scholarly journals Strategies of cognitive-behavioural therapy in the rehabilitation of polydrug

2015 ◽  
Vol 23 (2) ◽  
pp. 93-115 ◽  
Author(s):  
A.I. Melehin ◽  
Yu.V. Veselkova

Over the past few years, cognitive-behavioral therapy, aimed at forecasting and min¬imizing recidivism, was the most effective treatment for substance dependence (opiate addiction, cocainism, kannabizm and polydrug use). This article describes the psychotherapeutic treatment protocols polinarkozavisimosti. Given the short-term integrative principles of cognitive-behavioral therapy, along with motivational thera¬py, psychoeducation and systemic family therapy. Presents the steps of motivational interviewing, functional analysis of problem behavior, social skills training and tech¬niques to overcome the negative stress based on the principle of awareness. Particular attention in this article on the prevention of recurrence in patients with polydrug use.

2020 ◽  
Author(s):  
Hassan Majeed ◽  
Charles Stanfa ◽  
Donna Sudak

Cognitive-behavioral therapy (CBT) is an empirically supported psychotherapy shown to be effective and durable for the treatment of a variety of psychiatric illnesses. It is problem focused and conceptually driven. Cognitive restructuring, behavioral activation, exposure, and developing good action plans for out-of-session practice are tools that benefit patients for a lifetime. The purpose of this review is to provide an overview of the literature that supports the use of CBT, introduce the key elements of the therapeutic approach, and illustrate them with case examples. The structure of the session and the CBT approach to the therapeutic alliance are highlighted in the text.  This review contains 23 tables, and 59 references. Key words: Cognitive-behavioral therapy, cognitive restructuring, collaboration, behavioral activation, exposure


2018 ◽  
Vol 25 (1) ◽  
pp. 16
Author(s):  
Cæcilie Buhmann ◽  
Ida Andersen ◽  
Erik Lykke Mortensen ◽  
Jasmina Ryberg ◽  
Merete Nordentoft ◽  
...  

Introduction: Cognitive behavioural therapy (CBT) with trauma focus is the most evidence supported psychotherapeutic treatment of PTSD, but few CBT treatments for traumatized refugees have been described in detail. Purpose: To describe and evaluate a manualized cognitive behavioral therapy for traumatized refugees incorporating exposure therapy, mindfulness and acceptance, and commitment therapy. Material and methods: 85 patients received six months’ treatment at a Copenhagen Trauma Clinic for Refugees and completed self-ratings before and after treatment. The treatment administered to each patient was monitored in detail. The changes in mental state and the treatment components associated with change in state were analyzed statistically. Results: Despite the low level of functioning and high co-morbidity of patients, 42% received highly structured CBT, which was positively associated with all treatment outcomes. The more methods used and the more time each method was used, the better the outcome. The majority of patients were able to make homework assignments and this was associated with better treatment outcome. Correlation analysis showed no association between severity of symptoms at baseline and the observed change. Conclusion: The study suggests that CBT treatment incorporating mindfulness and acceptance and commitment therapy is promising for traumatized refugees and punctures the myth that this group of patients are unable to participate fully in structured CBT. However, treatment methods must be adapted to the special needs of refugees and trauma exposure should be further investigated. 


Author(s):  
Farah Mahmoudi

The main purpose of this study was to compare the efficacy of cognitive-behavioural therapy and relaxation technique in the treatment of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). For this purpose, after screening 82 girls students, they were randomly divided into three groups: relaxation, cognitive-behavioral and control. Results showed the amelioration of PMS and PMDD with cognitive-behavioural therapy and relaxation technique but relaxation technique was a superior method. It can be recommended that the relaxation technique for relief of PMS and PMDD.   Keywords: Cognitive-behavioral therapy, relaxation technique, premenstrual syndrome.


2017 ◽  
Vol 35 (15-16) ◽  
pp. 2846-2868 ◽  
Author(s):  
Christopher M. Murphy ◽  
Christopher I. Eckhardt ◽  
Judith M. Clifford ◽  
Adam D. LaMotte ◽  
Laura A. Meis

