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https://www.readbyqxmd.com/read/29792242/testing-a-stepped-care-model-for-binge-eating-disorder-a-two-step-randomized-controlled-trial
#1
Giorgio A Tasca, Diana Koszycki, Agostino Brugnera, Livia Chyurlia, Nicole Hammond, Kylie Francis, Kerri Ritchie, Iryna Ivanova, Genevieve Proulx, Brian Wilson, Julie Beaulac, Hany Bissada, Erin Beasley, Nancy Mcquaid, Renee Grenon, Benjamin Fortin-Langelier, Angelo Compare, Louise Balfour
BACKGROUND: A stepped care approach involves patients first receiving low-intensity treatment followed by higher intensity treatment. This two-step randomized controlled trial investigated the efficacy of a sequential stepped care approach for the psychological treatment of binge-eating disorder (BED). METHODS: In the first step, all participants with BED (n = 135) received unguided self-help (USH) based on a cognitive-behavioral therapy model. In the second step, participants who remained in the trial were randomized either to 16 weeks of group psychodynamic-interpersonal psychotherapy (GPIP) (n = 39) or to a no-treatment control condition (n = 46)...
May 24, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29789017/leveraging-routine-clinical-materials-and-mobile-technology-to-assess-cbt-fidelity-the-innovative-methods-to-assess-psychotherapy-practices-imapp-study
#2
Shannon Wiltsey Stirman, Luana Marques, Torrey A Creed, Cassidy A Gutner, Robert DeRubeis, Paul G Barnett, Eric Kuhn, Michael Suvak, Jason Owen, Dawne Vogt, Booil Jo, Sonja Schoenwald, Clara Johnson, Kera Mallard, Matthew Beristianos, Heidi La Bash
BACKGROUND: Identifying scalable strategies for assessing fidelity is a key challenge in implementation science. However, for psychosocial interventions, the existing, reliable ways to test treatment fidelity quality are often labor intensive, and less burdensome strategies may not reflect actual clinical practice. Cognitive behavioral therapies (CBTs) provide clinicians with a set of effective core elements to help treat a multitude of disorders, which, evidence suggests, need to be delivered with fidelity to maximize potential client impact...
May 22, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29780334/an-innovative-framework-for-delivering-psychotherapy-to-patients-with-treatment-resistant-posttraumatic-stress-disorder-rationale-for-interactive-motion-assisted-therapy
#3
Marieke J van Gelderen, Mirjam J Nijdam, Eric Vermetten
Despite an array of evidence-based psychological treatments for patients with a posttraumatic stress disorder (PTSD), a majority of patients do not fully benefit from the potential of these therapies. In veterans with PTSD, up to two-thirds retain their diagnosis after psychotherapy and often their disorder is treatment-resistant, which calls for improvement of therapeutic approaches for this population. One of the factors hypothesized to underlie low response in PTSD treatment is high behavioral and cognitive avoidance to traumatic reminders...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29767395/behavioral-therapy-approaches-for-the-management-of-low-back-pain-an-up-to-date-systematic-review
#4
REVIEW
Kristallia Vitoula, Annalena Venneri, Giustino Varrassi, Antonella Paladini, Panagiota Sykioti, Joy Adewusi, Panagiotis Zis
Low back pain is one of the most common causes for seeking medical treatment and it is estimated that one in two people will experience low back pain at some point during their lifetimes. Management of low back pain includes pharmacological and non-pharmacological approaches. Non-pharmaceutical treatments include interventions such as acupuncture, spinal manipulation, and psychotherapy. The latter is especially important as patients who suffer from low back pain often have impaired quality of life and also suffer from depression...
