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Cognitive processing therapy

Adrienne W Y Li, Christy L M Hui, Edwin H M Lee, W C Chang, Sherry K W Chan, Eric Y H Chen
Studies of gender cognitive differences in schizophrenia have reported mixed results. This study examined cognitive correlates including demographics, symptoms and functioning in men and women in a large sample of first-episode adult-onset psychosis patients. Detailed demographic, clinical and functioning data were collected from 360 first-episode patients upon admission into an early intervention service for psychotic disorders. They were also administered a comprehensive neurocognitive battery. Correlation analyses showed that memory and working memory were more significantly associated with onset age, negative symptoms and side effects in women...
December 3, 2018: Psychiatry Research
Udita Iyengar, Natasha Snowden, Joan R Asarnow, Paul Moran, Troy Tranah, Dennis Ougrin
Background: Suicide attempts (SA) and other types of self-harm (SH) are strong predictors of death by suicide in adolescents, emphasizing the need to investigate therapeutic interventions in reduction of these and other symptoms. We conducted an updated systematic review of randomized controlled trials (RCTs) from our previous study reporting therapeutic interventions that were effective in reducing SH including SA, while additionally exploring reduction of suicidal ideation (SI) and depressive symptoms (DS)...
2018: Frontiers in Psychiatry
Meena Gupta, Dinesh Bhatia
Introduction: Transcranial magnetic stimulation is a new tool that has been employed to modulate the neuronal activity of brain by its excitatory and inhibitory property. In cerebral palsy (CP) learning of any new task is an extremely slow process due to damage in sensory and motor areas of brain affecting the cognitive ability of the child and putting constraints in achieving timely developmental milestones. For such patients the electroencephalogram (EEG) is one of the most cost effective diagnostic tools used that minimizes hospital stay...
October 2018: Annals of Indian Academy of Neurology
Afia Ali, Emma Brown, Aimee Spector, Elisa Aguirre, Angela Hassiotis
INTRODUCTION: Cognitive stimulation therapy (CST) is a psychosocial intervention for dementia. Group CST is effective in reducing cognitive decline and improving quality of life in patients with dementia. There is some evidence that individual CST (iCST) may be beneficial in reducing cognitive decline. People with intellectual disability (ID) have an increased risk of dementia. However, there are no published studies of CST in people with ID and dementia. This protocol describes the feasibility and acceptability of a randomised controlled trial of iCST delivered by carers to people with ID and dementia, compared with treatment as usual (TAU)...
December 9, 2018: BMJ Open
J Lancee, M Effting, T van der Zweerde, L van Daal, A van Straten, J H Kamphuis
INTRODUCTION: Both guided online and individual face-to-face cognitive behavioral therapy for insomnia (CBT-I) are effective in improving insomnia symptoms and sleep efficiency. Little is known about the underlying mechanisms generating this effect. The present study tests the assumption that pre-sleep arousal, sleep-related worry and dysfunctional beliefs about sleep are mediators in the effect of cognitive behavioral treatment for insomnia. METHODS: A secondary analysis was performed on data previously collected from a randomized controlled trial (N = 90)...
October 29, 2018: Sleep Medicine
Ralph J Koek, Tinh Luong
Recent reviews and treatment guidelines regard trauma-focused cognitive-behavior therapies as the treatments of choice for chronic post-traumatic stress disorder (PTSD). However, many patients do not engage in this treatment when it is available, drop out before completion, or do not respond. Medications remain widely used, alone and in conjunction with psychotherapy, although the limitations of traditional monoamine-based pharmacotherapy are increasingly recognized. This article will review recent developments in psychopharmacology for PTSD, with a focus on current clinical data that apply putative neurobiologic mechanisms to medication use-i...
December 6, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
Catherine F Eubanks, Jessica Lubitz, J Christopher Muran, Jeremy D Safran
OBJECTIVE: Our aim was to examine the reliability and validity of the Rupture Resolution Rating System (3RS), an observer-based measure of alliance ruptures and resolution processes. METHOD: We used the 3RS to rate early sessions from 42 cases of cognitive behavior therapy. We compared the 3RS to a simplified version of the Structural Analysis of Social Behavior (SASB), as well as patient and therapist self-reports of ruptures and the alliance. RESULTS: Coders achieved high rates of interrater reliability on the frequency of confrontation and withdrawal ruptures and resolution strategies (ICCs = ...
