scholarly journals Targeting dissociation using cognitive behavioural therapy in voice hearers with psychosis and a history of interpersonal trauma: A case series

2020 ◽  
Author(s):  
Filippo Varese ◽  
Maggie Douglas ◽  
Robert Dudley ◽  
Samantha Bowe ◽  
Thomas Christodoulides ◽  
...  
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Case Series ◽  
Behavioural Therapy ◽  
Interpersonal Trauma ◽  
Cognitive Behavioural ◽  
History Of

CBT for adolescent pathological gambling – lessons from adult research

2009 ◽  
Vol 26 (3) ◽  
pp. 140-146 ◽  
Author(s):  
Ciaran Clarke ◽  
Norbertas Skokauskas
Keyword(s):  
Pathological Gambling ◽  
Cognitive Behavioural Therapy ◽  
Case Series ◽  
Behavioural Therapy ◽  
Addictive Behaviors ◽  
Hand Search ◽  
Intention To Treat ◽  
Cognitive Behavioural ◽  
Long Term Follow Up ◽  
Randomised Control Trials

AbstractObjectives:Features of gambling, particularly among young people have changed over the past decade and, while there are no data from Ireland, there are suggestions from those working in the field that pathological gambling is increasing among adolescents. Relatively little is known about the effective treatment of pathological gambling in adolescents. This paper aims to review research in cognitive behavioural treatments with a view to their application in adolescents. Research among adolescence is given prominence when this is available.Methods:The methodology comprised a literature search of Medline, Psycinfo, and EMBASE databases, using the search terms: ‘cognitive behavioural therapy’; ‘gambling; ‘psychology’; ‘epidemiology’; ‘adolescent’; ‘motivation’; ‘effectiveness’; ‘outcome’; ‘relapse’; and ‘internet’. In addition, a hand search ofClinical Psychological Reviews, Journal of Gambling Studies, Addiction, Psychology of Addictive Behaviors, and International Gambling Studies(1997-2007) was performed.Results:A total of 23 studies comprising various cognitive and behavioural approaches were identified, all but three of them confined to adult subjects. Study methodology and quality varied greatly, with many case studies or small case series, and only three randomised control trials. None used an intention-to-treat analysis, and there was little long-term follow-up. Almost ail indicated, with more or less evidence, that cognitive behavioural strategies might be beneficial.Conclusions:Many varieties and modifications of cognitive behavioural therapy have been applied to pathological gambling, though there are few studies of any psychological treatments for adolescent gamblers. Methodological problems surround much of the research. Notwithstanding these reservations cognitive behavioural approaches seem to offer promise in managing this serious problem.

scholarly journals A case series to examine whether people with learning disabilities can learn prerequisite skills for cognitive behavioural therapy

2018 ◽  
Vol 11 ◽  
Author(s):  
Ioanna Tsimopoulou ◽  
Biza Stenfert Kroese ◽  
Gemma Unwin ◽  
Sabiha Azmi ◽  
Christopher Jones
Keyword(s):  
Learning Disabilities ◽  
Cognitive Behavioural Therapy ◽  
Case Series ◽  
Behavioural Therapy ◽  
Task Demands ◽  
Cognitive Mediation ◽  
Qualitative Feedback ◽  
Cognitive Behavioural ◽  
Prerequisite Skills

AbstractAlthough cognitive behavioural therapy (CBT) is recommended for the treatment of a number of mental disorders among the general population, the ability of individuals with learning disabilities (LD) to understand CBT concepts and engage in CBT has been questioned. Aims: To examine whether specific prerequisite skills for CBT can be taught to people with LD using a newly developed training intervention and to investigate the acceptability of the intervention. Method: The study adopted a within-subjects case series research design. Quantitative assessment methods were used to evaluate the CBT skills of six adults with mild to moderate LD pre-intervention, following intervention and at 1-week follow-up. Participants were also asked to provide some qualitative feedback about how they had experienced the intervention. Results: The cognitive mediation skills and the ability of most participants to link activating events to emotions increased following intervention training and this improvement was maintained for four of them at follow-up. The feedback of participants regarding the process and content of the task demands was positive. Conclusions: The findings suggest that people with LD can learn some of the skills considered necessary to participate in CBT, such as cognitive mediation. However, further and more robust research is required to substantiate these findings.

