scholarly journals Comparison of Effectiveness of Cognitive Behavioral Therapy and Parenting Styles Based on Reality Therapy in Mothers’ Impulse Control, Flexibility, and Empathy

2020 ◽  
pp. 19-24

Background: A healthy and balanced relationship between parents and children is one of the factors affecting their mental health. Objectives: The purpose of this study was to compare the effectiveness of cognitive behavioral therapy (CBT) and parenting styles based on reality therapy in the impulse control, flexibility, and empathy of distressed mothers with adolescents within the age range of 11-16 years in Babol, Mazandaran, Iran. Materials and Methods: This quasi-experimental study was carried out with a pre-test and post-test design and experimental and control groups. In this study, all the mothers with adolescents of 11-16 years in Babol were chosen as the studied population in 2019. Moreover, 75 female subjects were selected as a sample using the cluster sampling method and divided into two groups. Data collection tools included the Beck Anxiety Inventory, Impulse Control, Flexibility, and Empathy questionnaires. The data were analyzed by multivariate analysis of covariance in SPSS software (version 22). Results: The obtained findings showed that CBT and teaching parenting styles based on reality therapy affected distressed mothers’ impulse control (Eta=0.52; P<0.0001), flexibility (Eta=0.31; P<0.0001), and empathy (Eta=0.57; P<0.0001), and the degree of the effect of teaching parenting styles based on reality therapy on the studied variables was higher than that reported for CBT. Conclusion: It can be concluded that CBT and parenting styles based on reality therapy were effective in the impulse control, flexibility, and empathy of distressed mothers with adolescents within the age range of 11-16 years in Babol. Parenting styles based on reality therapy were more effective in distressed mothers’ impulse control, flexibility, and empathy than CBT.

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Najme Abedishargh ◽  
Abbas Ramezani Farani ◽  
Banafsheh Gharraee ◽  
Hojjatollah Farahani

Background: The obesity crisis is one of the major public health issues in the 21st century, and depression, anxiety, and stress are the psychological factors that mediate obesity. Objectives: This research was conducted to evaluate the effectiveness of Internet-based cognitive-behavioral therapy (ICBT) in reducing body mass index (BMI), stress, anxiety, and depression in overweight women via a virtual group. Methods: This randomized controlled trial study was conducted on three groups of the experiment, the waiting list, and the routine treatment. It was done as single-phase, single-center, and double-blinded. The statistical population included all women with BMI ≥ 25 in Neyshabur city in 2019 - 2020. The research sample included 90 subjects randomly assigned to the groups. The therapeutic intervention was applied in the form of 42 ICBT sessions using a virtual WhatsApp group. The participants completed the Depression Anxiety Stress Scale (DASS), and their BMI was also calculated before and after the sessions. Results: The analysis of covariance indicated the significant effect of ICBT on the reduction of BMI compared to the usual treatment group and waiting list group [F (72, 2) = 15.54, P < 0.0005; Partialη2 = 0.30]. However, it was not significant on the reduction of stress [F (72, 2) = 0.47, P = 0.63; Partialη2 = 0.01], anxiety [F (72, 2) = 0.49, P = 0.61; Partialη2 = 0.01], and depression [F (72, 2) = 0.06, P = 0.93; Partialη2 = 0.002]. Conclusions: The present study showed the direct effect of ICBT on the reduction of BMI. However, these sessions could not reduce the participants’ stress, anxiety, and depression.


2020 ◽  
Vol 18 (2) ◽  
pp. 193-202
Author(s):  
Mozhdeh Daryabeigi ◽  
◽  
Masoume Pourmohamdreza-Tajrishi ◽  
Behrooz Dolatshahi ◽  
Enayatollah Bakhshi ◽  
...  

Objectives: The present study aimed to determine the effectiveness of cognitive-behavioral therapy on internalizing problems of children with externalizing disorders Methods: It was an experimental study with a pre-test/post-test control group design. Among the students of elementary schools of Tehran City, Iran, 90 boys were selected based on the mothers' report and the Child Behavior Checklist (CBCL) by convenience sampling method. Fifty students whose scores equaled 63 or higher in the externalizing scale were diagnosed as individuals with externalizing disorders. Afterward, 32 individuals who acquired T-score ≥ 60 were assigned randomly in the experimental and control groups (each with 16 students). The experimental group was divided into two subgroups (8 individuals in each subgroup) and participated in 16 cognitive-behavior therapy (Coping Cat program) sessions (1 hour, twice a week). The control group received only the mainstream Program of the school. After the last session, their mothers completed the CBCL again. The obtained data were analyzed by One-way Analysis of Covariance (ANCOVA). Results: The results of One-way ANCOVA showed that the internalizing problems, i.e. withdrawn/depressed, somatic complaints, and anxious/depressed symptoms of the experimental group have reduced significantly after participating in the cognitive-behavioral therapy sessions.  Discussion: Cognitive behavioral therapy (Coping Cat Program) is an effective method for reducing internalizing problems of children with externalizing disorders. Therefore, the program can be used to prevent the negative consequences of internalizing problems such as poor academic performance and social adaptation of the students with externalizing disorders.


2021 ◽  
Author(s):  
Hannah E Frank ◽  
Briana S Last ◽  
Reem AlRabiah ◽  
Jessica Fishman ◽  
Brittany N Rudd ◽  
...  

