scholarly journals Positive Effects of Laser Acupuncture in Methamphetamine Users Undergoing Group Cognitive Behavioral Therapy: A Pilot Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Yi-Hsien Shiao ◽  
Yi-Chih Chen ◽  
Yuan-Chieh Yeh ◽  
Tse-Hung Huang
Keyword(s):  
Liver Function ◽  
Cognitive Behavioral Therapy ◽  
Sleep Quality ◽  
Addiction Treatment ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Health Concern ◽  
Laser Acupuncture ◽  
Positive Effects ◽  
Significant Difference

Background. Methamphetamine (MA) addiction has become a crucial public health concern because of its adverse consequences to individuals and the society. Objective. To investigate the clinical efficacy of laser acupuncture combined with group cognitive behavioral therapy for MA addiction treatment. Materials and Methods. MA users who participated in group cognitive behavioral therapy and met the inclusion criteria were referred from psychiatrists to participate. The participants received laser acupuncture treatment once a week for 2 months (total eight treatments) on selected acupoints (PC6, HT7, LI4, ST36, SP6, and LR3). Laboratory assessment included urinalysis for MA and liver function tests aspartate aminotransferase, alanine aminotransferase, and γ-glutamyltransferase (AST, ALT, and γ-GT), whereas the objective assessment included visual analog scale (VAS) for MA craving and refusal and Pittsburgh sleep quality index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) questionnaires. All data were collected before and at 1 and 2 months after treatment. Cognitive behavioral therapy completion rate and rate of relapse to MA use were also determined. Result. Fifteen participants were enrolled, of whom seven completed the trial. Urinalysis for MA revealed a decrease in drug use from 57.1% to 28.6%. Compared with those before treatment, PSQI scores were significantly lower at 1 and 2 months after treatment (−3.73 and −4.10, respectively; both p < 0.001 ), and so were BDI scores (−5.64 and −8.17, respectively; p = 0.01 and 0.001, respectively). However, no significant difference was observed in the liver function test, VAS of craving and refusal, and BAI results. A slight improvement in the motivation for drug abstinence and anxiety was observed during the treatment course. Participants reported no adverse events. Conclusion. Laser acupuncture combined with group cognitive behavioral therapy may improve sleep quality, alleviate depression, and reduce MA use. Additional large-scale studies confirming the effectiveness of this modality are warranted.

Individual Versus Group Cognitive-Behavioral Therapy for Partner-Violent Men: A Preliminary Randomized Trial

2017 ◽  
Vol 35 (15-16) ◽  
pp. 2846-2868 ◽  
Author(s):  
Christopher M. Murphy ◽  
Christopher I. Eckhardt ◽  
Judith M. Clifford ◽  
Adam D. LaMotte ◽  
Laura A. Meis
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Skills Training ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Medium Effect ◽  
Individual Treatment ◽  
Small Scale ◽  
Relationship Functioning ◽  
Significant Difference

A randomized clinical trial tested the hypothesis that a flexible, case formulation–based, individual treatment approach integrating motivational interviewing strategies with cognitive-behavioral therapy (ICBT) is more efficacious than a standardized group cognitive-behavioral approach (GCBT) for perpetrators of intimate partner violence (IPV). Forty-two men presenting for services at a community domestic violence agency were randomized to receive 20 sessions of ICBT or a 20-week group cognitive-behavioral therapy (CBT) program. Participants and their relationship partners completed assessments of relationship abuse and relationship functioning at baseline and quarterly follow-ups for 1 year. Treatment uptake and session attendance were significantly higher in ICBT than GCBT. However, contrary to the study hypothesis, GCBT produced consistently equivalent or greater benefits than ICBT. Participant self-reports revealed significant reductions in abusive behavior and injuries across conditions with no differential benefits between conditions. Victim partner reports revealed more favorable outcomes for group treatment, including a statistically significant difference in psychological aggression, and differences exceeding a medium effect size for physical assault, emotional abuse, and partner relationship adjustment. In response to hypothetical relationship scenarios, GCBT was associated with greater reductions than ICBT (exceeding a medium effect) in articulated cognitive distortions and aggressive intentions. Treatment competence ratings suggest that flexible, individualized administration of CBT creates challenges in session agenda setting, homework implementation, and formal aspects of relationship skills training. Although caution is needed in generalizing findings from this small-scale trial, the results suggest that the mutual support and positive social influence available in group intervention may be particularly helpful for IPV perpetrators.

