Effectiveness of Cognitive Behavioral Couple Therapy on Reducing Depression and Anxiety Symptoms and Increasing Dyadic Adjustment and Marital Social Skills: An Exploratory Study

2020 ◽  
Vol 28 (4) ◽  
pp. 344-355
Author(s):  
Ricardo Silva Santos Durães ◽  
Tatiana Cohab Khafif ◽  
Francisco Lotufo-Neto ◽  
Antonio de Pádua Serafim
Keyword(s):  
Social Skills ◽  
Marital Conflict ◽  
Couple Therapy ◽  
Anxiety Symptoms ◽  
Dyadic Adjustment ◽  
Cognitive Behavioral ◽  
Depression And Anxiety ◽  
Communication Problems ◽  
Group 2

Several kinds of marital conflict might be solved through constructive communication, development of interaction skills, and behavioral and thought modification. The aim of this study was to show results of the application of a protocol based on cognitive behavioral couple therapy (CBCT) on dyadic adjustment, marital social skills, depression, and anxiety symptoms. The sample consisted of 32 participants (16 couples) divided in two groups by length of marriage: Group 1 (1–7 years) and Group 2 (8–12 years). All subjects recruited were older than 18 and reported having communication problems in their relationship. The ages were M = 30.4, SD = 4.13. The measures were Dyadic Adjustment Scale (DAS), Beck Depression Inventory–II (BDI-II), Beck Anxiety Inventory (BAI), Marital Social Skills Inventory (Inventário de Habilidades Sociais Conjugais [IHSC]), and the Sociodemographic Questionnaire. Participants were assessed pre- and postintervention and had a 6-month follow-up. The intervention consisted of twelve 50-min sessions per couple. Based on three time analyses, both groups obtained the following results: DAS ( p = .001), BDI-II ( p = .000), BAI ( p = .000), and IHSC ( p = .001). We conclude that the CBCT protocol developed for this study, resulted in statistically significant improvements in the couple’s relationship for all variables studied in both groups.

The Effectiveness of Integraged Cognitive-Behavioral Therapy and Mindfulness on Marital Conflict and Anxiety in Women with Pathological Spousal Jealousy

2021 ◽  
Author(s):  
Saeedeh Noorbakhsh Baghbaderani ◽  
Zohreh Latifi
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Marital Conflict ◽  
Couple Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Quasi Experimental ◽  
And Control ◽  
Experimental Group

Aim: Pathological jealousy toward spouse is one of the most common complaints of couples referring for couple therapy. The research aimed to study the effectiveness of integrated cognitive-behavioral therapy and mindfulnes on decreasing of marital conflict and anxiety in women withpathological jealousy toward spouse. Methods: For this purpose, a quasi-experimental pretest, posttest and follow up design with control group was used. The study sample included 34 women with Pathological jealousy who were selected through purposive sampling among women referredto counseling centers in Isfahan. The intervention method included10integrated sessions of cognitive-behaviorla therapy and mindfulness that was implemented for experimental group. In order to assess variables Marital Conflict Questionnaire (Barati & Sanayi, 2000) and State Anxiety Inventory (Spielberger, et al., 1983) were used. The data analysis conducted by multivariate analysis of variance with pretest and control. Findings: The findings showed a significant decline in the mean scores of experimental group, both in anxiety and in marital conflict, in pretest and follow-up stages, but no tangible changes were observed in the control group scores. (p<0.0005). Conclusion: Thus, integration of cognitive-behavioral therapy and mindfulness has been effective in reducing marital conflict and anxiety in women with pathological jealousy toward spouse, and could be used by couple therapists and other psychotherapists.

scholarly journals Blended Care-Cognitive Behavioral Therapy for Depression and Anxiety in Real-World Settings: Pragmatic Retrospective Study (Preprint)

2020 ◽  
Author(s):  
Anita Lungu ◽  
Janie Jihee Jun ◽  
Okhtay Azarmanesh ◽  
Yan Leykin ◽  
Connie E-Jean Chen
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Real World ◽  
Behavioral Therapy ◽  
Anxiety Symptoms ◽  
Cognitive Behavioral ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Care Intervention ◽  
Blended Care ◽  
Over Time

