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Hollist, Cody S. "Marital Satisfaction and Depression in a Study of Brazilian Women: A Cross-Cultural Test of the Marital Discord Model of Depression." BYU ScholarsArchive, 2004. https://scholarsarchive.byu.edu/etd/204.
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Depression is a major societal health problem with individual, familial, social, and economic costs. Cross sectional research has linked depression and marital discord, with women frequently having a higher association between variables. Several longitudinal research studies have linked marital satisfaction to subsequent depression. The Marital Discord Model of Depression states that marital discord is an important antecedent in the development of depression. While some empirical evidence exists supporting this premise, no research has been done with Latinos. The purpose of this study was to test the longitudinal relationship between marital satisfaction and depression among Latina women. The data was conducted in two waves, 2 years apart, from a Brazilian sample of 99 females. The data were analyzed using Structural Equation Modeling (SEM) procedures. The results indicated that there was a strong association between marital satisfaction and depression. Marital satisfaction at time-1 was a significant predictor of, not only time-1 depression, but also time-2 depression. Marital satisfaction and depression at time-1 predicted 59% of the time-2 depression scores. These results provide evidence that the Marital Discord Model of Depression is an appropriate theoretical model for the conceptualization of marital discord and depression with Latina women. With previous research already having established the effectiveness of Behavioral Marital Therapy of Depression (BMT-D) for treating depression among Caucasian couples, these results suggest that BMT-D might also an appropriate treatment for depression among Latinos. Further BMT-D effectiveness research needs to be done to test the utility of interventions with the Latino population. Further research also needs to be done to test the longitudinal association of marital distress and depression among Latinos living in the United States.
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Hawley, Anna R. "A Longitudinal Analysis of Psychosocial Coping, Religious/Spiritual Appraisals, and Religious/Spiritual Coping in Predicting College Students’ Adjustment to Non-Marital Breakup." Bowling Green State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1431551368.
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Kindall, Paul Floyd. "The Association Between Marital Therapy Enactments and Couple Communication." DigitalCommons@USU, 1998. https://digitalcommons.usu.edu/etd/2546.
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This exploratory study focused on the use of positive, negative, and neutral enactments in couple therapy and the effectiveness of each type of enactment in immediate changes in specific communication behaviors. The sample consisted of 37 videotaped segments of the 10 minutes before and the lO minutes after an enactment. Communication behaviors were coded using the Marital Interaction Coding System-Global (MICS-G). Paired! tests were used to test the differences between pre- and post-enactment scores. Positive enactments (!! = 20) were not related to positive nor negative communication behaviors. There were not enough negative enactments (!! = 2) to test whether they were related to negative or positive communication behaviors. The null hypothesis that neutral enactments (!! = 15) would not affect the positive nor the negative communication behaviors was supported. The lack of statistical significance may be due to the small, homogeneous sample (religion, race, and time married) .
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Davies, Helen. "Investigating attachment narratives in couple therapy for depression." Thesis, University of Exeter, 2015. http://hdl.handle.net/10871/18866.
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Objective: The Exeter Model is an integrative systemic-behavioural and systemic-empathic couple therapy for treating people with depression. ‘Attachment narratives’ is a component of the systemic-empathic approach, which seeks to help the couple understand how past relationships impact on the current relationship with the aim of rebuilding trust and security between the couple. This study sought to examine how attachment narratives in this Model are used by therapists. Method: Narrative Analysis was employed to explore attachment narratives in three couples who had completed therapy in an outpatient clinic where one member of the couple had been referred with depression. Results: Analysis highlighted four specific ways in which therapists used attachment narratives. These consisted of: therapist enabled stories of past relationships to be foregrounded; attachment theory employed to build hypothesis about attachment styles based on past relationships; therapist helped the couple understand how attachment styles maintain unhelpful cycles of relating and introduced alternative relationship narratives enabling improved trust and security. Analysis also demonstrated the structuring of these attachment narratives across the therapy sessions. Conclusion: This study shows that through the therapist paying attention to attachment styles, awareness of unhelpful cycles of relating within couples can be highlighted, and adjustments to how the couple can relate to each other suggested. This exploratory study serves to better inform the use of the Exeter Model.
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Gortner, Eric Tomas. "Cognitive-behavioral treatment for depression : relapse prevention /." Thesis, Connect to this title online; UW restricted, 1999. http://hdl.handle.net/1773/9041.
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Whelen, Megan L. "Positive and Negative Affect in Cognitive Behavioral Therapy for Depression." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586452794797565.
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Agee, Laurel C. "Effects of Therapist Gender on Client Communications in Marital Therapy." DigitalCommons@USU, 1995. https://digitalcommons.usu.edu/etd/2366.
