The Future of Cognitive Behavioral Interventions Within Behavioral Medicine

2010 ◽  
Vol 24 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Stacey L. Hart ◽  
Trevor A. Hart
Keyword(s):  
Behavioral Medicine ◽  
Behavioral Interventions ◽  
Behavioral Treatment ◽  
Stepped Care ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Future Directions ◽  
Cognitive Behavioral Interventions ◽  
Behavioral Trials

There is a growing body of evidence supporting the use of cognitive behavioral treatment within behavioral medicine. There are several limitations to the current body of literature, including external validity of findings from randomized controlled trials, dissemination of findings, and the use of CBT when patients are unmotivated to make behavior change. The current paper proposes several future directions to address these limitations. Solutions to be explored in future research include practical behavioral trials, stepped care approaches, remote technology approaches such as telephone and Internet-based treatments, and the integration of motivational interviewing into cognitive behavioral treatment.

scholarly journals THE EFFECTS OF COGNITIVE BEHAVIORAL INTERVENTIONS ON REMOVING BARRIERS TO TREATMENT ADHERENCE IN HEMODIALYSIS PATIENTS

2016 ◽  
Vol 10 (1) ◽  
pp. 103
Author(s):  
Mitra Zolfaghari ◽  
Fatemeh Sookhak ◽  
Seyyed Hannan Kashfi ◽  
Eghbalx Sekavati ◽  
Reza Tabrizi
Keyword(s):  
Treatment Adherence ◽  
Behavioral Interventions ◽  
Behavioral Treatment ◽  
Intervention Group ◽  
Hemodialysis Patients ◽  
Cognitive Behavioral ◽  
Barriers To Treatment ◽  
Cognitive Behavioral Treatment ◽  
Significant Difference ◽  
Cognitive Behavioral Interventions

ABSTRACTObjective: Treatment adherence in chronic patients results in favorable treatment outcomes. Today, one of the main causes of mortality in hemodialysispatients is that of lack of treatment adherence. Identifying barriers to adherence to treatment is the first step to help these patients. The purpose ofthis study is to determine the effects of cognitive behavioral interventions on removing barriers to treatment adherence in hemodialysis patients.Methods: This clinical study was carried out in the hemodialysis wards of Imam Reza Hospital of Larand Vali-e-Asr Hospital of Lamerd. The sampleincluded 70 patients who were randomly assigned into two groups of intervention (n=35 for even days)and control (n=35 for odd days). Theintervention group received a six-step cognitive behavioral treatment. The level of barriers to treatment adherence was assessed using a self-reportquestionnaire in two stages (pre-intervention and post-intervention). Data were analyzed using SPSS via independent t-test.Results: Before the intervention, the two groups were not significantly different in terms of barriers to treatment adherence (p=0.68). However, afterthe treatment regimen, the barriers significantly decreased for the intervention group. There was a significant difference between the two groups interms of barriers to treatment adherence (p<0.001).Conclusion: Given the efficacy of cognitive behavioral intervention, it can be used to identify barriers to adherence and design individualizededucation programs based on barriers to adherence in hemodialysis patients to increase their treatment adherence.Keywords: Cognitive behavioral, Barriers to treatment adherence, Hemodialysis patients.

Cognitive—Behavioral Interventions with Avoidant Personality: A Single Case Study

1994 ◽  
Vol 8 (3) ◽  
pp. 243-253 ◽  
Author(s):  
David W. Coon
Keyword(s):  
Behavioral Interventions ◽  
Behavioral Treatment ◽  
Single Case ◽  
Cognitive Behavioral ◽  
Behavior Patterns ◽  
Cognitive Behavioral Treatment ◽  
Behavioral Strategies ◽  
Early Maladaptive Schema ◽  
Cognitive Behavioral Interventions

Studies of the outcome of cognitive-behavioral treatment of clients diagnosed with personality disorders are few and need further replication. This case study examines how Beck’s (Beck, Freeman, & Associates, 1990) and Young’s (Young, 1990; Young & Lindemann, 1992) schema-focused approach offers a helpful framework to use with an Avoidant Personality Disorder (APD) client. The findings point to the value of cognitive/behavioral strategies in restructuring Early Maladaptive Schema (Young, 1990) historically associated with APD, and in modifying many of the behavior patterns characteristic of APD.

