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Terapia cognitivo-comportamental da fobia social; Cognitive-behavioral therapy in social phobia

ITO, Lígia M; ROSO, Miréia C; TIWARI, Shilpee; KENDALL, Philip C; ASBAHR, Fernando R
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
96.23%
OBJETIVO: Este artigo revisa aspectos relevantes da fobia social e os estágios de tratamento através da terapia cognitivo-comportamental em crianças, adolescentes e adultos. MÉTODO: A partir do banco de dados Medline, realizou-se revisão da literatura publicada a respeito do tratamento da fobia social por meio da terapia cognitivo-comportamental. RESULTADOS: Revisão da literatura sugere que a fobia social é uma condição prevalente e crônica, caracterizada por inibição social e timidez excessiva. Tanto o diagnóstico como o tratamento desse transtorno são comumente determinados pelo nível de incômodo e pelo prejuízo funcional. Estudos populacionais indicam taxas de prevalência ao longo da vida para a fobia social entre 2,5 e 13,3%. As principais técnicas utilizadas na terapia cognitivo-comportamental para a fobia social são descritas e exemplificadas em um relato de caso. CONCLUSÕES: Há consenso geral na literatura de que a terapia cognitivo-comportamental é eficaz tanto para o tratamento de jovens como de adultos com fobia social. Uma vez que a fobia social com freqüência tem início precoce, a identificação de crianças com risco acentuado para o desenvolvimento de fobia social deve ser priorizada em investigações futuras.; OBJECTIVE: This article reviews relevant aspects of social phobia and the stages of treatment within cognitive-behavioral therapy in children and adolescents...

Group cognitive-behavioral therapy versus selective serotonin reuptake inhibitors for obsessive-compulsive disorder: A practical clinical trial

Belotto-Silva, Cristina; Diniz, Juliana Belo; Malavazzi, Dante Marino; Valerio, Carolina; Fossaluza, Victor; Borcato, Sonia; Seixas, Andre A.; Morelli, Dawn; Miguel, Euripedes Constantino; Shavitt, Roseli Gedanke
Fonte: PERGAMON-ELSEVIER SCIENCE LTD; OXFORD Publicador: PERGAMON-ELSEVIER SCIENCE LTD; OXFORD
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
96.06%
Clinical effectiveness of group cognitive-behavioral therapy (GCBT) versus fluoxetine in obsessive-compulsive disorder outpatients that could present additional psychiatric comorbidities was assessed. Patients (18-65 years; baseline Yale-Brown Obsessive-Compulsive-Scale [Y-BOCS] scores >= 16; potentially presenting additional psychiatric comorbidities) were sequentially allocated for treatment with GCBT (n = 70) or fluoxetine (n = 88). Mean Y-BOCS scores decreased by 23.13% in the GCBT and 21.54% in the SSRI groups (p = 0.875). Patients presented a mean of 2.7 psychiatric comorbidities. and 81.4% showed at least one additional disorder. A reduction of at least 35% in baseline Y-BOCS scores and CGI ratings of 1 (much better) or 2 (better) was achieved by 33.3% of GCBT patients and 27.7% in the SSRI group (p = 0.463). The Y-BOCS reduction was significantly lower in patients with one or more psychiatric comorbidities (21.15%, and 18.73%, respectively) than in those with pure OCD (34.62%; p = 0.034). Being male, having comorbidity of Major Depression, Social Phobia, or Dysthymia predicted a worse response to both treatments. Response rates to both treatments were similar and lower than reported in the literature, probably due to the broad inclusion criteria and the resulting sample more similar to the real world population. (C) 2011 Elsevier Ltd. All rights reserved.

Efeitos de um programa de intervenção cognitivo-comportamental em grupo para crianças obesas; Effects of a group cognitive-behavioral intervention program for obese children

