post traumatic stress disorder after natural disasters we conducted a systematic search of published studies. We used the terms reported below in the electronic databases ISI Web of Science, PsycINFO, PubMed, PILOTS and Scopus with no restrictions of language or publication date. Articles that described randomized controlled, non-randomized controlled and non controlled studies on the efficacy of cognitive-behavior therapy for individuals diagnosed with post-traumatic stress disorder after exposure to a natural disaster were eligible for inclusion. The studies were required to use a standardized measure of effectiveness before and after the intervention and have a group of patients who had used cognitive-behavior therapy as the only intervention. Our search identified 820 studies, and 11 were selected for this review. These 11 studies involved 742 subjects, 10 related to earthquakes and 1 to a hurricane. The cognitive-behavior therapy techniques used were various: 7 studies used exposure therapy, 2 studies used problem solving, and the only 2 studies with adolescents used techniques including reconstructions and reprocessing of the traumatic experience. As limitations, the search involved only five electronic databases, no experts in the field were consulted, and the heterogeneity of the findings made it impossible to perform a meta-analysis. The results suggest the efficacy of cognitive-behavior therapy, particularly exposure techniques, for the treatment of post

  10. Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.

    Science.gov (United States)

    Lopes, Alessandra Pereira; Macedo, Tânia Fagundes; Coutinho, Evandro Silva Freire; Figueira, Ivan; Ventura, Paula Rui

    2014-01-01

    Natural disasters can have devastating consequences. Each year, about 225 million people are victims of natural disasters worldwide, and up to 13,5 million of these people can develop post-traumatic stress disorder (PTSD) in the first or second year following the disaster. Cognitive-behavior therapy (CBT) is the first-choice treatment for this disorder. In order to evaluate the efficacy of psychotherapeutic treatment based on cognitive-behavior therapy for people who developed post traumatic stress disorder after natural disasters we conducted a systematic search of published studies. We used the terms reported below in the electronic databases ISI Web of Science, PsycINFO, PubMed, PILOTS and Scopus with no restrictions of language or publication date. Articles that described randomized controlled, non-randomized controlled and non controlled studies on the efficacy of cognitive-behavior therapy for individuals diagnosed with post-traumatic stress disorder after exposure to a natural disaster were eligible for inclusion. The studies were required to use a standardized measure of effectiveness before and after the intervention and have a group of patients who had used cognitive-behavior therapy as the only intervention. Our search identified 820 studies, and 11 were selected for this review. These 11 studies involved 742 subjects, 10 related to earthquakes and 1 to a hurricane. The cognitive-behavior therapy techniques used were various: 7 studies used exposure therapy, 2 studies used problem solving, and the only 2 studies with adolescents used techniques including reconstructions and reprocessing of the traumatic experience. As limitations, the search involved only five electronic databases, no experts in the field were consulted, and the heterogeneity of the findings made it impossible to perform a meta-analysis. The results suggest the efficacy of cognitive-behavior therapy, particularly exposure techniques, for the treatment of post-traumatic stress disorder

  11. Effect study of cognitive behavioral intervention on depression status and quality of life in patients with stroke%认知行为治疗改善脑卒中后抑郁状况及生活质量的疗效研究

    Institute of Scientific and Technical Information of China (English)

    袁大伟; 李瑾

    2015-01-01

    Objective To explore the curative effect of cognitive behavior therapy on depression status and quality of life in patients with stroke .Methods Selecting 78 cases of hospitalized patients with depression after stroke were randomly divided into control group and intervention group .The control group received Neurology conventional treatment and rehabilitation training ,intervention group recived cognitive behavioral therapy on basis of the control group .Using Self -Rating Depression Scale(SDS) , Fugl-Meyer Motor Funtion Scale(FMA) ,Activities of Daily Living Scale(ADL) and Life Satisfaction Scale(SWLS)to assess curative effect .Results (1)After intervention ,the depression scores of the two groups had inter-group difference (F= 6 .31 ,P0.05);Daily living score of intervention at different times between the two groups was statistically significant (F= 152 .71 ,P 0 .05) .Conclusions Cognitive behavioral therapy can effectively promote the psy‐chological rehabilitation in a state of depression after stroke patients ,improve life self -care ability and improve the quality of life .%目的:探讨认知行为治疗对脑卒中后处于抑郁状态的患者抑郁状况及生活质量的疗效。方法选择78例脑卒中后抑郁住院患者以简单随机分组的方法随机分为对照组和干预组,对照组采用神经内科常规治疗及康复训练,干预组在对照组的基础上增加认知行为治疗。两组采用抑郁自评量表(SDS)、Fugl-Meyer运动功能量表(FMA)、日常生活活动能力量表(ADL)和生活满意度量表(SWLS)评定疗效。结果(1)干预后两组患者抑郁评分存在组间差异( F =6.310,P <0.05);在不同干预时间两组患者抑郁评分差异有统计学意义( F =161.531,P <0.01);干预时间与组间有交互作用( F =10.622,P<0.01)。(2)干预后两组患者日常生活能力评分在组间差异无统计学意义( P>0.05);

  12. Effectiveness of Cognitive-Behavior Therapy on Depression and Craving Beliefs of Abusers Under Methadone Maintenance Treatment

    Directory of Open Access Journals (Sweden)

    Dehghani

    2016-08-01

    Full Text Available Objectives This study aimed at investigating the effectiveness of cognitive-behavior therapy on depression and craving beliefs of abusers under methadone maintenance treatment, who referred to addiction treatment clinics of Bushehr city. Methods The statistical population of this research included all abusers, who referred to the addiction treatment centers (clinics of Bushehr city. In regards to the research objectives, sampling was purposive and random. By referring to the addiction treatment clinics of Bushehr city, drug abusers were invited to participate in the study. The participants firstly completed the Beck depression inventory and craving questionnaire. Then, drug abusers with scores one standard deviation higher than the mean score of the Beck depression index and one standard deviation higher than the mean score of craving beliefs index, were selected. From this group, 20 qualified individuals were selected and divided randomly to two groups (experiment and control groups and only the experimental group was intervened. After the intervention, both groups took part in the post-test. Data obtained from the research was analyzed by multivariate analysis of covariance (MANCOVA. Results Results showed that there was a significant difference between the experimental and control groups in terms of depression and temping beliefs (P < 0.0001. In other words, the results showed that cognitive-behavior therapy reduces depression and improves craving beliefs of abusers under methadone maintenance treatment. Conclusions The results emphasize the importance of the use of these interventions in abusers under methadone maintenance treatment and provide new horizons in clinical interventions.

  13. 团体认知行为疗法对直肠癌永久性结肠造口患者心理及自我管理效能感的影响%Impact of group cognitive behavioral therapy on the psychology and self man-agement efficacy of colorectal cancer patients with permanent colon stoma

    Institute of Scientific and Technical Information of China (English)

    张李芳; 关玉杯; 欧添英; 郑秋香

    2016-01-01

    目的:探讨对直肠癌永久性结肠造口患者进行团体认知行为疗法后对患者的心理及自我管理效能感的影响。方法选取2015年1月~2016年1月行Miles手术的低位直肠癌患者80例,按照随机分组的方法分为干预组和对照组,各40例,对照组给予常规的护理方法,干预组在对照组基础上实施团体认知行为(GCBT)干预护理,比较两组患者经不同护理后的治疗依从性、心理状态以及自我管理效能。结果两组患者护理前,SAS、SDS评分比较,差异无统计学意义(P﹥0.05);两组患者护理后的评分低于护理前,且干预组患者SAS评分为(34.52±4.16)分, SDS评分为(31.01±4.51)分,而对照组SAS评分为(48.12±5.01)分,SDS评分为(46.12±5.15)分,两组比较,差异有统计学意义(P﹤0.05);两组患者在护理干预前的各项造口相关效能感量表评分比较,无明显差异,护理后各项评分均有提高,干预组患者的造口照顾效能评分为(58.24±3.34)分,社交能力评分为(38.25±2.63)分,饮食选择评分为(4.52±0.75)分,生活信心评分为(11.56±1.11)分,总评分为(113.6±7.59)分,而对照组患者的造口照顾效能评分为(54.44±3.18)分,社交能力评分为(31.05±2.53)分,饮食选择评分为(3.56±0.72)分,生活信心评分为(9.56±1.02)分,总评分为(97.3±7.26)分,两组比较,差异有统计学意义(P﹤0.05)。结论 GCBT疗法能显著提高永久性结肠造口患者的自我管理效能,改善患者焦虑、抑郁的心理,值得临床护理推广应用。%Objective To explore the impact of group cognitive behavioral therapy on the psychology and self manage-ment efficacy of colorectal cancer patients with permanent colon stoma.Methods 80 patients with low rectal cancer who conducted Miles operation from January 2015 to January 2016 were randomly divided into intervention group and con-trol group,each group was 40 cases.Patients in control group were given routine nursing method

  14. An intervention to reduce HIV risk behavior of substance-using men who have sex with men: a two-group randomized trial with a nonrandomized third group.

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    Gordon Mansergh

    Full Text Available BACKGROUND: Substance use during sex is associated with sexual risk behavior among men who have sex with men (MSM, and MSM continue to be the group at highest risk for incident HIV in the United States. The objective of this study is to test the efficacy of a group-based, cognitive-behavioral intervention to reduce risk behavior of substance-using MSM, compared to a randomized attention-control group and a nonrandomized standard HIV-testing group. METHODS AND FINDINGS: Participants (n = 1,686 were enrolled in Chicago, Los Angeles, New York City, and San Francisco and randomized to a cognitive-behavioral intervention or attention-control comparison. The nonrandomized group received standard HIV counseling and testing. Intervention group participants received six 2-h group sessions focused on reducing substance use and sexual risk behavior. Attention-control group participants received six 2-h group sessions of videos and discussion of MSM community issues unrelated to substance use, sexual risk, and HIV/AIDS. All three groups received HIV counseling and testing at baseline. The sample reported high-risk behavior during the past 3 mo prior to their baseline visit: 67% reported unprotected anal sex, and 77% reported substance use during their most recent anal sex encounter with a nonprimary partner. The three groups significantly (p0.05 from each other at 3-, 6-, and 12-mo follow-up. Outcomes for the 2-arm comparisons were not significantly different at 12-mo follow-up (e.g., unprotected anal sex, odds ratio = 1.14, confidence interval = 0.86-1.51, nor at earlier time points. Similar results were found for each outcome variable in both 2- and 3-arm comparisons. CONCLUSIONS: These results for reducing sexual risk behavior of substance-using MSM are consistent with results of intervention trials for other populations, which collectively suggest critical challenges for the field of HIV behavioral interventions. Several mechanisms may contribute to

  15. Grupoterapia cognitivo-comportamental para crianças e adolescentes vítimas de abuso sexual Terapia de grupo congnitivo-comportamental para niñas y adolescentes víctimas de abuso sexual Cognitive behavioral group therapy for sexually abused girls

    Directory of Open Access Journals (Sweden)

    Luísa Fernanda Habigzang

    2009-08-01

    applied to investigate symptoms of anxiety, depression, post-traumatic stress disorder, child stress, beliefs and perception of the abuse experience before, during and after the intervention. The results were analyzed through statistical tests for repeated measures. A comparative analysis was carried out with the results of the pretest between the groups that received group psychotherapy immediately after the sexual abuse was reported and those who were waiting for psychological support. RESULTS: The assessment of the impact of the intervention revealed that cognitive behavioral group therapy significantly reduced symptoms of depression, anxiety, child stress and post-traumatic stress disorder. In addition, the intervention enabled the participants to modify beliefs of guilt, low degrees of trust and credibility, and was effective in reducing psychological symptoms and changing distorted beliefs and perception in regard to the abuse. CONCLUSIONS: Cognitive behavioral group therapy was effective in reducing psychological symptoms in sexually abused girls.

