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1

Reliability and validity of the DBT-VLCS: A measure to code validation strategies in dialectical behavior therapy sessions.  

PubMed

Abstract Objective: There are six strategies or validation levels in dialectical behavior therapy (DBT), yet there are no measures designed to code for them. This absence limits our understanding of the relationship between validation strategies and treatment outcome. The DBT-Validation Level Coding Scale (DBT-VLCS) was developed to overcome this limitation. Method: This research reports on the interrater reliability and content validity for the DBT-VLCS. Results: Overall, interrater reliability was excellent for all items, with the exception of two items that demonstrated good reliability. Good content validity was demonstrated for six of the seven items. Conclusions: This preliminary study suggests that the DBT-VLCS is a reliable and valid measure to code the presence of validation in DBT. This measure creates the opportunity for research that has not previously been possible. PMID:25297056

Carson-Wong, Amanda; Rizvi, Shireen

2014-10-01

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

DBT-Enhanced Cognitive Behavioral Therapy for Adolescent Trichotillomania: An Adolescent Case Study  

ERIC Educational Resources Information Center

Results and a case study for a DBT-enhanced habit reversal treatment (HRT) for adult trichotillomania (TTM) (Keuthen & Sprich, 2012) is adapted for use with adolescents. Trichotillomania in adolescence is a very important but understudied problem. Onset often occurs in adolescence, and yet very little treatment research exists. DBT-enhanced habit…

Welch, Stacy Shaw; Kim, Junny

2012-01-01

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

Dialectical behaviour therapy (DBT) in the treatment of borderline personality disorder.  

PubMed

Borderline personality disorder (BPD) is a complex disorder that is difficult to treat. However, dialectical behaviour therapy (DBT), developed by Dr. Marsha Linehan in the early 1990s, has emerged as a promising treatment option for those diagnosed with BPD. DBT is a multi-pronged treatment approach delivered normally in outpatient settings over 12?months and requires highly skilled and trained therapists. Many trials have provided evidence to support the use of DBT in the treatment of BPD. However, outcome measures vary and are mostly limited to measurable behavioural outcomes such as incidences of deliberate self-harm or suicidal thoughts. Two recent Cochrane reviews conclude that DBT does benefit those with BPD, but more robust evidence is needed. DBT training for health care professionals also has the potential to shift health care professionals' attitudes from one of therapeutic pessimism to one of optimism. PMID:24191948

O'Connell, B; Dowling, M

2014-08-01

6

Dialectical behavior therapy for personality disorders.  

PubMed

Interest in dialectical behavior therapy (DBT) as a treatment for personality disorders has increased dramatically in recent years. Although originally designed for the outpatient treatment of suicidal individuals with borderline personality disorder (BPD), DBT has been applied to many more diverse populations including comorbid substance dependence and BPD, inpatient treatment for BPD, as well as antisocial behaviors in juveniles and adults. This paper provides a brief overview of DBT, presents and evaluates the most recent literature on the application of DBT to the treatment of personality disorders, and highlights some of the current controversies surrounding the use of DBT. PMID:11177762

Rizvi, S L; Linehan, M M

2001-02-01

7

Dialectical behavior therapy for borderline personality disorder.  

PubMed

Since the introduction of Linehan's treatment manuals in 1993, dialectical behavior therapy (DBT) has been widely disseminated throughout multiple therapeutic settings and applied to a variety of diagnoses. The enthusiasm with which it was embraced by clinicians early on led some to question whether DBT's popularity was outstripping its empirical foundation. Most of the specific concerns raised regarding DBT's early empirical base have been meaningfully addressed in subsequent randomized controlled trials. This review provides a brief introduction to DBT, followed by a critical appraisal of empirical support for the treatment and a discussion of current research trends. PMID:17716053

Lynch, Thomas R; Trost, William T; Salsman, Nicholas; Linehan, Marsha M

2007-01-01

8

Practice of Dialectical Behavior Therapy after Psychiatry Residency  

ERIC Educational Resources Information Center

Objective: The University of Washington (UW) psychiatry residency program attempted to determine how participation in a dialectical behavior therapy (DBT) training program influenced the practice of its graduates. Methods: A survey was completed by 30 graduates who participated in elective DBT training. This survey obtained information about their…

Frederick, John T.; Comtois, Katherine Anne

2006-01-01

9

Outcome From a Randomized Controlled Trial of Group Therapy for Binge Eating Disorder: Comparing Dialectical Behavior Therapy Adapted for Binge Eating to an Active Comparison Group Therapy  

PubMed Central

Dialectical Behavior Therapy for Binge Eating Disorder (DBT-BED) aims to reduce binge eating by improving adaptive emotion-regulation skills. Preliminary findings have been promising but have only compared DBT-BED to a wait-list. To control for the hypothesized specific effects of DBT-BED, the present study compared DBT-BED to an active comparison group therapy (ACGT). Men and women (n = 101) meeting DSM-IV BED research criteria were randomly assigned to 20 group sessions of DBT-BED (n = 50) or ACGT (n = 51). DBT-BED had a significantly lower dropout rate (4%) than ACGT (33.3%). Linear Mixed Models revealed that posttreatment binge abstinence and reductions in binge frequency were achieved more quickly for DBT-BED than for ACGT (posttreatment abstinence rate = 64% for DBT-BED vs. 36% for ACGT) though differences did not persist over the 3-, 6-, and 12-month follow-up assessments (e.g., 12-month follow-up abstinence rate = 64% for DBT-BED vs. 56% for ACGT). Secondary outcome measures revealed no sustained impact on emotion regulation. Although both DBT-BED and ACGT reduced binge eating, DBT-BED showed significantly fewer dropouts and greater initial efficacy (e.g., at posttreatment) than ACGT. The lack of differential findings over follow-up suggests that the hypothesized specific effects of DBT-BED do not show long-term impact beyond those attributable to nonspecific common therapeutic factors. PMID:20171332

Safer, Debra L.; Robinson, Athena Hagler; Jo, Booil

2011-01-01

10

The dialectical behavior therapy ways of coping checklist: development and psychometric properties.  

PubMed

Skills training is a crucial mode of treatment in dialectical behavioral therapy (DBT; Linehan, 1993b), yet a psychometrically sound measure of DBT skills use does not exist. We adapted the Revised Ways of Coping Checklist (RWCCL; Vitaliano, Russo, Carr, Maiuro, & Becker, 1985) to create the DBT Ways of Coping Checklist (DBT-WCCL). Using factor analysis procedures, two subscales emerged: one assessing coping via DBT skills, the DBT Skills Subscale (DSS), and one assessing coping via dysfunctional means, the Dysfunctional Coping Subscale (DCS). Principal component, internal consistency, test-retest reliability, and content validity analyses suggested that the scale has good to excellent psychometric properties. In addition, the DSS successfully discriminated patients who received skills training during 4 months of treatment from patients who did not. Moderators of skills use are also discussed. The DBT-WCCL appears to be a promising new measure of DBT skills use. PMID:20455249

Neacsiu, Andrada D; Rizvi, Shireen L; Vitaliano, Peter P; Lynch, Thomas R; Linehan, Marsha M

2010-06-01

11

Dialectical Behavior Therapy with Suicidal Adolescents  

ERIC Educational Resources Information Center

Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional…

Miller, Alec L.; Rathus, Jill H.; Linehan, Marsha M.

2006-01-01

12

Acceptance and Mindfulness in Behavior Therapy: A Comparison of Dialectical Behavior Therapy and Acceptance and Commitment Therapy  

ERIC Educational Resources Information Center

Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT) are both innovative behavioral treatments that incorporate mindfulness practices and acceptance-based interventions into their treatment packages. Although there are many similarities between these treatments, including the fact that they are part of a newer "wave" in…

Chapman, Alexander L.

2006-01-01

13

Behavior Therapy  

MedlinePLUS

... Families Media Work & Play Health Issues Conditions Abdominal ADHD Allergies & Asthma Chest & Lungs Chronic Conditions Developmental Disabilities ... Us My Cart Healthy Children > Health Issues > Conditions > ADHD > Behavior Therapy Health Issues Listen Behavior Therapy Article ...

14

Dialectical behavior therapy for substance abusers.  

PubMed

Dialectical behavior therapy (DBT) is a well-established treatment for individuals with multiple and severe psychosocial disorders, including those who are chronically suicidal. Because many such patients have substance use disorders (SUDs), the authors developed DBT for Substance Abusers, which incorporates concepts and modalities designed to promote abstinence and to reduce the length and adverse impact of relapses. Among these are dialectical abstinence, "clear mind," and attachment strategies that include off-site counseling as well as active attempts to find patients who miss sessions. Several randomized clinical trials have found that DBT for Substance Abusers decreased substance abuse in patients with borderline personality disorder. The treatment also may be helpful for patients who have other severe disorders co-occurring with SUDs or who have not responded to other evidence-based SUD therapies. PMID:18497717

Dimeff, Linda A; Linehan, Marsha M

2008-06-01

15

Dialectical Behavior Therapy for Substance Abusers  

PubMed Central

Dialectical behavior therapy (DBT) is a well-established treatment for individuals with multiple and severe psychosocial disorders, including those who are chronically suicidal. Because many such patients have substance use disorders (SUDs), the authors developed DBT for Substance Abusers, which incorporates concepts and modalities designed to promote abstinence and to reduce the length and adverse impact of relapses. Among these are dialectical abstinence, “clear mind,” and attachment strategies that include off-site counseling as well as active attempts to find patients who miss sessions. Several randomized clinical trials have found that DBT for Substance Abusers decreased substance abuse in patients with borderline personality disorder. The treatment also may be helpful for patients who have other severe disorders co-occurring with SUDs or who have not responded to other evidence-based SUD therapies. PMID:18497717

Dimeff, Linda A.; Linehan, Marsha M.

2008-01-01

16

THE USE OF DIALECTICAL BEHAVIOR THERAPY STRATEGIES IN THE PSYCHIATRIC EMERGENCY ROOM  

Microsoft Academic Search

The goal of the present article is to show how specific dialectical behavior therapy (DBT) strategies and techniques can supplement traditional psychiatric emergency room (ER) practice by potentially increasing outpatient treatment compliance in parasuicidal patients with borderline personality disorder traits. Unlike the traditional psychiatric approach, DBT provides emotionally dysregulated patients with a framework for understanding their chaotic interpersonal lives. The

Joel R. Sneed; Massimo Balestri; Brian J. Belfi

2003-01-01

17

Treating Individuals With Intellectual Disabilities and Challenging Behaviors With Adapted Dialectical Behavior Therapy  

PubMed Central

Approximately one third of adults with intellectual and developmental disabilities have emotion dysregulation and challenging behaviors (CBs). Although research has not yet confirmed that existing treatments adequately reduce CBs in this population, dialectical behavior therapy (DBT) holds promise, as it has been shown to effectively reduce CBs in other emotionally dysregulated populations. This longitudinal single-group pilot study examined whether individuals with impaired intellectual functioning would show reductions in CBs while receiving standard DBT individual therapy used in conjunction with the Skills System (DBT-SS), a DBT emotion regulation skills curriculum adapted for individuals with cognitive impairment. Forty adults with developmental disabilities (most of whom also had intellectual disabilities) and CBs, including histories of aggression, self-injury, sexual offending, or other CBs, participated in this study. Changes in their behaviors were monitored over 4 years while in DBT-SS. Large reductions in CBs were observed during the 4 years. These findings suggest that modified DBT holds promise for effectively treating individuals with intellectual and developmental disabilities. PMID:23914278

Brown, Julie F.; Brown, Milton Z.; Dibiasio, Paige

2013-01-01

18

The application of dialectical behavior therapy for patients with borderline personality disorder on inpatient units.  

PubMed

Inpatient treatment of individuals with borderline personality disorder (BPD) is typically fraught with difficulty and failure. Patients and staff often become entangled in intense negative therapeutic spirals that obliterate the potential for focused, realistic, and effective treatment interventions. We describe an inpatient treatment approach to BPD patients which is an application of Dialectical Behavior Therapy (DBT), a cognitive-behavioral therapy for patients with BPD which has been shown to be effective in reducing suicidal behavior, hospitalization, and treatment dropout and improving interpersonal functioning and anger management. The inpatient DBT staff creates a validating treatment milieu and focuses on orienting and educating new patients and identifying and prioritizing their treatment targets. Inpatient DBT treatment techniques include contingency management procedures, skills training and coaching, behavioral analysis, structured response protocols to suicidal and egregious behaviors on the unit, and consultation team meetings for DBT staff. PMID:11525079

Swenson, C R; Sanderson, C; Dulit, R A; Linehan, M M

2001-01-01

19

Dialectical behavior therapy for borderline personality disorder: theoretical and empirical foundations.  

PubMed

Dialectical behavior therapy (DBT) is a cognitive-behavioral psychotherapy developed by Linehan for parasuicidal patients with a diagnosis of borderline personality disorder (BPD). DBT is based on a biosocial theory that views BPD as primarily a dysfunction of the emotion regulation system. The treatment is organized around a hierarchy of behavioral goals that vary in different modes of therapy. In two randomized trials, DBT has shown superiority in reducing parasuicide, medical risk of parasuicides, number of hospital days, dropout from treatment and anger while improving social adjustment. Most gains were maintained through a 1-year follow-up. In one process study testing DBT theory, dialectical techniques balancing acceptance and change were more effective than pure change or acceptance techniques in reducing suicidal behavior. PMID:8010153

Shearin, E N; Linehan, M M

1994-01-01

20

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

21

Utilizing DBT Skills to Augment Traditional CBT for Trichotillomania: An Adult Case Study  

ERIC Educational Resources Information Center

Traditional cognitive-behavioral interventions for trichotillomania have had modest acute treatment outcomes and poor maintenance of gains over time. Techniques adopted from dialectical behavior therapy (DBT) can potentially enhance treatment outcomes by specifically addressing issues of impulsivity, emotion regulation, and distress tolerance. In…

Keuthen, Nancy J.; Sprich, Susan E.

2012-01-01

22

Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence.  

PubMed

A randomized clinical trial was conducted to evaluate whether Dialectical Behavior Therapy (DBT), an effective cognitive-behavioral treatment for suicidal individuals with borderline personality disorder (BPD), would also be effective for drug-dependent women with BPD when compared with treatment-as-usual (TAU) in the community. Subjects were randomly assigned to either DBT or TAU for a year of treatment. Subjects were assessed at 4, 8, and 12 months, and at a 16-month follow-up. Subjects assigned to DBT had significantly greater reductions in drug abuse measured both by structured interviews and urinalyses throughout the treatment year and at follow-up than did subjects assigned to TAU. DBT also maintained subjects in treatment better than did TAU, and subjects assigned to DBT had significantly greater gains in global and social adjustment at follow-up than did those assigned to TAU. DBT has been shown to be more effective than treatment-as-usual in treating drug abuse in this study, providing more support for DBT as an effective treatment for severely dysfunctional BPD patients across a range of presenting problems. PMID:10598211

Linehan, M M; Schmidt, H; Dimeff, L A; Craft, J C; Kanter, J; Comtois, K A

1999-01-01

23

Research on dialectical behavior therapy for patients with borderline personality disorder.  

PubMed

Research evidence to date indicates that, although DBT was developed for the treatment of patients with suicidal behavior, it can be adapted to treat BPD patients with comorbid substance-abuse disorder and be extended to other patient populations and the treatment of other disorders. Across studies, DBT seems to reduce severe dysfunctional behaviors that are targeted for intervention (e.g., parasuicide, substance abuse, and binge eating), enhance treatment retention, and reduce psychiatric hospitalization. Evidence suggests that additional research is warranted to examine which components of DBT contribute to outcomes. Although preliminary, skills coaching seems to be a crucial ingredient in producing reductions in parasuicidal behavior, and specific strategies (e.g., validation, balance of change, and acceptance interventions) may play an important role in positive behavioral change. Several investigators are evaluating the efficacy of DBT. For example, Asberg et al at the Karolinska Institute in Sweden have begun a pilot study comparing DBT for women who have made multiple suicide attempts to transference focus psychotherapy, a psychodynamic therapy developed by Kernberg. They have planned a randomized clinical trial to compare DBT and transference focus psychotherapy with TAU in the community. van den Bosch has completed a randomized clinical trial for women who met criteria for BPD and substance abuse comparing DBT-S with TAU. Lynch is conducting a randomized clinical trial examining the efficacy of DBT skills training plus medication versus medication only for the treatment of moderate to severe depression in the elderly. Results from these studies should become available over the next several years, providing further empiric evidence by which to evaluate the efficacy of DBT. Additional development of DBT seems warranted to improve its efficacy, and additional investigation is needed to establish its effectiveness in public health settings. Analyses from existing data sets of factors that predict treatment response and elements of the treatment that contribute to outcome are needed. Also, longitudinal follow-up studies to determine suicide rates and maintenance of treatment gains are needed. Because DBT has been adopted in a variety of clinical settings, effectiveness studies are needed. Given the difficulty of conducting treatment research with chronically suicidal individuals, perhaps the largest challenge to further treatment development is recruiting young investigators who are willing to conduct research in this area. Nevertheless, in the 6 years since the treatment manuals were published, DBT seems to be a step toward more effective treatment for severely multidisordered patients. PMID:10729937

Koerner, K; Linehan, M M

2000-03-01

24

The Role of the Team in Managing Telephone Consultation in Dialectical Behavior Therapy: Three Case Examples  

ERIC Educational Resources Information Center

Standard, outpatient Dialectical Behavior Therapy (DBT) includes the provision of intersession telephone contact between the therapist and the client to reduce suicidal crisis behaviors, enhance skills generalization, and reduce alienation and conflict in the therapeutic relationship. Therapists providing telephone consultation need the help of…

Koons, Cedar R.

2011-01-01

25

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

PubMed

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 self-mutilating acts, were assessed for 50 female patients meeting criteria for BPD. Thirty-one patients had participated in a DBT inpatient program, and 19 patients had been placed on a waiting list and received treatment as usual in the community. Post-testing was conducted four months after the initial assessment (i.e. four weeks after discharge for the DBT group). Pre-post-comparison showed significant changes for the DBT group on 10 of 11 psychopathological variables and significant reductions in self-injurious behavior. The waiting list group did not show any significant changes at the four-months point. The DBT group improved significantly more than participants on the waiting list on seven of the nine variables analyzed, including depression, anxiety, interpersonal functioning, social adjustment, global psychopathology and self-mutilation. Analyses based on Jacobson's criteria for clinically relevant change indicated that 42% of those receiving DBT had clinically recovered on a general measure of psychopathology. The data suggest that three months of inpatient DBT treatment is significantly superior to non-specific outpatient treatment. Within a relatively short time frame, improvement was found across a broad range of psychopathological features. Stability of the recovery after one month following discharge, however, was not evaluated and requires further study. PMID:15033496

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

2004-05-01

26

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

27

Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder.  

PubMed

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

2010-09-01

28

A pilot study of the DBT coach: an interactive mobile phone application for individuals with borderline personality disorder and substance use disorder.  

PubMed

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 been only a limited number of options available to achieve this end. The primary goal of this research was to develop and test the feasibility of the DBT Coach, a software application for a smartphone, designed specifically to enhance generalization of a specific DBT skill (opposite action) among individuals with BPD-SUD. We conducted a quasiexperimental study in which 22 individuals who were enrolled in DBT treatment programs received a smartphone with the DBT Coach for 10 to 14 days and were instructed to use it as needed. Participants used the DBT Coach an average of nearly 15 times and gave high ratings of helpfulness and usability. Results indicate that both emotion intensity and urges to use substances significantly decreased within each coaching session. Furthermore, over the trial period, participants reported a decrease in depression and general distress. Mobile technology offering in vivo skills coaching may be a useful tool for reducing urges to use substances and engage in other maladaptive behavior by directly teaching and coaching in alternative, adaptive coping behavior. PMID:22035988

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

2011-12-01

29

Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder.  

PubMed

Evidence suggests that heightened negative affectivity is a prominent feature of Borderline Personality Disorder (BPD) that often leads to maladaptive behaviors. Nevertheless, there is little research examining treatment effects on the experience and expression of specific negative emotions. Dialectical Behavior Therapy (DBT) is an effective treatment for BPD, hypothesized to reduce negative affectivity (Linehan, 1993a). The present study analyzes secondary data from a randomized controlled trial with the aim to assess the unique effectiveness of DBT when compared to Community Treatment by Experts (CTBE) in changing the experience, expression, and acceptance of negative emotions. Suicidal and/or self-injuring women with BPD (n = 101) were randomly assigned to DBT or CTBE for one year of treatment and one year of follow-up. Several indices of emotional experience and expression were assessed. Results indicate that DBT decreased experiential avoidance and expressed anger significantly more than CTBE. No differences between DBT and CTBE were found in improving guilt, shame, anxiety, or anger suppression, trait, and control. These results suggest that DBT has unique effects on improving the expression of anger and experiential avoidance, whereas changes in the experience of specific negative emotions may be accounted for by general factors associated with expert therapy. Implications of the findings are discussed. PMID:24418652

Neacsiu, Andrada D; Lungu, Anita; Harned, Melanie S; Rizvi, Shireen L; Linehan, Marsha M

2014-02-01

30

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

Microsoft Academic Search

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. Family members were involved in

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

2008-01-01

31

Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations.  

PubMed

Dialectical behavior therapy (DBT) can be considered a well-established treatment for borderline personality disorder (BPD) as evidenced by seven well-controlled randomized clinical trials across four independent research teams. The primary purpose of this article is to address a variety of potential mechanisms of change that may be associated with those aspects of DBT that are unique to the treatment and its theoretical underpinnings. Based on the biosocial theory of BPD, many of these mechanisms can be distilled down to the following process: the reduction of ineffective action tendencies linked with dysregulated emotions. Specifically we address the following interventions and associated mechanisms of change: mindfulness, validation, targeting and chain analysis, and dialectics. Patient change in BPD is conceptualized primarily as helping the patient to engage in functional, life-enhancing behavior, even when intense emotions are present. Ultimately, our goal was to provide guidance for theoretically and empirically grounded research on the mechanisms of change in DBT. PMID:16470714

Lynch, Thomas R; Chapman, Alexander L; Rosenthal, M Zachary; Kuo, Janice R; Linehan, Marsha M

2006-04-01

32

Evaluation of inpatient dialectical-behavioral therapy for borderline personality disorder--a prospective study.  

PubMed

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 the beginning of outpatient DBT, we developed a treatment program of inpatient therapy for this patient group according to the guidelines of DBT. It consists of a three-month inpatient treatment prior to long-term outpatient therapy. In this pilot study 24 female patients were compared at admission to the hospital, and at one month after discharge with respect to psychopathology and frequency of self-injuries. Significant improvements in ratings of depression, dissociation, anxiety and global stress were found. A highly significant decrease in the number of parasuicidal acts was also reported. Analysis of the average effect sizes shows a strong effect which prompts the development of a randomized controlled design. PMID:10957822

Bohus, M; Haaf, B; Stiglmayr, C; Pohl, U; Böhme, R; Linehan, M

2000-09-01

33

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

34

Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis.  

PubMed

During the last two decades a number of therapies, under the name of the third wave of cognitive behavior therapy (CBT), have been developed: acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), cognitive behavioral analysis system of psychotherapy (CBASP), functional analytic psychotherapy (FAP), and integrative behavioral couple therapy (IBCT). The purposes of this review article of third wave treatment RCTs were: (1) to describe and review them methodologically, (2) to meta-analytically assess their efficacy, and (3) to evaluate if they currently fulfil the criteria for empirically supported treatments. There are 13 RCTs both in ACT and DBT, 1 in CBASP, 2 in IBCT, and none in FAP. The conclusions that can be drawn are that the third wave treatment RCTs used a research methodology that was significantly less stringent than CBT studies; that the mean effect size was moderate for both ACT and DBT, and that none of the third wave therapies fulfilled the criteria for empirically supported treatments. The article ends with suggestions on how to improve future RCTs to increase the possibility of them becoming empirically supported treatments. PMID:18258216

Ost, Lars-Göran

2008-03-01

35

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

PubMed

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

2013-05-01

36

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

37

Behavior therapy: A review  

Microsoft Academic Search

The questionable effectiveness of traditional psychodynamic psychotherapies and the development of brief new treatment techniques derived from modern learning theory have stimulated interest in applications of conditioning procedures to behavior disorders. A review of this literature revealed that behavior therapies have been applied to many neurotic and psychotic disorders, and have been most successful with disorders involving specific maladaptive behaviors.

John M. Grossberg

1964-01-01

38

Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder.  

PubMed

We conducted a randomized controlled trial to evaluate whether dialectical behavior therapy (DBT), a treatment that synthesizes behavioral change with radical acceptance strategies, would be more effective for heroin-dependent women with borderline personality disorder (N = 23) than Comprehensive Validation Therapy with 12-Step (CVT + 12S), a manualized approach that provided the major acceptance-based strategies used in DBT in combination with participation in 12-Step programs. In addition to psychosocial treatment, subjects also received concurrent opiate agonist therapy with adequate doses of LAAM (thrice weekly; modal dose 90/90/130 mg). Treatment lasted for 12 months. Drug use outcomes were measured via thrice-weekly urinalyses and self-report. Three major findings emerged. First, results of urinalyses indicated that both treatment conditions were effective in reducing opiate use relative to baseline. At 16 months post-randomization (4 months post-treatment), all participants had a low proportion of opiate-positive urinalyses (27% in DBT; 33% in CVT + 12S). With regard to between-condition differences, participants assigned to DBT maintained reductions in mean opiate use through 12 months of active treatment while those assigned to CVT + 12S significantly increased opiate use during the last 4 months of treatment. Second, CVT + 12S retained all 12 participants for the entire year of treatment, compared to a 64% retention rate in DBT. Third, at both post-treatment and at the 16-month follow-up assessment, subjects in both treatment conditions showed significant overall reductions in level of psychopathology relative to baseline. A noteworthy secondary finding was that DBT participants were significantly more accurate in their self-report of opiate use than were those assigned to CVT + 12S. PMID:12062776

Linehan, Marsha M; Dimeff, Linda A; Reynolds, Sarah K; Comtois, Katherine Anne; Welch, Stacy Shaw; Heagerty, Patrick; Kivlahan, Daniel R

2002-06-01

39

Dialectical behavior therapy alters emotion regulation and amygdala activity in patients with borderline personality disorder  

PubMed Central

Objective Siever and Davis’ (1991) psychobiological framework of borderline personality disorder (BPD) identifies affective instability (AI) as a core dimension characterized by prolonged and intense emotional reactivity. Recently, deficient amygdala habituation, defined as a change in response to repeated relative to novel unpleasant pictures within a session, has emerged as a biological correlate of AI in BPD. Dialectical behavior therapy (DBT), an evidence-based treatment, targets AI by teaching emotion-regulation skills. This study tested the hypothesis that BPD patients would exhibit decreased amygdala activation and improved habituation, as well as improved emotion regulation with standard 12-month DBT. Methods Event-related fMRI was obtained pre- and post-12-months of standard-DBT in unmedicated BPD patients. Healthy controls (HCs) were studied as a benchmark for normal amygdala activity and change over time (n = 11 per diagnostic-group). During each scan, participants viewed an intermixed series of unpleasant, neutral and pleasant pictures presented twice (novel, repeat). Change in emotion regulation was measured with the Difficulty in Emotion Regulation (DERS) scale. Results fMRI results showed the predicted Group × Time interaction: compared with HCs, BPD patients exhibited decreased amygdala activation with treatment. This post-treatment amygdala reduction in BPD was observed for all three pictures types, but particularly marked in the left hemisphere and during repeated-emotional pictures. Emotion regulation measured with the DERS significantly improved with DBT in BPD patients. Improved amygdala habituation to repeated-unpleasant pictures in patients was associated with improved overall emotional regulation measured by the DERS (total score and emotion regulation strategy use subscale). Conclusion These findings have promising treatment implications and support the notion that DBT targets amygdala hyperactivity—part of the disturbed neural circuitry underlying emotional dysregulation in BPD. Future work includes examining how DBT-induced amygdala changes interact with frontal-lobe regions implicated in emotion regulation. PMID:25038629

Goodman, Marianne; Carpenter, David; Tang, Cheuk Y.; Goldstein, Kim E.; Avedon, Jennifer; Fernandez, Nicolas; Mascitelli, Kathryn A.; Blair, Nicholas J.; New, Antonia S.; Triebwasser, Joseph; Siever, Larry J.; Hazlett, Erin A.

2014-01-01

40

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

41

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

42

Effects of Behavior Therapy.  

ERIC Educational Resources Information Center

This paper provides a brief and selective overview of several areas of behavior therapy, or applied experimental psychology with the usual concern for careful measurement, operationization of terms, and dispassionate examination of ideas which can be experimentally tested. The authors review the method of token reinforcement, with its subsequent…

Davison, Gerald C.; Taffel, Suzanne J.

43

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

44

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

45

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

46

Weekly therapist ratings of the therapeutic relationship and patient introject during the course of dialectical behavioral therapy for the treatment of borderline personality disorder.  

