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.

scholarly journals An integrated motivational interviewing and cognitive-behavioural intervention promoting physical activity maintenance for adults with chronic health conditions: A feasibility study

2018 ◽  
Vol 15 (4) ◽  
pp. 276-292
Author(s):  
Sarah E Scott ◽  
Jeff D Breckon ◽  
Robert J Copeland
Keyword(s):  
Physical Activity ◽  
Motivational Interviewing ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Behavioural Intervention ◽  
Chronic Health ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Physical Activity Maintenance

Objectives Physical activity is recommended for managing chronic health conditions but is rarely maintained. This feasibility study aimed to evaluate the preliminary efficacy of a motivational interviewing and cognitive-behavioural intervention for long-term physical activity for adults with chronic health conditions. Methods Participants ( N = 37) with stable conditions (e.g. diabetes) were randomized into a three-month motivational interviewing and cognitive-behavioural group ( N = 20) or usual care ( N = 17) after completing a physical activity referral scheme. Participants completed physical activity (e.g. average steps per day and kilocalorie expenditure), psychological (e.g. self-efficacy) and epidemiological (e.g. body mass index) standardized measures at baseline, three- and six-month follow-up. Treatment fidelity and feasibility were assessed. Results Thirty-five participants completed the study (96% retention). The motivational interviewing and cognitive-behavioural group maintained kilocalorie expenditure at three ( p = 0.009) and six months ( p = 0.009). Exercise barrier self-efficacy ( p = 0.03), physical ( p = 0.02) and psychological ( p = 0.01) physical activity experiences were increased at three months only. No difference was found for average steps/day, social support, coping skills and epidemiological factors. Discussion This is the first study to demonstrate the feasibility and preliminary efficacy of motivational interviewing and cognitive-behavioural interventions for promoting physical activity maintenance in a clinical population. A large-scale trial with a longer follow-up (≥6 months) is warranted with treatment fidelity assessment.

THE SUCCESSFUL TREATMENT OF PTSD THROUGH OVERT COGNITIVE BEHAVIORAL THERAPY IN NON-RESPONDERS TO EMDR

2001 ◽  
Vol 29 (1) ◽  
pp. 57-70 ◽  
Author(s):  
Grant J. Devilly
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Behavioral Therapy ◽  
Treatment Protocol ◽  
Trauma Treatment ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Sexual Abuse Victims

This research investigated the efficacy of an operantly cognitive-behavioural trauma treatment protocol (TTP) in two cases that had previously been treated unsuccessfully with EMDR. In line with previous research, both participants improved following TTP, to the extent where one of the participants was asymptomatic at post-treatment and 3 month follow-up. These cases also demonstrate the ability of a cognitive-behavioural intervention to successfully treat childhood sexual abuse victims later in life.

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.

scholarly journals Cognitive Mediation of Cognitive-Behavioural Therapy Outcomes for Anxiety-Based School Refusal

2012 ◽  
Vol 41 (5) ◽  
pp. 549-564 ◽  
Author(s):  
Marija Maric ◽  
David A. Heyne ◽  
David P. MacKinnon ◽  
Brigit M. van Widenfelt ◽  
P. Michiel Westenberg
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Internalizing Problems ◽  
Self Efficacy ◽  
School Attendance ◽  
Behavioural Therapy ◽  
School Refusal ◽  
Post Treatment ◽  
Cognitive Behavioural

Background: Cognitive-behavioural therapy (CBT) has proven to be effective for anxiety-based school refusal, but it is still unknown how CBT for school refusal works, or through which mechanisms. Aims: Innovative statistical approaches for analyzing small uncontrolled samples were used to investigate the role of self-efficacy in mediating CBT outcomes for anxiety-based school refusal. Method: Participants were 19 adolescents (12 to 17 years) who completed a manual-based cognitive-behavioural treatment. Primary outcomes (school attendance; school-related fear; anxiety) and secondary outcomes (depression; internalizing problems) were assessed at post-treatment and 2-month follow-up. Results: Post-treatment increases in school attendance and decreases in fear about attending school the next day were found to be mediated by self-efficacy. Mediating effects were not observed at 2-month follow-up. Conclusions: These findings provide partial support for the role of self-efficacy in mediating the outcome of CBT for school refusal. They contribute to a small body of literature suggesting that cognitive change enhances CBT outcomes for young people with internalizing problems. Regarding methodology, the product of coefficient test appears to be a valuable way to study mediation in outcome studies involving small samples.

