Effectiveness of CBT for anxiety disorders in mental health clinics and in schools as indicated prevent. Jon Bjåstad et al. Anxiety Disorders Research Network, Haukeland University Hospital, Norway
This randomized controlled trial compared the effectiveness of cytisine to nicotine replacement therapy (NRT) for smoking cessation. The trial involved 1310 daily smokers who received either a 25-day course of cytisine plus behavioral support or 8 weeks of NRT plus behavioral support. The primary outcome was abstinence at 1 month, with secondary outcomes including abstinence at 2 months and 6 months. Results showed cytisine was at least as effective as NRT for smoking cessation, with abstinence rates of 40% for cytisine vs 31% for NRT at 1 month. Cytisine was also associated with longer time to relapse and fewer withdrawal symptoms compared to NRT. Adverse effects were more common but mostly
Feasibility of comparing DBT with treatment as usual for suicidal & self-inju...MHF Suicide Prevention
By randomly assigning 29 adolescents, who in the previous three months had a suicide attempt or history of self-injury, either uncontrolled treatment or six months of dialectical behaviour therapy (DBT) this research assessed whether DBT was acceptable to New Zealand adolescents, families and clinicians. Presented by Dr. Emily Cooney, Dr. Kirsten Davis, Ms. Pania Thompson, Ms. Julie Wharewera-Mika (all from Kari Centre, ADHB) and Ms. Joanna Stewart (University of Auckland). View this presentation from the 2010 SPINZ World Suicide Prevention Day Forum on YouTube: http://www.youtube.com/watch?v=Ep5TdPGLIJQ
This document summarizes research on treatments for problem gambling. It discusses randomized controlled trials that have found cognitive-behavioral therapy and motivational interviewing to be effective both immediately post-treatment and at follow-ups of up to two years. Specific treatment components like coping skills training and change talk during motivational interviewing have been linked to better outcomes. Open questions remain around optimal individual vs group formats and the potential role of exposure-based techniques.
The document describes a study that assessed patients' knowledge of using sublingual glyceryl trinitrate (SLGTN) tablets to treat angina before and after receiving counseling. The study found that patients had poor baseline knowledge of how to properly use SLGTN tablets, but their knowledge significantly improved after receiving counseling from pharmacists. The results suggest that patient education is important for ensuring proper use of SLGTN tablets to manage angina.
MET vs TAU in 4 large multisite RCTs found:
1) No main effect on retention or substance use for outpatient treatment.
2) One study found a small effect on early retention but not substance use.
3) Studies of pregnant drug users and Spanish speakers also found no main effects of MET vs TAU.
The findings suggest MET may not produce meaningful improvements over TAU in typical substance abuse treatment settings based on these high quality trials.
The document summarizes key findings from the American Psychological Association's PracticeNet survey on substance use among clients. Some main findings include:
- Over 1/3 of psychologists discussed substance use with clients in current sessions, over 2/3 discussed it at some point.
- 18% of clients were identified as having substance use problems, with an additional 6% suspected of problems.
- Common substances included alcohol, marijuana, and prescription drugs.
- Interventions discussed included motivational interviewing, CBT, and relapse prevention.
- Psychologists obtaining substance abuse CE were more likely to discuss substance use with clients.
The clinical study evaluated peripheral nerve stimulation of the occipital nerves for chronic migraine. 157 patients were randomly assigned to an active or control group in a 2:1 ratio. The primary endpoint of a 10% difference in responders between groups was not met. However, secondary analyses found that the active group experienced significantly greater reductions in headache days, migraine disability, and improvements in quality of life and satisfaction compared to the control group.
This randomized controlled trial compared the effectiveness of cytisine to nicotine replacement therapy (NRT) for smoking cessation. The trial involved 1310 daily smokers who received either a 25-day course of cytisine plus behavioral support or 8 weeks of NRT plus behavioral support. The primary outcome was abstinence at 1 month, with secondary outcomes including abstinence at 2 months and 6 months. Results showed cytisine was at least as effective as NRT for smoking cessation, with abstinence rates of 40% for cytisine vs 31% for NRT at 1 month. Cytisine was also associated with longer time to relapse and fewer withdrawal symptoms compared to NRT. Adverse effects were more common but mostly
Feasibility of comparing DBT with treatment as usual for suicidal & self-inju...MHF Suicide Prevention
By randomly assigning 29 adolescents, who in the previous three months had a suicide attempt or history of self-injury, either uncontrolled treatment or six months of dialectical behaviour therapy (DBT) this research assessed whether DBT was acceptable to New Zealand adolescents, families and clinicians. Presented by Dr. Emily Cooney, Dr. Kirsten Davis, Ms. Pania Thompson, Ms. Julie Wharewera-Mika (all from Kari Centre, ADHB) and Ms. Joanna Stewart (University of Auckland). View this presentation from the 2010 SPINZ World Suicide Prevention Day Forum on YouTube: http://www.youtube.com/watch?v=Ep5TdPGLIJQ
This document summarizes research on treatments for problem gambling. It discusses randomized controlled trials that have found cognitive-behavioral therapy and motivational interviewing to be effective both immediately post-treatment and at follow-ups of up to two years. Specific treatment components like coping skills training and change talk during motivational interviewing have been linked to better outcomes. Open questions remain around optimal individual vs group formats and the potential role of exposure-based techniques.
The document describes a study that assessed patients' knowledge of using sublingual glyceryl trinitrate (SLGTN) tablets to treat angina before and after receiving counseling. The study found that patients had poor baseline knowledge of how to properly use SLGTN tablets, but their knowledge significantly improved after receiving counseling from pharmacists. The results suggest that patient education is important for ensuring proper use of SLGTN tablets to manage angina.
MET vs TAU in 4 large multisite RCTs found:
1) No main effect on retention or substance use for outpatient treatment.
2) One study found a small effect on early retention but not substance use.
