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1

Dialectical Behavior Therapy (DBT) Applied to College Students: A Randomized Clinical Trial  

PubMed Central

Objective College counseling centers (CCCs) are increasingly being called upon to treat highly distressed students with complex clinical presentations. This study compared the effectiveness of Dialectical Behavior Therapy (DBT) for suicidal college students to an optimized control condition, and analyzed baseline global functioning as a moderator. Method The intent-to-treat (ITT) sample included 63 college students between the ages of 18 and 25 who were suicidal at baseline, reported at least one lifetime non-suicidal self-injurious (NSSI) act or suicide attempt, and met three or more borderline personality disorder (BPD) diagnostic criteria. Participants were randomly assigned to DBT (n = 31) or an optimized Treatment as Usual (O-TAU) control condition (n = 32). Treatment was provided by trainees, supervised by experts in both treatments. Both treatments lasted 7–12 months and included both individual and group components. Assessments were conducted at pretreatment, 3-months, 6-months, 9-months, 12-months, and 18-months (follow-up). Results Mixed effects analyses (ITT sample) revealed that DBT, compared to the control condition, showed significantly greater decreases in suicidality, depression, number of NSSI events (if participant had self-injured), BPD criteria, and psychotropic medication use, and significantly greater improvements in social adjustment. Most of these treatment effects were observed at follow-up. No treatment differences were found for treatment dropout. Moderation analyses showed that DBT was particularly effective for suicidal students who were lower functioning at pretreatment. Conclusions DBT is an effective treatment for suicidal, multi-problem college students. Future research should examine the implementation of DBT in CCCs in a stepped care approach. PMID:22730955

Pistorello, Jacqueline; Fruzzetti, Alan E.; MacLane, Chelsea; Gallop, Robert; Iverson, Katherine M.

2012-01-01

2

Impact of a Dialectic Behavior Therapy - Corrections Modified (DBT-CM) Upon Behaviorally Challenged Incarcerated Male Adolescents  

PubMed Central

Purpose This article reports the findings of a Dialectical Behavioral Therapy- Corrections Modified (DBT-CM) intervention upon difficult to manage, impulsive and/or aggressive incarcerated male adolescents. Methods A secondary analysis of a sub-sample of 38 male adolescents who participated in the study was conducted. A one-group pretest-posttest design was used; descriptive statistics and t-tests were conducted. Results Significant changes were found in physical aggression, distancing coping methods and number of disciplinary tickets for behavior. Conclusion The study supports the value of DBT-CM for management of incarcerated male adolescents with difficult to manage aggressive behaviors. PMID:21501287

Shelton, Deborah; Kesten, Karen; Zhang, Wanli; Trestman, Robert

2011-01-01

3

Targeting binge eating through components of dialectical behavior therapy: preliminary outcomes for individually supported diary card self-monitoring versus group-based DBT.  

PubMed

The current study examined two condensed adaptations of dialectical behavior therapy (DBT) for binge eating. Women with full- or sub-threshold variants of either binge eating disorder or bulimia nervosa were randomly assigned to individually supported self-monitoring using adapted DBT diary cards (DC) or group-based DBT, each 15 sessions over 16 weeks. DC sessions focused on problem-solving diary card completion issues, praising diary card completion, and supporting nonjudgmental awareness of eating-related habits and urges, but not formally teaching DBT skills. Group-based DBT included eating mindfulness, progressing through graded exposure; mindfulness, emotion regulation, and distress tolerance skills; and coaching calls between sessions. Both treatments evidenced large and significant improvements in binge eating, bulimic symptoms, and interoceptive awareness. For group-based DBT, ineffectiveness, drive for thinness, body dissatisfaction, and perfectionism also decreased significantly, with medium to large effect sizes. For DC, results were not significant but large in effect size for body dissatisfaction and medium in effect size for ineffectiveness and drive for thinness. Retention for both treatments was higher than recent trends for eating disorder treatment in fee-for-service practice and for similar clinic settings, but favored DC, with the greater attrition of group-based DBT primarily attributed to its more intensive and time-consuming nature, and dropout overall associated with less pretreatment impairment and greater interoceptive awareness. This preliminary investigation suggests that with both abbreviated DBT-based treatments, substantial improvement in core binge eating symptoms is possible, enhancing potential avenues for implementation beyond more time-intensive DBT. PMID:24295464

Klein, Angela S; Skinner, Jeremy B; Hawley, Kristin M

2013-12-01

4

Efficacy and cost-effectiveness of an experimental short-term inpatient Dialectical Behavior Therapy (DBT) program: study protocol for a randomized controlled trial  

PubMed Central

Background Borderline Personality Disorder (BPD) is a serious psychiatric condition associated with substantial mortality, burden and public health costs. DBT is the treatment model with the largest number of published research articles showing effectiveness. However, some patients are not sufficiently engaged in outpatient treatment while presenting severe parasuicidal behavior, making hospitalization necessary. The Center for Personality Disorders Jelgersma developed an intensive 12-week inpatient DBT program that (i) rapidly reduces core borderline symptoms like suicidal behavior, (ii) minimizes the negative effects of an inpatient setting, and (iii) enhances compliance with outpatient treatment. We evaluate the (cost-) effectiveness of this experimental program. Methods/design Seventy patients, aged 18 to 45 years with a primary diagnosis of BPD, showing a chronic pattern of parasuicidal gestures and/or reporting high degrees of severity of other borderline symptoms, are randomly allocated to the control and intervention groups. Subjects in the control group receive standard outpatient DBT, provided in one of three regular mental health settings in GGZ Rivierduinen. Subjects in the intervention group receive 12 weeks of intensified inpatient DBT plus six months of standard DBT, provided in the Center for Personality Disorders Jelgersma. The primary outcome is the number of suicide attempts/self-harming acts. Secondary outcomes are severity of other borderline complaints, quality of life, general psychopathological symptoms and health care utilization and productivity costs. Data are gathered using a prospective, two (group: intervention and control) by five (time of measurement) repeated measures factorial design. Participants will complete three-monthly outcome assessments in the course of therapy: at baseline, and 12, 24, 36 and 52 weeks after the start of the treatment. The period of recruitment started in March 2012 and the study will end in December 2014. Discussion Highly suicidal outpatient patients can pose a dilemma for mental health care professionals. Although hospitalization seems inevitable under some circumstances, it has proven to be harmful in its own right. This paper outlines the background and methods of a randomized trial evaluating the possible surplus value of a short-term inpatient DBT program. PMID:24885551

2014-01-01

5

Feasibility of Dialectical Behavior Therapy for Suicidal Adolescent Inpatients  

Microsoft Academic Search

ObjectiveTo evaluate the feasibility of dialectical behavior therapy (DBT) implementation in a general child and adolescent psychiatric inpatient unit and to provide preliminary effectiveness data on DBT versus treatment as usual (TAU).

Laurence Y. Katz; Brian J. Cox; Shiny Gunasekara; Alec L. Miller

2004-01-01

6

Dialectical Behavior Therapy: An Emotion-Focused Treatment for Borderline Personality Disorder  

Microsoft Academic Search

Dialectical Behavior Therapy (DBT) is a cognitive-behavioral treatment for borderline personality disorder (BPD) that is based on the theory that emotion dysregulation is the core feature of BPD. This article focuses on aspects of DBT theory and techniques that specifically address emotion. The dialectical and biosocial theories that underlie DBT are reviewed with an emphasis on how each relates to

Melanie S. Harned; Sammy F. Banawan; Thomas R. Lynch

2006-01-01

7

Emerging Approaches to Counseling Intervention: Dialectical Behavior Therapy  

ERIC Educational Resources Information Center

Dialectical Behavior Therapy (DBT) is a comprehensive, multimodal cognitive behavioral treatment originally developed for individuals who met criteria for borderline personality disorder (BPD) who displayed suicidal tendencies. DBT is based on behavioral theory but also includes principles of acceptance, mindfulness, and validation. Since its…

Neacsiu, Andrada D.; Ward-Ciesielski, Erin F.; Linehan, Marsha M.

2012-01-01

8

Evaluation of inpatient Dialectical-Behavioral Therapy for Borderline Personality Disorder — a prospective study  

Microsoft Academic Search

Dialectical-Behavioral Therapy for Borderline Personality Disorder (DBT) developed by M. Linehan is specifically designed for the outpatient treatment of chronically suicidal patients with borderline personality disorder. Research on DBT therapy, its course and its results has focused to date on treatments in an outpatient setting.Hypothesizing that the course of therapy could be accelerated and improved by an inpatient setting at

Martin Bohus; Brigitte Haaf; Christian Stiglmayr; Ulrike Pohl; Renate Böhme; Marsha Linehan

2000-01-01

9

Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients with Eating Disorders  

ERIC Educational Resources Information Center

The authors describe an intensive outpatient dialectical behavior therapy (DBT) program for multidiagnostic clients with eating disorders who had not responded adequately to standard, empirically supported treatments for eating disorders. The program integrates DBT with empirically supported cognitive behavior therapy approaches that are well…

Federici, Anita; Wisniewski, Lucene; Ben-Porath, Denise

2012-01-01

10

Acceptance and ChangeThe Integration of Mindfulness-Based Cognitive Therapy Into Ongoing Dialectical Behavior Therapy in a Case of Borderline Personality Disorder With Depression  

Microsoft Academic Search

Both dialectical behavior therapy (DBT) and mindfulness-based cognitive therapy (MBCT) include training in mindfulness skills and address the synthesis of acceptance and change. DBT is a comprehensive treatment for borderline personality disorder (BPD). MBCT was developed for prevention of relapse in individuals with a history of depressive episodes. Both have considerable empirical support for their efficacy. Many individuals with BPD

Debra B. Huss; Ruth A. Baer

2007-01-01

11

Behavior Therapy  

Microsoft Academic Search

Comments on the article Payment or Repayment? The Problem of Private Practice written by O.H. Mowrer .) The current author discusses Mowrer's methods of behavior therapy and states that he makes unsubstantiated claims regarding the effectiveness of behavioristic behavior therapy. The author argues that until Mowrer can produce something more specific he should retire his theory.

Joseph Wolpe

1964-01-01

12

Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial  

Microsoft Academic Search

Dialectical Behavioral Therapy (DBT) was initially developed and evaluated as an outpatient treatment program for chronically suicidal individuals meeting criteria for borderline personality disorder (BPD). Within the last few years, several adaptations to specific settings have been developed. This study aims to evaluate a three-month DBT inpatient treatment program. Clinical outcomes, including changes on measures of psychopathology and frequency of

Martin Bohus; Brigitte Haaf; Timothy Simms; Matthias F. Limberger; Christian Schmahl; Christine Unckel; Klaus Lieb; Marsha M. Linehan

2004-01-01

13

Application of Dialectical Behavior Therapy to Disorders Other Than Borderline Personality Disorder: A Critical Review  

Microsoft Academic Search

Dialectical Behavior Therapy (DBT) has recently been used to treat disorders other than Borderline Personality Disorder (BPD). Despite DBT's widespread use, no paper summarizes its use for con- ditions other than BPD; therefore, a synthesis of the literature is warranted. In this paper, we aim to (a) briefly summarize the treatment and its empirical basis for treating BPD; (b) explore

Ananda B. Amstadter

14

Dialectical behavior therapy: current indications and unique elements.  

PubMed

Dialectical behavior therapy (DBT) is a comprehensive, evidence-based treatment for borderline personality disorder (BPD). The patient populations for which DBT has the most empirical support include parasuicidal women with borderline personality disorder (BPD), but there have been promising findings for patients with BPD and substance use disorders (SUDs), persons who meet criteria for binge-eating disorder, and depressed elderly patients. Although DBT has many similarities with other cognitive-behavioral approaches, several critical and unique elements must be in place for the treatment to constitute DBT. Some of these elements include (a) serving the five functions of treatment, (b) the biosocial theory and focusing on emotions in treatment, (c) a consistent dialectical philosophy, and (d) mindfulness and acceptance-oriented interventions. PMID:20975829

Chapman, Alexander L

2006-09-01

15

Drosophila DBT Lacking Protein Kinase Activity Produces Long-Period and Arrhythmic Circadian Behavioral and Molecular Rhythms? †  

PubMed Central

A mutation (K38R) which specifically eliminates kinase activity was created in the Drosophila melanogaster ckI gene (doubletime [dbt]). In vitro, DBT protein carrying the K38R mutation (DBTK/R) interacted with Period protein (PER) but lacked kinase activity. In cell culture and in flies, DBTK/R antagonized the phosphorylation and degradation of PER, and it damped the oscillation of PER in vivo. Overexpression of short-period, long-period, or wild-type DBT in flies produced the same circadian periods produced by the corresponding alleles of the endogenous gene. These mutations therefore dictate an altered “set point” for period length that is not altered by overexpression. Overexpression of the DBTK/R produced effects proportional to the titration of endogenous DBT, with long circadian periods at lower expression levels and arrhythmicity at higher levels. This first analysis of adult flies with a virtual lack of DBT activity demonstrates that DBT's kinase activity is necessary for normal circadian rhythms and that a general reduction of DBT kinase activity does not produce short periods. PMID:17893330

Muskus, Michael J.; Preuss, Fabian; Fan, Jin-Yuan; Bjes, Edward S.; Price, Jeffrey L.

2007-01-01

16

A Pilot Study of the DBT Coach: An Interactive Mobile Phone Application for Individuals with Borderline Personality Disorder and Substance Use Disorder  

ERIC Educational Resources Information Center

Dialectical behavior therapy (DBT) has received strong empirical support and is practiced widely as a treatment for borderline personality disorder (BPD) and BPD with comorbid substance use disorders (BPD-SUD). Therapeutic success in DBT requires that individuals generalize newly acquired skills to their natural environment. However, there have…

Rizvi, Shireen L.; Dimeff, Linda A.; Skutch, Julie; Carroll, David; Linehan, Marsha M.

2011-01-01

17

Dialectical Behavior Therapy for Patients with Borderline Personality Disorder and Drug-Dependence  

Microsoft Academic Search

A randomized clinical trial was conducted to evaluate whether Dialectical Behavior Therapy (DBT), an effective cognitive-be- havioral treatment for suicidal individuals with borderline per- sonality disorder (BPD), would also be effective for drug-depen- dent women with BPD when compared with treatment-as-usual (TAU) in the community. Subjects were randomly assigned to ei- ther DBT or TAU for a year of treatment.

Marsha M. Linehan; Henry Schmidt III; Linda A. Dimeff; J. Christopher Craft; Jonathan Kanter; Katherine A. Comtois

18

Bilingual Therapeutics: Integrating the Complementary Perspectives and Practices of Motivational Interviewing and Dialectical Behavior Therapy  

Microsoft Academic Search

Informed by the practice of code-switching or style-switching in linguistics, “bilingual therapeutics” is proposed as the\\u000a complementary integration of two evidence-based practices in psychotherapy: motivational interviewing (MI) and dialectical\\u000a behavior therapy (DBT). Unique features of MI and DBT are presented, current research of each practice is reviewed, and their\\u000a similarities and distinctions are discussed. It is proposed that fluency in

Cynthia J. Osborn

2011-01-01

19

Dialectical Behavior Therapy of Anorexia and Bulimia Nervosa among Adolescents: A Case Series  

ERIC Educational Resources Information Center

The aim of this study was to describe a case series of adolescents (mean age = 16.5 years, SD = 1.0) with anorexia nervosa (AN) and bulimia nervosa (BN) who received dialectical behavior therapy (DBT). Twelve outpatients with AN and BN took part in 25 weeks of twice weekly therapy consisting of individual therapy and a skills training group.…

Salbach-Andrae, Harriet; Bohnekamp, Inga; Pfeiffer, Ernst; Lehmkuhl, Ulrike; Miller, Alec L.

2008-01-01

20

Dialectical Behavior Therapy: An Effective Treatment for Individuals with Comorbid Borderline Personality and Eating Disorders?  

Microsoft Academic Search

Patients with either or both Borderline Personality Disorder (BPD) and an eating disorder face a number of intrapsychic and interpersonal difficulties that have been historically treatment resistant. Dialectical Behavior Therapy, which combines elements of cognitive behavioral therapy and Zen practices, has shown some promise as a potential treatment for patients with comorbid personality and eating disorders. Criticisms of DBT include

Traci R. Stein

2008-01-01

21

A DBT Skills Training Group for Family Caregivers of Persons with Dementia  

ERIC Educational Resources Information Center

A Dialectical Behavior Therapy Skills training manual (DBT Skills) was adapted for use with caregivers of individuals with dementia. Implementation occurred in a community clinic with a heterogeneous caregiver group at risk for elder abuse. Sixteen caregivers completed the 9-week group. The results point to improved psychosocial adjustment,…

Drossel, Claudia; Fisher, Jane E.; Mercer, Victoria

2011-01-01

22

Dialectical Behavior Therapy Skills Use as a Mediator and Outcome of Treatment for Borderline Personality Disorder  

PubMed Central

A central component of Dialectical Behavior Therapy (DBT) is the teaching of specific behavioral skills with the aim of helping individuals with Borderline Personality Disorder (BPD) replace maladaptive behaviors with skillful behavior. Although existing evidence indirectly supports this proposed mechanism of action, no study to date has directly tested it. Therefore, we examined the skills use of 108 women with BPD participating in one of three randomized control trials throughout one year of treatment and four months of follow-up. Using a hierarchical linear modeling approach we found that although all participants reported using some DBT skills before treatment started, participants treated with DBT reported using three times more skills at the end of treatment than participants treated with a control treatment. Significant mediation effects also indicated that DBT skills use fully mediated the decrease in suicide attempts and depression and the increase in control of anger over time. DBT skills use also partially mediated the decrease of nonsuicidal self-injury over time. Anger suppression and expression were not mediated. This study is the first to clearly support the skills deficit model for BPD by indicating that increasing skills use is a mechanism of change for suicidal behavior, depression, and anger control. PMID:20579633

Neacsiu, Andrada D.; Rizvi, Shireen L.; Linehan, Marsha M.

2010-01-01

23

Behavior Therapy of Impotence  

ERIC Educational Resources Information Center

Behavior therapy approaches to the treatment of male sexual impotence, specifically premature ejaculation and erective impotence, are discussed. Included in the behavioral therapies are systematic desensitization, active graded therapy, assertive techniques, sexual responses, operant approaches and others. Often marriage counseling is also…

Dengrove, Edward

1971-01-01

24

Societal cost-of-illness in patients with borderline personality disorder one year before, during and after dialectical behavior therapy in routine outpatient care.  

PubMed

Societal cost-of-illness in a German sample of patients with borderline personality disorder (BPD) was calculated for 12 months prior to an outpatient Dialectical Behavior Therapy (DBT) program, during a year of DBT in routine outpatient care and during a follow-up year. We retrospectively assessed resource consumption and productivity loss by means of a structured interview. Direct costs were calculated as opportunity costs and indirect costs were calculated according to the Human Capital Approach. All costs were expressed in Euros for the year 2010. Total mean annual BPD-related societal cost-of-illness was €28026 (SD = €33081) during pre-treatment, €18758 (SD = €19450) during the DBT treatment year for the 47 DBT treatment completers, and €14750 (SD = €18592) during the follow-up year for the 33 patients who participated in the final assessment. Cost savings were mainly due to marked reductions in inpatient treatment costs, while indirect costs barely decreased. In conclusion, our findings provide evidence that the treatment of BPD patients with an outpatient DBT program is associated with substantial overall cost savings. Already during the DBT treatment year, these savings clearly exceed the additional treatment costs of DBT and are further extended during the follow-up year. Correspondingly, outpatient DBT has the potential to be a cost-effective treatment for BPD patients. Efforts promoting its implementation in routine care should be undertaken. PMID:25113523

Wagner, Till; Fydrich, Thomas; Stiglmayr, Christian; Marschall, Paul; Salize, Hans-Joachim; Renneberg, Babette; Fleßa, Steffen; Roepke, Stefan

2014-10-01

25

Emotion Regulation and Substance Use Frequency in Women with Substance Dependence and Borderline Personality Disorder Receiving Dialectical Behavior Therapy  

PubMed Central

Background Dialectical Behavior Therapy (DBT) identifies emotion dysregulation as central to the dangerous impulsivity of borderline personality disorder (BPD) including substance use disorders, and DBT targets improved emotion regulation as a primary mechanism of change. However, improved emotion regulation with DBT and associations between such improvement and behavioral outcomes such as substance use has not been previously reported. Objective Thus, the goal of this study was to assess for improvement in emotion regulation and to examine the relationship between improvements in the emotion regulation and substance use problems following DBT treatment. Method Emotion regulation as assessed by the Difficulties in Emotion Regulation Scale, depressed mood as assessed by the Beck Depression Inventory, and their associations with substance use frequency were investigated in 27 women with substance dependence and BPD receiving 20 weeks of DBT in an academic community outpatient substance abuse treatment program. Results indicated improved emotion regulation, improved mood, and decreased substance use frequency. Further, emotion regulation improvement, but not improved mood, explained the variance of decreased substance use frequency. Conclusions This is the first study to demonstrate improved emotion regulation in BPD patients treated with DBT and to show that improved emotion regulation can account for increased behavioral control in BPD patients. Significance and Future Research Emotion regulation assessment is recommended for future studies to further clarify the etiology and maintenance of disorders associated with emotional dyregulation such as BPD and substance dependence, and to further explore emotion regulation as a potential mechanism of change for clinical interventions. PMID:21091162

Axelrod, Seth R.; Perepletchikova, Francheska; Holtzman, Kevin; Sinha, Rajita

2011-01-01

26

Moderators of Dialectical Behavior Therapy for Binge Eating Disorder: Results from a Randomized Controlled Trial  

PubMed Central

Objective Investigate moderators of a randomized clinical trial of group Dialectical Behavior Therapy for Binge Eating Disorder (DBT-BED) compared to an active comparison group control (ACGT) on the post-treatment outcome of binge frequency after twenty 2-hour weekly sessions. Method Moderation analyses. Results Participants were 101 adults with BED [mean (SD) age, 52.2 (10.6) years and BMI, 36.4 (8.6)]. Analyses identified two moderators of post-treatment outcome. Participants with (1) Avoidant Personality Disorder or (2) an earlier onset of overweight and dieting (< 15 years old) evidenced significantly worsened outcome when treated with ACGT versus DBT-BED. Discussion Participants with certain indicators of higher baseline pathology respond better to DBT-BED than ACGT at post-treatment. PMID:21500238

Robinson, Athena Hagler; Safer, Debra L.

2011-01-01

27

Full Field Digital Mammography (FFDM) versus CMOS Technology, Specimen Radiography System (SRS) and Tomosynthesis (DBT) - Which System Can Optimise Surgical Therapy?  

PubMed Central

Aim: This prospective clinical study aimed to evaluate whether it would be possible to reduce the rate of re-excisions using CMOS technology, a specimen radiography system (SRS) or digital breast tomosynthesis (DBT) compared to a conventional full field digital mammography (FFDM) system. Material and Method: Between 12/2012 and 2/2013 50 patients were diagnosed with invasive breast cancer (BI-RADS™ 5). After histological verification, all patients underwent breast-conserving therapy with intraoperative imaging using 4 different systems and differing magnifications: 1. Inspiration™ (Siemens, Erlangen, Germany), amorphous selenium, tungsten source, focus 0.1?mm, resolution 85?µm pixel pitch, 8?lp/mm; 2. BioVision™ (Bioptics, Tucson, AZ, USA), CMOS technology, photodiode array, flat panel, tungsten source, focus 0.05, resolution 50?µm pixel pitch, 12?lp/mm; 3. the Trident™ specimen radiography system (SRS) (Hologic, Bedford, MA, USA), amorphous selenium, tungsten source, focus 0.05, resolution 70?µm pixel pitch, 7.1?lp/mm; 4. tomosynthesis (Siemens, Erlangen, Germany), amorphous selenium, tungsten source, focus 0.1?mm, resolution 85?µm pixel pitch, 8?lp/mm, angular range 50 degrees, 25 projections, scan time >?20?s, geometry: uniform scanning, reconstruction: filtered back projection. The 600 radiographs were prospectively shown to 3 radiologists. Results: Of the 50 patients with histologically proven breast cancer (BI-RADS™ 6), 39 patients required no further surgical therapy (re-excision) after breast-conserving surgery. A retrospective analysis (n?=?11) showed a significant (p?

Schulz-Wendtland, R.; Dilbat, G.; Bani, M.; Fasching, P. A.; Heusinger, K.; Lux, M. P.; Loehberg, C. R.; Brehm, B.; Hammon, M.; Saake, M.; Dankerl, P.; Jud, S. M.; Rauh, C.; Bayer, C. M.; Beckmann, M. W.; Uder, M.; Meier-Meitinger, M.

2013-01-01

28

Dialectical behavior therapy training to reduce clinical burnout in a public behavioral health system.  

PubMed

There is a risk of experiencing clinical burnout among therapists providing treatment to clients with borderline personality disorder (BPD), a complex, costly and difficult-to-treat psychiatric disorder. Dialectical behavior therapy (DBT) is an evidence-based treatment of BPD that has been widely disseminated. There is only one published study that has examined pre and post scores of burnout among clinicians who receive training in DBT, and none that have taken place within a public behavioral health system in the United States where resources for community-based agencies are limited and demands are high. The current study examined the rates of burnout among therapists treating clients with BPD within a large, urban public behavioral health system. The study included a sample of nine clinicians and showed significantly decreased scores of burnout after participants attended a series of DBT trainings over a period of 13 months. There were several key limitations to internal validity including the lack of a control group. Similar evaluations of training outcomes are needed to address the widespread occurrence of burnout among community-based clinicians providing treatment to clients with BPD in order to enhance the quality of patient care. PMID:24346223

Carmel, Adam; Fruzzetti, Alan E; Rose, Monica L

2014-01-01

29

Treating Co-Occurring Axis I Disorders in Recurrently Suicidal Women With Borderline Personality Disorder: A 2Year Randomized Trial of Dialectical Behavior Therapy Versus Community Treatment by Experts  

Microsoft Academic Search

This study evaluated whether dialectical behavior therapy (DBT) was more efficacious than treatment by nonbehavioral psychotherapy experts in reducing co-occurring Axis I disorders among suicidal individuals with borderline personality disorder (BPD). Women with BPD and recent and repeated suicidal and\\/or self-injurious behavior (n = 101) were randomly assigned to 1 year of DBT or community treatment by experts (CTBE), plus

Melanie S. Harned; Alexander L. Chapman; Elizabeth T. Dexter-Mazza; Angela Murray; Katherine A. Comtois; Marsha M. Linehan

2008-01-01

30

Cognitive and Behavioral Therapies  

Microsoft Academic Search

For longer than 40 years, the cognitive and behavioral therapies have evolved as alternatives to more traditional nondirective\\u000a and insight-oriented modes of psychotherapy (1). The cognitive and behavioral therapies now include a diverse group of interventions\\u000a that share several pragmatic and theoretical assumptions. First, there is an emphasis on psychoeducation: patients are assumed\\u000a to be capable of learning about their

Edward S. Friedman; Michael E. Thase

31

How does Dialectical Behavior Therapy facilitate treatment retention among individuals with comorbid borderline personality disorder and substance use disorders?  

Microsoft Academic Search

For individuals presenting with comorbid borderline personality disorder (BPD) and substance use disorders (SUD), rates of treatment dropout from combined mental health and substance abuse treatment centers approach 80%, rendering dropout the rule rather than the exception. Several studies indicate that utilizing a more comprehensive treatment such as Dialectical Behavior Therapy (DBT) may be useful for client retention; however, given

Marina A. Bornovalova; Stacey B. Daughters

2007-01-01

32

A DBT Skills training group for family caregivers of persons with dementia.  

PubMed

A Dialectical Behavior Therapy Skills training manual (DBT Skills) was adapted for use with caregivers of individuals with dementia. Implementation occurred in a community clinic with a heterogeneous caregiver group at risk for elder abuse. Sixteen caregivers completed the 9-week group. The results point to improved psychosocial adjustment, particularly increased problem-focused coping, enhanced emotional well-being, and less fatigue. Caregivers tended to utilize individual therapeutic services at a higher rate during the period of group attendance, indicative of appropriate help-seeking behavior in highly demanding situations. Six of the 16 caregivers repeated the training sequence in "booster" groups. Follow-up data from the booster groups suggest that high-risk caregivers may require continuing support to maintain treatment gains. In addition to demonstrating the feasibility of DBT Skills with caregivers, the results warrant a controlled outcome evaluation. PMID:21292057

Drossel, Claudia; Fisher, Jane E; Mercer, Victoria

2011-03-01

33

Behavior Therapy's Identity Crisis  

ERIC Educational Resources Information Center

The goals of treatment and assessment in the behavior therapy approach should not be confined to such specific performance-oriented objectives as increasing approach behavior to feared stimuli or overcoming a stutter. They should be as diverse and complex as the people who have them. (Author/PD)

Mischel, Walter

1978-01-01

34

Reasons for premature termination of dialectical behavior therapy for inpatients with borderline personality disorder.  

PubMed

Although one of the main aims of dialectical behavior therapy (DBT) for borderline personality disorder (BPD) is to increase the retention rates, premature termination rates for DBT inpatient programs were found to be over 30%. The aim of the study was to identify the reasons for, and to analyze, patient characteristics that are associated with premature termination. We studied 541 inpatients with BPD, who were consecutively admitted for an open-door 3-month DBT inpatient treatment in Berlin, Germany. All participants completed several self-rating measures and participated in clinical interviews. Fourteen percent, who did not complete the full 84 days of assigned treatment, were expelled, mainly due to treatment-disturbing behaviors, or substance abuse or possession. Nearly 19% dropped out of treatment, mostly due to lack of motivation, arguments with others, and poor tolerance of emotional distress. Using non-parametric conditional inference trees, expulsion was associated with anorexia nervosa and alcohol abuse, whereas more than 9 suicide attempts, antisocial personality disorders, and more than 86 weeks in a psychiatric hospital were risk factors for dropout. We discussed measures and interventions that might lead to an adaptation of DBT inpatient programs. Future research should examine the symptom course and utilization of health-care services of non-completers. PMID:25058040

Kröger, Christoph; Röepke, Stefan; Kliem, Sören

2014-09-01

35

Change from the Ground Up: Bringing Informed-Dialectical Behavioral Therapy to Residential Treatment  

Microsoft Academic Search

This article describes how a large residential treatment program, Spurwink Services—decentralized throughout the southern and mid-portions of Maine—adapted and implemented an Informed Dialectical Behavioral Therapy (DBT) Program as part of its evidence-based treatment interventions for adolescent youth in residential treatment. Begun as a single group 8 years ago, the program now flourishes in 5 residential treatment sites across the agency.

Liza Little; Linda S. Butler; Joleen Fowler

2010-01-01

36

Cosmetic Behavior Therapy.  

ERIC Educational Resources Information Center

Discusses the theoretical and practical applications of cosmetic behavior therapy in a private practice. Enhancement of physical appearance will frequently result in an enhancement of self-concept, and the client's attainment of physical attractiveness contributes to the probability of success in current culture. (Author/JAC)

Jones, W. Paul

1980-01-01

37

Treatment differences in the therapeutic relationship and introject during a 2-year randomized controlled trial of dialectical behavior therapy versus non-behavioral psychotherapy experts for borderline personality disorder  

PubMed Central

Objective The purpose of the present study was to explore the role of the therapeutic relationship and introject during the course of dialectical behavior therapy (DBT; Linehan, 1993) for the treatment of borderline personality disorder. Method Women meeting DSM-IV criteria for borderline personality disorder (N = 101) were randomized to receive DBT or community treatment by experts. The Structural Analysis of Social Behavior (SASB; Benjamin, 1974) was used to measure both the therapeutic relationship and introject. Results Using hierarchical linear modeling, DBT patients reported the development of a more positive introject including significantly greater self-affirmation, self-love, self-protection, and less self-attack during the course of treatment and one-year follow-up relative to community treatment by experts. The therapeutic relationship did not have an independent effect on intrapsychic or symptomatic outcome but did interact with treatment. DBT patients who perceived their therapist as affirming and protecting reported less frequent occurrences of non-suicidal self-injury. Conclusions The study showed positive intrapsychic change during DBT while emphasizing the importance of affirmation and control in the therapeutic relationship. Results are discussed in the context of understanding the mechanisms of change in DBT. PMID:22061867

Bedics, Jamie D.; Atkins, David C.; Comtois, Katherine A.; Linehan, Marsha M.

2011-01-01

38

Radically open-dialectical behavior therapy for adult anorexia nervosa: feasibility and outcomes from an inpatient program  

PubMed Central

Background Anorexia Nervosa (AN) is a highly life-threatening disorder that is extremely difficult to treat. There is evidence that family-based therapies are effective for adolescent AN, but no treatment has been proven to be clearly effective for adult AN. The methodological challenges associated with studying the disorder have resulted in recommendations that new treatments undergo preliminary testing prior to being evaluated in a randomized clinical trial. The aim of this study was to provide preliminary evidence on the effectiveness of a treatment program based on a novel adaptation of Dialectical Behavior Therapy (DBT) for adult Anorexia Nervosa (Radically Open-DBT; RO-DBT) that conceptualizes AN as a disorder of overcontrol. Methods Forty-seven individuals diagnosed with Anorexia Nervosa-restrictive type (AN-R; mean admission body mass index?=?14.43) received the adapted DBT inpatient program (mean length of treatment?=?21.7 weeks). Results Seventy-two percent completed the treatment program demonstrating substantial increases in body mass index (BMI; mean change in BMI?=?3.57) corresponding to a large effect size (d?=?1.91). Thirty-five percent of treatment completers were in full remission, and an additional 55% were in partial remission resulting in an overall response rate of 90%. These same individuals demonstrated significant and large improvements in eating-disorder related psychopathology symptoms (d?=?1.17), eating disorder-related quality of life (d?=?1.03), and reductions in psychological distress (d?=?1.34). Conclusions RO-DBT was associated with significant improvements in weight gain, reductions in eating disorder symptoms, decreases in eating-disorder related psychopathology and increases in eating disorder-related quality of life in a severely underweight sample. These findings provide preliminary support for RO-DBT in treating AN-R suggesting the importance of further evaluation examining long-term outcomes using randomized controlled trial methodology. PMID:24199611

2013-01-01

39

Treating Co-Occurring Axis I Disorders in Recurrently Suicidal Women with Borderline Personality Disorder: A 2-Year Randomized Trial of Dialectical Behavior Therapy versus Community Treatment by Experts  

ERIC Educational Resources Information Center

This study evaluated whether dialectical behavior therapy (DBT) was more efficacious than treatment by nonbehavioral psychotherapy experts in reducing co-occurring Axis I disorders among suicidal individuals with borderline personality disorder (BPD). Women with BPD and recent and repeated suicidal and/or self-injurious behavior (n = 101) were…

Harned, Melanie S.; Chapman, Alexander, L.; Dexter-Mazza, Elizabeth T.; Murray, Angela; Comtois, Katherine A.; Linehan, Marsha M.

2008-01-01

40

Indian contribution to behavior therapy  

PubMed Central

Publication of papers related to psycho-social interventions in general and Behavior Therapy, in particular, in Indian Journal of Psychiatry has been limited. Though the first paper related to Behavior Therapy was published in 1952, a manual search of all available issues of the journal from 1949 showed that only 42 papers related to Behavior Therapy have been published till 2009. Among them 10 are case reports. Methodological limitations abound even in the papers on larger groups of patients. Studies using operant conditioning have been very few. Aversion therapy and progressive muscle relaxation have been very frequently used. The published articles are reviewed under the various diagnostic categories. Publications in the recent years have been mostly on Cognitive Behavior Therapy. Even after 57 years of co-existence, the relationship between Behavior Therapy and Indian Psychiatry remains a tenuous one. PMID:21836708

Kuruvilla, K.

2010-01-01

41

Treating PTSD in suicidal and self-injuring women with borderline personality disorder: development and preliminary evaluation of a Dialectical Behavior Therapy Prolonged Exposure Protocol.  

PubMed

This study focused on the development and pilot testing of a protocol based on Prolonged Exposure (PE) that can be added to Dialectical Behavior Therapy (DBT) to treat PTSD in suicidal and self-injuring individuals with borderline personality disorder (BPD). Women with BPD, PTSD, and recent and/or imminent serious intentional self-injury (n = 13) received one year of DBT with the DBT PE Protocol, plus three months of follow-up assessment. The treatment was associated with significant reductions in PTSD, with the majority of patients no longer meeting criteria for PTSD at post-treatment (71.4% of DBT PE Protocol completers, 60.0% of the intent-to-treat sample). A minority of patients (27.3%) engaged in intentional self-injury during the study. Improvements were also found for suicidal ideation, dissociation, trauma-related guilt cognitions, shame, anxiety, depression, and social adjustment. There was no evidence that the DBT PE Protocol led to exacerbations of intentional self-injury urges or behaviors, PTSD, treatment dropout, or crisis service use. Overall, the results indicate that this integrated BPD and PTSD treatment is feasible to implement within one year of treatment, highly acceptable to patients and therapists, safe to administer, and shows promise as an effective intervention for PTSD in this complex and high-risk patient population. PMID:22503959

Harned, Melanie S; Korslund, Kathryn E; Foa, Edna B; Linehan, Marsha M

2012-06-01

42

Treating PTSD in Suicidal and Self-injuring Women with Borderline Personality Disorder: Development and Preliminary Evaluation of a Dialectical Behavior Therapy Prolonged Exposure Protocol  

PubMed Central

This study focused on the development and pilot testing of a protocol based on Prolonged Exposure (PE) that can be added to Dialectical Behavior Therapy (DBT) to treat PTSD in suicidal and self-injuring individuals with borderline personality disorder (BPD). Women with BPD, PTSD, and recent and/or imminent serious intentional self-injury (n=13) received one year of DBT with the DBT PE Protocol, plus three months of follow up assessment. The treatment was associated with significant reductions in PTSD, with the majority of patients no longer meeting criteria for PTSD at post-treatment (71.4% of DBT PE Protocol completers, 60.0% of the intent-to-treat sample). A minority of patients (27.3%) engaged in intentional self-injury during the study. Improvements were also found for suicidal ideation, dissociation, trauma-related guilt cognitions, shame, anxiety, depression, and social adjustment. There was no evidence that the DBT PE Protocol led to exacerbations of intentional self-injury urges or behaviors, PTSD, treatment dropout, or crisis service use. Overall, the results indicate that this integrated BPD and PTSD treatment is feasible to implement within one year of treatment, highly acceptable to patients and therapists, safe to administer, and shows promise as an effective intervention for PTSD in this complex and high-risk patient population. PMID:22503959

Harned, Melanie S.; Korslund, Kathryn E.; Foa, Edna B.; Linehan, Marsha M.

2012-01-01

43

Behaviorism and Cognitivism in Behavior Therapy.  

ERIC Educational Resources Information Center

The movement within behavior therapy to introduce cognitive terms, constructs, and techniques reflects and involves an extension of the pervasive cognitive movement within the experimental field and the long-standing cognitive approach of many clinicians. Modern day attacks on behaviorism by cognitivists have been almost exclusively geared to the…

Levis, Donald J.

44

THE EFFECT OF DIALECTICAL BEHAVIOR THERAPY SKILLS USE ON BORDERLINE PERSONALITY DISORDER FEATURES  

PubMed Central

We assessed the effect of DBT skills utilization on features of borderline personality disorder as measured by the Personality Assessment Inventory-Borderline Features Scale (PAI-BOR). Participants were outpatients (N = 27) enrolled in a dialectical behavior therapy (DBT) program in a university-affiliated community mental health clinic. Diary cards were collected each week to track self-reported skills use. At the beginning of each new skills training module, patients completed another PAI-BOR. Univariate and multilevel analyses indicated significant improvement on the total PAI-BOR score and on several PAI-BOR subscale scores. Results also revealed that overall DBT skills use increased significantly over time, as did individual skills related to mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Multilevel modeling results indicated that overall skills use showed a significant effect on PAI-BOR total scores, Affective Instability scores, Identity Problems scores, and Negative Relationships scores, even after controlling for initial levels of distress and diary card compliance. PMID:19072676

Stepp, Stephanie D.; Epler, Amee J.; Jahng, Seungmin; Trull, Timothy J.

2013-01-01

45

FAP and Cognitive Behavior Therapy  

Microsoft Academic Search

\\u000a This chapter is intended to help practicing cognitive behavior therapists make their treatment more intense, interpersonal\\u000a , and impactful for both therapists and clients by incorporating the methods of functional analytic psychotherapy (FAP; Kohlenberg & Tsai,\\u000a 1991; Tsai\\u000a et al., 2008). Our approach is user friendly in that it builds on existing cognitive behavior therapy\\u000a (CBT\\u000a ) methods and skills

Robert J. Kohlenberg; Jonathan W. Kanter; Mavis Tsai

46

Cognitive behavioral therapy for fibromyalgia  

Microsoft Academic Search

Cognitive behavioral therapy (CBT) techniques offer short-term, goal-oriented psychotherapy. In this respect, it differs from classical psychoanalysis in emphasizing changes in thought patterns and behaviors rather than providing 'deep insight'. Importantly, the beneficial effects of CBT can be achieved in 10–20 sessions, compared with the many years required for classical psychoanalysis. Although CBT is often done on a one-to-one basis,

David Nelson; Robert Bennett

2006-01-01

47

Cognitive Behavior Therapy  

Microsoft Academic Search

Increasingly, attention is turning to the significance of children's mental health. This attention results from a confluence\\u000a of information sources col lectively emphasizing the prevalence of childhood problems. Epidemiologi-cal estimates for the\\u000a prevalence rates of childhood emotional and behavioral disorders range between 15 and 22% (e.g., McCracken, 1992; Roberts,\\u000a Att-kisson,&Rosenblatt, 1998; Rutter, 1989; Kazdin&Weisz, 2003a; WHO, 2001). These rates may

Ellen Flannery-Schroeder; Alexis N. Lamb

48

Cognitive-Behavioral Family Therapy  

Microsoft Academic Search

The cognitive-behavioral family therapy (CBFT) approach is introduced, described and illustrated in this paper. The approach maintains that the family-related cognitions held by individuals play an important role in shaping what they expect from family life and how they experience, functton in, and react to it. The paper describes how, during the five steps of CBFT, a therapist can help

Andrew I. Schwebel; Mark A Fine

1992-01-01

49

Behavior therapy according to Lazarus  

Microsoft Academic Search

Replies to A. A. Lazarus's responses to the author's (1982) critique of Lazarus's (1971) review of 100 cases that yielded a 36% relapse rate after behavior therapy (BT). It is argued that Lazarus should have clarified that he confined himself to BT in light of indications (i.e., Lazarus's assertions of the limited role he has given to BT and his

Joseph Wolpe

1984-01-01

50

Identification of aldolase and ferredoxin reductase within the dbt operon of Burkholderia fungorum DBT1.  

PubMed

Burkholderia fungorum DBT1, first isolated from settling particulate matter of an oil refinery wastewater, is a bacterial strain which has been shown capable of utilizing several polycyclic aromatic hydrocarbons (PAHs) including dibenzothiophene (DBT). In particular, this microbe is able to efficiently degrade DBT through the Kodama pathway. Previous investigations have lead to the identification of six genes, on a total of eight, required for DBT degradation. In the present study, a combined experimental/computational approach was adopted to identify and in silico characterize the two missing genes, namely a ferredoxin reductase and a hydratase-aldolase. Thus, the finding of all enzymatic components of the Kodama pathway in B. fungorum DBT1 makes this bacterial strain amenable for possible exploitation in soil bioremediation protocols. PMID:23686744

Piccoli, Stefano; Andreolli, Marco; Giorgetti, Alejandro; Zordan, Fabio; Lampis, Silvia; Vallini, Giovanni

2014-05-01

51

Behavior modification in physical therapy.  

