scholarly journals Evolution the effectiveness of cognitive-behavioral therapy and compassion therapy in resilience and emotional schemas of diabetic patients

2021 ◽  
Vol 15 (5) ◽  
pp. 1616-1622
Author(s):  
Fatemeh Jalayer ◽  
Mohammad Hatami ◽  
Hadi Hashemirazini ◽  
Ritaliyaghat .

Introduction: Nowadays, comparing the effectiveness of treatment methods to reduce the psychological problems of patients with diabetes is considered by various psychologists. The aim of this study was to compare the effectiveness of compassion therapy and cognitive-behavioral therapy in emotional schemas and resilience in patients with diabetes Type 2 Materials and Methods: The research method is applied in terms of purpose, in terms of implementation of an all-experimental experiment with pre-test, post-test and follow-up design. The statistical population of this study included all diabetic patients referred to Pasteur Hospital in Bam in the second half of 2018 who met the inclusion criteria with a total of 152 people. Sampling method was available. From the statistical population, 45 people were selected and randomly divided into three groups (15 people in cognitive-behavioral therapy group, 15 people in compassion therapy and 15 people in control group). Subjects answered Connor and Davidson Resilience Questionnaires and Leahy Emotional Schemas before and after training. Data were analyzed using covariance .... multivariate method and Tukey's follow-up test. Results: Findings showed that compassion therapy and cognitive-behavioral therapy improve emotional schemas and increase resilience. The effect of compassion therapy was greater than cognitive-behavioral therapy and maintained its effect over time. Conclusion: The results showed that compassion therapy had a greater effect on improving emotional schemas and increasing resilience in patients with type 2 diabetes. Keywords: Cognitive-behavioral therapy, compassion therapy, emotional schemas, resilience

2011 ◽  
pp. 13-19
Author(s):  
Nhu Minh Hang Tran ◽  
Huu Cat Nguyen ◽  
Dang Doanh Nguyen ◽  
Van Luong Ngo ◽  
Vu Hoang Nguyen ◽  
...  

Objectives: To determine factors impact on the relapse in depressed patients treated with Cognitive Behavioral Therapy (CBT) during one year follow-up. Materials and Methods: 80 depressed patients divided into two groups, group 1: included 40 patients treated with CBT; group 2: 40 patients on amitriptyline. Non-randomized controlled clinical trial, opened, longiditual and prospective research. Results and Conclusions: relapse rate after CBT during 1 year follow-up is 10% (compared to 25% in control group), related factors to relapse rate in depression after CBT are age and education. Shared predictors between 2 groups are severity and recurrence of depression. Key words: Depression, relapse, Cognitive Behavioral Therapy (CBT)


2020 ◽  
pp. 231-235

Introduction and Objectives: Major Thalassemia can be considered one of the biggest chronic physical disorders, which causes some psychological and social problems to patients and their families. This study aimed to investigate the effect of cognitive-behavioral therapy on the distress tolerance and level of coping with a child’s illness among the parents of children with major thalassemia. Materials and Methods: This study was conducted based on a semi-experimental design with pretest and posttest. The statistical population consisted of all parents of Children with major thalassemia in Zahedan, Iran, during 2016. A total of 40 parents were selected based on convenience sampling and randomly divided into two experimental (n=20) and control groups (n=20). They were then requested to complete the distress and resistance questionnaires, and they participated weekly in eight 90-min intervention sessions based on cognitive behavioral therapy Data were analyzed in SPSS software (version 20) through multivariate covariance analysis. Results: The results show that cognitive-behavioral therapy improves distress (F=9.82, P<0.004), tolerance (F=5.12, P<0.030), absorbed (F=7.43, P<0.010), assessment (F=4.73, P<0.037), and adjustment (F=6.70, P<0.014) dimension scores, and has an effect on group membership. Moreover, cognitive-behavioral therapy improved the level of coping with the disease dimension (F=32.61, P<0.0001) and the first factor (F=5.53, P<0.025). Additionally, this technique had a significant effect on posttest scores and group membership. Conclusion: The results showed that cognitive-behavioral therapy increased the level of distress tolerance and improved the level of coping with the childchr('39')s disease, compared to the control group. Evidence suggests that the parents of children with major thalassemia patients face many problems that can lead to high levels of anxiety and depression, tolerance of distress at a low level, despair and disappointment, as well as guilty feeling


