Role Of Cognitive Behavioral Therapy Research Articles

The role of cognitive behavioral therapy in enhancing self-confidence for individuals on probation: a complementary approach to public health and rehabilitation programs.

The role of cognitive behavioral therapy in enhancing self-confidence for individuals on probation: a complementary approach to public health and rehabilitation programs.

The Role of Cognitive Behavioural Therapy, Family Therapy and Psychopharmacological Interventions in Internet Gaming Disorder: A Systematic Review

The Role of Cognitive Behavioural Therapy, Family Therapy and Psychopharmacological Interventions in Internet Gaming Disorder: A Systematic Review

Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients

Objective: To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients. Methods: A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects. Using the random number table method, they were divided into a control group and an experimental group, each consisting of 72 cases. The control group received routine nursing intervention, while the experimental group received cognitive behavioral therapy based on standard nursing practices. The self-care ability (self-concept, self-efficacy, self-care skills, health knowledge level), coping style (confrontation, avoidance, and surrender), and quality of life (psychological function, social function, material life, physical function) of both groups before and after the intervention were compared. Results: In comparison to the pre-intervention period, the experimental group exhibited significantly higher self-care ability, quality of life, and confrontation scores after the intervention, as opposed to the control group. Additionally, the avoidance and surrender scores were lower in the experimental group than in the control group, with these differences proving to be statistically significant (P < 0.01). Conclusion: The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients, aid in better disease coping, and improve their overall quality of life. This approach is deserving of further promotion.

Role of cognitive behavior therapy on people with substance abuse in the craving phase

The problem of substance abuse has shown an increase in quantity, quality, and rate of distribution, both in terms of the number of victims and the types of substance abuse. World drug reports around 275 million people used drugs worldwide in 2020. In Indonesia, there are 3.66 million drug users in 2021. When people with substance abuse stop taking the substance and have the desire to take it again, it is called the craving phase. The case is a 36-year-old male with Mental and Behavioral Disorders Due to the Use of Other Stimulants With Uncomplicated Substance Withdrawal (F15.30). The patient wants to stop using crystal methamphetamine because there’s a desire to use it again in the last 3 weeks after stopping two months ago. This patient is in the craving phase, and CBT is the most therapy given to prevent relapse, beside CBT patient is also given other non-medical therapy in the form of supportive psychotherapy, motivational interviewing, and family therapy, for the medical therapy Fluoxetine 10 mg tab every 24 hours IO (in the morning) and Alprazolam 1 mg tab every 24 hours IO (in the evening).

The effectiveness of cognitive behavioral therapy on behavioral inhibition and self-efficacy in children with specific learning disorders

Introduction: Specific learning disorder is one of the most important school-age disorders, and about 2-10% of children suffer from this disorder. Aim: The research was conducted with the aim of determining the effectiveness of cognitive behavioral therapy on behavioral inhibition and self-efficacy in children with specific learning disorders. Method: The research method was a semi-experimental type of pre-test and post-test with a control group. The statistical population of the research includes all elementary school girls aged 10 to 12 years who referred to the center of learning disorders in Babol city in 2021 (207 people), of which 30 people were selected by the available method and randomly in two experimental groups and controls were replaced. To collect data, Hoffmann (1984) Go/no-go Test (behavioral inhibition) and Morris Self-efficacy Questionnaire (2001) were used. The cognitive behavioral therapy program was implemented in 10 sessions of 45 minutes based on Seiler's model (2008) only on the experimental group. The data was analyzed using multivariate analysis of covariance (MANCOVA) with SPSS software version 18. Results: The results showed that there is a significant difference between the pre-test and post-test scores of the experimental and control groups in behavioral inhibition and self-efficacy in children with specific learning disorders (P<0.01). In general, cognitive behavioral therapy is effective on behavioral inhibition and self-efficacy in children with specific learning disorders (P<0.01). Conclusion: According to the results of this research, paying attention to the role of cognitive behavioral therapy in creating changes in the behavioral inhibition system and self-efficacy has important therapeutic implications. Therefore, paying attention to the role of cognitive behavioral therapy in making changes in the behavioral inhibition system and self-efficacy has important therapeutic implications.