PubMed

The purpose of the present study was to examine theory-driven hypotheses of the therapeutic relationship and patient introject in dialectical behavior therapy (DBT; Linehan, 1993) for the treatment of borderline personality disorder. A total of 14 DBT therapists provided weekly ratings of the therapeutic relationship and patient introject (N=41) during the course of a randomized controlled trial of DBT for the treatment of borderline personality disorder. Using hierarchical linear modeling (Raudenbush & Bryk, 2002), we tested four hypotheses of the therapeutic relationship as predicted by DBT and behavioral theory. Results supported three of our four predicted hypotheses of the therapeutic relationship, including the effective use of balancing autonomy and control in the therapeutic relationship, the importance of therapists' maintaining a nonpejorative stance toward the patient, and the use of therapist warmth and autonomy as a contingency for improved intrapsychic outcome. Results did not support a modeling hypothesis of the therapeutic relationship. The study supported a DBT and behavioral model of the therapeutic relationship from the perspective of the treating clinician. PMID:22642526

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

2012-06-01

47

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

48

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

49

Physical Security System Sensitivity to DBT Perturbations  

E-print Network

Successfully Utilizing Deceitful Tactics .................................................................................. 43 Table XVIII Criminal Adversary’s Force Multipliers .............................................. 44 Table XIX Comparison..., weapons, training, insider support, motivation, and employed tactics are all explicitly defined in a “strictly defined” DBT. In the United States, multiple agencies contribute to and help construct the DBT based on input from the intelligence community...

Conchewski, Curtis

2012-10-19

50

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

51

Behavioral Therapy Across the Spectrum  

PubMed Central

Numerous effective behavioral therapies have been developed that can bring the treatment to the patient rather than bringing the patient to treatment. These behavioral therapy techniques, which can provide effective treatment across the spectrum of severity of alcohol abuse disorders, include facilitated self-change, individual therapies, couples and family approaches, and contingency management. New methods of delivery and successful adjuncts to existing behavioral treatments also have been introduced, including computerized cognitive–behavioral treatments, Web-based guided self-change, and mindfulness-based approaches. Although a wide variety of behavioral approaches have been shown to have good efficacy, choosing the treatment most appropriate for a given patient remains a challenge. PMID:23580016

Witkiewitz, Katie; Marlatt, G. Alan

2011-01-01

52

A Summary of Published Mode Deactivation Therapy Articles  

ERIC Educational Resources Information Center

This article summarizes all of the Mode Deactivation Therapy, (MDT) articles published to date. MDT has shown to be more effective than Cognitive Behavior Therapy, (CBT), Social Skills Training, (SST), and Dialectical Behavior Therapy, (DBT), Apsche, Bass, Jennings, Murphy, Hunter, and Siv, (2005); Apsche & Bass, (2005); Apsche, Bass & Murphy,…

Apsche, Jack A.

2006-01-01

53

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.  

PubMed

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 1 year of follow-up assessment. For substance dependence disorders (SDD), DBT patients were more likely to achieve full remission, spent more time in partial remission, spent less time meeting full criteria, and reported more drug- and alcohol-abstinent days than did CTBE patients. These findings suggest that improvements in co-occurring SDD among suicidal BPD patients are specific to DBT and cannot be attributed to general factors associated with nonbehavioral expert psychotherapy. Further, group differences in SDD remission were not explained by either psychotropic medication usage or changes in BPD criterion behaviors. DBT and CTBE did not significantly differ in the reduction of anxiety disorders, eating disorders, or major depressive disorder. PMID:19045974

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

2008-12-01

54

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

55

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

56

Dialectical behavior therapy as a precursor to PTSD treatment for suicidal and/or self-injuring women with borderline personality disorder.  

PubMed

This study examined the efficacy of dialectical behavior therapy (DBT) in reducing behaviors commonly used as exclusion criteria for posttraumatic stress disorder (PTSD) treatment. The sample included 51 suicidal and/or self-injuring women with borderline personality disorder (BPD), 26 (51%) of whom met criteria for PTSD. BPD clients with and without PTSD were equally likely to eliminate the exclusionary behaviors during 1 year of DBT. By posttreatment, 50-68% of the BPD clients with PTSD would have been suitable candidates for PTSD treatment. Borderline personality disorder clients with PTSD who began treatment with a greater number of recent suicide attempts and more severe PTSD were significantly less likely to become eligible for PTSD treatment. PMID:20648564

Harned, Melanie S; Jackson, Safia C; Comtois, Katherine A; Linehan, Marsha M

2010-08-01

57

Cognitive-Behavioral Marital Therapy: In Transition.  

ERIC Educational Resources Information Center

Empirical research on behavioral marital therapy (BMT) was reviewed and it was concluded that BMT, with its emphasis on working on a strictly behavioral level with married couples, was an effective form of therapy. Six component analysis studies were then examined which showed a general trend in the studies indicating that strictly behavioral

Aram, Alan W.

58

Cognitive-Behavioral Therapy for Insomnia  

Microsoft Academic Search

\\u000a The most common cognitive-behavioral therapies for primary insomnia are: sleep hygiene education, stimulus control, sleep\\u000a restriction, relaxation training, and cognitive therapy out of which stimulus control therapy is the most well validated and\\u000a is considered “the gold standard” for the behavioral treatment of insomnia. In practice, most behavioral sleep medicine clinicians\\u000a adopt a multicomponent approach which usually contains stimulus control,

M. L. Perlis; M. T. Smith; C. Jungquist; S. Nowakowski; H. Orff; J. Soeffing

59

Does Insurance Matter? Implementing Dialectical Behavior Therapy with Two Groups of Youth Engaged in Deliberate Self-harm.  

PubMed

This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents (n = 55 and n = 45), ages 12-18, who engaged in deliberate self-harm (DSH) but had different insurance/funding sources and risk backgrounds. This pre-post study examined variability in clinical functioning and treatment utilization between the two groups and investigated moderating risk factors. Findings support DBT's effectiveness in improving clinical functioning for youth with DSH regardless of insurance type. However, lower rates of treatment completion among youth without private insurance call for extra engagement efforts to retain high-risk youth in DBT. PMID:25199812

James, Sigrid; Freeman, Kim R; Mayo, Danessa; Riggs, Matt L; Morgan, Joshua P; Schaepper, Mary Ann; Montgomery, Susanne B

2014-09-01

60

A Comparison of the Generalization of Behavioral Marital Therapy and Enhanced Behavioral Marital Therapy.  

ERIC Educational Resources Information Center

Examined generalization of behavioral marital therapy (BMT) and enhanced behavioral marital therapy (EBMT), which added cognitive restructuring, affection exploration, and generalization training to BMT. Both techniques were effective in decreasing negative communication behaviors and cognitions across settings for couples (n=26), but there was…

Halford, W. Kim; And Others

1993-01-01

61

Behavioral Therapy, Incentives Enhance Addiction Treatment  

MedlinePLUS

... Research News From NIH Behavioral Therapy, Incentives Enhance Addiction Treatment Past Issues / Summer 2006 Table of Contents ... that people who are trying to end their addiction to marijuana can benefit from a treatment program ...

62

Behavior Therapy: The Specifics of Parent Training  

MedlinePLUS

... Families Media Work & Play Health Issues Conditions Abdominal ADHD Allergies & Asthma Chest & Lungs Chronic Conditions Developmental Disabilities ... Us My Cart Healthy Children > Health Issues > Conditions > ADHD > Behavior Therapy: The Specifics of Parent Training Health ...

63

Play Therapy Behaviors of Sexually Abused Children.  

ERIC Educational Resources Information Center

The purpose of this study was to identify play therapy behaviors of sexually abused children. Surveys were sent to members of the Association for Play Therapy, of which 249 respondents, who worked with 16 or more sexually abused children, were used. Results indicate that there are identifiable and highly interrelated PTBs of sexually abused…

Homeyer, Linda E.; Landreth, Garry L.

64

[Cognitive behavioral therapy for eating disorders].  

PubMed

Eating disorders include anorexia nervosa and bulimia nervosa. The former is characterized by failure to maintain a minimum normal body weight, while the latter is typified by recurrent binge eating followed by inappropriate compensating behavior, which may include self-inducing vomiting; abuse of laxatives, diuretics or other medications; fasting; and over-exercise. Because eating disorders are difficult to detect in the early stages and patients frequently try to hide their condition and avoid seeking medical help, medical treatment is sometimes sought only once a patient's condition poses an immediate threat to his/her health, or even life. Some patients suffer from chronic and treatment-refractory disorders. Cognitive behavioral therapy, administered through partially-structured guidance and education, has been shown to treat eating disorders effectively by correcting associated maladaptive and distorted cognitions and behaviors. A review of articles published in the domestic and international literature over the past five years show that cognitive behavioral therapy is more effective in treating eating disorders than other traditional approaches. Therefore, we chose to focus this study on the cognitive behavioral therapy model. Nurses can employ cognitive behavioral therapy to help eating disordered patients address and overcome the core beliefs that underpin their disorder (e.g., compulsive concern about body weight or figure) and recover health. PMID:16874604

Yeh, Hui-Wen; Tzeng, Nian-Sheng; Lai, Tzu-Ju; Chou, Kuei-Ru

2006-08-01

65

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

66

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

67

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

68

Behavior Therapy and Cognitive-Behavioral Therapy of Obesity: Is There a Difference?  

Microsoft Academic Search

Current practice guidelines for management of overweight and obesity recommend a program of diet, exercise, and behavior therapy for all persons with a body mass index (calculated as kg\\/m2) of at least 30 (and those with body mass index ?25 plus two weight-related comorbidities). In this tripartite treatment—often referred to as lifestyle modification—behavior therapy provides a structure that facilitates meeting

Anthony N. Fabricatore

2007-01-01

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

Comparison of Behavior Therapy and Cognitive Behavior Therapy in the Treatment of Generalized Anxiety Disorder  

Microsoft Academic Search

In a controlled clinical trial, 57 Ss meeting DSM—III—R criteria for generalized anxiety disorder, and fulfilling an additional severity criterion, were randomly allocated to cognitive behavior therapy (CBT), behavior therapy (BT), or a waiting-list control group. Individual treatment lasted 4—12 sessions; independent assessments were made before treatment, after treatment, and 6 months later, and additional follow-up data were collected after

Gillian Butler

2000-01-01

71

Dialectical behavior therapy for adolescent binge eating, purging, suicidal behavior, and non-suicidal self-injury: A pilot study.  

PubMed

There are few published randomized controlled trials examining treatment for symptoms of bulimia nervosa (BN) in adolescents. Additionally, many adolescents presenting for treatment for BN symptoms endorse co-occurring mood disturbances, suicidality, and nonsuicidal self-injury (NSSI), and may not meet full Diagnostic and Statistical Manual-IV-Text Revision (DSM-IV-TR) diagnostic criteria for BN. In addition to the limited number of randomized controlled trials, published treatment studies of BN symptoms in adolescence do not specifically address the multiple comorbid symptoms that these adolescents often report. The purpose of this pilot study was to examine the feasibility and effectiveness of an outpatient dialectical behavior therapy (DBT) program for adolescents with symptoms of BN, suicide attempts, and NSSI. Ten eligible participants enrolled in the study; 3 dropped within 4 weeks of initiating treatment. In addition to binge eating and suicidal behavior, participants also endorsed a number of other comorbid mood disorders and substance abuse. Seven participants completed 6 months of treatment and 6-month follow-up assessments. Treatment included access to a crisis management system, individual therapy, skills training, and a therapist consultation team. At posttreatment, participants had significantly reduced self-harm; (Cohen's d = 1.35), frequency of objective binge episodes (Cohen's d = .46), frequency of purging (Cohen's d = .66), and Global Eating Disorder Examination scores (Cohen's d = .64). At follow-up, 6 participants were abstinent of NSSI; 3 participants were abstinent from binge eating. At follow-up, treatment gains were maintained and enhanced. Results indicate that it is feasible to address multiple forms of psychopathology during the treatment of BN symptoms in this age-group. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24773094

Fischer, Sarah; Peterson, Claire

2014-04-28

72

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

ERIC Educational Resources Information Center

Constraint-induced (CI) therapy is a term given to a family of efficacious neurorehabilitation treatments including to date: upper extremity CI movement therapy, lower extremity CI movement therapy, pediatric CI therapy, and CI aphasia therapy. The purpose of this article is to outline the behavior analysis origins of CI therapy and the ways in…

Taub, Edward

2012-01-01

73

Clinical Change in Adolescent Aggressive Behavior: A Group Therapy Approach  

Microsoft Academic Search

The effects of cognitive-behavioral group therapy on adolescent aggressive behavior were examined. Participants included 11 adolescent boys (6 African American and 5 white). The Youth Self Report, the Child Behavior Checklist, and the Piers-Harris Children's Self-Concept Scale were administered pretest (before group therapy) and posttest (after group therapy). Results revealed that adolescents reported statistically significant changes in aggressive behavior, attentional

Joseph W. Kastner

1998-01-01

74

Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial  

Microsoft Academic Search

Dialectical behaviour therapy (DBT) has proven to be an effective treatment in borderline personality disorder (BPD). However, the effectiveness in BPD of DBT skills training (DBT-ST) alone is not known. This study aimed at comparing the efficacy of DBT-ST and standard group therapy (SGT) for outpatients with BPD. Sixty patients meeting the DSM-IV diagnostic criteria for BPD, as assessed by

Joaquim Soler; Juan Carlos Pascual; Thaïs Tiana; Anabel Cebrià; Judith Barrachina; M. Josefa Campins; Ignasi Gich; Enrique Alvarez; Víctor Pérez

2009-01-01

75

A comparison of cognitive-behavior therapy with interpersonal and cognitive behavior therapy in the treatment of generalized anxiety disorder  

Microsoft Academic Search

Objective: The aim of this study was to compare the effectiveness of cognitive behavior therapy with the combination of cognitive behavior therapy and interpersonal therapy on decreasing the excessiveness of pathological worry and increasing happiness of the individuals with generalized anxiety disorder.Method: The sample consisted of 36 female undergraduate students who referred themselves to the Isfahan University Counseling Center and

S. Rezvan; I. Baghban; F. Bahrami; M. Abedi

2008-01-01

76

United We Stand: Emphasizing Commonalities Across Cognitive-Behavioral Therapies  

E-print Network

among variants of CBT. Here, we draw attention to commonalities across cognitive-behavioral therapiesCOMMENTARY United We Stand: Emphasizing Commonalities Across Cognitive-Behavioral Therapies Douglas for examining common CBT characteristics that emphasizes behavioral adaptation as a unifying goal and three core

Gross, James J.

77

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

Microsoft Academic Search

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

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

78

To Integrate or Not to Integrate Dialectical Behaviour Therapy with Other Therapy Approaches?  

Microsoft Academic Search

With mounting evidence for its efficacy in the treatment of borderline personality disorder and related problems and increasing\\u000a dissemination nationally and internationally, front line clinicians in practice settings are increasingly aware of dialectical\\u000a behavior therapy (DBT). Indeed, it is likely that this treatment is reaching individuals who practice from a variety of theoretical\\u000a frameworks, such as psychodynamic, humanistic, cognitive, or

Alexander L. ChapmanBrianna; Brianna J. Turner; Katherine L. Dixon-Gordon

2011-01-01

79

Cognitive-Behavior Family Therapy: Contemporary Myths and Misconceptions  

Microsoft Academic Search

The field of couple and family therapy has grown in the direction of expanding its horizons by looking toward innovative ideas and whatever works to facilitate change. Despite its demonstrated track record with a broad range of behavioral and emotional disorders, the cognitive-behavior therapies (CBT) may have been underutilized by couples and family therapists unlike some of the more traditional

Frank M. Dattilio

2001-01-01

80

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

81

Fibromyalgia: Can Online Cognitive Behavioral Therapy Help?  

PubMed Central

Background Cognitive behavioral therapy (CBT) has proven useful in treating fibromyalgia, depression, and anxiety. Computerized delivery of CBT allows increased access to such therapy. This study assessed the effect of internet-based CBT on Fibromyalgia Impact Questionnaire (FIQ) composite scores and tender point assessments. Methods This 12-week randomized controlled trial included patients ?18 years of age with 1990 American College of Rheumatology criteria for fibromyalgia and mild to moderate depression and anxiety. A total of 56 subjects were randomized into either a 6-week internet-based CBT group (MoodGYM) or a control group (standard care). We evaluated patients in both groups at 1-, 6-, and 12-week follow-up. The primary outcome measure was change in FIQ composite score. A secondary outcome measure was change in tender point assessment. Results The mean age of study participants was 55 years, and 88% were female. Mean FIQ scores were significantly lower in the MoodGYM group compared to the control group (P<0.05 for group differences at 6 and 12 weeks). Mean tender point scores were also significantly lower in the MoodGYM group (P<0.001 at 6 and 12 weeks). We found no significant difference in the FIQ scores across the 3 timepoints in the MoodGYM group, but tender points showed a significant negative trend from baseline to 12-week follow-up. Conclusion Patients in the internet-based MoodGYM CBT program had lower FIQ and tender point scores at 6- and 12-week follow-up. Internet-based CBT could be beneficial in the treatment of mild to moderate depression and anxiety in patients with fibromyalgia by allowing increased access to CBT. PMID:25249800

Menga, Gwendoline; Ing, Sharon; Khan, Omar; Dupre, Bobby; Dornelles, Adriana C; Alarakhia, Anika; Davis, William; Zakem, Jerald; Webb-Detiege, Tamika; Scopelitis, Eve; Quinet, Robert

2014-01-01

82

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 ...

83

The Missing Psychological Behaviorism Chapter in "A History of the Behavioral Therapies."  

ERIC Educational Resources Information Center

"A History of the Behavioral Therapies" (O'Donohue, et al., 2001) contains no description of psychological behaviorism (PB) and the role it played as one of the foundations of behavior therapy. This article indicates some of the contributions made by PB that make the missing chapter and related phenomena a major aberration in science. (Contains 39…

Staats, Arthur W.

2003-01-01

84

Cognitive Behavioral Group Therapy vs Phenelzine Therapy for Social Phobia  

Microsoft Academic Search

Background: This article presents results of the acute treat- ment phase of a 2-site study comparing cognitive behav- ioral group therapy (CBGT) and treatment with the mono- amine oxidase inhibitor phenelzine sulfate for social phobia. Methods: One hundred thirty-three patients from 2 sites received 12 weeks of CBGT, phenelzine therapy, pill pla- cebo administration, or educational-supportive group therapy (an attention-placebo

Richard G. Heimberg; Michael R. Liebowitz; Debra A. Hope; Franklin R. Schneier; Craig S. Holt; Lawrence A. Welkowitz; Harlan R. Juster; Raphael Campeas; Monroe A. Bruch; Marylene Cloitre; Brian Fallon; Donald F. Klein

1998-01-01

85

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 acceptance and commitment therapy (ACT) and traditional cognitive behavior therapy (CBT). The present article as specified by its own developmental strategy. Keywords: acceptance and commitment therapy; contextual

Meagher, Mary

86

Adventure Based Therapy and Outdoor Behavioral Healthcare  

E-print Network

: Adventure-Based Therapy, Therapeutic Camping, Wilderness Therapy, and Adventure Based Counseling, to name a few. These psychotherapeutic interventions can move beyond the traditional office setting and utilize the inherent value of personal challenge...

Swaim, Tara; Petr, Chris

2003-05-01

87

Structured dyadic behavior therapy processes for ADHD intervention.  

PubMed

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) present significant problems with behavioral disinhibition that often negatively affect their peer relationships. Although behavior therapies for ADHD have traditionally aimed to help parents and teachers better manage children's ADHD-related behaviors, therapy processes seldom use peer relationships to implement evidence-based behavioral principles. This article introduces Structured Dyadic Behavior Therapy as a milieu for introducing effective behavioral techniques within a socially meaningful context. Establishing collaborative behavioral goals, benchmarking, and redirection strategies are discussed to highlight how in-session dyadic processes can be used to promote more meaningful reinforcement and change for children with ADHD. Implications for improving patient care, access to care, and therapist training are also discussed. PMID:24377401

Curtis, David F

2014-03-01

88

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

89

Cognitive-Behavioral Therapy for Schizophrenia: A Review  

Microsoft Academic Search

Cognitive-behavioral therapy (CBT) has a proven role as an adjunct to antipsychotic medica- tion and remediative approaches such as social skills training in the management of residual symptoms of chronic schizophrenia. Positive symptoms, depression, and overall symptoms appear to be viable treatment targets for CBT with a less pronounced effect on negative symptoms. The effect size at end of therapy

DOUGLAS TURKINGTON; ROBERT DUDLEY; DEBBIE M. WARMAN; AARON T. BECK

2004-01-01

90

Behavioral Marital Therapy: Current Trends in Research, Assessment and Practice.  

ERIC Educational Resources Information Center

Behavioral Marital Therapy (BMT) is clinically useful because it includes elaborating procedures, modifying the spouse's self-defeating cognitions, and moving toward early intervention and prevention. Each article in this issue of American Journal of Family Therapy focuses on innovations in BMT, either in research or practice. (Author/NRB)

Jacobson, Neil S.

1980-01-01

91

Cognitive-Behavioral Body Image Therapy for Body Dysmorphic Disorder.  

ERIC Educational Resources Information Center

Randomly assigned 54 body dysmorphic disorder (BDD) subjects to cognitive behavior therapy or no treatment. BDD symptoms were significantly decreased in therapy subjects and the disorder was eliminated in 82 percent of cases at posttreatment and 77 percent at follow-up. Subjects' overall psychological symptoms and self-esteem also improved. (RJM)

Rosen, James C.; And Others

1995-01-01

92

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

93

Sensory integration therapies for children with developmental and behavioral disorders.  

PubMed

Sensory-based therapies are increasingly used by occupational therapists and sometimes by other types of therapists in treatment of children with developmental and behavioral disorders. Sensory-based therapies involve activities that are believed to organize the sensory system by providing vestibular, proprioceptive, auditory, and tactile inputs. Brushes, swings, balls, and other specially designed therapeutic or recreational equipment are used to provide these inputs. However, it is unclear whether children who present with sensory-based problems have an actual "disorder" of the sensory pathways of the brain or whether these deficits are characteristics associated with other developmental and behavioral disorders. Because there is no universally accepted framework for diagnosis, sensory processing disorder generally should not be diagnosed. Other developmental and behavioral disorders must always be considered, and a thorough evaluation should be completed. Difficulty tolerating or processing sensory information is a characteristic that may be seen in many developmental behavioral disorders, including autism spectrum disorders, attention-deficit/hyperactivity disorder, developmental coordination disorders, and childhood anxiety disorders. Occupational therapy with the use of sensory-based therapies may be acceptable as one of the components of a comprehensive treatment plan. However, parents should be informed that the amount of research regarding the effectiveness of sensory integration therapy is limited and inconclusive. Important roles for pediatricians and other clinicians may include discussing these limitations with parents, talking with families about a trial period of sensory integration therapy, and teaching families how to evaluate the effectiveness of a therapy. PMID:22641765

Zimmer, Michelle; Desch, Larry

2012-06-01

94

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

95

Nonverbal Behaviors of Speech Pathologists in the Therapy Setting.  

ERIC Educational Resources Information Center

The purpose of this study was to investigate the frequency and type of nonverbal behaviors which occur in the speech pathology clinical practicum situation. It was hypothesized that undergraduate and graduate student clinicians ranked highest by clinical supervisors would differ in the use of nonverbal behaviors during the therapy session from…

Mercer, Anne L.; Schubert, George W.

96

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

97

Cognitive behavioral therapy of obsessive-compulsive disorder  

PubMed Central

Until the mid-1960s, obsessive-compulsive disorder (OCD) was considered to be treatment-resistant, as both psychodynamic psychotherapy and medication had been unsuccessful in significantly reducing OCD symptoms. The first real breakthrough came in 1966 with the introduction of exposure and ritual prevention. This paper will discuss the cognitive behavioral conceptualizations that influenced the development of cognitive behavioral treatments for OCD. There will be a brief discussion of the use of psychodynamic psychotherapy and early behavioral therapy, neither of which produced successful outcomes with OCD. The main part of the paper will be devoted to current cognitive behavioral therapy (CBT) with an emphasis on variants of exposure and ritual or response prevention (EX/RP) treatments, the therapy that has shown the most empirical evidence of its efficacy. PMID:20623924

Foa, Edna B.

2010-01-01

98

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

PubMed Central

Constraint-induced (CI) therapy is a term given to a family of efficacious neurorehabilitation treatments including to date: upper extremity CI movement therapy, lower extremity CI movement therapy, pediatric CI therapy, and CI aphasia therapy. The purpose of this article is to outline the behavior analysis origins of CI therapy and the ways in which its procedures incorporate behavior analysis methods and principles. The intervention is founded on the concept of learned nonuse, a mechanism now empirically demonstrated to exist, which occurs after many different types of damage to the central nervous system (CNS). It results from the dramatic alteration of the contingencies of reinforcement that results from substantial CNS damage and leads to a greater deficit than is warranted by the actual damage sustained. CI therapy produces a countervailing alteration in the contingencies of reinforcement. The intervention has been used successfully to substantially improve motor deficits after stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, with cerebral palsy in a pediatric population, and for language impairment in poststroke aphasia. The protocol of CI therapy consists primarily of standard behavior-analytic methods. It produces a marked plastic brain change that is correlated with its therapeutic effect, and therefore provides an example of the way in which behavior change can contribute to a profound remodeling of the brain. CI therapy may be viewed as an example of behavioral neurorehabilitation. PMID:23449867

Taub, Edward

2012-01-01

99

Cognitive Behavior Therapy for Older Adults: Practical Guidelines for Adapting Therapy Structure  

Microsoft Academic Search

Cognitive behavioral therapy (CBT) has been shown to be an effective approach for a wide range of problems affecting older adults. While a variety of empirical and clinical papers have examined modifications to the content and delivery of CBT to enhance its efficacy with older adults, changes to the structure of therapy with this population have not been as widely

David L. Secker; Nikolaos Kazantzis; Nancy A. Pachana

2004-01-01

100

Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior  

ERIC Educational Resources Information Center

The objective of the current study was to compare the effects of sensory-integration therapy (SIT) and a behavioral intervention on rates of challenging behavior (including self-injurious behavior) in four children diagnosed with Autism Spectrum Disorder. For each of the participants a functional assessment was conducted to identify the variables…

Devlin, Sarah; Healy, Olive; Leader, Geraldine; Hughes, Brian M.

2011-01-01

101

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

102

Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies  

ERIC Educational Resources Information Center

The first wave of behavior therapy countered the excesses and scientific weakness of existing nonempirical clinical traditions through empirically studied first-order change efforts linked to behavioral principles targeting directly relevant clinical targets. The second wave was characterized by similar direct change efforts guided by social…

Hayes, Steven C.

2004-01-01

103

Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies  

Microsoft Academic Search

The first wave of behavior therapy countered the excesses and scientific weakness of existing nonempirical clinical traditions through empirically studied first-order change efforts linked to behavioral principles targeting directly relevant clinical tar- gets. The second wave was characterized by similar direct change efforts guided by social learning and cognitive principles that included cognitive in addition to behav- ioral and emotive

Steven C. Hayes

2004-01-01

104

Oxidation of dibenzothiophene (DBT) by Serratia marcescens UCP 1549 formed biphenyl as final product  

PubMed Central

Background The desulphurization of dibenzothiophene (DBT), a recalcitrant thiophenic fossil fuel component by Serratia marcescens (UCP 1549) in order for reducing the Sulphur content was investigated. The Study was carried out establishing the growth profile using Luria Bertani medium to different concentrations of DBT during 120 hours at 28°C, and orbital Shaker at 150 rpm. Results The results indicated that concentrations of DBT 0.5, 1.0 and 2.0 mM do not affected the growth of the bacterium. The DBT showed similar Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MCB) (3.68 mM). The desulphurization of DBT by S. marcescens was used with 96 hours of growth on 2 mM of DBT, and was determined by gas chromatography (GC) and GC-mass spectrometry. In order to study the desulphurization process by S. marcescens was observed the presence of a sulfur-free product at 16 hours of cultivation. Conclusions The data suggests the use of metabolic pathway “4S” by S. marcescens (UCP 1549) and formed biphenyl. The microbial desulphurization process by Serratia can be suggest significant reducing sulphur content in DBT, and showed promising potential for reduction of the sulfur content in diesel oil. PMID:22583489

2012-01-01

105

Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior  

Microsoft Academic Search

The objective of the current study was to compare the effects of sensory-integration therapy (SIT) and a behavioral intervention\\u000a on rates of challenging behavior (including self-injurious behavior) in four children diagnosed with Autism Spectrum Disorder.\\u000a For each of the participants a functional assessment was conducted to identify the variables maintaining challenging behavior.\\u000a Results of these assessments were used to design

Sarah Devlin; Olive Healy; Geraldine Leader; Brian M. Hughes

106

Comparison of computerized mass detection in digital breast tomosynthesis (DBT) mammograms and conventional mammograms  

NASA Astrophysics Data System (ADS)

We are developing a CAD system for mass detection on digital breast tomosynthesis (DBT) mammograms. In this study, we compared the detection accuracy on DBT and conventional screen-film mammograms (SFMs). DBT mammograms were acquired with a GE prototype system at the University of Michigan. 47 cases containing the CC- and MLO-view DBT mammograms of the breast with a biopsy-proven mass and the corresponding two-view SFMs of the same breast were collected. Subjective judgment showed that the masses were much more conspicuous on DBT slices than on SFMs. The CAD system for DBT includes two parallel processes, one performs mass detection in the reconstructed DBT volume, and the other in the projection view (PV) images. The mass likelihood scores estimated for each mass candidate in the two processes are merged to differentiate masses and false positives (FPs). For detection on SFMs, we previously developed a dual system approach by fusing two single CAD systems optimized for detection of average and subtle masses, respectively. A trained neural network is used to merge the mass likelihood scores of the two single systems to reduce FPs. At the case-based sensitivities of 80% and 85%, mass detection in the DBT volume resulted in an average of 0.72 and 1.06 FPs/view, and detection in the SFMs yielded 0.94 and 1.67 FPs/view, respectively. The difference fell short of statistical significance (p=0.07) by JAFROC analysis. Study is underway to collect a larger data set and to further improve the DBT CAD system.

