scholarly journals Evaluation of the Impact of a Cognitive-Behavioral Intervention for Women in Domestic Violence Situations in Brazil

2018 ◽  
Vol 17 (3) ◽  
pp. 1-11 ◽  
Author(s):  
Luísa Fernanda Habigzang ◽  
Jaluza Aimèe Schneider ◽  
Rafaela Petroli Frizzo ◽  
Clarissa Pinto Pizarro de Freitas
Keyword(s):  
Domestic Violence ◽  
Behavioral Therapy ◽  
Public Mental Health ◽  
Public Health Problem ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Post Traumatic Stress ◽  
Effective Interventions ◽  
Intervention Protocol ◽  
The Impact

Domestic violence against women constitutes a serious public health problem, which requires effective interventions for its prevention and treatment. This study aimed to develop and evaluate an intervention protocol, based on cognitive-behavioral therapy, for women in situations of domestic violence. The sample was composed of 11 women that were victims of psychological, physical, and/or sexual violence perpetrated by their partners. Symptoms of anxiety, depression, stress and post-traumatic stress disorder (PTSD) and life satisfactions levels were evaluated before and after the 13 individual psychotherapy sessions. The intervention protocol consisted of psychoeducation techniques, cognitive restructuring, gradual exposure to traumatic memories, problem resolution and recurrence prevention. Results showed a significant reduction in depression, anxiety and stress symptoms. The life satisfaction levels also increased significantly after the intervention, however, PTSD symptoms remained stable. These results constitute initial evidence for the effectiveness of the intervention. In Brazil, there is a lack of evidence-based interventions for the treatment of this population, thus, this study contributes by presenting an evidence-based intervention that may be used to qualify the actions of the public mental health services.

scholarly journals Feasibility and acceptability of cognitive behavioral therapy for insomnia (CBT-I) or acupuncture for insomnia and related distress among cancer caregivers

2020 ◽  
Vol 18 (6) ◽  
pp. 644-647
Author(s):  
Allison J. Applebaum ◽  
Kara Buda ◽  
Michael A. Hoyt ◽  
Kelly Shaffer ◽  
Sheila Garland ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Treatment Modality ◽  
Behavioral Therapy ◽  
Informal Caregivers ◽  
Cognitive Behavioral ◽  
Pharmacological Interventions ◽  
Psychological Outcome ◽  
Patients With Cancer ◽  
The Impact ◽  
Preliminary Support

AbstractObjectiveInsomnia is a common, distressing, and impairing psychological outcome experienced by informal caregivers (ICs) of patients with cancer. Cognitive behavioral therapy for insomnia (CBT-I) and acupuncture both have known benefits for patients with cancer, but such benefits have yet to be evaluated among ICs. The purpose of the present study was to evaluate the feasibility, acceptability and preliminary effects of CBT-I and acupuncture among ICs with moderate or greater levels of insomnia.MethodParticipants were randomized to eight sessions of CBT-I or ten sessions of acupuncture.ResultsResults highlighted challenges of identifying interested and eligible ICs and the impact of perception of intervention on retention and likely ultimately outcome.Significance of the resultsFindings suggest preliminary support for non-pharmacological interventions to treat insomnia in ICs and emphasize the importance of matching treatment modality to the preferences and needs of ICs.

scholarly journals Brief Psychotherapy for Depression: A Systematic Review and Meta-Analysis

2012 ◽  
Vol 43 (2) ◽  
pp. 129-151 ◽  
Author(s):  
Jason A. Nieuwsma ◽  
Ranak B. Trivedi ◽  
Jennifer McDuffie ◽  
Ian Kronish ◽  
Dinesh Benjamin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Problem Solving ◽  
Cognitive Behavioral Therapy ◽  
Systematic Reviews ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Brief Psychotherapy ◽  
Problem Solving Therapy