Takotsubo syndrome: getting closer to its causes.

Takotsubo syndrome (TTS) accounts for between 1 and 4% of cases presenting clinically as an acute coronary syndrome. It typically presents as a transient cardiac phenotype of left ventricular dysfunction with spontaneous recovery. More dramatic presentations may include cardiogenic shock or cardiac arrest. Despite progress in the understanding of the condition since its first description in 1990, considerable questions remain into understanding underlying pathomechanisms. In this review article, we describe the current published data on potential underlying mechanisms associated with the onset of TTS including sympathetic nervous system over-stimulation, structural and functional alterations in the central nervous system, catecholamine secretion, alterations in the balance and distribution of adrenergic receptors, the additive impact of hormones including oestrogen, epicardial coronary or microvascular spasm, endothelial dysfunction, and genetics as potentially contributing to the cascade of events leading to the onset. These pathomechanisms provide suggestions for novel potential therapeutic strategies in patients with TTS including the role of cognitive behavioural therapy, beta-blockers, and endothelin-A antagonists. The underlying mechanism of TTS remains elusive. In reality, physical or emotional stressors likely trigger through the amygdala and hippocampus a central neurohumoral activation with the local and systemic secretion of excess catecholamine and other neurohormones, which exert its effect on the myocardium through a metabolic switch, altered cellular signalling, and endothelial dysfunction. These complex pathways exert a regional activation in the myocardium through the altered distribution of adrenoceptors and density of autonomic innervation as a protective mechanism from myocardial apoptosis. More research is needed to understand how these different complex mechanisms interact with each other to bring on the TTS phenotype.

Is Cognitive Behaviour Therapy Effective for Borderline Personality Disorder : A Case Report and Review of Literature

Managing people with borderline personality disorder (BPD) is an arduous task due to the complexity of the condition. This paper describes the role of Cognitive Behaviour Therapy (CBT) in a patient diagnosed with BPD who has undergone a modified DBT skill group training. Despite receiving multiple interventions in the past, this patient had her bouts of struggles living with this illness which required a new approach to facilitate her recovery. A trial of a short-term, 12 session-ed treatment of mindfulness-based CBT was commenced. In this case report we describe the challenges and modifications which surpass during this session and literature review on the role of CBT on BPD.

Psychopathology in Cancer Patients and the Role of Cognitive Behavioral Therapy

Psychopathology in Cancer Patients and the Role of Cognitive Behavioral Therapy

Targeting insomnia symptoms as a path to reduction of suicide risk: the role of cognitive behavioral therapy for insomnia (CBT-I).

Targeting insomnia symptoms as a path to reduction of suicide risk: the role of cognitive behavioral therapy for insomnia (CBT-I).

Antipsychotic Medications and Cognitive Behavior Therapy in Pregnant Women with Bipolar Disorder

One of the most difficult clinical tasks is treating pregnant women with bipolar disorder. Decisions that patients and physicians make are challenging, and no strategy is without risks nor prevents potential malpractice litigation. There is debate about whether to continue or discontinue antipsychotic medications during pregnancy. While discontinuation of antipsychotics may increase the risk of relapse, continued use of these medications may lead to fetal and maternal adverse outcomes. Some antipsychotics effectively treat symptoms related to bipolar disorder, including manic episodes and mood swings between mania and depression. Though antipsychotics may be useful for the treatment and management of bipolar disorder, the medications are not always favorable and are associated with adverse effects which have influenced some medical professionals to practice defensive medicine for decades that, in some cases, may coincide or conflict with medical ethics. While antipsychotics have a less safe yet effective impact on bipolar disorder in pregnant women, an alternative therapeutic approach such as Cognitive Behavior Therapy (CBT) should be considered. CBT psychotherapy is an evidence-based practice approach that can be beneficial in the treatment of bipolar disorder in pregnant women while bypassing the associated adverse reactions of antipsychotics. Attention is needed to explore the use and associated risks and benefits of antipsychotic medications during prenatal and postnatal, the debate of whether to continue or discontinue antipsychotic medication during pregnancy, and the role of CBT in the treatment of pregnant women with bipolar disorder. While antipsychotics may have beneficial effects that should not be underscored, the risks associated with the usage of antipsychotics during pregnancy cannot be minimized.