Chan, Heang-Ping; Wei, Jun; Sahiner, Berkman; Hadjiiski, Lubomir; Helvie, Mark A.

2009-02-01

107

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

108

Cognitive and behavior therapy in a case of compulsive gambling  

Microsoft Academic Search

The literature contains few reports of behavior therapy used to treat compulsive gamblers. Desensitization (Draft, 1970),electrical aversion (Goorney, 1968; Seager, 1969),and a multifaceted approach including faradic shock, covert sensitization, massed practice, and time-out (Cotler, 1971)have been reported with mixed results. The increasing interest of behavior therapists in cognitive-symbolic mediation is well documented (Bandura, 1969; Mahoney, 1974; Meichenbaum, 1976);however, there are

1977-01-01

109

Cognitive–behavioral therapy of pediatric headache  

Microsoft Academic Search

Objective: The efficacy of cognitive–behavioral training in a therapist-administered group format (TG) and a self-help format (SH) for children with recurrent headache was compared. Methods: A total of 77 children (10–14 years) were randomly assigned to TG (n=29), SH (n=27) and a waiting-list control group (WC; n=19). TG consisted of eight 90-min sessions with groups of five children. SH was

Birgit Kroener-Herwig; Heide Denecke

2002-01-01

110

Cognitive-Behavioral Therapy for Rapid Cycling Bipolar Disorder  

ERIC Educational Resources Information Center

This article describes the application of cognitive-behavioral therapy (CBT) to the treatment of rapid cycling bipolar disorder. Between 10% and 24% of bipolar patients experience a rapid cycling course, with 4 or more mood episodes occurring per year. Characterized by nonresponse to standard mood-stabilizing medications, rapid cyclers are…

Reilly-Harrington, Noreen A.; Knauz, Robert O.

2005-01-01

111

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

112

Evaluation of Group Cognitive Behavioral Therapy for Adults With ADHD  

Microsoft Academic Search

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

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

2009-01-01

113

Therapist Competence, Comorbidity and Cognitive-Behavioral Therapy for Depression  

Microsoft Academic Search

Background: Therapist competence has consistently been associated with therapy outcomes, although the nature of this relationship varies considerably across studies. Method: In a naturalistic process-outcome study, 69 clients presenting with depression were treated by 1 of 18 cognitive-behavioral therapists in a ‘real world’ outpatient clinic. Using triangulated measures of therapists’ competence, we hypothesized that greater therapist competence would be associated

Willem Kuyken; Dimitrios Tsivrikos

2009-01-01

114

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

115

Effect of light therapy upon disturbed behaviors in Alzheimer patients  

Microsoft Academic Search

Alzheimer's disease (AD) causes sleep and behavioral disturbares which may be related to abnormalities of circadian rhythms caused by damage of the suprachiasmatic nucleis. Exposure to bright light may compensate for this danlage by improving synchronization, timing and amplijude of circadian rhythms. Three case studies, presented in this paper, demonstrate the beneficial effect of light therapy on sleep and one

Yvette L. Rheaume; Barbara C. Manning; David G. Harper; Ladislav Volicer

1998-01-01

116

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

117

Outcome of Cognitive Behavioral Therapy in Adolescents After Natural Disaster  

Microsoft Academic Search

Purpose: The authors evaluated the effectiveness of cognitive behavioral therapy (CBT) among adolescents exposed to the 2004 earthquake in Bam, Iran. Methods: Four months after the earthquake, 135 adolescents as a case group and 33 adolescents as a comparison group were evaluated with the Impact of Event Scale Revised (IES-R). Two therapists were trained in CBT in 3-day classes according

Mitra Hakim Shooshtary; Laily Panaghi; Jafar Attari Moghadam

2008-01-01

118

Acceptance-Enhanced Behavior Therapy for Trichotillomania in Adolescents  

ERIC Educational Resources Information Center

Although several studies have examined the efficacy of Acceptance Enhanced Behavior Therapy (AEBT) for the treatment of trichotillomania (TTM) in adults, data are limited with respect to the treatment of adolescents. Our case series illustrates the use of AEBT for TTM in the treatment of two adolescents. The AEBT protocol (Woods & Twohig, 2008) is…

Fine, Kathi M.; Walther, Michael R.; Joseph, Jessica M.; Robinson, Jordan; Ricketts, Emily J.; Bowe, William E.; Woods, Douglas W.

2012-01-01

119

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

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

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

122

Cognitive-Behavioral Therapy for Adolescent Body Dysmorphic Disorder  

ERIC Educational Resources Information Center

The onset of appearance-related concerns associated with body dysmorphic disorder (BDD) typically occurs in adolescence, and these concerns are often severe enough to interfere with normal development and psychosocial functioning. Cognitive behavioral therapy (CBT) is an effective treatment for adults with BDD. However, no treatment studies…

Greenberg, Jennifer L.; Markowitz, Sarah; Petronko, Michael R.; Taylor, Caitlin E.; Wilhelm, Sabine; Wilson, G. Terence

2010-01-01

123

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

124

Effects of Cognitive-Behavioral Group Therapy for Depressive Mothers of Children with Behavior Problems  

Microsoft Academic Search

The purpose of this study was to develop a cognitive behavioral group therapy (CBT) for depressed mothers of children between 5–12 years old, with behavior problems and to examine the effectiveness of the program. The CBT group met 8 times in total (2-hour weekly sessions for 8 weeks), followed by a booster session 3 months after the program was completed.

Eun Hye Ha; Kyung Ja Oh

2006-01-01

125

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

126

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

127

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

128

Addressing the Challenges of DBT for the ARM Architecture Ryan W. Moore Jose A. Baiocchi  

E-print Network

Addressing the Challenges of DBT for the ARM Architecture Ryan W. Moore Jos´e A. Baiocchi Bruce R. Childers University of Pittsburgh {rmoore,baiocchi,childers}@cs.pitt.edu Jack W. Davidson Jason D. Hiser

Childers, Bruce

129

Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: a multicenter randomized controlled trial.  

PubMed

OBJECTIVE Various approaches to cognitive-behavioral therapy (CBT) have been shown to be effective for social anxiety disorder. For psychodynamic therapy, evidence for efficacy in this disorder is scant. The authors tested the efficacy of psychodynamic therapy and CBT in social anxiety disorder in a multicenter randomized controlled trial. METHOD In an outpatient setting, 495 patients with social anxiety disorder were randomly assigned to manual-guided CBT (N=209), manual-guided psychodynamic therapy (N=207), or a waiting list condition (N=79). Assessments were made at baseline and at end of treatment. Primary outcome measures were rates of remission and response, based on the Liebowitz Social Anxiety Scale applied by raters blind to group assignment. Several secondary measures were assessed as well. RESULTS Remission rates in the CBT, psychodynamic therapy, and waiting list groups were 36%, 26%, and 9%, respectively. Response rates were 60%, 52%, and 15%, respectively. CBT and psychodynamic therapy were significantly superior to waiting list for both remission and response. CBT was significantly superior to psychodynamic therapy for remission but not for response. Between-group effect sizes for remission and response were small. Secondary outcome measures showed significant differences in favor of CBT for measures of social phobia and interpersonal problems, but not for depression. CONCLUSIONS CBT and psychodynamic therapy were both efficacious in treating social anxiety disorder, but there were significant differences in favor of CBT. For CBT, the response rate was comparable to rates reported in Swedish and German studies in recent years. For psychodynamic therapy, the response rate was comparable to rates reported for pharmacotherapy and cognitive-behavioral group therapy. PMID:23680854

Leichsenring, Falk; Salzer, Simone; Beutel, Manfred E; Herpertz, Stephan; Hiller, Wolfgang; Hoyer, Juergen; Huesing, Johannes; Joraschky, Peter; Nolting, Bjoern; Poehlmann, Karin; Ritter, Viktoria; Stangier, Ulrich; Strauss, Bernhard; Stuhldreher, Nina; Tefikow, Susan; Teismann, Tobias; Willutzki, Ulrike; Wiltink, Joerg; Leibing, Eric

2013-07-01

130

Virtual Reality Therapy Versus Cognitive Behavior Therapy for Social Phobia: A Preliminary Controlled Study  

Microsoft Academic Search

Social phobia is one of the most frequent mental disorders and is accessible to two forms of scientifically validated treatments: anti-depressant drugs and cognitive behavior therapies (CBT). In this last case, graded exposure to feared social situations is one of the fundamental therapeutic ingredients. Virtual reality technologies are an interesting alternative to the stan- dard exposure in social phobia, especially

E. Klinger; S. Bouchard; P. Legeron; S. Roy; F. Lauer; I. Chemin; P. Nugues

2005-01-01

131

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

132

Comparison of behavioral intervention and sensory-integration therapy in the treatment of challenging behavior.  

PubMed

The objective of the current study was to compare the effects of sensory-integration therapy (SIT) and a behavioral intervention on rates of challenging behavior (including self-injurious behavior) in four children diagnosed with Autism Spectrum Disorder. For each of the participants a functional assessment was conducted to identify the variables maintaining challenging behavior. Results of these assessments were used to design function-based behavioral interventions for each participant. Recommendations for the sensory-integration treatment were designed by an Occupational Therapist, trained in the use of sensory-integration theory and techniques. The sensory-integration techniques were not dependent on the results of the functional assessments. The study was conducted within an alternating treatments design, with initial baseline and final best treatment phase. For each participant, results demonstrated that the behavioral intervention was more effective than the sensory integration therapy in the treatment of challenging behavior. In the best treatment phase, the behavioral intervention alone was implemented and further reduction was observed in the rate of challenging behavior. Analysis of saliva samples revealed relatively low levels of cortisol and very little stress-responsivity across the SIT condition and the behavioral intervention condition, which may be related to the participants' capacity to perceive stress in terms of its social significance. PMID:21161577

Devlin, Sarah; Healy, Olive; Leader, Geraldine; Hughes, Brian M

2011-10-01

133

Cognitive Behavioral Therapy for Anxiety Disorders in Youth  

PubMed Central

Synopsis Cognitive behavioral therapies (CBTs) have been shown to be efficacious for the treatment of anxiety disorders in children and adolescents. Randomized clinical trials indicate that approximately two-thirds of children treated with CBT will be free of their primary diagnosis at posttreatment. Although several CBT treatment packages have been investigated in youth with diverse anxiety disorders, common core components have been identified. A comprehensive assessment, development of a good therapeutic relationship and working alliance, cognitive restructuring, repeated exposure with reduction of avoidance behavior, and skills training comprise the core procedures for the treatment of anxiety disorders in youth. PMID:21440852

Seligman, Laura D.; Ollendick, Thomas H.

2011-01-01

134

Cognitive behavioral therapy (brief vs standard duration) for schizophrenia.  

PubMed

There is some evidence from research that suggests that cognitive behavioral therapy for psychosis (CBTp) might offer some advantage if offered in combination with pharmacological treatments for people with schizophrenia. There are, however, limitations in its provision due to available resource and training issues. Brief forms of CBTp might be an alternative in settings with limited resources. Brief therapies have shown to be as effective as standard therapies for some nonpsychotic disorders. There is some evidence in favor of brief CBTp. We wanted to review the effects of brief CBTp for people with schizophrenia compared with standard CBTp. We searched the Cochrane Schizophrenia Group's Trials Register for randomized controlled trials (RCTs) involving adults with schizophrenia or related disorders, comparing brief cognitive behavioral therapy for people with psychosis vs standard CBTp. We found only 7 studies which used a brief version of CBTp, but no study compared brief CBTp with CBTp of standard duration. There is a need for RCTs which compare brief with standard CBTp. This review also highlighted the need for setting standard criteria for CBTp dose. For this review, we considered brief CBTp to be delivered within 4 months and using 6-10 sessions. PMID:25069655

Naeem, Farooq; Farooq, Saeed; Kingdon, David

2014-09-01

135

Pavlov's contributions to behavior therapy. The obvious and not so obvious.  

PubMed

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 "experimental neuroses", shown by his students M.N. Eroféeva and N.R. Shenger-Krestovnikova to be produced and eliminated through the principles of conditioning and counterconditioning. In this article, the Pavlovian origins of behavior therapy are assessed, and the relevance of conditioning principles to modern behavior therapy are analyzed. It is shown that Pavlovian conditioning represents far more than a systematic basic learning paradigm. It is also an essential theoretical foundation for the theory and practice of behavior therapy. PMID:9382243

Wolpe, J; Plaud, J J

1997-09-01

136

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

137

Endophytic Burkholderia fungorum DBT1 can improve phytoremediation efficiency of polycyclic aromatic hydrocarbons.  

PubMed

Burkholderia fungorum DBT1 is a bacterial strain isolated from an oil refinery discharge and capable of transforming dibenzothiophene, phenanthrene, naphthalene, and fluorene. In order to evaluate the influence of a policyclic aromatic hydrocarbon (PAH)-transforming bacterial strain on the phytoremediation of organic contaminants, B. fungorum DBT1 was inoculated into hybrid poplar (Populus deltoides×Populus nigra). The poplar plants were grown for 18-wk with or without naphthalene, phenanthrene, fluorene and dibenzothiophene (488mgkg(-1) soil each) in non-sterile sand-peat substrate. Evidences were gained that B. fungorum DBT1 was present in high concentration in poplar root tissues (2.9-9.5×10(3)CFUg(-1)), while the strain was not detected in stem, leaves and rhizosphere. When poplar was planted in uncontaminated substrate, the infection caused negative effects on biomass index, leaves and stem dry weight, without showing however any disease symptoms. On the other hand, plants inoculated with the strain DBT1 resulted in better tolerance against the toxic effects of PAHs, in terms of root dry weight. Although the presence of plants acted as the main effective treatment for PAH dissipation (82-87%), the inoculum with DBT1 strain lead to the highest PAH abatement (up to 99%). In the present study, an environmental isolate with proper metabolic features was demonstrated to be possibly suitable as a poplar endophyte for improving microbe-assisted phytoremediation in PAH contaminated matrices. PMID:23706896

Andreolli, Marco; Lampis, Silvia; Poli, Marika; Gullner, Gabor; Biró, Borbala; Vallini, Giovanni

2013-07-01

138

Summary of Mode Deactivation Therapy, Cognitive Behavior Therapy and Social Skills Training with Two Year Post Treatment Results  

ERIC Educational Resources Information Center

This study summarized two treatment research studies and included recidivism data for two years post discharge for group therapy. The study compared Mode deactivation Therapy (MDT), Cognitive Behavior Therapy (CBT), and Social Skills training (SST), results of the MDT series of studies and the two year post-study recidivism data. The data from the…

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

2006-01-01

139

Effectiveness of Behavioral Marital Therapy: Empirical Status of Behavioral Techniques in Preventing and Alleviating Marital Distress.  

ERIC Educational Resources Information Center

Used meta-analyses to determine the effectiveness of behavioral marital therapy (BMT) and premarital intervention (BPI) studies. Found gains that were generally maintained over time, and equal for couples in Europe and the United States. Demonstrated higher effect sizes for comparisons of BMT with no treatment placebo control groups, whereas the…

Hahlweg, Kurt; Markman, Howard J.

1988-01-01

140

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

141

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

142

CAN RATIONAL-EMOTIVE BEHAVIOR THERAPY (REBT) AND ACCEPTANCE AND COMMITMENT THERAPY (ACT) RESOLVE THEIR DIFFERENCES AND BE INTEGRATED?  

Microsoft Academic Search

Rational-Emotive Behavior Therapy (REBT) is a pioneering form of Cognitive Behavior Therapy (CBT). Acceptance and Commitment\\u000a Therapy (ACT) is part of the new wave of CBTs. In this article, I discuss the papers of Ciarrochi, Robb, and Godsell, and\\u000a of Ciarrochi and Robb, who propose that REBT and ACT can be quite suitably integrated, and the paper of Steven Hayes,

Albert Ellis

2005-01-01

143

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

Microsoft Academic Search

Social anxiety disorder (SAD) is highly prevalent and associated with a substantial societal economic burden, primarily due to high costs of productivity loss. Cognitive behavior group therapy (CBGT) is an effective treatment for SAD and the most established in clinical practice. Internet-based cognitive behavior therapy (ICBT) has demonstrated efficacy in several trials in recent years. No study has however investigated

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

2011-01-01

144

Dialectical Behavior Therapy for Adolescents with Bipolar Disorder: A 1-Year Open Trial  

ERIC Educational Resources Information Center

Objective: To describe an adapted version of dialectical behavior therapy for adolescents with bipolar disorder. Method: The dialectical behavior therapy intervention is delivered over 1 year and consists of two modalities: family skills training (conducted with individual family units) and individual therapy. The acute treatment period (6 months)…

Goldstein, Tina R.; Axelson, David A.; Birmaher, Boris; Brent, David A.

2007-01-01

145

A Novel Therapy for REM Sleep Behavior Disorder (RBD)  

PubMed Central

Study Objectives: RBD may result in sleep related injury (SRI) particularly if a patient exits the bed during dream enactment behavior (DEB). The complex auditory processing and low arousal threshold of REM sleep offers a therapeutic window to halt behavior prior to SRI. We evaluated whether a recorded message prevents SRI in medically refractory RBD. Design: Case Series. Setting: Sleep disorders center. Patients: Four consecutive RBD patients with continued SRI despite both clonazepam and melatonin therapy. Intervention: A pressurized bed alarm customized with a familiar voice to deliver a calming message during vigorous DEB. Measurements and Results: The RBDQ-HK evaluated RBD symptoms, and SRI was further quantified with a new clinical tool, the Minnesota Parasomnia Injury Scale. All patients reported a decrease in RBD symptoms and SRI. No injuries occurred post-intervention. Pre-treatment: 5 serious events (SE), 80 minor events (ME), and 193 near events (NE) were noted over 66 patient-months (4.21 events/pt-mo). Post-treatment: 0 SE, 0 ME, and 3 NE were noted after a follow up period of 63 pt-months (0.05 event/pt-mo). There were 176 total bed alarm interventions (2.79 interventions/pt-mo). No adverse effects were reported, and all 4 patients described a minimal burden of treatment. RBD symptoms improved as the average RBDQ-HK score decreased from 68 (range: 53-80) to 54 (range 42-65). Conclusion: A customized bed alarm may be an effective method to prevent SRI in RBD. This intervention is most suitable for cases of medically refractory RBD and/or for those patients who are unable to tolerate medical therapy. Citation: Howell MJ; Arneson PA; Schenck CH. A novel therapy for REM sleep behavior disorder (RBD). J Clin Sleep Med 2011;7(6):639-644. PMID:22171203

Howell, Michael J.; Arneson, Patricia A.; Schenck, Carlos H.

2011-01-01

146

A Component Analysis of Behavioral Marital Therapy: The Relative Effectiveness of Behavior Exchange and Communication/Problem-Solving Training.  

ERIC Educational Resources Information Center

Compared the relative effectiveness of behavioral marital therapy (BMT) with two of its major components, behavior exchange (BE) and communication/problem-solving training (CPT), in married couples seeking therapy (N=36). Results showed that complete BMT was no more effective than either BE or CPT at posttest. (LLL)

Jacobson, Neil S.

1984-01-01

147

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

148

Behavioral couples and family therapy for substance abusers.  

PubMed

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. For patients taking a recovery-related medication (eg, disulfiram, naltrexone), daily medication ingestion witnessed and verbally reinforced by the spouse also is part of the contract. Behavioral couples therapy also teaches communication and increases positive activities. Findings of the past few years have added considerably to the evidence base showing that BCT produces greater abstinence and better relationship functioning than typical individual-based treatment; BCT also reduces social costs and domestic violence. Noteworthy recent advances have extended the positive effects of BCT to women drug abusers, showed the indirect benefits of BCT for the couple's children, expanded BCT to include family members other than spouses, integrated BCT with pharmacotherapy, and started to address barriers to technology transfer. PMID:12230966

O'Farrell, Timothy J; Fals-Stewart, William

2002-10-01

149

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

150

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

151

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

152

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

153

Öst's (2008) methodological comparison of clinical trials of acceptance and commitment therapy versus cognitive behavior therapy: Matching Apples with Oranges?  

Microsoft Academic Search

Öst (2008) recently compared the methodological rigor of studies of acceptance and commitment therapy (ACT) and traditional cognitive behavior therapy (CBT). He concluded that the ACT studies had more methodological deficiencies, and thus the treatment did not qualify as an “empirically supported treatment.” Although Öst noted several important limitations that should be carefully considered when evaluating early ACT research, his

Brandon A. Gaudiano

2009-01-01

154

Combining Acceptance and Commitment Therapy and Cognitive Behavioral Therapy for the Treatment of Chronic Pain in Older Adults  

Microsoft Academic Search

The article discusses a combination of cognitive-behavioral therapy (CBT) for chronic pain and acceptance and commitment therapy (ACT) that was applied to an older adult. Findings reveal that a brief intervention of 8 weeks was effective in producing a clinically significant change in pain experience, as well as an increase in sleep quality\\/sleep maintenance and acceptance of pain. It is

Linn-Heidi Lunde; Inger Hilde Nordhus

2009-01-01

155

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

156

Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Self-Injurious Behavior  

ERIC Educational Resources Information Center

The current study investigates the comparative effects of sensory-integration therapy and behavioral interventions on rates of self-injurious behavior (SIB) in a 9-year-old boy with diagnosis of autism. A functional analysis was conducted to identify the variables maintaining the self-injurious behavior. This analysis demonstrated that SIB was…

Devlin, Sarah; Leader, Geraldine; Healy, Olive

2009-01-01

157

Treatment of Adult Insomnia With Cognitive–Behavioral Therapy  

PubMed Central

Insomnia is a highly prevalent disorder that occurs frequently in its acute form and at a rate of approximately 10% in its chronic form. There is a high prevalence of insomnia in a variety of medical and psychiatric conditions. Cognitive–behavioral therapy (CBT) may be employed for chronic insomnia as well as for insomnia in the context of other conditions such as chronic pain conditions. In such cases, some simple adaptations to standard CBT for insomnia are useful. This article reviews the typical assessment and CBT for adult insomnia, which have substantial empirical support for its efficacy. A case illustrates the core treatment processes and demonstrates that improving sleep in the context of conditions like chronic pain can lead to better management of such conditions. PMID:20853442

Pigeon, Wilfred R.

2015-01-01

158

Moderators of effects of motivational enhancements to cognitive behavioral therapy.  

PubMed

Patient treatment matching hypotheses were tested for substance users randomly assigned to a group cognitive behavioral therapy (CBT; n= 114) or a group motivational intervention (GMI; n= 116). Treatment was scheduled twice weekly for 10 weeks. Using a patient attribute by treatment interaction design with a 15-week follow-up, the study predicted that alexithymia, antisocial personality disorder (ASPD), and network support for alcohol and drug use would be associated with less substance use for CBT subjects and that hostility and lower treatment motivation would be associated with less substance use for GMI subjects. Three of the hypothesized moderators were empirically supported: alexithymia, network support for alcohol, and ASPD. Results indicate the use of assessing specific patient attributes to better inform treatment recommendations. PMID:15768570

Rosenblum, Andrew; Foote, Jeffrey; Cleland, Charles; Magura, Stephen; Mahmood, Daneyal; Kosanke, Nicole

2005-01-01

159

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

160

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

161

Adherence to Cognitive Behavioral Therapy for Insomnia: A Systematic Review  

PubMed Central

Summary Chronic insomnia is a significant public health problem worldwide, and insomnia has considerable personal and social costs associated with serious health conditions, greater healthcare utilization, work absenteeism, and motor-vehicle accidents. Cognitive Behavioral Therapy for Insomnia (CBTI) is an efficacious treatment, yet attrition and suboptimal adherence may diminish its impact. Despite the increasing use of CBTI, surprisingly little attention has been devoted to understanding the role of adherence. This review describes a comprehensive literature search of adherence to CBTI. The search revealed 15 studies that evaluated adherence to CBTI in adults using valid and reliable measures of sleep, and measure of adherence other than study withdrawals. The primary purposes of this review were to (1) synthesize current study characteristics, methodology, adherence rates, contributing factors, and impact on outcomes, (2) discuss measurement issues, and (3) identify future practice and research directions that may lead to improved outcomes. Strong patterns and inconsistencies were identified among the studies, which complicate an evaluation of the role of adherence as a factor and outcome of CBTI success. The importance of standardized adherence and outcome measures is discussed. In light of the importance of adherence to behavior change, this systematic review may better inform future intervention efforts. PMID:23602124

Matthews, Ellyn E.; Arnedt, J. Todd; McCarthy, Michaela S.; Cuddihy, Leisha J.; Aloia, Mark S.

2013-01-01

162

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

163

Group Play Therapy with Sexually Abused Preschool Children: Group Behaviors and Interventions  

ERIC Educational Resources Information Center

Group play therapy is a common treatment modality for children who have been sexually abused. Sexually abused preschoolers exhibit different group play therapy behaviors than do nonabused children. Group workers need to be aware of these differences and know the appropriate group interventions. This article describes group play therapy with…

Jones, Karyn Dayle

2002-01-01

164

Cognitive-behavioral group therapy for the depressed elderly: Issues and adaptations  

Microsoft Academic Search

The application of group cognitive-behavioral therapy to depressed geriatric outpatients is illustrated through case examples. Age changes in intellectual functioning may cause the therapy to proceed more slowly than expected and may make behavioral components the most useful aspects of the treatment for some people. Health status may affect the assessment of severity of depression as well as the pace

Joanne L. Steuer; Constance L. Hammen

1983-01-01

165

The promise and pitfalls of the internet for cognitive behavioral therapy  

Microsoft Academic Search

Internet-administered cognitive behavior therapy is a promising new way to deliver psychological treatment. There are an increasing number of controlled trials in various fields such as anxiety disorders, mood disorders and health conditions such as headache and insomnia. Among the advantages for the field of cognitive behavior therapy is the dissemination of the treatment, being able to access treatment from

Gerhard Andersson

2010-01-01

166

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

167

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

Microsoft Academic Search

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 cognitive-behavioral therapy for chronic insomnia in a veteran population with significant

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

2008-01-01

168

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

169

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

170

Gender Differences in the Maintenance of Response to Cognitive Behavior Therapy for Posttraumatic Stress Disorder  

ERIC Educational Resources Information Center

Objective: To examine potential differential responses in men and women to cognitive behavior therapy for posttraumatic stress disorder (PTSD). Method: Fifty-two men and 56 women diagnosed with PTSD participated in randomized controlled trials of cognitive behavior therapy for PTSD. Participants were randomly allocated to either (a) exposure-only…

Felmingham, Kim L.; Bryant, Richard A.

2012-01-01

171

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

172

Critical Issues in Using Homework Assignments Within Cognitive-Behavioral Therapy for Schizophrenia  

Microsoft Academic Search

Presents an overview of the research findings to date and practical guidelines for the use of homework in cognitive-behavioral therapy for schizophrenia. In particular, the article outlines strategies to combat the common difficulties experienced when using homework with clients with schizophrenia and the types of homework assignments that may be most helpful. The empirical evidence suggests that cognitive-behavioral therapy incorporating

Natalie M. Glaser; Nikolaos Kazantzis; Frank P. Deane; Lindsay G. Oades

2000-01-01

173

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

174

Distinctiveness of Behavioral versus Insight-Oriented Marital Therapy: An Empirical Analysis.  

ERIC Educational Resources Information Center

Demonstrated that behavioral marital therapy (BMT) and insight-oriented marital therapy (IOMT) could be rendered in a distinct and uncontaminated fashion in manual-guided outcome research where therapists were crossed with treatment condition. BMT proved to be highly structured, with 93 percent of therapist interventions reflecting behavioral

Wills, Robert M.; And Others

1987-01-01

175

Understanding occupational therapy students' attitudes, intentions, and behaviors regarding community service.  

PubMed

Community-based practice has always been a central domain of occupational therapy, and evidence supporting its increasing importance is growing. Preparing occupational therapy students for community practice has received considerable attention in professional literature, but students' voices have seldom been heard concerning this issue. This study sought to investigate attitudes, intentions, and behaviors regarding community service among occupational therapy students enrolled in one professional program using the Community Service Attitudes Survey. We present the Theory of Planned Behavior as a conceptual framework linking students' attitudes and intentions with behaviors. Results indicate that these occupational therapy students' attitudes and intentions regarding community service tended to be more strongly positive than those of their counterparts in other allied health disciplines; however, the community service behaviors of occupational therapy students were not significantly different from those of other allied health students, possibly because occupational therapy students perceived high costs to community service. PMID:17944290

Hoppes, Steve; Hellman, Chan M

2007-01-01

176

Using a digital game for training desirable behavior in cognitive-behavioral therapy of burnout syndrome: a controlled study.  

