scholarly journals Cognitive Breastfeeding Counseling: A Single Session Helps Improve LATCH Score

2018 ◽  
Vol 27 (3) ◽  
pp. 148-151
Author(s):  
Kavita Sreekumar ◽  
Annely D’Lima ◽  
M. P. Silveira ◽  
Riddhima Gaonkar

Antenatal counseling improves the rate of exclusive breastfeeding. But routine antenatal counseling may not be effective in achieving this. Cognitive behavioral therapy derived techniques may be more useful in improving breastfeeding outcomes. We did this study to test the effectiveness of a single session of cognitive counseling compared to routine counseling in the third trimester for improving LATCH score. Fifty mother–baby dyads were enrolled. Twenty-six mothers underwent cognitive counseling and 24 mothers underwent routine counseling. After birth, the LATCH scores were assessed within the first 24 hours in the newborn. A single session of cognitive breastfeeding counseling in the third trimester is effective in significantly improving the LATCH scores in the immediate newborn period.

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e037590 ◽  
Author(s):  
Pamela J Surkan ◽  
Syed Usman Hamdani ◽  
Zill-e Huma ◽  
Huma Nazir ◽  
Najia Atif ◽  
...  

IntroductionPrenatal anxiety is a prevalent condition that is harmful for women and a strong predictor of postpartum depression. This trial assesses an intervention initiated in early pregnancy to mid pregnancy among women with clinical or subclinical symptoms of anxiety in Pakistan.Methods and analysisHappy Mother, Healthy Baby(HMHB) is a phase three, two-arm, single-blind, individual randomised clinical trial conducted in the outpatient department of Holy Family Hospital, a large public tertiary care facility affiliated with Rawalpindi Medical University (RMU). Pregnant women (enrolled at ≤22 weeks of gestation) receive six individual HMHB sessions based on cognitive–behavioral therapy (CBT) and relaxation techniques that are administered by non-specialist providers and tailored to address anxiety symptoms. Two to six booster sessions are given between the fifth consecutive weekly core session and the sixth core session that occurs in the third trimester. Apart from baseline data, data are collected in the third trimester, at birth and at 6-weeks postpartum. Primary outcomes include diagnoses of postpartum common mental disorders. Secondary outcomes include symptoms of anxiety and of depression, and birth outcomes including small-for-gestational age, low birth weight and preterm birth. An economic analysis will determine the cost effectiveness of the intervention.EthicsEthics approval was obtained from the Johns Hopkins Bloomberg School of Health Institutional Review Board (Baltimore, USA), the Human Development Research Foundation Ethics Committee (Islamabad, Pakistan), the RMU Institutional Research Forum (Rawalpindi, Pakistan) and the National Institute of Mental Health-appointed Global Mental Health Data Safety and Monitoring Board.DisseminationResults from this trial will build evidence for the efficacy of a CBT-based intervention for pregnant women delivered by non-specialised providers. Identification of an evidence-based intervention for anxiety starting in early pregnancy to mid pregnancy may be transferable for use and scale-up in other low-income and middle-income countries.Trial registration numberNCT03880032.


2015 ◽  
Vol 15 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Carrie M. Potter ◽  
Dane Jensen ◽  
Dina G. Kinner ◽  
Marisol Tellez ◽  
Amid Ismail ◽  
...  

2020 ◽  
Vol 3 (3) ◽  
pp. 33-43
Author(s):  
Jose Leonardo L. Degillo ◽  
Lisa Anna M. Gayoles

This study determined the effect of Religiously Integrated Cognitive Behavioral Therapy (RCBT) on the psycho-spiritual well-being of people living with HIV (PLHIV). A one-group pretest-posttest design was employed to determine the effect of RCBT on the psycho-spiritual well-being of PLHIV. The Psychological General Well-Being Index (PGWBI) and the Spiritual Well-Being Questionnaire (SWBQ) were used to measure psychological well-being and spiritual well-being, respectively. The intervention was a single session RCBT. The participants were PLHIV from the Philippine Catholic HIV/AIDS Network (PhilCHAN) Western Visayas group. The results of the study revealed a statistically significant increase in the psychological well-being of the PLHIV before and after the RCBT. Although there was an increase in the spiritual well-being of the PLHIV after the RCBT, it was not statistically significant. The findings suggest implications for the inclusion of RCBT in the services provided for PLHIV to improve their psycho-spiritual well-being.