3) Studies of pregnant drug users and Spanish speakers also found no main effects of MET vs TAU.
The findings suggest MET may not produce meaningful improvements over TAU in typical substance abuse treatment settings based on these high quality trials.
The document summarizes key findings from the American Psychological Association's PracticeNet survey on substance use among clients. Some main findings include:
- Over 1/3 of psychologists discussed substance use with clients in current sessions, over 2/3 discussed it at some point.
- 18% of clients were identified as having substance use problems, with an additional 6% suspected of problems.
- Common substances included alcohol, marijuana, and prescription drugs.
- Interventions discussed included motivational interviewing, CBT, and relapse prevention.
- Psychologists obtaining substance abuse CE were more likely to discuss substance use with clients.
The clinical study evaluated peripheral nerve stimulation of the occipital nerves for chronic migraine. 157 patients were randomly assigned to an active or control group in a 2:1 ratio. The primary endpoint of a 10% difference in responders between groups was not met. However, secondary analyses found that the active group experienced significantly greater reductions in headache days, migraine disability, and improvements in quality of life and satisfaction compared to the control group.
London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...iCAADEvents
In this presentation, Professor Spada will outline the metacognitive approach to the conceptualisation and treatment of problem drinking. The presentation will be highlighting the role played by metacognitive beliefs, extended thinking and thought suppression in the development and escalation of problem drinking. Professor Spada will also review the type of interventions used in Metacognitive Therapy for the treatment of problem drinking and their efficacy.
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...iCAADEvents
This workshop will illustrate and explore the concept of desire thinking and its relevance to addictive behaviours. Examples of key treatment interventions for interrupting desire thinking will be introduced.
Pre-workshop Reading
Caselli, G. & Spada, M. M. (2016). Desire thinking: A new target for treatment of addictive behaviors? International Journal of Cognitive Therapy, 9(4), 344-355.
Workshop Learning Objectives
1. To conceptualise desire thinking.
2. To understand the application of basic treatment interventions aimed at interrupting desire thinking.
This document summarizes a presentation on cognitive remediation for schizophrenia. Cognitive remediation aims to improve cognitive processes like attention, memory, and executive function through behavioral training interventions. It relies on neuroplasticity to strengthen connections in the brain. Exercises target basic sensory skills, discrete cognitive abilities, and more complex skills. Studies find cognitive remediation improves cognition, functioning, and motivation, especially when treatment is more intensive, motivational factors are incorporated, and exercises are personalized. Typical programs involve cognitive assessment, goal setting, group sessions 2+ times per week for 3-4 months using drill and strategy practice, and bridging to real-world skills.
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...HMO Research Network
Cognitive impairment is common in patients hospitalized for acute coronary syndromes (ACS), affecting up to 40% of patients. The current study aimed to examine the prevalence and factors associated with cognitive impairment among patients hospitalized for ACS. It found that 31% of over 1,100 ACS patients showed cognitive impairment. Older age, lower education, non-white race, high anxiety, and poorer quality of life were independently associated with cognitive impairment. The high prevalence indicates a need for increased screening and tailored care during and after hospitalization.
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...Intensive Care Society
Kathy is founder and Director of ICNARC and works within a team of audit, research, IT and administrative staff. ICNARC’s aim is to facilitate improvements in the organisation and practise of critical care through a broad programme of audit and research.
In 2004, Kathy was awarded the Humphry Davy Medal by the Royal College of Anaesthetists as a mark of distinction for her significant contribution to critical care. More recently, Kathy completed a Harkness Fellowship in Health Care Policy in the USA (Nov 2004 to Oct 2005).
Kathy is an Honorary Professor in the Department of Public Health and Policy at the London School of Hygiene and Tropical Medicine.
Measuring the right outcomes in mental healthJohn Brazier
This talk presents the findings of an MRC study on whether the generic health measures of EQ-5D and SF-36 are valid in mental health. It uses mixed methods research (including interviews with service users) to show that these measures miss important ways in which mental health impacts on people's lives. It proposes 7 themes that seem to capture the important domains of recovery for people with mental health problems that provide the basis for a new generic outcome measure for mental health.
N.B. These slides were presented at the 20th Anniversary of the Centre for Mental and Physical Health Economics, 7th November 2013.
This document summarizes research on cognitive remediation therapy (CRT) for various mental health conditions. It discusses CRT approaches for schizophrenia, including evidence that CRT improves cognitive functioning and psychosocial outcomes. It also explores using CRT for other disorders like bipolar disorder, depression, Alzheimer's, and ADHD. For many conditions, initial studies show benefits of CRT for cognition, symptoms, and functioning, though more research is still needed.
Outcomes of Online Mindfulness-Based Cognitive Therapy for Patients With Residual Depressive SymptomsA Randomized Clinical Trial
Zindel V. Segal, PhD1; Sona Dimidjian, PhD2; Arne Beck, PhD3; et alJennifer M. Boggs, PhD3; Rachel Vanderkruik, MA2; Christina A. Metcalf, MA2; Robert Gallop, PhD4; Jennifer N. Felder, PhD5; Joseph Levy, BA2
Author Affiliations
JAMA Psychiatry. Published online January 29, 2020. doi:10.1001/jamapsychiatry.2019.4693
Significance for fasd
Teleassistance and health related quality of life in people with neuromuscula...HTAi Bilbao 2012
This document summarizes a research study on tele-assistance for people with neuromuscular disorders. The study involved 45 participants across two groups: an experimental group that received tele-assistance and a control group. The tele-assistance included weekly videoconference sessions with a psychologist and neurologist as well as an online forum. Measures showed improvements in health-related quality of life, reduced feelings of isolation, and high satisfaction rates for those receiving tele-assistance. However, the study had some limitations such as a non-randomized sample and difficulties for computer illiterate participants. Overall, the findings suggest tele-assistance can benefit people with neuromuscular disorders.