Assistive Technology-Based Programs and Cognitive-Behavioral Interventions for Helping Adaptive Responding of Children and Adolescents With Rett Syndrome

2021 ◽  
pp. 167-188
Author(s):  
Fabrizio Stasolla ◽  
Alessandro O. Caffò ◽  
Viviana Perilli
Keyword(s):  
Assistive Technology ◽  
Children And Adolescents ◽  
Rett Syndrome ◽  
Challenging Behavior ◽  
Behavioral Interventions ◽  
Cognitive Behavioral ◽  
Adaptive Skills ◽  
Future Research ◽  
Cognitive Behavioral Interventions ◽  
Adaptive Responding

This chapter provides the reader with a concise overview of the newest empirical evidences available on the use of assistive technology and cognitive behavioral interventions to promote adaptive skills and decrease challenging behaviors of children and adolescents with Rett syndrome and severe to profound developmental disabilities. Four main categories of studies were identified, namely (1) communication skills, (2) adaptive skills, (3) challenging behavior, and (4) on-task behavior. Twenty-six contributions were reviewed, and 936 participants were involved. Results were largely positive, although rare failures occurred. Educational, clinical, rehabilitative, and psychological implications of the findings were critically discussed. Some useful suggestions for future research and practice were emphasized.

Cognitive–Behavioral Treatment of Depression in Men

2014 ◽  
Vol 9 (2) ◽  
pp. 94-102 ◽  
Author(s):  
Jason S. Spendelow
Keyword(s):  
Help Seeking ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Empirical Support ◽  
Cognitive Behavioral ◽  
Public Health Issue ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Negative Effects ◽  
Recommended Treatment

Depression is a significant public health issue and many researchers have suggested that modifications to conventional cognitive–behavioral therapy (CBT) are required to address infrequent help-seeking in men and counter negative effects of traditional masculinity on therapeutic engagement. This narrative review summarizes recommended alterations to CBT in the areas of therapeutic setting, process, and content. Key themes from this literature include a focus on behavioural interventions, and harmful cognitions that orginate from the traditional male gender stereotype. This literature is marked by limited empirical support for many of the recommended treatment modifications, and several options for future research are outlined.

Cognitive-Behavioral Treatment to Prevent Offending and to Rehabilitate Offenders

2018 ◽  
pp. 693-725 ◽  
Author(s):  
Georgia Zara
Keyword(s):  
Criminal Behavior ◽  
Behavioral Interventions ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Criminogenic Needs ◽  
Evidence Based Treatments ◽  
Rnr Model ◽  
Risk Need Responsivity ◽  
Research Findings

This chapter discusses evidence-based treatments that include cognitive-behavioral interventions to target offending. It briefly describes the theoretical principles of cognitive-behavioral treatment (CBT) and then presents an overview of some of the most effective programs in criminological settings. Next, the chapter considers how the recognition of criminal behavior as multidetermined by a multiplicity of factors and criminogenic needs requires multi-modal types of treatment to respond to the complexity of aspects involved in its onset and its persistence. A critical analysis of research findings is presented by looking first at some of the variations in CBT interventions and then by exploring the X factor of their effectiveness. Finally, this chapter refers to the risk-need-responsivity (RNR) model, which integrates scientific accuracy with integrity.

Interventions to Reduce Internalized Stigma in individuals with Mental Illness: A Systematic Review

2019 ◽  
Vol 22 ◽  
Author(s):  
Marta Alonso ◽  
Ana Isabel Guillén ◽  
Manuel Muñoz
Keyword(s):  
Mental Illness ◽  
Behavioral Interventions ◽  
Mental Health Problems ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Internalized Stigma ◽  
Negative Consequences ◽  
Cognitive Behavioral Interventions ◽  
Multicomponent Interventions ◽  
Psychoeducational Interventions