The Role of Cognitive Behavioral Therapy in the Management of Psychosis

Cognitive behavioral therapy for psychosis (CBTp) as a modality of treatment is gaining attention. A number of authors have reported their experiences, including challenges, in administering CBTp for psychotic patients. With CBTp still evolving a lot more research is ongoing to fine-tune its benefits while mitigating the limitations to its use. The objectives of this review are to determine the role of CBTp in the overall improvement of a patient's quality of life, ascertain the number of hospitalizations with acute symptoms after the start of CBTp; and address the common drawbacks to CBTp in the management of psychosis. It was found that cognitive behavioral therapy (CBT) use can prevent the first episode of psychosis in ultra-high risk (UHR) and is effective in improving depression, self-esteem, and psychological well-being. Its use was associated with positive changes in thinking and mood, and sleep quality leading to improved everyday life. Patients who underwent CBT had fewer hospitalizations with a higher number of voluntary hospitalizations as compared to patients with usual care, who underwent a higher number of involuntary hospitalizations. Drawbacks included cost-ineffectiveness and resource limitation.

Emotional Intelligence, Motivation and Dysfunctional Attitude among Patients with Substance Use: Cognitive Behavior Therapy

he study explores the significant predictive relationship between emotional intelligence, motivation, and dysfunctional attitude among substance use patients with the role of cognitive behavior therapy. The sample was comprised of 150 addictive patients. Among 150 patients, 40 were selected for intervention. The sample was divided into two groups of 20 each in the experimental and controlled groups. Participants were selected using a purposive sampling technique from Poly Clinic Jhelum, Punjab, Pakistan. To estimate the constructs following scales were used Trait Emotional Intelligence Questionnaire-Short Form Scale, Situational Motivation Scale, Dysfunctional Attitude Scale Short Form and Drug Abuse Screening Test all in Urdu. Patients with a high level of dysfunctional attitude were selected for intervention. For each participant, 12 sessions were planned. The statistical calculations were done using Statistical Package for Social Sciences(V-26). Regression analysis confirmed that emotional intelligence and motivation is a significant predictors of dysfunctional attitudes in substance used patients [R²=.066; F (2, 147) = 5.198, p<.01] with 6.6% explained variation in the dysfunctional attitude due to emotional intelligence and motivation. The effectiveness of cognitive behavior therapy was also evident with the experimental groups mean score of emotional intelligence (M=78.6, M = 169.00), motivation (M=58.1, M = 92.10) and dysfunctional attitude (M=61.1, M = 26.00) pre and posttest scores. It indicates that Cognitive Behavior Therapy was effective in the treatment of drug addicts to deal with lower levels of motivation and emotional intelligence as well as higher dysfunctional attitudes. For emotional intelligence, results showed that there is change in mean score of experimental groups (M=78.6, M = 169.00) For motivation, results showed that there is change in mean score of experimental groups (M=58.1, M = 92.10). For dysfunctional attitude, results showed that there is change in mean score of experimental groups (M=61.1, M = 26.00) which indicate that Cognitive Behavior Therapy was effective in treatment of drug addicts to deal with lower levels of motivation and emotional intelligence as well as higher dysfunctional attitude.

Group therapy in Schizophrenia. What’s the evidence?

IntroductionThe American Psychiatric Association and NICE’s Guidelines for schizophrenia recommend psychosocial interventions as adjuvants to pharmacological treatment, highlighting the role of cognitive behavioral therapy for psychosis, psychoeducation, family intervention, cognitive remediation, autonomy training, social skills training, and supported employment. Although highly recommended in their individual forms current guidelines make no definitive statement about their group applicability.ObjectivesThe goal of this work was to critically review the evidence of group interventions in schizophreniaMethodsNon-systematic review of the literature with selection of scientific articles published in the past 10 years; by searching Pubmed and Medscape databases using the combination of MeSH descriptors. The following MeSH terms were used: “schizophrenia”, “group therapy”.ResultsGroup therapy has shown important benefits in different conditions over the years, likely through mechanisms such as peer motivation, controlled confrontation, increased insight and even a tendency to homogenous results between group participants through peer influence. These results have been reproduced in schizophrenia though the benefits of applying group concepts to structured psychosocial interventions is still under study.ConclusionsRecent evidence suggests some evidence-based interventions can be applicable in group form, namely social skills training, cognitive remediation, psychoeducation, and multifamily groups, synergizing the already known benefits with newer therapy models and decreasing costs for patients and healthcare systems. Adequate controlled studies between individual and group therapy will shed further light on this matter.DisclosureNo significant relationships.