SHORT TERM DURABILITY OF A COGNITIVE BEHAVIOURAL INTERVENTION IN PSYCHOSIS: EFFECTS FROM A PILOT STUDY

2004 ◽  
Vol 32 (1) ◽  
pp. 117-121 ◽  
Author(s):  
Pauline L. Hall ◽  
Nicholas Tarrier
Keyword(s):  
Pilot Project ◽  
Self Esteem ◽  
Psychotic Symptoms ◽  
Future Research ◽  
Small Scale ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Self Worth ◽  
Cognitive Behavioural Intervention

Low self-esteem in psychosis is common and has been found to be significantly related to a number of clinical variables and to symptom severity. This report describes the follow-up evaluation of a simple time-limited cognitive behavioural intervention aimed to improve feelings of low self-worth in the treatment of psychotic symptoms. A previous small scale pilot project found encouraging results for the efficacy of the novel intervention following its delivery and at 3-month follow-up. This report examines the benefits of the technique at 12 months following delivery of the intervention. These preliminary results suggest that the intervention may promote improved levels of self-esteem, psychotic symptomatology and social functioning over the longer term. Implications for practice and future research are discussed.

Cognitive Behaviour Therapy For Auditory Hallucinations Without Concurrent Medication: A Single Case

1994 ◽  
Vol 22 (3) ◽  
pp. 259-264 ◽  
Author(s):  
Anthony P. Morrison
Keyword(s):  
Single Case ◽  
Auditory Hallucinations ◽  
Behavioural Intervention ◽  
Behaviour Therapy ◽  
Cognitive Behavioural ◽  
End Of Treatment ◽  
Cognitive Behaviour ◽  
Cognitive Behavioural Intervention ◽  
Concurrent Medication

A 38 year old patient with auditory hallucinations was treated with a brief cognitive-behavioural intervention without concurrent medication. This intervention was based upon the theory of Bentall (1990a, b) and the methods of Haddock, Bentall and Slade (1993). The patient's ratings for frequency of hallucinations and distress caused were significantly reduced at end of treatment, and her belief in the reality of these voices was correspondingly diminished. These gains were maintained at one and three month follow-up.

Individual Versus Group Family-Focused Cognitive–Behaviour Therapy for Childhood Anxiety: Pilot Randomized Controlled Trial

2007 ◽  
Vol 41 (12) ◽  
pp. 990-997 ◽  
Author(s):  
Jules de Groot ◽  
Vanessa Cobham ◽  
Joyce Leong ◽  
Brett McDermott
Keyword(s):  
Anxiety Disorders ◽  
Cognitive Behaviour Therapy ◽  
Relative Effectiveness ◽  
Childhood Anxiety ◽  
Behavioural Intervention ◽  
Behaviour Therapy ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Cognitive Behavioural Intervention

Objective: The aim of the present study was to compare the relative effectiveness of group and individual formats of a family-focused cognitive–behavioural intervention, for the treatment of childhood anxiety disorders. Method: Twenty-nine clinically anxious children aged between 7 and 12 years were randomly allocated to either individual cognitive–behaviour therapy (ICBT) or group cognitive–behaviour therapy (GCBT). Results: At post-treatment assessment 57% of children in the ICBT condition no longer met criteria for any anxiety disorder, compared to 47% of children in the GCBT condition. At 3 month follow up these improvements were retained with some weakening. By the 6 month follow up 50% of children in the ICBT compared to 53% of children in the GCBT condition were anxiety diagnosis free. In terms of questionnaire data, no significant differences were detected between the ICBT and GCBT conditions at any of the follow-up points. However, a significant treatment effect for time was found, with both self-reports and parent reports indicating a significant reduction over time in anxiety symptoms. Conclusion: Overall, results suggest that children with anxiety disorders appear to improve following a family-focused cognitive behavioural intervention, regardless of individual or group administration. The interpretation and potential clinical implications of these findings are discussed, together with the limitations of this study and suggestions for future research.

scholarly journals Case-Series Evaluating a Transdiagnostic Cognitive-Behavioural Treatment for Co-occurring Anxiety Disorders

2014 ◽  
Vol 43 (6) ◽  
pp. 744-758 ◽  
Author(s):  
Freda McManus ◽  
Gavin Clark ◽  
Kate Muse ◽  
Roz Shafran
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Well Being ◽  
Behavioural Intervention ◽  
Behavioural Interventions ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Axis I ◽  
Cognitive Behavioural Interventions

