Toward a Cognitive Conceptualization of Dysthymia: Cognitive Behavioral Identification and Treatment of Patients with Dysthymia

2013 ◽  
Vol 27 (3) ◽  
pp. 285-296
Author(s):  
Sara Finn Kriger

Archival records of three groups of outpatients, seen in a U.S. behavioral health clinic during 2009 and 2010, were examined. All had taken a battery of tests and measures at admission, including both the Millon Clinical Multiaxial Inventory-III (MCMI-III) and a questionnaire representing beliefs, attitudes, and behaviors, believed to be prototypical of dysthymia. The groups, identified on the basis of their MCMI-III profiles, were Dysthymia (n = 84), nonchronic Depression (n = 58), and Control (n = 120). Significant differences were found among the groups, in that the Dysthymia group had the highest level of agreement on 25 items of the questionnaire; the nonchronic Depression group had the second highest; and the Control group had the lowest level of agreement. Conceptual and therapeutic implications are discussed, as are various modalities considered to be effective in the treatment of patients with dysthymia.

2013 ◽  
Vol 4 (2) ◽  
pp. 391
Author(s):  
Azarinvand, Abrahim ◽  
Gorjee, Yosef ◽  
Sadrepooshan, Najmeh ◽  
Esmaili, Ghasem

<p>The aim of this study was to investigate the effectiveness of group counseling with cognitive – behavioral method in reducing mother’s stress of child with mental retardation less than 6 years old covered of Khorramabad province welfare organization (2012). The statistical society of this study consisted of 52 mothers of child with mental retardation who their children had file in the welfare office. 30 persons were selected by simple random sampling and were divided into two groups including trial group (15 persons) and control group (15 persons).</p><p>The method of study was quasi – experimental way with control group and random trial and data gathering tool such as Friedrich, Greenberg and Crink resources and stress questionnaire. To perform the study; the first step was pretest trial and control group and then 10 group counseling sessions with cognitive- behavioral method had hold among trial group. The control group’s mothers did not receive any counseling. Then, it established post – testing of both group again and another test provided to following – up step for two weeks after test.</p><p>The result of variance analysis with repeated measurements showed that, there is significant difference in percentage1 level between control and trial groups post – test and follow – up scores, so, the first hypothesis of this study had approved upon group counseling efficacy with cognitive – behavioral method in reducing mother’s stress of child with mental retardation. In addition, these results showed that group counseling with cognitive – behavioral method has been established significant reduction in percentage 1 level physical and emotional symptoms of trial groups’ mothers, but it did not find the significant difference in the cognitive symptoms.</p>


2022 ◽  
Author(s):  
Forouzandeh Soleimanian-Boroujeni ◽  
Negin Badihian ◽  
Shervin Badihian ◽  
Vahid Shaygannejad ◽  
Yousef Gorji

Abstract Introduction: Psychological interventions are shown to be effective in migraine, but not utilized routinely yet. We aimed to evaluate the efficacy of transdiagnostic cognitive behavioral therapy (TCBT) on people with migraine (PwM). Method: This study was conducted on 40 PwM aged 20-50 years. We randomly assigned participants to two groups of intervention, receiving 10 sessions of TCBT, and control. Days with headache, headache severity, migraine-related disability and effects on daily life, number of pain-relivers taken for headache, depression, and anxiety were assessed pre-intervention, post-intervention (three-month follow-up), and one-month after TCBT termination (four-month follow-up).Results: Thirty-five participants suffering moderate to severe migraine completed the study (16 and 19 in TCBT and control groups, respectively). TCBT improved all measured items between study time-points (p<0.05) in the intervention group, while such an improvement was not observed in the control group. Between group comparisons revealed superiority of TCBT group compared to the control group in most measured items at three- and four-month follow-ups (p<0.05).Conclusion: Ten sessions of TCBT improved migraine severity, associated disability, anxiety, and depression in PwM, with persistent effects after one month of therapy termination. TCBT is an affordable, practical, and feasible intervention to be utilized for PwM.Protocol registration: The study protocol was registered in clinicaltrial.gov (NCT03701477) prior to enrollment.


