GROUP COGNITIVE THERAPY: TREATMENT OF CHOICE OR SUB-OPTIMAL OPTION?

2001 ◽  
Vol 29 (3) ◽  
pp. 311-332 ◽  
Author(s):  
Norma Morrison
Keyword(s):  
Group Therapy ◽  
Cognitive Therapy ◽  
Large Scale ◽  
Cost Effective ◽  
Advantages And Disadvantages ◽  
Quality Of Therapy ◽  
Group Format ◽  
Cognitive Behavioural ◽  
Therapy Treatment

In the present climate of limited resources and long waiting lists, it is not surprising that there is more emphasis on making sure that psychological treatments are not only clinically sound but also cost-effective. One solution to this is to provide time-limited, focused interventions such as cognitive therapy. Another obvious solution is to deliver treatment in groups rather than individually. However, what evidence is there that therapy can be delivered as effectively in groups as individually? This review will look at which different formats have been tried, what the advantages and disadvantages of those formats might be, which client groups have been targeted for cognitive- behavioural group therapy (CBGT), and whether a group format in general offers any advantages over individual CBT. Outcome studies and their implications for the use of CBGT are considered. Results suggest that, in most client groups, there is little difference in efficacy between group and individual CBT, although there is some evidence that results for some types of patient can be disappointing in CBGT. It may be that the best compromise in terms of cost- effectiveness between quality of therapy and quantity of patients treated is offered by large-scale psychoeducational didactic group therapy.

Combining Cognitive Therapy With Acceptance and Commitment Therapy for Depression: A Group Therapy Feasibility Study

2017 ◽  
Vol 31 (3) ◽  
pp. 171-190 ◽  
Author(s):  
Leandra Hallis ◽  
Luisa Cameli ◽  
Nadine Samia Bekkouche ◽  
Bärbel Knäuper
Keyword(s):  
Group Therapy ◽  
Cognitive Therapy ◽  
Acceptance And Commitment Therapy ◽  
Community Clinic ◽  
Therapy Program ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Therapy Treatment

Cognitive therapy (CT) and acceptance and commitment therapy (ACT) have been shown to be effective in treating depression. Although integrating ACT with CT is used for the treatment of anxiety, there is a paucity of integrated CT and ACT treatments for depression and/or dysthymia. The purpose of this study is to determine the feasibility of integrating CT and ACT into a manualized group therapy treatment for depression and/or dysthymia. Over a period of 2 years, 4 consecutive groups were held at a community clinic, with 24 completing the 15-week treatment. Posttreatment and follow-up data revealed satisfaction with the treatment, significant decreases in depression severity, and significant increases in quality of life over the 5 time points. The results support the acceptability and feasibility of a manualized integrated CT/ACT group therapy program for depression and dysthymia.

scholarly journals Cost-effectiveness of internet-delivered cognitive–behavioural therapy for adolescents with irritable bowel syndrome

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023881 ◽  
Author(s):  
Filipa Sampaio ◽  
Marianne Bonnert ◽  
Ola Olén ◽  
Erik Hedman ◽  
Maria Lalouni ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Irritable Bowel Syndrome ◽  
Cost Effectiveness ◽  
Resource Use ◽  
Cost Effective ◽  
Behavioural Therapy ◽  
Cognitive Behavioural ◽  
The Difference ◽  
Irritable Bowel

