Development of a rating scale for assessments of infants’ cognitive behavior skills that is observed in music activities

2021 ◽  
Vol 41 (2) ◽  
pp. 345-378
Author(s):  
Haewon Jang
Author(s):  
Lenny Syamsudin

Insomnia is a sleep disorder where a person has difficulty starting sleep, maintaining sleep, or poor sleep quality so that he experiences fatigue, irritability and less productive the next day. In Indonesia the number of people with insomnia is around 30- 50 percent of the total population of Indonesia. This study aims to determine the effect of giving Cognitive Behavior Therapy (CBT) to the reduction of symptoms of insomnia in people with insomnia. The focus of this study is to change the irrational thoughts in people with insomnia, to make it more rational. This research uses Quasi Experiment method with The One Group Pretest-Posttest Design. Insomnia is measured using a measuring instrument that has been adapted from the Pittsburgh Insomnia Rating Scale using the translate re translate method with insomnia subjects. The results showed changes in insomnia characterized by a decrease in insomnia symptoms in the subject after being given an intervention in the form of Cognitive Behavior Therapy (CBT). Based on these data, it can be concluded that the administration of Cognitive Behavior Therapy (CBT) affects the reduction of insomnia symptoms in insomniacsInsomnia merupakan suatu gangguan tidur dimana seseorang mengalami kesulitan untuk memulai tidur, menjaga tidur, atau kualitas tidur yang buruk sehingga mengalami kelelahan, mudah tersinggung dan kurang produktif keesokan harinya. Di Indonesia jumlah penderita insomnia sekitar 30 sampai 50 persen dari total penduduk Indonesia. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian Cognitive Behavior Therapy (CBT) terhadap penurunan simptom- simptom insomnia pada penderita insomnia. Fokus penelitian ini untuk merubah pikiran irasional pada penderita insomnia, agar lebih rasional. Penelitian ini menggunakan metode Quasi Experiment dengan desain The One Group Pretest- Posttest Design. Insomnia diukur dengan menggunakan alat ukur yang telah diadaptasi dari Pittsburgh Insomnia Rating Scale dengan menggunakan metode translate re translate dengan subjek penderita insomnia. Hasil penelitian menunjukkan terjadi perubahan insomnia yang ditandai dengan penurunan simptom-simptom insomnia pada subjek setelah diberikan intervensi berupa  Cognitive Behavior Therapy (CBT). Berdasarkan data tersebut, dapat ditarik simpulan bahwa pemberian Cognitive Behavior Therapy (CBT) berpengaruh terhadap penurunan simptom-simptom insomnia pada penderita insomnia.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Yi-Chuan Yu ◽  
Hui Xue ◽  
Ying-xin Zhang ◽  
Jiying Zhou

Background. Persistent postural-perceptual dizziness (PPPD) is a common vestibular disorder. This study was conducted to assess whether the addition of cognitive behavior therapy (CBT) could significantly improve the efficacy and acceptability of sertraline in treating PPPD. Methods. PPPD patients were recruited and randomly assigned to control and experiment groups. Patients in both groups received sertraline 50–200 mg/day, and only patients in the experiment group received CBT (twice a week, one hour per time). The treatment was continued for eight weeks. At baseline, week 2, week 4, and week 8, the 25-item Dizziness Handicap Inventory (DHI), Hamilton Anxiety Rating Scale (HARS), and Hamilton Depression Rating Scale (HDRS) were used to assess the self-perceived handicapping effects caused by PPPD, anxiety, and depressive symptoms, respectively. The dose of sertraline used and the adverse events in both groups were recorded and analyzed. Results. In total, 91 PPPD patients were randomly assigned to the control group n=45 and experiment group n=46. After eight weeks of treatment, the average DHI scores, HDRS scores, and HARS scores were significantly decreased in both groups. But compared to the control group, the experiment group had significantly lower average DHI score, HDRS score, and HARS score at weeks 4 and 8. Moreover, the dose of sertraline used in the experiment group was significantly lower than that in the control group, and adverse events occurred more frequently in the control group than in the experiment group (48.9% versus 26.1%, p=0.025). Conclusion. These results demonstrated that the addition of CBT could significantly improve the efficacy and acceptability of sertraline in treating PPPD and reduce the dose of sertraline used.


