scholarly journals Follow-Up Study on the Effect of Cognitive Behaviour Therapy on Haemodialysis Adherence

2021 ◽  
Vol 21 (1) ◽  
pp. e58-65
Author(s):  
Blessy P. Valsaraj ◽  
Shripathy M. Bhat ◽  
Ravindra Prabhu ◽  
Asha Kamath
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Weight Gain ◽  
Effect Size ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Control Group ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Experimental Group

Objectives: Patients with chronic kidney disease (CKD) undergoing haemodialysis often experience a myriad of psychosocial problems, resulting in poor adherence to their therapeutic regimen. This study aimed to examine the effect of cognitive behaviour therapy (CBT) on dialysis, fluid, drug and diet adherence among a previously reported sample of CKD patients undergoing haemodialysis. Methods: A randomised controlled trial was conducted between January 2013 to Febrary 2014 on a random selection of 67 CKD patients attending a tertiary multispecialty hospital in India. The experimental group (n = 33) was exposed to CBT, whereas the control group (n = 34) received non-directive counselling. A haemodialysis adherence scale was developed and used to assess adherence to the treatment regimen. The effect size was calculated using Cohen’s d statistics. Results: At six months, mean reductions from baseline were observed in the experimental group in terms of interdialytic weight gain (−1.23 kg; effect size: 0.57), systolic blood pressure (−22.18 mmHg; effect size: 0.71) and diastolic blood pressure (−10.06 mmHg; effect size: 0.72), whereas mean increases were noted in haemoglobin (+0.75 g/dL; effect size: 0.31) and adherence to dialysis (+0.94; effect size: 0.51), fluids (+16.34; effect size: 2.30), diet (+61.19; effect size: 4.75) and drugs (+10.73; effect size: 1.3). Differences from baseline were significantly higher in the experimental group compared to the control group (P = 0.001 each). Conclusion: These results show that CBT is more effective than non-directive counselling for improving therapeutic adherence and physiological, clinical parameters among CKD patients undergoing haemodialysis.   KEYWORDS Chronic Kidney Disease; Hemodialysis; Patient Adherence; Cognitive Behavior Therapy; Hemoglobin; Weight Gain; Blood Pressure; Randomized Controlled Trial.

North Wales randomized controlled trial of cognitive behaviour therapy for acute schizophrenia spectrum disorders: outcomes at 6 and 12 months

2004 ◽  
Vol 34 (3) ◽  
pp. 413-422 ◽  
Author(s):  
M. STARTUP ◽  
M. C. JACKSON ◽  
S. BENDIX
Keyword(s):  
Social Functioning ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Important Change ◽  
Control Group ◽  
Schizophrenia Spectrum Disorders ◽  
Behaviour Therapy ◽  
Treatment As Usual ◽  
Randomized Controlled ◽  
Cognitive Behaviour

Background. Recent reviews of randomized controlled trials have concluded that cognitive behaviour therapy (CBT) is effective, as an addition to standard care, in the treatment of people suffering from schizophrenia. Most of the trials have been conducted with stabilized out-patients. The aim of this trial was to evaluate the effectiveness of CBT for in-patients suffering acute psychotic episodes, when delivered under conditions representative of current clinical practice.Method. Consecutive admissions meeting criteria were recruited. After screening, 43 were assigned at random to a treatment-as-usual (TAU) control group and 47 were assigned to TAU plus CBT. At baseline, 6 months and 12 months, patients were rated on symptoms and social functioning. CBT (maximum 25 sessions) began immediately after baseline assessment.Results. The CBT group gained greater benefit than the TAU group on symptoms and social functioning. A larger proportion of the CBT group (60%) than the TAU group (40%) showed reliable and clinically important change, and none of them (v. 17%) showed reliable deterioration compared with baseline.Conclusions. CBT for patients suffering acute psychotic episodes can produce significant benefits when provided under clinically representative conditions.

Cognitive behaviour therapy and supportive therapy for bipolar disorders: relapse rates for treatment period and 2-year follow-up

2011 ◽  
Vol 42 (7) ◽  
pp. 1429-1439 ◽  
Author(s):  
T. D. Meyer ◽  
M. Hautzinger
Keyword(s):  
Survival Time ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Supportive Therapy ◽  
Psychosocial Treatment ◽  
Control Group ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Therapy Sessions ◽  
Relapse Rates

