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Cognitive Behaviour Therapy

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https://www.readbyqxmd.com/read/29448886/augmenting-treatment-efficiency-in-exposure-therapy-for-ptsd-a-randomized-double-blind-placebo-controlled-trial-of-yohimbine-hcl
#1
Peter W Tuerk, Bethany C Wangelin, Mark B Powers, Jasper A J Smits, Ron Acierno, Ursula S Myers, Scott P Orr, Edna B Foa, Mark B Hamner
The alpha-2 adrenergic receptor antagonist, yohimbine, can facilitate fear extinction in animals and humans. One potential mechanism is increased noradrenergic activity and associated arousal in the presence of conditioned stimuli. Accordingly, yohimbine might augment prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD), where heightened exposure-oriented arousal is a theorized driver and empirical predictor of treatment success. A double-blind placebo-controlled randomized trial (NCT 01031979) piloted yohimbine augmentation in 26 males with combat-related PTSD...
February 15, 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29345530/who-benefits-from-psychotherapies-for-adult-depression-a-meta-analytic-update-of-the-evidence
#2
Pim Cuijpers, Eirini Karyotaki, Mirjam Reijnders, Marcus J H Huibers
It is not clear whether specific target groups for psychotherapies in adult depression benefit as much from these treatments as other patients. We examined target groups that have been examined in randomized trials, including women, older adults, students, minorities, patients with general medical disorders, and specific types of depression, and we examined where patients were recruited. We conducted subgroup and multivariate metaregression analyses in a sample of 256 trials (with 332 comparisons) comparing psychotherapy with an inactive control condition...
January 18, 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29345528/linguistic-analysis-of-patients-with-mood-and-anxiety-disorders-during-cognitive-behavioral-therapy
#3
Anke R Sonnenschein, Stefan G Hofmann, Tobias Ziegelmayer, Wolfgang Lutz
We analyzed the verbal behavior of patients with mood or/and anxiety disorders during psychotherapy. Investigating the words people used, we expected differences due to cognitive and emotional foci in patients with depression vs. anxiety. Transcripts of therapy sessions from 85 outpatients treated with cognitive behavioral therapy were analyzed using the software program Linguistic Inquiry and Word Count. Multivariate group comparisons were carried out investigating the LIWC-categories first-person-singular pronouns, sad, anxiety and fillers...
January 18, 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29256336/a-new-look-at-the-schema-therapy-model-organization-and-role-of-early-maladaptive-schemas
#4
Bo Bach, George Lockwood, Jeffrey E Young
This study reexamined the organization of Young's 18 early maladaptive schemas and their hypothesized associations with experiences of need-thwarting parental experiences in childhood and the "vulnerable child" mode of emotional distress in adulthood. A large Danish sample (N = 1054) of 658 clinical- and 391 nonclinical adults completed measures of early maladaptive schemas, parenting styles, and the vulnerable child mode. We identified four higher-order schema domains as most appropriate in terms of interpretability and empirical indices ("Disconnection & Rejection", "Impaired Autonomy & Performance", "Excessive Responsibility & Standards", and "Impaired Limits")...
December 19, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29215315/internet-based-vs-face-to-face-cognitive-behavior-therapy-for-psychiatric-and-somatic-disorders-an-updated-systematic-review-and-meta-analysis
#5
Per Carlbring, Gerhard Andersson, Pim Cuijpers, Heleen Riper, Erik Hedman-Lagerlöf
During the last two decades, Internet-delivered cognitive behavior therapy (ICBT) has been tested in hundreds of randomized controlled trials, often with promising results. However, the control groups were often waitlisted, care-as-usual or attention control. Hence, little is known about the relative efficacy of ICBT as compared to face-to-face cognitive behavior therapy (CBT). In the present systematic review and meta-analysis, which included 1418 participants, guided ICBT for psychiatric and somatic conditions were directly compared to face-to-face CBT within the same trial...
