Intervention effect of cognitive behaviour therapy under suicidology on psychological stress and emotional depression of college students

Work ◽  
2021 ◽  
pp. 1-13
Author(s):  
Shaofei Wu ◽  
Krzysztof Adamsk

BACKGROUND: The suicide of college students had been a social topic attracting people’s attention, and the generation of suicidal ideation was an inevitable link in the psychological process of suicidal behavior. It was the focus of many researches whether the pressure of college students with suicidal ideation can be detected and relieved in time. OBJECTIVE: The study aimed to analyze the therapeutic effect of cognitive behaviour therapy on psychological stress, depression, and other negative emotions of college students with suicide ideation. METHODS: 114 people from 1,158 college students with suicide ideation in the Wuhan area were divided into an experimental group and a control group in this study. Students in the experimental group were given with the cognitive behaviour therapy, and students in the control group were not intervened in any way. The suicide ideation scale (despair, optimism, and sleep), psychological stress test rating, and self-reporting inventory (somatization, compulsion, interpersonal relationship, depression, anxiety, hostility, terror, delusion, and psychosis) were used to evaluate the objects in the pre-test stage, intermediate-test stage, and the tracking-test stage. The multivariate logistic regression was adopted to analyze the influencing factors of the suicide ideation of the college student. RESULTS: The suicide ideation of the college student was significantly positively correlated with the psychological stress, depression, interpersonal sensitivity, anxiety, and psychosis (P >  0.05); the total score of suicide ideation, despair, optimism, and sleep in the experimental group were lower than those in the control group (P <  0.05) in the intermediate-test stage and the tracking-test stage (P <  0.05); the psychological stress, depression, and anxiety of the college students in the experimental group in the intermediate-test and tracking-test stage were slighter than those in the control group (P <  0.05); the somatization, compulsion, and interpersonal relationship of students in the experimental group were significantly lower than those in the control group (P <  0.05). CONCLUSIONS: The psychological stress, depression, interpersonal sensitivity, anxiety, and psychosis were all risk factors for the college student to have suicide ideation. Negative emotions such as psychological stress, emotional depression, and anxiety of the college student with suicide ideation could be improved effectively by cognitive behaviour therapy, and the level of suicide ideation could be reduced finally.

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Panchal. M ◽  
Singh. R ◽  
Gamit. H

Clinical depression is one of the most common and debilitating of the psychiatric disorders. The individual usually suffers from depressed mood, loss of interest and enjoyment, and reduced energy leading to increased fatiguability and diminished activity. Marked tiredness after only slight effort is common. The aim of the present study is to examine the effectiveness of Cognitive Behaviour therapy on patient suffering from depression. Total sample size was 16 patients diagnosed with depression according to ICD-10. Two groups were formed, 8 in control group and 8 in experimental group respectively. Cognitive Behaviour Therapy was given to experiment group only. The results show that a significant difference was found between the experimental and control group.


Author(s):  
Adeyemi Florence Toyin ◽  
Egbochuku Omotunde Elizabeth

The study investigated the efficacy of Cognitive Behaviour Therapy and Logotherapy in reducing risky sexual behaviours among in-school adolescents in Benin Metropolis, Edo State. Four research questions were raised and formulated to hypotheses to guide the study. A Quasi-experimental design, using pre-test-post-test, and non-equivalent control group was adopted. The population of the study consisted of twenty thousand, four hundred and twenty SS 2 students. The sample consisted of one hundred and thirty five participants, which was selected through multi-stage sampling technique. Three schools were randomly selected from thirty one mixed public Senior Secondary Schools. One school was selected from each Local Government Area that made up the Metropolis. School A served as the experimental group for Cognitive Behaviour Therapy, comprising fifty five participants. School B served as the experimental group for Logotherapy, comprising thirty six participants. School C served as the control group, comprising forty four participants. The Adolescent Sexual Behaviour Inventory was used for both the pre-test and post-test.  The reliability coefficient of 0.926 was obtained on the instruments. The data collected were analysed, using t-test, ANOVA and did a post-hoc analysis, using the Least Significant Difference. The findings showed that Cognitive Behaviour Therapy and Logotherapy were both slightly efficacious in reducing risky sexual behaviours among in-school adolescents in Benin Metropolis. The study recommended that counselling psychologists and school counsellors should be well trained in the use of CBT and LT in addressing risky behaviours, especially among adolescents.