PubMed

Behavioral techniques reported to improve ambulation skills among physically handicapped persons include both reward and desensitization procedures. This report describes the application of other behavior modification principles to two patients who resisted physical therapy (PT) designed to educate them in the use of orthopedic assistive devices. Peer modeling was used with case 1, a 2 1/2-year-old girl with complete L4 spina bifida who cried frequently when wearing her brace, and refused to walk except with much assistance. Case 2 was a 21-year-old hemiplegic man seen two years after a severe head injury. Initially, severe tantrum behavior accompanied all demands placed on him. Treatment involved a combination of contingent music for being quiet and contingent aversive auditory feedback for yelling. In both cases clinically significant behavioral changes were observed. Results are discussed with respect to the cost effectiveness of behavioral interventions and the interdisciplinary coordination of rehabilitation team members. PMID:3882077

Gouvier, W D; Richards, J S; Blanton, P D; Janert, K; Rosen, L A; Drabman, R S

1985-02-01

52

Behavior Analysis of Forgiveness in Couples Therapy  

Microsoft Academic Search

Behavioral couples' therapy has a long history of success with couples and is an empirically validated treatment for marital discord (Task Force on Promotion and Dissemination of Psychological Procedures, 1995). However, only about 50% of all couples in treatment experience long-term change (2 years). One of the founders of behavioral couples' therapy called for the therapy to return to its

James Cordova; Joseph Cautilli; Corrina Simon; Robin Axelrod Sabag

2006-01-01

53

A 5-Day Dialectical Behavior Therapy Partial Hospital Program for Women with Borderline Personality Disorder: Predictors of Outcome from a 3-Month Follow-up Study  

PubMed Central

Objective This study describes naturalistic 3-month follow-up after discharge from a 5-day partial hospitalization dialectical behavior therapy (DBT) program for women diagnosed with borderline personality disorder (BPD). We also examined individual BPD criteria as predictors of treatment response. Methods Fifty women diagnosed with BPD were consecutively recruited from a partial hospital DBT program, 47 of whom (94%) completed all assessments including baseline (prior to discharge) and 3-months post-discharge assessments. Most continued with some combination of individual psychotherapy and pharmacotherapy, and all had the option of continuing with weekly DBT skills classes. Baseline scores were compared to 3-month scores using paired two-tailed non-parametric (sign) tests. Regression analyses were conducted to identify predictors of outcome. Results Depression, hopelessness, anger expression, dissociation, and general psychopathology scores significantly decreased over the 3-month follow-up interval, although scores on several measures remained in the clinical range. Those who endorsed emptiness, impulsivity, and relationship disturbance demonstrated improvement on a number of outcomes, while those who endorsed identity disturbance and fear of abandonment had less improvement on some outcomes. Conclusion These findings illustrate 1) that improvement occurred over a 3-month interval on a number of measures in patients receiving treatment as usual following discharge from a partial hospitalization program, and 2) that BPD is a complex, heterogeneous disorder for which there is no single pathognomonic criterion, so that each criterion should be considered individually in determining its potential effect on treatment outcomes. PMID:19461390

YEN, SHIRLEY; JOHNSON, JENNIFER; COSTELLO, ELLEN; SIMPSON, ELIZABETH B.

2010-01-01

54

Behavioral Therapy Deemed Best for Social Phobia  

MedlinePLUS

... found. But cognitive behavioral therapy showed even bigger "effect sizes" across studies that tested it, the researchers ... of social anxiety, they can also have side effects, including sleep problems and sexual dysfunction, said Evan ...

55

Behavior Therapy: The Specifics of Parent Training  

MedlinePLUS

... Issues Listen Behavior Therapy: The Specifics of Parent Training Article Body Once you and your child have ... the stage for the successful use of parent training tools and techniques. One of the first principles ...

56

Urinary incontinence: treatment using behavioral therapy protocol  

Microsoft Academic Search

Objective: Confirm previously reported cure rate of 88% with standard protocol using multiple behavioral therapies (BT) in a larger patient population.Methods: Consecutive patients referred to a single physician for urinary incontinence (UI) who met protocol criteria for BT were prospectively followed through their course of therapy and for up to 24 months after completion. Descriptive analysis of outcomes and comparison

Sandra F. Reilley

2000-01-01

57

The Derailment of Behavior Therapy: A Tale of Conceptual Misdirection  

Microsoft Academic Search

Forty years ago it was shown that neuroses are persistent unadaptive anxiety response habits that can be systematically overcome by deconditioning procedures collectively known as behavior therapy. Indispensable to behavior therapy is behavior analysis—detailed and accurate specification of the antecedents of the individual's neurotic patterns. In recent years, the behavior therapy movement has been infiltrated by two alien orientations—“exposure therapy

Joseph Wolpe

1989-01-01

58

Computer-Assisted Cognitive-Behavioral Therapy  

Microsoft Academic Search

There has been a recent acceleration in the development and testing of programs for computer-assisted cognitive-behavioral\\u000a therapy (CCBT). Programs are now available for treatment of depression, anxiety disorders, and other psychiatric conditions.\\u000a Technology for delivery of CCBT includes multimedia programs, virtual reality, and handheld devices. Research on CCBT generally\\u000a has supported the efficacy of computer-assisted therapy and has shown patient

Joyce A. Spurgeon; Jesse H. Wright

2010-01-01

59

Cognitive Behavioral Therapy for Jealousy  

Microsoft Academic Search

Jealousy is a multidimensional cognitive, emotional, behavioral and interpersonal phe- nomenon. Jealousy can be a destructive and often dangerous emotional and interper- sonal response to threats to a valued relationship. Despite the importance of jealousy as an issue for couples, there has been relatively little attention to this problem. Jealousy is af orm ofangry, agitated worry, whose goal is to

Robert L. Leahy; Dennis D. Tirch

2008-01-01

60

Cognitive behavioral therapy for adolescents with ADHD.  

PubMed

Attention deficit/hyperactivity disorder (ADHD) often persists into adolescence and has the same functional impairments as were present during childhood. Medications lessen ADHD symptoms yet do not reliably affect functioning. Thus, there exists a great need for psychosocial treatments in adolescents with ADHD. Nonetheless, relative to the vast literature that has been reported on children with ADHD, much less data have been reported about psychosocial interventions for adolescents with ADHD. Cognitive behavioral therapy interventions that are being used with adolescents rely more on traditional behavioral principles than cognitive therapy tenets. PMID:25220089

Antshel, Kevin M; Olszewski, Amy K

2014-10-01

61

Interactions of selected bacterial isolates with DBT and solubilized coal  

SciTech Connect

We are studying the interactions of isolated bacteria with dibenzothiophene (DBT), a sulfur-containing model compound, and with a solubilized coal product derived from a high-organic-sulfur lignite. The sensitivity of the tetrazolium assay used to identify and study these strains was improved by substituting tetrazolium violet for triphenyltetrazolium. DBT metabolism by thirteen strains was investigated using qualitative and quantitative GC and GC-MS analyses. Growth medium and incubation time affect the extent of DBT degradation and the production of DBT metabolites. Under specific conditions, seven of the strains produce metabolites which elute close to the position of one or another of the biphenyl standards. However, when these samples are spiked with the standard compounds, the bacterial metabolites do not co-elute with the standards. The modification of solubilized high-organic-sulfur coal by six of these strains was also studied. No selective removal of sulfur relative to carbon was observed. 13 refs., 1 fig., 2 tabs.

Key, D.H.; Fox, R.V.; Kase, R.S.; Willey, M.S.; Stoner, D.L.; Ward, T.E.

1990-01-01

62

Activating PER Repressor through a DBT-Directed Phosphorylation Switch  

PubMed Central

Protein phosphorylation plays an essential role in the generation of circadian rhythms, regulating the stability, activity, and subcellular localization of certain proteins that constitute the biological clock. This study examines the role of the protein kinase Doubletime (DBT), a Drosophila ortholog of human casein kinase I (CKI)?/?. An enzymatically active DBT protein is shown to directly phosphorylate the Drosophila clock protein Period (PER). DBT-dependent phosphorylation sites are identified within PER, and their functional significance is assessed in a cultured cell system and in vivo. The perS mutation, which is associated with short-period (19-h) circadian rhythms, alters a key phosphorylation target within PER. Inspection of this and neighboring sequence variants indicates that several DBT-directed phosphorylations regulate PER activity in an integrated fashion: Alternative phosphorylations of two adjoining sequence motifs appear to be associated with switch-like changes in PER stability and repressor function. PMID:18666831

Kivimae, Saul; Saez, Lino; Young, Michael W

2008-01-01

63

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

ERIC Educational Resources Information Center

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…

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

2004-01-01

64

Cognitive–behavioral therapy for primary insomnia  

Microsoft Academic Search

Primary insomnia (PI) is a prevalent form of sleep difficulty that impairs diurnal functioning, reduces quality of life and enhances health care utilization\\/costs for millions worldwide. Whereas the underlying pathophysiology of PI remains poorly understood, it is widely accepted that a host of cognitive and behavioral factors play important roles in perpetuating this condition. As such, a multi-factorial, cognitive–behavioral therapy

Jack D. Edinger; Melanie K. Means

2005-01-01

65

Differential Treatment Response for Eating Disordered Patients With and Without a Comorbid Borderline Personality Diagnosis Using a Dialectical Behavior Therapy (DBT)Informed Approach  

Microsoft Academic Search

Studies have reported conflicting findings regarding the impact on treatment for eating disorder patients comorbidly diagnosed with borderline personality disorder. The current investigation sought to investigate whether individuals diagnosed with an eating disorder vs. those comorbidly diagnosed with an eating disorder and borderline personality disorder differ on measures of eating disorders symptoms and\\/or general distress over the course of treatment.

Denise D. Ben-Porath; Lucene Wisniewski; Mark Warren

2009-01-01

66

Disability and Rational Emotive Behavior Therapy (REBT).  

ERIC Educational Resources Information Center

This article provides information on how Rational Emotive Behavior Therapy (REBT) can be adapted for use in rehabilitation counseling. It states that although clients with an average range of intelligence have responded well to REBT, clients with borderline intellectual functioning are not suitable candidates for cognitive disputing but can be…

Gandy, Gerald L.

67

Cognitive-Behavioral Therapy for Pathological Gamblers  

ERIC Educational Resources Information Center

Few studies have evaluated efficacy of psychotherapies for pathological gambling. Pathological gamblers (N = 231) were randomly assigned to (a) referral to Gamblers Anonymous (GA), (b) GA referral plus a cognitive-behavioral (CB) workbook, or (c) GA referral plus 8 sessions of individual CB therapy. Gambling and related problems were assessed…

Petry, Nancy M.; Ammerman, Yola; Bohl, Jaime; Doersch, Anne; Gay, Heather; Kadden, Ronald; Molina, Cheryl; Steinberg, Karen

2006-01-01

68

Cognitive Behavior Therapy: Notes on Theory and Application with Children.  

ERIC Educational Resources Information Center

Cognitive behavioral psychology is a new theoretical orientation. When applied in treatment, it is known as cognitive behavior therapy (CBT). CBT, although based primarily on an information processing model, rests firmly on the twin pillars of both behaviorism and cognitive psychology. Today cognitive therapy and behavioral therapy are terms which…

Sigmon, Scott B.

69

Newer variations of cognitive-behavioral therapy: Behavioral activation and mindfulness-based cognitive therapy  

Microsoft Academic Search

Recent innovations in the treatment and prevention of depression that build on the foundation of cognitivebehavioral therapy\\u000a represent promising directions for clinical practice and research. Specifically, behavioral activation and mindfulness-based\\u000a cognitive therapy have been a recent focus of attention. Behavioral activation is a brief, structured approach to treating\\u000a acute depression that seeks to alleviate depression by promoting an individual’s contact

Sona Dimidjian; Kyle J. Davis

2009-01-01

70

Jogging the Cogs: Trauma-Focused Art Therapy and Cognitive Behavioral Therapy with Sexually Abused Children  

Microsoft Academic Search

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 art therapy and cognitive behavior therapy (Pifalo, 2001, 2006).

Terry Pifalo

2007-01-01

71

Valuable, but not maximal: it's time behavior therapy attend to its behaviorism  

Microsoft Academic Search

The field of behavior therapy is not in touch with itself in terms of its overarching behaviorism. Many erroneously consider its basic behaviorism to have been radical behaviorism and continue to look to develop behavior therapy (including behavior analysis and behavioral assessment) within that framework. But that approach turns out to be much less than maximal because there is a

Arthur W. Staats

1999-01-01

72

The operant side of behavior therapy.  

PubMed

For more than twenty-four hundred years, people were seen to behave in given ways because of what they were feeling or thinking, and feelings and thoughts were therefore the things to study. However, it has always been difficult to do very much with feelings and thoughts because of their inaccessibility to outside observers. Further, important distinctions are obscured when behavior is attributed to a state of mind. As more and more of the variables of which behavior is a function are identified and their role analysed, less remains to be explained in mentalistic ways. The operant side of behavior therapy is illustrated by considering a few characteristic problems. Discussion includes the analysis of contingencies outside and inside the clinic, and the relationship between behavioral health and medical health. PMID:3069874

Skinner, B F

1988-09-01

73

What Can Design Thinking Learn from Behavior Group Therapy?  

E-print Network

What Can Design Thinking Learn from Behavior Group Therapy? Julia von Thienen, Christine Noweski in Behavior Group Therapy bear a striking resemblance to Design Thinking. They invoke almost identical process Design Thinking may profit from taking a look at Behavior Group Therapy. We will discuss (a) new

Weske, Mathias

74

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

Microsoft Academic Search

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 significant difference across methods of implementation. All 3 treatment modalities produced improvements in

Célyne H. Bastien; Charles M. Morin; Marie-Christine Ouellet; France C. Blais; Sébastien Bouchard

2004-01-01

75

Cognitive behavioral therapy for compulsive buying disorder.  

PubMed

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. PMID:16460670

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

2006-12-01

76

Understanding Manual-Based Behavior Therapy: Some Theoretical Foundations of Parent-Child Interaction Therapy  

Microsoft Academic Search

Manualized therapy has been criticized as being incompatible with behavior therapy. However, the majority of empirically supported, manual-based therapies utilize basic behavioral principles, such as positive reinforcement, to achieve positive change in the target behavior. Parent-Child Interaction Therapy (PCIT), for example, is a manualized treatment that makes extensive use of the empirically-derived behavioral principles of this paradigm. Understanding how and

Laurie A. Greco; John T. Sorrell; Cheryl B. McNeil

2001-01-01

77

Acceptability of Behavioral Family Therapy among Caregivers in China  

Microsoft Academic Search

In the U.S., helping the noncompliant child and parent child interaction therapy represent behavioral family therapy programs that are empirically supported for treating the conduct problems of 2- to 7-year\\u000a old children. This study examined how caregivers in China would view behavioral family therapy. Caregivers in Hangzhou, China\\u000a reported the perceived age of deviance for behavioral family therapy targets (e.g.,

Jun Yu; Mark Roberts; Maria Wong; Yongqiang Shen

2011-01-01

78

Augmentation of cognitive behavioral therapy with pharmacotherapy.  

PubMed

There has long been interest in combining pharmacotherapy with psychotherapy, including cognitive behavioral therapy (CBT). More recently, basic research on fear extinction has led to interest in augmentation of CBT with the N-methyl Daspartate (NMDA) glutamate receptor partial agonist D-cycloserine (DCS) for anxiety disorders. In this article, the literature on clinical trials that have combined pharmacotherapy and CBT is briefly reviewed, focusing particularly on the anxiety disorders. The literature on CBT and DCS is then systematically reviewed. A series of randomized placebo-controlled trials on panic disorder, obsessive-compulsive disorder, social anxiety disorder, and specific phobia suggest that low dose DCS before therapy sessions may be more effective compared with CBT alone in certain anxiety disorders. The strong translational foundation of this work is compelling, and the positive preliminary data gathered so far encourage further work. Issues for future research include delineating optimal dosing, and demonstrating effectiveness in real-world settings. PMID:20599140

Ganasen, K A; Ipser, J C; Stein, D J

2010-09-01

79

Cognitive and Cognitive-Behavioral Therapy for substance abuse disorders  

Microsoft Academic Search

This article describes the current status of Cognitive and Behavioral Therapy as well Relapse Prevention and Coping Skill approaches applied in drug abuse treatments. The objective is show a review about theories and technique used by Cognitive Therapy and others approaches derived that, speci- fically Relapse Prevention and Coping Skill Treatments. Cognitive and Behavioral Therapy, Coping Skill, and Relapse Prevention

Cláudio Jerônimo da Silvaa

80

Do we need to challenge thoughts in cognitive behavior therapy?  

Microsoft Academic Search

Cognitive behavior therapy (CBT) emphasizes the primacy of cognition in mediating psychological disorder. It aims to alleviate distress by modifying cognitive content and process, realigning thinking with reality. Recently, various authors have questioned the need for CBT therapists to use logico?rational strategies to directly challenge maladaptive thoughts. Hayes [Hayes, S.C. (2004). Acceptance and commitment therapy and the new behavior therapies.

Richard J. Longmore; Michael Worrell

2007-01-01

81

Cognitive-Behavioral Therapy for HIV Medication Adherence and Depression  

ERIC Educational Resources Information Center

For patients with HIV, depression is a common, distressing condition that can interfere with a critical self-care behavior--adherence to antiretroviral therapy. The present study describes a cognitive-behavioral treatment designed to integrate cognitive-behavioral therapy for depression with our previously tested approach to improving adherence to…

Safren, Steven A.; Hendriksen, Ellen S.; Mayer, Kenneth H.; Mimiaga, Matthew J.; Pickard, Robert; Otto, Michael W.

2004-01-01

82

Behavior Therapy versus Psychoanalysis: Therapeutic and Social Implications.  

ERIC Educational Resources Information Center

That psychoanalytic theory has not been displaced by the behavioral theory of neurosis is remarkable in view of the persuasive evidence that exists for the efficacy of behavior therapy. One reason for this seems to be the persistence of widespread misperceptions of behavior therapy. (Author)

Wolpe, Joseph

1981-01-01

83

Sustained efficacy of dialectical behaviour therapy for borderline personality disorder  

Microsoft Academic Search

Dialectical Behaviour Therapy (DBT) is considered one of the most promising treatments for borderline personality disorder (BPD). Recently, we reported significantly positive effects of 12 months DBT on parasuicidal behaviour and impulsivity in a mixed group of female BPD patients with and without substance abuse. Fifty-eight women with BPD were randomly assigned to either 52 weeks of DBT or treatment

Maarten W. J. Koeter; Theo Stijnen; Roel Verheul; Wim van den Brink

2005-01-01

84

Pathway to Efficacy: Recognizing Cognitive Behavioral Therapy as an Underlying Theory for Adventure Therapy.  

ERIC Educational Resources Information Center

Adventure therapy and cognitive behavioral therapy share elements, including transformation of distorted thinking patterns, a focus on current and future functioning, consideration of the counselor-client relationship, and the use of stress in the change process. Recognizing cognitive behavioral therapy as an empirically sound theory underlying…

Gillen, Mark C.

2003-01-01

85

Therapist and Adolescent Behavior in Online Therapy  

E-print Network

and repeated opportunities (anticipate future communications) to exchange information and build relationships. To examine the extent to which the process of online therapy resembles face-to-face therapy, online therapy transcripts were examined through a...

Cepeda, Lisa Marie

2009-05-15

86

The derailment of behavior therapy: a tale of conceptual misdirection.  

PubMed

Forty years ago it was shown that neuroses are persistent unadaptive anxiety response habits that can be systematically overcome by deconditioning procedures collectively known as behavior therapy. Indispensable to behavior therapy is behavior analysis--detailed and accurate specification of the antecedents of the individual's neurotic patterns. In recent years, the behavior therapy movement has been infiltrated by two alien orientations--"exposure therapy" and cognitivism--which repudiate conditioning theory and dispense with the characteristic behavior analysis. By claiming to be more effective, the alien approaches have induced widespread abandonment of the conditioning model. In fact, outcomes have not been improved by the alien methodologies, and in many cases have become worse. Also, no viable theory of change has been proposed in place of conditioning. The result is an amorphous eclecticism to which psychoanalysis and primal scream could readily be added. Some first steps are suggested towards restoring conditioning principles to their central role in the behavior therapy field. PMID:2671049

Wolpe, J

1989-03-01

87

Identification of two new sets of genes for dibenzothiophene transformation in Burkholderia sp. DBT1.  

PubMed

A novel genotype for the initial steps of the oxidative degradation of dibenzothiophene (DBT) is described in a Burkholderia sp. strain isolated from a drain receiving oil refinery wastewater. The strain is capable of transforming DBT with significant efficiency when compared to other microorganisms. Its genotype was discovered by investigating insertional mutants of genes involved in DBT degradation by the Kodama pathway. The cloned dbt genes show a novel genomic organization when compared to previously described genes capable of DBT catabolism in that they constitute two distinct operons and are not clustered in a single transcript. Sequence analysis suggests the presence of a sigma54-dependent positive transcriptional regulator that may be involved in the control of the transcription of the two operons, both activated by DBT. The achieved results suggest the possibility of novel features of DBT biotransformation in nature. PMID:15068372

Di Gregorio, Simona; Zocca, Chiara; Sidler, Stephan; Toffanin, Annita; Lizzari, Daniela; Vallini, Giovanni

2004-04-01

88

Transitional Probability Analysis of Two Child Behavior Analytic Therapy Cases  

ERIC Educational Resources Information Center

This paper aimed to highlight the process of therapist direct contingent responding to shape client behavior in two Child Behavior Analytic Therapy (CBAT) cases using transitional probabilities. The Functional Analytic Psychotherapy Rating Scale (FAPRS) was used to code client behaviors and the Multidimensional System for Coding Behaviors in…

Xavier, Rodrigo Nunes; Kanter, Jonathan William; Meyer, Sonia Beatriz

2012-01-01

89

Newer variations of cognitive-behavioral therapy: behavioral activation and mindfulness-based cognitive therapy.  

PubMed

Recent innovations in the treatment and prevention of depression that build on the foundation of cognitive-behavioral therapy represent promising directions for clinical practice and research. Specifically, behavioral activation and mindfulness-based cognitive therapy have been a recent focus of attention. Behavioral activation is a brief, structured approach to treating acute depression that seeks to alleviate depression by promoting an individual's contact with sources of reward through increasing activation, improving problem solving, and decreasing avoidance and other barriers to activation. Mindfulness-based cognitive therapy is a brief group intervention that seeks to prevent depressive relapse by promoting mindful attention, acceptance, and skillful action to help individuals interrupt habitual cognitive and affective patterns associated with risk of relapse. Each approach is supported by at least two large-scale, randomized clinical trials; however, many important questions remain. We examine current research on both approaches by addressing the robustness of findings, the extension to novel populations, and the processes by which clinical benefit is achieved. PMID:19909667

Dimidjian, Sona; Davis, Kyle J

2009-12-01

90

Kansei interaction between fragrance and behavior in music therapy  

Microsoft Academic Search

The aim of this study is to clarify the effect which aroma (fragrance and\\/or flavor) push to the behavior in a scene of the music therapy. The music therapy is designed to improve the functioning of mind and body at using which music has the function and role for the illness and health. And this therapy is used in broad

S. Kunieda; H. Jingu

2005-01-01

91

Behavior therapy versus psychoanalysis: Therapeutic and social implications  

Microsoft Academic Search

Although the specific efficacy of psychoanalytic therapy in the treatment of the neuroses has never been demonstrated, psychoanalytic theory and practices continue to dominate the field of clinical psychology. That psychoanalytic theory has not been displaced by the behavioral theory of neurosis is seen as remarkable in view of the persuasive evidence that exists for the efficacy of behavior therapy.

Joseph Wolpe

1981-01-01

92

Teaching Cognitive-Behavioral Therapy to Undergraduate Psychology Students  

ERIC Educational Resources Information Center

This article describes an experimental undergraduate psychology course that ran for two semesters during the 2009 academic year at a private, urban university in the United States. Students learned the techniques and strategies of cognitive behavioral therapy (CBT) and rational emotive behavior therapy (REBT) with a focus on the practical elements…

Ryan, Tracey Ellen; Blau, Shawn; Grozeva, Dima

2011-01-01

93

Cognitive Behavioral Therapy, Sertraline, or a Combination in Childhood Anxiety  

PubMed Central

Background Anxiety disorders are common psychiatric conditions affecting children and adolescents. Although cognitive behavioral therapy and selective serotonin-reuptake inhibitors have shown efficacy in treating these disorders, little is known about their relative or combined efficacy. Methods In this randomized, controlled trial, we assigned 488 children between the ages of 7 and 17 years who had a primary diagnosis of separation anxiety disorder, generalized anxiety disorder, or social phobia to receive 14 sessions of cognitive behavioral therapy, sertraline (at a dose of up to 200 mg per day), a combination of sertraline and cognitive behavioral therapy, or a placebo drug for 12 weeks in a 2:2:2:1 ratio. We administered categorical and dimensional ratings of anxiety severity and impairment at baseline and at weeks 4, 8, and 12. Results The percentages of children who were rated as very much or much improved on the Clinician Global Impression-Improvement scale were 80.7% for combination therapy (P<0.001), 59.7% for cognitive behavioral therapy (P<0.001), and 54.9% for sertraline (P<0.001); all therapies were superior to placebo (23.7%). Combination therapy was superior to both monotherapies (P<0.001). Results on the Pediatric Anxiety Rating Scale documented a similar magnitude and pattern of response; combination therapy had a greater response than cognitive behavioral therapy, which was equivalent to sertraline, and all therapies were superior to placebo. Adverse events, including suicidal and homicidal ideation, were no more frequent in the sertraline group than in the placebo group. No child attempted suicide. There was less insomnia, fatigue, sedation, and restlessness associated with cognitive behavioral therapy than with sertraline. Conclusions Both cognitive behavioral therapy and sertraline reduced the severity of anxiety in children with anxiety disorders; a combination of the two therapies had a superior response rate. (ClinicalTrials.gov number, NCT00052078.) PMID:18974308

Walkup, John T.; Albano, Anne Marie; Piacentini, John; Birmaher, Boris; Compton, Scott N.; Sherrill, Joel T.; Ginsburg, Golda S.; Rynn, Moira A.; McCracken, James; Waslick, Bruce; Iyengar, Satish; March, John S.; Kendall, Philip C.

2009-01-01

94

Cognitive behavioral therapy for back pain  

MedlinePLUS

... CBT) can help many people deal with chronic back pain. ... Nonspecific back pain - cognitive behavioral; Backache - chronic - cognitive behavioral; Lumbar pain - chronic - cognitive behavioral; Pain - back - chronic - cognitive behavioral; Chronic ...

95

Cognitive-behavioral therapy, light therapy, and their combination in treating seasonal affective disorder  

Microsoft Academic Search

Background: The need to develop supplementary or alternative treatments for seasonal affective disorder (SAD) is underscored by the significant minority (47%) of SAD patients that is refractory to light therapy, the persistence of residual symptoms despite light treatment, and poor long-term compliance with light use. Because preliminary studies suggest that cognitive and behavioral factors are involved in SAD, cognitive-behavioral therapy

Kelly J Rohan; Kathryn Tierney Lindsey; Kathryn A Roecklein; Timothy J Lacy

2004-01-01

96

The Efficacy of Behavioral Couples Therapy and Emotionally Focused Therapy for Couple Distress  

Microsoft Academic Search

Twenty treatment outcome studies, 13 of which evaluated behavioral couples therapy (BCT) and seven of which evaluated emotionally focused therapy (EFT) were reviewed, leading to the following conclusions. BCT leads to short and long-term gains for moderate to severe couple distress. In the long term BCT probably leads to no better outcomes than its constituent components—behavioral exchange training and communication

Michael Byrne; Alan Carr; Marie Clark

2004-01-01

97

Behavior therapy and the facilitation of psychoanalytic exploration  

Microsoft Academic Search

Suggests that behavior therapy techniques be used to facilitate psychoanalytic treatment. At times, direct efforts to relieve specific troubling behavior and reduce incapacitating anxiety may be necessary for progress in psychoanalytic treatment. The exclusivity of both the behavioral and psychoanalytic approaches is criticized. Case studies illustrate these views.

Paul L. Wachtel

1975-01-01

98

[Clinical perfectionism and cognitive behavioral therapy].  

PubMed

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, one individual can learn how to set specific and realistic goals, to focus on the process of a task instead of its result, to organise activities in a hierarchy depending on their significance and, finally, to feel fulfilled even if they have not brought a task to completion. It is a fact that the core schemas of clinical perfectionism are characterised by rigidity due to the excessive number of secondary benefits they provide for one person. The exploration of those benefits and the discovery of alternative sources of fulfillment are areas of therapeutic work. PMID:22549041

Papadomarkaki, E; Portinou, S

2012-01-01

99

Using Clay Therapy To Change Negative Behaviors.  

ERIC Educational Resources Information Center

This manual describes a clay therapy program appropriate for use with students having a variety of exceptionalities and in an age range from 6 to 18 years. Organization and staffing are briefly discussed followed by a list of long range goals (affective, motoric, and aesthetic), suggestions for clay therapy implementation to achieve these goals,…

Kahn, Victoria

100

A Behaviorally-Oriented Activities Therapy Program for Adolescents.  

ERIC Educational Resources Information Center

A behaviorally-oriented activities therapy program was designed and implemented with adolescents who manifested problems at school, at home, and with peers. Techniques employed included: contingency contracting, assertiveness training, relaxation training, and cognitive restructuring. (Author/KC)

Chasanoff, Enid; Schrader, Carl

1979-01-01

101

Contextual Behavior Therapies in the Treatment of PTSD A Review  

Microsoft Academic Search

Empirical evidence supports cognitive -behavioral interventions for the treatment Posttraumatic Stress Disorder (PTSD), with exposure therapy typically being the most frequently utilized. While the success of exposure treatments is well established there are factors which may hinder their use in \\

Patrick S. Mulick; Sara J. Landes; Jonathan W. Kanter

2005-01-01

102

The behavioral role of physical therapy in pain management  

Microsoft Academic Search

Physical therapy assessment and treatment of chronic pain patients focuses on increasing functional ability and decreasing\\u000a disability. A range of behavioral techniques discussed in this paper are used to achieve these goals.

Harriët Wittink; Lisa Janice Cohen

1998-01-01

103

Improving Mealtime Behaviors of a Multihandicapped Child Using Behavior Therapy Techniques.  

ERIC Educational Resources Information Center

Inappropriate mealtime behaviors of a blind, mentally retarded, behaviorally disordered 10-year-old were modified via behavior therapy techniques, including audiotape of favorite stories turned off during inappropriate behavior and praise (plus access to food) for appropriate napkin and utensil use, once desired sitting posture had been…

Sisson, L. A.; Dixon, M. J.

1986-01-01

104

Behavioral and Psychodynamic Dimensions of the New Sex Therapy  

ERIC Educational Resources Information Center

The new sex therapy, a brief outpatient treatment of sexual dysfunction consisting of structured sexual exercises and conjoint therapeutic sessions, is a systematic integration of behavioral and psychodynamic elements. The integration of approaches in the new sex therapy has general significance for psychotherapeutic theory and practice. (Author)

Sollod, Robert N.

1975-01-01

105

Gamblers Anonymous and Cognitive-Behavioral Therapies for Pathological Gamblers  

Microsoft Academic Search

Numerous types of treatments for pathological gambling have been described, but two of the most common are Gamblers Anonymous (GA) and cognitive-behavioral therapy. This paper describes some outcome data associated with the two approaches. It also reviews evidence suggesting that a combined intervention may enhance therapy engagement and reduce relapse rates.

Nancy M. Petry

2005-01-01

106

The Motivational Enhancement Therapy and Cognitive Behavioral Therapy Supplement: 7 Sessions of Cognitive Behavioral Therapy for Adolescent Cannabis Users, Cannabis Youth Treatment (CYT) Series, Volume 2.  

ERIC Educational Resources Information Center

This manual, a supplement to "Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions, Cannabis Youth Treatment (CYT) Series, Volume 1", presents a seven-session cognitive behavioral treatment (CBT7) approach designed especially for adolescent cannabis users. It addresses the implementation and…

Webb, Charles; Scudder, Meleney; Kaminer, Yifrah; Kaden, Ron

107

Family Cognitive Behavioral Therapy for Child Anxiety Disorders  

ERIC Educational Resources Information Center

Objective: This study compared family-focused cognitive behavioral therapy (CBT: the Building Confidence Program) with traditional child-focused CBT with minimal family involvement for children with anxiety disorders. Method: Forty clinically anxious youth (6-13 years old) were randomly assigned to a family- or child-focused cognitive-behavioral

Wood, Jeffrey J.; Piacentini, John C.; Southam-Gerow, Michael; Chu, Brian C.; Sigman, Marian

2006-01-01

108

Pharmacological enhancement of behavioral therapy: focus on posttraumatic stress disorder.  

PubMed

Improved efficacy in the treatment of posttraumatic stress disorder (PTSD) and other anxiety disorders is urgently needed. Traditional anxiety treatments of hypnosis and psychodynamic therapy may be of some help, but uncontrolled studies lead to inconclusive results on the efficacy of these treatment techniques. There is a larger literature supporting the efficacy of cognitive-behavioral procedures with PTSD, including prolonged exposure therapy, eye movement desensitization and reprocessing, and anxiety management techniques. The cutting-edge technology of virtual reality-based exposure therapy for PTSD is particularly exciting. To further build on effective psychosocial treatments, current pharmacological augmentation approaches to emotional learning are being combined with psychotherapy. In particular, D-cycloserine, a partial NMDA agonist, has shown to be effective in facilitating the exposure/extinction therapy to improve the efficacy of treating anxiety disorders, and may guide the way for new pharmacological enhancements of behavioral therapy. PMID:21309114

Choi, Dennis C; Rothbaum, Barbara O; Gerardi, Maryrose; Ressler, Kerry J

2010-01-01

109

Individualized Behavior Management Program for Alzheimer’s\\/Dementia Residents Using Behavior-Based Ergonomic Therapies  

Microsoft Academic Search

Person-centered, nonpharmacological interventions for managing Alzheimer’s\\/dementia-related behavioral disturbances have received significant attention. However, such interventions are quite often of a single type limiting their benefits. We develop a comprehensive nonpharmacological intervention, the Behavior-Based Ergonomic Therapy (BBET), which consists of multiple therapies. This low-cost, 24\\/7 program uses learning, personality, and behavioral profiles and cognitive function of each resident to develop a

Govind Bharwani; Pratik J. Parikh; Larry W. Lawhorne; Eric VanVlymen; Meena Bharwani

2012-01-01

110

[Acceptance and mindfulness-based cognitive-behavioral therapies].  

PubMed

Cognitive behavioral therapy (CBT) is one of the main approaches in psychotherapy. It teaches the patient to examine the link between dysfunctional thoughts and maladaptive behaviors and to re- evaluate the cognitive biases involved in the maintenance of symptoms by using strategies such as guided discovery. CBT is constantly evolving in part to improve its' effectiveness and accessibility. Thus in the last decade, increasingly popular approaches based on mindfulness and acceptance have emerged. These therapies do not attempt to modify cognitions even when they are biased and dysfunctional but rather seek a change in the relationship between the individual and the symptoms. This article aims to present the historical context that has allowed the emergence of this trend, the points of convergence and divergence with traditional CBT as well as a brief presentation of the different therapies based on mindfulness meditation and acceptance. Hayes (2004) described three successive waves in behavior therapy, each characterized by "dominant assumptions, methods and goals": traditional behavior therapy, cognitive therapy and therapies based on mindfulness meditation and acceptance. The latter consider that human suffering occurs when the individual lives a restricted life in order avoid pain and immediate discomfort to the detriment of his global wellbeing. These therapies combine mindfulness, experiential, acceptance strategies with traditional behavior principles in order to attain lasting results. There are significant points of convergence between traditional CBT and therapies based on mindfulness meditation and acceptance. They are both empirically validated, based upon a theoretical model postulating that avoidance is key in the maintenance of psychopathology and they recommend an approach strategy in order to overcome the identified problem. They both use behavioral techniques in the context of a collaborative relationship in order to identify precise problems and to achieve specific goals. They focus on the present moment rather than on historical causes. However, they also present significant differences: control vs acceptance of thoughts, focus on cognition vs behavior, focus on the relationship between the individual and his thoughts vs cognitive content, goal of modifying dysfunctional beliefs vs metacognitive processes, use of experiential vs didactic methods, focus on symptoms vs quality of life, strategies used before vs after the unfolding of full emotional response. The main interventions based on mindfulness meditation and acceptance are: Acceptance and Commitment Therapy, Functional Analytic Therapy, the expanded model of Behavioral Activation, Metacognitive Therapy, Mindfulness based Cognitive Therapy, Dialectic Behavior Therapy, Integrative Behavioral Couples Therapy and Compassionate Mind Training. These are described in this article. They offer concepts and techniques which might enhance therapeutic efficacy. They teach a new way to deploy attention and to enter into a relationship with current experience (for example, defusion) in order to diminish cognitive reactivity, a maintenance factor for psychopathology, and to enhance psychological flexibility. The focus on cognitive process, metacognition as well as cognitive content might yield additional benefits in therapy. It is possible to combine traditional CBT with third wave approaches by using psychoeducation and cognitive restructuring in the beginning phases of therapy in order to establish thought bias and to then encourage acceptance of internal experiences as well as exposure to feared stimuli rather than to continue to use cognitive restructuring techniques. Traditional CBT and third wave approaches seem to impact different processes: the former enhance the capacity to observe and describe experiences and the latter diminish experiential avoidance and increase conscious action as well as acceptance. The identification of personal values helps to motivate the individual to undertake actions required in order to enhance quality of life. In

Ngô, Thanh-Lan

2013-01-01

111

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

ERIC Educational Resources Information Center

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…

Jennings, Jerry L.; Deming, Adam

2013-01-01

112

Adventure Based Therapy and Outdoor Behavioral Healthcare  

E-print Network

and Adolescents with Autism” Report #5 – February 2003, “Family Centered Home Based Models for Treatment Prevention” Report #6 – April 2003, “Children and Adolescents with Asperger Syndrome” c. 2003 State of Kansas Department of Social... is that the program can be categorized in one of these two groups and is necessarily a licensed therapeutic provider, eligible for third-party insurance reimbursement. It is important to note that not all Wilderness Therapy or Long-Term Residential Camping...

Swaim, Tara; Petr, Chris

2003-05-01

113

Cognitive behavior therapy in the treatment of panic disorder  

PubMed Central

Background: Comprehensive cognitive behavior therapies have been proved to be more effective than behavioral interventions. However, the efficacy of CBT is not studied in the Indian context and also, the amount of change brought about by CBT is not known. Aims: This study aims to examine the efficacy of cognitive behavioral intervention (CBI) in the treatment of panic disorder. Our specific objectives were to assess the effectiveness of CBI in reducing symptom severity as well as cognitions related to panic and panic-related behaviors. Design: The study adopted a two-group comparison with pre- and postassessments design. Materials and Methods: The sample consisted of 30 patients sequentially allotted to the CBI (n = 15) and behavioral intervention (BI, n = 15) groups. Assessment was done using a semistructured interview schedule, panic disorder severity scale, Texas panic attack record form, Anxiety Sensitivity Index, Agoraphobic cognitions questionnaire, Behavioral avoidance checklist, and Panic appraisal inventory. The CBI group was provided with comprehensive cognitive behavior therapy and the BI group with psycho-education and applied relaxation. Results: CBI was found to be superior to BI in the reduction of panic symptoms, behavioral avoidance, safety behaviors, and cognitions. A large percentage of the CBI group patients met the criteria for clinically significant change with a large magnitude of change. Conclusion: Multicomponent CBI is superior to BI in terms of the amount of change it brings about with respect to panic symptoms, avoidance, safety behaviors, and cognitions. PMID:19823629

Manjula, M.; Kumariah, V.; Prasadarao, P. S. D. V.; Raguram, R.

2009-01-01

114

Cognitive behavioral therapy for compulsive buying disorder  

Microsoft Academic Search

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

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

2006-01-01

115

Trauma-Focused Cognitive Behavior Therapy for School Psychologists  

Microsoft Academic Search

Schools are ideal settings for identifying children and adolescents who have been exposed to traumatic events. They are also ideal for providing evidence-based mental health services, such as trauma-focused cognitive behavioral therapy, to students affected by childhood posttraumatic stress disorder and co-occurring mental health and behavioral problems. Educators and school psychologists are uniquely positioned to educate school staff and families

Monica M. Fitzgerald; Judith A. Cohen

2012-01-01

116

Cognitive–Behavior Therapy for Late-Life Insomnia  

Microsoft Academic Search

Twenty-four older adults with persistent psychophysiological insomnia were randomly assigned to an immediate or a delayed cognitive–behavioral intervention in a waiting-list control group design. Cognitive–behavior therapy consisted of an 8-week group intervention aimed at changing maladaptive sleep habits and altering dysfunctional beliefs and attitudes about sleeplessness. Treatment was effective in reducing sleep latency, wake after sleep onset, and early morning

Charles M. Morin; Robert A. Kowatch; Theresa Barry; Esther Walton

1993-01-01

117

Cognitive Behavioral Therapy, Sertraline, or a Combination in Childhood Anxiety  

Microsoft Academic Search

Background Anxiety disorders are common psychiatric conditions affecting children and ado- lescents. Although cognitive behavioral therapy and selective serotonin-reuptake in- hibitors have shown efficacy in treating these disorders, little is known about their relative or combined efficacy. Methods In this randomized, controlled trial, we assigned 488 children between the ages of 7 and 17 years who had a primary diagnosis

John T. Walkup; Anne Marie Albano; John Piacentini; Boris Birmaher; Scott N. Compton; Joel T. Sherrill; Golda S. Ginsburg; Moira A. Rynn; James McCracken; Bruce Waslick; Satish Iyengar; John S. March; Philip C. Kendall

2008-01-01

118

Helping Individuals with Sleep Disturbances: Some Behavior Therapy Techniques.  

ERIC Educational Resources Information Center

Describes a range of behavior therapy techniques for treating sleep disturbances, including physical activity, relaxation training, biofeedback, autogenic training, and cognitive techniques. The importance of understanding the client's background is emphasized. Restoring the client's self-control and positive psychological growth are stressed.…

Alley, Patricia M.

1983-01-01

119

Behavioral Couples Therapy for Alcoholism and Drug Abuse  

Microsoft Academic Search

Behavioral Couples Therapy (BCT) is designed for married or cohabiting individuals seeking help for alcoholism or drug abuse. BCT sees the substance-abusing patient together with the spouse or live-in partner. Its purposes are to build support for abstinence and to improve relationship functioning. BCT promotes abstinence with a “recovery contract” that involves both members of the couple in a daily

Timothy J. OFarrell; Abigail Z. Schein

2011-01-01

120

Modular Cognitive-Behavioral Therapy for Body Dysmorphic Disorder  

ERIC Educational Resources Information Center

This study pilot tested a newly developed modular cognitive-behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22 weeks. Standardized clinician ratings…

Wilhelm, Sabine; Phillips, Katharine A.; Fama, Jeanne M.; Greenberg, Jennifer L.; Steketee, Gail

2011-01-01

121

Optimizing Cognitive-Behavioral Therapy for Childhood Psychiatric Disorders  

ERIC Educational Resources Information Center

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.