ObjectiveTo assess whether exposure-based internet-delivered cognitive–behavioural therapy (internet-CBT) is a cost-effective treatment for adolescents with irritable bowel syndrome (IBS) compared with a waitlist control, from a societal perspective, based on data from a randomised trial.DesignWithin-trial cost-effectiveness analysis.SettingParticipants were recruited from the whole of Sweden via primary, secondary and tertiary care clinics reached through news media and advertising.ParticipantsAdolescents (aged 13–17) with a diagnosis of IBS.InterventionsParticipants were randomised to either an exposure-based internet-CBT, including 10 weekly modules for adolescents and five modules for parents, or a waitlist.Outcome measuresThe main health outcome was the quality-adjusted life-year (QALY) estimated by mapping Pediatric Quality-of-Life Inventory (PedsQL) scores onto EQ-5D-3L utilities. The secondary outcome was the point improvement on the PedsQL scale. Data on health outcomes and resource use were collected at baseline and 10 weeks post-treatment. Resource use was measured using the Trimbos and Institute of Medical Technology Assessment Cost Questionnaire for Psychiatry (TIC-P) . Incremental cost-effectiveness ratios (ICER) were calculated as the difference in average costs by the difference in average outcomes between groups.ResultsThe base-case results showed that internet-CBT costs were on average US$170.24 (95% CI 63.14 to 315.04) more per participant than the waitlist. Adolescents in the internet-CBT group showed small QALY gains (0.0031; 95% CI 0.0003 to 0.0061), and an average improvement of 5.647 points (95% CI 1.82 to 9.46) on the PedsQL compared with the waitlist. Internet-CBT yielded an ICER of $54 916/QALY gained and a probability of cost-effectiveness of 74% given the Swedish willingness-to-pay threshold. The ICER for the outcome PedsQL was US$85.29/point improvement.ConclusionsOffering internet-CBT to adolescents with IBS improves health-related quality of life and generates small QALY gains at a higher cost than a waitlist control. Internet-CBT is thus likely to be cost-effective given the strong efficacy evidence, small QALY gains and low cost.Trial registration numberNCT02306369; Results.

Direct Synthesis of MoSe2 Thin Films on SiO2/Si Using Selenization Process of Sputtered Molybdenum

2020 ◽  
Vol 15 (5) ◽  
pp. 580-585
Author(s):  
Dae-Young Um ◽  
R. Nandi ◽  
Jeong-Hun Yang ◽  
Jin-Soo Kim ◽  
Jong-Woong Kim ◽  
...  
Keyword(s):  
Large Scale ◽  
Direct Synthesis ◽  
Cost Effective ◽  
Metal Films ◽  
Crystalline Quality ◽  
Research Attention ◽  
Molybdenum Diselenide ◽  
Potential Applications ◽  
Direct Current Sputtering

Recently, molybdenum diselenide (MoSe2) has attracted nascent research attention for potential applications in electronic and optoelectronic devices due to its unique properties including tunable bandgap, strong photoluminescence and large exciton binding energy. However, the synthesis of reproducible, controlled and large scale MoSe2 films is still a great challenge. Here, we have investigated the morphology, structure and crystalline quality of MoSe2 films synthesized by the selenization of Mo metal films. The Mo metal films of different thicknesses were deposited at room temperature by direct current sputtering. Subsequently, MoSe2 films were prepared by selenization of sputtered Mo films at 550 °C for 20 minutes. The obtained MoSe2 films are polycrystalline with hexagonal crystal structure. The crystalline quality of the MoSe2 films is improved with increase in the thickness of Mo metal films. The MoSe2 films are found to be n-type in nature and reasonably stoichiometric (Mo/Se ratio ∼1:1.9). This study provides an experimental demonstration of an alternative cost-effective direct synthesis of MoSe2 films on SiO2/Si for the applications of semiconductor devices.

scholarly journals Upstream to downstream: a multiple-assessment-point approach for targeting non-point-source priority management areas at large watershed scale

2013 ◽  
Vol 10 (11) ◽  
pp. 14535-14555
Author(s):  
L. Chen ◽  
Y. Zhong ◽  
G. Wei ◽  
Z. Shen
Keyword(s):  
Point Source ◽  
Large Scale ◽  
Cost Effective ◽  
Small Scale ◽  
Watershed Scale ◽  
Nps Pollution ◽  
Specific Assessment ◽  
High Level ◽  
Multiple Assessment

Abstract. The identification of priority management areas (PMAs) is essential for the control of non-point source (NPS) pollution, especially for a large-scale watershed. However, previous studies have typically focused on small-scale catchments adjacent to specific assessment points; thus, the interactions between multiple river points remain poorly understood. In this study, a multiple-assessment-point PMA (MAP-PMA) framework was proposed by integrating the upstream sources and the downstream transport aspects of NPS pollution. Based on the results, the integration of the upstream input changes was vital for the final PMAs map, especially for downstream areas. Contrary to conventional wisdom, this research recommended that the NPS pollutants could be best controlled among the upstream high-level PMAs when protecting the water quality of the entire watershed. The MAP-PMA framework provided a more cost-effective tool for the establishment of conservation practices, especially for a large-scale watershed.