PubMed

Burnout is a globally increasing illness, and as a result, many forms of burnout therapy have arisen. The use of digital games can be psychotherapeutically effective because they can transform exercises that are by themselves unattractive into intrinsically motivated action. This pilot study aims to test whether a specially designed game contributes to patients learning desired behavior and achieving other specific therapeutic goals in an online cognitive-behavioral therapy (CBT)-based burnout treatment context. In total, 101 participants took part in the experiment, under four conditions: (a) Game+Therapy, (b) Therapy Only, (c) Game Only, and (d) No Game+No Therapy. Pre- and postmeasures were taken online. Results showed that the two therapy conditions (Game+Therapy and Therapy Only) showed a greater decrease in complaints and disengagement, and a stronger increase in coping skills than the nontherapy conditions (Game Only and No Game+No Therapy). As expected, the Game+Therapy condition outperformed the Therapy Only condition on combined improvement measures of burnout symptoms. However, analyses of individual measures showed no effects. It can be cautiously concluded that the therapeutic digital game may be a useful tool when embedded in a therapeutic burnout treatment program and is probably more efficient than CBT, as it is used in current practice. PMID:25684611

Zielhorst, Thomas; van den Brule, Daphne; Visch, Valentijn; Melles, Marijke; van Tienhoven, Sam; Sinkbaek, Helle; Schrieken, Bart; Tan, Eduard S-H; Lange, Alfred

2015-02-01

177

Production of a Rhodococcus erythropolis IGTS8 biocatalyst for DBT biodesulfurization: influence of operational conditions  

Microsoft Academic Search

The influence of operational conditions, such as temperature (from 26 to 36°C), pH (with and without control) and dissolved oxygen concentration (with and without control), has been studied during growth in batch of Rhododoccus erythropolis IGTS8. This bacteria has the ability to convert dibenzothiophene (DBT) into 2-hydroxybyphenyl (HBP), desulfurizing the organic molecule. In order to get the best conditions to

Carolina H. del Olmo; Victoria E. Santos; Almudena Alcon; Felix Garcia-Ochoa

2005-01-01

178

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

179

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

180

Cognitive–Behavior Therapy: Reflections on the Evolution of a Therapeutic Orientation  

Microsoft Academic Search

This article presents an account of the evolution of cognitive–behavior therapy over the past 35 years, which began with the introduction of cognition into behavior therapy in the mid-1960s. As cognitive–behavior therapists became more experienced clinically and recognized that clients did not always engage in clearly reportable internal dialogues, the schema construct was used to understand more about clients' implicit

Marvin R. Goldfried

2003-01-01

181

Dose reduction in digital breast tomosynthesis (DBT) screening using synthetically reconstructed projection images: an observer performance study  

PubMed Central

Rationale and Objectives Retrospectively compare interpretive performance of synthetically reconstructed two-dimensional images in combination with DBT versus FFDM plus DBT. Materials and Methods Ten radiologists trained in reading tomosynthesis examinations interpreted retrospectively, under two modes, 114 mammograms. One mode included the directly acquired FFDM combined with DBT and the other, synthetically reconstructed projection images combined with DBT. The reconstructed images do not require additional radiation exposure. We compared the two modes with respect to “sensitivity”, namely recommendation to recall a breast with either a pathology proven cancer (n=48) or a high risk lesion (n=6); and “specificity”, namely no recommendation to recall a breast not depicting an abnormality (n=144) or depicting only benign abnormalities (n=30). Results The average sensitivity for FFDM with DBT was 0.826 versus 0.772 for synthetic FFDM with DBT (difference=0.054, p=0.017 and p=0.053 for fixed and random reader effect, respectively). The fraction of breasts with no, or benign, abnormalities recommended to be recalled were virtually the same: 0.298 and 0.297 for the two modalities, respectively (95% confidence intervals for the difference CI= ?0.028, 0.036 and CI = ?0.070, 0.066 for fixed and random reader effects, correspondingly). Sixteen additional clusters of micro-calcifications (“positive” breasts) were missed by all readers combined when interpreting the mode with synthesized images versus FFDM. Conclusion Lower sensitivity with comparable specificity was observed with the tested version of synthetically generated images versus FFDM, both combined with DBT. Improved synthesized images with experimentally verified acceptable diagnostic quality will be needed to eliminate double exposure during DBT based screening. PMID:22098941

Gur, David; Zuley, Margarita L.; Anello, Maria I.; Rathfon, Grace Y.; Chough, Denise M.; Ganott, Marie A.; Hakim, Christiane M.; Wallace, Luisa; Lu, Amy; Bandos, Andriy I.

2011-01-01

182

Cognitive Behavioral Therapy for Mood Disorders: Efficacy, Moderators and Mediators  

PubMed Central

Synopsis Cognitive behavior therapy (CBT) is efficacious in the acute treatment of depression and may provide a viable alternative to antidepressant medications (ADM) for even more severely depressed unipolar patients when implemented in a competent fashion. CBT also may be of use as an adjunct to medication treatment for bipolar patients, although the studies are few and not wholly consistent. CBT does appear to have an enduring effect that protects against subsequent relapse and recurrence following the end of active treatment, something that cannot be said for medications. Single studies that require replication suggest that patients who are married or unemployed or who have more antecedent life events may do better in CBT than in ADM, as might patients who are free from comorbid Axis II disorders, whereas patients with comorbid Axis II disorders appear to do better in ADM than in CBT. There also are indications that CBT may work through processes specified by theory to produce change in cognition that in turn mediate subsequent change in depression and freedom from relapse following treatment termination, although evidence in that regard is not yet conclusive. PMID:20599132

Driessen, Ellen; Hollon, Steven D.

2010-01-01

183

Neural correlates of behavior therapy for Tourette?s disorder.  

PubMed

Tourette?s disorder, also called Tourette syndrome (TS), is characterized by motor and vocal tics that can cause significant impairment in daily functioning. Tics are believed to be due to failed inhibition of both associative and motor cortico-striato-thalamo-cortical pathways. Comprehensive Behavioral Intervention for Tics (CBIT), which is an extension of Habit Reversal Therapy (HRT), teaches patients to become more aware of sensations that reliably precede tics (premonitory urges) and to initiate competing movements that inhibit the occurrence of tics. In this study, we used functional magnetic resonance imaging (fMRI) to investigate the neural changes associated with CBIT treatment in subjects with TS. Eight subjects with TS were matched with eight healthy controls in gender, education, age, and handedness. Subjects completed the Visuospatial Priming (VSP) task, a measure of response inhibition, during fMRI scanning before and after CBIT treatment (or waiting period for controls). For TS subjects, we found a significant decrease in striatal (putamen) activation from pre- to post-treatment. Change in VSP task-related activation from pre- to post-treatment in Brodmann?s area 47 (the inferior frontal gyrus) was negatively correlated with changes in tic severity. CBIT may promote normalization of aberrant cortico-striato-thalamo-cortical associative and motor pathways in individuals with TS. PMID:25444535

Deckersbach, Thilo; Chou, Tina; Britton, Jennifer C; Carlson, Lindsay E; Reese, Hannah E; Siev, Jedidiah; Scahill, Lawrence; Piacentini, John C; Woods, Douglas W; Walkup, John T; Peterson, Alan L; Dougherty, Darin D; Wilhelm, Sabine

2014-12-30

184

Behavioral health staff's perceptions of pet-assisted therapy: an exploratory study.  

PubMed

The purpose and objectives of this exploratory descriptive study were threefold: to assess the impact of pet-assisted therapy on the overall well-being of behavioral health staff, to document whether pet-assisted therapy affected the retention of behavioral health staff, and to explore and describe therapeutic measures behavioral health staff implemented in using pet-assisted therapy in the delivery of mental health patient care. The participants in this study were 10 behavioral health staff members who were involved with the pet-assisted therapy program at a private psychiatric hospital in a Chicago suburb. Themes that emerged from the study included Self-Awareness, Morale, Innovative Therapeutic Strategies, Challenges, and Future Directions. This article describes these themes in detail, provides quotations from participants to further highlight meaning, and discusses the powerful effect of pet-assisted therapy on both patients and staff in the therapeutic milieu. PMID:18822998

Rossetti, Jeanette; DeFabiis, Susanne; Belpedio, Camille

2008-09-01

185

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

186

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

187

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 treatment research study extended the results of Apsche, Bass, Jennings, Murphy, Hunter, and Siv (2005), from behavioral data to standard measures of psychological distress. In Apsche, et. al. (2005) results suggest that Mode Deactivation Therapy (MDT) was more effective than Cognitive Behavior Therapy (CBT) and Social Skills Therapy (SST) in…

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

2005-01-01

188

Some Generalization and Follow-Up Measures on Autistic Children in Behavior Therapy.  

ERIC Educational Resources Information Center

Reported was a behavior therapy program emphasizing language training for 20 autistic children who variously exhibited apparent sensory deficit, severe affect isolation, self stimulatory behavior, mutism, echolalic speech, absence of receptive speech and social and self help behaviors, and self destructive tendencies. The treatment emphasized…

Lovaas, O. Ivar; And Others

189

A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain  

Microsoft Academic Search

Individuals reporting chronic, nonmalignant pain for at least 6months (N=114) were randomly assigned to 8 weekly group sessions of acceptance and commitment therapy (ACT) or cognitive-behavioral therapy (CBT) after a 4–6week pretreatment period and were assessed after treatment and at 6-month follow-up. The protocols were designed for use in a primary care rather than specialty pain clinic setting. All participants

Julie Loebach Wetherell; Niloofar Afari; Thomas Rutledge; John T. Sorrell; Jill A. Stoddard; Andrew J. Petkus; Brittany C. Solomon; David H. Lehman; Lin Liu; Ariel J. Lang; J. Hampton Atkinson

2011-01-01

190

Comparison of behavioral intervention and sensory-integration therapy in the treatment of self-injurious behavior  

Microsoft Academic Search

The current study investigates the comparative effects of sensory-integration therapy and behavioral interventions on rates of self-injurious behavior (SIB) in a 9-year-old boy with diagnosis of autism. A functional analysis was conducted to identify the variables maintaining the self-injurious behavior. This analysis demonstrated that SIB was maintained by negative reinforcement as a result of escaping or avoiding demand situations. A

Sarah Devlin; Geraldine Leader; Olive Healy

2009-01-01

191

Behavior Therapy for Pediatric Trichotillomania: A Randomized Controlled Trial  

PubMed Central

Objective To examine the efficacy and durability of a behavioral therapy (BT) protocol for pediatric TTM compared to 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 phase. Method A randomized controlled trial in which twenty-four youths were assigned to either a pilot-tested BT protocol, consisting of eight weekly sessions, or to MAC, consisting of three sessions and five phone calls over eight weeks. Independent evaluators assessed outcome at pre-treatment (week 0) and post-treatment (week 8) for BT and MAC, and again at week 16 for BT patients only. The primary outcome measure was the NIMH Trichotillomania Severity Scale (NIMH-TSS). Results The BT condition’s week 8 mean NIMH-TSS score was significantly lower than that of the MAC condition. The BT condition’s mean week 8 score was also significantly lower than their own mean week 0 score, whereas no such reductions were observed for the MAC condition. Upon completion of acute treatment at week 8, the BT group’s gains were maintained through an 8-week maintenance treatment phase. Conclusions BT produced superior outcome compared to a condition that controlled for participation in a pediatric TTM research study, non-specific therapist contact effects, repeated assessments, and the passage of time. Maintenance of gains following acute BT provides preliminary support for the durability of treatment gains. PMID:21784296

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

2011-01-01

192

The importance of theory in cognitive behavior therapy: a perspective of contextual behavioral science.  

PubMed

For the past 30 years, generations of scholars of cognitive behavior therapy (CBT) have expressed concern that clinical practice has abandoned the close links with theory that characterized the earliest days of the field. There is also a widespread assumption that a greater working knowledge of theory will lead to better clinical outcomes, although there is currently very little hard evidence to support this claim. We suggest that the rise of so-called "third generation" models of CBT over the past decade, along with the dissemination of statistical innovations among psychotherapy researchers, have given new life to this old issue. We argue that theory likely does matter to clinical outcomes, and we outline the future research that would be needed to address this conjecture. PMID:24094783

Herbert, James D; Gaudiano, Brandon A; Forman, Evan M

2013-12-01

193

The Effect of Music Therapy on the Maladpative Emotionally Regulative Behaviors of Adults with Developmental Disabilities  

E-print Network

ABSTRACT The purpose of this study was to examine the effectiveness of individualized music therapy protocols in decreasing the duration of instances of elevated levels of maladaptive emotionally regulative behaviors in adults with developmental...

Bender, Lisa

2011-12-31

194

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

195

Exercise, Behavioral Therapy Reduce Menopausal Symptoms Caused by Breast Cancer Treatment  

Cancer.gov

Women with breast cancer who were suffering from treatment-related menopausal symptoms experienced symptom relief with cognitive behavioral therapy, physical exercise, or both, according to a Dutch study published October 8, 2012, in the Journal of Clinical Oncology.

196

Variability in Outcome and Clinical Significance of Behavioral Marital Therapy: A Reanalysis of Outcome Data.  

ERIC Educational Resources Information Center

Reanalyzed data from four previous studies (N=148) to examine the effectiveness of behavioral marital therapy (BMT). Results showed that slightly more than half the couples improved; about one-third actually became nondistressed. Deterioration was rare. (JAC)

Jacobson, Neil S.; And Others

1984-01-01

197

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

198

Automatic Thoughts and Cognitive Restructuring in Cognitive Behavioral Group Therapy for Social Anxiety Disorder  

Microsoft Academic Search

The goal in (Heimberg, R. G. (1991). A manual for conducting Cognitive Behavior Group Therapy for social phobia (2nd ed), Unpublished manuscript) cognitive behavioral group therapy (CBGT) for social anxiety disorder (social phobia) is\\u000a to challenge irrational automatic thoughts and create exposures to provide disconfirming evidence for these irrational thoughts\\u000a as well as habituation to fearful stimuli. Yet little is

Debra A. Hope; James A. Burns; Sarah A. Hayes; James D. Herbert; Michelle D. Warner

2010-01-01

199

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

Microsoft Academic Search

The effects of outpatient group behavioral therapy including aerobic exercise (BE), behavioral therapy only (B), and aerobic exercise only (E) on pain and physical and psychosocial disability were evaluated and compared in a group of mildly disabled chronic low-back-pain patients. Ninety-six Ss were randomly assigned to the 3 treatments and a waiting-list control (WL) condition and assessed on a variety

Judith A. Turner; Steve Clancy; Kevin J. McQuade; Diana D. Cardenas

1990-01-01

200

Cognitive-Behavioral Therapy for Adolescents with Inflammatory Bowel Disease and Subsyndromal Depression  

ERIC Educational Resources Information Center

Objective: To examine the feasibility and efficacy of a manual-based cognitive-behavioral therapy (CBT) in reducing depressive symptomatology in adolescents with inflammatory bowel disease (IBD). Primary and Secondary Control Enhancement Therapy-Physical Illness(PASCET-PI) modified for youths with IBD was compared to treatment as usual (TAU), plus…

Szigethy, Eva; Kenney, Elyse; Carpenter, Johanna; Hardy, Diana M.; Fairclough, Diane; Bousvaros, Athos; Keljo, David; Weisz, John; Beardslee, William R.; Noll, Robert; DeMaso, David Ray

2007-01-01

201

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

202

Group cognitive behavior therapy for Japanese patients with social anxiety disorder: preliminary outcomes and their predictors  

Microsoft Academic Search

BACKGROUND: A number of studies have provided strong evidence for the use of cognitive behavior therapy (CBT) in the treatment of social anxiety disorder (SAD). However, all of the previous reports were from Europe and North America and it is unknown whether Western psychological therapies are effective for SAD in non-Western cultures. The present pilot study aimed to evaluate CBT

Junwen Chen; Yumi Nakano; Tetsuji Ietzugu; Sei Ogawa; Tadashi Funayama; Norio Watanabe; Yumiko Noda; Toshi A Furukawa

2007-01-01

203

Mediated Moderation in Combined Cognitive Behavioral Therapy versus Component Treatments for Generalized Anxiety Disorder  

ERIC Educational Resources Information Center

Objective: This study examined (a) duration of generalized anxiety disorder (GAD) as a moderator of cognitive behavioral therapy (CBT) versus its components (cognitive therapy and self-control desensitization) and (b) increases in dynamic flexibility of anxious symptoms during the course of psychotherapy as a mediator of this moderation. Degree of…

Newman, Michelle G.; Fisher, Aaron J.

2013-01-01

204

Cognitive Changes, Critical Sessions, and Sudden Gains in Cognitive-Behavioral Therapy for Depression  

ERIC Educational Resources Information Center

Using an independent cognitive-behavioral therapy (CBT) data set, the authors replicated T. Z. Tang and R. J. DeRubeis' (1999) discovery of sudden gains--sudden and large decreases in depression severity in a single between-session interval. By incorporating therapy session transcripts, the authors of this study improved the reliability of the…

Tang, Tony Z.; DeRubeis, Robert J.; Beberman, Rachel; Pham, Thu

2005-01-01

205

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

206

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

207

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

Microsoft Academic Search

The present study investigated the effectiveness of music therapy for dementia patients using endo- crinological 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 ther- apy was performed twice a week for 8 consecutive weeks (16 sessions). As a result, total scores on the

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

2004-01-01

208

Effectiveness of Cotherapists versus Single Therapists and Immediate versus Delayed Treatment in Behavioral Marital Therapy.  

ERIC Educational Resources Information Center

Evaluated the effectiveness of behavioral marital therapy (BMT) in aiding distressed couples (N=30) and explored the relative effectiveness of cotherapists versus single therapist. Results affirmed the overall effectiveness of BMT. A cotherapy team and a single therapist were equally effective. No differences were found between immediate therapy

Mehlman, Susan Kaplan; And Others

1983-01-01

209

Predictors in Internet-delivered cognitive behavior therapy and behavioral stress management for severe health anxiety.  

PubMed

Severe health anxiety can be effectively treated with exposure-based Internet-delivered cognitive behavior therapy (ICBT), but information about which factors that predict outcome is scarce. Using data from a recently conducted RCT comparing ICBT (n = 79) with Internet-delivered behavioral stress management (IBSM) (n = 79) the presented study investigated predictors of treatment outcome. Analyses were conducted using a two-step linear regression approach and the dependent variable was operationalized both as end state health anxiety at post-treatment and as baseline-to post-treatment improvement. A hypothesis driven approach was used where predictors expected to influence outcome were based on a previous predictor study by our research group. As hypothesized, the results showed that baseline health anxiety and treatment adherence predicted both end state health anxiety and improvement. In addition, anxiety sensitivity, treatment credibility, and working alliance were significant predictors of health anxiety improvement. Demographic variables, i.e. age, gender, marital status, computer skills, educational level, and having children, had no significant predictive value. We conclude that it is possible to predict a substantial proportion of the outcome variance in ICBT and IBSM for severe health anxiety. The findings of the present study can be of high clinical value as they provide information about factors of importance for outcome in the treatment of severe health anxiety. PMID:25540862

Hedman, Erik; Andersson, Erik; Lekander, Mats; Ljótsson, Brjánn

2015-01-01

210

Cognitive Behavioral Marital Therapy in the Treatment of Depression.  

ERIC Educational Resources Information Center

This paper considers the common association between marital problems and depression and describes the cognitive and behavioral factors which are common to these two problems. A set of cognitive behavioral interventions is presented, a treatment procedure which addresses cognitive and behavioral factors at the intrapersonal and interpersonal levels…

Epstein, Norman

211

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

212

PFO-DBT:MEH-PPV:PC71BM Ternary Blend Assisted Platform as a Photodetector.  

PubMed

We present a ternary blend-based bulk heterojunction ITO/PEDOT:PSS/PFO-DBT: MEH-PPV:PC71BM/LiF/Al photodetector. Enhanced optical absorption range of the active film has been achieved by blending two donor components viz. poly[2,7-(9,9-di-octyl-fluorene)-alt-4,7-bis(thiophen-2-yl)benzo-2,1,3-thiadiazole] (PFO-DBT) and poly(2-methoxy-5(2'-ethylhexyloxy) phenylenevinylene (MEH-PPV) along with an acceptor component, i.e., (6,6)-phenyl-C71 hexnoic acid methyl ester. The dependency of the generation rate of free charge carriers in the organic photodetector (OPD) on varied incident optical power density was investigated as a function of different reverse biasing voltages. The photocurrent showed significant enhancement as the intensity of light impinging on active area of OPD is increased. The ratio of Ilight to Idark of fabricated device at -3 V was ~3.5 × 104. The dynamic behaviour of the OPD under on/off switching irradiation revealed that sensor exhibits quick response and recovery time of ?800 ms and 500 ms, respectively. Besides reliability and repeatability in the photoresponse characteristics, the cost-effective and eco-friendly fabrication is the added benefit of the fabricated OPD. PMID:25574936

Zafar, Qayyum; Ahmad, Zubair; Sulaiman, Khaulah

2015-01-01

213

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

Microsoft Academic Search

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 to a specialized cognitive behavioral intervention for psychosis (CBTp; n = 40) or a wait list

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

2012-01-01

214

Cognitive-Behavioral Therapy for Bipolar Disorder: Implications for Clinical Social Workers  

Microsoft Academic Search

The purposes of this review article are to orient clinical social workers to cognitive-behavioral theory, intervention, and research on bipolar disorder (BD); identify pros and cons of applying cognitive-behavioral therapy (CBT) to social work clients with BD; and identify specific implications for clinical social work practice. Of the 545 articles that were obtained via the systematic review, 18 studies were

Virgil L. Gregory Jr

2010-01-01

215

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

Microsoft Academic Search

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 on sleep changes assessed subjectively and objectively. Fifty-seven women with chronic

Valérie Tremblay; Josée Savard; Hans Ivers

2009-01-01

216

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

217

Intimacy Is a Transdiagnostic Problem for Cognitive Behavior Therapy: Functional Analytical Psychotherapy Is a Solution  

ERIC Educational Resources Information Center

Problems with intimacy and interpersonal issues are exhibited across most psychiatric disorders. However, most of the targets in Cognitive Behavioral Therapy are primarily intrapersonal in nature, with few directly involved in interpersonal functioning and effective intimacy. Functional Analytic Psychotherapy (FAP) provides a behavioral basis for…

Wetterneck, Chad T.; Hart, John M.

2012-01-01

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

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

ERIC Educational Resources Information Center

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:…

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

2006-01-01

220

Electroencephalographic Sleep Profiles Before and After Cognitive Behavior Therapy of Depression  

Microsoft Academic Search

Background: Previous studies have not fully resolved the state-dependent vs traitlike behavior of the electro- encephalographic sleep abnormalities associated with de- pression. We therefore examined the sleep profiles of de- pressed patients before and after 16 weeks of treatment with cognitive behavior therapy to determine the stabil- ity or reversibility of selected abnormalities. Methods: Seventy-eight unmedicated patients with ma- jor

Michael E. Thase; Amy L. Fasiczka; Susan R. Berman; Anne D. Simons; Charles F. Reynolds III

1998-01-01

221

Cognitive-Behavioral Therapy for Suicide Prevention (CBT-SP): Treatment Model, Feasibility, and Acceptability  

ERIC Educational Resources Information Center

Objective: To describe the elements of a manual-based cognitive-behavioral therapy for suicide prevention (CBT-SP) and to report its feasibility in preventing the recurrence of suicidal behavior in adolescents who have recently attempted suicide. Method: The CBT-SP was developed using a risk reduction and relapse prevention approach and…

Stanley, Barbara; Brown, Gregory; Brent, David A.; Wells, Karen; Poling, Kim; Curry, John; Kennard, Betsy D.; Wagner, Ann; Cwik, Mary F.; Klomek, Anat Brunstein; Goldstein, Tina; Vitiello, Benedetto; Barnett, Shannon; Daniel, Stephanie; Hughes, Jennifer

2009-01-01

222

Behavioral Marital Therapy (BMT) for Alcoholics and Wives: Review of Literature and a Proposed Research Program.  

ERIC Educational Resources Information Center

After describing a social learning formulation of the male alcoholic's marriage, this paper reviews the few studies of behavioral marital therapy (BMT) for alcoholics and their wives. Although none of these studies are as rigorous as one might wish and many of them are merely case studies, a review of the literature shows that behavioral marital…

O'Farrell, Timothy J.; Cutter, Henry S. G.

223

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

224

Brief Report: Improvements in the Behavior of Children with Autism Following Massage Therapy.  

ERIC Educational Resources Information Center

Twenty children with autism, ages 3 to 6 years, received either massage therapy or reading attention by their parents for 15 minutes daily for one month. Evaluation suggested that children in the massage group exhibited less stereotypic behavior and showed more on-task and social relatedness behavior during play observations at school, and they…

Escalona, Angelica; Field, Tiffany; Singer-Strunck, Ruth; Cullen, Christy; Hartshorn, Kristen

2001-01-01

225

Successful Treatment of Olfactory Reference Syndrome with Cognitive Behavioral Therapy: A Case Study  

ERIC Educational Resources Information Center

Olfactory reference syndrome (ORS) is characterized by a preoccupation with the belief that one's body emits a foul odor. Cognitive behavioral therapy (CBT) was used to treat a woman in her 50s who presented in our outpatient anxiety disorders specialty clinic with ORS, accompanied by embarrassment, shame, distress, avoidance behavior, and social…

Martin-Pichora, Andrea L.; Antony, Martin M.

2011-01-01

226

Effect of cognitive behavioral therapy in mental health and hardiness of infertile women receiving assisted reproductive therapy (ART)  

PubMed Central

Background: Infertility is a stressful event that can give rise to psychological difficulties. Now, a wide range of psychosocial interventions for infertile couples has been developed. Objective: Purpose of this study was to determine the effect of group cognitive behavioral therapy (CBT) to reduce stress, anxiety and depression of women undergoing assisted reproductive therapy (ART). Materials and Methods: This study was an experimental study (before and after study with control group) on infertile women who were referring to Gynecological clinics of Jahrom University of Medical Sciences to receive ART. 31 women who had criteria to enter the study were randomly divided into experimental group (n=15) and control group (n=16). The participants in the experimental group received 1 hour and 30 minute weekly session’s group therapy in 15 week as intervention. For gathering data, depression, anxiety and stress scale (DASS) normalized Persian version and Ahvaz Hardiness Test (AHT) were used to assess psychological distress and psychological hardiness in pre-posttest. Results: There were significant differences in mean score of infertile psychological distress, anxiety, depression, and stress in experimental group pretest with posttest. Furthermore, the results indicated that there were significant differences between hardiness in two groups. The experimental group had higher scores in hardiness than control group (p=0.001). Conclusion: It seems to be, that group therapy interventions, specially, cognitive behavioral therapy (CBT) can be useful and applicable to women who receiving ART. PMID:25246916

Mosalanejad, Leili; Khodabakshi Koolaee, Anahita; Jamali, Safie

2012-01-01

227

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

228

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

229

Preschool Children's Sleep and Wake Behavior: Effects of Massage Therapy.  

