Navegando por Palavras-chave "cognitive behavioral therapy"
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- ItemSomente MetadadadosCognitive behavioral therapy for the treatment of fibromyalgia syndrome: A randomized controlled trial(Haworth Press Inc, 2008-01-01) Falcao, Dircilene M. [UNIFESP]; Sales, Luciane [UNIFESP]; Leite, Jose R. [UNIFESP]; Pollak, Daniel Feldman [UNIFESP]; Valim, Valeria; Natour, Jamil [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate the effects of cognitive behavioral therapy [CBT] in the fibromyalgia syndrome [FMS].Method: Sixty females, aged 18 to 65 years, with FMS, without previous treatment were randomized in CBT intervention group [10 structured group sessions once a week] or control group [routine weekly medical visits], for 10 weeks. the following instruments were used: visual analog scale, Medical Outcomes Study 36-item Short form Health Survey [SF-36], subcomponent state of the State-Trait Anxiety Inventory, Beck Depression Inventory, Fibromyalgia Impact Questionnaire, and the average number of paracetamol tablets. Additionally, patients were asked if they had improved much, moderately, a little, nothing, or felt worse on a Likert scale.Results: Patients in the CBT group presented significantly lower depression index and higher mental health score studied by the SF-36. Mean weekly intake of paracetamol tablets for pain control was significantly lower in CBT patients. in both groups, we observed statistically significant improvement in all the parameters over time.Conclusions: Patients under CBT needed significantly less analgesic tablets, and they achieved better responses in respect to depression and mental health than the controls. This result is expected since CBT is a psychological intervention.
- ItemAcesso aberto (Open Access)New guidelines for diagnosis and treatment of insomnia(Assoc Arquivos Neuro- Psiquiatria, 2010-08-01) Pinto, Luciano Ribeiro [UNIFESP]; Alves, Rosana Cardoso; Caixeta, Eliazor; Fontenelle, John Araujo; Bacellar, Andrea; Poyares, Dalva [UNIFESP]; Aloe, Flavio; Rizzo, Geraldo; Minhoto, Gisele; Bittencourt, Lia Rita [UNIFESP]; Ataide, Luiz; Assis, Marcia; Pradella-Hallinan, Marcia [UNIFESP]; Ribeiro Pinto, Maria Christina [UNIFESP]; Rodrigues, Raimundo Nonato D.; Hasan, Rosa; Fonseca, Ronaldo; Tavares, Stella [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); Sch Med Sci; Fed Univ; Carlos Bacelar Clin; Moinhos de Vento Hosp; Catolic Univ; Universidade Federal de Pernambuco (UFPE); Sao Lucas Hosp; Universidade de Brasília (UnB); State UnivThe Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias. the following subjects were discussed: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological treatment, behavioral and cognitive therapy, comorbidities and insomnia in children. Four levels of evidence were envisaged: standard, recommended, optional and not recommended. for diagnosing of insomnia, psychosocial and polysomnographic investigation were recommended. for non-pharmacological treatment, cognitive behavioral treatment was considered to be standard, while for pharmacological treatment, zolpidem was indicated as the standard drug because of its hypnotic profile, while zopiclone, trazodone and doxepin were recommended.
- ItemSomente MetadadadosPersonality features in a sample of psychophysiological insomnia patients(Assoc Arquivos De Neuro- Psiquiatria, 2003-09-01) Carvalho, Luciane Bizari Coin de [UNIFESP]; Lopes, Eliane Aversa [UNIFESP]; Silva, Luciana [UNIFESP]; Almeida, Marilaine Medeiros de [UNIFESP]; Silva, Tatiana de Almeida e [UNIFESP]; Neves, Afonso Carlos [UNIFESP]; Prado, Lucila Bizari Fernandes do [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The personality is the way people express themselves inside the environment they live. Sleep, quality or quantity, is a way of this physical and psychological expression of well being. Psychological factors, associated with psychophysiological insomnia (PPI) suggest an exaggerated perception of the difficulties to fall asleep. Worries, anxiety and the fear of not sleeping produce a bad sleep quality or sleep misperception. This study aims to identify personality features associated with PPI throughout Rorschach test (RT). Method: We studied 32 patients with PPI (22 women), between 29 and 75 years old. We excluded patients with other sleeping or psychiatric disorders. We analysed the data from PPI patients submitted to the RT and we compared our results with the standard data. Results: We noticed a significant increase in global answers and a significant decrease in detailed answers; a trend of a low number of answers; great number of shape and animal answers, especially for women. Conclusion: The features of the PPI patient's personality were daily problems insecure and the incapability to avoid or remove them from their thought, making bedtime a time for worries to appear again and motivate insomnia.
