scholarly journals Study on the Therapeutic Effects of Drug and Cognitive-Behavioral Therapy on Non-Erosive Reflux Disease Patients With Emotional Disorders

2018 ◽  
Vol 9 ◽  
Author(s):  
Xiuhua Li ◽  
Fengjiao Ding ◽  
Pandeng Luo ◽  
Jing Yang ◽  
Zhenhua Liu ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Emotional Disorders ◽  
Reflux Disease ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Therapeutic Effects

scholarly journals Issues of therapy of chronic non-specific lumbodynia

2020 ◽  
pp. 46-52
Author(s):  
V. A. Parfenov ◽  
E. V. Parfenova
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Emotional Disorders ◽  
Multidisciplinary Approach ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Low Back ◽  
Depression And Anxiety ◽  
Radiofrequency Denervation ◽  
Inflammatory Drugs ◽  
Chronic Course

Low back pain or lumbalgia is one of the most common reasons for going to the doctor. Non-specific (musculoskeletal) pain is the most common (90%) cause of chronic lumbalgia. The chronic course of lumbalgia is determined not only by the anatomical sources of pain, but also by psychological and social factors that should be considered when managing patients. In the treatment of chronic nonspecific lumbalgia, a comprehensive multidisciplinary approach is effective, including optimization of drug therapy and motor activity, psychological methods (cognitive-behavioral therapy), an educational program, and manual therapy. When identifying common emotional disorders and insomnia, their therapy is required. Kinesitherapy (therapeutic gymnastics) is the most effective direction in the treatment of chronic nonspecific lumbalgia; оf primary importance are the regularity of physical exercises under the supervision of a specialist, the exclusion of sudden and excessive movements. In combination with activities, regular walking is highly effective. Cognitive-behavioral therapy is the most effective psychological direction in the management of patients with chronic nonspecific lumbalgia. It should be aimed not only at pain, but also at those often found in chronic non-specific lumbalgia insomnia, depression, and anxiety disorders. In some patients with damage to the facet joints, the sacroiliac joint, radiofrequency denervation or therapeutic blockades with anesthetics and corticosteroids can be used. Nonsteroidal anti-inflammatory drugs are used as medicines for chronic nonspecific lumbalgia, when prescribing them, it is necessary to take into account the presence and nature of risk factors for adverse events, concomitant diseases, interaction with other drugs The use of etoricoxib in chronic non-specific lumbalgia is discussed.

The efficacy of cognitive behavioral therapy for emotional disorders.

2021 ◽  
pp. 51-89
Author(s):  
Lorenzo Lorenzo-Luaces ◽  
Lotte H. J. M. Lemmens ◽  
John R. Keefe ◽  
Pim Cuijpers ◽  
Claudi L. H. Bockting
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Emotional Disorders ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

scholarly journals Background factors for chronic low back pain resistant to cognitive behavioral therapy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Keisuke Shimizu ◽  
Kazuhide Inage ◽  
Sumihisa Orita ◽  
Yawara Eguchi ◽  
Yasuhiro Shiga ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cognitive Behavioral Therapy ◽  
Chronic Low Back Pain ◽  
Behavioral Therapy ◽  
Psychological Tests ◽  
Cognitive Behavioral ◽  
Therapeutic Effects ◽  
Low Back ◽  
Value Judgment