  16. Effectiveness of cognitive behavioral therapy integrated with systematic desensitization, cognitive behavioral therapy combined with eye movement desensitization and reprocess­ing therapy, and cognitive behavioral therapy combined with virtual reality exposure therapy methods in the treatment of flight anxiety: a randomized trial

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    Triscari MT

    2015-10-01

    Full Text Available Maria Teresa Triscari,1 Palmira Faraci,2 Dario Catalisano,3 Valerio D’Angelo,1 Viviana Urso1 1Laboratory for Psychosomatic Disorders, Local Health Trust, Palermo, Italy; 2Faculty of Human and Social Sciences, University of Enna “Kore”, Enna, Italy; 3Italian Flight Safety Committee, Aeroporto di Fiumicino, Fiumicino (RM, Italy Abstract: The purpose of the research was to compare the effectiveness of the following treatment methods for fear of flying: cognitive behavioral therapy (CBT integrated with systematic desensitization, CBT combined with eye movement desensitization and reprocessing therapy, and CBT combined with virtual reality exposure therapy. Overall, our findings have proven the efficacy of all interventions in reducing fear of flying in a pre- to post-treatment comparison. All groups showed a decrease in flight anxiety, suggesting the efficiency of all three treatments in reducing self-report measures of fear of flying. In particular, our results indicated significant improvements for the treated patients using all the treatment programs, as shown not only by test scores but also by participation in the post-treatment flight. Nevertheless, outcome measures maintained a significant effect at a 1-year follow-up. In conclusion, combining CBT with both the application of eye movement desensitization and reprocessing treatment and the virtual stimuli used to expose patients with aerophobia seemed as efficient as traditional cognitive behavioral treatments integrated with systematic desensitization. Keywords: flight anxiety, fear of flying, aerophobia, cognitive behavioral therapy, EMDR, VRET 

  17. Influence study of group-based cognitive behavioral therapy in glycometabolism and common negative emotions of anxiety and depression for T2DM patients%认知行为团体治疗对2型糖尿病患者糖代谢和焦虑抑郁等常见负性情绪的影响

    Institute of Scientific and Technical Information of China (English)

    孙岩; 李兆艳; 李桂亮

    2015-01-01

    目的:观察认知行为团体治疗对2型糖尿病(T2DM )患者糖代谢和焦虑、抑郁等常见负性情绪的影响。方法临床纳入T2DM患者90例,2组均进行常规降糖治疗。对照组进行糖尿病教育,研究组在对照组的基础上加入认知行为团体治疗。观察干预前后2组患者血糖、胰岛素、糖化血红蛋白(HbA1c)等变化,同时采用汉密尔顿焦虑量表(HAMA)以及汉密尔顿抑郁量表(HAMD)评估焦虑、抑郁等常见负性情绪。结果研究组干预后空腹血糖(FBG)、餐后2 h血糖(2 h PG)、空腹胰岛素(FINS)、餐后2 h胰岛素(2 h INS)、HbA1c分别为(5.89±0.79)mmol/L、(8.74±2.48)mmol/L、(12.03±5.87)μU/mL、(71.02±34.27)μU/mL、(6.05±0.52)%,对照组分别为(6.28±1.16)mmol/L、(9.79±2.82)mmol/L、(10.09±4.11)μU/mL、(58.06±37.62)μU/mL、(6.27±0.69)%,差异有统计学意义(P<0.05);研究组干预后HAMA、HAMD评分分别为8.12±2.39、6.91±2.26,对照组分别为9.76±2.73、9.17±2.54,差异有统计学意义(P<0.05)。结论通过认知行为团体治疗,能够显著改善T2DM患者糖代谢,同时还能够缓解焦虑、抑郁等常见负性情绪,值得推广。%Objective To observe the influence of group‐based cognitive behavioral therapy in glycometabolism and com‐mon negative emotions of anxiety and depression for T2DM patients.Methods 90 T2DM patients were selected. Two groups adopted the conventional hypoglycemic therapy. The control group adopted the education about diabetes. On the basis ,the study group adopted the group‐based cognitive behavioral therapy. Before and after intervention ,the changes of blood glucose , insulin ,HbA1c of two groups was observed. Through HAMA and HAMD ,the common negative emotions of anxiety and de‐pression were evaluated.Results After intervention ,the level of FBG ,2h‐PG ,FINS ,2h

  18. Determination of the Effect of Cognitive Behavioral Therapy on Stress among Nurses at Yasuj Shahid Beheshti Hospital in 2009

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    SH ShahAbadi

    2010-01-01

    Full Text Available Introduction & Objective: Stress is one of the most important phenomena in this century that has had a great impact on people’s mental and physical health and has become one of the main topics of organizational management. Primarily, nursing and taking care of patients is stressful itself. Therefore, in the working environment, any menace to organizational goals and reduction in the quality of nursing cares are due to stress. There are different therapeutic ways to deal with stress which cognitive behavioral therapy is one of them. The goal of this study was to examine the effects of cognitive behavior therapy on stress among nurses who worked at Yasuj Shahid Beheshti hospital in 2009. Materials & Methods: This was an experimental research that was carried out among 100 nurses working at Yasuj Shahid Beheshti hospital in 2009. The sampling type was available samples. After filling the DASS-42 questionnaire, we chose 30 cases that had the worst status from point of stress and were randomly divided into two groups: case and control groups. Each group consisted of 15 nurses. The cases were trained in 8 weeks, an hour a week, by a single clinical psychologist specialized in cognitive behavioral therapy. After the therapy, questionnaires were filled again by the two groups. Finally, two groups were compared together in view point of stress scores. For analysis of data we used the SPSS software and descriptive statistics, t-test and ANOVA. Results: The mean and standard deviations of stress in case group on the pre-test were7.96±18.73 and on the post test were 6.295±12.266 respectively, the mean and standard deviations of stress in the control group for pre-test were 8.413±21.066 and for post test were 9.019±20.733 respectively. There weren’t any significant differences between two groups before the intervention, but there were significant differences between case groups after the intervention. (p < 0.05. Conclusion: According to the findings

  19. 注意缺陷多动障碍儿童团体心理干预效果分析%Children with ADHD benefits from cognitive-behaviorally oriented group rehabilitation:A study of 21 participants

    Institute of Scientific and Technical Information of China (English)

    耿耀国; 苏林雁; 王洪; 李铭

    2011-01-01

    Objective This paper reports an evaluation of a clinic based, cognitive - behaviorally oriented group rehabilitation for children with ADHD. Methods A total of 21 children with ADHD participated. Rehabilitation consisted of 9 weekly sessions. ADHD were assessed based on the Diagnostic and Statistical Manual of Mental Disorders. The Barratt Impulsiveness Scale, Child Behavioral Checklist and Parent Symptom Questionnaire were completed at the beginning and the end of the treatment by their parents. Results Participants had significantly great reduction on impulsive behavior score (88.24 ±7.68 vs 69.00 ±4.23, P<0.01 ), internalizing problem score ( 11.33 ±8.01 vs 3.93 ±3.45, P<0.01 ), externalizing problem score (22.61 ±9. 10 vs 6.27 ±3.32, P<0.01 ) and anxiety score (0.80 ±0.57 vs 0.43 ±0.19, P<0.05), and greater improvement on social competence ( 13.30 ± 3.15 vs 17.81 ± 4.21, P < 0.05 ). Conclusion Group therapy is suit for children with ADHD, and it is one of the effective psychotherapies for children.%目的 了解团体心理干预对注意缺陷多动障碍(ADHD)儿童的治疗效果,探索特殊儿童群体心理于预的方法.方法 选取2005年10月至2006年3月在中南大学湘雅二医院精神卫生研究所连续就诊的8~12岁男性ADHD儿童,进行每周1次,共计9次,历时2.5月的团体心理干预,用Barratt冲动性量表、Achenbach儿童行为量表和Conners父母症状问卷评定干预效果.结果 干预后ADHD儿童的冲动行为、内化性问题及外化性问题、焦虑情绪得分低于干预前,差异均有统计学意义(P值均<0.05);总体社会能力增强,得分高于干预前,差异有统计学意义(P<0.05).结论 团体心理训练对ADHD儿童的干预有效,是ADHD儿童心理治疗的方法之一.

  20. Overcoming Deception in Evolution of Cognitive Behaviors

    DEFF Research Database (Denmark)

    Lehman, Joel; Miikkulainen, Risto

    2014-01-01

    evolutionary robotics T-Maze domain is adapted in three separate ways to require agents to communicate, remember, and learn. Indicative of deception, evolution driven by objective-based fitness often converges upon simple non- cognitive behaviors. In contrast, evolution driven to explore novel behaviors, i...

  1. Development and Validation of a Training Program Using a Cognitive Behavioral Therapy Approach with the Purpose of Enabling Community Pharmacists to Provide Empathic Patient Counseling.

    Science.gov (United States)

    Tanuma, Kazunori; Watanabe, Fumiyuki; Maeda, Hatsuyo; Shiina, Miki; Hara, Kazuo; Kamei, Miwako

    2017-01-01

     To enable community pharmacists to provide empathic patient counseling, we developed and validated a training program based on cognitive reframing, which is one of the cognitive behavioral therapies. We divided 24 community pharmacists into two groups, providing training to the intervention group. The duration of the training program was two hours per session, with a total of eight hours. We conducted a survey of the intervention group to evaluate their training experience. In addition, we performed two role-play scenarios on patient counseling using simulated patients, evaluating the patient counseling alliance scores and the degrees of the psychological distance between the patients and pharmacists. The degree of satisfaction correlated with four training items, including "explanation by comics". When pharmacists felt that the cognitive behavioral therapy approach was successful, no significant differences were found in the patient counseling alliance grades. However, the psychological distance between the patients and pharmacists was smaller. We were able to infer that a cognitive behavioral therapy approach could decrease the psychological distance between patients and pharmacists, thereby enabling empathic patient counseling.

  2. The Effectiveness of Cognitive- behavioral Techniques Training on Procrastination, Stress, Anxiety and Depression of High School Female Students

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    sA hasar

    2015-03-01

    Conclusions: training of cognitive-behavioral techniques reduced procrastination, anxiety and stress in experimental group in comparison with control group but it did not have meaningful effect on control group depression

  3. Impact of cognitive behavior therapy on health-related quality of life among adult hypnotic users with chronic insomnia.

    Science.gov (United States)

    Dixon, Simon; Morgan, Kevin; Mathers, Nigel; Thompson, Joanne; Tomeny, Maureen

    2006-01-01

    Results were combined from representative surveys of health related quality of life (HRQoL; n=11,877; age range=16-104) with data from a randomized controlled trial of cognitive behavior therapy for chronic insomnia (n=209; age range=31-92). Secondary analyses of scores from the SF-36 measure of HRQoL were conducted in order: (a) to compare the health related quality of life profiles of adult hypnotic users with chronic insomnia with those of population norms, and (b) to assess the impact of cognitive behavior therapy (CBT) for insomnia on HRQoL outcomes over 6 months. Compared with the primary care reference values, HRQoL among the trial participants at baseline was generally poorer. The magnitude of these decrements reduced markedly with advancing age. In the evaluation of the CBT intervention, statistically significant differences in SF-36 scores in favor of the intervention were present for physical functioning, emotional role limitation, and mental health over 6 months. Overall, this study shows that the SF-36 can play an important role in describing HRQoL in this patient group, and in the evaluation of interventions within this group.

  4. Effectiveness of Mindfulness–based Cognitive Therapy on Cognitive-Behavioral Avoidance and Mental Rumination in Comorbidity of Social Anxiety and Depression Patients

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    E. GHadampou

    2017-02-01

    Full Text Available Aims: As one of the most prevalent disorders in the adolescents, the comorbidity of social anxiety disorder and depression leads to bad outcomes for them. The aim of the study was to determine the effectiveness of the midfulness-based cognitive therapy on the cognitive-behavioral avoidance and mental rumination in patients with comorbidity of social anxiety and depression. Materials & Methods: In the controlled follow-up pretest-posttest quasi-experimental study, 30 female high-school students with the social anxiety and depression comorbiduty were studied in Khorramabad in the academic year 2015-16. The subjects, selected via purposeful sampling method, were randomly divided into two 15-person groups including experimental and control groups. Data was collected by the structured clinical interview for Axis 1 disorders, the social anxiety questionnaire for the adolescents, Beck depression inventory- second edition, the cognitive-behavioral avoidance scale, and the ruminative responces scale. Eight 2-hour group mindfulness-based cognitive-therapy training sessions (one session per week were conducted in experimental group, while control group received no intervention. Finally, posttest was conducted in both groups and a follow-up step was conducted 2 month latter. Data was analyzed by SPSS 19 software using multi-variable covariance analysis test. Findings: The mean scores of the cognitive-behavioral avoidance and mental rumination items in the posttest and follow-up steps significantly decreased in experimental group compared to control group (p<0.01. Conclusion: The mindfulness-based cognitive therapy reduces the cognitive-behavioral avoidance, as well as the mental rumination, in the patients with the social anxiety and depression comorbidity.

