Effects of Group-Focused Cognitive-Behavioral Coaching Program on Depressive Symptoms in a Sample of Inmates in a Nigerian Prison

Author(s):  
Chiedu Eseadi ◽  
Mabel A. Obidoa ◽  
Shulamite E. Ogbuabor ◽  
Amaka B. Ikechukwu-Ilomuanya

This study investigated the effects that a group-focused cognitive-behavioral coaching program had on depressive symptoms of a sample of inmates from Nsukka Prisons, Enugu State, Nigeria. The design of the study was pretest–posttest control group . The participants were 30 male inmates, experiencing high levels of depressive symptoms, and randomly assigned to treatment and control groups. The primary outcome measure was depression symptoms as measured using Beck’s Depression Inventory. Repeated-measures ANOVA and the Mann–Whitney U Test were used for data analysis. Results show that exposing inmates to the group-focused cognitive-behavioral coaching program significantly reduced the depressive symptoms of inmates in the treatment group compared with those in the control group. Our results support the use of cognitive-behavioral coaching interventions designed to assist the severely depressed inmates in Nigeria. Further studies should be conducted both in other states of Nigeria and in other countries.

2021 ◽  
Author(s):  
Tamora A. Callands ◽  
Kandyce Hylick ◽  
Alethea Desrosiers ◽  
Shantesica M. Gilliam ◽  
Erica N. Taylor ◽  
...  

Abstract Background Following 14 years of civil war in Liberia, war-exposure, gender-based violence, and extreme poverty have been identified as key challenges to the mental and sexual health of young pregnant women, and the health of their unborn children. Despite ongoing efforts to rebuild the country’s healthcare infrastructure, empirical research and interventions focused on addressing the consequences of war on the mental and sexual health of young pregnant women in Liberia are severely limited. To address these concerns, we developed Project POWER (Progressing Our Well-being, Emotions, and Relationships) (POWER), a mindfulness-infused cognitive-behavioral intervention for young adult pregnant women. This study sought to: 1) assess the feasibility and acceptability of POWER; and (2) determine the preliminary efficacy of POWER for improving mental and sexual health outcomes among Liberian war-exposed pregnant young adult women. Methods Eighty-seven women ages 18-25 years were recruited from three catchment areas in Monrovia, Liberia. Participants participated in one of two ten-session programs delivered over 5-weeks: POWER or a control group (a health education program). Feasibility and acceptability of POWER were examined using program log (e.g., the number of participants screened and enrolled, facilitator satisfaction, etc.) data from an exit interview. Results Preliminary efficacy of POWER’s effects on mental and sexual health outcomes was assessed using a series of four one-way repeated measures ANOVA with time and group as predictors. Analyses provided preliminary support for the feasibility and acceptability of POWER. Preliminary efficacy of POWER showed significant reductions in depression symptoms, PTSD symptoms, prenatal distress, and transactional sex over time. Conclusions Findings suggest that POWER may be a feasible and acceptable intervention to promote mental and sexual health for young adult pregnant women in Liberia. Future research is needed to determine the efficacy of POWER on a larger scale in Liberia.


2018 ◽  
Vol 19 (2) ◽  
pp. 329
Author(s):  
Yudi Kurniawan ◽  
Anna Dian Savitri

This study aims to measure the decline in depressive symptoms experienced by refugee immigrants through group therapy. Group therapy is used as an intervention to reduce symptoms of depression. The hypothesis was that there was a difference in depressive symptoms score between the experimental and the control group of the immigrant refugee after being given group therapy. This research uses non randomized pretest-posttest control group design. The subjects of the study were 10 immigrants of 30-40-year-old female refugees, divided into experimental and control groups. Non-parametric statistical analysis Mann-Whitney U showed no difference in depressive symptoms score between refugee immigrants experimental group and control group, p = 0,009 (p <0,05). Qualitative analysis shows there is a change of emotional expression on immigrant refugees in the experimental group. The results of this study are important as a study to understand the dynamics of urban clinical psychological problems, particularly those associated with refugee immigrants


2014 ◽  
Vol 72 (3) ◽  
pp. 190-196 ◽  
Author(s):  
Cynthia Arcoverde ◽  
Andrea Deslandes ◽  
Helena Moraes ◽  
Cloyra Almeida ◽  
Narahyana Bom de Araujo ◽  
...  