ERIC Educational Resources Information Center

Preschool children received twice-weekly massages for five weeks. Compared to control children, the massaged children had better behavior ratings on mood state, vocalization, activity, and cooperation following massage on day one and throughout the study. Teachers rated their behavior more optimally, and their parents rated them as having less…

Field, Tiffany; And Others

1996-01-01

230

Preschool Children's Sleep and Wake Behavior: Effects of Massage Therapy  

Microsoft Academic Search

Preschool children received 20?minute massages twice a week for five weeks. The massaged children as compared to children in the wait?list control group had better behavior ratings on state, vocalization, activity and cooperation after the massage sessions on the first and last days of the study. Their behavior was also rated more optimally by their teachers by the end of

Tiffany Field; Tracy Kilmer; Iris Burman

1996-01-01

231

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

232

Effectiveness of cognitive behavioral therapy: An evaluation of therapies provided by trainees at a university psychotherapy training center  

PubMed Central

At the psychotherapy training center at Karlstad University, a study was carried out to examine the levels of symptom change and satisfaction with therapy in a heterogeneous population of clients treated using cognitive behavioral therapy (CBT) by less experienced trainee therapists with limited theoretical education. The clients received an average of 11 therapy sessions. The results suggested that CBT performed by less experienced trainee therapists can be effective. According to client estimations, a statistically significant reduction in symptoms, measured using the Symptoms Checklist, was achieved for seven of nine variables (p???.006), as well as a significant increase in satisfaction with life (p???.001). Also, the pre- and posttherapy measurements using the Montgomery–Åsberg Depression Rating Scale showed a statistically significant improvement in the clients’ condition. According to the therapists’ estimations, 64% (SD?=?32.01) of the clients experienced a significant improvement in their condition. In addition, the results of a survey of client satisfaction demonstrated that the clients were very pleased with the therapy received. Also the therapists were, to a great extent, satisfied with the treatment process itself, including the supervision received, and very satisfied with the client alliance. A correlation analysis between the clients’ perceived level of improvement and therapist satisfaction showed a strong correlation between the two variables (r?=?.50, p?therapy form. An analysis of the CPPS results confirmed that the form of therapy used at the training site was more strongly CBT than psychodynamic interpersonal treatment (p???.001). The CBT subscale score indicated that the therapy was characteristic of CBT, confirming that the interventions used in the therapy belong to the CBT genre. PMID:24436779

Hiltunen, Arto J; Kocys, Elo; Perrin-Wallqvist, Renée

2013-01-01

233

Acceptance and Commitment Therapy for Smoking Cessation: A Preliminary Study of Its Effectiveness in Comparison With Cognitive Behavioral Therapy  

Microsoft Academic Search

This controlled preliminary trial determined the feasibility and initial effectiveness of a promising behavioral intervention for smoking: Acceptance and Commitment Therapy (ACT). In a quasi-experimental design, the ACT intervention condition used metaphors and experiential exercises focused on personal values to motivate quitting smoking and enhancing the willingness to experience internal cues to smoke (e.g., urges) and abstinence-related internal distress. The

Mónica Hernández-López; M. Carmen Luciano; Jonathan B. Bricker; Jesús G. Roales-Nieto; Francisco Montesinos

2009-01-01

234

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

235

Naturalistic outcome of case formulation-driven cognitive-behavior therapy for anxious depressed outpatients  

Microsoft Academic Search

This article describes a case formulation-driven approach to the treatment of anxious depressed outpatients and presents naturalistic outcome data evaluating its effectiveness. Fifty-eight patients who received case formulation-driven cognitive-behavior therapy (CBT) in a private practice setting were studied. All received individual CBT guided by a case formulation and weekly outcome monitoring; in addition, 40 patients received adjunct therapies, including pharmacotherapy,

Jacqueline B. Persons; Nicole A. Roberts; Christine A. Zalecki; Whitney A. G. Brechwald

2006-01-01

236

The Sequential Combination of Cognitive Behavioral Treatment and Well-Being Therapy in Cyclothymic Disorder  

Microsoft Academic Search

Background: There is a lack of controlled studies of psychological treatment of cyclothymic disorder. The aim of this investigation was to examine the benefits of the sequential combination of cognitive behavioral therapy (CBT) and well-being therapy (WBT) compared to clinical management (CM) in DSM-IV cyclothymic disorder. Methods: Sixty-two patients with DSM-IV cyclothymic disorder were randomly assigned to CBT\\/WBT (n =

Giovanni A. Fava; Chiara Rafanelli; Elena Tomba; Jenny Guidi; Silvana Grandi

2011-01-01

237

Home-based behavioral-systems family therapy with disadvantaged juvenile delinquents  

Microsoft Academic Search

A replication of Alexander's behavioral-systems family therapy model was attempted for lower socioeconomic status juvenile offenders, most of whom had multiple offenses, including misdemeanors and felonies. Twenty-seven male and female delinquents who had either recently been placed out of the home or for whom placement was imminent were court referred to in-home time-unlimited family therapy (mean sessions=16). A comparison group

Donald A. Gordon; Jack Arbuthnot; Kathryn E. Gustafson; Peter Mcgreen

1988-01-01

238

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

239

Cognitive–behavioral group treatment for pathological gambling: analysis of effectiveness and predictors of therapy outcome  

Microsoft Academic Search

The authors sought to examine short- and mid-term effectiveness of a group cognitive–behavioral therapy (CBT) in pathological gambling (PG) and to analyze predictors of therapy outcome. Two hundred ninety PG patients participated in the current study, all diagnosed on the basis of Diagnostic and Statistical Manual of Mental Disorders (4th edition) criteria, and were given manualized outpatient group CBT (16

Susana Jiménez-Murcia; Eva M. Álvarez-Moya; Roser Granero; M. Neus Aymami; Monica Gómez-Peña; Nuria Jaurrieta; Bibiana Sans; Jaume Rodriguez-Marti; Julio Vallejo

2007-01-01

240

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

241

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

242

Dietary adherence and mealtime behaviors in young children with type 1 diabetes on intensive insulin therapy.  

PubMed

Diet is an important component of diabetes treatment and integral to successful management. While intensive insulin therapy can allow patients to eat more freely, it is not known how the rapid uptake of intensive therapy in young children with type 1 diabetes has impacted their diet and if diet and healthful eating in young children correlates with mealtime behaviors and glycemic control. This study examined diet, mealtime behaviors, and glucose control in a sample of 39 young children on intensive therapy. This was a one-sample, cross-sectional study. Children had a mean age of 5.1 ± 1.1 years. Children's 3-day diet diaries were assessed using a deviation scale (measure of adherence) and a healthy eating index. Mealtime behaviors were assessed using the Behavioral Pediatric Feeding Assessment Scale. Children's glucose control was measured using continuous glucose monitoring. Children's mean carbohydrate intake was 72% ± 24% of the recommended levels based on their age, sex, size, and activity level, and children exceeded national guidelines for percentage of calories from fat and saturated fat. A more healthful diet correlated with fewer child mealtime behavior problems, but better dietary adherence correlated with more parent mealtime behavior problems. Even in the context of intensive management, diet can be problematic for young children with type 1 diabetes. Parent-reported problems with mealtime behaviors seem to correlate with healthy eating and dietary adherence. PMID:23351629

Patton, Susana R; Dolan, Lawrence M; Chen, Ming; Powers, Scott W

2013-02-01

243

One-year follow-up of cognitive behavioral therapy for phobic postural vertigo  

Microsoft Academic Search

\\u000a Abstract\\u000a \\u000a \\u000a Background\\u000a   Phobic postural vertigo is characterized by dizziness in standing and walking despite normal clinical balance tests. Patients\\u000a sometimes exhibit anxiety reactions and avoidance behavior to specific stimuli. Different treatments are possible for PPV,\\u000a including vestibular rehabilitation exercises, pharmacological treatment, and cognitive behavioral therapy. We recently reported\\u000a significant benefits of cognitive behavioural therapy for patients with phobic postural vertigo.

Johan Holmberg; Mikael Karlberg; Uwe Harlacher; Måns Magnusson

2007-01-01

244

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

245

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

246

Predictors of Response to Cognitive-Behavioral Group Therapy for Social Phobia  

Microsoft Academic Search

Response to cognitive-behavioral group therapy for social phobia was assessed at posttest and 6-month follow-up in a sample of 62 clients (41 generalized subtype, 21 nongeneralized). Predictors assessed were depression, expectancy, personality disorder traits, clinician-rated breadth and severity of impairment, and frequency of negative thoughts during social interactions. Outcome measures included self-report questionnaires and behavioral tests of dyadic interaction and

Carol R. Glass; Giao Q. Tran

1997-01-01

247

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

248

Parental Assessment of Executive Function and Internalizing and Externalizing Behavior in Primary Hypertension after Antihypertensive Therapy  

PubMed Central

Objective To determine the change in parental ratings of executive function and behavior in children with primary hypertension following antihypertensive therapy. Study design Parents of untreated hypertensive subjects and controls completed the Behavior Rating Inventory of Executive Function (BRIEF) to assess behavioral correlates of executive function and the Child Behavior Checklist (CBCL) to assess internalizing and externalizing behaviors. Hypertensive subjects subsequently received antihypertensive therapy to achieve casual BP < 95th percentile. After 12 months, all parents again completed the BRIEF and CBCL. Results Twenty-two subjects with hypertension and 25 normotensive control subjects had both baseline and 12-month assessments. Hypertensive subject’s blood pressure improved (24-hr systolic BP load: mean baseline vs. 12-months, 60 vs. 25%, p < 0.001). Parent ratings of executive function improved from baseline to 12-months in the hypertensives (BRIEF Global Executive Composite T-score, ? = ?5.9, p = 0.001) but not in the normotensive controls (? = ?0.36, p = 0.83). In contrast, T-scores on the Child Behavior Checklist Internalizing and Externalizing summary scales did not change significantly from baseline to 12-months in either hypertensive or control subjects. Conclusions Children with hypertension demonstrated improvement in parental ratings of executive function after 12 months of antihypertensive therapy. PMID:20227722

Lande, Marc B.; Adams, Heather; Falkner, Bonita; Waldstein, Shari R.; Schwartz, George J.; Szilagyi, Peter G.; Wang, Hongyue; Palumbo, Donna

2010-01-01

249

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

250

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

251

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

252

Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial  

Microsoft Academic Search

Background: Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment. This study tested a modular cognitive behavioral therapy (CBT) program for children with this profile. A standard CBT program was augmented with multiple treatment components designed to accommodate or remediate the social and adaptive skill deficits of children with ASD that could pose

Jeffrey J. Wood; Amy Drahota; Karen Sze; Kim Har; Angela Chiu; David A. Langer

2009-01-01

253

An Uncontrolled Evaluation of Inpatient and Outpatient Cognitive-Behavior Therapy for Bulimia Nervosa  

Microsoft Academic Search

Inpatient (n = 27) and outpatient (n = 22) cognitive-behavior therapy programs for bulimia nervosa were evaluated in an uncontrolled experiment. Both treatment conditions included exposure with response prevention and cognitive restructuring. Inpatient treatment had a mean length of stay of 5 weeks. Outpatient treatment lasted 15 weeks. Both groups were followed after the end of treatment. The results showed

Donald A. Williamson; Rita C. Prather; Sandra M. Bennett; C. J. Davis; Philip C. Watkins; Charles E. Grenier

1989-01-01

254

Diagnostic subtype, avoidant personality disorder, and efficacy of cognitive—behavioral group therapy for social phobia  

Microsoft Academic Search

Increasing recognition of the heterogeneity of social phobia has led to the development of various subtyping classification schemes and controversy over the boundary between social phobia and avoidant personality disorder (APD). This study investigated the utility of one subtyping system by comparing efficacy of cognitive-behavioral group therapy for generalized social phobia (fears in all major situational domains) and nongeneralized social

Debra A. Hope; James D. Herbert; Cameron White

1995-01-01

255

The Effect of Cognitive Behavioral Therapy (CBT) on Depression: The Role of Problem-Solving Appraisal  

ERIC Educational Resources Information Center

Objective: Many studies have confirmed the efficacy of cognitive behavioral therapy (CBT) as a treatment for depression. However, the mechanism of CBT for depression reduction is still not well understood. This study explored the mechanism of CBT from the perspective of individuals' problem-solving appraisal. Method: A one-group pretest-posttest…

Chen, Szu-Yu; Jordan, Catheleen; Thompson, Sanna

2006-01-01

256

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

257

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

ERIC Educational Resources Information Center

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

McEvoy, Peter M.; Nathan, Paula

2007-01-01

258

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

259

A Comparison of Social Phobia Outcome Measures in Cognitive-Behavioral Group Therapy  

Microsoft Academic Search

This article reports the effects of a cognitive-behavioral group therapy program for social phobia (N = 25 outpatients) on several psychometric measures. It is the first study to simultaneously examine three newer and promising social-phobia measures: the Social Phobia Scale (SPS) and accompanying Social Interaction Anxiety Scale (SIAS), the Social Phobia and Anxiety Inventory (SPAI), and the Liebowitz Social Anxiety

Brian J. Cox; Leah Ross; Richard P. Swinson; David M. Direnfeld

1998-01-01

260

Evaluating a Web-Based Cognitive-Behavioral Therapy for Maladaptive Perfectionism in University Students  

ERIC Educational Resources Information Center

Objective: This study assessed a Web-based cognitive-behavioral therapy (CBT) for maladaptive perfectionism, investigating perfectionism, anxiety, depression, negative automatic thoughts, and perceived stress. Participants: Participants were undergraduate students defined as maladaptive perfectionists through a screening questionnaire at an urban…

Radhu, Natasha; Daskalakis, Zafiris J.; Arpin-Cribbie, Chantal A.; Irvine, Jane; Ritvo, Paul

2012-01-01

261

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

262

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

263

Cognitive-Behavioral Group Therapy for Depression in Adolescents with Diabetes: A Pilot Study  

Microsoft Academic Search

The purpose of this study is to adapt and pilot test a group Cognitive-Behavioral Therapy (CBT) model which has been proven to be effective in treating depression in Puerto Rican adolescents, to treat depressive symptoms and improve glycemic control in adolescents with diabetes. Eleven adolescents aged 13-16 participated in a 12 session group CBT intervention. Indicators of outcome effects (depressive

Jeannette M. Rosselló; María I. Jiménez-Chafey

264

Cognitive–behavioral group therapy is an effective treatment for major depression in hemodialysis patients  

Microsoft Academic Search

Depression is an important target of psychological assessment in patients with end-stage renal disease because it predicts their morbidity, mortality, and quality of life. We assessed the effectiveness of cognitive–behavioral therapy in chronic hemodialysis patients diagnosed with major depression by the Mini International Neuropsychiatric Interview (MINI). In a randomized trial conducted in Brazil, an intervention group of 41 patients was

Priscila Silveira Duarte; Maria Cristina Miyazaki; Sergio Luís Blay; Ricardo Sesso

2009-01-01

265

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

266

Behavioral Treatment of Problem Drinkers: A Comparative Outcome Study of Three Controlled Drinking Therapies  

ERIC Educational Resources Information Center

Self-referred and court-referred clients were randomly assigned to one of three treatment groups, aversive counterconditioning, behavioral self-control training or a controlled drinking composite. All therapies were conducted by trained paraprofessionals and consisted of 10 weekly sessions. No significant differences among treatments were found.…

Miller, William R.

1978-01-01

267

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

268

Cognitive behavior therapy for chronic insomnia occurring within the context of medical and psychiatric disorders  

Microsoft Academic Search

Insomnia is a pervasive problem for many patients suffering from medical and psychiatric conditions. Even when the comorbid disorders are successfully treated, insomnia often fails to remit. In addition to compromising quality of life, untreated insomnia may also aggravate and complicate recovery from the comorbid disease. Cognitive behavior therapy for insomnia (CBT-I) has an established efficacy for primary insomnia, but

Michael T. Smith; Mary I. Huang; Rachel Manber

2005-01-01

269

Cognitive behavioral therapy for panic disorder and comorbidity: More of the same or less of more?  

Microsoft Academic Search

This study compared the effects of a higher dose of cognitive behavioral therapy (CBT) for panic disorder versus CBT for panic disorder combined with “straying” to CBT for comorbid disorders in individuals with a principal diagnosis of panic disorder with or without agoraphobia. Sixty-five participants were randomly assigned to one of two treatment conditions, either CBT focused solely upon panic

Michelle G. Craske; Todd J. Farchione; Laura B. Allen; Velma Barrios; Milena Stoyanova; Raphael Rose

2007-01-01

270

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

Microsoft Academic Search

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 experienced significantly slower symptom improvement than youths in

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

2006-01-01

271

Group cognitive-behavioral therapy for patients with epilepsy and comorbid depression and anxiety  

Microsoft Academic Search

Clinical Practice Guidelines for depression and anxiety recommend cognitive-behavioral therapy (CBT) as an equivalent and sometimes more effective treatment than medication. The limited research investigating CBT for anxiety and depression in epilepsy demonstrates mixed results. Described here is a pilot project using an existing group CBT intervention for symptoms of depression and\\/or anxiety, CBT Basics II, in patients with epilepsy.

S. Macrodimitris; J. Wershler; M. Hatfield; B. Backs-Dermott; K. Mothersill; C. Baxter; S. Wiebe

2011-01-01

272

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

273

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

274

Cognitive Behavioral Therapy for Subjects at Ultrahigh Risk for Developing Psychosis: A Randomized Controlled Clinical Trial  

Microsoft Academic Search

Background: Evidence for the effectiveness of treatments for subjects at ultrahigh risk (UHR) for developing psycho- sis remains inconclusive. Objective: A new cognitive behav- ioral intervention specifically targeted at cognitive biases (ie, Cognitive Behavioral Therapy (CBT) for UHR patients plus treatment as usual (TAU) called CBTuhr) is com- pared with TAU in a group of young help-seeking UHR subjects. Methods:

Mark van der Gaag; Dorien H. Nieman; Judith Rietdijk; Sara Dragt; Helga K. Ising; Rianne M. C. Klaassen; Maarten Koeter; Pim Cuijpers; Lex Wunderink; Don H. Linszen; GGZ Friesland

2012-01-01

275

Changes in post-event processing and metacognitions during cognitive behavioral group therapy for social phobia  

Microsoft Academic Search

This study examined changes in post-event processing (PEP), metacognitions, and symptoms of social anxiety and depression following cognitive behavioral group therapy for social phobia (N=61). Social anxiety, depression symptoms and PEP all significantly reduced following treatment. Reductions in PEP were associated with reductions in symptoms of social anxiety, but not depression. Metacognitions were also less strongly endorsed following treatment, with

Peter M. McEvoy; Alison Mahoney; Sarah J. Perini; Patrick Kingsep

2009-01-01

276

A Randomized Controlled Trial of Cognitive Behavioral Group Therapy for Bipolar Disorder  

Microsoft Academic Search

Background: This study evaluated the effectiveness of adjunctive cognitive behavioral group therapy (CBGT) to prevent recurrence of episodes in euthymic patients with bipolar disorder. Methods: A randomized controlled single-blind trial was conducted with 50 patients with bipolar disorder types I and II followed up for at least 12 months in an outpatient service and whose disease was in remission. An

B. C. Gomes; L. N. Abreu; E. Brietzke; S. C. Caetano; A. Kleinman; F. G. Nery; B. Lafer

2011-01-01

277

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial  

Microsoft Academic Search

Early identification and treatment of social anxiety disorder (SAD) is critical to prevent development of a chronic course of symptoms, persistent functional impairment, and progressive psychiatric comorbidity. A small but growing literature supports the effectiveness of cognitive behavior therapy (CBT) for anxiety disorders, including SAD, in adolescence. The present randomized controlled trial evaluated the efficacy of group vs. individual CBT

James D. Herbert; Brandon A. Gaudiano; Alyssa A. Rheingold; Ethan Moitra; Valerie H. Myers; Kristy L. Dalrymple; Lynn L. Brandsma

2009-01-01

278

Group cohesion in cognitive-behavioral group therapy for social phobia  

Microsoft Academic Search

Cognitive-behavior therapy (CBT) for Social Phobia is effective in both group and individual formats. However, the impact of group processes on treatment efficacy remains relatively unexplored. In this study we examined group cohesion ratings made by individuals at the midpoint and endpoint of CBT groups for social phobia. Symptom measures were also completed at the beginning and end of treatment.

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

2007-01-01

279

Cognitive Behavioral Therapy across the Stages of Psychosis: Prodromal, First Episode, and Chronic Schizophrenia  

ERIC Educational Resources Information Center

Since the early 1990s, cognitive behavioral therapy (CBT) has been increasingly used as an adjunctive treatment for psychotic disorders. This paper describes the CBT of three cases, each at a different stage of psychotic disorder: at-risk mental state, first-episode psychosis, and chronic psychotic disorder. For the at-risk mental state, treatment…

Valmaggia, Lucia R.; Tabraham, Paul; Morris, Eric; Bouman, Theo K.

2008-01-01

280

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

281

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

282

Computer-Assisted Cognitive Behavioral Therapy for Child Anxiety: Results of a Randomized Clinical Trial  

ERIC Educational Resources Information Center

Objective: This study examined the feasibility, acceptability, and effects of Camp Cope-A-Lot (CCAL), a computer-assisted cognitive behavioral therapy (CBT) for anxiety in youth. Method: Children (49; 33 males) ages 7-13 (M = 10.1 [plus or minus] 1.6; 83.7% Caucasian, 14.2% African American, 2% Hispanic) with a principal anxiety disorder were…

Khanna, Muniya S.; Kendall, Philip C.

2010-01-01

283

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

284

Group cognitive behavioral therapy for bipolar disorder: a feasibility and effectiveness study  

Microsoft Academic Search

Background: Bipolar disorder (BD) is a common disorder that results in significant psychosocial impairment, including diminished quality of life and functioning, despite aggressive pharmacotherapy. Psychosocial interventions that target functional factors could be beneficial for this population, and we hypothesized that the addition of group cognitive behavioral therapy (CBT) to maintenance pharmacotherapy would improve functioning and quality of life. Methods: Patients

Irene Patelis-Siotis; L. Trevor Young; Janine C. Robb; Michael Marriott; Peter J. Bieling; Linda C. Cox; Russell T. Joffe

2001-01-01

285

The Effects of Behavior Therapy, Self-Relaxation, and Transcendental Meditation on Cardiovascular Stress Response.  

ERIC Educational Resources Information Center

Compared Behavior Therapy (BT), self-relaxation (SR), transcendental meditation (TM), and a waiting-list control group (WL) on measures of cardiovascular and subjective stress response. Results indicate that BT and SR were more effective than either TM or WL in reducing cardiovascular stress response. (Author)

Puente, Antonio E.; Beiman, Irving

1980-01-01

286

Cognitive-Behavioral Therapy for PTSD in Children and Adolescents: A Preliminary Randomized Controlled Trial  

ERIC Educational Resources Information Center

Objective: To evaluate the efficacy of individual trauma-focused cognitive-behavioral therapy (CBT) for treating posttraumatic stress disorder (PTSD) in children and young people. Method: Following a 4-week symptom-monitoring baseline period, 24 children and young people (8-18 years old) who met full "DSM-IV" PTSD diagnostic criteria after…

Smith, Patrick; Yule, William; Perrin, Sean; Tranah, Troy; Dagleish, Tim; Clark, David M.

2007-01-01

287

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

288

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

289

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

290

Social skills training augments the effectiveness of cognitive behavioral group therapy for social anxiety disorder  

Microsoft Academic Search

Cognitive Behavioral Group Therapy (CBGT) is the most widely researched intervention program for social anxiety disorder (SAD, also known as social phobia), with a num- ber of studies demonstrating its effectiveness. Another com- mon treatment, social skills training (SST), has also been shown to be efficacious for SAD. The present study com- pared the standard CBGT intervention with a protocol

Kristy Dalrymple; Elizabeth M. Nolan; Alyssa A. Rheingold; Valerie H. Myers

2005-01-01

291

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

292

Children with Anxiety Disorders: Use of a Cognitive Behavioral Therapy Model within a Social Milieu  

ERIC Educational Resources Information Center

Because anxiety is the most common mental health disorder diagnosed in children, early intervention is crucial for fundamental coping. Although cognitive-behavioral therapy (CBT) is the preferred treatment method for this affective disorder, instruction for children needs to be specific for them to successfully acquire and implement essential CBT…

Kearny, Regina; Pawlukewicz, Justine; Guardino, Mary

2014-01-01

293

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

ERIC Educational Resources Information Center

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

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

2005-01-01

294

STANDARD VERSUS EXTENDED COGNITIVE BEHAVIOR THERAPY FOR SOCIAL ANXIETY DISORDER: A RANDOMIZED-CONTROLLED TRIAL  

Microsoft Academic Search

Although cognitive behavior therapy (CBT) has been shown to be generally effective in the treatment of social anxiety disorder (SAD), not all individuals respond to treatment, and among those who do respond the degree of improvement is sometimes far from optimal. Little research has examined the impact of variations in the format of treatment delivery in this area. Participants were

James D. Herbert; Alyssa A. Rheingold; Brandon A. Gaudiano; Valerie H. Myers

2004-01-01

295

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

296

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

297

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

298

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

299

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

300

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

301

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

302

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

303

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

ERIC Educational Resources Information Center

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

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

2012-01-01

304

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

305

Training in Cognitive Behavioral Therapy in Psychiatry Residency: An Overview for Educators  

ERIC Educational Resources Information Center

In January 2001, Accreditation Council of Graduate Medical Education accredited general psychiatry training programs were charged with the requirement to train residents in cognitive-behavioral therapy (CBT) to a level of competence. Programs were given the responsibility to delineate standards for trainees, to determine measures of competence,…

Sudak, Donna M.

2009-01-01

306

Cognitive Behavioral Therapy for Anxiety in Children with Autism Spectrum Disorders: A Randomized, Controlled Trial  

ERIC Educational Resources Information Center

Background: Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment. This study tested a modular cognitive behavioral therapy (CBT) program for children with this profile. A standard CBT program was augmented with multiple treatment components designed to accommodate or…

Wood, Jeffrey J.; Drahota, Amy; Sze, Karen; Har, Kim; Chiu, Angela; Langer, David A.

2009-01-01

307

Cognitive-Behavioral Therapy with Chinese Americans: Research, Theory, and Clinical Practice  

ERIC Educational Resources Information Center

In this article, we discuss how to conduct cognitive-behavioral therapy with Chinese Americans. We present an integration of theory, research, and clinical practice to help mental health practitioners understand how Chinese culture may potentially influence the CBT treatment process for Chinese immigrants. Several recommendations are provided as…

Hwang, Wei-Chin; Wood, Jeffrey J.; Lin, Keh-Ming; Cheung, Freda

2006-01-01

308

Cognitive-Behavioral Therapy for Intermittent Explosive Disorder: A Pilot Randomized Clinical Trial  

ERIC Educational Resources Information Center

No randomized clinical trials have evaluated the efficacy of psychotherapy for intermittent explosive disorder (IED). In the present study, the authors tested the efficacy of 12-week group and individual cognitive-behavioral therapies (adapted from J. L. Deffenbacher & M. McKay, 2000) by comparing them with a wait-list control in a randomized…

McCloskey, Michael S.; Noblett, Kurtis L.; Deffenbacher, Jerry L.; Gollan, Jackie K.; Coccaro, Emil F.

2008-01-01

309

A Self-Help Handout for Benzodiazepine Discontinuation Using Cognitive Behavioral Therapy  

ERIC Educational Resources Information Center

Although prescription rates may be declining, benzodiazepines (BZs) are still very commonly prescribed for the treatment of anxiety disorders. Because many anxiety patients require assistance in successfully discontinuing BZs, cognitive behavioral therapy (CBT) approaches have been specifically developed to target this issue, and an evidence base…

Ahmed, Mariyam; Westra, Henry A.; Stewart, Sherry H.

2008-01-01

310

Virtual Reality Cognitive-Behavior Therapy for Public Speaking Anxiety: One-Year Follow-up  

ERIC Educational Resources Information Center

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…

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

2012-01-01

311

Virtual Reality Cognitive Behavior Therapy for Public Speaking Anxiety: A Randomized Clinical Trial  

ERIC Educational Resources Information Center

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…

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

2009-01-01

312

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

Microsoft Academic Search

BACKGROUND: Empirical support for cognitive behavioral therapy (CBT) for treating Japanese patients with major depression is lacking, therefore, a feasibility study of CBT for depression in Japanese clinical settings is urgently required. FINDINGS: A culturally adapted, 16-week manualized individual CBT program for Japanese patients with major depressive disorder was developed. A total of 27 patients with major depression were enrolled

Daisuke Fujisawa; Atsuo Nakagawa; Miyuki Tajima; Mitsuhiro Sado; Toshiaki Kikuchi; Motomi Hanaoka; Yutaka Ono

2010-01-01

313

Treating Internet Addiction with Cognitive-Behavioral Therapy: A Thematic Analysis of the Experiences of Therapists  

ERIC Educational Resources Information Center

In 2009, one of the major Dutch addiction care organizations initiated a pilot program to explore the possibility of using an existing Cognitive Behavioral Therapy and Motivational Interviewing based treatment program ("Lifestyle Training") to treat internet addiction. The current study evaluates this pilot treatment program by providing a…

van Rooij, Antonius J.; Zinn, Mieke F.; Schoenmakers, Tim M.; van de Mheen, Dike

2012-01-01

314

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

315

Cognitive-Behavioral Therapy to Prevent Relapse in Pediatric Responders to Pharmacotherapy for Major Depressive Disorder  

ERIC Educational Resources Information Center

The outcome of a sequential treatment strategy that included cognitive behavioral therapy (CBT) in the prevention of major depressive disorder relapse among 46 youths is examined. Results show that youths under the antidepressant medication management plus relapse prevention CBT treatment was at lower risk for relapse than those under the…

Kennard, Betsy D.; Emslie, Graham J.; Mayes, Taryn L.; Nightingale-Teresi, Jeanne; Nakonezny, Paul A.; Hughes, Jennifer L.; Jones, Jessica M.; Tao, Rongrong; Stewart, Sunita M.; Jarrett, Robin B.

2008-01-01

316

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

317

Music Therapy and Reading as Intervention Strategies for Disruptive Behavior in Dementia  

Microsoft Academic Search

The disruptive behavior of two agitated nursing home residents, one who suffered a cerebrovascular accident (CVA) and one with Alzheimer's Disease (AD), was observed for two weeks. Eight to 10 personalized 10-minute interventions consisting of reading\\/book exploration or music therapy were presented during the following two weeks. Changes were measured during and immediately after intervention and during the following week.

James C. Gardiner; Michael Furois; Dennis P. Tansley; Bruce Morgan

2000-01-01

318

Hypnosis and Cognitive-Behavioral Therapy during Breast Cancer Radiotherapy: A Case Report  

Microsoft Academic Search

This case report describes an effort to control two primary side-effects of breast cancer radiotherapy (fatigue and skin discomfort) that used a combination of cognitive-behavioral therapy with hypnosis (CBTH). Two patients, matched on demographic and medical variables (marital status, employment status, number of children, cancer diagnosis, surgical history, radiation dose), were compared: one who received a CBTH intervention and one

Julie B. Schnur; Guy H. Montgomery

2008-01-01

319

Fatigue During Breast Cancer Radiotherapy: An Initial Randomized Study of Cognitive–Behavioral Therapy Plus Hypnosis  

Microsoft Academic Search

Objective: The study purpose was to test the effectiveness of a psychological intervention combining cognitive–behavioral therapy and hypnosis (CBTH) to treat radiotherapy-related fatigue. Design: Women (n = 42) scheduled for breast cancer radiotherapy were randomly assigned to receive standard medical care (SMC) (n = 20) or a CBTH intervention (n = 22) in addition to SMC. Participants assigned to receive

Guy H. Montgomery; Maria Kangas; Daniel David; Michael N. Hallquist; Sheryl Green; Dana H. Bovbjerg; Julie B. Schnur

2009-01-01

320

Application of Alternatives for Families: A Cognitive-Behavioral Therapy to School Settings  

ERIC Educational Resources Information Center

Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) is an evidence-based treatment for families with children aged 5 to 15 years who have been affected by verbal and physical aggression in the family. AF-CBT was designed to address risks for exposure to emotional and physical aggression as well as common clinical consequences of…

Herschell, Amy D.; Kolko, David J.; Baumann, Barbara L.; Brown, Elissa J.