  5. Cognitive-Behavioral Strategies to Increase the Adherence to Exercise in the Management of Obesity

    Science.gov (United States)

    Dalle Grave, Riccardo; Calugi, Simona; Centis, Elena; El Ghoch, Marwan; Marchesini, Giulio

    2011-01-01

    Physical activity plays a major role in the development and management of obesity. High levels of physical activity provide an advantage in maintaining energy balance at a healthy weight, but the amount of exercise needed to produce weight loss and weight loss maintenance may be difficult to achieve in obese subjects. Barriers to physical activity may hardly be overcome in individual cases, and group support may make the difference. The key role of cognitive processes in the failure/success of weight management suggests that new cognitive procedures and strategies should be included in the traditional behavioral treatment of obesity, in order to help patients build a mindset of long-term weight control. We reviewed the role of physical activity in the management of obesity, and the principal cognitive-behavioral strategies to increase adherence to exercise. Also in this area, we need to move from the traditional prescriptive approach towards a multidisciplinary intervention. PMID:21052533

  6. Cognitive-Behavioral Strategies to Increase the Adherence to Exercise in the Management of Obesity

    Directory of Open Access Journals (Sweden)

    Riccardo Dalle Grave

    2011-01-01

    Full Text Available Physical activity plays a major role in the development and management of obesity. High levels of physical activity provide an advantage in maintaining energy balance at a healthy weight, but the amount of exercise needed to produce weight loss and weight loss maintenance may be difficult to achieve in obese subjects. Barriers to physical activity may hardly be overcome in individual cases, and group support may make the difference. The key role of cognitive processes in the failure/success of weight management suggests that new cognitive procedures and strategies should be included in the traditional behavioral treatment of obesity, in order to help patients build a mindset of long-term weight control. We reviewed the role of physical activity in the management of obesity, and the principal cognitive-behavioral strategies to increase adherence to exercise. Also in this area, we need to move from the traditional prescriptive approach towards a multidisciplinary intervention.

  7. Pilot Randomized Controlled Trial of Internet-Delivered Cognitive-Behavioral Treatment for Pediatric Headache.

    Science.gov (United States)

    Law, Emily F; Beals-Erickson, Sarah E; Noel, Melanie; Claar, Robyn; Palermo, Tonya M

    2015-01-01

    To evaluate the feasibility and preliminary effectiveness of an Internet-delivered cognitive-behavioral therapy (CBT) intervention for adolescents with chronic headache. Headache is among the most common pain complaints of childhood. Cognitive-behavioral interventions are efficacious for improving pain among youth with headache. However, many youth do not receive psychological treatment for headache due to poor access, which has led to consideration of alternative delivery modalities such as the Internet. We used a parallel arm randomized controlled trial design to evaluate the feasibility and preliminary effectiveness of an Internet-delivered family-based CBT intervention, Web-based management of adolescent pain. Adolescents were eligible for the trial if they were a new patient being evaluated in a specialized headache clinic, between 11 and 17 years of age, and had recurrent headache for 3 months or more as diagnosed by a pediatric neurologist. Eighty-three youths were enrolled in the trial. An online random number generator was used to randomly assign participants to receive Internet CBT adjunctive to specialized headache treatment (n = 44) or specialized headache treatment alone (n = 39). The primary treatment outcome was headache days. Youth and parents in the Internet CBT group demonstrated high levels of engagement with the web program and reported satisfaction with the intervention. Multilevel modelling (MLM) was used to conduct hypothesis testing for continuous outcomes. For our primary treatment outcome of headache days, adolescents reported a statistically significant reduction in headache days from baseline to post-treatment and baseline to 3-month follow-up in both treatment conditions (main effect for time F(2, 136) = 19.70, P headache treatment group at post-treatment or follow-up (group × time interaction F(2, 134) = 0.94, P = .395). For our secondary treatment outcomes, findings from MLM showed that adolescents in both

  8. Study protocol of the Diabetes and Depression Study (DAD): a multi-center randomized controlled trial to compare the efficacy of a diabetes-specific cognitive behavioral group therapy versus sertraline in patients with major depression and poorly controlled diabetes mellitus

    Science.gov (United States)

    2013-01-01

    Background Depression is common in diabetes and associated with hyperglycemia, diabetes related complications and mortality. No single intervention has been identified that consistently leads to simultaneous improvement of depression and glycemic control. Our aim is to analyze the efficacy of a diabetes-specific cognitive behavioral group therapy (CBT) compared to sertraline (SER) in adults with depression and poorly controlled diabetes. Methods/Design This study is a multi-center parallel arm randomized controlled trial currently in its data analysis phase. We included 251 patients in 70 secondary care centers across Germany. Key inclusion criteria were: type 1 or 2 diabetes, major depression (diagnosed with the Structured Clinical Interview for DSM-IV, SCID) and hemoglobin A1C >7.5% despite current insulin therapy. During the initial phase, patients received either 50–200 mg/d sertraline or 10 CBT sessions aiming at the remission of depression and enhanced adherence to diabetes treatment and coping with diabetes. Both groups received diabetes treatment as usual. After 12 weeks of this initial open-label therapy, only the treatment-responders (50% depression symptoms reduction, Hamilton Depression Rating Scale, 17-item version [HAMD]) were included in the subsequent one year study phase and represented the primary analysis population. CBT-responders received no further treatment, while SER-responders obtained a continuous, flexible-dose SER regimen as relapse prevention. Adherence to treatment was analyzed using therapeutic drug monitoring (measurement of sertraline and N-desmethylsertraline concentrations in blood serum) and by counting the numbers of CBT sessions received. Outcome assessments were conducted by trained psychologists blinded to group assignment. Group differences in HbA1c (primary outcome) and depression (HAMD, secondary outcome) between 1-year follow-up and baseline will be analyzed by ANCOVA controlling for baseline values. As primary

  9. Randomized Controlled Trial of an Internet-Based Cognitive-Behavioral Treatment Program for Binge-Eating Disorder.

    Science.gov (United States)

    Wagner, Birgit; Nagl, Michaela; Dölemeyer, Ruth; Klinitzke, Grit; Steinig, Jana; Hilbert, Anja; Kersting, Anette

    2016-07-01

    Binge-eating disorder (BED) is a prevalent health condition associated with obesity. Few people with BED receive appropriate treatment. Personal barriers include shame, fear of stigma, geographic distance to mental health services, and long wait-lists. The aims of this study were to examine the efficacy of an Internet-based cognitive-behavioral intervention for adults with threshold BED (DSM-IV) and to examine the stability of treatment effects over 12months. Participants were randomly assigned to a 16-week Internet-based cognitive-behavioral intervention (n=69) or a wait-list condition (n=70). Binge-eating frequency and eating disorder psychopathology were measured with the Eating Disorder Examination-Questionnaire and the Eating Disorder Examination administered over the telephone. Additionally, body weight and body mass index, depression, and anxiety were assessed before and immediately after treatment. Three-, 6-, and 12-month follow-up data were recorded in the treatment group. Immediately after the treatment the number of binge-eating episodes showed significant improvement (d=1.02, between group) in the treatment group relative to the wait-list condition. The treatment group had also significantly reduced symptoms of all eating psychopathology outcomes relative to the wait-list condition (0.82≤d≤1.11). In the treatment group significant improvement was still observed for all measures 1year after the intervention relative to pretreatment levels. The Internet-based intervention proved to be efficacious, significantly reducing the number of binge-eating episodes and eating disorder pathology long term. Low-threshold e-health interventions should be further evaluated to improve treatment access for patients suffering from BED.

  10. 50 years of rational-emotive and cognitive-behavioral therapy: A systematic review and meta-analysis.

    Science.gov (United States)

    David, Daniel; Cotet, Carmen; Matu, Silviu; Mogoase, Cristina; Stefan, Simona

    2017-09-12

    Rational emotive behavior therapy (REBT), introduced by Albert Ellis in the late 1950s, is one of the main pillars of cognitive-behavioral therapy. Existing reviews on REBT are overdue by 10 years or more. We aimed to summarize the effectiveness and efficacy of REBT since its beginnings and investigate the alleged mechanisms of change. Systematic search identified 84 articles, out of which 69 provided data for between-group analyses and 39 for within-group analyses. We found a medium effect size of REBT compared to other interventions on outcomes (d = 0.58) and on irrational beliefs (d = 0.70), at posttest. For the within-group analyses, we obtained medium effects for both outcomes (d = 0.56) and irrational beliefs (d = 0.61). Several significant moderators emerged. REBT is a sound psychological intervention. Directions for future studies are outlined, stemming from the limitations of existing ones. © 2017 Wiley Periodicals, Inc.

  11. Combining mindfulness meditation with cognitive-behavior therapy for insomnia: a treatment-development study.

    Science.gov (United States)

    Ong, Jason C; Shapiro, Shauna L; Manber, Rachel

    2008-06-01

    This treatment-development study is a Stage I evaluation of an intervention that combines mindfulness meditation with cognitive-behavior therapy for insomnia (CBT-I). Thirty adults who met research diagnostic criteria for Psychophysiological Insomnia (Edinger et al., 2004) participated in a 6-week, multi-component group intervention using mindfulness meditation, sleep restriction, stimulus control, sleep education, and sleep hygiene. Sleep diaries and self-reported pre-sleep arousal were assessed weekly while secondary measures of insomnia severity, arousal, mindfulness skills, and daytime functioning were assessed at pre-treatment and post-treatment. Data collected on recruitment, retention, compliance, and satisfaction indicate that the treatment protocol is feasible to deliver and is acceptable for individuals seeking treatment for insomnia. The overall patterns of change with treatment demonstrated statistically and clinically significant improvements in several nighttime symptoms of insomnia as well as statistically significant reductions in pre-sleep arousal, sleep effort, and dysfunctional sleep-related cognitions. In addition, a significant correlation was found between the number of meditation sessions and changes on a trait measure of arousal. Together, the findings indicate that mindfulness meditation can be combined with CBT-I and this integrated intervention is associated with reductions in both sleep and sleep-related arousal. Further testing of this intervention using randomized controlled trials is warranted to evaluate the efficacy of the intervention for this population and the specific effects of each component on sleep and both psychological and physiological arousal.

  12. Influence of cognitive behavior intervention on negative emotion and glycosylated hemoglobin in patients with type 2 diabetes mellitus: A systematic review%认知行为干预对2型糖尿病患者抑郁情绪及糖化血红蛋白影响的系统评价

    Institute of Scientific and Technical Information of China (English)

    赵小燕; 范琳琳; 徐旭娟; 钱多

    2014-01-01

    目的 采用循证医学的方法探讨认知行为干预对2型糖尿病患者身心健康的影响.方法 在中国知网全文数据库(CNKI)、中国维普全文数据库(VIP)、中国万方数据库、PubMed等数据库检索国内心理干预对2型糖尿病患者抑郁情绪及糖化血红蛋白水平影响的随机对照试验,予文献评价并使用RevMan5软件进行分析.结果 初检文献273篇,经筛选最终纳入6篇,文献质量均为B级.分析:认知行为干预可以降低糖尿病患者抑郁量表(SDS)评分;认知行为干预可以有效地降低糖尿病患者糖化血红蛋白值.结论 认知行为干预可以促进糖尿病患者的身心健康,降低糖化血红蛋白水平,并能改善抑郁状况.但因纳入分析的研究风险偏倚较高,因此有必要开展更高质量的大样本随机对照试验来验证该结论.%Objective Using the evidence-based medicine to investigate the effect of cognitive behavior intervention on physical and mental health in patients with type 2 diabetes mellitus.Methods Controlled studies related to psychological intervention on depression and glyeosylated hemoglobin in patients with type 2 diabetes were retrieved from electronic databases such as CNKI,VIP,Wanfang database and Pubmed,etc.The quality of included studies was evaluated and then data were analyzed by using RevMan5 software.Results A total of 273 articles were retrieved and finally 6 were enrolled.Results of Meta analysis were listed as follows:Cognitive behavior intervention could reduce score of Self-rated Depression Scale (SDS) in patients with diabetes mellitus.Cognitive behavior intervention could effectively reduce glycosylated hemoglobin values in patients with diabetes mellitus.Conclusions Cognitive behavior intervention can improve physical and mental health,decrease glycosylated hemoglobin and improve depression status in patients with type 2 diabetes mellitus.However,all the trials included in this review are of low quality

  13. The Effect of Cognitive Behavior Therapies on the Tendency of Women Suicides Suffering Mood Disorders Based on Frustration and Depression Indicators

    Directory of Open Access Journals (Sweden)

