Single-Session Computerized Cognitive Behavioral Therapy for Dental Anxiety

This study determined the effect of Religiously Integrated Cognitive Behavioral Therapy (RCBT) on the psycho-spiritual well-being of people living with HIV (PLHIV). A one-group pretest-posttest design was employed to determine the effect of RCBT on the psycho-spiritual well-being of PLHIV. The Psychological General Well-Being Index (PGWBI) and the Spiritual Well-Being Questionnaire (SWBQ) were used to measure psychological well-being and spiritual well-being, respectively. The intervention was a single session RCBT. The participants were PLHIV from the Philippine Catholic HIV/AIDS Network (PhilCHAN) Western Visayas group. The results of the study revealed a statistically significant increase in the psychological well-being of the PLHIV before and after the RCBT. Although there was an increase in the spiritual well-being of the PLHIV after the RCBT, it was not statistically significant. The findings suggest implications for the inclusion of RCBT in the services provided for PLHIV to improve their psycho-spiritual well-being.

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Children and parents' experiences of cognitive behavioral therapy for dental anxiety - a qualitative study

International Journal of Paediatric Dentistry ◽

10.1111/ipd.12181 ◽

2015 ◽

Vol 25 (5) ◽

pp. 317-326 ◽

Cited By ~ 12

Author(s):

Shervin Shahnavaz ◽

Sara Rutley ◽

Karin Larsson ◽

Göran Dahllöf

Keyword(s):

Qualitative Study ◽

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Dental Anxiety ◽

Cognitive Behavioral ◽

Children And Parents ◽

Parents Experiences

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Cognitive Breastfeeding Counseling: A Single Session Helps Improve LATCH Score

The Journal of Perinatal Education ◽

10.1891/1058-1243.27.3.148 ◽

2018 ◽

Vol 27 (3) ◽

pp. 148-151

Author(s):

Kavita Sreekumar ◽

Annely D’Lima ◽

M. P. Silveira ◽

Riddhima Gaonkar

Keyword(s):

Cognitive Behavioral Therapy ◽

Exclusive Breastfeeding ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Single Session ◽

Third Trimester ◽

Newborn Period ◽

The Third ◽

Antenatal Counseling ◽

Breastfeeding Counseling

Antenatal counseling improves the rate of exclusive breastfeeding. But routine antenatal counseling may not be effective in achieving this. Cognitive behavioral therapy derived techniques may be more useful in improving breastfeeding outcomes. We did this study to test the effectiveness of a single session of cognitive counseling compared to routine counseling in the third trimester for improving LATCH score. Fifty mother–baby dyads were enrolled. Twenty-six mothers underwent cognitive counseling and 24 mothers underwent routine counseling. After birth, the LATCH scores were assessed within the first 24 hours in the newborn. A single session of cognitive breastfeeding counseling in the third trimester is effective in significantly improving the LATCH scores in the immediate newborn period.

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A single session Internet-based cognitive behavioral therapy intervention to help parents cope with children’s anxiety during the COVID-19 pandemic: Intervention study (Preprint)

10.2196/preprints.26438 ◽

2020 ◽

Author(s):

