scholarly journals Cognitive Behavior Therapy as Augmentation for Sertraline in Treating Patients with Persistent Postural-Perceptual Dizziness

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Yi-Chuan Yu ◽  
Hui Xue ◽  
Ying-xin Zhang ◽  
Jiying Zhou

Background. Persistent postural-perceptual dizziness (PPPD) is a common vestibular disorder. This study was conducted to assess whether the addition of cognitive behavior therapy (CBT) could significantly improve the efficacy and acceptability of sertraline in treating PPPD. Methods. PPPD patients were recruited and randomly assigned to control and experiment groups. Patients in both groups received sertraline 50–200 mg/day, and only patients in the experiment group received CBT (twice a week, one hour per time). The treatment was continued for eight weeks. At baseline, week 2, week 4, and week 8, the 25-item Dizziness Handicap Inventory (DHI), Hamilton Anxiety Rating Scale (HARS), and Hamilton Depression Rating Scale (HDRS) were used to assess the self-perceived handicapping effects caused by PPPD, anxiety, and depressive symptoms, respectively. The dose of sertraline used and the adverse events in both groups were recorded and analyzed. Results. In total, 91 PPPD patients were randomly assigned to the control group n=45 and experiment group n=46. After eight weeks of treatment, the average DHI scores, HDRS scores, and HARS scores were significantly decreased in both groups. But compared to the control group, the experiment group had significantly lower average DHI score, HDRS score, and HARS score at weeks 4 and 8. Moreover, the dose of sertraline used in the experiment group was significantly lower than that in the control group, and adverse events occurred more frequently in the control group than in the experiment group (48.9% versus 26.1%, p=0.025). Conclusion. These results demonstrated that the addition of CBT could significantly improve the efficacy and acceptability of sertraline in treating PPPD and reduce the dose of sertraline used.

Author(s):  
Jaeyoon Park

AbstractThis paper traces the emergence of a new figure of the desiring subject in contemporary addiction science and in three other recent cultural developments: the rise of cognitive-behavior therapy, the self-tracking movement, and the dissemination of ratings. In each, the subject’s desire becomes newly figured as a response to objects rather than a manifestation of the soul, measured numerically rather than expressed in language and rendered impersonal rather than individualizing. Together, these developments suggest a shift in the dominant form of the desiring subject in contemporary U.S. culture, one that breaks with the subject-form that Foucault theorized five decades ago.


Author(s):  
Lenny Syamsudin

Insomnia is a sleep disorder where a person has difficulty starting sleep, maintaining sleep, or poor sleep quality so that he experiences fatigue, irritability and less productive the next day. In Indonesia the number of people with insomnia is around 30- 50 percent of the total population of Indonesia. This study aims to determine the effect of giving Cognitive Behavior Therapy (CBT) to the reduction of symptoms of insomnia in people with insomnia. The focus of this study is to change the irrational thoughts in people with insomnia, to make it more rational. This research uses Quasi Experiment method with The One Group Pretest-Posttest Design. Insomnia is measured using a measuring instrument that has been adapted from the Pittsburgh Insomnia Rating Scale using the translate re translate method with insomnia subjects. The results showed changes in insomnia characterized by a decrease in insomnia symptoms in the subject after being given an intervention in the form of Cognitive Behavior Therapy (CBT). Based on these data, it can be concluded that the administration of Cognitive Behavior Therapy (CBT) affects the reduction of insomnia symptoms in insomniacsInsomnia merupakan suatu gangguan tidur dimana seseorang mengalami kesulitan untuk memulai tidur, menjaga tidur, atau kualitas tidur yang buruk sehingga mengalami kelelahan, mudah tersinggung dan kurang produktif keesokan harinya. Di Indonesia jumlah penderita insomnia sekitar 30 sampai 50 persen dari total penduduk Indonesia. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian Cognitive Behavior Therapy (CBT) terhadap penurunan simptom- simptom insomnia pada penderita insomnia. Fokus penelitian ini untuk merubah pikiran irasional pada penderita insomnia, agar lebih rasional. Penelitian ini menggunakan metode Quasi Experiment dengan desain The One Group Pretest- Posttest Design. Insomnia diukur dengan menggunakan alat ukur yang telah diadaptasi dari Pittsburgh Insomnia Rating Scale dengan menggunakan metode translate re translate dengan subjek penderita insomnia. Hasil penelitian menunjukkan terjadi perubahan insomnia yang ditandai dengan penurunan simptom-simptom insomnia pada subjek setelah diberikan intervensi berupa  Cognitive Behavior Therapy (CBT). Berdasarkan data tersebut, dapat ditarik simpulan bahwa pemberian Cognitive Behavior Therapy (CBT) berpengaruh terhadap penurunan simptom-simptom insomnia pada penderita insomnia.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1664-1664
Author(s):  
H. Habil ◽  
T. Seghatoleslam

