Behavior Therapy For Patients Research Articles

Efficacy and safety of behavioral therapy for premature ejaculation: Protocol for a systematic review.

Background:Premature ejaculation (PE) is the one of the most prevalent male sexual dysfunction, there has not been specific medicine or therapy for the disease. As an effective treatment for premature ejaculation is a behavioral therapy and is widely used worldwide. The purpose of this study is to evaluate the efficacy and safety of behavioral therapy in patients who suffer from PE.Method:We will search all randomized controlled trials (RCTs) from the following electronic databases, by September 30, 2018, such as PubMed, EMBASE, the Cochrane Library, Web of Science database, China Biology Medicine disc (CBM), China National Knowledge Infrastructure (CNKI), China Science and Technology Journal database (VIP), and Wanfang Database. We will also collect clinical trial registries, dissertations, grey literature, reference lists of studies, systematic reviews, and conference abstracts. The primary outcomes include the Intravaginal Ejaculatory Latency Time (IELT). Besides, Premature Ejaculation Diagnostic Tool (PEDT), Arabic index of Premature Ejaculation (AIPE), Index of Premature Ejaculation (IPE) will be the secondary outcomes. Two people will review these articles, extract the data information, and assess the quality of studies separately. RevMan (version 5.3) and EndNote X7 will be used for meta-analysis.Results:This study will generate a comprehensive review of current evidence of behavioral therapy for premature ejaculation.Conclusion:The study will provide updated evidence to evaluate the efficacy and safety of behavioral therapy for premature ejaculation.Ethics and dissemination:It is not necessary for this systematic review to acquire an ethical approval. This review will be reported in a peer-reviewed journal.PROSPERO registration number:PROSPERO CRD42018111339.

Investigation of Emotional Expression Processing Following Cognitive Behavioural Therapy for Patients with Schizophrenia: An Event-Related Potentials Study

Growing evidence supports the use of cognitive behavioural therapy (CBT) for psychosis, including CBT for voices (CBTv), which targets auditory verbal hallucinations (AVH). The present study observed the effects of CBTv on electrophysiological measures of facial expression processing in patients with schizophrenia with AVH. Twenty-five patients with schizophrenia were randomly assigned to a treatment group (TG; n = 14) or a treatment as usual (TAU) group (n = 11). The TG received group CBTv for five-six months in addition to their TAU. The matched waitlist group received TAU for the five-six months. The CBTv treatment showed shorter P100 latency in response to facial expressions following treatment compared with baseline, but not the TAU group. Amount of negative content of voices and “omnipotence” of voices were modified following CBTv treatment, but not following TAU. This study provides evidence that CBTv decreases early visual information processing time as indexed by the P100 latency.

Importance of Behavioral Therapy in Patients Hospitalized for Post-Traumatic Stress Disorder (PTSD) with Opioid Use Disorder.

Objective: To analyze differences in demographic pattern and hospitalization outcomes in post-traumatic stress disorder (PTSD) with opioid use disorder (OUD) patients managed with versus without behavioral therapy (BT). Methods: We conducted case-control study using Nationwide Inpatient Sample and identified PTSD and OUD using ICD–9–CM codes. Linear regression model was used to evaluate impact of BT on inpatient stay and cost. Results: We analyzed 1531 inpatient admissions and 786 patients received BT. Females had higher odds of receiving BT during inpatient management for PTSD with OUD (OR 1.210; 95% CI 1.020–1.436). About 63.1% patients receiving BT were benefited by Medicaid. Patients receiving BT had an increase in hospital stay by 1.27 days (P = 0.085) and hospitalization cost by $4734 (P = 0.018). There were no transfers to short term hospitals and lower transfers to skilled nursing facility (3.8% vs. 10.1%) in patients receiving BT. Conclusion: This study aims to reinforce combination management with psychotropic medications and BT in PTSD patients with comorbid OUD during hospitalization as it significantly decreases adverse disposition of the patient and thereby improves the quality of life post-treatment.