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...Vlad Manea
Thank You for referencing this work, if you find it useful!
Citation of a related scientific paper:
Manea, V., & Wac, K. (2020). Co-Calibrating Physical and Psychological Outcomes and Consumer Wearable Activity Outcomes in Older Adults: An Evaluation of the coQoL Method. Journal of Personalized Medicine, 10(4), 203. DOI https://doi.org/10.3390/jpm10040203
1) This study examined social cognition, specifically theory of mind (ToM), in 28 patients with pediatric-onset multiple sclerosis compared to 32 healthy controls.
2) Results showed that the MS group performed worse on tasks measuring facial recognition of emotions and identifying beliefs/knowledge of others.
3) ToM deficits were not fully explained by processing speed, disease characteristics, or demographic factors.
Clinical Guidelines for the Management of AnxietyYouNHealth.Com
Management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care
The document provides information about the Master's Programme in Economic and Consumer Psychology at Leiden University. It introduces the teaching staff, course requirements, thesis process, internship, and frequently asked questions. Students must complete four obligatory courses, electives, a thesis proposal, internship, and colloquia for a total of 60 credits over one year. The programme aims to understand theories and research in economic psychology and apply skills in laboratory or field settings.
The effect of Co-Cirricular activities on working memory and Response inhibit...spastudent
This document summarizes a study that examined the effect of co-curricular activities (CCAs) on working memory and response inhibition in primary school children. The study hypothesized that both sports and non-sports CCAs would have positive effects on working memory and response inhibition. Sixty primary school children were tested at baseline and after 18 weeks of participating in either a sports or non-sports CCA using the DOT-A and Stroop tests. The results found that both sports and non-sports CCAs improved working memory as measured by the DOT-A test, but there was insufficient evidence that CCAs improved response inhibition as measured by the Stroop test. The study concluded that CCAs may
This study evaluated the safety and feasibility of using deep transcranial magnetic stimulation (dTMS) for acute and maintenance treatment of depression. Nine patients with treatment-resistant depression received four weeks of daily dTMS followed by 8 weeks of twice weekly and 10 weeks of once weekly maintenance dTMS. Results showed significant improvement in depression scores from baseline to the end of acute treatment based on the Hamilton Depression Rating Scale. Improvement was also seen on the Beck Depression Inventory and Clinical Global Impression scales. No serious adverse events occurred, indicating dTMS may be a safe and effective treatment for depression. However, the study was limited by the lack of a sham control group.
Cognitive rehabilitation aims to help recover mental functions impaired by brain injury through restoration, substitution, and restructuring approaches. Computerized cognitive rehabilitation (CACR) uses computer programs and exercises to retrain impaired cognitive skills. It provides personalized feedback and reinforcement through tasks of increasing difficulty. Research shows CACR improves attention, memory, and executive functions in patients with brain injuries, learning disabilities, schizophrenia, substance abuse disorders, depression, and multiple sclerosis compared to control groups. CACR appears as effective as traditional face-to-face rehabilitation with similar costs. Issues include variability in brain injury characteristics and rehabilitation programs across studies.
Psychological aspects of CAT: seeking item selection rules which do not decre...Tetsuo Kimura
The document discusses two studies on the psychological effects of computerized adaptive tests (CATs). The first study found that most test takers found the CAT very difficult and felt discouraged after taking it. The second study manipulated item selection rules to target slightly easier items. It found that this led test takers to feel the CAT was less difficult and feel more satisfied with the experience. The studies suggest item selection rules should balance information gain with avoiding decreases in test takers' self-efficacy and motivation.
Critical appraisal of evidence/journal clubdassoumitradr
journal club: A Randomized Double-Blind Study of Risperidone
and Olanzapine in the Treatment of Schizophrenia
or Schizoaffective Disorder(Am J Psychiatry 2001; 158:765–774)
Cognitive behavior therapy and interpersonal therapy have both shown efficacy in treating major depressive disorder among adolescents and emerging adults. Cognitive behavior therapy focuses on identifying and changing maladaptive thoughts and behaviors, while interpersonal therapy examines interpersonal relationships and communication styles. Research has found that both therapies effectively reduce depressive symptoms, though cognitive behavior therapy may be more effective for severe depression. Overall, cognitive behavior therapy and interpersonal therapy provide clients with skills to aid them post-treatment.
Cognitive Behavioral Therapy (CBT) of AnxietyDavid Walczyk
An overview of Cognitive Behavior Therapy (CBT) for anxiety and, in particular, generalized anxiety disorder (GAD). The clinical case material portion of presentation has been removed.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Providing an overview of CBT and tools and techniques suitable for licensed mental health and addictions professionals and coaches.
★★You can sign up for the live presentation or the on-demand replay to earn CEUs at: https://www.allceus.com/member/cart/index/search?q=cognitive+behavioral ★★
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron.
Pinterest: drsnipes
https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
London iCAAD 2019 - Prof Marcantonio Spada - NEW DIRECTIONS FOR THE TREATMENT...iCAADEvents
In this presentation, Professor Spada will outline the metacognitive approach to the conceptualisation and treatment of problem drinking. The presentation will be highlighting the role played by metacognitive beliefs, extended thinking and thought suppression in the development and escalation of problem drinking. Professor Spada will also review the type of interventions used in Metacognitive Therapy for the treatment of problem drinking and their efficacy.
London iCAAD 2019 - Prof Marcantonio Spada - DESIRE THINKING: A NEW TREATMENT...iCAADEvents
This workshop will illustrate and explore the concept of desire thinking and its relevance to addictive behaviours. Examples of key treatment interventions for interrupting desire thinking will be introduced.
Pre-workshop Reading
Caselli, G. & Spada, M. M. (2016). Desire thinking: A new target for treatment of addictive behaviors? International Journal of Cognitive Therapy, 9(4), 344-355.