AimThe aim of the present study is to evaluate the effectiveness of Cognitive Behavior Therapy (CBT) on the decrease of depression and the number of cigarettes smoked per day.MethodThis interventional study was carried out on 112 women (staff of a medical centre), 84 of whom were depressed and as current smokers, used on an average of 25 cigarettes per day. Some 78.6% of them were under psychiatric supervision for nine years. Finally, 28 smokers between the ages 25–55 were randomly selected and divided into two groups:1)experimental, and2)a control group.The survey instruments were:1)a questionnaire that contained personal, family, and smoking information, and2)The Beck Depression Inventory (BDI).Participants received six (6) week session of CBT.ResultsMeasured the effect of CBT through a pre-test and two post-tests. These results showed that there were significant decreases in depression with a reduction in the number of cigarettes smoked per day.ConclusionThe results suggested that CBT provided some special benefits for women who smoke and suffer from depression.


2019 ◽  
Vol 7 (2) ◽  
pp. 83-90
Author(s):  
Shinta Shinta

Social isolation is a condition of isolation from someone with schizophrenia so that the ability to interact with others decreases to be something negative. This study aims to determine the effect of cognitive behavioral therapy on the social interaction ability of social isolation clients in Bengkulu Province. The research method, this research is a quantitative study using a Quasi Experiment research design with a pre test and post test approach design without control group. The sample of this study was 30 people with total sampling techniques. The results of the study of social interaction ability of patients social isolation seen from the variables of cognitive abilities, affective and behavior. The average cognitive ability before giving therapy is 13.79, while after therapy is 19.88. The average affective ability before therapy was 14.58 while after therapy was 17.33. The average behavioral ability before therapy is 9.64 while after therapy is an average of 11.06. Based on the results of the t-dependent test, there were differences in the average score before and after the administration of Cognitive Behavior therapy, with the ρ value of each variable 0,000 (α = 0.05). Conclusion, Cognitive Behavior therapy has a significant effect on the ability of social interactions of social isolation patients in Bengkulu Province. Cognitive behavioral therapy is recommended as nursing therapy in treating social isolation clients with decreased social interaction abilities. Keywords: Cognitive behavioral therapy, Social interaction ability, Client social isolation


2019 ◽  
Vol 15 (2) ◽  
pp. 84
Author(s):  
Wisdia Lola Erwinda ◽  
Susmiati Susmiati ◽  
Heppi Sasmita

Various problems in adolescents are increasing, one of which is the drug abuse. Considering the condition of Kab. Dharmasraya, which is very vulnerable to drug trafficking cases, a prevention act to drug abuse behavior among adolescents is required. This study aimed to determine the effect of Group Cognitive Behavior Therapy (GCBT) on behavior changes on adolescents risked at drug abuse in Kab. Dharmasraya. This study was a Quasi Experimental Research with Pretest and Posttest With Control Group. The samples were 64 people consisting of 32 people in the control group and 32 people in the intervention group. The results of this study indicated that there was a significant influence on changes in adolescent behavior in the intervention group. Meanwhile, there was no significant differences happened in the control group. Therefore, Group Cognitive Behavior Therapy (GCBT) can be applied to change the behavior of adolescents risked at drug abuse. It is expected that GCBT can be implemented at schools in collaboration with the health department to prevent drug abuse behavior on adolescents. Keywords: Age Characteristics,  Adolescent Behavior Risked at Drug Abuse, Group Cognitive Behavior Therapy


2016 ◽  
Vol 28 (5) ◽  
pp. 585-594 ◽  
Author(s):  
Daniel F. K. Wong ◽  
Sylvia Y. C. L. Kwok ◽  
Yiu Tsang Low ◽  
Ka Wai Man ◽  
Priscilla S. Y. Ip

Objectives: The aims of this study were to examine the effects of group cognitive–behavior therapy (CBT) on improving anxiety symptoms and enhancing personal growth among adolescents at risk of developing anxiety disorders in school settings in Hong Kong. Method: A total of 26 participants received an eight-session CBT group and 20 received treatment as usual in the waitlist control condition. Instruments measuring anxiety symptoms, types of anxiety in children, dysfunctional thoughts, and personal growth were used to assess the changes in severity of anxiety symptoms, dysfunctional thoughts, and personal growth among the participants. Results: A 2 × 2 mixed model analyses of variance were employed, results demonstrated significantly greater improvements in overall anxiety symptoms, generalized anxiety symptoms, and personal growth—use of resources in the participants of the CBT group compared to the control group. Conclusion: Group CBT may potentially improve anxiety symptoms of adolescents in school settings in Hong Kong.


