Cognitive Behaviour Therapy for Menopausal Hot Flushes and Night Sweats: A Qualitative Analysis of Women's Experiences of Group and Self-Help CBT

2012 ◽  
Vol 41 (4) ◽  
pp. 441-457 ◽  
Author(s):  
Janet Balabanovic ◽  
Beverley Ayers ◽  
Myra S. Hunter

Background: There is a growing need for non-medical treatments for women experiencing problematic menopausal symptoms such as hot flushes and night sweats (HF/NS). A recent randomized control trial (RCT) (MENOS2) provides evidence of the effectiveness of Group CBT and Self-Help CBT for HF/NS. Aims: This study examines MENOS 2 participants’ experience of the CBT treatments. Method: Twenty women who had experienced CBT for HF/NS (10 Group CBT and 10 Self-Help CBT) were interviewed at the end of the trial to explore how they experienced the treatment and its effects. The interviews were analysed using interpretative phenomenological analysis. Results: Women experienced both treatment formats as positive and helpful, increasing their ability to cope and their sense of control over HF/NS. Four super-ordinate themes were identified: making sense of symptom change, new ways of coping and regaining control, acknowledging and challenging the menopause taboo, and social interaction and support versus individual learning. Conclusions: These qualitative results are consistent with those of the main trial in that women found both CBT formats helpful in reducing the impact of HF/NS. However, the results also suggest possible mechanisms of change and provide useful information on women's responses to the different treatment components and formats.

Author(s):  
Rahmadhania Rizanty ◽  
Lara Fridani ◽  
Happy Karlina Marjo

Self help book is believed as an alternative method to help someone in order to help himself dealing with the psychological problems that they had experienced. One of the psychological problems which very vulnerable to be experienced by someone that working is emersion of burnout symptoms. The researcher has interviewed Counseling Guidance’s (BK) teacher to find the factor that caused emersion of burnout symptoms of work, from the interview some informations has gathered about the causes of Counseling Guidance's teacher experienced burnout symptoms, among others because the number of Counseling Guidance teachers in the school with an unbalanced number of students and unclear duties and roles assigned to Counseling Guidance teachers. Other that, there were many Counseling Guidance teachers did not have an appropriate knowledge with the qualification that have been determined. Every individual has a different level of burnout symptoms and the impact that they experienced was also different. The level of burnout symptoms could be reduced or even eliminated by determining the appropriate method, one of them by counseling approach of Cognitive Behaviour Therapy (CBT) using guided imagery technique.


2011 ◽  
Vol 20 (2) ◽  
pp. 121-126 ◽  
Author(s):  
D. Fowler ◽  
R. Rollinson ◽  
P. French

All good quality trials of psychological interventions need to check formally that therapists have used the techniques prescribed in the published therapy manuals, and that the therapy has been carried out competently. This paper reviews methods of assessing adherence and competence used in recent large-scale trials of Cognitive Behaviour Therapy (CBT) for psychosis in the UK carried out by our research groups. A combination of the Cognitive Therapy Rating Scale and specific versions of the Cognitive Therapy for Psychosis Adherence Scales provides an optimal assessment of adherence and competence. Careful assessment of the competence and adherence can help identify the procedures actually carried out with individuals within trials. The basic use of such assessments is to provide an external check on treatment fidelity on a sample of sessions. Such assessment can also provide the first step towards moving research towards making sense of CBT for psychosis as a complex intervention and identifying which techniques work for which problems of people with psychosis, at which stages of disorder?