Author(s):  
Chiedu Eseadi ◽  
Mabel A. Obidoa ◽  
Shulamite E. Ogbuabor ◽  
Amaka B. Ikechukwu-Ilomuanya

This study investigated the effects that a group-focused cognitive-behavioral coaching program had on depressive symptoms of a sample of inmates from Nsukka Prisons, Enugu State, Nigeria. The design of the study was pretest–posttest control group . The participants were 30 male inmates, experiencing high levels of depressive symptoms, and randomly assigned to treatment and control groups. The primary outcome measure was depression symptoms as measured using Beck’s Depression Inventory. Repeated-measures ANOVA and the Mann–Whitney U Test were used for data analysis. Results show that exposing inmates to the group-focused cognitive-behavioral coaching program significantly reduced the depressive symptoms of inmates in the treatment group compared with those in the control group. Our results support the use of cognitive-behavioral coaching interventions designed to assist the severely depressed inmates in Nigeria. Further studies should be conducted both in other states of Nigeria and in other countries.


2017 ◽  
Vol 9 (7) ◽  
pp. 35 ◽  
Author(s):  
Nooshin Basiri ◽  
Zahra Khayyer ◽  
Habib Hadianfard ◽  
Amirhossein Ghaderi

INTRODUCTION: The term sleep disorder refers to difficulty in initiating sleep, maintaining it or a relaxing sleep despite having enough time to sleep. Cognitive behavioral therapy is a non-drug multi-dimensional treatment that targets behavioral and cognitive factors of this disorder. Some pieces of research have shown that psychiatric and neurological disorders can be distinguished from distinct EEG patterns and neuro-feedback can be used to make a change in these patterns. This study aimed to compare the cognitive behavioral therapy and neuro-feedback in the treatment of insomnia.METHODS: The sample included people, who had already been diagnosed insomnia by a psychiatrist in Isfahan, Iran. Random sampling was employed to choose the participants. Pittsburg sleep quality index (PSQI) was used for the selection of the participants, too. The sample included 40 patients who were randomly selected and interviewed and then diagnostic tests performed on the PSQI, and then they were divided into 3 groups. Data were analyzed using ANOVA. Following the implementation of the independent effect of the treatment was significant and one-way ANOVA with post hoc test L.S.D were carried out on CBT and controls (p = 0.001), CBT, neuro-feedback therapy (p = 0.003), neuro-feedback treatment and control (p = 0.001).RESULTS: It was shown that there was a significant difference between the groups. Based on the descriptive statistics of the 2 abovementioned treatments, neuro-feedback therapy in first position and cognitive-behavioral therapy were most effective in the second position, and the control group showed the lowest efficiency.CONCLUSIONS: Both treatments were significantly effective, and so we can use both neuro-feedback and CBT for the treatment of insomnia.


2020 ◽  
Author(s):  
Parvin Allahyari ◽  
Mitra Kolivand ◽  
Arash Namdari ◽  
Khaled Rahmani

Abstract Objective: sexual desire is an integral part of an identity and character of a human being, that affect how to behave with spouse. This study aimed to study the effect of cognitive-behavioral counseling (CBT) on sexual compatibility of new married couples in Sanandaj City in 2018. Method: This was a randomized clinical trial study and participants were 80 new married couples whose information was recorded at the premarital counseling centers that were randomly divided into intervention and control groups. Intervention group received 8 weekly 120-minute sessions of group consultation with cognitive-behavioral approach. Data were collected before the intervention, after 8 weeks of counseling, and two months after the last counseling session using the National Sexual Compatibility Scale. Data were analyzed using chi-square inferential statistics and independent t-test or nonparametric Mann-Whitney test. analysis of covariance was used to control of potential confounders. Results: The mean values of sexual compatibility in two intervention and control groups before counseling were 94.20±3.30 and 93.41±6.84 respectively. These scores reached to 100.11±2.96 in the intervention group and 98.83±3.66 in the control group immediately after the intervention. Also two months after the end of counseling, this rate was 101.98±4.03 in the intervention group and 98.83±3.66 in the control group. The intra-group comparison of sexual adjustment scores before and after counseling and two months after the intervention, showed a statistically significant difference (P <0.001). The trend of changes in the control group was not significant (P >0.05). There was a significant difference between two groups in level of scores two months after the intervention (P <0.001). Conclusion: CBT was effective in improving the level of sexual compatibility between new married couples. It is recommended to use this method of counseling, along with other services provided at pre-marriage counseling centers, to continue and improve the quality of sex and vitality of couples.


