scholarly journals Θετικές παρεμβάσεις στη Γνωσιακή-Συμπεριφορική Ψυχοθεραπεία

2020 ◽  
Vol 19 (3) ◽  
pp. 297
Author(s):  
Πασχαλία Μυτσκίδου ◽  
Βλοντάκης Ιωάννης
Keyword(s):  
Anxiety Disorders ◽  
Well Being ◽  
Behavioural Therapy ◽  
Depression And Anxiety ◽  
Cognitive Behavioural ◽  
Preliminary Validation ◽  
Life Therapy ◽  
Hope Therapy

Cognitive-Behavioural Therapy (CBT) is a well-established, evidence-based psychotherapy. Although it is the therapy of choice for both depression and anxiety disorders, many patients remain symptomatic after termination of their treatment, while relapses are not uncommon in the long-term follow-ups. Over time, different techniques have beenproposed in order to enrich cognitive-behavioural psychotherapy and increase its effectiveness. From the field of Positive Psychology, three psychotherapeutic strategies, Well-Being Therapy, Hope Therapy and Quality of Life Therapy, have been applied as additional ingredients in cognitive-behavioral packages. They are applied either as relapse prevention or as therapeutic strategies, in patients with affective and anxiety disorders who failed to respond to standard psychotherapeutic treatments. This paper presents the clinical and conceptual framework, as well as the structure and application of each strategy. Their potential clinical usefulness and results of preliminary validation studies are presented. Finally, their contribution in enriching the effectiveness of CBT is discussed.

scholarly journals Emotional Well Being with Daoism and Chinese Medicine

2019 ◽  
Vol 4 (7) ◽  
Keyword(s):  
Clinical Practice ◽  
Chinese Medicine ◽  
Cognitive Behavioural Therapy ◽  
Well Being ◽  
Behavioural Therapy ◽  
Depression And Anxiety ◽  
Emotional Pain ◽  
Self Help ◽  
Cognitive Behavioural ◽  
Medicine History

What has become apparent in clinical practice is the amount of people who are struggling with emotional pain and lack of direction, contentment or purpose in their life. Taoism, Buddhism which was part of Chinese Medicine history have developed tools, concepts and beliefs in the understanding of self and emotional well-being, which can give people a more compassionate view with the complexities of life for themselves and others. What is alarming is the amount of people on medication for depression and anxiety, which has increased considerably over the last few years. Cognitive Behavioural Therapy (CBT), self- help books and mindful meditation incorporate principles of Daoism and Buddhism in there techniques and theories.

Psychological research in amyotrophic lateral sclerosis: Past, present, and future

2018 ◽  
Author(s):  
Tamlyn J. Watermeyer ◽  
Laura H. Goldstein
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Well Being ◽  
Psychological Research ◽  
Behavioural Therapy ◽  
Future Research ◽  
Psychological Treatments ◽  
Dignity Therapy ◽  
Cognitive Behavioural ◽  
Lateral Sclerosis

This chapter, of particular interest to those interested in psychological treatments for people with amyotrophic lateral sclerosis (ALS), outlines earlier work that sought to identify correlates of reduced well-being and quality of life in people with ALS and delineates possible targets for intervention. In this context, the chapter then evaluates several studies that have investigated psychological interventions for optimizing well-being in people with ALS and their caregivers. The chapter reviews current efforts to address the paucity of interventional research in this patient group, focusing on five therapies that have so far been evaluated for treatment efficacy. These therapies include hypnosis, mindfulness, cognitive behavioural therapy, expressive disclosure therapy, and dignity therapy. The main findings from these studies and their clinical implications for people with ALS and their families are discussed. Recommendations for future research are considered, together with a discussion of the implementation of such interventions in therapeutic or multidisciplinary settings.

scholarly journals P053 Management of insomnia by Australian psychologists

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A38-A38
Author(s):  
J Haycock ◽  
E Hoon ◽  
A Sweetman ◽  
L Lack ◽  
N Lovato
Keyword(s):  
Health Care Professionals ◽  
Well Being ◽  
Behavioural Therapy ◽  
Depression And Anxiety ◽  
Further Training ◽  
Structured Interviews ◽  
First Line ◽  
Cognitive Behavioural ◽  
Insomnia Treatment