scholarly journals Efficacy of Cognitive Behavioral Therapy on Mood Disorders, Sleep, Fatigue, and Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Fangyi Luo ◽  
Mengfei Ye ◽  
Tingting Lv ◽  
Baiqi Hu ◽  
Jiaqi Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Behavioral Therapy ◽  
Mood Disorders ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Significant Difference

Objective: The aim of this study was to perform a quantitative analysis to evaluate the efficacy of cognitive behavioral therapy (CBT) on mood disorders, sleep, fatigue, and its impact on quality of life (QOL) in Parkinson's Disease (PD).Methods: We searched for randomized controlled trials in three electronic databases. Fourteen studies, including 507 patients with PD, met the inclusion criteria. We determined the pooled efficacy by standard mean differences and 95% confidence intervals, using I2 to reveal heterogeneity.Results: The result showed CBT had a significant effect on depression [−0.93 (95%CI, −1.19 to −0.67, P &lt; 0.001)] and anxiety [−0.76 (95%CI, −0.97 to −0.55, P &lt; 0.001)]. Moderate effect sizes were noted with sleep disorders [−0.45 (95% CI, −0.70 to −0.20, P = 0.0004)]. There was no evident impact of CBT on fatigue or QOL. We found an intervention period &gt;8 weeks was advantageous compared with &lt;8 weeks, and CBT implemented in non-group was more effective than in group. Between the delivery methods, no significant difference was found.Conclusion: We found that CBT in patients with PD was an efficacious therapy for some non-motor symptoms in PD, but not efficacious for fatigue and QOL. These results suggest that CBT results in significant improvement in PD and should be used as a conventional clinical intervention.

scholarly journals Trauma informed interventions: A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252747
Author(s):  
Hae-Ra Han ◽  
Hailey N. Miller ◽  
Manka Nkimbeng ◽  
Chakra Budhathoki ◽  
Tanya Mikhael ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Health Inequities ◽  
The United States ◽  
Psychological Outcomes ◽  
Cognitive Behavioral ◽  
Health Concern ◽  
Ptsd Symptoms ◽  
Wide Range ◽  
Trauma Informed

Background Health inequities remain a public health concern. Chronic adversity such as discrimination or racism as trauma may perpetuate health inequities in marginalized populations. There is a growing body of the literature on trauma informed and culturally competent care as essential elements of promoting health equity, yet no prior review has systematically addressed trauma informed interventions. The purpose of this study was to appraise the types, setting, scope, and delivery of trauma informed interventions and associated outcomes. Methods We performed database searches— PubMed, Embase, CINAHL, SCOPUS and PsycINFO—to identify quantitative studies published in English before June 2019. Thirty-two unique studies with one companion article met the eligibility criteria. Results More than half of the 32 studies were randomized controlled trials (n = 19). Thirteen studies were conducted in the United States. Child abuse, domestic violence, or sexual assault were the most common types of trauma addressed (n = 16). While the interventions were largely focused on reducing symptoms of post-traumatic stress disorder (PTSD) (n = 23), depression (n = 16), or anxiety (n = 10), trauma informed interventions were mostly delivered in an outpatient setting (n = 20) by medical professionals (n = 21). Two most frequently used interventions were eye movement desensitization and reprocessing (n = 6) and cognitive behavioral therapy (n = 5). Intervention fidelity was addressed in 16 studies. Trauma informed interventions significantly reduced PTSD symptoms in 11 of 23 studies. Fifteen studies found improvements in three main psychological outcomes including PTSD symptoms (11 of 23), depression (9 of 16), and anxiety (5 of 10). Cognitive behavioral therapy consistently improved a wide range of outcomes including depression, anxiety, emotional dysregulation, interpersonal problems, and risky behaviors (n = 5). Conclusions There is inconsistent evidence to support trauma informed interventions as an effective approach for psychological outcomes. Future trauma informed intervention should be expanded in scope to address a wide range of trauma types such as racism and discrimination. Additionally, a wider range of trauma outcomes should be studied.