Objective To assess the effect of aerobic exercise on the cognition and functional capacity in Alzheimer’s disease (AD) patients. Method Elderly (n=20) with mild dementia (NINCDS-ADRDA/CDR1) were randomly assigned to an exercise group (EG) on a treadmill (30 minutes, twice a week and moderate intensity of 60% VO2max) and control group (GC) 10 patients. The primary outcome measure was the cognitive function using Cambridge Cognitive Examination (CAMCOG). Specifics instruments were also applied to evaluate executive function, memory, attention and concentration, cognitive flexibility, inhibitory control and functional capacity. Results After 16 weeks, the EG showed improvement in cognition CAMCOG whereas the CG declined. Compared to the CG, the EG presented significant improvement on the functional capacity. The analysis of the effect size has shown a favorable response to the physical exercise in all dependent variables. Conclusion Walking on treadmill may be recommended as an augmentation treatment for patients with AD.


Author(s):  
Bernardo Nardi ◽  
Micaela Massei ◽  
Emidio Arimatea ◽  
Andrés Moltedo-Perfetti

Abstract Depression is among the most common psychological disorders of adolescents. Its management is based on pharmacological treatment, psychological therapy, or a combination thereof. Cognitive behavioral therapy (CBT) is the most extensively tested intervention for adolescent depression. A PubMed search was conducted for randomized controlled trials (RCT) of the efficacy of CBT in treating adolescents with depressive symptoms published in 2005–2015. Keywords were “cognitive behavioral therapy”, “group therapy”, “depression” and “adolescent”. Of the 23 papers that were retrieved, only six met all inclusion criteria. Three of them reported a significant reduction in depressive symptom severity after either individual or group (G)-CBT compared with the control group, even with a small number of CBT sessions (six rather than 10–12), with a medium or medium-to-large effect size. One study reported improved self-awareness and a significantly greater increase in perceived friend social support compared with bibliotherapy and check with brochure. Two studies reported clinical symptom reduction without significant differences compared with the control group (activity contrast). This review highlighted primarily that very few RCT have applied CBT in adolescents; moreover, it confirmed the effectiveness of G-CBT, especially as psychotherapy, although it was not always superior to other interventions (e.g. other activities in prevention programs). Comparison showed that G-CBT and group interpersonal psychotherapy were both effective in reducing depressive symptoms. Successful G-CBT outcomes were related to the presence of peers, who were an important source of feedback and support to observe, learn, and practice new skills to manage depressive symptoms and improve social-relational skills.


1999 ◽  
Vol 27 (1) ◽  
pp. 87-97 ◽  
Author(s):  
Marika Veisson

This article is a survey of the results of research carried out in Estonia about the depressive symptoms and emotional states among 151 mothers End 57 fathers of disabled children End 101 mothers and 55 fathers of non-disabled children. The results show that parents, especially mothers of disabled children, have significantly more negative emotional states and also significantly more depressive symptoms. Significant differences in depression symptoms between the disabled and control parent group were found in most symptoms. Parents in the control group were significantly more happy, glad, satisfied, proud, grateful, happy for their child, pleased and hopeful.


2021 ◽  
Vol 21 (1) ◽  
pp. 192-203
Author(s):  
Hossein Sadimi ◽  
Faranhaz Ayatizadeh ◽  
Glaciane Axt ◽  
Sergio Machado