May 16, 2018: Pain and Therapy
https://www.readbyqxmd.com/read/29764341/brief-report-sudden-gains-in-cognitive-behavioral-group-therapy-and-group-psychotherapy-for-social-anxiety-disorder-among-college-students
#5
Audur S Thorisdottir, Arnrun Tryggvadottir, Saevar Thor Saevarsson, Andri S Bjornsson
The present study examined sudden gains (SGs; large symptom improvements between adjacent treatment sessions) and its association with treatment outcome in a randomized-controlled trial comparing cognitive-behavioral group therapy (CBGT) versus group psychotherapy (GPT; designed to incorporate only non-specific factors) for social anxiety disorder (SAD). SAD symptoms were assessed after each treatment session in a sample of 45 college students. Independent assessors evaluated symptom severity at baseline, post-treatment and follow-up...
May 15, 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29755154/expectancies-working-alliance-and-outcome-in-transdiagnostic-and-single-diagnosis-treatment-for-anxiety-disorders-an-investigation-of-mediation
#6
Shannon Sauer-Zavala, James F Boswell, Kate H Bentley, Johanna Thompson-Hollands, Todd J Farchione, David H Barlow
Patients' outcome expectancies and the working alliance are two psychotherapy process variables that researchers have found to be associated with treatment outcome, irrespective of treatment approach and problem area. Despite this, little is known about the mechanisms accounting for this association, and whether contextual factors (e.g., psychotherapy type) impact the strength of these relationships. The primary aim of this study was to examine whether patient-rated working alliance quality mediates the relationship between outcome expectancies and pre- to post-treatment change in anxiety symptoms using data from a recent randomized clinical trial comparing a transdiagnostic treatment (the Unified Protocol [UP]; Barlow et al...
April 2018: Cognitive Therapy and Research
https://www.readbyqxmd.com/read/29747712/remote-delivery-of-psychological-interventions-for-parkinson-s-disease
#7
Caitlin Swalwell, Nancy A Pachana, Nadeeka N Dissanayaka
ABSTRACTObjective:Over two-thirds of Parkinson's disease (PD) patients experience comorbid neuropsychiatric symptoms, which adversely impact their quality of life and often require intervention. There is a preference for non-pharmacological, psychological approaches in addressing these symptoms. Given mobility limitations, travel burden, and cost, accessibility to psychological treatment can be problematic in this population. There has been a recent shift toward delivering care via telehealth in PD. Accordingly, this review aimed to examine remotely delivered psychological interventions for PD patients...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29740361/-gold-standards-plurality-and-monocultures-the-need-for-diversity-in-psychotherapy
#8
Falk Leichsenring, Allan Abbass, Mark J Hilsenroth, Patrick Luyten, Thomas Munder, Sven Rabung, Christiane Steinert
For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29740358/the-comorbidity-between-internet-gaming-disorder-and-depression-interrelationship-and-neural-mechanisms
#9
Lu Liu, Yuan-Wei Yao, Chiang-Shan R Li, Jin-Tao Zhang, Cui-Cui Xia, Jing Lan, Shan-Shan Ma, Nan Zhou, Xiao-Yi Fang
Internet gaming disorder (IGD) is characterized by cognitive and emotional deficits. Previous studies have reported the co-occurrence of IGD and depression. However, extant brain imaging research has largely focused on cognitive deficits in IGD. Few studies have addressed the comorbidity between IGD and depression symptoms and underlying neural mechanisms. Here, we systematically investigated this issue by combining a longitudinal survey study, a cross-sectional resting-state functional connectivity (rsFC) study and an intervention study...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29739529/where-is-the-evidence-for-evidence-based-therapy
#10
REVIEW
Jonathan Shedler
The term evidence-based therapy is a de facto code word for manualized therapy, most often brief cognitive behavior therapy and its variants. It is widely asserted that "evidence-based" therapy is scientifically proven, superior to other forms of psychotherapy, and the gold standard of care. Research findings do not support such assertions. Research on evidence-based therapies demonstrates that they are weak treatments. They have not shown superiority to other forms of psychotherapy, few patients get well, and treatment benefits do not last...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29730875/how-effective-are-efficiency-studies-an-evaluation-in-the-context-of-cognitive-behavioral-therapies
#11
Esra Güven, Gözde Gökçe
The consensus view is that the main goal of a psychotherapy approach is to make changes in dysfunctional attitudes and behaviors. Therapeutic effectiveness, which is defined as "the establishment of causality between the intervention and the emergent changes in target behavior, symptom, or disorder," has been examined via studies of therapeutic effectiveness. In this review, we aimed to evaluate the therapeutic efficacy and/or ef- fectiveness studies in terms of their METHODS, results, and approaches...