2021 ◽  
Vol 21 (1) ◽  
pp. e58-65
Author(s):  
Blessy P. Valsaraj ◽  
Shripathy M. Bhat ◽  
Ravindra Prabhu ◽  
Asha Kamath

Objectives: Patients with chronic kidney disease (CKD) undergoing haemodialysis often experience a myriad of psychosocial problems, resulting in poor adherence to their therapeutic regimen. This study aimed to examine the effect of cognitive behaviour therapy (CBT) on dialysis, fluid, drug and diet adherence among a previously reported sample of CKD patients undergoing haemodialysis. Methods: A randomised controlled trial was conducted between January 2013 to Febrary 2014 on a random selection of 67 CKD patients attending a tertiary multispecialty hospital in India. The experimental group (n = 33) was exposed to CBT, whereas the control group (n = 34) received non-directive counselling. A haemodialysis adherence scale was developed and used to assess adherence to the treatment regimen. The effect size was calculated using Cohen’s d statistics. Results: At six months, mean reductions from baseline were observed in the experimental group in terms of interdialytic weight gain (−1.23 kg; effect size: 0.57), systolic blood pressure (−22.18 mmHg; effect size: 0.71) and diastolic blood pressure (−10.06 mmHg; effect size: 0.72), whereas mean increases were noted in haemoglobin (+0.75 g/dL; effect size: 0.31) and adherence to dialysis (+0.94; effect size: 0.51), fluids (+16.34; effect size: 2.30), diet (+61.19; effect size: 4.75) and drugs (+10.73; effect size: 1.3). Differences from baseline were significantly higher in the experimental group compared to the control group (P = 0.001 each). Conclusion: These results show that CBT is more effective than non-directive counselling for improving therapeutic adherence and physiological, clinical parameters among CKD patients undergoing haemodialysis.   KEYWORDS Chronic Kidney Disease; Hemodialysis; Patient Adherence; Cognitive Behavior Therapy; Hemoglobin; Weight Gain; Blood Pressure; Randomized Controlled Trial.


2015 ◽  
Vol 9 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Bo Karlsson ◽  
Gunilla Burell ◽  
Ulla-Maria Anderberg ◽  
Kurt Svärdsudd

AbstractBackground and aimsStress has been pointed out as an important influential factor in the development and maintaining of the fibromyalgia syndrome (FMS) . Since stress may worsen the pain experience, the development of individual strategies for coping with stress is essential to reduce the impact of FMS on daily life. The aim of the study was to investigate whether a group based stress management cognitive behaviour therapy (CBT) programme could influence self-reported stress, wellbeing and life control, as well as self-reported pain behaviour in female FMS patients.Methods48 female FMS patient were randomized into a cognitive behaviour therapy treatment group (n = 24) and a waitlist control group (n = 24) . When the 6 months waitlist period was over the control group received the same CBT programme. This allowed two analytical approaches, one based on the randomized controlled trial design and one based on a before-and-after design to improve the statistical power of the study. Four psychometric instruments were used: The West Haven-Yale Multidimensional Pain Inventory (three parts, MPI-1 to MPI-3), the Maastricht Questionnaire, the Everyday Life Stress, and the Montgomery-Åsberg Depression rating scale – self-reported. Primary outcome was the MPI-1 dimension ‘life control’, secondary outcomes were the MPI-1 dimensions ‘interference’, ‘affective distress’ and ‘support from spouses or significant others’, the various MPI-2 dimensions, the ‘general activity level’ in the MPI-3 dimension, and ‘vital exhaustion’, ‘stress behaviour’, and ‘depression’. The only tertiary outcome was the MPI-1 dimension ‘pain severity’.ResultsIn the RCT design the West Haven-Yale Multidimensional Pain Inventory dimensions ‘life control’, ‘interference from pain’, ‘affective distress’, ‘support from spouses or significant others’, and ‘distracting responses’ and ratings for depression improved in the treatment group as compared with the control group. In the before-and after design these improvements were maintained and enhanced during 1-year follow-up, and so was the ‘vital exhaustion’ and ‘stress behaviour’. ‘Pain severity’ was rated higher after the intervention.ConclusionsCognitive behaviour therapy improved the life control in a female population with FMS. Coping behaviour in response to chronic pain was improved at the same time and in spite of higher subjective ratings of pain. Positive effects were seen on depression, vital exhaustion and stress behaviour. The effects of therapy were maintained and enhanced during the follow up period. It appears that women with FMS after the CBT treatment, according to this protocol obtained tools leading to better acceptance of their disorder.ImplicationsFMS is a disorder with great therapeutic challenges. Total abolishment of pain symptoms is extremely difficult or impossible to achieve. Thus, the development of individual strategies for coping with pain is essential to reduce its impact on daily life. Since stress may worsen the pain experience, coping with stress might be a promising route to accomplishing that goal. In evaluations of interventions for pain it is important to monitor the effect on behaviour responses to pain and not only ratings of pain itself.


