With a little help from my friends: cognitive-behavioral skill utilization, social networks, and psychological distress in SMART Recovery group attendees

2019 ◽  
Vol 25 (1) ◽  
pp. 56-61
Author(s):  
Dayle Raftery ◽  
Peter J. Kelly ◽  
Frank P. Deane ◽  
Amanda L. Baker ◽  
Genevieve Dingle ◽  
...  
2017 ◽  
Vol 8 (3) ◽  
pp. 64 ◽  
Author(s):  
Johanna Bernhardsdottir ◽  
Marga Thome ◽  
Ingela Skärsäter ◽  
Jane Dimmitt Champion

Background: Psychological distress in the form of depression and/or anxiety has been found to be common among university students, especially in females. Roughly one in five of Icelandic female university students exhibit elevated psychological distress, yet less than 30% of them do receive professional mental health care. To ameliorate the psychological distress a cognitive behavioral group therapy was designed to target the distress. The purpose of this paper is to describe the main steps in designing the respective intervention and the revisions made by the expert panel based on the validation of the preliminary intervention and the experience of the advanced practice psychiatric nurses therapists.Methods: The intervention design took place in four phases. Initially psychological distress was defined, secondly a literature review was conducted to see if there were effective interventions available to solve the problem. Thirdly the drafting of the intervention took place based on theory and evidence and finally the intervention was validated with quantitative and qualitative methods. The intervention was provided by two advanced practice psychiatric nurses in 4 sessions in groups of 5 to 8 females. An expert panel of 6 psychiatric nurses was formed to guide the intervention design, the delivery of the intervention and intervention validation.Results: The quantitative and qualitative validation of the preliminary intervention showed that psychological distress decreased and was acceptable to participants.Conclusions: The validation of the preliminary intervention provided the expert group with rationale for modifying the content and structure of the intervention in nine categories.


2016 ◽  
Vol 27 (1) ◽  
pp. 68-79 ◽  
Author(s):  
Jia-Yan Pan ◽  
Petrus Ng ◽  
Daniel Kim-Wan Young ◽  
Schoepf Caroline

Objective: This study examined the effectiveness of group cognitive behavioral intervention (CBI) in improving mental health and promoting postmigration growth for Mainland university students in Hong Kong. Methods: Thirty-six Mainland students with mild-to-moderate levels of psychological distress have completed a 8-session CBI group. Various mental health measures have been administered at the pre-, post-, and 3-month follow-up tests. Results: The levels of psychological distress, acculturative stress, and negative emotions and negative thoughts of the participants were significantly reduced, while their positive emotions and postmigration growth were significantly increased upon completion of the CBI group. The positive effects were maintained at 3-month follow-up. Conclusions: CBI group appears to be an effective intervention approach for improving the mental health and promoting postmigration growth for Mainland university students in Hong Kong. Implications for social work practices when engaging with Chinese international students were provided.


2019 ◽  
Vol 28 (1) ◽  
pp. 37
Author(s):  
ManojKumar Sharma ◽  
Ameer Hamza ◽  
P Marimuthu ◽  
Sowmya Murli

2017 ◽  
Author(s):  
Winnie Wing Sze Mak ◽  
Alan Chun Yat Tong ◽  
Sindy Ying Chi Yip ◽  
Wacy Wai Sze Lui ◽  
Floria Hin Ngan Chio ◽  
...  

BACKGROUND Mindfulness-based interventions, self-compassion training, and cognitive behavioral therapy have garnered much evidence in its salutary effects on mental health. With increasing application of smartphone and mobile technology on health promotion, the present study investigated the efficacy and possible moderators of mindfulness, self-compassion, and cognitive behavioral psychoeducation training mobile applications in the improvement of mental health. OBJECTIVE Our aim was to examine the efficacy of three mobile application-based programs: mindfulness-based program (MBP), self-compassion program (SCP), and cognitive behavioral psychoeducation control (CBP) in improving well-being and reducing psychological distress. To further delineate the suitability of each program for which type of individuals, individual difference variables (i.e., nonattachment, self-criticism, discomfort with emotion, and tolerance for ambiguity) were explored for potential moderation. METHODS The present study was a three-arm randomized controlled trial examining the efficacy of MBP, SCP with CBP. The course contents of the three programs were composed by a clinical psychologist and the mobile application was fully automated. Participants were recruited online and offline via mass mail, advertisements in newspapers and magazines, and social networking site. They were randomized into either one of the three conditions and completed pre-program survey assessment. Throughout the 4-week, 28-session program, participants spent 10 minutes daily in reviewing the course content and practicing various related exercises. Post-assessment and 3-month follow-up surveys were administered to measure changes over time. Indicators of mental health and psychological distress, as well as proposed moderators were self-assessed online at pre-program, post-program, and 3-month follow-up. RESULTS Among the 2,161 study participants, 508 and 349 completed the post- and 3-month follow-up assessment respectively. All three conditions (MBP, N = 703; CBP, N = 753; SCP, N = 705) were found to be efficacious in improving mental well-being and reducing psychological distress. No significant differences regarding usage and users’ satisfaction were found among the three conditions. None of the proposed moderators were found to be significant. CONCLUSIONS Mindfulness-based, self-compassion, and cognitive behavioral psychoeducation mobile applications were efficacious in improving mental health and reducing psychological distress among young adults at post-program, and such improvements were maintained at 3-month follow-up. Future app-based psychological training programs should consider gamification and personalization of content or feedback to enhance engagement and mitigate the high attrition rate that are common in app-based health promotion programs. CLINICALTRIAL Chinese Clinical Trial Registry (ChiCTR) ChiCTR-TRC-13003468; https://www2.ccrb.cuhk.edu.hk/registry/public/217 (Archived by WebCite at http://www.webcitation.org/6oaPwga7z).


Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S16.1-S16
Author(s):  
Sonal Singh ◽  
Douglas R. Polster ◽  
Meeryo Choe ◽  
Christopher Giza ◽  
Talin Babikian

ObjectiveUse a novel, simultaneously applied cognitive behavioral therapy (CBT) and subthreshold exercise treatment (STE) for a 14-year old patient with persistent post-concussion symptoms (PPCS) to facilitate a return to function in school/sport.BackgroundPatient sustained a mild TBI while playing basketball on October 29, 2016. Neurologic exam on July 7, 2017 was negative, but the patient reported PPCS, with a graded symptom checklist (GSC) score of 26. Primary symptoms were headache and anxiety in relation to cognitive and/or physical exertion. The patient attributed anxiety to anticipating the onset of symptoms after exercise.Design/methodsThe 6-week combined CBT/STE intervention included psychoeducation, cognitive restructuring, and relaxation training combined with the STE protocol. Supervised physical exertion exposure began with aerobic exercise on a stationary bike and progressed to sport-specific activity while the patient simultaneously engaged in CBT. Pre- and post-intervention data included physiologic measures (heart rate [HR] and power output [PO] on exercise bike), a subjective measure of exertion (Borg's Rating of Perceived Exertion [RPE]), and psychological self-report questionnaires.ResultsAfter 6 sessions, patient was able to engage in strenuous exercise with reduced symptom exacerbation as demonstrated by his ability to reach 175 bpm HR with 350 watts of PO with decreased reported symptoms, a significant improvement from the first session. The patient reported a decrease in anxiety and psychological distress as well as an increase in emotional and school functioning. Parent report indicated an increase in the patient's overall health, social, and emotional functioning.ConclusionsEngaging in a six-week combined CBT/STE protocol resulted in improvements in ability to tolerate physical exertion, decreases in psychological distress, and a return to function. This case study demonstrated the feasibility & positive impact of simultaneous, dual treatment model for PPCS in adolescents. It also highlighted the need to address the psychological distress that occurs in patients with PPCS.


2020 ◽  
Vol 8 (6) ◽  
pp. 1062-1068
Author(s):  
Robin Goodwin ◽  
Kemmyo Sugiyama ◽  
Shaojing Sun ◽  
Masahito Takahashi ◽  
Jun Aida

The March 2011 Great East Japan Earthquake, tsunami, and nuclear leak were complex traumas. We examined psychological distress in the years following the earthquake using growth mixture modeling to classify responses from 2,599 linked respondents (2012–2016). We identified four classes of trajectories following the disaster: resilient (76% of respondents), delayed distress (8%), recovery (8%), and chronic distress (7%). Compared with the resilient class, other class members were less likely to be female and had less social support. Survivors in the recovery group were more likely to live in prefabricated housing. Although distress has decreased over time, specific populations continue to require targeted intervention.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11624-11624
Author(s):  
Alessandro Rossi ◽  
Maria Marconi ◽  
Stefania Mannarini ◽  
India Minelli ◽  
Monica Anderboni ◽  
...  

11624 Background: Distress has a negative impact on medical treatment (Di Matteo, Lepper & Croghan, 2006) and it is considered one of the most important indexes of psychological suffering in oncological patients (NCCN, 2015). Thus, the purpose of this study was to determine the long term effectiveness of brief Cognitive Behavioral Therapy for patients with cancer (CBT-C) compared with a control group (CG) of oncological patients without any psychotherapy intervention - at one year after a chemotherapy treatment. Methods: Participants ( n = 80; mean age = 63.3, SD = 13.4; 54 female) enrolled at the Oncology Day Hospital at the “Presidio Ospedaliero” of Saronno, ASST Valle Olona, Italy who undertook (CBT-C: n = 40) or non-undertook (CG: n = 40) a psychotherapy intervention. Individual psychotherapy sessions strictly followed the IPOS guidelines (Watson & Kissane, 2017). Participants were tested with the Psychological distress Inventory (PDI) at the baseline (T1; Cronbach α = .88) at the end of the chemotherapy treatment (T2; Cronbach α = .87), at the end of the psychotherapy intervention (T3; Cronbach α = .88), 6-month follow-up (T4; Cronbach α = .85), and 1-year follow-up (T5; Cronbach α = .84). Results: Multilevel growth curve modeling – controlling for age, number of sessions, type and localization of tumor – showed a sharper reduction of distress for CBT-C participants that continue after posttreatment until 1-year follow-up ( p < .001); whereas for CG participants it reduced more gradually from pretreatment to 1-year follow-up ( p < .001). The results revealed a significant difference between the linear slopes for each treatment condition ( p < .001). The overall Hedges’ g comparing the two groups for distress reduction between pretreatment and 1-year follow-up was 2.14 (p < .001) in favor of CBT-C. Conclusions: Given that psychological distress occurs frequently among oncological patients this study is into an important area of study. Results suggest that CBT-C is statistically and clinically effective in treating psychological distress 1 year after the chemotherapy treatment. These findings revealed a kind of long-term effectiveness psychological intervention able both to reduce psychological suffering and improve a better quality of life in oncological settings.


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