Use Of Cognitive Behavioral Therapy Research Articles

"The worst thing is lying in bed thinking 'I want a cigarette'" a qualitative exploration of smoker's and ex-smoker's perceptions of sleep during a quit attempt and the use of cognitive behavioural therapy for insomnia to aid cessation.

Smokers report poorer sleep quality than non-smokers and sleep quality deteriorates further during cessation, increasing risk of smoking relapse. Despite the use of cognitive behavioural therapy for insomnia (CBT-I) to aid quit attempts emerging in the area, little is known about smokers and ex smoker's experiences of sleep during a quit attempt or their perceptions of CBT-I. This study addresses this gap by exploring smoker's and ex-smoker's experiences of the link between smoking and sleep and how this may change as a function of smoking/smoking abstinence. It also explores views of traditional CBT-I components (i.e., perceived feasibility, effectiveness, barriers of use). We conducted semi-structured interviews with current and recently quit smokers (n = 17) between January and September 2022. The framework method was used for analysis. Four themes addressing research questions were described. These included: 1) A viscous cycle; poor sleep quality and negative psychological state during cessation; 2) Perceived engagement and effectiveness; the importance of feasibility, experience, value, identity and psychological state in assessing CBT-I as a cessation tool; 3) Striking a balance; tailoring CBT-I to reduce psychological overload in a time of lifestyle transition; and 4) Personalisation and digital delivery helping overcome psychological barriers during cessation. The analysis suggested during quit attempts smokers experienced a range of sleep problems that could increase risk of relapse due to a negative impact on psychological state. It also revealed participants thought that CBT-I is something they would use during a quit attempt but suggested changes and additions that would improve engagement and be better tailored to quitting smokers. Key additions included the integration of smoking-based cognitive restructuring, starting the intervention prior to a quit attempt, and the need for personalisation and tailoring.

Examination of Psychological Counselor Candidates’ Views of Using Cognitive Behavioral Therapy (CBT) in Individual Psychological Counseling: A Q Methodology Approach

Individual Psychological Counseling Practicum is an applied course in which Guidance and Psychological Counseling undergraduate senior students have an opportunity to have a practical experience with an actual client in Turkey. In the course, the theoretical approaches chosen by the counselors and their views on this approach may affect their attitudes towards the practicum process and their experiences. Therefore, the current study aims to determine the opinions of guidance and psychological counseling senior students who took the course Individual Psychological Counseling Practicum about using Cognitive Behavioral Therapy in individual psychological counseling with the Q-methodology approach. For this purpose, 33 senior undergraduate students participated in the current study, taking the Individual Psychological Counseling Practicum-2 course in Atatürk University. The research utilized Q-statements crafted by the researcher along with a Q-sort comprising 18 sentences ranging from -3 to +3, facilitating forced placement, as the data collection instrument. Results showed that the opinions of the counselor candidates about the use of Cognitive Behavioral Therapy were gathered in a single dimension, which indicates a positive attitude.

Effects of cognitive behavioral therapy in patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis.

Chronic obstructive pulmonary disease (COPD) causes airflow blockage and breathing-related issues. This chronic disease impacts people worldwide. Substantial evidence supports the use of cognitive behavioral therapy (CBT) to help patients with chronic illnesses cope with worrisome and painful symptoms. However, the impact of CBT on COPD outcomes is less understood. In this study, we systematically summarized the effects of CBT on lung function, anxiety and depressive symptoms, and quality of life of patients with COPD. Six English-language and four Chinese-language databases were systematically searched for relevant randomized controlled trials published through April 15, 2023. Studies in which CBT was the only difference in treatment administered to experimental and control groups were included in the review. The studies' risk of bias was evaluated using the Cochrane Criteria. Sixteen studies (1887 participants) were included. The meta-analysis showed that CBT improved the percent-predicted forced expiratory volume in 1 second (FEV1 %), forced vital capacity (FVC), FEV1 /FVC ratio, maximal voluntary ventilation, peak expiratory flow, treatment compliance, and World Health Organization abbreviated quality of life, Self-rating Anxiety and Depression Scale, and St George's Respiratory Questionnaire scores compared with the control (all p < .05). This review demonstrated that CBT improves the lung function, anxiety and depressive symptoms, treatment compliance, and quality of life of patients with COPD and can be used widely in the clinical treatment of this disease.

