Implementation of Cognitive Behavioral Therapy With Cognitive Restructuring Technique to Reduce Psychosocial Anxiety in the COVID-19 Outbreak

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Teuku Fadhli ◽  
Dominikus David Biondi Situmorang
2020 ◽  
Author(s):  
Hassan Majeed ◽  
Charles Stanfa ◽  
Donna Sudak

Cognitive-behavioral therapy (CBT) is an empirically supported psychotherapy shown to be effective and durable for the treatment of a variety of psychiatric illnesses. It is problem focused and conceptually driven. Cognitive restructuring, behavioral activation, exposure, and developing good action plans for out-of-session practice are tools that benefit patients for a lifetime. The purpose of this review is to provide an overview of the literature that supports the use of CBT, introduce the key elements of the therapeutic approach, and illustrate them with case examples. The structure of the session and the CBT approach to the therapeutic alliance are highlighted in the text.  This review contains 23 tables, and 59 references. Key words: Cognitive-behavioral therapy, cognitive restructuring, collaboration, behavioral activation, exposure


Author(s):  
Susan E. Sprich ◽  
Steven A. Safren

Self-coaching or cognitive restructuring is a valuable skill for those with attention-deficit/hyperactivity disorder (ADHD). This chapter continues the discussion of the cognitive component of cognitive behavioral therapy (CBT) introduced in the previous chapter. It includes instructions regarding how to review thought records, and it uses a coaching metaphor to discuss various styles of coaching. The chapter concludes with a discussion of how to formulate helpful alternative thoughts to use in place of negative automatic thoughts.


Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

This chapter explains the tripartite model of anxiety: physiological arousal, behavioral disruption and avoidance, and distorted cognition. The interaction of these three components underlies the cognitive–behavioral therapy (CBT) model for this treatment. The material begins laying the groundwork for cognition as the precipitating event in a downward spiral and for avoidance as key in maintaining the problem. These concepts are important for helping clients understand the rationale for the primary components of treatment (cognitive restructuring and exposure both in and out of session). One goal of this chapter is to develop a common language to understand anxiety, which is helped by spending some time on each of the three components of anxiety to ensure that the client understands each component before moving on to their interaction.


2011 ◽  
Vol 35 (6) ◽  
pp. 595-618 ◽  
Author(s):  
Karen L. Jacob ◽  
Michael S. Christopher ◽  
Edmund C. Neuhaus

Although several theories exist to describe why patients improve in cognitive-behavioral therapy (CBT), in only a limited number of studies has CBT skill acquisition been examined, particularly among patients with complex clinical profiles. Thus, the overarching aim of this research was to develop a tool to measure patients’ use of CBT skills, such that it would have clinical utility for patients and therapists during treatment. In Study 1, the authors developed an initial set of items for the Cognitive-Behavioral Therapy Skills Questionnaire (CBTSQ). They submitted these items to an exploratory factor analysis in an initial administration ( n = 350) and to a confirmatory factor analysis in a second administration ( n = 378). Results indicated that there were two factors (Behavioral Activation and Cognitive Restructuring) with good factor structure and internal consistency, and both the factors evidenced expected relationships with other constructs. In Study 2, the criterion validity of the CBTSQ was investigated on a patient sample in a CBT-oriented treatment setting. Results showed that CBTSQ scores increased following treatment, and Cognitive Restructuring and Behavioral Activation scores predicted reduction of overall psychiatric symptoms and depression. Thus, the CBTSQ appears to be a promising measure of CBT skill acquisition and treatment outcome as well as an instrument that can help patients and therapists monitor progress specifically related to a CBT skills training treatment approach.


2021 ◽  
Author(s):  
Ketevan Inasaridze

The stress caused by the fourth wave of COVID-19 infection, the resulting anxiety and depression, as well as the heterogeneous attitude towards vaccination require a change in the style of possible negative thinking. Psychologists working on these problems should be well versed in one of the main techniques of cognitive-behavioral therapy - cognitive restructuring, the essence of which and related factors are presented in this article.


Author(s):  
Marianna de Abreu Costa ◽  
Alexander Moreira-Almeida

AbstractSystematic reviews have shown the efficacy of religion-adapted cognitive behavioral therapy (R-CBT); however, many clinicians lack practical knowledge of these protocols. We describe here the techniques of religious adaptation to CBT that have proved effective. We selected randomized clinical trials comparing R-CBT with control conditions in clients with a diagnosis of a psychiatric disorder and extracted the information from their adapted manuals. The most frequent religious adaptations were the integration of religious content to perform cognitive restructuring, psychoeducation and motivation; engagement in religious activities such as behavioral activation, meditation, or prayer to help cognitive restructuring, using religious values and coping strategies. A description of these techniques is presented here, as well as some practical examples.