Author(s):  
Claudia Wuri Prihandini ◽  
Ni Komang Matalia Gandari ◽  
Ni Wayan Bunter

Halusinasi adalah merasakan segala sesuatu dalam keadaan sadar yang tampak nyata, namun sebenarnya hanya diciptakan oleh persepsi pikiran sendiri. Pasien dengan halusinasi pendengaran jika tidak segera ditangani akan berakibat kehilangan kontrol seperti bunuh diri, membunuh, bahkan merusak lingkungan. Terapi keperawatan yang direkomendasikan adalah Cognitive Behaviour Therapy (CBT). Adapun tujuan dari penelitian ini adalah untuk mengetahui pengaruh CBT terhadap penurunan tingkat kekambuhan halusinasi dengar. Penelitian ini menggunakan desain one group pre test post test dengan jumlah sampel sebanyak 63 orang dengan menggunakan teknik sampling purposive. Instrumen untuk mengumpulkan data menggunakan instrumen Psychotic Syndrome Rating Scale. Data dianalisis dengan uji paired-t. Berdasarkan hasil penelitian diatas dapat disimpulkan pemberian terapi CBT memberi pengaruh yang signifikan secara statistik terhadap tingkat kekambuhan halusinasi pada pasien dengan halusinasi dengar dengan nilai signifikansi sebesar 0,000.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hugo Wallén ◽  
Perjohan Lindfors ◽  
Erik Andersson ◽  
Erik Hedman-Lagerlöf ◽  
Hugo Hesser ◽  
...  

Abstract Background Irritable bowel syndrome (IBS) is a debilitating and costly disorder. Cognitive behavior therapy (CBT) is effective in the treatment of IBS, both when delivered over the internet and in face-to-face settings. CBT consists of different components and little is known about their relative importance. We have in an earlier study showed that inclusion of exposure in the CBT for IBS makes it even more effective. In the present study we wanted to evaluate the economic effects for society of inclusion vs exclusion of exposure in an internet delivered CBT for IBS. Methods We used data from a previous study with 309 participants with IBS. Participants were randomized to internet delivered CBT with (ICBT) or without exposure (ICBT-WE). We compared direct and indirect costs at baseline, after treatment, and 6 months after treatment (primary endpoint; 6MFU). Data was also collected on symptom severity and time spent by therapists and participants. The relative Incremental Cost Effectiveness Ratio (ICER) was calculated for the two treatment conditions and the return on investment (ROI). Results Results showed that ICBT cost $213.5 (20%) more than ICBT-WE per participant. However, ICBT was associated with larger reductions regarding both costs and symptoms than ICBT-WE at 6MFU. The ICER was − 301.69, meaning that for every point improvement on the Gastrointestinal Symptom Rating Scale—IBS version in ICBT, societal costs would be reduced with approximately $300. At a willingness to pay for a case of clinically significant improvement in IBS symptoms of $0, there was an 84% probability of cost-effectiveness. ROI analysis showed that for every $1 invested in ICBT rather than ICBT-WE, the return would be $5.64 six months after treatment. Analyses of post-treatment data showed a similar pattern although cost-savings were smaller. Conclusions Including exposure in Cognitive Behavior Treatment for IBS is more cost-effective from a societal perspective than not including it, even though it may demand more therapist and patient time in the short term. Trial registration This study is reported in accordance with the CONSORT statement for non-pharmacological trials [1]. Clinicaltrials.gov registration ID: NCT01529567 (14/02/2013).


Humaniora ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 161
Author(s):  
Putri Dewinta ◽  
Adhityawarman Menaldi

This research aimed to test the efficacy of Cognitive Behavior Therapy (CBT) and psychoeducation methods to decrease anxiety level in arrhythmia patient. Besides that, it was also to discuss how CBT could reduce anxiety level on a subject who had Generalized Anxiety Disorder (GAD) and also had the medical disease. This research used the qualitative method. The subject in this research was a 22-years-old single female, called S (initials), who came to community health center (Puskesmas) to get help regarding her uncomfortable feelings about her thoughts and concerns. The subject was given a pre-post test using Hamilton Anxiety Rating Scale (HARS) to see the differences in the anxiety level before, during, and after the treatment. Results of the research show that the level of anxiety in the subject is decreased. The categorization score goes from “very severe anxiety” to “moderate anxiety”. The subject also conveys on the last session that she feels less anxious and that she can control her negative thought.


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