Effectiveness of step-down versus outpatient dialectical behaviour therapy for patients with severe levels of borderline personality disorder: a pragmatic randomized controlled trial

BackgroundStep-down dialectical behaviour therapy (DBT) is a treatment consisting of 3 months of residential DBT plus 6 months of outpatient DBT. The program was specifically developed for people suffering from severe borderline personality disorder (BPD). The present study examines the effectiveness and cost-effectiveness of step-down DBT compared to 12 months of regular, outpatient DBT.MethodsEighty-four participants reporting high levels of BPD-symptoms (mean age 26 years, 95% female) were randomly assigned to step-down versus standard DBT. Measurements were conducted at baseline and after 3, 6, 9 and 12 months. The Lifetime Parasuicide Count and BPD Severity Index (BPDSI) were used to assess suicidal behaviour, non-suicidal self-injury (NSSI) and borderline severity. Costs per Quality Adjusted Life Year (QALY) were calculated using data from the EQ-5D-3L and the Treatment Inventory Cost in Psychiatric Patients (TIC-P).ResultsIn step-down DBT, 95% of patients started the program, compared to 45% of patients in outpatient DBT. The probability of suicidal behaviour did not change significantly over 12 months. The probability of NSSI decreased significantly in step-down DBT, but not in outpatient DBT. BPDSI decreased significantly in both groups, with the improvement leveling off at the end of treatment. While step-down DBT was more effective in increasing quality of life, it also cost significantly more. The extra costs per gained QALY exceeded the €80,000 threshold that is considered acceptable for severely ill patients in the Netherlands.ConclusionsA pragmatic randomized controlled trial in the Netherlands showed that 9 months of step-down DBT is an effective treatment for people suffering from severe levels of BPD. However, step-down DBT is not more effective than 12 months of outpatient DBT, nor is it more cost-effective. These findings should be considered tentative because of high noncompliance with the treatment assignment in outpatient DBT. Furthermore, the long-term effectiveness of step-down DBT, and moderators of treatment response, remain to be evaluated.Trial registrationwww.clinicaltrials.govNCT01904227. Registered 22 July 2013 (retrospectively registered).

455 - Durability of the the Effects of Self-Administered Cognitive Behavior Therapy for Patients with Moderate-to-Severe Irritable Bowel Syndrome: 12-Month Follow-up from the IBSOS Trial

455 - Durability of the the Effects of Self-Administered Cognitive Behavior Therapy for Patients with Moderate-to-Severe Irritable Bowel Syndrome: 12-Month Follow-up from the IBSOS Trial

Relationship Of Chronic Disease With Psychososial Problems In Patients In Gunung Jati Hospital Cirebon


 Any disease suffered by every human being will be perceived by humans as an affliction to the psychological and social consequences of humans. Psychosocial aspects are very important to be taken into account because a journey of chronic illness makes the patient feel that he has no hope, feelings of fear, anxiety, frustration, no power until feelings of anger arise in him. The purpose of this study was to determine the relationship of Chronic Disease with Psychosocial Problems in patients at Gunung Jati Cirebon Hospital.
 This research uses descriptive correlational method with Cross Sectional approach. The sampling technique that will be used in this study uses purposive sampling technique 61 respondents. Using the Kuesinoer Depression Anxiety Stress Scale (DASS), the statistical analysis technique used was the Chi Square analysis model.
 The results of the study explained that the most chronic disease suffered by respondents was DM (32.8%), most of the respondents had moderate category psychosocial problems as many as 37, there was a relationship of Chronic Disease with Psychosocial Problems in patients at Gunung Jati Cirebon Hospital with p value = 0,000 (at α = 0,05) or p value <α.
 the suggestion that researchers can convey is that they can carry out community service activities by conducting cognitive behavioral therapy in patients with chronic diseases to prevent psychosocial disorders and as support for patients with chronic diseases.

Tracking the effect of a new massage system integrated in automotive seat on relaxation feeling: an electrophysiological study.

Tracking the effect of a new massage system integrated in automotive seat on relaxation feeling: an electrophysiological study.

行動療法の立場からみた神経性食思不振症と家族 : 心身症と家族 : シンポジウム

行動療法の立場からみた神経性食思不振症と家族 : 心身症と家族 : シンポジウム

Adapting dialectical behaviour therapy for binge eating disorder: A pilot study

Historically, binge eating disorder has not been treated within the Forth Valley Eating Disorder Service; these patients are often referred directly to weight management services, which can result in poor outcomes. The use of dialectical behaviour therapy for patients with binge eating disorder has developed recently and, as part of the Eating Disorder Service in Forth Valley, an adapted dialectical behaviour therapy treatment programme has been piloted prior to patients progressing on to the weight management service, to find out if an adapted dialectical behaviour therapy group can help patients with binge eating disorder reduce bingeing behaviour and improve quality of life.

