Comparison of Acceptance Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in Reducing Depression symptoms and Increasing Happiness of Iranian adolescent Girl Students

Abstract Background Depression is most common among the elderly and is associated with major impairment. With limited accessible treatments available, remotely provided interventions are needed. Internet-based interventions have been proven effective for a number of mental and somatic health problems. However, the elderly population has received relatively limited attention in previous studies. This study aims to address this gap by investigating the effectiveness of a tailored Internet-delivered modular intervention based on cognitive behavioral therapy (CBT). Methods A minimum of 60 participants will be recruited and randomly assigned to groups in a two-armed parallel controlled trial with a waiting list. The intervention group will have access to an 8-week therapist-supported modular intervention. The waiting list group will be instructed to wait for 8 weeks and then granted access to the intervention for 8 weeks. Pre, post, and 3-, 12-, and 24-month follow-up assessments are planned for measuring changes in depression symptoms, anxiety symptoms, and psychological well-being using PHQ-9, GDS, GAD-7, and WHO-5. Primary outcomes of all the participants will be analyzed using the intention-to-treat principle, and within- and between-group effect sizes will be calculated. Discussion Internet-based interventions could help address the existing treatment gap for depressed older adults. However, to date, the effectiveness of Internet-based CBT (ICBT) for depressed older adults has only been tested in a few studies. This trial will demonstrate if Internet-based CBT is effective for this population when compared to a waiting list control. Further analysis of secondary outcomes and participant behavior in the intervention will potentially reveal effectiveness moderating factors. Trial registration ClinicalTrials.gov NCT04728204. Registered on 15 January 2021. https://www.clinicaltrials.gov/ct2/show/NCT04728204?term=NCT04728204&draw=2&rank=1

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Effect of Cognitive-Behavioral Group Therapy on the Anxiety and Depression of War-Handicapped

Journal of Archives in Military Medicine ◽

10.5812/jamm.114085 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Mehryar Anasseri

Keyword(s):

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Test Phase ◽

Cognitive Behavioral ◽

Anxiety And Depression ◽

Depression Symptoms ◽

War Veterans ◽

Statistical Population ◽

Post Test ◽

The Impact

Background: Depression and anxiety as the most common psychiatric problems in survivors of traumatic events pose a significant burden on health systems and families. Objectives: This study was conducted to determine the impact of group cognitive-behavioral therapy on the anxiety and depression of war veterans. Methods: This was a quasi-experimental study with pre-test and post-test and a control group. The statistical population included all men with war disabilities who visited Sadra Psychiatric Hospital in Tehran. By convenience and purposive sampling, 116 people were selected and randomly assigned to two groups. Therapeutic interventions (group cognitive-behavioral therapy and Jacobsen's progressive muscle relaxation technique) were applied to each group for 12 sessions, 2 sessions per week and 2 sessions each. Beck’s Depression Scale (Beck, 1961) and Spielberger’s Anxiety Scale (Spielberger, 1970) were used to collect the data. Data was analyzed using analysis of covariance. Results: The mean scores of anxiety and depression in the post-test phase decreased compared to the pre-test phase (P < 0.05). Therefore, group cognitive-behavioral therapy improved the psychological symptoms of the participants. Conclusions: Cognitive-behavioral therapy improved cognitive flexibility and diminished anxiety-depression symptoms in war veterans; thus, it can be considered a useful treatment strategy to improve the psychological status of war veterans.

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0483 Predictors of Cognitive Behavioral Therapy for Insomnia (CBT) Outcomes in Active Duty U.S. Army Personnel

SLEEP ◽

10.1093/sleep/zsaa056.480 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A185-A185

Author(s):

K E Pruiksma ◽

W Hale ◽

J Mintz ◽

A Peterson ◽

S Young-McCaughan ◽

...

Keyword(s):

Cognitive Behavioral Therapy ◽

Medical Research ◽

Behavioral Therapy ◽

Active Duty ◽

Cognitive Behavioral ◽

Depression Symptoms ◽

Predictors Of Response ◽

The Impact ◽

Insomnia Severity ◽

The U.S

Abstract Introduction Cognitive behavioral therapy for insomnia (CBTi) is well established as the first-line treatment for the management of chronic insomnia. Identifying predictors of response to CBTi should enable the field to efficiently utilize resources to treat those who are likely to respond and to personalize treatment approaches to optimize outcomes for those who are less likely to respond to traditional CBTi. Although a range of studies have been conducted, no clear pattern of predictors of response to CBTi has emerged. Methods The purpose of this study was to examine the impact and relative importance of a comprehensive group of pretreatment predictors of insomnia outcomes in 99 active duty service members who received in-person CBTi in a randomized clinical trial. Results Results indicated that higher levels of baseline insomnia severity and total sleep time predicted greater improvements on the Insomnia Severity Index (ISI) following treatment. Higher depression symptoms and a history of head injury predicted a worse response to treatment (i.e., smaller improvements on the ISI). Conclusion Clinically meaningful improvements, as measured by the reliable change index (RCI), were found in 59% of the sample. Over and above baseline insomnia severity, only depressive symptoms predicted this outcome. Future studies should examine if modifications to CBTi based on these predictors of response can improve outcomes. Support This study was conducted with support from the U.S. Department of Defense through the U.S. Army Medical Research and Materiel Command, Congressionally Directed Medical Research Programs, Psychological Health and Traumatic Brain Injury Research Program award W81XWH-10-1-0828 (PI: Dr Taylor).

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