2012-01-01

321

Cognitive Behavioral Therapy and the Treatment of Posttraumatic Stress Disorder: Where Counseling and Neuroscience Meet  

ERIC Educational Resources Information Center

There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the…

Makinson, Ryan A.; Young, J. Scott

2012-01-01

322

Acceptance and Commitment Therapy as a Unified Model of Behavior Change  

ERIC Educational Resources Information Center

The present article summarizes the assumptions, model, techniques, evidence, and diversity/social justice commitments of Acceptance and Commitment Therapy (ACT). ACT focused on six processes (acceptance, defusion, self, now, values, and action) that bear on a single overall target (psychological flexibility). The ACT model of behavior change has…

Hayes, Steven C.; Pistorello, Jacqueline; Levin, Michael E.

2012-01-01

323

Responder Status Criterion for Stepped Care Trauma-Focused Cognitive Behavioral Therapy for Young Children  

ERIC Educational Resources Information Center

Background: In order to develop Stepped Care trauma-focused cognitive behavioral therapy (TF-CBT), a definition of early response/non-response is needed to guide decisions about the need for subsequent treatment. Objective: The purpose of this article is to (1) establish criterion for defining an early indicator of response/non-response to the…

Salloum, Alison; Scheeringa, Michael S.; Cohen, Judith A.; Storch, Eric A.

2015-01-01

324

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

325

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

Microsoft Academic Search

Researchers have recently suggested that the commonalities across the emotional disorders outweigh the differences, and thus similar treatment principles could be applied in unified interventions. In this study, the authors used a benchmarking strategy to investigate the transportability of cognitive–behavioral therapy (CBT) for anxiety and depression to mixed-diagnosis groups. Patients (N = 143) attended 10 2-hour sessions of group CBT

Peter M. McEvoy; Paula Nathan

2007-01-01

326

Sudden Gains and Critical Sessions in Cognitive—Behavioral Therapy for Depression  

Microsoft Academic Search

In this study of cognitive—behavioral therapy for depression, many patients experienced large symptom improvements in a single between-sessions interval. These sudden gains' average magnitude was 11 Beck Depression Inventory points, accounting for 50% of these patients' total improvement. Patients who experienced sudden gains were less depressed than the other patients at posttreatment, and they remained so 18 months later. Substantial

Tony Z. Tang; Robert J. DeRubeis

2000-01-01

327

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

328

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

329

Videoconferencing-based cognitive-behavioral therapy for obsessive-compulsive disorder  

Microsoft Academic Search

Obsessive-compulsive disorder (OCD) is a prevalent, chronic and disabling anxiety disorder. Despite the efficacy and strength of pharmacologic interventions for OCD, medications are not always well accepted or effective, making an efficacious psychosocial alternative especially attractive. Cognitive-behavioral therapy (CBT) has been established as an effective treatment for adult OCD, yet access to such treatment is limited, especially in rural areas.

Joseph A. Himle; Daniel J. Fischer; Jordana R. Muroff; Michelle L. Van Etten; Laura M. Lokers; James L. Abelson; Gregory L. Hanna

2006-01-01

330

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

331

Effects of Behavioral Marital Therapy on Couples' Communication and Problem-Solving Skills.  

ERIC Educational Resources Information Center

Examined the effectiveness of behavioral marital therapy in improving communication and problem solving skills in 29 couples. Couples' problem discussions were videotaped and rated. Results showed that BMT was effective. The interaction patterns of the treated couples resembled patterns exhibited by nondistressed controls. (JAC)

Hahlweg, Kurt; And Others

1984-01-01

332

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

333

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

334

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

335

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

ERIC Educational Resources Information Center

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

Ghafoori, Bita; Ratanasiripong, Paul; Holladay, Christina

2010-01-01

336

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

337

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

338

Cognitive-Behavioral Therapy for Anxiety Disordered Youth: A Randomized Clinical Trial Evaluating Child and Family Modalities  

ERIC Educational Resources Information Center

This randomized clinical trial compared the relative efficacy of individual (child) cognitive-behavioral therapy (ICBT), family cognitive-behavioral therapy (FCBT), and a family-based education/support/attention (FESA) active control for treating anxiety disordered youth ages 7-14 years (M = 10.27). Youth (N = 161; 44% female; 85% Caucasian, 9%…

Kendall, Philip C.; Hudson, Jennifer L.; Gosch, Elizabeth; Flannery-Schroeder, Ellen; Suveg, Cynthia

2008-01-01

339

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

340

A Randomized Controlled Trial of Cognitive-Behavioral Therapy for Persistent Symptoms in Schizophrenia Resistant to Medication  

Microsoft Academic Search

Background: Research evidence supports the efficacy of cognitive-behavioral therapy in the treatment of drug- refractory positive symptoms of schizophrenia. Al- though the cumulative evidence is strong, early con- trolled trials showed methodological limitations. Methods: A randomized controlled design was used to compare the efficacy of manualized cognitive- behavioral therapy developed particularly for schizo- phrenia with that of a nonspecific befriending

Tom Sensky; Douglas Turkington; David Kingdon; Janine L. Scott; Jonathan Scott; Ronald Siddle; Madeline O'Carroll; Thomas R. E. Barnes

2000-01-01

341

Melatonin therapy for REM sleep behavior disorder: a critical review of evidence.  

PubMed

Rapid eye movement (REM) sleep behavior disorder (RBD) is a parasomnia associated with dream enactment often involving violent or potentially injurious behaviors during REM sleep that is strongly associated with synucleinopathy neurodegeneration. Clonazepam has long been suggested as the first-line treatment option for RBD. However, evidence supporting melatonin therapy is expanding. Melatonin appears to be beneficial for the management of RBD with reductions in clinical behavioral outcomes and decrease in muscle tonicity during REM sleep. Melatonin also has a favorable safety and tolerability profile over clonazepam with limited potential for drug-drug interactions, an important consideration especially in elderly individuals with RBD receiving polypharmacy. Prospective clinical trials are necessary to establish the evidence basis for melatonin and clonazepam as RBD therapies. PMID:25454845

McGrane, Ian R; Leung, Jonathan G; St Louis, Erik K; Boeve, Bradley F

2014-10-13

342

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

343

A Comparative Evaluation of Cognitive-Behavioral Therapy (CBT) Versus Exercise Therapy (ET) for the Treatment of Body Image DisturbancePreliminary Findings  

Microsoft Academic Search

Cognitive-behavioral therapy (CBT) was compared to a combination of aerobic\\/anaerobic exercise therapy (ET) for the treatment of elevated levels of body image disturbance in college females. CBT consisted of a modification of the 1987 Butters and Cash procedure that was tailored for group intervention; ET consisted of weightlifting and aerobic dancing. Using a counterbalancing procedure, the same therapists conducted both

Erik Fisher; J. Kevin Thompson

1994-01-01

344

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

345

Dominican Children with HIV not Receiving Antiretrovirals: Massage Therapy Influences their Behavior and Development  

PubMed Central

Forty-eight children (M age?=?4.8 years) infected with HIV/AIDS and living in the Dominican Republic were randomly assigned to a massage therapy or a play session control group. The children in the massage therapy group received two weekly 20-min massages for 12 weeks; the children in the control group participated in a play session (coloring, playing with blocks) for the same duration and length as the massage therapy group. Overall, the children in the massage therapy group improved in self-help abilities and communication, suggesting that massage therapy may enhance daily functioning for children with HIV/AIDS. Moreover, the HIV infected children who were six or older also showed a decrease in internalizing behaviors; specifically depressive/anxious behaviors and negative thoughts were reduced. Additionally, baseline assessments revealed IQ equivalence below normal functioning for 70% of the HIV infected children and very high incidences of mood problems (depression, withdrawn) for 40% of the children and anxiety problems for 20% of the children, suggesting the need for better monitoring and alternative interventions in countries with limited resources to improve cognition and the mental health status of children infected with HIV/AIDS. PMID:18830444

Shor-Posner, Gail; Baez, Jeannette; Soto, Solange; Mendoza, Rosangela; Castillo, Raquel; Quintero, Noaris; Perez, Eddy; Zhang, Guoyan

2008-01-01

346

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

347

Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome  

PubMed Central

Background A randomized controlled trial examining the efficacy of behavior therapy for pediatric trichotillomania was recently completed with 24 participants ranging in age from 7 - 17. The broad age range raised a question about whether young children, older children, and adolescents would respond similarly to intervention. In particular, it is unclear whether the younger children have the cognitive capacity to understand concepts like "urges" and whether they are able to introspect enough to be able to benefit from awareness training, which is a key aspect of behavior therapy for trichotillomania. Methods Participants were randomly assigned to receive either behavior therapy (N = 12) or minimal attention control (N = 12), which was included to control for repeated assessments and the passage of time. Primary outcome measures were the independent evaluator-rated NIMH-Trichotillomania Severity Scale, a semi-structured interview often used in trichotillomania treatment trials, and a post-treatment clinical global impression improvement rating (CGI-I). Results The correlation between age and change in symptom severity for all patients treated in the trial was small and not statistically significant. A 2 (group: behavioral therapy, minimal attention control) × 2 (time: week 0, 8) × 2 (children < 9 yrs., children > 10) ANOVA with independent evaluator-rated symptom severity scores as the continuous dependent variable also detected no main effects for age or for any interactions involving age. In light of the small sample size, the mean symptom severity scores at weeks 0 and 8 for younger and older patients randomized to behavioral therapy were also plotted. Visual inspection of these data indicated that although the groups appeared to have started at similar levels of severity for children ? 9 vs. children ? 10; the week 8 data show that the three younger children did at least as well as if not slightly better than the nine older children and adolescents. Conclusions Behavior therapy for pediatric trichotillomania appears to be efficacious even in young children. The developmental and clinical implications of these findings will be discussed. Trial Registration Clinicaltrials.gov NCT00043563. PMID:20584275

2010-01-01

348

Dbt-5: A fair usage open-source tpc-e implementation for performance evaluation of computer systems  

Microsoft Academic Search

The TPC-E is the new benchmark recently approved by the TPC co un- cil. It is designed to exercise an On-Line Transaction Proce ssing workload of a brokerage firm and be representative of current database se rver work. In this paper we present DBT-5, a fair usage open-source implementa tion of the TPC-E benchmark. In addition to reporting on the

M Wong; PRM Maciel; Paulo Romero Martins Maciel

2007-01-01

349

Chimpanzee Behavioral Anomalies: The Effect of Sensory Integration Therapy, Enrichment, and Environment on a Captive Individual (Pan Troglodytes)  

Microsoft Academic Search

Apes in captivity often display behavioral abnormalities that may threaten their health or disrupt the functioning of social groups. This research study will examine the effects on a group of chimpanzees (Pan troglodytes) at the Saint Louis Zoo of applying behavioral therapy intervention used with human children who exhibit similar behaviors. Utilizing direct observation and video taping, data will be

Ellen J. Ingmanson

2010-01-01

350

The Use and Nature of Present-Focused Interventions in Cognitive and Behavioral Therapies for Depression  

PubMed Central

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 recent trials of CBT for depression and, in Phase I, raters identified present-focused interventions on a turn-by-turn basis. Phase II raters used a qualitative analysis to determine categories of present-focused interventions. Results indicated that therapists rarely focused on the therapeutic relationship; when they did it was often transient and lacking in the elaborations suggested by newer approaches. Therapists more often performed therapy process and emotion focused interventions, but these also tended to lack elaboration. PMID:20383284

Kanter, Jonathan W.; Rusch, Laura C.; Landes, Sara J.; Holman, Gareth I.; Whiteside, Ursula; Sedivy, Sonja K.

2010-01-01

351

Everolimus and intensive behavioral therapy in an adolescent with tuberous sclerosis complex and severe behavior????  

PubMed Central

Background Self-injury and aggression have been reported in individuals with TSC (tuberous sclerosis complex), yet few data exist about treatment. Everolimus, an mTOR inhibitor, has been FDA-approved for subependymal giant cell astrocytomas (SEGAs) and renal angiomyolipomas in TSC. However, clinical use of everolimus with direct, real-time observations of self-injury and aggression in an individual with TSC has not been reported. Methods During an inpatient admission to a neurobehavioral unit, real-time measurements of behaviors and seizures were recorded. An interdisciplinary team used these data to make treatment decisions and applied behavioral and pharmacological treatments, one at a time, in order to evaluate their effects. Results Aggression and self-injury improved with applied behavioral analysis (ABA), lithium, and asenapine. Improvements in SEGA size, facial angiofibromas, seizures, and the most stable low rates of self-injury were observed during the interval of treatment with everolimus. Conclusion Mechanism-based treatments in the setting of an evidence-based behavioral and psychopharmacological intervention program may be a model with utility for characterization and treatment of individuals with severe behavior and TSC.

Gipson, Tanjala T.; Jennett, Heather; Wachtel, Lee; Gregory, Mary; Poretti, Andrea; Johnston, Michael V.

2013-01-01

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

Internet-delivered cognitive behavior therapy for anxiety disorders is here to stay.  

PubMed

Anxiety disorders are common and disabling. Cognitive behavior therapy is the treatment of choice but is often difficult to obtain. Automated, internet-delivered, cognitive behavior therapy (iCBT) courses may be an answer. There are three recent systematic reviews of randomized controlled trials that show that the benefits are substantial (d?=?1.0) and similar to face to face CBT. There are two large effectiveness trials that demonstrate strong effects when iCBT is used in primary care; 60 % of patients who complete the courses no longer meet diagnostic criteria. The courses are suitable for most people with a primary anxiety disorder. Research studies usually exclude people whose anxiety is secondary to schizophrenia, bipolar disorder, or substance abuse or who are actively suicidal. Little additional input from clinicians is required. Patients find the courses very convenient. Clinically, the principal advantage is the fidelity of the treatment. What you prescribe is what the patient sees. PMID:25413639

Andrews, Gavin; Newby, Jill M; Williams, Alishia D

2015-01-01

354

Implementing brief cognitive behavioral therapy in primary care: A pilot study.  

PubMed

Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity. PMID:24904701

Mignogna, Joseph; Hundt, Natalie E; Kauth, Michael R; Kunik, Mark E; Sorocco, Kristen H; Naik, Aanand D; Stanley, Melinda A; York, Kaki M; Cully, Jeffrey A

2014-06-01

355

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

356

[A specific therapy for chronic depression. McCullough's Cognitive Behavioral Analysis System of Psychotherapy].  

PubMed

Chronic depression is a common disorder which causes significant impairment and enormous treatment costs. Traditional pharmacological and psychological treatment approaches have shown only modest success. The Cognitive Behavioral Analysis System of Psychotherapy (CBASP) by James McCullough is the only therapy developed specifically for chronic depression. It integrates behavioral, cognitive, and interpersonal strategies. The approach is supported empirically and shown to be effective. This article presents the state of the art regarding research in psychotherapeutic treatment for chronic depression. In addition, the development of the approach and therapeutic strategies and techniques of CBASP are described. PMID:16508747

Schramm, E; Caspar, F; Berger, M

2006-03-01

357

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

358

Brief Report: Adapted Cognitive Behavioral Group Therapy for Depressed Low-Income African American Women  

Microsoft Academic Search

In this study we examine the degree to which a manualized cognitive-behavioral therapy intervention can be adapted to be culturally sensitive in treating depressed low-income African American women with multiple stressors. We describe the adaptations we made to an existing intervention, a group treatment developed for depressed low-income medical patients. We also describe our evaluation of the adapted treatment in

Laura P. Kohn; Tatia Oden; Ricardo F. Muñoz; Ayinka Robinson; Daria Leavitt

2002-01-01

359

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

360

A pilot study of two-day cognitive-behavioral therapy for panic disorder  

Microsoft Academic Search

The present study investigated the short-term efficacy of brief, intensive cognitive-behavioral therapy (CBT) for panic disorder (PD). The treatment involved 9h of therapist contact over two consecutive days and was developed for the purpose of delivering CBT for PD to a largely rural patient population that must travel long distances to find a treatment provider. Ten patients who elected to

Brett Deacon; Jonathan Abramowitz

2006-01-01

361

Effect of referral source on outcome with cognitive-behavior therapy self-help  

Microsoft Academic Search

Little is known about how psychiatric patients' source of referral relates to treatment outcome. This study examines the effect of referral source on clinical outcome with computer-aided cognitive-behavior therapy (CCBT) for anxiety and depressive disorders. Three hundred fifty-five referrals to a clinic that offered CCBT with brief backup from a clinician were classified into general practitioner (GP) referrals (34%), mental

David Mataix-Cols; Rachel Cameron; Lina Gega; Mark Kenwright; Isaac M. Marks

2006-01-01

362

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

Microsoft Academic Search

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 GAD took part in the study. The efficacy of the treatment was assessed

Joane Labrecque; André Marchand; Michel J. Dugas; Andrée Letarte

2007-01-01

363

Does learned resourcefulness predict the response to cognitive behavioral therapy for depression?  

Microsoft Academic Search

We attempted to replicate findings that depressed patients with high learned resourcefulness, as measured by the Self-Control\\u000a Schedule (SCS), respond better to cognitive behavioral therapy (CBT) in a pooled sample of 112 depressed patients, including\\u000a 53 patients participating in a controlled research investigation and 59 private practice patients participating in a naturalistic\\u000a research study. As predicted, patients with high learned

David D. Burns; Stephanie Rude; Anne D. Simons; M. Anthony Bates; Michael E. Thase

1994-01-01

364

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

365

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

366

Cognitive-behavioral family therapy for anxiety-disordered children: A multiple-baseline evaluation  

Microsoft Academic Search

Six children (aged 9 to 13) diagnosed with a childhood anxiety disorder were treated with an 18-session, family-based cognitive-behavioral therapy that was evaluated using assessments from multiple sources and a multiple-baseline (2, 4, and 6 weeks) across-cases design. Diagnoses, parent and teacher reports, and child self-reports assessed outcome. Changes in diagnostic status, standardized parent- and teacher-report measures, and parent and

Bonnie L. Howard; Philip C. Kendall

1996-01-01

367

Cognitive–Behavioral Therapy for Intermittent Explosive Disorder: A Pilot Randomized Clinical Trial  

Microsoft Academic Search

No randomized clinical trials have evaluated the efficacy of psychotherapy for intermittent explosive disorder (IED). In the present study, the authors tested the efficacy of 12-week group and individual cognitive–behavioral therapies (adapted from J. L. Deffenbacher & M. McKay, 2000) by comparing them with a wait-list control in a randomized clinical trial among adults with IED (N = 45). Aggression,

Michael S. McCloskey; Kurtis L. Noblett; Jerry L. Deffenbacher; Jackie K. Gollan; Emil F. Coccaro

2008-01-01

368

Impact of cognitive-behavioral therapy for panic disorder on comorbidity: a controlled investigation  

Microsoft Academic Search

This study examined the effects of cognitive-behavioral therapy (CBT) for principal panic disorder with or without agoraphobia, on comorbidity in 30 individuals (16 female). To test the hypothesis that improvements in co-existing conditions were not due to spontaneous fluctuations across time, patients receiving immediate CBT were compared to those assigned to wait list (n=11). Results indicated clinician-rated severity of comorbid

Jennie C. I. Tsao; Jayson L. Mystkowski; Bonnie G. Zucker; Michelle G. Craske

2005-01-01

369

Cognitive Behavioral Group Therapy for Mood Management in Individuals With Intellectual Disabilities: A Pilot Study  

Microsoft Academic Search

Individuals with intellectual disabilities (ID) often display mental health symptoms that may benefit from psychotherapy. In this pilot study, a newly designed cognitive behavioral therapy (CBT) group treatment targeting mood difficulties was provided to 8 adults with mild-borderline ID. Assessment occurred at pretreatment, posttreatment, and 4 month follow-up using the Symptom Checklist 90-Revised. The findings suggest a significant within-group effect

Bita Ghafoori; Paul Ratanasiripong; Christina Holladay

2010-01-01

370

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

371

A comparison of sensory integrative and behavioral therapies as treatment for pediatric feeding disorders.  

PubMed

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 integration for both children. The results are discussed in terms of the challenges of evaluating sensory-integration-based treatments, and the reasons why component analyses of multicomponent treatments like sensory integration are important. PMID:23060661

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

2012-01-01

372

A COMPARISON OF SENSORY INTEGRATIVE AND BEHAVIORAL THERAPIES AS TREATMENT FOR PEDIATRIC FEEDING DISORDERS  

PubMed Central

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 integration for both children. The results are discussed in terms of the challenges of evaluating sensory-integration-based treatments, and the reasons why component analyses of multicomponent treatments like sensory integration are important. PMID:23060661

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

2012-01-01

373

A Nurse-led Cognitive Behavioral Group Therapy Program for Insomnia  

Microsoft Academic Search

Chronic insomnia is a significant health condition affecting approximately 10% of the population. Cognitive behavioral therapy for insomnia (CBT-I) is an evidence-based practice (EBP) recommended in clinical guidelines for insomnia as first line treatment for adults. Despite this evidence, CBT-I is widely underused and its availability is sparse due in part to the deficit of practitioners prepared to deliver CBT-I.

Christine P. Kurtz

2011-01-01

374

Rational emotive behavior therapy research: What we know and what we need to know  

Microsoft Academic Search

Rational emotive behavior therapy (REBT) has achieved positive results in quantitative reviews of treatment outcome studies.\\u000a In part because of methodological limitations of these studies, however, the generalizability of their favorable results to\\u000a routine clinical practice is unknown. Also unknown are the clinical significance of outcomes achieved by REBT, the contribution\\u000a made by its distinctive and specialized procedures, and the

Ari Solomon; David A. F. Haaga

1995-01-01

375

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

376

Treating Suicidality in African American Adolescents with Cognitive-Behavioral Therapy  

Microsoft Academic Search

Methods for preventing adolescent suicide are surveyed, and cognitive-behavioral therapy (CBT) is explored as a method for\\u000a serving suicidal African American adolescents. Strengths, limitations, and compatibility of CBT with social work values are\\u000a examined. Although CBT shows much promise in helping suicidal African American adolescents, research on the efficacy and effectiveness\\u000a of CBT with this population is lacking. Suicide risk

Curtis E. Bryant; Jeanette Harder

2008-01-01

377

A pilot study of an exercise & cognitive behavioral therapy intervention for epithelial ovarian cancer patients  

PubMed Central

Background Ovarian cancer has the highest mortality rate of all gynaecologic cancers. Faced with poor prognoses, stressful treatment effects and a high likelihood of recurrence, survivors must confront significant physical and psychological morbidities that negatively impact health-related quality of life. Frequently reported side effects include cancer-related fatigue, peripheral neuropathy, and psychological distress. Exercise and cognitive behavioral therapy interventions have counteracted such adverse effects in other cancer populations. Objective To investigate the feasibility and benefits of a 24-week home-based exercise intervention, coordinated with 12 weeks of cognitive behavioral therapy (two sessions per month), developed for two types of patients diagnosed with epithelial ovarian cancer: 1) those undergoing primary treatment with adjuvant chemotherapy after primary surgery; 2) those on surveillance after completing treatment within the last 2 years. Methods Participants were recruited from the Gynaecologic Oncology Clinic. Eligible participants completed baseline assessments and were provided with home-based exercise equipment. Cognitive behavioral therapy was provided every other week for patients via telephone. Assessments were completed at baseline (T1), 3 months (T2) and 6 months (T3). Results 19 of the 46 eligible patients approached were enrolled, with 7 patients in the treatment group and 12 in the surveillance group. There was a significant within group increase in peak VO2 from baseline to 6 months: F(2,16)?=?5.531, p?=?0.015, partial ?2?=?0.409. Conclusion The combined 6-month exercise-cognitive behavioral therapy intervention was associated with significant increases in aerobic fitness in epithelial ovarian cancer patients assessed. These improvements were similar regardless of whether the patient was receiving chemotherapy or under surveillance. PMID:23557323

2013-01-01

378

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

379

Intensive Sleep Deprivation and Cognitive Behavioral Therapy for Pharmacotherapy Refractory Insomnia in a Hospitalized Patient  

PubMed Central

The case of a 59-year-old woman psychiatrically hospitalized with comorbid insomnia, suicidal ideation, and generalized anxiety disorder is presented. Pharmacologic therapies were unsuccessful for treating insomnia prior to and during hospitalization. Intensive sleep deprivation was initiated for 40 consecutive hours followed by a recovery sleep period of 8 hours. Traditional components of cognitive behavioral therapy for insomnia (CBTi), sleep restriction, and stimulus control therapies, were initiated on the ward. After two consecutive nights with improved sleep, anxiety, and absence of suicidal ideation, the patient was discharged. She was followed in the sleep clinic for two months engaging in CBTi. Treatment resulted in substantial improvement in her insomnia, daytime sleepiness, and anxiety about sleep. Sleep deprivation regimens followed by a restricted sleep recovery period have shown antidepressant effects in depressed patients. Similar treatment protocols have not been investigated in patients with pharmacotherapy refractory insomnia and generalized anxiety disorder. Citation: Breitstein J, Penix B, Roth BJ, Baxter T, Mysliwiec V. Intensive sleep deprivation and cognitive behavioral therapy for pharmacotherapy refractory insomnia in a hospitalized patient. J Clin Sleep Med 2014;10(6):689-690. PMID:24932151

Breitstein, Joshua; Penix, Brandon; Roth, Bernard J.; Baxter, Tristin; Mysliwiec, Vincent

2014-01-01

380

The use of cognitive behavioral therapy in the treatment of resistant depression in adolescents  

PubMed Central

Major depressive disorder often begins in adolescence, is chronic and recurrent, and heightens an individual’s risk for major depressive disorder in adulthood. Treatment-resistant depression is a problem for a significant minority of adolescents. Few studies have examined treatments for treatment-resistant depression among adolescents, and even fewer have examined the use of cognitive-behavioral therapy as a monotherapy or in combination with pharmacological treatments. Mental health professionals have a strong interest in understanding what treatments are appropriate for adolescents who are treatment resistant. Preliminary evidence from current published trials indicates that the use of cognitive-behavioral therapy in combination with antidepressant medication yields the best outcome for treatment-resistant depression in adolescents. Secondary analyses also suggest that the utility of cognitive behavioral therapy can be increased by ensuring adolescents receive a therapeutic dose of treatment sessions (more than nine sessions) and the inclusion of two treatment components: social skills and problem solving training. Guidelines for clinicians as well as areas for future research are discussed. PMID:24600290

Hamill-Skoch, Sarah; Hicks, Paul; Prieto-Hicks, Ximena

2012-01-01

381

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

382

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

383

Costs of a Motivational Enhancement Therapy Coupled with Cognitive Behavioral Therapy versus Brief Advice for Pregnant Substance Users  

PubMed Central

Objectives To determine and compare costs of a nurse-administered behavioral intervention for pregnant substance users that integrated motivational enhancement therapy with cognitive behavioral therapy (MET-CBT) to brief advice (BA) administered by an obstetrical provider. Both interventions were provided concurrent with prenatal care. Methods We conducted a micro-costing study that prospectively collected detailed resource utilization and unit cost data for each of the two intervention arms (MET-CBT and BA) within the context of a randomized controlled trial. A three-step approach for identifying, measuring and valuing resource utilization was used. All cost estimates were inflation adjusted to 2011 U.S. dollars. Results A total of 82 participants received the MET-CBT intervention and 86 participants received BA. From the societal perspective, the total cost (including participants’ time cost) of the MET-CBT intervention was $120,483 or $1,469 per participant. In contrast, the total cost of the BA intervention was $27,199 or $316 per participant. Personnel costs (nurse therapists and obstetric providers) for delivering the intervention sessions and supervising the program composed the largest share of the MET-CBT intervention costs. Program set up costs, especially intervention material design and training costs, also contributed substantially to the overall cost. Conclusions Implementation of an MET-CBT program to promote drug abstinence in pregnant women is associated with modest costs. Future cost effectiveness and cost benefit analyses integrating costs with outcomes and benefits data will enable a more comprehensive understanding of the intervention in improving the care of substance abusing pregnant women. PMID:24760017

Xu, Xiao; Yonkers, Kimberly A.; Ruger, Jennifer P.

2014-01-01

384

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

385

Cognitive predictors and moderators of winter depression treatment outcomes in cognitive-behavioral therapy vs. light therapy.  

PubMed

There is no empirical basis for determining which seasonal affective disorder (SAD) patients are best suited for what type of treatment. Using data from a parent clinical trial comparing light therapy (LT), cognitive-behavioral therapy (CBT), and their combination (CBT + LT) for SAD, we constructed hierarchical linear regression models to explore baseline cognitive vulnerability constructs (i.e., dysfunctional attitudes, negative automatic thoughts, response styles) as prognostic and prescriptive factors of acute and next winter depression outcomes. Cognitive constructs did not predict or moderate acute treatment outcomes. Baseline dysfunctional attitudes and negative automatic thoughts were prescriptive of next winter treatment outcomes. Participants with higher baseline levels of dysfunctional attitudes and negative automatic thoughts had less severe depression the next winter if treated with CBT than if treated with LT. In addition, participants randomized to solo LT who scored at or above the sample mean on these cognitive measures at baseline had more severe depressive symptoms the next winter relative to those who scored below the mean. Baseline dysfunctional attitudes and negative automatic thoughts did not predict treatment outcomes in participants assigned to solo CBT or CBT + LT. Therefore, SAD patients with extremely rigid cognitions did not fare as well in the subsequent winter if treated initially with solo LT. Such patients may be better suited for initial treatment with CBT, which directly targets cognitive vulnerability processes. PMID:24211338

Sitnikov, Lilya; Rohan, Kelly J; Evans, Maggie; Mahon, Jennifer N; Nillni, Yael I

2013-12-01

386

Cognitive behavioral therapy to reduce overt aggression behavior in Chinese young male violent offenders.  

