scholarly journals Preventing depression and promoting resilience: feasibility study of a school-based cognitive-behavioural intervention

2013 ◽  
Vol 202 (s54) ◽  
pp. s18-s23 ◽  
Author(s):  
Paul Stallard ◽  
Rhiannon Buck
Keyword(s):  
Adolescent Depression ◽  
Behavioural Intervention ◽  
Specific Content ◽  
Depression Prevention ◽  
School Based ◽  
Cognitive Behavioural ◽  
Control Programmes ◽  
Prevention Programmes ◽  
Cognitive Behavioural Intervention ◽  
Alternative Approaches

BackgroundThe limited reach and effectiveness of psychological treatments for adolescent depression have fuelled interest in alternative approaches designed to promote resilience. Schools offer a convenient location for the widespread delivery of depression prevention programmes, although little research has evaluated the feasibility of delivering interventions in this setting.AimsTo investigate the feasibility of delivering and evaluating a universal school-based depression prevention programme for children aged 12-16 years.MethodA three-arm pilot study was conducted in one UK secondary SChOOl (n = 834).ResultsInterventions had good reach (96%), with high rates of consent (89%) and reasonable retention (78%). The majority of intervention sessions were delivered as intended, with 85% of students attending seven or more sessions. The programme was acceptable to students and teachers, with the specific content of the active intervention being rated differently from the control programmes.ConclusionsDelivering and undertaking methodologically robust evaluations of universal school-based depression programmes is feasible.

Pain Management in Rheumatoid Arthritis: A Cognitive-Behavioural Intervention

1993 ◽  
Vol 23 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Sean Germond ◽  
Hein Helgo Schomer ◽  
Orlando Llewellyn Meyers ◽  
Lindsay Weight
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Studies ◽  
Psychological Adjustment ◽  
Psychological Health ◽  
Treatment Effects ◽  
Disease Status ◽  
Complex Nature ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention

Psychological adjustment is thought to play an important role in determining pain experience, disease status, and immune function in rheumatoid arthritis (RA). Fourteen female RA out-patients were tested longitudinally in a matched-random assigned two-groups design with cognitive-behavioural intervention designed to improve pain and stress management skills. Pre-intervention correlational analyses tested the extent to which mood disturbance, self-perceptions of coping efficacy, health locus of control, and stressful life experience were related to pain, disease activity, functional status and lymphocyte proliferation rate variables. Intra- and inter-group analyses were conducted to determine treatment effects, and case studies were conducted. RA was characterized more by poor psychological health status than physical disability, with pain more a function of psychological adjustment than actual disease status. No significant treatment effects were observed. Case studies indicated the complex nature of the individual disease experience. The value of cognitive-behavioural intervention in RA, and implications for future-related research are discussed in terms of such findings.

scholarly journals An integrated motivational interviewing and cognitive-behavioural intervention promoting physical activity maintenance for adults with chronic health conditions: A feasibility study

2018 ◽  
Vol 15 (4) ◽  
pp. 276-292
Author(s):  
Sarah E Scott ◽  
Jeff D Breckon ◽  
Robert J Copeland
Keyword(s):  
Physical Activity ◽  
Motivational Interviewing ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Behavioural Intervention ◽  
Chronic Health ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Physical Activity Maintenance

Objectives Physical activity is recommended for managing chronic health conditions but is rarely maintained. This feasibility study aimed to evaluate the preliminary efficacy of a motivational interviewing and cognitive-behavioural intervention for long-term physical activity for adults with chronic health conditions. Methods Participants ( N = 37) with stable conditions (e.g. diabetes) were randomized into a three-month motivational interviewing and cognitive-behavioural group ( N = 20) or usual care ( N = 17) after completing a physical activity referral scheme. Participants completed physical activity (e.g. average steps per day and kilocalorie expenditure), psychological (e.g. self-efficacy) and epidemiological (e.g. body mass index) standardized measures at baseline, three- and six-month follow-up. Treatment fidelity and feasibility were assessed. Results Thirty-five participants completed the study (96% retention). The motivational interviewing and cognitive-behavioural group maintained kilocalorie expenditure at three ( p = 0.009) and six months ( p = 0.009). Exercise barrier self-efficacy ( p = 0.03), physical ( p = 0.02) and psychological ( p = 0.01) physical activity experiences were increased at three months only. No difference was found for average steps/day, social support, coping skills and epidemiological factors. Discussion This is the first study to demonstrate the feasibility and preliminary efficacy of motivational interviewing and cognitive-behavioural interventions for promoting physical activity maintenance in a clinical population. A large-scale trial with a longer follow-up (≥6 months) is warranted with treatment fidelity assessment.

Effects of a cognitive-behavioural intervention for women with rheumatoid arthritis

1998 ◽  
Vol 2 (4) ◽  
pp. 232-233
Author(s):  
V.G. Sinclair ◽  
K.A. Wallston ◽  
K.A. Dwyer ◽  
D.S. Blackburn ◽  
H Fuchs
Keyword(s):  
Rheumatoid Arthritis ◽  
Behavioural Intervention ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention
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