Workshop Learning Objectives
1. To conceptualise desire thinking.
2. To understand the application of basic treatment interventions aimed at interrupting desire thinking.
This document summarizes a presentation on cognitive remediation for schizophrenia. Cognitive remediation aims to improve cognitive processes like attention, memory, and executive function through behavioral training interventions. It relies on neuroplasticity to strengthen connections in the brain. Exercises target basic sensory skills, discrete cognitive abilities, and more complex skills. Studies find cognitive remediation improves cognition, functioning, and motivation, especially when treatment is more intensive, motivational factors are incorporated, and exercises are personalized. Typical programs involve cognitive assessment, goal setting, group sessions 2+ times per week for 3-4 months using drill and strategy practice, and bridging to real-world skills.
Cognitive Impairment in Patients Hospitalized For Acute Coronary Syndromes SA...HMO Research Network
Cognitive impairment is common in patients hospitalized for acute coronary syndromes (ACS), affecting up to 40% of patients. The current study aimed to examine the prevalence and factors associated with cognitive impairment among patients hospitalized for ACS. It found that 31% of over 1,100 ACS patients showed cognitive impairment. Older age, lower education, non-white race, high anxiety, and poorer quality of life were independently associated with cognitive impairment. The high prevalence indicates a need for increased screening and tailored care during and after hospitalization.
POPPI: Provision Of Psychological support to People in Intensive care - Kathy...Intensive Care Society
Kathy is founder and Director of ICNARC and works within a team of audit, research, IT and administrative staff. ICNARC’s aim is to facilitate improvements in the organisation and practise of critical care through a broad programme of audit and research.
In 2004, Kathy was awarded the Humphry Davy Medal by the Royal College of Anaesthetists as a mark of distinction for her significant contribution to critical care. More recently, Kathy completed a Harkness Fellowship in Health Care Policy in the USA (Nov 2004 to Oct 2005).
Kathy is an Honorary Professor in the Department of Public Health and Policy at the London School of Hygiene and Tropical Medicine.
Measuring the right outcomes in mental healthJohn Brazier
This talk presents the findings of an MRC study on whether the generic health measures of EQ-5D and SF-36 are valid in mental health. It uses mixed methods research (including interviews with service users) to show that these measures miss important ways in which mental health impacts on people's lives. It proposes 7 themes that seem to capture the important domains of recovery for people with mental health problems that provide the basis for a new generic outcome measure for mental health.
N.B. These slides were presented at the 20th Anniversary of the Centre for Mental and Physical Health Economics, 7th November 2013.
This document summarizes research on cognitive remediation therapy (CRT) for various mental health conditions. It discusses CRT approaches for schizophrenia, including evidence that CRT improves cognitive functioning and psychosocial outcomes. It also explores using CRT for other disorders like bipolar disorder, depression, Alzheimer's, and ADHD. For many conditions, initial studies show benefits of CRT for cognition, symptoms, and functioning, though more research is still needed.
Outcomes of Online Mindfulness-Based Cognitive Therapy for Patients With Residual Depressive SymptomsA Randomized Clinical Trial
Zindel V. Segal, PhD1; Sona Dimidjian, PhD2; Arne Beck, PhD3; et alJennifer M. Boggs, PhD3; Rachel Vanderkruik, MA2; Christina A. Metcalf, MA2; Robert Gallop, PhD4; Jennifer N. Felder, PhD5; Joseph Levy, BA2
Author Affiliations
JAMA Psychiatry. Published online January 29, 2020. doi:10.1001/jamapsychiatry.2019.4693
Significance for fasd
Teleassistance and health related quality of life in people with neuromuscula...HTAi Bilbao 2012
This document summarizes a research study on tele-assistance for people with neuromuscular disorders. The study involved 45 participants across two groups: an experimental group that received tele-assistance and a control group. The tele-assistance included weekly videoconference sessions with a psychologist and neurologist as well as an online forum. Measures showed improvements in health-related quality of life, reduced feelings of isolation, and high satisfaction rates for those receiving tele-assistance. However, the study had some limitations such as a non-randomized sample and difficulties for computer illiterate participants. Overall, the findings suggest tele-assistance can benefit people with neuromuscular disorders.
coQoL: co-calibrating physical and psychological outcomes and consumer wearab...Vlad Manea
Thank You for referencing this work, if you find it useful!
Citation of a related scientific paper:
Manea, V., & Wac, K. (2020). Co-Calibrating Physical and Psychological Outcomes and Consumer Wearable Activity Outcomes in Older Adults: An Evaluation of the coQoL Method. Journal of Personalized Medicine, 10(4), 203. DOI https://doi.org/10.3390/jpm10040203
1) This study examined social cognition, specifically theory of mind (ToM), in 28 patients with pediatric-onset multiple sclerosis compared to 32 healthy controls.
2) Results showed that the MS group performed worse on tasks measuring facial recognition of emotions and identifying beliefs/knowledge of others.
3) ToM deficits were not fully explained by processing speed, disease characteristics, or demographic factors.
Clinical Guidelines for the Management of AnxietyYouNHealth.Com
Management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care
The document provides information about the Master's Programme in Economic and Consumer Psychology at Leiden University. It introduces the teaching staff, course requirements, thesis process, internship, and frequently asked questions. Students must complete four obligatory courses, electives, a thesis proposal, internship, and colloquia for a total of 60 credits over one year. The programme aims to understand theories and research in economic psychology and apply skills in laboratory or field settings.
