scholarly journals Dropout from cognitive behavioural treatment in a case of bulimia nervosa: The role of the therapeutic alliance

2014 ◽  
Vol 16 (2) ◽  
pp. 71-84 ◽  
Author(s):  
Diego Sarracino ◽  
Alice Garavaglia ◽  
Emanuela S. Gritti ◽  
Laura Parolin ◽  
Marco Innamorati
Keyword(s):  
Bulimia Nervosa ◽  
Therapeutic Alliance ◽  
Psychological Functioning ◽  
Rating Scales ◽  
Behavioural Treatment ◽  
Treatment Termination ◽  
Cognitive Behavioural ◽  
Patient Reported ◽  
Observer Ratings

Despite the refinement of the cognitive treatment for eating disorders, relatively high dropout rates represent a major problem for therapists and researchers. This study investigated the case of a patient with a diagnosis of bulimia nervosa, who dropped out of outpatient CBT after 28 weekly sessions. In addition to standard clinical outcome assessment, we examined how patient's psychological functioning and therapeutic alliance changed across sessions by applying observer-rating scales to the therapy transcripts. Although the patient reported some improvement at the six-month retest, observer ratings showed persistence of impaired functioning and frequent ruptures in the patient-therapist relationship throughout the treatment. We concluded that a thorough examination of the therapy process might help to understand the factors that lead to premature treatment termination.

scholarly journals Knowledge gain and usage of knowledge learned during internet-based CBT treatment for adolescent depression - a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Matilda Berg ◽  
Anna Malmquist ◽  
Alexander Rozental ◽  
Naira Topooco ◽  
Gerhard Andersson
Keyword(s):  
Adolescent Depression ◽  
Controlled Trial ◽  
Treatment Strategies ◽  
Adherence Rate ◽  
Knowledge Gain ◽  
Structured Interviews ◽  
Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Present Life

Abstract Background The role of explicit learning of treatment content in internet-based cognitive-behavioural treatment (ICBT) is an emerging field of research. The objective of this study was to explore clients experiences of their ICBT treatment for depression with a focus on knowledge gain and usage of knowledge learned during treatment. Methods A strategic sample of ten adolescents, aged between 15 and 19 years, who had received ICBT for major depression within a clinical controlled trial were recruited for the study. Semi-structured interviews were conducted 6 months following trial completion. Data were transcribed and analysed using thematic analysis. The participants had a general adherence rate of 6–8 opened modules out of 8 possible. Results Two main themes were identified; “Active agents of CBT” and “Passive agents of CBT”, with each theme consisting of three and two sub-themes. Active agents of CBT reflect a tendency to specifically remember and actively apply specific CBT principles in present life situations. Passive agents of CBT reflect a tendency to remember CBT treatment principles vaguely and express a passive or reactive usage of learned therapy content. Conclusion The findings suggest that young clients can remember and apply CBT principles 6 months after their treatment. However, while experiencing benefits of treatment, clients recall and application of treatment strategies vary. The study emphasizes the importance of exploring client recall of CBT components and how valuable it is to explicitly remember contents of a treatment in order to improve and maintain improvement. Further studies on the role of knowledge and memory of ICBT for adolescent populations are warranted.

scholarly journals Cognitive Behavioural Therapy for Auditory Hallucinations: Effectiveness and Predictors of Outcome in a Specialist Clinic

2010 ◽  
Vol 39 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Neil Thomas ◽  
Susan Rossell ◽  
John Farhall ◽  
Frances Shawyer ◽  
David Castle
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Negative Symptoms ◽  
Rating Scales ◽  
Behavioural Therapy ◽  
Auditory Hallucinations ◽  
Psychotic Symptoms ◽  
Predictors Of Outcome ◽  
Formal Thought Disorder ◽  
Behavioural Treatment ◽  
Cognitive Behavioural

Background: Cognitive behavioural therapy has been established as an effective treatment for residual psychotic symptoms but a substantial proportion of people do not benefit from this treatment. There has been little direct study of predictors of outcome, particularly in treatment targeting auditory hallucinations. Method: The Psychotic Symptom Rating Scales (PSYRATS) and Positive and Negative Syndrome Scale (PANSS) were administered pre- and post-therapy to 33 people with schizophrenia-related disorders receiving CBT for auditory hallucinations in a specialist clinic. Outcome was compared with pre-therapy measures of insight, beliefs about the origin of hallucinations, negative symptoms and cognitive disorganization. Results: There were significant improvements post-treatment on the PSYRATS and PANSS Positive and General Scales. Improvement on the PSYRATS was associated with lower levels of negative symptoms, but was unrelated to overall insight, delusional conviction regarding the origins of hallucinations, or levels of cognitive disorganization. Conclusions: Lack of insight and presence of formal thought disorder do not preclude effective cognitive-behavioural treatment of auditory hallucinations. There is a need to further understand why negative symptoms may present a barrier to therapy.

