Identifying the “Therapy Targets” for Treating the Negative Symptoms of Psychosis Using Cognitive Behavioral Therapy

2018 ◽  
Vol 32 (3) ◽  
pp. 203-220 ◽  
Author(s):  
Monica F. Tomlinson ◽  
Joshua D. Wright
Keyword(s):  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Negative Symptoms ◽  
Critical Discussion ◽  
Cognitive Behavioral ◽  
Empirical Literature ◽  
Psychotic Symptoms ◽  
Cognitive Behavior ◽  
Positive Symptoms ◽  
Treatment Targets

The division of psychotic symptoms into positive and negative categories has largely divided the research on them. While the research on positive symptoms of psychosis has rapidly developed over the last three decades, the literature on negative symptoms has noticeably lagged behind. Negative symptoms have likely been ignored in the treatment literature because they were previously thought to remit following the treatment of positive symptoms. Recent evidence does not consistently support this theory and indicates that the different manifestations of negative symptoms require distinct approaches to treatment. The current review provides a re-evaluation of the theoretical literature on negative symptoms to inform and identify “treatment targets” to reduce them. The “treatment targets” are then translated into intervention strategies using a cognitive behavioral framework. A review of the empirical literature on cognitive behavior therapy for treating negative symptoms is then offered along with a critical discussion of where cognitive behavior therapy stands compared to other interventions and what research is still needed.

scholarly journals Cognitive-Behavioral Techniques and Family System Therapy

2021 ◽  
Vol 29 (3) ◽  
pp. 58-68
Author(s):  
F.M. Dattilio
Keyword(s):  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Family System ◽  
Cognitive Behavioral ◽  
Empirical Literature ◽  
Cognitive Behavior ◽  
Family Therapists ◽  
Systemic Movement ◽  
System Therapy ◽  
Behavioral Techniques

This article addresses the integration of cognitive-behavior therapy with families within the systemic movement. It reviews some of the updated empirical literature that supports its strategies as well as its attractiveness to systemic family therapists in Russia and across the globe.

What is the minimal dose of cognitive behavior therapy for psychosis? An approximation using repeated assessments over 45 sessions

2016 ◽  
Vol 38 ◽  
pp. 31-39 ◽  
Author(s):  
T.M. Lincoln ◽  
E. Jung ◽  
M. Wiesjahn ◽  
B. Schlier
Keyword(s):  
Clinical Practice ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Negative Symptoms ◽  
Optimal Dose ◽  
Symptom Distress ◽  
Psychotic Symptoms ◽  
Symptom Improvement ◽  
Cognitive Behavior ◽  
And Coping

AbstractBackgroundThe general efficacy of cognitive behavior therapy for psychosis (CBTp) is well established. Although guidelines recommend that CBTp should be offered over a minimum of 16 sessions, the minimal number of sessions required to achieve significant changes in psychopathology has not been systematically investigated. Empirically informed knowledge of the minimal and optimal dose of CBTp is relevant in terms of dissemination and cost-effectiveness.MethodsWe approached the question of what constitutes an appropriate dose by investigating the dose (duration of CBTp) × response (symptomatic improvement) relationship for positive symptoms, negative symptoms and depression. Patients with psychotic disorders (n = 58) were assessed over the course of 45 sessions of CBTp in a clinical practice setting. At baseline and after session 5, 15, 25, and 45, general psychopathology, psychotic symptoms, symptom distress and coping were assessed with self-report questionnaires. Additionally, individually defined target symptoms and coping were assessed after each session.ResultsSignificant symptom improvement and reduction of symptom distress took place by session 15, and stayed fairly stable thereafter. The frequency of positive and negative symptoms reached a minimum by session 25.ConclusionsOur findings support recommendations to provide CBTp over a minimum of 16 sessions and indicate that these recommendations are generalizable to clinical practice settings. However, the findings also imply that 25 sessions are the more appropriate dose. This study contributes to an empirically informed discussion on the minimal and optimal dose of CBTp. It also provides a basis for planning randomized trials comparing briefer and longer versions of CBTp.

What Are the Primary Goals of Cognitive Behavior Therapy for Psychosis? A Theoretical and Empirical Review

2015 ◽  
Vol 29 (1) ◽  
pp. 45-67 ◽  
Author(s):  
Robert Brockman ◽  
Elizabeth Murrell
Keyword(s):  
Empirical Evidence ◽  
Emotional Distress ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Empirical Literature ◽  
Psychotic Symptoms ◽  
Cognitive Behavior ◽  
Behavioral Disturbance ◽  
The Past ◽  
Meta Analyses