The effect of Co-Cirricular activities on working memory and Response inhibit...spastudent
This document summarizes a study that examined the effect of co-curricular activities (CCAs) on working memory and response inhibition in primary school children. The study hypothesized that both sports and non-sports CCAs would have positive effects on working memory and response inhibition. Sixty primary school children were tested at baseline and after 18 weeks of participating in either a sports or non-sports CCA using the DOT-A and Stroop tests. The results found that both sports and non-sports CCAs improved working memory as measured by the DOT-A test, but there was insufficient evidence that CCAs improved response inhibition as measured by the Stroop test. The study concluded that CCAs may
This study evaluated the safety and feasibility of using deep transcranial magnetic stimulation (dTMS) for acute and maintenance treatment of depression. Nine patients with treatment-resistant depression received four weeks of daily dTMS followed by 8 weeks of twice weekly and 10 weeks of once weekly maintenance dTMS. Results showed significant improvement in depression scores from baseline to the end of acute treatment based on the Hamilton Depression Rating Scale. Improvement was also seen on the Beck Depression Inventory and Clinical Global Impression scales. No serious adverse events occurred, indicating dTMS may be a safe and effective treatment for depression. However, the study was limited by the lack of a sham control group.
Cognitive rehabilitation aims to help recover mental functions impaired by brain injury through restoration, substitution, and restructuring approaches. Computerized cognitive rehabilitation (CACR) uses computer programs and exercises to retrain impaired cognitive skills. It provides personalized feedback and reinforcement through tasks of increasing difficulty. Research shows CACR improves attention, memory, and executive functions in patients with brain injuries, learning disabilities, schizophrenia, substance abuse disorders, depression, and multiple sclerosis compared to control groups. CACR appears as effective as traditional face-to-face rehabilitation with similar costs. Issues include variability in brain injury characteristics and rehabilitation programs across studies.
Psychological aspects of CAT: seeking item selection rules which do not decre...Tetsuo Kimura
The document discusses two studies on the psychological effects of computerized adaptive tests (CATs). The first study found that most test takers found the CAT very difficult and felt discouraged after taking it. The second study manipulated item selection rules to target slightly easier items. It found that this led test takers to feel the CAT was less difficult and feel more satisfied with the experience. The studies suggest item selection rules should balance information gain with avoiding decreases in test takers' self-efficacy and motivation.
Critical appraisal of evidence/journal clubdassoumitradr
journal club: A Randomized Double-Blind Study of Risperidone
and Olanzapine in the Treatment of Schizophrenia
or Schizoaffective Disorder(Am J Psychiatry 2001; 158:765–774)
Cognitive behavior therapy and interpersonal therapy have both shown efficacy in treating major depressive disorder among adolescents and emerging adults. Cognitive behavior therapy focuses on identifying and changing maladaptive thoughts and behaviors, while interpersonal therapy examines interpersonal relationships and communication styles. Research has found that both therapies effectively reduce depressive symptoms, though cognitive behavior therapy may be more effective for severe depression. Overall, cognitive behavior therapy and interpersonal therapy provide clients with skills to aid them post-treatment.
Cognitive Behavioral Therapy (CBT) of AnxietyDavid Walczyk
An overview of Cognitive Behavior Therapy (CBT) for anxiety and, in particular, generalized anxiety disorder (GAD). The clinical case material portion of presentation has been removed.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Providing an overview of CBT and tools and techniques suitable for licensed mental health and addictions professionals and coaches.
★★You can sign up for the live presentation or the on-demand replay to earn CEUs at: https://www.allceus.com/member/cart/index/search?q=cognitive+behavioral ★★
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron.
Pinterest: drsnipes
https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Adlerian therapy focuses on encouraging clients to overcome feelings of inferiority and develop social interest and contribution. The therapist works collaboratively with the client to identify mistaken beliefs and goals, and set new, socially-useful goals to work towards. Birth order and family dynamics are explored but the present, not the past, is emphasized. Techniques include reinterpreting experiences, acting as if new roles are possible, and avoiding getting stuck in the client's perceptions. The goal is helping clients perceive themselves as equal and in control of their own fate.
Cognitive behavior therapy theory and practiceWuzna Haroon
Cognitive behavioral therapy (CBT) was developed in the 1960s by Aaron Beck based on his research challenging the psychoanalytic view of depression. Beck observed that depressed clients had negative biases in interpreting events that contributed to cognitive distortions. He developed CBT which focuses on identifying and modifying dysfunctional thoughts and beliefs. The key assumptions of CBT are that cognitions influence behaviors and emotions, and that maladaptive thinking can be identified and changed. Common techniques include cognitive restructuring to challenge irrational thoughts, behavioral experiments, and homework assignments.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
We review signs of relapse in the following areas: emotional, mental, physical, social. We explore triggers and how to eliminate negative triggers and add triggers for recovery behaviors.
Alfred Adler developed Adlerian therapy based on his experiences growing up in Vienna. Key aspects of Adlerian therapy include viewing human behavior as goal-oriented and purposeful, focusing on social relationships and community feeling rather than internal drives, and helping clients overcome feelings of inferiority by identifying and changing mistaken beliefs about themselves and life. The therapeutic process involves forming a collaborative relationship, exploring the client's lifestyle and goals, and encouraging new insights to promote social interest and contribution to society.
1) Preliminary results from the Norwegian TF-CBT study show that TF-CBT was more effective than TAU in reducing children's PTSD, depression, and anxiety symptoms.
2) Parental emotional reactions and post-trauma cognitions may mediate treatment outcomes. Parents in both groups reported less distress and depression over time, and changes in parental distress were related to child outcomes. Changes in children's post-trauma cognitions also predicted symptom reduction.
3) A stronger therapeutic alliance was associated with better outcomes for children receiving TF-CBT but not TAU, suggesting alliance may be an active ingredient in TF-CBT specifically.
An open trial was conducted to evaluate the effectiveness of a brief, school nurse-delivered cognitive behavioral therapy (CALM) intervention for reducing anxiety in children. Nine school nurses delivered the six-session CALM intervention to 11 anxious children ages 5-11. Measures from children, parents, teachers, and evaluators showed statistically significant reductions in parent- and child-reported anxiety and somatic symptoms, as well as improvements in clinical severity ratings and functioning after the intervention. The majority of nurses, parents, and children perceived the intervention as helpful. However, the open trial design without a comparison group limits conclusions about the intervention's efficacy.
