scholarly journals The Effectiveness of a Cognitive Behavioral Therapy Program in Reducing Tics (motor & vocal) in a Sample of Children with Tourette Syndrome

2021 ◽  
Vol 58 (1) ◽  
pp. 578-594
Author(s):  
Omar Khalil Mousa Atiyat, Dr. Abdulaziz Abdullah Alothman
Keyword(s):  
Tourette Syndrome ◽  
Behavior Modification ◽  
Damage Assessment ◽  
Behavioral Therapy ◽  
Cognitive Behavior Modification ◽  
Therapy Program ◽  
Study Results ◽  
Post Test ◽  
Tic Severity ◽  
Number Frequency

The current study aims verifying a behavior modification program (BMP) effectiveness, based on cognitive behavior modification strategies, in reducing (motor and vocal) tic levels among individuals with Tourette syndrome .The study sample comprised (10) children with Tourette syndrome aging between (9-17 years old).To achieve the study goals, the experimental approach was followed. Research tool were developed by Yale Global Tic Severity Scale (YGTSS). The BMP consists of (12) sessions, one session per week and (60) minutes for each session. The study results indicated that there are significant statistical differences at (α = 0.05) of performance level of the sample on the pre and post tests on the YGTSS motor, vocal, damage assessment, and on the overall totals in favor of the post test. No Statistically significant differences at (α = 0.05) were found based on gender, age variables on tic levels (motor/vocal) of the sample in the post test. The results also indicated that there were no statistically significant differences (α = 0.05) between performance means levels of the sample on the post and sequential tests which can be attributed to the behavior modification program effect on both (Motor/vocal) dimensions, on all sub-dimensions of each dimension including(number, frequency, intensity, complexity, overlap of tics), as well as damage assessment and the total score of the scale.

A Comparison of Secular and Religious Versions of Cognitive Therapy with Depressed Christian College Students

1984 ◽  
Vol 12 (1) ◽  
pp. 45-54 ◽  
Author(s):  
David Richard Pecheur ◽  
Keith J. Edwards
Keyword(s):  
Behavior Modification ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Waiting List ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Cognitive Behavior ◽  
Cognitive Behavioral Treatment ◽  
Cognitive Behavior Modification ◽  
Treatment Of Depression

This study was designed to answer two related questions: (a) Could Beck's cognitive-behavioral treatment of depression be efficaciously employed in a religious population, and (b) would the efficacy of Beck's cognitive-behavioral treatment of depression be enhanced if it was integrated with the subjects’ religious beliefs? A multiple cutoff procedure was utilized in the selection of subjects for a secular cognitive behavior modification group, a religious cognitive behavior modification group, and a waiting list control group. The results indicated that the secular and the religious cognitive behavior modification groups were significantly more effective than the waiting list control group in alleviating depression. No significant differences were found between secular and the religious cognitive behavior modification groups. The reductions in depression were maintained at a one-month follow-up. The results relevant to Beck's cognitive-behavioral therapy of depression and to the treatment of religious patients are discussed.

Cara mengubah Insecure dengan teori Cognitive Behavioral Therapy (CBT) dan menggunakan teknik Cognitive Behavior Modification (CBM)

2021 ◽  
Author(s):  
Aloysius Selo Aryobimo Oentarto ◽  
Febri Rahmat ◽  
Skolastika Hapsari ◽  
Anastasia Hariyanti Widiastuti ◽  
Esther Kristine Gabriella
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Behavior Modification ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavior ◽  
Cognitive Behavior Modification

