Acceptability and Feasibility of a Computerized Cognitive Behavioral Therapy Intervention for Depression among Veterans (Preprint)

2021 ◽  
Author(s):  
Kelly A Stearns-Yoder ◽  
Arthur T Ryan ◽  
Alexandra A Smith ◽  
Jeri E Forster ◽  
Sean M Barnes ◽  
...  
Keyword(s):  
Mental Health ◽  
Behavioral Therapy ◽  
Medical Center ◽  
Military Veterans ◽  
Cognitive Behavioral ◽  
Mental Health Provider ◽  
Post Intervention ◽  
Empirically Supported ◽  
Us Military ◽  
Behavioral Therapies

BACKGROUND Computerized cognitive behavioral therapies (cCBT) have been developed to deliver efficient, evidence-informed treatment for depression and other mental health conditions. One of the most empirically supported cCBTs for depression is Beating the Blues (BtB), which is often administered with the support of a care provider or peer. This increases the complexity and cost of the intervention. OBJECTIVE Researchers at a Veterans Affairs Medical Center (VAMC) aimed to test the acceptability and feasibility stand-alone cCBT for depression among US military Veterans. METHODS Among United States (US) military Veterans experiencing current mild to moderate depressive symptoms, a before-after trial was implemented to examine the acceptability of BtB delivered without additional peer or other mental health provider support. Feasibility of the study design for use in a future efficacy trial was also evaluated. RESULTS Forty-nine Veterans completed pre-intervention assessments and received access to BtB. Twenty-nine participants completed all post-intervention assessments. Thresholds for acceptability of the intervention were met. While pre-determined feasibility criterion regarding eligibility, use of BtB, and post-assessment completion were not met, results were comparable with other cCBT studies. CONCLUSIONS This study is the first among US military Veterans to demonstrate support for implementation of a cCBT for depression without the assistance of a mental health professional or a peer support specialist; thereby suggesting that a stand-alone computer-aided intervention may be viable. Further research is warranted. CLINICALTRIAL N/A

Transgender Affirmative Cognitive–Behavioral Therapy

2019 ◽  
pp. 74-96
Author(s):  
Ashley Austin ◽  
Shelley L. Craig
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Cultural Awareness ◽  
Behavioral Therapy ◽  
Gender Diversity ◽  
Cognitive Behavioral ◽  
Mental Health Clinicians ◽  
Transgender People ◽  
Empirically Supported ◽  
Trauma Informed

Although there is growing cultural awareness of transgender identities, transgender people continue to be marginalized and subject to identity-based discrimination and victimization resulting in disproportionate rates of psychological distress and particularly high rates of suicidality. Mental health clinicians can effectively support the mental health needs of transgender clients through the use of empirically supported, trans-affirmative interventions. This chapter focuses on transgender affirmative cognitive–behavioral therapy (TA-CBT), an evidence-informed intervention rooted in the unique needs and experiences of transgender individuals. TA-CBT is a version of CBT that has been adapted to ensure (1) an affirming stance toward gender diversity, (2) recognition of transgender-specific sources of stress and resilience, and (3) the delivery of CBT content within an affirming and trauma-informed framework. Clinical examples are utilized to elucidate affirmative delivery of several important components of TA-CBT: transgender affirmative case conceptualization, psychoeducation, and the development of coping skills to promote identity-affirming changes.

Examining the Effectiveness of Gamification and Reward in Mental Health Applications for Depression: A Systematic Review and Meta-Analysis (Preprint)

2021 ◽  
Author(s):  
Stephanie G. Six ◽  
Kaileigh A. Byrne ◽  
Thomas P. Tibbett ◽  
Irene Pericot-Valverde
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Data Extraction ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Post Intervention ◽  
Significant Difference ◽  
Health Applications

BACKGROUND Previous research showed that computerized cognitive behavioral therapy can effectively reduce depressive symptoms. Some mental health applications incorporate gamification into their app design, yet it is unclear whether features differ in their effectiveness to reduce depressive symptoms over and above mental health applications without gamification. OBJECTIVE The objective of this study was to determine whether mental health applications with gamification elements differ in their effectiveness to reduce depressive symptoms when compared to those which lack these elements. METHODS A meta-analysis of studies that examined the effect of app-based therapy, including cognitive behavioral therapy; acceptance and commitment therapy; and mindfulness on depressive symptoms was performed. A total of 5,597 articles were identified via five databases. After screening, 39 studies (n= 8,713 participants) remained for data extraction. From these studies, 51 total comparisons between post-intervention mental health application interventions groups and control groups were included in the meta-analysis. RESULTS A random effects model was performed with gamification elements included as a moderator. This moderating variable compared mental health applications with gamification elements (n=25) to those without such elements (n=26). Results indicated a small to moderate effect size across all mental health applications in which the mental health applications intervention effectively reduced depressive symptoms compared to controls (Hedge’s g = -.28; (95% CI: -0.38; -0.18), P<.01). The gamification moderator was not a significant predictor of depressive symptoms (β= -.013, SE=.115, P=.909), demonstrating no significant difference in effectiveness between mental health applications with and without gamification features. CONCLUSIONS Results show that both mental health applications with and without gamification elements are effective in reducing depressive symptoms. There was no significant difference in the effectiveness of mental health applications with gamification elements on depressive symptoms. This research has important clinical implications for understanding how gamification elements influence the effectiveness of mental health applications on depressive symptoms.