BACKGROUND The past few decades saw considerable advances in research and dissemination of evidence-based psychotherapies, yet available treatment resources are not able to meet the high need for care for individuals suffering from depression or anxiety. Blended care psychotherapy, which combines the strengths of therapist-led and internet interventions, can narrow this gap and be clinically effective and efficient, but has rarely been evaluated outside of controlled research settings. OBJECTIVE This study evaluated the effectiveness of a blended care intervention (video-based cognitive behavior therapy and internet intervention) under real-world conditions. METHODS This is a pragmatic retrospective cohort analysis of 385 participants with clinical range depression and/or anxiety symptoms at baseline, measured using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), who enrolled in blended care psychotherapy treatment. Participants resided in the United States and had access to the blended care intervention as a mental health benefit offered through their employers. Levels of depression and anxiety were tracked throughout treatment. Hierarchical linear modeling was used to examine the change in symptoms over time. The effects of age, gender, and providers on participants’ symptom change trajectories were also evaluated. Paired sample t-tests were also conducted, and rates of positive clinical change and clinically significant improvement were calculated. RESULTS The average depression and anxiety symptoms at 6 weeks after the start of treatment were 5.94 and 6.57, respectively. There were significant linear effects of time on both symptoms of depression and anxiety (β=–.49, <i>P</i>&lt;.001 and β=–.64, <i>P</i>&lt;.001). The quadratic effect was also significant for both symptoms of depression and anxiety (β=.04, P&lt;.001 for both), suggesting a decelerated decrease in symptoms over time. Approximately 73% (n=283) of all 385 participants demonstrated reliable improvement, and 83% (n=319) recovered on either the PHQ-9 or GAD-7 measures. Large effect sizes were observed on both symptoms of depression (Cohen d=1.08) and of anxiety (d=1.33). CONCLUSIONS Video blended care cognitive behavioral therapy interventions can be effective and efficient in treating symptoms of depression and anxiety in real-world conditions. Future research should investigate the differential and interactive contribution of the therapist-led and digital components of care to patient outcomes to optimize care.

scholarly journals Sleep symptoms and long-term outcome in adolescents with major depressive disorder: a naturalistic follow-up study

2019 ◽  
Vol 29 (5) ◽  
pp. 595-603 ◽  
Author(s):  
Anna S. Urrila ◽  
◽  
Olli Kiviruusu ◽  
Henna Haravuori ◽  
Linnea Karlsson ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Young Adulthood ◽  
Psychosocial Functioning ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Major Depressive ◽  
Term Outcome ◽  
Long Term Outcome

Abstract Sleep abnormalities in major depressive disorder (MDD) have been suggested to represent a vulnerability trait, which might predispose the individual to long-term psychiatric morbidity. In this study, we sought to assess whether the presence of sleep symptoms among adolescents with MDD is associated with poorer long-term outcome in young adulthood during naturalistic follow-up. Adolescent outpatients diagnosed with MDD (n = 166; age 13–19 years, 17.5% boys) were followed up during 8 years in naturalistic settings. N = 112 adolescents (16.1% boys) completed the 8-year assessment. Sleep symptoms and psychosocial functioning were assessed with structured clinical interviews, and depressive and anxiety symptoms with questionnaires. The severity of sleep symptoms at baseline was not associated with worse outcome at 8 years in terms of any of the outcome measures tested. In particular, the presence of a disturbed sleep–wake rhythm at baseline was associated with a more favourable outcome at 8 years: less depression and anxiety symptoms and higher level of psychosocial functioning. The presence of sleep symptoms in young adulthood was associated with the presence of current depression and anxiety symptoms and poorer psychosocial functioning. The presence of sleep symptoms at follow-up seems to be state-dependent: they are observed in conjunction with other psychiatric symptoms. Contrary to our hypothesis, our results suggest that sleep complaints among adolescents with MDD do not lead to poorer long-term clinical outcome in young adulthood. The link between sleep–wake rhythm disturbance and better long-term outcome needs to be confirmed and examined in detail in further studies, but here we speculate about possible explanations.