Latar belakang: Insecure merupakan istilah untuk menggambarkan perasaan yang kurang nyaman dan membuat seseorang merasa cemas, takut, malu hingga tidak percaya diri. Cognitive Behavior Therapy (CBT) merupakan model intervensi yang bertujuan untuk mengurangi tekanan psikologis dan perilaku maladaptif dengan mengubah cara berpikir. Tujuan: Tujuan penelitian ini untuk mengetahui faktor-faktor yang menyebabkan individu merasa insecure, dampak, dan cara mengatasinya. Metode: Metode penelitian menggunakan pendekatan kuantitatif dengan metode survey dalam mengumpulkan data subjek, dengan jumlah subjek sebanyak 38 orang. Hasil penelitian: Hasil penelitian menunjukan bahwa subjek lebih dominan jenis kelamin perempuan dan subjek dominan pernah merasakan insecure. Faktor-faktor yang menyebabkan subjek mengalami insecure antara lain adalah ketika berinteraksi dengan orang lain atau teman yang membuat individu selalu memikirkan hal-hal atau kata-kata ketika berinteraksi dan individu merasa tidak percaya diri. Cara subjek mengatasi insecure lebih dominan melakukan hal-hal positif atau menyibukkan diri. Kesimpulan: Faktor-faktor yang menyebabkan individu mengalami insecure, yaitu faktor internal dan eksternal. Dampak dari insecure adalah menurunnya tingkat kepercayaan diri pada individu. Cara mengatasinya bisa menggunakan teknik CBM dari teknik CBT.

scholarly journals Deep brain stimulation for Tourette syndrome: a single-center series

2018 ◽  
Vol 128 (2) ◽  
pp. 596-604 ◽  
Author(s):  
Richard S. Dowd ◽  
Michael Pourfar ◽  
Alon Y. Mogilner
Keyword(s):  
Deep Brain Stimulation ◽  
Tourette Syndrome ◽  
Brain Stimulation ◽  
Behavioral Therapy ◽  
Obsessive Compulsive ◽  
Average Decrease ◽  
Tic Severity ◽  
Average Position ◽  
Deep Brain

OBJECTIVETourette syndrome (TS) is a complex neuropsychiatric disorder characterized by multiple motor and phonic tics. While pharmacological and behavioral therapy can be effective in most patients, a subset of patients remains refractory to treatment. Increasing clinical evidence from multiple centers suggests that deep brain stimulation (DBS) of the medial thalamus can be effective in many cases of refractory TS.METHODSThe authors retrospectively reviewed outcomes in 13 patients with refractory TS who underwent medial thalamic DBS performed by their team over a 7-year period. Patients were evaluated by a multidisciplinary team, and preoperative objective assessments were performed using the Yale Global Tic Severity Scale (YGTSS) and Yale-Brown Obsessive Compulsive Scale. YGTSS scores were calculated at visits immediately postoperatively and at the most recent follow-up in patients with a minimum of 6 months of postoperative follow-up. Coordinates of the active DBS contacts were calculated and projected onto each patient's pre- and postoperative images.RESULTSPatients showed an average decrease of 37% (p = 0.0063) in the total tic severity at their first postoperative visit. At their latest visit, their scores achieved significance, decreasing from preoperative scores by an average of 50% (p = 0.0014). The average position of the active contact was noted to be at the junction of the posterior ventralis oralis internus/centromedian-parafascicular nuclei. Device-related complications occurred in 2 patients, necessitating additional surgeries. All patients continued to use the system at last follow-up.CONCLUSIONSThe authors' data are consistent with the small but growing body of literature supporting DBS of the ventralis oralis internus/centromedian-parafascicular thalamus as an effective and relatively safe treatment for severe, refractory TS.

