A pilot study of cognitive therapy in bipolar disorders

2001 ◽  
Vol 31 (3) ◽  
pp. 459-467 ◽  
Author(s):  
J. SCOTT ◽  
A. GARLAND ◽  
S. MOORHEAD
Keyword(s):  
Cognitive Therapy ◽  
Psychiatric Treatment ◽  
Internal State ◽  
Bipolar Depression ◽  
Bipolar Disorders ◽  
Waiting List ◽  
Control Group ◽  
Hospitalization Rates ◽  
Before And After ◽  
High Level

Background. The efficacy and effectiveness of cognitive therapy (CT) is well established for unipolar disorders, but little is known about its utility in bipolar disorders. This study aimed to explore the feasibility and efficacy of using CT as an adjunct to usual psychiatric treatment in this patient population.Method. Subjects referred by general adult psychiatrists were assessed by and independent rater and then randomly allocated to immediate CT (N=21) or 6-month waiting-list control, which was then followed by CT (N=21). Observer and self-ratings of symptoms and functioning were undertaken immediately prior to CT, after a 6-month course of CT and a further 6-months later. Data on relapse and hospitalization rates in the 18 months before and after commencing CT were also collected.Results. At 6-month follow-up, subjects allocated to CT showed statistically significantly greater improvements in symptoms and functioning as measured on the Beck Depression Inventory, the Internal State Scale, and the Global Assessment of Functioning than those in the waiting-list control group. In the 29 patients who eventually received CT, relapse rates in the 18 months after commencing CT showed a 60% reduction in comparison with the 18 months prior to commencing CT. Seventy per cent of subjects who commenced therapy viewed CT as highly acceptable.Conclusion. Although the results of this study are encouraging, the use of CT in subjects with bipolar disorders is more complex than in unipolar disorders and requires a high level of therapist expertise. The therapy may prove to be particularly useful in the treatment of bipolar depression.

scholarly journals Benefit of a pharmacist-led intervention for medication management of renal transplant patients: a controlled before-and-after study

2021 ◽  
Vol 12 ◽  
pp. 204062232110052
Author(s):  
Jeremy Chambord ◽  
Lionel Couzi ◽  
Pierre Merville ◽  
Karine Moreau ◽  
Fabien Xuereb ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Immunosuppressive Therapy ◽  
Medication Management ◽  
Intervention Group ◽  
Knowledge Score ◽  
Control Group ◽  
Patient Knowledge ◽  
Transplant Patients ◽  
Before And After ◽  
High Level

Aims: To assess the effect of a pharmacist-led intervention, using Barrows cards method, during the first year after renal transplantation, on patient knowledge about their treatment, medication adherence and exposure to treatment in a French cohort. Methods: We conducted a before-and-after comparative study between two groups of patients: those who benefited from a complementary pharmacist-led intervention [intervention group (IG), n = 44] versus those who did not [control group (CG), n = 48]. The pharmacist-led intervention consisted of a behavioral and educational interview at the first visit (visit 1). The intervention was assessed 4 months later at the second visit (visit 2), using the following endpoints: treatment knowledge, medication adherence [proportion of days covered (PDC) by immunosuppressive therapy] and tacrolimus exposure. Results: At visit 2, IG patients achieved a significantly higher knowledge score than CG patients (83.3% versus 72.2%, p = 0.001). We did not find any differences in treatment exposure or medication adherence; however, the intervention tended to reduce the proportion of non-adherent patients with low knowledge scores. Using the PDC by immunosuppressive therapy, we identified 10 non-adherent patients (10.9%) at visit 1 and six at visit 2. Conclusions: Our intervention showed a positive effect on patient knowledge about their treatment. However, our results did not show any improvement in overall medication adherence, which was likely to be because of the initially high level of adherence in our study population. Nevertheless, the intervention appears to have improved adherence in non-adherent patients with low knowledge scores.

scholarly journals Vibrator-Assisted Start–Stop Exercises Improve Premature Ejaculation Symptoms: A Randomized Controlled Trial

2019 ◽  
Vol 49 (5) ◽  
pp. 1559-1573 ◽  
Author(s):  
Daniel Ventus ◽  
Annika Gunst ◽  
Stefan Arver ◽  
Cecilia Dhejne ◽  
Katarina G. Öberg ◽  
...  
Keyword(s):  
Negative Symptoms ◽  
Premature Ejaculation ◽  
Mindfulness Meditation ◽  
Controlled Trial ◽  
Waiting List ◽  
Control Group ◽  
Adequate Treatment ◽  
Treatment Groups ◽  
Sexual Distress ◽  
Before And After