Atendimento on-line infantil em tempos de COVID-19

Abstract Objective: This study aims at shedding light on online child psychotherapy using cognitive-behavioral therapy as well as suggesting forms of psychological interventions during a pandemic. Method: Since the beginning of the recent coronavirus (SARS-CoV-2) outbreak, which causes COVID-19, there has been a great concern about a disease that has rapidly spread over the world, bringing about several different socio-economic issues. The fear of contracting the disease has led to safety measures and uncertainties with regard to the future, and it is believed that social isolation has had a direct and psychological impact on both adults and children. This way, we conducted a systematic search for literature review articles. Results: The clinical practice has led to observe that children had their routine interrupted and, consequently, prevented from basic activities such as going to school, being separated from friends, being apart from grandparents, spending the day with their parents, and not to mention, depending on their age, attending online classes in the most varied ways. Conclusion: It is clear that through the use of cognitive-behavioral therapy, forms of psychological interventions can be suggested in the face of the COVID-19 pandemic. Thus, it is clear that effective results are possible with online intervention.

Do patients in neurosurgical wards benefit from psychotherapy? A brief discussion on the application of cognitive-behavioural therapy in patients treated for spinal conditions

The present article reviews the existing literature on the application and effectiveness of cognitive-behavioural therapy in a group of patients with spine problems. It encompasses publications describing the use of cognitive-behavioural therapy in the treatment of patients with back pain and spinal cord injuries of various aetiologies, as well as those experiencing disabilities and difficulties in social and emotional functioning. The findings confirm that cognitive-behavioural interventions are effective in reducing the intensity of pain, improving mobility, reducing the duration of professional inactivity, facilitating adaptation to disability, and enhancing overall life satisfaction. They also support the effectiveness of therapeutic interventions in addressing depressive and anxiety disorders among these patients. It appears that both the traditional and newer approaches of cognitive-behavioural therapy offer potential in patients with spine issues and their families and caregivers. However, due to the insufficient number of randomised and controlled studies, high heterogeneity among study groups, and diversity of research protocols, it is not possible to definitive formulate final conclusions or recommendations at this stage. Nevertheless, the literature findings herein support further exploration of cognitive-behavioural therapy among patients experiencing spine problems.

Therapist use of cognitive behavior therapy and eye movement desensitization and reprocessing components for the treatment of posttraumatic stress disorder in practice settings.

Treatment practice guidelines for posttraumatic stress disorder (PTSD) recommend both Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Behavior Therapy (CBT); however, implementation in practice setting remains challenging. Here we aim to foster implementation efforts for PTSD by identifying the relative use of the various components of empirically supported treatments by therapists and the characteristics that predict their use. Surveyed 346 therapists (84.07% female) of whom 272 participants (78.61%) were trained primarily in CBT and 135 participants (39.02%) were trained in primarily in EMDR. Assessed relative use of various EMDR and CBT components as well as several training and personality factors. Psychoeducation about trauma was the most common element used. "Off label" use of components was also identified with application of EMDR techniques to other diagnoses. Findings also suggest underutilization of in vivo exposure techniques across therapists. EMDR therapists reported relatively high use of core EMDR techniques (i.e., greater use of EMDR core techniques). Big five personality factors, therapy efficacy, and anxiety were associated with differential component use. Results identify trends in empirically supported component use and therapist characteristics that are associated with the use of various techniques for PTSD. The findings suggest implementation efforts could foster training in underused techniques, address barriers to their utilization and develop knowledge of effective packages of components.

Feasibility Study of Virtual Reality-Based Cognitive Behavioral Therapy for Patients With Depression: Protocol for an Open Trial and Therapeutic Intervention.