An Evaluation of Cognitive Behavioral Therapy for Insomnia: A Systematic Review and Application of Tolin’s Criteria for Empirically Supported Treatments

2019 ◽  
Author(s):  
Cassandra L. Boness ◽  
Rachel Hershenberg ◽  
Joanna Kaye ◽  
Margaret-Anne Mackintosh ◽  
Damion Grasso ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Empirically Supported Treatments ◽  
Inclusion Criteria ◽  
American Psychological ◽  
Strong Recommendation ◽  
Empirically Supported ◽  
High Quality Evidence

The American Psychological Association’s Society of Clinical Psychology recently adopted the “Tolin Criteria” to evaluate empirically supported treatments. These criteria better account for strength and quality of rapidly accumulating evidence bases for various treatments. Here we apply this framework to Cognitive Behavioral Therapy for Insomnia (CBT-I). Following procedures outlined by Tolin and colleagues (2015), Step 1 included an examination of quantitative systematic reviews; nine met inclusion criteria. Step 2 evaluated review quality and effect size data. We found high-quality evidence that CBT-I produces clinically and statistically significant effects on insomnia and other sleep-related outcomes. Based on the Tolin Criteria, the literature merits a “strong” recommendation for CBT-I. This report is a working model for subsequent applications of the Tolin Criteria.

Mental Health Spillover Effects Among Cohabitating Caregivers of Sierra Leonean Youth Receiving a Cognitive Behavioral Therapy‐Based Intervention

2021 ◽  
Vol 56 (S2) ◽  
pp. 40-41
Author(s):  
Alethea Desrosiers ◽  
Carolyn Schafer ◽  
Jordan Freeman ◽  
Alpha Vandi ◽  
Miriam Hinton ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Spillover Effects ◽  
Cognitive Behavioral ◽  
Sierra Leonean

Cognitive-Behavioural Therapy

2020 ◽  
Author(s):  
Hassan Majeed ◽  
Charles Stanfa ◽  
Donna Sudak
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Activation ◽  
Behavioral Therapy ◽  
Cognitive Restructuring ◽  
Behavioural Therapy ◽  
Cognitive Behavioral ◽  
Case Examples ◽  
Psychiatric Illnesses ◽  
Empirically Supported ◽  
Cognitive Behavioural

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

scholarly journals Cognitive Behavioral Therapy in Korean Tinnitus Patients

2021 ◽  
Vol 64 (11) ◽  
pp. 844-850
Author(s):  
Angela Yun Kim ◽  
Gi-Hwan Ryu ◽  
Hyunseok Choi ◽  
June Choi ◽  
Gi Jung Im ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Randomized Clinical Trials ◽  
Behavioral Therapy ◽  
Automatic Thoughts ◽  
Cognitive Behavioral ◽  
Individual Counseling ◽  
Specific Scheme ◽  
Behavioral Therapies ◽  
Meta Analyses ◽  
Analogue Scales

Cognitive behavioral therapy, first introduced by Beck in the 1950s to treat depression by integrating cognitive and behavioral therapies, is now an established psychotherapy technique used to treat insomnia, chronic pain, and anxiety. Currently, cognitive behavioral therapy is widely used to treat tinnitus in European countries, and the efficacy and safety of the treatment have been proven through randomized clinical trials and meta-analyses. Although interest in cognitive behavioral therapy for tinnitus is increasing in Korea, there are limited reports. Because many studies so far have targeted patients in Western countries, it is difficult to apply the same to domestic patients due to cultural and linguistic differences, the absence of standardized guidelines, and limitations in clinic hours. We experienced various cases in which tinnitus was effectively treated simultaneously with pharmacotherapy and cognitive behavioral therapy, so here we report an introduction to the program along with a literature review. Cognitive behavioral therapy was performed as a 4-week program in our hospital, and progress was evaluated through Visual Analogue Scales (VAS) and tinnitus handicap inventory (THI). After each weekly 20-minute individual counseling session, a take-home writing task was given to the patient. The main goal was to guide the patient to discover and correct automatic thoughts related to their tinnitus symptoms. This paper aimed to introduce a specific scheme on how to perform cognitive behavioral therapy for domestic tinnitus patients.

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