2022 ◽  
Author(s):  
Forouzandeh Soleimanian-Boroujeni ◽  
Negin Badihian ◽  
Shervin Badihian ◽  
Vahid Shaygannejad ◽  
Yousef Gorji

Abstract Introduction: Psychological interventions are shown to be effective in migraine, but not utilized routinely yet. We aimed to evaluate the efficacy of transdiagnostic cognitive behavioral therapy (TCBT) on people with migraine (PwM). Method: This study was conducted on 40 PwM aged 20-50 years. We randomly assigned participants to two groups of intervention, receiving 10 sessions of TCBT, and control. Days with headache, headache severity, migraine-related disability and effects on daily life, number of pain-relivers taken for headache, depression, and anxiety were assessed pre-intervention, post-intervention (three-month follow-up), and one-month after TCBT termination (four-month follow-up).Results: Thirty-five participants suffering moderate to severe migraine completed the study (16 and 19 in TCBT and control groups, respectively). TCBT improved all measured items between study time-points (p<0.05) in the intervention group, while such an improvement was not observed in the control group. Between group comparisons revealed superiority of TCBT group compared to the control group in most measured items at three- and four-month follow-ups (p<0.05).Conclusion: Ten sessions of TCBT improved migraine severity, associated disability, anxiety, and depression in PwM, with persistent effects after one month of therapy termination. TCBT is an affordable, practical, and feasible intervention to be utilized for PwM.Protocol registration: The study protocol was registered in clinicaltrial.gov (NCT03701477) prior to enrollment.


2014 ◽  
Vol 32 (6) ◽  
pp. 557-563 ◽  
Author(s):  
Guy H. Montgomery ◽  
Daniel David ◽  
Maria Kangas ◽  
Sheryl Green ◽  
Madalina Sucala ◽  
...  

Purpose The objective of this study was to test the efficacy of cognitive-behavioral therapy plus hypnosis (CBTH) to control fatigue in patients with breast cancer undergoing radiotherapy. We hypothesized that patients in the CBTH group receiving radiotherapy would have lower levels of fatigue than patients in an attention control group. Patients and Methods Patients (n = 200) were randomly assigned to either the CBTH (n = 100; mean age, 55.59 years) or attention control (n = 100; mean age, 55.97 years) group. Fatigue was measured at four time points (baseline, end of radiotherapy, 4 weeks, and 6 months after radiotherapy). Fatigue was measured using the Functional Assessment of Chronic Illness Therapy (FACIT) –Fatigue subscale and Visual Analog Scales (VASs; Fatigue and Muscle Weakness). Results The CBTH group had significantly lower levels of fatigue (FACIT) at the end of radiotherapy (z, 6.73; P < .001), 4-week follow-up (z, 6.98; P < .001), and 6-month follow-up (z, 7.99; P < .001) assessments. Fatigue VAS scores were significantly lower in the CBTH group at the end of treatment (z, 5.81; P < .001) and at the 6-month follow-up (z, 4.56; P < .001), but not at the 4-week follow-up (P < .07). Muscle Weakness VAS scores were significantly lower in the CBTH group at the end of treatment (z, 9.30; P < .001) and at the 6-month follow-up (z, 3.10; P < .02), but not at the 4-week follow-up (P < .13). Conclusion The results support CBTH as an evidence-based intervention to control fatigue in patients undergoing radiotherapy for breast cancer. CBTH is noninvasive, has no adverse effects, and its beneficial effects persist long after the last intervention session. CBTH seems to be a candidate for future dissemination and implementation.


2021 ◽  
pp. 1-8
Author(s):  
Anton Käll ◽  
Malin Bäck ◽  
Camilla Welin ◽  
Hanna Åman ◽  
Rasmus Bjerkander ◽  
...  

