Application of cognitive-behavioral psychotherapy in the treatment of restless legs syndrome

The paper demonstrates that the basis of treatment of the restless legs syndrome (RLS) is combination therapy, which includes medication and non-pharmacological approaches. The limitations of the medication approach are presented. For the first time, the following directive non-drug approaches used in the treatment of RLS with evidence-based effectiveness are systematized: body-mind approach, behavioral and cognitive-behavioral second- and third-wave psychotherapy, and rational-emotive-behavioral therapy.

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The effectiveness of short-term cognitive behavioral therapy in the complex treatment of idiopathic restless legs syndrome with chronic insomnia

Neurology Bulletin ◽

10.17816/nb65268 ◽

2021 ◽

Vol LIII (2) ◽

pp. 46-56

Author(s):

Aleksey I. Melekhin

Keyword(s):

Restless Legs Syndrome ◽

Behavioral Therapy ◽

Well Being ◽

Sleep Hygiene ◽

Cognitive Behavioral ◽

Chronic Insomnia ◽

Short Term ◽

Restless Legs ◽

Mental Well Being

Aim. To investigate the effectiveness of the short-term protocol of cognitive behavioral therapy RELEGS M. Hornyak et al. in complex treatment to improve the quality of sleep, reduce the symptoms of depression, anxiety, suicidal thoughts in patients with primary SBN comorbid with chronic insomnia. Methods. Study participants: 68 patients with primary restless legs syndrome with comorbid chronic insomnia. Women 56 (average age 52.110.3 years), men 12 (average age 50.39.4 years). The severity of restless legs syndrome is moderate to severe. The average age of the onset of the disease is 1848 years, the duration of the course of the disease is on average 1415 years. Taking various medications for the management of SBN for an average of 45 years. Study design: a randomized controlled trial, after screening 26 patients were assigned to the main group, underwent combined treatment, took a prolonged form of Pramipexole (Mirapex-PD, 1.5 mg.) and underwent the RELEGS CBT protocol (Restless Legs Skills program, Hornyak, Grossmann, 2018), which integrates the cognitive behavioral insomnia protocol (Morin, 2007) and Mindfulness-Based Stress therapy (Mindfulness-Based Stress Reduction, Bablas, 2016). The control group consisted of 24 people who received only general recommendations on sleep hygiene once. Both groups were treated with dopaminergic agonists under the supervision of a neurologist. Research methods: IRLS, ISI, DBAS-16, sleep diary analysis, actigraphy, BDI, SBQ-R, BAI. Results. The use of the CBT protocol in combination therapy with prolonged-acting dopaminergic agonists in patients with primary restless leg syndrome (mild and moderate severity) with comorbid chronic insomnia, in contrast to simple one-time general recommendations on sleep hygiene, is more effective for reducing dysfunctional behaviors, the spectrum of reinsurance and avoidance behavior both in relation to sleep and symptoms of restless legs. In patients with primary restless legs syndrome who underwent CBT, greater mental well-being was observed, which was expressed in a decrease in the severity of symptoms of insomnia, anxiety, and suicidal behavior after completion and persisted after 3 months of follow-up. Conclusion. As part of a personalized comprehensive approach, along with a drug-based approach and general recommendations for sleep hygiene, the use of short-term CBT (4 sessions, 60 minutes each) can significantly improve mental well-being, improve the quality of sleep of patients with restless legs syndrome with comorbid chronic insomnia.

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Cognitive behavioral therapy for insomnia in restless legs syndrome patients

Sleep Medicine ◽

10.1016/j.sleep.2020.07.011 ◽

2020 ◽

Vol 74 ◽

pp. 227-234

Author(s):

Mei Ling Song ◽

Kyung Min Park ◽

Gholam K. Motamedi ◽

Yong Won Cho

Keyword(s):

Cognitive Behavioral Therapy ◽

Restless Legs Syndrome ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Restless Legs

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Mengenal Sifat “Impostor” Melalui Teori Rational Emotive Behavioral Therapy (REBT)

10.31234/osf.io/as632 ◽

2021 ◽

Author(s):