Mindfulness as a Component of Addiction Treatment (DRAFT)

2018 ◽  
Author(s):  
Sharone Abramowitz
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Patient Selection ◽  
Stress Reduction ◽  
Addiction Treatment ◽  
Mindfulness Meditation ◽  
Behavioral Therapy ◽  
Therapeutic Outcome ◽  
Cognitive Behavioral ◽  
Mindfulness Intervention ◽  
Mindfulness Based Stress Reduction

This compact chapter addresses patient selection and general principles of mindfulness-based interventions, specifically mindfulness-based stress reduction (MBSR). It describes mindfulness-oriented recovery enhancement (MORE) as a combination of mindfulness intervention and cognitive behavioral therapy, suggesting its effectiveness in reducing the perception of pain in more than half of the participants who complete training. While focusing principally on the patient, the chapter argues for the utility of mindfulness-based interventions in preserving the serenity and enhancing the effectiveness of the therapist. It also notes that while the therapeutic outcome may be modest, there is generally little cost and very little risk to initiation of mindfulness meditation and similar interventions. A text box is given with additional resources.

scholarly journals Comparison of the Effectiveness of Cognitive Behavioral Therapy and Neurofeedback: Reducing Insomnia Symptoms

2017 ◽  
Vol 9 (7) ◽  
pp. 35 ◽  
Author(s):  
Nooshin Basiri ◽  
Zahra Khayyer ◽  
Habib Hadianfard ◽  
Amirhossein Ghaderi
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Independent Effect ◽  
Control Group ◽  
Significant Difference ◽  
Post Hoc ◽  
And Control ◽  
Insomnia Symptoms ◽  
Selection Of

INTRODUCTION: The term sleep disorder refers to difficulty in initiating sleep, maintaining it or a relaxing sleep despite having enough time to sleep. Cognitive behavioral therapy is a non-drug multi-dimensional treatment that targets behavioral and cognitive factors of this disorder. Some pieces of research have shown that psychiatric and neurological disorders can be distinguished from distinct EEG patterns and neuro-feedback can be used to make a change in these patterns. This study aimed to compare the cognitive behavioral therapy and neuro-feedback in the treatment of insomnia.METHODS: The sample included people, who had already been diagnosed insomnia by a psychiatrist in Isfahan, Iran. Random sampling was employed to choose the participants. Pittsburg sleep quality index (PSQI) was used for the selection of the participants, too. The sample included 40 patients who were randomly selected and interviewed and then diagnostic tests performed on the PSQI, and then they were divided into 3 groups. Data were analyzed using ANOVA. Following the implementation of the independent effect of the treatment was significant and one-way ANOVA with post hoc test L.S.D were carried out on CBT and controls (p = 0.001), CBT, neuro-feedback therapy (p = 0.003), neuro-feedback treatment and control (p = 0.001).RESULTS: It was shown that there was a significant difference between the groups. Based on the descriptive statistics of the 2 abovementioned treatments, neuro-feedback therapy in first position and cognitive-behavioral therapy were most effective in the second position, and the control group showed the lowest efficiency.CONCLUSIONS: Both treatments were significantly effective, and so we can use both neuro-feedback and CBT for the treatment of insomnia.

scholarly journals Terapi Kognitif Perilaku untuk Menurunkan Potensi Kekambuhan pada Narapidana Mantan Pecandu Narkoba

2020 ◽  
Vol 12 (1) ◽  
pp. 113-122
Author(s):  
Ni Luh Krishna Ratna Sari ◽  
Hamidah Hamidah ◽  
Adijanti Marheni
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Quantitative Methods ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Rank Test ◽  
Drug Addicts ◽  
Signed Rank ◽  
Significant Difference ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test

Peredaran narkoba tidak hanya terjadi di berbagai tempat umum, namun juga di dalam suatu lembaga pemasyarakatan. Bagi narapidana yang merupakan mantan pecandu narkoba di lembaga pemasyarakatan, hal ini dapat mempengaruhi potensi mengalami kekambuhan yang menjadi semakin tinggi. Salah satu upaya yang dapat dilakukan untuk menurunkan potensi mengalami kekambuhan adalah dengan pemberian terapi kognitif perilaku. Tujuan dari penelitian ini adalah menguji efektivitas terapi kognitif perilaku untuk menurunkan potensi kekambuhan pada narapidana mantan pecandu narkoba di salah satu lembaga pemasyarakatan di Bali. Penelitian ini menggunakan metode kuantitatif ekperimen dengan one group pretest-posttest design. Teknik sampling yang digunakan adalah pusposive sampling. Data dianalisis menggunakan uji beda Wilcoxon signed-rank test. Hasil penelitian menunjukkan nilai negative ranks = 3 dengan nilai Z= -1.604 dan Asymp. Sig. = 0.109 (p>0.05). Hal ini berarti tidak ada perbedaan yang signifikan potensi kekambuhan narapidana mantan pecandu narkoba di lembaga pemasyarakatan sebelum dan setelah diberikan terapi kognitif perilaku. Meskipun begitu, angka negative ranks menunjukkan bahwa seluruh skor posttest lebih rendah dari skor pretest sehingga dapat disimpulkan bahwa terapi kognitif perilaku dapat menurunkan potensi kekambuhan pada narapidana mantan pecandu narkoba di lembaga pemasyarakatan.  Drug trafficking not only occurs in various public places but also in prison. For the former drug addicts prisoners, this can affect the potential of relapse to become even higher. One effort to reduce the potential of relapse is by giving cognitive behavioral therapy. The purpose of this study was to examine the effectiveness of cognitive- behavioral therapy to reduce the potential of relapse in former drug addicts at one of the prisons in Bali. This study uses quantitative methods with one group pretest-posttest design. The sampling technique used is purposive sampling. Data were analyzed using a Wilcoxon signed-rank test. The results showed the value of negative ranks = 3 with Z values = -1.604 and Asymp. Sig. = 0.109 (p> 0.05). It means there is no significant difference in the potential relapse of the former drug addicts prisoners before and after cognitive-behavioral therapy program. However, negative ranks score indicates that all of the posttest scores are lower than the pretest score. So it can be concluded that cognitive-behavioral therapy can reduce the potential of relapse in former drug addicts prisoners.

