scholarly journals Hacia la recuperación: Enfoques terapéuticos para potenciar el tratamiento del trastorno por uso del alcohol

2021 ◽  
Author(s):  
Rosa Jurado ◽  
Ana Sion ◽  
Laura Esteban-Rodríguez ◽  
Andrés Martinez-Maldonado ◽  
Gabriel Rubio-Valladolid
Keyword(s):  
Alcohol Dependence ◽  
Behavioural Change ◽  
Evidence Based ◽  
Life Purpose ◽  
Long Term Outcomes ◽  
Process Of Change ◽  
Behavioural Approach ◽  
Cognitive Behavioural ◽  
Evidence Based Treatments

Currently, the best evidence-based treatments for alcohol dependence are those developed in multidisciplinary programmes based on a cognitive-behavioural approach, including psychological, sociological, and medical dimensions. However, recovery is not always achieved. The percentage of individuals who abandon and relapse is high throughout the process and an adequate state of wellbeing is not always found. This paper outlines some of the complements or techniques that could be incorporated to the most common treatments to enhance behavioural change, taking into account long-term outcomes. Thus, the text highlights the importance of considering recovery as the culmination of the process of change towards improved health, wellbeing, and self-directed life purpose, rather than just abstinence.

Use of Evidence-based Practice in Rehabilitation Counseling: Facilitating Recovery and Community Integration for Persons with Schizophrenia

2013 ◽  
Vol 44 (3) ◽  
pp. 11-22
Author(s):  
Vickie R. Carpenter ◽  
Charles Bemacchio ◽  
Eileen J. Burker
Keyword(s):  
Rehabilitation Counseling ◽  
Community Integration ◽  
Rehabilitation Counselors ◽  
Evidence Based ◽  
Long Term Outcomes ◽  
Normal Range ◽  
Evidence Based Practices ◽  
Evidence Based Treatments ◽  
Persons With Schizophrenia

Schizophrenia is a chronic and debilitating psychiatric disorder that affects 1% of the population worldwide. Symptoms of schizophrenia can add to or take away from a person's normal range of behavior, may cause permanent cognitive impairments, and may vary greatly from one individual to another. The course of the illness is variable, precluding an accurate summary of long-term outcomes. However, many professionals still deny that stability and remission are possible. Providing hope of recovery is at the core of rehabilitation counseling. Every client with schizophrenia should be instilled with hope that he or she may become stable or experience complete remission. Through empirical research, multiple pharmacological and psychosocial evidence-based treatments have emerge for people with schizophrenia. Better clinical and vocational outcomes are associated with the use of these treatments. This paper offers a thorough explanation of schizophrenia and provides rehabilitation counselors with information about the best evidence-based practices to use when working with clients who have schizophrenia.

Evidence-Based Cognitive Rehabilitation for People With Multiple Sclerosis: A Systematic Review

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512520385p1-7512520385p1
Author(s):  
Yu-Chih Chen ◽  
Szu-Wei Chen ◽  
Britney Ferri
Keyword(s):  
Processing Speed ◽  
Cognitive Skills ◽  
Cognitive Rehabilitation ◽  
Evidence Based ◽  
Long Term Outcomes ◽  
Noninvasive Brain Stimulation ◽  
Future Studies ◽  
Cognitive Improvement ◽  
Computer Based

Abstract Date Presented 04/22/21 Computer-based programs, conventional cognitive rehabilitation, neurologic music therapy, and noninvasive brain stimulation are effective in improving memory and learning, processing speed, language, executive function, or general cognitive skills. However, the retention of treatment effects and the generalizability of the cognitive improvement to the daily occupations are not clear. Including a predetermined single outcome, functional and long-term outcomes are needed in future studies. Primary Author and Speaker: Yu-Chih Chen Contributing Authors: Nicole Gerhardt, Christina Calhoun Thielen, Winnie Dunn, and Mary Jane Mulcahey

Management of insomnia and circadian rhythm sleep–wake disorders

2020 ◽  
pp. 1167-1178
Author(s):  
Simon D. Kyle ◽  
Alasdair L. Henry ◽  
Colin A. Espie
Keyword(s):  
Circadian Rhythm ◽  
Evidence Based ◽  
Sleep Wake Disorders ◽  
Insomnia Disorder ◽  
Cognitive Behavioural ◽  
Melatonin Administration ◽  
Evidence Based Treatments ◽  
Rhythm Disorder ◽  
Delayed Sleep ◽  
Behavioural Therapies

Insomnia disorder and circadian rhythm sleep–wake disorders (CRSWDs) are prevalent and impairing sleep disorders and often co-present with psychiatric disorder. Insomnia is characterized by difficulty with initiation and/or maintenance of sleep, driven primarily by cognitive behavioural processes. CRSWDs manifest because of alterations to the endogenous circadian clock (intrinsic) or as a consequence of environmental circumstances (extrinsic). This chapter reviews evidence-based treatments for the management of insomnia and intrinsic CRSWDs (delayed sleep–wake phase disorder, advanced sleep–wake phase disorder, non-24-hour sleep–wake disorder, irregular sleep–wake rhythm disorder). The chapter covers cognitive behavioural therapies, sleep-promoting hypnotics, phototherapy, and exogenous melatonin administration. The chapter also highlight gaps in the existing clinical science and reflects on emergent therapeutic approaches.