Anita krisna ◽

Maria Putri Agung Prameswari ◽

Theresia Tri Kinasih Lestari ◽

Grace.id ◽

Marsya Prameswari

Keyword(s):

Behavioral Therapy ◽

Albert Ellis ◽

Rational Emotive Behavioral Therapy ◽

Rational Emotive

Abstrak. Pikiran irrasional merupakan hal yang pernah dialami oleh setiap manusia, tidak terkecuali pada mahasiswa. Albert Ellis mengatakan bahwa pikiran irasional berperan untuk merugikan orang lain. berawal dari pikiran irasional yang menjadikan seseorang dipengaruhi oleh impostor, dimana ketika impostor semakin menurun maka menurun pola pikiran irrasional yang dialami. Penelitian ini akan menguji impostor sebagai mediator hubungan antara sifat impostor yang kami kaitkan dengan salah satu teknik konseling yaitu REBT. Tahapan sebelum memberikan survey, penulis melakukan webinar yang bertema “Siapa impostor di hidup kita?”. Setelah melakukan webinar, penulis menyebarkan link survey kepada mahasiswa aktif 2017 - 2020 mengenai sifat impostor. Melalui hasil survey link yang diberikan, mendapat data bahwa sikap Impostor mempengaruhi perilaku manusia. Responden beranggapan bahwa mereka mengenali impostor yang ada dalam diri maupun orang yang ada di sekitar mereka.

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Brief Psychotherapy for Depression: A Systematic Review and Meta-Analysis

The International Journal of Psychiatry in Medicine ◽

10.2190/pm.43.2.c ◽

2012 ◽

Vol 43 (2) ◽

pp. 129-151 ◽

Cited By ~ 49

Author(s):

Jason A. Nieuwsma ◽

Ranak B. Trivedi ◽

Jennifer McDuffie ◽

Ian Kronish ◽

Dinesh Benjamin ◽

...

Keyword(s):

Systematic Review ◽

Problem Solving ◽

Cognitive Behavioral Therapy ◽

Systematic Reviews ◽

Behavioral Therapy ◽

Meta Analysis ◽

Cognitive Behavioral ◽

Evidence Based ◽

Brief Psychotherapy ◽

Problem Solving Therapy

Objective: Because evidence-based psychotherapies of 12 to 20 sessions can be perceived as too lengthy and time intensive for the treatment of depression in primary care, a number of studies have examined abbreviated psychotherapy protocols. The purpose of this study was to conduct a systematic review and meta-analysis to determine the efficacy of brief psychotherapy (i.e., < 8 sessions) for depression. Methods: We used combined literature searches in PubMed, EMBASE, PsycINFO, and an Internet-accessible database of clinical trials of psychotherapy to conduct two systematic searches: one for existing systematic reviews and another for randomized controlled trials (RCTs). Included studies examined evidence-based psychotherapy(s) of eight or fewer sessions, focused on adults with depression, contained an acceptable control condition, were published in English, and used validated measures of depressive symptoms. Results: We retained 2 systematic reviews and 15 RCTs evaluating cognitive behavioral therapy, problem-solving therapy, and mindfulness-based cognitive therapy. The systematic reviews found brief psychotherapies to be more efficacious than control, with effect sizes ranging from −0.33 to −0.25. Our meta-analysis found six to eight sessions of cognitive behavioral therapy to be more efficacious than control (ES −0.42, 95% CI −0.74 to −0.10, I2 = 56%). A sensitivity analysis controlled for statistical heterogeneity but showed smaller treatment effects (ES −0.24, 95% CI −0.42 to −0.06, I2 = 0%). Conclusions: Depression can be efficaciously treated with six to eight sessions of psychotherapy, particularly cognitive behavioral therapy and problem-solving therapy. Access to non-pharmacologic treatments for depression could be improved by training healthcare providers to deliver brief psychotherapies.