BackgroundThe efficacy of adjunctive psychosocial interventions such as cognitive behaviour therapy (CBT) for bipolar disorder (BD) has been demonstrated in several uncontrolled and controlled studies. However, these studies compared CBT to either a waiting list control group, brief psycho-education or treatment as usual (TAU). Our primary aim was to determine whether CBT is superior to supportive therapy (ST) of equal intensity and frequency in preventing relapse and improving outcome at post-treatment. A secondary aim was to look at predictors of survival time.MethodWe conducted a randomized controlled trial (RCT) at the Department of Psychology, University of Tübingen, Germany (n=76 patients with BD). Both CBT and ST consisted of 20 sessions over 9 months. Patients were followed up for a further 24 months.ResultsAlthough changes over time were observed in some variables, they were not differentially associated with CBT or ST. CBT showed a non-significant trend for preventing any affective, specifically depressive episode during the time of therapy. Kaplan–Meier survival analyses revealed that 64.5% of patients experienced a relapse during the 33 months. The number of prior episodes, the number of therapy sessions and the type of BD predicted survival time.ConclusionsNo differences in relapse rates between treatment conditions were observed, suggesting that certain shared characteristics (e.g. information, systematic mood monitoring) might explain the effects of psychosocial treatment for BD. Our results also suggest that a higher number of prior episodes, a lower number of therapy sessions and a diagnosis of bipolar II disorder are associated with a shorter time before relapse.

Intervention effect of cognitive behaviour therapy under suicidology on psychological stress and emotional depression of college students

Work ◽  
2021 ◽  
pp. 1-13
Author(s):  
Shaofei Wu ◽  
Krzysztof Adamsk
Keyword(s):  
College Students ◽  
College Student ◽  
Psychological Stress ◽  
Cognitive Behaviour Therapy ◽  
Suicide Ideation ◽  
Control Group ◽  
Behaviour Therapy ◽  
Test Stage ◽  
Cognitive Behaviour ◽  
Experimental Group

BACKGROUND: The suicide of college students had been a social topic attracting people’s attention, and the generation of suicidal ideation was an inevitable link in the psychological process of suicidal behavior. It was the focus of many researches whether the pressure of college students with suicidal ideation can be detected and relieved in time. OBJECTIVE: The study aimed to analyze the therapeutic effect of cognitive behaviour therapy on psychological stress, depression, and other negative emotions of college students with suicide ideation. METHODS: 114 people from 1,158 college students with suicide ideation in the Wuhan area were divided into an experimental group and a control group in this study. Students in the experimental group were given with the cognitive behaviour therapy, and students in the control group were not intervened in any way. The suicide ideation scale (despair, optimism, and sleep), psychological stress test rating, and self-reporting inventory (somatization, compulsion, interpersonal relationship, depression, anxiety, hostility, terror, delusion, and psychosis) were used to evaluate the objects in the pre-test stage, intermediate-test stage, and the tracking-test stage. The multivariate logistic regression was adopted to analyze the influencing factors of the suicide ideation of the college student. RESULTS: The suicide ideation of the college student was significantly positively correlated with the psychological stress, depression, interpersonal sensitivity, anxiety, and psychosis (P >  0.05); the total score of suicide ideation, despair, optimism, and sleep in the experimental group were lower than those in the control group (P <  0.05) in the intermediate-test stage and the tracking-test stage (P <  0.05); the psychological stress, depression, and anxiety of the college students in the experimental group in the intermediate-test and tracking-test stage were slighter than those in the control group (P <  0.05); the somatization, compulsion, and interpersonal relationship of students in the experimental group were significantly lower than those in the control group (P <  0.05). CONCLUSIONS: The psychological stress, depression, interpersonal sensitivity, anxiety, and psychosis were all risk factors for the college student to have suicide ideation. Negative emotions such as psychological stress, emotional depression, and anxiety of the college student with suicide ideation could be improved effectively by cognitive behaviour therapy, and the level of suicide ideation could be reduced finally.

Effectiveness of Cognitive Behaviour Therapy on Patients Suffering From Depression

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Panchal. M ◽  
Singh. R ◽  
Gamit. H
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Total Sample ◽  
Control Group ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Significant Difference ◽  
Icd 10 ◽  
The Individual ◽  
And Control ◽  
Experimental Group

Clinical depression is one of the most common and debilitating of the psychiatric disorders. The individual usually suffers from depressed mood, loss of interest and enjoyment, and reduced energy leading to increased fatiguability and diminished activity. Marked tiredness after only slight effort is common. The aim of the present study is to examine the effectiveness of Cognitive Behaviour therapy on patient suffering from depression. Total sample size was 16 patients diagnosed with depression according to ICD-10. Two groups were formed, 8 in control group and 8 in experimental group respectively. Cognitive Behaviour Therapy was given to experiment group only. The results show that a significant difference was found between the experimental and control group.

scholarly journals Efficacy of Cognitive Behavoural Therapy and Logotherapy in Reducing Risky Sexual Behaviour among in-School Adolescents in Benin Metropolis Edo State, Nigeria

2019 ◽  
pp. 1-11
Author(s):  
Adeyemi Florence Toyin ◽  
Egbochuku Omotunde Elizabeth
Keyword(s):  
Sexual Behaviour ◽  
Cognitive Behaviour Therapy ◽  
Control Group ◽  
Behaviour Therapy ◽  
Sexual Behaviours ◽  
Cognitive Behaviour ◽  
Post Test ◽  
Risky Sexual Behaviours ◽  
Edo State ◽  
Experimental Group