AbstractPremature ejaculation (PE) is associated with decreased quality of life, lower confidence and self-esteem, and higher levels of depression, anxiety, and interpersonal difficulties. Here we investigated the effectiveness of vibrator-assisted start–stop exercises for treatment of PE, and whether the treatment effect could be enhanced by an additional psychobehavioral intervention. Fifty participants with a mean age of 41.7 years were included and randomized into two treatment groups and a waiting list control group. Participants were instructed to perform start–stop exercises while stimulating the penis with a purpose-made vibrator, 3 times a week for 6 weeks. Additionally, participants in one of the treatment groups received additional psychoeducation and performed mindfulness meditation-based body scan exercises three times a week. Data were gathered through online questionnaires before and after treatment, as well as 3 and 6 months after treatment. The interventions reduced PE symptoms with large effect sizes (partial η2 = .20 across the three groups, d [95% CI] = 1.05 [.27, 1.82] and 1.07 [.32, 1.82] for treatment groups compared to waiting list control group). The additional psychobehavioral intervention did not further reduce PE symptoms, but did decrease PE-associated negative symptoms such as levels of sexual distress, anxiety, and depression. No side effects were reported. Vibrator-assisted start–stop exercises can be offered as an adequate treatment option for PE.

The relation to pregnancy, the child, motherhood of women in IVF situation

2015 ◽  
Vol 6 (4) ◽  
pp. 97-104
Author(s):  
Arina Yurevna Malenova ◽  
Irina Gennadevna Kytkova
Keyword(s):  
Family Relations ◽  
First Trimester ◽  
Family Education ◽  
In Vitro Fertilisation ◽  
Control Group ◽  
The Family ◽  
Before And After ◽  
Group 2 ◽  
High Level

Research objective - studying of features of the relation to pregnancy, the child, motherhood of women in IVF situation. Selection: 100 married pregnant women aged from 28 till 42 years (the first pregnancy of the first trimester, complications in the anamnesis isn't present) representing two groups on 50 people: 1) after artificial insemination (empirical group); 2) in a situation natural pregnancy (control group). The leading motives of pregnancy, types of the attitude towards themselves, pregnancies, to the child, people around, the prevailing installations in the sphere of the family relations, features of representation of future mothers about themselves and "the ideal parent" are defined by testing. Distinctions in all respects with women from control group are found. It is established that in vitro fertilisation the high level of readiness for motherhood according to its motivational characteristics is observed. Prevalence of constructive motives of pregnancy against concern in the health and aspirations to meet social expectations is revealed. The leading types of a gestational dominant are optimum and euphoric, the hypertrophied positive emotional background of pregnancy is observed. In the future of a bike probability the dependent relations with the child, preference of the sponsoring or authoritative style of family education. Revaluation of own parental qualities when comparing with image of ideal mother is observed. Results allow to carry women to the group of risk demanding psychological maintenance before and after the childbirth.

Two psychological treatments for hypochondriasis

1998 ◽  
Vol 173 (3) ◽  
pp. 218-225 ◽  
Author(s):  
David M. Clark ◽  
Paul M. Salkovskis ◽  
Ann Hackmann ◽  
Adrian Wells ◽  
Melanie Fennell ◽  
...  
Keyword(s):  
Stress Management ◽  
Cognitive Therapy ◽  
Specific Treatment ◽  
Post Treatment ◽  
Waiting List ◽  
Control Group ◽  
One Year ◽  
Almost All ◽  
Better Than

BackgroundHypochondriasis is generally considered difficult to manage. This study aimed to assess the effectiveness of cognitive therapy and to compare it with an equally credible, alternative treatment.MethodForty-eight patients with hypochondriasis were initially randomly assigned to either cognitive therapy, behavioural stress management or a no treatment waiting list control group. At the end of the waiting period, patients in the control group were randomly assigned to one of the two treatments. Assessments were at pre-, mid- and post-treatment or waiting list and at three-, six- and 12-month post-treatment follow-up.ResultsComparisons with the waiting list group showed both treatments were effective. Comparisons between the treatments showed that cognitive therapy was more effective than behavioural stress management on measures of hypochondriasis, but not general mood disturbance at mid-treatment and at post-treatment. One year after treatment patients who had received either treatment remained significantly better than before treatment, and on almost all measures the two therapies did not differ from each other.ConclusionsCognitive therapy is a specific treatment for hypochondriasis. Behavioural stress management is also effective but its specificity remains to be demonstrated.

scholarly journals Why do I have to drive now? Post Hoc Explanations of Take-Over Requests

2017 ◽  
Author(s):  
Moritz Körber ◽  
Lorenz Prasch ◽  
Klaus Bengler
Keyword(s):  
Interface Design ◽  
Control Group ◽  
Automated Vehicles ◽  
Automated Driving ◽  
Trust In Automation ◽  
Before And After ◽  
High Level ◽  
Post Hoc ◽  
Experimental Group