Author(s):  
Elizabeth Clara ◽  
Franky Liauw

A lot of new problem arise as the result of the development of information and digital technology that leads to the use of the Internet by millennials, namely cyberbullying. Cyberbullying hasn’t been solved by the millennials even the though the causes has been known. This problem also affects the other generations such as generation X and generation Z also feel the impact. To be more spesific, the definition of cyberbullying is the development of bullying from the traditional way to using digital devices. This is important because until now this problem still underestimated and hasn't received any special treatment even though the bullying cause a lot off negative effect such as depression which lead to suicide. This statement supported by the Kaspersky Lab's researchThe problem is 20% of people who witness of cyberbullying and 7% of the cases of those involved in bullying. Cyberbullying Theracreation project is designed to raise the awareness of cyberbullying in the community targeting the bullier. Theracreation are created from the word combination of theraphy and recreation. it’s related to the used solution method of the project called cognitive behaviour therapy (CBT). It’s combined with spatial experience in architecture and digital technology which consists of VR so that the therapy process is carried out without having to deal directly with a psychologist. The benefits of this therapeutic system can be done at any time in a predetermined location so that improving the community's process of cyberbullying can be done effectively. For the design concept, emphasize on the improvements in the community the concept building which blend with the level difference building design and focusing the activities at one center point. AbstrakSebagai hasil dari perkembangan teknologi informasi dan digital yang mengarah pada penggunaan Internet secara berlebihan oleh generasi millenial muncul masalah yaitu intimidasi dunia maya atau lebih dikenal dengan cyberbullying. Cyberbullying sendiri tidak terpaku pada generasi milenial saja melainkan generasi lainnya seperti generasi X dan generasi Z. Cyberbullying merupakan pengembangan perilaku bullying dari cara tradisional ke penggunan perangkat digital. Untuk menangani kasus tersebut diajukanlah proyek Cyberbullying Theracreation atau Terapi Cyberbullying berbasis rekreasi yang difokuskan untuk membangun cyberbullying awareness dalam masyarakat khususnya pelaku cyberbullying. Karena sampai sekarang belum kasus ini masih disepelekan dan belum mendapat perlakuan khusus. Hal tersebut didukung oleh hasil penelitian Kaspersky Lab. Cyberbullying dapat menimbulkan pemikiran tentang bunuh diri, terkadang bertahan hingga dewasa. Bahayanya 20% dari orang-orang yang menyaksikan bullying secara online dan di 7% kasus mereka bahkan berpartisipasi dalam kasus bullying. Theracreation sendiri berasal dari pengabungan kata terapi (therapy) dan rekreasi (recreation) ini mengacu pada metode yang digunakan yaitu terapi rekreasi berprogram terapi kognitif perilaku (CBT) yang dipadukan dengan unsur arsitektur (pengalaman ruang) dan teknologi digital berupa VR sehingga proses terapi dilakukan tanpa harus berhadapan langsung dengan psikolog. Keuntungan dari sistem terapi ini adalah terapi bisa dilakukan kapanpun di lokasi yang sudah ditentukan sehingga dalam proses meningkatkan empati masyarakat terhadap cyberbullying bisa dilakukan secara efektif. Dalam desainnya, dengan tetap menekankan peningkatan empati dalam masyarakat dciptakan konsep arsitektur yang berbaur sehingga perbedaan level pada bangunan tersamarkan dan memusatkan aktivitas pada 1 titik pusat.


2020 ◽  
Vol 13 ◽  
Author(s):  
Cassie M. Hazell ◽  
Orla Kelly ◽  
Sorcha O’Brien ◽  
Clara Strauss ◽  
Kate Cavanagh ◽  
...  

Abstract Access to cognitive behaviour therapy for those with psychosis (CBTp) remains poor. The most frequently endorsed barrier to implementation is a lack of resources. To improve access to CBTp, we developed a brief form of CBTp that specifically targets voice-related distress. The results of our pilot trial of guided self-help CBT for voices (GiVE) suggest that the therapy is both acceptable and beneficial. The present study aims to explore the subjective patient experience of accessing GiVE in the context of a trial. We interviewed nine trial participants using the Change Interview and a mixed methods approach. Most participants reported at least one positive change that they attributed to GiVE. We extracted five themes: (1) changes that I have noticed; (2) I am not alone; (3) positive therapy experiences; (4) I want more therapy; and (5) helping myself. The themes indicate that participating in the GiVE trial was generally a positive experience. The main areas in which participants experienced changes were improved self-esteem, and the ability to cope with voices. Positive changes were facilitated by embracing and enacting ‘self-help’ and having support both in and out of the therapy sessions. The findings support the use of self-help materials with those distressed by hearing voices, but that support both within and outside the clinical setting can aid engagement and outcomes. Overall, the findings support the continued investigation of GiVE. Key learning aims (1) To explore participants’ experience of accessing GiVE as part of a trial. (2) To identify what (if any) changes participants noticed over the course of the GiVE trial. (3) To identify what participants attribute these changes to.


1987 ◽  
Vol 21 (1) ◽  
pp. 5-15 ◽  
Author(s):  
Rosalyn A. Griffiths ◽  
Stephen W. Touyz ◽  
Philip B. Mitchell ◽  
Wendy Bacon

We review treatment approaches to bulimia nervosa, with particular emphasis on methodology and research design. The following treatments are considered: behaviour therapy, cognitive behaviour therapy, pharmacological treatment, group therapy, psychoanalytic psychotherapy, self-help and support groups, hypnosis and miscellaneous (family therapy and nutritional approaches). Several directions for future research and methodological recommendations are suggested.


Autism ◽  
2020 ◽  
Vol 24 (4) ◽  
pp. 867-883 ◽  
Author(s):  
Sebastian B Gaigg ◽  
Paul E Flaxman ◽  
Gracie McLaven ◽  
Ritika Shah ◽  
Dermot M Bowler ◽  
...  