Objective: Because evidence-based psychotherapies of 12 to 20 sessions can be perceived as too lengthy and time intensive for the treatment of depression in primary care, a number of studies have examined abbreviated psychotherapy protocols. The purpose of this study was to conduct a systematic review and meta-analysis to determine the efficacy of brief psychotherapy (i.e., < 8 sessions) for depression. Methods: We used combined literature searches in PubMed, EMBASE, PsycINFO, and an Internet-accessible database of clinical trials of psychotherapy to conduct two systematic searches: one for existing systematic reviews and another for randomized controlled trials (RCTs). Included studies examined evidence-based psychotherapy(s) of eight or fewer sessions, focused on adults with depression, contained an acceptable control condition, were published in English, and used validated measures of depressive symptoms. Results: We retained 2 systematic reviews and 15 RCTs evaluating cognitive behavioral therapy, problem-solving therapy, and mindfulness-based cognitive therapy. The systematic reviews found brief psychotherapies to be more efficacious than control, with effect sizes ranging from −0.33 to −0.25. Our meta-analysis found six to eight sessions of cognitive behavioral therapy to be more efficacious than control (ES −0.42, 95% CI −0.74 to −0.10, I2 = 56%). A sensitivity analysis controlled for statistical heterogeneity but showed smaller treatment effects (ES −0.24, 95% CI −0.42 to −0.06, I2 = 0%). Conclusions: Depression can be efficaciously treated with six to eight sessions of psychotherapy, particularly cognitive behavioral therapy and problem-solving therapy. Access to non-pharmacologic treatments for depression could be improved by training healthcare providers to deliver brief psychotherapies.

Students Exposed to Domestic Violence

2012 ◽  
pp. 129-138
Author(s):  
A. BURGESS Deseri ◽  
Lisa Weed Phifer
Keyword(s):  
Public Health ◽  
Domestic Violence ◽  
Academic Performance ◽  
Social Development ◽  
Health Problem ◽  
Domestic Abuse ◽  
Positive Impact ◽  
Public Health Problem ◽  
The Impact ◽  
Performance Behavior

Domestic violence is a growing public health problem that affects children nationwide. In fact, research estimates that anywhere between three and 17.8 million children witness domestic abuse each year5. Therefore, it is likely that teachers will regularly encounter students in their classroom who have been exposed to domestic violence. The impact of domestic violence is widespread, affecting academic performance, behavior, and social development. Teachers can make a positive impact by learning how best to identify and support these students. The following chapter will provide an overview of domestic violence, developmental considerations, and strategies for helping children who have been affected by it.

Mood Instability and Irritability

2019 ◽  
pp. 71-77
Author(s):  
David L. Brody
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Pain Control ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Post Traumatic Stress ◽  
Cardiovascular Exercise ◽  
Mood Instability ◽  
Sleep Management ◽  
Post Traumatic ◽  
Anxiety Depression

Often the complaint of mood instability comes from the collateral source. First priority: assess safety. Severe mood instability can lead to suicide. Next, determine whether the problem is actually mood instability, as opposed to sustained major anxiety, depression, or post-traumatic stress disorder. Nonpharmacological interventions are the most important, and include education, sleep management, prescription for cardiovascular exercise, pain control, cessation of alcohol and other disinhibiting substances, such as levetiracetam and cognitive behavioral therapy. Preferred pharmacological options that do not substantially impair cognitive recovery include lamotrigine (Lamictal) and oxcarbazepine (Trileptal). Other options include carbamazepine (Tegretol) when cost is an issue, propranolol (Inderal) when violence is a concern, and low-dose atypical antipsychotics.

scholarly journals Healing Interpersonal and Racial Trauma: Integrating Racial Socialization Into Trauma-Focused Cognitive Behavioral Therapy for African American Youth

2020 ◽  
pp. 107755952092145 ◽  
Author(s):  
Isha W. Metzger ◽  
Riana Elyse Anderson ◽  
Funlola Are ◽  
Tiarney Ritchwood
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Racial Socialization ◽  
Behavioral Therapy ◽  
African American Youth ◽  
Cognitive Behavioral ◽  
Trauma Treatment ◽  
Evidence Based ◽  
Socialization Theory ◽  
Racial Trauma

African American youth are more likely than their peers from other racial and ethnic groups to experience interpersonal traumas and traumatic racist and discriminatory encounters. Unfortunately, evidence-based trauma treatments have been less effective among these youth likely due to these treatments not being culturally tailored to address both interpersonal and racial trauma. In this article, we utilize the racial encounter coping appraisal and socialization theory to propose suggestions for adapting trauma-focused cognitive behavioral therapy—an evidence-based trauma treatment for children and adolescents—to include racial socialization or the process of transmitting culture, attitudes, and values to help youth overcome stressors associated with ethnic minority status. We conclude by discussing implications for the research and clinical community to best promote healing from both interpersonal and racial trauma for African American youth.

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