Abstract Background: Trauma narratives are a critical, exposure-based component of trauma-focused cognitive-behavioral therapy, yet community therapists do not always use them. Given evidence that intentions to deliver elements of cognitive behavioral therapy vary by component, and that intentions to deliver exposure are the weakest, this study focused specifically on trauma narratives. We drew on a social psychology causal theory (Theory of Planned Behavior; TPB) and an implementation science framework (the Consolidated Framework for Implementation Research; CFIR) to glean insight into multilevel influences on trauma narrative use. While the CFIR offers a broad list of factors potentially affecting implementation, the TPB offers causal pathways between constructs that predict behavior, including the uptake of an evidence-based intervention. The integration of these approaches may provide a comprehensive understanding of factors affecting therapists’ use of TNs.Methods: Therapists (n=65) trained in trauma-focused cognitive behavioral therapy completed a survey about their use of and beliefs about trauma narratives. Content analysis was used to identify common beliefs about trauma narratives. A subset of participants (n=17) completed follow-up qualitative interviews, which were analyzed using an integrated approach informed by the CFIR.Results: While most participants reported high intentions to use TNs, nearly half reported that they did not use TNs in the last six months. Survey data indicate a number of TPB-related determinants to using on trauma narratives. Qualitative interviews identified CFIR-relevant contextual factors that may influence constructs central to TPB. Conclusions: These results highlight the importance of integrating approaches that address multiple theoretical determinants of therapist behavior, including therapist, organizational, and client factors with causal explanations.


2021 ◽  
pp. 1-15
Author(s):  
Anchuen Cho ◽  
Jeffrey J. Wood ◽  
Emilio Ferrer ◽  
Kashia Rosenau ◽  
Eric A. Storch ◽  
...  

Abstract Autism spectrum disorder (ASD) is heterogeneous and likely entails distinct phenotypes with varying etiologies. Identifying these subgroups may contribute to hypotheses about differential treatment responses. The present study aimed to discern subgroups among children with ASD and anxiety in context of the five-factor model of personality (FFM) and evaluate treatment response differences to two cognitive-behavioral therapy treatments. The present study is a secondary data analysis of children with ASD and anxiety (N=202; ages 7–13; 20.8% female) in a cognitive behavioral therapy (CBT) randomized controlled trial (Wood et al., 2020). Subgroups were identified via latent profile analysis of parent-reported FFM data. Treatment groups included standard-of-practice CBT (CC), designed for children with anxiety, and adapted CBT (BIACA), designed for children with ASD and comorbid anxiety. Five subgroups with distinct profiles were extracted. Analysis of covariance revealed CBT response was contingent on subgroup membership. Two subgroups responded better to BIACA on the primary outcome measure and a third responded better to BIACA on a peer-social adaptation measure, while a fourth subgroup responded better to CC on a school-related adaptation measure. These findings suggest that the FFM may be useful in empirically identifying subgroups of children with ASD, which could inform intervention selection decisions for children with ASD and anxiety.


Author(s):  
Jamileh Kiani ◽  
AliReza Hajiuni ◽  
Fatemeh Gholizadeh ◽  
Farhad Abbasi

Introdution: The aim of the present study was to investigate the efficacy of cognitive-behavioral therapy and hope therapy on quality of life, life expectancy, resiliency in patients with thalassemia who went to Bushehr Thalassemia Therapy Center in 2017. Methods: The study was experimental and census was used. It consisted of 21 patients with thalassemia in Bushehr province who were randomly divided into two experimental groups of cognitive-behavioral therapy and hope therapy and one control group. To conduct the research, World Health Organization Quality of Life Questionnaire, Life Expectancy Questionnaire by Schneider and Connor–Davidson Resilience Scale were used. All the patients completed the questionnaires before and after the intervention. In order to analyze data, analysis of covariance was performed. Results: In the therapy group, the majority of the patients were female, single and held a bachelor's degree. Similarly, in the control group, the highest proportion belonged to females and married patients, whereas a minority held a bachelor's degree. Compared with the control group, the findings of analysis of covariance revealed that both cognitive-behavioral therapy and hope therapy were significantly effective (p-value<0.05). Cognitive-behavioral therapy significantly increased quality of life, life expectancy and resiliency (37%), (14%) and (20%), respectively. Also, hope therapy significantly increased quality of life, life expectancy and resiliency (98%), (29%) and (11%), respectively. The findings showed that hope therapy was more effective than cognitive-behavioral therapy in increasing quality of life, life expectancy and resiliency. Conclusion: The results indicated that cognitive-behavioral therapy and hope therapy were effective in enhancing the quality of life, life expectancy and resiliency in the patients with thalassemia. Hence, considering psychological interventions, in addition to physical therapies, is of particular importance.


Author(s):  
Glenn Waller ◽  
Helen Cordery ◽  
Emma Corstorphine ◽  
Hendrik Hinrichsen ◽  
Rachel Lawson ◽  
...  

2017 ◽  
Vol 2 (1) ◽  
pp. 31-36
Author(s):  
Pascal Wabnitz ◽  
Michael Schulz ◽  
Michael Löhr ◽  
André Nienaber

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