Objetivos: Comparar la efectividad del entrenamiento de estrategias e intervenciones cognitivo-conductuales basadas en la atención plena en el estrés competitivo de los francotiradores (es decir, nivel de cortisol salival) con un seguimiento de dos meses. Métodos:Veinticuatro francotiradores profesionales varones jóvenes con antecedentes de disparos durante al menos 3 años se dividieron aleatoriamente en tres grupos: intervención cognitivo-conductual (n=8), intervención basada en la atención plena (n=8) y grupo de control (n=8). Los participantes de los grupos experimentales participaron en seis sesiones de formación durante seis semanas (75-90 minutos cada sesión). La concentración de cortisol en saliva se midió en reposo, antes y después de la prueba y el seguimiento. Resultados:ANOVA con medidas repetidas mostró un efecto principal para el grupo (F2.21=3.787, sig=0.039) y etapa (F3.21=52.529, sig=0.001) y también el efecto interactivo entre los grupos en la etapa (F6, 42=3.700, sig=0.005). El ANOVA de medidas repetidas mostró que la intervención cognitivo-conductual a nivel de cortisol salival tuvo un efecto en el postest, mientras que la intervención de mindfulness tuvo efectos positivos en el postest y los tiempos de seguimiento. No hubo diferencias significativas entre los grupos de atención plena y cognitivo-conductual en la prueba posterior. Además, los resultados del tiempo de seguimiento mostraron que hubo una diferencia significativa solo entre la atención plena y el grupo de control. Aplicaciones prácticas:Los resultados indican que la práctica de habilidades psicológicas, especialmente la atención plena, se puede utilizar para reducir el estrés previo a la competencia. Objectives: The objective of this study is to compare the effectiveness of cognitive–behavioral strategies training and mindfulness based-interventions on shooters competitive stress (i.e., level of salivary cortisol) with two-months follow-up. Methods: Twenty four young male professional shooters who had a history of shooting for at least 3 years were randomly assigned into three groups: cognitive-behavioral intervention (n=8), mindfulness based intervention (n=8) and control group (n=8). Participants in the experimental groups participated in six training sessions during six weeks (75-90 minutes each session). Salivary cortisol concentration was measured at rest, pre- and post-test and follow-up times. Results: ANOVA with repeated measures showed a main effect for group (F2,21 = 3.787, sig = 0.039) and stage (F3,21 = 52.529, sig = 0.001) and also the interactive effect between the groups in the stage (F6,42 = 3.700, sig = 0.005). ANOVA with repeated measures showed that cognitive-behavioral intervention on salivary cortisol level had effect in the post-test, while mindfulness intervention had positive effects on the post-test and follow-up times. ANOVA also revealed that there was no significant difference between the mindfulness and cognitive-behavioral groups in the post-test time. In addition, the results of the follow-up time showed that there was significant difference only between mindfulness and control group. Practical Applications: Results indicate that the practice of psychological skills, especially mindfulness can be used to reduce the pre-competition stress. Objectivos: O objectivo deste estudo é comparar a eficácia das estratégias cognitivas-comportamentais de formação e de atenção baseadas em intervenções sobre o stress competitivo dos atiradores (ou seja, nível de cortisol salivar) com o seguimento de dois meses. Métodos: Vinte e quatro jovens atiradores profissionais que tiveram um historial de atirar durante pelo menos 3 anos foram distribuídos aleatoriamente em três grupos: intervenção cognitivo-comportamental (n=8), intervenção baseada na consciência (n=8) e grupo de controlo (n=8). Os participantes nos grupos experimentais participaram em seis sessões de treino durante seis semanas (75-90 minutos cada sessão). A concentração de cortisol salivar foi medida nos tempos de repouso, pré e pós-teste e acompanhamento. Resultados: ANOVA com medidas repetidas mostrou um efeito principal para o grupo (F2,21 = 3.787, sig = 0.039) e o estágio (F3,21 = 52.529, sig = 0.001) e também o efeito interactivo entre os grupos no estágio (F6,42 = 3.700, sig = 0.005). A ANOVA com medidas repetidas mostrou que a intervenção cognitivo-comportamental ao nível do cortisol salivar teve efeito no pós-teste, enquanto que a intervenção de atenção teve efeitos positivos no pós-teste e nos tempos de seguimento. ANOVA também revelou que não havia diferença significativa entre o nível de atenção e os grupos cognitivo-comportamentais no período pós-teste. Além disso, os resultados do tempo de seguimento mostraram que só havia uma diferença significativa entre a atenção e o grupo de controlo. Aplicações práticas: Os resultados indicam que a prática de aptidões psicológicas, especialmente a de ter consciência, pode ser utilizada para reduzir o stress pré-competição. Traduzido com www.DeepL.com/Translator


Author(s):  
Masoud Kashani Lotfabadi ◽  
Mohammad Hossein Bayazi ◽  
Ali Reza Rajaei

Background & Aim: Self-care is one of the challenges of the health care system in patients with schizophrenia. It has been less studied due to these patients have no insight into the symptoms. This study aimed to determine the effect of cognitive-behavioral group training on self-care skills in patients with schizophrenia. Methods & Materials: This single-blind randomized controlled clinical trial (blinding of data analysts) was performed on 50 hospitalized schizophrenia patients by convenience sampling method and random block allocation to the intervention (n=26) and control (n=24) groups in Ebn-Sina Psychiatric Hospital of Mashhad, Iran from late July 2020 to mid-January 2021. The intervention group received cognitive-behavioral group training of self-care skills based on Kashani Lotfabadi et al. (2020) protocol in 10 sessions (two sessions per week). The control group was placed on a waiting list. Data collection tools included the Self-Care Requisites Scale (SCRS-H) and the Positive and Negative Syndrome Scale (PANSS). The data were analyzed by SPSS 25 version, repeated measures of ANOVA test. Results: 60 % (n=30) of participants were female, and 40% (n=20) were male with a mean age of 32.98±8.35 years. The results of repeated measures of ANOVA indicated a significant difference between the intervention and control groups in terms of descending mean score of total self-care during the test stages (p=0.001). Conclusion: Cognitive-behavioral group training of self-care skills could promote self-care behaviors in patients with schizophrenia. Therefore, we suggest using this intervention to strengthen self-care skills in patients with schizophrenia.