December 10, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
Valerie Dunn, Sally O'Keeffe, Emily Stapley, Nick Midgley
Background: IMPACT (Improving Mood with Psychoanalytic and Cognitive Therapies) is a multi-centre randomised controlled trial of three therapeutic interventions for the treatment of depression in young people. IMPACT- My Experience (IMPACT-ME), a qualitative research study, followed up a sub-sample of families involved in IMPACT to explore young people's experiences of therapy and depression. Members of the IMPACT-ME steering group, who brought their own experiences of depression and engaging with mental health services, were keen to find ways to provide information about depression and help-seeking beyond traditional academic audiences, specifically to other young people experiencing depression and wondering where to turn: their chosen medium was film...
2018: Research Involvement and Engagement
David M Fresco, Douglas S Mennin
Cognitive behavior therapy (CBT) and mindfulness-based interventions (MBI) have made important contributions to resolving the global burden of mental illness. However, response rates are comparatively more modest for the distress disorders. Newer CBTs enriched with MBI components have emerged with promising findings for distress disorders but with a high degree of heterogeneity and, subsequently, an unclear path for determining the unique and synergistic contributions from CBTs and MBIs. We propose that one way to elucidate and improve upon this union is to identify common overarching principles (i...
October 30, 2018: Current Opinion in Psychology
Adina C Rusu, Hannah Gajsar, Michael-Christian Schlüter, Yara-Inken Bremer
OBJECTIVES: Information processing biases such as attentional biases, interpretation biases and memory biases are supposed to play a role in the exacerbation and maintenance of chronic pain. Current research in the area of cognitive biases shows that all these biases seem to have an influence on attention to, interpretation of and recall of pain and can lead to maladaptive strategies and the exacerbation of pain. METHODS: We conducted a narrative literature review, considering evidence extracted from various databases including PubMed, MEDLINE, Science Direct and ProQuest...
November 28, 2018: Clinical Journal of Pain
Rui Duarte, Annette Lloyd, Eleanor Kotas, Lazaros Andronis, Ross White
OBJECTIVES: Acceptance and mindfulness-based interventions (A/MBIs) are recommended for people with mental health conditions. Although there is a growing evidence base supporting the effectiveness of different A/MBIs for mental health conditions, the economic case for these interventions has not been fully explored. The aim of this systematic review was to identify and appraise all available economic evidence of A/MBIs for the management of mental health conditions. METHODS: Eight electronic bibliographic databases (MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, EMBASE, Web of Science, NHS Economic Evaluation Database (EED), Database of Abstracts of Reviews of Effects (DARE), Health Technology Assessment (HTA) database, and EconLit) were searched for relevant economic evaluations published from each database's inception date until November 2017...
November 29, 2018: British Journal of Clinical Psychology
Courtney Benjamin Wolk, Rebecca E Stewart, Ricardo Eiraldi, Peter Cronholm, Eduardo Salas, David S Mandell
Children obtain more mental health services through schools than through any other system. In urban, low-resource schools, mental health care often is provided by teams of contracted community mental health workers. Implementation of intended services may struggle in the context of challenges related to team functioning. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an efficacious approach for improving team functioning in health care. In collaboration with stakeholders, we adapted TeamSTEPPS for school mental health teams and pilot-tested it in 3 schools participating in an ongoing implementation of cognitive-behavioral therapy...
November 29, 2018: Psychotherapy
Andrew C Hale, Jessica L Rodriguez, Theodore P Wright, Scott A Driesenga, C Richard Spates
OBJECTIVE: Cognitive processing therapy is an evidence-based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response. METHOD: A total of 123 veterans participated in group-based cognitive processing therapy (CPT) in residential PTSD treatment. Change over time in PTSD symptoms was modeled as a function of selected demographic and clinical variables. RESULTS: PTSD checklist (PCL) scores decreased by an average of 1 point per session (standard deviation [SD] = 0...