2015 ◽  
Vol 1 (1) ◽  
pp. 23
Author(s):  
Etika Purnama Sari

Many children didn’t like to consume vegetables and fruit, they consumed it in value standard below from WHO. The aim from this study explained the increasing motivation within consume vegetables and fruits through Cognitive Behaviour Therapy (CBT). The study design was quasy experiment with prepost control group design. The variables studied were motivation within consume vegetables and fruits. The samples obtained were 27 respondents for intervention group and 28 respondents for control group using purposive sampling. Collecting data includes demographic data and motivation data with questionnaire. Based on Mann Whitney U Test, p value for pretest between intervention and control group was 0,495 with α=0,05 it means that there wasn’t different in motivation consume vegetables and fruit, but for posttest p value was 0,029 it means that there was different in motivation. Based on mean value, there was increasing value for intervention group from 29,30 to 31,91 it means that CBT could increasing motivation to concume vegetables and fruits in children. The increasing motivation could happen because CBT changes the irrational thinking or negative thinking about vegetables and fruit to rational thinking or positive thinking. CBT could be an alternative method to motivate children to consume vegetables and fruits. Banyak anak-anak tidak suka mengkonsumsi sayur dan buah sehingga menunjukkan angka dibawah standar WHO. Tujuan dari penelitian ini adalah menjelaskan tentang peningkatan motivasi konsumsi sayur dan buah melalui Cognitive Behaviour Therapy (CBT). Desain penelitian yang digunakan adalah quasy experiment dengan kelompok kontrol pre-post. Variabel yang diteliti adalah motivasi dalam mengkonsumsi sayur dan buah. Sampel yang digunakan terdapat 27 responden untuk kelompok perlakuan dan 28 reponden untuk kelompok kontrol dengan menggunakan purposive sampling. Pengambilan data menggunakan kuesioner demografi dan motivasi. Berdasarkan hasil tes Mann Whitney U dengan signifikansi p=0,05 didapatkan nilai p=0,495 pada pretest antara kelompok kontrol dan perlakuan, sehingga tidak terdapat perbedaan motivasi sedangkan pada hasil posttest kelompok kontrol dan perlakuan menunjukkan p= 0,029 sehingga terdapat perbedaan dan dan terdapat peningkatan mean value pada kelompok kontrol dari 29,30 menjadi 31,91. Hal tersebut membuktikan bahwa CBT mempengaruhi motivasi anak-anak dalam mengkonsumsi sayur dan buah. Peningkatan motivasi terjadi karena CBT dapat mengubah pemikiran irasional dan negatif terhadap sayur dan buah menjadi lebih rasional dan positif. CBT dapat digunakan sebagai metode alternatif dalam meningkatkan motivasi anak untuk mengkonsumsi sayur dan buah. DOWNLOAD FULL TEXT PDF >>


2017 ◽  
Vol 47 (8) ◽  
pp. 1478-1488 ◽  
Author(s):  
F. L. Challacombe ◽  
P. M. Salkovskis ◽  
M. Woolgar ◽  
E. L. Wilkinson ◽  
J. Read ◽  
...  