PubMed

This 9-week study was designed to determine whether a commercial cognitive-behavioral training program could effectively reduce overt aggression behavior in Chinese young male violent offenders. Sixty-six participants were randomly assigned to receive routine intervention alone (control group) or routine intervention plus Williams LifeSkills Training (WLST group) in a 1:1 ratio. The primary outcome was change scores on the Modified Overt Aggression Scale (MOAS) from baseline to one week following end of training. Secondary outcomes were change scores on the Barratt Impulsiveness Scale-11 (BIS-11) and Cook-Medley Hostility Scale (CMHS). There were significant between-group differences in change of MOAS total score (P?behavior in young male violent offenders. PMID:24375428

Chen, Chen; Li, Chun; Wang, Hong; Ou, Jian-Jun; Zhou, Jian-Song; Wang, Xiao-Ping

2014-01-01

387

Cognitive-Behavioral Therapy, Behavioral Weight Loss, and Sequential Treatment for Obese Patients with Binge-Eating Disorder: A Randomized Controlled Trial  

ERIC Educational Resources Information Center

Objective: Cognitive-behavioral therapy (CBT) is the best established treatment for binge-eating disorder (BED) but does not produce weight loss. The efficacy of behavioral weight loss (BWL) in obese patients with BED is uncertain. This study compared CBT, BWL, and a sequential approach in which CBT is delivered first, followed by BWL (CBT + BWL).…

Grilo, Carlos M.; Masheb, Robin M.; Wilson, G. Terence; Gueorguieva, Ralitza; White, Marney A.

2011-01-01

388

Measuring Homework Utility in Psychotherapy: Cognitive-Behavioral Therapy for Adult Attention-Deficit Hyperactivity Disorder as an Example  

Microsoft Academic Search

Homework, or practice of skills learned in treatment, is a critical component of cognitive-behavioral therapy (CBT). However,\\u000a no matter how much effort clients put into their therapy homework, this effort can only be useful if adherence to homework\\u000a is related to improvement in symptoms. Although homework adherence (the extent to which clients practice skills learned in\\u000a therapy outside of sessions)

Iftah Yovel; Steven A. Safren

2007-01-01

389

Randomized Controlled Trial of Cognitive–Behavioral Group Therapy for Irritable Bowel Syndrome in a Medical Setting  

Microsoft Academic Search

Standard medical treatments have not been effective for irritable bowel syndrome (IBS) patients. Though individualized cognitive–behavior therapy is an empirically supported treatment option, cognitive–behavioral group therapy (CBGT) has yet to be established as an effective alternative in a randomized controlled trial. This study compared the efficacy of a 10-session CBGT with a home-based symptom monitoring with weekly telephone contact (SMTC)

Gregg A. Tkachuk; Lesley A. Graff; Garry L. Martin; Charles N. Bernstein

2003-01-01

390

Case Presentation of Cognitive Behavioral Therapy With an Older Adult With Major Depressive Disorder Comorbid With Multiple Sclerosis  

Microsoft Academic Search

This is a detailed single-case presentation of a 70-year-old Caucasian, married woman suffering from multiple sclerosis and significant chronic depression. Her presentation was complicated by traumatic events during childhood and a recent decline in physical abilities due to multiple sclerosis. Cognitive behavioral therapy was used and excellent outcomes were achieved. This article describes how cognitive behavioral therapy was effectively adapted

Dichelle Wong; Ken Laidlaw

2012-01-01

391

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

392

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

393

Outcome Expectancy as a Predictor of Treatment Response in Cognitive Behavioral Therapy for Public Speaking Fears Within Social Anxiety Disorder  

Microsoft Academic Search

Outcome expectancy, the extent that clients anticipate benefiting from therapy, is theorized to be an important predictor of treatment response for cognitive–behavioral therapy. However, there is a relatively small body of empirical research on outcome expectancy and the treatment of social anxiety disorder. This literature, which has examined the association mostly in group-based interventions, has yielded mixed findings. The current

Matthew Price; Page L. Anderson

2012-01-01

394

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

395

A randomized controlled trial of cognitive behavior therapy, relaxation training, and routine clinical care for the irritable bowel syndrome  

Microsoft Academic Search

OBJECTIVES:Psychological treatments are considered to be useful in the irritable bowel syndrome (IBS), although the evidence is based on small, often flawed trials. Although cognitive behavior therapy (CBT) and relaxation therapy have both been promising, we hypothesized that CBT would be superior to relaxation and standard care alone in IBS patients. The objective of this study was to test this

Philip M. Boyce; Nicholas J. Talley; Belinda Balaam; Natasha A. Koloski; George Truman

2003-01-01

396

The Effect of Family Music Therapy on the Attachment Behaviors of Children and Adolescents in Foster and Adoptive Families  

Microsoft Academic Search

The purpose of this study was to determine the effects of family music therapy sessions on the attachment behaviors of children and adolescents in foster and adoptive families. Five identified children\\/adolescents attended family music therapy sessions with their foster or adoptive families for one hour over five weeks. The sessions consisted of activities such as instrument play, listening to music,

Kristen Lyn Seles

2008-01-01

397

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

398

Assessing the role of cognitive behavioral therapy in the management of chronic nonspecific back pain  

PubMed Central

Purpose The aim of this study is to provide a narrative review of the current state of knowledge of the role of cognitive behavioral therapy (CBT) in the management of chronic nonspecific back pain. Methods A literature search on all studies published up until July 2012 (PubMed and PsycINFO) was performed. The search string consisted of 4 steps: cognitive behavioral therapy/treatment/management/modification/intervention, chronic, back pain (MeSH term) or low back pain (MeSH term), and randomized controlled trial (MeSH term). The conclusions are based on the results from randomized controlled trials (RCTs) and reviews of RCTs. Interventions were not required to be pure CBT interventions, but were required to include both cognitive and behavioral components. Results The search yielded 108 studies, with 46 included in the analysis. Eligible intervention studies were categorized as CBT compared to wait-list controls/treatment as usual, physical treatments/exercise, information/education, biofeedback, operant behavioral treatment, lumbar spinal fusion surgery, and relaxation training. The results showed that CBT is a beneficial treatment for chronic back pain on a wide range of relevant variables, especially when compared to wait-list controls/treatment as usual. With regards to the other comparison treatments, results were mixed and inconclusive. Conclusion The results of this review suggest that CBT is a beneficial treatment for chronic nonspecific back pain, leading to improvements in a wide range of relevant cognitive, behavioral and physical variables. This is especially evident when CBT is compared to treatment as usual or wait-list controls, but mixed and inconclusive when compared with various other treatments. Multidisciplinary and transdisciplinary interventions that integrate CBT with other approaches may represent the future direction of management of chronic back pain, with treatments modified for specific circumstances and stakeholders. There is a need for future intervention studies to be specific in their use of cognitive behavioral elements, in order for results to be comparable. PMID:23091394

Sveinsdottir, Vigdis; Eriksen, Hege R; Reme, Silje Endresen

2012-01-01

399

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, Léo 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

400

Changes in functional brain organization and behavioral correlations after rehabilitative therapy using a brain-computer interface.  

PubMed

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, Léo 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

401

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

Microsoft Academic Search

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 significantly distressed by tinnitus were recruited from the community. Participants were randomly

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

2012-01-01

402

A Cognitive Behavioral Therapy-Based Text Messaging Intervention for Methamphetamine Dependence  

PubMed Central

Psychosocial treatments for methamphetamine dependence are of limited effectiveness. Thus, a significant need exists for add-on therapy for this substance user disorder. The aim of this study was to develop and test a novel text messaging intervention for use as an adjunct to cognitive behavioral group therapy for methamphetamine users. Text messaging has the potential to support patients in real-time, around the clock. We convened 2 meetings of an expert panel, held 3 focus groups in current and former users, and conducted 15 semi-structured interviews with in-treatment users in order to develop a fully-automated, cognitive behavioral therapy-based text messaging intervention. We then conducted a randomized, crossover pre-test in 5 users seeking treatment. Participants’ ratings of ease of use and functionality of the system were high. During the pre-test we performed real-time assessments via text messaging on daily methamphetamine use, craving levels, and the perceived usefulness of messages; 79% of scheduled assessments were collected. The odds of messages being rated as “very” or “extremely” useful were 6.6 times [95% CI: 2.2, 19.4] higher in the active vs. placebo periods. The intervention is now ready for testing in randomized clinical trials. PMID:24592670

Keoleian, Victoria; Stalcup, S. Alex; Polcin, Douglas L.; Brown, Michelle; Galloway, Gantt

2013-01-01

403

Mechanisms of virtual reality exposure therapy: the role of the behavioral activation and behavioral inhibition systems.  

PubMed

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 fearful situations (F. H. Wilhelm & W. T. Roth, 1998). However, due to the constraints imposed by virtual reality (VR), we hypothesized that VR exposure to fearful situations would activate the BIS alone. To test this hypothesis, a VR free-standing elevator simulation was presented to participants selected for high and low fear of heights. As predicted, the high-anxious group strongly responded electrodermally (effect size d = 1.53), but showed only minimal HR elevations during exposure (d = 0.12), and little other cardiovascular or respiratory changes. The low-anxious control group showed little electrodermal and HR reactivity (d = 0.28 and 0.12). A comparison with data from a previous study demonstrated that this pattern was in stark contrast to the large electrodermal and cardiovascular response observed during situational in-vivo exposure outside the laboratory. We conclude that the BIS, but not BAS, is selectively activated during VR exposure, causing discordance between self-report and commonly used physiological measures of anxiety. Results are discussed within the framework of E. B. Foa & M. J. Kozak's (1986) emotional processing theory of fear modification, suggesting different mechanisms underlying VR and in-vivo exposure treatments. PMID:16167191

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

2005-09-01

404

Effectiveness of online cognitive behavioral therapy on family caregivers of people with dementia  

PubMed Central

Purpose Family caregivers of persons with dementia (PWD) may receive caregiver training because of logistical constraints and privacy concerns. This study evaluated the effectiveness of an online intervention for family caregivers of PWD in improving their self-efficacy in managing behavioral and psychological symptoms of dementia (BPSD), and their emotion well-being. Subjects and methods A total of 36 family caregivers of people with dementia participated in a 9-week online intervention based on the cognitive behavioral therapy model. Outcomes of the intervention were measured by the Chinese version of the Neuropsychiatric Inventory Questionnaire and two domains of the Revised Scale for Caregiving Self-Efficacy. Wilcoxon signed rank tests were used to compare the change in outcome variables. Results The severity of BPSD of PWD and BPSD-related distress in family caregivers showed a statistically significant reduction after the intervention. Subgroup analysis showed self-efficacy in controlling upsetting thoughts significantly improved in caregivers of PWD at moderate to severe stages. Conclusion Online cognitive behavioral therapy for family caregivers reduced BPSD of PWD and the related distress in their caregivers. PMID:24748781

Kwok, Timothy; Au, Alma; Wong, Bel; Ip, Isaac; Mak, Vivian; Ho, Florence

2014-01-01

405

Artifactual effects of sensory-integrative therapy on self-injurious behavior.  

PubMed Central

Three individuals who exhibited self-injurious behavior (SIB) were exposed to sensory-integrative therapy. Prior to treatment, a functional analysis baseline was conducted to identify the motivational features of their SIB. One subject's SIB appeared to be an attention-getting response (maintained by positive reinforcement), which varied subsequently as a function of attention being either withheld or provided noncontingently during sensory-integration sessions. The 2nd subject displayed a pattern of responding suggestive of stereotypic SIB (maintained by automatic reinforcement), which paradoxically increased during sensory-integration sessions. The 3rd subject's SIB appeared to function as an escape response (maintained by negative reinforcement), and his behavior during sensory-integration sessions was similar to that observed during baseline sessions in which demands were not present. The SIB of all 3 subjects later was reduced when behavior interventions were applied. The data presented raise questions about the active components of sensory-integrative therapy and the functional types of SIB for which it might be appropriate. PMID:2249971

Mason, S A; Iwata, B A

1990-01-01

406

Therapist verbal behavior early in treatment: relation to successful completion of parent-child interaction therapy.  

PubMed

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 (ODD). Chamberlain et al.'s (1986) Therapy Process Code (TPC) was used to measure therapist verbalizations during therapist-parent interactions during the initial clinical interview and the second treatment session. Results indicated that therapists' use of the categories Question, Facilitate, and Support during these sessions accurately predicted treatment dropout versus completion for 73% of families. Findings suggest that the early therapist-parent relationship in PCIT may be critical to successful treatment completion. PMID:15271617

Harwood, Michelle D; Eyberg, Sheila M

2004-09-01

407

Biodesulfurization of DBT in tetradecane and crude oil by a facultative thermophilic bacterium Mycobacterium goodii X7B.  

PubMed

Mycobacterium goodii X7B, a facultative thermophilic bacterium, cleaving the C-S bond of dibenzothiophene via a sulfur-specific pathway, was investigated for DBT in tetradecane and crude oil desulfurization. The extent of growth was improved by fed-batch culture controlled at a constant pH. The total sulfur level of dibenzothiophene in tetradecane, was reduced by 99%, from 200 to 2 ppm within 24h at 40 degrees C. After 72 h treatment, 59% of the total sulfur content in Liaoning crude oil was removed, from 3600 to 1478 ppm. PMID:16905217

Li, Fuli; Zhang, Zhengzhi; Feng, Jinhui; Cai, Xiaofeng; Xu, Ping

2007-01-01

408

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

409

Cognitive Behavioral Therapy for Insomnia in Posttraumatic Stress Disorder: A Randomized Controlled Trial  

PubMed Central

Study Objectives: Examine whether cognitive behavioral therapy for insomnia (CBT-I) improves sleep in posttraumatic stress disorder (PTSD) as well as nightmares, nonsleep PTSD symptoms, depression symptoms, and psychosocial functioning. Design: Randomized controlled trial with two arms: CBT-I and monitor-only waitlist control. Setting: Department of Veterans Affairs (VA) Medical Center. Participants: Forty-five adults (31 females: [mean age 37 y (22-59 y)] with PTSD meeting research diagnostic criteria for insomnia, randomly assigned to CBT-I (n = 29; 22 females) or monitor-only waitlist control (n = 16; nine females). Interventions: Eight-session weekly individual CBT-I delivered by a licensed clinical psychologist or a board-certified psychiatrist. Measurements and Results: Measures included continuous monitoring of sleep with diary and actigraphy; prepolysomnography and postpolysomnography and Clinician-Administered PTSD Scale (CAPS); and pre, mid, and post self-report questionnaires, with follow-up of CBT-I participants 6 mo later. CBT-I was superior to the waitlist control condition in all sleep diary outcomes and in polysomnography-measured total sleep time. Compared to waitlist participants, CBT-I participants reported improved subjective sleep (41% full remission versus 0%), disruptive nocturnal behaviors (based on the Pittsburgh Sleep Quality Index-Addendum), and overall work and interpersonal functioning. These effects were maintained at 6-mo follow-up. Both CBT-I and waitlist control participants reported reductions in PTSD symptoms and CAPS-measured nightmares. Conclusions: Cognitive behavioral therapy for insomnia (CBT-I) improved sleep in individuals with posttraumatic stress disorder, with durable gains at 6 mo. Overall psychosocial functioning improved following CBT-I. The initial evidence regarding CBT-I and nightmares is promising but further research is needed. Results suggest that a comprehensive approach to treatment of posttraumatic stress disorder should include behavioral sleep medicine. Clinical Trial Information: Trial Name: Cognitive Behavioral Treatment Of Insomnia In Posttraumatic Stress Disorder. URL: http://clinicaltrials.gov/ct2/show/NCT00881647. Registration Number: NCT00881647. Citation: Talbot LS; Maguen S; Metzler TJ; Schmitz M; McCaslin SE; Richards A; Perlis ML; Posner DA; Weiss B; Ruoff L; Varbel J; Neylan TC. Cognitive behavioral therapy for insomnia in posttraumatic stress disorder: a randomized controlled trial. SLEEP 2014;37(2):327-341. PMID:24497661

Talbot, Lisa S.; Maguen, Shira; Metzler, Thomas J.; Schmitz, Martha; McCaslin, Shannon E.; Richards, Anne; Perlis, Michael L.; Posner, Donn A.; Weiss, Brandon; Ruoff, Leslie; Varbel, Jonathan; Neylan, Thomas C.

2014-01-01

410

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

411

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

412

A Comparison of the Efficacy of Clonazepam and Cognitive-Behavioral Group Therapy for the Treatment of Social Phobia  

Microsoft Academic Search

—There is a growing body of evidence that social phobia may be treated effectively by either pharmacologic or cognitive-behavioral interventions, but few studies have examined the relative benefits of these treatments. In this study, we examined the relative efficacy of pharmacotherapy with clonazepam and cognitive-behavioral group therapy (CBGT) for treating social phobia. In addition, we examined potential predictors of differential

Michael W Otto; Mark H Pollack; Robert A Gould; John J Worthington; Eliza T McArdle; Jerrold F Rosenbaum; Richard G Heimberg

2000-01-01

413

Effect of discontinuing cholinesterase inhibitor therapy on behavioral and mood symptoms in nursing home patients with dementia  

Microsoft Academic Search

Background: Cholinesterase inhibitors (CHEIs) ameliorate some types of behavioral symptoms in patients with Alzheimer's disease. However, there has been little previous study of the outcomes associated with discontinuing these medications.Objective: The primary aim of this study was to evaluate the extent to which discontinuing CHEI therapy affected behavioral and mood symptoms in a cohort of nursing home residents with a

Lori A. Daiello; Brian R. Ott; Kate L. Lapane; Steven E. Reinert; Jason T. Machan; David D. Dore

2009-01-01

414

OCD behavior therapy before and after gamma ventral capsulotomy: case report.  

PubMed

We report the case of a patient requiring gamma ventral capsulotomy (GVC), a neurosurgical intervention to address severe refractory obsessive-compulsive disorder (OCD). GVC involves stereotactic lesions in the ventral anterior limb of the internal capsule and adjacent ventral striatum. This study details the course of an extinction-based behavioral therapy, namely exposure and response prevention (ERP). The patient experienced significant changes in motivation and ability to tolerate ERP post-surgery. Furthermore, he was better able to absorb and remember exposure sessions. GVC surgery may affect the neural mechanisms involved in the extinction learning process, the same process implicated in ERP treatment. PMID:23057416

Spofford, Christopher M; McLaughlin, Nicole C R; Penzel, Fred; Rasmussen, Steven A; Greenberg, Benjamin D

2014-01-01

415

Neurophysiological and behavioral responses to music therapy in vegetative and minimally conscious States.  

PubMed

Assessment of awareness for those with disorders of consciousness is a challenging undertaking, due to the complex presentation of the population. Debate surrounds whether behavioral assessments provide greatest accuracy in diagnosis compared to neuro-imaging methods, and despite developments in both, misdiagnosis rates remain high. Music therapy may be effective in the assessment and rehabilitation with this population due to effects of musical stimuli on arousal, attention, and emotion, irrespective of verbal or motor deficits. However, an evidence base is lacking as to which procedures are most effective. To address this, a neurophysiological and behavioral study was undertaken comparing electroencephalogram (EEG), heart rate variability, respiration, and behavioral responses of 20 healthy subjects with 21 individuals in vegetative or minimally conscious states (VS or MCS). Subjects were presented with live preferred music and improvised music entrained to respiration (procedures typically used in music therapy), recordings of disliked music, white noise, and silence. ANOVA tests indicated a range of significant responses (p???0.05) across healthy subjects corresponding to arousal and attention in response to preferred music including concurrent increases in respiration rate with globally enhanced EEG power spectra responses (p?=?0.05-0.0001) across frequency bandwidths. Whilst physiological responses were heterogeneous across patient cohorts, significant post hoc EEG amplitude increases for stimuli associated with preferred music were found for frontal midline theta in six VS and four MCS subjects, and frontal alpha in three VS and four MCS subjects (p?=?0.05-0.0001). Furthermore, behavioral data showed a significantly increased blink rate for preferred music (p?=?0.029) within the VS cohort. Two VS cases are presented with concurrent changes (p???0.05) across measures indicative of discriminatory responses to both music therapy procedures. A third MCS case study is presented highlighting how more sensitive selective attention may distinguish MCS from VS. The findings suggest that further investigation is warranted to explore the use of music therapy for prognostic indicators, and its potential to support neuroplasticity in rehabilitation programs. PMID:24399950

O'Kelly, Julian; James, L; Palaniappan, R; Taborin, J; Fachner, J; Magee, W L

2013-01-01

416

Neurophysiological and Behavioral Responses to Music Therapy in Vegetative and Minimally Conscious States  

PubMed Central

Assessment of awareness for those with disorders of consciousness is a challenging undertaking, due to the complex presentation of the population. Debate surrounds whether behavioral assessments provide greatest accuracy in diagnosis compared to neuro-imaging methods, and despite developments in both, misdiagnosis rates remain high. Music therapy may be effective in the assessment and rehabilitation with this population due to effects of musical stimuli on arousal, attention, and emotion, irrespective of verbal or motor deficits. However, an evidence base is lacking as to which procedures are most effective. To address this, a neurophysiological and behavioral study was undertaken comparing electroencephalogram (EEG), heart rate variability, respiration, and behavioral responses of 20 healthy subjects with 21 individuals in vegetative or minimally conscious states (VS or MCS). Subjects were presented with live preferred music and improvised music entrained to respiration (procedures typically used in music therapy), recordings of disliked music, white noise, and silence. ANOVA tests indicated a range of significant responses (p???0.05) across healthy subjects corresponding to arousal and attention in response to preferred music including concurrent increases in respiration rate with globally enhanced EEG power spectra responses (p?=?0.05–0.0001) across frequency bandwidths. Whilst physiological responses were heterogeneous across patient cohorts, significant post hoc EEG amplitude increases for stimuli associated with preferred music were found for frontal midline theta in six VS and four MCS subjects, and frontal alpha in three VS and four MCS subjects (p?=?0.05–0.0001). Furthermore, behavioral data showed a significantly increased blink rate for preferred music (p?=?0.029) within the VS cohort. Two VS cases are presented with concurrent changes (p???0.05) across measures indicative of discriminatory responses to both music therapy procedures. A third MCS case study is presented highlighting how more sensitive selective attention may distinguish MCS from VS. The findings suggest that further investigation is warranted to explore the use of music therapy for prognostic indicators, and its potential to support neuroplasticity in rehabilitation programs. PMID:24399950

O’Kelly, Julian; James, L.; Palaniappan, R.; Taborin, J.; Fachner, J.; Magee, W. L.

2013-01-01

417

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

418

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

419

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

420

Behavioral therapies for treatment-seeking cannabis users: a meta-analysis of randomized controlled trials.  

PubMed

Narrative reviews conclude that behavioral therapies (BTs) produce better outcomes than control conditions for cannabis use disorders (CUDs). However, the strength and consistency of this effect has not been directly empirically examined. The present meta-analysis combined multiple well-controlled studies to help clarify the overall impact of behavioral interventions in the treatment of CUDs. A comprehensive literature search produced 10 randomized controlled trials (RCTs; n = 2,027) that were included in the final analyses. Analyses indicated an effect of BTs (including contingency management, relapse prevention, and motivational interviewing, and combinations of these strategies with cognitive behavioral therapy) over control conditions (including waitlist [WL], psychological placebo, and treatment as usual) across pooled outcomes and time points (Hedges' g = 0.44). These results suggest that the average patient receiving a behavioral intervention fared better than 66% of those in the control conditions. BT also outperformed control conditions when examining primary outcomes alone (frequency and severity of use) and secondary outcomes alone (psychosocial functioning). Effect sizes were not moderated by inclusion of a diagnosis (RCTs including treatment-seeking cannabis users who were not assessed for abuse or dependence vs. RCTs including individuals diagnosed as dependent), dose (number of treatment sessions), treatment format (either group vs. individual treatment or in-person vs. non-in-person treatment), sample size, or publication year. Effect sizes were significantly larger for studies that included a WL control comparison versus those including active control comparisons, such that BT significantly outperformed WL controls but not active control comparisons. PMID:24695072

Davis, Michelle L; Powers, Mark B; Handelsman, Pamela; Medina, Johnna L; Zvolensky, Michael; Smits, Jasper A J

2015-03-01

421

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

422

Predicting Early Positive Change in Multisystemic Therapy With Youth Exhibiting Antisocial Behaviors.  

PubMed

This study examined individual and family characteristics that predicted early positive change in the context of Multisystemic Therapy (MST). Families (n = 185; 65% male; average youth age 15 years) receiving MST in community settings completed assessments at the outset of treatment and 6-12 weeks into treatment. Early positive changes in youth antisocial behavior were assessed using the caregiver report on the Child Behavior Checklist Externalizing Behaviors subscale and youth report on the Self-Report Delinquency Scale. Overall, families showed significant positive changes by 6-12 weeks into treatment; these early changes were maintained into midtreatment 6-12 weeks later. Families who exhibited clinically significant gains early in treatment were more likely to terminate treatment successfully compared with those who did not show these gains. Low youth internalizing behaviors and absence of youth drug use predicted early positive changes in MST. High levels of parental monitoring and low levels of affiliation with deviant peers (mechanisms known to be associated with MST success) were also associated with early positive change. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24866967

Tiernan, Kristine; Foster, Sharon L; Cunningham, Phillippe B; Brennan, Patricia; Whitmore, Elizabeth

2014-05-26

423

Cognitive Behavioral Therapy for Subjects at Ultrahigh Risk for Developing Psychosis: A Randomized Controlled Clinical Trial  

PubMed Central

Background : Evidence for the effectiveness of treatments for subjects at ultrahigh risk (UHR) for developing psychosis remains inconclusive. Objective : A new cognitive behavioral intervention specifically targeted at cognitive biases (ie, Cognitive Behavioral Therapy [CBT] for UHR patients plus treatment as usual [TAU] called CBTuhr) is compared with TAU in a group of young help-seeking UHR subjects. Methods : A total of 201 patients were recruited at 4 sites and randomized. In most cases, CBTuhr was an add-on therapy because most people were seeking help for a comorbid disorder. The CBT was provided for 6 months, and the follow-up period was 18 months. Results : In the CBTuhr condition, 10 patients transitioned to psychosis compared with 22 in the TAU condition (? 2 (1) = 5.575, P = .03). The number needed to treat (NNT) was 9 (95% confidence interval [CI]: 4.7–89.9). At 18-month follow-up the CBTuhr group was significantly more often remitted from an at-risk mental state, with a NNT of 7 (95% CI: 3.7–71.2). Intention-to-treat analysis, including 5 violations against exclusion criteria, showed a statistical tendency (? 2 (1) = 3.338, P = .06). Conclusions : Compared with TAU, this new CBT (focusing on normalization and awareness of cognitive biases) showed a favorable effect on the transition to psychosis and reduction of subclinical psychotic symptoms in subjects at UHR to develop psychosis. PMID:22941746

van der Gaag, Mark

2012-01-01

424

Just Say NoSequential Parent Management Training and Cognitive-Behavioral Therapy for a Child With Comorbid Disruptive Behavior and Obsessive Compulsive Disorder  

Microsoft Academic Search

Psychiatric comorbidity is common in pediatric patients with obsessive-compulsive disorder (OCD) and may negatively affect treatment outcome. In particular, comorbid disruptive behavior disorders have been associated with attenuated treatment response in youth undergoing cognitive-behavioral therapy (CBT) for OCD. This article presents the case of a 10-year-old female with a primary diagnosis of OCD and secondary diagnosis of oppositional defiant disorder

Heather D. Lehmkuhl; Eric A. Storch; Omar Rahman; Jennifer Freeman; Gary R. Geffken; Tanya K. Murphy

2009-01-01

425

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

426

Cognitive-Behavioral Body-Image Therapy: Extended Evidence of the Efficacy of a Self-Directed Program  

Microsoft Academic Search

Scientific investigations support the effectiveness of cognitive-behavioral therapy (CBT) in the treatment of body dissatisfaction across a range of populations. Grant and Cash (1995) used CBT with 23 extremely body-dissatisfied women and found equivalent and successful outcomes for body-image CBT administered in group therapy versus a self-directed format with only modest therapist contact. The present study compared Grant and Cash's

Thomas F. Cash; Danielle M. Lavallee

1997-01-01

427

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

428

Comparison of long-term effects of cognitive-behavioral therapy versus mindfulness-based therapy on reduction of symptoms among patients suffering from irritable bowel syndrome  

PubMed Central

Aim The aim of this study was to compare the long-term effects of cognitive-behavioral treatment and mindfulness-based treatment on decreasing symptoms of patients suffering from irritable bowel syndrome (IBS). Background One of the most modern therapies put forward in therapy of IBS is mindfulness-based metacognitive therapy. Patients and methods In this quasi-experimental study, 36 people with mean age of 32 years old, including 24 patients with IBS and 12 healthy normal subjects as control group, were studied. Patients with IBS were randomly divided into two experimental groups of cognitive-behavioral treatment (n=12) and mindfulness-based treatment (n=12). Data were analysed by one-way covariance analysis. Results There was significant decrease of the symptoms of IBS among two treatment groups versus control group in long-term (p<0.05). Mindfulness-based therapy was the most effective technique in decreasing symptoms. Conclusion This study showed mindfulness-based therapy, as a modern psychotherapy technique, is an effective method to decrease symptoms of patients with irritable bowel syndrome, compared with old methods. Therefore, this technique is advised among these patients, especially those who have refractory symptoms. PMID:24834303

Zomorodi, Saeedeh; Abdi, Saeed; Tabatabaee, Seyed Kazem Rasulzadeh

2014-01-01

429

Improving the mental health of adolescents with epilepsy through a group cognitive behavioral therapy program.  

