Cognitive-Behavioral Interventions for Pediatric Health Concerns in Schools

Author(s):  
Michael L. Sulkowski ◽  
Grai Bluez ◽  
Ariel McKinney ◽  
Jaclyn Wolf

Children with chronic medical conditions often require more mental health supports than their peers without health problems due to increased levels of stress related to the uncertainty of their health, frequent absences from school, and other demands associated with the treatment or management of their illnesses. This chapter provides information about the use and adaptation of cognitive-behavioral therapy (CBT) intervention strategies for children with chronic health conditions in schools. Research supports the efficacy of using CBT in school settings for children displaying varied chronic medical conditions. The chapter reviews the key components of CBT as well as research, scholarship, and clinically relevant information on the use of CBT interventions for pediatric health concerns as they relate to school-age youth. In particular, the following evidence-based CBT components are discussed: psychoeducation, cognitive restructuring, relaxation training and stress management, and behavioral exposure.

polemica ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hellorainy Rangel Rodrigues Souza ◽  
Ana Lúcia Novais Carvalho

Resumo: A Disfunção Temporomandibular (DTM) é um distúrbio que afeta as articulações temporomandibulares e os músculos mastigatórios, entre outras estruturas da face. Os sintomas podem gerar dores nessas articulações e músculos, bem como dores na cabeça, orelha, ruídos nas articulações, zumbidos, dores no ouvido, limitação na abertura da boca, entre outros. Sua etiologia é multifatorial. Entre os fatores que podem influenciar a DTM encontram-se os psicológicos. Assim, este estudo teve como objetivo identificar as principais estratégias da terapia cognitivo-comportamental (TCC) utilizadas para o tratamento de indivíduos diagnosticados com DTM. Por método, adotou-se a revisão da literatura. Os bancos de dados utilizados foram PePSIC, SCIELO, PubMed e BVS, em inglês e português. Os descritores utilizados em todos os bancos foram: DTM e terapia cognitiva-comportamental; Disfunção temporomandibular e terapia-cognitiva comportamental, Disfunção temporomandibular e terapia-cognitiva, TMD and cognitive behavioral therapy; Temporomandibular disorder and cognitive behavioral therapy, Temporomandibular disorder and cognitive therapy. Os filtros utilizados para inclusão dos estudos foram artigos sobre intervenções em TCC, em português e/ou inglês e com datas de publicação dos últimos três anos. Seis artigos foram analisados, após a passagem dos filtros. Os resultados apontam que as principais estratégias de TCC utilizadas no tratamento da DTM são a restruturação cognitiva, a autogestão, a psicoeducação e o relaxamento. Sugerem, também, que a TCC pode trazer contribuições positivas para os casos de DTM, porém a amostra deste estudo foi pequena. Os artigos analisados apontam que o tratamento multidisciplinar deve incluir intervenções cognitivas e comportamentais. Sendo assim, fica evidenciada a necessidade de realização de mais pesquisas com o objetivo de verificar os efeitos da TCC em pacientes com DTM, principalmente, estudos com ensaios clínicos.Palavras-chave: Terapia cognitiva-comportamental. Disfunção temporomandibular. DTM. Estresse. Ansiedade. Abstract: Temporomandibular Disorder (TMD) is a disorder that affects the temporomandibular joints and masticatory muscles, among other facial structures. Symptoms can generate pain in these joints and muscles, as well as pain in the head, ear, noise in the joints, tinnitus, ear pain, limitation in opening the mouth, among others. Its etiology has multifactorial causes. Among the factors that can influence TMD are psychological. Objective: This study aimed to identify cognitive behavioral therapy (CBT) strategies used to treat individuals diagnosed with TMD. Method: Literature review. The databases used were PePSIC, SCIELO, PubMed and BVS, in English and Portuguese. The descriptors used in databases were: TMD and cognitive-behavioral therapy; Temporomandibular disorders and cognitive behavioral therapy, Temporomandibular disorders and cognitive therapy, TMD and cognitive behavioral therapy; Temporomandibular disorder and cognitive behavioral therapy, Temporomandibular disorder and cognitive therapy. The filters used to include the studies were: articles on CBT interventions, articles in Portuguese and/or English and with publication dates in the last three years. Results: Six articles were analyzed, after passing the filters. Discussion: The results show that the main CBT guidelines used in the treatment of TMD are: cognitive restructuring, self-management, psychoeducation and relaxation training. They also suggest that a CBT can bring positive contributions to TMD cases, but the sample in this study was small. The articles point out that multidisciplinary treatment must include cognitive and behavioral interventions. Thus, the need for further research to verify the effects of CBT in patients with TMD is evidenced, especially, studies with clinical trials.Keywords: Cognitive behavioral therapy. Temporomandibular disorder. TMD. Stress. Anxiety.