Cognitive-Behavioural Treatment of Bulimia Nervosa

1995 ◽  
Vol 12 (2) ◽  
pp. 81-97 ◽  
Author(s):  
Harold Leitenberg
Keyword(s):  
Bulimia Nervosa ◽  
Effective Treatment ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Behavioural Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

This paper reviews the literature on cognitive-behavioural treatment of bulimia nervosa, including the rationale and procedure for including an exposure plus response-prevention component. Comparisons of the full cognitive-behavioural therapy package to no treatment, other forms of psychotherapy, and pharmacotherapy are evaluated. The evidence suggests that cognitive-behavioural therapy is a relatively effective treatment for bulimia nervosa, although long-term outcome is still far from optimal.

scholarly journals Role of Ayurveda in Managing Tinnitus

2021 ◽  
pp. 75-80
Author(s):  
Shrawan Kumar Sahu ◽  
Rahul D. Ghuse ◽  
Ashok Kumar Sinha ◽  
Sunil Kumar Pandey
Keyword(s):  
Hearing Aids ◽  
Sleep Disturbances ◽  
Behavioural Treatment ◽  
Pharmacological Agents ◽  
Non Invasive ◽  
Subjective Loudness ◽  
Cognitive Behavioural ◽  
Life Threatening ◽  
Invasive Neurostimulation

Tinnitus is one of the annoying disorders which can significantly impair patient’s quality of life and productivity. Although it is not a life threatening disease, but it results into emotional distress, cognitive distress, intrusiveness, auditory and perceptual difficulties, sleep disturbances, and various somatic complaints. Its incidence and prevalence are enhancing day by day. Various pharmacological agents including anticonvulsants, anxiolytics, antidepressants, muscle relaxants etc. are presently used or trialed for its pacification, but there is little evidence of their benefit over harm. The role of invasive and non-invasive Neurostimulation treatments, supposed to be very effective, are also little known. The introduction of Hearing aids and cochlear implantation are also not very much conclusive. No evidence of a significant change in the subjective loudness of tinnitus has been noticed with Cognitive behavioural treatment. In this way, there is a need for making an availability of uniformly accepted, broadly effective treatments capable of drastically decreasing the loudness and impact of tinnitus and withstanding systematic replication. This article is for serving the very purpose. Here, an effort has been made to present the remedial procedures and regimen for the alleviation of tinnitus described in Ayurveda, an ancient healing science of India. In Ayurveda, tinnitus has been delineated in the name of Karnanada. The article also brings about several case studies and clinical studies on tinnitus carried out at different centres/Institutes of Ayurveda.

The Role of Email Guidance in Internet-Based Cognitive-Behavioural Self-Care Treatment for Bulimia Nervosa

2011 ◽  
Vol 19 (4) ◽  
pp. 342-348 ◽  
Author(s):  
Varinia C. Sánchez-Ortiz ◽  
Calum Munro ◽  
Helen Startup ◽  
Janet Treasure ◽  
Ulrike Schmidt
Keyword(s):  
Bulimia Nervosa ◽  
Self Care ◽  
Care Treatment ◽  
Cognitive Behavioural

Eating disorders

1989 ◽  
pp. 277-314 ◽  
Author(s):  
Christopher G. Fairburn ◽  
Peter J. Cooper
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Cognitive Distortions ◽  
Cognitive Restructuring ◽  
Patient Treatment ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

Chapter 8 discusses eating disorders, and focuses on anorexia nervosa and bulimia nervosa. It outlines their clinical features, stages of cognitive–behavioural treatment methods (including the elimination of dieting, cognitive restructuring, addressing cognitive distortions, problem-solving training, and addressing body image misperception), subgroups of patients with bulimia nervosa that may require special consideration, group therapy, in-patient treatment, and the use of drugs in treatment.

scholarly journals Therapeutic alliance in Enhanced Cognitive Behavioural Therapy for bulimia nervosa: Probably necessary but definitely insufficient

2014 ◽  
Vol 57 ◽  
pp. 65-71 ◽  
Author(s):  
Bronwyn C. Raykos ◽  
Peter M. McEvoy ◽  
David Erceg-Hurn ◽  
Susan M. Byrne ◽  
Anthea Fursland ◽  
...  
Keyword(s):  
Bulimia Nervosa ◽  
Therapeutic Alliance ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Cognitive Behavioural
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