Cognitive-behavioural Intervention for an Adolescent School Refuser: A Comprehensive Approach

1998 ◽  
Vol 15 (2) ◽  
pp. 67-73 ◽  
Author(s):  
Justine Anderson ◽  
Neville King ◽  
Bruce Tonge ◽  
Stephanie Rollings ◽  
Dawn Young ◽  
...  
Keyword(s):  
School Personnel ◽  
School Refusal ◽  
Adolescent Male ◽  
Behavioural Intervention ◽  
Full Time ◽  
Behavioural Treatment ◽  
Simultaneous Application ◽  
Behaviour Management ◽  
Anxiety Management ◽  
Cognitive Behavioural

A case study is presented of a 13-year-old adolescent male with a long history of anxious symptoms related to school attendance. At the time of referral to the school refusal clinic, the adolescent had significant difficulty attending school, having attended for only 1 day in the past 3 weeks. A cognitive-behavioural treatment program was conducted over 3 weeks, consisting of seven sessions with the adolescent, seven sessions with his parents, and consultation to school personnel. Treatment focused on the implementation of behaviour management techniques by caregivers as well as teaching anxiety management skills to the adolescent. Positive treatment outcomes included the adolescent's return to full-time attendance at school as well as a decrease in emotional distress. The implications of treatment are discussed in relation to the simultaneous application of behaviour management and anxiety management strategies in the treatment of school refusal.

Cognitive-behavioural Intervention with a Depressed Adolescent Experiencing School Attendance Difficulties

1998 ◽  
Vol 15 (2) ◽  
pp. 87-97 ◽  
Author(s):  
Stephanie Rollings ◽  
Neville King ◽  
Bruce Tonge ◽  
David Heyne ◽  
Dawn Young
Keyword(s):  
School Attendance ◽  
School Refusal ◽  
Behavioural Intervention ◽  
Full Time ◽  
Cognitive Behavioural ◽  
Depressed Adolescent ◽  
Positive Treatment ◽  
Cognitive Behavioural Intervention ◽  
Treatment Gains

This article describes a cognitive-behavioural intervention implemented over 10 sessions with an adolescent girl experiencing school refusal and depression. Treatment focused on the learning of various coping skills to deal with stressful situations at home and school. Following a decision to change schools, a rapid school return was employed. A multimethod, multisource evaluation was used at pretreatment, posttreatment, and follow-up assessments. The data indicated positive treatment outcomes: the adolescent returned to full-time attendance at school and exhibited decreased levels of emotional distress. The treatment gains were maintained at a 3-month follow-up.

School Refusal: Graduated and Rapid Behavioural Treatment Strategies

1989 ◽  
Vol 23 (2) ◽  
pp. 213-223 ◽  
Author(s):  
Neville J. King ◽  
Thomas H. Ollendick
Keyword(s):  
Treatment Strategies ◽  
School Refusal ◽  
Integrative Approach ◽  
Return To School ◽  
Secondary Complications ◽  
Behavioural Treatment ◽  
Behaviour Management ◽  
Diagnostic Confusion ◽  
Behavioural Management ◽  
Rapid Treatment

School refusal is a complex phenomenon that has been subject to definitional and diagnostic confusion. The aetiology of school refusal remains incompletely understood; heterogeneity rather than homogeneity prevails. In the behaviour management of school refusal, the clinician may plan either a gradual or rapid school return. Although a graduated return to school may be necessary in certain cases, secondary complications are minimized by an immediate return to school. Both graduated and rapid treatment require a flexible and integrative approach drawing on classical, operant and vicarious conditioning principles. Little research has been conducted on the effectiveness of the behavioural management of school refusal, as well as psychological adjustment to school.

COGNITIVE-BEHAVIOURAL TREATMENT OF A 14-YEAR-OLD TEENAGER WITH OBSESSIVE-COMPULSIVE DISORDER

2001 ◽  
Vol 29 (1) ◽  
pp. 71-84 ◽  
Author(s):  
Mark H. Freestone
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Single Case ◽  
Behavioural Intervention ◽  
Single Case Design ◽  
Unified Framework ◽  
Obsessive Compulsive ◽  
Behavioural Treatment ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Almost All

This study describes the treatment of severe obsessive-compulsive disorder in a 14-year-old male with an experimental single case design. Onset of OCD was at age 12. He had been hospitalized for 6 months the year before consulting. Almost all life spheres were affected by OCD. An initial behavioural intervention, which targeted tooth brushing, was used as a springboard to understand OCD and the process of change was framed within a cognitive account of OCD. The approach was then applied to a number of different targets within a unified framework. There was a 46% reduction in Y-BOCS score at post-treatment and 67% reduction through to 11-month follow-up. Points discussed include the involvement of other professionals, the changing role of the family as treatment progressed and as the patient started to seek more autonomy, and the choice of the initial target.

