scholarly journals Maria and Andrea: Comparing Positive and Negative Outcome Cases in an Online, Clinician-Guided, Self-Help Intervention for Panic Disorder

2017 ◽  
Vol 13 (3) ◽  
pp. 173 ◽  
Author(s):  
Amalia M. Ciuca ◽  
Thomas Berger ◽  
Mircea Miclea
Keyword(s):  
Panic Disorder ◽  
Behavioral Treatment ◽  
Service Use ◽  
Psychological Treatment ◽  
Cognitive Behavioral Treatment ◽  
Client Characteristics ◽  
Care Needs ◽  
Individual Client ◽  
The Individual ◽  
Negative Outcome

<p>Hundreds of clinical trials offer strong efficacy evidence that Internet-Based Cognitive-Behavioral Treatment (ICBT) interventions can contribute substantially to reducing the gap between mental health care needs and service use by providing better access to quality treatments. However, in order to use these interventions more efficiently, we need to find the best ways to tailor the interventions according to individual client characteristics, such as severity of symptoms, comorbidity problems, personality traits, life context, and position on the stage-of-change continuum. In line with this, this article documents how the individual process of psychological treatment unfolds during a specific IBCT program for Panic Disorder, called "PAXonline," with therapist guidance via Skype. The challenges and progress made by the two clients—a positive-outcome client named "Maria," and a negative-outcome client named "Andrea"—are presented using the particular mixed-methods model approach proposed by Fishman (2008; 2017), called the "Individual–Case-Comparison" (ICC) method. Contrasting Maria and Andrea’s case studies explores the role that individual client characteristics can play in determining outcome in ICBT treatment.   </p>

scholarly journals Efficacy of exposure in group settings for youth with posttraumatic stress symptoms

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Elisa Pfeiffer
Keyword(s):  
Stress Level ◽  
Group Intervention ◽  
Behavioral Treatment ◽  
Traumatic Experiences ◽  
Cognitive Behavioral Treatment ◽  
Group Settings ◽  
Stress Symptoms ◽  
Group Sessions ◽  
Exposure Sessions ◽  
The Individual

Abstract Background Exposure to traumatic experiences is a fundamental part of evidence-based trauma-focused cognitive behavioral treatment (CBT) but in group settings it is discussed controversially among researchers and practitioners. This study aims to examine the individual participants’ stress level during group sessions with exposure and disclosure of traumatic events. Method N = 47 traumatized youth (Mage = 17.00, 94% male) participated in a group intervention comprising six 90-min group sessions (exposure in sessions 2–5). It is based on trauma-focused CBT principles. The individual stress level was assessed by the participants and group facilitators at the beginning, during, and at the end of every session. Results During the sessions including exposure, the stress level of the participants was higher than during sessions without exposure (Z = − 3.79; p ≤ .001). During the exposure sessions, the participants showed significant changes in stress level (d = 0.34–0.87) following an inverse U-shaped trend. Conclusion The results show that exposure is feasible within the scope of a trauma-focused group intervention for youth. The further dissemination of trauma-focused group treatments is an important component in the mental health care of children and youth who are traumatized.

Group cognitive-behavioral treatment of panic disorder

1993 ◽  
Vol 31 (3) ◽  
pp. 279-287 ◽  
Author(s):  
Michael J. Telch ◽  
John A. Lucas ◽  
Norman B. Schmidt ◽  
Henry H. Hanna ◽  
T.LaNae Jaimez ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment

Efficacy of Two Cognitive-Behavioral Treatment Modalities for Panic Disorder With Nocturnal Panic Attacks

2013 ◽  
Vol 37 (5) ◽  
pp. 680-704 ◽  
Author(s):  
Lyne Marchand ◽  
André Marchand ◽  
Pierre Landry ◽  
Andrée Letarte ◽  
Joane Labrecque
Keyword(s):  
Panic Disorder ◽  
Behavioral Treatment ◽  
Panic Attacks ◽  
Cognitive Behavioral ◽  
Treatment Modalities ◽  
Cognitive Behavioral Treatment

scholarly journals Becoming Job-Ready? Narratives of Local Welfare-to-Work Programs and Client Experiences Across Differing Economic Contexts in California

2021 ◽  
pp. 104438942110484
Author(s):  
Lucia M. Lanfranconi ◽  
Aditi Das ◽  
Joy Subaran ◽  
Patricia Malagon
Keyword(s):  
Individual Responsibility ◽  
Comparative Case Study ◽  
Welfare To Work ◽  
Client Characteristics ◽  
Client Experiences ◽  
Economic Context ◽  
Individual Client ◽  
Organizational Narratives ◽  
The Individual

Previous research on welfare-to-work exits has focused on individual client characteristics rather than local economic contexts. Drawing on a qualitative comparative case study design, this study enhances our understanding on how welfare-to-work organizational narratives and client experiences of becoming job-ready are shaped across two different economic contexts. In the disadvantaged economic context, a punitive welfare-to-work narrative is operational resulting in clients accepting precarious work. In the more privileged economic context, the individual responsibility narrative dominates as clients struggle to make ends meet. Our findings highlight how regional economic factors shape organizational narratives and impel clients to accept precarious low wage working conditions and unstable housing. Thus, there is a need for alternatives to welfare-to-work, such as unconditional, Universal Basic Income.

scholarly journals Efficacy of Exposure in Group Settings for Youth With Posttraumatic Stress Symptoms

2021 ◽  
Author(s):  
Elisa Pfeiffer
Keyword(s):  
Stress Level ◽  
Group Intervention ◽  
Behavioral Treatment ◽  
Traumatic Experiences ◽  
Cognitive Behavioral Treatment ◽  
Group Settings ◽  
Traumatized Children ◽  
Group Sessions ◽  
Exposure Sessions ◽  
The Individual

Abstract Background: Exposure to traumatic experiences is a fundamental part of evidence-based trauma-focused cognitive behavioral treatment (CBT) but in group settings it is discussed controversially among researchers and practitioners. This study aims to examine the individual participants’ stress level during group sessions with exposure and disclosure of traumatic events.Method: N = 47 traumatized youth (Mage = 17.00, 94% male) participated in a group intervention comprising six 90-minute group sessions (exposure in sessions 2-5). It is based on trauma-focused CBT principles. The individual stress level was assessed by the participants and group facilitators at the beginning, during, and at the end of every session. Results: During the sessions including exposure, the stress level of the participants was higher than during sessions without exposure (Z = -3.79; p ≤ .001). During the exposure sessions, the participants showed significant changes in stress level (d = 0.34 - 0.87) following an inverse U-shaped trend.Conclusion: The results show that exposure is feasible within the scope of a trauma-focused group intervention for youth. The further dissemination of trauma-focused group treatments is an important component in the mental health care of traumatized children and youth.

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