AbstractThis study examined the factors that inhibit the therapeutic effects of cognitive behavioral therapy (CBT) and clarify the adaptation judgment criteria of CBT. We included patients with chronic low back pain and allocated them to the adaptation (with visual analog scale [VAS] improvement) or non-adaptation group (without VAS improvement). The patients were analyzed using various psychological tests. CBT improved depressive symptoms and catastrophic thinking; however, they were not correlated with the VAS and did not directly affect low back pain improvement. The non-adaptation group showed an unexplainable/vague sense of anxiety; an excessive focus on searching for pain; a strong intimacy desire; a strong tendency of medical dependency; and fantasy or distortion of the actual experience, especially self-image. Moreover, the patients showed a low ability to objectively express or attribute meaning to pain due to poor language skills, attention-deficit hyperactivity disorder, and emotional value judgment. Individuals with the aforementioned characteristics of pre-CBT psychological tests should select a different treatment approach given the high poor-adaption possibility. Even patients with depressive or anxious symptoms are not necessarily adaptable for CBT. Therefore, pre-CBT tests for treatment suitability are necessary. Future studies should establish a protocol for psychotherapy suitable for the non-adaptation group.

Randomized Study on the Efficacy of Cognitive-Behavioral Therapy for Insomnia Secondary to Breast Cancer, Part I: Sleep and Psychological Effects

2005 ◽  
Vol 23 (25) ◽  
pp. 6083-6096 ◽  
Author(s):  
Josée Savard ◽  
Sébastien Simard ◽  
Hans Ivers ◽  
Charles M. Morin
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Controlled Study ◽  
Therapeutic Effects ◽  
Randomized Controlled ◽  
Global Quality Of Life

Purpose Chronic insomnia is highly prevalent in cancer patients. Cognitive-behavioral therapy (CBT) is considered the treatment of choice for chronic primary insomnia. However, no randomized controlled study has been conducted on its efficacy for insomnia secondary to cancer. Using a randomized controlled design, this study conducted among breast cancer survivors evaluated the effect of CBT on sleep, assessed both subjectively and objectively, and on hypnotic medication use, psychological distress, and quality of life. Patients and Methods Fifty-seven women with insomnia caused or aggravated by breast cancer were randomly assigned to CBT (n = 27) or a waiting-list control condition (n = 30). The treatment consisted of eight weekly sessions administered in a group and combined the use of stimulus control, sleep restriction, cognitive therapy, sleep hygiene, and fatigue management. Follow-up evaluations were carried out 3, 6, and 12 months after the treatment. Results Participants who received the insomnia treatment had significantly better subjective sleep indices (daily sleep diary, Insomnia Severity Index), a lower frequency of medicated nights, lower levels of depression and anxiety, and greater global quality of life at post-treatment compared with participants of the control group after their waiting period. Results were more equivocal on polysomnographic indices. Therapeutic effects were well maintained up to 12 months after the intervention and generally were clinically significant. Conclusion This study supports the efficacy of CBT for insomnia secondary to breast cancer.

Transdiagnostic Cognitive Behavioral Therapy for the Treatment of Emotional Disorders: A Group Case Study

2018 ◽  
Vol 17 (6) ◽  
pp. 387-405 ◽  
Author(s):  
Kelly R. Harris ◽  
Peter J. Norton
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Emotional Disorders ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Current Case ◽  
Face To Face ◽  
The Impact ◽  
Quantitative Case Study

A recent shift in the conceptualization of both depressive and anxiety disorders supports the notion that these disorders may best fall under a single classification of “emotional disorders.” This understanding has resulted in the development of various transdiagnostic cognitive behavioral therapy (tCBT) protocols to address underlying core pathology shared by emotional disorders. While there is evidence to suggest tCBT is effective in reducing co-occurring depression, research into the efficacy of face-to-face tCBT has generally focused on the delivery of tCBT to individuals with predominantly anxiety diagnoses. The current case study aims to expand the research by examining the impact of group tCBT for individuals with a principal depressive diagnosis. A session-by-session explanation of a 12-week group tCBT protocol designed to treat a heterogeneous group of individuals diagnosed with an emotional disorder is provided in detail and accompanied by a quantitative case study of a recently delivered treatment group. The case study demonstrates the feasibility and pragmatic application of the group tCBT treatment approach. Data presented support the continued research of transdiagnostic interventions for the treatment of emotional disorders and justify future randomized controlled trials to further evaluate the presented intervention.

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