Abstract Introduction Insomnia is the most common sleep disorder, 10–30% of adults have regular difficulties falling and/or staying asleep that cause significant daytime impairments. General Practitioner (GP) clinical guidelines recommend Cognitive Behavioural Therapy for insomnia (CBTi) as the first-line treatment rather than medications. However, most GPs do not have the time or training to administer CBTi, and consequently, many patients are prescribed sedative-hypnotic medicines. Psychologists have training in CBT and may be well placed to deliver behavioural therapy for insomnia. However, the amount of sleep-specific training, and knowledge of CBTi among Australian psychologists remains unknown. Identifying key barriers and enablers in the management of insomnia within psychology provides a first step in engaging with psychologists about the delivery of evidence-based insomnia treatment. Methods This qualitative study used a pragmatic inductive approach. Semi-structured interviews were conducted with 26 Australian psychologists. Interviews included case study scenarios to provide an in-depth exploration of psychologists’ knowledge and skills in the management of insomnia, and attitudes towards further training in CBTi. Interview transcripts were analysed using thematic analysis to identify themes. Results Preliminary themes identified in the data include; psychologists believe sleep is important for general well-being, insomnia is usually seen as secondary to other co-morbid disorders such as depression and anxiety that are the focus of treatment, most psychologists surveyed lack training and knowledge in CBTi. Discussion Most Australian psychologists are not well prepared to manage insomnia effectively with CBTi. Along with other primary health care professionals, psychologists need training in the management of insomnia.

scholarly journals Long-term outcome of therapist-guided internet-based cognitive behavioural therapy for body dysmorphic disorder (BDD-NET): a naturalistic 2-year follow-up after a randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e024307 ◽  
Author(s):  
Jesper Enander ◽  
Brjánn Ljótsson ◽  
Lina Anderhell ◽  
Martin Runeborg ◽  
Oskar Flygare ◽  
...  
Keyword(s):  
Body Dysmorphic Disorder ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Global Functioning ◽  
Cognitive Behavioural ◽  
Secondary Outcomes ◽  
Randomised Controlled

ObjectivesMost patients with body dysmorphic disorder (BDD) do not receive evidence-based treatment. A randomised controlled trial (RCT) has found that a therapist-guided internet-based cognitive–behavioural therapy (CBT) programme for BDD (BDD-NET) can be delivered safely via the internet with significant improvements in BDD symptom severity in the short term. The purpose of this study was to evaluate if the therapeutic gains of BDD-NET are maintained 2 years after treatment.SettingAcademic medical centre.ParticipantsA naturalistic 2-year follow-up study of the 88 self-referred adult outpatients with a diagnosis of BDD that had received BDD-NET within the context of the RCT.Primary and secondary outcomesThe primary outcome was the BDD-Yale-Brown Obsessive-Compulsive Scale (YBOCS). Responder status was defined as a ≥30% reduction in symptoms. Remission was defined as no longer meeting Diagnostic and Statistical Manual of Mental Disorders 5th edition criteria for BDD. Secondary outcomes included measures of depression, global functioning and quality of life.ResultsThe efficacy of BDD-NET was sustained long- term, with further improvements observed on the BDD-YBOCS during the follow-up period. At follow-up, 69% (95% CI 57% to 80%) were classified as responders and 56% (95% CI 43% to 69%) were in remission. Gains on depressive symptoms and global functioning were also sustained but not quality of life. A majority of participants reported that the main reason for seeking help for their BDD was the possibility to access the treatment from home.ConclusionBDD-NET is an effective treatment for BDD, and the patients’ gains are maintained in the long term. BDD-NET has the potential to increase access to CBT and may lower the threshold for BDD sufferers to seek help in the first place.Trial registration numberNCT02010619.

scholarly journals Effectiveness of cognitive–behavioural therapy: a protocol for an overview of systematic reviews and meta-analyses

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e025761 ◽  
Author(s):  
Beth Fordham ◽  
Thavapriya Sugavanam ◽  
Sally Hopewell ◽  
Karla Hemming ◽  
Jeremy Howick ◽  
...  
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Systematic Reviews ◽  
Data Extraction ◽  
Well Being ◽  
Behavioural Therapy ◽  
Cochrane Library ◽  
Cognitive Behavioural ◽  
The Individual ◽  
Meta Analyses

IntroductionCognitive–behavioural therapy (CBT) is a psychological therapy that has been used to improve patient well-being across multiple mental and physical health problems. Its effectiveness has been examined in thousands of randomised control trials that have been synthesised into hundreds of systematic reviews. The aim of this overview is to map, synthesise and assess the reliability of evidence generated from these systematic reviews of the effectiveness of CBT across all health conditions, patient groups and settings.Methods and analysisWe will run our search strategy, to identify systematic reviews of CBT, within the Database of Abstracts of Reviews of Effects, the Cochrane Library of Systematic Reviews, MEDLINE, Embase, PsycInfo, CINAHL, Child Development and Adolescent Studies, and OpenGrey between January 1992 and 25 April 2018. Independent reviewers will sift, perform data extraction in duplicate and assess the quality of the reviews using the Assessing the Methodological Quality of Systematic Reviews (V.2) tool. The outcomes of interest include: health-related quality of life, depression, anxiety, psychosis and physical/physiological outcomes prioritised in the individual reviews. The evidence will be mapped and synthesised where appropriate by health problem, patient subgroups, intervention type, context and outcome.Ethics and disseminationEthical approval is not required as this is an overview of published systematic reviews. We plan to publish results in peer-reviewed journals and present at international and national academic, clinical and patient conferences.Trial registration numberCRD42017078690.