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Evidence Based Intervention: Trauma-Focused Cognitive Behavioral Therapy for Children and Families

Parenting and Family Processes in Child Maltreatment and Intervention - Child Maltreatment Solutions Network ◽

10.1007/978-3-319-40920-7_6 ◽

2016 ◽

pp. 91-105 ◽

Cited By ~ 2

Author(s):

Judith A. Cohen ◽

Anthony P. Mannarino

Keyword(s):

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Evidence Based ◽

Children And Families

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The Effect of REBT(Rational Emotive Behavioral Therapy) on Psychological Factors of High School Golf Players

Journal of Sport and Leisure Studies ◽

10.51979/kssls.2003.05.19.1093 ◽

2003 ◽

Vol 19 ◽

pp. 1093-1111

Author(s):

Yeong Pyo Kim

Keyword(s):

High School ◽

Psychological Factors ◽

Behavioral Therapy ◽

Rational Emotive Behavioral Therapy ◽

Rational Emotive

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Healing Interpersonal and Racial Trauma: Integrating Racial Socialization Into Trauma-Focused Cognitive Behavioral Therapy for African American Youth

Child Maltreatment ◽

10.1177/1077559520921457 ◽

2020 ◽

pp. 107755952092145 ◽

Cited By ~ 2

Author(s):

Isha W. Metzger ◽

Riana Elyse Anderson ◽

Funlola Are ◽

Tiarney Ritchwood

Keyword(s):

African American ◽

Cognitive Behavioral Therapy ◽

Racial Socialization ◽

Behavioral Therapy ◽

African American Youth ◽

Cognitive Behavioral ◽

Trauma Treatment ◽

Evidence Based ◽

Socialization Theory ◽

Racial Trauma

African American youth are more likely than their peers from other racial and ethnic groups to experience interpersonal traumas and traumatic racist and discriminatory encounters. Unfortunately, evidence-based trauma treatments have been less effective among these youth likely due to these treatments not being culturally tailored to address both interpersonal and racial trauma. In this article, we utilize the racial encounter coping appraisal and socialization theory to propose suggestions for adapting trauma-focused cognitive behavioral therapy—an evidence-based trauma treatment for children and adolescents—to include racial socialization or the process of transmitting culture, attitudes, and values to help youth overcome stressors associated with ethnic minority status. We conclude by discussing implications for the research and clinical community to best promote healing from both interpersonal and racial trauma for African American youth.

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Restless Legs Syndrome and Periodic Limb Movement Disorder in Children

Journal of Child Science ◽

10.1055/s-0039-1678661 ◽

2019 ◽

Vol 09 (01) ◽

pp. e38-e49 ◽

Cited By ~ 1

Author(s):

Denise Sharon ◽

Arthur Scott Walters ◽

Narong Simakajornboon

Keyword(s):

Movement Disorder ◽

Restless Legs Syndrome ◽

Pediatric Population ◽

Limb Movement ◽

Periodic Limb Movements ◽

Evidence Based ◽

Periodic Limb Movement ◽

Limb Movements ◽

Periodic Limb Movement Disorder ◽

Restless Legs

Introduction Restless legs syndrome (RLS) and periodic limb movement disorder (PLMD) have been studied more than any other sleep-related movement disorder in the pediatric population. A common feature to both, periodic limb movements, occurs in many other disorders and also in reportedly healthy children and adolescents. In this review, we discuss the different types of limb movements as it pertains to pediatric RLS and PLMD and provides an update on these disorders. Methods A literature search was performed with the following inclusion criteria: English publication, limb movements, leg movements, periodic limb movements of sleep, periodic limb movements during wake, PLMD, RLS, with each of the modifiers, children, pediatric, and adolescents. Identified publications were reviewed and their reference lists were searched for additional relevant publications. Results A total of 102 references were included in this review. These included epidemiological studies, prospective and retrospective studies, case series, observational data, reviews, and consensus guidelines. A critical summary of these findings is presented. Conclusion The limited evidence-based data support the importance of evaluating limb movements in the context of the clinical symptomatology presented by the child or the adolescent. Further research is needed to (1) better understand the pathophysiological mechanisms resulting in periodic limb movements as encountered in the pediatric PLMD or RLS patient and their impact on the overall health and well-being, (2) develop objective diagnostic criteria for RLS and differentiate it from its “mimics” in the pediatric population, and (3) establish evidence-based guidelines for treatment.

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