scholarly journals Modular-Based Psychotherapy (MoBa) versus Cognitive Behavioural Therapy (CBT) for patients with comorbid depression and a history of childhood maltreatment: Study protocol for a randomised controlled feasibility trial

2021 ◽  
Author(s):  
Moritz Elsaesser ◽  
Sabine C. Herpertz ◽  
Hannah Piosczyk ◽  
Carolin Jenkner ◽  
Martin Hautzinger ◽  
...  
Keyword(s):  
Early Childhood ◽  
Cognitive Behavioural Therapy ◽  
Childhood Maltreatment ◽  
Treatment Algorithm ◽  
Behavioural Therapy ◽  
High Rate ◽  
Feasibility Trial ◽  
History Of Childhood ◽  
Cognitive Behavioural ◽  
History Of

Introduction: In depression treatment, most patients do not reach response or remission with current psychotherapeutic approaches. Major reasons for individual non-response are interindividual heterogeneity of etiological mechanisms and pathological forms, and a high rate of comorbid disorders. Personalised treatments targeting comorbidities as well as underlying transdiagnostic mechanisms and factors like early childhood maltreatment may lead to better outcomes. A Modular-Based Psychotherapy (MoBa) approach provides a treatment model of independent and flexible therapy elements within a systematic treatment algorithm to combine and integrate existing evidence-based approaches. By optimally tailoring module selection and application to the specific needs of each patient, MoBa has great potential to improve the currently unsatisfying results of psychotherapy as a bridge between disorder-specific and personalised approaches.Methods and analysis: In a randomized controlled feasibility trial (RCT), N=70 outpatients with episodic or persistent major depression, comorbidity and childhood maltreatment are treated in 20 individual sessions with MoBa or standard Cognitive Behavioural Therapy (CBT) for depression. The three modules of MoBa focus on deficits associated with early childhood maltreatment: the systems of negative valence, social processes, and arousal. According to a specific questionnaire-based treatment algorithm, elements from Cognitive Behavioral Analysis System of Psychotherapy (CBASP), Mentalization-Based Psychotherapy (MBT) and/or Mindfulness (MBCT) are integrated for a personalised modular procedure.As a proof of concept, this trial will provide evidence for the feasibility and efficacy (post-treatment and six month follow-up) of a modular add-on approach for patients with depression, comorbidities and a history of childhood maltreatment. Crucial feasibility aspects include targeted psychopathological mechanisms, selection (treatment algorithm), sequence and application of modules, as well as training and supervision of the study therapists. Ethics and dissemination: This study obtained approval from independent Ethics Committees. All findings will be disseminated broadly via peer-reviewed articles in scientific journals and contributions to national and international conferences.Trial registration: German Clinical Trials Register (www.drks.de): DRKS00022093.

scholarly journals Cognitive–Behavioural Therapy Combined With an Interpersonal Skills Component in the Treatment of Generalised Anxiety Disorder in Adolescent Females: A Case Series

2008 ◽  
Vol 25 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Allison M. Waters ◽  
Jillian Donaldson ◽  
Melanie J. Zimmer-Gembeck
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioural Therapy ◽  
Interpersonal Skills ◽  
Case Series ◽  
Parent Report ◽  
Behavioural Therapy ◽  
Female Adolescents ◽  
Generalised Anxiety Disorder ◽  
Cognitive Behavioural ◽  
Diagnostic Interviews

AbstractThe present study describes the outcomes of a manualised treatment for generalised anxiety disorder (GAD) in female adolescents that combined traditional cognitive–behavioural therapy (CBT) with an interpersonal skills (IP) component. The CBT component included psychoeducation, somatic management, cognitive restructuring, exposure therapy and problem-solving. The IP component targeted interpersonal avoidance, passive and aggressive interpersonal styles, and co-rumination. Four female adolescents with a principal diagnosis of GAD participated in 10 weekly 1-hour sessions. Adolescent- and parent-report diagnostic interviews and questionnaires were completed at pre-, mid-, and posttreatment, and at 3-months follow-up. Reductions in GAD and depressive symptoms and improvements in interpersonal functioning for all participants on both adolescent- and parent-report measures suggest that the combination of CBT and IP can benefit adolescent girls with GAD.