2018: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/29721499/predictors-of-broad-dimensions-of-psychopathology-among-patients-with-panic-disorder-after-cognitive-behavioral-therapy
#12
Sei Ogawa, Masaki Kondo, Keiko Ino, Risa Imai, Toshitaka Ii, Toshi A Furukawa, Tatsuo Akechi
Background: Many patients with panic disorder meet criteria for at least one other diagnosis, most commonly other anxiety or mood disorders. Cognitive-behavioral therapy is the best empirically supported psychotherapy for panic disorder. There is now evidence indicating that cognitive-behavioral therapy for panic disorder yields positive benefits upon comorbid disorders. Objectives: The present study aimed to examine the predictors of broad dimensions of psychopathology in panic disorder after cognitive-behavioral therapy...
2018: Psychiatry Journal
https://www.readbyqxmd.com/read/29719357/a-study-of-the-clinical-effect-and-dropout-rate-of-drugs-combined-with-group-integrated-psychotherapy-on-elderly-patients-with-depression
#13
Bo Liu, Youguo Tan, Duanfang Cai, Yudiao Liang, Ruini He, Chengwen Liu, Yong Zhou, Cuihua Teng
Background: Relevant studies have shown that group cognitive behavioral therapy is effective in treating patients with depressive disorder, but the dropout rate is high. The present study is aimed to explore the patterns of integrated group psychotherapy. Aims: This study investigated the clinical effects of integrated group psychotherapy for elderly patients with senile depression. Methods: One hundred elderly patients with senile depression were divided into the experiment group (n=50) and the control group (n=50) randomly...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29698917/a-mania-related-memory-bias-is-associated-with-risk-for-relapse-in-bipolar-disorder
#14
Thomas D Meyer, Martin Hautzinger, Isabelle E Bauer
OBJECTIVE: Previous work has shown that neuropsychological performance can predict outcome of psychotherapy. The present paper explores whether an affective bias in verbal memory is associated with recurrence of mood episodes in patients with Bipolar Disorder (BD). METHOD: 76 euthymic adult patients with BD were randomly assigned to either 9 months of Cognitive Behavioral Therapy (CBT) or Support Therapy (ST), and followed up for 2 years after completing therapy...
April 7, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29685124/the-german-version-of-the-helping-alliance-questionnaire-psychometric-properties-in-patients-with-persistent-depressive-disorder
#15
Hannah Sophie Eich, Levente Kriston, Elisabeth Schramm, Josef Bailer
BACKGROUND: The Helping Alliance Questionnaire (HAQ) is a frequently used and highly relevant instrument to assess the therapeutic alliance. The questionnaire was translated into German by Bassler and colleagues (1995) and is available for patients (HAQ-P) and therapists (HAQ-T). Whereas the HAQ-P has been tested regarding psychometrics, the HAQ-T has not. This study aimed at further investigating the psychometric properties of both the HAQ-P and HAQ-T. We hypothesized that the instrument is reliable and shows factorial as well as convergent validity...