November 28, 2018: Journal of Clinical Psychology
Helen Payne, Susan Brooks
Medically unexplained symptoms (MUS) are common and costly in both primary and secondary health care. It is gradually being acknowledged that there needs to be a variety of interventions for patients with MUS to meet the needs of different groups of patients with such chronic long-term symptoms. The proposed intervention described herewith is called The BodyMind Approach (TBMA) and promotes learning for self-management through establishing a dynamic and continuous process of emotional self-regulation. The problem is the mismatch between the patient's mind-set and profile and current interventions...
2018: Frontiers in Psychology
Anat Mirelman, Shirley Shema, Inbal Maidan, Jeffery M Hausdorff
Gait is one of the keys to functional independence. For a long-time, walking was considered an automatic process involving minimal higher-level cognitive input. Indeed, walking does not take place without muscles that move the limbs and the "lower-level" control that regulates the timely activation of the muscles. However, a growing body of literature suggests that walking can be viewed as a cognitive process that requires "higher-level" cognitive control, especially during challenging walking conditions that require executive function and attention...
2018: Handbook of Clinical Neurology
Crowley E K, Nolan Y M, Sullivan A M
Parkinson's disease (PD) is characterised by degeneration of dopaminergic neurons of the nigrostriatal pathway, which leads to the cardinal motor symptoms of the disease - tremor, rigidity and postural instability. A number of non-motor symptoms are also associated with PD, including cognitive impairment, mood disturbances and dysfunction of gastrointestinal and autonomic systems. Current therapies provide symptomatic relief but do not halt the disease process, so there is an urgent need for preventative strategies...
November 24, 2018: Progress in Neurobiology
Danielle Levac, Helene M Dumas, Waleed Meleis
BACKGROUND: Motivating interactive tools may increase adherence to repetitive practice for children with disabilities, but many virtual reality and active video gaming systems are too challenging for children with significant needs. OBJECTIVE: The objective of this study was to develop and conduct a usability evaluation of the Fun, Interactive Therapy Board (FITBoard), a movement toy bridging digital and physical interactions for children with disabilities. METHODS: The FITBoard is a tablet app involving games controlled by hand, head, or foot touch of configurable, wired surfaces...
November 26, 2018: JMIR Rehabilitation and Assistive Technologies
Stefan Gebhardt, Ilka Dammann, Klaus Loescher, Peter M Wehmeier, Helmut Vedder, Richard von Georgi
OBJECTIVES: Music therapy is a well-established non-verbal treatment method in psychiatry and psychosomatic medicine. However, empirical data of its impact on emotion modulation processes and personality dimensions are still sparce. An interesting concept is the use of music for emotion modulation in everyday life. The purpose of this interim study was to assess the interplay of personality dimensions and emotion modulation strategies in patients treated with music therapy versus patients without music therapy...
December 2018: Complementary Therapies in Medicine
Güler Duru Aşiret, Melike Dutkun
BACKGROUND AND AIM: The changes and limitations that occur in the aging process effect people's adaptation to old age. This study aimed to assess the effect of reminiscence therapy on the adaptation levels of non-institutionalized elderly women to old age. METHODS: We used a randomized controlled trial design. We conducted the study with 50 elderly women, including 27 women in the intervention group and 23 women in the control group. Study data were recollected by using an introductory information form, Mini-Mental State Examination (MMSE) and Assessment Scale of Adaptation Difficulty for the Elderly (ASADE)...
December 2018: Complementary Therapies in Medicine
Adrienne L Johnson, Anthony H Ecker, Terri L Fletcher, Natalie Hundt, Michael R Kauth, Lindsey A Martin, Geoffrey M Curran, Jeffrey A Cully
Randomized controlled trials (RCTs) are the gold standard for clinical research. However, significant delays between completion of RCTs and adoption of evidence-based practices into clinical settings remain. Engagement of stakeholders and implementation-focused outcomes to augment traditional RCTs hold the potential to increase the impact of RCT outcomes for clinical practice and more rapidly lead to the adoption of evidence-based practices in clinical settings. The purpose of this study is to discuss hybrid effectiveness-implementation designs and use a project example to highlight important methodological considerations to enhance the impact of RCTs...
November 26, 2018: Translational Behavioral Medicine
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