scholarly journals Modification of cognitive behavior therapy to improve the skill of elderly with osteoarthritis

2021 ◽  
Vol 4 (3) ◽  
pp. 180
Author(s):  
Rizkiyani Istifada ◽  
Etty Rekawati ◽  
Widyatuti Widyatuti
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Muscle Relaxation ◽  
Senior Citizen ◽  
Family Care ◽  
The Elderly ◽  
Progressive Muscle Relaxation ◽  
Cognitive Behavioral ◽  
Joint Fluid ◽  
Synovial Joint

One of the characteristics of physical changes in the elderly involves a decrease in the musculoskeletal system, such as the depletion of the synovial joint fluid which has an impact on the pain felt in joints. This condition can cause a disruption of the quality of life for the elderly and results in increases in the family burden. The purpose of cognitive-behavioral therapy in nurse care planning is to provide an overview of the implementation of family care nursing, community care health nursing, and management of health services by community health nurses to the elderly with osteoarthritis. The innovation and development of this senior citizen community program, initially named Lansia SMART (SMART Elderly), consists of six sessions, including psychoeducation sessions, cognitive restructuring sessions, pain management sessions with progressive muscle relaxation, activity scheduling sessions, problem-solving sessions, and tutorial sessions for the Lansia SMART (SMART Elderly) group with the Android application. The final maintaining challenging stage of these services involved 59 elderly participants. Data analysis used paired T-tests. The results of this innovation showed significant differences in the behavior of the elderly participants after the implementation of the SMART Elderly program (p < 0.05). The SMART Elderly program was effective to improve the elderly participants’ behavior. Nurses can use cognitive behavioral therapy to improve the process of self-management of osteoarthritis among their clients.

scholarly journals Manajemen Asuhan Keperawatan Spesialis Pada Klien Dengan Diagnosis Ansietas Dan Gangguan Citra Tubuh Di Unit Umum

2017 ◽  
Vol 6 (1) ◽  
pp. 48
Author(s):  
Maria Turnip ◽  
Achir Yani Suhaemi Hamid ◽  
Ice Yulia Wardani
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Muscle Relaxation ◽  
Progressive Muscle Relaxation ◽  
Cognitive Behavioral ◽  
Care Giver ◽  
Family Psychoeducation

Penyakit fisik menimbulkan masalah psikososial ansietas dan gangguan citra tubuh. Masalah psikososial ini menjadi faktor comorbid yang menambah berat kondisi fisik klien. Pelaksanaan tindakan ners spesialis didasarkan pada konsep perilaku dan adaptasi sebagai mahluk yang holistik yang meliputi: Cognitive Behavioral Therapy (CBT), Thought Stopping (TS), Progressive Muscle Relaxation (PMR) dengan mempertimbangkan toleransi fisik klien. Tindakan ners spesialis Family PsychoEducation (FPE) pada keluarga dan Supportive Theraphy (ST) pada kelompok pelaku rawat (care giver) diberikan untuk memperkuat dukungan dari luar klien demi mempertahankan kelangsungan proses perawatan klien. Hasil: Pelaksanaan tindakan ners spesialis menunjukkan penurunan tanda dan gejala pada klien di semua aspek respons terhadap stresor. Penurunan yang paling besar terjadi pada kombinasi terapi CBT+PMR+FPE yang dilakukan pada klien dengan diagnosis ansietas pada aspek afektif sebesar 79.2% dan klien dengan diagnosis gangguan citra tubuh pada aspek perilaku sebesar 86.3%. Kesimpulan: Tindakan ners spesialis Cognitive Behavioral Therapy (CBT), Thought Stopping (TS), Progressive Muscle Relaxation (PMR) dengan mempertimbangkan toleransi fisik klien dan Family PsychoEducation (FPE) pada keluarga serta Supportive Theraphy (ST) pada kelompok pelaku rawat (care giver) dapat membantu penurunan respons klien terhadap stressor.Kata kunci: penyakit fisik; ansietas; gangguan citra tubuh; cognitive behavioral therapy; thought stopping; progressive muscle relaxation

scholarly journals A tailored Internet-delivered modular intervention based on cognitive behavioral therapy for depressed older adults: a study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jonas Eimontas ◽  
Vilmantė Pakalniškienė ◽  
Ieva Biliunaite ◽  
Gerhard Andersson
Keyword(s):  
Older Adults ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Well Being ◽  
The Elderly ◽  
Waiting List ◽  
Cognitive Behavioral ◽  
Depression Symptoms ◽  
Link Type