Cara mengubah Insecure dengan teori Cognitive Behavioral Therapy (CBT) dan menggunakan teknik Cognitive Behavior Modification (CBM)

2021 ◽  
Author(s):  
Aloysius Selo Aryobimo Oentarto ◽  
Febri Rahmat ◽  
Skolastika Hapsari ◽  
Anastasia Hariyanti Widiastuti ◽  
Esther Kristine Gabriella
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Behavior Modification ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavior ◽  
Cognitive Behavior Modification

Latar belakang: Insecure merupakan istilah untuk menggambarkan perasaan yang kurang nyaman dan membuat seseorang merasa cemas, takut, malu hingga tidak percaya diri. Cognitive Behavior Therapy (CBT) merupakan model intervensi yang bertujuan untuk mengurangi tekanan psikologis dan perilaku maladaptif dengan mengubah cara berpikir. Tujuan: Tujuan penelitian ini untuk mengetahui faktor-faktor yang menyebabkan individu merasa insecure, dampak, dan cara mengatasinya. Metode: Metode penelitian menggunakan pendekatan kuantitatif dengan metode survey dalam mengumpulkan data subjek, dengan jumlah subjek sebanyak 38 orang. Hasil penelitian: Hasil penelitian menunjukan bahwa subjek lebih dominan jenis kelamin perempuan dan subjek dominan pernah merasakan insecure. Faktor-faktor yang menyebabkan subjek mengalami insecure antara lain adalah ketika berinteraksi dengan orang lain atau teman yang membuat individu selalu memikirkan hal-hal atau kata-kata ketika berinteraksi dan individu merasa tidak percaya diri. Cara subjek mengatasi insecure lebih dominan melakukan hal-hal positif atau menyibukkan diri. Kesimpulan: Faktor-faktor yang menyebabkan individu mengalami insecure, yaitu faktor internal dan eksternal. Dampak dari insecure adalah menurunnya tingkat kepercayaan diri pada individu. Cara mengatasinya bisa menggunakan teknik CBM dari teknik CBT.

scholarly journals Implementation of Behavioral Therapy (Economic Token) on the Ability of People with Mental Disorders in Fulfilling Self-Cleaning (Personal Hygiene) in Medan Sunggal Subdistrict

2021 ◽  
Vol 9 (T3) ◽  
pp. 84-86
Author(s):  
Mahnum Lailan Nasution ◽  
Wardiyah Daulay ◽  
Sri Eka Wahyuni
Keyword(s):  
Mental Disorders ◽  
Behavior Modification ◽  
Positive Reinforcement ◽  
Behavioral Therapy ◽  
Psychiatric Nurses ◽  
Personal Hygiene ◽  
Post Test ◽  
Common Problems ◽  
The One ◽  
Research Type

BACKGROUND: Some common problems experienced by all people with mental disorders (ODGJ) are impaired personal hygiene activities including bathing, dressing up, eating, and toileting. Psychiatric nurses must, therefore, possess the ability and knowledge on how to meet the personal hygiene requirements for these patients by providing caregiving with behavioral therapy (economic tokens), through behavior modification, using positive reinforcement. AIM: This study aimed to apply behavioral therapy (economic tokens) to the ability of ODGJ in the fulfillment of personal hygiene within Medan Sunggal subdistrict. MATERIALS AND METHODS: The research type used was quasi-experiment with the one-group pre-test-post-test approach, while the procedure was performed by providing nursing actions in the form of behavioral therapy (economic tokens). This study involved a total of 31 respondents with mental disorders ODGJ, obtained through total sampling in the unified Medan Sunggal subdistrict. RESULTS: The use of behavioral therapy (economic tokens) was found to improve the ability of ODGJ to carry out personal hygiene, with a mean difference of 1.19 (from 1.87 to 3.06). CONCLUSIONS: Psychiatric nurses, therefore, ought to motivate and help accompany families to monitor the personal hygiene fulfillment ability of family members with mental disorders.

