scholarly journals Symptoms of psychological trauma that occur in children aged 5-11 years

2020 ◽  
Vol 132 (3) ◽  
pp. 163-174
Author(s):  
T.M. Kravtsova ◽  
◽  
E.M. Raklova ◽  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Psychological Trauma ◽  
Individual Therapy ◽  
Cognitive Behavioral ◽  
Cross Sectional ◽  
Individual Form ◽  
Parental Roles ◽  
Parents And Children

In this work, the authors studied the symptoms of various children psychological traumas in the age of 5-11 years The study involved group of parents of 25 children and children of a specified age. The work was based on individual form of work using techniques of cognitive-behavioral therapy. After stage of survey of parents and children, an individual therapy plan was developed for each child, consisting of separate classes.The amount of work with the child was not exceeding 8 consultations, usually 2 sessions with parents was required in some cases mutual psychotherapeutic work of the child and the parents. The duration of psychotherapeutic sessions with a child ranged from 30 minutes to 1 hour, with a parentsessions ranged up to 1, 5 hour.The breaks between sessions was 7-10 days. The work is cross-sectional: authors studied the distribution of certain symptoms of psychological trauma in children in the age of 5-11 years and describe the features of parental roles during periods of formation of the personality of the child.

scholarly journals Assessment of the efficacy of a fatigue management therapy in schizophrenia: study protocol for a randomized, controlled multi-centric study (ENERGY)

2020 ◽  
Author(s):  
Stéphane Raffard ◽  
Nicolas Rainteau ◽  
Sophie Bayard ◽  
Yasmine Laraki ◽  
Joanna Norton ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Clinical Symptoms ◽  
Behavioral Therapy ◽  
Significant Proportion ◽  
Individual Therapy ◽  
Cognitive Behavioral ◽  
Treatment Manual ◽  
Clinical Feature ◽  
Fatigue Management ◽  
Graded Exercise Therapy

Abstract Background Fatigue is a well-known common clinical feature of numerous chronic diseases including various forms of cancer, neurological disorders such as multiple sclerosis, and psychiatric disorders. A significant proportion of people with schizophrenia (30-60%) reportedly experience fatigue, which impacts negatively on participation in various activities, including work, study, leisure and social pursuits. Causes of fatigue in schizophrenia are poorly understood and there are no established treatments. Several evidence-based interventions for fatigue syndrome including psychoeducation, cognitive behavioral therapy, and graded exercise therapy have been shown to be effective in other medical conditions and could be adapted to address fatigue in schizophrenia patients. As there are no psychosocial or pharmacological interventions with proved efficacy for fatigue in schizophrenia, there is an urgent need for the development of strategies to improve fatigue management in schizophrenia.The aim of this project is to evaluate in a single blind randomized clinical trial the efficacy of a cognitive-behavioral therapy (CBT) intervention compared to treatment as usual (TAU) on fatigue as the main outcome in schizophrenia patients. Clinical symptoms, physical functioning, major cognitive functions, quality of life and functioning, treatment dosage, daily motor activity, biological markers with inflammatory markers are also considered as secondary outcomes.Methods/design200 patients meeting the inclusion criteria will be randomized to either of the study arms (intervention or TAU). The ENERGY intervention will be delivered according to a standardized treatment manual comprising six modules addressing fatigue and sleep over 14 individual therapy sessions. The treatment encompasses core CBT principles of psycho-education, behavioral activation, behavioral experiments, cognitive restructuring, problem-solving and relapse prevention. Sessions will follow the traditional CBT structure of agenda setting, review of homework tasks, and introduction of a new concept/technique with collaborative discussions on how to implement such strategies in the participant’s day-to-day environment. Our primary endpoint will be the severity of fatigue assessed at baseline and at the 9-month follow-up using the “Multidimensional Fatigue Inventory” (MFI).DiscussionThe trial will provide the first test of CBT intervention for fatigue for patients with schizophrenia. This study will also test to what extent the treatment can be implemented in everyday practice.Trial Registration : ClinicalTrials.gov Identifier: NCT04332601. Registered on April 10, 2020

scholarly journals Assessment of Nocturnal Enuresis Management in Children in the Advanced Diagnostic Center in Khartoum State