Abstract Background Depression is most common among the elderly and is associated with major impairment. With limited accessible treatments available, remotely provided interventions are needed. Internet-based interventions have been proven effective for a number of mental and somatic health problems. However, the elderly population has received relatively limited attention in previous studies. This study aims to address this gap by investigating the effectiveness of a tailored Internet-delivered modular intervention based on cognitive behavioral therapy (CBT). Methods A minimum of 60 participants will be recruited and randomly assigned to groups in a two-armed parallel controlled trial with a waiting list. The intervention group will have access to an 8-week therapist-supported modular intervention. The waiting list group will be instructed to wait for 8 weeks and then granted access to the intervention for 8 weeks. Pre, post, and 3-, 12-, and 24-month follow-up assessments are planned for measuring changes in depression symptoms, anxiety symptoms, and psychological well-being using PHQ-9, GDS, GAD-7, and WHO-5. Primary outcomes of all the participants will be analyzed using the intention-to-treat principle, and within- and between-group effect sizes will be calculated. Discussion Internet-based interventions could help address the existing treatment gap for depressed older adults. However, to date, the effectiveness of Internet-based CBT (ICBT) for depressed older adults has only been tested in a few studies. This trial will demonstrate if Internet-based CBT is effective for this population when compared to a waiting list control. Further analysis of secondary outcomes and participant behavior in the intervention will potentially reveal effectiveness moderating factors. Trial registration ClinicalTrials.gov NCT04728204. Registered on 15 January 2021. https://www.clinicaltrials.gov/ct2/show/NCT04728204?term=NCT04728204&draw=2&rank=1

Introductory Information for Therapists

2009 ◽  
pp. 1-20
Author(s):  
Dolores Gallagher-Thompson ◽  
Larry W. Thompson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Diagnostic Criteria ◽  
Treatment Program ◽  
Program Implementation ◽  
Behavioral Therapy ◽  
Late Life ◽  
The Elderly ◽  
Evidence Base ◽  
Cognitive Behavioral ◽  
Risks And Benefits

This chapter presents introductory information for therapists on this cognitive-behavioral therapy (CBT) program for depression in late life, including diagnostic criteria for depression, development of this treatment program and evidence base, recommendations for program implementation, the CBT model of depression in the elderly, risks and benefits of the treatment program, alternative treatments, and an online of the treatment program itself.

Adapting Cognitive Behavioral Therapy for the Frail Elderly

1995 ◽  
Vol 7 (4) ◽  
pp. 561-571 ◽  
Author(s):  
Robert W. Grant ◽  
David A. Casey
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Side Effects ◽  
Cognitive Behavioral Therapy ◽  
Frail Elderly ◽  
Affective Disorders ◽  
Behavioral Therapy ◽  
The Elderly ◽  
Cognitive Behavioral ◽  
Clinical Experiences

Depression is a common psychiatric disorder of the aged. This article briefly reviews the literature on the use of cognitive behavioral therapy (CBT) with the elderly, and suggests some changes in using CBT with the elderly based on the authors' clinical experiences. Recommended changes in technique and common themes when dealing with the frail elderly are described, including the use of “supportive CBT” for patients with mild cognitive impairment. The authors' experiences suggest that CBT is an effective treatment for depression and other affective disorders of the frail elderly, and is especially useful when somatic treatments are contraindicated or produce intolerable side effects.

Cognitive Behavioral Therapy for Eating Disorders

2001 ◽  
Author(s):  
Glenn Waller ◽  
Helen Cordery ◽  
Emma Corstorphine ◽  
Hendrik Hinrichsen ◽  
Rachel Lawson ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

Low-Intensity Cognitive Behavioral Therapy

2017 ◽  
Vol 2 (1) ◽  
pp. 31-36
Author(s):  
Pascal Wabnitz ◽  
Michael Schulz ◽  
Michael Löhr ◽  
André Nienaber
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Low Intensity
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