Long term effect of cognitive behavioral therapy in patients with health anxiety

IntroductionCognitive-behavioral therapy (CBT) has been found to be an effective treatment of excessive health anxiety (HA), but the long-term effect over 18months has not been examined.ObjectivesSeveral studies have shown effect of CBT for HA-patients. However, these effects have been short or immediate after therapy. To our knowledge no studies have examined long-term effect of CBT for HA over 18 months.AimsTo investigate the long-term effect of CBT on HA, focusing on level of HA, quality of life, subjective health complaints and general anxiety. Follow-up time was at least 10 years. Our hypothesis was that the effect was sustained.MethodsPatients with HA received 16 sessions of CBT over a period of 12–18 months, and were followed up over at least 10 years. All patients fulfilled criteria for F45.2, hypochondriacal disorder according to ICD-10.The patients answered several questionnaires, exploring areas such as HA, Quality of life, somatization, and mental health problems. Questionnaires were answered before CBT, after CBT and at follow up. Mixed model analysis was performed in SPSS 23.0 for all questionnaires.ResultsAll scores were found to be significant in the Pre-CBT–Post-CBT and Pre-CBT–FU (0.034– < 0.001), and none were found to be significant in the Post-CBT–FU.ConclusionsOur findings suggest that for the majority of patients with HA, CBT has a significant and lasting long-term effect. This effect lasts up to ten years post therapy.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Effects of D-cycloserine augmentation on cognitive behavioral therapy in patients with obsessive-compulsive disorder: A systematic review and meta-analysis

• D-cycloserine combined with multiple cognitive behavioral therapy sessions effectively stabilize the obsessive-compulsive disorder condition.

'The Relationship Between Post-Traumatic Stress Disorder and Coping Strategies among Patients with Cancer in Gaza Strip

Aim: The study aimed to examine the mental health status of the patients with cancer and the coping strategies that adopted by them in front of stressful situations. Method: The sample consisted of 358 patients with cancer in the oncology clinic at Shifa Hospital in Gaza Strip. Participants were interviewed individually by questionnaire include socioeconomic questionnaire, PTSD scale, and Ways of coping Scale. Results: The study showed that 42.5% of patients had PTSD, 47% had re-experiencing of PTSD, 40.5% had hyperarousal, and 40.1% had avoidance symptoms. The group of 40 years and less were significantly higher in reexperiences than 71 years and above among the study sample. The results showed that affiliation at the highest rank (81.6%), followed by reinterpretation (75.5%), self-control coping strategy (75.3%), problem solving (72.3%), wish and avoidance thinking was (69.0%), trouble and escape was (61.8%), accountability coping strategy was (53.0%) among the study sample of patients with cancer. The result showed that there were no significant differences in sex of patients and wish and avoidance thinking, problem solving, reinterpretation, affiliation, accountability, and self-control. However, there were significant differences in trouble and escape in favor of male patients. There was positive significant correlation between wish and avoidance thinking and re-experience of PTSD. In addition, there were positive significant correlation between accountability and PTSD, re-experience of PTSD, avoidance of PTSD, hyper-arousal of PTSD. In addition, there were positive significant correlation between Trouble and escape and PTSD, re-experience of PTSD, avoidance of PTSD, hyper-arousal of PTSD. While; there were negative significant correlation between problem solving and PTSD, re-experience of PTSD, avoidance of PTSD, hyperarousal of PTSD. In addition, there were negative significant correlation between re-interpretation and PTSD, re-experience of PTSD, avoidance of PTSD, hyperarousal of PTSD. In addition, there were negative significant correlation between affiliation and PTSD, avoidance of PTSD, hyperarousal of PTSD. In addition, there were negative significant correlation between selfcontrol and PTSD, avoidance of PTSD, hyper-arousal of PTSD. Clinical implications: Our findings highlight the need for therapeutic and educational programmes-including counseling for those patients with cancer and their families, support groups, and behavioural therapy for patients with P.T.S.D, and other psychiatric disorders. Also, new family therapy programmes must be established aimed at improving communications and interactions between family members, as well as teaching problemsolving skills to assist the family members in confronting the mental health problems associated with cancer.

Effect of short-term group cognitive behavioral therapy in patients with major depressive disorder