PubMed

The threat of unpredictable seizures makes epilepsy unique among childhood chronic illnesses. One consequence is that people who have childhood-onset epilepsy often have poor social adjustment and competence in adulthood. Better emotional and social functioning could improve long-term outcomes. Thirty-four adolescents with epilepsy participated in a group cognitive behavioral therapy program designed to enhance their level of psychosocial functioning. Baseline Strength and Difficulty Questionnaire scores suggested that many participants had difficulties with emotions, concentration, and social functioning, with parent-reported Impact scores significantly worse than adolescent-reported scores (p=0.005). Four months after the intervention, adolescent-reported Prosocial Behavior scores significantly improved (p=0.03). Parent-reported scores improved significantly at follow-up, compared with baseline, in Peer Problems (p=0.04), Impact (p=0.001), and Prosocial Behavior (p=0.004) scores. Adolescents with lower socioeconomic status reported the greatest improvements (p=0.01). A brief CBT intervention was effective and resulted in improved mental health indices and social functioning for adolescents with epilepsy. PMID:25240125

Carbone, Loretta; Plegue, Melissa; Barnes, Ashley; Shellhaas, Renée

2014-10-01

430

Comparison of group progressive-relaxation training and cognitive-behavioral group therapy for chronic low back pain  

Microsoft Academic Search

36 20–63 yr old chronic low-back-pain outpatients were randomly assigned to group progressive-relaxation training, cognitive-behavioral group therapy, or waiting list\\/attention conditions. Both relaxation-training and cognitive-behavioral-therapy Ss improved significantly on self-report measures of pain, depression, and disability (e.g., Sickness Impact Profile, Beck Depression Inventory) and on a significant-other-rated measure of physical and psychosocial dysfunction pre- to posttreatment, whereas waiting-list Ss did

Judith A. Turner

1982-01-01

431

Disordered Eating Behaviors in Youth with Type 1 Diabetes: Prospective Pilot Assessment Following Initiation of Insulin Pump Therapy  

PubMed Central

Abstract Background There is risk for disordered eating behaviors in type 1 diabetes, especially related to insulin manipulation. Implementation of insulin pump therapy may encourage either normalization of eating behaviors or a greater focus on food intake due to renewed emphasis on carbohydrate counting. There is need for prospective studies to assess disordered eating behaviors upon implementation of pump therapy using diabetes-specific measurement tools. Subjects and Methods In a multicenter pilot study, 43 youth with type 1 diabetes, 10–17 years old, were assessed prior to pump initiation and after 1 and 6 months of pump therapy. Youth completed the Diabetes-specific Eating Problems Survey-Revised (DEPS-R), a validated measure of risk for both diabetes-specific and general disordered eating behaviors. Results Youth (45% female), 13.3 years old with diabetes for 2.1 years, had a mean hemoglobin A1c of 8.3±1.3% (68±14.5?mmol/mol) at baseline. DEPS-R scores decreased over time (P=0.01). Overall rate of high risk for eating disorders was low. Overweight/obese youth endorsed more disordered eating behaviors than normal-weight participants. DEPS-R scores were correlated with z-score for body mass index at all three time points and with hemoglobin A1c after 1 and 6 months. Hemoglobin A1c did not change significantly over the 6 months and was higher in overweight/obese compared with normal-weight participants. Conclusions Initiation of insulin pump therapy was associated with diminished endorsement of disordered eating behaviors in youth with type 1 diabetes. Longer follow-up studies are needed to assess the impact of insulin pump therapy on glycemic control, weight status, and disordered eating behaviors in this vulnerable population. PMID:23550556

Markowitz, Jessica T.; Alleyn, Cielo A.; Phillips, Roxanne; Muir, Andrew; Young-Hyman, Deborah

2013-01-01

432

Cognitive behavioral therapy for treatment of primary care patients presenting with psychological disorders.  

PubMed

Mental disorders affect a great number of people worldwide. Four out of the 10 leading causes of disability in the world are mental disorders. Because of the scarcity of specialists around the world and especially in developing countries, it is important for primary care physicians to provide services to patients with mental disorders. The most widely researched and used psychological approach in primary care is cognitive behavioral therapy. Due to its brief nature and the practical skills it teaches, it is convenient for use in primary care settings. The following paper reviews the literature on psychotherapy in primary care and provides some practical tips for primary care physicians to use when they are faced with patients having mental disorders. PMID:24690496

Khoury, Brigitte; Ammar, Joumana

2014-01-01

433

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

434

Cognitive behavior therapy for early psychosis: a comprehensive review of individual vs. group treatment studies.  

PubMed

Several recent studies of individually administered cognitive behavior therapy (CBT) for early psychosis have reported only modest treatment benefits. The purpose of the current study was to review the literature to determine how outcomes of group CBT differ from outcomes of individually administered CBT among early cases. Our findings suggest that group CBT for early psychosis may be a more effective modality for this group of patients. We speculate that patients' uncertainty about illness in general may impair the effectiveness of individually administered CBT for early cases and that group CBT may be more effective for these young patients by better addressing those factors with the aid of peer-to-peer interactions, identification, and modeling. PMID:19548785

Saksa, John R; Cohen, Shuki J; Srihari, Vinod H; Woods, Scott W

2009-07-01

435

Cognitive-behavioral therapy for the management of irritable bowel syndrome  

PubMed Central

Irritable bowel syndrome (IBS) is a common disorder, reported to be found in 5%-20% of the general population. Its management accounts for up to 25% of a gastroenterologist’s workload in the outpatient department, and the main symptoms are abdominal pain, bloating, and altered bowel habits. Despite a great amount of available pharmacological treatments aimed at a wide variety of gastrointestinal and brain targets, many patients have not shown adequate symptom relief. In recent years, there has been increasing evidence to suggest that psychological treatments, in particular cognitive-behavioral therapy (CBT), are effective for the management of IBS. This review discusses CBT for the management of IBS. CBT has proved to be effective in alleviating the physical and psychological symptoms of IBS and has thus been recommended as a treatment option for the syndrome. PMID:24379577

Tang, Qing-Lin; Lin, Guo-Yao; Zhang, Ming-Qing

2013-01-01

436

Evaluation of a continuing education course for occupational therapy practitioners on the use of applied behavior analysis.  

PubMed

ABSTRACT A three hour continuing education course combining occupational therapy practice and behavior analysis strategies related to children with autism spectrum disorders was developed and delivered to 24 occupational therapy practitioners. Participants completed evaluations pre-course, post-course, and one month follow up on their self-efficacy, knowledge, and skills in managing challenging behaviors of children with autism spectrum disorders. Overall, ratings scores showed an increase in participants' self-efficacy and knowledge and skill at post-course and one-month follow-up. Despite this increase, participants continued to implement sensory strategies to decrease challenging behaviors due to increased self-efficacy in using sensory strategies and the lack of support in implementing behavior techniques outside their session time. PMID:25180710

Dunleavy, Leah

2015-01-01

437

Client experiences of guided internet cognitive behavior therapy for postpartum depression: a qualitative study.  

PubMed

Postpartum depression (PPD) afflicts up to 15 % of women following childbirth and negatively impacts both mother and child. Therapist-assisted internet cognitive behavior therapy (TAICBT) is a promising intervention for the treatment of PPD; however, women's perceptions of TAICBT have not been examined. Responses to 10 open-ended questions from 24 women who received TAICBT for PPD were thematically analyzed. The majority of women expressed that the TAICBT program afforded flexibility, accessibility, and convenience, as well as anonymity and privacy. Some participants described the program as helping them take a step in the right direction and enhance their self-awareness and parenting skills. Participants also described having the internet therapist individualize their treatment. Challenges related to the TAICBT program were also identified by a minority of participants including managing time to log onto the program, the fast pace, completion of homework around childcare duties, and challenges of not having a face-to-face therapist. Participants also made suggestions for future programming. The large majority of participants consistently described their internet therapist favorably; however, challenges related to the internet therapy were also identified. Results should be integrated in the development of future programming. PMID:25109484

Pugh, Nicole E; Hadjistavropoulos, Heather D; Hampton, Amy J D; Bowen, Angela; Williams, Jaime

2014-08-12

438

Impulse control disorders and compulsive behaviors associated with dopaminergic therapies in Parkinson disease  

PubMed Central

Summary Impulse control disorders (ICD) (most commonly pathologic gambling, hypersexuality, and uncontrollable spending) and compulsive behaviors can be triggered by dopaminergic therapies in Parkinson disease (PD). ICD are especially prevalent in patients receiving a dopamine agonist as part of their treatment regimen for PD, and have also been reported when dopamine agonists are used for other indications (e.g., restless legs syndrome). Although these iatrogenic disorders are common, affecting 1 in 7 patients with PD on dopamine agonists, they often elude detection by the treating physician. ICD lead to serious consequences, causing significant financial loss and psychosocial morbidity for many patients and families. ICD can appear at any time during treatment with dopamine agonists, sometimes within the first few months, but most often after years of treatment, particularly when patients receive dopamine agonists and levodopa together. In most cases ICD resolve if the dopamine agonist is withdrawn, and PD motor symptoms are managed with levodopa monotherapy. Familiarity with the clinical aspects, risk factors, pathophysiology, and management of ICD is essential for physicians using dopaminergic therapies to treat PD and other disorders. PMID:23634371

Marsh, Laura

2012-01-01

439

Impulse control disorders and compulsive behaviors associated with dopaminergic therapies in Parkinson disease.  

PubMed

Impulse control disorders (ICD) (most commonly pathologic gambling, hypersexuality, and uncontrollable spending) and compulsive behaviors can be triggered by dopaminergic therapies in Parkinson disease (PD). ICD are especially prevalent in patients receiving a dopamine agonist as part of their treatment regimen for PD, and have also been reported when dopamine agonists are used for other indications (e.g., restless legs syndrome). Although these iatrogenic disorders are common, affecting 1 in 7 patients with PD on dopamine agonists, they often elude detection by the treating physician. ICD lead to serious consequences, causing significant financial loss and psychosocial morbidity for many patients and families. ICD can appear at any time during treatment with dopamine agonists, sometimes within the first few months, but most often after years of treatment, particularly when patients receive dopamine agonists and levodopa together. In most cases ICD resolve if the dopamine agonist is withdrawn, and PD motor symptoms are managed with levodopa monotherapy. Familiarity with the clinical aspects, risk factors, pathophysiology, and management of ICD is essential for physicians using dopaminergic therapies to treat PD and other disorders. PMID:23634371

Weiss, Howard D; Marsh, Laura

2012-12-01

440

Effectiveness, response, and dropout of dialectical behavior therapy for borderline personality disorder in an inpatient setting.  

PubMed

To examine the effectiveness of dialectical behavior therapy for inpatients with borderline personality disorder (BPD), small sample sizes and, predominantly, tests of statistical significance have been used so far. We studied 1423 consecutively admitted individuals with BPD, who were seeking a 3-month inpatient treatment. They completed the Borderline Symptom List (BSL) as the main outcome measure, and other self-rating measures at pre- and post-treatment. Therapy outcome was defined in three ways: effect size (ES), response based on the reliable change index, and remission compared to the general population symptom level. Non-parametric conditional inference trees were used to predict dropouts. In the pre-post comparison of the BSL, the ES was 0.54 (95% CI: 0.49-0.59). The response rate was 45%; 31% remained unchanged, and 11% deteriorated. Approximately 15% showed a symptom level equivalent to that of the general population. A further 10% of participants dropped out. A predictive impact on dropout was demonstrated by substance use disorders and a younger age at pre-treatment. In future research, follow-up assessments should be conducted to investigate the extent to which response and remission rates at post-treatment remain stable over time. A consistent definition of response appears to be essential for cross-study and cross-methodological comparisons. PMID:23727659

Kröger, Christoph; Harbeck, Susanne; Armbrust, Michael; Kliem, Sören

2013-08-01

441

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

442

The Relation of Severity and Comorbidity to Treatment Outcome with Cognitive Behavioral Therapy for Childhood Anxiety Disorders  

Microsoft Academic Search

The present study investigated the impact of comorbidity over and above the impact of symptom severity on treatment outcome\\u000a 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\\u000a measure of parent-reported behavior problems. Two approaches to comorbidity were

Juliette Margo Liber; Brigit M. van Widenfelt; Adelinde J. M. van der Leeden; Arnold W. Goedhart; Elisabeth M. W. J. Utens; Philip D. A. Treffers

2010-01-01

443

Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial  

PubMed Central

Background Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment. This study tested a modular cognitive behavioral therapy (CBT) program for children with this profile. A standard CBT program was augmented with multiple treatment components designed to accommodate or remediate the social and adaptive skill deficits of children with ASD that could pose barriers to anxiety reduction. Method Forty children (7–11 years old) were randomly assigned to 16 sessions of CBT or a 3-month waitlist (36 completed treatment or waitlist). Therapists worked with individual families. The CBT model emphasized behavioral experimentation, parent-training, and school consultation. Independent evaluators blind to treatment condition conducted structured diagnostic interviews and parents and children completed anxiety symptom checklists at baseline and posttreatment/postwaitlist. Results In intent-to-treat analyses, 78.5% of the CBT group met Clinical Global Impressions-Improvement scale criteria for positive treatment response at posttreatment, as compared to only 8.7% of the waitlist group. CBT also out-performed the waitlist on diagnostic outcomes and parent reports of child anxiety, but not children's self-reports. Treatment gains were maintained at 3-month follow-up. Conclusions The CBT manual employed in this study is one of the first adaptations of an evidence-based treatment for children with autism spectrum disorders. Remission of anxiety disorders appears to be an achievable goal among high-functioning children with autism. PMID:19309326

Wood, Jeffrey J.; Drahota, Amy; Sze, Karen; Har, Kim; Chiu, Angela; Langer, David A.

2013-01-01

444

The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses  

PubMed Central

Cognitive behavioral therapy (CBT) refers to a popular therapeutic approach that has been applied to a variety of problems. The goal of this review was to provide a comprehensive survey of meta-analyses examining the efficacy of CBT. We identified 269 meta-analytic studies and reviewed of those a representative sample of 106 meta-analyses examining CBT for the following problems: substance use disorder, schizophrenia and other psychotic disorders, depression and dysthymia, bipolar disorder, anxiety disorders, somatoform disorders, eating disorders, insomnia, personality disorders, anger and aggression, criminal behaviors, general stress, distress due to general medical conditions, chronic pain and fatigue, distress related to pregnancy complications and female hormonal conditions. Additional meta-analytic reviews examined the efficacy of CBT for various problems in children and elderly adults. The strongest support exists for CBT of anxiety disorders, somatoform disorders, bulimia, anger control problems, and general stress. Eleven studies compared response rates between CBT and other treatments or control conditions. CBT showed higher response rates than the comparison conditions in 7 of these reviews and only one review reported that CBT had lower response rates than comparison treatments. In general, the evidence-base of CBT is very strong. However, additional research is needed to examine the efficacy of CBT for randomized-controlled studies. Moreover, except for children and elderly populations, no meta-analytic studies of CBT have been reported on specific subgroups, such as ethnic minorities and low income samples. PMID:23459093

Hofmann, Stefan G.; Asnaani, Anu; Vonk, Imke J.J.; Sawyer, Alice T.; Fang, Angela

2012-01-01

445

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

446

Interpersonal Processes in Psychodynamic-Interpersonal and Cognitive Behavioral Group Therapy: A Systematic Case Study of Two Groups  

Microsoft Academic Search

This mixed method systematic case study applied an interpersonal stage model of the therapeutic process to examine interpersonal processes among a highly adherent Group Psychodynamic-Interpersonal Psychotherapy (GPIP) therapist and a highly adherent Group Cognitive Behavioral Therapy (GCBT) therapist and their groups of binge eating disordered (BED) patients. This is the first case study to apply the interpersonal stage model of

Giorgio A. Tasca; Meredith Foot; Catherine Leite; Hilary Maxwell; Louise Balfour; Hany Bissada

2011-01-01

447

Setting the Stage for the Integration of Motivational Interviewing with Cognitive Behavioral Therapy in the Treatment of Depression  

ERIC Educational Resources Information Center

Unipolar depression is one of the most disabling and costly medical illnesses in the world (Lancet Global Mental Health Group et al., 2007; Moussavi et al., 2007). Cognitive behavioral therapy (CBT), a widely studied and taught psychotherapeutic treatment for depression, is among the recommended evidence-based treatments. Although CBT and other…

Flynn, Heather A.

2011-01-01

448

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

449

Changes in eating self-efficacy and body image following cognitive–behavioral group therapy for binge eating disorder  

Microsoft Academic Search

Binge eating disorder (BED) is a frequent and significant psychiatric comorbidity among individuals seeking treatment for obesity. Cognitive–behavioral therapy (CBT) is frequently recommended for the treatment of obese individuals with BED. However, there is limited investigation into the effectiveness of the specific components of CBT. In this study, we examine the impact of CBT for BED in obese women on

Gretchen E Wolff; Matthew M Clark

2001-01-01

450

Cognitive-behavioral therapy for comorbid bipolar and substance use disorders: a systematic review of controlled trials  

Microsoft Academic Search

There are a number of negative intrapersonal, physical, and economic effects of comorbid bipolar and substance use disorders. The purpose of the present review is to systematically identify, describe, and summarize controlled trials evaluating the overall outcomes of cognitive-behavioral therapy (CBT) for persons with comorbid bipolar and substance use disorder (SUD); so trends regarding efficacy, effectiveness, and gaps in research

Virgil L. Gregory Jr

2011-01-01

451

Treating Medication-Resistant Panic Disorder: Predictors and Outcome of Cognitive-Behavior Therapy in a Brazilian Public Hospital  

Microsoft Academic Search

Background: In Brazil, treatment of panic disorder is most frequently initiated with pharmacotherapy, but only half of the patients can be expected to be panic free after medication. Studies have suggested that individual or group cognitive-behavior therapy (CBT) is an effective treatment strategy for panic patients who have failed to respond to pharmacotherapy. Methods: Thirty-two patients diagnosed with panic disorder

Elizeth Heldt; Gisele Gus Manfro; Leticia Kipper; Carolina Blaya; Sandra Maltz; Luciano Isolan; Vânia Naomi Hirakata; Michael W. Otto

2003-01-01

452

A Treatment-Refractory Case of Social Anxiety Disorder: Lessons Learned From a Failed Course of Cognitive-Behavioral Therapy  

Microsoft Academic Search

Over the past 25 years researchers have made enormous strides in the implementation of cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD), although considerable work remains to be done. The present paper discusses a treatment refractory case seen in our clinic. The young man presented numerous interrelated obstacles, such as low treatment expectations, poor homework compliance, and comorbid depression and

Faith A. Brozovich; Richard G. Heimberg

2011-01-01

453

Measuring Homework Compliance in Cognitive-Behavioral Therapy for Adolescent Depression. Review, Preliminary Findings, and Implications for Theory and Practice  

ERIC Educational Resources Information Center

Despite the importance placed on completion of extra-session homework in cognitive-behavioral therapy (CBT), a review of the available literature suggests there is much about the nature of homework compliance that remains to be empirically evaluated. This is especially true among youth receiving CBT. The present study begins to address how best to…

Gaynor, Scott T.; Lawrence, P. Scott; Nelson-Gray, Rosemery O.

2006-01-01

454

Affect Intensity and Phasic REM Sleep in Depressed Men before and after Treatment with Cognitive-Behavioral Therapy.  

ERIC Educational Resources Information Center

Explored relationship between daytime affect and REM (rapid eye movement) sleep in 45 depressed men before and after treatment with cognitive-behavioral therapy and in control group of 43 healthy subjects. For depressed subjects only, intensity of daytime affect correlated significantly and positively with phasic REM sleep measures at pre- and…

Nofzinger, Eric A.; And Others

1994-01-01

455

Acceptance-Enhanced Behavior Therapy (AEBT) for Trichotillomania and Chronic Skin Picking: Exploring the Effects of Component Sequencing  

ERIC Educational Resources Information Center

This pilot study examined the utility of acceptance-enhanced behavior therapy (AEBT) for trichotillomania (TTM) and chronic skin picking (CSP) and the impact of altering treatment sequence on overall treatment efficacy. Participants referred to a TTM and CSP specialty clinic were assessed by an independent evaluator within separate, nonconcurrent,…

Flessner, Christopher A.; Busch, Andrew M.; Heideman, Paul W.; Woods, Douglas W.

2008-01-01

456

Group Cognitive-Behavioral Therapy Versus Sertraline for the Treatment of Children and Adolescents with Obsessive-Compulsive Disorder  

ERIC Educational Resources Information Center

Objective: To compare the effectiveness of group cognitive-behavioral therapy (GCBT) and of sertraline in treatment-naive children and adolescents with obsessive-compulsive disorder. Method: Between 2000 and 2002, 40 subjects between 9 and 17 years old were randomized to receive GCBT (n = 20) or sertraline (n = 20). GCBT consisted of a…

Asbahr, Fernando Ramos; Castillo, Ana Regina; Ito, Ligia Montenegro; Latorre, Maria do Rosario Dias de Oliveira; Moreira, Michele Nunes; Lotufo-Neto, Francisco

2005-01-01

457

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

458

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

459

When Clients' Morbid Avoidance and Chronic Anger Impede Their Response to Cognitive-Behavioral Therapy for Depression  

ERIC Educational Resources Information Center

In spite of the fact that cognitive-behavioral therapy (CBT) for major depressive disorder is an empirically supported treatment, some clients do not respond optimally or readily. The literature has provided a number of hypotheses regarding the factors that may play a role in these clients' difficulties in responding to CBT, with the current paper…

Newman, Cory F.

2011-01-01

460

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

461

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

462

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

463

A Treatment-Refractory Case of Social Anxiety Disorder: Lessons Learned from a Failed Course of Cognitive-Behavioral Therapy  

ERIC Educational Resources Information Center

Over the past 25 years researchers have made enormous strides in the implementation of cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD), although considerable work remains to be done. The present paper discusses a treatment refractory case seen in our clinic. The young man presented numerous interrelated obstacles, such as low…

Brozovich, Faith A.; Heimberg, Richard G.

2011-01-01

464

Domains of life satisfaction in social anxiety disorder: relation to symptoms and response to cognitive-behavioral therapy  

Microsoft Academic Search

A general sense of satisfaction with life has been shown to be discriminable from symptom levels and disability in clinical populations. The current study focused on the utility of identifying domains of life satisfaction in social anxiety disorder and differential changes in these domains following cognitive-behavioral group therapy (CBGT). An exploratory principal axis factor analysis of the items of the

Winnie Eng; Meredith E. Coles; Richard G. Heimberg; Steven A. Safren

2005-01-01

465

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

466

Cognitive-Behavioral Therapy for PTSD and Depression Symptoms Reduces Risk for Future Intimate Partner Violence among Interpersonal Trauma Survivors  

ERIC Educational Resources Information Center

Objective: Women who develop symptoms of posttraumatic stress disorder (PTSD) and depression subsequent to interpersonal trauma are at heightened risk for future intimate partner violence (IPV) victimization. Cognitive-behavioral therapy (CBT) is effective in reducing PTSD and depression symptoms, yet limited research has investigated the…

Iverson, Katherine M.; Gradus, Jaimie L.; Resick, Patricia A.; Suvak, Michael K.; Smith, Kamala F.; Monson, Candice M.

2011-01-01

467

The Interaction of Motivation and Therapist Adherence Predicts Outcome in Cognitive Behavioral Therapy for Panic Disorder: Preliminary Findings  

ERIC Educational Resources Information Center

This report is a post-hoc, exploratory examination of the relationships among patient motivation, therapist protocol adherence, and panic disorder outcome in patients treated with cognitive behavioral therapy within the context of a randomized clinical trial for the treatment of panic disorder (Barlow, Gorman, Shear, & Woods, 2000). Results…

Huppert, Jonathan D.; Barlow, David H.; Gorman, Jack M.; Shear, M. Katherine; Woods, Scott W.

2006-01-01

468

Cognitive-Behavioral Therapy for Adult Anxiety Disorders in Clinical Practice: A Meta-Analysis of Effectiveness Studies  

ERIC Educational Resources Information Center

The efficacy of cognitive-behavioral therapy (CBT) for anxiety in adults is well established. In the present study, the authors examined whether CBT tested under well-controlled conditions generalizes to less-controlled, real-world circumstances. Fifty-six effectiveness studies of CBT for adult anxiety disorders were located and synthesized.…

Stewart, Rebecca E.; Chambless, Dianne L.

2009-01-01

469

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

470

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

471

A Controlled Naturalistic Study on a Weekly Music Therapy and Activity Program on Disruptive and Depressive Behaviors in Dementia  

Microsoft Academic Search

Aim: This study explores the effects of a weekly structured music therapy and activity program (MAP) on behavioral and depressive symptoms in persons with dementia (PWD) in a naturalistic setting. Methods: PWD attended a weekly group MAP conducted by a qualified music therapist and occupational therapist for 8 weeks. Two validated scales, the Apparent Emotion Scale (AES) and the Revised

Peimin Han; Melanie Kwan; Denise Chen; Siti Zubaidah Yusoff; Hui Ling Chionh; Jenny Goh; Philip Yap

2010-01-01

472

Being Mindful about the Assessment of Culture: A Cultural Analysis of Culturally Adapted Acceptance-Based Behavior Therapy Approaches  

ERIC Educational Resources Information Center

In this article we review a wide range of cultural adaptations of acceptance-based behavior therapies (ABBT) from a cultural perspective. Consistent with the cultural match model, we argue that psychotherapeutic cultural adaptations are more effective as the cultural characteristics of patients are matched to the cultural characteristics of the…

La Roche, Martin; Lustig, Kara

2013-01-01

473

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

474

Low bone mass in behaviorally HIV-infected young men on antiretroviral therapy: adolescent trials network (ATN) study 021B  

Technology Transfer Automated Retrieval System (TEKTRAN)

Peak bone mass is achieved in adolescence/early adulthood and is the key determinant of bone mass in adulthood. We evaluated the association of bone mass with HIV infection and antiretroviral therapy (ART) during this critical period among behaviorally HIV infected young men and seronegative control...

475

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

476

Children and Adolescents in Cognitive–Behavioral Therapy: Some Past Efforts and Current Advances, and the Challenges in Our Future  

Microsoft Academic Search

The last two decades have been witness to advances in cognitive-behavioral therapy for children and adolescents, and certain treatments have been labeled ‘empirically supported.’ However, not all cases show irrefutable gains and much treatment development and research remains. Following a brief precis of the past and present, we identify and examine several important directions for future research in child and

Philip C. Kendall; Muniya S. Choudhury

2003-01-01

477

Cognitive Change and Enhanced Coping: Missing Mediational Links in Cognitive Behavior Therapy with Anxiety-Disordered Children  

Microsoft Academic Search

In this review, we examine the recent cognitive behavior therapy (CBT) outcome literature with anxiety-disordered children and, specifically, explore the status of cognitive change and increased coping ability as (1) specific treatment effects, and (2) possible mediators of the efficacy of CBT. In the past decade, the number of controlled CBT studies with clinically diagnosed anxiety-disordered children has increased substantially.

Pier J. M. Prins; Thomas H. Ollendick

2003-01-01

478

Setting the Stage for the Integration of Motivational Interviewing With Cognitive Behavioral Therapy in the Treatment of Depression  

Microsoft Academic Search

Unipolar depression is one of the most disabling and costly medical illnesses in the world (Lancet Global Mental Health Group et al., 2007; Moussavi et al., 2007). Cognitive behavioral therapy (CBT), a widely studied and taught psychotherapeutic treatment for depression, is among the recommended evidence-based treatments. Although CBT and other treatments are largely effective, many depressed individuals do not fully

Heather A. Flynn

2011-01-01

479

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

480

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

481

Long-Term Effectiveness of Behavioral versus Insight-Oriented Marital Therapy: A 4-Year Follow-Up Study.  

ERIC Educational Resources Information Center

Obtained 4-year follow-up data regarding marital status and marital accord for 59 couples receiving either behavioral (BMT) or insight-oriented (IOMT) marital therapy in a controlled outcome study. Found no significant group differences between the two treatment conditions at termination or six-month followup; but by four-year followup, a…

Snyder, Douglas K.; And Others

1991-01-01

482

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

483

Impact of Cognitive Behavioral Therapy on Observed Autism Symptom Severity during School Recess: A Preliminary Randomized, Controlled Trial  

ERIC Educational Resources Information Center

This study compared cognitive behavioral therapy (CBT) and treatment-as-usual (TAU) in terms of effects on observed social communication-related autism symptom severity du