A Cognitive Behavioral Approach to Body Dysmorphic Disorder:

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.

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Culturally Adapted Cognitive Behavioral Therapy for Body Dysmorphic Disorder: Case Examples

International Journal of Cognitive Therapy ◽

10.1521/ijct.2011.4.4.381 ◽

2011 ◽

Vol 4 (4) ◽

pp. 381-396 ◽

Cited By ~ 10

Author(s):

Hilary Weingarden ◽

Luana Marques ◽

Angela Fang ◽

Nicole LeBlanc ◽

Ulrike Buhlmann ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Body Dysmorphic Disorder ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Case Examples ◽

Culturally Adapted

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Cognitive Behavioral Therapy of Patients with Somatic Symptoms—Diagnostic and Therapeutic Difficulties

Journal of Clinical Medicine ◽

10.3390/jcm10143159 ◽

2021 ◽

Vol 10 (14) ◽

pp. 3159

Author(s):

Agata Orzechowska ◽

Paulina Maruszewska ◽

Piotr Gałecki

Keyword(s):

Mental Health Problems ◽

Mental Disease ◽

Behavioral Therapy ◽

Physical Symptoms ◽

Behavioral Approach ◽

Cognitive Behavioral ◽

Diagnostic Dilemma ◽

Number Of Patients ◽

Psychological Element ◽

Somatic Diseases

In every somatic disease we can find a psychological element, just as it is not uncommon for numerous physical symptoms to occur in a mental disease. Nowadays, the patient is no longer just the “owner” of the sick organ but is considered and treated as a “whole”. The interpenetration of somatic manifestations with mental health problems forces patients who experience subjective suffering, including mental suffering, from current symptoms to visit specialists from different fields of medicine, and their treatment does not bring about any improvement. Cognitive behavioral psychotherapy (CBT) is one form of therapy that attempts to respond to the needs of an increasing—in recent years—number of patients who demonstrate somatic disorders of a multifaceted nature. The co-occurrence of physical and mental disorders repeatedly makes it impossible to determine which symptoms were the cause and which were the effect; hence, it is difficult to establish clear boundaries between the categories of these disorders and diseases. The therapist, to whom the patient with somatic diseases is eventually referred, may be faced with a diagnostic dilemma, the solution of which will give direction to further psychotherapeutic work. The common feature of this group of patients is a strong focus on physical ailments, while omitting or almost completely ignoring the psychological factors involved. The purpose of this paper is to present the causally diverse circumstances in which a patient with physical symptoms needs diagnosis and therapeutic support from the perspective of a cognitive behavioral approach.

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A Brief Cognitive‐Behavioral Approach to Reducing Anxiety Sensitivity Decreases Pain‐Related Anxiety

Cognitive Behaviour Therapy ◽

10.1080/16506070600898553 ◽

2006 ◽

Vol 35 (4) ◽

pp. 248-256 ◽

Cited By ~ 73

Author(s):

Margo C. Watt ◽

Sherry H. Stewart ◽

Marie‐Josée Lefaivre ◽

Lindsay S. Uman

Keyword(s):

Anxiety Sensitivity ◽

Behavioral Approach ◽

Cognitive Behavioral

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Terapia cognitivo-conductual en la fibromialgia

QhaliKay Revista de Ciencias de la Salud ISSN 2588-0608 ◽

10.33936/qkrcs.v4i1.1699 ◽

2020 ◽

Vol 4 (1) ◽

pp. 19

Author(s):

Bárbara Dinorah Hidalgo Martínez ◽

Viorkis Pérez Ortiz ◽

María Caridad Olivera Cardoso ◽

Lidia López Aristica ◽

Liset Betancourt Castellanos ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Psychological Impact ◽

Behavioral Approach ◽

Cognitive Behavioral ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Palabras Clave ◽

Before And After ◽

Cognitive Alterations

La fibromialgia es una enfermedad con fuerte impacto psicológico, de evolución crónica que provoca dolor, rigidez e hipersensibilidad en músculos, tendones y articulaciones por más de tres meses de evolución. Generalmente está asociada a alteraciones cognitivas, disminución del sueño, astenia, ansiedad y depresión a diferentes grados. Aunque la etiología no se conoce con exactitud, el diagnóstico es clínico por exclusión. En este estudio se determinó la eficacia de la terapia cognitivo-conductual (TCC) en pacientes con fibromialgia en el Hospital Básico Miguel H. Alcívar de Bahía de Caráquez, Ecuador. El estudio fue descriptivo y prospectivo en 30 pacientes diagnosticados de fibromialgia, en el periodo de mayo a septiembre de 2017. La mayoría de los pacientes fueron mujeres entre 30 y 40 años de edad, cuyo síntoma principal fue el dolor generalizado, con espectro ansioso-depresivo. Se utilizó el test de ansiedad y depresión hospitalaria para diagnosticar la presencia de ansiedad y depresión antes y después de la terapia. Los pacientes con fibromialgia fueron tratados con hipnosis, con un enfoque cognitivo conductual, en el 70,1 % los síntomas desaparecieron o mejoraron durante los meses en los que mantuvieron el tratamiento, lo cual demuestra la efectividad del tratamiento con TCC en pacientes con fibromialgia. Palabras clave: Fibromialgia, depresión, ansiedad, terapia cognitivo-conductual, hipnosis. Abstract Fibromyalgia is a disease with a strong psychological impact, of chronic evolution that causes pain, stiffness and hypersensitivity in muscles, tendons and joints, for more than three months of evolution. It is generally associated with cognitive alterations, decreased sleep, asthenia, anxiety and depression to different degrees. Although the etiology is not exactly known, the diagnosis is clinical by exclusion. In this study, the efficacy of cognitive-behavioral therapy (CBT) was determined in patients with fibromyalgia at the Basic Hospital Miguel H. Alcívar de Bahía de Caráquez, Ecuador. The study was descriptive and prospective in 30 patients diagnosed with fibromyalgia, in the period from May to September 2017. Most of the patients were women between 30 and 40 years of age, whose main symptom was generalized pain, with an anxious spectrum- depressant. The hospital anxiety and depression test was used to diagnose the presence of anxiety and depression before and after therapy. Fibromyalgia patients were treated with hypnosis, with a cognitive behavioral approach, in 70.1% the symptoms disappeared or improved during the months in which they maintained the treatment, which demonstrates the effectiveness of CBT treatment in patients with fibromyalgia. Keywords: Fibromyalgia, depression, anxiety, cognitive-behavioral therapy, hypnosis.

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