Chairwork in cognitive and behavioural therapies

2019 ◽  
pp. 7-11
Author(s):  
Matthew Pugh
BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e047212
Author(s):  
Anke de Haan ◽  
Caitlin Hitchcock ◽  
Richard Meiser-Stedman ◽  
Markus A Landolt ◽  
Isla Kuhn ◽  
...  

IntroductionTrauma-focused cognitive behavioural therapies are the first-line treatment for posttraumatic stress disorder (PTSD) in children and adolescents. Nevertheless, open questions remain with respect to efficacy: why does this first-line treatment not work for everyone? For whom does it work best? Individual clinical trials often do not provide sufficient statistical power to examine and substantiate moderating factors. To overcome the issue of limited power, an individual participant data meta-analysis of randomised trials evaluating forms of trauma-focused cognitive behavioural therapy in children and adolescents aged 6–18 years will be conducted.Methods and analysisWe will update the National Institute for Health and Care Excellence guideline literature search from 2018 with an electronic search in the databases PsycINFO, MEDLINE, Embase, Cochrane Central Register of Controlled Trials and CINAHL with the terms (trauma* OR stress*) AND (cognitive therap* OR psychotherap*) AND (trial* OR review*). Electronic searches will be supplemented by a comprehensive grey literature search in archives and trial registries. Only randomised trials that used any manualised psychological treatment—that is a trauma-focused cognitive behavioural therapy for children and adolescents—will be included. The primary outcome variable will be child-reported posttraumatic stress symptoms (PTSS) post-treatment. Proxy-reports (teacher, parent and caregiver) will be analysed separately. Secondary outcomes will include follow-up assessments of PTSS, PTSD diagnosis and symptoms of comorbid disorders such as depression, anxiety-related and externalising problems. Random-effects models applying restricted maximum likelihood estimation will be used for all analyses. We will use the Revised Cochrane Risk of Bias tool to measure risk of bias.Ethics and disseminationContributing study authors need to have permission to share anonymised data. Contributing studies will be required to remove patient identifiers before providing their data. Results will be published in a peer-reviewed journal and presented at international conferences.PROSPERO registration numberCRD42019151954.


1996 ◽  
Vol 2 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Stirling Moorey

In many ways cognitive and behavioural therapies represent the acceptable face of psychotherapy for the general psychiatrist. They are brief, focused, problem-oriented treatments, which take symptoms seriously. They show an affinity for the medical model in their acceptance of diagnostic categories and their commitment to effective evaluation of treatments through randomised controlled trials. The wide applicability of these therapies is also attractive to the general psychiatrist. Cognitive and behavioural techniques are of major importance in the treatment of anxiety disorders, depression, eating disorders, and sexual dysfunctions, and beyond this core group the methods can be applied to enhance coping and change unwanted behaviours in conditions as diverse as cancer, chronic pain, substance abuse, anger control, schizophrenia, and challenging behaviours in people with learning disabilities.


2020 ◽  
pp. 365-381
Author(s):  
Nicole K. Lee ◽  
Paula Ross ◽  
Richard Cash

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Fritz Renner ◽  
Jessica Werthmann ◽  
Andreas Paetsch ◽  
Hannah E. Bär ◽  
Max Heise ◽  
...  

Background Mental imagery has long been part of cognitive behavioural therapies. More recently, a resurgence of interest has emerged for prospective mental imagery, i.e. future-directed imagery-based thought, and its relation to reward processing, motivation and behaviour in the context of depression. Method We conducted a selective review on the role of prospective mental imagery and its impact on reward processing and reward-motivated behaviour in depression. Results Based on the current literature, we propose a conceptual mechanistic model of prospective mental imagery. Prospective mental imagery of engaging in positive activities can increase reward anticipation and reward motivation, which can transfer to increased engagement in reward-motivated behaviour and more experiences of reward, thereby decreasing depressive symptoms. We suggest directions for future research using multimodal assessments to measure the impact of prospective mental imagery from its basic functioning in the lab to real-world and clinical implementation. Conclusion Prospective mental imagery has the potential to improve treatment for depression where the aim is to increase reward-motivated behaviours. Future research should investigate how exactly and for whom prospective mental imagery works.


2018 ◽  
Vol 7 (1) ◽  
pp. 29-32
Author(s):  
Dhanapal Venkatachalam ◽  
◽  
Samuel Thavamani B ◽  
Sampath Kumar ◽  
◽  
...  

Insomnia is persistent difficulty in falling asleep that affects regular day time activities. It can induce significant psychological and physical disorder. Insomnia is treated pharmacologically and nonpharmacologically or by a combination of both. Relaxation, sleep restriction, stimulus control and sleep hygiene are known behavioural therapies for insomnia. Modern studies have shown that herbal drugs exert good sedative and hypnotic effect on the central nervous system. One such medicinal plants is Euphorbia hirta.. E. hirta belongs to the plant family Euphorbiaceae and genus Euphorbia. The leaf of Euphorbia hirta have several therapeutic applications in folk medicine in curing or managing wide range of diseases including insomnia. In the present study ethanol and aqueous extract of leaf Euphorbia ssssshirta was evaluated for sedative activity using phenobarbiton–induced sleep model in rat. Aqueous and ethanolic extracts (100mg/kg and 200 mg/kg) produced significant onset of sleep and duration of sleep (p<0.01). These results suggest that the fractions of aqueous and ethanolic extracts obtained from the leaf of Euphorbia hirta possess sedative activity


2007 ◽  
Vol 2 (4) ◽  
pp. 1091-1093
Author(s):  
Katrina Williams

Author(s):  
Kathrin Bernardy ◽  
Petra Klose ◽  
Angela J Busch ◽  
Ernest HS Choy ◽  
Winfried Häuser

Author(s):  
Vivien Hunot ◽  
Theresa HM Moore ◽  
Deborah Caldwell ◽  
Philippa Davies ◽  
Hannah Jones ◽  
...  

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