scholarly journals CONTRIBUIÇÕES DA TERAPIA COGNITIVO-COMPORTAMENTAL NO TRATAMENTO DA DISFUNÇÃO TEMPOROMANDIBULAR (DTM)

polemica ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hellorainy Rangel Rodrigues Souza ◽  
Ana Lúcia Novais Carvalho
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cognitive Therapy ◽  
Temporomandibular Disorders ◽  
Behavioral Interventions ◽  
Relaxation Training ◽  
Behavioral Therapy ◽  
Temporomandibular Disorder ◽  
Multidisciplinary Treatment ◽  
Masticatory Muscles ◽  
Cognitive Behavioral

Resumo: A Disfunção Temporomandibular (DTM) é um distúrbio que afeta as articulações temporomandibulares e os músculos mastigatórios, entre outras estruturas da face. Os sintomas podem gerar dores nessas articulações e músculos, bem como dores na cabeça, orelha, ruídos nas articulações, zumbidos, dores no ouvido, limitação na abertura da boca, entre outros. Sua etiologia é multifatorial. Entre os fatores que podem influenciar a DTM encontram-se os psicológicos. Assim, este estudo teve como objetivo identificar as principais estratégias da terapia cognitivo-comportamental (TCC) utilizadas para o tratamento de indivíduos diagnosticados com DTM. Por método, adotou-se a revisão da literatura. Os bancos de dados utilizados foram PePSIC, SCIELO, PubMed e BVS, em inglês e português. Os descritores utilizados em todos os bancos foram: DTM e terapia cognitiva-comportamental; Disfunção temporomandibular e terapia-cognitiva comportamental, Disfunção temporomandibular e terapia-cognitiva, TMD and cognitive behavioral therapy; Temporomandibular disorder and cognitive behavioral therapy, Temporomandibular disorder and cognitive therapy. Os filtros utilizados para inclusão dos estudos foram artigos sobre intervenções em TCC, em português e/ou inglês e com datas de publicação dos últimos três anos. Seis artigos foram analisados, após a passagem dos filtros. Os resultados apontam que as principais estratégias de TCC utilizadas no tratamento da DTM são a restruturação cognitiva, a autogestão, a psicoeducação e o relaxamento. Sugerem, também, que a TCC pode trazer contribuições positivas para os casos de DTM, porém a amostra deste estudo foi pequena. Os artigos analisados apontam que o tratamento multidisciplinar deve incluir intervenções cognitivas e comportamentais. Sendo assim, fica evidenciada a necessidade de realização de mais pesquisas com o objetivo de verificar os efeitos da TCC em pacientes com DTM, principalmente, estudos com ensaios clínicos.Palavras-chave: Terapia cognitiva-comportamental. Disfunção temporomandibular. DTM. Estresse. Ansiedade. Abstract: Temporomandibular Disorder (TMD) is a disorder that affects the temporomandibular joints and masticatory muscles, among other facial structures. Symptoms can generate pain in these joints and muscles, as well as pain in the head, ear, noise in the joints, tinnitus, ear pain, limitation in opening the mouth, among others. Its etiology has multifactorial causes. Among the factors that can influence TMD are psychological. Objective: This study aimed to identify cognitive behavioral therapy (CBT) strategies used to treat individuals diagnosed with TMD. Method: Literature review. The databases used were PePSIC, SCIELO, PubMed and BVS, in English and Portuguese. The descriptors used in databases were: TMD and cognitive-behavioral therapy; Temporomandibular disorders and cognitive behavioral therapy, Temporomandibular disorders and cognitive therapy, TMD and cognitive behavioral therapy; Temporomandibular disorder and cognitive behavioral therapy, Temporomandibular disorder and cognitive therapy. The filters used to include the studies were: articles on CBT interventions, articles in Portuguese and/or English and with publication dates in the last three years. Results: Six articles were analyzed, after passing the filters. Discussion: The results show that the main CBT guidelines used in the treatment of TMD are: cognitive restructuring, self-management, psychoeducation and relaxation training. They also suggest that a CBT can bring positive contributions to TMD cases, but the sample in this study was small. The articles point out that multidisciplinary treatment must include cognitive and behavioral interventions. Thus, the need for further research to verify the effects of CBT in patients with TMD is evidenced, especially, studies with clinical trials.Keywords: Cognitive behavioral therapy. Temporomandibular disorder. TMD. Stress. Anxiety.