Objective To explore the effects of short-term group cognitive behavioral therapy in patients with major depressive disorder. Methods 195 patients with major depressive disorder were randomly divided into short-term cognitive behavioral therapy group(cognitive group, n=65), conventional psychotherapy group(conventional group, n=65) and drug treatment group(control group, n=65). Cognitive group was treated with conventional antidepressants combined with short-term group cognitive behavioral therapy.Conventional group was treated with conventional antidepressants combined with conventional psychotherapy.Control group was treated with conventional antidepressants. All participants were assessed with Hamilton Depression Scale (HAMD) and Beck Depression Inventory (BDI) before and 2 weeks after the treatment. Results After 2 weeks treatment, the scores of HAMD (25.3±6.6)and BDI(14.2±5.4)were significantly reduced in cognitive group compared with the baseline ((30.1±6.4), (17.4±5.0), P<0.05). The scores of HAMD(25.3±6.6)and BDI(14.2±5.4)were significantly lower in cognitive group than that in the conventional group ((29.7±6.7), (16.4±5.3))and control group((30.1±6.2), (18.0±5.4)) after the treatment (P<0.05). In the cognitive group, the scores of sadness, pessimism, loss of pleasure, guilty feelings, suicidal thoughts, self-dislike, concentration difficulty and fatigue were significantly reduced after treatment (P<0.05). Conclusion Short-term group cognitive behavioral therapy is effective for major depressive disorder patients by reducing depressive syptom. Key words: Short-term cognitive behavioral therapy; Major depressive disorder; Group therapy; Negative cognition

Chronic pain : Perception, reward and neural processing

Many chronic pain syndromes are characterized by enhanced perception of painful stimuli as well as alterations in cortical processing in sensory and motor regions. In this review article the alterations in muscle pain and neuropathic pain are described. Alterations in patients with fibromyalgia and chronic back pain are described as examples for musculoskeletal pain and also in patients with phantom limb pain after amputation and complex regional pain syndrome as examples for neuropathic pain. In addition to altered pain perception, cumulative evidence on alterations in the processing of reward and the underlying mechanisms in chronic pain has been described. A description is given of what is known on how pain and reward interact and affect each other. The relevance of such interactions for chronic pain is discussed. The implications of these findings for therapeutic approaches are delineated with respect to sensorimotor training and behavioral therapy, focusing on the effectiveness of these approaches, mechanisms and future developments. In particular, we discuss operant behavioral therapy in patients with chronic back pain and fibromyalgia as well as prosthesis training in patients with phantom limb pain and discrimination, mirror and imaginary training in patients with phantom limb pain and complex regional pain syndrome. With respect to the processing of reward, the focus of the discussion is on the role of reward and associated learning in pain therapy.

Guided Internet-delivered cognitive behavioural therapy in patients with non-cardiac chest pain - a pilot randomized controlled study.

BackgroundPatients with recurrent episodes of non-cardiac chest pain may experience cardiac anxiety and avoidance behavior, leading to increased healthcare utilization. These patients might benefit from help and support to evaluate the perception and management of their chest pain. The purpose of this study was to test the feasibility of a short guided Internet-delivered cognitive behavioural therapy (CBT) program and explore the effects on cardiac anxiety, fear of body sensations, depressive symptoms, and chest pain in patients with non-cardiac chest pain, compared with usual care.MethodsA pilot randomized controlled study was conducted. Fifteen patients with non-cardiac chest pain with cardiac anxiety or fear of body sensations, aged 22–76 years, were randomized to intervention (n = 7) or control (n = 8) groups. The four-session CBT program contained psychoeducation, physical activity, and relaxation. The control group received usual care. Data were collected before and after intervention.ResultsFive of seven patients in the intervention group completed the program, which was perceived as user-friendly with comprehensible language, adequate and varied content, and manageable homework assignments. Being guided and supported, patients were empowered and motivated to be active and complete the program. Patients in both intervention and control groups improved with regard to cardiac anxiety, fear of body sensations, and depressive symptoms, but no significant differences were found between the groups.ConclusionsThe Internet-delivered CBT program seems feasible for patients with non-cardiac chest pain, but needs to be evaluated in larger groups and with a longer follow-up period.Trial registrationClinicaltrials.gov NCT02336880. Registered on 8 January 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-016-1491-1) contains supplementary material, which is available to authorized users.

Effect of remote-interactive cognitive behavioral therapy in patients with chronic insomnia