Piacentini, John

2008-01-01

122

Enriching Psychodrama Through the Use of Cognitive Behavioral Therapy Techniques  

Microsoft Academic Search

In this article, the authors combine psychodrama and cognitive behavioral therapy techniques in applied group settings. They illustrate the application of some CBT techniques that they found helpful in the three phases of psychodrama with college students and patients diagnosed with mood, substance abuse, anxiety, and personality disorders. Although both CBT and psychodrama models stress the discovery process through Socratic

Thomas Treadwell; V. K. KUMAR; JOSEPH H. WRIGHT

2002-01-01

123

Behavioral couples therapy for alcoholism and drug abuse  

Microsoft Academic Search

Behavioral couples therapy (BCT) sees the substance-abusing patient with the spouse to arrange a daily “sobriety contract” in which the patient states his or her intent not to drink or use drugs and the spouse expresses support for the patient's efforts to stay abstinent. BCT also teaches communication and increases positive activities. Research supports three conclusions. First, BCT for both

Timothy J. O'Farrell; William Fals-Stewart

2000-01-01

124

Cognitive-behavioral therapy for geriatric compulsive hoarding  

Microsoft Academic Search

This investigation examined response to a manualized cognitive-behavioral therapy (CBT) protocol for compulsive hoarding (Steketee & Frost, 2007) in a sample of 12 adults over age 65. All participants were cognitively intact, not engaging in any other psychotherapy, and had compulsive hoarding as their primary problem. All received 26 sessions of individual CBT over the course of 17 weeks. The

Catherine R. Ayers; Julie Loebach Wetherell; Shahrokh Golshan; Sanjaya Saxena

2011-01-01

125

Cognitive Behavior Therapy in Panic Disorder and Comorbid Major Depression  

Microsoft Academic Search

Background: There is a lack of evidence about the effectiveness of cognitive behavior therapies (CBT) in settings of routine clinical care as well as in the treatment of panic and comorbid disorders. Methods: We investigated a group-oriented CBT approach for 80 patients with panic disorder including 35 patients with current comorbid major depression. Assessments took place 6 months before treatment,

Winfried Rief; Susanne Trenkamp; Claudia Auer; Manfred M. Fichter

2000-01-01

126

Contextual Behavior Therapies in the Treatment of PTSD: A Review  

ERIC Educational Resources Information Center

Empirical evidence supports cognitive-behavioral interventions for the treatment Posttraumatic Stress Disorder (PTSD), with exposure therapy typically being the most frequently utilized. While the success of exposure treatments is well established there are factors which may hinder their use in "real-world" settings (e.g., poor treatment…

Mulick, Patrick S.; Landers, Sara J.; Kanter, Jonathan W.

2005-01-01

127

Behavior Therapy for Pediatric Trichotillomania: A Randomized Controlled Trial  

ERIC Educational Resources Information Center

Objective: To examine the efficacy and durability of a behavioral therapy (BT) protocol for pediatric TTM compared with a minimal attention control (MAC) condition. It was hypothesized that the BT condition would be superior to MAC at the end of acute treatment, and would also demonstrate durability of gains through the maintenance treatment…

Franklin, Martin E.; Edson, Aubrey L.; Ledley, Deborah A.; Cahill, Shawn P.

2011-01-01

128

Pavlov’s Contributions to Behavior Therapy: The Obvious and the Not So Obvious  

Microsoft Academic Search

The foundation, accomplishments, and proliferation of behavior therapy have been fueled largely by the movement’s grounding in behavioral principles and theories. Ivan P. Pavlov’s discovery of conditioning principles was essential to the founding of behavior therapy in the 1950s and continues to be central to modern behavior therapy. Pavlov’s major legacy to behavior therapy was his discovery of \\

Joseph Wolpe; Joseph J. Plaud

1997-01-01

129

How Has Applied Behavior Analysis and Behavior Therapy Changed?: An Historical Analysis of Journals  

ERIC Educational Resources Information Center

Applied behavior analysis and behavior therapy are now nearly a half century old. It is interesting to ask if and how these disciplines have changed over time, particularly regarding some of their key internal controversies (e.g., role of cognitions). We examined the first five years and the 2000-2004 five year period of the "Journal of Applied…

O'Donohue, William; Fryling, Mitch

2007-01-01

130

A Randomized Controlled Trial of Cognitive Therapy versus Intensive Behavior Therapy in Obsessive Compulsive Disorder  

Microsoft Academic Search

Background: The study was designed to compare cognitive therapy (CT) with intensive behavior therapy (BT) in obsessive-compulsive disorder (OCD) and to study their change process. Methods: Sixty-five outpatients with DSM-4 OCD were randomized into 2 groups for 16 weeks of individual treatment in 3 centers. Group 1 received 20 sessions of CT. Group 2 received a BT program of 20

Jean Cottraux; Sai Nan Yao; Sylviane Lafont; Evelyne Mollard; Martine Bouvard; Alain Sauteraud; Marc Bourgeois; Jean-François Dartigues

2001-01-01

131

Rational-emotive therapy and cognitive behavior therapy: Similarities and differences  

Microsoft Academic Search

General or nonpreferential rational-emotive therapy (RET)is synonymous with cognitive behavior therapy (CBT).Specialized or preferential RET, however, differs from CBT in several ways. Cognitively, it has a pronounced philosophic emphasis, includes a humanistic-existentialist out-look, strives for pervasive and long-lasting rather than symptomatic change, tries to eliminate all self-ratings, stresses antimusturbatory rather than antiempirical disputing methods, recognizes the palliative aspects of cognitive

Albert Ellis

1980-01-01

132

Winter Depression Recurrence One Year After Cognitive-Behavioral Therapy, Light Therapy, or Combination Treatment  

Microsoft Academic Search

The central public health challenge in the management of seasonal affective disorder (SAD) is prevention of depression recurrence each fall\\/winter season. The need for time-limited treatments with enduring effects is underscored by questionable long-term compliance with clinical practice guidelines recommending daily light therapy during the symptomatic months each year. We previously developed a SAD-tailored group cognitive-behavioral therapy (CBT) and tested

Kelly J. Rohan; Kathryn A. Roecklein; Timothy J. Lacy; Pamela M. Vacek

2009-01-01

133

Psychosocial Treatment for Methamphetamine Use Disorders: A Preliminary Randomized Controlled Trial of Cognitive Behavior Therapy and Acceptance and Commitment Therapy  

Microsoft Academic Search

Acceptance and Commitment Therapy (ACT) incorporates developments in behavior therapy, holds promise but has not been evaluated for methamphetamine use disorders. The objective of this study was to test whether ACT would increase treatment attendance and reduce methamphetamine use and related harms compared to cognitive behavior therapy (CBT). One hundred and four treatment-seeking adults with methamphetamine abuse or dependence were

Matthew F. Smout; Marie Longo; Sonia Harrison; Rinaldo Minniti; Wendy Wickes; Jason M. White

2010-01-01

134

United we stand: emphasizing commonalities across cognitive-behavioral therapies.  

PubMed

Cognitive behavioral therapy (CBT) has a rich history of alleviating the suffering associated with mental disorders. Recently, there have been exciting new developments, including multicomponent approaches, incorporated alternative therapies (e.g., meditation), targeted and cost-effective technologies, and integrated biological and behavioral frameworks. These field-wide changes have led some to emphasize the differences among variants of CBT. Here, we draw attention to commonalities across cognitive-behavioral therapies, including shared goals, change principles, and therapeutic processes. Specifically, we offer a framework for examining common CBT characteristics that emphasizes behavioral adaptation as a unifying goal and three core change principles, namely (a) context engagement to promote adaptive imagining and enacting of new experiences; (b) attention change to promote adaptive sustaining, shifting, and broadening of attention; and (c) cognitive change to promote adaptive perspective taking on events so as to alter verbal meanings. Further, we argue that specific intervention components, including behavioral exposure/activation, attention training, acceptance/tolerance, decentering/defusion, and cognitive reframing, may be emphasized to a greater or lesser degree by different treatment packages but are still fundamentally common therapeutic processes that are present across approaches and are best understood by their relationships to these core CBT change principles. We conclude by arguing for shared methodological and design frameworks for investigating unique and common characteristics to advance a unified and strong voice for CBT in a widening, increasingly multimodal and interdisciplinary, intervention science. PMID:23611074

Mennin, Douglas S; Ellard, Kristen K; Fresco, David M; Gross, James J

2013-06-01

135

Cognitive behavior therapy for obsessive-compulsive and related disorders.  

PubMed

Cognitive behavior therapy (CBT) is considered a first-line intervention for obsessive-compulsive disorder (OCD) across the lifespan. Efficacy studies of CBT with exposure and response prevention suggest robust symptom reduction, often with sustained remission. Acceptability of CBT is high, and the treatment is devoid of adverse side effects. The primary mechanism of CBT is based on operant principles, specifically extinction learning. The efficacy of extinction-based treatments such as CBT is being shown for other obsessive-compulsive spectrum disorders. This article reviews the theoretic basis, clinical application, and relevant treatment outcome research for CBT and related therapies for several obsessive-compulsive spectrum disorders. PMID:25150570

Lewin, Adam B; Wu, Monica S; McGuire, Joseph F; Storch, Eric A

2014-09-01

136

[Ancient mental healing and cognitive behavior therapy in comparison].  

PubMed

Although cognitive-behavior therapy (CBT) is a relatively new psychotherapeutic approach, the theoretical antecedents actually date back two thousand years, to the period of the hellenistic philosophers. The Stoic Epictetus is often acknowledged as the main philosophical father of CBT and especially of rational-emotive therapy (RET). Beck and Ellis frequently noted that they have drawn upon the writings of the ancient philosophers in developing their psychotherapeutic techniques. This paper reviews some implications of hellenistic philosophy for CBT. We like to show that the teachings of the ancient 'healer of souls' are remarkably consistent with the current theoretical framework and techniques of CBT. PMID:3073604

Hoellen, B; Laux, J

1988-01-01

137

A Comparison of Pharmacological (Amitriptyline HCL) and Nonpharmacological (Cognitive-Behavioral) Therapies for Chronic Tension Headaches.  

ERIC Educational Resources Information Center

Randomly assigned 41 recurrent tension headache sufferers to either cognitive-behavioral therapy or to amitriptyline therapy. Both therapies yielded clinically significant improvements in headache activity. In instances where differences in treatment effectiveness were observed, cognitive-behavioral therapy yielded somewhat more positive outcomes…

Holroyd, Kenneth A.; And Others

1991-01-01

138

Parent-Child Interaction Therapy: Integration of Traditional and Behavioral Concerns.  

ERIC Educational Resources Information Center

Describes Parent-Child Interaction Therapy, a behavioral family therapy approach for the psychological treatment of preschool children and their parents that emphasizes the integration of traditional child play therapy techniques within a behavioral framework of parent-child therapy. Implications for the treatment of a broad range of childhood…

Eyberg, Sheila

1988-01-01

139

Effectiveness of Behavioral Therapy for Chronic Low Back Pain: A Component Analysis.  

ERIC Educational Resources Information Center

Evaluated effects of group behavioral therapy including aerobic exercise, behavioral therapy alone, and aerobic exercise alone on pain and physical and psychological disability among mildly disabled chronic low-back-pain patients (n=96). The combined behavioral therapy and exercise group improved significantly more pretreatment to posttreatment…

Turner, Judith A.; And Others

1990-01-01

140

Cognitive behavioral therapy in the treatment of social phobia  

PubMed Central

Cognitive behavior therapy is probably the most well-known and the most practiced form of modern psychotherapy and has been integrated into highly structured package for the treatment of patients suffering from social phobia. The present case study is an attempt to provide therapeutic intervention program to a 27-year-old, unmarried Christian man suffering from social phobia. The patient was treated by using cognitive behavioral techniques. After 17 sessions of therapeutic intervention program, significant improvement was found. He was under follow-up for a period of 6 months and recovered to the premorbid level of functioning. PMID:21234166

Priyamvada, Richa; Kumari, Sapna; Prakash, Jai; Chaudhury, Suprakash

2009-01-01

141

Modular Cognitive–Behavioral Therapy for Body Dysmorphic Disorder  

Microsoft Academic Search

This study pilot tested a newly developed modular cognitive–behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22weeks. Standardized clinician ratings and self-report measures were used to assess BDD and related symptoms pre-

Sabine Wilhelm; Katharine A. Phillips; Jeanne M. Fama; Jennifer L. Greenberg; Gail Steketee

2011-01-01

142

Patient Utilization of Cognitive-Behavioral Therapy for OCD  

Microsoft Academic Search

The current study examined utilization of cognitive-behavioral therapy (CBT) by individuals receiving treatment for obsessive-compulsive disorder (OCD). Participants were 202 adults with primary DSM-IV OCD who enrolled in a longitudinal, observational study of the course of OCD and completed 2 years of annual follow-up interviews using the Longitudinal Interval Follow-Up Evaluation. One hundred twenty participants reported that a mental health

Steven A. Rasmussen

2011-01-01

143

Adaptive diffusion regularization for enhancement of microcalcifications in digital breast tomosynthesis (DBT) reconstruction  

NASA Astrophysics Data System (ADS)

Digital breast tomosynthesis (DBT) has been shown to increase mass detection. Detection of microcalcifications in DBT is challenging because of the small, subtle signals to be searched in the large breast volume and the noise in the reconstructed volume. We developed an adaptive diffusion (AD) regularization method that can differentially regularize noise and potential signal regions during reconstruction based on local contrast-to-noise ratio (CNR) information. This method adaptively applies different degrees of regularity to signal and noise regions, as guided by a CNR map for each DBT slice within the image volume, such that potential signals will be preserved while noise is suppressed. DBT scans of an American College of Radiology phantom and the breast of a subject with biopsy-proven calcifications were acquired with a GE prototype DBT system at 21 angles in 3° increments over a +/-30° range. Simultaneous algebraic reconstruction technique (SART) was used for DBT reconstruction. The AD regularization method was compared to the non-convex total p-variation (TpV) method and SART with no regularization (NR) in terms of the CNR and the full width at half maximum (FWHM) of the central gray-level line profile in the focal plane of a calcification. The results demonstrated that the SART regularized by the AD method enhanced the CNR and preserved the sharpness of microcalcifications compared to reconstruction without regularization. The AD regularization was superior to the TpV method for subtle microcalcifications in terms of the CNR while the FWHM was comparable. The AD regularized reconstruction has the potential to improve the CNR of microcalcifications in DBT for human or machine detection.

Lu, Yao; Chan, Heang-Ping; Fessler, Jeffrey A.; Hadjiiski, Lubomir; Wei, Jun; Goodsitt, Mitchell M.

2011-03-01

144

Randomized Controlled Comparison of Two Cognitive Behavioral Therapies for Obese Children: Mother versus Mother-Child Cognitive Behavioral Therapy  

Microsoft Academic Search

Background: Parent-child treatments have been shown to be superior to child-focused treatments of childhood obesity. Yet until now, the comparative effectiveness of parent-only and parent-child approaches has been little studied. Method: Fifty-six obese children and their families were randomly assigned to a 16-session cognitive behavioral therapy (CBT) for the parents only or for a combined treatment of parents and children.

Simone Munsch; Binia Roth; Tanja Michael; Andrea Hans Meyer; Esther Biedert; Sandra Roth; Vanessa Speck; Urs Zumsteg; Emanuel Isler; Jürgen Margraf

2008-01-01

145

Cognitive Behavioral Therapy to Promote Exercise Behavior in Older Adults: Implications for Physical Therapists  

Microsoft Academic Search

Although exercise has both physical and psychological benefits, most older adults do not exercise on a regular basis. Physical therapists need to explore ways to encourage sus- tained commitment. This article proposes that cognitive fac- tors contribute to older adults' inactivity and that the self-regulation of exercise maintenance model is a means of promoting exercise. Cognitive behavioral therapy (CBT), an

Margaret M. Herning; Joanne Kraenzle Schneider

146

Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of a Distinctive Model of  

E-print Network

Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of scientific development, which we term "contextual behavioral science." We outline the empirical progress of ACT and describe its distinctive development strategy. A contextual behavioral science approach

Meagher, Mary

147

Winter depression recurrence one year after cognitive-behavioral therapy, light therapy, or combination treatment.  

PubMed

The central public health challenge in the management of seasonal affective disorder (SAD) is prevention of depression recurrence each fall/winter season. The need for time-limited treatments with enduring effects is underscored by questionable long-term compliance with clinical practice guidelines recommending daily light therapy during the symptomatic months each year. We previously developed a SAD-tailored group cognitive-behavioral therapy (CBT) and tested its acute efficacy in 2 pilot studies. Here, we report an intent-to-treat (ITT) analysis of outcomes during the subsequent winter season (i.e., approximately 1 year after acute treatment) using participants randomized to CBT, light therapy, and combination treatment across our pilot studies (N=69). We used multiple imputation to estimate next winter outcomes for the 17 individuals who dropped out during treatment, were withdrawn from protocol, or were lost to follow-up. The CBT (7.0%) and combination treatment (5.5%) groups had significantly smaller proportions of winter depression recurrences than the light therapy group (36.7%). CBT alone, but not combination treatment, was also associated with significantly lower interviewer- and patient-rated depression severity at 1 year as compared to light therapy alone. Among completers who provided 1-year data, all statistically significant differences between the CBT and light therapy groups persisted after adjustment for ongoing treatment with light therapy, antidepressants, and psychotherapy. If these findings are replicated, CBT could represent a more effective, practical, and palatable approach to long-term SAD management than light therapy. PMID:19647524

Rohan, Kelly J; Roecklein, Kathryn A; Lacy, Timothy J; Vacek, Pamela M

2009-09-01

148

[Cognition, behavior and emotion in psychotherapy--an example of cognitive behavioral therapy for depression].  

PubMed

The development of neuroimaging methods has enabled significant advances toward elucidating the mechanism of cognition, behavior and emotion. This article first reviews recent human neuroimaging studies that examined the neurocircuitry of emotion and emotion regulation. Next, we review the neuroimaging literature of the effects of cognitive behavioral therapy for depression. Lastly, we provide the brain mechanism that the emotional support regulates psychological pain in ostracism, and then discuss a biological model of psychotherapy. We hope that the present review can help us, not only to better understand the biological basis of cognition, behavior and emotion in psychotherapy, but also to be aware of effects of psychotherapy on brain. PMID:22250442

Okamoto, Yasumasa; Yoshimura, Shinpei; Okada, Go; Jinnin, Ran; Nishiyama, Yoshiko; Yoshino, Atsuo; Toki, Shigeru; Yamawaki, Shigeto

2011-01-01

149

Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of a Distinctive Model of Behavioral and Cognitive Therapy  

PubMed Central

A number of recent authors have compared acceptance and commitment therapy (ACT) and traditional cognitive behavior therapy (CBT). The present article describes ACT as a distinct and unified model of behavior change, linked to a specific strategy of scientific development, which we term “contextual behavioral science.” We outline the empirical progress of ACT and describe its distinctive development strategy. A contextual behavioral science approach is an inductive attempt to build more adequate psychological systems based on philosophical clarity; the development of basic principles and theories; the development of applied theories linked to basic ones; techniques and components linked to these processes and principles; measurement of theoretically key processes; an emphasis on mediation and moderation in the analysis of applied impact; an interest in effectiveness, dissemination, and training; empirical testing of the research program across a broad range of areas and levels of analysis; and the creation of a more effective scientific and clinical community. We argue that this is a reasonable approach, focused on long-term progress, and that in broad terms it seems to be working. ACT is not hostile to traditional CBT, and is not directly buoyed by whatever weaknesses traditional CBT may have. ACT should be measured at least in part against its own goals as specified by its own developmental strategy. PMID:23611068

Hayes, Steven C.; Levin, Michael E.; Plumb-Vilardaga, Jennifer; Villatte, Jennifer L.; Pistorello, Jacqueline

2012-01-01

150

Evaluation of a 3D lesion segmentation algorithm on DBT and breast CT images  

NASA Astrophysics Data System (ADS)

Recently, tomosynthesis (DBT) and CT (BCT) have been developed for breast imaging. Since each modality produces a fundamentally different representation of the breast volume, our goal was to investigate whether a 3D segmentation algorithm for breast masses could be applied to both DBT and breast BCT images. A secondary goal of this study was to investigate a simplified method for comparing manual outlines to a computer segmentation. The seeded mass lesion segmentation algorithm is based on maximizing the radial gradient index (RGI) along a constrained region contour. In DBT, the constraint function was a prolate spherical Gaussian, with a larger FWHM along the depth direction where the resolution is low, while it was a spherical Gaussian for BCT. For DBT, manual lesion outlines were obtained in the in-focus plane of the lesion, which was used to compute the overlap ratio with the computer segmentation. For BCT, lesions were manually outlined in three orthogonal planes, and the average overlap ratio from the three planes was computed. In DBT, 81% of all lesions were segmented at an overlap ratio of 0.4 or higher, based on manual outlines in one slice through the lesion center. In BCT, 93% of all segmentations achieved an average overlap ratio of 0.4, based on the manual outlines in three orthogonal planes. Our results indicate mass lesions in both BCT and DBT images can be segmented with the proposed 3D segmentation algorithm, by selecting an appropriate set of parameters and after images have undergone specific pre-processing.

Reiser, I.; Joseph, S. P.; Nishikawa, R. M.; Giger, M. L.; Boone, J.; Lindfors, K.; Edwards, A.; Packard, N.; Moore, R. H.; Kopans, D. B.

2010-03-01

151

Cognitive-Behavioral Therapy of Panic Disorder with Secondary Major Depression: A Preliminary Investigation.  

ERIC Educational Resources Information Center

Investigated extent to which cognitive-behavioral therapy can be used successfully in treatment of secondary depressed panic patients. Findings from eight panic patients with major depression and seven panic patients without major depression showed that cognitive-behavioral therapy was significantly superior to information-based therapy in…

Laberge, Benoit; And Others

1993-01-01

152

Pathological behaviors provoked by dopamine agonist therapy of Parkinson's disease.  

PubMed

The dopamine agonist medications, pramipexole and ropinirole, are commonly used to treat Parkinson's disease. These two drugs have a highly specific affinity for cerebral D3 receptors, known to be localized to the mesolimbic system. Herein is described a common side effect of these drugs, encountered in our routine clinical practice: pathological behaviors. This includes excessive gambling, hypersexuality, shopping, hyperphagia or obsessive hobbying, which may develop in up to 30% of people taking higher agonist doses. In contrast, treatment with the dopamine precursor, levodopa, in the absence of D3 agonist therapy very rarely provokes such behavioral syndromes. Although these agonist-induced behaviors have been called "impulse control disorders", the problem is not simply loss of impulse control, but rather a novel obsessive-compulsion directed at one or a few behaviors, often taking on pathological proportions. This experience points to the dopamine D3 receptor as a potential therapeutic target for gambling, sex or other addictions occurring spontaneously in the general population. PMID:21557955

Ahlskog, J Eric

2011-07-25

153

Distinguishing integrative from eclectic practice in cognitive behavioral therapies.  

PubMed

In psychotherapy research, practice, and training, there remains marked controversy about the merits of theoretical purism (i.e., model specific), versus integration, as well as how such principles may be represented in practice. Adding to the confusion is that many attributes of the therapeutic relationship, processes in therapy, and techniques have been popularized in the context of one or two theoretical approaches, but are incorporated into the practice of many approaches. This article demonstrates the various ways in which three core interventions (i.e., activity scheduling, self-monitoring, and identification, evaluation, and modification of thoughts) can be applied within the context of different cognitive and behavioral therapeutic models. It also demonstrates the role of in-session therapist language in describing the theoretical basis and processes underpinning therapeutic interventions. Case examples are presented to illustrate therapy provided by two hypothetical clinicians, Therapist A and Therapist B. Whether or not a practitioner elects to practice integrative psychotherapy, we advocate for consistency in the theoretical approach through the course of a service for a particular patient. Implications are outlined and discussed within the context of the current state of cognitive and behaviorally focused psychotherapies and integrative psychotherapy. PMID:24000858

Petrik, Alexandra M; Kazantzis, Nikolaos; Hofmann, Stefan G

2013-09-01

154

Behavior Therapy and the Transdermal Nicotine Patch: Effects on Cessation Outcome, Affect, and Coping.  

ERIC Educational Resources Information Center

Process and outcome of a smoking cessation program using behavior therapy along (BT) or behavior therapy plus the nicotine patch (BTP) was studied in 64 participants. Abstinence was significantly higher for the BTP group from the end of behavioral treatment (79% vs. 63%) through the three-month follow-up, with the effects weakening at the six- and…

Cinciripini, Paul M.; And Others

1996-01-01

155

Dialectical Behavior Therapy for Women Victims of Domestic Abuse: A Pilot Study  

Microsoft Academic Search

This article describes a brief, 12-week dialectical behavior therapy program modified for female victims of domestic abuse and provides a preliminary examination of this intervention. Dialectical behavior therapy is a comprehensive cognitive–behavioral treatment, which was originally developed to treat multiproblem clients with severe and chronic emotion dysregulation, and was adapted for this study to treat female victims of domestic abuse.

Katherine M. Iverson; Chad Shenk; Alan E. Fruzzetti

2009-01-01

156

Behavioral Treatment of Essential Hypertension: A Comparison Between Cognitive Therapy and Biofeedback of Heart Rate  

Microsoft Academic Search

The efficacy and the mechanisms of action of two behavioral treatments for essential hyper- tension were compared: cognitive group therapy for anger control and biofeedback for heart rate control. The cognitive therapy aimed at lowering the \\

JUDITH ACHMON; MICHEL GRANEK; MIRA GOLOMB; JACOB HART

157

Distress Tolerance and Rational-Emotive Behavior Therapy: A New Role for Behavioral Analogue Tasks  

Microsoft Academic Search

Rational-emotive behavior therapy (REBT) is a widely utilized treatment approach for many mental disorders, but it has been\\u000a “relatively neglected in the professional scientific literature” (Ellis 2003b). This neglect has been attributed in part to a lack of solid REBT outcome studies, which in turn stems from the difficulty\\u000a of measuring constructs of interest in REBT, such as irrational beliefs,

Samantha A. Rodman; Stacey B. Daughters; C. W. Lejuez

2009-01-01

158

Cognitive-behavioral therapy for psychogenic nonepileptic seizures  

PubMed Central

Objective: To compare cognitive-behavioral therapy (CBT) and standard medical care (SMC) as treatments for psychogenic nonepileptic seizures (PNES). Methods: Our randomized controlled trial (RCT) compared CBT with SMC in an outpatient neuropsychiatric setting. Sixty-six PNES patients were randomized to either CBT (plus SMC) or SMC alone, scheduled to occur over 4 months. PNES diagnosis was established by video-EEG telemetry for most patients. Exclusion criteria included comorbid history of epilepsy, <2 PNES/month, and IQ <70. The primary outcome was seizure frequency at end of treatment and at 6-month follow-up. Secondary outcomes included 3 months of seizure freedom at 6-month follow-up, measures of psychosocial functioning, health service use, and employment. Results: In an intention-to-treat analysis, seizure reduction following CBT was superior at treatment end (group × time interaction p < 0.0001; large to medium effect sizes). At follow-up, the CBT group tended to be more likely to have experienced 3 months of seizure freedom (odds ratio 3.125, p = 0.086). Both groups improved in some health service use measures and on the Work and Social Adjustment Scale. Mood and employment status showed no change. Conclusions: Our findings suggest that cognitive-behavioral therapy is more effective than standard medical care alone in reducing seizure frequency in PNES patients. Classification of evidence: This study provides Class III evidence that CBT in addition to SMC, as compared to SMC alone, significantly reduces seizure frequency in patients with PNES (change in median monthly seizure frequency: baseline to 6 months follow-up, CBT group, 12 to 1.5; SMC alone group, 8 to 5). GLOSSARY AED = antiepileptic drug; CBT = cognitive-behavioral therapy; CI = confidence interval; DSM-IV = Diagnostic and Statistical Manual of Mental Disorders, 4th edition; HADS = Hospital Anxiety and Depression Scale; IQR = interquartile range; ITT = intention-to-treat; OR = odds ratio; PNES = psychogenic nonepileptic seizures; RCT = randomized controlled trial; SMC = standard medical care; WASAS = Work and Social Adjustment Scale. PMID:20548043

Goldstein, L.H.; Chalder, T.; Chigwedere, C.; Khondoker, M.R.; Moriarty, J.; Toone, B.K.; Mellers, J.D.C.

2010-01-01

159

Mindfulness and acceptance-based behavioral therapies for anxiety disorders.  

PubMed

This article presents a brief conceptual overview of acceptance-based behavioral therapies (ABBTs) for anxiety disorders, followed by a review and summary of the recent efficacy studies of ABBTs for anxiety and comorbid disorders. We discuss clinical implications, including the importance of targeting reactivity and experiential avoidance in interventions for anxiety disorders through the use of mindfulness and other acceptance-based strategies, as well the encouragement of engagement in meaningful activities or valued action. We also address future directions for research, such as expanding research to include more randomized control trials comparing ABBTs for specific anxiety disorders to other active treatments, examining mechanisms of change, exploring adaptations in different care-delivery contexts, as well as determining the applicability of these approaches to clients from marginalized or non-dominant statuses. PMID:24078067

Roemer, Lizabeth; Williston, Sarah K; Eustis, Elizabeth H; Orsillo, Susan M

2013-11-01

160

Modular Cognitive-Behavioral Therapy for Body Dysmorphic Disorder  

PubMed Central

This study pilot tested a newly developed modular cognitive–behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22 weeks. Standardized clinician ratings and self-report measures were used to assess BDD and related symptoms pre- and posttreatment and at 3- and 6-month follow-ups. At posttreatment, BDD and related symptoms (e.g., mood) were significantly improved. Treatment gains were maintained at follow-up. A relatively low drop-out rate, high patient satisfaction ratings, and patient feedback indicated that the treatment was highly acceptable to patients. To our knowledge, this represents the first test of a broadly applicable, individual psychosocial treatment for BDD. PMID:22035991

Wilhelm, Sabine; Phillips, Katharine A.; Fama, Jeanne M.; Greenberg, Jennifer L.; Steketee, Gail

2011-01-01

161

A Randomized Controlled Trial of Cognitive–Behavioral Therapy, Light Therapy, and Their Combination for Seasonal Affective Disorder  

Microsoft Academic Search

This first controlled psychotherapy trial for seasonal affective disorder (SAD) compared SAD-tailored cognitive–behavioral therapy (CBT), light therapy (LT), and their combination to a concurrent wait-list control. Adults (N = 61) with major depression, recurrent with seasonal pattern, were randomized to one of four 6-week conditions: CBT (1.5-hr twice-weekly group therapy), LT (10,000-lux for 90-min\\/day with administration time individually adjusted), combined

Kelly J. Rohan; Kathryn A. Roecklein; Kathryn Tierney Lindsey; Leigh G. Johnson; Robert D. Lippy; Timothy J. Lacy; Franca B. Barton

2007-01-01

162

A Randomized Controlled Trial of Cognitive-Behavioral Therapy, Light Therapy, and Their Combination for Seasonal Affective Disorder  

ERIC Educational Resources Information Center

This first controlled psychotherapy trial for seasonal affective disorder (SAD) compared SAD-tailored cognitive-behavioral therapy (CBT), light therapy (LT), and their combination to a concurrent wait-list control. Adults (N = 61) with major depression, recurrent with seasonal pattern, were randomized to one of four 6-week conditions: CBT (1.5-hr…

Rohan, Kelly J.; Roecklein, Kathryn A.; Tierney Lindsey, Kathryn; Johnson, Leigh G.; Lippy, Robert D.; Lacy, Timothy J.; Barton, Franca B.

2007-01-01

163

Does Interpersonal Therapy Help Patients with Binge Eating Disorder Who Fail to Respond to Cognitive-Behavioral Therapy?  

ERIC Educational Resources Information Center

Examines the effectiveness of group interpersonal therapy (IPT) in treating overweight, binge-eating patients. Participants were randomly allocated to cognitive-behavioral therapy (CBT) or to an assessment-only group. After 12 weeks, those who did not respond to CBT were assigned 12 weeks of IPT. IPT led to no further improvement. (JPS)

Agras, W. Stewart; And Others

1995-01-01

164

Treating Acute Stress Disorder and Posttraumatic Stress Disorder with Cognitive Behavioral Therapy or Structured Writing Therapy: A Randomized Controlled Trial  

Microsoft Academic Search

Background: Writing assignments have shown promising results in treating traumatic symptomatology. Yet no studies have compared their efficacy to the current treatment of choice, cognitive behavior therapy (CBT). The present study evaluated the efficacy of structured writing therapy (SWT) and CBT as compared to a waitlist control condition in treating acute stress disorder (ASD) and posttraumatic stress disorder (PTSD). Methods:

Arnold A. P. van Emmerik; Jan H. Kamphuis; Paul M. G. Emmelkamp

2008-01-01

165

Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions. Cannabis Youth Treatment (CYT) Series, Volume 1.  

ERIC Educational Resources Information Center

This manual is designed to help train substance abuse treatment counselors to conduct a brief five-session treatment intervention for adolescents with cannabis use disorders presenting for outpatient treatment. It combines two sessions of motivational enhancement therapy provided individually and three sessions of cognitive behavioral therapy

Sampl, Susan; Kadden, Ronald

166

A randomized controlled trial of group cognitive-behavioral therapy vs. enhanced supportive therapy for auditory hallucinations  

Microsoft Academic Search

There has been little research examining group cognitive-behavioral therapy (CBT) for schizophrenia, especially compared to an active control treatment. The purpose of this study was to investigate the effectiveness of group CBT for auditory hallucinations compared to an enhanced supportive therapy (ST). Sixty five participants with schizophrenia spectrum disorders and persistent hallucinations were randomly assigned to group CBT or enhanced

David L. Penn; Piper S. Meyer; Elizabeth Evans; R. J. Wirth; Karen Cai; Margaret Burchinal

2009-01-01

167

[Enhancing nursing skills with cognitive and behavioral therapies].  

PubMed

A nurse practising at Limoges psychiatric hospital enriched her skills by training in the cognitive behavioural therapies developed in her department, notably mindfulness-based therapies. PMID:24654332

Da Rocha, Stéphanie Manuel

2014-02-01

168

Internet-Based Cognitive Behavior Therapy vs. Cognitive Behavioral Group Therapy for Social Anxiety Disorder: A Randomized Controlled Non-inferiority Trial  

Microsoft Academic Search

Background and AimsCognitive behavioral group therapy (CBGT) is an effective, well-established, but not widely available treatment for social anxiety disorder (SAD). Internet-based cognitive behavior therapy (ICBT) has the potential to increase availability and facilitate dissemination of therapeutic services for SAD. However, ICBT for SAD has not been directly compared with in-person treatments such as CBGT and few studies investigating ICBT

Erik Hedman; Gerhard Andersson; Brjánn Ljótsson; Erik Andersson; Christian Rück; Ewa Mörtberg; Nils Lindefors; Antonio Verdejo García

2011-01-01

169

Cognitive Behavior Therapy for Stuttering: A Case Series  

PubMed Central

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. PMID:21799560

Reddy, R. P.; Sharma, M. P.; Shivashankar, N.

2010-01-01

170

Sudden Gains during Cognitive Behavioral Group Therapy for Anxiety Disorders  

PubMed Central

Sudden gains in psychotherapy are characterized by large and relatively stable decreases in psychiatric symptoms and have been associated with cognitive shifts in clients and shown to predict superior treatment outcomes in studies of depression and, to a lesser extent, anxiety disorders. The purpose of this study was to examine prevalence and impact of sudden gains during a transdiagnostic cognitive-behavioral group therapy (CBGT) for anxiety disorders, as well as the temporal relationship between sudden gains and cognitive changes. Data were used from two trials of transdiagnostic CBGT for anxiety disorders (n = 130). Criteria for determining sudden gains in anxiety symptoms were based upon previous research on sudden gains from trials of cognitive behavioral treatments for major depressive disorder. A total of 17 out of 98 (17.3%) clients experienced at least one sudden gain, with three clients showing two sudden gains during treatment. Three patients showing a sudden gain experienced a reversal of these gains, although one of these three had a subsequent second sudden gain. Clients experiencing sudden gains showed greater overall improvement following treatment than did clients who did not experience a sudden gain, with 65% of the sudden gainers' overall improvement accounted for by the sudden gain. Greater cognitive change in the pregain sessions was observed for clients with a sudden gain than those not showing a sudden gain. This finding lends support to the theory of cognitive mediation through CBGT in which substantial cognitive changes in pregain sessions lead to greater improvement overall. PMID:20621441

Norton, Peter J.; Klenck, Suzanne C.; Barrera, Terri L.

2010-01-01

171

Cognitive behavioral therapy for bipolar disorders Terapia comportamental cognitiva para pessoas com transtorno bipolar  

Microsoft Academic Search

Abstract Abstract Abstract Abstract Objectives and main techniques of cognitive behavior therapy for the treatment of bipolar disorder patients are described. K K K K Keywords eywords eywords eywords eywords: Cognitive therapy, Bipolar disorder\\/therapy; Bipolar disorder\\/psychology; Mood disorders; Psychotherapy

Francisco Lotufo Netoa

172

Clients' Emotional Processing in Psychotherapy: A Comparison between Cognitive-Behavioral and Process-Experiential Therapies  

ERIC Educational Resources Information Center

The authors compared clients' emotional processing in good and bad outcome cases in cognitive behavioral therapy (CBT) and process-experiential therapy (PET) and investigated whether clients' emotional processing increases over the course of therapy. Twenty minutes from each of 3 sessions from 40 clients were rated on the Experiencing Scale. A 2 *…

Watson, Jeanne C.; Bedard, Danielle L.

2006-01-01

173

The Use of Homework in Cognitive Behavior Therapy: Working with Complex Anxiety and Insomnia  

Microsoft Academic Search

Homework, or self-help, is an essential and required part of cognitive behavioral treatment. It offers several opportunities for the therapist to extend and increase therapy contact by having the patient “live” the therapy outside of the consulting room. It can also serve as a measure of the patient’s motivation for therapy or for change. Homework offers the patient an opportunity

Arthur Freeman

2007-01-01

174

The Use of Homework in Cognitive Behavior Therapy: Working with Complex Anxiety and Insomnia  

ERIC Educational Resources Information Center

Homework, or self-help, is an essential and required part of cognitive behavioral treatment. It offers several opportunities for the therapist to extend and increase therapy contact by having the patient "live" the therapy outside of the consulting room. It can also serve as a measure of the patient's motivation for therapy or for change. Homework…

Freeman, Arthur

2007-01-01

175

Unusual compulsive behaviors primarily related to dopamine agonist therapy in Parkinson's disease and multiple system atrophy  

Microsoft Academic Search

Unusual compulsive behaviors (weighing, card and video game playing, fishing, gardening, intense interest in established hobbies, locking and unlocking doors, repetitive dressing and undressing) occurred in relation to dopamine agonist therapy (six patients) and levodopa therapy (one patient) in seven patients with parkinsonism (seven Parkinson's disease, one multiple system atrophy). These behaviors occurred in tandem with pathological gambling, hypersexuality, compulsive

Andrew McKeon; Keith A. Josephs; Kevin J. Klos; Kathleen Hecksel; James H. Bower; J. Michael Bostwick; J. Eric Ahlskog

2007-01-01

176

Treatment Adherence, Competence, and Outcome in Individual and Family Therapy for Adolescent Behavior Problems  

ERIC Educational Resources Information Center

This study examined the impact of treatment adherence and therapist competence on treatment outcome in a controlled trial of individual cognitive-behavioral therapy (CBT) and multidimensional family therapy (MDFT) for adolescent substance use and related behavior problems. Participants included 136 adolescents (62 CBT, 74 MDFT) assessed at intake,…

Hogue, Aaron; Henderson, Craig E.; Dauber, Sarah; Barajas, Priscilla C.; Fried, Adam; Liddle, Howard A.

2008-01-01

177

Better versus Worse Family Therapy Sessions as Reflected in Clients' Alliance-Related Behavior  

ERIC Educational Resources Information Center

To be responsive to clients' evaluations of the unfolding therapy process, therapists must first accurately "read" client behavior, a particularly challenging task in conjoint family therapy. In this study, the authors compared client behavior in 28 sessions that one family member and the therapist concurred, on the Session Evaluation…

Friedlander, Myrna L.; Bernardi, Shaina; Lee, Hsin-Hua

2010-01-01

178

Telephone-Administered Cognitive Behavior Therapy for Obsessive-Compulsive Disorder  

Microsoft Academic Search

Exposure with response prevention and cognitive behavior therapy are widely recognized as effective treatments for obsessive-compulsive disorder. Unfortunately, many people with obsessive- compulsive disorder - particularly those living in rural areas - do not have access to therapists providing these treatments. Accordingly, we investigated the efficacy of telephone-administered cognitive behavior therapy for obsessive-compulsive disorder. Two open trials are reported, for

Steven Taylor; Dana S. Thordarson; Truman Spring; Angela H. Yeh; Kathleen M. Corcoran; Kathy Eugster; Colin Tisshaw

2003-01-01

179

An Acceptance-Based Behavioral Therapy for Individuals With Generalized Anxiety Disorder  

Microsoft Academic Search

In response to clinical observations and research findings that individuals with generalized anxiety disorder are reactive to their internal experiences, avoid and suppress painful emotions, thoughts, and sensations, and limit their involvement in meaningful activities, an Acceptance Based Behavioral Therapy (ABBT) was developed to specifically target these responses. ABBT incorporates acceptance and mindfulness strategies with more traditional behavior therapy techniques.

Sarah A. Hayes-Skelton; Susan M. Orsillo; Lizabeth Roemer

180

Behavioral versus Insight-Oriented Marital Therapy: Labels Can Be Misleading.  

ERIC Educational Resources Information Center

Questions adequacy with which insight-oriented marital therapy (IOMT) and behavioral marital therapy (BMT) were represented in Snyder, Wills, and Grady-Fletcher's (1991) comparative treatment study. Contends that BMT treatment manual fails to include recent innovations in behavioral technology and IOMT manual includes many skills integral to BMT.…

Jacobson, Neil S.

1991-01-01

181

Case Study: Successful Medication Withdrawal Using Cognitive-Behavioral Therapy for a Preadolescent with OCD  

ERIC Educational Resources Information Center

The aim of this study was to evaluate the effectiveness of the addition of manual-based cognitive-behavioral therapy to a medication regimen of clomipramine and fluoxetine and the withdrawal of medication during cognitive-behavioral therapy. The participant was an 11-year-old girl with symptoms of obsessive thoughts about germs and illness and…

Sallinen, Bethany J.; Nangle, Douglas W.; O'Grady, April C.