December 7, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29378481/meta-analysis-of-the-effects-of-cognitive-behavioral-therapy-on-the-core-eating-disorder-maintaining-mechanisms-implications-for-mechanisms-of-therapeutic-change
#6
Jake Linardon
The original and enhanced cognitive model of eating disorders proposes that cognitive-behavioral therapy (CBT) "works" through modifying dietary restraint and dysfunctional attitudes towards shape and weight. However, evidence supporting the validity of this model is limited. This meta-analysis examined whether CBT can effectively modify these proposed maintaining mechanisms. Randomized controlled trials that compared CBT to control conditions or non-CBT interventions, and reported dietary restraint and shape and weight concern outcomes were searched...
March 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28826327/positive-memory-enhancement-training-for-individuals-with-major-depressive-disorder
#7
Kimberly A Arditte Hall, Rudi De Raedt, Kiara R Timpano, Jutta Joormann
When in a negative mood state, individuals with major depressive disorder (MDD) may have difficulties recalling positive autobiographical memories in a manner that repairs that negative mood. Using cognitive bias modification techniques, investigators have successfully altered different aspects of cognition among individuals with MDD. However, little has been done to investigate the modification of positive autobiographical memory recall. This study examined the impact of a novel positive memory enhancement training (PMET) on the memories and subjective affective experiences of individuals with MDD (N = 27)...
March 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29130427/reduction-of-anxiety-sensitivity-in-relation-to-nicotine-withdrawal-symptoms-during-smoking-cessation-an-examination-among-successful-quitters
#8
Jafar Bakhshaie, Michael J Zvolensky, Kirsten J Langdon, Adam M Leventhal, Norman B Schmidt
Anxiety sensitivity has been implicated as a potential risk factor for post-quit withdrawal symptoms. The present study examined relations between the extent of change in anxiety sensitivity and the course of nicotine withdrawal symptoms experienced during the initial two weeks of a quit attempt among treatment-seeking smokers. The sample consisted of 29 adult daily smokers (34% female; Mage = 47.7, SD = 13.1) who successfully quit and maintained their abstinence. After adjusting for the effects of gender, treatment condition, use of nicotine replacement therapy, nicotine dependence, alcohol use problems, baseline levels of anxiety sensitivity, and reductions in negative affect, greater reductions in anxiety sensitivity were related to faster decreases in withdrawal symptoms...
November 13, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29103355/strategies-included-in-cognitive-behavioral-therapy-programs-to-treat-internalized-disorders-a-systematic-review
#9
Catherine Fréchette-Simard, Isabelle Plante, Jonathan Bluteau
This review aimed to identify the strategies used in programs based on cognitive behavioral therapy (CBT) to prevent and treat symptoms of anxiety, depression, and internalized behaviors of children and adolescents. Based on an online search (ERIC, PsycInfo, Virtuose UQAM, and Google Scholar), 61 studies describing different cognitive behavioral programs were selected. Results showed that 40 strategies were implemented in at least one program. However, none of the strategies were systematically present in all programs, and only few were reported in more than 50% of the studies...
November 6, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28678618/synergistic-effects-of-pain-and-alcohol-use-in-relation-to-depressive-and-anxiety-symptoms-among-latinos-in-primary-care
#10
Daniel J Paulus, Andres G Viana, Joseph W Ditre, Jafar Bakhshaie, Monica Garza, Jodi Berger Cardoso, Jeanette Valdivieso, Melissa Ochoa-Perez, Chad Lemaire, Michael J Zvolensky
Although past work has shown that alcohol use co-occurs with anxiety/depression among Latinos, little work has examined the variables that qualify such associations. The present investigation sought to address whether pain severity (i.e. pain intensity and/or pain-related disability, respectively) moderated relations between hazardous drinking and depressive/anxious arousal symptoms among an economically disadvantaged Latino sample recruited from a primary care medical setting. Participants included 253 adult Latinos (Mage = 38...