A randomized clinical trial tested the hypothesis that a flexible, case formulation–based, individual treatment approach integrating motivational interviewing strategies with cognitive-behavioral therapy (ICBT) is more efficacious than a standardized group cognitive-behavioral approach (GCBT) for perpetrators of intimate partner violence (IPV). Forty-two men presenting for services at a community domestic violence agency were randomized to receive 20 sessions of ICBT or a 20-week group cognitive-behavioral therapy (CBT) program. Participants and their relationship partners completed assessments of relationship abuse and relationship functioning at baseline and quarterly follow-ups for 1 year. Treatment uptake and session attendance were significantly higher in ICBT than GCBT. However, contrary to the study hypothesis, GCBT produced consistently equivalent or greater benefits than ICBT. Participant self-reports revealed significant reductions in abusive behavior and injuries across conditions with no differential benefits between conditions. Victim partner reports revealed more favorable outcomes for group treatment, including a statistically significant difference in psychological aggression, and differences exceeding a medium effect size for physical assault, emotional abuse, and partner relationship adjustment. In response to hypothetical relationship scenarios, GCBT was associated with greater reductions than ICBT (exceeding a medium effect) in articulated cognitive distortions and aggressive intentions. Treatment competence ratings suggest that flexible, individualized administration of CBT creates challenges in session agenda setting, homework implementation, and formal aspects of relationship skills training. Although caution is needed in generalizing findings from this small-scale trial, the results suggest that the mutual support and positive social influence available in group intervention may be particularly helpful for IPV perpetrators.


2011 ◽  
Vol 35 (6) ◽  
pp. 595-618 ◽  
Author(s):  
Karen L. Jacob ◽  
Michael S. Christopher ◽  
Edmund C. Neuhaus

Although several theories exist to describe why patients improve in cognitive-behavioral therapy (CBT), in only a limited number of studies has CBT skill acquisition been examined, particularly among patients with complex clinical profiles. Thus, the overarching aim of this research was to develop a tool to measure patients’ use of CBT skills, such that it would have clinical utility for patients and therapists during treatment. In Study 1, the authors developed an initial set of items for the Cognitive-Behavioral Therapy Skills Questionnaire (CBTSQ). They submitted these items to an exploratory factor analysis in an initial administration ( n = 350) and to a confirmatory factor analysis in a second administration ( n = 378). Results indicated that there were two factors (Behavioral Activation and Cognitive Restructuring) with good factor structure and internal consistency, and both the factors evidenced expected relationships with other constructs. In Study 2, the criterion validity of the CBTSQ was investigated on a patient sample in a CBT-oriented treatment setting. Results showed that CBTSQ scores increased following treatment, and Cognitive Restructuring and Behavioral Activation scores predicted reduction of overall psychiatric symptoms and depression. Thus, the CBTSQ appears to be a promising measure of CBT skill acquisition and treatment outcome as well as an instrument that can help patients and therapists monitor progress specifically related to a CBT skills training treatment approach.


Author(s):  
Victor K.-L. Cheung

Post-stroke depression (PSD) is a common psychiatric manifestation of stroke, which has a devastating impact on survivors’ quality of life with an increasing burden on caregivers and the public medical system. Even so, no meta-analysis on specific psychotherapeutic treatment has been conducted. How effective is cognitive behavioral therapy (CBT) in reducing depressive symptoms in randomized-controlled trials (RCTs) targeting community-dwelling stroke survivors with PSD? Through systematic procedures of screening and data extraction, four RCTs were synthesized for meta-analysis (N= 270) on effect size estimates. Overall, CBT groups showed significant improvement in depression compared with controls. Methodological quality, intensity of CBT, and duration of post-treatment follow-up proved critical to treatment effects. Despite the potential threat of external validity, this paper had reviewed their content comprehensively with the implication of facilitating public understanding, research, and service development of PSD using CBT. To fill the knowledge gap, standardized protocol and further subgroup analyses are necessary.


CNS Spectrums ◽  
2003 ◽  
Vol 8 (5) ◽  
pp. 373-381 ◽  
Author(s):  
James P. Hambrick ◽  
Justin W. Weeks ◽  
Gerlinde C. Harb ◽  
Richard G. Heimberg

ABSTRACTThe present paper examines the role of cognitive-behavioral therapy (CBT) in the treatment of social anxiety disorder (SAD). A cognitive-behavioral model of SAD is first presented. Different modalities of CBT for SAD are then described, including exposure, cognitive restructuring, relaxation training, and social skills training, and evidence supporting their efficacy is reviewed. The comparative and combined impact of CBT and pharmacotherapeutic interventions is also explored. CBT appears to be an efficacious treatment for SAD. However, the overall efficacy CBT may be increased by closer examination of the active ingredients of treatment. Such analyses may also enable more successful integration of the different CBT techniques and of CBT and pharmacotherapy in the treatment of SAD.


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