Author(s):  
Svitlana P. Derev’anko

Prolonged instability of socio-political conditions and unpredictable transformations in the modern life of many countries of the world require from the average person realization of stress-protective abilities and constant activation of an adaptive reserve. These features of modern life make increased demands on psychotherapeutic practice. One of the most recognized modern methods of psychotherapeutic care around the world is cognitive-behavioral therapy, which is rapidly evolving and systematically updated with new data. We consider timely and relevant analysis of recent publications in the field of cognitive-behavioral therapy and identification of promising research topics that will serve as a basis for their further in-depth study. The purpose of the article is to determine the main directions and priority topics of research of cognitive-behavioral therapy at the present stage of its development (for the last 5 years during 2017-2021). During the research the methods of theoretical analysis of scientific sources on research issues were used; systematization, generalization of the analyzed data. According to the results of our study, two main areas were identified: theoretical and methodological (specified components of the “third wave” of cognitive-behavioral therapy; data on comparing the methodology of cognitive-behavioral therapy with other psychotherapeutic practices, including Gestalt therapy, Мusic therapy) and methodical (means of cognitive-behavioral therapy aimed at diagnosing cognitive errors – “Scale of emotional schemes of R. Likha” in adaptation by N. Sirota, questionnaire of cognitive errors by A. Freeman, R. DeVolf in adaptation by O. Bobrov and E. Faizrakhmanova, Scale of cognitive exposures R. Kovin in the adaptation of T. Kryukova, identified areas of implementation of modern training programs of cognitive-behavioral therapy – educational activities, family relationships). The obtained results can be applied in the education in order to update the work programs and educational literature on teaching the basics of cognitive-behavioral therapy. A review of current research on cognitive-behavioral therapy has shown that the priority topics of the theoretical and methodological direction are the latest trends of the third wave of cognitive-behavioral therapy, as well as a comparative analysis of cognitive-behavioral therapy and other psychotherapeutic practices. The most relevant topics of methodological direction are the development and adaptation of methodological tools of cognitive-behavioral therapy; improvement of technologies for conducting sessions of cognitive-behavioral therapy in clinical practice; introduction of training programs in the paradigm of cognitive-behavioral therapy in socio-pedagogical practice. It can be generalized that modern cognitive-behavioral therapy is intensively developed and updated in accordance with the requirements of the time (integration of approaches, Internet communication, mobile applications for cognitive-behavioral therapy).


2020 ◽  
Author(s):  
Tarja Korpilahti-Leino ◽  
Terhi Luntamo ◽  
Terja Ristkari ◽  
Susanna Hinkka-Yli-Salomäki ◽  
Laura Pulkki-Råback ◽  
...  

BACKGROUND The COVID-19 pandemic has had a major impact on families’ daily routines and psychosocial well-being, and technology has played a key role in providing socially distanced health care services. OBJECTIVE The objectives of this paper are two-fold. First, to describe the content and delivery of a single-session, Internet-based, cognitive behavioral therapy (ICBT) intervention, which has been developed to help parents cope with children’s anxiety and manage daily situations with their children. Second, to report user adherence and satisfaction among the first participants who completed the intervention. METHODS The Together we’ll manage intervention has been developed by the Department of Child Psychiatry at the University of Turku, Finland. It combines evidence-based CBT elements, such as psychoeducation and skills to manage anxiety, with parent training programs that strengthen how parents interact with their child and handle daily situations. A pre-post design was used to examine user satisfaction and the skills the parents learned. Participants were recruited using advertisements, media activity, day care centers and schools, and asked about background characteristics, emotional symptoms and parenting practices before they underwent the ICBT. After they completed the seven themes, they were asked what new parenting skills they had learned from the ICBT and how satisfied they were with the program. RESULTS Of the 602 participants who filled in the baseline survey, 205 (34%) completed the program’s seven themes and 189 (31%) completed the post-intervention survey. Most of the participants were satisfied with the program (73%) and had learned skills that eased both their anxiety (75%) and their children’s (83%). The majority (83%) reported that they learned how to organize their daily routines better and just over half (53%) said the program improved how they planned each day with their children. CONCLUSIONS The single-session ICBT helped parents to face the psychological demands of the COVID-19 pandemic. Future studies should determine how the participation rate and adherence can be optimized in digital, universal interventions. This will help to determine what kinds of programs should be developed, including their content and delivery.


2018 ◽  
Vol 19 ◽  
pp. 868-875 ◽  
Author(s):  
Katherine E. MacDuffie ◽  
Jeff MacInnes ◽  
Kathryn C. Dickerson ◽  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
...  

2011 ◽  
Vol 26 (S2) ◽  
pp. 740-740
Author(s):  
D. Vasile ◽  
O. Vasiliu ◽  
A.G. Mangalagiu ◽  
C. Tudor ◽  
V. Bogdan ◽  
...  

IntroductionAnorexia nervosa (AN) has been approached from multiple medical, social and psychological perspectives, but it still stands as a major challenge for the clinician, due to its resistance to treatment, low therapeutic compliance and severe complications.ObjectiveTo asses the efficacy of an interpersonal focused cognitive-behavioral therapy (CBT) in patients diagnosed with AN.MethodsWe enrolled in 12 weeks, 3 sessions a week, CBT program a number of three patients, females, admitted successively in our departments, diagnosed with AN, who didn’t have previously any kind of psychotherapy. The first patient was 22, diagnosed with AN-restricting type, had a BMI of 14.5 and a score on Eating Attitudes Test (EAT) of 34. The second patient was 19, presented AN-binge eating-purging, had a BMI of 14 and an EAT score of 35. The third patient was 25, had also AN-binge eating-purging, a BMI of 15 and an EAT score of 32.ResultsThe first two patients responded well to the CBT program, but the first signs of recovery (EAT decreases of at least 5 points and increases of at least 1 unit on BMI) appeared after 10 weeks (15 sessions). The third patient discontinued rather fast the psychological treatment. The follow up (12 weeks after endpoint) showed relapse in one CBT-treated patient and a severe status of the patient that discontinued psychotherapy.ConclusionThe CBT focused on communicational skills enhancement is beneficial in patients with AN, but responses appear rather late and need to be boosted by frequent follow-up sessions.


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