<b><i>Introduction:</i></b> Chronic loneliness has been linked to many adverse outcomes, including mental health problems. Psychological treatment of loneliness can be effective, but the evidence base is limited. <b><i>Objective:</i></b> To investigate the efficacy of 2 internet-based interventions based on cognitive behavioral therapy (ICBT) and interpersonal psychotherapy (IIPT) relative to a wait-list control group and each other. <b><i>Methods:</i></b> A total of 170 participants were recruited and randomized to either 9 weeks of ICBT (<i>n</i> = 68), IIPT (<i>n</i> = 68), or a wait-list condition (<i>n</i> = 34). The primary outcome was loneliness, measured using the UCLA Loneliness Scale before, during, and after treatment. Secondary measures of psychiatric disorders and quality of life were administered before and after treatment. Follow-up was conducted 4 months after the treatment had ended. Primary outcome data were analyzed using growth curve modeling. Secondary outcomes were analyzed using robust regression models. The trial was preregistered (ClinicalTrials.gov ID: NCT03807154). <b><i>Results:</i></b> The ICBT condition had a significantly greater impact on loneliness compared to the wait-list and IIPT conditions. Effect sizes were moderate to large (Cohen <i>d</i> = 0.71) compared to the wait-list and moderate (<i>d</i> = 0.53) compared to IIPT. The IIPT condition did not differ significantly from the wait-list. Both active treatments led to significant increases in quality of life. Only the ICBT group had significantly lower symptoms of depression and generalized anxiety compared to the wait-list group. Treatment gains were maintained but not improved at follow-up. <b><i>Conclusions:</i></b> ICBT can be an efficacious option for alleviating loneliness. The IIPT intervention was not as effective.


Author(s):  
Zeinab Khairkhah ◽  
Ahmad Borjali ◽  
Faramarz Sohrabi

The present research was done with the aim of determining the effectiveness of group Cognitive – Behavioral therapy on reducing depression and its subscales (emotional symptoms, cognitive symptoms and physical symptoms) among the wives of the martyrs in the city of Tehran. First, 200 wives of the martyrs were randomly selected from among the wives of the martyrs who had referred to the counseling center of the Foundation of Martyrs and the questionnaire of depression was administered on them. The subjects whose level of depression was higher than the average level were determined and from among them 60 people were randomly chosen and later they were divided into two equal groups and from these two groups, by drawing one group was selected as the experimental and the other was selected as the control group. In the pretest stage, the questionnaire was administered on the subjects and the experimental group was placed under training, i.e. group cognitive-behavioral therapy, while the control group received no such therapy. In the posttest stage, the questionnaire of depression was carried out on both groups and one month later, the follow up stage was administered. Findings revealed that training group cognitive-behavioral therapy was effective on decreasing depression on the wives of the martyrs in Tehran. Findings also indicated depression among the experimental group and in the follow up stage they enjoyed necessary constancy. It is concluded that the group cognitive-behavioral therapy has considerably diminished depression among the wives.


2016 ◽  
Vol 21 (6) ◽  
pp. 508-521 ◽  
Author(s):  
Richard Pettersson ◽  
Staffan Söderström ◽  
Kerstin Edlund-Söderström ◽  
Kent W. Nilsson

Objective: The purpose of the study was to evaluate an Internet-based cognitive behavioral therapy (iCBT) program targeting difficulties and impairments associated with adult ADHD. Method: Forty-five adults diagnosed with ADHD were randomized to either self-help (iCBT self-help format [iCBT-S]), self-help with weekly group sessions (iCBT group-therapy format [iCBT-G]), or a waiting-list control group. Treatment efficacy was measured at pre- and posttreatment and at 6-month follow-up. Results: Intention-to-treat (ITT) analysis showed a significant reduction in ADHD symptoms for the iCBT-S group in comparison with the waiting-list controls at posttreatment, with a between-group effect size of d = 1.07. The result was maintained at 6-month follow-up. No significant difference was found at posttreatment or 6-month follow-up between the iCBT-S and iCBT-G groups. Conclusion: The findings show that a CBT treatment program administered through the Internet can be a promising treatment for adult ADHD. Limitations of the study design and directions for future research are discussed.