The clinical usefulness of cognitive behavioral therapy (CBT) for patients with depression who do not remit with pharmacotherapy has been recognized. However, the longer time burden on health care providers associated with conducting CBT and the lack of a system for providing CBT lead to inadequate CBT provision to patients who wish to receive it. We aim to evaluate the feasibility of introducing virtual reality (VR) into CBT for patients with depression. This is a single-center, interventional, exploratory, single-arm, nonrandomized, open, pre-post-comparative feasibility study of an unapproved medical device program to evaluate the acceptability, preliminary efficacy, and safety of the study device.Eligible patients meet the diagnostic criteria of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) for major depressive disorder, have a 17-item Hamilton Depression Rating Scale (HAMD-17) score of ≥12, and are aged 18-65 years. The sample will comprise 12 patients. VR-based CBT (CBT-VR) sessions will be conducted once a week in an outpatient setting. CBT-VR has been developed in accordance with 6 stages and 16 sessions in the current CBT therapist manual. VR contents and other components correspond to the themes of these 16 sessions. The flow of CBT-VR treatment is similar to that of normal CBT; however, this product replaces the in-person portion of CBT. The primary end point will be the change in the HAMD-17 score from baseline up to 16 sessions. Secondary end points will be treatment retention; psychiatrist consultation time; satisfaction with the equipment or program; ease of use; homework compliance; change in the HAMD-17 score from baseline up to 8 sessions; change in Montgomery-Åsberg Depression Rating Scale (MADRS), Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR), EQ-5D-5L, and Clinical Global Impressions (CGI) scores from baseline up to 8 and 16 sessions; and change in remission and response rates and HAMD-17, MADRS, QIDS-SR, and EQ-5D-5L scores from baseline to 3 and 6 months post intervention (or discontinuation). CBT-VR's feasibility will be assessed at baseline, after 8 sessions, after 16 sessions, or treatment discontinuation, by measuring the time required for testing and medical care during each session and with a patient questionnaire. After intervention discontinuation, a follow-up evaluation will be conducted unless the patient withdraws consent or otherwise discontinues participation in the study after 3 and 6 months. Participant recruitment started on November 30, 2022, and data collection is ongoing as of September 2023. This study is the first step in testing the acceptability, feasibility, and preliminary efficacy and safety of CBT-VR for patients with depression without controls in an open-label trial. If its feasibility for depression treatment is confirmed, we intend to proceed to a large-scale validation study. Japan Registry of Clinical Trials jRCTs032220481; https://jrct.niph.go.jp/en-latest-detail/jRCTs032220481. DERR1-10.2196/49698.

Guideline-concordant use of cognitive behavioral therapy for insomnia in the Veterans Health Administration

ObjectiveTo characterize guideline-concordant use of cognitive behavioral therapy for insomnia vs. sleep medications among Veterans Health Administration patients. MethodsCognitive behavioral therapy for insomnia was identified from the text of psychotherapy notes within the Veterans Health Administration’s electronic medical record. Patients that received first-line cognitive behavioral therapy for insomnia (ie, no prior insomnia treatment) were compared to those who first received a sleep medication in fiscal year 2021. ResultsAmong 5,519,016 patients, first-line cognitive behavioral therapy for insomnia was received by 9313 (0.2%) whereas 225,618 (4.1%) were newly prescribed a sleep medication without prior cognitive behavioral therapy for insomnia. Patients over 60 years old and those with substance use disorders were less likely to receive first-line cognitive behavioral therapy for insomnia compared to other patients. ConclusionsAdherence to practice guidelines to provide cognitive behavioral therapy for insomnia as first-line treatment for insomnia disorder remains a challenge, highlighting the need to better integrate effective implementation strategies within therapist training programs. Targeted strategies may be needed for older patients or those with substance use disorders.

CBT for Generalized Anxiety Disorder in Parkinson’s Disease: A Case Study

ABSTRACT Objectives To examine the use of cognitive behavioral therapy (CBT) in a case of co-occurring generalized anxiety disorder (GAD) and Parkinson’s disease (PD). Methods This case study refers to a male aged 75 years with a diagnosis of Idiopathic Parkinson’s disease. It focuses on applying a CBT model to address the psychological difficulties with PD and GAD. Results This case study reveals key aspects in presentation, diagnosis, and psychological treatment between PD and GAD, and is one of few studies published in this area. Conclusions Symptoms of anxiety in an older adult with PD decreased during a course of CBT. The implications of the treatment outcome of this study and further considerations of treatment plans for comorbid PD and anxiety have been discussed. Clinical Implications Using CBT could positively impact non-motor symptoms of Parkinson’s, such as sleep difficulties and speech impediments. Using CBT for the catastrophic thinking and worry content in GAD seems to act as a complementary therapy for psychological/non-motor symptoms of PD.