Luiz, Andreia Mara Angelo Gonçalves
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 14/03/2011 PT
Relevância na Pesquisa
86.15%
A obesidade infantil é considerada um grave problema de saúde pública, tem aumentado de forma significativa e resulta em complicações físicas e psicológicas. O presente trabalho teve como objetivo verificar efeitos de um programa de intervenção cognitivo-comportamental em grupo com crianças obesas sobre a qualidade de vida, depressão, ansiedade, comportamento alimentar e índice de massa corpórea, quando comparados com um grupo controle. Participaram do estudo 65 crianças e suas mães, divididas em grupo experimental (n=35) e grupo controle (n=30) que foram avaliadas em três momentos: avaliação inicial, reavaliação (após 10 semanas) e seguimento (após de seis meses). Nas avaliações as mães responderam ao Questionário do Comportamento Alimentar em Crianças (CEBQ) e nas crianças foram aplicados o Questionário de Avaliação de Qualidade de Vida em Crianças e Adolescentes (AUQEI), o Inventário de Depressão Infantil (CDI) e a escala de ansiedade O Que Penso e Sinto (OQPS). O grupo experimental foi submetido a um programa de intervenção psicológica baseado no modelo da Terapia Cognitivo - Comportamental. Este programa constou de 10 sessões semanais com duas horas de duração cada. Durante o programa foram utilizadas as técnicas: formulação e psicoeducação...

Terapia cognitivo-comportamental no transtorno de pânico; Cognitive-behavioral therapy in panic disorder

Manfro, Gisele Gus; Heldt, Elizeth Paz da Silva; Cordioli, Aristides Volpato; Otto, Michael W.
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
POR
Relevância na Pesquisa
86.26%
Objetivo: O transtorno de pânico é uma condição crônica e recorrente que prejudica a qualidade de vida e o funcionamento psicossocial dos portadores. Embora os medicamentos sejam efetivos na redução dos ataques de pânico, muitos pacientes não respondem adequadamente a essas intervenções. A terapia cognitivo-comportamental fornece um método alternativo eficaz para tratar transtorno de pânico e evitação agorafóbica. O objetivo do estudo é o de descrever o uso de técnicas cognitivo-comportamentais no tratamento do transtorno de pânico. Método: Revisão narrativa a partir dos bancos de dados do Medline, SciELO e PsycInfo e de livros-texto especializados. Resultados: Foram descritos os fundamentos da terapia cognitivo-comportamental no tratamento do transtorno pânico e revisadas as evidências de eficácia em curto e longo prazos. O uso de medicação concomitante a terapia cognitivo-comportamental foi também discutido. Conclusões: A terapia cognitivo-comportamental individual ou em grupo é eficaz para pacientes com transtorno de pânico, seja como tratamento de primeira linha ou como um próximo passo para pacientes com resposta parcial a outros tratamentos.; Objective: Panic disorder is a chronic and recurrent condition that impairs an individual’s psychosocial functioning and quality of life. Despite the efficacy of psychopharmacological treatment in reducing panic attacks...

Brief cognitive-behavioral therapy for weight loss in midlife women: A controlled study with follow-up

Pimenta, Filipa; Leal, Isabel Pereira; Maroco, João; Ramos, Catarina
Fonte: Dovepress Publicador: Dovepress
Tipo: Artigo de Revista Científica
Publicado em //2012 ENG
Relevância na Pesquisa
96.09%
Objective: Cognitive-behavioral therapy (CBT) has proven to be effective in weight reduction. This study explores whether individual, 8-session CBT can promote weight loss in midlife women. Methods: Anthropometric (weight, abdominal perimeter, and body mass index calculation), psychological (health-related and sexual quality of life, stress, anxiety, and depression), and behavioral measures (binge eating disorder and restrained, external, and emotional eating) were assessed at baseline (T1), posttreatment (T2), and 4-month follow-up (T3), for a total of 21 women at baseline; the CBT group (n = 11) and the control group (n = 10; waiting list) were comparedResults: Statistically significant effects that were dependent on the intervention were observed on weight (F = 4.402; P = 0.035; ηp2 = 0.404; π = 0.652) and body mass index (F = 3.804; P = 0.050; ηp2 = 0.369; π = 0.585); furthermore, marginally significant effects were observed on external eating (F = 2.844; P = 0.095; ηp2 = 0.304; π = 0.461). At follow-up, women in the CBT group presented with lower weight, abdominal perimeter, body mass index, and external eating; higher health-related quality-of-life and restrained eating were also observed in this group. Most differences identified were at a marginally significant level. Moreover...

