Do Medications Matter in the Context of Cognitive Behavior Therapy for Panic Disorder?

2005 ◽  
Vol 19 (4) ◽  
pp. 347-354 ◽  
Author(s):  
Norman B. Schmidt ◽  
Julia D. Smith

Patients with panic disorder are frequently medicated when they participate in psychotherapy such as cognitive behavioral therapy (CBT). The present study examined the effects of overall medication status, medication type (benzodiazepine versus antidepressant), and medication dose in a large sample of patients with panic disorder (N = 178) participating in CBT. Overall, medications exhibited very little effect on outcome. After controlling for the effects of CBT, however, taking higher doses of antidepressants was associated with poorer end-state functioning. Results are discussed in relation to better understanding the role of combining psychopharmacological and psychosocial treatments for panic disorder.

2015 ◽  
Vol 37 (3) ◽  
pp. 206-220 ◽  
Author(s):  
Thomas A. Field ◽  
Eric T. Beeson ◽  
Laura K. Jones

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.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S164-S164
Author(s):  
Mohammed Binnwejim ◽  
Atheer Alhumade ◽  
Deiaaeldin Hosny ◽  
Mohamed Alhabib

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.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jenny Marlindawani Purba ◽  
Hanna Ester Empraninta

<p><em>Diabetes mellitus (DM) is the condition of metabolism affected by chronic hyperglycemia (the increase of glucose levels in the blood) caused by insulin secretion defect. One of the non-pharmacological therapies used to decrease the type 2 DM is cognitive behavioral therapy. The objective of the research was to identify the effect of Cognitive Behavior Therapy (CBT) on self management and self-care behaviors of type 2 DM patients. The research used a quasi-experimental method with a two</em><em>-</em><em>group pretest-posttest design. The samples were 70 respondents with 35 of them were in the intervention group and the other 35 were in the control group, taken by using a consecutive sampling technique. The data were gathered using the Diabetes Self-Management Questionnaires (DSMQ) and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaires. The gathered data were analyzed by using paired t-test, and independent t-test. The results of the study showed that there were significantly differences of mean scores of self management and self care behaviors between intervention and control groups </em>(<em>t</em>=13.24; <em>p</em>=0.00) and<em>(t=14.63,</em><em></em><em>p=0.00), respectively. It is recommended that cognitive behavior therapy can be used as one of the non-pharmacological therapies</em><em></em><em>to change self-care behaviors in type 2 DM patients.</em></p>


2019 ◽  
Vol 7 (2) ◽  
pp. 83-90
Author(s):  
Shinta Shinta

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


2021 ◽  
Author(s):  
Aloysius Selo Aryobimo Oentarto ◽  
Febri Rahmat ◽  
Skolastika Hapsari ◽  
Anastasia Hariyanti Widiastuti ◽  
Esther Kristine Gabriella

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.


2021 ◽  
Vol 2 (6) ◽  
pp. 101-113
Author(s):  
Tania Qamar ◽  
Saralah Devi Mariamdaran Chethiyar ◽  
Nabisah binti Ibrahim

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.


2018 ◽  
Vol 21 (2) ◽  
pp. 117-126
Author(s):  
Giur Hargiana ◽  
Budi Anna Keliat ◽  
Mustikasari Mustikasari

Indonesia is the fifth largest producer of cigarettes and has the third highest number of smokers in the world. This has potential biological, psychological, and social consequences. The aims of this study were to investigate the effects of Cognitive Behavioral Therapy (CBT) on smoking behavior and anxiety. Quasi-experimental non-equivalent control group pretest-posttest design was used. A total of 80 respondents were selected at random from 10 districts in proportion to the number of smokers in each district. Respondents completed questionnaires and received a course of CBT conducted over five meetings. There was a significant decrease smoking behavior and anxiety (p< 0.05) in the intervention group. Smoking behavior, nicotine dependence, and anxiety in male heads of family who smoke and who received CBT were significantly lower than in control group. The decreases in smoking behavior and anxiety were significantly correlated (p< 0.05). The study reveals, CBT can effectively change smoking habits as well as reduce anxiety. Keyword: anxiety, smoking behavior, cognitive behavioral therapy Abstrak Pengaruh Cognitive Behavior Therapy Terhadap Perilaku Merokok dan Ansietas pada Kepala Keluarga dengan Perilaku Merokok. Indonesia sebagai penghasil rokok terbesar ke-5 dan memiliki jumlah perokok terbanyak ke-3 di  Dunia, hal tersebut memunculkan masalah secara biologis, psikologis maupun sosial. Tujuan penelitian ini untuk mengetahui pengaruh dari cognitive behavior therapy terhadap perubahan perilaku merokok dan ansietas. Metode penelitian menggunakan desain quasi experiment non-equivalent control group pre-test-post test. Sampel pengambilan secara proporsional random dengan jumlah 80 responden. Pengumpulan data dengan menggunakan kuesioner kemudian responden dilakukan tindakan cognitive behavior therapy dengan lima kali pertemuan.  Hasil penelitian menunjukkan penurunan perilaku merokok dan ansietas secara bermakna (p< 0,05) pada kelompok intervensi. Penurunan perilaku merokok, tingkat ketergantungan nikotin dan ansietas kepala keluarga dengan perilaku merokok yang mendapatkan cognitive behavior therapy lebih besar secara bermakna (p< 0,05) dibandingkan dengan yang tidak mendapatkan cognitive behavior therapy. Penurunan perilaku merokok dan ansietas berhubungan secara bermakna (p< 0,05). Direkomendasikan untuk menerapkan cognitive behavior therapy perokok oleh perawat yang mempunyai kompetensi. Kata Kunci: ansietas, perilaku merokok,cognitive behavior therapy


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Andrew C. Page ◽  
Geoff R. Hooke

The effectiveness among inpatients with depression of a modified cognitive behavior therapy (CBT) program was examined. A group of 300 inpatient admissions with a primary diagnosis of depression attending a private psychiatric clinic were assessed at the beginning and end of a two-week CBT program. The effectiveness of the treatment was demonstrated by improvements on the Beck depression inventory (BDI), the health of the nation outcome scales, locus of control of behaviour scale, and the global assessment of function. The changes on the BDI for patients with depression were benchmarked against estimates generated from published studies. The degree of change in a two-week period for inpatients with depression was similar to that observed in efficacy studies of CBT that typically run over a more extended time. Implications for integrating CBT with inpatient services are discussed.


2021 ◽  
Author(s):  
Aloysius Selo Aryobimo Oentarto ◽  
Febri Rahmat ◽  
Skolastika Hapsari ◽  
Anastasia Hariyanti Widiastuti ◽  
Esther Kristine Gabriella

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.


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