November 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28644740/efficacy-of-guided-self-help-behavioural-activation-and-physical-activity-for-depression-a-randomized-controlled-trial
#11
Isabelle Soucy, Martin Provencher, Michelle Fortier, Taylor McFadden
Behavioural activation and physical activity have received empirical support that highlight their efficacy in reducing depression. Even though both behavioural activation and physical activity share the common goal of reactivating the individual, limited research has directly compared these interventions, and more research is required to evaluate their efficacy when offered in low-intensity formats. The present study involves a randomized controlled clinical trial comparing the efficacy of two guided self-help interventions for the treatment of depression: behavioural activation and physical activity...
November 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28641059/the-latent-structure-of-social-anxiety-disorder-and-the-performance-only-specifier-a-taxometric-analysis
#12
Grace B Boyers, Joshua J Broman-Fulks, David P Valentiner, Kathleen McCraw, Lisa Curtin, Kurt D Michael
Social anxiety disorder (SAD) is often treated as a discrete diagnostic entity that represents a naturally occurring class, though empirical evidence largely supports a dimensional conceptualization of social fears. Further, the inclusion of a "performance only" specifier in the DSM-5 implies that individuals who experience intense social anxiety exclusively in performance situations are distinct from those with broader social fears. The purpose of the present research was to examine the latent structure of SAD and the DSM-5 "performance only" specifier in a large nonclinical sample (n = 2019)...
November 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28641047/the-interaction-of-distress-tolerance-and-intolerance-of-uncertainty-in-the-prediction-of-symptom-reduction-across-cbt-for-social-anxiety-disorder
#13
Danielle Katz, Neil A Rector, Judith M Laposa
Distress tolerance (DT) and intolerance of uncertainty (IU) have been identified as transdiagnostic processes that predict symptom severity across a range of distinct anxiety disorders. However, the joint effect of these two variables on therapeutic outcome has not yet been examined. It is possible that DT and IU may both impact on treatment response to cognitive-behavioural therapy (CBT) in clients with anxiety, as clients with weak DT and strong IU may be less likely to engage in exposure and cognitive restructuring tasks across treatment due to their associated distress...
November 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28565937/app-guided-exposure-and-response-prevention-for-obsessive-compulsive-disorder-an-open-pilot-trial
#14
Christina L Boisseau, Carly M Schwartzman, Jessica Lawton, Maria C Mancebo
Although effective treatments for obsessive-compulsive disorder (OCD) exist, there are significant barriers to receiving evidence-based care. Mobile health applications (Apps) offer a promising way of overcoming these barriers by increasing access to treatment. The current study investigated the feasibility, acceptability, and preliminary efficacy of LiveOCDFree, an App designed to help OCD patients conduct exposure and response prevention (ERP). Twenty-one participants with mild to moderate symptoms of OCD were enrolled in a 12-week open trial of App-guided self-help ERP...
November 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28452256/secondary-traumatic-stress-in-emergency-medicine-clinicians
#15
Jacob W Roden-Foreman, Monica M Bennett, Evan E Rainey, John S Garrett, Mark B Powers, Ann Marie Warren
Previously called Secondary Traumatic Stress (STS), secondary exposure to trauma is now considered a valid DSM-5 Criterion A stressor for posttraumatic stress disorder (PTSD). Previous studies have found high rates of STS in clinicians who treat traumatically injured patients. However, little research has examined STS among Emergency Medicine (EM) physicians and advanced practice providers (APPs). The current study enrolled EM providers (N = 118) working in one of 10 hospitals to examine risk factors, protective factors, and the prevalence of STS in this understudied population...