2004-01-01

182

Effectiveness of a Dialectical Behaviour Therapy Program for Incarcerated Female Juvenile O¡enders  

Microsoft Academic Search

Background: Female offenders incarcerated in Washington State have demonstrated higher rates of mental health needs than boys. Linehan's (1993a, b) Dialectical Behavioural Therapy (DBT) is an effective treatment for adult women with Borderline Personality Disorder. DBT utilises a combination of skills training, problem solving, and validation to enable patients to reduce self-destructive, impulsive and aggressive behaviours. The prevalence of similar

Eric W. Trupin; David G. Stewart; Lisa Boesky

2002-01-01

183

Nicotine Replacement and Behavioral Therapy for Smoking Cessation in Pregnancy  

PubMed Central

Background This study examines whether adding nicotine replacement therapy (NRT) to cognitive behavioral therapy (CBT) for pregnant smokers increases rates of smoking cessation. Methods An open-label randomized trial (Baby Steps, n = 181) of CBT-only versus CBT+NRT (choice of patch, gum, or lozenge; 1:2 randomization) was used. Data were collected from 2003 through 2005; analyses were conducted in 2006 and 2007. Outcomes were biochemically validated self-reported smoking status at 7-weeks post-randomization, 38-weeks gestation, and 3-months postpartum. Results Women in the CBT+NRT arm were almost three times more likely than women in the CBT-only arm to have biochemically validated cessation at both pregnancy timepoints (after 7 weeks: 24% vs 8%, p = 0.02; at 38-weeks gestation: 18% vs 7%, p =0.04), but not at 3-months postpartum (20% vs 14%, p=0.55). Recruitment was suspended early by an independent Data and Safety Monitoring Board when an interim analysis found a greater rate of negative birth outcomes in the CBT+NRT arm than in the CBT arm. At the final analysis the difference between the arms in rate of negative birth outcomes was 0.09 (p=0.26), adjusted for prior history of preterm birth. Conclusions The addition of NRT to CBT promoted smoking cessation in pregnant women. This effect did not persist postpartum. More data are needed to determine the safety and to confirm the efficacy of NRT use during pregnancy. PMID:17888856

Pollak, Kathryn I.; Oncken, Cheryl A.; Lipkus, Isaac M.; Lyna, Pauline; Swamy, Geeta K.; Pletsch, Pamela K.; Peterson, Bercedis L.; Heine, R. Phillips; Namenek Brouwer, Rebecca J.; Fish, Laura; Myers, Evan R.

2007-01-01

184

A Test of Behavioral Family Therapy to Augment Exposure for Combat-Related Posttraumatic Stress Disorder  

Microsoft Academic Search

This study tested a family-based skills-building intervention in veterans with chronic combat-related posttraumatic stress disorder (PTSD). Veterans and a family member were randomly assigned to 1 of 3 conditions: (a) waiting list, (b) 18 sessions of twice-weekly exposure therapy, or (c) 18 sessions of twice-weekly exposure therapy followed by 16 sessions of behavioral family therapy (BFT). Participation in exposure therapy

Shirley M. Glynn; Spencer Eth; Eugenia T. Randolph; David W. Foy; Marleen Urbaitis; Laurie Boxer; George G. Paz; Gregory B. Leong; Gregory Firman; Jonathan D. Salk; Jeffrey W. Katzman; Judith Crothers

1999-01-01

185

Image reconstruction for digital breast tomosynthesis (DBT) by using projection-angle-dependent filter functions  

NASA Astrophysics Data System (ADS)

Digital breast tomosynthesis (DBT) is considered in clinics as a standard three-dimensional imaging modality, allowing the earlier detection of cancer. It typically acquires only 10-30 projections over a limited angle range of 15-60° with a stationary detector and typically uses a computationally-efficient filtered-backprojection (FBP) algorithm for image reconstruction. However, a common FBP algorithm yields poor image quality resulting from the loss of average image value and the presence of severe image artifacts due to the elimination of the dc component of the image by the ramp filter and to the incomplete data, respectively. As an alternative, iterative reconstruction methods are often used in DBT to overcome these difficulties, even though they are still computationally expensive. In this study, as a compromise, we considered a projection-angle-dependent filtering method in which one-dimensional geometry-adapted filter kernels are computed with the aid of a conjugate-gradient method and are incorporated into the standard FBP framework. We implemented the proposed algorithm and performed systematic simulation works to investigate the imaging characteristics. Our results indicate that the proposed method is superior to a conventional FBP method for DBT imaging and has a comparable computational cost, while preserving good image homogeneity and edge sharpening with no serious image artifacts.

Park, Yeonok; Park, Chulkyu; Cho, Hyosung; Je, Uikyu; Hong, Daeki; Lee, Minsik; Cho, Heemoon; Choi, Sungil; Koo, Yangseo

2014-09-01

186

Parent-Child Interaction Therapy with Behavior Problem Children: Maintenance of Treatment Effects in the School Setting  

Microsoft Academic Search

Followup school assessments were conducted 12 months and 18 months following completion of Parent-Child Interaction Therapy (PCIT), a behavioral family therapy for preschool children with disruptive behavior disorders. Subjects in the treatment group displayed significant home and school behavior problems prior to treatment, and showed clinically significant improvement in home behavior after completing the 14-session program. Additionally, behavioral improvements generalized

Beverly W. Funderburk; Sheila M. Eyberg; Katharine Newcomb; Cheryl B. McNeil; Toni Hembree-Kigin; Laura Capage

1998-01-01

187

Dialectical behavior therapy deployed: an aggressive alternative to traditional mental health on the noncontiguous battlefield.  

PubMed

This paper provides a description of the Witmer Wellness Center, the first successful military application of dialectical behavior therapy in a theater of war. Dialectical behavior therapy is a dynamic and provocative evidenced-based modification of cognitive behavioral treatment developed by Dr Marsha Linehan for patients with severe emotional dysregulation. One of the primary concepts of dialectical behavior therapy is that self-harming behaviors are learned, and provide evidence of maladaptive coping that is reinforced in an invalidating environment. Dialectical behavior therapy recommends a hierarchy of goals to effectively address the behaviors associated with dysregulation. Chief among these goals is reducing risk of violence to self or others. Dialectical behavior therapy is especially well-suited for the complex and dynamic environment of the noncontiguous battlefield with its chronic threat of ultraviolence, strain of nonresponse, shifting rules of engagement, and extended duration and frequency of combat deployments. The Witmer Wellness Center program uses an intensive outpatient organizational structure and minimal, but innovative, modifications to standard dialectical behavior therapy designed to meet the special requirements of Warriors in a combat zone. The Wellness Center program was designed and implemented during Operation Iraqi Freedom 07-09, at a time during the troop surge when suicide rates among US forces had reached an unprecedented level. PMID:20088061

Parrish, Brian D

2008-01-01

188

Introduction to "The Behavior-Analytic Origins of Constraint-Induced Movement Therapy: An Example of Behavioral Neurorehabilitation"  

ERIC Educational Resources Information Center

This article presents an introduction to "The Behavior-Analytic Origins of Constraint-Induced Movement Therapy: An Example of Behavioral Neurorehabilitation," by Edward Taub and his colleagues (Taub, 2012). Based on extensive experimentation with animal models of peripheral nerve injury, Taub and colleagues have created an approach to overcoming…

Schaal, David W.

2012-01-01

189

Cognitive Behavioral Therapy for Weight Management and Eating Disorders in Children and Adolescents  

PubMed Central

Synopsis Eating disorders and obesity in children and adolescents involve harmful behavior and attitude patterns that infiltrate daily functioning. Cognitive behavioral therapy (CBT) is well-suited to treat these conditions, given the emphasis on breaking negative behavior cycles. This article reviews the current empirically-supported treatments and the considerations for youth with weight control issues. New therapeutic modalities (i.e., Enhanced CBT and the socio-ecological model) are discussed. Rationale is provided for extending therapy beyond the individual treatment milieu to include the family, peer network, and community domains to promote behavior change, minimize relapse, and support healthy long-term behavior maintenance. PMID:21440855

Wilfley, Denise E.; Kolko, Rachel P.; Kass, Andrea E.

2011-01-01

190

Cognitive-Behavioral Therapy for Women with Lifelong Vaginismus: A Randomized Waiting-List Controlled Trial of Efficacy  

ERIC Educational Resources Information Center

Women with lifelong vaginismus (N = 117) were randomly assigned to cognitive-behavioral group therapy, cognitive-behavioral bibliotherapy, or a waiting list. Manualized treatment comprised sexual education, relaxation exercises, gradual exposure, cognitive therapy, and sensate focus therapy. Group therapy consisted of ten 2-hr sessions with 6 to 9…

Van Lankveld, Jacques J. D. M.; ter Kuile, Moniek M.; de Groot, H. Ellen; Melles, Reinhilde; Nefs, Janneke; Zandbergen, Maartje

2006-01-01

191

Behavioral and systems family therapies: A comparison of theoretical assumptions  

Microsoft Academic Search

Behavioral and family systems theories provide two current approaches to treating distressed families. This paper describes and compares the ways in which both theories conceptualize family problems and explain maintenance and change processes within the family system. Systems and behavioral theories share functional views of problem behaviors and interactive sequences. However, behavioral theory uses more molecular analyses of processes than

Sharon L. Foster; Tamara S. Hoier

1982-01-01

192

Examining mealtime behaviors in families of young children with type 1 diabetes on intensive insulin therapy.  

PubMed

This study examined mealtime behaviors in families of young children with type 1 diabetes (T1DM) on intensive insulin therapy. Behaviors were compared to published data for children on conventional therapy and examined for correlations with glycemic control. Thirty-nine families participated and had at least three home meals videotaped while children wore a continuous glucose monitor. Videotaped meals were coded for parent, child, and child eating behaviors using a valid coding system. A group difference was found for child request for food only. There were also associations found between children's glycemic control and child play and away. However, no associations were found between parent and child behaviors within meals and children's corresponding post-prandial glycemic control. Results reinforce existing research indicating that mealtime behavior problems exist for families of young children even in the context of intensive therapy and that some child behaviors may relate to glycemic control. PMID:24183137

Patton, Susana R; Dolan, Lawrence M; Smith, Laura B; Brown, Morton B; Powers, Scott W

2013-12-01

193

Effects of Active Versus Passive Group Music Therapy on Preadolescents with Emotional, Learning, and Behavioral Disorders.  

PubMed

This study attempted to compare the behavioral effects of active, rhythm-based group music therapy vs. those of passive, listening-based group music therapy on preadolescents with emotional, learning, and behavioral disorders. It was hypothesized that preadolescents who participated in active music therapy would more significantly improve target behaviors than those involved in passive music therapy. Achenbach's Teacher Report Form (TRF) was used to confirm changes among subjects in attention, motivation, and hostility as rated by homeroom teachers. Twelve music therapy sessions were conducted over a 4-month period with three different groups of subjects (n = 16), with two groups participating in active music therapy and the other receiving passive music therapy. Results indicate that subjects improved significantly after receiving both music therapy interventions. The most significant change in subjects was found on the aggression/hostility scale. These results suggest that group music therapy can facilitate the process of serf-expression in emotionally disturbed/learning disabled adolescents and provide a channel for transforming frustration, anger, and aggression into the experience of creativity and self-mastery. Discussion of results also includes recommendations for chousing one music therapy approach over another based on personality types and/or clinical diagnoses of subjects. PMID:10519828

Montello; Coons

1999-01-01

194

Behavioral activation therapy for remediating persistent social deficits in medication-responsive chronic depression.  

PubMed

The purpose of this article is to explore the use of behavioral activation therapy in patients with medication-responsive chronic depression who continue to experience social and occupational deficits. The classification of chronic depression includes a variety of disorders that are both common and debilitating and that frequently leave patients socially impaired even after remission of mood symptoms. Medication is often only partially effective in remedying these social impairments. As a result, other interventions, including forms of psychotherapy, may be justified as an adjunct to medication to improve residual social impairment. Behavioral activation therapy is one such treatment that may be especially appropriate for such individuals. The authors offer a brief description of behavioral activation therapy and examine how to adapt this therapy for use in patients with medication-responsive chronic depression. Preliminary evidence suggests that the therapy can be easily implemented with few modifications to improve social and occupational difficulties. PMID:21586994

Erickson, Gregory; Hellerstein, David J

2011-05-01

195

A Brief Clinical History of Cognitive-Behavior Therapy with Children.  

ERIC Educational Resources Information Center

Historical events in the development of cognitive-behavior therapy with children are reviewed. Suggestions are offered for areas which might be valuable for therapists to consider in the 1980s. (Author/GK)

Craighead, W. Edward

1982-01-01

196

Reducing Dysfunctional Beliefs about Sleep Does Not Significantly Improve Insomnia in Cognitive Behavioral Therapy  

PubMed Central

The present study examined to examine whether improvement of insomnia is mediated by a reduction in sleep-related dysfunctional beliefs through cognitive behavioral therapy for insomnia. In total, 64 patients with chronic insomnia received cognitive behavioral therapy for insomnia consisting of 6 biweekly individual treatment sessions of 50 minutes in length. Participants were asked to complete the Athens Insomnia Scale and the Dysfunctional Beliefs and Attitudes about Sleep scale both at the baseline and at the end of treatment. The results showed that although cognitive behavioral therapy for insomnia greatly reduced individuals’ scores on both scales, the decrease in dysfunctional beliefs and attitudes about sleep with treatment did not seem to mediate improvement in insomnia. The findings suggest that sleep-related dysfunctional beliefs endorsed by patients with chronic insomnia may be attenuated by cognitive behavioral therapy for insomnia, but changes in such beliefs are not likely to play a crucial role in reducing the severity of insomnia. PMID:25025164

Okajima, Isa; Nakajima, Shun; Ochi, Moeko; Inoue, Yuichi

2014-01-01

197

An acceptance-based behavioral therapy for GAD: Effects on outcomes from three theoretical models  

PubMed Central

Although cognitive-behavioral therapy (CBT) is efficacious in the treatment of generalized anxiety disorder (GAD), many individuals remain symptomatic following treatment, indicating a need for further treatment development. As a result, many researchers have developed unique cognitive-behavioral therapies that highlight specific targets for intervention. The current study examined the effect of an acceptance-based behavioral therapy for GAD on the proposed targets for intervention highlighted in several of these theoretical models: emotion regulation difficulties, intolerance of uncertainty, and low perceptions of control. Clients were randomly assigned to immediate (n = 15) or delayed (n = 16) treatment. Individuals treated with the acceptance-based behavioral therapy reported significantly fewer difficulties in emotion regulation and fear of emotional responses, as well as greater tolerance of uncertainty and perceived control over anxiety than individuals in the waitlist control condition. In addition, these effects were maintained at 3- and 9-month follow-up assessments. PMID:21284065

Treanor, Michael; Erisman, Shannon M.; Salters-Pedneault, Kristalyn; Roemer, Lizabeth; Orsillo, Susan M.

2013-01-01

198

Cognitive Behavioral Therapy in High-Functioning Autism: Review and Recommendations for Treatment Development  

Microsoft Academic Search

\\u000a Individuals with autism spectrum disorders (ASDs) who have acquired functional communication strategies – particularly more\\u000a cognitively able individuals at or beyond the elementary school age group – may be candidates for talk-based therapies similar\\u000a to those employed with children and adults with mental health disorders, such as anxiety (e.g., cognitive behavioral therapy,\\u000a CBT). While talk-based therapies are widely used in

Jeffrey J. Wood; Cori Fujii; Patricia Renno

199

Cognitive-Behavioral Therapy for Depression in Bipolar Disorder: A Meta-Analysis  

Microsoft Academic Search

Given the prevalence of null hypothesis significance testing, cognitive-behavioral therapy's effect on depressive symptoms of bipolar disorder is not fully understood in the absence of effect size statistics. The present study discusses the disadvantages associated with null hypothesis significance testing and seeks to overcome these shortcomings via conducting a meta-analysis which examines cognitive-behavioral therapy for depressive symptoms in persons with

Virgil L. Gregory Jr

2010-01-01

200

Pilot Study of Community-Based Cognitive Behavioral Group Therapy for Adolescents with Social Phobia.  

ERIC Educational Resources Information Center

Objective: A pilot study to evaluate the efficacy of a cognitive-behavioral group therapy program for adolescents with social phobia, simplified both in terms of time and labor intensity from a previously studied program (Social Effectiveness Therapy for Children and Adolescents) to be more appropriate for a community outpatient psychiatric…

Baer, Susan; Garland, E. Jane

2005-01-01

201

Benzodiazepine Discontinuation among Adults with GAD: A Randomized Trial of Cognitive-Behavioral Therapy  

ERIC Educational Resources Information Center

This study evaluated the specific effectiveness of cognitive-behavior therapy (CBT) combined with medication tapering for benzodiazepine discontinuation among generalized anxiety disorder (GAD) patients by using a nonspecific therapy control group. Sixty-one patients who had used benzodiazepines for more than 12 months were randomly assigned to…

Gosselin, Patrick; Ladouceur, Robert; Morin, Charles M.; Dugas, Michel J.; Baillargeon, Lucie

2006-01-01

202

Behavior Therapy and Tricyclic Medication in the Treatment of Obsessive-Compulsive Disorder: A Quantitative Review.  

ERIC Educational Resources Information Center

Used a meta-analysis to integrate the research literature on the treatment of obsessive-compulsive disorder. Antidepressants, such as clomipramine, and behavior therapy have produced appreciable changes in obsessive-compulsive and depressive symptoms. The effects of tricyclic medication and exposure therapies have not differed significantly, but…

Christensen, Helen; And Others

1987-01-01

203

Therapist Verbal Behavior Early in Treatment: Relation to Successful Completion of Parent-Child Interaction Therapy  

Microsoft Academic Search

We examined the role of specific therapist verbal behaviors in predicting successful completion of Parent-Child Interaction Therapy (PCIT) in 22 families, including 11 families that successfully completed treatment and 11 that discontinued treatment prematurely. The children were 3 to 6 years old and diagnosed with oppositional defi- ant disorder (ODD). Chamberlain et al.'s (1986) Therapy Process Code (TPC) was used

Michelle D. Harwood; Sheila M. Eyberg

2004-01-01

204

Child-Therapist Alliance and Clinical Outcomes in Cognitive Behavioral Therapy for Child Anxiety Disorders  

ERIC Educational Resources Information Center

Background: Few studies have examined the link between child-therapist alliance and outcome in manual-guided cognitive behavioral therapy (CBT) for children diagnosed with anxiety disorders. This study sought to clarify the nature and strength of this relation. Methods: The Therapy Process Observational Coding System for Child…

Chiu, Angela W.; McLeod, Bryce D.; Har, Kim; Wood, Jeffrey J.

2009-01-01

205

Treatment of obsessive–compulsive disorder: Cognitive behavior therapy vs. exposure and response prevention  

Microsoft Academic Search

The efficacy of contemporary cognitive therapy for obsessive–compulsive disorder (OCD) has only recently been investigated. The current study compares exposure and response prevention (ERP) and cognitive behavior therapy (CBT) delivered in an individual format. Participants were randomly assigned to the 12 consecutive-week CBT or ERP treatment. Based on 59 treatment completers, there was no significant difference in YBOCS scores between

Maureen L. Whittal; Dana S. Thordarson; Peter D. McLean

2005-01-01

206

THE USE AND NATURE OF PRESENT-FOCUSED INTERVENTIONS IN COGNITIVE AND BEHAVIORAL THERAPIES FOR DEPRESSION  

Microsoft Academic Search

To improve cognitive and behavioral therapies (CBT) for depression, several approaches recommend an increased focus on the occurrence of problems as they occur in the therapeutic relationship or in relation to the live therapy process, referred to as present-focused. A lingering question has been the degree to which CBT therapists already engage in present-focused work. This study utilized sessions from

JONATHAN W. KANTER; LAURA C. RUSCH; SARA J. LANDES; GARETH I. HOLMAN; URSULA WHITESIDE; SONJA K. SEDIVY

2009-01-01

207

Integrated Cognitive Behavioral Therapy Versus Twelve-Step Facilitation Therapy for Substance-Dependent Adults with Depressive Disorders  

Microsoft Academic Search

In a randomized trial, this study compared the longitudinal outcome patterns of veterans (N = 66) with substance use disorders and major depressive disorder receiving standard pharmacotherapy and either 12-Step Facilitation Therapy (TSF) or disorder-specific Integrated Cognitive Behavioral Treatment (ICBT). Depression and substance use were assessed at intake, during and after treatment using the Hamilton Depression Rating Scale and the

Sandra A. Brown; Suzette V. Glasner-Edwards; Susan R. Tate; John R. McQuaid; John Chalekian; Eric Granholm

2006-01-01

208

Individual Cognitive-Behavioral Therapy and Behavioral Couples Therapy in Alcohol Use Disorder: A Comparative Evaluation in Community-Based Addiction Treatment Centers  

Microsoft Academic Search

Background: Alcohol abuse serves as a chronic stressor between partners and has a deleterious effect on relationship functioning. Behavioral Couples Therapy (BCT) for alcohol dependence, studied as an adjunct to individual outpatient counseling, has shown to be effective in decreasing alcohol consumption and enhancing marital functioning, but no study has directly tested the comparative effectiveness of stand-alone BCT versus an

Ellen Vedel; Paul M. G. Emmelkamp; Gerard M. Schippers

2008-01-01

209

Staying in the Here-and-Now: A Pilot Study on the Use of Dialectical Behaviour Therapy Group Skills Training for Forensic Clients with Intellectual Disability  

ERIC Educational Resources Information Center

Background: Dialectic behaviour therapy (DBT) has been widely used with individuals diagnosed with borderline personality disorder who exhibit severe emotional and behavioural dysregulation. There is a paucity of research in assessing the effectiveness of DBT with forensic clients with intellectual disability (ID). Methods: This pilot study aims…

Sakdalan, J. A.; Shaw, J.; Collier, V.

2010-01-01

210

Cognitive Behavior Therapy with Body Image Exposure for Bulimia Nervosa: A Case Example  

ERIC Educational Resources Information Center

Cognitive behavior therapy (CBT) is an effective treatment for bulimia nervosa (BN). However, among patients with BN, symptom improvement is more pronounced for behavioral eating symptoms (i.e., bingeing and purging) than for body image disturbance, and the persistence of body image disturbance is associated with relapse. The need for more…

Delinsky, Sherrie S.; Wilson, G. Terence

2010-01-01

211

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

ERIC Educational Resources Information Center

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…

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

2005-01-01

212

Improvements in Behavioral Symptoms following Antibiotic Therapy in a 14-Year-Old Male with Autism  

PubMed Central

This case report describes the benefits of antibiotic and antifungal therapy on behavior in a child with autism undergoing treatment for encopresis. Over the course of treatment, the child exhibited a reduction in aberrant behaviors, increased gastrointestinal function, and improved quality of life. PMID:23853732

Ramirez, P. Lucas; Barnhill, Kelly

2013-01-01

213

Moral Reconation Therapy and Problem Behavior in the Oklahoma Department of Corrections  

Microsoft Academic Search

In late 1993, Oklahoma Department of Corrections officials implemented Moral Reconation Therapy (MRT), a cognitive behavioral treatment program, throughout the correctional system. Relying on official records of institutional misconduct and community recidivism, the analysis of the Oklahoma implementation of the program compared the outcomes of individuals who participated in the MRT cognitive-behavioral program to both individuals who participated in other

Robert Brame; Doris Layton MacKenzie; Arnold R. Waggoner

214

Appetite-Focused Cognitive-Behavioral Therapy in the Treatment of Binge Eating with Purging  

ERIC Educational Resources Information Center

The first-line treatment for bulimia nervosa (BN), cognitive-behavioral therapy (CBT), uses food-based self-monitoring. Six young women presenting with BN or significant purging behavior were treated with a modification, Appetite-Focused CBT (CBT-AF), in which self-monitoring is based on appetite cues and food monitoring is proscribed. This change…

Dicker, Stacy L.; Craighead, Linda Wilcoxon

2004-01-01

215

Integrating Motivational Interviewing and Self-Determination Theory with Cognitive Behavioral Therapy to Prevent Suicide  

ERIC Educational Resources Information Center

Cognitive behavioral therapy (CBT) has been found to be effective in preventing suicide-related behavior. However, it is often difficult to engage patients who are at-risk in treatment. Motivational Interviewing (MI) has been shown to increase treatment engagement and improve treatment outcomes when it is used to complement other treatments. As a…

Britton, Peter C.; Patrick, Heather; Wenzel, Amy; Williams, Geoffrey C.

2011-01-01

216

Cognitive Behavior Therapy With Body Image Exposure for Bulimia Nervosa: A Case Example  

Microsoft Academic Search

Cognitive behavior therapy (CBT) is an effective treatment for bulimia nervosa (BN). However, among patients with BN, symptom improvement is more pronounced for behavioral eating symptoms (i.e., bingeing and purging) than for body image disturbance, and the persistence of body image disturbance is associated with relapse. The need for more effective body image interventions led to the development of mirror

G. Terence Wilson

2010-01-01

217

Behavior therapy for non-White, non-YAVIS clients: Myth or panacea?  

Microsoft Academic Search

Contends that there is a weak empirical basis for the move toward more behaviorally oriented modalities as appropriate for non-White and non-YAVIS (young, attractive, verbal, intelligent, and successful) clients. Behavior therapy has been proposed because traditional approaches are seen as \\

Michael Smith; Macletus Dejoie-Smith

1984-01-01

218

Predictors of the Effect of Cognitive Behavioral Therapy for Chronic Insomnia Comorbid with Breast Cancer  

ERIC Educational Resources Information Center

Prior studies have supported the efficacy of cognitive behavioral therapy (CBT) for insomnia comorbid with cancer. This article reports secondary analyses that were performed on one of these studies to investigate the predictive role of changes in dysfunctional beliefs about sleep, adherence to behavioral strategies, and some nonspecific factors…

Tremblay, Valerie; Savard, Josee; Ivers, Hans

2009-01-01

219

Cognitive-Behavioral Therapy for Schizophrenia: Applications to Social Work Practice  

Microsoft Academic Search

Schizophrenia is a psychotic disorder that has been considered to be the epitome of a severe mental illness. The negative psychosocial consequences of schizophrenia are well documented. Despite the advent of antipsychotic medication, residual symptoms persist for many persons diagnosed with schizophrenia. Cognitive-behavioral therapy (CBT) has emerged as an adjunctive treatment to pharmacotherapy. Cognitive-behavioral theories of positive and negative symptoms

Virgil L. Gregory Jr

2010-01-01

220

The Evolution of "Enhanced" Cognitive Behavior Therapy for Eating Disorders: Learning from Treatment Nonresponse  

ERIC Educational Resources Information Center

In recent years there has been widespread acceptance that cognitive behavior therapy (CBT) is the treatment of choice for bulimia nervosa. The cognitive behavioral treatment of bulimia nervosa (CBT-BN) was first described in 1981. Over the past decades the theory and treatment have evolved in response to a variety of challenges. The treatment has…

Cooper, Zafra; Fairburn, Christopher G.

2011-01-01

221

Dialectical Behavioral Therapy and EMDR for Adolescents in Residential Treatment: A Practical and Theoretical Perspective  

ERIC Educational Resources Information Center

DBT and EMDR as primary treatment methods provide effective treatment for adolescents in the setting of group residential facilities. Regardless of the intensity of the pathology or the length of stay, these compatible treatment methods provide adolescents with significant decreases in the impact of traumatic memories and increased emotional…

Lovelle, Carole

2005-01-01

222

Comparing physical and behavior therapy for chronic low back pain on physical abilities, psychological distress, and patients' perceptions  

Microsoft Academic Search

A treatment-outcome study was conducted to study the impact of behavior and physical therapy on components of the chronic low back pain syndrome. Eighteen patients received behavior therapy and 15 patients received physical therapy. All patients had at least a 6-month history of seeking treatment for chronic low back pain. Prior to treatment patients were assessed in four principal areas

Richard L. Heinrich; Michael J. Cohen; Bruce D. Naliboff; Gretchen A. Collins; Adelita D. Bonebakker

1985-01-01

223

‘Adventure therapy’ combined with cognitive-behavioral treatment for overweight adolescents  

Microsoft Academic Search

Objective:Since peers have such an important influence on adolescents, we evaluated the efficacy of adding peer-based ‘adventure therapy’ to a standard cognitive-behavioral weight control program for overweight adolescents.Methods:Adolescents (N=76) aged 13–16 years and 20 to 80% overweight (M=60.56%, s.d.=15.17%), were randomly assigned to one of two treatment conditions: cognitive-behavioral group treatment with ‘adventure therapy’ similar to Outward Bound® (cognitive-behavioral treatment

E Jelalian; R Mehlenbeck; E E Lloyd-Richardson; V Birmaher; R R Wing

2006-01-01

224

Social Phobia: A Comparison of Behavior Therapy and Atenolol.  

ERIC Educational Resources Information Center

Randomly assigned 72 social phobics to behavioral (flooding) or drug treatment with atenolol or placebo. Found that flooding consistently was superior to placebo, whereas atenolol was not. Flooding also was superior to atenolol on behavioral measures and composite indexes. Subjects who improved during treatment maintained gains at six-month…

Turner, Samuel M.; And Others

1994-01-01

225

United We Stand: Emphasizing Commonalities Across Cognitive-Behavioral Therapies  

E-print Network

. Further, we argue that specific intervention components, including behavioral exposure/activation, at for examining common CBT characteristics that emphasizes behavioral adaptation as a unifying goal and three core processes that are present across approaches and are best understood by their relation- ships to these core

Gross, James J.

226

The New Therapies and Psychopathology: The Behavioral Viewpoint.  

ERIC Educational Resources Information Center

Behavior therapists view psychopathology differently from dynamically oriented therapists, in that behaviorists are taught to regard symptoms primarily as sets of learned behaviors rather than cues to underlying psychological disorders. Even though there is a split among behaviorists as to which procedure is best to follow, there are some special…

Nathan, P. E.

227

Commentary on the Current Status of Assessment in Rational-Emotive and Cognitive-Behavior Therapy  

Microsoft Academic Search

This commentary focuses on the current status of assessment in rational-emotive and cognitive-behavior therapy, in the context\\u000a of making comments about three assessment articles published in the same journal issue. The commentary describes important\\u000a characteristics of rational-emotive and cognitive-behavior assessment measures, suggests several avenues of psychometric research\\u000a on behavioral tests of distress tolerance as clinical measures, reviews psychometric and other

John M. Malouff

2009-01-01

228

What Cognitive Behavioral Techniques Do Therapists Report Using when Delivering Cognitive Behavioral Therapy for the Eating Disorders?  

ERIC Educational Resources Information Center

Objective: Clinicians commonly "drift" away from using proven therapeutic techniques. This study examined the degree to which such drift occurs among cognitive behavioral therapy (CBT) clinicians working with a specific clinical population--adults with eating disorders. Method: The study used a correlational design. The participants were 80…

Waller, Glenn; Stringer, Hannah; Meyer, Caroline

2012-01-01

229

Computer-aided detection of microcalcifications in digital breast tomosynthesis (DBT): a multichannel signal detection approach on projection views  

NASA Astrophysics Data System (ADS)

DBT is one of the promising imaging modalities that may improve the sensitivity and specificity for breast cancer detection. We are developing a computer-aided detection (CADe) system for clustered microcalcifications (MC) in DBT. A data set of two-view DBTs from 42 breasts was collected with a GE prototype system. We investigated a 2D approach to MC detection using projection view (PV) images rather than reconstructed 3D DBT volume. Our 2D approach consisted of two major stages: 1) detecting individual MC candidates on each PV, and 2) correlating the MC candidates from the different PVs and detecting clusters in the breast volume. With the MC candidates detected by prescreening on PVs, a trained multi-channel (MCH) filter bank was used to extract signal response from each MC candidate. A ray-tracing process was performed to fuse the MCH responses and localize the MC candidates in 3D using the geometrical information of the DBT system. Potential MC clusters were then identified by dynamic clustering of the MCs in 3D. A two-fold cross-validation method was used to train and test the CADe system. The detection performance of clustered MCs was assessed by free receiver operating characteristic (FROC) analysis. It was found that the CADe system achieved a case-based sensitivity of 90% at an average false positive rate of 2.1 clusters per DBT volume. Our study demonstrated that the CADe system using 2D MCH filter bank is promising for detection of clustered MCs in DBT.

Wei, Jun; Chan, Heang-Ping; Hadjiiski, Lubomir; Helvie, Mark A.; Zhou, Chuan; Lu, Yao

2012-03-01

230

Neurobiological factors as predictors of cognitive-behavioral therapy outcome in individuals with antisocial behavior: a review of the literature.  

PubMed

This review focuses on the predictive value of neurobiological factors in relation to cognitive-behavioral therapy outcome among individuals with antisocial behavior. Ten relevant studies were found. Although the literature on this topic is scarce and diverse, it appears that specific neurobiological characteristics, such as physiological arousal levels, can predict treatment outcome. The predictive value of neurobiological factors is important as it could give more insight into the causes of variability in treatment outcome among individuals with antisocial behavior. Furthermore, results can contribute to improvement in current treatment selection procedures and to the development of alternative treatment options. PMID:23839226

Cornet, Liza J M; de Kogel, Catharina H; Nijman, Henk L I; Raine, Adrian; van der Laan, Peter H

2014-11-01

231

Applying the Collaborative Study Psychotherapy Rating Scale to Rate Therapist Adherence in Cognitive–Behavior Therapy, Interpersonal Therapy, and Clinical Management  

Microsoft Academic Search

Adherence of therapists to behaviors specified in cognitive–behavior therapy, interpersonal therapy, and clinical management manuals was studied. Raters used the Collaborative Study Psychotherapy Rating Scale (CSPRS) to rate therapist adherence in each of four sessions from 180 patients in the treatment phase of the National Institute of Mental Health Treatment of Depression Collaborative Research Program (TDCRP). Results indicate that therapists

Clara E. Hill; Kevin E. O’Grady; Irene Elkin

1992-01-01

232

D-Cycloserine Augmentation of Cognitive-Behavioral Therapy: Directions for Pilot Research in Pediatric Obsessive-Compulsive Disorder  

ERIC Educational Resources Information Center

This paper discusses a recent translational success in combining behavioral psychotherapy with a novel medication, d-cycloserine (DCS), to augment cognitive-behavioral therapy (CBT) for anxiety disorders. The literature on behavioral theory of exposure-based therapies is provided, followed by a discussion of the role of DCS in enhancing extinction…

Storch, Eric A.; McKay, Dean; Reid, Jeannette M.; Geller, Daniel A.; Goodman, Wayne K.; Lewin, Adam B.; Murphy, Tanya K.

2010-01-01

233

Cognitive-behavioral therapy for body dysmorphic disorder: a review of its efficacy  

PubMed Central

The aim of this study was to review the efficacy of different methods of cognitive and/or behavioral therapies used to treat body dysmorphic disorder. We evaluated all case series, open studies, controlled trials, and meta-analyses of cognitive and/or behavioral treatment approaches to body dysmorphic disorder published up to July 2012, identified through a search in the PubMed/Medline, PsycINFO, ISI Web of Knowledge, and Scopus databases. Our findings indicate that individual and group cognitive behavioral therapies are superior to waiting list for the treatment of body dysmorphic disorder. While the efficacy of cognitive therapy is supported by one controlled trial, utility of behavioral therapy is suggested by one open study and one controlled relapse prevention follow-up study. There is a pressing need to conduct head-to-head studies, with appropriate, active, control treatment groups, in order to examine further the efficacy of cognitive and/or behavioral therapies for body dysmorphic disorder. PMID:23467711

Prazeres, Angelica M; Nascimento, Antonio L; Fontenelle, Leonardo F

2013-01-01

234

Cognitive-behavioral therapy for adolescent depression and suicidality  

PubMed Central

Synopsis CBT has emerged as a well-established treatment for depression in children and adolescents but treatment trials for adolescents with suicidality are few in number, and their efficacy to date is rather limited. Although a definitive treatment for adolescent suicide attempters has yet to be established, the limited literature suggests that suicidal thoughts and behavior should be directly addressed for optimal treatment outcome. This chapter reviews the rationale underlying the use of CBT for the treatment of depression and suicidality in adolescents, the literature supporting the efficacy of CBT for depressed adolescents, and whether CBT for depression reduces suicidal thoughts and behavior. A description of some of the core cognitive, affective, and behavioral techniques used in CBT treatments of suicidal ideation and behavior in depressed adolescents is included. PMID:21440850

Spirito, Anthony; Esposito-Smythers, Christianne; Wolff, Jennifer; Uhl, Kristen

2011-01-01

235

Process and Outcome in Psychotherapy and Behavior Therapy  

ERIC Educational Resources Information Center

Three behavior therapists and three analytically oriented psychotherapists treated a total of 60 neurotic outpatients for four months. It was concluded that patient improvement was more a function of patient characteristics than of specific therapist interventions. (Author)

Staples, Fred R.; And Others

1976-01-01

236

Applying Self-Defeating Behavior Principles to Family Therapy.  

ERIC Educational Resources Information Center

Describes the theory of self-defeating behaviors and discusses the theory's relevance for treatment of families' systems dysfunctions. Presents a case study illustrating the theory's application in a family systems approach for counselors. (RC)

Winkle, C. Wayne; And Others

1982-01-01

237

Cognitive Behavior Therapy versus Supportive Therapy in Social Phobia: A Randomized Controlled Trial  

Microsoft Academic Search

Background: The efficacy of cognitive behaviour therapy (CBT) in social phobia has been demonstrated in several controlled trials and meta-analyses, but no comparison of CBT with supportive therapy (ST) can be found in the literature. Method: The aim of the trial was to study the effectiveness of CBT versus ST carried out ‘as usual’. Sixty-seven DSM-4 social phobic patients (89%

Jean Cottraux; Eliane Albuisson; Saï Nan Yao; Evelyne Mollard; Françoise Bonasse; Isabelle Jalenques; Janine Guérin; André Julien Coudert

2000-01-01

238

Behavioral and endocrinological evaluation of music therapy for elderly patients with dementia.  

PubMed

The present study investigated the effectiveness of music therapy for dementia patients using endocrinological and behavioral evaluations. The study comprised 10 patients with senile dementia who received music therapy; six had Alzheimer's dementia and four had vascular dementia. Music therapy was performed twice a week for 8 consecutive weeks (16 sessions). As a result, total scores on the Mini-Mental State Examination (MMSE) did not significantly change, but the scores of a subscale, "language", improved significantly. According to the Multidimensional Observation Scale For Elderly Subjects (MOSES), scores for "irritability" decreased significantly. Regarding changes in salivary chromogranin A (CgA) levels, the average was significantly decreased before session 16 compared to after this. These results suggest that the combination of endocrinological measurements, behavioral evaluations and functional assessment methods are useful in evaluating the effects of music therapy in persons with senile dementia. PMID:14764189

Suzuki, Mizue; Kanamori, Masao; Watanabe, Motoko; Nagasawa, Shingo; Kojima, Emi; Ooshiro, Hajime; Nakahara, Daiichirou

2004-03-01

239

D-Cycloserine Augmentation of Cognitive-Behavioral Therapy: Directions for Pilot Research in Pediatric Obsessive-Compulsive Disorder  

Microsoft Academic Search

This paper discusses a recent translational success in combining behavioral psychotherapy with a novel medication, d-cycloserine\\u000a (DCS), to augment cognitive-behavioral therapy (CBT) for anxiety disorders. The literature on behavioral theory of exposure-based\\u000a therapies is provided, followed by a discussion of the role of DCS in enhancing extinction learning that is core to such therapies.\\u000a As well, pragmatic issues such as

Eric A. StorchDean; Dean McKay; Jeannette M. Reid; Daniel A. Geller; Wayne K. Goodman; Adam B. Lewin; Tanya K. Murphy

2010-01-01

240

D-Cycloserine as an augmentation strategy for cognitive behavioral therapy of anxiety disorders  

PubMed Central

The goal of this review is to examine the clinical studies on d-cycloserine, a partial glutamatergic N-methyl-D-aspartate agonist, as an augmentation strategy for exposure procedures during cognitive behavioral therapy for anxiety disorders. Although cognitive behavioral therapy and anxiolytic medications are more effective than placebo for treating anxiety disorders, there is still considerable room for further improvement. Traditional combination strategies typically yield disappointing results. However, recent studies based on translational research have shown promise to augment the neural circuitry underlying fear extinction with pharmacological means. We discuss the current state of the literature, including inconsistencies of findings and issues concerning the drug mechanism, dosing, and dose timing. D-cycloserine is a promising combination strategy for cognitive behavioral therapy of anxiety disorders by augmenting extinction learning. However, there is also evidence to suggest that d-cycloserine can facilitate reconsolidation of fear memory when exposure procedures are unsuccessful. PMID:23768232

2013-01-01

241

Stability and Change in Cognitive Behavior Therapy: Considering the Implications of ACT and RFT  

Microsoft Academic Search

Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) are part of the new wave of treatments and analyses\\u000a that seem to be emerging in cognitive behavior therapy. In this article, data in support of these new approaches are provided,\\u000a and evidence that ACT works through different processes than traditional CBT are presented. The integrative proposals of Ciarrochi\\u000a and

Steven C. Hayes

2005-01-01

242

Virtual Reality as a Tool for Cognitive Behavioral Therapy: A Review  

Microsoft Academic Search

\\u000a This chapter describes the deployment of Virtual Reality (VR) for Cognitive Behavioral Therapy (CBT) to treat anxiety and\\u000a other psychological disorders. Regarding anxiety, the most common technique is constituted of Exposure Therapy that, transposed\\u000a to Virtual Reality, allows the patient to face a digital version of the feared object or situation, instead of a real or imaginal\\u000a one. Virtual Reality

Simona Scozzari; Luciano Gamberini

243

History of Cognitive-Behavioral Therapy (CBT) in Youth  

PubMed Central

Synopsis CBT represents a combination of behavioral and cognitive theories of human behavior and psychopathology, and a melding of emotional, familial, and peer influences. The numerous intervention strategies that comprise 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 (e.g., 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 treatment non-responders and to facilitate the dissemination of efficacious CBT approaches. PMID:21440849

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

2011-01-01

244

Intelligent mobile support for therapy adherence and behavior change.  

PubMed

Mobile applications have proven to be promising tools for supporting people in adhering to their health goals. Although coaching and reminder apps abound, few of them are based on established theories of behavior change. In the present work, a behavior change support system is presented that uses a computational model based on multiple psychological theories of behavior change. The system determines the user's reason for non-adherence using a mobile phone app and an online lifestyle diary. The user automatically receives generated messages with persuasive, tailored content. The system was designed to support chronic patients with type 2 diabetes, HIV, and cardiovascular disease, but can be applied to many health and lifestyle domains. The main focus of this work is the development of the model and the underlying reasoning method. Furthermore, the implementation of the system and some preliminary results of its functioning will be discussed. PMID:24858491

Klein, Michel; Mogles, Nataliya; van Wissen, Arlette

2014-10-01

245

Does brief, clinically based, intensive multimodal behavior therapy enhance the effects of methylphenidate in children with ADHD?  