Background: Patients with anxiety disorder diagnoses commonly have more than one anxiety diagnosis. While cognitive-behavioural interventions have proven efficacy in treating single anxiety disorder diagnoses, there has been little investigation of their efficacy in treating co-occurring anxiety disorders. Aims: To evaluate the efficacy of a transdiagnostic cognitive-behavioural intervention for treating co-occurring anxiety disorders. Method: An A-B single case study design (N = 6) was used to evaluate the efficacy of a 12 to 13-session modular transdiagnostic cognitive-behavioural intervention for treating co-occurring anxiety disorders across patients with at least two of the following diagnoses: GAD, Social Phobia, Panic Disorder and/or OCD. Results: Five of the six participants completed treatment. At posttreatment assessment the five treatment completers achieved diagnostic and symptomatic change, with three participants being diagnosis free. All participants who completed treatment no longer met criteria for any DSM-IV-TR Axis-I diagnosis at the 3-month follow-up assessment, and demonstrated reliable and clinically-significant improvements in symptoms. Across the participants, statistically significant improvements from pre to postintervention were found on measures of anxiety, depression and general well-being, and all improvements were maintained at 3-month follow-up. Conclusions: Results suggest that transdiagnostic cognitive behavioural interventions can be of benefit to patients with co-occurring anxiety disorders.

Evaluation of a Brief Child-focused Group-based Intervention for Anxiety-disordered Children

2003 ◽  
Vol 20 (2) ◽  
pp. 109-116 ◽  
Author(s):  
Vanessa E. Cobham
Keyword(s):  
Rating Scales ◽  
Cost Effective ◽  
Research Area ◽  
Diagnostic Interview ◽  
Self Report ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Behaviour Rating ◽  
Cognitive Behavioural Intervention

AbstractThis paper presents a pilot study of a brief, group-based, cognitive-behavioural intervention for anxiety-disordered children. Five children (aged 7 to 13 years) diagnosed with a clinically significant anxiety disorder were treated with a recently developed 6-session, child-focused, cognitive-behavioural intervention that was evaluated using multiple measures (including structured diagnostic interview, self-report questionnaires and behaviour rating scales completed by parents) over four follow-up occasions (post-treatment, 3-month follow-up, 6-month follow-up and 12-month follow-up). This trial aimed to (a) evaluate the conclusion suggested by the research of Cobham, Dadds, and Spence (1998) that anxious children with non-anxious parents require a child-focused intervention only in order to demonstrate sustained clinical gains; and (b) to evaluate a new and more cost-effective child-focused cognitive-behavioural intervention. Unfortunately, the return rate of the questionnaires was poor, rendering this data source of questionable value. However, diagnostic interviews (traditionally the gold standard in terms of outcome in this research area) were completed for all children at all follow-up points. Changes in diagnostic status indicated that meaningful treatment-related gains had been achieved and were maintained over the full follow-up period. The results would thus seem to support the principle of participant-intervention matching proposed by Cobham et al. (1998), as well as the utility of the more brief intervention evaluated.

scholarly journals A Cognitive Behavioural Intervention Programme to Improve Psychological Well-Being

2018 ◽  
Vol 16 (1) ◽  
pp. 80 ◽  
Author(s):  
Birgitta Ojala ◽  
Clas-Håkan Nygård ◽  
Heini Huhtala ◽  
Philip Bohle ◽  
Seppo Nikkari
Keyword(s):  
Work Environment ◽  
Intervention Group ◽  
Well Being ◽  
Early Rehabilitation ◽  
Control Group ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Screening Questions ◽  
Cognitive Behavioural Intervention

Psychosocial risk factors have increased in today’s work environment, and they threaten work ability. Good workplace atmosphere, psychosocial support, the ability to cope with stress, and skills and knowledge are all connected to more successful coping. Faster changes in the work environment and an increased workload can lead to a chain of fatigue and illness. The aim of this study was to evaluate a cognitive behavioural intervention as an early rehabilitation strategy to improve employees’ well-being, in intervention group N446 and in control group N116. The well-being measures used were the Bergen Burnout Inventory (BBI 15), Utrecht Work Engagement Scale (UWES), and depression and stress screening questions. Data were obtained by a self-report survey at baseline and at a nine-month follow-up. Differences were analysed within and between groups. The results suggest that cognitive behavioural intervention as an early rehabilitation programme will increase employees’ well-being measured by BBI 15, UWES, and depression and stress screening questions. In the intervention group, the total BBI 15 score (p < 0.01) and each of the three subdimensions of burnout (exhaustion, cynicism, and sense of inadequacy) decreased at follow-up. Mental health issues are the commonest reasons for sick leave and early retirement. We need ways to prevent these issues.

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