Possibilities of application of cognitive-behavioral therapy to achieve remission in alcohol dependence

Topicality. The problem of abuse of psychoactive substances and the search for effective means for its treatment remains an acute topic in modern psychiatry and narcology. To date, cognitive-behavioral therapy when applied to patients with alcohol addiction is one of the most promising methods of treatment. This method of treatment is aimed at preventing and minimizing relapse. The purpose of this work was to study the possibilities of using cognitive-behavioral therapy to achieve remissions in alcohol addiction. Materials and methods: modern literary scientific data were analyzed regarding the issues of indicators of the effectiveness of alcohol addiction treatment, understanding the concept of remission and its prognostic factors, the personality profile of addicted persons, and the direct application of cognitive-behavioral therapy to achieve remissions in alcohol addiction. The results. The analysis of literature data showed that the duration, stability and quality of remissions are important for evaluating the effectiveness of alcohol addiction treatment. When a remission is established, such factors as the duration of anti-alcohol therapy, stress resistance, personality profile of the addict and supportive therapy are of prognostic value. Cognitive-behavioral theory views alcohol addiction as an inadequate way to cope with problems or needs. Cognitive-behavioral therapy for alcohol addiction uses a standard set of methods, educational coping strategies that take into account the identification and specificity of situations when coping is inconsistent, as well as training, modeling, role-playing and behavioral rehearsals. These methods are intended not only to increase the level of cognitive and behavioral coping, but also to facilitate the perception of external influences and improve adaptation in stressful situations. Learning coping skills to overcome their deficit, eliminating factors that can prevent overcoming a breakdown and ensuring their adequate application in practice is a necessary condition for the effective use of cognitive-behavioral therapy. The methods of this type of therapy make it possible to show the patient that social learning plays an important role in the development of rigid thinking and maladaptive behavior and are designed to develop and strengthen self-control. Conclusions. Thus, the analysis of literary sources showed that cognitive-behavioral therapy for addicts is a short-term, structured method of psychotherapy aimed at developing the skills of controlling addictive behavior in patients with alcohol addiction in the conditions of forming and maintaining remission.

Cognitive behavioral therapy treatment for drug addiction

Drug addiction remains a major health concern following its devastating consequences to the users and the economy. Current statistics show a rising trend in substance abuse around the globe with approximately 284 million people engaging in drug abuse. Various approaches are used to treat the victims of drug abuse. Cognitive behavior therapy, a form of nonpharmacological intervention, has also been shown to be an effective treatment option for drug addiction. The use of Cognitive Behavioral Therapy (CBT) has grown since the 1970s to become one of the most important models of psychotherapy in this decade. Various empirical studies have shown the efficacy of CBT in well-controlled trials. A total of 19 randomized trials (cases) (with over 1400 patients treated) were selected and studied. In the various cases, results showed that patients were treated for drug and substance abuse disorders with the majority being those who abused cannabis, cocaine, alcohol and other opioids. In most cases, the CBT techniques that were used for drug addiction included cognitive restructuring, relapse prevention and contingency management. Components of CBT for drug addiction include skills and training, amplification of non-substance-related activities, approaches for managing urges, drug rejection and improvement of social aptitudes. Cognitive restructuring focuses on the identification of misconceptions and influencing the way people think about themselves by eliminating distorted thinking. Relapse prevention focuses on the identification and prevention of high-risk situations that may trigger the patient to engage in drug abuse. Contingency management reinforces positive behaviors and reduces negative behaviors through the use of rewards and incentives.