April 23, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29677619/associations-of-early-childhood-adversities-with-mental-disorders-psychological-functioning-and-suitability-for-psychotherapy-in-adulthood
#16
Erkki Heinonen, Paul Knekt, Tommi Härkänen, Esa Virtala, Olavi Lindfors
Childhood adversities frequently precede adulthood depression and anxiety. Yet, how they impact needed treatment duration, type or focus in these common disorders, is unclear. For developing more individualized and precise interventions, we investigated whether specific early adversities associate with patients' distinct psychiatric problems, psychological vulnerabilities, and suitability for psychotherapy. A total of 221 depressed and anxious adult outpatients (excluding psychotic, severe personality, bipolar, and substance abuse disorders) referred from community, student, occupational, and private healthcare services filled the Childhood Family Atmosphere Questionnaire (CFAQ)...
April 4, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29676960/psychotherapy-targeting-depression-and-anxiety-for-use-in-palliative-care-a-meta-analysis
#17
Jessica J Fulton, Amie R Newins, Laura S Porter, Katherine Ramos
BACKGROUND: Research on the effectiveness of evidence-based practices in the treatment of depression and anxiety with palliative care populations is primarily limited to individuals having specific conditions such as cancer. OBJECTIVE: This meta-analysis examined the effect of psychotherapy on depression and anxiety among individuals with any condition appropriate for palliative care. METHODS: We searched PubMed, PsycINFO, Cochrane Library, and EMBASE databases until August 2017...
April 20, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29673974/randomized-controlled-trial-of-nurse-delivered-cognitive-behavioral-therapy-versus-supportive-psychotherapy-telehealth-interventions-for-chronic-back-pain
#18
Thomas Rutledge, J Hampton Atkinson, Rachael Holloway, Tatiana Chircop-Rollick, John D'Andrea, Steven R Garfin, Shetal Patel, Donald B Penzien, Mark Wallace, Anne L Weickgenant, Mark Slater
This study evaluated a nurse-delivered, telehealth intervention of cognitive behavioral therapy versus supportive psychotherapy for chronic back pain. Participants (N=61) had chronic back pain (pain "daily" ≥ 6 months at an intensity ≥4/10 scale) and were randomized to an 8-week, 12-session, Cognitive Behavioral Therapy (CBT) or to Supportive Care (SC) matched for frequency, format, and time, with each treatment delivered by a primary care nurse. The primary outcome was the Roland Morris Disability Questionnaire (RMDQ)...
April 16, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29670565/the-efficacy-of-psychological-interventions-for-managing-fatigue-in-people-with-multiple-sclerosis-a-systematic-review-and-meta-analysis
#19
Aung Zaw Zaw Phyo, Thibaut Demaneuf, Alysha M De Livera, George A Jelinek, Chelsea R Brown, Claudia H Marck, Sandra L Neate, Keryn L Taylor, Taylor Mills, Emily O'Kearney, Amalia Karahalios, Tracey J Weiland
Background: Multiple sclerosis (MS) is a complex, demyelinating disease of the central nervous system. Fatigue is commonly reported by people with MS (PwMS). MS-related fatigue severely affects daily activities, employment, socioeconomic status, and quality of life. Objective: We conducted this systematic review and meta-analysis to determine whether psychological interventions are effective in managing fatigue in PwMS. Data sources: We performed systematic searches of Medline, EMBASE, PsycINFO, and CINAHL to identify relevant articles published from database inception to April 5, 2017...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29668364/increased-resilience-is-associated-with-positive-treatment-outcomes-for-veterans-with-comorbid-ptsd-and-substance-use-disorders
#20
Adam P McGuire, Natalie P Mota, Lauren M Sippel, Kevin M Connolly, Judith A Lyons
OBJECTIVE: Resilience has been associated with less severe psychiatric symptomatology and better treatment outcomes among individuals with posttraumatic stress disorder (PTSD) and substance use disorders (SUD). However, it remains unknown whether resilience increases during psychotherapy within the comorbid PTSD and SUD population with unique features of dual-diagnosis, including trauma cue-related cravings. We tested whether veterans seeking psychotherapy for comorbid PTSD-SUD reported increased resilience from pre- to post-treatment...
April 18, 2018: Journal of Dual Diagnosis
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