2014 ◽  
Vol 8 (2) ◽  
pp. 59-72
Author(s):  
Rina Mirza ◽  
Wiwiek Sulistyaningsih

Anak yang mengalami masalah emosi sering sekali merasa kesulitan dalam mengontrol emosinya, hal inilah yang dialami oleh sebagian anak korban konflik Aceh. Bagi anak, hilangnya nyawa seseorang yang sangat dicintainya merupakan suatu hal yang menyakitkan. Rasa sakit yang ada dalam diri anak inilah yang kemudian menjadi pemicu ketidakstabilan emosi. Hal ini mengakibatkan anak akan mengembangkan kebencian pada kejadian ataupun pihak-pihak yang menimbulkan rasa sakit tersebut. Untuk itu, perlu dilakukan satu cara agar anak dapat mengontrol emosinya atau menyesuaikan emosi yang timbul agar tidak terjadi suatu hal yang membahayakan dikemudian hari. Cara mengontrol emosi itu disebut juga dengan regulasi emosi. Penelitian ini bertujuan untuk menguji penerapan CBT dalam meningkatkan regulasi emosi. Metode CBT yang digunakan adalah cognitive restructuring methods dengan teknik pencatatan pikiran negatif dan problem solving sedangkan untuk komponen behavioral menggunakan relaksasi dengan teknik relaxation via tension relaxation. Penelitian ini menggunakan pendekatan kualitatif dengan metode singlecase design. Sesi CBT dilaksanakan sebanyak delapan sesi, enam sesi kognitif dan dua sesi behavioral. Pada sesi ini diberikan psycho education, problem solving, dan relaksasi. Subjek dalam penelitian ini adalah AG, seorang anak perempuan berusia 12 tahun. Ia menyimpan kemarahan dan mempunyai keinginan untuk balas dendam kepada tentara yang telah membunuh ayahnya saat konflik di Aceh 8 tahun silam. Hal ini sebagai pemicu munculnya ketidak stabilan emosi. Hasil yang diperoleh menunjukkan adanya peningkatan kemampuan regulasi emosi subjek penelitian. Pada awalnya, AG memiliki distorsi pikiran yang berlebihan (overgeneralization). Ia mempunyai anggapan bahwa tentara harus bertanggung jawab terhadap kehidupan keluarganya, namun setelah terapi diberikan ia memaafkan orang yang telah membunuh ayahnya dan beranggapan bahwa kematian ayahnya merupakan takdir dari Allah SWT.


Author(s):  
Lee N. Purvis ◽  
Brian A. Zaboski ◽  
Diana Joyce-Beaulieu

Chapter 6 describes two core components of cognitive behavioral therapy (CBT): behavioral activation and cognitive restructuring. These two components are viewed as first-line interventions for depression and mood disturbances. Chapter 6 begins by describing behavioral activation and walking practitioners through each step of the intervention process. It describes how practitioners can assist clients to identify their values, monitor their activities, and build behavioral activation hierarchies to address demotivation, anhedonia, and maladaptive thoughts. The second part of the chapter discusses cognitive restructuring, whereby children and adolescents learn how to evaluate evidence for their thoughts, create thought records, and assess the validity of their thoughts. The efficacy of both techniques is reviewed, as well as progress-monitoring strategies.


2017 ◽  
Vol 41 (S1) ◽  
pp. S397-S397 ◽  
Author(s):  
D. Vasile ◽  
O. Vasiliu

BackgroundAdolescents and young adults are a vulnerable population to both alcohol use disorders and depressive major disorder. Use of cognitive-behavioral therapy (CBT) could help in diminishing depressive symptoms severity as well as alcohol dependence severity.ObjectiveTo evaluate CBT efficacy in young adults diagnosed with major depressive disorder and alcohol dependence.MethodsA number of 12 patients, age 23–35, 7 male and 5 female, outpatients, diagnosed with alcohol dependence and major depressive disorder, moderate or mild episodes, according to ICD-10 criteria, were included in a 3 months CBT oriented program. All subjects were evaluated using a Visual Analogic Scale (VAS) for self-evaluation of alcohol problems severity (score ranging from 0 – absent to 10 – extremely severe), AUDIT scale, Hamilton Depression Rating Scale (HDRS) – 17 items, and Global Assessment of Functioning (GAF). Patients participated in 30 minutes individual CBT sessions, twice per week, for 12 weeks. Cognitive restructuring based on patients’ diary, coping skills training, and activation techniques have been applied in the CBT sessions.ResultsAfter 12 weeks all patients reported decreases on VAS and AUDIT scores, with mean percentages of 55 and 50, while GAF increased with 45%. HDRS scores decreased with 65%. These changes were considered significant when compared to initial values (P = 0.007 for VAS, P = 0.009 for AUDIT, P = 0.012 for GAF and P < 0.001 for HDRS), according to dependent samples t-test P < 0.05, bivariate.ConclusionCognitive-behavioral therapy, focused on cognitive restructuring, coping skills training, and activating techniques is an efficacious intervention in young patients with comorbid depressive and alcohol dependence.Disclosure of interestThe presenting author was speaker for Astra Zeneca, Bristol-Myers Squibb, CSC Pharmaceuticals, Eli Lilly, Janssen-Cilag, Lundbeck, Organon, Pfizer, Servier, Sanofi Aventis and participated in clinical research funded by Janssen-Cilag, Astra Zeneca, Eli Lilly, Sanofi Aventis, Schering Plough, Organon, Bioline Rx, Forenap, Wyeth, Otsuka Pharmaceuticals, Dainippon Sumitomo, Servier.The other author has not supplied his/her declaration of competing interest.


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