Reduction of Suicide Ideation by the use of Cognitive Behavioural Therapy and Individual Psychology among Undergraduate Students of University of Cape Coast, Ghana

Purpose: The purpose of the study was to find out the use of Cognitive Behavioural Therapy (CBT) Individual Psychology (IP) in the reduction of suicide ideation among undergraduate students in the University of Cape Coast.&#x0D; Methodology: It was a quantitative study using the quasi-experimental research design, specifically, the pre-test, post-test and control group design. A total of 30 undergraduate students from four colleges of the University of Cape Coast in the Central Region of Ghana were non- randomly assigned to two treatment groups (CBT and IP) and one control group. Beck Scale for Suicide Ideation was used for the collection of data for the study. Both the descriptive (frequency and percentage) and inferential (dependent samples t-test and independent samples t-test) statistics were used to analyse the data at the alpha level of .05.&#x0D; Findings: The study revealed that CBT and IP are effective in reducing suicide ideation among undergraduate students at University Cape Coast.&#x0D; Unique Contribution to Theory, Policy and Practice: It was recommended that screening for suicide ideation among students be carried out on a regular basis organised by the Counselling Centre. This is with the intention of helping to educate them and creating more awareness on suicide ideation among students thereby bringing in more people per the screening to benefit from the therapies

Mapping interventional components and behavior change techniques used to promote self-management in people with multimorbidity: a scoping review

ABSTRACT Ageing populations and improved survival, have contributed to a rise in the number of people living with multimorbidity, raising issues related to polypharmacy, treatment burden, competing priorities and poor coordination of care. Self-management programs are increasingly included as an essential component of interventions to improve outcomes in this population. However, an overview of how interventions supporting self-management in patients with multimorbidity is missing. This scoping review focused on mapping the literature on patient-centered interventions for people living with multimorbidity. We searched several databases, clinical registries, and grey literature for RCTs published between 1990–2019 describing interventions that supported self-management in people with multimorbidity. We included 72 studies that were found to be very heterogeneous when it comes to the population, delivery modes and modalities, intervention elements and facilitators. The results pointed to an extensive use of cognitive behavioral therapy as a basis for interventions, as well as behavior change theories and disease management frameworks. The most coded behavior change techniques stemmed from the categories Social Support, Feedback and monitoring and Goals and Planning. To allow for implementation of effective interventions in clinical practice, improved reporting of intervention mechanisms in RCTs is warranted.

Exploring the potential common psychotherapeutic factors: use of cognitive behavioural therapy, mindful yoga and positive psychology in enhancing the well‐being of students with SENs in Hong Kong

This study examined the effects of cognitive behavioural therapy (CBT), mindful yoga and positive psychology interventions and identified common psychotherapeutic elements that exert critical treatment effects on Hong Kong Chinese students with special educational needs (SENs). Forty‐seven participants received CBT intervention while 42 and 41 participants received mindful yoga and positive psychology interventions, respectively (N = 130). Mixed ANOVAs revealed no significant interaction effect between time and intervention condition on any outcome variables. However, within‐subjects ANOVA revealed significant improvements in some dimensions within each intervention, including areas of behavioural problems, positive feelings and positive relationships. Changes in negative automatic thoughts were also found to lessen negative emotions in all three interventions. This study ascertained the differential effects of the selected approaches in ameliorating negative emotion, reducing behavioural problems and enhancing positive relationships among students with SENs in various treatment approaches. In addition, this study highlighted several common psychotherapeutic elements, which could potentially serve as important factors and constitute the formulation of an integrative psychotherapeutic framework for enhancing the well‐being of students with SENs in Hong Kong. Finally, implications for practice and the possible development of an integrative intervention model were discussed.

Lifestyle and brain health in resilient, medically complicated geriatric outpatients: the importance of a multidisciplinary approach to treat anxiety and low mood, and to support wellness and independence