scholarly journals 441 - Treatment adequacy for depression and anxiety disorders affects quality of life in older adults consulting in primary care

2020 ◽  
Vol 32 (S1) ◽  
pp. 159-159
Author(s):  
Catherine Lamoureux-Lamarche ◽  
Djamal Berbiche ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Anxiety Disorders ◽  
Satisfaction With Life ◽  
Depression And Anxiety ◽  
Long Term Effects ◽  
Adequate Care ◽  
Treatment Adequacy

BackgroundPrevious studies show that less than 50% of adults in Canada receive guideline- concordant care for depression and anxiety disorders. Studies on the long-term effects of receiving adequate care for depression and anxiety disorders are scarce, particularly in older adults. This study aimed to assess the 3-year change in health-related quality of life (HRQOL) and satisfaction with life associated with receipt of adequate care for depression and anxiety disorders.MethodThis study was conducted among a sample of 219 older adults recruited in primary care with a common mental disorder (depression or an anxiety disorder) who participated in Quebec’s longitudinal ESA-Services (2011-2016) study. The definition of adequacy of care was based on Canadian guidelines and relevant literature. Administrative and self-reported data were used to measure treatment adequacy at baseline. HRQOL was measured using a Visual Analog Scale (VAS) and satisfaction with life was assessed with the Satisfaction With Life Scale (SWLS). HRQOL and satisfaction with life were measured at baseline and follow-up, 3 years later. Multivariate fixed-effects models were carried out to assess the association between adequacy of care and change in quality of life controlling for individual and healthcare system factors in the overall sample as well as separately for depression and anxiety.ResultsThe results showed that 56%, 37% and 40% of participants received adequate pharmacological or psychological treatment for depression, anxiety, and overall. Receipt of adequate treatment was associated with on average 4 more points on the VAS (0-100) and 1.7 points on the SWLS (5-25). After controlling for potential confounders, patients receiving adequate care for depression had on average 11 more points on the VAS. Treatment adequacy for anxiety disorders and depression or anxiety disorders overall were not associated with change in HRQOL or satisfaction with life.ConclusionOlder adults receiving adequate mental health care had better HRQOL and satisfaction with life. Treatment adequacy for depression was associated with change in quality of life; but not for individuals with anxiety. Future studies should focus on different patient indicators of quality of care which may better predict long-term effects of treatment for people with anxiety.

scholarly journals Treatment adequacy and remission of depression and anxiety disorders and quality of life in primary care older adults

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Catherine Lamoureux-Lamarche ◽  
Djamal Berbiche ◽  
Helen-Maria Vasiliadis
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Anxiety Disorders ◽  
Satisfaction With Life ◽  
Satisfaction With Life Scale ◽  
Depression And Anxiety ◽  
Life Scale

Abstract Background Studies on the long-term outcomes of receiving adequate treatment for depression and anxiety disorders are scarce. The aims of this study were to assess the association between adequacy of care and remission of common mental disorders (CMD) and change in quality of life among a population of older adults consulting in primary care. Methods The study was conducted among 225 older adults with a CMD who participated in the longitudinal ESA-Services study. Adequacy of care was assessed using administrative and self-reported data and was based on Canadian guidelines and relevant literature. CMD were measured at baseline and follow-up using self-reported measures (DSM-5 criteria) and physician diagnostic codes (International Classification of Diseases, 9th and 10th revisions) for depression and anxiety disorders. The remission of CMD was defined by the presence of at least one disorder at baseline and absence at follow-up. Quality of life was measured at baseline and follow-up using a visual analog scale and the Satisfaction With Life Scale. To estimate the probability to receive adequate/inadequate care, a propensity score was calculated, and analyses were weighted by the inverse probability. Weighted multivariable analyses were carried out to assess the remission of CMD and change in quality of life as a function of adequacy of care controlling for individual and health system factors. Results Results showed that 40% of older adults received adequate care for CMD and 55% were in remission at follow-up. Adequacy of care was associated with remission of CMD (AOR: 0.66; CI 0.45–0.97; p-value: 0.032). Participants receiving adequate care had an improvement between baseline and follow-up of 0.7 (beta: 0.69, CI 0.18; 1.20, p = 0.008) point on the Satisfaction With Life Scale, while a marginal association was observed with improvement in HRQOL (beta: 2.83, CI 0.12; 5.79, p = 0.060). Conclusion The findings contribute to the rare observational studies on the association between adequacy of care for CMD and long-term treatment effects. Future studies on population effectiveness should focus on patient indicators of quality of care which may better predict long-term outcomes for patients with depression and anxiety.

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