scholarly journals Comparative Effectiveness of Cognitive-Behavioral Therapy and Dialectical Behavior Therapy on Emotion Regulation, Positive and Negative Affection, Aggressive and Self-Harm Behaviors of 13-16-Year-Old Female Students

2020 ◽  
Vol 7 (9) ◽  
pp. 20
Author(s):  
Sara Ghorbani ◽  
Alireza Salemi Kameneh ◽  
Alireza Motahedy ◽  
Zahra Alipour
Keyword(s):  
Emotion Regulation ◽  
Cognitive Behavioral Therapy ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotional Regulation ◽  
Behavioral Therapy ◽  
Female Students ◽  
Cognitive Behavioral ◽  
Significant Difference ◽  
Self Harm

This study was aimed to compare the effectiveness of cognitive-behavioral therapy with dialectical behavior therapy on emotion regulation, positive and negative affection, aggressive and self-harm behaviors of 13 to 16-year-old female students. The results showed that both CBT and DBT have a significant effect on increasing emotional regulation and positive affect, and decreasing negative affect, reducing aggressive behavior and self-harm. Also there was no significant difference between two treatments in increasing the positive affection and decreasing negative affection, but the effect of DBT on increasing emotional regulation and reducing self-harm and aggressive behaviors was significantly more than CBT.

scholarly journals Comparative Effectiveness of Cheonwangbosimdan (Tian Wang Bu Xin Dan) Versus Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: A Randomized, Controlled, Open-Label, Parallel-Group, Pilot Trial

2020 ◽  
Vol 19 ◽  
pp. 153473542093564
Author(s):  
Sun-Young Moon ◽  
Ui Min Jerng ◽  
O-Jin Kwon ◽  
So-Young Jung ◽  
Jee Young Lee ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cancer Patients ◽  
Group Performance ◽  
Behavioral Therapy ◽  
Pilot Trial ◽  
Eastern Cooperative Oncology Group ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Group Score ◽  
Significant Difference

Cancer patients have a 2 times higher prevalence of insomnia than healthy populations and cancer-related insomnia has received minimal attention while insomnia can aggravate the rehabilitation of cancer patients. Cheonwangbosimdan is a Korean herbal medicine generally used to relieve sleep deprivation, however, few studies presented the effects of Cheonwangbosimdan on cancer-related insomnia. The purpose of study is to examine the feasibility of Cheonwangbosimdan treatments for cancer patients. Twenty-two participants were allocated into a Cheonwangbosimdan or cognitive-behavioral therapy for insomnia (CBT-I) control group by equal number. The intervention group took Cheonwangbosimdan liquid once in a day and attend visits once a week for 4 weeks. The CBT-I group underwent individualized behavioral therapy 4 times in 4 weeks. The primary outcome is changes in the Insomnia Severity Index (ISI) from baseline to the end of the trial. Responses to the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Zung Self-Rating Anxiety Scale (SAS), Brief Fatigue Inventory (BFI), Euroqol-5 Dimensions-5 Levels (EQ-5D-5L), and Eastern Cooperative Oncology Group Performance Status (ECOG-PS) were secondary outcomes used to evaluate the quality of sleep. Outcomes were measured at a follow-up visit (visit 5) in the fifth week of the trial. There is no difference between 2 groups, but both groups showed tendency to alleviate cancer insomnia symptoms. SAS-K showed significant difference between the 2 groups (P < .001), as treatment group score was highly lowered than control group score. The study can contribute to more attentive care for insomnia in cancer patients.

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