This document summarizes research on depression in early stage dementia and the development of an intervention called IDEA (Intervention to prevent Depressive symptoms and promote well-being in EArly stage dementia). It finds depression is common in dementia, with risks including age, agitation, and sleep disturbances. Existing treatments show little evidence but behavioral activation shows promise. IDEA aims to develop and test in an RCT a behavioral activation intervention for early stage dementia to prevent depression. It involves consulting people with dementia and carers to develop a treatment manual and will examine feasibility and acceptability.
CBT skills usage after receiving internet-delivered cognitive behavioral therapy (iCBT) was assessed to understand its role in maintaining treatment effects. 77 participants completed measures of depression, anxiety and functioning before, immediately after, and 3 months after iCBT. Symptoms significantly improved post-treatment and were maintained at follow-up. At follow-up, participants reported frequently using cognitive and behavioral CBT skills. While CBT skills usage predicted immediate outcomes, it did not predict maintenance of effects at 3-month follow-up, suggesting other factors may be involved in long-term outcomes.
This document summarizes a study on the effectiveness of cognitive behavioral therapy (CBT) for children in private practice. The study found that CBT significantly reduced children's behavioral problems, anxiety, and depression from pre- to post-treatment. It also increased children's ratings of well-being and therapeutic alliance. While depression symptoms decreased, they remained in the clinical range. Having more treatment sessions and including parents may further improve outcomes.
This study examined emotional impulsivity in children with ADHD based on ratings from parents using an ecological momentary assessment over 28 days. It found that children with ADHD and a comorbid internalizing or externalizing disorder had significantly more variability in their emotions compared to children with ADHD alone or controls. This suggests emotional impulsivity is associated more with comorbid psychopathology rather than just ADHD symptoms. The results imply interventions should target emotional regulation especially for children with both ADHD and another disorder.
Interpersonal Psychotherapy for Adolescents – Dr Roslyn LawCYP MH
This document provides information on interpersonal psychotherapy for adolescents (IPT-A). It discusses the structure and treatment objectives of IPT-A, which focuses on resolving interpersonal problems that may be contributing to or maintaining adolescent depression. IPT-A is delivered over 12-16 weekly sessions and involves the adolescent's social network. The document outlines the evidence base for IPT-A and discusses how it is being implemented within the Child and Young Person IAPT program to increase access to this effective treatment.
Intervento di Peter Sturmey - The Graduate Center and Queens College, City University of New York - "Il trattamento dei disturbi del comportamento e autolesionismo nelle persone con spettro autistico" al preconvegno del "5 Convegno Autismi" organizzato dal Centro Studi Erickson il 14 e 15 ottobre a Rimini.
The document discusses the implementation of The Incredible Years program. It describes the different levels of prevention and intervention the program provides, from universal prevention targeting the general population to treatment for diagnosed disorders. It explains the dissemination and adaptation process, including assessing community needs and agency readiness. The implementation strategy includes selecting target populations, training staff, and providing ongoing supervision. Sustainability efforts aim to prevent organizational deterioration and drift from the program model over time. Research studies on the program's effects in Norway and Russia are summarized.
Strengthening the mother-child relationship following domestic abuseBASPCAN
This document summarizes the evaluation findings of an innovative 10-week programme called Domestic Abuse Recovering Together (DART) that aims to rebuild the mother-child relationship following domestic abuse. The mixed-methods evaluation found that mothers who completed DART reported greater self-esteem, more confidence in parenting, and warmer relationships with their children. Children of mothers in DART displayed fewer behavioral and emotional difficulties compared to a comparison group. The evaluation identified some barriers to the program such as a lack of flexibility in the original manual and disruptive contact with perpetrators, but concluded that DART is an effective approach with potential to support recovery after domestic abuse.
Valuing paediatric preference-based measures: using a discrete choice experim...cheweb1
This document outlines a study valuing the CHU-9D-NL, a pediatric preference-based quality of life measure, using an online discrete choice experiment with Dutch adults. It discusses challenges in valuing pediatric quality of life, including whose preferences to use and perspective to adopt. The study used adult general population preferences from their own perspective to allow comparability. Results generated sensible utility decrements, though with some inconsistencies and contrast to prior UK valuations. The study provides insights into valuing pediatric quality of life but also raises issues around appropriate perspective and population.
Improving access to evidence-based treatment for children and adolescents aft...BASPCAN
This document summarizes a randomized controlled trial that evaluated a case management intervention to improve access to evidence-based treatment for children who experienced abuse and neglect. The study found that children who experienced abuse and neglect have high rates of mental health disorders but many barriers prevent them from receiving effective treatments. The case management intervention was designed to help families overcome barriers and navigate the healthcare system to receive evidence-based treatments. The randomized trial assigned 99 children either to the case management intervention or usual care. Preliminary results found the intervention was feasible and acceptable to caseworkers. Further evaluation will assess whether the intervention leads to more referrals to evidence-based treatment and better mental health outcomes for children.
Outcomes for children and young people seen in specialist mental health servicesNHSECYPMH
This workshop aims to enable viewers to take evidence from recent research as well as the collective ‘on the ground’ learning from the Child Outcomes Research Consortium (CORC) members and apply it to their service or individual practice in order to improve mental health outcomes for children and young people.
The AD8 screening test was evaluated on 334 Turkish geriatric outpatients with memory complaints. [1] The AD8 was found to be a valid and reliable tool for detecting mild cognitive impairment and dementia in this population. [2] It demonstrated high sensitivity (100%) and specificity (96.3%) for diagnosing MCI and dementia according to DSM-5 criteria. [3] The AD8 is a practical screening test that can help diagnose cognitive impairment, especially in primary care settings.
