scholarly journals Comparative Effectiveness of Cheonwangbosimdan (Tian Wang Bu Xin Dan) Versus Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: A Randomized, Controlled, Open-Label, Parallel-Group, Pilot Trial

2020 ◽  
Vol 19 ◽  
pp. 153473542093564
Author(s):  
Sun-Young Moon ◽  
Ui Min Jerng ◽  
O-Jin Kwon ◽  
So-Young Jung ◽  
Jee Young Lee ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cancer Patients ◽  
Group Performance ◽  
Behavioral Therapy ◽  
Pilot Trial ◽  
Eastern Cooperative Oncology Group ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Group Score ◽  
Significant Difference

Cancer patients have a 2 times higher prevalence of insomnia than healthy populations and cancer-related insomnia has received minimal attention while insomnia can aggravate the rehabilitation of cancer patients. Cheonwangbosimdan is a Korean herbal medicine generally used to relieve sleep deprivation, however, few studies presented the effects of Cheonwangbosimdan on cancer-related insomnia. The purpose of study is to examine the feasibility of Cheonwangbosimdan treatments for cancer patients. Twenty-two participants were allocated into a Cheonwangbosimdan or cognitive-behavioral therapy for insomnia (CBT-I) control group by equal number. The intervention group took Cheonwangbosimdan liquid once in a day and attend visits once a week for 4 weeks. The CBT-I group underwent individualized behavioral therapy 4 times in 4 weeks. The primary outcome is changes in the Insomnia Severity Index (ISI) from baseline to the end of the trial. Responses to the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Zung Self-Rating Anxiety Scale (SAS), Brief Fatigue Inventory (BFI), Euroqol-5 Dimensions-5 Levels (EQ-5D-5L), and Eastern Cooperative Oncology Group Performance Status (ECOG-PS) were secondary outcomes used to evaluate the quality of sleep. Outcomes were measured at a follow-up visit (visit 5) in the fifth week of the trial. There is no difference between 2 groups, but both groups showed tendency to alleviate cancer insomnia symptoms. SAS-K showed significant difference between the 2 groups (P < .001), as treatment group score was highly lowered than control group score. The study can contribute to more attentive care for insomnia in cancer patients.

scholarly journals Comparison of the Effectiveness of Cognitive Behavioral Therapy and Neurofeedback: Reducing Insomnia Symptoms

2017 ◽  
Vol 9 (7) ◽  
pp. 35 ◽  
Author(s):  
Nooshin Basiri ◽  
Zahra Khayyer ◽  
Habib Hadianfard ◽  
Amirhossein Ghaderi
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Independent Effect ◽  
Control Group ◽  
Significant Difference ◽  
Post Hoc ◽  
And Control ◽  
Insomnia Symptoms ◽  
Selection Of

INTRODUCTION: The term sleep disorder refers to difficulty in initiating sleep, maintaining it or a relaxing sleep despite having enough time to sleep. Cognitive behavioral therapy is a non-drug multi-dimensional treatment that targets behavioral and cognitive factors of this disorder. Some pieces of research have shown that psychiatric and neurological disorders can be distinguished from distinct EEG patterns and neuro-feedback can be used to make a change in these patterns. This study aimed to compare the cognitive behavioral therapy and neuro-feedback in the treatment of insomnia.METHODS: The sample included people, who had already been diagnosed insomnia by a psychiatrist in Isfahan, Iran. Random sampling was employed to choose the participants. Pittsburg sleep quality index (PSQI) was used for the selection of the participants, too. The sample included 40 patients who were randomly selected and interviewed and then diagnostic tests performed on the PSQI, and then they were divided into 3 groups. Data were analyzed using ANOVA. Following the implementation of the independent effect of the treatment was significant and one-way ANOVA with post hoc test L.S.D were carried out on CBT and controls (p = 0.001), CBT, neuro-feedback therapy (p = 0.003), neuro-feedback treatment and control (p = 0.001).RESULTS: It was shown that there was a significant difference between the groups. Based on the descriptive statistics of the 2 abovementioned treatments, neuro-feedback therapy in first position and cognitive-behavioral therapy were most effective in the second position, and the control group showed the lowest efficiency.CONCLUSIONS: Both treatments were significantly effective, and so we can use both neuro-feedback and CBT for the treatment of insomnia.

