Pattern of Changes during Treatment: A Comparison between a Positive Psychology Intervention and a Cognitive Behavioral Treatment for Clinical Depression

2017 ◽  
Vol 20 ◽  
Author(s):  
Irene Lopez-Gomez ◽  
Covadonga Chaves ◽  
Gonzalo Hervas ◽  
Carmelo Vazquez
Keyword(s):  
Depressive Symptoms ◽  
Positive Psychology ◽  
Repeated Measures ◽  
Behavioral Treatment ◽  
Mixed Model ◽  
Well Being ◽  
Clinical Depression ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Gradual Improvement

AbstractResearch on psychotherapy has traditionally focused on analyzing changes between the beginning and the end of a treatment. Few studies have addressed the pattern of therapeutic change during treatment. The aim of this study was to examine the pattern of changes in clinical and well-being variables during a cognitive behavioral therapy (CBT) program compared with an integrative positive psychology interventions program for clinical depression IPPI-D. 128 women with a diagnosis of major depression or dysthymia were assigned to the CBT or PPI group. A measure of depressive symptoms (i.e., Beck Depression Inventory) and well-being (i.e., Pemberton Happiness Index) were administered four times: at the beginning and end of the treatment, as well as during treatment (at sessions 4 and 7). Through mixed-model repeated measures ANOVAs, both depressive symptoms (p < .001, partial η2 = .52) and well-being (p < .001, partial η2 = .29) showed a significant improvement through the four assessment times. No significant interactions between time and treatment modality were found (ps > .08). The percentage of improvement in depressive symptoms in the first treatment period was higher than in the later ones (ps < .005). On the contrary, well-being showed a more gradual improvement (p = .15). These results highlight the importance of assessing the pattern of changes in symptoms and well-being separately.

scholarly journals Telephone-based cognitive behavioral therapy for depression in Parkinson disease

Neurology ◽  
2020 ◽  
Vol 94 (16) ◽  
pp. e1764-e1773 ◽  
Author(s):  
Roseanne D. Dobkin ◽  
Sarah L. Mann ◽  
Michael A. Gara ◽  
Alejandro Interian ◽  
Kailyn M. Rodriguez ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Parkinson Disease ◽  
Behavioral Treatment ◽  
Rating Scale ◽  
Controlled Trial ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Treatment As Usual ◽  
Negative Thoughts

ObjectiveTo determine whether, for patients with depression and Parkinson disease (PD), telephone-based cognitive-behavioral treatment (T-CBT) alleviates depressive symptoms significantly more than treatment as usual (TAU), we conducted a randomized controlled trial to evaluate the efficacy of a 10-session T-CBT intervention for depression in PD, compared to TAU.MethodsSeventy-two people with PD (PWP) were randomized to T-CBT + TAU or TAU only. T-CBT tailored to PWPs’ unique needs was provided weekly for 3 months, then monthly during 6-month follow-up. CBT targeted negative thoughts (e.g., “I have no control”; “I am helpless”) and behaviors (e.g., social withdrawal, excessive worry). It also trained care partners to help PWP practice healthy habits. Blind raters assessed outcomes at baseline, midtreatment, treatment end, and 1 and 6 months post-treatment. Analyses were intent to treat.ResultsT-CBT outperformed TAU on all depression, anxiety, and quality of life measures. The primary outcome (Hamilton Depression Rating Scale score) improved significantly in T-CBT compared to TAU by treatment end. Mean improvement from baseline was 6.53 points for T-CBT and −0.27 points for TAU (p < 0.0001); gains persisted over 6-month follow-up (p < 0.0001). Improvements were moderated by a reduction in negative thoughts in the T-CBT group only, reflecting treatment target engagement.ConclusionsT-CBT may be an effective depression intervention that addresses a significant unmet PD treatment need and bypasses access barriers to multidisciplinary, evidence-based care.Clinicaltrials.gov identifierNCT02505737.Classification of evidenceThis study provides Class I evidence that for patients with depression and PD, T-CBT significantly alleviated depressive symptoms compared to usual care.

Feasibility, Acceptability, and Effectiveness of a New Cognitive-Behavioral Intervention for College Students with ADHD

2020 ◽  
pp. 108705472095186
Author(s):  
Mary V. Solanto ◽  
Anouk Scheres
Keyword(s):  
College Students ◽  
Time Management ◽  
Repeated Measures ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Cognitive Behavioral Intervention ◽  
Dsm 5 ◽  
Students With Adhd ◽  
Time Awareness

Objective This purpose of this study was to assess the feasibility, acceptability, and effectiveness of a new group cognitive-behavioral treatment (CBT) to enhance executive function (EF) in college students with ADHD. Methods Eighteen students meeting rigorous DSM-5 criteria for ADHD were enrolled in two nine-member groups. The treatment targeted time-awareness, distractibility, procrastination, and failure to plan, and included strategies to facilitate academic EF skills. Results Eighty-four percent of students attended nine or more of the 12 weekly sessions. Repeated measures analyses of change from pre- to posttreatment yielded improvement in clinician- and self-ratings of DSM-5 ADHD inattentive symptoms, with robust effect sizes. Also improved were scores on standardized scales of time-management, concentration, and total EF. Discussion Results provide support for the feasibility, acceptability, and effectiveness of a CBT program in reducing inattentive symptoms and enhancing EF in college students with ADHD, and warrant investigation on a larger scale.

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

2011 ◽  
Vol 80 (3) ◽  
pp. 136-143 ◽  
Author(s):  
Giovanni A. Fava ◽  
Chiara Rafanelli ◽  
Elena Tomba ◽  
Jenny Guidi ◽  
Silvana Grandi
Keyword(s):  
Behavioral Treatment ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Cyclothymic Disorder ◽  
Sequential Combination

A component analysis of cognitive-behavioral treatment for depression.

2000 ◽  
Vol 3 ◽  
pp. np
Author(s):  
Keith S. Dobson ◽  
Paula A. Truax ◽  
Michael E. Addis ◽  
Kelly Koerner ◽  
Jackie K. Gollan ◽  
...  
Keyword(s):  
Behavioral Treatment ◽  
Component Analysis ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment
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