2021 ◽  
pp. 69-77
Author(s):  
Mhdia Elhadi Osman ◽  
Aaza Ahmed Bashar ◽  
Nasrin E. Khalifa ◽  
Halima Mustafa Elagib
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Nocturnal Enuresis ◽  
Behavioral Therapy ◽  
Cross Sectional Study ◽  
Cognitive Behavioral ◽  
Cross Sectional ◽  
Structural Problems ◽  
Diagnostic Center ◽  
75Mg Dose ◽  
Enuresis Alarm

Nocturnal enuresis is defined as nighttime bedwetting in children five years of age or older in the absence of neurological or structural problems affecting the bladder. A wide variety of interventions are used to treat nocturnal enuresis include simple behavioral intervention, enuresis alarm, and pharmacological treatment—the aim of the study to assess the management of nocturnal enuresis in children. A prospective cross-sectional study included 150 children attend the advanced diagnostic center. Data collected by direct interview questionnaire was tested –coded and analyzed by SPSS version 20 in tables and graph &excel. The result of this study showed that the highest treatment adopted was simple-cognitive behavioral therapy (87%), with the highest (94.7%) of patient surveyed adopted lifting and awaking technique,(38%) of patient surveyed have taken imipramine, (26%) of patient surveyed have taken 75mg dose of imipramine, (37%)of patients surveyed had a full response from imipramine therapy. The study showed that the first-line treatment that is needed is simple-cognitive behavioral therapy with instruction regarding diet and fluids, and it is very useful. The main drug was used in the treatment of nocturnal enuresis is imipramine with a dose of 75mg.

scholarly journals The impact of cognitive behavioral therapy with program (Self- Instructions)

2019 ◽  
pp. 537-565
Author(s):  
Waffa Abdul Al-kareem
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cognitive Therapy ◽  
Static Analysis ◽  
Behavioral Therapy ◽  
Individual Therapy ◽  
Cognitive Behavioral ◽  
Therapy Program ◽  
Social Rehabilitation ◽  
Self Instruction ◽  
The Impact

The research aims to identify the effect of behavioral cognitive therapy on with(self–instruction by Meichenbaum)in psychologic and social rehabilitation of patients with residual schizophrenia at(Ibn-Rush Hospital for psychologic diseases)Baghdad, in order to achieve the aim of research, also the static analysis sample has been used that consist of(120)patients with residual schizophrenia, one case has been diagnosed which get lowest degrees for applying the program on it, also build a therapy program according to the presented problem on the scale. after the therapy program has finished with individual therapy method on sample, the results show that program is effective in psychologic and social rehabilitation.

scholarly journals Assessment of the efficacy of a fatigue management therapy in schizophrenia: study protocol for a randomized, controlled multi-centered study (ENERGY)

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Stéphane Raffard ◽  
Nicolas Rainteau ◽  
Sophie Bayard ◽  
Yasmine Laraki ◽  
Joanna Norton ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Significant Proportion ◽  
Individual Therapy ◽  
Cognitive Behavioral ◽  
Treatment Manual ◽  
Clinical Feature ◽  
Link Type ◽  
Fatigue Management ◽  
Graded Exercise Therapy

