Applying the Collaborative Study Psychotherapy Rating Scale to rate therapist adherence in cognitive-behavior therapy, interpersonal therapy, and clinical management.

1992 ◽  
Vol 60 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Clara E. Hill ◽  
Kevin E. O'Grady ◽  
Irene Elkin
Author(s):  
Lenny Syamsudin

Insomnia is a sleep disorder where a person has difficulty starting sleep, maintaining sleep, or poor sleep quality so that he experiences fatigue, irritability and less productive the next day. In Indonesia the number of people with insomnia is around 30- 50 percent of the total population of Indonesia. This study aims to determine the effect of giving Cognitive Behavior Therapy (CBT) to the reduction of symptoms of insomnia in people with insomnia. The focus of this study is to change the irrational thoughts in people with insomnia, to make it more rational. This research uses Quasi Experiment method with The One Group Pretest-Posttest Design. Insomnia is measured using a measuring instrument that has been adapted from the Pittsburgh Insomnia Rating Scale using the translate re translate method with insomnia subjects. The results showed changes in insomnia characterized by a decrease in insomnia symptoms in the subject after being given an intervention in the form of Cognitive Behavior Therapy (CBT). Based on these data, it can be concluded that the administration of Cognitive Behavior Therapy (CBT) affects the reduction of insomnia symptoms in insomniacsInsomnia merupakan suatu gangguan tidur dimana seseorang mengalami kesulitan untuk memulai tidur, menjaga tidur, atau kualitas tidur yang buruk sehingga mengalami kelelahan, mudah tersinggung dan kurang produktif keesokan harinya. Di Indonesia jumlah penderita insomnia sekitar 30 sampai 50 persen dari total penduduk Indonesia. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian Cognitive Behavior Therapy (CBT) terhadap penurunan simptom- simptom insomnia pada penderita insomnia. Fokus penelitian ini untuk merubah pikiran irasional pada penderita insomnia, agar lebih rasional. Penelitian ini menggunakan metode Quasi Experiment dengan desain The One Group Pretest- Posttest Design. Insomnia diukur dengan menggunakan alat ukur yang telah diadaptasi dari Pittsburgh Insomnia Rating Scale dengan menggunakan metode translate re translate dengan subjek penderita insomnia. Hasil penelitian menunjukkan terjadi perubahan insomnia yang ditandai dengan penurunan simptom-simptom insomnia pada subjek setelah diberikan intervensi berupa  Cognitive Behavior Therapy (CBT). Berdasarkan data tersebut, dapat ditarik simpulan bahwa pemberian Cognitive Behavior Therapy (CBT) berpengaruh terhadap penurunan simptom-simptom insomnia pada penderita insomnia.


Author(s):  
Brandon M. Kitay ◽  
Michael H. Bloch

This chapter provides a summary of a landmark study on the management of obsessive-compulsive disorder (OCD) in adults. Is the combination of exposure and ritual prevention (a cognitive behavior therapy based intervention) along with clomipramine more efficacious than monotherapy with either treatment for OCD? Starting with that question, it describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study interventions, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, discusses implications for clinical management, and concludes with an exemplary clinical case applying the evidence.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Yi-Chuan Yu ◽  
Hui Xue ◽  
Ying-xin Zhang ◽  
Jiying Zhou