Objective: It was investigated whether providing an explanation for a take-over request in automated driving influences trust in automation and acceptance.Background: Take-over requests will be recurring events in conditionally automated driving which could undermine trust as well as acceptance and, therefore, the successful introduction of automated vehicles.Method: Forty participants were equally assigned to either an experimental group provided with an explanation of the reason for a take-over request or a control group without explanations. In a simulator drive, both groups experienced three take-over scenarios that varied in the obviousness of their causation. Participants rated their acceptance before and after the drive and rated their trust before and after each take-over situation. Results: All participants rated acceptance on the same high level before and after the drive, independent of the condition. Control group’s trust ratings remained unchanged by take-over requests in all situations, but the experimental group showed decreased trust after experiencing a take-over caused by roadworks. Participants provided with explanation felt stronger that they had understood the system and the reasons for the take-overs.Conclusion: A take-over request did not lower trust or acceptance. Providing an explanation for a take-over request had no impact on trust or acceptance, but increased the perceived understanding of the system.Application: The results provide insights into users’ perception of automated vehicles, take-over situations and a fundament for future interface design for automated vehicles.

scholarly journals The Effect of Using Music Classic (Mozart) towards Student Anxiety Before The Exams

2020 ◽  
Vol 5 (1) ◽  
pp. 47-56
Author(s):  
Risa Yuspitasari ◽  
Rahmawati ◽  
Raudah Zaimah Dalimunthe
Keyword(s):  
Experimental Method ◽  
Sampling Technique ◽  
Control Group ◽  
Student Anxiety ◽  
Purposive Sampling ◽  
High Category ◽  
Before And After ◽  
Post Test ◽  
High Level ◽  
Experimental Group

This research aimed to discover the level of anxiety in students before the exam and the effect of music classic (Mozart) to reduce such anxiety. The study was conducted at SMP Negeri 1 Ciruas with students with a high level of anxiety, which has been revealed from the results of the anxiety scale questionnaire using a purposive sampling technique with a total of 68 respondents. This research was used with an experimental method consisting of an experimental group and a control group. From the treatment, the results showed pre-test 12.55 in the high category and post-test 7.852 in the medium category. This shows changes in the results before and after the treatment is given. It can be concluded that the effect of the use of music (Mozart) can reduce student anxiety before the test.

scholarly journals Comparison of the Effectiveness of Mindfulness-Based Cognitive Therapy and a Quality of Life-Based Therapy on Rumination in Patients With Migraine

2019 ◽  
Vol 4 (2) ◽  
pp. 61-68
Author(s):  
Mohammad Shabani ◽  
Hamid Najat ◽  
Mohammad Reza Saffarian
Keyword(s):  
Quality Of Life ◽  
Cognitive Therapy ◽  
Intrusive Thoughts ◽  
Educational Interventions ◽  
Substantial Improvement ◽  
Control Group ◽  
Response Scale ◽  
Before And After ◽  
Quasi Experimental

Introduction: The effects of mindfulness-based cognitive therapy and quality of life-based therapy on rumination were compared in patient with migraine. The present study also investigated the effectiveness of quality of life-based therapy and mindfulness-based cognitive therapy.Methods: This quasi-experimental study with 3 (2 experimental and one control) groups was carried out with pretest-post test design. The study population consisted of all patients with migraine headache referring to Torbat Heidarie hospitals and clinics from June to July 2018. The samples were 45 patients who were selected by random sampling and then randomly allocated to 2 experimental groups and one control group each with 15 members. One experimental group underwent mindfulness-based cognitive therapy and the other received quality of life based therapy. The control group received no intervention. Research instruments were Ahvaz Migraine Questionnaire and Huksema and Maro’s Ruminative Response Scale. The tools were filled out by the participants before and after the interventions. The data was analyzed in SPSS version 22.Results: The mindfulness-based cognitive therapy and quality of life-based therapy significantly improved rumination in patients with migraine. In addition, the effectiveness of the 2 interventions was not significantly different.Conclusion: The educational interventions based on modifying basic cognitions, replacing negative intrusive thoughts with positive thoughts, and avoiding and neutralizing intrusive thoughts through mindfulness-based cognitive methods and interventions based on improving quality of life resulted in a substantial improvement of rumination and frequent intrusive thoughts. Indeed, changes in cognitive reactions to pain and altering beliefs and expectations are the main mechanisms for improving headache.

scholarly journals Using Technology to Enhance the Performance of Intellectually Disabled Students: Mobile Game-based Urdu Learning