Microsoft Academic Search

Objective  The additional value of a short-term, clinically based, intensive multimodal behavior therapy to optimally titrated methylphenidate\\u000a in children with attention-deficit hyperactivity disorder (ADHD) was investigated.\\u000a \\u000a \\u000a \\u000a Method  Fifty children with ADHD (ages 8–12) were randomized to treatment of methylphenidate or treatment with methylphenidate combined\\u000a with 10 weeks of multimodal behavior therapy. The multimodal behavior therapy consisted of a child and parent behavioral therapy

Saskia van der Oord; Pier J. M. Prins; Jaap Oosterlaan; Paul M. G. Emmelkamp

2007-01-01

246

Some generalization and follow-up measures on autistic children in behavior therapy1  

PubMed Central

We have treated 20 autistic children with behavior therapy. At intake, most of the children were severely disturbed, having symptoms indicating an extremely poor prognosis. The children were treated in separate groups, and some were treated more than once, allowing for within- and between-subject replications of treatment effects. We have employed reliable measures of generalization across situations and behaviors as well as across time (follow-up). The findings can be summarized as follows: (1) Inappropriate behaviors (self-stimulation and echolalia) decreased during treatment, and appropriate behaviors (appropriate speech, appropriate play, and social non-verbal behaviors) increased. (2) Spontaneous social interactions and the spontaneous use of language occurred about eight months into treatment for some of the children. (3) IQs and social quotients reflected improvement during treatment. (4) There were no exceptions to the improvement, however, some of the children improved more than others. (5) Follow-up measures recorded 1 to 4 yr after treatment showed that large differences between groups of children depended upon the post-treatment environment (those groups whose parents were trained to carry out behavior therapy continued to improve, while children who were institutionalized regressed). (6) A brief reinstatement of behavior therapy could temporarily re-establish some of the original therapeutic gains made by the children who were subsequently institutionalized. PMID:16795385

Lovaas, O. Ivar; Koegel, Robert; Simmons, James Q.; Long, Judith Stevens

1973-01-01

247

Pathological behaviors provoked by dopamine agonist therapy of Parkinson's disease  

Microsoft Academic Search

The dopamine agonist medications, pramipexole and ropinirole, are commonly used to treat Parkinson's disease. These two drugs have a highly specific affinity for cerebral D3 receptors, known to be localized to the mesolimbic system. Herein is described a common side effect of these drugs, encountered in our routine clinical practice: pathological behaviors. This includes excessive gambling, hypersexuality, shopping, hyperphagia or

J. Eric Ahlskog

2011-01-01

248

Eye Color as a Predictor of Outcomes in Behavior Therapy.  

ERIC Educational Resources Information Center

Examined the relationship between outcomes of behaviorally oriented treatment for children (N=366) and eye color. Findings were consistent with theoretical expectations: Dark-eyed children and teenagers responded better to reactive treatment programs than their light-eyed counterparts, while the reverse was true for self-paced treatment programs.…

Markle, Allan; And Others

1984-01-01

249

The Role of Homework in Cognitive Behavior Therapy of Depression  

Microsoft Academic Search

Homework is particularly important in the cognitive-behavioral treatment of depression because the pervasive nature of the characteristic cognitive, affective, and motivational disturbances undercut the impact of didactic and supportive verbal interventions. Despite the importance of homework, a relatively small number of studies have quantified the causal relationship between homework completion and symptomatic outcome. Most of these studies have limited power

Michael E. Thase; Judith A. Callan

2006-01-01

250

Child and Adolescent Therapy: Cognitive-Behavioral Procedures. Fourth Edition  

ERIC Educational Resources Information Center

Widely regarded as the definitive clinical reference and text in the field, this authoritative volume presents effective cognitive-behavioral approaches for treating frequently encountered child and adolescent disorders. The editor and contributors are leading experts who provide hands-on, how-to-do-it descriptions illustrated with clinical…

Kendall, Philip C., Ed.

2011-01-01

251

Cognitive-Behavior Therapy for Late-Life Insomnia.  

ERIC Educational Resources Information Center

Assigned 24 older adults with persistent psychophysiological insomnia to immediate or delayed cognitive-behavioral intervention in waiting-list control group design. Treatment was effective in reducing sleep latency, wake after sleep onset, and early morning awakening, and in increasing sleep efficiency. Sleep improvements obtained by…

Morin, Charles M.; And Others

1993-01-01

252

Evidence-Based Therapies for Oppositional Behavior in Young Children  

Microsoft Academic Search

The primary purpose of this chapter is to present and critically evaluate current evidence-based interventions for oppositional behavior (OB) in young children. Children with OB are typically described by parents and teachers as argumentative, disobedient, disruptive, demanding, and defiant. We have operationalized “young children” as including children between the ages of 3 and 8, thus encompassing the preschool and early

Robert J. McMahon; Julie S. Kotler

253

Maintaining Nursing Staff Performance on an Intensive Behavior Therapy Unit.  

ERIC Educational Resources Information Center

The authors suggest ways to establish quality behavioral programs within a hospital for the mentally ill. They emphasize the importance of staff morale, consistency of effort, teamwork, staff training and reinforcement. Procedures said to be responsible for successful maintenance include a flexible credit economy system. (Author/CL)

Marshall, B. D., Jr.; And Others

1983-01-01

254

Understanding Manual-Based Behavior Therapy: Some Theoretical Foundations of Parent-Child Interaction Therapy.  

ERIC Educational Resources Information Center

Provides a model of understanding and evaluating manualized treatments by beginning with a review of the theory and data-driven principles upon which one treatment, Parent-Child Interaction Therapy (PCIT), is based. As a point of illustration, several principles of PCIT, such as reinforcement, punishment, and stimulus control, are highlighted, and…

Greco, Laurie A.; Sorrell, John T.; McNeil, Cheryl B.

2001-01-01

255

Behavioral couples therapy (BCT) for alcohol and drug use disorders: A meta-analysis  

Microsoft Academic Search

Narrative reviews conclude that behavioral couples therapy (BCT) produces better outcomes than individual-based treatment for alcoholism and drug abuse problems (e.g., [Epstein, E. E., & McCrady, B. S. (1998). Behavioral couples treatment of alcohol and drug use disorders: Current status and innovations. Clinical Psychology Review, 18(6), 689–711; O'Farrell, T. J., & Fals-Stewart, W. (2003). Alcohol abuse. Journal of Marital and

Mark B. Powers; Ellen Vedel; Paul M. G. Emmelkamp

2008-01-01

256

Therapist Adherence and Organizational Effects on Change in Youth Behavior Problems One Year After Multisystemic Therapy  

Microsoft Academic Search

The current study investigated the relations among therapist adherence to an evidence-based treatment for youth with serious\\u000a antisocial behavior (i.e., Multisystemic Therapy), organizational climate and structure, and improvement in youth behavior\\u000a problems one-year post treatment. Participants were 1979 youth and families treated by 429 therapists across 45 provider organizations\\u000a in North America. Hierarchical Linear Modeling (HLM) results showed therapist adherence

Sonja K. Schoenwald; Rickey E. Carter; Jason E. Chapman; Ashli J. Sheidow

2008-01-01

257

Cognitive Behavioral Therapy and Fluoxetine for Binge Eating Disorder: Two-year Follow-up  

Microsoft Academic Search

Objective: This study assessed the long-term effects of group behavioral treatment plus individual cognitive behavioral therapy (CBT) and\\/or fluoxetine in binge eating disorder (BED) patients.Research Methods and Procedures: A total of 116 individuals were randomized to an initial five-month trial and were followed up over two years. Assessments, including binge frequency, weight, and self-report measures, were administered at pre-treatment, post-treatment,

Michael J. Devlin; Juli A. Goldfein; Eva Petkova; Linxu Liu; B. Timothy Walsh

2007-01-01

258

The Effect of Cognitive Behavioral Therapy and Cognitive Behavioral Therapy Plus Media on the Reduction of Bullying and Victimization and the Increase of Empathy and Bystander Response in a Bully Prevention Program for Urban Sixth-Grade Students  

ERIC Educational Resources Information Center

The purpose of this study was to investigate the effect of cognitive behavioral therapy and cognitive behavioral therapy plus media on the reduction of bullying and victimization and the increase in empathy and bystander response in a bully prevention program for urban sixth-graders. Sixty-eight students participated. Because one of the…

McLaughlin, Laura Pierce

2009-01-01

259

Cognitive behavioral therapy for sexual dysfunctions in women.  

PubMed

Sexual dysfunctions in women are classified into disorders of desire, arousal, orgasm, and pain (including dyspareunia and vaginismus). As the cognitive behavioral treatment (CBT) procedures differ among these sexual disorders, the treatments for each disorder are reviewed separately. The efficacy of CBT differs depending on the specific sexual dysfunction to be treated. It is concluded that only a few CBT treatments for women's sexual dysfunction have yet been empirically investigated in a methodologically sound way and little is known about which of the treatment components are most effective. PMID:20599135

ter Kuile, Moniek M; Both, Stephanie; van Lankveld, Jacques J D M

2010-09-01

260

Acceptance as a mediator in internet-delivered acceptance and commitment therapy and cognitive behavior therapy for tinnitus.  

PubMed

Despite demonstrated efficacy of behavioral and cognitive techniques in treating the impact of tinnitus (constant ringing in the ears), little is known about the mechanisms by which these techniques achieve their effect. The present study examined acceptance of tinnitus as a potential mediator of treatment changes on global tinnitus severity in internet-delivered acceptance and commitment therapy (iACT) and internet-delivered cognitive behavior therapy (iCBT). Data from 67 participants who were distressed by tinnitus and who were randomly assigned to 1 of the 2 treatments were analyzed using a multilevel moderated mediation model. We predicted that acceptance as measured with the two subscales of the tinnitus acceptance questionnaire (i.e., activity engagement and tinnitus suppression) would mediate the outcome in iACT, but not in iCBT. Results provided partial support to the notion that mediation was moderated by treatment: tinnitus suppression mediated changes in tinnitus severity in iACT, but not in iCBT. However, inconsistent with the view that the treatments worked through different processes of change, activity engagement mediated treatment changes across both iACT and iCBT. Acceptance is identified as a key source of therapeutic change in behavioral-based treatments for tinnitus. PMID:23881309

Hesser, Hugo; Westin, Vendela Zetterqvist; Andersson, Gerhard

2014-08-01

261

A Multicenter Comparison of Cognitive-Behavioral Therapy and Interpersonal Psychotherapy for Bulimia Nervosa  

Microsoft Academic Search

Background: Research suggests that cognitive- behavioral therapy (CBT) is the most effective psycho- therapeutic treatment for bulimia nervosa. One excep- tion was a study that suggested that interpersonal psychotherapy (IPT) might be as effective as CBT, al- though slower to achieve its effects. The present study is designed to repeat this important comparison. Method: Two hundred twenty patients meeting DSM-

W. Stewart Agras; B. Timothy Walsh; Christopher G. Fairburn; G. Terence Wilson; Helena C. Kraemer

2000-01-01

262

An Examination of the Mechanisms of Action in Cognitive Behavioral Therapy for Bulimia Nervosa  

ERIC Educational Resources Information Center

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…

Spangler, Diane L.; Baldwin, Scott A.; Agras, W. Stewart

2004-01-01

263

Moving from Efficacy to Effectiveness in Cognitive Behavioral Therapy for Psychosis: A Randomized Clinical Practice Trial  

ERIC Educational Resources Information Center

Objective: Randomized controlled trials have attested the efficacy of cognitive behavioral therapy (CBT) in reducing psychotic symptoms. Now, studies are needed to investigate its effectiveness in routine clinical practice settings. Method: Eighty patients with schizophrenia spectrum disorders who were seeking outpatient treatment were randomized…

Lincoln, Tania M.; Ziegler, Michael; Mehl, Stephanie; Kesting, Marie-Luise; Lullmann, Eva; Westermann, Stefan; Rief, Winfried

2012-01-01

264

Cognitive Behavior Therapy for Anxious Adolescents: Developmental Influences on Treatment Design and Delivery  

ERIC Educational Resources Information Center

Anxiety disorders in adolescence are common and disruptive, pointing to a need for effective treatments for this age group. Cognitive behavior therapy (CBT) is one of the most popular interventions for adolescent anxiety, and there is empirical support for its application. However, a significant proportion of adolescent clients continue to report…

Sauter, Floor M.; Heyne, David; Westenberg, P. Michiel

2009-01-01

265

An Experimental Clinical Trial of a Cognitive-Behavior Therapy Package for Chronic Stuttering  

ERIC Educational Resources Information Center

Purpose: The aims of the present study were to (a) examine the rate of social phobia among adults who stutter, (b) study the effects of speech restructuring treatment on social anxiety, and (c) study the effects on anxiety and stuttering of a cognitive-behavior therapy (CBT) package for social anxiety. Method: Thirty-two adults with chronic…

Menzies, Ross G.; O'Brian, Sue; Onslow, Mark; Packman, Ann; St Clare, Tamsen; Block, Susan

2008-01-01

266

A Placebo-Controlled Test of Cognitive-Behavioral Therapy for Comorbid Insomnia in Older Adults  

ERIC Educational Resources Information Center

The present study tested cognitive-behavioral therapy (CBT) for insomnia in older adults with osteoarthritis, coronary artery disease, or pulmonary disease. Ninety-two participants (mean age = 69 years) were randomly assigned to classroom CBT or stress management and wellness (SMW) training, which served as a placebo condition. Compared with SMW,…

Rybarczyk, Bruce; Stepanski, Edward; Fogg, Louis; Lopez, Martita; Barry, Paulette; Davis, Andrew

2005-01-01

267

Expectancy, Homework Compliance, and Initial Change in Cognitive-Behavioral Therapy for Anxiety  

ERIC Educational Resources Information Center

Belief in one's ability to change is an important cognitive variable related to treatment gains. This study investigated pretreatment expectancy for anxiety change and early homework compliance in relation to initial and total cognitive change in group cognitive-behavioral therapy (CBT) for anxiety. Participants, who met diagnostic criteria for at…

Westra, Henny A.; Dozois, David J. A.; Marcus, Madalyn

2007-01-01

268

Clinical Trial of Abstinence-Based Vouchers and Cognitive-Behavioral Therapy for Cannabis Dependence  

ERIC Educational Resources Information Center

Ninety cannabis-dependent adults seeking treatment were randomly assigned to receive cognitive-behavioral therapy, abstinence-based voucher incentives, or their combination. Treatment duration was 14 weeks, and outcomes were assessed for 12 months post treatment. Findings suggest that (a) abstinence-based vouchers were effective for engendering…

Budney, Alan J.; Moore, Brent A.; Rocha, Heath L.; Higgins, Stephen T.

2006-01-01

269

Idiosyncratic definitions and unsupported hypotheses: Rational emotive behavior therapy as pseudoscience  

Microsoft Academic Search

My concerns about Rational Emotive Behavior Therapy (REBT) began over a decade ago. I find its concepts lack adequate and consistent definitions, its distinctive hypotheses are not confirmed by empirical data and are untestable, and its scientific foundations fall outside mainstream psychology. Contrary to what it claims, its practice and philosophy are not consisten with the use of reason in

Richard L. Wessler

1996-01-01

270

The Role of Homework in Cognitive-Behavioral Therapy for Cocaine Dependence  

ERIC Educational Resources Information Center

This study examines the effect of homework compliance on treatment outcome in 123 participants receiving cognitive-behavioral therapy (CBT) for cocaine dependence. Regression analyses revealed a significant relationship between homework compliance and cocaine use that was moderated by readiness to change. Homework compliance predicted less cocaine…

Gonzalez, Vivian M.; Schmitz, Joy M.; DeLaune, Katherine A.

2006-01-01

271

Group Outpatient Physical and Behavioral Therapy for Chronic Low Back Pain.  

ERIC Educational Resources Information Center

Compared the effectiveness of behavioral (BT) or physical therapy (PT) for treating chronic low back pain (CLBP), for 13 BT patients and 12 PT patients. Treatments were conducted in a group outpatient setting. Posttreatment results showed general improvement for patients in both groups, but few treatment-specific differences in outcome measures.…

Cohen, Michael J.; And Others

1983-01-01

272

Brief Cognitive-Behavioral Therapy for Anxious Youth: Feasibility and Initial Outcomes  

ERIC Educational Resources Information Center

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.…

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

273

Training Head Start Teachers in Behavior Management Using Parent-Child Interaction Therapy: A Preliminary Investigation  

ERIC Educational Resources Information Center

The current project evaluated the use of behavior management techniques utilized in Parent- Child Interaction Therapy (PCIT) in head start classrooms. The sample included seven Head Start classrooms; four classrooms receiving treatment and three classrooms receiving no treatment. Evaluation of the progress included observation of teacher and…

Tiano, Jennifer D.; McNeil, Cheryl B.

2006-01-01

274

Sustaining clinician penetration, attitudes and knowledge in cognitive-behavioral therapy for youth anxiety  

PubMed Central

Background Questions remain regarding the sustainment of evidence-based practices following implementation. The present study examined the sustainment of community clinicians’ implementation (i.e., penetration) of cognitive-behavioral therapy, attitudes toward evidence-based practices, and knowledge of cognitive-behavioral therapy for youth anxiety two years following training and consultation in cognitive-behavioral therapy for youth anxiety. Methods Of the original 115 participants, 50 individuals (43%) participated in the two-year follow-up. A t- test examined sustainment in penetration over time. Hierarchical linear modeling examined sustainment in knowledge and attitudes over time. Time spent in consultation sessions was examined as a potential moderator of the change in knowledge and attitudes. Results Findings indicated sustained self-reported penetration of cognitive-behavioral therapy for anxious youth, with low fidelity to some key CBT components (i.e., exposure tasks). Follow-up knowledge was higher than at baseline but lower than it had been immediately following the consultation phase of the study. Belief in the utility of evidence-based practices was sustained. Willingness to implement an evidence-based practice if required to do so, appeal of evidence-based practices, and openness toward evidence-based practices were not sustained. Participation in consultation positively moderated changes in knowledge and some attitudes. Conclusions Sustainment varied depending on the outcome examined. Generally, greater participation in consultation predicted greater sustainment. Implications for future training include higher dosages of consultation. PMID:25030651

2014-01-01

275

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

ERIC Educational Resources Information Center

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…

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

2013-01-01

276

Two-Day, Intensive Cognitive-Behavioral Therapy for Panic Disorder: A Case Study  

ERIC Educational Resources Information Center

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…

Deacon, Brett

2007-01-01

277

Efficacy of Cognitive-Behavioral Therapy for Comorbid Panic Disorder with Agoraphobia and Generalized Anxiety Disorder  

ERIC Educational Resources Information Center

The goal of this study was to evaluate the efficacy of cognitive-behavioral therapy for comorbid panic disorder with agoraphobia (PDA) and generalized anxiety disorder (GAD) by combining treatment strategies for both disorders. A single-case, multiple-baseline design across participants was used. Three participants with primary PDA and secondary…

Labrecque, Joane; Marchand, Andre; Dugas, Michel J.; Letarte, Andree

2007-01-01

278

Preliminary Evidence for Cognitive Mediation during Cognitive-Behavioral Therapy of Panic Disorder  

ERIC Educational Resources Information Center

Cognitive-behavioral therapy (CBT) and pharmacotherapy are similarly effective for treating panic disorder with mild or no agoraphobia, but little is known about the mechanism through which these treatments work. The present study examined some of the criteria for cognitive mediation of treatment change in CBT alone, imipramine alone, CBT plus…

Hofmann, Stefan G.; Meuret, Alicia E.; Rosenfield, David; Suvak, Michael K.; Barlow, David H.; Gorman, Jack M.; Shear, M. Katherine; Woods, Scott W.

2007-01-01

279

A Randomized Effectiveness Trial of Brief Cognitive-Behavioral Therapy for Depressed Adolescents Receiving Antidepressant Medication  

ERIC Educational Resources Information Center

Objective: To test a collaborative-care, cognitive-behavioral therapy (CBT) program adjunctive to selective serotonin reuptake inhibitor (SSRI) treatment in HMO pediatric primary care. Method: A randomized effectiveness trial comparing a treatment-as-usual (TAU) control condition consisting primarily of SSRI medication delivered outside the…

Clarke, Gregory; DeBar, Lynn; Lynch, Frances; Powell, James; Gale, John; O'Connor, Elizabeth; Ludman, Evette; Bush, Terry; Lin, Elizabeth H. B.; Von Korff, Michael; Hertert, Stephanie

2005-01-01

280

A Comparison of Cognitive-Behavioral Therapy, Sertraline, and Their Combination for Adolescent Depression  

ERIC Educational Resources Information Center

Objective: To evaluate cognitive-behavioral therapy, antidepressant medication alone, and combined CBT and antidepressant medication in the treatment of depressive disorders in adolescents. Method: Seventy-three adolescents (ages 12-18 years) with a primary diagnosis of DSM-IV major depressive disorder, dysthymic disorder, or depressive disorder…

Melvin, Glenn A.; Tonge, Bruce J.; King, Neville J.; Heyne, David; Gordon, Michael S.; Klimkeit, Ester

2006-01-01

281

The Physician\\/Patient Encounter from a Cognitive Behavioral Therapy Perspective  

Microsoft Academic Search

Cognitive-behavioral therapy (CBT) offers benefit in rehabilitation, particularly with pain problems. Its conceptual basis and certain of its techniques fit well with the type of occupational rehabilitation that encourages patient involvement and comprehensive attention to impediments to reaching functional goals. The physician-patient encounter remains a pivotal force from the onset of illness or injury through rehabilitation and resolution. Communications within

Sam Moon; Judy Liu

1998-01-01

282

Adapted Behavior Therapy for Persistently Depressed Primary Care Patients: An Open Trial  

ERIC Educational Resources Information Center

Major depressive disorder is commonly treated in primary care settings. Psychotherapy occurring in primary care should take advantage of the unique aspects of the setting and must adapt to the problems and limitations of the setting. In this open trial, the authors used a treatment development model to adapt behavior therapy for primary care…

Uebelacker, Lisa A.; Weisberg, Risa B.; Haggarty, Ryan; Miller, Ivan W.

2009-01-01

283

Therapist Adherence and Competence with Manualized Cognitive-Behavioral Therapy for PTSD Delivered via Videoconferencing Technology  

ERIC Educational Resources Information Center

Using secondary analyses from a randomized trial comparing the effectiveness of manualized cognitive-behavioral therapy for posttraumatic stress disorder, we compared ratings of therapist competency and adherence between two service delivery modes: telepsychiatry (TP) and same room (SR). Patients were 38 male treatment-seeking veterans recruited…

Frueh, B. Christopher; Monnier, Jeannine; Grubaugh, Anouk L.; Elhai, Jon D.; Yim, Eunsil; Knapp, Rebecca

2007-01-01

284

Therapeutic Empathy and Recovery from Depression in Cognitive-Behavioral Therapy: A Structural Equation Model.  

ERIC Educational Resources Information Center

Demonstrated that therapeutic empathy had moderate-to-large causal effect on recovery from depression among 185 patients treated with cognitive-behavioral therapy. Homework compliance had separate effect on clinical recovery, over and above effect of therapeutic empathy. Patients of novice therapists improved significantly less than did patients…

Burns, David D.; Nolen-Hoeksema, Susan

1992-01-01

285

Predictors of Treatment Response to Cognitive-Behavioral Therapy for Depression in Parkinson's Disease  

ERIC Educational Resources Information Center

Objective: The purpose of this study was to examine predictors of treatment response to cognitive-behavioral therapy (CBT) for depression in Parkinson's disease (PD). Method: The sample comprised 80 depressed ("DSM-IV" criteria) adults with PD (60% male) and their caregivers who participated in an National Institutes of Health-sponsored…

Dobkin, Roseanne D.; Rubino, Jade Tiu; Allen, Lesley A.; Friedman, Jill; Gara, Michael A.; Mark, Margery H.; Menza, Matthew

2012-01-01

286

The Impact of Motivational Interviewing on Client Experiences of Cognitive Behavioral Therapy for Generalized Anxiety Disorder  

ERIC Educational Resources Information Center

Motivational Interviewing (MI) has recently been applied to the treatment of anxiety disorders in an effort to bolster engagement with and response rates to cognitive behavioral therapy (CBT). In a recent randomized control trial, the addition of MI as a pretreatment compared to no pretreatment was found to significantly improve response to CBT…

Kertes, Angela; Westra, Henny A.; Angus, Lynne; Marcus, Madalyn

2011-01-01

287

Assessing Outcome in Cognitive Behavior Therapy for Child Depression: An Illustrative Case Series  

ERIC Educational Resources Information Center

Recent meta-analytic data suggest a need for ongoing evaluation of treatments for youth depression. The present article calls attention to a number of issues relevant to the empirical evaluation of if and how cognitive behavior therapy for child depression works. A case series of 6 children and a primary caregiver received treatment--individual…

Eckshtain, Dikla; Gaynor, Scott T.

2009-01-01

288

Implementing Cognitive Behavioral Therapy for Chronic Fatigue Syndrome in a Mental Health Center: A Benchmarking Evaluation  

ERIC Educational Resources Information Center

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…

Scheeres, Korine; Wensing, Michel; Knoop, Hans; Bleijenberg, Gijs

2008-01-01

289

Coping Styles, Homework Compliance, and the Effectiveness of Cognitive–Behavioral Therapy  

Microsoft Academic Search

Factor analysis of the Self-Help Inventory (Burns, Shaw, & Crocker, 1987) in a group of 307 consecutive outpatients seeking cognitive–behavioral therapy (CBT) for affective disorders revealed 3 factors that assessed the frequency with which subjects used active coping strategies when depressed, the perceived helpfulness of these coping strategies, and their willingness to learn new coping strategies. The Frequency and Helpfulness

David D. Burns; Susan Nolen-Hoeksema

1991-01-01

290

Toward a biosocial theory of offender rehabiltiation: Why does cognitive-behavioral therapy work?  

Microsoft Academic Search

ObjectiveThe growing insights from neuropsychological research, including within biosocial criminology, have not yet been systematically incorporated into the study of correctional rehabilitation. Given developments in related fields, we argue that moving toward a biosocial theory of offender rehabilitation or neurocriminology will enrich our understanding and effectiveness of these interventions. A particularly promising area to investigate is cognitive-behavioral therapy (CBT). In

Jamie Vaske; Kevan Galyean; Francis T. Cullen

2011-01-01

291

Effectiveness of Cognitive-Behavioral Therapy for Adolescent Depression: A Benchmarking Investigation  

ERIC Educational Resources Information Center

In this study, we examined the effectiveness of cognitive-behavioral therapy (CBT) for adolescent depression. Outcomes of 80 youth treated with CBT in an outpatient depression specialty clinic, the Services for Teens at Risk Center (STAR), were compared to a "gold standard" CBT research benchmark. On average, youths treated with CBT in STAR…

Weersing, V. Robin; Iyengar, Satish; Kolko, David J.; Birmaher, Boris; Brent, David A.

2006-01-01

292

Impact of Comorbidity on Cognitive-Behavioral Therapy Response in Pediatric Obsessive-Compulsive Disorder  

ERIC Educational Resources Information Center

A chronic psychiatric condition among children and adolescents of concern is obsessive-compulsive disorder, which involves comorbid conditions. The impact of a range of comorbid illnesses on cognitive-behavioral therapy response and remission rates was conducted, with results revealing a negative impact on treatment response.

Storch, Eric A.; Merlo, Lisa J.; Larson, Michael J.; Geffken, Gary R.; Lehmkuh, Heather D.; Jacob, Marni L.; Murphy, Tanya K.; Goodman, Wayne K.

2008-01-01

293

Mindfulness-Action Based Cognitive Behavioral Therapy for Concurrent Binge Eating Disorder and Substance Use Disorders  

Microsoft Academic Search

Individuals with Binge Eating Disorder (BED) often evidence comorbid Substance Use Disorders (SUD), resulting in poor outcome. This study is the first to examine treatment outcome for this concurrent disordered population. In this pilot study, 38 individuals diagnosed with BED and SUD participated in a 16-week group Mindfulness-Action Based Cognitive Behavioral Therapy (MACBT). Participants significantly improved on measures of objective

Christine M. Courbasson; Yasunori Nishikawa; Leah B. Shapira

2010-01-01

294

A cognitive behavioral therapy for co-occurring substance use and posttraumatic stress disorders  

Microsoft Academic Search

Co-occurring posttraumatic stress disorder (PTSD) is prevalent in addiction treatment programs and a risk factor for negative outcomes. Although interventions have been developed to address substance use and PTSD, treatment options are needed that are effective, well tolerated by patients, and potentially integrated with existing program services. This paper describes a cognitive behavioral therapy (CBT) for PTSD that was adapted

Mark P. McGovern; Chantal Lambert-Harris; Stephanie Acquilano; Haiyi Xie; Arthur I. Alterman; Roger D. Weiss

2009-01-01

295

The Role of Homework in Cognitive-Behavioral Therapy for Cocaine Dependence  

Microsoft Academic Search

This study examines the effect of homework compliance on treatment outcome in 123 participants receiving cognitive-behavioral therapy (CBT) for cocaine dependence. Regression analyses revealed a significant relationship between homework compliance and cocaine use that was moderated by readiness to change. Homework compliance predicted less cocaine use during treatment but only for participants higher in readiness to change. For those lower

Vivian M. Gonzalez; Joy M. Schmitz; Katherine A. DeLaune

2006-01-01

296

Group cognitive-behavioral therapy for women with PTSD and substance use disorder  

Microsoft Academic Search

This paper describes a model of group cognitive-behavioral therapy (CBT) for women with posttraumatic stress disorder (PTSD) and substance use disorder (SUD). The need for specialized treatment derives from the high incidence of these comorbid disorders among women as well as from their particular clinical presentation and treatment needs. The treatment educates patients about the two disorders, promotes self-control skills

Lisa M Najavits; Roger D Weiss; Bruce S Liese

1996-01-01

297

Subtypes of obsessive-compulsive disorder: Implications for specialized cognitive behavior therapy  

Microsoft Academic Search

Although obsessive-compulsive disorder (OCD) is a heterogeneous condition, OCD subtypes have received limited attention in trials of cognitive behavior therapy (CBT). Because many patients with OCD do not respond optimally to CBT, it is important for clinicians to consider whether variability in treatment response is related to symptom presentation. Treatment modifications for patients without overt compulsions or with hoarding symptoms

Debbie Sookman; Jonathan S. Abramowitz; John E. Calamari; Sabine Wilhelm; Dean McKay

2005-01-01

298

Clinical considerations for the treatment of body dysmorphic disorder with cognitive-behavioral therapy  

Microsoft Academic Search

Although cognitive behavior therapy has been found to be very effective in the treatment of body dysmorphic disorder (BDD), there still remain a number of challenges that clinicians face in the treatment of individuals with BDD. In this article, we discuss issues related to comorbid depression, suicidality, substance use disorders, personality disorders as well as the role of early life

Ulrike Buhlmann; Hannah E. Reese; Stefanie Renaud; Sabine Wilhelm

2008-01-01

299

Integrated Family and Cognitive-Behavioral Therapy for adolescent substance abusers: a Stage I efficacy study  

Microsoft Academic Search

This study evaluated the efficacy of Integrated Family and Cognitive-Behavioral Therapy (IFCBT), a multisystems treatment for adolescent drug abuse, versus a Drugs Harm Psychoeducation curriculum (DHPE). A randomized controlled trial assessed youth and parents at baseline and at 1, 3 and 6-month posttreatment points. Youth participants (N=43) met diagnostic criteria for one or more psychoactive substance use disorders with most

William W. Latimer; Ken C. Winters; Thomas D'Zurilla; Mike Nichols

2003-01-01

300

The Accidental Practitioner: Principles of Rational Emotive Behavior Therapy in the Works of Kurt Vonnegut  

Microsoft Academic Search

Just as psychology, psychiatry, and philosophy have influenced the field of literary studies, literature provides insight about the theories and practices of its sister disciplines. The purpose of this article is to demonstrate how literary works of Kurt Vonnegut illuminate principles of the influential branch of psychotherapy known as rational emotive behavior therapy (REBT). This article traces the similar philosophies

Joseph J. Ward

2012-01-01

301

The accidental practitioner: Principles of rational emotive behavior therapy in the works of Kurt Vonnegut  

Microsoft Academic Search

Just as psychology and philosophy have influenced the field of literary studies, literature provides insight about the theories and practices of its sister disciplines. The purpose of this thesis is to demonstrate how literary works of Kurt Vonnegut illuminate principles of the influential branch of psychotherapy known as Rational Emotive Behavior Therapy (REBT). This thesis traces the similar philosophies and

Joseph J Ward

2010-01-01

302

Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression: Preliminary Findings  

ERIC Educational Resources Information Center

In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive-behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate…

Kennard, Betsy D.; Clarke, Greg N.; Weersing, V. Robin; Asarnow, Joan Rosenbaum; Shamseddeen, Wael; Porta, Giovanna; Berk, Michele; Hughes, Jennifer L.; Spirito, Anthony; Emslie, Graham J.; Keller, Martin B.; Wagner, Karen D.; Brent, David A.

2009-01-01

303

Cognitive Behavioral Therapy in Practice: Treatment Delivered by Trainees at an Outpatient Clinic Is Clinically Effective  

ERIC Educational Resources Information Center

Cognitive-behavioral therapy (CBT) is known to be effective for a number of disorders, and can be delivered effectively by trainees in controlled settings. However, the effectiveness of trainee therapists in general practice compared to that of more experienced therapists is unknown. In this study, the authors used a benchmarking strategy to…

Forand, Nicholas R.; Evans, Susan; Haglin, Dean; Fishman, Baruch

2011-01-01

304

Therapist Verbal Behavior Early in Treatment: Relation to Successful Completion of Parent?Child Interaction Therapy  

ERIC Educational Resources Information Center

We examined the role of specific therapist verbal behaviors in predicting successful completion of Parent?Child Interaction Therapy (PCIT) in 22 families, including 11 families that successfully completed treatment and 11 that discontinued treatment prematurely. The children were 3 to 6 years old and diagnosed with oppositional defiant disorder…

Harwood, Michelle D.; Eyberg, Sheila M.

2004-01-01

305

Cognitive Behavioral Therapy Reduces Suicidal Ideation in Schizophrenia: Results from a Randomized Controlled Trial  

ERIC Educational Resources Information Center

Patients with schizophrenia are at high risk of suicide. Cognitive behavior therapy (CBT) has been shown to reduce symptoms in schizophrenia. This study examines whether CBT also changes the level of suicidal ideation in patients with schizophrenia compared to a control group. Ninety ambulatory patients with symptoms of schizophrenia resistant to…

Bateman, Katy; Hansen, Lars; Turkington, Douglas; Kingdon, David

2007-01-01

306

Brief Behavioral Activation and Problem-Solving Therapy for Depressed Breast Cancer Patients: Randomized Trial  

ERIC Educational Resources Information Center

Objective: Major depression is the most common psychiatric disorder among breast cancer patients and is associated with substantial impairment. Although some research has explored the utility of psychotherapy with breast cancer patients, only 2 small trials have investigated the potential benefits of behavior therapy among patients with…

Hopko, Derek R.; Armento, Maria E. A.; Robertson, Sarah M. C.; Ryba, Marlena M.; Carvalho, John P.; Colman, Lindsey K.; Mullane, Christen; Gawrysiak, Michael; Bell, John L.; McNulty, James K.; Lejuez, Carl W.

2011-01-01

307

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

ERIC Educational Resources Information Center

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…

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

2008-01-01

308

Telephone-Administered Cognitive Behavioral Therapy for Veterans Served by Community-Based Outpatient Clinics  

ERIC Educational Resources Information Center

Objective: Multiple trials have found telephone-administered cognitive behavioral therapy (T-CBT) to be effective for the treatment of depression. The aim of this study was to evaluate T-CBT for the treatment of depression among veterans served by community-based outpatient clinics (CBOCs) outside of major urban areas. Method: Eighty-five veterans…

Mohr, David C.; Carmody, Timothy; Erickson, Lauren; Jin, Ling; Leader, Julie

2011-01-01

309

Semantic Behavior Therapy and Psychosocial Variables in the Treatment of Chronic Pain in the Elderly.  

ERIC Educational Resources Information Center

This study explored the efficacy of semantic behavior therapy in the management of chronic osteoarthritis pain in elderly patients as well as the relationships among pain, physical health, personality, and social characteristics in this population. The sample consisted of 8 elderly persons who had osteoarthritis of the knee, and 11 healthy elderly…

Dietrich, Coralie; And Others

310

The Additive Benefit of Hypnosis and Cognitive-Behavioral Therapy in Treating Acute Stress Disorder  

ERIC Educational Resources Information Center

This research represents the first controlled treatment study of hypnosis and cognitive- behavioral therapy (CBT) of acute stress disorder (ASD). Civilian trauma survivors (N = 87) who met criteria for ASD were randomly allocated to 6 sessions of CBT, CBT combined with hypnosis (CBT-hypnosis), or supportive counseling (SC). CBT comprised exposure,…

Bryant, Richard A.; Moulds, Michelle L.; Guthrie, Rachel M.; Nixon, Reginald D. V.

2005-01-01

311

Implementing Cognitive Behavioral Therapy for Chronic Fatigue Syndrome in a Mental Health Center: A Benchmarking Evaluation  

Microsoft Academic Search

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 following: spreading information about the new treatment setting to general practitioners and CFS

Korine Scheeres; Michel Wensing; Hans Knoop; Gijs Bleijenberg

2008-01-01

312

Cognitive-Behavioral Therapy for Depression in an Older Gay Man: A Clinical Case Study  

ERIC Educational Resources Information Center

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…

Satterfield, Jason M.; Crabb, Rebecca

2010-01-01

313

A Comparison of Sensory Integrative and Behavioral Therapies as Treatment for Pediatric Feeding Disorders  

ERIC Educational Resources Information Center

We compared the effects of escape extinction (EE) plus noncontingent reinforcement (NCR) with sensory integration therapy as treatment for the feeding problems of 2 children. Results indicated that EE plus NCR was more effective in increasing acceptance, decreasing inappropriate behavior, and increasing amount consumed relative to sensory…

Addison, Laura R.; Piazza, Cathleen C.; Patel, Meeta R.; Bachmeyer, Melanie H.; Rivas, Kristi M.; Milnes, Suzanne M.; Oddo, Jackie

2012-01-01

314

Building capacity for cognitive behavioral therapy delivery for depression in disaster-impacted contexts.  

PubMed

Numerous challenges exist in implementing evidence-based practices, such as cognitive behavioral therapy, in resource poor, ethnic minority, and/or disaster-affected communities with disparities in mental health. Community-academic participatory partnerships are a promising approach to addressing disparities by implementing community-appropriate, evidence-based depression care. A community-academic collaborative was formed in New Orleans after Hurricane Katrina to expand resources for effective depression care, including cognitive behavioral therapy. In this article, we: 1) describe our model of building capacity to deliver cognitive behavioral therapy for depression in post-disaster community-based settings; 2) discuss the impact of this training program on therapist reported practice; and 3) share lessons learned regarding disseminating and sustaining evidence-based interventions in the context of a disaster impacted community. Using a mixed methods approach, we found that this model was feasible, acceptable, and disseminated knowledge about cognitive behavioral therapy in community settings. Over the course of two years, community providers demonstrated the feasibility of implementing evidence-based practice and potential for local community leadership. The lessons learned from this model of implementation may help address barriers to disseminating evidence-based interventions in other low-resource, disaster-impacted community settings. PMID:22352079

Ngo, Victoria K; Centanni, Angela; Wong, Eunice; Wennerstrom, Ashley; Miranda, Jeanne

2011-01-01

315

Potential Mediators of Cognitive-Behavioral Therapy for Adolescents With Comorbid Major Depression and Conduct Disorder  

ERIC Educational Resources Information Center

Several possible mediators of a group cognitive-behavioral therapy (CBT) for depressed adolescents were examined. Six measures specific to CBT (e.g., negative cognitions, engagement in pleasurable activities) and 2 nonspecific measures (therapeutic alliance, group cohesion) were examined in 93 adolescents with comorbid major depressive disorder…

Kaufman, Noah K.; Rohde, Paul; Seeley, John R.; Clarke, Gregory N.; Stice, Eric

2005-01-01

316

Preliminary Evidence for Cognitive Mediation During Cognitive–Behavioral Therapy of Panic Disorder  

Microsoft Academic Search

Cognitive–behavioral therapy (CBT) and pharmacotherapy are similarly effective for treating panic disorder with mild or no agoraphobia, but little is known about the mechanism through which these treatments work. The present study examined some of the criteria for cognitive mediation of treatment change in CBT alone, imipramine alone, CBT plus imipramine, and CBT plus placebo. Ninety-one individuals who received 1

Stefan G. Hofmann; Alicia E. Meuret; David Rosenfield; Michael K. Suvak; David H. Barlow; Jack M. Gorman; M. Katherine Shear; Scott W. Woods

2007-01-01

317

Alliance ruptures and rupture resolution in cognitive–behavior therapy: A preliminary task analysis  

Microsoft Academic Search

An initial ideal, rational model of alliance rupture and rupture resolution provided by cognitive–behavioral therapy (CBT) experts was assessed and compared with empirical observations of ruptures and their resolution in two cases of successful CBT. The initial rational model emphasized nondefensive acknowledgment and exploration of the rupture. Results indicated differences between what therapists think they should do to resolve ruptures

Helen Aspland; Susan Llewelyn; Gillian E. Hardy; Michael Barkham; William Stiles

2008-01-01

318

Virtual Reality Cognitive Behavior Therapy for Public Speaking AnxietyA Randomized Clinical Trial  

Microsoft Academic Search

Public speaking anxiety (PSA) is a common phobia. Although cognitive behavior therapy (CBT) is preferred, difficulties arise with the exposure component (lack of therapist control, patient's inability to imagine, self-flooding, loss of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist control, thus overcoming these difficulties. This study examined whether VRCBT is an alternative

Helene S. Wallach; Marilyn P. Safir; Margalit Bar-Zvi

2009-01-01

319

Nortriptyline and Cognitive-Behavioral Therapy in the Treatment of Cigarette Smoking  

Microsoft Academic Search

Background: A history of major depressive disorder (MDD) predicts failure to quit smoking. We deter- mined the effect of nortriptyline hydrochloride and cog- nitive-behavioral therapy on smoking treatment out- come in smokers with a history of MDD. The study also addressed the effects of diagnosis and treatment condi- tion on dysphoria after quitting smoking and the effects of dysphoria on

Sharon M. Hall; Victor I. Reus; Ricardo F. Munoz; Karen L. Sees; Gary Humfleet; Diane T. Hartz; Sydney Frederick; Elisa Triffleman

1998-01-01

320

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

Microsoft Academic Search

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

Miki Matsunaga; Yasumasa Okamoto; Shin-ichi Suzuki; Akiko Kinoshita; Shinpei Yoshimura; Atsuo Yoshino; Yoshihiko Kunisato; Shigeto Yamawaki

2010-01-01

321

Personality dimensions and treatment drop-outs among eating disorder patients treated with cognitive behavior therapy  

Microsoft Academic Search

Premature, unilateral interruption of inpatient treatment of eating disorders (ED) is a key factor limiting success. We evaluated the role of personality dimensions (temperament and character) in predicting drop-out in 145 consecutive ED inpatients (133 females) who entered cognitive behavior therapy. Baseline assessment included anthropometry, the Eating Disorder Examination, the Beck Depression Inventory, the State-Trait Anxiety Inventory, and the Temperament

Riccardo Dalle Grave; Simona Calugi; Francesca Brambilla; Giulio Marchesini

2008-01-01

322

Cognitive-behavioral therapy for social anxiety disorder: current status and future directions  

Microsoft Academic Search

Cognitive-behavioral therapy (CBT) is the most thoroughly studied nonpharmacologic approach to the treatment of social anxiety disorder, and its efficacy has been demonstrated in a large number of investigations. This article summarizes the data on the efficacy of CBT for the treatment of the symptoms of social anxiety disorder and impaired quality of life. The relative efficacy of various CBT

Richard G. Heimberg

2002-01-01

323

Dialectical Behavior Therapy Modified for Adolescent Binge Eating Disorder: A Case Report  

ERIC Educational Resources Information Center

Given the lack of empirically supported treatments available for adolescents with eating disorders, it is important to investigate the clinical utility of extending treatments for adults with eating disorders to younger populations. Dialectical behavior therapy for binge eating disorder, based on the affect-regulation model, conceptualizes binge…

Safer, Debra L.; Couturier, Jennifer L.; Lock, James

2007-01-01

324

Counseling College Women Experiencing Eating Disorder Not Otherwise Specified: A Cognitive Behavior Therapy Model  

ERIC Educational Resources Information Center

Eating disorder not otherwise specified (EDNOS; American Psychiatric Association, 2000) is, by far, the most common eating disorder that college counseling professionals encounter among their female clients. Empirical evidence and best practice guidelines support use of cognitive behavior therapy (CBT) with women experiencing EDNOS. This article…

Choate, Laura H.