Piloting the Update: The Use of Therapeutic Relationship for Change - A Free Energy Account.

We apply the Free Energy Principle (FEP) to cognitive behavioral therapy (CBT). FEP describes the basic functioning of the brain as a predictive organ and states that any self-organizing system that is in equilibrium with its environment must minimize its free energy. Based on an internal model of the world and the self, predictions—so-called priors—are created, which are matched with the information input. The sum of prediction errors corresponds to the Free Energy, which must be minimized. Internal models can be identified with the cognitive-affective schemas of the individual that has become dysfunctional in patients. The role of CBT in this picture is to help the patient update her/his priors. They have evolved in learning history and no longer provide adaptive predictions. We discuss the process of updating in terms of the exploration-exploitation dilemma. This consists of the extent to which one relies on what one already has, i.e., whether one continues to maintain and “exploit” one’s previous priors (“better safe than sorry”) or whether one does explore new data that lead to an update of priors. Questioning previous priors triggers stress, which is associated with increases in Free Energy in short term. The role of therapeutic relationship is to buffer this increase in Free Energy, thereby increasing the level of perceived safety. The therapeutic relationship is represented in a dual model of affective alliance and goal attainment alliance and is aligned with FEP. Both forms of alliance support exploration and updating of priors. All aspects are illustrated with the help of a clinical case example.

The Growing Role of Cognitive Behavior Therapy in the Treatment of Parkinson's Disease.

Neuropsychiatric symptoms occur frequently in Parkinson's disease (PD) patients. Pharmacological treatment of the psychiatric symptoms has been found to be inadequate. Cognitive behavior therapy (CBT) is an evidence based form of psychotherapy that is effective in treating a number of psychiatric disorders. In this article we examine the evidence of CBT in treating common psychiatric symptoms seen in PD patients, namely depression, anxiety, insomnia and impulse control behaviors. Most of the studies adapted CBT to address PD related concerns. Caregivers were frequently part of the CBT programs. Among the studies reviewed, randomized controlled trials showed significant effects in treating depression with CBT in PD patients. Studies have also provided preliminary data for effects of CBT on anxiety, impulse-control behaviors and insomnia. There is a need for more well designed studies with sufficient power for CBT to be established as a useful non-pharmacological treatment for psychiatric symptoms in PD.

Cognitive-behavioural therapy role in the prevention of psychosis

IntroductionAbout 30% of individuals in ultra-high risk (UHR) of psychosis develop overt psychosis within 3 years, and about 40% of those who don’t will keep experiencing ongoing attenuated psychotic symptoms and persistent functional disability. During this prodromal period, it’s possible to prevent the transition to a first-episode psychosis.ObjectivesTo conduct a short review of literature on the role of cognitive-behavioural therapy (CBT) in preventing psychosis in ultra-high risk patients.MethodsWe performed a literature search on PUBMED, using the query: “Cognitive Behavioral Therapy” [Mesh] AND “psychosis” AND “prevention”. We focused on data from systematic reviews, clinical trials and meta-analysis published on last 5 years, either in English or Portuguese.ResultsSome authors claim cognitive-behavioural therapy (CBT) as first-choice treatment in clients with ultra-high risk (UHR) for psychosis. CBT aims to normalize extraordinary experiences with education and to prevent delusional explanations. On a Japanese study, the total score of Positive and Negative Syndrome Scale (PANSS) significantly improved on post-intervention and follow-up assessments, with large effect sizes observed. Teaching families to apply CBT with their offspring may bolster therapeutic gains made in time-limited treatment. CBT showed an 83% probability of being more effective and less costly than routine care.ConclusionsPatients with UHR for psychosis can be treated successfully with CBT to postpone and prevent the transition to a first-episode psychosis. CBT for UHR has been included in the European guidelines and awaits dissemination and implementation in mental health services.