This evaluation summarizes the results of a community-based, peer-support trauma recovery program that showed significant improvements in mental health. A total of 98 participants completed validated psychological assessments before and 6 months after the program. Key results included significant reductions in psychological distress, mental health disorders, addiction issues, and dysfunctional parenting behaviors. Participants also reported improvements in health, relationships, and satisfaction with the program. While the study design did not include a control group, the results provide compelling evidence that the peer-support trauma recovery model helped participants in recovering from the effects of childhood trauma.
Three well-designed studies found that group cognitive behavioral interventions for individuals at risk of panic disorder can effectively reduce panic and agoraphobic symptoms. The strongest treatment gains came from multi-session group programs that included education, breathing retraining, exposure exercises, and cognitive restructuring. A single-day workshop format was also effective in reducing panic symptoms and risk of panic disorder onset at 6-month follow up. However, brief interventions and unguided online self-help programs showed limited effectiveness. Comprehensive 8-week group treatments or single-day workshops including exposure techniques are recommended.
This document summarizes Peter Fonagy's presentation on psychotherapy for emerging borderline personality disorder. It discusses what is known about treating BPD in adolescence, including evidence for DBT, MBT, ERT, HYPE, and pharmacotherapy. It also summarizes results from RCTs comparing MBT to treatment as usual, finding that MBT was more effective in reducing self-harm, depression, BPD traits, and improving mentalization and attachment. The document considers whether BPD can be validly diagnosed in adolescence and reviews prevalence studies showing similar rates to adults.
This document provides an introduction to various psychotherapies. It discusses psychodynamic therapies including Freudian psychoanalysis and object relations theory. It covers humanistic therapies developed by Rogers and Maslow. Family systems therapies such as structural therapy and strategic therapy are outlined. The document also summarizes cognitive-behavioral therapy and its foundations in classical and operant conditioning. It provides brief biographies of important psychotherapists such as Freud, Jung, Adler, Winnicott, and Beck. Common factors across therapies like the therapeutic relationship are also mentioned.
The document discusses Tiltti, a Finnish project that provides peer support and information for problem gamblers. It was started in 2010 and is funded by RAY. Tiltti is part of the Finnish Blue Ribbon organization and provides individual counseling, treatment referrals, group support activities, and an open door walk-in space. Tiltti also collaborates with the Gambling Clinic to provide specialized treatment and peer support groups for those who have not engaged with other services or are at risk of dropping out of treatment. One such group is the Tuesday group, designed for people who want to quit gambling but find it difficult to start a formal therapy process.
Problem gambling, gambling dependency and gambling addiction as described by health and social workers in focus groups interviews- Gapro care Åland. Anette Häggblom, Åland University of Applied Sciences
Culturally adapted health care, why and how? Kulturelt tilpassede helsetjenester, hvorfor og hvordan? Ole Mathis Hetta, Saami Public Health/samisk samfunnsmedisin.
The document discusses issues around disability and access to substance abuse programs in Finland. It notes that a 2007 survey found over 12,000 cases involving people with disabilities, including visual impairments, hearing impairments, physical disabilities, and developmental or neurological disorders. It describes projects by the Finnish Blue Ribbon organization to prevent harms from intoxicants for people with disabilities and improve collaboration between disability and substance abuse services. The current VAPA program works to promote cooperation across sectors, advocate for recognition of disability issues, and ensure access to information on intoxicant issues for people with disabilities.
The document summarizes Telemark County's public health program, known as the Telemark Model. The model aims to promote health and reduce health differences among the population of Telemark through initiatives in kindergartens and schools. It focuses on children, youth, and the elderly. The program establishes health as a priority in planning and uses a holistic approach. Key aspects include healthy eating, physical activity, and mental health programs. Cooperation with stakeholders and national initiatives helps drive implementation. Evaluation found the school setting effective for reaching people and establishing healthy habits early.
The document discusses a health initiative in the Alna district of Oslo, Norway aimed at starting health information and physical activities for women. The main goals are to promote equal health opportunities and reduce differences through health education programs, language classes, and physical activity groups. Over 180 women regularly participate in training and education. Challenges include communication barriers due to language and cultural differences, as well as securing long-term funding. Next steps involve integrating health topics into language courses and expanding empowerment programs.
Den nya lagen om hälso- och sjukvård stöder strukturerna och processerna i främjandet av välfärd och hälsa. Taru Koivisto, Social- och hälsovårdsministeriet i Finland.
Quality of care after first acute myocardial infarction (AMI) a comparison of native Danes and immigrants from Turkey, Pakistan and the former Yugoslavia. Nana Folmann Hempler, University of Copenhagen
Public Health Statistics: why and how? Facts - analysis - plan - action: A better foundation for improving Public Health. Pål Harald Kippenes, Directorate of Health, Norway.
The NDPHS is a partnership committed to improving health and social well-being in Northern Europe. It aims to promote sustainable development through cooperation across several sectors, including economic, security, research, environment, and health. The NDPHS works to reduce communicable diseases like HIV/AIDS and tuberculosis, and prevent lifestyle-related non-communicable diseases. It develops policy recommendations, facilitates regional projects, and disseminates information to stakeholders. The partnership also takes a leading role in the EU Strategy for the Baltic Sea Region to address health priorities in the region.
This document discusses health promotion in Finland. It describes a national development program called KASTE that aims to link knowledge management practices to health promotion through measures like prevention, workforce development, and integrated social and health care services. It also describes a regional health promotion program managed through nursing and tools used for health promotion management. Finally, it discusses challenges around knowledge exploitation and the need for training on health promotion strategies and management tools to better implement national health promotion programs at the local level in Finland.
Nfhk2011 eeva häkkinen and anneli luoma-kuikka_parallel9NFHK2011
1. The document discusses the development of Own Health Corners in the Hospital District of Etelä-Savo, Finland to provide citizens with reliable health information and self-care services.