A Review of Downhole Wireless Technologies and Improvements

2021 ◽  
Author(s):  
Brett Bouldin ◽  
Ahmed AlShmakhy ◽  
Ahmed Khaled Bazuhair ◽  
Muzoon Hasan Alzaabi ◽  
Jarl André Fellinghaug
Keyword(s):  
Wireless Communication ◽  
Flow Rate ◽  
Large Scale ◽  
Pressure Pulse ◽  
Cost Effective ◽  
Directional Drilling ◽  
Wireless Technologies ◽  
Advantages And Disadvantages ◽  
Wireless Telemetry

Abstract Downhole wireless communication in the form of mud pulse telemetry enabled directional drilling over the past 60 years and has been hugely successful. Technologies like Measurement While Drilling (MWD), Logging While Drilling (LWD), and Geosteering would simply not exist without it. But in the Production and Producing end of the business, applications for downhole wireless communication have been less clear, especially where long distances and long-term monitoring are concerned. Several wireless technologies are in use today for long-term production applications. Electromagnetic (EM), acoustic, and pressure pulse telemetries are finding application as wireless production gauges, drill stem test tools, and drilling alternatives to pressure pulse. But the large-scale vision of, "Breaking the Wire!" in production wells has not yet occurred. Permanent Downhole Gauges (PDG) with an umbilical to surface are still the product of choice for long-term production monitoring. A history of wireless approaches in production applications will be given and the different methods used in the industry will be explained. A comparison and contrast of wireless telemetry methods will be explored, explained, and evaluated. Advantages and disadvantages will be listed for each approach. A ranking system will be employed to illustrate the evaluation results of the different wireless telemetry methods. New variants for wireless telemetry, power supplies, and measurement methods will be proposed. Preferred applications for each gauge type will be given. Downhole gauges can be improved by integrating pressure pulse, a downhole power generator, and downhole flow rate measurement into a single unit. The overall size can be ten times shorter than existing systems while still generating a larger wireless signal. Such a system would make wireless downhole gauges much more practical and should significantly increase their uptake in the industry. Real-time measurement of downhole pressure and downhole flow rate transforms the accuracy and effectiveness of Pressure Transient Analysis (PTA). Better reservoir understanding can be gained by using only drawdown tests, without shutting in the well. Smaller tools are generally more cost effective.

scholarly journals Methodology for Measuring Greenhouse Gas Emissions from Agricultural Soils Using Non-isotopic Techniques

2021 ◽  
pp. 11-108
Author(s):  
M. Zaman ◽  
K. Kleineidam ◽  
L. Bakken ◽  
J. Berendt ◽  
C. Bracken ◽  
...  
Keyword(s):  
Agricultural Soils ◽  
Cost Effective ◽  
Emission Measurement ◽  
Closed Chamber ◽  
Advantages And Disadvantages ◽  
Flux Measurements ◽  
Cost Effective Alternative ◽  
User Friendly ◽  
Closed Chambers

AbstractSeveral approaches exist for measuring greenhouse gases (GHGs), mainly CO2, N2O, and CH4, from soil surfaces. The principle methods that are used to measure GHG from agricultural sites are chamber-based techniques. Both open and closed chamber techniques are in use; however, the majority of field applications use closed chambers. The advantages and disadvantages of different chamber techniques and the principal steps of operation are described. An important part of determining the quality of the flux measurements is the storage and the transportation of the gas samples from the field to the laboratory where the analyses are carried out. Traditionally, analyses of GHGs are carried out via gas chromatographs (GCs). In recent years, optical analysers are becoming increasingly available; these are user-friendly machines and they provide a cost-effective alternative to GCs. Another technique which is still under development, but provides a potentially superior method, is Raman spectroscopy. Not only the GHGs, but also N2, can potentially be analysed if the precision of these techniques is increased in future development. An important part of this chapter deals with the analyses of the gas concentrations, the calculation of fluxes, and the required safety measures. Since non-upland agricultural lands (i.e. flooded paddy soils) are steadily increasing, a section is devoted to the specificities of GHG measurements in these ecosystems. Specialised techniques are also required for GHG measurements in aquatic systems (i.e. rivers), which are often affected by the transfer of nutrients from agricultural fields and therefore are an important indirect source of emission of GHGs. A simple, robust, and more precise methodof ammonia (NH3) emission measurement is also described.