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The purpose of this study was to explore how therapist and client gender are associated with communication behaviors of males and females in marital therapy. The majority of research on therapist gender issues has been conducted with individual clients. Few data exist on the effects of therapist gender within marital therapy. This study examined the communication patterns of couples within a marital therapy setting and the influence of therapist gender on those patterns. Forty-six I 0-minute videotape segments of marital therapy were coded for communication patterns. Coded verbal statement categories included the verbal behaviors of agreement, supportive, solution of problems, and structuring. The results indicated that female clients used more problem description, solution of problem, and structuring statements than did males. In the context of marital therapy, stereotypic patterns of communication were not observed. This held true for therapists of both genders. Possible explanations include the experience of the therapists and therapist supervision.
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Schmidt, Iony Danielle. "Predictors of Treatment Dropout in Computerized Cognitive Behavioral Therapy for Depression." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1491509588836769.
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Dimidjian, Sona. "Behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of major depression /." Thesis, Connect to this title online; UW restricted, 2005. http://hdl.handle.net/1773/9064.
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Shimkus, Erica Kathleen, and Erica Kathleen Shimkus. "Family Nurse Practitioners' Use of Cognitive Behavioral Therapy Treatment for Depression in Adolescents." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/622941.
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Background: Cognitive behavioral therapy (CBT) is an effective treatment modality for adolescents suffering from depression. Yet, it is often under-utilized among family nurse practitioners (FNPs) in the primary care setting. Known barriers exist within the realm of providers' lack of use of CBT in the primary setting, however, there is little research specifically on FNPs usage of the modality. Purpose: This paper seeks to understand FNPs' use of CBT in the primary care setting to treat adolescents with depression. Method and Sampling: A qualitative design was used to understand FNPs' use of CBT for adolescents suffering from depression. A faculty member and I recruited FNP participants through email. Ten FNPs currently working in the primary care setting with experience ranging from one to ten years participated in the study. Two focus group interviews were conducted in order to have a deeper understanding of the use of CBT in practice to treat adolescent depression. The interviews were audio taped and analyzed to reveal emerging themes. Results: After analyzing the audio recordings two common themes emerged: Unpreparedness and role conflict. Subthemes emerged within the area of unpreparedness that included knowledge regarding screening for depression in the adolescent population, utilization of clinical practice guidelines, available community resources and referrals, and the application of CBT in the treatment of adolescent depression. The theme of role conflict was associated with time constraints within the allotted time frame per patient and the conflict of providing mental health services when feeling as though their primary training is that of a family practice provider. Conclusion: The findings showed that the lack of use of CBT is multifactorial with knowledge being the greatest inhibiting factor. CBT is a recommended, first-line treatment option within the clinical practice guidelines for the treatment of adolescent depression. However, FNPs are not currently utilizing CBT in their practice to treat adolescent depression. There is much to be learned about adolescent depression in its entirety prior to incorporating CBT into practice.
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Anglin, Lewis Leon. "A cognitive behavioral therapeutic approach to a Christian African American family system." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p068-0584.
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Carlin, Erica. "The Effect of a Motivational Interviewing Style in Cognitive Therapy for Depression." Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/145363.
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While cognitive therapy (CT) is one of the most well-validated and widely used treatments for patients with Major Depressive Disorder (MDD), many individuals remain symptomatic at the end of treatment or drop out prematurely (Cuijpers, van Straten, Anderson, & van Oppen, 2008; Vittengl, Clark, Dunn, & Jarrett, 2007). Evidence suggests that certain types of therapist relational styles, such as one characterized by empathy and support, are facilitative of better therapeutic outcomes (Keijsers, Schaap, & Hoogduin, 1997) and motivational interviewing (MI; Miller & Rollnick, 2002) is a therapeutic approach which emphasizes this type of relational stance. The present study examined whether cognitive therapists exhibit a relational stance that is emphasized in motivational interviewing and whether this relational stance is associated with greater symptomatic improvement in cognitive therapy for depression. The Motivational Interviewing Treatment Integrity Skills Code (MITI; Moyers, Martin, Manuel, Miller, & Ernst, 2007), an observational coding system originated for assessing fidelity to MI, was used to assess three aspect of MI relational stance (MI Spirit, MI Adherent behaviors, and MI Nonadherent behaviors) among cognitive therapists in a randomized-controlled of CT for individuals with moderate to severe depression. Multilevel modeling was employed to examine the effect of MI relational stance on overall symptom trajectories throughout treatment and subsequent symptom reduction immediately after the use of MI relational stance. In order to rule out early symptom reduction as a potential confound, shared variance between MI relational stance and early symptom reduction was removed. The hypothesis that MI relational stance would be associated with more rapid symptom reduction was confirmed for MI Adherent behaviors but not for MI Spirit or MI Nonadherent behaviors. The prediction that initial depression severity would moderate the effect of MI relational stance on symptomatic improvement was not confirmed; however, a three-way interaction between initial depression severity, MI Adherence, and session number revealed that patients with high initial depression severity did not significantly improve through the course of therapy unless they received high MI Adherence. The hypothesis that MI relational stance in a given session would be associated with a reduction in depressive symptoms in the following sessions across the first four sessions was not confirmed. As predicted, early clinical improvement was not associated with MI relational stance in a later session, suggesting that MI relational stance was not merely an artifact of early clinical improvement. There was no support for the prediction that MI relational stance would be associated with subsequent retention in therapy or the therapeutic alliance. Overall, these findings suggest that a specific type of MI relational stance, MI Adherent behaviors, contribute to more symptomatic improvement. Implications of the role of MI relational stance in cognitive therapy are discussed.
