scholarly journals Pengaruh Konseling Terhadap Kepatuhan Pengobatan Obat Anti Tuberkulosis di Poli Paru Rumah Sakit Penyakit Infeksi (RSPI) Prof. Dr. Sulianti Saroso Tahun 2016

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.

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.


2005 ◽  
Vol 35 (9) ◽  
pp. 1307-1316 ◽  
Author(s):  
MIKE STARTUP ◽  
MIKE C. JACKSON ◽  
KEITH E. EVANS ◽  
SUE BENDIX

Background. There is good evidence now that cognitive behaviour therapy (CBT) is effective in the treatment of people suffering from schizophrenia. There is also some evidence that the benefits of CBT persist after the end of treatment and that the direct costs of providing CBT as an adjunct to standard care are no higher than the direct costs of standard care alone. The aims of the present study were to discover if the benefits of CBT for acute schizophrenia which were found 1 year after index admission persist for another year, and to evaluate the comparative costs of providing CBT.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. Patients (73% of original) were rated on symptoms and social functioning 2 years after index admission. An evaluation of the direct costs of services was also completed.Results. The CBT group had maintained its advantage over the TAU group on negative symptoms and social functioning but had lost the advantage it previously enjoyed in positive symptoms. The difference between groups in total direct costs over the 2 years was not statistically significant despite the cost of providing CBT.Conclusions. Some of the benefits of CBT for patients suffering acute psychotic episodes persist for 2 years. After the end of regular treatment, CBT should probably be targeted on the appearance of early signs of relapse to forestall the re-emergence of positive symptoms.


2011 ◽  
Vol 42 (7) ◽  
pp. 1429-1439 ◽  
Author(s):  
T. D. Meyer ◽  
M. Hautzinger

BackgroundThe efficacy of adjunctive psychosocial interventions such as cognitive behaviour therapy (CBT) for bipolar disorder (BD) has been demonstrated in several uncontrolled and controlled studies. However, these studies compared CBT to either a waiting list control group, brief psycho-education or treatment as usual (TAU). Our primary aim was to determine whether CBT is superior to supportive therapy (ST) of equal intensity and frequency in preventing relapse and improving outcome at post-treatment. A secondary aim was to look at predictors of survival time.MethodWe conducted a randomized controlled trial (RCT) at the Department of Psychology, University of Tübingen, Germany (n=76 patients with BD). Both CBT and ST consisted of 20 sessions over 9 months. Patients were followed up for a further 24 months.ResultsAlthough changes over time were observed in some variables, they were not differentially associated with CBT or ST. CBT showed a non-significant trend for preventing any affective, specifically depressive episode during the time of therapy. Kaplan–Meier survival analyses revealed that 64.5% of patients experienced a relapse during the 33 months. The number of prior episodes, the number of therapy sessions and the type of BD predicted survival time.ConclusionsNo differences in relapse rates between treatment conditions were observed, suggesting that certain shared characteristics (e.g. information, systematic mood monitoring) might explain the effects of psychosocial treatment for BD. Our results also suggest that a higher number of prior episodes, a lower number of therapy sessions and a diagnosis of bipolar II disorder are associated with a shorter time before relapse.


2007 ◽  
Vol 37 (12) ◽  
pp. 1797-1806 ◽  
Author(s):  
VIOLA SPEK ◽  
IVAN NYKLÍČEK ◽  
NIELS SMITS ◽  
PIM CUIJPERS ◽  
HELEEN RIPER ◽  
...  

ABSTRACTBackgroundSubthreshold depression is a highly prevalent condition and a risk factor for developing a major depressive episode. Internet-based cognitive behaviour therapy may be a promising approach for the treatment of subthreshold depression. The current study had two aims: (1) to determine whether an internet-based cognitive behaviour therapy intervention and a group cognitive behaviour therapy intervention are more effective than a waiting-list control group; and (2) to determine whether the effect of the internet-based cognitive behaviour therapy differs from the group cognitive behaviour therapy intervention.MethodA total of 191 women and 110 men with subthreshold depression were randomized into internet-based treatment, group cognitive behaviour therapy (Lewinsohn's Coping With Depression course), or a waiting-list control condition. The main outcome measure was treatment response after 10 weeks, defined as the difference in pre- and post-treatment scores on the Beck Depression Inventory (BDI). Missing data, a major limitation of this study, were imputed using the Multiple Imputation (MI) procedure Data Augmentation.ResultsIn the waiting-list control group, we found a pre- to post-improvement effect size of 0·45, which was 0·65 in the group cognitive behaviour therapy condition and 1·00 within the internet-based treatment condition. Helmert contrasts showed a significant difference between the waiting-list condition and the two treatment conditions (p=0·04) and no significant difference between both treatment conditions (p=0·62).ConclusionsAn internet-based intervention may be at least as effective as a commonly used group cognitive behaviour therapy intervention for subthreshold depression in people over 50 years of age.


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.


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