    Mehran Rostamzadeh

    2015-09-01

    Full Text Available Background: Depression disorders occur in all age ranges. However, the prevalence of this disorder is twice in women than men. Most women with a tendency to suicide or suicide attempts (successful or unsuccessful they are suffering from major depression. Given the increasing mood disorders during the past three decades, evidences suggest that the cognitive-behavioral treatments are the most effective. Methods: This was a semi-experimental study, that was examined the effects of cognitive behavior therapies in woman with mood disorder that have a tendency to suicide. The subjects in this study were 30women in Imam Reza (SA hospital in Mashhad with mood disorders who were selected by available sampling method. All of the subjects completed the Kazdian disappointment questionnaire and the (D section of the mental health questionnaire. They were randomly divided into control and experimental groups. Next, the experimental group received 10sessions of cognitive behavioral therapy sessions and post-test was performed on all of them. Covariance and independent T test were used in order to analyze the obtained data. Results: The obtained data showed a significant difference between the mean scores of the two groups after the intervention and based on T test value (0.745 at the significance level of Sig=0.001 in terms of H scale. Given the significant differences between the experimental and control groups after the implementation of therapeutic interventions and the control of other variables, ANCOVA was used. The obtained F value (134.242 at the significance level of Sig=0.001 confirmed the hypothesis that cognitive behavioral therapies in women would reduce the frustration level. The mean difference between control and experimental groups after the interventions based on T test value (0.762 at the significance level of Sig=0.001 indicated that there was a significant difference between the two groups in terms of the D scale. By using the covariance

  14. Terapia cognitivo-comportamental no transtorno de pânico Cognitive-behavioral therapy in panic disorder

    Directory of Open Access Journals (Sweden)

    Gisele Gus Manfro

    2008-10-01

    Full Text Available OBJETIVO: O transtorno de pânico é uma condição crônica e recorrente que prejudica a qualidade de vida e o funcionamento psicossocial dos portadores. Embora os medicamentos sejam efetivos na redução dos ataques de pânico, muitos pacientes não respondem adequadamente a essas intervenções. A terapia cognitivo-comportamental fornece um método alternativo eficaz para tratar transtorno de pânico e evitação agorafóbica. O objetivo do estudo é o de descrever o uso de técnicas cognitivo-comportamentais no tratamento do transtorno de pânico. MÉTODO: Revisão narrativa a partir dos bancos de dados do Medline, SciELO e PsycInfo e de livros-texto especializados. RESULTADOS: Foram descritos os fundamentos da terapia cognitivo-comportamental no tratamento do transtorno pânico e revisadas as evidências de eficácia em curto e longo prazos. O uso de medicação concomitante a terapia cognitivo-comportamental foi também discutido. CONCLUSÕES: A terapia cognitivo-comportamental individual ou em grupo é eficaz para pacientes com transtorno de pânico, seja como tratamento de primeira linha ou como um próximo passo para pacientes com resposta parcial a outros tratamentos.OBJECTIVE: Panic disorder is a chronic and recurrent condition that impairs an individual's psychosocial functioning and quality of life. Despite the efficacy of psychopharmacological treatment in reducing panic attacks, many patients fail to respond adequately to these interventions. Cognitive behavioral therapy provides an alternative and efficacious method for treating panic disorder and agoraphobic avoidance. The objective of the study is to describe the use of cognitive behavioral therapy for panic disorder. METHOD: Narrative review of data collected from Medline, SciELO and PsycInfo and specialized textbooks. RESULTS: We describe the cognitive-behavioral model for the treatment of panic disorder, and review both short and long-term efficacy findings. We also discuss

  15. 认知行为干预对全麻后导尿病人疼痛耐受力的影响%Effect of Cognitive Behavioral Intervention on Pain Tolerance of Patients with Urinary Catheter after General Anesthesia

    Institute of Scientific and Technical Information of China (English)

    刘永宁; 金嵩; 王晓庆

    2016-01-01

    目的:通过术前认知干预缓解患者因手术麻醉后留置导尿引起的疼痛及麻醉恢复期躁动。方法对150例全麻后导尿的手术患者随机分成认知干预组和对照组,对照组常规麻醉诱导后导尿,干预组术前给予麻醉后导尿的认知辅导,对全麻恢复期尿管刺激疼痛强度及躁动情况比较。结果两组患者术后现有疼痛强度评定P<0.05有统计学意义;术后麻醉恢复躁动差异显著P<0.01。结论通过建立全麻手术患者对麻醉后导尿的认知及认知评价,可以提高手术患者术后及麻醉恢复期对尿管刺激疼痛的耐受力,减少术后躁动。%Objective to releive urinary catheter pains and dysphoria at anesthesia recovery period after operation general anesthesia of patients through preoperative cognitive intervention.Methods 150 patients with urinary catheter after general anesthesia were randomly divided into cognitive intervention and control group. Control group was treated with catheterization of routine anesthesia induction, and intervention group with preoperative cognition instruction of urinary catheterization after anesthesia. Compare catheter stimulation pain intensity and dysphoria during recovery period of general anesthesia.Results postoperative pain intensity assessment of two groups showedP<0.05 with statistical significance; postoperative anesthesia recovery dysphoria showed significant difference P<0.01.Conclusion: establishing patients’ cognition and evaluation for catheterization after general anesthesia can improve catheter stimulation pain tolerance after surgery during anesthesia recovery period, and reduce postoperative dysphoria.

  16. School-Based Interventions for Anxious Children

    Science.gov (United States)

    Bernstein, Gail A.; Layne, Ann E.; Egan, Elizabeth A.; Tennison, Dana M.

    2005-01-01

    Objective: To compare the effectiveness of three school-based interventions for anxious children: group cognitive-behavioral therapy (CBT) for children, group CBT for children plus parent training group, and no-treatment control. Method: Students (7-11 years old) in three elementary schools (N = 453) were screened using the Multidimensional…

  17. Cognitive Behavioral Therapy and the Treatment of Posttraumatic Stress Disorder: Where Counseling and Neuroscience Meet

    Science.gov (United States)

    Makinson, Ryan A.; Young, J. Scott

    2012-01-01

    There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the…

  18. Brief Cognitive-Behavioral Therapy for Anxious Youth: Feasibility and Initial Outcomes

    Science.gov (United States)

    Crawley, Sarah A.; Kendall, Philip C.; Benjamin, Courtney L.; Brodman, Douglas M.; Wei, Chiaying; Beidas, Rinad S.; Podell, Jennifer L.; Mauro, Christian

    2013-01-01

    We developed and evaluated a brief (8-session) version of cognitive-behavioral therapy (BCBT) for anxiety disorders in youth ages 6 to 13. This report describes the design and development of the BCBT program and intervention materials (therapist treatment manual and child treatment workbook) and an initial evaluation of child treatment outcomes.…

  19. Two-Day, Intensive Cognitive-Behavioral Therapy for Panic Disorder: A Case Study

    Science.gov (United States)

    Deacon, Brett

    2007-01-01

    Cognitive-behavioral therapy (CBT) is a highly effective treatment for panic disorder. However, few patients have access to this treatment, particularly those living in rural areas. In a pilot study, the author previously described the efficacy of a 2-day, intensive, exposure-based CBT intervention that was developed for the purpose of delivering…

  20. Cognitive-Behavioral Treatments for Anxiety and Phobic Disorders in Children and Adolescents: A Review

    Science.gov (United States)

    King, Neville J.; Heyne, David; Ollendick, Thomas H.

    2005-01-01

    This article provides an overview of cognitive-behavioural strategies used in the treatment of child-anxiety problems, emphasizing the need for exposure and caregiver involvement. Most of the paper focuses on developments in empirically supported cognitive-behavioral intervention protocols for generalized anxiety disorder, separation anxiety…

  1. An Examination of the Mechanisms of Action in Cognitive Behavioral Therapy for Bulimia Nervosa

    Science.gov (United States)

    Spangler, Diane L.; Baldwin, Scott A.; Agras, W. Stewart

    2004-01-01

    Cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) has received considerable empirical support for its efficacy. However, few investigators have examined the mechanisms proposed to account for the reduction of BN symptoms during CBT. The current study examined the associations between therapist interventions, client mechanisms, and…

  2. Children with Anxiety Disorders: Use of a Cognitive Behavioral Therapy Model within a Social Milieu

    Science.gov (United States)

    Kearny, Regina; Pawlukewicz, Justine; Guardino, Mary

    2014-01-01

    Because anxiety is the most common mental health disorder diagnosed in children, early intervention is crucial for fundamental coping. Although cognitive-behavioral therapy (CBT) is the preferred treatment method for this affective disorder, instruction for children needs to be specific for them to successfully acquire and implement essential CBT…

  3. Brief Cognitive-Behavioral Therapy for Anxious Youth: Feasibility and Initial Outcomes

    Science.gov (United States)

    Crawley, Sarah A.; Kendall, Philip C.; Benjamin, Courtney L.; Brodman, Douglas M.; Wei, Chiaying; Beidas, Rinad S.; Podell, Jennifer L.; Mauro, Christian

    2013-01-01

    We developed and evaluated a brief (8-session) version of cognitive-behavioral therapy (BCBT) for anxiety disorders in youth ages 6 to 13. This report describes the design and development of the BCBT program and intervention materials (therapist treatment manual and child treatment workbook) and an initial evaluation of child treatment outcomes.…

  4. Cognitive Behavioral Therapy and the Treatment of Posttraumatic Stress Disorder: Where Counseling and Neuroscience Meet

    Science.gov (United States)

    Makinson, Ryan A.; Young, J. Scott

    2012-01-01

    There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the…

  5. Cognitive-Behavioral Therapy for Depression in an Older Gay Man: A Clinical Case Study

    Science.gov (United States)

    Satterfield, Jason M.; Crabb, Rebecca

    2010-01-01

    Although strong evidence supports cognitive-behavioral therapy for late-life depression and depression in racial and ethnic minorities, there are no empirical studies on the treatment of depression in older sexual minorities. Three distinct literatures were tapped to create a depression treatment protocol for an older gay male. Interventions were…

  6. Evaluating the Effectiveness of Cognitive-Behavioral Treatment of Residual Symptoms and Impairment in Schizophrenia

    Science.gov (United States)

    Bradshaw, William; Roseborough, David

    2004-01-01

    This study evaluated the effectiveness of cognitive-behavioral interventions in the treatment of persons with schizophrenia who experienced significant residual symptoms and impaired functioning despite their adherence to medication. The study used an aggregated AB single-system research design across 22 participants to evaluate change in clinical…

  7. Jogging the Cogs: Trauma-Focused Art Therapy and Cognitive Behavioral Therapy with Sexually Abused Children

    Science.gov (United States)

    Pifalo, Terry

    2007-01-01

    Art therapy in conjunction with cognitive behavioral therapy reduces symptoms and enhances the potential for positive outcomes for sexually abused children in trauma-focused treatment. This article presents a treatment model that utilizes specific art therapy interventions to facilitate treatment, based on research on the effectiveness of combined…

  8. Cognitive-Behavioral Therapy for Depression in an Older Gay Man: A Clinical Case Study

    Science.gov (United States)

    Satterfield, Jason M.; Crabb, Rebecca

    2010-01-01

    Although strong evidence supports cognitive-behavioral therapy for late-life depression and depression in racial and ethnic minorities, there are no empirical studies on the treatment of depression in older sexual minorities. Three distinct literatures were tapped to create a depression treatment protocol for an older gay male. Interventions were…

  9. Cognitive Behavior Therapy with Youth and Health Care Reform: A Congenial Union

    Directory of Open Access Journals (Sweden)

    Robert D. Friedberg

    2014-06-01

    Full Text Available This short opinion paper discusses cognitive behavioral therapy (CBT with youth in the era of health care reform. The commentary addresses the ways CBT is consistent with health care reform imperatives. Further, CBT's focus on accountability, credentialing, early intervention, and interdisciplinary collaboration is emphasized.

  10. Web-Based Cognitive Behavioral Therapy for Female Patients With Eating Disorders: Randomized Controlled Trial

    NARCIS (Netherlands)

    Huurne, ter E.D.; Haan, de H.A.; Postel, M.G.; Palen, van der Job; VanDerNagel, Joanneke E.L.; Jong, de Cor A.J.