Cognitive-behavioral therapy for anxiety disorders in children and adolescents: a systematic review of follow-up studies

Davis,Roberta; Souza,Maria Augusta Mansur de; Rigatti,Roberta; Heldt,Elizeth
Fonte: Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro Publicador: Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 EN
Relevância na Pesquisa
96.06%
Objective To conduct a systematic review about the long-term response to cognitive-behavioral therapy (CBT) for anxiety disorders (ADs) in children and adolescents. Methods The PubMed and ISI Web of Science databases were consulted. Search in the databases was performed in November 2012 and included cohort studies after CBT for ADs in children and adolescents with a follow-up period over 12 months. Results A total of 10 papers met the inclusion criteria. The follow-up period ranged from 12 months to 13 years and the results generally showed maintenance of the short-term benefits with CBT. However, the studies presented limitations, especially regarding methods, such as lack of a control group and losses to follow-up. Conclusion The long-term benefits of CBT were identified, however it would be interesting to conduct other studies with more frequent assessment periods, in order to minimize losses to follow-up, in addition to evaluating children and adolescents in the various stages of their development.

Efficacy of cognitive behavioral therapy in reducing psychiatric symptoms in patients with implantable cardioverter defibrillator: an integrative review

Maia,A.C.C.O.; Braga,A.A.; Soares-Filho,G.; Pereira,V.; Nardi,A.E.; Silva,A.C.
Fonte: Associação Brasileira de Divulgação Científica Publicador: Associação Brasileira de Divulgação Científica
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2014 EN
Relevância na Pesquisa
96.14%
This article is a systematic review of the available literature on the benefits that cognitive behavioral therapy (CBT) offers patients with implanted cardioverter defibrillators (ICDs) and confirms its effectiveness. After receiving the device, some patients fear that it will malfunction, or they remain in a constant state of tension due to sudden electrical discharges and develop symptoms of anxiety and depression. A search with the key words “anxiety”, “depression”, “implantable cardioverter”, “cognitive behavioral therapy” and “psychotherapy” was carried out. The search was conducted in early January 2013. Sources for the search were ISI Web of Knowledge, PubMed, and PsycINFO. A total of 224 articles were retrieved: 155 from PubMed, 69 from ISI Web of Knowledge. Of these, 16 were written in a foreign language and 47 were duplicates, leaving 161 references for analysis of the abstracts. A total of 19 articles were eliminated after analysis of the abstracts, 13 were eliminated after full-text reading, and 11 articles were selected for the review. The collection of articles for literature review covered studies conducted over a period of 13 years (1998-2011), and, according to methodological design...

Internet and video game addictions: a cognitive behavioral approach

Lemos,Igor Lins; Abreu,Cristiano Nabuco de; Sougey,Everton Botelho
Fonte: Faculdade de Medicina da Universidade de São Paulo Publicador: Faculdade de Medicina da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
86.14%
Background While several benefits are attributed to the Internet and video games, an important proportion of the population presents symptoms related to possible new technological addictions and there has been little discussion of treatment of problematic technology use. Although demand for knowledge is growing, only a small number of treatments have been described. Objective To conduct a systematic review of the literature, to establish Cognitive Behavioral Therapy (CBT) as a possible strategy for treating Internet and video game addictions. Method The review was conducted in the following databases: Science Direct on Line, PubMed, PsycINFO, Cochrane Clinical Trials Library, BVS and SciELO. The keywords used were: Cognitive Behavioral Therapy; therapy; treatment; with association to the terms Internet addiction and video game addiction. Given the scarcity of studies in the field, no restrictions to the minimum period of publication were made, so that articles found until October 2013 were accounted. Results Out of 72 articles found, 23 described CBT as a psychotherapy for Internet and video game addiction. The manuscripts showed the existence of case studies and protocols with satisfactory efficacy. Discussion Despite the novelty of technological dependencies...

Cognitive behavioral therapy in combination with systemic family therapy improves mild to moderate postpartum depression

Hou,Yongmei; Hu,Peicheng; Zhang,Yongmei; Lu,Qiaoyun; Wang,Dandan; Yin,Ling; Chen,Yaoqi; Zou,Xiaobo
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2014 EN
Relevância na Pesquisa
96.11%
Objective: To explore the effect of cognitive behavioral therapy (CBT) in combination with systemic family therapy (SFT) on mild to moderate postpartum depression and sleep quality. Methods: 249 primiparous women with mild to moderate postpartum depression were recruited and randomly assigned to a control group (n=128), which received conventional postpartum care, or to a psychological intervention group (n=121), which received conventional postpartum care combined with psychological intervention. The Edinburgh Postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI) were employed to evaluate depression and sleep quality, respectively. Results: 104 patients in the intervention group and 109 in the control group completed the study. After intervention, the EPDS score, PSQI score, sleep quality score, sleep latency score, sleep duration score, habitual sleep efficiency score, sleep disturbance score, and daytime dysfunction score were significantly lower in the intervention group than in the control group. The EPDS and PSQI scores of each group at different time points after intervention were markedly decreased compared with those before intervention, and the reduction in the intervention group was more evident than that in the control group. Conclusion: CBT in combination with SFT can improve depression and sleep quality in patients with mild to moderate postpartum depression.