2021 ◽  
Author(s):  
Aykut Kul ◽  
Zeynep Hamamcı

The purpose of this study was to investigate the effects of an anxiety-coping program for children based on cognitive behavioral therapy on children’s anxiety levels. The study was conducted with 12 students in the fourth grade of primary school. Screen for Child Anxiety Related Disorders (SCARED) was during the study for data collection. Students in the experimental group participated in a Cognitive Behavioral Therapy based anxiety coping program consisting of eight sessions. No study was conducted with the students in the control group. A mixed design of 2x3 was used in the study. Follow-up measurement was performed six months after the study was completed. In the analysis of the data, Mann Whitney U test and Friedman test were used. As a result of the analysis, a significant decrease was observed in the general anxiety, general anxiety disorder, separation anxiety and social anxiety levels of the participants in the experiment group after the intervention which continued during the follow-up period. Furthermore there was no statistically significant decrease in panic disorder/somatic symptoms and school phobia levels of the participants in the experimental group. The findings indicated that the anxiety-coping program for children based on cognitive behavioral therapy is effective in terms of decreasing the anxiety levels of children.


2021 ◽  
Vol 12 ◽  
Author(s):  
Merethe Eide Gotaas ◽  
Tore C. Stiles ◽  
Johan Håkon Bjørngaard ◽  
Petter C. Borchgrevink ◽  
Egil A. Fors

Objective: To study whether standard cognitive behavioral therapy (CBT) and a shorter, interpersonal oriented cognitive behavioral therapy (I-CBT) can improve physical function and fatigue in patients diagnosed with mild to moderate chronic fatigue syndrome (CFS) in a multidisciplinary fatigue clinic.Design: Consecutively 236 participants 18–62 years old meeting the Centre of Decease Control, CDC 1994 criteria, with a subsample also fulfilling the Canadian criteria for CFS, were randomly allocated to one of three groups. Two intervention groups received either 16 weeks of standard CBT or 8 weeks of I-CBT vs. a waiting-list control group (WLC). Primary outcome was the subscale Physical Function (PF) from SF-36 (0–100). Secondary outcome was amongst others fatigue measured by Chalder Fatigue Questionnaire (CFQ) (0–33). Outcomes were repeatedly measured up to 52 weeks from baseline.Results: The additional effect relative to baseline at post-intervention for SF-36 physical function was 14.2 (95% CI 7.9–20.4 p &lt; 0.001) points higher for standard CBT and 6.8 (0.5–13.2 p = 0.036) points higher for I-CBT compared with the control group. The additional effect relative to baseline at post-intervention for fatigue was 5.9 (95% CI 0.5–10.5 p = 0.03) points lower for standard CBT compared with the control group but did not differ substantially for I-CBT 4.8 (95% CI −0.4 to 9.9 p = 0.07). The positive change in physical function persisted at 1-year follow-up for both treatment groups, and for standard CBT also in fatigue. The two intervention groups did not differ significantly in self-reported physical function and fatigue at the 1-year follow-up. No serious adverse reactions were recorded in any of the groups during the trial period.Interpretation: A 16-week standard, individual CBT intervention improves physical function and fatigue in CFS outpatients with mild to moderate disease. A shorter 8-week I-CBT program improves physical function. Both treatments are safe, and the effect persist 1 year after baseline.Clinical Trial registration:ClinicalTrials.gov, Identifier: NCT00920777, registered June 15, 2009.REK-project number: 4.2008.2586, registered April 2, 2008. Funding: The Liaison Committee for Education, Research and Innovation in Central Norway.


SAGE Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 215824401882446
Author(s):  
Ghorban Hemati Alamdarloo ◽  
Soheila Moradzadeh Khorasani ◽  
Mahmoud Najafi ◽  
Fatemeh Soosan Jabbari ◽  
Setareh Shojaee

This study aimed at investigating the effect of cognitive-behavioral therapy on reducing depression, anxiety, and stress levels of Iranian males with addiction. The participants included 24 Iranian males with addiction selected through convenience sampling and randomly assigned to the experimental ( n = 12) and control ( n = 12) groups. Then, Depression Anxiety and Stress Scale was used as the pretest, posttest, and follow-up tests to assess participants’ levels of depression, anxiety, and stress. The experimental group received eight sessions of cognitive-behavioral therapy, while the control group did not. The findings of the study showed that cognitive-behavioral therapy was effective in reducing participants’ levels of depression, anxiety, and stress. Thus, the findings indicate that the cognitive-behavioral therapy reduced the depression, anxiety, and stress of Iranian males with addiction.


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