2. There are now 24 Own Health Corners across the region that offer health measurements, information on lifestyle topics, and events.
3. An evaluation found the most popular corners provided personal guidance, while some needed improvements to privacy and comfort. Expanding online resources was also discussed.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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Nfhk2011 jon bjåstad_parallel21
1. Effectiveness of CBT for anxiety
disorders in mental health clinics and
in schools as indicated prevention
Bjåstad JF1, Wergeland GJH1,2, Høye, A3, Fjermestad KW1,2,
Haugland B1,4, Oeding, K1, Öst LG 1,5, Havik O 1,2, Heiervang ER, 1,6.
1 Anxiety Disorders Research Network, Haukeland University Hospital, Norway
2 University of Bergen, Norway
3 Fjell Municipality, Norway
4 Uni Research, Norway
5 Stockholm University, Sweden
6 University of Oslo, Norway
2. Background
• The effect of CBT for childhood anxiety disorders is well
documented in university clinic settings
• Results may not be valid in regular outpatients clinics
– Recruited vs referred children
– Homogenous sample
– Differences in therapist training
• Few effectiveness studies in clinical settings
• Few effectiveness studies on the use of CBT as indicative
prevention in the school health system
3. Study questions:
1. Is ”FRIENDS for life” effective for the treatment of anxiety for
children and adolescents in an outpatient setting?
2. Is ”FRIENDS for life” effective as an indicated prevention
program in a school/youth health center setting?
4. Assessment and Treatment- Anxiety in
Children and Adults (ATACA)
A randomized, controlled, multisite, effectiveness study
of the CBT programme ”Friends for life”.
PI Einar R. Heiervang, Professor
PI Odd E. Havik, Professor
Grant from Western Norway Regional Health Trust
5. Study sites
No of clinics: 7
No of therapists: 16
No of assessors: 16
6. Methods
Participants
• 8-15 year olds, ordinary referrals with a primary anxiety
disorder diagnosis
8. Methods
Intervention
• Friends for Life, 4th ed (Barrett; 2004, 2005)
– Group and Individual format
– Child (8-12) and Youth (12-15) versions
F - feeling worried ?
R - relax and feel good
I - inner thoughts
E - explore plans
N - nice work so reward yourself
D - don’t forget to practice
S - stay calm, you know how to cope now
14. Diagnostic Recovery Rates
• By age
– Children 41%
– Adolescents 38%
• No statistically significant differences with respect to age
group/treatment format an diagnostic recovery rates
15. SCAS and SMFQ
• Moderate effect sizes found for
– SCAS self-report
– SCAS parent report
• Moderate effect sizes found for
– SMFQ self report
– SMFQ parent report
• No statistically significant differences between ICBT and
GCBT on SCAS and SMFQ
16. Conclusions
• CBT is effective in the treatment of anxiety with children and
adolescents in ordinary outpatient clinics.
• No significant effect found for treatment format post-treatment
(group versus individual).
• Dropout rate lower than in ordinary outpatient clinics.
17. An early school-based group intervention for
youths with anxiety and depression
symptoms
A study of the CBT programme ”Friends for life”.
in Fjell Municipality, Norway
18. Methods
Participants
• 36 children/ adolescents from 8 schools with anxiety
and/or depression symptoms
• Ages 8-15 yrs old (M= 11.8)
• 12 boys and 24 girls
Recruitment
• Recruited through contact with the school health-service
or psychologist working in the municipality
19. Methods
Measures
• Spence Children Anxiety Scale; SCAS (Spence,1998).
• The Mood & Feelings Questionnarie; MFQ (Costello &
Angold, 1988).
• The Strength and Difficulties Questionnarie; SDQ
(Goodman,1997).
20. Methods
Design
• Open non-randomization study.
• Included 3 months follow up (only child report)
Intervention groups
• Total of 4 ”FRIENDS for life” groups
• 2 in primary school, 1 in secondary school and 1 at a
Youth Health Centre.
21. SCAS
40
35
30
SCAS total Score
25
20 Parents
15 Children
10
5
0
Pre Post 3 mnt
22. MFQ
25
20
MFQ total score
15
Parents
10
Children
5
0
Pre Post 3 mnt
23. Conclusions
• The “FRIENDS for life” program was effective in reducing anxiety
and depression symptoms in this sample
• The children and adolescents reported that they liked participating in
the groups, and dropout-rate was low (8%).
• The school health service can be an important arena for
implementing CBT as indicated prevention
24. Implications
• ”FRIENDS for life” is effective in regular
mental health clinics and as an indicated
prevention program in the school health
service system.
27. Project Group – ATACA study
• Einar R. Heiervang, Professor, University of Oslo
• Odd E. Havik, Professor, Institute of Clinical Psychology, University of Bergen.
• Bente S. Haugland, Dr. Psychol. Centre for Child and Adolescent Metal Health, Western Norway
• Kristin Oeding, Cand. Psychol. Institute of Clinical Psychology, University of Bergen
• Gerd Kvale, Professor, Institute of Clinical Psychology, University of Bergen.
• Jon F. Bjåstad, Doctor of Clinical Psychology, Clinical supervisor
• Gro Janne H. Wergeland, Cand. Med., PhD-student, Insitute of Clinical Medicin, University of
Bergen.
• Krister W. Fjermestad, Cand. Psychol, PhD- student, Institute of Clinical Psychology, University
of Bergen.
• Lars G. Öst, Professor, Institute of Clinical Psychology, University of Bergen/ Stockholm
University.
• Robert Goodman, MD PhD, professor, Institute of Psychiatry, King's College London.
28. Timeframe ATACA study: Child part
2007 2008 2010 2015
Clinical trials Main study 182 pts End of 5 year
Instruments inclusion included follow-up
Pilot Last treatment assessment
by 02/2011.
2006 2011
Organization End of 1 year
Design follow-up
Recruitment assessment