2017 ◽  
Vol 2 (1) ◽  
pp. 42
Author(s):  
Surayya Hayatussofiyyah ◽  
H. Fuad Nashori ◽  
Rumiani Rumiani

The study examined the effectiveness of religious cognitive behavioral therapy to reduce adolescents depression. This study used apretest-posttest control group design. Participants in this study were 12 high school students in Sleman, female, aged 15-16 years and divided into two groups. One group (n = 6) as an experimental group who received treatment in the form of religious cognitive behavioral therapy. One other group (n = 6) as controlled group (waiting list). The scale used in this study was Beck Depression Inventory-II. The results of hypothesis test using non-parametric analyzes such as Mann Whitney U Test to examined the difference in value based on the group, namely the experimental and control. This suggests that there are significant differences in the implementation of post test between the experimental and control group.By using mann whitney, the result concluded that religious cognitive behavioral therapywas significantly effective toto reduce adolescents depression (Z = -2.898, p = 0.004, where p


Konselor ◽  
2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Merikan Aren ◽  
Aruna Rauna Duamit

This study aims to determined the effects of Cognitive Behavioral Play Therapy (CBPT) techniques on low self-esteem among UNIMAS Students. More specifically, this study identified the effects of Cognitive Behavioral Play Therapy (CBPT) techniques in experimental group at pretest and posttest on low self-esteem among UNIMAS students and to identified the effects of Cognitive Behavioral Play Therapy (CBPT) techniques in control group at pretest and posttest on low self-esteem among UNIMAS students. A case study design is distributed questionnaire called as Rosenberg Self-Esteem Scale (RSES) and counselling sessions. Purposive sampling is used to get the most suitable respondents for this study. The findings of this study have revealed there were significant difference at pretest and posttest among respondents in experimental group and control group which were respondents in experimental group increased their level of self-esteem, while there were respondents decreased their level of self-esteem in control group. Counselling sessions utilizing Cognitive Behavioral Play Therapy (CBPT) techniques have increased the level of self-esteem among UNIMAS students in experimental group who attended the group counselling sessions because they have low level of self-esteem. All the dialogues that been stated by the client in the counselling sessions about their self-esteem can be related to respondents’ personality, cognitive, behavior, emotions and actions. The findings of this study have implications towards University students and counsellor. As for the university students, they gained insight, understanding and knowledge the importance of having good level of self-esteem. For the counsellor, counsellor being helpful, trusted and skillful which after utilized the CBPT techniques, they gained new skills and knowledge on that particular therapy.


10.17816/cp85 ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 27-33
Author(s):  
Vladimir A. Zyablov ◽  
Mikhail A. Gusev ◽  
Vasilyi S. Chizhikov