An App-Based Cognitive Behavioral Therapy Program for Cancer Patients with Sleep Problems: A Pilot Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Kyong-Mee Chung ◽  
Yung Jae Suh ◽  
Siyung Chin ◽  
Eun-Seung Yu ◽  
Hyun Jeong Lee ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cancer Patients ◽  
Attentional Bias ◽  
Relaxation Training ◽  
Sleep Problems ◽  
Behavioral Therapy ◽  
Self Report ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Therapy Program

UNSTRUCTURED Objective: To develop and evaluate an app-based cognitive behavioral therapy program for cancer patients with sleep problems. Method: Sixty participants who met the inclusion criteria were randomly assigned to the app-based cognitive behavioral therapy program (HARUToday Sleep) (N = 15), an app-based attentional control program (HARUCard Sleep) (N = 15), or a waitlist control group (N = 15). HARUToday Sleep consists of 48 sessions separated into five zones (psycho-education, behavioral activation, relaxation training, cognitive restructuring, and problem solving). Each participant was required to complete one 10- to 15-minute session per day on weekdays for 10 weeks. In the HARUCard Sleep, participants received one card per day, which provided information about cancer, hobbies, and activities. Participants were evaluated before and after the completion of the program using self-report questionnaires and a dot-probe computer task that measured attentional bias. Results: The intensity of sleep problems decreased significantly after the intervention for the HARUToday Sleep group compared to the other two groups, whereas there were no significant changes in the quality of life score and the attentional bias scores of the patients. Conclusion: The HARUToday Sleep app may be an effective intervention for reducing sleep problems in cancer patients.

scholarly journals Internet-Based Cognitive Behavioral Therapy for Adults With ADHD in Outpatient Psychiatric Care

2016 ◽  
Vol 21 (6) ◽  
pp. 508-521 ◽  
Author(s):  
Richard Pettersson ◽  
Staffan Söderström ◽  
Kerstin Edlund-Söderström ◽  
Kent W. Nilsson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Adult Adhd ◽  
Behavioral Therapy ◽  
Waiting List ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Control Group ◽  
Self Help ◽  
Significant Difference

Objective: The purpose of the study was to evaluate an Internet-based cognitive behavioral therapy (iCBT) program targeting difficulties and impairments associated with adult ADHD. Method: Forty-five adults diagnosed with ADHD were randomized to either self-help (iCBT self-help format [iCBT-S]), self-help with weekly group sessions (iCBT group-therapy format [iCBT-G]), or a waiting-list control group. Treatment efficacy was measured at pre- and posttreatment and at 6-month follow-up. Results: Intention-to-treat (ITT) analysis showed a significant reduction in ADHD symptoms for the iCBT-S group in comparison with the waiting-list controls at posttreatment, with a between-group effect size of d = 1.07. The result was maintained at 6-month follow-up. No significant difference was found at posttreatment or 6-month follow-up between the iCBT-S and iCBT-G groups. Conclusion: The findings show that a CBT treatment program administered through the Internet can be a promising treatment for adult ADHD. Limitations of the study design and directions for future research are discussed.

scholarly journals Effectiveness of Cognitive Behavioral Therapy based on Exposure and Response Prevention on Patients with Contamination Obsessive-Compulsive disorder and Scrupulosity

2020 ◽  
Author(s):  
Farzad Farhoodi ◽  
Javad Salehi Fadardi ◽  
Ali Ghanaie Chamanabad ◽  
Seyed Hamid Mirhoseini
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Response Prevention ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Exposure And Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Significant Difference