BackgroundThere is increasing recognition that perinatal anxiety disorders are both common and potentially serious for mother and child. Obsessive–compulsive disorder (OCD) can be triggered or exacerbated in the postpartum period, with mothers reporting significant effects on parenting tasks. However, there is little evidence concerning their effective treatment or the impact of successful treatment on parenting.MethodA total of 34 mothers with OCD and a baby of 6 months old were randomized into either time-intensive cognitive–behaviour therapy (iCBT) or treatment as usual (TAU). iCBT took place after randomization at 6 months postpartum and was completed by 9 months. Maternal symptomatology, sensitivity in mother–infant interactions and parenting were assessed at baseline and reassessed at 12 months postpartum. At 12 months attachment was also assessed using Ainsworth's Strange Situation Procedure. A healthy control group of mothers and infants (n = 37) underwent the same assessments as a benchmark.ResultsiCBT was successful in ameliorating maternal symptoms of OCD (controlled effect size = 1.31–1.90). However, mother–infant interactions were unchanged by treatment and remained less sensitive in both OCD groups than a healthy control group. The distribution of attachment categories was similar across both clinical groups and healthy controls with approximately 72% classified as secure in each group.ConclusionsiCBT is an effective intervention for postpartum OCD. Sensitive parenting interactions are affected by the presence of postpartum OCD and this is not improved by successful treatment of OCD symptoms. However, the overall attachment bond appears to be unaffected. Longitudinal studies are needed to explore the impact of postpartum OCD as the child develops.


2019 ◽  
Vol 19 (3) ◽  
pp. 473-482 ◽  
Author(s):  
Bo Karlsson ◽  
Gunilla Burell ◽  
Per Kristiansson ◽  
Karin Björkegren ◽  
Fred Nyberg ◽  
...  

Abstract Background and aims Substance P (CSF-SP) is known to be elevated in females with fibromyalgia syndrome (FMS). The aims of this study were to evaluate the effect of cognitive behaviour therapy (CBT) on plasma SP levels in women with FMS and to find possible clinical behavioural correlates to plasma SP level changes. Methods Forty-eight women with FMS were randomly allocated into two groups. Group 1 received the CBT treatment intervention over the course of 6 months while group 2 was waitlisted. CBT was given with a protocol developed to diminish stress and pain. After 6 months, group 2 was given the same CBT treatment as well. All were followed up 1 year after the start of CBT treatment. This approach allowed for two analytical designs – a randomised controlled trial (RCT) (n=24 vs. n=24) and a before-and-after treatment design (n=48). All women were repeatedly evaluated by the West Haven-Yale Multidimensional Pain Inventory (MPI) and three other psychometric questionnaires and plasma SP was analysed. Results In the RCT design, the plasma SP level was 8.79 fmol/mL in both groups at the start of the trial, after adjustment for initial differences. At the end of the RCT, the plasma SP level was 5.25 fmol/mL in the CBT intervention group compared to 8.39 fmol/mL in the control group (p=0.02). In the before-and-after design, the plasma SP was reduced by 33% (p<0.01) after CBT, but returned to the pre-treatment level at follow-up 1 year after the start of CBT treatment. Plasma SP was associated with the MPI dimensions experienced “support from spouses or significant others” and “life control”. Conclusions Plasma SP might be a marker of the effect of CBT in FMS associated with better coping strategies and reduced stress rather than a biochemical marker of pain.