    2015-01-01

    Background: Many patients with eating disorders do not receive help for their symptoms, even though these disorders have severe morbidity. The Internet may offer alternative low-threshold treatment interventions. Objective: This study evaluated the effects of a Web-based cognitive behavioral therap

  11. Web-based cognitive behavioral therapy for female patients with eating disorders: Randomized controlled trial

    NARCIS (Netherlands)

    Huurne, E.D. ter; Haan, H.A. de; Postel, M.G.; Palen, J.A.M. van der; Nagel, J.E.L. van der; Jong, C.A.J. de

    2015-01-01

    Background: Many patients with eating disorders do not receive help for their symptoms, even though these disorders have severe morbidity. The Internet may offer alternative low-threshold treatment interventions. Objective: This study evaluated the effects of a Web-based cognitive behavioral therapy

  12. Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies

    Directory of Open Access Journals (Sweden)

    Sofia Marques

    2017-04-01

    Conclusion: In summary, the available studies support cognitive-behavioral psychological treatments as an efficacious intervention in borderline personality disorder. However, the existing scientific literature on this topic is still scarce and there is need for more studies, with higher methodological rigor, that should validate these results.

  13. Parent-directed cognitive behavioral therapy for young anxious children: a pilot study

    NARCIS (Netherlands)

    van der Sluis, C.M.; van der Bruggen, C.O.; Brechman-Toussaint, M.L.; Thissen, M.A.P.; Bögels, S.M.

    2012-01-01

    Anxiety in children age 8 years and above has been successfully treated with cognitive behavioral therapy (CBT). However, the efficacy of CBT for anxious children ages 4-7 years has not, to date, been fully investigated. This paper piloted a CBT intervention targeting child anxiety that was delivere

  14. An Examination of the Mechanisms of Action in Cognitive Behavioral Therapy for Bulimia Nervosa

    Science.gov (United States)

    Spangler, Diane L.; Baldwin, Scott A.; Agras, W. Stewart

    2004-01-01

    Cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) has received considerable empirical support for its efficacy. However, few investigators have examined the mechanisms proposed to account for the reduction of BN symptoms during CBT. The current study examined the associations between therapist interventions, client mechanisms, and…

  15. Web-Based Cognitive Behavioral Therapy for Female Patients With Eating Disorders: Randomized Controlled Trial

    NARCIS (Netherlands)

    ter Huurne, E.D.; de Haan, H.A.; Postel, Marloes Gerda; van der Palen, Jacobus Adrianus Maria; VanDerNagel, Joanneke E.L.; de Jong, Cor A.J.

    2015-01-01

    Background: Many patients with eating disorders do not receive help for their symptoms, even though these disorders have severe morbidity. The Internet may offer alternative low-threshold treatment interventions. Objective: This study evaluated the effects of a Web-based cognitive behavioral therapy

  16. Web-based cognitive behavioral therapy for female patients with eating disorders: Randomized controlled trial

    NARCIS (Netherlands)

    Huurne, E.D. ter; Haan, H.A. de; Postel, M.G.; Palen, J.A.M. van der; Nagel, J.E.L. van der; Jong, C.A.J. de

    2015-01-01

    Background: Many patients with eating disorders do not receive help for their symptoms, even though these disorders have severe morbidity. The Internet may offer alternative low-threshold treatment interventions. Objective: This study evaluated the effects of a Web-based cognitive behavioral therapy

  17. Children with Anxiety Disorders: Use of a Cognitive Behavioral Therapy Model within a Social Milieu

    Science.gov (United States)

    Kearny, Regina; Pawlukewicz, Justine; Guardino, Mary

    2014-01-01

    Because anxiety is the most common mental health disorder diagnosed in children, early intervention is crucial for fundamental coping. Although cognitive-behavioral therapy (CBT) is the preferred treatment method for this affective disorder, instruction for children needs to be specific for them to successfully acquire and implement essential CBT…

  18. Implementing Cognitive Behavioral Therapy for Chronic Fatigue Syndrome in a Mental Health Center: A Benchmarking Evaluation

    Science.gov (United States)

    Scheeres, Korine; Wensing, Michel; Knoop, Hans; Bleijenberg, Gijs

    2008-01-01

    Objective: This study evaluated the success of implementing cognitive behavioral therapy (CBT) for chronic fatigue syndrome (CFS) in a representative clinical practice setting and compared the patient outcomes with those of previously published randomized controlled trials (RCTs) of CBT for CFS. Method: The implementation interventions were the…

  19. A Randomized, Controlled Trial of Cognitive Behavioral Social Skills Training for Middle-Aged and Older Outpatients With Chronic Schizophrenia

    OpenAIRE

    2005-01-01

    The number of older patients with chronic schizophrenia is increasing. There is a need for empirically validated psychotherapy interventions for these older patients. A randomized controlled trial compared treatment as usual (TAU) with TAU plus cognitive-behavioral social skills training (TAU+CBSST) in 76 middle-aged and older patients with chronic schizophrenia. CBSST teaches cognitive-behavioral coping techniques, social functioning skills, problem solving and compensatory aids for neurocog...

  20. A qualitative evaluation of online chat groups for women completing a psychological intervention for female sexual dysfunction.

    Science.gov (United States)

    Hucker, Alice; McCabe, Marita P

    2014-01-01

    Because of the embarrassment that can surround female sexual dysfunctions, online interventions offer an anonymous and private treatment alternative. Recently, an online cognitive-behavioral treatment for female sexual dysfunctions was evaluated. Although significant improvements were observed in sexual functioning, the treatment was primarily a behavioral intervention because of difficulties with engaging participants in cognitive therapy over e-mail. To address this limitation, the use of chat groups was incorporated into a new online treatment for female sexual dysfunctions-the PursuingPleasure program. Thirty-eight women participated in the PursuingPleasure chat groups. The goals of the chat groups were to address and overcome challenges as women progressed through PursuingPleasure and to create a social support network where group therapy processes could be used. The chat groups aimed to address misunderstandings, monitor changes, and receive feedback. A qualitative analysis of the chat groups revealed that they helped to facilitate the cognitive-affective aspects of the program, as well as fulfill their other intended functions. This study demonstrates how the use of chat groups in the online treatment of female sexual dysfunctions is a useful addition to Internet-based treatment. Feedback suggests that the chat groups were one of the most helpful aspects of the program, although a small group of women reported finding the groups unhelpful.

  1. Adding motivational interviewing and thought mapping to cognitive-behavioral group therapy: results from a randomized clinical trial Adicionando a entrevista motivacional e o mapeamento cognitivo à terapia cognitivo-comportamental em grupo: resultados de um ensaio clínico randomizado

    Directory of Open Access Journals (Sweden)

    Elisabeth Meyer

    2010-03-01

    Full Text Available OBJECTIVE: Recent factor-analytic studies of obsessive-compulsive disorder identified consistent symptom dimensions. This study was designed in order to observe which obsessive compulsive symptom dimensions could be changed by adding two individual sessions of motivational interviewing and thought mapping of cognitive-behavioral group therapy using a randomized clinical trial. METHOD: Forty outpatients with a primary diagnosis of obsessive-compulsive disorder were randomly assigned to receive cognitive-behavioral group therapy (control group or motivational interviewing+thought mapping plus cognitive-behavioral group therapy. To evaluate changes in symptomdimensions, the Dimensional Yale-Brown Obsessive-Compulsive Scale was administered at baseline and after treatment. RESULTS: At post-treatment, there were statistically significant differences between cognitive-behavioral group therapy and motivational interviewing+thought mapping+cognitivebehavioral group therapy groups in the mean total Dimensional Yale-Brown Obsessive-Compulsive Scale score, and in the contamination and aggression dimension score. Hoarding showed a statistical trend towards improvement. CONCLUSION: These findings suggest that adding motivational interviewing+thought mapping to cognitive-behavioral group therapy can facilitate changes and bring about a decrease in the scores in different obsessive-compulsive disorder symptom dimensions, as measured by the Dimensional Yale-Brown Obsessive-Compulsive Scale. Nonetheless, additional trials are needed to confirm these results.OBJETIVO: Recentes estudos utilizando análise fatorial no transtorno obsessivocompulsivo identificaram dimensões consistentes dos sintomas. Este estudo foi delineado para observar quais dimensões dos sintomas obsessivo-compulsivos podem ser modificadas adicionando duas sessões individuais de entrevista motivacional e mapeamento cognitivo à terapia cognitivo-comportamental em grupo usando um ensaio cl

  2. Cognitive behavior therapy for Stuttering: A case series

    Directory of Open Access Journals (Sweden)

    Reddy R

    2010-01-01

    Full Text Available The present investigation was aimed at studying the efficacy of cognitive behavior therapy (CBT in reducing the symptoms of stuttering and dysfunctional cognitions and in enhancing assertiveness and quality of life in clients with stuttering. Five clients with stuttering who met the inclusion criteria (male clients with diagnosis of stuttering and exclusion criteria (clients with brian damage, substance abuse or mental retardation were enrolled for the study. A single-case design was adopted. The pre-, mid- and post-assessment were carried out using Stuttering Severity Scale (SSI, Perception of Stuttering Inventory (PSI, Beck′s Anxiety Inventory (BAI, Dysfunctional Attitude (DAS, Fear of Negative Evaluation (FNE, Assertiveness Scale (AS, Rosenberg′s Self-Esteem Scale (RSES, and World Health Organization - Quality of Life Scale (WHO-QOL. Five clients received cognitive behavioral intervention comprising of psycho-education, relaxation, deep breathing, humming, prolongation, cognitive restructuring, problem-solving strategies and assertiveness. At post-treatment assessment, there was improvement. The findings of the study are discussed in the light of available research work, implications, limitations of the study and suggestions for future research.

  3. The Effectiveness of Cognitive-Behavioral Stress Management on Relapse Prevention in Substance Dependent Men

    Directory of Open Access Journals (Sweden)

    Negar Karimian

    2012-02-01

    Full Text Available Introduction: The purpose of this study is to investigate the effectiveness of cognitive-behavioral stress management on relapse prevention in men who are substance dependent. Method: In a experimental study, 30 individuals who settled in Esfahan therapeutic community center were accidently divided in to an experimental (15 subjects and a control (15 subjects group. The experimental group underwent ten 90 minutes sessions of cognitive-behavioral stress management and the control group didn't receive any particular treatment. All participants underwent urine tests at the beginning of the study, completion of treatment and three months following the completion of treatment. Data were analyzed using descriptive statistics and X2 test. Findings: results showed significant difference in relapse rates of two groups in the following stage. Conclusion: Cognitive-behavioral stress management is effective in relapse prevention in men who are substance dependent.

  4. The priority intervention group in action; Le groupe d'intervention prioritaire en action

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-02-01

    After the storm of december 1999 in France, RTE defined and implemented a GIP, Group of Priority Intervention to manage such crisis and intervene more rapidly. A crisis drill has been organised the first of February 2001 to repair high voltage electric lines. The document presents the drill and analyses the results. Some information on the RTE missions and management facing the electric power market deregulation are also provided. (A.L.B.)

  5. Can a cognitive-behavioral group-therapy training program for the treatment of child sexual abuse reduce levels of burnout and job-strain in trainees? initial evidence of a brazilian model

    Directory of Open Access Journals (Sweden)

    Bruno Figueiredo Damásio

    2014-05-01

    Full Text Available This study evaluated the extent to which a professional training program of an evidence-based intervention for the treatment of child and adolescent victims of sexual abuse could reduce strain and burnout levels in trainees. Participants were 30 psychologists, 19 of whom composed the experimental group (G1 and 11 the comparison group (G2. Data collection occurred before and after the training. The results showed that the ‘work demand’ increased for G1 and remained stable for G2, whereas the ‘control at work’ remained stable for G1 while decreasing for G2. Regarding burnout levels, there was a decrease in depersonalization and stabilization in the levels of emotional exhaustion and reduced professional efficacy for G1, whereas for G2, all the burnout indicators significantly increased. These results partially support the perspective that the training program would have an indirect protective effect on the occupational psychopathology levels of the trainees.