2010-01-01

325

Evaluation of an Occupational Therapy Mentorship Program: Effects on Therapists' Skills and Family-Centered Behavior  

ERIC Educational Resources Information Center

There is growing interest in understanding the usefulness of mentorship programs for children's rehabilitation service providers. This evaluation study examined the effects of an occupational therapy mentorship program on the skills and behaviors of 8 new and 17 experienced occupational therapists practicing at a regional children's rehabilitation…

King, Gillian; Tam, Cynthia; Fay, Linda; Pilkington, Martha; Servais, Michelle; Petrosian, Hasmik

2011-01-01

326

Internet-Based Cognitive-Behavioral Therapy for Complicated Grief: A Randomized Controlled Trial  

ERIC Educational Resources Information Center

The present study investigates the efficacy of an Internet-based cognitive-behavioral therapy program for bereaved people suffering complicated grief. The program combines established methods of psychotherapy with new technology--therapists and patients communicated exclusively by e-mail. Bereaved individuals diagnosed with complicated grief (n =…

Wagner, Birgit; Knaevelsrud, Christine; Maercker, Andreas

2006-01-01

327

Second year treatment outcome of alcoholics treated by individualized behavior therapy: Results  

Microsoft Academic Search

who. while hospitalized at Patton State Hospital. served as subjects in an experiment evaluating 'Individualized Behavior Therapy (IBT)' techniques. Subjects were initially assigned to either a controlled drinking or non-drinking (abstinence) treatment goal. and were then randomly assigned to either an experimental group receiving IBT or a control group receiving conventional state hospital treatment oriented towards abstinence. Previously reported results

MARK B. SOBELL; LINDA C. SOBELL

1976-01-01

328

Alcohol Treatment and Cognitive-Behavioral Therapy: Enhancing Effectiveness by Incorporating Spirituality and Religion  

ERIC Educational Resources Information Center

Cognitive-behavioral therapy (CBT) is an effective modality for the treatment of alcoholism. Given widespread interest in incorporating spirituality into professional treatment, this article orients practitioners to spiritually modified CBT, an approach that may enhance outcomes with some spiritually motivated clients. More specifically, by…

Hodge, David R.

2011-01-01

329

The therapeutic relationship in cognitive-behavioral therapy: Patient perceptions and therapist responses  

Microsoft Academic Search

A working relationship between the patient and therapist is an essential part of any psychotherapy, yet few guidelines exist for this component of cognitive- behavioral treatment. Findings of therapy process and outcome research suggest that the therapeutic relationship strongly influences treatment results, and that interpersonal factors and technical applications interact in forming an effective alliance. Considering the perspective of the

Jesse H. Wright; Denise Davis

1994-01-01

330

Anomalous subsurface thermal behavior in tissue mimics upon near infrared irradiation mediated photothermal therapy.  

PubMed

Photothermal therapy using (Near Infrared) NIR region of EM spectrum is a fast emerging technology for cancer therapy. Different types of nanoparticles may be used for enhancing the treatment. Though the treatment protocols are developed based on experience driven estimated temperature increase in the tissue, it is not really known what spatiotemporal thermal behavior in the tissue is. In this work, this thermal behavior of tissue models is investigated with and without using nanoparticles. An increased temperature inside tissue compared to surface is observed which is counter intuitive from the present state of knowledge. It is shown from fiber level microstructure that this increased temperature leads to enhanced damage at the deeper parts of biomaterials. Nanoparticles can be utilized to control this temperature increase spatially. A multiple scattering based physical model is proposed to explain this counterintuitive temperature rise inside tissue. The results show promising future for better understanding and standardizing the protocols for photothermal therapy. PMID:24730236

Ghosh, Soham; Sahoo, Nilamani; Sajanlal, P R; Sarangi, Nirod Kumar; Ramesh, Nivarthi; Panda, Tapobrata; Pradeep, T; Das, Sarit Kumar

2014-03-01

331

Investigating the Similarities and Differences between Practitioners of Second- and Third-Wave Cognitive-Behavioral Therapies  

ERIC Educational Resources Information Center

There has been much discussion in the literature recently regarding the conceptual and technical differences between so-called second- (e.g., Beckian cognitive therapy) and third-wave (e.g., acceptance and commitment therapy) behavioral therapies. Previous research has not addressed the potential similarities and differences among the…

Brown, Lily A.; Gaudiano, Brandon A.; Miller, Ivan W.

2011-01-01

332

Use of Individual Feedback during Human Gross Anatomy Course for Enhancing Professional Behaviors in Doctor of Physical Therapy Students  

ERIC Educational Resources Information Center

Medical professionals and public consumers expect that new physical therapy graduates possess cognitive, technical, and behavioral skills required to provide safe and high-quality care to patients. The purpose of this study was to determine if a repertoire of ten professional behaviors assessed at the beginning of doctorate of physical therapy

Youdas, James W.; Krause, David A.; Hellyer, Nathan J.; Rindflesch, Aaron B.; Hollman, John H.

2013-01-01

333

Parent-Child Interaction Therapy with Behavior Problem Children: Maintenance of Treatment Effects in the School Setting.  

ERIC Educational Resources Information Center

Describes follow-up assessments conducted with 84 children who had completed Parent-Child Interaction Therapy (PCIT), a behavioral family therapy for preschool children with disruptive behavior problems. When compared with control groups, subjects improved to within the normal range of conduct problems and social competence, but by the 18-month…

Funderburk, Beverly W.; Eyberg, Shelia M.; Newcomb, Katharine; McNeil, Cheryl B.; Hembree-Kigin, Toni; Capage, Laura

1998-01-01

334

Unusual compulsive behaviors primarily related to dopamine agonist therapy in Parkinson's disease and multiple system atrophy.  

PubMed

Unusual compulsive behaviors (weighing, card and video game playing, fishing, gardening, intense interest in established hobbies, locking and unlocking doors, repetitive dressing and undressing) occurred in relation to dopamine agonist therapy (six patients) and levodopa therapy (one patient) in seven patients with parkinsonism (seven Parkinson's disease, one multiple system atrophy). These behaviors occurred in tandem with pathological gambling, hypersexuality, compulsive eating, compulsive shopping or punding in six of the seven cases. Obsessive thoughts were present in one patient, with no prior history of obsessive-compulsive disorder. The simultaneous occurrence of these phenomenologically distinct behaviors in this group of patients suggests that a broad spectrum of psychopathology may occur in this context and should be monitored for in routine neurological practice. PMID:17544807

McKeon, Andrew; Josephs, Keith A; Klos, Kevin J; Hecksel, Kathleen; Bower, James H; Michael Bostwick, J; Eric Ahlskog, J

2007-12-01

335

Acceptance and Commitment Therapy and Behavioral Activation for the Treatment of Depression: Description and Comparison  

PubMed Central

The field of clinical behavior analysis is growing rapidly and has the potential to affect and transform mainstream cognitive behavior therapy. To have such an impact, the field must provide a formulation of and intervention strategies for clinical depression, the “common cold” of outpatient populations. Two treatments for depression have emerged: acceptance and commitment therapy (ACT) and behavioral activation (BA). At times ACT and BA may suggest largely redundant intervention strategies. However, at other times the two treatments differ dramatically and may present opposing conceptualizations. This paper will compare and contrast these two important treatment approaches. Then, the relevant data will be presented and discussed. We will end with some thoughts on how and when ACT or BA should be employed clinically in the treatment of depression. PMID:22478462

Kanter, Jonathan W; Baruch, David E; Gaynor, Scott T

2006-01-01

336

Behavioral Bibliotherapy: A Review of Self-Help Behavior Therapy Manuals  

ERIC Educational Resources Information Center

Describes the organizing concepts and strategies for the development and evaluation of self-help behavioral treatment manuals. Reviews programs that have been published or empirically tested for the treatment of phobias, smoking, obesity, sexual dysfunction, assertiveness, child behavior problems, study skills, and physical fitness, as well as…

Glasgow, Russell E.; Rosen, Gerald M.

1978-01-01

337

Mechanisms of Virtual Reality Exposure Therapy: The Role of the Behavioral Activation and Behavioral Inhibition Systems  

Microsoft Academic Search

J. A. Gray’s (1975) theory distinguishes between two motivational systems, which he refers to as the behavioral activation system (BAS) and the behavioral inhibition system (BIS). D. C. Fowles (1980) has shown that heart rate responses reflect activity of the BAS, and electrodermal responses reflect activity of the BIS. Both BAS and BIS are reliably activated during in-vivo exposure to

Frank H. Wilhelm; Monique C. Pfaltz; James J. Gross; Iris B. Mauss; Sun I. Kim; Brenda K. Wiederhold

2005-01-01

338

Randomized Controlled Comparison of Cognitive Behavior Therapy with Rogerian Supportive Therapy in Chronic Post-Traumatic Stress Disorder: A 2Year Follow-Up  

Microsoft Academic Search

Background: To date, there have been no studies comparing cognitive behavior therapy (CBT) with Rogerian therapy in post-traumatic stress disorder. Method: Sixty outpatients with DSM-IV chronic post-traumatic stress disorder were randomized into two groups for 16 weekly individual sessions of CBT or Rogerian supportive therapy (ST) at two centers. No medication was prescribed. Measures included the Post-Traumatic Stress Disorder Checklist

Jean Cottraux; Sai Nan Yao; Chantal de Mey-Guillard; Françoise Bonasse; Diane Djamoussian; Evelyne Mollard; Yaohua Chen

2008-01-01

339

Rational-emotive therapy vs general cognitive-behavior therapy in the treatment of low self-esteem and related emotional disturbances  

Microsoft Academic Search

The present study compared the relative effectiveness of “preferential” rational-emotive therapy (RET) and general cognitive-behavior therapy (CBT) in the treatment of low self-esteem and related emotional disturbances. Thirty-three subjects were randomly assigned to RET, CBT, and waiting-list control (WLC) groups. Therapy consisted of 8 weekly 1 1\\/2hour group sessions. At posttest, both the RET and CBT groups changed significantly more

Ricks Warren; Robert McLellarn; Catherine Ponzoha

1988-01-01

340

The Prevalence and Impact of Large Sudden Improvements During Adolescent Therapy for Depression: A Comparison Across Cognitive-Behavioral, Family, and Supportive Therapy  

Microsoft Academic Search

This study assessed the treatment specificity and impact on outcome of large, abrupt symptomatic improvements occurring prior to and during cognitive-behavioral, family, and supportive therapy. Eighty-seven depressed adolescents receiving at least 8 therapy sessions were included. Abrupt large decreases in depressive symptoms were identified by changes in weekly Beck Depression Inventory scores. Overall, 28% experienced a pretreatment gain and 39%

Scott T. Gaynor; V. Robin Weersing; David J. Kolko; Boris Birmaher; Jungeun Heo; David A. Brent

2003-01-01

341

Empirical Comparison of Three Treatments for Adolescent Males with Physical and Sexual Aggression: Mode Deactivation Therapy, Cognitive Behavior Therapy and Social Skills Training  

ERIC Educational Resources Information Center

This research study compared the efficacy of three treatment methodologies for adolescent males in residential treatment with conduct disorders and/or personality dysfunctions and documented problems with physical and sexual aggression. The results showed that Mode Deactivation Therapy, an advanced form of cognitive behavioral therapy based on…

Apsche, Jack A.; Bass, Christopher K.; Jennings, Jerry L.; Murphy, Christopher J.; Hunter, Linda A.; Siv, Alexander M.

2005-01-01

342

A Review and Empirical Comparison of Three Treatments for Adolescent Males with Conduct and Personality Disorder: Mode Deactivation Therapy, Cognitive Behavior Therapy and Social Skills Training  

ERIC Educational Resources Information Center

This research study compared the efficacy of three treatment methodologies for adolescent males in residential treatment with conduct disorders and/or personality dysfunctions and documented problems with physical and sexual aggression. The results showed that Mode Deactivation Therapy, an advanced form of cognitive behavioral therapy based on…

Apsche, Jack A.; Bass, Christopher K.

2006-01-01

343

A Review and Empirical Comparison of Two Treatments for Adolescent Males with Conduct and Personality Disorder: Mode Deactivation Therapy and Cognitive Behavior Therapy  

ERIC Educational Resources Information Center

This research study compared the efficacy of two treatment methodologies for adolescent males in residential treatment with conduct disorders and/or personality dysfunctions and documented problems with physical and sexual aggression. The results showed that Mode Deactivation Therapy, an advanced form of cognitive behavioral therapy based on…

Apsche, Jack A.; Bass, Christopher K.; Jennings, Jerry L.; Siv, Alexander M.

2005-01-01

344

A Randomized Controlled Trial of Internet-Delivered Cognitive Behavior Therapy and Acceptance and Commitment Therapy in the Treatment of Tinnitus  

ERIC Educational Resources Information Center

Objective: Our aim in this randomized controlled trial was to investigate the effects on global tinnitus severity of 2 Internet-delivered psychological treatments, acceptance and commitment therapy (ACT) and cognitive behavior therapy (CBT), in guided self-help format. Method: Ninety-nine participants (mean age = 48.5 years; 43% female) who were…

Hesser, Hugo; Gustafsson, Tore; Lunden, Charlotte; Henrikson, Oskar; Fattahi, Kidjan; Johnsson, Erik; Westin, Vendela Zetterqvist; Carlbring, Per; Maki-Torkko, Elina; Kaldo, Viktor; Andersson, Gerhard

2012-01-01

345

Lost in translation? Moving contingency management and cognitive behavioral therapy into clinical practice.  

PubMed

In the treatment of addictions, the gap between the availability of evidence-based therapies and their limited implementation in practice has not yet been bridged. Two empirically validated behavioral therapies, contingency management (CM) and cognitive behavioral therapy (CBT), exemplify this challenge. Both have a relatively strong level of empirical support but each has weak and uneven adoption in clinical practice. This review highlights examples of how barriers to their implementation in practice have been addressed systematically, using the Stage Model of Behavioral Therapies Development as an organizing framework. For CM, barriers such as cost and ideology have been addressed through the development of lower-cost and other adaptations to make it more community friendly. For CBT, barriers such as relative complexity, lack of trained providers, and need for supervision have been addressed via conversion to standardized computer-assisted versions that can serve as clinician extenders. Although these and other modifications have rendered both interventions more disseminable, diffusion of innovation remains a complex, often unpredictable process. The existing specialty addiction-treatment system may require significant reforms to fully implement CBT and CM, particularly greater focus on definable treatment goals and performance-based outcomes. PMID:25204847

Carroll, Kathleen M

2014-10-01

346

Thought Field Therapy clinical applications: Utilization in an HMO in behavioral medicine and behavioral health services  

Microsoft Academic Search

Thought Field Therapy (TFT) is a self-administered treatment developed by psychologist Roger Cal lahan. TFT uses energy meridian treatment points and bilateral optical-cortical stimulation while focusing on the targeted symptoms or problem being addressed. The clinical applications of TFT summarized included anxiety; adjustment disorder with anxiety and depression; anxiety due to medical condition; anger; acute stress; bereavement; chronic pain; cravings;

Caroline Sakai; David Paperny; Marvin Mathews; Greg Tanida; Geri Boyd; Alan Simons; Charlene Yamamoto; Carolyn Mau; Lynn Nutter

2001-01-01

347

A Randomized Controlled Trial of Cognitive-Behavior Therapy Plus Bright Light Therapy for Adolescent Delayed Sleep Phase Disorder  

PubMed Central

Objective: To evaluate cognitive-behavior therapy plus bright light therapy (CBT plus BLT) for adolescents diagnosed with delayed sleep phase disorder (DSPD). Design: Randomized controlled trial of CBT plus BLT vs. waitlist (WL) control with comparisons at pre- and post-treatment. There was 6-month follow-up for the CBT plus BLT group only. Setting: Flinders University Child & Adolescent Sleep Clinic, Adelaide, South Australia. Patients: 49 adolescents (mean age 14.6 ± 1.0 y, 53% males) diagnosed with DSPD; mean chronicity 4 y 8 months; 16% not attending school. Eighteen percent of adolescents dropped out of the study (CBT plus BLT: N = 23 vs WL: N = 17). Interventions: CBT plus BLT consisted of 6 individual sessions, including morning bright light therapy to advance adolescents' circadian rhythms, and cognitive restructuring and sleep education to target associated insomnia and sleep hygiene. Measurements and Results: DSPD diagnosis was performed via a clinical interview and 7-day sleep diary. Measurements at each time-point included online sleep diaries and scales measuring sleepiness, fatigue, and depression symptoms. Compared to WL, moderate-to-large improvements (d = 0.65-1.24) were found at post-treatment for CBT plus BLT adolescents, including reduced sleep latency, earlier sleep onset and rise times, total sleep time (school nights), wake after sleep onset, sleepiness, and fatigue. At 6-month follow-up (N = 15), small-to-large improvements (d = 0.24-1.53) continued for CBT plus BLT adolescents, with effects found for all measures. Significantly fewer adolescents receiving CBT plus BLT met DPSD criteria at post-treatment (WL = 82% vs. CBT plus BLT = 13%, P < 0.0001), yet 13% still met DSPD criteria at the 6-month follow-up. Conclusions: CBT plus BLT for adolescent DSPD is effective for improving multiple sleep and daytime impairments in the immediate and long-term. Studies evaluating the treatment effectiveness of each treatment component are needed. Clinical Trial Information: Australia – New Zealand Trials Registry Number: ACTRN12610001041044. Citation: Gradisar M; Dohnt H; Gardner G; Paine S; Starkey K; Menne A; Slater A; Wright H; Hudson JL; Weaver E; Trenowden S. A randomized controlled trial of cognitive-behavior therapy plus bright light therapy for adolescent delayed sleep phase disorder. SLEEP 2011;34(12):1671-1680. PMID:22131604

Gradisar, Michael; Dohnt, Hayley; Gardner, Greg; Paine, Sarah; Starkey, Karina; Menne, Annemarie; Slater, Amy; Wright, Helen; Hudson, Jennifer L.; Weaver, Edward; Trenowden, Sophie

2011-01-01

348

Contribution of behavior therapy and biofeedback to laxative therapy in the treatment of pediatric encopresis  

Microsoft Academic Search

A model incorporating physiological, behavioral, and psychological parameters are presented to explain the maintenance and\\u000a consequences of pediatric encopresis. It was hypothesized that the more comprehensive a treatment in addressing these parameters,\\u000a the more efficacious it would be and the more children it would benefit. Eighty-seven children between the ages of 6 and 15\\u000a with the primary complaint of encopresis

Daniel J. Cox; James Sutphen; Steve Borowitz; Boris Kovatchev; William Ling

1998-01-01

349

Experimental neurotrophic factor therapy leads to cortical synaptic remodeling and compensates for behavioral deficits.  

PubMed Central

This brief review discusses experimental therapy with neurotrophic factors in a model of central nervous system (CNS) neural atrophy and synaptic loss resulting from unilateral cortical infarctions. It discusses the trophic factor protection of the cholinergic phenotype of neurons belonging to the forebrain-to-neocortex projection, as well as the capacity of trophic therapy to elicit synaptogenesis in the cerebral cortex of adult animals. Finally, it addresses the behavioral consequences of trophic factor-induced synaptic remodeling of the neocortex in this model. Images Figure 3 PMID:9002392

Cuello, A C

1997-01-01

350

Quantum chemistry of adsorption and hydrogenation of DBT and carbazole on NiMoS using ZINDO\\/I method  

Microsoft Academic Search

The purpose of this study was to develop a fundamental understanding of the adsorption and first-step hydrogenation mechanisms of sulfur and nitrogen compounds over molybdenum disulfide (MoS2). To do so, molecular simulation of the dibenzothiophene (DBT) and carbazole over NiMoS micro-crystal active surface was performed using Zerner's intermediate neglect of differential overlap (ZINDO) program with Hyperchem software. This study discusses

A. Duan; J. Gao; C. Xu; D. Wang; Z. Zhao; T. Dou; K. H. Chung

2007-01-01

351

Principles and Practice of Cognitive Behaviour Therapy in Working with Parents of Young Children with Behavior Disorder.  

ERIC Educational Resources Information Center

Describes a pragmatic approach using cognitive-behavior therapy (CBT) to help correct parents' dysfunctional cognitions and strengthen confidence in parenting. Details three components of CBT: (1) focusing on positive behavior; (2) ignoring negative behavior if not dangerous; and (3) using special time. Notes that positive reinforcement is key to…

Pavuluri, Mani; Smith, Marita

1996-01-01

352

Master's-Level Practitioners as Cognitive Behavioral Therapy for Insomnia Providers: An Underutilized Resource  

PubMed Central

Despite the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in treating chronic insomnia, it remains underutilized. Lack of appropriately-trained CBT-I providers is a major reason. Master's-level practitioners (MLPs) may, in addition to doctoral-level psychologists, be uniquely positioned to fill this role, based not only on “goodness of professional fit” but also given a handful of studies showing these individuals' care outcomes meet or exceed standard outcomes. However, the ability of MLPs to provide CBT-I will be significantly restricted until a clear pathway is established that extends from training opportunities to credentialing. Further questions remain about how to attract and incorporate MLPs into established practices. Citation: Fields BG; Schutte-Rodin S; Perlis ML; Myers M. Master's-level practitioners as cognitive behavioral therapy for insomnia providers: an underutilized resource. J Clin Sleep Med 2013;9(10):1093-1096. PMID:24127157

Fields, Barry G.; Schutte-Rodin, Sharon; Perlis, Michael L.; Myers, Megin

2013-01-01

353

Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies.  

PubMed

A wave of new developments has occurred in the behavioral and cognitive therapies that focuses on processes such as acceptance, mindfulness, attention, or values. In this review, we describe some of these developments and the data regarding them, focusing on information about components, moderators, mediators, and processes of change. These "third wave" methods all emphasize the context and function of psychological events more so than their validity, frequency, or form, and for these reasons we use the term "contextual cognitive behavioral therapy" to describe their characteristics. Both putative processes, and component and process evidence, indicate that they are focused on establishing a more open, aware, and active approach to living, and that their positive effects occur because of changes in these processes. PMID:21219193

Hayes, Steven C; Villatte, Matthieu; Levin, Michael; Hildebrandt, Mikaela

2011-01-01

354

The Evolution of Cognitive Behavior Therapy for Schizophrenia: Current Practice and Recent Developments  

PubMed Central

Cognitive behavior therapy (CBT) evolved from behavioral theory and developed to focus more on cognitive models that incorporated reappraisal of thinking errors and schema change strategies. This article will describe the key elements of CBT for schizophrenia and the current evidence of its efficacy and effectiveness. We conclude with a description of recent concepts that extend the theoretical basis of practice and expand the range of CBT strategies for use in schizophrenia. Mindfulness, meta-cognitive approaches, compassionate mind training, and method of levels are postulated as useful adjuncts for CBT with psychotic patients. PMID:19661198

Tai, Sara; Turkington, Douglas

2009-01-01

355

Using microcomputer technology in music therapy for analyzing therapist and client behavior.  

PubMed

A low-cost microcomputer was used to analyze systematically the behavioral interactions between a music therapist and a 55-year-old mentally retarded female. The microcomputer permitted the authors to determine quickly and cost effectively the effect of music therapy sessions on the client's behavior. The study demonstrates that current microcomputer technology can now be used to collect and analyze process-oriented data for application in both research and training activities. The implications for process-oriented research and training are discussed. PMID:10254570

Hasselbring, T S; Duffus, N A

1981-01-01

356

Brief Strategic Family Therapy: Engaging Drug Using/Problem Behavior Adolescents and their Families into Treatment  

PubMed Central

Despite the efficacy of family-based interventions for improving outcomes for adolescent behavior problems such as substance use, engaging and retaining whole families in treatment is one of the greatest challenges therapists confront. This article illustrates how the Brief Strategic Family Therapy® (BSFT®) model, a family-based, empirically validated intervention designed to treat children and adolescents’ problem behaviors, can be used to increase engagement, improve retention, and bring about positive outcomes for families. Research evidence for efficacy and effectiveness is also presented. PMID:23731415

Szapocznik, Jose; Zarate, Monica; Duff, Johnathan; Muir, Joan

2013-01-01

357

Templated growth of PFO-DBT nanorod bundles by spin coating: effect of spin coating rate on the morphological, structural, and optical properties.  

PubMed

In this study, the spin coating of template-assisted method is used to synthesize poly[2,7-(9,9-dioctylfluorene)-alt-4,7-bis(thiophen-2-yl)benzo-2,1,3-thiadiazole] (PFO-DBT) nanorod bundles. The morphological, structural, and optical properties of PFO-DBT nanorod bundles are enhanced by varying the spin coating rate (100, 500, and 1,000 rpm) of the common spin coater. The denser morphological distributions of PFO-DBT nanorod bundles are favorably yielded at the low spin coating rate of 100 rpm, while at high spin coating rate, it is shown otherwise. The auspicious morphologies of highly dense PFO-DBT nanorod bundles are supported by the augmented absorption and photoluminescence. PMID:24872806

Fakir, Muhamad Saipul; Supangat, Azzuliani; Sulaiman, Khaulah

2014-01-01

358

Templated growth of PFO-DBT nanorod bundles by spin coating: effect of spin coating rate on the morphological, structural, and optical properties  

PubMed Central

In this study, the spin coating of template-assisted method is used to synthesize poly[2,7-(9,9-dioctylfluorene)-alt-4,7-bis(thiophen-2-yl)benzo-2,1,3-thiadiazole] (PFO-DBT) nanorod bundles. The morphological, structural, and optical properties of PFO-DBT nanorod bundles are enhanced by varying the spin coating rate (100, 500, and 1,000 rpm) of the common spin coater. The denser morphological distributions of PFO-DBT nanorod bundles are favorably yielded at the low spin coating rate of 100 rpm, while at high spin coating rate, it is shown otherwise. The auspicious morphologies of highly dense PFO-DBT nanorod bundles are supported by the augmented absorption and photoluminescence. PMID:24872806

2014-01-01

359

Internet-Based Cognitive-Behavioral Therapy for Complicated Grief: A Randomized Controlled Trial  

Microsoft Academic Search

The present study investigates the efficacy of an Internet-based cognitive-behavioral therapy program for bereaved people suffering complicated grief. The program combines established methods of psychotherapy with new technology– therapists and patients communicated exclusively by e-mail. Bereaved individuals diagnosed with complicated grief (n = 55) were randomly assigned to either the treatment group or a waiting list control condition. The 5-week intervention consisted

Birgit Wagner; Christine Knaevelsrud; Andreas Maercker

2006-01-01

360

Applied relaxation vs cognitive behavior therapy in the treatment of panic disorder  

Microsoft Academic Search

The present study investigated the efficacy of a coping-technique, applied relaxation (AR) and cognitive behavior therapy (CBT), in the treatment of panic disorder. Thirty-eight outpatients fulfilling the DSM-III-R criteria for panic disorder with no (n = 30) or mild (n = 8) avoidance were assessed with independent assessor ratings, self-report scales and self-observation of panic attacks before and after treatment,

Lars-Göran Öst; Bengt E. Westling

1995-01-01

361

Personality disorders do not influence the results of cognitive and behavior therapy for obsessive compulsive disorder  

Microsoft Academic Search

This study examined whether categorical or dimensional personality disorder variables affected treatment outcome in a sample of 52 patients with obsessive compulsive disorder who followed a standardized cognitive behavior therapy program. Treatment consisted of 12 weekly sessions and was completed by 43 patients. The Structured Clinical Interview for DSM-III-R personality disorders (SCID-II) was taken before the start of treatment by

Laura Dreessen; Rense Hoekstra; Arnoud Arntz

1997-01-01

362

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

Microsoft Academic Search

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

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

2008-01-01

363

Treating Internet Addiction With Cognitive-Behavioral Therapy: A Thematic Analysis of the Experiences of Therapists  

Microsoft Academic Search

In 2009, one of the major Dutch addiction care organizations initiated a pilot program to explore the possibility of using\\u000a an existing Cognitive Behavioral Therapy and Motivational Interviewing based treatment program (‘Lifestyle Training’) to treat\\u000a internet addiction. The current study evaluates this pilot treatment program by providing a qualitative analysis of the experiences\\u000a of the therapists with the treatment of

Antonius J. van Rooij; Mieke F. Zinn; Tim M. Schoenmakers; Dike van de Mheen

364

Cognitive-behavioral therapy for ADHD in medication-treated adults with continued symptoms  

Microsoft Academic Search

The purpose of the present study was to examine the potential efficacy, patient acceptability, and feasibility of a novel, cognitive-behavioral therapy (CBT) for adults with attention-deficit hyperactivity disorder (ADHD) who have been stabilized on medications but still show clinically significant symptoms. Thirty-one adults with ADHD and stable psychopharmacology for ADHD were randomized to CBT plus continued psychopharmacology or continued psychopharmacology

Steven A. Safren; Michael W. Otto; Susan Sprich; Carol L. Winett; Timothy E. Wilens; Joseph Biederman

2005-01-01

365

FDG-PET predictors of response to behavioral therapy and pharmacotherapy in obsessive compulsive disorder  

Microsoft Academic Search

In subjects with obsessive-compulsive disorder (OCD), lower pre-treatment metabolism in the right orbitofrontal cortex (OFC) and anterior cingulate gyrus (AC) has been associated with a better response to clomipramine. We sought to determine pre-treatment metabolic predictors of response to behavioral therapy (BT) vs. pharmacotherapy in subjects with OCD. To do this, [18F]fluorodeoxyglucose positron emission tomography scans of the brain were

Arthur L Brody; Sanjaya Saxena; Jeffrey M Schwartz; Paula W Stoessel; Karron Maidment; Michael E Phelps; Lewis R Baxter

1998-01-01

366

User—robot personality matching and assistive robot behavior adaptation for post-stroke rehabilitation therapy  

Microsoft Academic Search

This paper describes a hands-off socially assistive therapist robot designed to monitor, assist, encourage, and socially interact\\u000a with post-stroke users engaged in rehabilitation exercises. We investigate the role of the robot’s personality in the hands-off\\u000a therapy process, focusing on the relationship between the level of extroversion–introversion of the robot and the user. We\\u000a also demonstrate a behavior adaptation system capable

Adriana Tapus; Cristian ??pu?; Maja J. Matari?

2008-01-01

367

Coping Strategy Use Following Computerized Cognitive-Behavioral Therapy for Substance Use Disorders  

Microsoft Academic Search

Coping strategies are emerging as a predictor of treatment outcome for substance users and may be particularly important among computerized and self-change approaches. We used data from a randomized clinical trial of a computer-based version of cognitive–behavioral therapy (CBT4CBT) to: (1) examine the association between observer ratings of coping skills and self-reported coping strategies; (2) evaluate whether participants assigned to

Dawn E. Sugarman; Charla Nich; Kathleen M. Carroll

2010-01-01

368

Cognitive-Behavioral Therapy for Offender Hopelessness: Lessons from Treatment of Forensic Inpatients  

Microsoft Academic Search

Patients remanded to forensic hospitals often experience a marked situational depression once initial psychotic symptoms subside\\u000a and the reality of their legal situation becomes evident. Individual psychotherapy is not often used with this population\\u000a due to a generally high level of impairment. It is suggested, that with modifications, the cognitive-behavioral therapy manual\\u000a by Michael Thase (in: VanHasselt, Hersen (eds) Sourcebook

Nancy L. Ryba

2008-01-01

369

Potential Mediators of Cognitive-Behavioral Therapy for Adolescents With Comorbid Major Depression and Conduct Disorder  

Microsoft Academic Search

Several possible mediators of a group cognitive-behavioral therapy (CBT) for depressed adolescents were examined. Six measures specific to CBT (e.g., negative cognitions, engagement in pleasurable activities) and 2 nonspecific measures (therapeutic alliance, group cohesion) were examined in 93 adolescents with comorbid major depressive disorder and conduct disorder who were randomly assigned to the Adolescent Coping With Depression (CWD-A) course or

Noah K. Kaufman; Paul Rohde; John R. Seeley; Gregory N. Clarke; Eric Stice

2005-01-01

370

Alliance and Outcome in Cognitive-Behavioral Therapy for Adolescent Depression  

Microsoft Academic Search

This study examined predictive relations between therapeutic alliance and treatment outcomes in manual-guided, cognitive-behavioral therapy for adolescent depression. Fifty-four adolescents met criteria for a depressive disorder and were treated in school-based clinics. Alliance was measured after the third session from both therapist and adolescent perspectives, and change in depressive symptoms was assessed by structured interview and self-report. Two models of

Stephen R. Shirk; Gretchen Gudmundsen; Heather Crisp Kaplinski; Dana L. McMakin

2008-01-01

371

The Need for Web-Based Cognitive Behavior Therapy Among University Students  

Microsoft Academic Search

This study investigates students' need for a web-based cognitive-behavior therapy (CBT) intervention program for preventing depression, the mental health status of those who felt a need for such a program, and underlying factors of the intention to use web-based self-help. A conceptual model for explaining intention to use web-based self-help is proposed. Nearly half of the participants reported a need

Ove K. Lintvedt; Kristian Sørensen; Andreas R. Østvik; Bas Verplanken; Catharina E. Wang

2008-01-01

372

Impact of a Treatment Rationale on Expectancy and Engagement in Cognitive Behavioral Therapy for Social Anxiety  

Microsoft Academic Search

Although presentation of a treatment rationale is posited to enhance expectations for change, this contention has not been\\u000a directly evaluated. In this analogue study, the Cognitive Behavioral Therapy (CBT) rationale for social anxiety was presented\\u000a via videotape by an experienced CBT therapist, to 77 undergraduate students with high fear of negative evaluation. Results\\u000a indicated significant increases in self-efficacy for anxiety

Mariyam Ahmed; Henny A. Westra

2009-01-01

373

Cognitive Behavioral Therapy Techniques for Distress and Pain in Breast Cancer Patients: A Meta-Analysis  

Microsoft Academic Search

This meta-analysis is the first to examine cognitive behavioral therapy (CBT) techniques for distress and pain specifically\\u000a in breast cancer patients. Twenty studies that used CBT techniques with breast cancer patients were identified and effect\\u000a sizes were calculated to determine (1) whether CBT techniques have a significant impact on distress and pain, (2) if individual\\u000a or group treatments are more

Kristin Tatrow; Guy H. Montgomery

2006-01-01

374

Virtual Reality Cognitive-Behavior Therapy for Public Speaking Anxiety: One-Year Follow-Up  

Microsoft Academic Search

Public speaking anxiety (PSA) is a common social phobia. Although cognitive-behavior therapy (CBT) is the treatment of choice, difficulties arise with both in vivo and in vitro exposure (lack of therapist control, patient’s inability to imagine, self-flooding, and a lack of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist control, thus overcoming these

Marilyn P. Safir; Helene S. Wallach; Margalit Bar-Zvi

2012-01-01

375

Cognitive-Behavioral Group Therapy in Obsessive-Compulsive Disorder: A Randomized Clinical Trial  

Microsoft Academic Search

Background: The present study was designed to verify the efficacy of cognitive-behavioral group therapy (CBGT) in reducing obsessive-compulsive symptoms and the intensity of overvalued ideas, as well as in improving the patient’s quality of life. Methods: Forty-seven patients meeting DSM-IV criteria for obsessive-compulsive disorder (OCD) were randomly assigned to either 12 weekly CBGT sessions or a waiting list (control group).

Aristides Volpato Cordioli; Elizeth Heldt; Daniela Braga Bochi; Regina Margis; Marcelo Basso de Sousa; Juliano Fonseca Tonello; Gisele Gus Manfro; Flavio Kapczinski

2003-01-01

376

Symptom dimensions in obsessive-compulsive disorder: prediction of cognitive-behavior therapy outcome  

Microsoft Academic Search

Objective: A significant number of patients with obsessive- compulsive disorder (OCD) fail to benefit sufficiently from treatments. This study aimed to evaluate whether certain OCD symptom dimensions were associated with cognitive-behavioral therapy (CBT) outcome. Method: Symptoms of 104 CBT-treated in-patients with OCD were assessed with the clinician-rated Yale-Brown Obsessive-Compulsive Scale symptom checklist. Logistic regression analyses examined outcome predictors. Results: The

M. Rufer; S. Fricke; S. Moritz; M. Kloss; I. Hand

2006-01-01

377

Changes in Emotion Regulation Following Cognitive-Behavioral Therapy for Anxious Youth  

Microsoft Academic Search

This study examined emotion-related functioning following cognitive-behavioral therapy (CBT) with 37 youth with anxiety disorders (22 boys, 15 girls) ranging in age from 7 to 15 with a principal diagnosis of generalized anxiety disorder (n = 27), separation anxiety disorder (n = 12), and\\/or social phobia (n = 13). Treated youth exhibited a reduction in anxiety and increased anxiety self-efficacy and emotional awareness at posttreatment. Treated

Cynthia Suveg; Erica Sood; Jonathan S. Comer; Philip C. Kendall

2009-01-01

378

Pretreatment Predictors of Dropout From Cognitive Behavioral Therapy for PTSD in Iraq and Afghanistan War Veterans  

Microsoft Academic Search

Cognitive–behavioral therapies (CBTs) can be effective treatments for posttraumatic stress disorder (PTSD) but their effectiveness is limited by high rates of premature dropout. Few studies have compared pretreatment characteristics of treatment completers and dropouts, and only one has examined these factors in Operations Iraqi Freedom and Enduring Freedom (OIF\\/OEF) Veterans. This study analyzed archival clinical data from 117 OEF\\/OIF Veterans

Hector A. Garcia; Lance P. Kelley; Timothy O. Rentz; Shuko Lee

2011-01-01

379

Dissociation as a Predictor of Cognitive Behavior Therapy Outcome in Patients with Obsessive-Compulsive Disorder  

Microsoft Academic Search

Background: Previous studies have found a strong association between dissociation and obsessive-compulsive disorder (OCD). The purpose of the present study was to evaluate whether dissociation is a predictor of cognitive behavior therapy (CBT) outcome in patients with OCD. Methods: Fifty-two patients with OCD were assessed using the Dissociative Experience Scale (DES), the Yale-Brown Obsessive-Compulsive Scale and the Beck Depression Inventory.

Michael Rufer; Dada Held; Julia Cremer; Susanne Fricke; Steffen Moritz; Helmut Peter; Iver Hand

2006-01-01

380

A Placebo-Controlled Test of cognitive–Behavioral Therapy for Comorbid Insomnia in Older Adults  

Microsoft Academic Search

The present study tested cognitive–behavioral therapy (CBT) for insomnia in older adults with osteoarthritis, coronary artery disease, or pulmonary disease. Ninety-two participants (mean age = 69 years) were randomly assigned to classroom CBT or stress management and wellness (SMW) training, which served as a placebo condition. Compared with SMW, CBT participants had larger improvements on 8 out of 10 self-report

Bruce Rybarczyk; Edward Stepanski; Louis Fogg; Martita Lopez; Paulette Barry; Andrew Davis

2005-01-01

381

A Synopsis of Rational-Emotive Behavior Therapy (REBT); Fundamental and Applied Research  

Microsoft Academic Search

The article presents a synopsis on rational-emotive behavior therapy (REBT), its fundamental theoretical framework, its applications,\\u000a and future directions. The paper is organized according to the following structure: in part one, REBT fundamental\\/basic research\\u000a is discussed; in the second part clinical\\/applied research in REBT is presented, including aspects of efficacy and effectiveness,\\u000a discrimination of disorders for which REBT works most

Daniel David; Aurora Szentagotai; Kallay Eva; Bianca Macavei

2005-01-01

382

Emotion-focused cognitive-behavioral therapy for anxious youth: A multiple-baseline evaluation  

Microsoft Academic Search

Examined the efficacy of an Emotion-focused Cognitive-Behavioral Therapy (ECBT) for six anxious youths ages 7–13 years. All participants had a principal anxiety disorder (generalized anxiety disorder, separation anxiety disorder, or social phobia) based on the Anxiety Disorder Interview Schedule for Children—Child and Parent versions. Children and parents reported on anxious symptomatology using the Multidimensional Anxiety Scale for Children (MASC). To

Cynthia Suveg; Philip C. Kendall; Jonathan S. Comer; Joanna Robin

2006-01-01

383

The Effects of Drug and Behavior Therapy on Urgency and Voiding Frequency  

PubMed Central

Introduction and Hypotheses The objective of this study was to examine the effects of drug therapy alone and combined with behavioral therapy on urgency and 24-voiding frequency in women with urge-predominant incontinence and to identify predictors of change. Methods A planned analysis of data from a multi-site, randomized, controlled trial (N=307). Bladder diaries were used to document voids, incontinence, and urgency severity. Results Urgency scores decreased significantly within both treatment groups, but changes did not differ between groups (p=0.30). Improvement in urgency was associated with greater baseline urgency (p<0.0001) and black ethnicity (p=0.03). Voiding frequency increased with drug alone and decreased slightly with combined therapy (p=0.009), and improvement was associated with combined treatment (p<0.0001), higher baseline frequency (p<0.0001), and lower baseline incontinence episode frequency (p=0.001). Conclusions Although combined drug and behavioral therapy does not appear to improve urgency more than drug alone, it resulted in better outcomes on voiding frequency. PMID:20143047

Burgio, Kathryn L.; Kraus, Stephen R.; Borello-France, Diane; Chai, Toby C.; Kenton, Kimberly; Goode, Patricia S.; Xu, Yan; Kusek, John W.

2010-01-01

384

Cognitive behavior therapy for fear of flying: sustainability of treatment gains after September 11.  

PubMed

This study examines the long-term efficacy of cognitive-behavioral therapy (CBT) for fear of flying (FOF) after a catastrophic fear-relevant event, the September 11, 2001, terrorist attacks. Participants (N = 115) were randomly assigned to and completed treatment for FOF using 8 sessions of either virtual reality exposure therapy (VRE) or standard exposure therapy (SE) prior to September 11, 2001. Individuals were reassessed in June, 2002, an average of 2.3 years after treatment, with a response rate of 48% (n = 55). Analyses were run on the original data and, using multiple imputation procedures, on imputed data for the full sample. Individuals maintained or improved upon gains made in treatment as measured by standardized FOF questionnaires and by number of flights taken. There were no differences between VRE and SE. Thus, results suggest that individuals previously treated for FOF with cognitive-behavioral therapy can maintain treatment gains in the face of a catastrophic fear-relevant event, even years after treatment is completed. PMID:16942964

Anderson, Page; Jacobs, Carli H; Lindner, Gretchen K; Edwards, Shannan; Zimand, Elana; Hodges, Larry; Rothbaum, Barbara Olasov

2006-03-01

385

The Effects of a Brief Acceptance-based Behavior Therapy vs. Traditional Cognitive Behavior Therapy for Public Speaking Anxiety: Differential Effects on Performance and Verbal Working Memory  

NASA Astrophysics Data System (ADS)

Individuals with public speaking phobia experience fear and avoidance that can cause extreme distress, impaired speaking performance, and associated problems in psychosocial functioning. Most extant interventions for public speaking phobia focus on the reduction of anxiety and avoidance, but neglect performance. Additionally, very little is known about the relationship between verbal working memory and social performance under conditions of high anxiety. The current study compared the efficacy of two cognitive behavioral treatments, traditional Cognitive Behavioral Therapy (tCBT) and acceptance-based behavior therapy (ABBT), in enhancing public speaking performance via coping with anxiety. Verbal working memory performance, as measured by the backwards digit span (BDS), was measured to explore the relationships between treatment type, anxiety, performance, and verbal working memory. We randomized 30 individuals with high public speaking anxiety to a 90-minute ABBT or tCBT intervention. As this pilot study was underpowered, results are examined in terms of effect sizes as well as statistical significance. Assessments took place at pre and post-intervention and included self-rated and objective anxiety measurements, a behavioral assessment, ABBT and tCBT process measures, and backwards digit span verbal working memory tests. In order to examine verbal working memory during different levels of anxiety and performance pressure, we gave each participant a backwards digit span task three times during each assessment: once under calm conditions, then again while experiencing anticipatory anxiety, and finally under conditions of acute social performance anxiety in front of an audience. Participants were asked to give a video-recorded speech in front of the audience at pre- and post-intervention to examine speech performance. Results indicated that all participants experienced a very large and statistically significant decrease in anxiety (both during the speech and BDS), as well as an improvement in speech performance regardless of intervention received. While not statistically significant, participants who received an acceptance-based intervention exhibited larger improvements in observer-rated speech performance at post-treatment in comparison to tCBT (F (1,21) = 1.91, p =.18, etap2 = .08) such that individuals in the ABBT condition exhibited a considerably greater improvement in observer-rated speech performance than those in the tCBT condition. There was no differential impact of treatment condition on subjective speech anxiety or working memory task performance. Potential mediators and moderators of treatment were also examined. Results provide support for a brief 90-minute intervention for public speaking anxiety, but more research is needed in a study with a larger sample to fully understand the relationship between ABBT strategies and improvements in behavioral performance.