Social Disinterest Attitudes and Group Cognitive-Behavioral Social Skills Training for Functional Disability in Schizophrenia

Granholm, Eric; Ben-Zeev, Dror; Link, Peter C.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
86.22%
The majority of clinical trials of cognitive-behavioral therapy (CBT) for schizophrenia have used individual therapy to target positive symptoms. Promising results have been found, however, for group CBT interventions and other treatment targets like psychosocial functioning. CBT for functioning in schizophrenia is based on a cognitive model of functional outcome in schizophrenia that incorporates dysfunctional attitudes (eg, social disinterest, defeatist performance beliefs) as mediators between neurocognitive impairment and functional outcome. In this report, 18 clinical trials of CBT for schizophrenia that included measures of psychosocial functioning were reviewed, and two-thirds showed improvements in functioning in CBT. The cognitive model of functional outcome was also tested by examining the relationship between social disinterest attitudes and functional outcome in 79 people with schizophrenia randomized to either group cognitive-behavioral social skills training or a goal-focused supportive contact intervention. Consistent with the cognitive model, lower social disinterest attitudes at baseline and greater reduction in social disinterest during group therapy predicted better functional outcome at end of treatment for both groups. However...

“Stepped Care”: A Health Technology Solution for Delivering Cognitive Behavioral Therapy as a First Line Insomnia Treatment

Espie, Colin A.
Fonte: Associated Professional Sleep Societies, LLC Publicador: Associated Professional Sleep Societies, LLC
Tipo: Artigo de Revista Científica
Publicado em 01/12/2009 EN
Relevância na Pesquisa
96.06%
There is a large body of evidence that Cognitive Behavioral Therapy for insomnia (CBT) is an effective treatment for persistent insomnia. However, despite two decades of research it is still not readily available, and there are no immediate signs that this situation is about to change. This paper proposes that a service delivery model, based on “stepped care” principles, would enable this relatively scarce healthcare expertise to be applied in a cost-effective way to achieve optimal development of CBT services and best clinical care. The research evidence on methods of delivering CBT, and the associated clinical leadership roles, is reviewed. On this basis, self-administered CBT is posited as the “entry level” treatment for stepped care, with manualized, small group, CBT delivered by nurses, at the next level. Overall, a hierarchy comprising five levels of CBT stepped care is suggested. Allocation to a particular level should reflect assessed need, which in turn represents increased resource requirement in terms of time, cost and expertise. Stepped care models must also be capable of “referring” people upstream where there is an incomplete therapeutic response to a lower level intervention. Ultimately, the challenge is for CBT to be delivered competently and effectively in diversified formats on a whole population basis. That is...

Assessing the Role of Cognitive Behavioral Therapy in the Management of Chronic Nonspecific Back Pain

Sveinsdottir, Vigdis; Eriksen, Hege R; Reme, Silje
Fonte: Dove Medical Press Publicador: Dove Medical Press
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
76.22%
Purpose: The aim of this study is to provide a narrative review of the current state of knowledge of the role of cognitive behavioral therapy (CBT) in the management of chronic nonspecific back pain. Methods: A literature search on all studies published up until July 2012 (PubMed and PsycINFO) was performed. The search string consisted of 4 steps: cognitive behavioral therapy/treatment/management/modification/intervention, chronic, back pain (MeSH term) or low back pain (MeSH term), and randomized controlled trial (MeSH term). The conclusions are based on the results from randomized controlled trials (RCTs) and reviews of RCTs. Interventions were not required to be pure CBT interventions, but were required to include both cognitive and behavioral components. Results: The search yielded 108 studies, with 46 included in the analysis. Eligible intervention studies were categorized as CBT compared to wait-list controls/treatment as usual, physical treatments/exercise, information/education, biofeedback, operant behavioral treatment, lumbar spinal fusion surgery, and relaxation training. The results showed that CBT is a beneficial treatment for chronic back pain on a wide range of relevant variables, especially when compared to wait-list controls/treatment as usual. With regards to the other comparison treatments...