  6. The ABCs of CBT (Cognitive Behavior Therapy): Evidence-Based Approaches to Child Anxiety in Public School Settings

    Science.gov (United States)

    Miller, Lynn D.; Short, Christina; Garland, E. Jane; Clark, Sandra

    2010-01-01

    This study evaluated a locally developed cognitive behavior therapy (CBT) intervention program in a public elementary school. In the prevention approach, 118 children were randomly assigned either to an 8-week intervention or to a wait-list control. Results of statistical analysis indicated that the manualized CBT intervention did not reduce…

  7. The ABCs of CBT (Cognitive Behavior Therapy): Evidence-Based Approaches to Child Anxiety in Public School Settings

    Science.gov (United States)

    Miller, Lynn D.; Short, Christina; Garland, E. Jane; Clark, Sandra

    2010-01-01

    This study evaluated a locally developed cognitive behavior therapy (CBT) intervention program in a public elementary school. In the prevention approach, 118 children were randomly assigned either to an 8-week intervention or to a wait-list control. Results of statistical analysis indicated that the manualized CBT intervention did not reduce…

  8. Terapia cognitivo-comportamental em grupos de emagrecimento: o relato de uma experiência = Group cognitive behavioral therapy intervention for weight loss patients: a experience report

    Directory of Open Access Journals (Sweden)

    Neufeld, Carmem Beatriz

    2012-01-01

    Full Text Available A Terapia Cognitivo-Comportamental (TCC é apontada como uma estratégia bastante eficaz no tratamento da obesidade. Indivíduos com excesso de peso têm maior risco de desenvolver uma série de doenças e condições médicas, além de associar-se a vários estressores interpessoais. O presente trabalho tem como objetivo relatar a experiência resultante da intervenção em TCC em grupos (TCCG em participantes que visavam emagrecimento dentro de uma clínica multiprofissional. Foram realizados dez grupos com cinco participantes cada um, totalizando 50 participantes. Cada grupo teve duração de três meses, com o total de doze encontros, sendo que seis foram reservados à intervenção psicológica. Considerando o conjunto de dados qualitativos obtidos sugere que houve uma melhora clinicamente significativa no que tange as dificuldades interpessoais, ao grau de adaptação social, à autoestima, aos níveis de ansiedade, ao sentimento de bem estar das participantes e a diminuição da compulsão alimentar, além da redução objetiva do peso

  9. Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands

    DEFF Research Database (Denmark)

    Holtermann, Andreas; Jørgensen, Marie B; Gram, Bibi

    2010-01-01

    demands, physical capacities and health profile of workers in each job-group. The RCT among cleaners, characterized by repetitive work tasks and musculoskeletal disorders, aims at making the cleaners less susceptible to musculoskeletal disorders by physical coordination training or cognitive behavioral...... theory based training (CBTr). Because health-care workers are reported to have high prevalence of overweight and heavy lifts, the aim of the RCT is long-term weight-loss by combined physical exercise training, CBTr and diet. Construction work, characterized by heavy lifting, pushing and pulling, the RCT...... aims at improving physical capacity and promoting musculoskeletal and cardiovascular health. At the industrial work-place characterized by repetitive work tasks, the intervention aims at reducing physical exertion and musculoskeletal disorders by combined physical exercise training, CBTr...

  10. The Effect of Group Norms on Bystander Intervention

    Science.gov (United States)

    Horowitz, Irwin A.

    1971-01-01

    Forty members of service and social groups were compared for intervention in a simulated emergency situation during the experimental discussion. Service group members were more likely to intervene than social group members, and intervention was made more probable when group norms were made salient in the discussion. (Author/SD)

  11. Pretreatment and Process Predictors of Outcome in Interpersonal and Cognitive Behavioral Psychotherapy for Binge Eating Disorder

    Science.gov (United States)

    Hilbert, Anja; Saelens, Brian E.; Stein, Richard I.; Mockus, Danyte S.; Welch, R. Robinson; Matt, Georg E.; Wilfley, Denise E.

    2007-01-01

    The present study examined pretreatment and process predictors of individual nonresponse to psychological group treatment of binge eating disorder (BED). In a randomized trial, 162 overweight patients with BED were treated with either group cognitive-behavioral therapy or group interpersonal psychotherapy. Treatment nonresponse, which was defined…

  12. Mindfulness Training Improves Attentional Task Performance in Incarcerated Youth: A Group Randomized Controlled Intervention Trial

    Directory of Open Access Journals (Sweden)

    Noelle R Leonard

    2013-11-01

    Full Text Available We investigated the impact of cognitive behavioral therapy and mindfulness training (CBT/MT on attentional task performance in incarcerated adolescents. Attention is a cognitive system necessary for managing cognitive demands and regulating emotions. Yet persistent and intensive demands, such as those experienced during high-stress intervals like incarceration and the events leading to incarceration, may deplete attention resulting in cognitive failures, emotional disturbances, and impulsive behavior. We hypothesized that CBT/MT may mitigate these deleterious effects of high stress and protect against degradation in attention over the high-stress interval of incarceration. Using a group randomized controlled trial design, we randomly assigned dormitories of incarcerated youth, ages 16 to 18, to a CBT/MT intervention (youth n = 147 or an active control intervention (youth n = 117. Both arms received approximately 750 minutes of intervention in a small-group setting over a 3-5 week period. Youth in the CBT/MT arm also logged the amount of out-of-session time spent practicing MT exercises. The Attention Network Test was used to index attentional task performance at baseline and 4 months post-baseline. Overall, task performance degraded over time in all participants. The magnitude of performance degradation was significantly less in the CBT/MT vs. control arm. Further, within the CBT/MT arm, performance degraded over time in those with no outside-of-class practice time, but remained stable over time in those who practiced mindfulness exercises outside of the session meetings. Thus, these findings suggest that sufficient CBT/MT practice may protect against functional attentional impairments associated with high-stress intervals. Keywords: adolescent development, incarcerated adolescents, detained adolescents, stress, attention, mindfulness meditation.

  13. 认知行为疗法对学龄前牙科焦虑症患儿就诊合作程度的干预评估%Intervention of cognitive behavioral therapy on the cooperation degree of preschool children with dental anxi-ety

    Institute of Scientific and Technical Information of China (English)

    宋宁; 王苏豫; 葛鑫; 张百泽; 王小竞; 丁桂聪

    2016-01-01

    目的:评估认知行为疗法应用于学龄前牙科焦虑症患儿口腔治疗的效果。方法收集3~6岁牙科焦虑症患儿86例,随机分为试验组和对照组。试验组采用认知行为疗法进行行为管理,对照组采用Tell-Show-Do技术进行行为管理。通过比较2组患儿的配合程度和Frankl治疗依从性评分来评估该方法对学龄前牙科焦虑症儿童就诊行为的干预效果。结果试验组中,38例能配合治疗,5例不能配合,对照组中24例配合,19例不配合,试验组配合程度优于对照组(χ2=11.328,P<0.01);Frankl治疗依从性评分结果,试验组为(2.61±0.82)分,对照组为(1.93±0.96)分,试验组优于对照组(F=1.956,P<0.01)。结论应用认知行为疗法对学龄前牙科焦虑症患儿治疗时,首先进行必要的情绪干预,而后再行无痛治疗,可纠正患儿的恐惧心理。%Objective To assess the clinical effect of cognitive behavior therapy on the oral treatment of preschool children with dental anxiety. Methods 86 children aged 3-6 years with dental anxiety were divided into experimental group and control group randomly. Children in experimental group were treated with cognitive behavioral therapy. Chil-dren in control group were treated with the Tell-Show-Do behavioral therapy. Through the observation of children 's coop-eration and evaluation of Frankl treatment index, treatment effect of cognitive behavioral therapy applied in preschool children with dental anxiety was evaluated. Results In experimental group, 38 children can cooperate with treatment, while 5 children can't cooperate. In control group, 24 children can cooperate with treatment, while 19 cases can't cooper-ate. Children in the experimental group is significantly more cooperative (χ2 = 11.328, P<0.01). Frankl index shows 2.61 ± 0.82 in experimental group and 1.93 ± 0.96 in the control group respectively. Treatment effect of the experimen

  14. Brief cognitive behavioral therapy compared to general practitioners care for depression in primary care: a randomized trial

    Directory of Open Access Journals (Sweden)

    Bockting Claudi LH

    2010-10-01

    Full Text Available Abstract Background Depressive disorders are highly prevalent in primary care (PC and are associated with considerable functional impairment and increased health care use. Research has shown that many patients prefer psychological treatments to pharmacotherapy, however, it remains unclear which treatment is most optimal for depressive patients in primary care. Methods/Design A randomized, multi-centre trial involving two intervention groups: one receiving brief cognitive behavioral therapy and the other receiving general practitioner care. General practitioners from 109 General Practices in Nijmegen and Amsterdam (The Netherlands will be asked to include patients aged between 18-70 years presenting with depressive symptomatology, who do not receive an active treatment for their depressive complaints. Patients will be telephonically assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I to ascertain study eligibility. Eligible patients will be randomized to one of two treatment conditions: either 8 sessions of cognitive behavioral therapy by a first line psychologist or general practitioner's care according to The Dutch College of General Practitioners Practice Guideline (NHG- standaard. Baseline and follow-up assessments are scheduled at 0, 6, 12 and 52 weeks following the start of the intervention. Primary outcome will be measured with the Hamilton Depression Rating Scale-17 (HDRS-17 and the Patient Health Questionnaire-9 (PHQ-9. Outcomes will be analyzed on an intention to treat basis. Trial Registration ISRCTN65811640

  15. Cognitive Behavior Therapy to Treat Sleep Disturbance and Fatigue After Traumatic Brain Injury: A Pilot Randomized Controlled Trial.

    Science.gov (United States)

    Nguyen, Sylvia; McKay, Adam; Wong, Dana; Rajaratnam, Shantha M; Spitz, Gershon; Williams, Gavin; Mansfield, Darren; Ponsford, Jennie L

    2017-08-01

    To evaluate the efficacy of adapted cognitive behavioral therapy (CBT) for sleep disturbance and fatigue in individuals with traumatic brain injury (TBI). Parallel 2-group randomized controlled trial. Outpatient therapy. Adults (N=24) with history of TBI and clinically significant sleep and/or fatigue complaints were randomly allocated to an 8-session adapted CBT intervention or a treatment as usual (TAU) condition. Cognitive behavior therapy. The primary outcome was the Pittsburgh Sleep Quality Index (PSQI) posttreatment and at 2-month follow-up. Secondary measures included the Insomnia Severity Index, Fatigue Severity Scale, Brief Fatigue Inventory (BFI), Epworth Sleepiness Scale, and Hospital Anxiety and Depression Scale. At follow-up, CBT recipients reported better sleep quality than those receiving TAU (PSQI mean difference, 4.85; 95% confidence interval [CI], 2.56-7.14). Daily fatigue levels were significantly reduced in the CBT group (BFI difference, 1.54; 95% CI, 0.66-2.42). Secondary improvements were significant for depression. Large within-group effect sizes were evident across measures (Hedges g=1.14-1.93), with maintenance of gains 2 months after therapy cessation. Adapted CBT produced greater and sustained improvements in sleep, daily fatigue levels, and depression compared with TAU. These pilot findings suggest that CBT is a promising treatment for sleep disturbance and fatigue after TBI. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  16. A Nonrandomized Comparison Study of Self-Hypnosis, Yoga, and Cognitive-Behavioral Therapy to Reduce Emotional Distress in Breast Cancer Patients.

    Science.gov (United States)

    Bragard, Isabelle; Etienne, Anne-Marie; Faymonville, Marie-Elisabeth; Coucke, Philippe; Lifrange, Eric; Schroeder, Hélène; Wagener, Aurélie; Dupuis, Gilles; Jerusalem, Guy

    2017-01-01

    The authors asked breast cancer (BC) patients to participate in 1 of 3 mind-body interventions (cognitive-behavioral therapy (CBT), yoga, or self-hypnosis) to explore their feasibility, ease of compliance, and impact on the participants' distress, quality of life (QoL), sleep, and mental adjustment. Ninety-nine patients completed an intervention (CBT: n = 10; yoga: n = 21; and self-hypnosis: n = 68). Results showed high feasibility and high compliance. After the interventions, there was no significant effect in the CBT group but significant positive effects on distress in the yoga and self-hypnosis groups, and, also, on QoL, sleep, and mental adjustment in the self-hypnosis group. In conclusion, mind-body interventions can decrease distress in BC patients, but RCTs are needed to confirm these findings.