Introduction: The aim of the present study was to compare the effectiveness of cognitive behavior therapy based on exposure and response prevention on the patients with contamination obsessive-compulsive disorder (OCD) and scrupulosity. Methods: The method was semi-experimental pretest-posttest design by control group. Sixty OCD participants who were suffering from scrupulosity and contamination OCD were diagnosed by means of diagnostic interviewing, Yale-Brown Obsessive-Compulsive Scale and Penn inventory of scrupulosity. They were selected through convenience sampling method and were assigned in two experimental groups and one control group (each group 20). The cognitive behavioral therapy based on exposure and response prevention was performed on the subjects in nine individual sessions for 45 minutes for each experimental group. The data were analyzed using SPSS Inc., Chicago, IL; Version 16 by the multivariate analysis of covariance. Results: The results of multivariate analysis of covariance and Bonferroni post hoc tests showed that cognitive behavioral therapy based on exposure and response prevention were effective in decreasing OCD in the experimental groups compared to the control group (0.001≥ P). Bonferroni post hoc test showed that there was a significant difference between the scrupulosity group and the contamination group and control group on the obsession variable (0.05 < P). There was no significant difference between the contamination group and the scrupulosity group on the compulsion variable (0.15 < p). Conclusion: The findings suggest that cognitive behavioral therapy based on exposure and response prevention could help alleviate symptoms of obsessive-compulsive disorder in both religious and contamination OCD.

scholarly journals Efficacy of Mindfulness-Based Cognitive Therapy and Cognitive Behavioral Therapy for Anxiety, Depression, and Fatigue in Cancer Patients: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Masoume Sheikhzadeh ◽  
Zahra Zanjani ◽  
Alireza Baari
Keyword(s):  
Clinical Trial ◽  
Cognitive Behavioral Therapy ◽  
Cognitive Therapy ◽  
Randomized Clinical Trial ◽  
Cancer Patients ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Anxiety And Depression ◽  
Significant Difference ◽  
Anxiety Depression

Objective: Cancer is associated with some psychological problems that play an important role in the severity and continuity of cancer. Cancer may lead to maladaptive psychological reactions such as anxiety, depression, and fatigue. Depression and anxiety are highly prevalent in cancer patients. This study aimed to compare the efficacy of mindfulness-based cognitive therapy (MBCT) and cognitive behavioral therapy (CBT) for anxiety, depression, and fatigue in cancer patients. Method: The present study was a randomized clinical trial (RCT). Of the 100 patients diagnosed with cancer, 60 patients were eligible to participate in this study according to the inclusion / exclusion criteria. They were randomly assigned into 3 groups: MBCT, CBT, and wait-list group (WLG). Afterward, the experimental groups received 8 weekly treatment sessions. All the participants fulfilled the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Cancer-Related Fatigue Scale (CFS) before and after the intervention. Data were analyzed using SPSS-16 software by Analysis of Covariance (ANCOVA). Results: The results indicated a significant reduction in depression, anxiety, and fatigue scores in CBT and MBCT groups. There was a significant difference between both treatment groups with WLG in the anxiety and depression, but no significant difference was found between MBCT and CBT groups. Additionally, there was only a significant difference between the CBT group and WLG in terms of fatigue (P = 0.01). Conclusion: CBT and MBCT performed equally well in decreasing anxiety and depression in cancer patients, and they were significantly better than WLG. It seems that MBCT is a good alternative to CBT for decreasing emotional symptoms in cancer patients. As a result, CBT and MBCT could be considered a good addition to pharmacological treatment of cancer patients with comorbid psychological symptoms. However, CBT was preferable to MBCT in decreasing fatigue. The study was registered at the irct.ir database under registration number IRCT20180503039509N1.