Cognitive behavioural therapy for obsessive-compulsive symptoms in schizophrenia

2013 ◽  
Vol 6 ◽  
Author(s):  
Frederike Schirmbeck ◽  
Mathias Zink
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Symptom Severity ◽  
Case Series ◽  
Behavioural Therapy ◽  
Functional Impairments ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
First Choice

AbstractObsessive-compulsive symptoms (OCS) are a common phenomenon in patients with schizophrenia and are associated with additional clinical and functional impairments. So far treatment approaches have been limited to mainly pharmacological interventions with restricted effectiveness. Because cognitive behavioural therapy (CBT) is considered treatment of first choice for patients with primary obsessive-compulsive disorder (OCD), it seems compelling to consider it as a treatment option for comorbid OCS in schizophrenia. This research was conducted in order to investigate the theoretical and empirical basis for CBT in the treatment of comorbid OCS/OCD in schizophrenia. A comprehensive review and analysis of published literature was performed. Outcome measures from case-reports and a case-series showed favourable results with a significant reduction of symptom severity in 24/30 patients treated with CBT and exposure and response prevention (ERP) or ERP alone. CBT appears to offer a valuable opportunity to reduce symptom severity in this highly impaired group of patients. Based on these results and with a strong focus on tolerability concerns, suggestions for possible CBT approaches for the comorbid group are proposed. Further research within this field and systematic clinical evaluations are highly desirable.

THE ROLE OF COGNITIVE BEHAVIOURAL THERAPY IN FACILITATING ADAPTATION TO ILLNESS IN RHEUMATOID ARTHRITIS: A CASE SERIES

2001 ◽  
Vol 29 (3) ◽  
pp. 303-309 ◽  
Author(s):  
Louise Sharpe ◽  
Tom Sensky ◽  
Natalie Timberlake ◽  
Simon Allard ◽  
Chris R. Brewin
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Illness ◽  
Cognitive Behavioural Therapy ◽  
Case Series ◽  
Behavioural Therapy ◽  
Behavioural Intervention ◽  
Disease Course ◽  
Medical Disorders ◽  
Cognitive Behavioural

A considerable literature has developed over the past two decades that has investigated the utility of cognitive behavioural treatments for a variety of medical disorders, including rheumatoid arthritis. Research has consistently found that psychological variables affect the course of the illness and that cognitive behavioural approaches can improve psychological and physical function. However, the literature has focused almost exclusively on chronic illness. There is little literature that has investigated the role of cognitive behavioural therapy in facilitating the adjustment early in the disease course to diagnosis and subsequent illness. The diagnosis of any potentially chronic illness has enormous ramifications for a person's life and it is well documented that many people become depressed even early in the disease course. Theoretical accounts have been put forward that allow a model for understanding the process of adaptation and offer a foundation for the use of cognitive and behavioural strategies with a recently diagnosed group of patients. The present paper reports the use of a cognitive and behavioural intervention to facilitate coping and adjustment to illness.

Cognitive Behavioural Therapy and Homelessness: A Case Series Pilot Study

2005 ◽  
Vol 34 (1) ◽  
pp. 107-111 ◽  
Author(s):  
Nick Maguire
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Qualitative Data ◽  
Case Series ◽  
Behavioural Therapy ◽  
Clinical Psychologist ◽  
Referral Criteria ◽  
Homeless Men ◽  
Cognitive Behavioural ◽  
Excessive Alcohol ◽  
Set Up

This paper describes a project set up to treat four homeless men using cognitive behavioural therapy (CBT). The referral criteria were that individuals had alcohol and/or substance misuse problems, were roofless (i.e. sleeping rough) immediately before the intervention began and found it difficult or impossible to access hostel places in Southampton. Excessive alcohol use, violence (against self, others and property) and prison sentences were all features of their presentation. The project involved three levels of CBT intervention provided by the clinical psychologist: 1) training for the staff to enable them to work within this model; 2) continued supervision within model to ensure consistency and sustainability; 3) individual formulation (description of the problem within the CBT framework) and psychotherapy. The house itself was also run on a collaborative basis. A number of measures including mental health and social functioning constructs were used to evaluate the project, in addition to some qualitative data. All residents reduced incidents of theft, violence and alcohol consumption. Risk to self and others was also reduced for all residents. Perceived self-efficacy increased slightly for all residents, and staff perceived that they could be more effective, less hopeless, and therefore possibly less stressed as a result of training. More data will be gathered over time.

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