November 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29068266/individually-tailored-internet-based-cognitive-behaviour-therapy-for-older-adults-with-anxiety-and-depression-a-randomised-controlled-trial
#16
Kristin Silfvernagel, Anna Westlinder, Stina Andersson, Kajsa Bergman, Rosario Diaz Hernandez, Line Fallhagen, Ida Lundqvist, Nicole Masri, Linda Viberg, Marie-Louise Forsberg, Maria Lind, Thomas Berger, Per Carlbring, Gerhard Andersson
Mixed anxiety and depression is common among older adults. The aim of the study was to compare the effects of an eight-week-long tailored internet-supported cognitive behaviour therapy (ICBT) programme and to compare against the provision of weekly general support. A second aim was to investigate if pre-treatment cognitive flexibility and self-reported cognitive problems would predict outcome. We included 66 older adults (aged over 60 years) with mixed anxiety/depression following media recruitment and randomised them into treatment and control groups...
October 25, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28929863/the-effects-of-clinical-supervision-on-supervisees-and-patients-in-cognitive-behavioral-therapy-a-systematic-review
#17
Sven Alfonsson, Thomas Parling, Åsa Spännargård, Gerhard Andersson, Tobias Lundgren
BACKGROUND: Clinical supervision is a central part of psychotherapist training but the empirical support for specific supervision theories or features is unclear. The aims of this study were to systematically review the empirical research literature regarding the effects of clinical supervision on therapists' competences and clinical outcomes within Cognitive Behavior Therapy (CBT). METHOD: A comprehensive database search resulted in 4103 identified publications...
September 20, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28895787/internet-based-acceptance-and-commitment-therapy-for-psychological-distress-experienced-by-people-with-hearing-problems-a-pilot-randomized-controlled-trial
#18
Peter Molander, Hugo Hesser, Sandra Weineland, Kajsa Bergwall, Sonia Buck, Johan Jäder Malmlöf, Henning Lantz, Thomas Lunner, Gerhard Andersson
Psychological distress is common among people with hearing problems, but treatments that specifically target this aspect have been almost non-existent. In this pilot randomized controlled trial, an eight-week long Internet-based treatment, informed by Acceptance and Commitment Therapy, was administered to explore the feasibility and efficacy of such a treatment. Included participants were randomized to either treatment (n = 31) or wait-list control (n = 30) condition. All participants were measured prior to randomization and immediately after treatment ended using standardized self-report instruments measuring hearing-related emotional and social adjustment (Hearing Handicap Inventory for the Elderly - S, HHIE-S), quality of life (Quality of Life Inventory, QOLI), and symptoms of depression and anxiety (Patient health Questionnaire, PHQ-9 and Generalized Anxiety Disorder scale, GAD-7)...
September 12, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28871896/adherence-predictors-in-an-internet-based-intervention-program-for-depression
#19
Adoración Castro, Yolanda López-Del-Hoyo, Christian Peake, Fermín Mayoral, Cristina Botella, Javier García-Campayo, Rosa María Baños, Raquel Nogueira-Arjona, Miquel Roca, Margalida Gili
Internet-delivered psychotherapy has been demonstrated to be effective in the treatment of depression. Nevertheless, the study of the adherence in this type of the treatment reported divergent results. The main objective of this study is to analyze predictors of adherence in a primary care Internet-based intervention for depression in Spain. A multi-center, three arm, parallel, randomized controlled trial was conducted with 194 depressive patients, who were allocated in self-guided or supported-guided intervention...
September 5, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28793834/a-preliminary-examination-of-the-role-of-psychotherapist-fidelity-on-outcomes-of-cognitive-processing-therapy-during-an-rct-for-military-sexual-trauma-related-ptsd
#20
Nicholas Holder, Ryan Holliday, Rush Williams, Kacy Mullen, Alina Surís
While cognitive processing therapy (CPT) is an effective evidence-based treatment for many veterans with military-related post-traumatic stress disorder (PTSD), not all veterans experience therapeutic benefit. To account for the discrepancy in outcomes, researchers have investigated patient- and research design-related factors; however, therapist factors (e.g. fidelity) have received less attention. The present study is a preliminary examination of the effect of psychotherapists' fidelity during CPT on clinical outcomes during a randomized clinical trial (RCT) for military sexual trauma-related PTSD...
August 10, 2017: Cognitive Behaviour Therapy
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