Cognitive-Behavioural Intervention for People with Intellectual Disability and Anxiety Disorders

2006 ◽  
Vol 19 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Dave Dagnan ◽  
Andrew Jahoda
Keyword(s):  
Intellectual Disability ◽  
Anxiety Disorders ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention

Individual Versus Group Family-Focused Cognitive–Behaviour Therapy for Childhood Anxiety: Pilot Randomized Controlled Trial

2007 ◽  
Vol 41 (12) ◽  
pp. 990-997 ◽  
Author(s):  
Jules de Groot ◽  
Vanessa Cobham ◽  
Joyce Leong ◽  
Brett McDermott
Keyword(s):  
Anxiety Disorders ◽  
Cognitive Behaviour Therapy ◽  
Relative Effectiveness ◽  
Childhood Anxiety ◽  
Behavioural Intervention ◽  
Behaviour Therapy ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Cognitive Behavioural Intervention

Objective: The aim of the present study was to compare the relative effectiveness of group and individual formats of a family-focused cognitive–behavioural intervention, for the treatment of childhood anxiety disorders. Method: Twenty-nine clinically anxious children aged between 7 and 12 years were randomly allocated to either individual cognitive–behaviour therapy (ICBT) or group cognitive–behaviour therapy (GCBT). Results: At post-treatment assessment 57% of children in the ICBT condition no longer met criteria for any anxiety disorder, compared to 47% of children in the GCBT condition. At 3 month follow up these improvements were retained with some weakening. By the 6 month follow up 50% of children in the ICBT compared to 53% of children in the GCBT condition were anxiety diagnosis free. In terms of questionnaire data, no significant differences were detected between the ICBT and GCBT conditions at any of the follow-up points. However, a significant treatment effect for time was found, with both self-reports and parent reports indicating a significant reduction over time in anxiety symptoms. Conclusion: Overall, results suggest that children with anxiety disorders appear to improve following a family-focused cognitive behavioural intervention, regardless of individual or group administration. The interpretation and potential clinical implications of these findings are discussed, together with the limitations of this study and suggestions for future research.

scholarly journals Case-Series Evaluating a Transdiagnostic Cognitive-Behavioural Treatment for Co-occurring Anxiety Disorders

2014 ◽  
Vol 43 (6) ◽  
pp. 744-758 ◽  
Author(s):  
Freda McManus ◽  
Gavin Clark ◽  
Kate Muse ◽  
Roz Shafran
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Well Being ◽  
Behavioural Intervention ◽  
Behavioural Interventions ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Axis I ◽  
Cognitive Behavioural Interventions

Background: Patients with anxiety disorder diagnoses commonly have more than one anxiety diagnosis. While cognitive-behavioural interventions have proven efficacy in treating single anxiety disorder diagnoses, there has been little investigation of their efficacy in treating co-occurring anxiety disorders. Aims: To evaluate the efficacy of a transdiagnostic cognitive-behavioural intervention for treating co-occurring anxiety disorders. Method: An A-B single case study design (N = 6) was used to evaluate the efficacy of a 12 to 13-session modular transdiagnostic cognitive-behavioural intervention for treating co-occurring anxiety disorders across patients with at least two of the following diagnoses: GAD, Social Phobia, Panic Disorder and/or OCD. Results: Five of the six participants completed treatment. At posttreatment assessment the five treatment completers achieved diagnostic and symptomatic change, with three participants being diagnosis free. All participants who completed treatment no longer met criteria for any DSM-IV-TR Axis-I diagnosis at the 3-month follow-up assessment, and demonstrated reliable and clinically-significant improvements in symptoms. Across the participants, statistically significant improvements from pre to postintervention were found on measures of anxiety, depression and general well-being, and all improvements were maintained at 3-month follow-up. Conclusions: Results suggest that transdiagnostic cognitive behavioural interventions can be of benefit to patients with co-occurring anxiety disorders.

Pain Management in Rheumatoid Arthritis: A Cognitive-Behavioural Intervention

1993 ◽  
Vol 23 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Sean Germond ◽  
Hein Helgo Schomer ◽  
Orlando Llewellyn Meyers ◽  
Lindsay Weight
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Studies ◽  
Psychological Adjustment ◽  
Psychological Health ◽  
Treatment Effects ◽  
Disease Status ◽  
Complex Nature ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention

Psychological adjustment is thought to play an important role in determining pain experience, disease status, and immune function in rheumatoid arthritis (RA). Fourteen female RA out-patients were tested longitudinally in a matched-random assigned two-groups design with cognitive-behavioural intervention designed to improve pain and stress management skills. Pre-intervention correlational analyses tested the extent to which mood disturbance, self-perceptions of coping efficacy, health locus of control, and stressful life experience were related to pain, disease activity, functional status and lymphocyte proliferation rate variables. Intra- and inter-group analyses were conducted to determine treatment effects, and case studies were conducted. RA was characterized more by poor psychological health status than physical disability, with pain more a function of psychological adjustment than actual disease status. No significant treatment effects were observed. Case studies indicated the complex nature of the individual disease experience. The value of cognitive-behavioural intervention in RA, and implications for future-related research are discussed in terms of such findings.

scholarly journals An integrated motivational interviewing and cognitive-behavioural intervention promoting physical activity maintenance for adults with chronic health conditions: A feasibility study

2018 ◽  
Vol 15 (4) ◽  
pp. 276-292
Author(s):  
Sarah E Scott ◽  
Jeff D Breckon ◽  
Robert J Copeland
Keyword(s):  
Physical Activity ◽  
Motivational Interviewing ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Behavioural Intervention ◽  
Chronic Health ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Physical Activity Maintenance

Objectives Physical activity is recommended for managing chronic health conditions but is rarely maintained. This feasibility study aimed to evaluate the preliminary efficacy of a motivational interviewing and cognitive-behavioural intervention for long-term physical activity for adults with chronic health conditions. Methods Participants ( N = 37) with stable conditions (e.g. diabetes) were randomized into a three-month motivational interviewing and cognitive-behavioural group ( N = 20) or usual care ( N = 17) after completing a physical activity referral scheme. Participants completed physical activity (e.g. average steps per day and kilocalorie expenditure), psychological (e.g. self-efficacy) and epidemiological (e.g. body mass index) standardized measures at baseline, three- and six-month follow-up. Treatment fidelity and feasibility were assessed. Results Thirty-five participants completed the study (96% retention). The motivational interviewing and cognitive-behavioural group maintained kilocalorie expenditure at three ( p = 0.009) and six months ( p = 0.009). Exercise barrier self-efficacy ( p = 0.03), physical ( p = 0.02) and psychological ( p = 0.01) physical activity experiences were increased at three months only. No difference was found for average steps/day, social support, coping skills and epidemiological factors. Discussion This is the first study to demonstrate the feasibility and preliminary efficacy of motivational interviewing and cognitive-behavioural interventions for promoting physical activity maintenance in a clinical population. A large-scale trial with a longer follow-up (≥6 months) is warranted with treatment fidelity assessment.

Effects of a cognitive-behavioural intervention for women with rheumatoid arthritis

1998 ◽  
Vol 2 (4) ◽  
pp. 232-233
Author(s):  
V.G. Sinclair ◽  
K.A. Wallston ◽  
K.A. Dwyer ◽  
D.S. Blackburn ◽  
H Fuchs
Keyword(s):  
Rheumatoid Arthritis ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention
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