Glassman, Lisa Hayley

386

A vision of the next generation of behavioral therapies research in the addictions*  

PubMed Central

Whither, or wither, empirically supported therapies? Increasingly rigorous research in behavioral therapies has yielded a large number of effective therapies, but comparatively little work, demonstrating that integrating empirically supported therapies (ESTs) into standard practice results in meaningful improvements in patient outcomes. Methodology and strategies for evaluating ESTs and their effectiveness in clinical practice is a fairly recent innovation, and a host of unanswered questions remain regarding issues such as selection among different ESTs and what type of ESTs should be emphasized in dissemination efforts, what type of clinicians should be trained in what type of ESTs, the most effective training strategies for various types of clinicians, the need for ongoing supervision to maintain minimum levels of treatment fidelity and skill. In this review, we call for broader use of new research strategies and methods relevant to dissemination of ESTs; these may include adaptive designs, identification of mechanisms of action to foster greater emphasis on effective change principles, training and adoption trials, as well as novel implementation strategies including computer-assisted therapy and computer-assisted training. PMID:17523974

Carroll, Kathleen M.; Rounsaville, Bruce J.

2007-01-01

387

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

PubMed Central

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

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

2013-01-01

388

Examination of the core cognitive components of cognitive behavioral therapy and acceptance and commitment therapy: an analogue investigation.  

PubMed

We aimed to examine the core elements of cognitive behavioral therapy and acceptance and commitment therapy that target distressing negative cognitions, cognitive restructuring (CR) and cognitive defusion (CD), respectively. Participants (N=142) recalled a saddening autobiographical event, identified a distressing thought it triggered, and completed a task that induced rumination on these cognitions. They then completed one of four brief interventions that targeted these emotionally charged cognitions: analogue versions of CR and CD, and two control interventions. The personal negative cognitions were then reactivated to examine the protective effects of these interventions. CR and CD were similarly efficacious in alleviating distress, compared to a control intervention that focused on participants' negative thoughts. Mood improvement was associated with state levels of reappraisal and not with acceptance in CR, whereas the reverse was observed in CD. Improvement was associated with perceived efficacy of the intervention in CR but not in CD. The present findings suggest that although CR and CD effectively promote different types of cognitive strategies, they may share important features that set them both apart from maladaptive forms of coping. PMID:24912461

Yovel, Iftah; Mor, Nilly; Shakarov, Hagit

2014-07-01

389

Behavior Therapy  

MedlinePLUS

... most effective treatment for children with autism spectrum disorders , children who have ADHD symptoms in addition may need a different approach to ... the time that your child was diagnosed with ADHD, any coexisting disorders ... your child exhibits symptoms that make you suspect she has a disruptive ...

390

Rethinking family caregiving: tailoring cognitive-behavioral therapies to the hospice experience.  

PubMed

Hospice family caregivers experience significantly higher rates of psychological distress than demographically similar noncaregivers. Interventions based on cognitive-behavioral therapy have been shown to reduce psychological distress in the general population by providing tools to modify thinking patterns that directly affect emotions and behavior. Such interventions might reasonably be incorporated into hospice social work; however, numerous contextual factors must be taken into account to ensure that any interventions are appropriate to the unique needs of clients. The purpose of the study discussed in this article was to contex- tualize one aspect of the cognitive-behavioral model based on firsthand accounts of hospice family caregivers. Following a modified grounded theory approach, researchers engaged in a secondary analysis of data from a larger study provided in a subsample of 90 audio-recorded conversations between hospice family caregivers and interventionists. Findings indicated that distressed caregivers engaged in five dominant thinking patterns: (1) "should" statements, (2) catastrophizing or minimizing, (3) personalizing, (4) absolute thinking, and (5) making assumptions. Implementing cognitive-behavioral therapies based on identified caregiver thinking patterns will allow hospice social workers to empower caregivers to cope more effectively with the numerous stressors they encounter while caring for a dying loved one. PMID:25369725

Washington, Karla T; Wittenberg-Lyles, Elaine; Oliver, Debra Parker; Baldwin, Paula K; Tappana, Jessica; Wright, Jesse H; Demiris, George

2014-11-01

391

Combined Case of Blood-Injury-Injection Phobia and Social Phobia: Behavior Therapy Management and Effectiveness through Tilt Test  

PubMed Central

The efficacy of behavior therapy based mainly on real-life exposure situations as well as applied tension was examined for a combined case of blood-injury-injection (BII) phobia and social anxiety disorder. Treatment involved 28 behavior therapy sessions, while applied tension technique was also described and practiced. The specific contribution of social skills techniques, fantasy, and real-life situations exposure was examined in a single case design. The subject was a 39-year-old male with anxiety symptoms when confronting an audience, as well as symptoms of the autonomic nervous system (bradycardia and syncope), which were better explained by BII. All self-report measures regarding fear, social phobia, and anxiety were reduced after behavior therapy and remained maintained at followup, while BII decreased further after applied tension techniques. The contribution of behavior therapy to the overall outcome of the case is considered significant for many reasons that are discussed in the pape. PMID:23304602

Ferenidou, Fotini; Chalimourdas, Theodoros; Antonakis, Velissarios; Vaidakis, Nikolaos; Papadimitriou, Georgios

2012-01-01

392

Investigating the Similarities and Differences Between Practitioners of Second and Third-Wave Cognitive-Behavioral Therapies  

Microsoft Academic Search

There has been much discussion in the literature recently regarding the conceptual and technical differences between so-called second- (e.g., Beckian cognitive therapy) and third-wave (e.g., acceptance and commitment therapy) behavioral therapies. Previous research has not addressed the potential similarities and differences among the practitioners of these types of approaches. The current study examined possible differences in the characteristics of second-wave

Lily A. Brown; Brandon A. Gaudiano; Ivan W. Miller

2011-01-01

393

Significant Other Enhanced Cognitive-Behavioral Therapy for PTSD and Alcohol Misuse in OEF\\/OIF Veterans  

Microsoft Academic Search

This manuscript describes early work to develop a cognitive-behavioral therapy protocol for returning OEF\\/OIF veterans with co-occurring posttraumatic stress disorder (PTSD) and alcohol use disorders (AUD). Based on the unique characteristics of this population, and on the literature supporting cognitive behavioral coping skills and significant other involvement for both PTSD and for AUD, the new therapy involves both of those

Meghan E. McDevitt-Murphy

2011-01-01

394

The Effects of Improvisational Music Therapy on Joint Attention Behaviors in Autistic Children: A Randomized Controlled Study  

Microsoft Academic Search

The purpose of this study was to investigate the effects of improvisational music therapy on joint attention behaviors in\\u000a pre-school children with autism. It was a randomized controlled study employing a single subject comparison design in two\\u000a different conditions, improvisational music therapy and play sessions with toys, and using standardized tools and DVD analysis\\u000a of sessions to evaluate behavioral changes

Jinah Kim; Tony Wigram; Christian Gold

2008-01-01

395

Child- And Family-Focused Cognitive-Behavioral Therapy for Pediatric Bipolar Disorder: Development and Preliminary Results.  

ERIC Educational Resources Information Center

Objective: To describe child- and family-focused cognitive-behavioral therapy (CFF-CBT), a new developmentally sensitive psychosocial intervention for pediatric bipolar disorder (PBD) that is intended for use along with medication. CFF-CBT integrates principles of family-focused therapy with those of CBT. The theoretical framework is based on (1)…

Pavuluri, Mani N.; Graczyk, Patricia A.; Henry, David B.; Carbray, Julie A.; Heidenreich, Jodi; Miklowitz, David J.

2004-01-01

396

Comparing the predictive capacity of observed in-session resistance to self-reported motivation in cognitive behavioral therapy  

Microsoft Academic Search

Self-report measures of motivation for changing anxiety have been weakly and inconsistently related to outcome in cognitive behavioral therapy (CBT). While clients may not be able to accurately report their motivation, ambivalence about change may nonetheless be expressed in actual therapy sessions as opposition to the direction set by the therapist (i.e., resistance). In the context of CBT for generalized

Henny A. Westra

2011-01-01

397

Directions in Specialized Cognitive Behavior Therapy for Resistant Obsessive-Compulsive Disorder: Theory and Practice of Two Approaches  

ERIC Educational Resources Information Center

This paper discusses specialized approaches developed for patients with obsessive-compulsive disorder (OCD) who are resistant to cognitive behavior therapy (CBT). Following a review of theoretical and outcome research, two approaches developed to resolve persistent OCD are described and illustrated. Cognitive therapy (CT) designed to address…

Sookman, Debbie; Steketee, Gail

2007-01-01

398

Individual Cognitive Behavioral Treatment and Family Therapy for Physically Abused Children and their Offending Parents: A Comparison of Clinical Outcomes  

Microsoft Academic Search

Few studies have evaluated short-term psychosocial treatments with physically abused school-aged children and their offending parents or families. This study compares the treatment outcomes of 55 cases that were randomly assigned to individual child and parent cognitive behavioral therapy (CBT) or family therapy (FT) with those who received routine community services (RCS). Measures of child, parent, and family dysfunction and

David J. Kolko

1996-01-01

399

Feasibility and effectiveness of cognitive–behavioral therapy for posttraumatic stress disorder in preschool children: Two case reports  

Microsoft Academic Search

New evidence raises concerns that posttraumatic stress disorder (PTSD) in preschool children is unremit- ting over years even with unstructured community treatment. This report presents proof of concept of the feasibility and effectiveness of a structured therapy, cognitive-behavioral therapy (CBT), for preschool PTSD that follows a range of different traumatic events. Two cases are presented, including transcribed dialogue, from a

Michael S. Scheeringa; Alison Salloum; Ruth A. Arnberger; Carl F. Weems; Lisa Amaya-Jackson; Judith A. Cohen

2007-01-01

400

The Effects of Improvisational Music Therapy on Joint Attention Behaviors in Autistic Children: A Randomized Controlled Study  

ERIC Educational Resources Information Center

The purpose of this study was to investigate the effects of improvisational music therapy on joint attention behaviors in pre-school children with autism. It was a randomized controlled study employing a single subject comparison design in two different conditions, improvisational music therapy and play sessions with toys, and using standardized…

Kim, Jinah; Wigram, Tony; Gold, Christian

2008-01-01

401

Changes in functional brain organization and behavioral correlations after rehabilitative therapy using a brain-computer interface  

PubMed Central

This study aims to examine the changes in task-related brain activity induced by rehabilitative therapy using brain-computer interface (BCI) technologies and whether these changes are relevant to functional gains achieved through the use of these therapies. Stroke patients with persistent upper-extremity motor deficits received interventional rehabilitation therapy using a closed-loop neurofeedback BCI device (n = 8) or no therapy (n = 6). Behavioral assessments using the Stroke Impact Scale, the Action Research Arm Test (ARAT), and the Nine-Hole Peg Test (9-HPT) as well as task-based fMRI scans were conducted before, during, after, and 1 month after therapy administration or at analogous intervals in the absence of therapy. Laterality Index (LI) values during finger tapping of each hand were calculated for each time point and assessed for correlation with behavioral outcomes. Brain activity during finger tapping of each hand shifted over the course of BCI therapy, but not in the absence of therapy, to greater involvement of the non-lesioned hemisphere (and lesser involvement of the stroke-lesioned hemisphere) as measured by LI. Moreover, changes from baseline LI values during finger tapping of the impaired hand were correlated with gains in both objective and subjective behavioral measures. These findings suggest that the administration of interventional BCI therapy can induce differential changes in brain activity patterns between the lesioned and non-lesioned hemispheres and that these brain changes are associated with changes in specific motor functions. PMID:25076886

Young, Brittany M.; Nigogosyan, Zack; Walton, Leo M.; Song, Jie; Nair, Veena A.; Grogan, Scott W.; Tyler, Mitchell E.; Edwards, Dorothy F.; Caldera, Kristin; Sattin, Justin A.; Williams, Justin C.; Prabhakaran, Vivek

2014-01-01

402

Symptoms, health behavior and understanding of menopause therapy in women with premature menopause.  

PubMed

Abstract Objective To explore symptoms, understanding of menopausal therapies, medication use and health-related behavior in women with and without premature menopause. Methods Cross-sectional, questionnaire-based study involving a community-based sample of 77 women in Australia: 23 premenopausal, 25 with premature ovarian failure (POF) and 29 with medically induced premature menopause (MIPM). Results The median (interquartile range) age of each group was: premenopausal = 29 (13) years, POF = 36 (8.0) years and MIPM = 38 (4.0) years (p < 0.001). The reported frequency of menopausal symptoms differed across the groups for difficulty sleeping (premenopausal = 26%, POF = 44%, MIPM = 69%, p = 0.01), some depression symptoms (premenopausal = 4.4-22%, POF = 20-25%, MIPM = 38-59%, p < 0.05), hot flushes (premenopausal = 4.4%, POF = 28%, MIPM = 59%, p < 0.001), sweating at night (premenopausal = 4.4%, POF = 20%, MIPM = 52%, p < 0.001) and loss of interest in sex (premenopausal = 17%, POF = 52%, MIPM = 54%, p = 0.02). More women with premature menopause than premenopausal women reported taking prescription medication (premenopausal = 52%, POF = 92%, MIPM = 86%, p = 0.002), perceived that hormone therapy (HT) was associated with increased breast cancer risk (premenopausal = 43%, POF = 56%, MIPM = 79%, p = 0.03) and that HT prevented fractures (premenopausal = 13%, POF = 56%, MIPM = 39%, p = 0.01). Most women reported not knowing risks/benefits of bioidentical hormone therapy (premenopausal = 86%, POF = 56%, MIPM = 75%, p = 0.06). Regarding health-related behavior around prevention and screening, varying rates of bone densitometry (premenopausal = 4.4%, POF = 64%, MIPM = 59%, p < 0.001), blood glucose testing (premenopausal = 39%, POF = 67%, MIPM = 57%, p = 0.16) and cholesterol testing (premenopausal = 22%, POF = 71%, MIPM = 54%, p = 0.003) were reported. Conclusions Differences in understanding of menopausal therapies and health-related behavior exist among women with premature menopause of differing etiology and premenopausal women. While perceived understanding of HT was greater than other therapies, targeted education is needed regarding specific risks/benefits of menopausal therapies and regarding preventive health screening after premature menopause. PMID:24742007

Gibson-Helm, M; Teede, H; Vincent, A

2014-12-01

403

Self administered cognitive behavior therapy for moderate to severe IBS: Clinical efficacy, tolerability, feasibility  

PubMed Central

Background and Aims Given the limitations of conventional therapies and restrictions imposed on newer pharmacological agents, there is an urgent need to develop efficacious and efficient treatments that teach patients behavioral self management skills for relieving irritable bowel syndrome (IBS) symptoms and associated problems. Method 75 Rome II diagnosed IBS patients (86% female) without comorbid GI disease were recruited from local physicians and the community and randomized to either 2 versions of cognitive behavior therapy (10 session, therapist administered CBT vs. 4 session, patient administered CBT) or a wait list comparison (WLC) that controlled for threats to internal validity Final assessment occurred two weeks after the 10 week treatment phase ends. Outcome measures included adequate relief from pain and bowel symptoms; global improvement of IBS symptoms (CGI-Improvement Scale); IBS symptom severity (IBS SSS); quality of life (IBSQOL); psychological distress (Brief Symptom Inventory); patient satisfaction (Client Satisfaction Scale). Results At week 12, both CBT versions were significantly (p < .0001) superior to WLC in the percentage of participants reporting adequate relief (e.g., MC-CBT = 72%, S-CBT = 60.9%, WLC = 7.4%) and improvement of symptoms. CBT treated patients reported significantly improved quality of life and IBS symptom severity but not psychological distress than WL patients (p < .0001) Conclusions Data from this pilot study lend preliminary empirical support to a brief patient administered CBT regimen capable of providing short term relief from IBS symptoms largely unresponsive to conventional therapies. PMID:18524691

Lackner, Jeffrey M.; Jaccard, James; Krasner, Susan S.; Katz, Leonard A.; Gudleski, Gregory D.; Holroyd, Kenneth

2009-01-01

404

An analysis of music therapy student practicum behaviors and their relationship to clinical effectiveness: an exploratory investigation.  

PubMed

The purpose of the present study was to investigate specific clinical behaviors exhibited by music therapy students in their 1st through 4th semesters of practicum. A secondary purpose of the study was to determine if a relationship exists between therapy students' behaviors and their assessed clinical success. Participants were instructed to submit 20-minutes of videotape from one practicum session, chosen at random from the current practicum semester. Two trained observers then viewed the videotapes and simultaneously recorded the occurrence and duration of practicum student behaviors using SCRIBE, a data collection computer program. The SCRIBE program was configured to include 5 broad categories of therapist behaviors: musical behaviors (singing, playing, listening), physical behaviors (such as hand-over-hand assistance, cueing, or clapping), verbal behaviors (therapy-related verbal interactions or other), a combination of two of the above, and other nonspecified behaviors. The percentage of time practicum students exhibited behaviors within in each category was calculated for all session segments. These same videotapes were also evaluated by 2 professional board certified music therapists who were unfamiliar with the practicum students. Students were assigned an overall rating for clinical effectiveness. Evaluators were also asked to provide comments related to their ratings. A descriptive analysis of clinical behaviors indicate that students spend nearly 40% of their practicum time engaged in musical behaviors and over 50% of their time engaged in verbal behaviors. No significant differences were found in the behaviors exhibited by students in the various practicum levels; however, behavioral differences were found for individual student therapists. Additionally, no relationship was found between students' behaviors and their clinical effectiveness. An analysis of comments by the evaluators indicates that the quantity of musical behaviors does not affect clinical effectiveness as much as the quality of the musical behaviors. Evaluator comments also indicate that students identified as personable or as having rapport with their clients were also more effective in the practicum setting. PMID:11796080

Darrow, A A; Johnson, C M; Ghetti, C M; Achey, C A

2001-01-01

405

Cognitive-Behavioral Therapy for Immigrants Presenting With Social Anxiety Disorder: Two Case Studies  

PubMed Central

Cognitive-behavioral therapy (CBT) for the treatment of Social Anxiety Disorder (SAD) has demonstrated efficacy in numerous randomized trials. However, few studies specifically examine the applicability of such treatment for ethnic minority clients. Thus, the purpose of this article is to present two case studies examining the utility of individualized CBT for SAD with two clients who immigrated to the United States, one from Central America and one from China, for whom English was not their primary language. Both clients demonstrated improvement on a semi-structured interview and self-report measures. Necessary adaptations were modest, suggesting that therapy could be conducted in a culturally sensitive manner without much deviation from the treatment protocol. Results are discussed in terms of adapting treatment to enhance acceptability for and better fitting the needs of ethnic minority clients and non-native speakers of English. Implications for treating ethnic minority clients, as well as the practice of culturally sensitive treatment, are discussed. PMID:22844232

Weiss, Brandon J.; Singh, J. Suzane; Hope, Debra A.

2012-01-01

406

Sleep Disturbances in Individuals with Alcohol-Related Disorders: A Review of Cognitive-Behavioral Therapy for Insomnia (CBT-I) and Associated Non-Pharmacological Therapies  

PubMed Central

Sleep disturbances are common among alcohol-dependent individuals and are often associated with relapse. The utility of behavioral therapies for sleep disturbances, including cognitive-behavioral therapy for insomnia (CBT-I), among those with alcohol-related disorders is not well understood. This review systematically evaluates the evidence of CBT-I and related behavioral therapies applied to those with alcohol-related disorders and accompanying sleep disturbances. A search of four research databases (PubMed, PsycINFO, Embase, and CINAHL Plus) yielded six studies that met selection criteria. Articles were reviewed using Cochrane’s Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) scoring system. A majority of the studies demonstrated significant improvements in sleep efficiency among behavioral therapy treatment group(s), including but not limited to CBT-I. While behavioral sleep interventions have been successful in varied populations, they may not be utilized to their full potential among those with alcohol-related disorders as evidenced by the low number of studies found. These findings suggest a need for mixed-methods research on individuals’ sleep experience to inform interventions that are acceptable to the target population. PMID:25288884

Brooks, Alyssa T; Wallen, Gwenyth R

2014-01-01

407

Current perspectives on Internet-delivered cognitive behavioral therapy for adults with anxiety and related disorders.  

PubMed

The aim of the current review is to provide a summary of research into Internet-delivered cognitive behavioral therapy (iCBT) for anxiety disorders. We include 37 randomized controlled trials that examined the efficacy of iCBT programs in adults (aged over 18 years), as compared with waiting list or active control. The included studies were identified from Medline searches and from reference lists, and only published data were included. Several trials of iCBT for generalized anxiety disorder, panic disorder, and social phobia were identified. Two trials of iCBT for obsessive-compulsive disorder were identified, whilst one trial each was identified for hypochondriasis, specific phobia (spiders), and post-traumatic stress disorder. Finally, there were five trials that focused on transdiagnostic therapy for either a range of comorbid anxiety disorders or comorbid anxiety and depression. Between-group effect sizes were moderate to large for all disorders, and ranged from 0.30 to 2.53. iCBT was found to be commensurate with face-to-face cognitive behavioral therapy whether delivered individually or in group format. Guidance may not be necessary for iCBT to be effective for immediate gains, but may be more important in longer-term maintenance of symptom improvement and maximizing patient adherence. The clinical experience of the individual providing guidance does not appear to impact treatment outcomes. Future research needs to focus on the optimal level of guidance required to generate maximum patient benefits, whilst balancing the efficient use of clinician time and resources. Evidence-based contraindications to iCBT should also be developed so that the choice of treatment modality accurately reflects patients' needs. Further research should be conducted into the effective elements of iCBT, as well as the extent to which therapy enhancers and advancing technology can be accommodated into established iCBT frameworks. PMID:24511246

Mewton, Louise; Smith, Jessica; Rossouw, Pieter; Andrews, Gavin

2014-01-01

408

Current perspectives on Internet-delivered cognitive behavioral therapy for adults with anxiety and related disorders  

PubMed Central

The aim of the current review is to provide a summary of research into Internet-delivered cognitive behavioral therapy (iCBT) for anxiety disorders. We include 37 randomized controlled trials that examined the efficacy of iCBT programs in adults (aged over 18 years), as compared with waiting list or active control. The included studies were identified from Medline searches and from reference lists, and only published data were included. Several trials of iCBT for generalized anxiety disorder, panic disorder, and social phobia were identified. Two trials of iCBT for obsessive-compulsive disorder were identified, whilst one trial each was identified for hypochondriasis, specific phobia (spiders), and post-traumatic stress disorder. Finally, there were five trials that focused on transdiagnostic therapy for either a range of comorbid anxiety disorders or comorbid anxiety and depression. Between-group effect sizes were moderate to large for all disorders, and ranged from 0.30 to 2.53. iCBT was found to be commensurate with face-to-face cognitive behavioral therapy whether delivered individually or in group format. Guidance may not be necessary for iCBT to be effective for immediate gains, but may be more important in longer-term maintenance of symptom improvement and maximizing patient adherence. The clinical experience of the individual providing guidance does not appear to impact treatment outcomes. Future research needs to focus on the optimal level of guidance required to generate maximum patient benefits, whilst balancing the efficient use of clinician time and resources. Evidence-based contraindications to iCBT should also be developed so that the choice of treatment modality accurately reflects patients’ needs. Further research should be conducted into the effective elements of iCBT, as well as the extent to which therapy enhancers and advancing technology can be accommodated into established iCBT frameworks. PMID:24511246

Mewton, Louise; Smith, Jessica; Rossouw, Pieter; Andrews, Gavin

2014-01-01

409

A Randomized Controlled Trial of Trauma-Focused Cognitive Behavioral Therapy for Sexually Exploited, War-Affected Congolese Girls  

ERIC Educational Resources Information Center

Objective: To assess the efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) delivered by nonclinical facilitators in reducing posttraumatic stress, depression, and anxiety and conduct problems and increasing prosocial behavior in a group of war-affected, sexually exploited girls in a single-blind, parallel-design, randomized,…

O'Callaghan, Paul; McMullen, John; Shannon, Ciaran; Rafferty, Harry; Black, Alastair

2013-01-01

410

Cognitive-Behavior Therapy for Disaster-Exposed Youth with Posttraumatic Stress: Results from a Multiple-Baseline Examination  

ERIC Educational Resources Information Center

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…

Taylor, Leslie K.; Weems, Carl F.

2011-01-01

411

The effects of improvisational music therapy on joint attention behaviors in autistic children: a randomized controlled study.  

PubMed

The purpose of this study was to investigate the effects of improvisational music therapy on joint attention behaviors in pre-school children with autism. It was a randomized controlled study employing a single subject comparison design in two different conditions, improvisational music therapy and play sessions with toys, and using standardized tools and DVD analysis of sessions to evaluate behavioral changes in children with autism. The overall results indicated that improvisational music therapy was more effective at facilitating joint attention behaviors and non-verbal social communication skills in children than play. Session analysis showed significantly more and lengthier events of eye contact and turn-taking in improvisational music therapy than play sessions. The implications of these findings are discussed further. PMID:18592368

Kim, Jinah; Wigram, Tony; Gold, Christian

2008-10-01

412

Brief Cognitive-Behavioral Therapy for Anxious Youth: The Inner Workings  

PubMed Central

We provide a detailed description of the clinical application of brief cognitive-behavioral therapy (BCBT) for anxious youth. A rationale for the development of BCBT is presented, followed by a description and discussion of the 8 sessions of the treatment. Mike, a 7-year-old youth with anxiety disorders, is used to illustrate the inner workings of implementing BCBT. Case conceptualization, session details, and pre-, post- and follow-up-treatment information are provided. Conclusions regarding clinical advantages and future directions are made. PMID:25083131

Beidas, Rinad S.; Mychailyszyn, Matthew P.; Podell, Jennifer L.; Kendall, Philip C.

2013-01-01

413

Predictors of adherence to a behavioral therapy sleep intervention during breast cancer chemotherapy  

Microsoft Academic Search

Background  This study’s purpose was twofold: (1) to establish adherence rates to a behavioral therapy (BT) sleep intervention and (2)\\u000a to identify psychological and physical symptom predictors of adherence to the intervention in women undergoing breast cancer\\u000a chemotherapy.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  A randomized controlled trial began 48 h before the first of four chemotherapy treatments. Women with stages I–IIIA breast\\u000a cancer (n?=?113) received a BT

Dennis E. McChargue; Jayashri Sankaranarayanan; Constance G. Visovsky; Ellyn E. Matthews; Krista B. Highland; Ann M. Berger

414

Pilot implementation of computerized cognitive behavioral therapy in a university health setting.  

PubMed

This study evaluated the implementation of computerized cognitive-behavioral therapy (cCBT) for depression and anxiety in a university health center. Students reporting symptoms of depression and/or anxiety were offered cCBT and randomized to a session email reminder or no-reminder condition. Participants reported significant symptom and functional improvement after receiving treatment, comparable to outcomes achieved in controlled efficacy trials. However, rates of session completion were low, and reminders did not enhance retention. Results suggest that cCBT is a promising intervention in this population, with little attenuation of gains relative to efficacy trials but low levels of treatment completion. PMID:23592231

Santucci, Lauren C; McHugh, R Kathryn; Elkins, R Meredith; Schechter, Brandon; Ross, Margaret S; Landa, Carrie E; Eisen, Susan; Barlow, David H

2014-07-01

415

Combining Cognitive Behavioral Therapy and Milnacipran for Fibromyalgia: A Feasibility Randomized-controlled Trial  

PubMed Central

Objectives To evaluate the feasibility of a randomized-controlled trial (RCT) and to obtain estimates of the effects of combined cognitive behavioral therapy (CBT) and milnacipran for the treatment of fibromyalgia (FM). Methods Fifty eight patients with FM were randomized to one of the 3 treatment arms: (1) combination therapy (n=20), (2) milnacipran + education (n=19), and (3) placebo + CBT (n=19). Subjects received either milnacipran (100 mg/day) or placebo. Subjects also received 8 sessions of phone-delivered CBT or educational instructions, but only from baseline to week 9. Assessments were conducted at baseline, week 9 and 21. The primary endpoints were baseline to week 21 changes in weekly average pain intensity and physical function (SF-36 physical function scale). Results Compared to milnacipran, combination therapy demonstrated a moderate effect on improving SF-36 physical function (mean difference (SE) = 9.42 (5.48), p=0.09, effect size (ES) =0.60) and in reducing weekly average pain intensity (mean difference (SE) = ?1.18 (0.62), p=0.07, ES=0.67). Compared to milnacipran, CBT had a moderate to large effect in improving SF-36 physical function (mean difference (SE) = 11.0 (5.66), p=0.06, ES=0.70). Despite the presence of concomitant centrally-acting therapies, dropout rate was lower than anticipated (15% at week 21). Importantly, at least 6 out of the 8 phone-based therapy sessions were successfully completed by 89% of the subjects; and adherence to the treatment protocols was >95%. Conclusions In this pilot study, a therapeutic approach that combines phone-based CBT and milnacipran was feasible and acceptable. Moreover, the preliminary data supports conducting a fully powered RCT. PMID:23446065

Ang, Dennis C.; Jensen, Mark P.; Steiner, Jennifer L.; Hilligoss, Janna; Gracely, Richard H.; Saha, Chandan

2012-01-01

416

Preliminary Study on the Effectiveness of Short Group Cognitive Behavioral Therapy (GCBT) on Indonesian Older Adults  

PubMed Central

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 body of evidence on the effectiveness of multicomponent GCBT outside western context. PMID:23437339

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

2013-01-01

417

An open trial of an acceptance-based behavior therapy for generalized anxiety disorder.  

PubMed

Research suggests that experiential avoidance may play an important role in generalized anxiety disorder (GAD); see . Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54-68, for a review). Therefore, a treatment that emphasizes experiential acceptance, as well as intentional action, may lead to both reduced symptomatology and improved quality of life and functioning for individuals with this chronic disorder. In an open trial of a newly developed acceptance-based behavior therapy for GAD, 16 treated clients demonstrated significant reductions in clinician-rated severity of GAD and reports of anxiety and depressive symptoms and fear and avoidance of their internal experience, as well as significant improvements in reports of quality of life, at both posttreatment and 3-month follow-up. Directions for future treatment development and research are discussed. PMID:17292696

Roemer, Lizabeth; Orsillo, Susan M

2007-03-01

418

The Role of Maladaptive Beliefs in Cognitive Behavioral Therapy: Evidence from Social Anxiety Disorder  

PubMed Central

Beliefs that are negatively biased, inaccurate, and rigid are thought to play a key role in the mood and anxiety disorders. Our goal in this study was to examine whether a change in maladaptive beliefs mediated the outcome of individual cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD). In a sample of 47 individuals with SAD receiving CBT, we measured maladaptive interpersonal beliefs as well as emotional and behavioral components of social anxiety, both at baseline and after treatment completion. We found that (a) maladaptive interpersonal beliefs were associated with social anxiety at baseline and treatment completion; (b) maladaptive interpersonal beliefs were significantly reduced from baseline to treatment completion; and (c) treatment-related reductions in maladaptive interpersonal beliefs fully accounted for reductions in social anxiety after CBT. These results extend the literature by providing support for cognitive models of mental disorders, broadly, and SAD, specifically. PMID:22445947

Boden, Matthew Tyler; John, Oliver P.; Goldin, Philippe R.; Werner, Kelly; Heimberg, Richard G.; Gross, James J.

2012-01-01

419

The Evolution of "Enhanced" Cognitive Behavior Therapy for Eating Disorders: Learning From Treatment Nonresponse  

PubMed Central

In recent years there has been widespread acceptance that cognitive behavior therapy (CBT) is the treatment of choice for bulimia nervosa. The cognitive behavioral treatment of bulimia nervosa (CBT-BN) was first described in 1981. Over the past decades the theory and treatment have evolved in response to a variety of challenges. The treatment has been adapted to make it suitable for all forms of eating disorder—thereby making it “transdiagnostic” in its scope— and treatment procedures have been refined to improve outcome. The new version of the treatment, termed enhanced CBT (CBT-E) also addresses psychopathological processes “external” to the eating disorder, which, in certain subgroups of patients, interact with the disorder itself. In this paper we discuss how the development of this broader theory and treatment arose from focusing on those patients who did not respond well to earlier versions of the treatment. PMID:23814455

Cooper, Zafra; Fairburn, Christopher G.

2013-01-01

420

Compressed-sensing (CS)-based digital breast tomosynthesis (DBT) reconstruction for low-dose, accurate 3D breast X-ray imaging  

NASA Astrophysics Data System (ADS)

In practical applications of three-dimensional (3D) tomographic techniques, such as digital breast tomosynthesis (DBT), computed tomography (CT), etc., there are often challenges for accurate image reconstruction from incomplete data. In DBT, in particular, the limited-angle and few-view projection data are theoretically insufficient for exact reconstruction; thus, the use of common filtered-backprojection (FBP) algorithms leads to severe image artifacts, such as the loss of the average image value and edge sharpening. One possible approach to alleviate these artifacts may employ iterative statistical methods because they potentially yield reconstructed images that are in better accordance with the measured projection data. In this work, as another promising approach, we investigated potential applications to low-dose, accurate DBT imaging with a state-of-the-art reconstruction scheme based on compressed-sensing (CS) theory. We implemented an efficient CS-based DBT algorithm and performed systematic simulation works to investigate the imaging characteristics. We successfully obtained DBT images of substantially very high accuracy by using the algorithm and expect it to be applicable to developing the next-generation 3D breast X-ray imaging system.

Park, Yeonok; Cho, Hyosung; Je, Uikyu; Hong, Daeki; Lee, Minsik; Park, Chulkyu; Cho, Heemoon; Choi, Sungil; Koo, Yangseo

2014-08-01

421

COGNITIVE-BEHAVIORAL THERAPY FOR INSOMNIA IN ALCOHOL DEPENDENT PATIENTS: A RANDOMIZED CONTROLLED PILOT TRIAL  

PubMed Central

In a randomized controlled trial, we evaluated the efficacy of cognitive-behavioral treatment for insomnia to improve sleep and daytime symptoms, and to reduce relapse in recovering alcohol dependent (AD) participants. Seventeen abstinent AD patients with insomnia (6 women, mean age 46.2 ± 10.1 years) were randomized to 8 sessions of cognitive behavioral treatment for insomnia for AD (CBTI-AD, n=9) or to a behavioral placebo treatment (BPT, n=8). Subjective measures of sleep, daytime consequences of insomnia and AD, alcohol use, and treatment fidelity were collected at baseline and post-treatment. Diary-rated sleep efficiency and wake after sleep onset, and daytime ratings of General Fatigue on the Multidimensional Fatigue Inventory improved more in the CBTI-AD compared to the BPT group. In addition, more subjects were classified as treatment responders following CBTI-AD. No group differences were found in the number of participants who relapsed to any drinking or who relapsed to heavy drinking. The findings suggest that cognitive-behavioral insomnia therapy benefits subjective sleep and daytime symptoms in recovering AD participants with insomnia more than placebo. The benefits of treating insomnia on drinking outcomes are less apparent. PMID:21377144

Arnedt, J. Todd; Conroy, Deirdre A.; Armitage, Roseanne; Brower, Kirk J.

2011-01-01

422

A Randomized Controlled Trial of Cognitive-Behavioral Therapy for Generalized Anxiety Disorder with Integrated Techniques from Emotion-Focused and Interpersonal Therapies  

ERIC Educational Resources Information Center

Objective: Recent models suggest that generalized anxiety disorder (GAD) symptoms may be maintained by emotional processing avoidance and interpersonal problems. Method: This is the first randomized controlled trial to test directly whether cognitive-behavioral therapy (CBT) could be augmented with the addition of a module targeting interpersonal…

Newman, Michelle G.; Castonguay, Louis G.; Borkovec, Thomas D.; Fisher, Aaron J.; Boswell, James F.; Szkodny, Lauren E.; Nordberg, Samuel S.

2011-01-01

423

Does Acceptance and Relationship Focused Behavior Therapy Contribute to Bupropion Outcomes? A Randomized Controlled Trial of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy for Smoking Cessation  

Microsoft Academic Search

This study evaluated a treatment combining bupropion with a novel acceptance and relationship focused behavioral intervention based on the acceptance and relationship context (ARC) model. Three hundred and three smokers from a community sample were randomly assigned to bupropion, a widely used smoking cessation medication, or bupropion plus functional analytic psychotherapy (FAP) and acceptance and commitment therapy (ACT). Objective measures

Elizabeth V. Gifford; Barbara S. Kohlenberg; Steven C. Hayes; Heather M. Pierson; Melissa P. Piasecki; David O. Antonuccio; Kathleen M. Palm

2011-01-01

424

Effectiveness of rhythmic movement therapy for disordered eating behaviors and obesity.  

PubMed

The aims of the present study were: a) to examine associations between pre-treatment BMI, body dissatisfaction, perfectionism, alexithymia, and restraint, emotional and external eating behaviour in obese patients; b) to analyze the impact of the pre-treatment measures in psychological variables on the outcome of cognitive-behavioral therapy (CBT) program; c) to test the effectiveness of rhythmic movement therapy (RMT) in the treatment of disordered eating behaviors and obesity with the CBT non-responders. At the first stage of treatment a total of 104 patients (32 males and 72 females, mean age was 37.6 +/- 6.7 years) self-referred or referred by professionals to CBT weight management program were selected at random. At the second stage 58 obese CBT-non-responders were randomly divided among the continuing CBT individual treatment group and RMT group. Control group was included. Results revealed that: a) significant associations existed between pre-treatment BMI, external eating and two dimensions of perfectionism, as well as between emotional and external eating and all dimensions of perfectionism, alexithymia and body image dissatisfaction; b) pre-treatment means of psychological variables significantly impacted the CBT program outcome; c). the efficacy of RMT approach for weight reduction as well as for the improvement of psychological status for CBT-non-responders was confirmed. PMID:23156940

Malkina-Pykh, Irina G

2012-11-01

425

Adaptation of dialectical behavior therapy skills training group for treatment-resistant depression.  

PubMed

Treatment resistant depression is common, persistent, and results in substantial functional and social impairment. This study describes the development and preliminary outcome evaluation of a dialectical behavior therapy-based skills training group to treat depressive symptoms in adult outpatients for whom antidepressant medication had not produced remission. The 16-session, once-weekly group covered the 4 dialectical behavior therapy skill sets: mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Twenty-four patients with ongoing depressive symptoms despite stable, adequate medication treatment for major depressive disorder were randomly assigned to either the skills group or a wait-list condition. The depressive symptoms of participants who completed the study (9 wait-list participants, 10 skills group participants) were compared using a clinician-rated Hamilton rating scale for depression and then replicated using a self-report measure Beck depression inventory. Clinician raters were blind to each participant's assigned study condition. Skills group participants showed significantly greater improvements in depressive symptoms compared with the control condition. Effect sizes were large for both measures of depression (Cohen's d = 1.45 for Hamilton rating scale for depression and 1.31 for Beck depression inventory), suggesting that larger scale trials are warranted. PMID:18277222

Harley, Rebecca; Sprich, Susan; Safren, Steven; Jacobo, Michelle; Fava, Maurizio

2008-02-01

426

The Effectiveness of Functional Family Therapy for Youth with Behavioral Problems in a Community Practice Setting  

PubMed Central

The study examined the effectiveness of Functional Family Therapy (FFT), as compared to probation services, in a community juvenile justice setting 12 months post treatment. The study also provides specific insight into the interactive effects of therapist model specific adherence and measures of youth risk and protective factors on behavioral outcomes for a diverse group of adolescents. The findings suggest that FFT was effective in reducing youth behavioral problems, although only when the therapists adhered to the treatment model. High adherent therapists delivering FFT had a statistically significant reduction of (35%) in felony, a (30%) violent crime, and a marginally significant reduction (21%) in misdemeanor recidivisms as compared to the control condition. The results represent a significant reduction in serious crimes one year after treatment, when delivered by a model adherent therapist. The low adherent therapists were significantly higher than the control group in recidivism rates. There was an interaction effect between youth risk level and therapist adherence demonstrating that the most difficult families (those with high peer and family risk) had a higher likelihood of successful outcomes when their therapist demonstrated model specific adherence. These results are discussed within the context of the need and importance of measuring and accounting for model specific adherence in the evaluation of community-based replications of evidence-based family therapy models like FFT. PMID:20545407

Sexton, Thomas; Turner, Charles W.

2014-01-01

427

Behavioral therapy reverses circadian deficits in a transgenic mouse model of Huntington's disease.  

