The Role of Gender and Culture in Treating Youth With Anxiety Disorders

2006 ◽  
Vol 20 (3) ◽  
pp. 301-310 ◽  
Author(s):  
Holly Harmon ◽  
Audra Langley ◽  
Golda S. Ginsburg

The purpose of this article is to discuss the complexities of working with anxious children and adolescents of diverse cultures within the context of cognitive-behavioral treatment. Our discussion will examine how culture, gender, and minority status affect anxious symptomatology in children and adolescents and how this may be addressed in treatment. The authors discuss the importance of considering the cultural variations in symptom expression, cultural norms and issues of acculturation, effects of discrimination, and finally the ways that gender can moderate symptom expression. Case examples are incorporated into each section. Recommendations include an emphasis on research on working with children of diverse cultures and the need for ongoing training that helps therapists to examine the impact of their own cultural beliefs on clinical care.

2010 ◽  
Vol 24 (4) ◽  
pp. 314-328 ◽  
Author(s):  
Derek R. Hopko ◽  
Lindsey K. Colman

In behavioral medicine, there is adequate support for behavior modification strategies in reducing depression and anxiety in medical patients. There is comparably less support for cognitive interventions with these patients. Treatment outcome studies with cancer patients generally support the efficacy of cognitive–behavioral interventions, but studies have significant methodological limitations. Additionally, cognitive–behavioral therapy for depression incorporates numerous treatment components, and when examining data with nomothetic statistics, important individual differences may go unrecognized. With reference to the sudden gain literature on significant session-by-session treatment gains, this paper highlights the cognitive–behavioral treatment of two breast cancer patients with clinical depression. In addition to positive treatment outcome in which depression was significantly reduced and quality of life and medical outcomes improved, session-based sudden change data suggest that for these cancer patients, cognitive interventions were most significant in accounting for treatment gains. Findings are reviewed in the context of mechanism of change issues in the cognitive–behavioral treatment of depression.


Author(s):  
Falisha Gilman ◽  
Zheala Qayyum

This chapter provides a summary of a landmark study in child and adolescent psychiatry. Is sertraline, cognitive behavioral treatment, or their combination more effective in the initial treatment of children and adolescents with clinically significant obsessive-compulsive disorder? Starting with that question, it describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, discusses implications, and concludes with a relevant clinical case.


2020 ◽  
Vol 7 (2) ◽  
pp. 79-87
Author(s):  
Reza Shabahang ◽  
Seyed Javad Emadi ◽  
Farzin Bagheri Sheykhangafshe ◽  
Abbas Ali Hossien Khanzadeh ◽  
Seyedeh Maryam Mousavi

Background: Alzheimer’s disease is predicted to increase dramatically in the near future. Alzheimer’s caregiving brings about severe problems for caregivers. Considering the corrosive consequences of Alzheimer’s disease on Alzheimer’s caregivers, finding an effective intervention is necessary. Thus, the present research conducted by the aim of investigating the effectiveness of cognitive-behavioral treatment for Alzheimer’s disease patients and their caregiver’s protocol on burdens of Alzheimer’s disease on caregivers and their sense of coherence (SOC). Methods: This study was a quasi-experimental research with a pretest-posttest control group design. The target population included all mild Alzheimer’s disease patients and their caregivers referred to the neurology ward of the hospitals in Rasht during summer 2018. According to the medical records and results of screening, 40 mild Alzheimer’s disease, patients and their caregivers recruited by convenience sampling method. After sampling, research participants randomly assigned into two experimental (n= 20) and waitlist control (n=20) groups. The Impact of Alzheimer’s Disease on Caregiver Questionnaire and SOC scale were used to measure the burdens of Alzheimer’s disease on caregivers and caregivers’ SOC. The CBTAC provided for the experimental group participants in 25 sessions of 90-minutes. In the end, the data analyze has done by multivariate analysis of covariance (MANCOVA) and using SPSS24 software. Results: The findings indicated that the CBTAC had a significant effect on the burdens and SOC of Alzheimer’s caregivers in the experimental group (P<0.01). In other words, the CBTAC decreases burdens and increase the SOC of Alzheimer’s caregivers significantly (P<0.01). Conclusion: Based on the research results, the CBTAC is an effective intervention in decreasing caregiving burden and the increasing SOC of Alzheimer’s caregivers. Therefore, CBTAC is a multicomponent intervention that can be used to improve the competency and mental health of Alzheimer’s caregivers.


2010 ◽  
Vol 32 (3) ◽  
pp. 206-217 ◽  
Author(s):  
James Morgan ◽  
Jesse Roberts

This article provides an overview of how loss affects young people of different ages and describes methods for helping bereaved children and adolescents. Case examples demonstrate the use of drawings to elucidate the inner experiences of young people who are grieving and to facilitate the counseling process. A format for a bereavement support group is detailed, and guidelines are provided for the use of bibliotherapy. Cultural, ethical, and counselor competency issues are also considered. The importance of counselors' awareness of the impact of their own loss experiences is also discussed.


2001 ◽  
Vol 15 (4) ◽  
pp. 299-310 ◽  
Author(s):  
Norman Epstein

This article briefly summarizes the behavioral, cognitive, and affective factors that have been implicated in couples’ relationship problems, describes representative interventions for those factors, and reviews the current status of outcome research on cognitive-behavioral therapy for couples. Although the initial studies have provided encouraging findings concerning the effectiveness of cognitive-behavioral treatment for distressed couples, limitations in the number and scope of the studies leave many unanswered questions. In particular, studies have not assessed the impact of cognitive-behavioral couple therapy as it is conducted in clinical practice. Additional research is needed to address issues such as the relative efficacy of different cognitive restructuring interventions and the impact of integrating interventions targeting cognitive, affective, and behavioral aspects of relationship problems.


Sign in / Sign up

Export Citation Format

Share Document