Future research directions in children and hoarding

2020 ◽  
Vol 45 (3) ◽  
pp. 175-181
Author(s):  
Andrew G. Guzick ◽  
Sophie C. Schneider ◽  
Eric A. Storch
Keyword(s):  
Childhood Development ◽  
Future Research ◽  
Systematic Research ◽  
Evidence Based ◽  
Research Directions ◽  
Hoarding Disorder ◽  
Cognitive Behavioural ◽  
Evidence Based Treatments ◽  
Future Research Directions ◽  
The Impact

Abstract Despite a rapidly growing understanding of hoarding disorder (HD), there has been relatively limited systematic research into the impact of hoarding on children and adolescents. The goal of this paper is to suggest future research directions, both for children with hoarding behaviours and children living in a cluttered home. Key areas reviewed in this paper include (1) the need for prospective studies of children with hoarding behaviours and those who grow up with a parent with HD; (2) downward extensions of cognitive-behavioural models of adult HD that emphasise different information processing and behavioural biases in youth HD; (3) developmental research into the presentation of emerging HD in childhood compared with adulthood presentations of the disorder, with consideration of typical childhood development and unique motivators for childhood saving behaviours; (4) developmentally sensitive screening and assessment; and (5) the development of evidence-based treatments for this population. The paper concludes with a discussion of methodological suggestions to meet these aims.

scholarly journals Evidence-based treatments of addiction

2008 ◽  
Vol 363 (1507) ◽  
pp. 3277-3286 ◽  
Author(s):  
Charles P O'Brien
Keyword(s):  
Chronic Disease ◽  
Animal Models ◽  
Term Treatment ◽  
Evidence Based ◽  
Behavioural Treatment ◽  
Addictive Disorders ◽  
Long Term Treatment ◽  
Evidence Based Treatments

Both pharmacotherapy and behavioural treatment are required to relieve the symptoms of addictive disorders. This paper reviews the evidence for the benefits of pharmacotherapy and discusses mechanisms where possible. Animal models of addiction have led to some medications that are effective in reducing symptoms and improving function but they do not produce a cure. Addiction is a chronic disease that tends to recur when treatment is stopped; thus, long-term treatment is recommended.

scholarly journals Evidence-based Neonatal Care

2019 ◽  
Author(s):  
Anucha Thatrimontrichai
Keyword(s):  
Neonatal Care ◽  
Evidence Based ◽  
Limited Information ◽  
Long Term Outcomes ◽  
Crucial Issue ◽  
Neurodevelopmental Outcomes ◽  
Mortality And Morbidity ◽  
Randomized Controlled ◽  
Aging Societies

Aging societies are developing around the world while the number of newborns is decreasing. The best neonatal care is a crucial issue since prematurity is surging along with high mortality and morbidity in developing countries. However, the basic areas of evidence-based practice in neonatal care still have limited information because both the shortand long-term outcomes of this fragile population need to be considered. Sophisticated neonatal care is a new topic for improvement of survival and long-term neurodevelopmental outcomes. Randomized controlled trials and metaanalyses in neonatal care were reviewed and the local epidemiology was integrated to implement evidence-based neonatal care.

Long-Term Outcomes of a Collaborative Regional Evidence-Based Practice Fellowship

2021 ◽  
Vol 51 (9) ◽  
pp. 455-460
Author(s):  
Andrea Burdge Smith ◽  
Kathy A. Baker ◽  
Susan Mace Weeks
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Long Term Outcomes

Cervical Radiculopathy

2018 ◽  
pp. 231-236
Author(s):  
Samuel W. Samuel ◽  
Eduardo E. Icaza
Keyword(s):  
Conservative Management ◽  
Treatment Strategies ◽  
Cervical Radiculopathy ◽  
Surgical Decompression ◽  
Evidence Based ◽  
Long Term Outcomes ◽  
Painful Condition ◽  
Surgical Treatments ◽  
Cervical Root

This chapter discusses cervical radiculopathy, a common, painful condition from cervical root compression, irritation, or both. A thorough history and physical exam can often help in diagnosing the affected nerve root, without the need for reflexive imaging. A series of provocative tests can aid in the differential diagnosis. Most cases will be resolved with conservative management within several weeks of symptoms onset. Evidence-based conservative management includes physical therapy and oral NSAIDs. If symptoms indicate myelopathic changes or are refractory to 6 to 8 weeks of conservative management, advanced imaging such as MRI should be considered. Patients with imaging evidence of a compressive etiology and refractory to conservative therapy should have a surgical consultation. Either an MRI or CT should be obtained before surgical decompression. Both interventional and surgical treatments have had positive outcomes in the short term, but long-term outcomes appear comparable to those with conservative therapies. It is recommended that conservative treatment strategies be used for 6–8 weeks before pursuing procedural or surgical intervention.

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