Abstract Background Fatigue is a well-known common clinical feature of numerous chronic diseases including various forms of cancer, neurological disorders such as multiple sclerosis, and psychiatric disorders. A significant proportion of people with schizophrenia (30–60%) reportedly experience fatigue, which impacts negatively on participation in various activities, including work, study, leisure, and social pursuits. Causes of fatigue in schizophrenia are poorly understood and there are no established treatments. Several evidence-based interventions for fatigue syndrome including psychoeducation, cognitive behavioral therapy, and graded exercise therapy have been shown to be effective in other medical conditions and could be adapted to address fatigue in schizophrenia patients. As there are no psychosocial or pharmacological interventions with proved efficacy for fatigue in schizophrenia, there is an urgent need for the development of strategies to improve fatigue management in schizophrenia. The aim of this project is to evaluate in a single blind randomized clinical trial the efficacy of a cognitive-behavioral therapy (CBT) intervention compared to treatment as usual (TAU) on fatigue as the main outcome in schizophrenia patients. Clinical symptoms, physical functioning, major cognitive functions, quality of life and functioning, treatment dosage, daily motor activity, biological markers with inflammatory markers are also considered as secondary outcomes. Methods/design Two hundred patients meeting the inclusion criteria will be randomized to either of the study arms (intervention or TAU). The ENERGY intervention will be delivered according to a standardized treatment manual comprising six modules addressing fatigue and sleep over 14 individual therapy sessions. The treatment encompasses core CBT principles of psycho-education, behavioral activation, behavioral experiments, cognitive restructuring, problem-solving, and relapse prevention. Sessions will follow the traditional CBT structure of agenda setting, review of homework tasks, and introduction of a new concept/technique with collaborative discussions on how to implement such strategies in the participant’s day-to-day environment. Our primary endpoint will be the severity of fatigue assessed at baseline and at the 9-month follow-up using the “Multidimensional Fatigue Inventory” (MFI). Discussion The trial will provide the first test of CBT intervention for fatigue for patients with schizophrenia. This study will also test to what extent the treatment can be implemented in everyday practice. Trial registration ClinicalTrials.govNCT04332601. Registered on 10 April 2020.

scholarly journals Preference, Knowledge, and Attitudes of Parents Toward Cognitive Behavioral Therapy for Their Children in Riyadh, Saudi Arabia

2021 ◽  
Vol 12 ◽  
Author(s):  
Shuliweeh Alenezi ◽  
Ibrahim M. Albawardi ◽  
Amirah Aldakhilallah ◽  
Ghaliah S. Alnufaei ◽  
Rahaf Alshabri ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Online Social Media ◽  
Positive Attitudes ◽  
The Difference

Introduction: Cognitive behavioral therapy (CBT) for children and adolescents has shown efficacy in treating different psychiatric disorders. It has been added to multiple clinical guidelines as the first-line treatment. However, despite more studies of its efficacy, CBT is underutilized in clinical settings due to a lack of rigorous training programs and qualified CBT therapists. The limited knowledge of parents in this intervention and their negative attitudes toward it have been considered as possible reasons.Methods: This is a cross-sectional survey-based study among 464 Saudi parents living in Riyadh city. We aimed to evaluate the preference, knowledge, and attitudes of Saudi parents toward CBT for their children. We compared the difference in the level of knowledge and attitudes toward CBT in relation to the characteristics of parents. An online questionnaire that included 39 questions was carefully reconstructed from four validated scales, approved by an expert panel, and piloted. Participants were recruited to participate through online social media.Results: Saudi parents had average knowledge about CBT; however, they had positive attitudes toward the therapy itself and its role in treating the behavioral issues of children. Male participants showed better knowledge than female participants. Participants with higher education and those with high income had more favorable attitudes toward CBT than others.Conclusion: The knowledge of parents is considered inadequate and indicated the need for more awareness and perhaps mass education. In contrast, they maintained positive attitudes and were interested in evidence-based treatment, with more preference toward non-psychopharmacological interventions.

scholarly journals Perception of Mental Health Care Professionals in Saudi Arabia on Computerized Cognitive Behavioral Therapy: Observational Cross-sectional Study