Despite a rise in the popularity of cognitive behavior therapy for psychosis (CBTp) over the past 15 years, recent systematic reviews and meta-analyses have concluded that CBTp has only modest effects on psychotic syndrome outcomes and that empirical evidence of its superiority over other psychosocial treatments is poor (Jones, Hacker, Meaden, Cormac, & Irving, 2012; Wykes, Steel, Everitt, & Tarrier, 2008). However, for some time now, some authors prominent in the development of CBTp have argued the primary goals of CBTp not to be global syndrome reduction but the amelioration of emotional distress and behavioral disturbance in relation to individual psychotic symptoms (Birchwood & Trower, 2006). A review of the theoretical and empirical literature related to CBTp reveals broad support for this position. Implications and recommendations for research into the efficacy of CBTp are discussed.

scholarly journals Comparison between the efficiency of pharmacotherapy and cognitive behavioral therapy in reducing captagon (fenethylline) dependence and relapse prevention

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S164-S164
Author(s):  
Mohammed Binnwejim ◽  
Atheer Alhumade ◽  
Deiaaeldin Hosny ◽  
Mohamed Alhabib
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Relapse Prevention ◽  
Behavioral Therapy ◽  
Automatic Thoughts ◽  
Cognitive Behavioral ◽  
Cognitive Behavior ◽  
Significant Discrepancy

AimsTo examine the therapeutic efficacy and effectiveness of cognitive behavior therapy and pharmacotherapy in the treatment of Major Captagon (Fenethylline) Dependence.MethodA 41 outpatients males selected for the study, diagnosed as they are suffering from Captagon Dependence according to the DSM-5, with mean age 34.58 ± 5.11. The sample was divided into three experimental groups, (A) (N = 14) treated by cognitive behavior therapy (CBT) and pharmacotherapy in combination. (B) (N = 13) treated by CBT alone. (C) (N = 14) treated by pharmacotherapy alone. All groups were assigned to four measurements, one for the baseline before any treatment interventions, one post-treatment evaluation and two for follow-up within a short and long time. Non-parametric statistics were used to analyze the data collected by SPSS.ResultThere is no significant intra-group differences were found in terms of baseline assessment. There was no significant discrepancy between the first and the second group except in the term of reducing Captagon craving, as it was clearer in the first group in comparison with other groups. There was a clear significant discrepancy between the first and third groups, for all the study variables and it is phases of assessment especially follow-up. There was a clear degree of differences among the second and the third group, through the different phases of post-assessment, which refers to the great efficacy and effectiveness of CBT in Treating Captagon Dependence CBT was proved to be more effective than pharmacotherapy in the treatment of Captagon Dependence. The combination of CBT and pharmacotherapy was more effective than each other alone in the treatment of Captagon Dependence and Relapse Prevention.ConclusionAvailable evidence suggests that cognitive–behavioral therapy is an effective intervention method for psychological aspects of automatic thoughts, depression, negative health beliefs, craving, and relapse prevention, although its efficacy in reducing Captagon (Fenethylline) dependence.

scholarly journals Meta-analysis and Meta-regression of Cognitive Behavioral Therapy for Psychosis (CBTp) Across Time: The Effectiveness of CBTp has Improved for Delusions

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Katarzyna Sitko ◽  
Bridgette M Bewick ◽  
David Owens ◽  
Ciara Masterson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Negative Symptoms ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Psychotic Symptoms ◽  
Positive Symptoms ◽  
Medium Effects ◽  
Treatment As Usual ◽  
Meta Analyses

Abstract Published research shows small-to-medium effects of Cognitive Behavioral Therapy for Psychosis (CBTp) on reducing psychotic symptoms. Given the on-going development of CBTp interventions, the aim of this systematic review is to examine whether the effectiveness of CBTp has changed across time. MEDLINE, EMBASE, PsycINFO, and CENTRAL were searched for randomized controlled trials examining CBTp interventions targeting positive and/or negative symptoms vs treatment as usual. Four meta-analyses were carried out to examine the effectiveness of CBTp for: positive symptoms; delusions; hallucinations; and negative symptoms. Four meta-regressions examined whether the effectiveness of CBTp changed across time for these groups of symptoms. A total of 28 studies (n = 2698) yielded a pooled g of −0.24 (95% confidence interval [CI] −0.32, −0.16, P < .001) favoring CBTp for positive symptoms, with nonsignificant heterogeneity (Q = 26.87, P = .47; I2 =0%); 13 studies (n = 890) yielded a pooled g of −0.36 (95% CI −0.59, −0.13, P = .002) for delusions, with substantial heterogeneity (Q = 31.99, P = .001; I2 =62%); 16 studies (n = 849) yielded a pooled g of −0.26 (95% CI −0.42, −0.11, P < .001) for hallucinations, with nonsignificant heterogeneity (Q = 18.10, P = .26; I2 =17%); 19 studies (n = 1761) yielded a pooled g of −0.22 (95% CI −0.33, −0.12, P < .001) for negative symptoms, with nonsignificant heterogeneity (Q = 20.32, P = .32, I2 =11%). Meta-regressions indicated a significant effect of year on the effectiveness of CBTp only for delusions (F[1, 11] = 5.99, P = .032; R2 = 0.594); methodological quality did not effect this finding. Findings indicate small-to-medium effects of CBTp for psychotic symptoms, with increasing effectiveness across time for delusions.