Individual Child Cognitive Behavioral Treatment versus Child-Parent Cognitive Behavioral Treatments for Anxiety Disorders in Children and Adolescents: Comparative Outcomes

Dahan, Jessica
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
Relevância na Pesquisa
86.08%
Anxiety disorders; such as separation anxiety disorder, generalized anxiety disorder, social phobia and specific phobia, are widespread in children and adolescents. Cognitive behavioral therapy (CBT) has been shown to be effective in reducing excessive fears and anxieties in children and adolescents. Research has produced equivocal findings that involving parents in treatment of child anxiety enhances effects over individual CBT (ICBT). The present dissertation study examined whether parental involvement can enhance individual treatment effect if the parent conditions are streamlined by targeting specific parental variables. The first parent condition, Parent Reinforcement Skills Training (RFST), involved increasing mothers’ use of positive reinforcement and decreasing use of negative reinforcement. The second parent condition, Parent Relationship Skill Training (RLST), involved increasing maternal child acceptance and decreasing maternal control (or increasing autonomy granting). Results of the present dissertation findings support the use of all three treatment conditions (ICBT, RLST, RFST) for child anxiety; that is, significant reductions in anxiety were found in each of the three treatment conditions. No significant differences were found between treatment conditions with respect to diagnostic recovery rate...

A dynamic view of comorbid depression and generalized anxiety disorder symptom change in chronic heart failure: the discrete effects of cognitive behavioral therapy, exercise, and psychotropic medication

Tully, P.J.; Selkow, T.; Bengel, J.; Rafanelli, C.
Fonte: Informa Healthcare Publicador: Informa Healthcare
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
96.14%
Abstract Purpose: No previous study has reported upon comorbid depression and anxiety disorders and their treatment in heart failure (HF), which the current study has sought to document. Materials and methods: Total 29 HF patients under psychiatric management underwent primary depression cognitive behavioral therapy (CBT; n = 15) or primary generalized anxiety disorder (GAD) CBT (n = 14), and participated in a community exercise program and standard physician care. Repeated measures analysis of variance assessed Patient Health Questionnaire (PHQ-9) and GAD-7 symptom change pre- and post-CBT treatment, and assessed the interaction effects of treatment type, exercise, anti-depressant and anxiolytic. Results: There was a significant time and treatment interaction effect that favored the primary GAD CBT group for reduction in PHQ symptoms (F(1, 24) = 4.52, p = 0.04). Analysis of PHQ-somatic symptoms also showed a significant main effect for participation in the exercise program (F(1, 24) = 4.21, p = 0.05) and a significant time and anxiolytic interaction (F(1, 24) = 3.98, p = 0.05). The average number of cardiac hospital readmissions favored the primary GAD CBT group (p = 0.05). Conclusion: The findings support the use of multifaceted interventions in the rehabilitation of HF patients with comorbid psychiatric needs. Implications for Rehabilitation Comorbid depression and anxiety disorders are a clinical and research focus that deserves more attention in the treatment of heart failure patients. Cognitive behavioral therapy...

Effects of cognitive-behavioral programs for criminal offenders

Lipsey, Mark W.; Landenberger, Nana A.; Wilson, Sandra J.
Fonte: Universität Tübingen Publicador: Universität Tübingen
Tipo: Aufsatz; info:eu-repo/semantics/article
EN
Relevância na Pesquisa
86.02%
Cognitive-behavioral therapy (CBT) is among the more promising rehabilitative treatments for criminal offenders. Reviews of the comparative effectiveness of different treatment approaches have generally ranked it in the top tier with regard to effects on recidivism (e.g., Andrews et al., 1990; Lipsey & Wilson, 1998). It has a well-developed theoretical basis that explicitly targets “criminal thinking” as a contributing factor to deviant behavior (Beck, 1999; Walters, 1990; Yochelson & Samenow, 1976). And, it can be adapted to a range of juvenile and adult offenders, delivered in institutional or community settings by mental health specialists or paraprofessionals, and administered as part of a multifaceted program or as a stand-alone intervention. Meta-analysis has consistently indicated that CBT, on average, has significant positive effects on recidivism. However, there is also significant variation across studies in the size of those treatment effects. Identification of the moderator variables that describe the study characteristics associated with larger and smaller effects can further develop our understanding of the effectiveness of CBT with offenders. Of particular importance is the role such moderator analysis can play in ascertaining which variants of CBT are most effective. The objective of this systematic review is to examine the relationships of selected moderator variables to the effects of CBT on the recidivism of general offender populations.

