scholarly journals Innovative moments on online Cognitive Behavioral Therapy for alcohol dependence: a case study

2021 ◽  
Vol 39 (2) ◽  
pp. 171-183
Author(s):  
Maira Leon Ferreira ◽  
Mariana Carret Soares ◽  
Nathálya Soares Ribeiro ◽  
Andressa Bianchi Gumier ◽  
Inês Sousa ◽  
...  

Online Cognitive Behavioural Therapy (CBT) is a promising intervention for reducing alcohol consumption among the population. However, due to the lack of studies in the area, the present study aims to evaluate the effects of the therapeutic process of online CBT for alcohol addicts in a Brazilian sample. Thirty-six recordings of six male participants diagnosed with alcohol dependence, who sought treatment to cease or reduce the substance’s consumption, were analysed using the Innovative Moments Coding System (IMCS). The IMCS is a method that analyses changes occurred during the therapeutic process. The results suggested: (1) an increase in the number of Innovative Moments (IMs) from the beginning to the end of the sessions in all analysed cases, and (2) a correlation between a decrease in the doses of alcohol consumption at the end of the sessions and the increase of IMs. The present study successfully applies for the first time the IMCS in alcohol dependence and proved to be an adequate method to evaluate the online therapy process for this sample. However, it is necessary to conduct further research to confirm the IMCS’s effectiveness for alcohol dependence

2020 ◽  
Author(s):  
Hassan Majeed ◽  
Charles Stanfa ◽  
Donna Sudak

Cognitive-behavioral therapy (CBT) is an empirically supported psychotherapy shown to be effective and durable for the treatment of a variety of psychiatric illnesses. It is problem focused and conceptually driven. Cognitive restructuring, behavioral activation, exposure, and developing good action plans for out-of-session practice are tools that benefit patients for a lifetime. The purpose of this review is to provide an overview of the literature that supports the use of CBT, introduce the key elements of the therapeutic approach, and illustrate them with case examples. The structure of the session and the CBT approach to the therapeutic alliance are highlighted in the text.  This review contains 23 tables, and 59 references. Key words: Cognitive-behavioral therapy, cognitive restructuring, collaboration, behavioral activation, exposure


2019 ◽  
Vol 119 (06) ◽  
pp. 962-970 ◽  
Author(s):  
Magdalena Johansson ◽  
Lars Johansson ◽  
Maria Wennberg ◽  
Marcus Lind

Background The relationship between alcohol intake and risk of venous thromboembolism (VTE) is unclear. Men and women differ in their drinking habits, which may affect a possible association. Objective This article investigates the association between alcohol consumption, alcohol dependence and VTE in the total population as well as in men and women separately. Methods We performed a prospective, population-based cohort study in northern Sweden. Study participants were 108,025 (51% women) persons aged 30 to 60 years who underwent a health examination between 1985 and 2014. We assessed alcohol consumption and defined alcohol dependence using a questionnaire. The outcome was a validated first-time VTE. Results The mean follow-up time was 13.9 years, and 2,054 participants had a first-time VTE. The mean alcohol consumption was 3.5 standard drinks weekly in men and 1.5 in women. Alcohol dependence was found in 10% of men and 3% of women. There was an association between alcohol consumption (hazard ratio [HR], 1.02; 95% confidence interval [CI], 1.00–1.03 per standard drink weekly) as well as alcohol dependence (HR, 1.27; 95% CI, 1.06–1.52) and VTE after adjustments. In men, the risk of VTE increased over quartiles of weekly alcohol consumption (p for trend 0.02), with a HR of 1.22 (95% CI, 1.01–1.47) for the highest quartile. Alcohol dependence was associated with VTE in men (HR, 1.30; 95% CI, 1.07–1.59). In women, there were no significant associations. Conclusion High alcohol consumption and alcohol dependence were associated with increased risk of first-time VTE in men, but not in women.


2017 ◽  
Vol 41 (S1) ◽  
pp. S643-S644
Author(s):  
J. Vyskocilova ◽  
J. Prasko ◽  
J. Sipek ◽  
M. Slepecky