2021 ◽  
pp. neurintsurg-2021-017341
Author(s):  
Devin V Bageac ◽  
Blake S Gershon ◽  
Jan Vargas ◽  
Maxim Mokin ◽  
Zeguang Ren ◽  
...  

BackgroundMost conventional 0.088 inch guide catheters cannot safely navigate intracranial vasculature. The objective of this study is to evaluate the safety of stroke thrombectomy using a novel 0.088 inch guide catheter designed for intracranial navigation.MethodsThis is a multicenter retrospective study, which included patients over 18 years old who underwent thrombectomy for anterior circulation large vessel occlusions. Technical outcomes for patients treated using the TracStar Large Distal Platform (TracStar LDP) or earlier generation TRX LDP were compared with a matched cohort of patients treated with other commonly used guide catheters. The primary outcome measure was device-related complications. Secondary outcome measures included guide catheter failure and time between groin puncture and clot engagement.ResultsEach study arm included 45 patients. The TracStar group was non-inferior to the control group with regard to device-related complications (6.8% vs 8.9%), and the average time to clot engagement was 8.89 min shorter (14.29 vs 23.18 min; p=0.0017). There were no statistically significant differences with regard to other technical outcomes, including time to recanalization (modified Thrombolysis In Cerebral Infarction (mTICI) ≥2B). The TracStar was successfully advanced into the intracranial internal carotid artery in 33 cases (73.33%); in three cases (6.67%), it was swapped for an alternate catheter. Successful reperfusion (mTICI 2B-3) was achieved in 95.56% of cases. Ninety-day follow-up data were available for 86.67% of patients, among whom 46.15% had an modified Rankin Score of 0–2%, and 10.26% were deceased.ConclusionsTracstar LDP is safe for use during stroke thrombectomy and was associated with decreased time to clot engagement. Intracranial access was regularly achieved.


Author(s):  
Katrin Brück ◽  
Kirsten Jacobi ◽  
Tobias Schmidt

BACKGROUND: Chronic neck pain (CNP) is a common health problem in western industrialized nations. In recent years, the fascial tissue has attracted the attention of therapists, and a treatment of the fasciae promises to be a meaningful approach in the therapy of patients with CNP. OBJECTIVE: The aim of this study was to investigate the effectiveness of a fascial treatment (FT) compared to manual therapy (MT) and to no intervention (control group, CG) in patients with CNP. METHODS: Sixty participants with CNP were randomized into three groups. Primary outcome parameters were pain intensity as measured by the visual analogue scale (VAS), and severity of illness as measured by the Neck Pain and Disability Scale (NPAD). Secondary outcome parameter was the range of motion (ROM) of the cervical spine. RESULTS: Repeated measures t-tests demonstrated significant decreases with medium to large effect sizes for the FT (VAS: dR⁢M= 1.14; NPAD: dR⁢M= 0.51) and for the MT (VAS: dR⁢M= 1.15; NPAD: dR⁢M= 0.72). CONCLUSION: Our results confirmed the effectiveness of MT on pain and severity of illness in the treatment of patients suffering from CNP. Furthermore, the results demonstrated the effectiveness and clinical relevance of FT for this population.


2013 ◽  
Vol 4 (2) ◽  
pp. 391
Author(s):  
Azarinvand, Abrahim ◽  
Gorjee, Yosef ◽  
Sadrepooshan, Najmeh ◽  
Esmaili, Ghasem

<p>The aim of this study was to investigate the effectiveness of group counseling with cognitive – behavioral method in reducing mother’s stress of child with mental retardation less than 6 years old covered of Khorramabad province welfare organization (2012). The statistical society of this study consisted of 52 mothers of child with mental retardation who their children had file in the welfare office. 30 persons were selected by simple random sampling and were divided into two groups including trial group (15 persons) and control group (15 persons).</p><p>The method of study was quasi – experimental way with control group and random trial and data gathering tool such as Friedrich, Greenberg and Crink resources and stress questionnaire. To perform the study; the first step was pretest trial and control group and then 10 group counseling sessions with cognitive- behavioral method had hold among trial group. The control group’s mothers did not receive any counseling. Then, it established post – testing of both group again and another test provided to following – up step for two weeks after test.</p><p>The result of variance analysis with repeated measurements showed that, there is significant difference in percentage1 level between control and trial groups post – test and follow – up scores, so, the first hypothesis of this study had approved upon group counseling efficacy with cognitive – behavioral method in reducing mother’s stress of child with mental retardation. In addition, these results showed that group counseling with cognitive – behavioral method has been established significant reduction in percentage 1 level physical and emotional symptoms of trial groups’ mothers, but it did not find the significant difference in the cognitive symptoms.</p>


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