scholarly journals A Survey of Outlier Detection Techniques in IoT: Review and Classification

2022 ◽  
Vol 11 (1) ◽  
pp. 4
Author(s):  
Mustafa Al Samara ◽  
Ismail Bennis ◽  
Abdelhafid Abouaissa ◽  
Pascal Lorenz
Keyword(s):  
Outlier Detection ◽  
Large Scale ◽  
Base Station ◽  
Home Networks ◽  
Detection Techniques ◽  
Advantages And Disadvantages ◽  
Large Scale Networks ◽  
Data Efficiency ◽  
Different Sources

The Internet of Things (IoT) is a fact today where a high number of nodes are used for various applications. From small home networks to large-scale networks, the aim is the same: transmitting data from the sensors to the base station. However, these data are susceptible to different factors that may affect the collected data efficiency or the network functioning, and therefore the desired quality of service (QoS). In this context, one of the main issues requiring more research and adapted solutions is the outlier detection problem. The challenge is to detect outliers and classify them as either errors to be ignored, or important events requiring actions to prevent further service degradation. In this paper, we propose a comprehensive literature review of recent outlier detection techniques used in the IoTs context. First, we provide the fundamentals of outlier detection while discussing the different sources of an outlier, the existing approaches, how we can evaluate an outlier detection technique, and the challenges facing designing such techniques. Second, comparison and discussion of the most recent outlier detection techniques are presented and classified into seven main categories, which are: statistical-based, clustering-based, nearest neighbour-based, classification-based, artificial intelligent-based, spectral decomposition-based, and hybrid-based. For each category, available techniques are discussed, while highlighting the advantages and disadvantages of each of them. The related works for each of them are presented. Finally, a comparative study for these techniques is provided.

Enhancing Creativity in Cognitive Therapy

2000 ◽  
Vol 14 (2) ◽  
pp. 175-187 ◽  
Author(s):  
Kevin T. Kuehlwein
Keyword(s):  
Cognitive Therapy ◽  
Therapy Session ◽  
Case Examples ◽  
Numerous Case ◽  
Cognitive Therapist ◽  
Therapy Treatment

This article explores the nature of creativity in psychotherapy and offers several methods and frameworks with which to enhance creativity as a cognitive therapist. It reviews the methodologically permissive parameters of Beck’s model, while providing a framework for enfolding methods from other models so as to retain the cognitive character of these interventions when used within the cognitive therapy session. It also extrapolates from Edward deBono’s model of how to improve the quality of thinking to suggest specific interventions as well as general principles that can be used or adapted in cognitive therapy treatment. Numerous case examples are given and further resources for nurturing and generating creativity are provided.

scholarly journals Upstream to downstream: a multiple-assessment-point approach for targeting non-point-source priority management areas at large watershed scale

2014 ◽  
Vol 18 (4) ◽  
pp. 1265-1272 ◽  
Author(s):  
L. Chen ◽  
Y. Zhong ◽  
G. Wei ◽  
Z. Shen
Keyword(s):  
Point Source ◽  
Large Scale ◽  
Cost Effective ◽  
Small Scale ◽  
Nps Pollution ◽  
Specific Assessment ◽  
High Level ◽  
Multiple Assessment

Abstract. The identification of priority management areas (PMAs) is essential for the control of non-point-source (NPS) pollution, especially for a large-scale watershed. However, previous studies have typically focused on small-scale catchments adjacent to specific assessment points; thus, the interactions between multiple river points remain poorly understood. In this study, a multiple-assessment-point PMA (MAP-PMA) framework was proposed by integrating the upstream sources and the downstream transport aspects of NPS pollution. Daning River watershed was taken as a case study in this paper, which has demonstrated that the integration of the upstream input changes was vital for the final PMAs map, especially for downstream areas. Contrary to conventional wisdom, this research recommended that the NPS pollutants could be best controlled among the upstream high-level PMAs when protecting the water quality of the entire watershed. The MAP-PMA framework provided a more cost-effective tool for the establishment of conservation practices, especially for a large-scale watershed.

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