Cognitive-behavioural Interventions in Pediatric Chronic Illness

1998 ◽  
Vol 15 (3) ◽  
pp. 151-159 ◽  
Author(s):  
Nicole Redlich ◽  
Margot Prior

This paper provides an overview of cognitive-behavioural interventions in pediatric behavioural medicine. Although the literature so far is sparse, the contribution of cognitive-behavioural therapy is reviewed in the areas of pediatric cancer, asthma, and diabetes mellitus. The future potential of cognitive-behavioural therapy for the management of other chronic conditions, including cystic fibrosis and rheumatoid arthritis, is recommended.

1991 ◽  
Vol 19 (4) ◽  
pp. 337-345 ◽  
Author(s):  
Paul King ◽  
Christine Barrowclough

Ten elderly patients with anxiety problems were treated individually using cognitive-behavioural interventions. These involved helping the patients reinterpret their anxiety symptoms in a non-threatening way. Questionnaire and self-report data suggested that cognitive-behavioural therapy may be an effective intervention for elderly patients with anxiety problems.


Author(s):  
Deirdre E. Logan ◽  
Rachael M. Coakley ◽  
Brittany N. Barber Garcia

Cognitive-behavioural therapy (CBT) is the most commonly researched and empirically supported psychological treatment for the management of paediatric pain. CBT is a brief, goal-oriented psychotherapy treatment using a hands-on, practical problem-solving approach (Kendall, 2012). It is based on the concept that thoughts, feelings, and behaviours are causally interrelated. This chapter offers an overview of CBT and its application to pain management, describes specific cognitive-behavioural strategies commonly used for paediatric acute and chronic pain problems, presents the empirical evidence supporting these approaches, and highlights key considerations and emerging directions in the use of CBT and related treatments for paediatric pain.


2012 ◽  
Vol 29 (4) ◽  
pp. 238-257 ◽  
Author(s):  
Nusrat Yasmeen Ahmed ◽  
Sharon Lawn

This study examined whether starting with the behavioural component of cognitive behavioural therapy (CBT) decreases the drop-out rate in outpatients with comorbid anxiety and depression. Retrospective data were collected on 60 patients with anxiety and depression. Mean values of different psychosocial assessment scales during screening, mid-session and discharge session were compared between the patients receiving and not receiving any type of behavioural interventions and among the patients receiving different types of behavioural interventions. A significant relationship was found (p < .05) between behavioural interventions and retention in therapy. Patients who did not receive any sort of behavioural intervention showed a greater rate of drop-out than those who received behavioural interventions. In the group of patients receiving different types of behavioural interventions, there was significant improvement in mental health scores between the screening and discharge sessions in those who received exposure therapy. The study findings will be helpful to retain patients with comorbid anxiety and depression in an outpatient therapy setting. If patient retention is increased, CBT can be more effectively delivered and thereby achieve better health outcomes for patients, more effective use of therapy service resources, and decrease the socioeconomic burden of anxiety and depression on the community.


2016 ◽  
Vol 10 (4) ◽  
Author(s):  
W.M. Goldberg MD, DSc (Hon), FRCPC, FACP

This is the story of a Behavioural Medicine Unit that was developed in 1975 at St. Joseph’s Hospital in Hamilton Ontario. It explains why a general internist decided to assemble a team skilled in the principles of cognitive behavioural therapy to help patients who were responding poorly to traditional medical care. The principles that were applied at that time continue to be as important in 2015. Despite the success of the program and of others that were developed over the next 40 years, these principles have not been adequately utilized by ‘main stream’ medicine nor have they been emphasized sufficiently in undergraduate or residency curricula. It is hoped that the story will stimulate the promotion and integration of the principles of cognitive behaviour into medical education and patient care.


2009 ◽  
Vol 2 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Philip Wilkinson

AbstractCognitive behavioural interventions specifically for older people have been described and researched for the last 30 years. However, despite a robust evidence base to support the use of CBT in the treatment of mental disorders in younger adults, trials with older people have generally been of poor methodological quality. Therefore, the potential of CBT to improve the outcome of late-life mental illness has not yet been adequately tested and demonstrated. The priorities, if this is to happen, are to develop standardized, reproducible CBT interventions and to evaluate these in large trials alongside medication or as part of case-management interventions.


2021 ◽  
pp. archdischild-2020-321249
Author(s):  
Paul Stallard

Cognitive–behavioural therapy (CBT) is a practical, goal-focused approach that helps children understand the relationship between their thoughts, feelings and behaviours. The aim is to identify the dysfunctional and distorted cognitions associated with their psychological problems and to create more functional and balanced cognitive patterns that create less emotional distress and more helpful behaviours. CBT has strong evidence as an effective intervention for children and adolescents with emotional problems. The benefits for children with physical health and chronic conditions appear promising, although further research is required to substantiate these gains.


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