IntroductionFor medically complicated patients, symptoms of anxiety and low mood are at times normal and expected consequences of the physical and emotional impacts of living with a chronic illness or disability. In addition, medically complicated patients are at higher risk for infections and hospital stays, which can impact brain health and increase dementia risk (Alzheimer Association Conference, 2022). Untreated and undertreated anxiety and low mood can have major impacts on an individual's health, trust in their medical team and future medical outcomes (Alici and Levin, 2010), with treatment of medically complicated patients with psychiatric comorbidities typically necessitating a multidisciplinary approach including medication management and evidence-based psychotherapeutic approaches. The use of cognitive behavioral therapy, including behavioral activation and value-based goal setting, can be valuable in the treatment of anxiety and low mood, while supporting what is modifiable for lifestyle and brain health in patients with chronic medical conditions. Method/CaseThis case presentation will serve to highlight the impact of psychiatric medication management, CBT and motivation building approaches for lifestyle and brain health in a geriatric outpatient with paraplegia and multiple other medical conditions.This is a 71 y/o F with a past medical history of Acid reflux, Cardiomyopathy, history of recurrent UTIs, hypertension, OSA on CPAP, generalized anxiety disorder who reports mild depressive/anxiety symptoms starting in adolescence/early childhood, responding positively to therapy/treatment. Symptoms worsened after traumatic loss of lower body function (paraplegia) s/p ruptured spinal cord tumor (1980′s). Patient with marked resilience with positive response to medications/therapy throughout her adulthood. In her late 60’s (over the past 2-3 years), patient with increase in anxiety/low mood in the context of surgeries which have begun to limit her upper body function/mobility, weakness, potential loss of independence. Treatment with multiple medications. This patient was referred to for Cognitive Behavioral Therapy and the Brain Health Champion pilot program for further focus on anxiety treatment and lifestyle and brain health goal setting. ResultsThis case highlights the importance of team-based care in the treatment of anxiety, low mood, and brain health in medically complex geriatric outpatients. In this patient, losing function of her lower extremities in early adulthood gravely affected her lifestyle and independence. Her resilience and motivation, coupled with intense physical therapy led to good control of anxiety and a good quality of life. With aging and further medical/surgical injuries, her upper extremities which were her lifeline to independence, became affected, leading to marked increase in anxiety and numerous hospital stays increasing dementia and delirium risk factors. The addition of cognitive behavioral therapy (including behavioral activation and value-based goal setting) and motivation engagement strategies for lifestyle and brain health has been crucial in the response to treatment allowing this patient to improve her quality of life.

Educational psychologists’ use of cognitive behavioural therapy in professional practice

AimThere is increasing recognition of the centrality schools have in supporting children and young people’s mental health and wellbeing, and the role of educational psychologists (EPs) in supporting this. Cognitive behavioural therapy (CBT) is a frequently-used, evidence-based approach for supporting a range of outcomes. The purpose of this study is to explore how EPs are operationalising CBT in their practice, and which therapeutic competencies are demonstrated.MethodSemi-structured interviews were completed with a self-selecting sample of eight EPs reporting to be knowledgeable about CBT and to regularly use it in their practice. Transcribed data were analysed using inductive and deductive thematic analysis.FindingsKey themes related to CBT in applied practice, the EP role, drawing on other psychological approaches, ethical practice, external influences and having a holistic view of the child. EPs were using CBT across a continuum of formality in therapeutic work and multi-faceted casework. A range of CBT competencies was demonstrated in practice with children and young people, and adults.LimitationsAs an exploratory research study the sample size was very small. The self-selecting sample does not claim to be representative of the wider EP population. The extent to which findings enable an understanding of the effectiveness of CBT within wider EP practice is extremely limited.ConclusionsThe flexibility of CBT as a therapeutic modality gives insight into its potential wider contribution across EP practice. Potential implications for EP professional training and practice are considered.

Therapeutic components of digital counseling for chronic heart failure.

Task force statements support the use of cognitive behavioral therapy (CBT) and motivational interviewing (MI) to promote self-care in chronic heart failure (CHF) patients. Digital counseling interventions have the potential to complement conventional programs. However, therapeutic components of digital programs associated with improved outcomes are not clearly established. Identify therapeutic components of the Canadian e-Platform to Promote Behavioral Self-Management in Chronic Heart Failure (CHF-CePPORT) protocol that were associated with improved health-related quality of life (HRQL). Ordinal logistic regression was used to identify therapeutic components of the CHF-CePPORT protocol. The primary outcome was the 12-month Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) tertile. Logistic regressions determined the association between 12-month KCCQ-OS tertile, using logon hours for key segments of the protocol, modality of content delivery, and clinical themes. A total of 117 patients were enrolled in the e-Counseling arm of the CHF-CePPORT trial. Median age was 60 years (IQR 52-69). Total logon hours in the initial 4-month segment of CHF-CePPORT (Sessions 1-16) was associated with increased 12-month KCCQ-OS tertile (Odds Ratio, OR = 1.31, 95% CI, 1.1-1.5, P = 0.001). Within sessions 1-16, improved KCCQ-OS was associated with logon hours for self-assessment tools/trackers (OR = 1.49, 95% CI, 1.1-2.0, P = 0.007), and videos (OR = 1.57, 95% CI, 1.03-2.4, P = 0.04), but not for CHF information pages. This study highlights the importance of using evidence-based guidelines from CBT and MI as core components of digital counseling, delivered through videos and interactive tools/trackers, to improve HRQL with CHF.