A cognitive-behavioural treatment for a child with Attention-Deficit Disorder/Without Hyperactivity and Comorbid Anxiety

1998 ◽  
Vol 15 (1) ◽  
pp. 6-22
Author(s):  
Colleen Cornish ◽  
Annemaree Carroll
Keyword(s):  
Academic Performance ◽  
Attention Deficit ◽  
Attention Deficit Disorder ◽  
Cognitive Distortions ◽  
Behavioural Intervention ◽  
Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Self Talk ◽  
Cognitive Behavioural Intervention ◽  
Performance Results

AbstractThis study reports a cognitive-behavioural intervention implemented to increase academic performance of an 11-year-old boy with Attention-Deficit Disorder/Without Hyperactivity. The child was trained in the use of positive self-talk to reduce the cognitive distortions and deficiencies associated with his symptoms. Reports from the child, his parent and his teacher, together with objective measures and observations, were used to assess the efficacy of treatment in reducing symptoms and increasing academic performance. Results suggest an increase in academic performance with a greater improvement in productivity rather than in accuracy. These improvements could be related to the decreases in the problematic symptoms of in attention and anxiety. Unconditional conclusions cannot be drawn, however, about the effect of the intervention on impulsivity, because of the difficulties found in measuring this construct Improvements to overcome this problem and other modifications that may improve the overall validity of future studies are suggested.

scholarly journals Brief cognitive-behavioural treatment for anxiety-disordered children exhibiting school refusal

1999 ◽  
Vol 6 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Neville J. King ◽  
Bruce J. Tonge ◽  
Sharon Turner ◽  
David Heyne ◽  
Melinda Pritchard ◽  
...  
Keyword(s):  
School Refusal ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

CHANGES IN ATTITUDES TOWARD INSOMNIA FOLLOWING COGNITIVE INTERVENTION AS PART OF A WITHDRAWAL TREATMENT FROM HYPNOTICS

1998 ◽  
Vol 26 (4) ◽  
pp. 345-357 ◽  
Author(s):  
Ruth Pat-Horenczyk
Keyword(s):  
Sleep Disturbances ◽  
Treatment Time ◽  
Psychological Intervention ◽  
Cognitive Intervention ◽  
Behavioural Intervention ◽  
Short Term ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention

This study was designed to investigate the effects of a short-term cognitive-behavioural intervention, as part of a comprehensive medical project of withdrawal from hypnotics, on attitudes toward insomnia. Twenty-four subjects volunteered to participate in a withdrawal project conducted in a sleep clinic for five weeks. All subjects were chronic users of a long-acting hypnotic, and free from other psychotropic drugs. Along with the gradual decrease in hypnotics’ dosage, the programme consisted of sleep evaluations by polysomnography, actigraphic monitoring, daily sleep diaries, and periodical medical examinations. Upon termination of the withdrawal stage, all subjects received a short-term cognitive-behavioural treatment consisting of six sessions and directed at attitude change and correction of misconceptions about sleep and insomnia, and on promoting psychological strategies for coping with the sleep disturbances. Attitudes toward insomnia were measured by the DBAS – Dysfunctional Beliefs and Attitudes about Sleep Scale, administered at three points of time: on the first day of the programme (Time 1), at the termination of the medical withdrawal stage (Time 2), and a week after completion of the short-term cognitive behavioural treatment (Time 3). A multivariate analysis showed a significant effect of the time of measurement on all five subscales of the DBAS. Subsequent analyses indicated that the major change in attitudes was specific to the direct cognitive-behavioural intervention and occurred between Time 2 and Time 3. In follow-ups conducted at 3 and 12 months after completion of the withdrawal project, the majority of the participants (72%) reported refrain from hypnotic use, and regarded the psychological intervention as the major cause of their successful withdrawal from sleeping pills.

Improving perinatal sleep via a scalable cognitive behavioural intervention: findings from a randomised controlled trial from pregnancy to 2 years postpartum

2021 ◽  
pp. 1-11
Author(s):  
Bei Bei ◽  
Donna M. Pinnington ◽  
Nina Quin ◽  
Lin Shen ◽  
Michelle Blumfield ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Sleep Disturbance ◽  
Controlled Trial ◽  
Perinatal Care ◽  
Group Differences ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Pregnancy And Postpartum ◽  
Randomised Controlled ◽  
Insomnia Symptoms

Abstract Background Sleep disturbance is common in gestational parents during pregnancy and postpartum periods. This study evaluated the feasibility and efficacy of a scalable cognitive behavioural therapy (CBT) sleep intervention tailored for these periods. Methods This is a two-arm, parallel-group, single-blind, superiority randomised controlled trial. Nulliparous females without severe medical/psychiatric conditions were randomised 1:1 to CBT or attention- and time-matched control. All participants received a 1 h telephone session and automated multimedia emails from the third trimester until 6 months postpartum. Outcomes were assessed with validated instruments at gestation weeks 30 (baseline) and 35 (pregnancy endpoint), and postpartum months 1.5, 3, 6 (postpartum endpoint), 12 and 24. Results In total, 163 eligible participants (age M ± s.d. = 33.35 ± 3.42) were randomised. The CBT intervention was well accepted, with no reported adverse effect. Intention-to-treat analyses showed that compared to control, receiving CBT was associated with lower insomnia severity and sleep disturbance (two primary outcomes), and lower sleep-related impairment at the pregnancy endpoint (p values ⩽ 0.001), as well as at 24 months postpartum (p ranges 0.012–0.052). Group differences across the first postpartum year were non-significant. Participants with elevated insomnia symptoms at baseline benefitted substantially more from CBT (v. control), including having significantly lower insomnia symptoms throughout the first postpartum year. Group differences in symptoms of depression or anxiety were non-significant. Conclusions A scalable CBT sleep intervention is efficacious in buffering against sleep disturbance during pregnancy and benefitted sleep at 2-year postpartum, especially for individuals with insomnia symptoms during pregnancy. The intervention holds promise for implementation into routine perinatal care.

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