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姚穎詩 and Wing-see Carol Yew. "A comparative study between positive psychological group intervention and cognitive-behavioral group therapy for patients with depressivedisorders in a Chinese population." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41715640.
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Chang, Edward C., Christina A. Downey, Jameson Hirsch, and Elizabeth A. Yu. "Treating Depression, Anxiety, and Stress in Ethnic and Racial Groups: Cognitive Behavioral Approaches." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu_books/194.
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Depression, anxiety, and stress are responsible for an overwhelming number of mental health care visits, and cognitive behavior therapy (CBT) is the most common empirically supported treatment for these conditions. Yet little is known about the effectiveness of CBT with African Americans, Latinos, Asian Americans, and Native Americans — ethnic and racial groups conprising nearly half of the U.S. population.
In this volume, Chang, Downey, Hirsch, and Yu show therapists how to adapt cognitive behavioral treatments for use with racial and ethnic minority clients.
Contributors demonstrate how a client's particular sociocultural background contextualizes his or her experience and understanding of mental health issues. They examine the influence of sociocultural context on experiences of social anxiety among Asian-Americans, the role of racial identity in the way stress and anxiety are experienced by African American clients, and much more.https://dc.etsu.edu/etsu_books/1214/thumbnail.jpg
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Yew, Wing-see Carol. "A comparative study between positive psychological group intervention and cognitive-behavioral group therapy for patients with depressive disorders in a Chinese population." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41715640.
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Taylor, Wade. "Predicting Marital Discord and Depression in Early Head Start Mothers: A Step Toward Marriage and Family Therapy Collaboration." DigitalCommons@USU, 2001. https://digitalcommons.usu.edu/etd/2713.
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The American Association of Marriage and Family Therapy (AAMFT) recently sponsored Head Start-Marriage and Family Therapy (MFT) program partnerships. MFT programs can begin building similarly successful collaborative partnerships with Early Head Start (EHS) programs through using all or portions of this research study. This study has been dedicated to describing the occurrence, co-occurrence, and predictive characteristics of marital discord and depression in families served by EHS programs. This identification of at-risk families can then be used to bolster existing treatment efforts, develop new maritally based interventions, and facilitate increased referrals.
Marital discord and depression are two often interrelated problems EHS mothers are at increased risk to face because they have low incomes and very young children (up to age three). Previous research has demonstrated the negative effects of marital discord and maternal depression on child, adult, and family development. Research with various married samples has further identified variables predictive of marital discord and depression. It was the aim of this study to reexamine these predictors and test couple measures to find the most effective identifying variables.
Cross-sectional and prospective longitudinal research analyses were conducted from surveys with 148 EHS married mothers and their spouses to answer specific research questions. In general, results revealed that EHS married mothers were (a) slightly less depressed and maritally discordant than what might be expected of lower income parents, (b) more prone to experiencing these problems the more children they had, and (c) more accurately identified by considering couple data, which included similarity in earlier marital discord, earlier depression, religious activity, attachment attitudes or demographic variables. The limitations of this study included weaknesses in measurement and analytic procedures largely resulting from the use of data originally organized at a national level with Jess complementary purposes in mind. In the future research should address the limitations and incorporate the findings of this study into development and testing of theoretically driven marital interventions in EHS samples. Systemic implications and managing ethical concerns of using the proposed marital interventions in EHS- MFT collaborative effort are also discussed.
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Cooper, Andrew Astley. "Attitudes Toward Cognitive and Behavioral Interventions: Prediction of Preference and Outcomes in the Treatment of Major Depression." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1371421827.
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Godiwala, Neha Niranjan. "An Examination of Compensatory Skills in the Biobehavioral/Cognitive Behavioral Therapy for Cancer Patients." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1322506678.
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Brown, Vanessa. "Assessing and remediating altered reinforcement learning in depression." Diss., Virginia Tech, 2018. http://hdl.handle.net/10919/96227.