2004 ◽  
Vol 34 (3) ◽  
pp. 413-422 ◽  
Author(s):  
M. STARTUP ◽  
M. C. JACKSON ◽  
S. BENDIX

Background. Recent reviews of randomized controlled trials have concluded that cognitive behaviour therapy (CBT) is effective, as an addition to standard care, in the treatment of people suffering from schizophrenia. Most of the trials have been conducted with stabilized out-patients. The aim of this trial was to evaluate the effectiveness of CBT for in-patients suffering acute psychotic episodes, when delivered under conditions representative of current clinical practice.Method. Consecutive admissions meeting criteria were recruited. After screening, 43 were assigned at random to a treatment-as-usual (TAU) control group and 47 were assigned to TAU plus CBT. At baseline, 6 months and 12 months, patients were rated on symptoms and social functioning. CBT (maximum 25 sessions) began immediately after baseline assessment.Results. The CBT group gained greater benefit than the TAU group on symptoms and social functioning. A larger proportion of the CBT group (60%) than the TAU group (40%) showed reliable and clinically important change, and none of them (v. 17%) showed reliable deterioration compared with baseline.Conclusions. CBT for patients suffering acute psychotic episodes can produce significant benefits when provided under clinically representative conditions.


2019 ◽  
Vol 19 (3) ◽  
pp. 688
Author(s):  
Wisdia Lola Erwinda ◽  
Susmiati Susmiati ◽  
Heppi Sasmita

Background: Dharmasraya District is very prone and vulnerable to drug circulation cases because Dharmasraya district consists of various ethnic and is a cross-Sumatran crossing area so it is necessary to prevent the behavior of abuse NAPZA on adolescent. Purpose: This study aimed to determine the influence of the Group Cognitive Behaviour Therapy (GCBT) on the change of adolescent behaviour at risk of drugs based on residential status in Dharmasraya District in 2019. Method: The design of this research is the Quasi experiment of PreTest PostTest With Control Group by the amounts of samples 64 consisting of 32 control groups and 32 intervention groups. Results: Research on the intervension group and adolescent living with parents showed significant influence on adolescent behaviour changes. Whereas in the control group and adolescent who do not live with parents showed no significant influence on adolescent behaviour changes Conclusion: Group Cognitive Behavior Therapy can be used to change adolescent behavior at risk of drugs abuse and Hopefully the implementation of cognitive behaviour therapy can be applied at schools in cooperation with health service and parents to prevent risky behaviour.


2016 ◽  
Vol 3 (2) ◽  
pp. 46
Author(s):  
Dian Noviati Kurniasih

AbstrakLatar belakang : Tuberkulosis merupakan penyakit kronik yang keberhasilan pengobatannya adalah kepatuhan dari penderita. Masalah yang sering muncul pada pengobatan TB adalah ketidakpatuhan pengobatan dan dapat meningkatkan kejadian putus obat, kekambuhan, kematian, dan peningkatan penularan. Penelitian ini bertujuan mengetahui pengaruh konseling metode cognitive Behaviour Therapy (CBT) terhadap kepatuhan pengobatan Obat Anti Tuberkulosis (OAT.Metode : Desain dalam penelitian ini adalah quasi eksperimen dengan rancangan control group. Populasinya adalah semua pasien yang sudah mendapat OAT  tahap awal. Sampel dalam penelitian ini adalah 68 sampel. Penelitian ini menggunakan kuesioner dan lembar observasi.Hasil : Kepatuhan Pengobatan OAT pada penderita TB Paru sebesar 57,35%. Faktor yang tidak berhubungan dengan kepatuhan pengobatan OAT antara lain: umur (Pvalue=0,390), jenis kelamin (Pvalue=0,327), pendidikan (Pvalue=0,120), dan pekerjaan (Pvalue=0,809). Ada hubungan yang bermakna adalah pengetahuan (Pvalue=0,000) dan konseling (Pvalue=0,00) dengan kepatuhan.  Faktor dominan yang berhubungan dengan kepatuhan adalah konseling dengan nilai Odds Ratio 36,470..Kesimpulan : Faktor yang paling dominan berpengaruh terhadap kepatuhan pengobatan OAT adalah faktor konseling.


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