PubMed

Progressive disruption of circadian rhythmicity associated with disturbance of the sleep-wake cycle is one of the most insidious symptoms of Huntington's disease (HD) and represents a critical management issue for both patients and their care takers. The R6/2 mouse model of HD shows a progressive disruption of the circadian rhythmicity at both behavioral and molecular levels, although the intrinsic cellular machinery that drives circadian rhythmicity in individual cells appears to be fundamentally intact. Circadian rhythms are controlled by a master clock located in the suprachiasmatic nuclei (SCN) and can be synchronized by light and non-photic factors such as exercise. Here, we aimed to test whether or not stimulating the SCN directly could prevent the loss of circadian rhythmicity in R6/2 mice. We used combinations of bright light therapy and voluntary exercise as our treatment regimes. We found that all treatments had some beneficial effects, as measured by delayed disintegration of the rest-activity rhythm and improved behavioral synchronization to the light-dark cycle. The best effects were observed in mice treated with a combination of bright light therapy and restricted periods of voluntary exercise. Neither the cause nor the consequence of deteriorating sleep-wake activity in HD patients is known. Nevertheless, our findings can be translated immediately to human patients with little cost or risk, since both light therapy and restricted exercise regimes are non-pharmacological interventions that are relatively easy to schedule. Improved circadian rhythmicity is likely to have beneficial knock-on effects on mood and general health in HD patients. Until effective treatments are found for HD, strategies that reduce deleterious effects of disordered physiology should be part of HD patient treatment programs. PMID:24269914

Cuesta, Marc; Aungier, Juliet; Morton, A Jennifer

2014-03-01

428

Evaluation of a Brief Treatment Program of Cognitive Behavior Therapy for Insomnia in Older Adults  

PubMed Central

Objective: To evaluate the efficacy of a brief 4-w group-administered treatment program of cognitive behavior therapy for insomnia (CBT-I) for older adults with sleep maintenance insomnia. Design: Randomized controlled trial of CBT-I compared to waitlist control with comparisons at pretreatment, posttreatment, and 3-mo follow-up. Setting: Flinders University Sleep and Circadian Rhythm Research Laboratory, Adelaide, South Australia. Participants: One-hundred eighteen adults with sleep maintenance insomnia (mean age = 63.76 y, standard deviation = 6.45 y, male = 55). Interventions: A 4-w, group-based treatment program of CBT-I including bedtime restriction therapy, sleep education, and cognitive restructuring. Measurements: Seven-day sleep diaries, actigraphy, and several self-report measures to assess perceived insomnia severity, daytime functioning, and confidence in and beliefs about sleep. Results: The brief group-administered CBT-I program produced improvements in the timing and quality of sleep including later bedtimes, earlier out-of-bed times, reduced wake after sleep onset, and improved sleep efficiency. Participants also reported a reduction of the Insomnia Severity Index, Flinders Fatigue Scale, Epworth Sleepiness Scale, Daytime Feeling and Functioning Scale, Sleep Anticipatory Anxiety Questionnaire, the Dysfunctional Beliefs and Attitudes Scale, and increased Sleep Self-Efficacy Scale. Conclusions: The treatment program used in the current study has demonstrated potential for a brief, inexpensive, and effective treatment of sleep maintenance insomnia in the older adult population. Citation: Lovato N; Lack L; Wright H; Kennaway DJ. Evaluation of a brief treatment program of cognitive behavior therapy for insomnia in older adults. SLEEP 2014;37(1):117-126. PMID:24470701

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

2014-01-01

429

Effects of cognitive behavioral therapy on insomnia of maintenance hemodialysis patients.  

PubMed

The objective of the study was to evaluate the effects of cognitive behavioral therapy [sleep-related behavior modification and progressive muscle relaxation on insomnia of maintenance hemodialysis (MHD) patients] on improving insomnia of MHD patients. 103 MHD patients complicated with insomnia were randomly assigned to treatment (n = 52) and control (n = 51) groups. The control group was treated with conventional hemodialysis, and the treatment group was additionally treated with cognitive behavioral therapy for 3 months (sleep-related behavior modification and progressive muscle relaxation). All cases were assessed by Symptom Checklist 90 (SCL-90) and Pittsburgh Sleep Quality Index (PSQI) before and 2, 4, 6, 8, 10, and 12 weeks after treatment. Fifty-one patients in the treatment group and 47 patients in the control group completed the experiments. After treatment, the total mean scores were (1.94 ± 0.50/2.29 ± 0.31); scores of somatization, depression, anxiety, hostility, and additional items were (1.87 ± 0.58/2.56 ± 0.26), (2.25 ± 0.80/2.79 ± 0.50), (1.79 ± 0.26/2.37 ± 0.34), (1.71 ± 0.46/2.25 ± 0.43), and (1.91 ± 0.67/2.26 ± 0.59) in SCL-90, respectively. The total scores for PSQI were (12.63 ± 2.27/16.40 ± 2.16); scores of subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, hypnotics, and daytime dysfunction which were (1.98 ± 0.76/2.57 ± 0.58), (1.75 ± 0.59/2.60 ± 0.50), (2.10 ± 0.50/2.62 ± 0.53), (2.06 ± 0.47/2.57 ± 0.54), (2.04 ± 0.69/2.45 ± 0.72), (1.02 ± 0.79/1.51 ± 0.98), and (1.69 ± 0.55/2.09 ± 0.58), respectively, were significantly lower in the treatment group compared with the control group. However, there were no significant differences in the scores of factors of obsessive-compulsive (2.26 ± 0.62/2.32 ± 0.38), interpersonal sensitivity (2.23 ± 0.64/2.43 ± 0.47), phobic anxiety (1.98 ± 0.62/2.01 ± 0.67), paranoid ideation (1.55 ± 0.43/1.69 ± 0.39), and psychoticism (1.57 ± 0.46/1.66 ± 0.49). The conclusion is that sleep-related behavior modification in combination with progressive muscle relaxation effectively improved the mental state and sleep quality of MHD patients with insomnia. PMID:24577747

Hou, Yongmei; Hu, Peicheng; Liang, Yanping; Mo, Zhanyu

2014-07-01

430

Education-oriented Music Therapy as an after-school program for students with emotional and behavioral problems  

Microsoft Academic Search

The purpose of this study was to examine how an after-school Education-oriented Music Therapy (EoMT) program can impact students’ emotional and behavioral problems and academic competency. The study implemented a 16-week music therapy program using music activities and interventions to promote academic, social, and emotional skills. The Social Skills Rating System (Gresham & Elliott, 1990); which measures social skills, academic

Hyun Ju Chong; Soo Ji Kim

2010-01-01

431

Effects of animal-assisted therapy on agitated behaviors and social interactions of older adults with dementia  

Microsoft Academic Search

The effects of a therapeutic recreation intervention using animal-assisted therapy (AAT) on the agitated behaviors and social interactions of older adults with dementia were examined using the Cohen-Mansfield Agitation Inventory and the Animal-Assisted Therapy Flow Sheet. In a pilot study, 15 nursing home residents with dementia participated in a daily AAT intervention for three weeks. Results showed statistically significant decreases

Nancy E. Richeson

2003-01-01

432

Cognitive-Behavioral Therapy Plus Contingency Management for Cocaine Use: Findings During Treatment and Across 12Month Follow-Up  

Microsoft Academic Search

Contingency management (CM) rapidly reduces cocaine use, but its effects subside after treatment. Cognitive-behavioral therapy (CBT) produces reductions months after treatment. Combined, the 2 might be complementary. One hundred ninety-three cocaine-using methadone-maintained outpatients were randomly assigned to 12 weeks of group therapy (CBT or a control condition) and voucher availability (CM contingent on cocaine-negative urine or noncontingent). Follow-ups occurred 3,

David H. Epstein; Wesley E. Hawkins; Lino Covi; Annie Umbricht; Kenzie L. Preston

2003-01-01

433

Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients  

PubMed Central

Individuals with cancer are disproportionately affected by sleep disturbance and insomnia relative to the general population. These problems can be a consequence of the psychological, behavioral, and physical effects of a cancer diagnosis and treatment. Insomnia often persists for years and, when combined with already high levels of cancer-related distress, may place cancer survivors at a higher risk of future physical and mental health problems and poorer quality of life. The recommended first-line treatment for insomnia is cognitive behavioral therapy for insomnia (CBT-I), a non-pharmacological treatment that incorporates cognitive and behavior-change techniques and targets dysfunctional attitudes, beliefs, and habits involving sleep. This article presents a comprehensive review of the literature examining the efficacy of CBT-I on sleep and psychological outcomes in cancer patients and survivors. The search revealed 12 studies (four uncontrolled, eight controlled) that evaluated the effects of CBT-I in cancer patients or survivors. Results suggest that CBT-I is associated with statistically and clinically significant improvements in subjective sleep outcomes in patients with cancer. CBT-I may also improve mood, fatigue, and overall quality of life, and can be successfully delivered through a variety of treatment modalities, making it possible to reach a broader range of patients who may not have access to more traditional programs. Future research in this area should focus on the translation of evidence into clinical practice in order to increase awareness and access to effective insomnia treatment in cancer care. PMID:24971014

Garland, Sheila N; Johnson, Jillian A; Savard, Josee; Gehrman, Philip; Perlis, Michael; Carlson, Linda; Campbell, Tavis

2014-01-01

434

The Effect of The Cognitive Behavioral Therapy and Pharmacotherapy on Infertility Stress: A Randomized Controlled Trial  

PubMed Central

Background: Infertility has been described as creating a form of stress leading to a variety of psychological problems. Both psychotherapy and pharmacotherapy are effective treatments for infertility stress. The aim of this study was to evaluate the effectiveness of cognitive behavioral therapy along with fluoxetine for improvement infertility stress in infertile women. Materials and Methods: In a randomized controlled clinical trial, 89 infertile women with mild to moderate depression (Beck scores 10-47) were recruited into the following three groups: i. cognitive behavior therapy (CBT), ii. antidepressant therapy, and iii. control group. Twenty-nine participants in the CBT method received gradual relaxation training, restructuring, and eliminating of negative automatic thoughts and dysfunctional attitudes to infertility for 10 sessions. Thirty participants in the pharmacotherapy group took 20 mg fluoxetine daily for 90 days. Thirty individuals in control group did not receive any intervention. All participants completed fertility problem inventory (FPI) and the Beck Depression Inventory (BDI) at the beginning and end of the study. We applied Chi-square paired t test, ANOVA and Turkey’s test to analyze the data. Results: The mean of the infertility stress scores in CBT, fluoxetine, and control groups at the beginning and end of the study were as follows, respectively: 3.5 ± 0.62 vs.2.7 ± 0.62 (p<0.05), 3.5 ± 0.53 vs.3.2 ± 4.4 (p<0.05), and 3.4 ± 0.55 vs. 3.5 ± 0.48. In CBT group, the mean scores of social concern, sexual concern, marital concern, rejection of child-free lifestyle, and need for parenthood decreased meaningfully compared to those before starting the therapy. But in fluoxetine group, mean score of women sexual concern out of those five main problems of infertility reduced significantly. Also, fluoxetine and CBT reduced depression compared to the control group. Conclusion: CBT improved the social concerns, sexual concerns, marital concerns, rejection of child-free lifestyle, and need for parenthood more than floxitine group. Thus, CBT was not only a reliable alternative to pharmacotherapy, but also superior to fluoxetine in resolving and reducing of infertility stress (Registration Number: IRCT2012061710048N1). PMID:24520487

Faramarzi, Mahbobeh; Pasha, Hajar; Esmailzadeh, Seddigheh; Kheirkhah, Farzan; Heidary, Shima; Afshar, Zohreh

2013-01-01

435

Understanding HIV Transmission Risk Behavior Among HIV-Infected South Africans Receiving Antiretroviral Therapy: An Information--Motivation--Behavioral Skills Model Analysis  

PubMed Central

The current study applied the Information—Motivation—Behavioral Skills (IMB) model (J. D. Fisher & Fisher, 1992; W. A. Fisher & Fisher, 1993) to identify factors associated with HIV transmission risk behavior among HIV-infected South Africans receiving antiretroviral therapy (ART), a population of considerable significance for curtailing, or maintaining, South Africa’s generalized HIV epidemic. HIV prevention information, HIV prevention motivation, HIV prevention behavioral skills, and HIV transmission risk behavior were assessed in a sample of 1,388 South Africans infected with HIV and receiving ART in 16 clinics in KwaZulu-Natal, South Africa. Results confirmed the assumptions of the IMB model and demonstrated that HIV prevention information and HIV prevention motivation work through HIV prevention behavioral skills to affect HIV transmission risk behavior in this population. Subanalyses confirmed these relationships for HIV transmission risk behavior overall and for HIV transmission risk behavior with partners perceived to be HIV-negative or HIV-status unknown. A consistent pattern of gender differences showed that for men, HIV prevention information and HIV prevention motivation may have direct links with HIV preventive behavior, while for women, the effects of HIV prevention information and HIV prevention motivation work through HIV prevention behavioral skills to affect HIV preventive behavior. These IMB model-based findings suggest directions for HIV prevention interventions with South African men and women living with HIV and on ART as an important component of overall strategies to contain South Africa’s generalized HIV epidemic. PMID:23477576

Kiene, Susan M.; Fisher, William A.; Shuper, Paul A.; Cornman, Deborah H.; Christie, Sarah; MacDonald, Susan; Pillay, Sandy; Mahlase, Gethwana; Fisher, Jeffrey D.

2014-01-01

436

VIGILANT AND AVOIDANT ATTENTION BIASES AS PREDICTORS OF RESPONSE TO COGNITIVE BEHAVIORAL THERAPY FOR SOCIAL PHOBIA  

PubMed Central

Background Attention bias for socially threatening information, an empirically supported phenomenon, figures prominently in models of social phobia. However, all published studies examining this topic to date have relied on group means to describe attention bias patterns; research has yet to examine potential subgroups of attention bias among individuals with social phobia (e.g., vigilant or avoidant). Furthermore, almost no research has examined how attention biases in either direction may predict change in symptoms as a result of treatment. Methods This study (N=24) compared responses to cognitive behavioral therapy (CBT) for social phobia between individuals with avoidant and vigilant biases for threatening faces at pretreatment. Results Participants with avoidant biases reported significantly and clinically higher symptom levels at posttreatment than did those with vigilant biases. Conclusions These findings suggest that an avoidant attention bias may be associated with reduced response to CBT for social phobia. PMID:21308888

Price, Matthew; Tone, Erin B.; Anderson, Page L.

2013-01-01

437

A cognitive behavioral therapy for co-occurring substance use and posttraumatic stress disorders  

PubMed Central

Co-occurring posttraumatic stress disorder (PTSD) is prevalent in addiction treatment programs and a risk factor for negative outcomes. Although interventions have been developed to address substance use and PTSD, treatment options are needed that are effective, well tolerated by patients, and potentially integrated with existing program services. This paper describes a cognitive behavioral therapy (CBT) for PTSD that was adapted from a treatment for persons with severe mental illnesses and PTSD in community mental health settings. The new adaptation is for patients in community addiction treatment with co-occurring PTSD and substance use disorders. In this study, 5 community therapists delivered the CBT for PTSD. Outcome data are available on 11 patients who were assessed at baseline, post-CBT treatment, and at a 3-month follow-up post-treatment. Primary outcomes were substance use, PTSD severity, and retention, of which all were favorable for patients receiving the CBT for PTSD. PMID:19395179

McGovern, Mark P.; Lambert-Harris, Chantal; Acquilano, Stephanie; Xie, Haiyi; Alterman, Arthur I.; Weiss, Roger D.

2009-01-01

438

Brief Strategic Family Therapy: An Intervention to Reduce Adolescent Risk Behavior  

PubMed Central

This article reviews the brief strategic family therapy (BSFT; J. Szapocznik, M. A. Scopetta, & O. E. King, 1978, The effect and degree of treatment comprehensiveness with a Latino drug abusing population. In D. E. Smith, S. M. Anderson, M. Burton, N. Gotlieb, W. Harvey, & T. Chung, Eds, A multicultural view of drug abuse, pp. 563–573, Cambridge, MA: G. K. Hall & J. Szapocznik, M. A. Scopetta, & O. E. King, 1978, Theory and practice in matching treatment to the special characteristics and problems of Cuban immigrants, Journal of Community Psychology, 6, 112–122.) approach to treating adolescent drug abuse and related problem behaviors. The treatment intervention is reviewed, including specialized features such as engagement of difficult families. Empirical evidence supporting the BSFT approach is presented. We then illustrate ways in which clinicians can use the model with troubled families whose adolescents may be at risk for drug use and HIV. Finally, future directions for BSFT research are described. PMID:23936750

Szapocznik, Jose; Schwartz, Seth J.; Muir, Joan A.; Brown, C. Hendricks

2013-01-01

439

Feasibility of dissemination of cognitive behavioral therapy to Texas community mental health centers.  

PubMed

State mental health systems are actively seeking to disseminate empirically supported treatment approaches to improve the outcomes of adults with serious mental illnesses. However, many of these interventions have not been studied within public mental health settings. Cognitive behavioral therapy (CBT) has been shown to be effective for major depression in well-controlled trials, but its effectiveness in public mental health settings is less known. The present study examines the feasibility of dissemination of CBT in the Texas public mental health system. Seven clinicians were trained by a CBT expert and supervised for 5 months, during which time their skills approached competency levels of therapists in randomized controlled trials. Forty clients were treated during the therapists' training phase, attending an average of ten sessions and experiencing a significant reduction in depressive symptoms. Study results are compared with previously published studies of CBT. PMID:20162373

Lopez, Molly A; Basco, Monica Ramirez

2011-01-01

440

Cognitive-Behavioral Therapy for Depression in an Older Gay Man: A Clinical Case Study  

PubMed Central

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 deduced from the late-life depression literature, culturally adapted CBT protocols for racial minorities, and the emerging social and developmental psychological theories for lesbian, gay, and bisexual populations. Specific treatment interventions, processes, and outcomes are described to illustrate how these literatures may be used to provide more culturally appropriate and effective health care for the growing, older sexual minority population. PMID:23144559

Satterfield, Jason M.; Crabb, Rebecca

2012-01-01

441

The preliminary study of individual cognitive behavior therapy for Japanese patients with social anxiety disorder.  

PubMed

Research has demonstrated the effectiveness of both individual and group cognitive behavior therapy (CBT) programs for social anxiety disorder (SAD) with patients in many countries. The present preliminary study reports the effectiveness of individual CBT for Japanese patients with SAD. Fifteen outpatients diagnosed with SAD completed an individual CBT program of six 50-min sessions with several components, including cognitive restructuring to modify cost and probability bias, repeated speech exposure, and homework about idiosyncratic anxiety-provoking situations. The results show that SAD symptoms improved after completion of the program. Large effect sizes were found for cognitive factors of SAD. In addition, repeated speech exposure was highly effective for improving the self-perception of subjective anxiety. The present findings suggest that an individual CBT program can be effective for reducing SAD symptoms with Japanese patients. PMID:24219020

Shirotsuki, Kentaro; Kodama, Yoshio; Nomura, Shinobu

2014-05-01

442

Exploring Sudden Gains in Behavioral Activation Therapy for Major Depressive Disorder  

PubMed Central

Understanding the onset and course of sudden gains in treatment provides clinical information to the patient and clinician, and encourages clinicians to strive for these sudden clinical gains with their patients. This study characterizes the occurrence of sudden gains with Behavioral Activation (BA; Martell, Addis, & Jacobson, 2001), and the extent to which pre-treatment dysfunctional depressive thinking predicts sudden gains during treatment. We enrolled a sample of adults (n = 42) between ages 18–65 diagnosed with primary Major Depressive Disorder. All participants completed a 16-week course of BA, with clinical and self-report assessments at pre-, mid- and post-treatment. Results indicated that sudden gain and non-sudden gain participants showed differential improvement across treatment. No significant effects emerged for the dysfunctional cognitive style as a predictor of sudden gain status. Sudden gains may result from interaction of non-specific factors with the BA techniques implemented during early phases of therapy. PMID:22336434

Hunnicutt-Ferguson, Kallio; Hoxha, Denada; Gollan, Jackie

2012-01-01

443

Facing fears and sadness: cognitive-behavioral therapy for childhood traumatic grief.  

PubMed

The term childhood traumatic grief (CTG) is being increasingly used to refer to the particular reaction in children that may follow the death of a loved one during a traumatic event. The goal of this case study is to describe the theoretical argument and framework for, as well as a clinical example of, cognitive-behavioral therapy (CBT) for CTG. We present a case of a five-year-old boy whose father, a firefighter, died in the line of duty at the World Trade Center on September 11, 2001. This specific case will highlight the steps of CBT for CTG, the value of assessment during the therapeutic process, and the need to consider developmental and family factors in treatment. PMID:15371061

Brown, Elissa J; Pearlman, Michelle Y; Goodman, Robin F

2004-01-01

444

Are inner context factors related to implementation outcomes in cognitive-behavioral therapy for youth anxiety?  

PubMed

Among the challenges facing the mental health field are the dissemination and implementation of evidence-based practices. The present study investigated the relationships between inner context variables (i.e., adopter characteristics and individual perceptions of intra-organizational factors) and two implementation outcomes-independently rated therapist fidelity on a performance-based role-play (i.e., adherence and skill) and self-reported penetration of cognitive behavioral therapy for youth anxiety following training. A significant relationship was found between inner context variables and fidelity. Specifically, adopter characteristics were associated with adherence and skill; individual perceptions of intra-organizational factors were associated with adherence. Inner context variables were not associated with penetration. Future directions are discussed. PMID:24202067

Beidas, Rinad S; Edmunds, Julie; Ditty, Matthew; Watkins, Jessica; Walsh, Lucia; Marcus, Steven; Kendall, Philip

2014-11-01

445

"Barriers to Cognitive Behavioral Therapy Homework Completion Scale- Depression Version": Development and Psychometric Evaluation  

PubMed Central

We conducted a two-phase study to develop and evaluate the psychometric properties of an instrument to identify barriers to Cognitive Behavioral Therapy (CBT) homework completion in a depressed sample. In Phase I, we developed an item pool by interviewing 20 depressed patients and 20 CBT therapists. In Phase II, we created and administered a draft instrument to 56 people with depression. Exploratory Factor Analysis revealed a 2-factor oblique solution of “Patient Factors” and “Therapy/Task Factors.” Internal consistency coefficients ranged from .80 to .95. Temporal stability was demonstrated through Pearson correlations of .72 (for the therapist/task subscale) to .95 (for the patient subscale) over periods of time that ranged from 2 days to 3 weeks. The patient subscale was able to satisfactorily classify patients (75 to 79 %) with low and high adherence at both sessions. Specificity was .66 at both time points. Sensitivity was .80 at sessions B and .77 at session C. There were no consistent predictors of assignment compliance when measured by the Assignment Compliance Rating Scale (Primakoff, Epstein, & Covi, 1986). The Rating Scale and subscale scores did, however, correlate significantly with assignment non-compliance (.32 to .46). PMID:24049556

Callan, Judith A.; Dunbar-Jacob, Jacqueline; Sereika, Susan M.; Stone, Clement; Fasiczka, Amy; Jarrett, Robin B.; Thase, Michael E.

2013-01-01

446

The empirical status of the "new wave" of cognitive behavioral therapy.  

PubMed

This article reviews the current state of empirical research on the purported "new wave" of cognitive behavioral therapy (CBT). A particular emphasis is given to mindfulness-based treatments and acceptance and commitment therapy (ACT). Mindfulness-based approaches and ACT are evaluated with regard to their efficacy and comparison with traditional CBT. Deviations from CBT are explained within the context of theory, specifically in terms of the role of cognitions. These differences, however, are not irreconcilable in requiring a separate classification of "new wave" treatments. While subtle and important differences on the theoretical and procedural level might exist, available data do not favor one treatment over another, and do not suggest differential mechanisms of action that warrant a dramatic separation from the CBT family of approaches. Instead, the "new wave" treatments are consistent with the CBT approach, which refers to a family of interventions rather than a single treatment. Thus, the term "new wave" is potentially misleading because it is not an accurate reflection of the contemporary literature. PMID:20599141

Hofmann, Stefan G; Sawyer, Alice T; Fang, Angela

2010-09-01

447

The negative impact of the cognitive movement on the continued growth of the behavior therapy movement: a historical perspective.  

PubMed

In recent years, a growing number of behavior therapists have expressed concern over the current state of the behavioral therapy movement. Some of the major problems raised center on current overload and fractionization, the lack of a coherent overall picture, the loss of identity, and the influx of cognitivism. In an attempt to enhance understanding of the factors responsible for the current crises in the behavior therapy field, the author provides a historical overview of the behavioral movement from its original conception to its current state. An argument is made that the solution to the afore-mentioned problems resides in the readoption of the underlying philosophy of science that originally gave birth and purpose to the field. PMID:10363350

Levis, D J

1999-05-01

448

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

Microsoft Academic Search

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 problems, and (f) knowledge of healthy sexuality and self-protection skills. Results indicate that game-based cognitive-behavioral therapy was effective

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

2011-01-01

449

Cognitive Behavioral Group Therapy for Patients with Co-Existing Social Anxiety Disorder and Substance Use Disorders: A Pilot Study  

Microsoft Academic Search

Social anxiety disorder (SAD) frequently co-occurs with substance use disorders (SUDs). Although the efficacy of separate\\u000a cognitive behavioral treatments for each disorder has been widely documented, there is a dearth of studies investigating treatment\\u000a outcome for patients with co-existing SAD and SUDs. This paper presents preliminary data from a pilot study that investigated\\u000a whether cognitive behavioral group therapy—modified to explicitly

Christine M. Courbasson; Yasunori Nishikawa

2010-01-01

450

Quality vs. Quantity: Acquisition of Coping Skills Following Computerized Cognitive Behavioral Therapy for Substance Use Disorders  

PubMed Central

Aims To evaluate the changes over time in quality and quantity of coping skills acquired following cognitive behavioral therapy (CBT), and examine potential mediating effects on substance use outcomes. Design A randomized controlled trial (RCT) evaluating the effectiveness of a computerized version of CBT (CBT4CBT) as an adjunct to standard outpatient treatment over an 8-week period. Setting Data were collected from individuals seeking treatment for substance dependence in an outpatient community setting. Participants Fifty-two substance abusing individuals (50% African American), with an average age of 42 years, and a majority reporting cocaine as their primary drug of choice. Measurements Participants’ responses to behavioral role-plays of situations associated with high risk for drug and alcohol use were audio-taped and independently rated to assess their coping responses. Findings There were statistically significant increases in mean ratings of the quality of participants’ coping responses for those assigned to CBT4CBT compared to treatment as usual, and these differences remained significant three months after treatment completion. Moreover, quality of coping responses mediated the effect of treatment on participants’ duration of abstinence during the follow-up period. Conclusions These findings suggest that assignment to the computerized CBT program improved participants’ coping skills, as measured by independent ratings of a role playing task. It is also the first study to test and support quality of coping skills acquired as a mediator of the effect of CBT for substance use. PMID:20854334

Kiluk, Brian D.; Nich, Charla; Babuscio, Theresa; Carroll, Kathleen M.

2010-01-01

451

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

PubMed Central

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 in posttest. None of treatments affected on anger and sadness inhibition and positive cognitive coping in separation anxious children. Conclusion: ECBT, in comparison with CBT; effectively improved emotion regulation strategies in children with separation anxiety. PMID:24949029

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

2014-01-01

452

Controlled Comparison of Family Cognitive Behavioral Therapy and Psychoeducation/Relaxation Training for Child Obsessive-Compulsive Disorder  

ERIC Educational Resources Information Center

Objective: To examine the efficacy of exposure-based cognitive-behavioral therapy (CBT) plus a structured family intervention (FCBT) versus psychoeducation plus relaxation training (PRT) for reducing symptom severity, functional impairment, and family accommodation in youths with obsessive-compulsive disorder (OCD). Method: A total of 71…

Piacentini, John; Bergman, R. Lindsey; Chang, Susanna; Langley, Audra; Peris, Tara; Wood, Jeffrey J.; McCracken, James

2011-01-01

453

Parent–Child Interaction Therapy for Disruptive Behavior in Children with Mental Retardation: A Randomized Controlled Trial  

Microsoft Academic Search

This article presents results of a randomized controlled trial examining the efficacy of Parent–Child Interaction Therapy (PCIT) for treating disruptive behaviors of young children (ages 3 to 6) with mental retardation (MR) and comorbid oppositional defiant disorder. Thirty families were randomly assigned to an immediate treatment (IT) or waitlist (WL) control group. Results indicated that IT mothers interacted more positively

Daniel M. Bagner; Sheila M. Eyberg

2007-01-01

454

GROUP PLAY THERAPY AND TANGIBLE REINFORCERS USED TO MODIFY THE BEHAVIOR OF EIGHT-YEAR-OLD BOYS.  

ERIC Educational Resources Information Center

THE PRESENT STUDY WAS DESIGNED TO DETERMINE WITHIN GROUP PLAY THERAPY--(1) THE COMBINATION OF EXPERIENCES WHICH PRODUCE THE GREATEST CHANGE IN BEHAVIORS AND THE EMOTIONAL STATE, AND (2) WHETHER TREATMENT INCLUDING TANGIBLE REWARDS PRODUCE MORE CHANGE THAN TREATMENT EXCLUDING THEM. THE 11 THIRD-GRADE BOYS REFERRED BY TEACHERS BECAUSE OF THEIR SHY,…

CLEMENT, PAUL W.; MILNE, D.C.

455

A cost-effectiveness analysis of cognitive behavior therapy and fluoxetine (prozac) in the treatment of depression  

Microsoft Academic Search

Depression affects at least 11 million Americans per year and costs the U.S. economy an estimated 44 billion dollars annually. Comprehensive review of the existing sci- entific evidence suggests that psychotherapy, particularly cognitive behavior therapy (CBT), is at least as effective as medication in the treatment of depression, even if severe (Antonuccio, Danton, & DeNelsky, 1995). These conclusions hold for

David O. Antonuccio; Michael Thomas; William G. Danton

1997-01-01

456

Alcohol-Focused Spouse Involvement and Behavioral Couples Therapy: Evaluation of Enhancements to Drinking Reduction Treatment for Male Problem Drinkers  

ERIC Educational Resources Information Center

This study evaluated the effects of alcohol-focused spouse involvement and behavioral couples therapy (BCT) in group drinking reduction treatment for male problem drinkers. Sixty-four male clients and their female partners were randomly assigned to 1 of 3 conditions: treatment for problem drinkers only (PDO), couples alcohol-focused treatment, or…

Walitzer, Kimberly S.; Dermen, Kurt H.

2004-01-01

457

Couple and Individual Adjustment for 2 Years Following a Randomized Clinical Trial Comparing Traditional versus Integrative Behavioral Couple Therapy  

ERIC Educational Resources Information Center

Follow-up data across 2 years were obtained on 130 of 134 couples who were originally part of a randomized clinical trial comparing traditional versus integrative behavioral couple therapy (TBCT vs. IBCT; A. Christensen et al., 2004). Both treatments produced similar levels of clinically significant improvement at 2 years posttreatment (69% of…

Christensen, Andrew; Atkins, David C.; Yi, Jean; Baucom, Donald H.; George, William H.

2006-01-01

458

Cognitive-Behavioral Therapy with a Six-Year-Old Boy with Separation Anxiety Disorder: A Case Study.  

ERIC Educational Resources Information Center

This study examines the use of cognitive-behavioral therapy (CBT) for the treatment of separation anxiety disorder (SAD) in a six-year-old boy who was having at least one panic attack a day. It uses a four-phased program that includes a psychoeducational approach. The outcome studies demonstrated how CBT shows promise as a treatment modality with…

Dia, David A.

2001-01-01

459

The Effect of Cognitive Behavior Therapy on Decision Making in Adolescents Who Self-Harm: A Pilot Study  

ERIC Educational Resources Information Center

Research shows poor decision making in adolescents who self-harm and a positive correlation between decision-making abilities and duration since last self-harm episode. This exploratory study investigated whether decision making in self-harming adolescents could be improved through treatment with a novel cognitive behavior therapy (CBT). It also…

Oldershaw, Anna; Simic, Mima; Grima, Emanuela; Jollant, Fabrice; Richards, Clair; Taylor, Lucy; Schmidt, Ulrike

2012-01-01

460

Attachment as Moderator of Treatment Outcome in Major Depression: A Randomized Control Trial of Interpersonal Psychotherapy versus Cognitive Behavior Therapy  

ERIC Educational Resources Information Center

Anxiety and avoidance dimensions of adult attachment insecurity were tested as moderators of treatment outcome for interpersonal psychotherapy (IPT) and cognitive-behavioral therapy (CBT). Fifty-six participants with major depression were randomly assigned to these treatment conditions. Beck Depression Inventory-II, Six-Item Hamilton Rating Scale…

McBride, Carolina; Atkinson, Leslie; Quilty, Lena C.; Bagby, R. Michael

2006-01-01

461

Training and Dissemination of Cognitive Behavior Therapy for Depression in Adults: A Preliminary Examination of Therapist Competence and Client Outcomes  

ERIC Educational Resources Information Center

Objective: In this study, the authors examined the feasibility and effectiveness of training community therapists to deliver cognitive behavior therapy (CBT) for depression. Method: Participants were therapists (n = 12) and clients (n = 116; mean age = 41 years, 63% women) presenting for treatment of depression at a not-for-profit and designated…

Simons, Anne D.; Padesky, Christine A.; Montemarano, Jeremy; Lewis, Cara C.; Murakami, Jessica; Lamb, Kristen; DeVinney, Sharon; Reid, Mark; Smith, David A.; Beck, Aaron T.

2010-01-01

462

The Effects of Cognitive Behavior Therapy Delivered by Students in a Psychologist Training Program: An Effectiveness Study  

ERIC Educational Resources Information Center

Relatively little is known about the efficacy of clinically inexperienced student therapists carrying out cognitive behavior therapy (CBT) under supervision during a professional, psychologist training program. The current study evaluated this by collecting pre- and post-treatment data on 591 consecutive patients receiving treatment at the…

Ost, Lars-Goran; Karlstedt, Anna; Widen, Sara

2012-01-01

463

A Randomized Clinical Trial of Naltrexone and Behavioral Therapy for Problem Drinking Men Who Have Sex with Men  

ERIC Educational Resources Information Center

Objective: This study tested the comparative effectiveness of modified behavioral self-control therapy (MBSCT) and naltrexone (NTX), as well as the added benefit of combining the 2, in problem drinking men who have sex with men (MSM) seeking to reduce but not quit drinking. Method: Participants (N = 200) were recruited and urn randomized to 1 of 2…

Morgenstern, Jon; Kuerbis, Alexis N.; Chen, Andrew C.; Kahler, Christopher W.; Bux, Donald A., Jr.; Kranzler, Henry R.

2012-01-01

464

Family-Based Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder: Comparison of Intensive and Weekly Approaches  

ERIC Educational Resources Information Center

Objective: To examine the relative efficacy of intensive versus weekly cognitive-behavioral therapy (CBT) for children and adolescents with obsessive-compulsive disorder (OCD). Method: Forty children and adolescents with OCD (range 7-17 years) were randomized to receive 14 sessions of weekly or intensive (daily psychotherapy sessions) family-based…

Storch, Eric A.; Geffken, Gary R.; Merlo, Lisa J.; Mann, Giselle; Duke, Danny; Munson, Melissa; Adkins, Jennifer; Grabill, Kristen M.; Murphy, Tanya K.; Goodman, Wayne K.

2007-01-01

465

Cognitive Behavioral Therapy for 4- to 7-Year-Old Children with Anxiety Disorders: A Randomized Clinical Trial  

ERIC Educational Resources Information Center

Objective: To examine the efficacy of a developmentally appropriate parent-child cognitive behavioral therapy (CBT) protocol for anxiety disorders in children ages 4-7 years. Method: Design: Randomized wait-list controlled trial. Conduct: Sixty-four children (53% female, mean age 5.4 years, 80% European American) with anxiety disorders were…

Hirshfeld-Becker, Dina R.; Masek, Bruce; Henin, Aude; Blakely, Lauren Raezer; Pollock-Wurman, Rachel A.; McQuade, Julia; DePetrillo, Lillian; Briesch, Jacquelyn; Ollendick, Thomas H.; Rosenbaum, Jerrold F.; Biederman, Joseph

2010-01-01

466

The Relation of Severity and Comorbidity to Treatment Outcome with Cognitive Behavioral Therapy for Childhood Anxiety Disorders  

ERIC Educational Resources Information Center

The present study investigated the impact of comorbidity over and above the impact of symptom severity on treatment outcome of Cognitive Behavioral Therapy for children with anxiety disorders. Children (aged 8-12, n = 124) diagnosed with an anxiety disorder were treated with a short-term CBT protocol. Severity was assessed with a composite measure…

Liber, Juliette Margo; van Widenfelt, Brigit M.; van der Leeden, Adelinde J. M.; Goedhart, Arnold W.; Utens, Elisabeth M. W. J.; Treffers, Philip D. A.

2010-01-01

467

The Role of Early Symptom Trajectories and Pretreatment Variables in Predicting Treatment Response to Cognitive Behavioral Therapy  

ERIC Educational Resources Information Center

Objective: Research has focused on 2 different approaches to answering the question, "Which clients will respond to cognitive behavioral therapy (CBT) for depression?" One approach focuses on rates of symptom change within the 1st few weeks of treatment, whereas the 2nd approach looks to pretreatment client variables (e.g., hopelessness) to…

Lewis, Cara C.; Simons, Anne D.; Kim, Hyoun K.

2012-01-01

468

Cognitive Reappraisal Self-Efficacy Mediates the Effects of Individual Cognitive-Behavioral Therapy for Social Anxiety Disorder  

ERIC Educational Resources Information Center

Objective: To examine whether changes in cognitive reappraisal self-efficacy (CR-SE) mediate the effects of individually administered cognitive-behavioral therapy (I-CBT) for social anxiety disorder (SAD) on severity of social anxiety symptoms. Method: A randomized controlled trial in which 75 adult patients (21-55 years of age; 53% male; 57%…

Goldin, Philippe R.; Ziv, Michal; Jazaieri, Hooria; Werner, Kelly; Kraemer, Helena; Heimberg, Richard G.; Gross, James J.

2012-01-01

469

Parent-Child Interaction Therapy for Disruptive Behavior in Children with Mental Retardation: A Randomized Controlled Trial  

ERIC Educational Resources Information Center

This article presents results of a randomized controlled trial examining the efficacy of Parent-Child Interaction Therapy (PCIT) for treating disruptive behaviors of young children (ages 3 to 6) with mental retardation (MR) and comorbid oppositional defiant disorder. Thirty families were randomly assigned to an immediate treatment (IT) or waitlist…

Bagner, Daniel M.; Eyberg, Sheila M.

2007-01-01

470

Rapid effects of brief intensive cognitive-behavioral therapy on brain glucose metabolism in obsessive-compulsive disorder  

Microsoft Academic Search

Brief intensive cognitive-behavioral therapy (CBT) using exposure and response prevention significantly improves obsessive-compulsive disorder (OCD) symptoms in as little as 4 weeks. However, it has been thought that much longer treatment was needed to produce the changes in brain function seen in neuroimaging studies of OCD. We sought to elucidate the brain mediation of response to brief intensive CBT for

Sanjaya Saxena; E Gorbis; J O'Neill; S K Baker; M A Mandelkern; K M Maidment; S Chang; N Salamon; A L Brody; J M Schwartz; E D London

2009-01-01

471

Outcomes of Manualized Cognitive-Behavioral Body Image Therapy with Eating Disordered Women Treated in a Private Clinical Practice  

Microsoft Academic Search

Body image change is an important component of the treatment of eating disorders, and cognitive behavioral body image therapy has substantial empirical support as efficacious in the improvement of body image difficulties and disorders. Most evidence comes from randomized, controlled, outcome studies and does not examine effectiveness for persons with clinical eating disorders in the context of “usual care” settings.

Stacey Nye; Thomas F. Cash

2006-01-01

472

Addressing Relapse in Cognitive Behavioral Therapy for Panic Disorder: Methods for Optimizing Long-Term Treatment Outcomes  

ERIC Educational Resources Information Center

In this paper, we present a client with panic disorder and agoraphobia who relapses following a full course of cognitive behavioral therapy (CBT). To frame the client's treatment, the major components of CBT for panic disorder with or without agoraphobia (PD/A) are reviewed. Likely reasons for the treatment's failure and strategies for improving…

Arch, Joanna J.; Craske, Michelle G.

2011-01-01

473

Group Cognitive Behavior Therapy for Children with High-Functioning Autism Spectrum Disorders and Anxiety: A Randomized Trial  

ERIC Educational Resources Information Center

Background: Children with high-functioning autism spectrum disorders (ASD) are at high risk for developing significant anxiety. Anxiety can adversely impact functioning across school, home and community environments. Cognitive behavioral therapies (CBT) are frequently used with success for children with anxiety symptoms. Modified CBT interventions…

Reaven, Judy; Blakeley-Smith, Audrey; Culhane-Shelburne, Kathy; Hepburn, Susan

2012-01-01

474

Assessment of the Prerequisite Skills for Cognitive Behavioral Therapy in Children with and without Autism Spectrum Disorders  

ERIC Educational Resources Information Center

The purpose of this study was to assess the cognitive skills of children with autism spectrum disorders (ASD) thought to be necessary for Cognitive Behavioral Therapy (CBT). Forty children with ASD and forty age-matched typically developing children between the ages of 7-12 years participated. Groups were comparable with regard to nonverbal IQ,…

Lickel, Athena; MacLean, William E., Jr.; Blakeley-Smith, Audrey; Hepburn, Susan

2012-01-01

475

Cognitive-Behavioral Therapy for PANDAS-Related Obsessive-Compulsive Disorder: Findings From A Preliminary Waitlist Controlled Open Trial  

ERIC Educational Resources Information Center

Objective: To provide preliminary estimates of the effectiveness of cognitive-behavioral therapy (CBT) in treating pediatric obsessive-compulsive disorder (OCD) of the pediatric autoimmune neuropsychiatric disorders associated with streptococcus (PANDAS) subtype. Method: Seven children with OCD of the PANDAS subtype (range 9-13 years) were treated…

Storch, Eric A.; Murphy, Tanya K.; Geffken, Gary R.; Mann, Giselle; Adkins, Jennifer; Merlo, Lisa J.; Duke, Danny; Munson, Melissa; Swaine, Zoe; Goodman, Wayne K.

2006-01-01

476

Motivational Interviewing Versus Cognitive Behavioral Group Therapy in the Treatment of Problem and Pathological Gambling: A Randomized Controlled Trial  

Microsoft Academic Search

Pathological gambling is a widespread problem with major implications for society and the individual. There are effective treatments, but little is known about the relative effectiveness of different treatments. The aim of this study was to test the effectiveness of motivational interviewing, cognitive behavioral group therapy, and a no-treatment control (wait-list) in the treatment of pathological gambling. This was done

Per Carlbring; Jakob Jonsson; Henrik Josephson; Lars Forsberg

2009-01-01

477

Effects of Behavioral Family Systems Therapy for Diabetes on Adolescents' Family Relationships, Treatment Adherence, and Metabolic Control  

Microsoft Academic Search

Background Behavioral family systems therapy (BFST) for adolescents with diabetes has improved family relationships and communication, but effects on adherence and metabolic con- trol were weak. We evaluated a revised intervention, BFST for diabetes (BFST-D). Methods One hundred and four families were randomized to standard care (SC) or to 12 sessions of either an educational support group (ES) or a

Tim Wysocki; Michael A. Harris; Lisa M. Buckloh; Deborah Mertlich; Amanda Sobel Lochrie; Alexandra Taylor; Michelle Sadler; Nelly Mauras; Neil H. White

2006-01-01

478

A Closer Look at the Treatment Rationale and Homework Compliance in Cognitive-Behavioral Therapy for Depression  

Microsoft Academic Search

This study examined the relationships between acceptance of the treatment rationale (ATR), homework compliance, and change during cognitive-behavioral therapy (CBT) for depression. By evaluating the associations between these variables over time it was possible to compare competing theories of change in CBT. Clients meeting criteria for major depression (N = 150) were assessed longitudinally for their reaction to the treatment

Michael E. Addis; Neil S. Jacobson

2000-01-01

479

Sensory Integration and Play Behavior: A Case Study of the Effectiveness of Occupational Therapy Using Sensory Integrative Techniques.  

ERIC Educational Resources Information Center

This case study describes a developmentally delayed 4-year-old and examines behavioral changes that occurred in occupational therapy using sensory integration (SI) techniques. The use of play observation to measure change following SI treatment is discussed, and the relevance of qualitative methodologies to collecting data on play is demonstrated.…

Schaaf, Roseann C.; And Others

1987-01-01

480

Does Cognitive Behavioral Therapy for Youth Anxiety Outperform Usual Care in Community Clinics? An Initial Effectiveness Test  

ERIC Educational Resources Information Center

Objective: Most tests of cognitive behavioral therapy (CBT) for youth anxiety disorders have shown beneficial effects, but these have been efficacy trials with recru