BackgroundThe objective of investigation was to determine whether patients with obsessive-compulsive disorder (OCD) resistant to drug therapy may improve their condition using intensive, systematic cognitive behavioural therapy (CBT) lasting six weeks and whether it is possible to predict treatment outcome using clinical and selected psychological characteristics.MethodFrom 66 OCD patients fifty-seven completed program. The diagnosis was confirmed using the structured mini international neuropsychiatric Interview. Patients were rated using the objective and subjective forms of the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), objective and subjective forms of the Clinical Global Impression (CGI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), dissociative experiences scale, 20-item Somatoform dissociation questionnaire and sheehan disability scale before treatment, and with subjective Y-BOCS, objective and subjective CGI, BAI and BDI at the end of treatment. Patients were treated with antidepressants and daily intensive group CBT for six weeks.ResultsDuring 6-week intensive CBT program in combination with pharmacotherapy, there was significant improvement in patients suffering from OCD resistant to drug treatment. There were statistically significantly decreased scores of scales assessing severity of OCD symptoms, anxiety, and depressive feelings. A lower treatment effect was achieved specifically in patients who (a) showed fewer OCD themes in symptomatology, (b) showed higher level of somatoform dissociation, (c) had poor insight and (d) had a higher initial level of overall severity of the disorder. Remission of the disorder was more likely in patients who (a) had good insight, (b) had a lower initial level of anxiety and (c) had no comorbid depressive disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2015 ◽  
Vol 23 (2) ◽  
pp. 93-115 ◽  
Author(s):  
A.I. Melehin ◽  
Yu.V. Veselkova

Over the past few years, cognitive-behavioral therapy, aimed at forecasting and min¬imizing recidivism, was the most effective treatment for substance dependence (opiate addiction, cocainism, kannabizm and polydrug use). This article describes the psychotherapeutic treatment protocols polinarkozavisimosti. Given the short-term integrative principles of cognitive-behavioral therapy, along with motivational thera¬py, psychoeducation and systemic family therapy. Presents the steps of motivational interviewing, functional analysis of problem behavior, social skills training and tech¬niques to overcome the negative stress based on the principle of awareness. Particular attention in this article on the prevention of recurrence in patients with polydrug use.


2020 ◽  
Vol 45 (3) ◽  
pp. 145-152
Author(s):  
Davíð R. M. A. Højgaard ◽  
Gudmundur Skarphedinsson

Abstract Hoarding disorder (HD) is characterised by difficulties in discharging or parting with possessions irrespective of their actual value, urges to save and acquire new items and excessive clutter in living areas. There is an urgent need to advance the understanding of HD in child and adolescent populations. The aim of this paper is to cover the assessment, treatment strategies and tools currently available. In general, data on assessment of paediatric HD are scant. Only one psychometrically sound scale, the Child Savings Inventory, which is a parent-rated scale used to assess the severity of hoarding symptoms, was found. However, this scale is not sufficient to produce a diagnosis of HD. Regarding treatment, there was only a limited number of case studies suggesting the effectiveness of cognitive behavioural therapy that includes exposure to discarding and not collecting new items, using contingency management for exposure and oppositional behaviour, cognitive training and instructing parents to assist with home-based exposures. In conclusion, there is an urgent need for properly validated Diagnostic and Statistical Manual of Mental Disorders assessment tools, and we encourage practitioners and researchers to develop and test a Cognitive behavioral therapy (CBT) protocol for paediatric HD based on the aforementioned components.


Author(s):  
Luís Carriço ◽  
Sá Marco de

Cognitive behavioural therapy (CBT) is a widespread method used to deal with an assorted variety of psychological disorders. Associated procedures and techniques are strongly dependent and limited by the use of traditional paper-based artefacts (e.g., questionnaires, thought registries) which pose issues and difficulties for both patients and therapists. As technology is introduced within this process, a large set of opportunities emerges to enhance therapy for all the actors. This chapter presents a comprehensive framework that targets these issues and takes these opportunities by defining new paths that support individual (on the two active therapy roles) and cooperative endeavours spanning through the course of the various activities that therapy requires. The authors detail the tools that compose the framework, illustrating their functionalities and features with a variety of scenarios that validate its significant contribution to the overall therapeutic process.


2021 ◽  
Vol 21 (1) ◽  
pp. 97-112
Author(s):  
Kholoud I. AL-MSEIDIN ◽  
Mohammad A. AL-ZU'BI

"This study aimed to investigate the effectiveness of cognitive behavioural therapy (CBT) as a counselling program intervention for Academic adjustment. In the experimental investigation, data was collected from a total of 68 low-achieving female students from one school in Amman city. The students in the experimental group were observed to complement their regular counselling for academic adjustment with CBT. The researchers used Academic adjustment scale (AAS) at pre- and post-tests. The duration of the study was 16 weeks of two sessions weekly, in which pre- and post-tests were included. ANCOVA was used to explore the findings of the current study. The findings demonstrated that low-achieving female students in the experimental group showed better academic adjustment than female students in the control group. The results have significance for reform the counselling educational policies in the Jordanian Ministry of education based on the importance of CBT-Intervention in educational counselling. Additionally, the study suggested relevant recommendations for future research."


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