In Retrospect

1982 ◽  
Vol 13 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Rella R. King ◽  
Cynthia Jones ◽  
Elaine Lasky
Keyword(s):  
Social Skills ◽  
Motor Skills ◽  
Educational Levels ◽  
Communication Problems

A 15-year follow-up of 50 children initially diagnosed as communicatively impaired is reported. The survey describes subjects in terms of the educational levels they have attained, their motor skills, their social skills as perceived by their families, and any communication problems that may exist.

scholarly journals Effectiveness of Text Messaging for the Management of Psychological and Somatic Distress in Depressed and Anxious Outpatients

2019 ◽  
Vol 12 (1) ◽  
pp. 12-19
Author(s):  
Roberto Truzoli ◽  
Cecilia Rovetta ◽  
Eliana Nola ◽  
Luca Matteucci ◽  
Caterina Viganò
Keyword(s):  
Group Therapy ◽  
Patient Compliance ◽  
Text Messaging ◽  
Post Treatment ◽  
Cognitive Behavioral ◽  
Depression And Anxiety ◽  
Cognitive Behavioral Group Therapy ◽  
Treatment Of Depression ◽  
Behavioral Group

Background:Cognitive behavioral group therapy has developed several techniques in order to make the treatment of depressive and anxiety disorders more effective. Particularly, the “homework” is a tool in order to practice therapeutic skills in ecological settings. When working with this aim, it is often necessary to support patient compliance.Researches have shown the efficacy of sending a text to the patients in order to support the patient compliance, but only a few data are available on the effectiveness of sending text in the treatment of depression and anxiety.Objective:Verify the effectiveness of sending text in the treatment of depression and anxiety in order to support patient compliance.Methods:Participants were enrolled for cognitive behavioral group therapy. Once completed the treatment, a sub-group of participants (Yes SMS group) was reached by a weekly text message for the whole 3 months time between the end of the intervention and the scheduled follow-up session.All the participants were assessed for the overall psychopathological symptoms, depression, and anxiety before and after the group intervention, and at the 3 months follow up.Results:Both groups improved from pre to post-treatment in all the assessed dimensions; the enhancement endures up to the 3 months follow up.Comparing the two groups regardless of the diagnosis, the Yes SMS group shows significant better outcomes in depression at follow-up and in anxiety both at post-treatment and at follow-up.Conclusion:The weekly SMS as prompt seems to enhance the patient’s compliance.

Depression and anxiety symptoms as predictors of mortality in PCI patients at 10 years of follow-up

2015 ◽  
Vol 23 (5) ◽  
pp. 552-558 ◽  
Author(s):  
Milan R van Dijk ◽  
Elisabeth MWJ Utens ◽  
Karolijn Dulfer ◽  
Mustafa NA Al-Qezweny ◽  
Robert-Jan van Geuns ◽  
...  
Keyword(s):  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Predictors Of Mortality

scholarly journals Depressive Symptoms, Anxiety, Self-Esteem and Educational Social Skills in Public School Teachers

2020 ◽  
Author(s):  
Aixa Hafsha
Keyword(s):  
Depressive Symptoms ◽  
Social Skills ◽  
Public School ◽  
School Context ◽  
Self Esteem ◽  
Anxiety Symptoms ◽  
World Population ◽  
Depression And Anxiety ◽  
Public School Teachers ◽  
School Teachers

Depression and anxiety symptoms are increasingly common in the world population and may damage different aspects of life. In the school context, these symptoms may affect teachers’ self-esteem and educational social skills. This study aimed to evaluate and compare depression and anxiety symptoms, self-esteem and educational social skills in first and last grades elementary public school teachers, with 196 teachers, men and women, aged 18 years or older. The instruments applied were: a sociodemographic questionnaire, State-Trait Anxiety Inventory (STAI), Population Screening Scale for Depression Epidemiological Studies Center (CES-D), Depressive Symptoms Intensity Survey (LIS-D), the Anxiety Symptoms Intensity Survey (LIS-A), the Rosenberg Self-Esteem Scale (RSES), and the Inventory of Educational Social Skills-Teachers (IHSE). The main results indicate differences between the two teachers’ groups regarding the levels of depressive and anxiety symptoms, some educational social skills and self-esteem. Future studies with teachers should consider specific aspects of teaching work.

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