Role of Cognitive Behavioral Therapy in Fibromyalgia: A Systematic Review

A literature search of articles from 2002-2019 was performed using Medline, Embase, Cochrane, LILACS, IBECS, CRD, and Epistemonikos databases, to analyze the effects of Cognitive-Behavioral Therapy (CBT) in the treatment of fibromyalgia. Twenty-seven articles were selected in which CBT was performed exclusively by specialist physicians, associated or not with conventional pharmacological treatment and/or physical exercise. In most articles, CBT worked with self-knowledge and cognitive restructuring, attempting to reduce pain perception, and it showed a general improvement in daily activities by decreasing patient’s limitations, such as morning stiffness. The literature showed significant correlations of CBT in pain processing over time. When CBT was compared to conventional pharmacological therapy, a certain superiority of CBT could be observed concerning the quality of life, catastrophizing, and acceptance of pain. However, when they were simultaneously applied, this improvement in quality of life was not observed.

Panic Disorder with Choking Phobia : a Case Report

Abstract
 
 Panic disorder is a form of anxiety disorder characterized by repeated panic attacks and preoccupied with worrying that a panic attack will occur. Panic attacks are characterized by fears of a disaster or loss of self-control even though there is really nothing to worry about. Other symptoms experienced during a panic attack are heart palpitations (similar to a heart attack), shortness of breath, feelings of suffocation, and the body feels weak. If this disorder is not detected early, it will affect the daily life of the patient. This case report presents the case of a 34-year-old woman who experiences symptoms of panic disorder with choking phobia that is managed with antidepressants and cognitive behavior therapy. In addition, there is discussion of differential diagnosis and the role of cognitive behavior therapy in handling this case.

Role of Cognitive Behavioral Therapy in Adolescents with Thalassemia: A Pilot Study

Cognitive behavioral therapy (CBT) appears to yield a superior outcome in general functioning measures and symptom-specific measures for treatment of anxiety and depression in healthy adolescents b...

The Role of Cognitive Behavioral Therapy in Opioid Use Reduction in Pediatric Sickle Cell Disease: Protocol for a Systematic Review.

BackgroundSickle cell disease (SCD) is a genetic disorder of red blood cells that results in acute and chronic health problems, including painful syndromes. Opioid analgesia is the mainstay of moderate to severe pain management in SCD, although adjunctive psychosocial approaches such as cognitive behavioral therapy (CBT) are increasingly incorporated. CBT has been used in populations of various ages to address a wide range of issues, such as mood disorders and chronic pain. It is unclear if effective CBT reduces the use of opioids to manage pain in pediatric SCD.ObjectiveThe aim of this study is to evaluate the association between CBT and decreased opioid use in children with SCD.MethodsIn this systematic review protocol, we describe our approach to applying predetermined eligibility criteria to searches of PubMed (including Medline), Embase, Cochrane, Web of Science, and PsycINFO databases, as well as Google Scholar and grey literature. In particular, we will use keywords to search for English-language studies of individuals with SCD aged 21 years old and younger published before November 2018. Keywords will allow us to assess for the primary outcome—total use of opioid medications—and the secondary outcomes—pain intensity and emotional functioning—during pain management using a combined opioid and CBT approach, opioids alone, or CBT alone. The review team will use standardized abstraction forms to review articles at the title, abstract, and full-text levels. Finally, reviewers will assess the risk for bias, quality of evidence, and adequacy of data for quantitative versus qualitative synthesis. If meta-analysis is deemed inappropriate, a narrative review will be conducted.ResultsWe will report a summary of findings across studies that meet eligibility criteria to compare the extent to which adjunctive CBT is associated with decreased opioid use among children with SCD.ConclusionsThis systematic review will present the current state of the evidence on CBT and opioid use in pediatric SCD, which may inform clinical practice and health policy to support optimized pain management.International Registered Report Identifier (IRRID)PRR1-10.2196/13211