scholarly journals Isolating therapeutic procedures to investigate mechanisms of change in cognitive behavioral therapy for depression

2018 ◽  
Vol 9 (4) ◽  
pp. 204380871880089 ◽  
Author(s):  
Sanne J. E. Bruijniks ◽  
Marit Sijbrandij ◽  
Caroline Schlinkert ◽  
Marcus J. H. Huibers
Keyword(s):  
Cognitive Therapy ◽  
Skill Acquisition ◽  
Social Stress ◽  
Behavioral Therapy ◽  
Stress Test ◽  
Mechanisms Of Change ◽  
Therapeutic Procedures ◽  
Underlying Mechanisms ◽  
Underlying Processes ◽  
Healthy Participants

Background: Isolating a therapeutic procedure might be a powerful way to enhance our understanding of how cognitive behavior therapy (CBT) works. The present study explored new methods to isolate cognitive procedures and to study their direct impact on hypothesized underlying processes and CBT outcome. Method: The effects of a cognitive therapy skill acquisition procedure ( n = 36) were compared to no procedure ( n = 36) on cognitive therapy skills, dysfunctional thinking, distress, and mood in response to induced distress following a social stress test in healthy participants. Results: Participants reported more cognitive therapy skills after the procedure that focused on the acquisition of cognitive therapy skills compared to no procedure, but there were no differences in dysfunctional thinking, distress, and mood between the groups. Conclusions: By demonstrating an experimental approach to investigate mechanisms of change, including the pitfalls that come along with it, the present experiment provides a blueprint for other researchers interested in the underlying mechanisms of change in CBT for depression.

scholarly journals Psychobiology of Mindfulness

CNS Spectrums ◽  
2008 ◽  
Vol 13 (9) ◽  
pp. 752-756 ◽  
Author(s):  
Dan J. Stein ◽  
Victoria Ives-Deliperi ◽  
Kevin G.F. Thomas
Keyword(s):  
Emotion Regulation ◽  
Prefrontal Cortex ◽  
Cognitive Behavioral Therapy ◽  
Cognitive Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
New Wave ◽  
Dispositional Mindfulness ◽  
Affect Labeling ◽  
Underlying Mechanisms

AbstractThere is controversy about whether mindfulness-based approaches to psychotherapy represent a new wave of cognitive-behavioral therapy or a core process in all psychotherapies. One way of conceptualizing mindfulness is in terms of emotion regulation; mindfulness is a strategy aimed at opposing suppression and avoidance. Dispositional mindfulness has been associated with greater activation in prefrontal cortex and greater deactivation of amygdala during affect labeling. A number of rigorous studies of mindfulness-based cognitive therapy for depression have been positive. However, much remains to be discovered about the underlying mechanisms of and clinical indications for mindfulness-based approaches.

Messung der Stimmfrequenz im Paargespräch – Chancen für Diagnostik und Intervention in der Paartherapie

2020 ◽  
Vol 68 (4) ◽  
pp. 217-227 ◽  
Author(s):  
Lisanne J. Bulling ◽  
Isabella C. Bertschi ◽  
Céline C. Stadelmann ◽  
Tina Niederer ◽  
Guy Bodenmann
Keyword(s):  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test

Zusammenfassung. Die vorliegende Arbeit stellt die bisherigen empirischen Befunde zur Sprachgrundfrequenz (f0) in Paargesprächen vor und untersucht, wie sich die f0 nach einer experimentellen Stressinduktion im anschließenden spontanen Gespräch zwischen den Partner_innen verändert, wie die f0 mit der verbalen Stressäußerung zusammenhängt und wie sie zwischen den beiden Partner_innen kovariiert. Von 128 heterosexuellen Paaren nahm jeweils eine Person pro Paar am Trier Social Stress Test (TSST) teil. Die dem TSST vorangehende und anschließende naturalistische Interaktion zwischen den Partner_innen wurde gefilmt und nach Gesprächsthema und Art der Stressäußerung kodiert. Wie vorherige Studien zur f0 im Paargespräch zeigte auch die vorliegende Studie, dass die f0 wichtige Informationen über die Partnerschaft enthält. Während eine Erhöhung der f0 in Gesprächen über einen paarinternen Stressor (d.h. bei Konfliktgesprächen) mit negativen Kommunikationsmustern einherging, zeigte die vorliegende Studie, dass die f0 bei Gesprächen über einen paarexternen Stressor (d.h. beim TSST) mit emotionsorientierten Stressäußerungen einherging, also einer für den Stressbewältigungsprozess förderlichen Art der Kommunikation. Die Oszillatorenmodelle zeigen darüber hinaus, dass eine Kopplung der f0 zwischen den Partner_innen besteht, was darauf hindeutet, dass die nicht gestressten Partner_innen auf die paraverbalen Stressäußerungen der gestressten Partner_innen mit ihren eigenen paraverbalen Stressäußerungen reagieren.

