scholarly journals Cognitive behavioural therapy stabilises glycaemic control in adolescents with type 1 diabetes-Outcomes from a randomised control trial

2017 ◽  
Vol 19 (1) ◽  
pp. 106-113 ◽  
Author(s):  
Christina Wei ◽  
Ruth J Allen ◽  
Patricia M Tallis ◽  
Fiona J Ryan ◽  
Linda P Hunt ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycaemic Control ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Randomised Control Trial ◽  
Diabetes Outcomes ◽  
Cognitive Behavioural

scholarly journals Cognitive-behavioural therapyv.structured care for medically unexplained symptoms: randomised controlled trial

2008 ◽  
Vol 193 (1) ◽  
pp. 51-59 ◽  
Author(s):  
A. Sumathipala ◽  
S. Siribaddana ◽  
M. R. N. Abeysingha ◽  
P. De Silva ◽  
M. Dewey ◽  
...  
Keyword(s):  
Primary Care ◽  
Cognitive Behavioural Therapy ◽  
Primary Care Physicians ◽  
Medically Unexplained Symptoms ◽  
Behavioural Therapy ◽  
Randomised Control Trial ◽  
Structured Care ◽  
Cognitive Behavioural ◽  
Medically Unexplained ◽  
Unexplained Symptoms

BackgroundA pilot trial in Sri Lanka among patients with medically unexplained symptoms revealed that cognitive-behavioural therapy (CBT) administered by a psychiatrist was efficaciousAimsTo evaluate CBT provided by primary care physicians in a comparison with structured careMethodA randomised control trial (n=75 in each arm) offered six 30 min sessions of structured care or therapy. The outcomes of the two interventions were compared at 3 months, 6 months, 9 months and 12 monthsResultsIn each arm, 64 patients (85%) completed the three mandatory sessions. No difference was observed between groups in mean scores on the General Health Questionnaire or the Bradford Somatic Inventory, or in number of complaints or patient-initiated consultations at 3 months. For both groups, all outcome measures improved at 3 months, and remained constant in the follow-up assessmentsConclusionsCognitive–behavioural therapy given by primary care physicians after a short course of training is no more efficacious than structured care. Natural remission is an unlikely explanation for improvements in people with chronic medically unexplained symptoms, but lack of a ‘treatment as usual’ arm limits further conclusions. Further research on enhanced structured care, medical assessment and structured care incorporating simple elements of CBT principles is worthy of consideration

scholarly journals An analysis of the relationships between peer support and diabetes outcomes in adolescents with type 1 diabetes

2016 ◽  
Vol 23 (10) ◽  
pp. 1356-1366 ◽  
Author(s):  
Emily Doe
Keyword(s):  
Type 1 Diabetes ◽  
Glycaemic Control ◽  
Health Outcomes ◽  
Peer Support ◽  
Self Care ◽  
Glycated Haemoglobin ◽  
Diabetes Outcomes ◽  
Specific Support

This study explores the relationships between the various subtypes of global and diabetes-specific peer support and health outcomes in adolescents with type 1 diabetes. Global peer support significantly predicted self-care and glycated haemoglobin, although no associations were identified for diabetes-specific support overall, nor its factors. When comparing participants with above or below average glycaemic control, significantly greater diabetes-specific support was reported in those with poorer control. It is suggested that this may be related to feelings of nagging, in which diabetes-specific support is perceived as harassment.

Cognitive behavioural group training (CBGT) for patients with type 1 diabetes in persistent poor glycaemic control: who do we reach?

2005 ◽  
Vol 56 (3) ◽  
pp. 313-322 ◽  
Author(s):  
Nicole C.W. van der Ven ◽  
Caroline H.C. Lubach ◽  
Marloes H.E. Hogenelst ◽  
Ada van Iperen ◽  
Anita M.E. Tromp-Wever ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycaemic Control ◽  
Group Training ◽  
Poor Glycaemic Control ◽  
Cognitive Behavioural

Computerised cognitive behavioural therapy for alcohol use disorder: a pilot randomised control trial

2014 ◽  
Vol 32 (3) ◽  
pp. 237-246 ◽  
Author(s):  
C. K. Farren ◽  
J. Milnes ◽  
K. Lambe ◽  
S. Ahern
Keyword(s):  
Alcohol Use ◽  
Cognitive Behavioural Therapy ◽  
Alcohol Use Disorder ◽  
Patient Adherence ◽  
Inpatient Rehabilitation ◽  
Behavioural Therapy ◽  
Randomised Control Trial ◽  
Clinical Tool ◽  
Cognitive Behavioural ◽  
Computerised Cbt

BackgroundCognitive behavioural therapy (CBT) has been used in the treatment of alcohol use disorder (AUD), generally in individual or group therapy, but not via computer.AimThis study examined the effectiveness of an interactive, personalised, computer-based CBT therapy in a randomised control trial.MethodsWe studied a group of 55 patients with AUD, randomised to either 5-hour-long computerised CBT sessions or a placebo cognitive-stimulating session, together with a 4-week inpatient rehabilitation treatment, and followed them for 3 months.ResultsThere was a high degree of patient adherence to the protocol. Both groups did well, with a significant fall in alcohol outcome measures including number of drinks per drinking day, and number of drinking days, and an increase in abstinence rates in both groups to an equivalent level. The CBT group attended alcoholics anonymous groups more frequently, and had significant alterations in their alcohol self-efficacy outcomes, which correlated with their drinking outcomes. We concluded that computerised CBT is a potentially useful clinical tool that warrants further investigation in different treatment settings for AUD.

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