The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain

Castro,Martha M. C.; Daltro,Carla; Kraychete,Durval Campos; Lopes,Josiane
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2012 EN
Relevância na Pesquisa
96.06%
Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life. OBJECTIVE: To study the cognitive behavioral therapy (CBT) effectiveness in a group of patients with chronic pain. METHODS: A randomized clinical trial with two parallel groups comprising 93 patients with chronic pain was carried out. Forty-eight patients were submitted to CBT and 45 continued the standard treatment. The visual analogue, hospital anxiety and depression, and quality of life SF-36 scales were applied. Patients were evaluated before and after ten weeks of treatment. RESULTS: When the Control Group and CBT were compared, the latter presented reduction of depressive symptoms (p=0.031) and improvement in the domains 'physical limitations' (p=0.012), 'general state of health' (p=0.045), and 'limitations by emotional aspects' (p=0.025). CONCLUSIONS: The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment.

Acontecimentos significativos em terapia cognitivo-comportamental: a perspetiva do cliente e do terapeuta; Significant events in cognitive behavioral therapy: client's and therapist’s perspectives

Costa, Sara Filipa Gouveia da
Fonte: Universidade do Minho Publicador: Universidade do Minho
Tipo: Trabalho de Conclusão de Curso
Publicado em //2015 POR
Relevância na Pesquisa
86.1%
Dissertação de mestrado em Psicologia Aplicada; A investigação em acontecimentos significativos foca-se no processo em psicoterapia visando identificar aspetos úteis que contribuem para a mudança terapêutica. O objetivo deste estudo consiste em identificar e comparar as perspetivas do cliente e do terapeuta sobre os acontecimentos significativos e respetivos impactos terapêuticos, ao longo de um processo terapêutico de sucesso. É um estudo de caso qualitativo, cujo cliente foi diagnosticado com perturbação de ansiedade, seguido em terapia cognitivo-comportamental, ao longo de 16 sessões e 2 de follow-up. Os dados foram recolhidos através do Helpful Aspects of Therapy (HAT) procedendo-se a uma categorização indutiva dos tipos de acontecimento e, posteriormente foram analisados os impactos através da Grelha de Análise das Categorias de Impacto. Os resultados mostram que foram identificados um total 45 acontecimentos significativos, sendo que o tipo de acontecimento mais relatado pelo cliente foi consciencialização e pelo terapeuta o balanço e resumo das mudanças/melhorias. Os impactos dos acontecimentos identificados recaem sobretudo sobre a Sensação de fortalecimento, Resolução de problemas/Mudança de comportamento e Consciência/Insight/Autocompreensão. Os acontecimentos significativos identificados pelos participantes dão-nos informações profícuas acerca do que foi mais útil ao longo do tratamento e contribuem para a revelação da compreensão do terapeuta acerca da experiência do cliente.; The investigation in significant events is focused on the psycotherapy process aiming to the identification of relevant factors wich contribuit for the therapeutic change. The goal of this particular study is to identify and compare perspectives...

Evidências científicas das neurociências para a terapia cognitivo-comportamental; Evidencias científicas de las neurociencias para la terapia cognitiva-conductista; Scientific evidences from neurosciences to cognitive behavioral therapy