Effect of the combination of cognitive behavioral therapy and oral paroxetine hydrochloride in patients with post-stroke depression

Purpose: To determine the effects of combined use of cognitive behavioral therapy (CBT) and paroxetine hydrochloride tablets in patients with post-stroke depression (PSD), and its effect on scores on Hamilton Rating Scale for Depression (HAMD) and Stroke Specific Quality of Life Scale (SS-QOL).&#x0D; Methods: Clinical data for 96 patients with PSD who were treated in Dongying Traditional Chinese Hospital, Dongying City, China from June 2018 to June 2019 were retrospectively analyzed. Patients who met the inclusion criteria were divided into treatment group (TG, n = 48) and reference group (RG, n = 48) based on odd and even hospitalization numbers. Both groups received conventional treatment, but RG patients were in addition given clopidogrel, while TG received CBT in combination with paroxetine hydrochloride tablets. Clinical indices were evaluated in both groups before and after treatment. Moreover, therapeutic effects in the two different treatment methods on PSD, as well as on Hamilton Rating Scale for Depression (HAMD) and Stroke Specific Quality of Life Scale (SS-QOL) scores were analyzed.&#x0D; Results: After treatment, TG had lower HAMD score (p &lt; 0.001), lower scores on modified Rankin scale, and few incidences of adverse reactions at 3, 7, 15 and 30 days of treatment (p &lt; 0.05), but higher total clinical effectiveness and mean SS-QOL score (p &lt; 0.05), when compared with RG.&#x0D; Conclusion: Combined use of CBT and oral paroxetine hydrochloride tablets may be a promising strategy for treating depression and enhancing the quality of life of PSD patients, as it greatly improves neurological deficit and prognosis. However, further clinical trials should be carried out prior to introducing it in clinical practice.

Sport Psychology Consultants’ Views on Working With Perfectionistic Elite Athletes

The purpose of this study was to explore the views and experiences of sport psychology consultants who have worked with perfectionistic elite athletes and, particularly, their views on the use of cognitive behavioral therapy. Semistructured interviews were conducted with four professional sport psychology consultants who identified themselves as having experience of working with athletes they consider to be perfectionistic. Two themes were generated: manifestations of perfectionism and management of perfectionism. The consultants found perfectionistic athletes to have rigid attitudes and strong negative emotional experiences, to use safety behaviors, and to regularly underperform. Cognitive behavioral therapy techniques such as mindfulness, cognitive restructuring, and psychological skills training were most commonly used and were largely viewed as effective against a backdrop of sporting environment that could often encourage athletes to be perfectionistic. The findings highlight the complexity of perfectionism from a consultancy perspective and the potential challenges associated with working with perfectionistic athletes.

The journey of 'Living with Pain': A feasibility study of the development and running of a collective narrative group.

Chronic Pain is increasingly affecting young people, their quality of life and wellbeing including education, social life and mental health. Current Western approaches to psychological support for Chronic Pain often focus on 'pain management' and learning skills and strategies from professionals, making use of Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT) and psychoeducation approaches in individual and group interventions. As a Paediatric Psychology service, we have trialled groups running over multiple weeks informed by these approaches and experienced low attendance rates. This paper describes a feasibility study of an alternative group intervention; the 'Living with Pain group', which combines the 'Journey of Life' (Denborough, 2014) with collective narrative and liberation psychology approaches. Thirty three young people and eight parents / carers attended the intervention. Attendance rates, quantitative and qualitative feedback from one face-to-face group for young people and parents and two online groups for young people showed increased access and acceptability of the group. The findings from this study have shown that a 1-day collective narrative group intervention is feasible, suitable and acceptable and has increased access to our group intervention. Future directions include co-creation with young people and families, community engagement to increase accessibility of our groups and developing partnerships to respond to young people's hopes to raise awareness.