2383-PUB: Improved Medication Adherence among Diverse Participants in a Virtual Behavioral Therapy Program for Adults with Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2383-PUB
Author(s):  
HEIDI M. GREENBERGER ◽  
EVIE ANDREOPOULOS ◽  
SOPHIE A. BELL ◽  
REENA L. PANDE
Keyword(s):  
Medication Adherence ◽  
Behavioral Therapy ◽  
Therapy Program

scholarly journals Investigation of gene–environment interactions in relation to tic severity

2021 ◽  
Author(s):  
Mohamed Abdulkadir ◽  
Dongmei Yu ◽  
Lisa Osiecki ◽  
Robert A. King ◽  
Thomas V. Fernandez ◽  
...  
Keyword(s):  
Tourette Syndrome ◽  
Association Studies ◽  
Autism Spectrum ◽  
Environment Interaction ◽  
Genome Wide Association Studies ◽  
Nucleotide Polymorphisms ◽  
Linear Regression Models ◽  
Compulsive Disorder ◽  
Gene Environment ◽  
Tic Severity

AbstractTourette syndrome (TS) is a neuropsychiatric disorder with involvement of genetic and environmental factors. We investigated genetic loci previously implicated in Tourette syndrome and associated disorders in interaction with pre- and perinatal adversity in relation to tic severity using a case-only (N = 518) design. We assessed 98 single-nucleotide polymorphisms (SNPs) selected from (I) top SNPs from genome-wide association studies (GWASs) of TS; (II) top SNPs from GWASs of obsessive–compulsive disorder (OCD), attention-deficit/hyperactivity disorder (ADHD), and autism spectrum disorder (ASD); (III) SNPs previously implicated in candidate-gene studies of TS; (IV) SNPs previously implicated in OCD or ASD; and (V) tagging SNPs in neurotransmitter-related candidate genes. Linear regression models were used to examine the main effects of the SNPs on tic severity, and the interaction effect of these SNPs with a cumulative pre- and perinatal adversity score. Replication was sought for SNPs that met the threshold of significance (after correcting for multiple testing) in a replication sample (N = 678). One SNP (rs7123010), previously implicated in a TS meta-analysis, was significantly related to higher tic severity. We found a gene–environment interaction for rs6539267, another top TS GWAS SNP. These findings were not independently replicated. Our study highlights the future potential of TS GWAS top hits in gene–environment studies.

Attitudes of primary health care physician managers toward research: a pre-experimental study

2013 ◽  
Vol 19 (2) ◽  
pp. 171 ◽  
Author(s):  
Saulat Jahan ◽  
Basem Henary
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Training Program ◽  
Research Training ◽  
Attitude Score ◽  
Primary Health ◽  
Study Results ◽  
Post Test ◽  
The Mean ◽  
Conducting Research

Research in primary health care (PHC) is underdeveloped and scarce, especially in developing countries. It is important to understand the attitudes and aspirations of PHC physicians for the promotion of research. The aim of this study was to determine the attitudes of PHC physician managers toward research in Qassim province and to identify barriers that impede performing research in the PHC system. The study was based on social cognitive theory framework, and was pre-experimental with a ‘one-group pre-test–post-test’ design. The study participants were physician managers in PHC administration, Qassim. The participants’ attitudes were measured by adapting statements from the Attitude Towards Research scale. The intervention was the 1-day training program ‘Introduction to Research in Primary Health Care’. A total of 23 PHC physicians participated in the study. The mean age of the participants was 45.4 (±1.6) years, and the mean years of work experience was 16.2 (±2.2) years. Only one participant had an article published in a peer-reviewed journal. The results of the study showed that PHC physicians had a baseline positive attitude toward research that was further enhanced after participating in an introductory research-training program. During the pre-test, out of the total score of 63, the mean score on attitude toward research was 48.35 (±6.8) while the mean total attitude score in the post-test was 49.7 (±6.6). However, the difference was not statistically significant at P < 0.05. The item with the highest score regarded the role of research in the improvement of health care services, while the lowest-scoring item was about support from administration to conduct research. The participants recognised lack of skills, lack of training and inadequate resources as major barriers in conducting research. Our study results suggest that the PHC physicians’ positive attitudes toward research can be further improved through in-service training. To promote research in PHC in Qassim, regular research-training programs and incentives for conducting research should be provided to the PHC physicians.

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