INTRODUCTION: The pandemic of the new coronavirus infection has become one of the most significant global social shocks in the past decade. It influenced the lifestyle of many people, including those with mental disorders. AIM: To compare the psychopathological structure of psychotic states in young patients (up to 40 years old) with first-episode psychosis before the COVID-19 pandemic and during the COVID-19 pandemic. METHODS: The research was conducted at the First psychotic episode clinic of the Mental-health clinic No. 1 n.a. N.A. Alexeev, Moscow, Russia. In total, 66 patients were enrolled, who met the inclusion criteria: first-in-life admission to a mental healthcare unit that occurred during the spring of 2019 (control group) or spring 2020 (experimental group), diagnosis on admission that belonged to the group Acute and transient psychotic disorders (F23.XX) of ICD-10. Patients with a disability or concurrent somatic or neurologic conditions were excluded from the study. Assessment of clinical and psychopathological characteristics with the allocation of the leading syndrome within the psychotic state, psychometric assessment according to the PANSS scale was carried out, the above indicators were compared between the experimental and control group. RESULTS: We observed statistically insignificant increase in the rates of affective and catatonic subtypes of psychoses, a decrease in the rate of the delusional subtype of paranoid syndrome. PANSS scores differed significantly for different clinical subtypes of psychoses, although the differences between the experimental and control groups showed no statistical significance. Additionally, in spring 2020, a considerable decrease in the total number of hospitalizations was revealed. CONCLUSIONS: The differences in the clinical and psychopathological structure of psychotic states revealed during the COVID-19 pandemic were statistically insignificant. Additional results of the study may indicate a decrease in the availability of mental healthcare for patients with psychoses, which requires further investigation.


2020 ◽  
Vol 6 (3) ◽  
Author(s):  
Shaymaa M. Hadi ◽  
Fadhil J. Al-Tu’ma ◽  
Riyadh D. Al-Zubaidi

Objective: This research has been carried out to evaluate the levels of [25(OH)D3] as well as the correlation between the deficiency levels with the risk of experiencing T2DM in sample of Iraqi population. Methods: The levels regarding the 25-hydroxy vitamin D3 and the fasting blood sugar (FBG) have been estimated in group of 58 T2DM patients and 31 control subjects of age between (25 - 65 year). The 25-hydroxy vitamin D3 has been estimated via ELISA and fasting blood sugar (FBG) was measured spectrophotometrically. Results: The levels of 25-hydroxy vitamin D3 have been considerably lower in individuals experiencing T2DM (9.465 ± 3.567 ng/ml) than in the control group (14.146 ± 11.045 ng/ml), (P = 0.02) whereas FBG levels were considerably higher in patients experiencing T2DM (218 ± 66 mg/dl) widespread in comparison to control group (89.8 ± 9 mg/dl), (P = 0.009). The levels related to the 25-hydroxy vitamin D3 are inversely related to FBG in both diabetic and control group (P = 0.01, r2 = 0.1), (P < 0.01, r2 = 0.2) respectively. VDD is considered to be related to the hazard of experiencing T2DM; also it is highly prevalent in subjects of Iraqi nationality. Conclusion: VDD is associated to the risk of experiencing T2DM. hypovitaminosis D is very prevalent among the study participants and its percent was higher in female and have a therapeutic implications as cautious supplementation of vitamin D could enhance glycemic control in T2DM.


2016 ◽  
Vol 27 (7) ◽  
pp. 789-801 ◽  
Author(s):  
Allen Rubin ◽  
Micki Washburn ◽  
Christine Schieszler

Purpose: This article provides benchmark data on within-group effect sizes from published randomized clinical trials (RCTs) supporting the efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) for traumatized children. Methods: Within-group effect-size benchmarks for symptoms of trauma, anxiety, and depression were calculated via the Glass approach and adjusted for sample size using Hedges’ g. Results: Overall TF-CBT and control group benchmarks are presented, as well as specific benchmarks for sexual abuse and mixed trauma, and whether included studies utilized intent-to-treat analysis. Discussion: Community practitioners can use these benchmarks as a comparison tool to evaluate whether the way they are adopting or adapting the TF-CBT intervention is satisfactory, needs to be modified, or should be replaced by a different intervention approach. These benchmarks also have potential utility for future implementation research on TF-CBT assessing which service provision conditions are associated with effect sizes approximating benchmarks provided in this article.


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