2004 ◽  
Vol 18 (3) ◽  
pp. 207-221 ◽  
Author(s):  
Corinne Cather ◽  
David Penn ◽  
Michael Otto ◽  
Donald C. Goff

The main purpose of the review is to demonstrate how cognitive models of psychosis translate into cognitive-behavioral approaches for intervening with psychotic symptoms in schizophrenia. Several cognitive-behavioral factors which play a role in the maintenance and possibly formation of delusional beliefs are discussed, including attentional bias to threat, “data gathering” deficits, dysfunctional metacognition, and safety behaviors. Strategies for engagement, problem formulation, and psychoeducation with deluded patients are described. Cognitive-behavioral interventions are presented, specifically, cognitive restructuring, behavioral experiments, and coping skills training. Challenges to conducting cognitive-behavioral therapy (CBT) with delusions in schizophrenia are reviewed. Novel cognitive therapies, which address these challenges, are presented.


2015 ◽  
Vol 175 (9) ◽  
pp. 1461 ◽  
Author(s):  
Jade Q. Wu ◽  
Erica R. Appleman ◽  
Robert D. Salazar ◽  
Jason C. Ong

2017 ◽  
Vol 41 (S1) ◽  
pp. S22-S22
Author(s):  
G. Dom

Increasingly patients present themselves to psychiatrists and other care providers with a specific request for treatment of one or more behavioral addictions. From a pathogenic point of view impulsivity and compulsivity are important drivers of these behavioral disorders, and as such may represent a target of pharmacological and broader neurobiological, e.g. Neuro-stimulation, treatment. Although currently treatment as usual has a focus on psychosocial and cognitive behavioral interventions, interest is growing toward the pharmacological interventions. In the presentation a state of the art will be presented regarding the pharmacological treatment of behavioral addictions, with a focus on Gambling Disorder and Gaming Disorder.Disclosure of interestMember Advisory Board Lundbeck - Belgium.Received funding from Belgian LOTTO for research into Cognitive Behavioral Therapy for Gambling Disorder.


2007 ◽  
Vol 20 (2) ◽  
pp. 152-157 ◽  
Author(s):  
Erin M Fekete ◽  
Michael H Antoni ◽  
Neil Schneiderman

2010 ◽  
Vol 41 (5) ◽  
pp. 1061-1071 ◽  
Author(s):  
V. V. W. McIntosh ◽  
F. A. Carter ◽  
C. M. Bulik ◽  
C. M. A. Frampton ◽  
P. R. Joyce

BackgroundFew data exist examining the longer-term outcome of bulimia nervosa (BN) following treatment with cognitive behavioral therapy (CBT) and exposure with response prevention (ERP).MethodOne hundred and thirty-five women with purging BN received eight sessions of individual CBT and were then randomly assigned to either relaxation training (RELAX) or one of two ERP treatments, pre-binge (B-ERP) or pre-purge cues (P-ERP). Participants were assessed yearly following treatment and follow-up data were recorded.ResultsEighty-one per cent of the total sample attended long-term follow-up. At 5 years, abstinence rates from binging were significantly higher for the two exposure treatments (43% and 54%) than for relaxation (27%), with no difference between the two forms of exposure. Over 5 years, the frequency of purging was lower for the exposure treatments than for relaxation training. Rates of recovery varied according to definition of recovery. Recovery continued to increase to 5 years. At 5 years, 83% no longer met DSM-III-R criteria for BN, 65% received no eating disorder diagnosis, but only 36% had been abstinent from bulimic behaviors for the past year.ConclusionsThis study provides possible evidence of a conditioned inoculation from exposure treatment compared with relaxation training in long-term abstinence from binge eating at 5 years, and the frequency of purging over 5 years, but not for other features of BN. Differences among the groups were not found prior to 5 years. CBT is effective for BN, yet a substantial group remains unwell in the long term. Definition of recovery impacts markedly on recovery rates.


2020 ◽  
Author(s):  
Kyong-Mee Chung ◽  
Yung Jae Suh ◽  
Siyung Chin ◽  
Eun-Seung Yu ◽  
Hyun Jeong Lee ◽  
...  

UNSTRUCTURED Objective: To develop and evaluate an app-based cognitive behavioral therapy program for cancer patients with sleep problems. Method: Sixty participants who met the inclusion criteria were randomly assigned to the app-based cognitive behavioral therapy program (HARUToday Sleep) (N = 15), an app-based attentional control program (HARUCard Sleep) (N = 15), or a waitlist control group (N = 15). HARUToday Sleep consists of 48 sessions separated into five zones (psycho-education, behavioral activation, relaxation training, cognitive restructuring, and problem solving). Each participant was required to complete one 10- to 15-minute session per day on weekdays for 10 weeks. In the HARUCard Sleep, participants received one card per day, which provided information about cancer, hobbies, and activities. Participants were evaluated before and after the completion of the program using self-report questionnaires and a dot-probe computer task that measured attentional bias. Results: The intensity of sleep problems decreased significantly after the intervention for the HARUToday Sleep group compared to the other two groups, whereas there were no significant changes in the quality of life score and the attentional bias scores of the patients. Conclusion: The HARUToday Sleep app may be an effective intervention for reducing sleep problems in cancer patients.


Sign in / Sign up

Export Citation Format

Share Document