  17. Treating Acute Insomnia: A Randomized Controlled Trial of a “Single-Shot” of Cognitive Behavioral Therapy for Insomnia

    Science.gov (United States)

    Ellis, Jason G.; Cushing, Toby; Germain, Anne

    2015-01-01

    Study Objectives: Despite considerable evidence supporting cognitive behavioral therapy for insomnia (CBT-I) for chronic insomnia, it remains untested within the context of acute insomnia. This study examined the efficacy of a single session of CBT-I, with an accompanying self-help pamphlet, for individuals with acute insomnia. Design: A pragmatic parallel group randomized controlled trial. Setting: Community. Participants: Forty adults (mean age 32.9 ± 13.72 y) with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) defined insomnia disorder, except a self-reported duration of less than 3 mo (i.e., acute insomnia), who reported no previous exposure to CBT-I and were not currently taking medication for sleep. Interventions: A single 60- to 70-min session of CBT-I (n = 20), with an accompanying self-help pamphlet, or wait list control group (n = 20). All subjects were offered a full individual course of CBT-I on completion of the study, regardless of group allocation. Measurements and Results: Subjects completed sleep diaries and the Insomnia Severity Index (ISI) pretreatment and 1 mo following treatment. There were no between-group differences on baseline ISI scores or subjective sleep continuity. The intervention group reported significantly lower ISI scores than controls (t(38) 2.24, P CBT-I group had remitted by 1 mo compared to 15% of those in the control group. Conclusions: This single session of cognitive behavioral therapy for insomnia (CBT-I) is sufficiently efficacious for a significant proportion of those with acute insomnia. The results are discussed in terms of integrating this brief form of CBT-I into the “stepped care” model of insomnia. Trial Registration: Testing the efficacy of an early intervention for acute insomnia (SRCTN05891695) http://www.controlled-trials.com/ISRCTN05891695. Citation: Ellis JG, Cushing T, Germain A. Treating acute insomnia: a randomized controlled trial of a “single-shot” of cognitive

  18. Computer Aided in situ Cognitive Behavioral Therapy

    DEFF Research Database (Denmark)

    Chongtay, Rocio A.; Hansen, John Paulin; Decker, Lone

    2006-01-01

    This article describes the development of a system intended to aid the treatment of certain phobic conditions by the use of computer telephony integration (CTI).A phobia is an irrational fear to some situations or things and interferes with the functioning of the individual that suffers from it....... One of the most common and successfully used treatments for phobic conditions has been Cognitive Behavioral Therapy (CBT), which helps people learn to detect thinking patterns that trigger the irrational fear and to replace them with more realistic ideas. The health and financial impacts in society...

  19. Cognitive Behavioral Therapy and Motivational Enhancement Therapy.

    Science.gov (United States)

    Wu, Sarah S; Schoenfelder, Erin; Hsiao, Ray Chih-Jui

    2016-10-01

    Although cognitive behavioral therapy (CBT) is widely recognized as the preferred treatment of psychiatric disorders, less is known about the application of CBT to substance use disorders, particularly in adolescence. This article discusses how CBT conceptualizes substance use and how it is implemented as a treatment of adolescent substance abuse. The article draws on several manuals for CBT that implement it as a standalone treatment or in combination with motivational enhancement therapies. Also reviewed are several studies that examined the efficacy of CBT. Finally, the implications are discussed. Numerous starting resources are provided to help a clinician implement CBT.

  20. Computer Aided in situ Cognitive Behavioral Therapy

    DEFF Research Database (Denmark)

    Chongtay, Rocio A.; Hansen, John Paulin; Decker, Lone

    2006-01-01

    . One of the most common and successfully used treatments for phobic conditions has been Cognitive Behavioral Therapy (CBT), which helps people learn to detect thinking patterns that trigger the irrational fear and to replace them with more realistic ideas. The health and financial impacts in society...... presented here is being designed in a modular and scalable fashion. The web-based module can be accessed anywhere any time from a PC connected to the internet and can be used alone or as supplement for a location-based module for in situ gradual exposure therapy....

  1. Comorbid insomnia and cognitive behavior therapy.

    Science.gov (United States)

    Chand, Suma P

    2015-01-01

    Insomnia most commonly presents comorbidly in association with medical and psychiatric disorders. Comorbid insomnia, however, remains under treated in the majority of patients. Concerns about drug interactions, adverse events, and dependence as well as the assumption that treating the insomnia as a secondary presentation that will resolve when the primary condition improves are all factors that contribute to the under treatment of comorbid insomnia. This article presents the growing research evidence that highlights the benefits and importance of targeting the insomnia that presents comorbidly with medical and psychiatric conditions utilizing the nonpharmacological and effective treatment of cognitive behavior therapy.

  2. Cognitive behavioral therapy for PTSD and somatization: an open trial.

    Science.gov (United States)

    Pérez Benítez, Carlos I; Zlotnick, Caron; Gomez, Judelysse; Rendón, Maria J; Swanson, Amelia

    2013-06-01

    No treatment, to date, has been developed to improve both posttraumatic stress disorder (PTSD) and medically unexplained physical symptoms (MUPS), despite mounting evidence of high comorbidity between PTSD and MUPS. This study assessed the feasibility, acceptability, and treatment outcomes of an adapted cognitive behavioral therapy for PTSD and abridged somatization in a sample of eight participants. Fifteen percent of completers did not meet PTSD criteria after treatment completion and 62.5% improved their somatic symptoms. There was a significant difference between pre- and post-treatment depression symptoms, as well as in psychological and physical functioning measures. Results indicated a small to moderate effect size (d = 0.27-0.78) in PTSD severity scores, and moderate to large effect size in depression symptoms and psychosocial and physical functioning variables (d = 0.39-1.12). Preliminary evidence of acceptability indicates that the current CBT intervention may be suitable for Latinos individuals with PTSD and MUPS.

  3. Cognitive-Behavioral Therapy for Comorbid Insomnia and Chronic Pain

    Science.gov (United States)

    Buenaver, Luis F.; Coryell, Virginia T.; Smith, Michael T.

    2014-01-01

    This article summarizes the literature on cognitive-behavioral therapy for insomnia (CBT-I) in patients with comorbid insomnia and chronic pain. An empirical rationale for the development of CBT-I in chronic pain is provided. The six randomized controlled trials in this area are described and contrasted. The data suggest that CBT-I for patients with comorbid insomnia and chronic pain produces clinically meaningful improvements in sleep symptoms. Effects on pain are inconsistent, but tend to favor functional measures over pain severity. Hybrid interventions for insomnia and pain have demonstrated feasibility, but larger trials must be conducted to determine efficacy relative to CBT-I alone. Future efforts should employ more comprehensive assessments of pain and psychosocial factors. PMID:25477769

  4. Sleep Quality Improvement During Cognitive Behavioral Therapy for Anxiety Disorders.

    Science.gov (United States)

    Ramsawh, Holly J; Bomyea, Jessica; Stein, Murray B; Cissell, Shadha H; Lang, Ariel J

    2016-01-01

    Despite the ubiquity of sleep complaints among individuals with anxiety disorders, few prior studies have examined whether sleep quality improves during anxiety treatment. The current study examined pre- to posttreatment sleep quality improvement during cognitive behavioral therapy (CBT) for panic disorder (PD; n = 26) or generalized anxiety disorder (GAD; n = 24). Among sleep quality indices, only global sleep quality and sleep latency improved significantly (but modestly) during CBT. Sleep quality improvement was greater for treatment responders, but did not vary by diagnosis. Additionally, poor baseline sleep quality was independently associated with worse anxiety treatment outcome, as measured by higher intolerance of uncertainty. Additional intervention targeting sleep prior to or during CBT for anxiety may be beneficial for poor sleepers.

  5. Acceptance and commitment therapy for perinatal mood and anxiety disorders: development of an inpatient group intervention.

    Science.gov (United States)

    Bonacquisti, Alexa; Cohen, Matthew J; Schiller, Crystal Edler

    2017-06-10

    Perinatal mood and anxiety disorders are a leading cause of morbidity and mortality for childbearing women. Current treatments, such as cognitive behavioral therapy and interpersonal therapy, have demonstrated modest success in addressing perinatal psychiatric symptoms; however, additional treatment options are needed to address the limitations of current approaches, particularly for women experiencing moderate to severe perinatal mental illness during pregnancy or postpartum. We discuss the use of acceptance and commitment therapy (ACT) as a promising treatment approach that may be uniquely suited for perinatal women due to its emphasis of values, mindfulness, and acceptance; these psychological constructs notably address the significant psychiatric and behavioral health condition comorbidity, somatic symptoms, and stigma associated with perinatal mood and anxiety disorders. In addition, we describe the development of a four-session ACT-based group intervention at the Perinatal Psychiatry Inpatient Unit at the University of North Carolina at Chapel Hill. Sessions focus on core ACT processes of acceptance, cognitive defusion, present-moment awareness, value identification, and goal setting, and we describe how each of these processes is relevant to the perinatal population. Implications for future clinical applications and research investigations are discussed.

  6. Personal Autonomy in Group-Based Interventions

    NARCIS (Netherlands)

    Koudenburg, Namkje; Jetten, Jolanda; Dingle, Genevieve

    2016-01-01

    Marginalised individuals are often caught in a vicious cycle of economic or health problems, a lack of social connection, and disempowerment. The present research examines interventions that provide opportunities for social inclusion to break this cycle. Specifically, in two longitudinal field studi

  7. Treatment-resistant depression in adolescents: is the addition of cognitive behavioral therapy of benefit?

    Directory of Open Access Journals (Sweden)

    Hetrick SE

    2011-08-01

    Full Text Available Sarah E Hetrick1, Georgina R Cox1, Sally N Merry21Orygen Youth Health Research Centre, Centre for Youth Mental Health, Melbourne, Parkville, Victoria, Australia; 2Werry Centre for Child and Adolescent Mental Health, Department of Psychological Medicine, The University of Auckland, Auckland, New ZealandBackground: Many young people with major depression fail first-line treatments. Treatment resistant depression has various definitions in the literature but typically assumes nonresponse to medication. In young people, cognitive behavioral therapy (CBT is the recommended firstline intervention, thus the definition of treatment resistance should be expanded. Therefore, our aim was to synthesize the existing evidence of any interventions for treatment-resistant depression, broadly defined, in children and adolescents and to investigate the effectiveness of CBT in this context. Methods: We used Cochrane Collaboration methodology, with electronic searches of Medline, PsycINFO, Embase, and the Cochrane Depression Anxiety and Neurosis Group trials registers. Only randomized controlled trials were included, and were assessed for risk of bias. Meta-analysis was undertaken where possible and appropriate.Results: Of 953 articles retrieved, four trials were eligible for inclusion. For one study, only the trial registration document was available, because the study was never completed. All other studies were well conducted with a low risk of bias, although one study had a high dropout rate. Two studies assessed the effect of adding CBT to medication. While an assertive trial of antidepressants does appear to lead to benefit, when compared with placebo, there was no significant advantage, in either study, or in a meta-analysis of data from these trials, that clearly demonstrated an additional benefit of CBT. The third trial showed little advantage of a tricyclic antidepressant over placebo in the context of an inpatient admission. Conclusion: Few randomized

  8. Current status of research on cognitive therapy/cognitive behavior therapy in Japan.

    Science.gov (United States)

    Ono, Yutaka; Furukawa, Toshi A; Shimizu, Eiji; Okamoto, Yasumasa; Nakagawa, Akiko; Fujisawa, Daisuke; Nakagawa, Atsuo; Ishii, Tomoko; Nakajima, Satomi

    2011-03-01

    Cognitive therapy/cognitive behavior therapy was introduced into the field of psychiatry in the late 1980s in Japan, and the Japanese Association for Cognitive Therapy (JACT), founded in 2004, now has more than 1500 members. Along with such progress, awareness of the effectiveness of cognitive therapy/cognitive behavioral therapy has spread, not only among professionals and academics but also to the public. The Study Group of the Procedures and Effectiveness of Psychotherapy, funded by the Ministry of Health, Labor and Welfare, has conducted a series of studies on the effectiveness of cognitive therapy/cognitive behavior therapy since 2006 and shown that it is feasible for Japanese patients. As a result, in April 2010 cognitive therapy/cognitive behavior therapy for mood disorders was added to the national health insurance scheme in Japan. This marked a milestone in Japan's psychiatric care, where pharmacotherapy has historically been more common. In this article the authors review research on cognitive therapy/cognitive behavior therapy in Japan.

  9. Impact of Cognitive-Behavioral Treatment on Quality of Life in Panic Disorder Patients.

    Science.gov (United States)

    Telch, Michael J.; And Others

    1995-01-01

    Patients (n=156) meeting criteria for panic disorder with agoraphobia were randomly assigned to group cognitive-behavioral treatment (CBT) or a delayed-treatment control. Compared with the control group, CBT-treated patients showed significant reductions in impairment that were maintained at follow-up. Anxiety and phobic avoidance were…

  10. A systematic review of the efficacy of cognitive behavioral therapy for treating and preventing perinatal depression.