- ItemSomente MetadadadosA SYSTEMATIC REVIEW ON the EFFECTIVENESS of COGNITIVE BEHAVIORAL THERAPY for POSTTRAUMATIC STRESS DISORDER(Baywood Publ Co Inc, 2008-01-01) Mendes, Deise Daniela [UNIFESP]; Mello, Marcelo Feijo [UNIFESP]; Ventura, Paula; Passarela, Cristiane de Medeiros; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Rio de Janeiro (UFRJ)Objective: Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. the purpose of this study was to conduct systematic review on the efficacy of CBT in comparison with studies that used other psychotherapy techniques. Method: Databases were searched using the following terms: posttraumatic stress disorder/stress disorder, treatment/psychotherapy/behavior cognitive therapy, randomized trials, and adults. Randomized clinical trials published between 1980 and 2005 and that compared CBT with other treatments for PTSD was included. the main outcomes were remission, clinical improvement, dropout rates and changes in symptoms. Results: the 23 clinical trials included in the review comprised 1,923 patients: 898 in the treatment group and 1,025 in the control group. CBT had better remission rates than EMDR (RR = 0.35; 95%CI: 0.16; 0.79; p = 0.01) or supportive therapies (RR = 0.43; 95%CI: 0.25; 0.74; p = 0.002, completer analysis). CBT was comparable to Exposure Therapy (ET) (RR = 0.90; 95%CI: 0.58; 1.40; p = 0.64), and cognitive therapy (CT) (RR = 1.01; 95%CI: 0.67; 1.51; p = 0.98) in terms of efficacy and compliance. Conclusions: These findings suggest that specific therapies, such as CBT, exposure therapy and cognitive therapy are equally effective, and more effective than supportive techniques in the treatment of PTSD.
- ItemAcesso aberto (Open Access)A terapia cognitivo-comportamental em grupo no tratamento de transtorno de déficit de atenção/hiperatividade (TDAH)(Universidade Federal de São Paulo (UNIFESP), 2016-08-31) Scaramuzza, Luzia Flavia Coelho [UNIFESP]; Miranda, Monica Carolina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Cognitive-behavioral therapy (CBT) is one of the most extensively researched non-medicaments methods of treating patients with attention deficit hyperactivity disorder (ADHD). Latin America is short of scientifically sound CBT protocols to treat children and adolescents, although sorely needed for the public health service. The present study developed a group-CBT protocol to evaluate their effects in cognitive and behavioral domains and social skills. The group-CBT protocol developed consisted of 20 sessions based on six aspects: psychoeducation; parental training; organization and planning; problem solving; emotional regulation, and social skills. For the study reported in Article 1, the sample of 60 was divided in two groups of 30 children each, unimodal- medication (M10.08 ± 2.17) and multimodal - medication and CBT (M10.2 ± 1.86). All children were administered long-term methylphenidate 20 mg. Pre- and post-treatment tests covered sustained attention, working memory, social skills, behavioral scales and executive function questionnaire. There was no difference between treatment groups on cognitive and behavioral measurements. The multimodal group showed more improvement on social skills as seen in frequency indicators for empathy, assertiveness and self-control subscales and difficulty indicators for assertiveness and self-control subscales. Article 2 assessed use of the token technique over a 10-week treatment period. The behavior of the 25 multimodal group children (M10.11±1.79) was logged and problem behavior evaluated in 11 categories: inattention, impulsivity, hyperactivity, disorganization, disobeying rules or routines, poor self-care, verbal / physical aggression, intolerance of disappointment, compulsive behavior, anti-social behavior, lack of initiative. Over the 10 week period, there was a significant decline in seven categories: impulsivity, hyperactivity, disorganization, disobeying rules and routines, poor self-care, intolerance of disappointment, and antisocial behavior. The results showed that the group-CBT protocol may be used for children and adolescents with ADHD. Although evidence for effect of different treatments on cognitive measures and behavioral scales was lacking, the significant improvement found in day to day behavior showed that functional assessments are relevant for this type of study.