10.2196/26294 ◽  
2021 ◽  
Vol 5 (5) ◽  
pp. e26294
Author(s):  
Ahmad N AlHadi ◽  
Khawla A Alammari ◽  
Lojain J Alsiwat ◽  
Nojood E Alhaidri ◽  
Nouf H Alabdulkarim ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Saudi Arabia ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Behavioral Therapy ◽  
Cross Sectional Study ◽  
Cognitive Behavioral ◽  
Cross Sectional

Background Mental health disorders are common in Saudi Arabia with a 34% lifetime prevalence. Cognitive behavioral therapy (CBT), a type of psychotherapy, is an evidence-based intervention for the majority of mental disorders. Although the demand for CBT is increasing, unfortunately, there are few therapists available to meet this demand and the therapy is expensive. Computerized cognitive behavioral therapy (cCBT) is a new modality that can help fill this gap. Objective We aimed to measure the knowledge of cCBT among mental health care professionals in Saudi Arabia, and to evaluate their attitudes and preferences toward cCBT. Methods This quantitative observational cross-sectional study used a convenience sample, selecting mental health care professionals working in the tertiary hospitals of Saudi Arabia. The participants received a self-administered electronic questionnaire through data collectors measuring their demographics, knowledge, and attitudes about cCBT, and their beliefs about the efficacy of using computers in therapy. Results Among the 121 participating mental health care professionals, the mean age was 36.55 years and 60.3% were women. Most of the participants expressed uncertainty and demonstrated a lack of knowledge regarding cCBT. However, the majority of participants indicated a positive attitude toward using computers in therapy. Participants agreed with the principles of cCBT, believed in its efficacy, and were generally confident in using computers. Among the notable results, participants having a clinical license and with cCBT experience had more knowledge of cCBT. The overall attitude toward cCBT was not affected by demographic or work-related factors. Conclusions Mental health care professionals in Saudi Arabia need more education and training regarding cCBT; however, their attitude toward its use and their comfort in using computers in general show great promise. Further research is needed to assess the acceptance of cCBT by patients in Saudi Arabia, in addition to clinical trials measuring its effectiveness in the Saudi population.

scholarly journals Examining the Theoretical Framework of Behavioral Activation for Major Depressive Disorder: Smartphone-Based Ecological Momentary Assessment Study

10.2196/32007 ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. e32007
Author(s):  
Claire Rosalie van Genugten ◽  
Josien Schuurmans ◽  
Adriaan W Hoogendoorn ◽  
Ricardo Araya ◽  
Gerhard Andersson ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Ecological Momentary Assessment ◽  
Behavioral Activation ◽  
Behavioral Therapy ◽  
Theoretical Framework ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cross Sectional ◽  
Ecological Momentary ◽  
Momentary Assessment