Background. Persistent postural-perceptual dizziness (PPPD) is a common vestibular disorder. This study was conducted to assess whether the addition of cognitive behavior therapy (CBT) could significantly improve the efficacy and acceptability of sertraline in treating PPPD. Methods. PPPD patients were recruited and randomly assigned to control and experiment groups. Patients in both groups received sertraline 50–200 mg/day, and only patients in the experiment group received CBT (twice a week, one hour per time). The treatment was continued for eight weeks. At baseline, week 2, week 4, and week 8, the 25-item Dizziness Handicap Inventory (DHI), Hamilton Anxiety Rating Scale (HARS), and Hamilton Depression Rating Scale (HDRS) were used to assess the self-perceived handicapping effects caused by PPPD, anxiety, and depressive symptoms, respectively. The dose of sertraline used and the adverse events in both groups were recorded and analyzed. Results. In total, 91 PPPD patients were randomly assigned to the control group n=45 and experiment group n=46. After eight weeks of treatment, the average DHI scores, HDRS scores, and HARS scores were significantly decreased in both groups. But compared to the control group, the experiment group had significantly lower average DHI score, HDRS score, and HARS score at weeks 4 and 8. Moreover, the dose of sertraline used in the experiment group was significantly lower than that in the control group, and adverse events occurred more frequently in the control group than in the experiment group (48.9% versus 26.1%, p=0.025). Conclusion. These results demonstrated that the addition of CBT could significantly improve the efficacy and acceptability of sertraline in treating PPPD and reduce the dose of sertraline used.


Author(s):  
Claudia Wuri Prihandini ◽  
Ni Komang Matalia Gandari ◽  
Ni Wayan Bunter

Halusinasi adalah merasakan segala sesuatu dalam keadaan sadar yang tampak nyata, namun sebenarnya hanya diciptakan oleh persepsi pikiran sendiri. Pasien dengan halusinasi pendengaran jika tidak segera ditangani akan berakibat kehilangan kontrol seperti bunuh diri, membunuh, bahkan merusak lingkungan. Terapi keperawatan yang direkomendasikan adalah Cognitive Behaviour Therapy (CBT). Adapun tujuan dari penelitian ini adalah untuk mengetahui pengaruh CBT terhadap penurunan tingkat kekambuhan halusinasi dengar. Penelitian ini menggunakan desain one group pre test post test dengan jumlah sampel sebanyak 63 orang dengan menggunakan teknik sampling purposive. Instrumen untuk mengumpulkan data menggunakan instrumen Psychotic Syndrome Rating Scale. Data dianalisis dengan uji paired-t. Berdasarkan hasil penelitian diatas dapat disimpulkan pemberian terapi CBT memberi pengaruh yang signifikan secara statistik terhadap tingkat kekambuhan halusinasi pada pasien dengan halusinasi dengar dengan nilai signifikansi sebesar 0,000.


Mood Prep 101 ◽  
2020 ◽  
pp. 159-170
Author(s):  
Carol Landau

Several evidence-based types of therapy discussed in this chapter have been shown to be effective treatments for depression. These include cognitive behavior therapy, interpersonal therapy, and behavioral activation therapy. Third-wave forms of therapy are also detailed, including dialectical behavior therapy and acceptance and commitment therapy. These have less evidence for their effectiveness but show promise. Mindfulness-based cognitive therapy has been shown to prevent relapse of depression. The techniques from all of these schools can be used in plans for the prevention of depression. Detailed attention is given to such techniques from cognitive behavior therapy as decatastrophizing; challenging negative assumptions, all-or none thinking, and overgeneralizations; and cognitive reframing and restructuring. Knowledge of these techniques can make parents better informed consumers when arranging treatment for their children. as well as identify ways they might be directly helpful to a distressed teen.


Humaniora ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 161
Author(s):  
Putri Dewinta ◽  
Adhityawarman Menaldi

This research aimed to test the efficacy of Cognitive Behavior Therapy (CBT) and psychoeducation methods to decrease anxiety level in arrhythmia patient. Besides that, it was also to discuss how CBT could reduce anxiety level on a subject who had Generalized Anxiety Disorder (GAD) and also had the medical disease. This research used the qualitative method. The subject in this research was a 22-years-old single female, called S (initials), who came to community health center (Puskesmas) to get help regarding her uncomfortable feelings about her thoughts and concerns. The subject was given a pre-post test using Hamilton Anxiety Rating Scale (HARS) to see the differences in the anxiety level before, during, and after the treatment. Results of the research show that the level of anxiety in the subject is decreased. The categorization score goes from “very severe anxiety” to “moderate anxiety”. The subject also conveys on the last session that she feels less anxious and that she can control her negative thought.


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