2018 ◽  
Vol 21 (2) ◽  
pp. 117-126
Author(s):  
Giur Hargiana ◽  
Budi Anna Keliat ◽  
Mustikasari Mustikasari

Indonesia is the fifth largest producer of cigarettes and has the third highest number of smokers in the world. This has potential biological, psychological, and social consequences. The aims of this study were to investigate the effects of Cognitive Behavioral Therapy (CBT) on smoking behavior and anxiety. Quasi-experimental non-equivalent control group pretest-posttest design was used. A total of 80 respondents were selected at random from 10 districts in proportion to the number of smokers in each district. Respondents completed questionnaires and received a course of CBT conducted over five meetings. There was a significant decrease smoking behavior and anxiety (p< 0.05) in the intervention group. Smoking behavior, nicotine dependence, and anxiety in male heads of family who smoke and who received CBT were significantly lower than in control group. The decreases in smoking behavior and anxiety were significantly correlated (p< 0.05). The study reveals, CBT can effectively change smoking habits as well as reduce anxiety. Keyword: anxiety, smoking behavior, cognitive behavioral therapy Abstrak Pengaruh Cognitive Behavior Therapy Terhadap Perilaku Merokok dan Ansietas pada Kepala Keluarga dengan Perilaku Merokok. Indonesia sebagai penghasil rokok terbesar ke-5 dan memiliki jumlah perokok terbanyak ke-3 di  Dunia, hal tersebut memunculkan masalah secara biologis, psikologis maupun sosial. Tujuan penelitian ini untuk mengetahui pengaruh dari cognitive behavior therapy terhadap perubahan perilaku merokok dan ansietas. Metode penelitian menggunakan desain quasi experiment non-equivalent control group pre-test-post test. Sampel pengambilan secara proporsional random dengan jumlah 80 responden. Pengumpulan data dengan menggunakan kuesioner kemudian responden dilakukan tindakan cognitive behavior therapy dengan lima kali pertemuan.  Hasil penelitian menunjukkan penurunan perilaku merokok dan ansietas secara bermakna (p< 0,05) pada kelompok intervensi. Penurunan perilaku merokok, tingkat ketergantungan nikotin dan ansietas kepala keluarga dengan perilaku merokok yang mendapatkan cognitive behavior therapy lebih besar secara bermakna (p< 0,05) dibandingkan dengan yang tidak mendapatkan cognitive behavior therapy. Penurunan perilaku merokok dan ansietas berhubungan secara bermakna (p< 0,05). Direkomendasikan untuk menerapkan cognitive behavior therapy perokok oleh perawat yang mempunyai kompetensi. Kata Kunci: ansietas, perilaku merokok,cognitive behavior therapy


Author(s):  
Claudia Wuri Prihandini ◽  
Ni Komang Matalia Gandari ◽  
Ni Wayan Bunter

Halusinasi adalah merasakan segala sesuatu dalam keadaan sadar yang tampak nyata, namun sebenarnya hanya diciptakan oleh persepsi pikiran sendiri. Pasien dengan halusinasi pendengaran jika tidak segera ditangani akan berakibat kehilangan kontrol seperti bunuh diri, membunuh, bahkan merusak lingkungan. Terapi keperawatan yang direkomendasikan adalah Cognitive Behaviour Therapy (CBT). Adapun tujuan dari penelitian ini adalah untuk mengetahui pengaruh CBT terhadap penurunan tingkat kekambuhan halusinasi dengar. Penelitian ini menggunakan desain one group pre test post test dengan jumlah sampel sebanyak 63 orang dengan menggunakan teknik sampling purposive. Instrumen untuk mengumpulkan data menggunakan instrumen Psychotic Syndrome Rating Scale. Data dianalisis dengan uji paired-t. Berdasarkan hasil penelitian diatas dapat disimpulkan pemberian terapi CBT memberi pengaruh yang signifikan secara statistik terhadap tingkat kekambuhan halusinasi pada pasien dengan halusinasi dengar dengan nilai signifikansi sebesar 0,000.


2011 ◽  
Vol 14 (3) ◽  
pp. 165-170
Author(s):  
Tri Setyaningsih ◽  
Mustikasari Mustikasari ◽  
Tuti Nuraini

Penelitian ini bertujuan untuk menguraikan tentang pengaruh Cognitif Behavior Therapy (CBT) terhadap perubahan harga diri klien Gagal Ginjal Kronik (GGK) di unit hemodialisa RS H Jakarta. Penelitian dilakukan menggunakan pendekatan kuantitatif, dengan metode quasi eksperimen pre-post test without control group. Penelitian dilakukan terhadap 27 responden (klien GGK) yang sedang menjalani hemodialisis. Hasil penelitian menunjukkan bahwa terdapat perubahan harga diri baik dari aspek kognitif maupun perilaku yang signifikan sesudah dilakukan intervensi CBT (p= 0,000; α= 0,05). Rekomendasi hasil penelitian CBT dijadikan salah satu terapi spesialis bagi klien GGK di unit hemodialisa pada khususnya dan klien yang mengalami gangguan psikososial pada umumnya.


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