Background Behavioral activation (BA), either as a stand-alone treatment or as part of cognitive behavioral therapy, has been shown to be effective for treating depression. The theoretical underpinnings of BA derive from Lewinsohn et al’s theory of depression. The central premise of BA is that having patients engage in more pleasant activities leads to them experiencing more pleasure and elevates their mood, which, in turn, leads to further (behavioral) activation. However, there is a dearth of empirical evidence about the theoretical framework of BA. Objective This study aims to examine the assumed (temporal) associations of the 3 constructs in the theoretical framework of BA. Methods Data were collected as part of the “European Comparative Effectiveness Research on Internet-based Depression Treatment versus treatment-as-usual” trial among patients who were randomly assigned to receive blended cognitive behavioral therapy (bCBT). As part of bCBT, patients completed weekly assessments of their level of engagement in pleasant activities, the pleasure they experienced as a result of these activities, and their mood over the course of the treatment using a smartphone-based ecological momentary assessment (EMA) application. Longitudinal cross-lagged and cross-sectional associations of 240 patients were examined using random intercept cross-lagged panel models. Results The analyses did not reveal any statistically significant cross-lagged coefficients (all P>.05). Statistically significant cross-sectional positive associations between activities, pleasure, and mood levels were identified. Moreover, the levels of engagement in activities, pleasure, and mood slightly increased over the duration of the treatment. In addition, mood seemed to carry over, over time, while both levels of engagement in activities and pleasurable experiences did not. Conclusions The results were partially in accordance with the theoretical framework of BA, insofar as the analyses revealed cross-sectional relationships between levels of engagement in activities, pleasurable experiences deriving from these activities, and enhanced mood. However, given that no statistically significant temporal relationships were revealed, no conclusions could be drawn about potential causality. A shorter measurement interval (eg, daily rather than weekly EMA reports) might be more attuned to detecting potential underlying temporal pathways. Future research should use an EMA methodology to further investigate temporal associations, based on theory and how treatments are presented to patients. Trial Registration ClinicalTrials.gov, NCT02542891, https://clinicaltrials.gov/ct2/show/NCT02542891; German Clinical Trials Register, DRKS00006866, https://tinyurl.com/ybja3xz7; Netherlands Trials Register, NTR4962, https://www.trialregister.nl/trial/4838; ClinicalTrials.Gov, NCT02389660, https://clinicaltrials.gov/ct2/show/NCT02389660; ClinicalTrials.gov, NCT02361684, https://clinicaltrials.gov/ct2/show/NCT02361684; ClinicalTrials.gov, NCT02449447, https://clinicaltrials.gov/ct2/show/NCT02449447; ClinicalTrials.gov, NCT02410616, https://clinicaltrials.gov/ct2/show/NCT02410616; ISRCTN registry, ISRCTN12388725, https://www.isrctn.com/ISRCTN12388725

scholarly journals Perception of Mental Health Care Professionals in Saudi Arabia on Computerized Cognitive Behavioral Therapy: Observational Cross-sectional Study (Preprint)

2020 ◽  
Author(s):  
Ahmad N AlHadi ◽  
Khawla A Alammari ◽  
Lojain J Alsiwat ◽  
Nojood E Alhaidri ◽  
Nouf H Alabdulkarim ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Saudi Arabia ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Behavioral Therapy ◽  
Cross Sectional Study ◽  
Cognitive Behavioral ◽  
Cross Sectional

BACKGROUND Mental health disorders are common in Saudi Arabia with a 34% lifetime prevalence. Cognitive behavioral therapy (CBT), a type of psychotherapy, is an evidence-based intervention for the majority of mental disorders. Although the demand for CBT is increasing, unfortunately, there are few therapists available to meet this demand and the therapy is expensive. Computerized cognitive behavioral therapy (cCBT) is a new modality that can help fill this gap. OBJECTIVE We aimed to measure the knowledge of cCBT among mental health care professionals in Saudi Arabia, and to evaluate their attitudes and preferences toward cCBT. METHODS This quantitative observational cross-sectional study used a convenience sample, selecting mental health care professionals working in the tertiary hospitals of Saudi Arabia. The participants received a self-administered electronic questionnaire through data collectors measuring their demographics, knowledge, and attitudes about cCBT, and their beliefs about the efficacy of using computers in therapy. RESULTS Among the 121 participating mental health care professionals, the mean age was 36.55 years and 60.3% were women. Most of the participants expressed uncertainty and demonstrated a lack of knowledge regarding cCBT. However, the majority of participants indicated a positive attitude toward using computers in therapy. Participants agreed with the principles of cCBT, believed in its efficacy, and were generally confident in using computers. Among the notable results, participants having a clinical license and with cCBT experience had more knowledge of cCBT. The overall attitude toward cCBT was not affected by demographic or work-related factors. CONCLUSIONS Mental health care professionals in Saudi Arabia need more education and training regarding cCBT; however, their attitude toward its use and their comfort in using computers in general show great promise. Further research is needed to assess the acceptance of cCBT by patients in Saudi Arabia, in addition to clinical trials measuring its effectiveness in the Saudi population.

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