Preventive cognitive therapy versus care as usual in cognitive behavioral therapy responders: A randomized controlled trial.

2019 ◽  
Vol 87 (6) ◽  
pp. 521-529 ◽  
Author(s):  
Margo de Jonge ◽  
Claudi L. H. Bockting ◽  
Martijn J. Kikkert ◽  
Maarten K. van Dijk ◽  
Digna J. F. van Schaik ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cognitive Behavioral Therapy ◽  
Cognitive Therapy ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Cognitive Behavioral ◽  
Randomized Controlled

MANAJEMEN KASUS PADA KLIEN HARGA DIRI RENDAH KRONIS DENGAN PENDEKATAN TEORI CARING

2019 ◽  
Vol 11 (2) ◽  
pp. 125-134
Author(s):  
Kellyana Irawati ◽  
Novy Helena Catharina Daulima ◽  
Ice Yulia Wardhani
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Case Management ◽  
Cognitive Therapy ◽  
Behavioral Therapy ◽  
Signs And Symptoms ◽  
Self Esteem ◽  
Cognitive Behavioral ◽  
Theory Approach ◽  
Positive Side ◽  
Jean Watson

Harga diri rendah kronik adalah suatu evaluasi diri negatif dimana mereka merasa tidak berarti, malu, dan tidak mampu melihat hal positif yang dimilikinya. Dibutuhkan intervensi keperawatan untuk membantu meningkatkan harga diri klien. Tujuan penulisan ini menggambarkan hasil manajemen kasus spesialis pada klien harga diri rendah kronik dengan pendekatan teori transpersonal caring: Jean Watson. Klien yang diambil dalam penulisan ini sebanyak 31 klien harga diri rendah kronis, dengan 16 klien diberikan terapi kognitif dan 15 klien diberikan terapi perilaku kognitif. Hasil: terjadi penurunan tanda dan gejala harga diri rendah kronis dan peningkatan kemampuan klien dengan harga diri rendah kronis. Kesimpulan: pemberian terapi kognitif dan terapi perilaku kognitif dapat membantu meningkatkan harga diri klien.   Kata kunci: harga diri rendah kronis, terapi kognitif, terapi perilaku kognitif CASE MANAGEMENT IN LOW CHRONIC MANDIRI PRICE CLIENTS WITH CARE THEORY APPROACH   ABSTRACT Chronic low self-esteem is a negative self-evaluation in which they feel meaningless, shame, and unable to evaluate the positive side of them self. Nursing interventions are required for enhancing client`s self-esteem. The purpose of this paperis to describe the results of a specialist case management in client with chronic low self-esteem using the approach of transpersonal caring theory of Jean Watson. Clients were takenfor thispaper were 31 clients with chronic low self-esteem, with 16 clients were intervered by cognitive therapy and 15 clients were given cognitive behavioral therapy. Results:  The signs and symptoms of chronic low self-esteem were decrease and the client’sability was increase with chronic low self-esteem. Conclusion: The intervention of cognitive therapy and cognitive behavioral therapy can help increasing the level of self-esteem on clients.   Key words: chronic low self esteem, cognitive therapy, cognitive behavioral therapy  

Immunoassay or LC-MS/MS for the measurement of salivary cortisol in children?

2016 ◽  
Vol 54 (5) ◽  
Author(s):  
Yoon Ju Bae ◽  
Alexander Gaudl ◽  
Sonia Jaeger ◽  
Stephanie Stadelmann ◽  
Andreas Hiemisch ◽  
...  
Keyword(s):  
Salivary Cortisol ◽  
Social Stress ◽  
Statistical Power ◽  
Stress Test ◽  
Externalizing Disorders ◽  
Cross Reactivity ◽  
Trier Social Stress Test ◽  
Healthy Children ◽  
Kinetic Assay ◽  
The Difference

AbstractBackground:Dysregulation of the adrenal cortex has been assessed with measurement of salivary cortisol. So far salivary cortisol is routinely measured with immunoassay (IA). However, liquid chromatography-tandem mass spectrometry (MS) is known to offer better specificity. We compared the concentrations of salivary cortisol measured by MS and IA at basal and stress induced conditions and evaluated reasons for the difference in method-dependent cortisol results.Methods:Saliva samples (n=2703) were collected from 169 children (age range: 8–14 years; 81 healthy children; 55 with internalizing and 33 with externalizing disorders) under circadian conditions and during the Trier Social Stress Test for Children (TSST-C). Biochemical analyses were performed with MS for cortisol and cortisone, IA (IBL, RE62011) for cortisol, and enzyme kinetic assay for α-amylase.Results:MS and IA showed mostly comparable results for circadian activity and TSST-C response with similar statistical power. However, IA measured cortisol concentrations about 2.39-fold higher than MS. We found that this difference in measured values between MS and IA was mainly due to different standardization of IA compared to MS. In addition, at cortisol IA concentration below 5 nmol/L, cross-reactivity with cortisone was found to contribute to the lower concordance between MS and IA.Conclusions:Immunoassay and LC-MS/MS were largely comparable in the interpretation of salivary cortisol dynamics in stress research. But the IA method revealed a restricted accuracy in the measuring range below 5 nmol/L.