Porto, Patrícia; Oliveira, Letícia; Volchan, Eliane; Mari, Jair; Figueira, Ivan; Ventura, Paula
Fonte: Universidade de São Paulo. Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto Publicador: Universidade de São Paulo. Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/12/2008 POR
Relevância na Pesquisa
96.11%
Os transtornos de ansiedade estão envolvidos com a incapacidade de controlar o medo e a dificuldade em regular emoções negativas. A terapia cognitivo-comportamental (TCC) abrange técnicas que permitem tanto a extinção do medo condicionado quanto a regulação cognitiva de emoções. Este artigo tem como objetivo apresentar resultados de estudos de regulação da emoção que podem ilustrar a associação e colaboração entre a TCC e as neurociências. Amparado nas pesquisas de regulação da emoção, este estudo corrobora os resultados dos ensaios clínicos com TCC revelando que as intervenções de distração, reestruturação cognitiva e exposição são eficazes para a regulação emocional.; Los trastornos de ansiedad establecen relación con la incapacidad de controlar el miedo y la dificultad en regular emociones negativas. La terapia cognitiva-conductista (TCC) abarca técnicas que permiten tanto la extinción del miedo condicionado, como la regulación cognitiva de emociones. Este artículo tiene como objetivo presentar resultados de estudios de regulación de la emoción que pueden ilustrar la asociación y colaboración entre la TCC y las neurociencias. Anclado en las pesquisas de regulación de la emoción este estudio corrobora los resultados de los ensayos clínicos con la TCC al revelar que las intervenciones de distracción...

The use of computer-based interventions in cognitive behavioral therapy: policy implications for violence and delinquency prevention in community corrections

Posick, Chad M.
Fonte: Rochester Instituto de Tecnologia Publicador: Rochester Instituto de Tecnologia
Tipo: Tese de Doutorado
EN_US
Relevância na Pesquisa
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Abstract: This thesis tests the applicability of computer-based cognitive behavioral therapy for building skills that prevent deviancy and delinquency among youth. This is accomplished by first understanding cognitive behavioral therapy through an extensive literature review and then through data analysis of the SMART program which emphasizes anger management and conflict resolution skills using a pre- and post-test questionnaire. This thesis uses the SMART program as a self-administered cognitive behavioral intervention with youth between the ages of 12 and 17 who are on juvenile probation with a juvenile delinquent status. This is an innovative way of using the SMART program from previous studies. Results of this effort reveal that participants exhibited modest improvements from pre-test to post-test, although results were statistically insignificant. However, this thesis finds that there are important applications for computer-based methods of cognitive behavioral therapy in juvenile delinquency prevention which are currently underutilized as exemplified in Monroe County, New York. It is suggested that the local community corrections consider implementing cognitive behavioral programs using an action research model which emphasizes youth...

Tratamento cognitivo-comportamental de grupo na fobia social: resultados de 12 semanas; Cognitive-behavioral group treatment in social phobia: 12-week outcome

D'El Rey, Gustavo J. Fonseca; Lacava, João Paulo Leuzzi; Cejkinski, Adriana; Mello, Silvia Lauriana
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/01/2008 POR
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CONTEXTO: A fobia social é um dos transtornos mentais mais prevalentes na população geral. A terapia cognitivo-comportamental é o modelo não-farmacológico mais estudado nesse transtorno de ansiedade. OBJETIVOS: Este estudo teve como objetivo verificar a efetividade da terapia cognitivo-comportamental de grupo em pacientes com fobia social generalizada. MÉTODOS: Trinta e um pacientes com diagnóstico de fobia social generalizada foram randomicamente distribuídos em dois grupos: um de terapia cognitivo-comportamental de grupo - TCCG (n = 15) e um grupo-controle na Lista de Espera - LE (n = 16). Os pacientes preencheram quatro escalas de avaliação (Inventário de Fobia Social, Escala de Medo de Avaliação Negativa, Inventário de Ansiedade Beck e Escala de Impressão Clínica Global) na semana 1 de tratamento e na semana 12. RESULTADOS: Em todas as medidas de avaliações, ao final de 12 semanas, os pacientes que receberam TCCG apresentaram melhoras superiores aos da LE. CONCLUSÕES: Neste ensaio clínico randomizado, simples-cego, a terapia cognitivo-comportamental de grupo foi superior à Lista de Espera no tratamento da fobia social generalizada.; BACKGROUND: Social phobia is a widespread mental disorder in the general population. Cognitive-behavioral therapy is the most thoroughly studied nonpharmacologic approach in this anxiety disorder. OBJECTIVES: The aim of this study is to assess the effectiveness of cognitive-behavioral group therapy in patients with generalized social phobia. METHODS: Thirty one patients with diagnosis of generalized social phobia were randomly allocated in two groups. One group of cognitive-behavioral group therapy - CBGT (n = 15) and one Waiting List control group - WL (n = 16). The patients completed four rating scales (Social Phobia Inventory...