2021 ◽  
Vol 4 (1) ◽  
pp. 42-57
Author(s):  
Nida Gul ◽  
Hina Noor ◽  
Farkhunda Rasheed Chaudhary
Keyword(s):  
Intervention Program ◽  
Teaching Method ◽  
Positive Impact ◽  
Learning Goals ◽  
Control Group ◽  
Traditional Teaching ◽  
Before And After ◽  
Quasi Experimental ◽  
Digital Exclusion ◽  
High Level

The notion of using technology for learning is not new. However, the high level of digital exclusion of individuals with intellectual disabilities is well-documented. The purpose of this paper was to investigate the effect of two different pedagogies for students with intellectual disability (ID). The main objective was the comparison of assistive technology and the traditional teaching method for improving Urdu vocabulary. Using a quasi-experimental design, 8 ID students of 10 to 15 yearsof age were selected and divided into control and experimental groups. Their performance was measured before and after a six-week intervention program. The results showed that mobile-based technology improved the experimental group’s performance as compared to the control group. The technology had a positive impact on the learning of Urdu vocabulary by students with ID. The findings suggest that learning the Urdu language through game-based software/programs/utilities can improve students’ learning in the classroom. Teachers can use mobile phone as a learning tool to enhance their learning goals.

scholarly journals Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female Patients With Schizophrenia

2021 ◽  
Vol 12 ◽  
Author(s):  
Qiubi Tang ◽  
Shuixian Yang ◽  
Cuixia Liu ◽  
Liyan Li ◽  
Xiaodong Chen ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Test Score ◽  
Significant Negative Correlation ◽  
Mental Illnesses ◽  
Control Group ◽  
Five Facet Mindfulness Questionnaire ◽  
Before And After ◽  
Post Test ◽  
Negative Factors ◽  
Experimental Group

Mindfulness-based cognitive therapy (MBCT) has been increasingly recognized as effective in different mental illnesses, but these effects are limited in schizophrenia. For patients with schizophrenia, stigma is one of the most negative factors that affects treatment, rehabilitation and social function. This research aimed to determine the effects of MBCT on stigma in patients with schizophrenia. In total, 62 inpatients with schizophrenia were recruited and randomly assigned to the experimental group or control group. The experimental group received an 8-week MBCT intervention, and the control group were treated as usual. Link's Stigma Scales (with three subscales, including perceived devaluation-discrimination (PDD), stigma-coping orientation, and stigma-related feeling), Five Facet Mindfulness Questionnaire (FFMQ), and Insight and Treatment Attitudes Questionnaire (ITAQ) were used to collect data before and after intervention. After intervention, the post-test score of PDD, stigma-coping orientation, FFMQ, and ITAQ were significantly different between the experimental group and the control group. In the experimental group, the PDD and stigma-coping orientation scores significantly decreased, and FFMQ and ITAQ scores increased remarkably (P < 0.05). In addition, correlation analysis revealed a significant negative correlation between mindfulness and stigma. MBCT was effective in reducing stigma in patients with schizophrenia, which mainly manifested as changes in the patients' perception of stigma as well as the withdrawal and avoidance caused by schizophrenia. Enhancing mindfulness will help reduce the stigma level. MBCT is worthy of promotion and application in patients with schizophrenia.

The effect on milk composition of feeding spring grass to cows

1959 ◽  
Vol 26 (2) ◽  
pp. 173-181 ◽  
Author(s):  
R. Waite ◽  
M. E. Castle ◽  
J. N. Watson
Keyword(s):  
Nutrient Intake ◽  
Specific Effect ◽  
Milk Composition ◽  
Soluble Carbohydrates ◽  
Control Group ◽  
Stage Of Lactation ◽  
Milk Protein Content ◽  
Before And After ◽  
High Level ◽  
Β Lactoglobulin

1. An experiment to investigate the seasonal increase in the solids-not-fat content of milk, which usually occurs in Britain when cows go from winter feeding to spring grazing, is described.2. Two similar groups of cows were fed good quality winter rations at the same high level both before and after calving (about 115% of the Woodman standard after calving), until spring grass was available. One group of 7 cows was then fed for 6 weeks almost entirely on cut grass, returning to winter rations for a further 3 weeks. The control group of 6 cows continued to be fed throughout the experiment on winter rations and both groups remained indoors for the whole of the experiment. The estimated nutrient intake of both groups in all periods was kept substantially constant.3. Changes in milk yield and composition were mainly those associated with advancing stage of lactation, and grass feeding had little specific effect. It is concluded that the increase in milk protein content which is normally observed soon after the start of spring grazing probably results from an improved plane of nutrition and not specifically from an increase in the intake of soluble carbohydrates.4. Increases in the total nitrogen content of the milk as the experiment proceeded were contributed to uniformly by the casein, total albumin and β-lactoglobulin fractions.

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