Objective To assess the effect of remote-interactive cognitive behavioral therapy in patients with chronic insomnia. Methods A total of 62 patients with chronic insomnia were randomly divided into combined treatment group, cognitive behavioral therapy for insomnia (CBTI) group and drug treatment group.The study lasted for 6-8 weeks.The curative effects were assessed using sleep diary and scales. Results The sleep onset latency (SOL) ((39.9±23.7)min) and wake time after sleep onset(WASO) ((79.1±39.4)min) in the drug treatment group were higher than that in the combined treatment group ((25.5±11.2)min and (54.4±38.5)min, respectively) and CBTI group ((27.8±11.6)min and (51.8±29.0)min, respectively) at the end of treatment, the difference was statistical significance(P=0.018 and P=0.046 respectively). The sleep efficiency(SE) in drug treatment ((76.5±11.9)%) was lower than that in the other two groups((83.8±8.7)% and (82.8±7.0)% respectively), (P=0.042). And no similar difference were seen in TST after treatment(P>0.05). The Brief Version of Dysfunctional Beliefs and Attitudes about Sleep(DBAS-16) score in the drug treatment group (97.6±16.4) was higher than the other two groups((67.5±20.1) and (75.0±26.9) respectively) after treatment(P=0.000). No significant difference was seen in scores of the other scales among the three groups(P>0.05). After treatment, a greater proportion of patients in the combined treatment group had withdrawn from hypnotics use completely (29%(6/20) vs 5%(1/18); odds ratio(OR) was 7.286); and the combined treatment group produced significant reduction in frequency of hypnotics use((3.35±3.05) nights/week) when compared with drug treatment group((5.56±2.33)nights/week, P=0.016). Conclusions Remote-interactive cognitive behavioral therapy was effective and acceptable for treating patients with chronic insomnia, combining drug treatment in the early period could quickly relieve the symptoms of insomnia, and can avoid the adverse effect from the hypnotics.And the treatment method can reduce the dropout rate. Key words: Chronic insomnia; Remote cognitive behavioral therapy; Interactive therapy; Drug treatment

Efficacy of mindfulness-integrated cognitive behavior therapy in patients with predominant obsessions.

Background:Cognitive behavior therapy (CBT) involving exposure and response prevention is the gold standard psychotherapeutic intervention for obsessive-compulsive disorder (OCD). However, applying traditional CBT techniques to treat patients with predominant obsessions (POs) without covert compulsions is fraught with problems because of inaccessibility of mental compulsions. In this context, we examined the efficacy of mindfulness-integrated CBT (MICBT) in patients with POs without prominent overt compulsions.Materials and Methods:Twenty-seven patients with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of OCD were recruited from the specialty OCD clinic and the behavior therapy services of a tertiary care psychiatric hospital over 14 months. Patients had few or no overt compulsions and were free of medication or on a stable medication regimen for at least 2 months prior to baseline assessment. All patients received 12–16 sessions of MICBT on an outpatient basis. An independent rater (psychiatrist) administered the Yale–Brown Obsessive-Compulsive Scale (YBOCS) and the Clinical Global Impression Scale at baseline, mid- and post-treatment, and at 3-month follow-up.Results:Of the 27 patients, 18 (67%) achieved remission (55% reduction in the YBOCS severity score) at 3-month follow-up. The average mean percentage reduction of obsessive severity at postintervention and 3-month follow-up was 56 (standard deviation [SD] = 23) and 63 (SD = 21), respectively.Conclusions:Our study demonstrates that MICBT is efficacious in treating patients with POs without prominent overt compulsions. The results of this open-label study are encouraging and suggest that a larger randomized controlled trial examining the effects of MICBT may now be warranted.

The Importance of Automatic Thought’s Evaluation Throughcognitive – Behavioral Therapy in Patients with Generalized Anxiety Disorder.

This study will analyze the positive value of automatic thoughts’ assessment in patients with Generalized Anxiety Disorder, to improve the symptoms associated with thinkings and emotions. For a disorder "unorganized" as Generalized Anxiety Disorder, where the patient feels anxious from almost any situation and knows not where and when to feel secure, the Cognitive – Behavioral Therapy chooses to use a more structured framework to put in front of reality’s evidence.This therapy is considered as one of the most used and highly appropriate to treat Generalized Anxiety Disorder. One of the main principles of Cognitive-Behavioral Therapy is that patients learn to identify, evaluate and respond to their automatic thoughts and dysfunctional beliefs. The aim of this study is to show the importance of automatic thoughts’s evaluation mode in patients with Generalized Anxiety Disorder. In this study will be provided essential elements for the selection of these thoughts, to indicate their nature.The research methodology is based on case study, where the basic datas are taken for5 patients diagnosed with Generalized Anxiety Disorder and treated through Cognitive-Behavioral Therapy techniques.In conclusion it resulted that patients that properly examined the validity of an automatic thought, were able to understand the nature of their thoughts, if they were true or not.

A Systematic Review of Cognitive Behavior Therapy for Patients With Primary Insomnia

A Systematic Review of Cognitive Behavior Therapy for Patients With Primary Insomnia

The effectiveness of mindfulness meditation with cognitive behavioral therapy in patients with chronic insomnia

The effectiveness of mindfulness meditation with cognitive behavioral therapy in patients with chronic insomnia