The study investigated the efficacy of Cognitive Behaviour Therapy and Logotherapy in reducing risky sexual behaviours among in-school adolescents in Benin Metropolis, Edo State. Four research questions were raised and formulated to hypotheses to guide the study. A Quasi-experimental design, using pre-test-post-test, and non-equivalent control group was adopted. The population of the study consisted of twenty thousand, four hundred and twenty SS 2 students. The sample consisted of one hundred and thirty five participants, which was selected through multi-stage sampling technique. Three schools were randomly selected from thirty one mixed public Senior Secondary Schools. One school was selected from each Local Government Area that made up the Metropolis. School A served as the experimental group for Cognitive Behaviour Therapy, comprising fifty five participants. School B served as the experimental group for Logotherapy, comprising thirty six participants. School C served as the control group, comprising forty four participants. The Adolescent Sexual Behaviour Inventory was used for both the pre-test and post-test.  The reliability coefficient of 0.926 was obtained on the instruments. The data collected were analysed, using t-test, ANOVA and did a post-hoc analysis, using the Least Significant Difference. The findings showed that Cognitive Behaviour Therapy and Logotherapy were both slightly efficacious in reducing risky sexual behaviours among in-school adolescents in Benin Metropolis. The study recommended that counselling psychologists and school counsellors should be well trained in the use of CBT and LT in addressing risky behaviours, especially among adolescents.

scholarly journals Cognitive behaviour therapy in women with fibromyalgia: A randomized clinical trial

2015 ◽  
Vol 9 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Bo Karlsson ◽  
Gunilla Burell ◽  
Ulla-Maria Anderberg ◽  
Kurt Svärdsudd
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Control Group ◽  
Behaviour Therapy ◽  
Coping With Stress ◽  
Multidimensional Pain Inventory ◽  
Vital Exhaustion ◽  
Cognitive Behaviour ◽  
Before And After ◽  
Stress Behaviour ◽  
Individual Strategies

AbstractBackground and aimsStress has been pointed out as an important influential factor in the development and maintaining of the fibromyalgia syndrome (FMS) . Since stress may worsen the pain experience, the development of individual strategies for coping with stress is essential to reduce the impact of FMS on daily life. The aim of the study was to investigate whether a group based stress management cognitive behaviour therapy (CBT) programme could influence self-reported stress, wellbeing and life control, as well as self-reported pain behaviour in female FMS patients.Methods48 female FMS patient were randomized into a cognitive behaviour therapy treatment group (n = 24) and a waitlist control group (n = 24) . When the 6 months waitlist period was over the control group received the same CBT programme. This allowed two analytical approaches, one based on the randomized controlled trial design and one based on a before-and-after design to improve the statistical power of the study. Four psychometric instruments were used: The West Haven-Yale Multidimensional Pain Inventory (three parts, MPI-1 to MPI-3), the Maastricht Questionnaire, the Everyday Life Stress, and the Montgomery-Åsberg Depression rating scale – self-reported. Primary outcome was the MPI-1 dimension ‘life control’, secondary outcomes were the MPI-1 dimensions ‘interference’, ‘affective distress’ and ‘support from spouses or significant others’, the various MPI-2 dimensions, the ‘general activity level’ in the MPI-3 dimension, and ‘vital exhaustion’, ‘stress behaviour’, and ‘depression’. The only tertiary outcome was the MPI-1 dimension ‘pain severity’.ResultsIn the RCT design the West Haven-Yale Multidimensional Pain Inventory dimensions ‘life control’, ‘interference from pain’, ‘affective distress’, ‘support from spouses or significant others’, and ‘distracting responses’ and ratings for depression improved in the treatment group as compared with the control group. In the before-and after design these improvements were maintained and enhanced during 1-year follow-up, and so was the ‘vital exhaustion’ and ‘stress behaviour’. ‘Pain severity’ was rated higher after the intervention.ConclusionsCognitive behaviour therapy improved the life control in a female population with FMS. Coping behaviour in response to chronic pain was improved at the same time and in spite of higher subjective ratings of pain. Positive effects were seen on depression, vital exhaustion and stress behaviour. The effects of therapy were maintained and enhanced during the follow up period. It appears that women with FMS after the CBT treatment, according to this protocol obtained tools leading to better acceptance of their disorder.ImplicationsFMS is a disorder with great therapeutic challenges. Total abolishment of pain symptoms is extremely difficult or impossible to achieve. Thus, the development of individual strategies for coping with pain is essential to reduce its impact on daily life. Since stress may worsen the pain experience, coping with stress might be a promising route to accomplishing that goal. In evaluations of interventions for pain it is important to monitor the effect on behaviour responses to pain and not only ratings of pain itself.

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