scholarly journals Salivary Proteome Changes in Response to Acute Psychological Stress Due to an Oral Exam Simulation in University Students: Effect of an Olfactory Stimulus

2021 ◽  
Vol 22 (9) ◽  
pp. 4295
Author(s):  
Lorenzo Zallocco ◽  
Laura Giusti ◽  
Maurizio Ronci ◽  
Andrea Mussini ◽  
Marco Trerotola ◽  
...  
Keyword(s):  
University Students ◽  
Psychological Stress ◽  
Social Stress ◽  
Acute Stress ◽  
Stress Test ◽  
Olfactory Stimulus ◽  
Oral Exam ◽  
Relaxation Phase ◽  
Pleasant Odor ◽  
Proteome Changes

The autonomic nervous system (ANS) plays a crucial role both in acute and chronic psychological stress eliciting changes in many local and systemic physiological and biochemical processes. Salivary secretion is also regulated by ANS. In this study, we explored salivary proteome changes produced in thirty-eight University students by a test stress, which simulated an oral exam. Students underwent a relaxation phase followed by the stress test during which an electrocardiogram was recorded. To evaluate the effect of an olfactory stimulus, half of the students were exposed to a pleasant odor diffused in the room throughout the whole session. Saliva samples were collected after the relaxation phase (T0) and the stress test (T1). State anxiety was also evaluated at T0 and T1. Salivary proteins were separated by two-dimensional electrophoresis, and patterns at different times were compared. Spots differentially expressed were trypsin digested and identified by mass spectrometry. Western blot analysis was used to validate proteomic results. Anxiety scores and heart rate changes indicated that the fake exam induced anxiety. Significant changes of α-amylase, polymeric immunoglobulin receptor (PIGR), and immunoglobulin α chain (IGHA) secretion were observed after the stress test was performed in the two conditions. Moreover, the presence of pleasant odor reduced the acute social stress affecting salivary proteome changes. Therefore, saliva proteomic analysis was a useful approach to evaluate the rapid responses associated to an acute stress test also highlighting known biomarkers.

Mechanisms of Change in Cognitive Behavioral Therapy for Body Dysmorphic Disorder

2020 ◽  
Vol 44 (3) ◽  
pp. 596-610
Author(s):  
Angela Fang ◽  
Gail Steketee ◽  
Aparna Keshaviah ◽  
Elizabeth Didie ◽  
Katharine A. Phillips ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Mechanisms Of Change

scholarly journals Childhood Adversities and Salivary Cortisol Responses to the Trier Social Stress Test: A Systematic Review of Studies Using the Children Trauma Questionnaire (CTQ)

2020 ◽  
Vol 18 (1) ◽  
pp. 29
Author(s):  
Chuk Ling Julian Lai ◽  
Daryl Yu Heng Lee ◽  
Monique On Yee Leung
Keyword(s):  
Salivary Cortisol ◽  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Future Research ◽  
Cortisol Response ◽  
Childhood Adversities ◽  
Social Stressors ◽  
Childhood Trauma Questionnaire ◽  
Cortisol Responses

Alteration in cortisol response to acute social stressors has been hypothesized to mediate childhood adversities (CA) and increased morbidity in adulthood. However, the evidence supporting an association between CA and cortisol response to social stressors is inconclusive. The present review addressed this issue by reviewing the literature on CA and cortisol response to acute social stressors, with a focus on studies with adolescents or adults, using the Childhood Trauma Questionnaire (CTQ) to assess CA, and examining salivary cortisol response to the Trier Social Stress Test (TSST). Systematic searches of relevant articles in PsycINFO, PubMed, Web of Science and ScienceDirect in February and March 2020 identified 12 articles including 1196 participants with mean ages ranging from 15.3 to 52.3 yrs. across studies. CTQ scores were significantly associated with cortisol response in 2 studies. In addition, the physical abuse and emotional neglect subscales were associated with cortisol response respectively in 2 separate studies. The lack of association between CA and cortisol response calls for more longitudinal studies, and the use of formal records of maltreatment or informant reports in future research to complement information collected by retrospective measures. In addition, increased attention to biological mechanisms other than that associated with the regulation of cortisol in explaining the connection between CA and psychiatry morbidity is warranted.

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