Tarja Korpilahti-Leino ◽

Terhi Luntamo ◽

Terja Ristkari ◽

Susanna Hinkka-Yli-Salomäki ◽

Laura Pulkki-Råback ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

User Satisfaction ◽

Parenting Practices ◽

Behavioral Therapy ◽

Well Being ◽

Cognitive Behavioral ◽

Baseline Survey ◽

Single Session ◽

Daily Routines ◽

Children’S Anxiety

BACKGROUND The COVID-19 pandemic has had a major impact on families’ daily routines and psychosocial well-being, and technology has played a key role in providing socially distanced health care services. OBJECTIVE The objectives of this paper are two-fold. First, to describe the content and delivery of a single-session, Internet-based, cognitive behavioral therapy (ICBT) intervention, which has been developed to help parents cope with children’s anxiety and manage daily situations with their children. Second, to report user adherence and satisfaction among the first participants who completed the intervention. METHODS The Together we’ll manage intervention has been developed by the Department of Child Psychiatry at the University of Turku, Finland. It combines evidence-based CBT elements, such as psychoeducation and skills to manage anxiety, with parent training programs that strengthen how parents interact with their child and handle daily situations. A pre-post design was used to examine user satisfaction and the skills the parents learned. Participants were recruited using advertisements, media activity, day care centers and schools, and asked about background characteristics, emotional symptoms and parenting practices before they underwent the ICBT. After they completed the seven themes, they were asked what new parenting skills they had learned from the ICBT and how satisfied they were with the program. RESULTS Of the 602 participants who filled in the baseline survey, 205 (34%) completed the program’s seven themes and 189 (31%) completed the post-intervention survey. Most of the participants were satisfied with the program (73%) and had learned skills that eased both their anxiety (75%) and their children’s (83%). The majority (83%) reported that they learned how to organize their daily routines better and just over half (53%) said the program improved how they planned each day with their children. CONCLUSIONS The single-session ICBT helped parents to face the psychological demands of the COVID-19 pandemic. Future studies should determine how the participation rate and adherence can be optimized in digital, universal interventions. This will help to determine what kinds of programs should be developed, including their content and delivery.

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Cognitive Behavioral Therapy for Children with Dental Anxiety

JDR Clinical & Translational Research ◽

10.1177/2380084416661473 ◽

2016 ◽

Vol 1 (3) ◽

pp. 234-243 ◽

Cited By ~ 10

Author(s):

S. Shahnavaz ◽

E. Hedman ◽

M. Grindefjord ◽

L. Reuterskiöld ◽

G. Dahllöf

Keyword(s):

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Dental Anxiety ◽

Cognitive Behavioral

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Development and Testing of a Cognitive Behavioral Therapy Resource for Children’s Dental Anxiety

JDR Clinical & Translational Research ◽

10.1177/2380084416673798 ◽

2016 ◽

Vol 2 (1) ◽

pp. 23-37 ◽

Cited By ~ 22

Author(s):

J. Porritt ◽

H. Rodd ◽

A. Morgan ◽

C. Williams ◽

E. Gupta ◽

...

Keyword(s):

Cost Effectiveness ◽

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Dental Anxiety ◽

Preliminary Evidence ◽

The Self ◽

Cognitive Behavioral ◽

Self Help ◽

Score Difference ◽

Dental Professionals

Cognitive Behavioral Therapy (CBT) is an evidence-based treatment for dental anxiety; however, access to therapy is limited. The current study aimed to develop a self-help CBT resource for reducing dental anxiety in children, and to assess the feasibility of conducting a trial to evaluate the treatment efficacy and cost-effectiveness of such an intervention. A mixed methods design was employed. Within phase 1, a qualitative “person-based” approach informed the development of the self-help CBT resource. This also employed guidelines for the development and evaluation of complex interventions. Within phase 2, children, aged between 9 and 16 y, who had elevated self-reported dental anxiety and were attending a community dental service or dental hospital, were invited to use the CBT resource. Children completed questionnaires, which assessed their dental anxiety and health-related quality of life (HRQoL) prior to and following their use of the resource. Recruitment and completion rates were recorded. Acceptability of the CBT resource was explored using interviews and focus groups with children, parents/carers and dental professionals. For this analysis, the authors adhered to the Mixed Methods Appraisal Tool criteria. There were 24 families and 25 dental professionals participating in the development and qualitative evaluation of the CBT resource for children with dental anxiety. A total of 56 children agreed to trial the CBT resource (66% response rate) and 48 of these children completed the study (86% completion rate). There was a significant reduction in dental anxiety (mean score difference = 7.7, t = 7.9, df = 45, P < 0.001, Cohen’s d ES = 1.2) and an increase in HRQoL following the use of the CBT resource (mean score difference = -0.03, t = 2.14, df = 46, P < 0.05, Cohen’s d ES = 0.3). The self-help approach had high levels of acceptability to stakeholders. These findings provide preliminary evidence for the effectiveness and acceptability of the resource in reducing dental anxiety in children and support the further evaluation of this approach in a randomized control trial. Knowledge Transfer Statement: This study details the development of a guided self-help Cognitive Behavioral Therapy resource for the management of dental anxiety in children and provides preliminary evidence for the feasibility and acceptability of this approach with children aged between 9 and 16 y. The results of this study will inform the design of a definitive trial to examine the treatment- and cost-effectiveness of the resource for reducing dental anxiety in children.