scholarly journals Effectiveness of Group-based Acceptance and Commitment Therapy vs Group-based Cognitive-behavioral Therapy in the Psychological Hardiness of Single Mothers

2020 ◽  
Vol 10 (6) ◽  
pp. 393-402
Author(s):  
Hadi Motamedi ◽  
◽  
Abdolvahhab Samavi ◽  
Reza Fallahchai ◽  
◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Single Mothers ◽  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Psychological Hardiness ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Significant Difference

Background: Hardiness as a fundamental element of control plays a constructive role in coping with stress and moderates the effects of stress. This study aimed to compare the effectiveness of group-based Acceptance and Commitment Therapy (ACT) and group-based Cognitive-behavioral Therapy (CBT)in the psychological hardiness of single mothers. Methods: The research was conducted using a quasi-experimental pretest-posttest design with control group. Also, the statistical population included all female-headed families in the region 16 of Tehran. From women with low scores in the Ahvaz psychological hardiness questionnaire, 45 women were randomly selected and assigned into three groups: two experimental and one control group. The acceptance and commitment and cognitive-behavioral therapies were implemented in the first and second experimental groups, respectively; the control group did not receive any intervention. The experimental groups received nine training sessions. Then, the study hypotheses were tested using the 1-way analysis of covariance. Results: Both interventions effectively increased the psychological hardiness in the single mothers, but no significant difference was found between the two intervention groups (P=0.38). Conclusion: According to the results, it is possible to increase the psychological hardiness of the single mothers by group-based acceptance and commitment therapy and group-based cognitive-behavioral therapy.

scholarly journals The Effect of Spiritually Informed Cognitive Behavioral Therapy (SICBT) Group Counseling on Students’ Psychological Well-Being

2020 ◽  
Vol 2 (2) ◽  
pp. 37-52
Author(s):  
Glenn T. Repique ◽  
Lisa Anna M. Gayoles
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Group Counseling ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Eligibility Criteria ◽  
Psychological Well Being ◽  
Significant Difference ◽  
Experimental Group

This study aimed to determine the effect of spiritually informed cognitive behavioral therapy (SICBT) group counseling on the psychological well-being of Grade 12 students. It utilized the pretest-posttest control group experimental design. The Flourishing Scale (FS) was used to measure psychological well-being. Two hundred sixty-six Grade 12 students were administered the pretest. Students who met the eligibility criteria were randomly assigned to the experimental group and the control group, with 10 participants and nine participants, respectively. The intervention was a six-session SICBT group counseling. The results of the study revealed that there was a significant difference in the psychological well-being of the experimental group and the control group after the intervention. The findings suggest implications in SICBT group counseling as an effective program in school guidance and counseling for the improvement of the psychological well-being of adolescents.

RELATED FACTORS TO RELAPSE IN DEPRESSED PATIENTS AFTER COGNITIVE BEHAVIOURAL THERAPY DURING ONE YEAR PROSPECTIVE FOLLOW-UP

2011 ◽  
pp. 13-19
Author(s):  
Nhu Minh Hang Tran ◽  
Huu Cat Nguyen ◽  
Dang Doanh Nguyen ◽  
Van Luong Ngo ◽  
Vu Hoang Nguyen ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Relapse Rate ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Related Factors ◽  
Depressed Patients ◽  
One Year

Objectives: To determine factors impact on the relapse in depressed patients treated with Cognitive Behavioral Therapy (CBT) during one year follow-up. Materials and Methods: 80 depressed patients divided into two groups, group 1: included 40 patients treated with CBT; group 2: 40 patients on amitriptyline. Non-randomized controlled clinical trial, opened, longiditual and prospective research. Results and Conclusions: relapse rate after CBT during 1 year follow-up is 10% (compared to 25% in control group), related factors to relapse rate in depression after CBT are age and education. Shared predictors between 2 groups are severity and recurrence of depression. Key words: Depression, relapse, Cognitive Behavioral Therapy (CBT)

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