scholarly journals Pengaruh Terapi Perilaku Kognitif terhadap Kemampuan Interaksi Sosial pada Klien Isolasi Sosial di Provinsi Bengkulu

2019 ◽  
Vol 7 (2) ◽  
pp. 83-90
Author(s):  
Shinta Shinta
Keyword(s):  
Social Interaction ◽  
Cognitive Behavioral Therapy ◽  
Social Isolation ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Average Score ◽  
Control Group ◽  
Cognitive Behavior

Social isolation is a condition of isolation from someone with schizophrenia so that the ability to interact with others decreases to be something negative. This study aims to determine the effect of cognitive behavioral therapy on the social interaction ability of social isolation clients in Bengkulu Province. The research method, this research is a quantitative study using a Quasi Experiment research design with a pre test and post test approach design without control group. The sample of this study was 30 people with total sampling techniques. The results of the study of social interaction ability of patients social isolation seen from the variables of cognitive abilities, affective and behavior. The average cognitive ability before giving therapy is 13.79, while after therapy is 19.88. The average affective ability before therapy was 14.58 while after therapy was 17.33. The average behavioral ability before therapy is 9.64 while after therapy is an average of 11.06. Based on the results of the t-dependent test, there were differences in the average score before and after the administration of Cognitive Behavior therapy, with the ρ value of each variable 0,000 (α = 0.05). Conclusion, Cognitive Behavior therapy has a significant effect on the ability of social interactions of social isolation patients in Bengkulu Province. Cognitive behavioral therapy is recommended as nursing therapy in treating social isolation clients with decreased social interaction abilities. Keywords: Cognitive behavioral therapy, Social interaction ability, Client social isolation

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.

Effectiveness of Intervention Based Cognitive Behavior Therapy (CBT) Module among Females with Major Depressive Disorder in Pakistan

2021 ◽  
Vol 2 (6) ◽  
pp. 101-113
Author(s):  
Tania Qamar ◽  
Saralah Devi Mariamdaran Chethiyar ◽  
Nabisah binti Ibrahim
Keyword(s):  
Major Depressive Disorder ◽  
Cognitive Behavioral Therapy ◽  
Depressive Disorder ◽  
Beck Depression Inventory ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavior ◽  
Major Depressive

Purpose. The present research was conducted to examine the effectiveness of intervention based Cognitive Behavior Therapy (CBT) module in treating signs of depression among females with major depressive disorder. Method. Qusai experimental (pretest-posttest) research design was used in the present study. Females (age range; 25-40 years) suffering from moderate level of major depressive disorder were selected through random and stratified sampling strategy. Demographic sheet, DSM-5 checklist, visual analogue scale and beck depression inventory were used as an assessment measure in this study. Results. Statistical analysis revealed significant results. Findings showed that cognitive behavioral therapy alleviated depression symptoms among females with major depressive disorder. Females who received cognitive behavioural therapies scored lower on the Beck Depression Inventory than females who did not get any interventions, according to the findings. This suggests that Cognitive Behavioral Therapy (CBT) is useful for ladies suffering from serious depression. Novelty/Originality of The Study. The main goals of the first treatment interview develop a warm collaborative therapy connection, identify particular problem sets and associated goals, psycho-educate the patient about the cognitive model and vicious cycle that keeps depression alive, and give the patient an idea about future treatment methods. CBT is divided into three sections: beginning treatment, behavioural interventions, and working with negative automatic thoughts, used cognitive restructuring and ending sessions. Implications. The current treatment will demonstrate significant decreases in depressive symptoms and endorsement of faulty metacognitive beliefs between baseline and posttreatment, as well as, in the follow-up.

The New ABCs: A Practitioner's Guide to Neuroscience-Informed Cognitive-Behavior Therapy

2015 ◽  
Vol 37 (3) ◽  
pp. 206-220 ◽  
Author(s):  
Thomas A. Field ◽  
Eric T. Beeson ◽  
Laura K. Jones
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Behavioral Therapy ◽  
Physiological Responses ◽  
Cognitive Behavioral ◽  
Cognitive Behavior ◽  
Therapy Model ◽  
The Impact

Cognitive-behavioral therapy models are evolving to take into account the impact of physiological responses on client distress and the secondary role of conscious cognitions and beliefs in perpetuating distress and dysfunction. This article presents an accessible and practical description of a neuroscience-informed cognitive-behavior therapy model, in the hope that readers will learn how to apply this model in practice.

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