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Internet-Based Cognitive Behavioral Therapy for Children and Adolescents With Dental Anxiety: Open Trial (Preprint)

10.2196/preprints.7803 ◽

2017 ◽

Author(s):

Shervin Shahnavaz ◽

Erik Hedman-Lagerlöf ◽

Tove Hasselblad ◽

Lena Reuterskiöld ◽

Viktor Kaldo ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Children And Adolescents ◽

Outcome Measures ◽

Self Efficacy ◽

Primary Outcome ◽

Behavioral Therapy ◽

Dental Anxiety ◽

Open Trial ◽

Cognitive Behavioral

BACKGROUND Cognitive behavioral therapy (CBT) is an evidence-based method for treating specific phobias, but access to treatment is difficult, especially for children and adolescents with dental anxiety. Psychologist-guided Internet-based CBT (ICBT) may be an effective way of increasing accessibility while maintaining treatment effects. OBJECTIVE The aim of this study was to test the hypothesis that psychologist-guided ICBT improves school-aged children’s and adolescents’ ability to manage dental anxiety by (1) decreasing avoidance and affecting the phobia diagnosis and (2) decreasing the dental fear and increasing the target groups’ self-efficacy. The study also aimed to examine the feasibility and acceptability of this novel treatment. METHODS This was an open, uncontrolled trial with assessments at baseline, posttreatment, and the 1-year follow-up. The study enrolled and treated 18 participants. The primary outcome was level of avoidance behaviors, as measured by the picture-guided behavioral avoidance test (PG-BAT). The secondary outcome was a diagnostic evaluation with the parents conducted by a psychologist. The specific phobia section of the structured interview Kiddie-Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime (K-SADS-PL) was used. Other outcome measures included level of dental anxiety and self-efficacy. The ICBT, which employed exposure therapy, comprised 12 modules of texts, animations, dentistry-related video clips, and an exercise package (including dental instruments). Participants accessed the treatment through an Internet-based treatment platform and received Web-based guidance from a psychologist. Treatment also included training at dental clinics. Feasibility and acceptability were assessed by measures of engagement, adherence, compliance, completed measures, patient and parent satisfaction scale, and staff acceptability. RESULTS The level of avoidance (according to the primary outcome measure PG-BAT) and dental anxiety decreased and self-efficacy increased significantly (P<.001), within-group effect sizes for both the primary outcome (Cohen d=1.5), and other outcomes were large in the range of 0.9 and 1.5. According to K-SADS-PL, 53% (8/15) of the participants were free from diagnosable dental anxiety at the 1-year follow-up. At the 1-year follow-up, improvements were maintained and clinically significant, with 60% (9/15) of participants who had been unable to manage intraoral injection of local anesthetics before ICBT reporting having accomplished this task at a dental clinic. The target group showed improvement in all the outcome measures. High levels of feasibility and acceptability were observed for the treatment. CONCLUSIONS ICBT is a promising and feasible treatment for dental anxiety in children and adolescents. Integrating it into routine pediatric dental care would increase access to an effective psychological treatment. The results of this open trial must be replicated in controlled studies.

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