AbstractInternalized stigma has a high prevalence in people with mental health problems and is associated with negative consequences in different areas: work, social, personal, etc. Therefore, it is relevant to systematically study the characteristics and effectiveness of the different psychological and psychosocial interventions aimed at reducing it. Through the databases MEDLINE and PsycINFO, among others, controlled studies on specific interventions to reduce internalized stigma in people with severe mental disorders published between 2008 and 2018 were selected and reviewed. Results showed that the interventions can be grouped into four blocks: (a) psychoeducational interventions about stigma; (b) cognitive-behavioral interventions, mainly aimed at modifying self-stigmatizing beliefs; (c) interventions focused on the revelation of mental illness; and (d) multicomponent interventions that combine several of the above. The interventions had an average of 10 sessions and were predominantly applied in group format. In 9 of the 14 studies reviewed, significant results were obtained in the reduction of internalized stigma with small or moderate effect sizes. There were also significant improvements in other variables, such as subjective recovery or coping. The main methodological limitation of the studies reviewed was the absence of information on the rejection rate. We conclude that there are effective interventions aimed at reducing internalized stigma, with psychoeducational interventions on stigma and multicomponent interventions showing the best results. Cognitive-behavioral interventions and interventions based on disclosure have been studied to a lesser extent and their results are inconclusive. Future research should focus on establishing optimal interventions according to characteristics and objectives of individuals.

Cognitive Behavioral Therapy for Anxiety and Fear in Pediatric Pain Contexts

2017 ◽  
Vol 31 (1) ◽  
pp. 41-56 ◽  
Author(s):  
C. Meghan McMurtry ◽  
Rachel M. Tomlinson ◽  
Lara M. Genik
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Evidence Base ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Case Examples ◽  
Acute Form ◽  
Inflammatory Bowel

Pain is a highly prevalent experience in pediatric medical populations, both in an acute form (e.g., iatrogenic pain from needle procedures) as well as in more chronic forms (e.g., as a result of arthritis, inflammatory bowel disease, or as a disease/disorder in and of itself). Guided by the biopsychosocial model, the overarching objective of this work is to examine cognitive behavioral treatment of anxiety in pain contexts. Specific aims are to (a) provide a brief overview of anxiety in youth with a high fear of needles and those experiencing chronic pain, (b) review the evidence base for cognitive behavioral therapy (CBT) for these populations, (c) outline considerations for implementing CBT-based approaches, and (d) provide two case examples which illustrate the application of CBT in these contexts. Brief concluding remarks include suggestions for future research such as improved screening and treatment of comorbid anxiety in the context of pain.

Cognitive-Behavioral Treatment of Schizophrenia: A Case Study

1998 ◽  
Vol 12 (1) ◽  
pp. 13-25 ◽  
Author(s):  
William Bradshaw
Keyword(s):  
Psychosocial Functioning ◽  
Behavioral Interventions ◽  
Behavioral Treatment ◽  
Primary Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Behavioral Strategies ◽  
Treatment Gains

Cognitive-behavioral treatment (CBT) has rarely been applied as the primary treatment for the multiple, severe and persistent problems that characterize schizophrenia. This case study describes the process of CBT in the long-term outpatient care of a young woman with schizophrenia. The study highlights the adaptation of cognitive-behavioral strategies to the unique needs of schizophrenia and presents data regarding clinical outcomes in this case. Measures of psychosocial functioning, severity of symptoms, attainment of treatment goals and hospitalization data were used to assess change over the 3- year treatment period and at 1-year follow-up. Results indicate considerable improvement in all outcome variables and maintenance of treatment gains. These findings suggest the potential usefulness of cognitive-behavioral interventions in the treatment of schizophrenia.

Self-Punitive Habit Syndrome: A Theoretical Model and Cognitive-Behavioral Intervention Strategy

1987 ◽  
Vol 1 (3) ◽  
pp. 171-182
Author(s):  
Glenn M. Johnson
Keyword(s):  
Behavioral Interventions ◽  
Intervention Strategy ◽  
Cognitive Behavioral ◽  
Behavioral Disorder ◽  
Future Research ◽  
Cognitive Behavioral Intervention ◽  
Case Examples ◽  
Cognitive Behavioral Interventions ◽  
The Individual ◽  
Insight Into

This article proposes a model of a cognitive-behavioral disorder that is manifested by a neurotic tendency to rely on self-punishment strategies to motivate and correct one’s own behavior rather than using insight into its causes and elements. The individual suffering from this disorder appears generally hostile, overdemanding, and unhappy; feels out of control; and verbalizes a sense of deserving to experience difficulties in life. In the extreme, this syndrome might be related to a long-standing inability or unwillingness to enter into intimate social relationships. Its maintenance can be described within a framework of simple behavioral realities. The syndrome is subtle and essentially cognitive and, therefore, covert, and its presence and effects can go unrecognized within the context of more overt pathologies. Three brief case examples are presented, and a set of cognitive-behavioral interventions is described that has had promising results with individuals exhibiting this syndrome. Implications for possible future research are briefly discussed.

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