The effect of combined cognitive‐behavioral psychoeducation and music intervention on stress, self‐efficacy, and relapse rates in patients with alcohol and substance use disorders: A randomized controlled trial

Author(s):  
Kübra Kayaoğlu ◽  
Özlem Şahin Altun
2021 ◽  
Vol 223 ◽  
pp. 108716
Author(s):  
Elizabeth J. Santa Ana ◽  
Steven D. LaRowe ◽  
Mulugeta Gebregziabher ◽  
Antonio A. Morgan-Lopez ◽  
Kayla Lamb ◽  
...  

Author(s):  
Kelly A Hyland ◽  
Ashley M Nelson ◽  
Sarah L Eisel ◽  
Aasha I Hoogland ◽  
Javier Ibarz-Pinilla ◽  
...  

Abstract Background Cognitive behavioral therapy for targeted-therapy related fatigue (CBT-TTF) has demonstrated preliminary efficacy in reducing fatigue in patients treated with tyrosine kinase inhibitors (TKIs) for chronic myeloid leukemia (CML). Purpose The aim of the current analyses was to explore whether fatigue perpetuating factors (disturbed sleep/wake cycle, dysregulated activity patterns, maladaptive cognitions about fatigue and cancer, insufficient processing of cancer and treatment, inadequate social support and interactions, heightened fear of cancer progression) changed over time in patients receiving CBT-TTF, and whether the effect of CBT-TTF on fatigue was mediated by these factors. Methods Secondary data analyses were conducted from a pilot randomized controlled trial. Patients with CML treated with a TKI who reported moderate to severe fatigue were randomized 2:1 to CBT-TTF delivered via FaceTime for iPad or a waitlist control condition (WLC). Self-report measures of fatigue and fatigue perpetuating factors were obtained before randomization and post-intervention (i.e., approximately 18 weeks later). Mixed model and mediation analyses using bootstrap methods were used. Results A total of 36 participants (CBT-TTF n = 22, WLC n = 14) who had baseline and 18-week follow-up data and attended >5 sessions for CBT-TTF were included. Participants randomized to CBT-TTF reported improvements in activity (mental, physical, social, p’s ≤ .023) and cognitions (helplessness, catastrophizing, focusing on symptoms, self-efficacy, p’s ≤ .003) compared to WLC. Mental activity, social activity, self-efficacy, helplessness, and focusing on symptoms, as well as sleep and insufficient processing (avoidance) mediated the relationship between treatment group and fatigue. Conclusions CBT-TTF appears to improve TKI-related fatigue in CML patients through changes in behavior (sleep, activity patterns) and cognitions about fatigue and cancer. A larger randomized controlled trial is warranted to confirm these findings.


Addiction ◽  
2015 ◽  
Vol 110 (7) ◽  
pp. 1194-1204 ◽  
Author(s):  
Mark P. McGovern ◽  
Chantal Lambert-Harris ◽  
Haiyi Xie ◽  
Andrea Meier ◽  
Bethany McLeman ◽  
...  

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