    Science.gov (United States)

    Sockol, Laura E

    2015-05-15

    Cognitive behavioral therapy (CBT) is an empirically supported treatment for treating and preventing depression that has been widely studied in perinatal populations. Previous meta-analytic reviews of CBT interventions in this population have not investigated potential moderators of treatment efficacy specific to this type of therapy. Forty randomized and quasi-randomized controlled trials assessing the efficacy of CBT during pregnancy and the first year postpartum were included in the meta-analyses. Change in depressive symptoms from pre-treatment to post-treatment was assessed in both treatment and prevention trials, and the difference in prevalence of postpartum depressive episodes was assessed in prevention trials. Characteristics of included studies, interventions and samples were assessed as potential moderators of effect sizes. CBT interventions resulted in significant reductions in depressive symptoms compared to control conditions in both treatment and prevention studies. In prevention studies, individuals who received CBT had significantly lower rates of postpartum depressive episodes compared to control conditions. In both treatment and prevention trials, interventions initiated during the postpartum period were more effective than antenatal interventions. In prevention trials, individually-administered treatments were more effective than group interventions and greater reductions in depressive symptoms were found in studies that included higher proportions of nonwhite, single, and multiparous participants. The methodological quality of included studies varied widely among studies eligible for inclusion in the meta-analysis. There is strong evidence that CBT interventions are effective for treating and preventing depression during the perinatal period. Further methodologically rigorous studies are needed to further investigate potential moderators of treatment efficacy. Copyright © 2015 Elsevier B.V. All rights reserved.

  11. Cognitive behavioral therapy program for cannabis use cessation in first-episode psychosis patients: study protocol for a randomized controlled trial.

    Science.gov (United States)

    González-Ortega, Itxaso; Echeburúa, Enrique; García-Alocén, Adriana; Vega, Patricia; González-Pinto, Ana

    2016-07-29

    The high rate of cannabis use among patients with first-episode psychosis (FEP), as well as the associated negative impact on illness course and treatment outcomes, underlines the need for effective interventions in these populations. However, to date, there have been few clinical treatment trials (of pharmacological or psychological interventions) that have specifically focused on addressing comorbid cannabis use among these patients. The aim of this paper is to describe the design of a study protocol for a randomized controlled trial in which the objective is to assess the efficacy of a specific cognitive behavioral therapy program for cannabis cessation in patients with FEP compared to standard treatment (psychoeducation). This is a single-blind randomized study with 1 year of follow-up. Patients are to be randomly assigned to one of two treatments: (1) specific cognitive behavioral therapy for cannabis cessation composed of 1-hour sessions once a week for 16 weeks, in addition to pharmacological treatment scheduled by the psychiatrist, or (2) a control group (psychoeducation + pharmacological treatment) following the same format as the experimental group. Participants in both groups will be evaluated at baseline (pre-treatment), at 16 weeks (post-treatment), and at 3 and 6 months and 1 year of follow-up. The primary outcome will be that patients in the experimental group will have greater cannabis cessation than patients in the control group at post-treatment. The secondary outcome will be that the experimental group will have better clinical and functional outcomes than the control group. This study provides the description of a clinical trial design based on specific cognitive behavioral therapy for cannabis cessation in FEP patients, aiming to improve clinical and functional outcome, as well as tackling the addictive disorder. NCT02319746 ClinicalTrials.gov Identifier. ClinicalTrials.gov Protocol and Results Registration System (PRS) Receipt Release Date

  12. Cognitive behavioral therapy for the treatment of post-traumatic stress disorder: a review

    Directory of Open Access Journals (Sweden)

    Kar N

    2011-04-01

    Full Text Available Nilamadhab KarDepartment of Psychiatry, Wolverhampton City Primary Care Trust, Wolverhampton, UKBackground: Post-traumatic stress disorder (PTSD is a psychiatric sequel to a stressful event or situation of an exceptionally threatening or catastrophic nature. Cognitive behavioral therapy (CBT has been used in the management of PTSD for many years. This paper reviews the effectiveness of CBT for the treatment of PTSD following various types of trauma, its potential to prevent PTSD, methods used in CBT, and reflects on the mechanisms of action of CBT in PTSD.Methods: Electronic databases, including PubMed, were searched for articles on CBT and PTSD. Manual searches were conducted for cross-references in the relevant journal sites.Results: The current literature reveals robust evidence that CBT is a safe and effective intervention for both acute and chronic PTSD following a range of traumatic experiences in adults, children, and adolescents. However, nonresponse to CBT by PTSD can be as high as 50%, contributed to by various factors, including comorbidity and the nature of the study population. CBT has been validated and used across many cultures, and has been used successfully by community therapists following brief training in individual and group settings. There has been effective use of Internet-based CBT in PTSD. CBT has been found to have a preventive role in some studies, but evidence for definitive recommendations is inadequate. The effect of CBT has been mediated mostly by the change in maladaptive cognitive distortions associated with PTSD. Many studies also report physiological, functional neuroimaging, and electroencephalographic changes correlating with response to CBT.Conclusion: There is scope for further research on implementation of CBT following major disasters, its preventive potential following various traumas, and the neuropsychological mechanisms of action.Keywords: post-traumatic stress disorder, cognitive behavioral therapy

  13. Treating Acute Insomnia: A Randomized Controlled Trial of a "Single-Shot" of Cognitive Behavioral Therapy for Insomnia.

    Science.gov (United States)

    Ellis, Jason G; Cushing, Toby; Germain, Anne

    2015-06-01

    Despite considerable evidence supporting cognitive behavioral therapy for insomnia (CBT-I) for chronic insomnia, it remains untested within the context of acute insomnia. This study examined the efficacy of a single session of CBT-I, with an accompanying self-help pamphlet, for individuals with acute insomnia. A pragmatic parallel group randomized controlled trial. Community. Forty adults (mean age 32.9 ± 13.72 y) with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) defined insomnia disorder, except a self-reported duration of less than 3 mo (i.e., acute insomnia), who reported no previous exposure to CBT-I and were not currently taking medication for sleep. A single 60- to 70-min session of CBT-I (n = 20), with an accompanying self-help pamphlet, or wait list control group (n = 20). All subjects were offered a full individual course of CBT-I on completion of the study, regardless of group allocation. Subjects completed sleep diaries and the Insomnia Severity Index (ISI) pretreatment and 1 mo following treatment. There were no between-group differences on baseline ISI scores or subjective sleep continuity. The intervention group reported significantly lower ISI scores than controls (t(38) 2.24, P CBT-I group had remitted by 1 mo compared to 15% of those in the control group. This single session of cognitive behavioral therapy for insomnia (CBT-I) is sufficiently efficacious for a significant proportion of those with acute insomnia. The results are discussed in terms of integrating this brief form of CBT-I into the "stepped care" model of insomnia. Testing the efficacy of an early intervention for acute insomnia (SRCTN05891695) http://www.controlled-trials.com/ISRCTN05891695. © 2015 Associated Professional Sleep Societies, LLC.

  14. Augmented Cognitive Behavioral Therapy for Poststroke Depressive Symptoms: A Randomized Controlled Trial.

    Science.gov (United States)

    Kootker, Joyce A; Rasquin, Sascha M C; Lem, Frederik C; van Heugten, Caroline M; Fasotti, Luciano; Geurts, Alexander C H

    2017-04-01

    To evaluate the effectiveness of individually tailored cognitive behavioral therapy (CBT) for reducing depressive symptoms with or without anxiety poststroke. Multicenter, assessor-blinded, randomized controlled trial. Ambulatory rehabilitation setting. Patients who had a Hospital Anxiety and Depression Scale-depression subscale (HADS-D) score >7 at least 3 months poststroke (N=61). Participants were randomly allocated to either augmented CBT or computerized cognitive training (CCT). The CBT intervention was based on the principles of recognizing, registering, and altering negative thoughts and cognitions. CBT was augmented with goal-directed real-life activity training given by an occupational or movement therapist. HADS-D was the primary outcome, and measures of participation and quality of life were secondary outcomes. Outcome measurements were performed at baseline, immediately posttreatment, and at 4- and 8-month follow-up. Analysis was performed with linear mixed models using group (CBT vs CCT) as the between-subjects factor and time (4 assessments) as the within-subjects factor. Mixed model analyses showed a significant and persistent time effect for HADS-D (mean difference, -4.6; 95% confidence interval, -5.7 to -3.6; Peffect for any of the outcome measures. Our augmented CBT intervention was not superior to CCT for the treatment of mood disorders after stroke. Future studies should determine whether both interventions are better than natural history. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  15. Randomized controlled trial of cognitive behavioral social skills training for older consumers with schizophrenia: defeatist performance attitudes and functional outcome.

    Science.gov (United States)

    Granholm, Eric; Holden, Jason; Link, Peter C; McQuaid, John R; Jeste, Dilip V

    2013-03-01

    To determine whether Cognitive Behavioral Social Skills Training (CBSST) is an effective psychosocial intervention to improve functioning in older consumers with schizophrenia, and whether defeatist performance attitudes are associated with change in functioning in CBSST. An 18-month, single-blind, randomized controlled trial. Outpatient clinic at a university-affiliated Veterans Affairs hospital. Veteran and non-veteran consumers with schizophrenia or schizoaffective disorder (N = 79) age 45-78. CBSST was a 36-session, weekly group therapy that combined cognitive behavior therapy with social skills training and problem-solving training to improve functioning. The comparison intervention, goal-focused supportive contact (GFSC), was supportive group therapy focused on achieving functioning goals. Blind raters assessed functioning (primary outcome: Independent Living Skills Survey), CBSST skill mastery, positive and negative symptoms, depression, anxiety, defeatist attitudes, self-esteem, and life satisfaction. Functioning trajectories over time were significantly more positive in CBSST than in GFSC, especially for participants with more severe defeatist performance attitudes. Greater improvement in defeatist attitudes was also associated with better functioning in CBSST, but not GFSC. Both treatments showed comparable significant improvements in amotivation, depression, anxiety, positive self-esteem, and life satisfaction. CBSST is an effective treatment to improve functioning in older consumers with schizophrenia, and both CBSST and other supportive goal-focused interventions can reduce symptom distress, increase motivation and self-esteem, and improve life satisfaction. Participants with more severe defeatist performance attitudes may benefit most from cognitive behavioral interventions that target functioning. ClinicalTrials.Gov #NCT00237796 (http://clinicaltrials. gov/show/NCT00237796). Copyright © 2013 American Association for Geriatric Psychiatry. Published

  16. Internet-Delivered Cognitive Behavioral Therapy to Treat Insomnia: A Systematic Review and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Michael Seyffert

    Full Text Available Insomnia is of major public health importance. While cognitive behavioral therapy is beneficial, in-person treatment is often unavailable. We assessed the effectiveness of internet-delivered cognitive behavioral therapy for insomnia.The primary objectives were to determine whether online cognitive behavioral therapy for insomnia could improve sleep efficiency and reduce the severity of insomnia in adults. Secondary outcomes included sleep quality, total sleep time, time in bed, sleep onset latency, wake time after sleep onset, and number of nocturnal awakenings.We searched PubMed/MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, PsycInfo, Cochrane Library, Embase, and the Web of Science for randomized trials.Studies were eligible if they were randomized controlled trials in adults that reported application of cognitive behavioral therapy for insomnia via internet delivery. Mean differences in improvement in sleep measures were calculated using the Hartung-Knapp-Sidik-Jonkman method for random effects meta-analysis.We found 15 trials, all utilizing a pretest-posttest randomized control group design. Sleep efficiency was 72% at baseline and improved by 7.2% (95% CI: 5.1%, 9.3%; p<0.001 with internet-delivered cognitive behavioral therapy versus control. Internet-delivered cognitive behavioral therapy resulted in a decrease in the insomnia severity index by 4.3 points (95% CI: -7.1, -1.5; p = 0.017 compared to control. Total sleep time averaged 5.7 hours at baseline and increased by 20 minutes with internet-delivered therapy versus control (95% CI: 9, 31; p = 0.004. The severity of depression decreased by 2.3 points (95% CI: -2.9, -1.7; p = 0.013 in individuals who received internet-delivered cognitive behavioral therapy compared to control. Improvements in sleep efficiency, the insomnia severity index and depression scores with internet-delivered cognitive behavioral therapy were maintained from 4 to 48 weeks after post

  17. Effects of Cognitive-behavioral Therapy for Inmates' Mental Health%认知行为治疗对服刑人员心理健康的效果研究

    Institute of Scientific and Technical Information of China (English)

    王丽萍; 邵淑红; 徐伟

    2014-01-01

    Purpose:the use of cognitive-behavioral group therapy-oriented mental health inmates intervention;Methods:pretest and posttest before scl-90 were screened into the appropriate member of the group, to carry out the treatment of cog-nitive behavioral group orientation;Results:through group therapy intervention, compulsion, interpersonal sensitivity, de-pression, anxiety and phobic have suffered significant difference;Conclusions:cognitive behavioral group counseling orien-tation can effectively improve the mental health of inmates.%目的:采用认知行为取向的团体治疗对服刑人员