Anxiety in autism is an important treatment target because of its consequences for quality of life and well-being. Growing evidence suggests that cognitive behaviour therapies and mindfulness-based therapies can ameliorate anxiety in autism but cost-effective delivery remains a challenge. This pilot randomised controlled trial examined whether online cognitive behaviour therapy and mindfulness-based therapy self-help programmes could help reduce anxiety in 54 autistic adults who were randomly allocated to either an online cognitive behaviour therapy (n = 16) or mindfulness-based therapy (n = 19) programme or a waitlist control group (n = 19). Primary outcome measures of anxiety, secondary outcome measures of broader well-being and potential process of change variables were collected at baseline, after programme completion, and then 3 and 6 months post-completion. Baseline data confirmed that intolerance of uncertainty and emotional acceptance accounted for up to 61% of self-reported anxiety across all participants. The 23 participants who were retained in the active conditions (14 mindfulness-based therapies, 9 cognitive behaviour therapies) showed significant decreases in anxiety that were maintained over 3, and to some extent also 6 months. Overall, results suggest that online self-help cognitive behaviour therapy and mindfulness-based therapy tools may provide a cost-effective method for delivering mental health support to those autistic adults who can engage effectively with online support tools. Lay abstract Anxiety in autism is an important target for psychological therapies because it is very common and because it significantly impacts upon quality of life and well-being. Growing evidence suggests that cognitive behaviour therapies and mindfulness-based therapies can help autistic individuals learn to manage feelings of anxiety but access to such therapies remains problematic. In the current pilot study, we examined whether existing online cognitive behaviour therapy and mindfulness-based therapy self-help tools can help reduce anxiety in autistic adults. Specifically, 35 autistic adults were asked to try either an existing online cognitive behaviour therapy (n = 16) or mindfulness-based therapy (n = 19) programme while a further 19 autistic adults served as a waitlist comparison group. A first important finding was that 23 of the 35 (66%) participants who tried the online tools completed them, suggesting that such tools are, in principle, acceptable to many autistic adults. In addition, adults in the cognitive behaviour therapy and mindfulness-based therapy conditions reported significant decreases in anxiety over 3 and to some extent also 6 months that were less apparent in the waitlist group of participants. On broader measures of mental health and well-being, the benefits of the online tools were less apparent. Overall, the results suggest that online self-help cognitive behaviour therapy and mindfulness-based therapy tools should be explored further as a means of providing cost-effective mental health support to at least those autistic individuals who can engage effectively with such online tools.


Author(s):  
Peter Phiri ◽  
Shanaya Rathod ◽  
Mary Gobbi ◽  
Hannah Carr ◽  
David Kingdon

AbstractCognitive behaviour therapy (CBT) as a treatment for schizophrenia and psychotic-related disorders has been shown to have significantly greater drop-out rates in clients of black and minority ethnic (BME) groups. This has resulted in poor outcomes in treatments. Our recent qualitative study thus aimed to develop culturally sensitive CBT for BME clients. The study consisted of individual in-depth 1:1 interviews with patients with a diagnosis of schizophrenia, schizo-affective, delusional disorders or psychosis (n = 15) and focus groups with lay members (n = 52), CBT therapists (n = 22) and mental health practitioners (n = 25) on a data set of 114 participants. Several themes emerged relating to therapist awareness on culturally derived behaviours, beliefs and attitudes that can influence client response and participation in therapy. The current paper aims to explore one of these themes in greater detail, i.e. client-initiated therapist self-disclosure (TSD). Using thematic analysis, the paper highlights key elements of TSD and how this could impact on therapist’s reactions towards TSD, the therapeutic alliance and ultimately, the outcomes of therapy. The findings appear to show that TSD has significant relevance in psychological practice today. Some BME client groups appear to test therapists through initiating TSD. It is not the content of TSD they are testing per se, but how the therapist responds. Consequently, this requires therapists’ cognisance and sensitive responses in a manner that will nurture trust and promote rapport. Further investigation in this area is suggested with a recommendation for guidelines to be created for clinicians and training.Key learning aims(1)To develop a dialogue and practice with confidence when addressing issues of self-disclosure with diverse populations.(2)To appreciate the impact therapist self-disclosure has in early stages of engagement, in particular when working with patients from BME communities.(3)To understand the impact and role of self-disclosure as initiated by patients.(4)To increase therapist awareness on cultural differences in self-disclosure and develop ways to address this in therapy.(5)To challenge therapists to adapt psychological therapies to diverse cultures and be cognisant that ‘one size does not fit all’.


2020 ◽  
Vol 29 (10) ◽  
pp. 1514-1523 ◽  
Author(s):  
Deborah Fenlon ◽  
Tom Maishman ◽  
Laura Day ◽  
Jacqueline Nuttall ◽  
Carl May ◽  
...  

2003 ◽  
Vol 31 (1) ◽  
pp. 69-83 ◽  
Author(s):  
Ronald Siddle ◽  
Freda Jones ◽  
Fairuz Awenat

Patients referred with anger problems often do not attend for treatment. The aim of this study was to determine if group Cognitive Behaviour Therapy (CBT) was feasible. Patients referred for help with their anger were assessed, given 6 sessions of group CBT and re-assessed. Of 119 patients referred, 49 (41%) did not attend the initial appointment. Patients who attended for interview were invited to participate in the group CBT. Only 11 patients (9%) of those referred for therapy attended for the full course of CBT. Thirty-four patients (29%) were exposed to at least one session of CBT, while 66 patients (56%) did not attend for any therapy. Patients who attended for some or all of the CBT treatment reported reductions in the frequency and intensity of their anger outbursts. There was also a significant reduction in measures of their anger traits. It could be concluded that group CBT is an appropriate way to deliver this therapy to patients with anger problems, but it is clear that many of those referred are ambivalent about therapy and will not attend. Figures are given that will allow the planning of a randomized controlled trial to evaluate the difference between individual and group based CBT for patients with anger problems.


Sign in / Sign up

Export Citation Format

Share Document