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  

MINDFULNESS AND OBSESSIVE-COMPULSIVE DISORDER: A BRIEF OVERVIEW

2021 ◽  
Vol 12 (1) ◽  
pp. 58-65
Author(s):  
T. Danylova ◽  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cognitive Therapy ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Therapeutic Tools ◽  
The Mind ◽  
Level Of Living

Mindfulness is non-judgmental awareness that arises as a result of conscious focus on the current moment. It may be seen as one of the useful therapeutic tools that helps to alleviate symptoms of OCD. In recent decades, there has been a growing interest in studying the concept of mindfulness as a psychological construct and as a form of psychotherapeutic intervention for the prevention and treatment of mental disorders. The purpose of mindfulness-based cognitive therapy (MBCT) like cognitive behavioral therapy (CBT) is to assist patients in developing awareness of their thoughts and reactions. MBCT teaches that the best way to spot these triggers and overcome stress and anxiety is to be aware of and accept the current moment. Instead of trying too hard to realize negative thoughts, fears, and anxieties, MBCT teaches to accept any thought in a non-judgmental way and allow it to disappear as easily as to appear. Mindfulness is a proven skill of awareness and a way of responding in a non-judgmental manner to unwanted thoughts, feelings, and urges. Clearing the mind, mindfulness helps to kill off habitual connections between neurons and develop new ones, to reduce the level of obsessive thoughts and stereotypes, to overcome automatic thinking and eradicate existing patterns of behavior that ultimately leads to a qualitatively new level of living and development of human abilities and talents. Complementing cognitive behavioral therapy (CBT), the gold standard for the treatment of obsessive-compulsive disorder (OCD), mindfulness-based cognitive therapy (MBCT) enhances and improves the therapeutic effect and opens new horizons for further research. The paper aims to analyze the place and role of mindfulness in the treatment of obsessive-compulsive disorders.

Cognitive-behavioral therapy group in patients with temporomandibular disorders

2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Patrícia Soares Baltazar Bodoni ◽  
Mayara dos Santos Baldin ◽  
Amanda Baltazar de Almeida ◽  
Angela de Souza Marques ◽  
Anderson André Francisco ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Temporomandibular Disorders ◽  
Behavioral Therapy ◽  
Therapy Group ◽  
Cognitive Behavioral

Five-year outcome of cognitive behavioral therapy and exposure with response prevention for bulimia nervosa

2010 ◽  
Vol 41 (5) ◽  
pp. 1061-1071 ◽  
Author(s):  
V. V. W. McIntosh ◽  
F. A. Carter ◽  
C. M. Bulik ◽  
C. M. A. Frampton ◽  
P. R. Joyce
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Bulimia Nervosa ◽  
Relaxation Training ◽  
Behavioral Therapy ◽  
Response Prevention ◽  
Cognitive Behavioral ◽  
Term Outcome ◽  
Definition Of

BackgroundFew data exist examining the longer-term outcome of bulimia nervosa (BN) following treatment with cognitive behavioral therapy (CBT) and exposure with response prevention (ERP).MethodOne hundred and thirty-five women with purging BN received eight sessions of individual CBT and were then randomly assigned to either relaxation training (RELAX) or one of two ERP treatments, pre-binge (B-ERP) or pre-purge cues (P-ERP). Participants were assessed yearly following treatment and follow-up data were recorded.ResultsEighty-one per cent of the total sample attended long-term follow-up. At 5 years, abstinence rates from binging were significantly higher for the two exposure treatments (43% and 54%) than for relaxation (27%), with no difference between the two forms of exposure. Over 5 years, the frequency of purging was lower for the exposure treatments than for relaxation training. Rates of recovery varied according to definition of recovery. Recovery continued to increase to 5 years. At 5 years, 83% no longer met DSM-III-R criteria for BN, 65% received no eating disorder diagnosis, but only 36% had been abstinent from bulimic behaviors for the past year.ConclusionsThis study provides possible evidence of a conditioned inoculation from exposure treatment compared with relaxation training in long-term abstinence from binge eating at 5 years, and the frequency of purging over 5 years, but not for other features of BN. Differences among the groups were not found prior to 5 years. CBT is effective for BN, yet a substantial group remains unwell in the long term. Definition of recovery impacts markedly on recovery rates.

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