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Major depressive disorder is a common, impairing disease, but current treatments are only moderately effective. Understanding how processes such as reward and punishment learning are disrupted in depression and how these disruptions are remediated through treatment is vital to improving outcomes for people with this disorder. In the present set of studies, computational reinforcement learning models and neuroimaging were used to understand how symptom clusters of depression (anhedonia and negative affect) were related to neural and behavioral measures of learning (Study 1, in Paper 1), how these alterations changed with improvement in symptoms after cognitive behavioral therapy (Study 2, in Paper 1), and how learning parameters could be directly altered in a learning retraining paradigm (Study 3, in Paper 2). Results showed that anhedonia and negative affect were uniquely related to changes in learning and that improvement in these symptoms correlated with changes in learning parameters; these parameters could also be changed through targeted queries based on reinforcement learning theory. These findings add important information to how learning is disrupted in depression and how current and novel treatments can remediate learning and improve symptoms.Ph. D.
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JASIN, GRACE RIZZO. "THE EFFECT OF COGNITIVE-BEHAVIORAL THERAPY, THERAPIST COMPETENCY, AND GROUP PROCESS ON DEPRESSION AMONG THE ELDERLY." Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183841.
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The major purpose of this study was to examine the relative effectiveness of cognitive-behavioral group psychotherapy in the treatment of unipolar depressed elderly outpatients as compared to a nontherapy control group experiencing minimal supportive treatment. In addition, it was designed to explore the possible effect of therapist competency and quality of group process on treatment benefit. A total of 56 older adults, age 65 or older, were randomly assigned to receive either an active anti-anxiety medication or a matched placebo drug. Medication was provided to subjects during a weekly, twenty minute clinical management session with a psychiatrist blinded to treatment. The cognitive-behavioral group treatment was conducted with four groups led by male-female co-therapist teams trained in this modality. The Hamilton Depression Scale and the Beck Depression Inventory were used as depression measures prior, during, at treatment end, and during follow-up. Samples of videotaped sessions were rated for therapist competency utilizing the Cognitive Therapy Scale and for group process utilizing the Hill Interaction Matrix-G. Analysis of variance with the combined cognitive-behavioral therapy group as compared to the nontherapy control group demonstrated significance (p < .05) over time for the cognitive-behavioral group on the Beck Depression Inventory but not the Hamilton Depression Scale. The lack of significance on this scale may be the result of its high somatic components which may cause it to be overreactive as an estimate of depression given the natural physiologic aging process of the elderly age group. A validational assessment examining selective attrition between the cognitive-behavioral group treatment and the nontherapy control group indicated that the control group experienced a statistically significant higher attrition rate which appeared to be the result of dissatisfaction due to poor clinical response. No determination of the effect of therapist team competency on depression can be reached due to the lack of variability displayed among groups. All therapist teams functioned at equivalent competency levels within the satisfactory to good range on the Cognitive Therapy Scale. No conclusions regarding the level of group process and its effect on depression can be reached, also due to lack of significant variability between groups. Recommendations are made to improve the present design of the study and to extend the scope of future research. (Abstract shortened with permission of author.)
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Neill, Erin L. "Cognitive Behavioral Therapy for Child Posttraumatic Stress Disorder: Testing Direct and Reciprocal Effects on Maternal Depression." ScholarWorks@UNO, 2015. http://scholarworks.uno.edu/td/2022.
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Children exposed to trauma experience many negative outcomes including posttraumatic stress disorder (PTSD). Fortunately, cognitive-behavioral therapy (CBT) is an effective treatment for PTSD. Theoretically it may be that not only do children do better in treatment when their parents are involved, but that there is also a reciprocal relationship such that as children improve their parents feel better as well (and vice a versa). Using data from a randomized trial (Scheeringa & Weems, 2014), this thesis used Hierarchical Linear Modeling (HLM) to test if change in child PTSD symptoms mediates change in parent depression symptoms, and vice a versa, across treatment sessions. Results indicated that maternal depression mediates child PTSD symptoms, and that the reciprocal relationship is present. However, this was only true when child PTSD symptoms were measured by parent report. The addition of this reciprocal relationship finding to the literature and future directions are discussed.
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Hollars, Shannon N. "Examination of the Skills of Cognitive Therapy for Depression: Evaluating Specificity and Prediction of Differential Response in Cognitive and Behavioral Treatments." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1431011986.
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Pierce, Angel Shantella. "Perceived Impact of Prevention and Relationship Enhancement Program (PREP) on Marital Satisfaction." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2422.
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Married couples often face serious issues that require them to make difficult decisions in their relationships. Many couples turn to marital counseling as a means to improve the marriage. The purpose of this phenomenological study was to understand and describe the experiences of heterosexual married individuals who participated in the Prevention and Relationship Enhancement Program (PREP) and how they felt their participation had influenced their perceived satisfaction in their marriages. The theoretical framework that guided this study was social exchange theory, which is a basis for thinking about the influence individuals have on each other in personal relationships. The research questions in this study addressed the experiences of individuals in PREP and the subsequent impact on marital satisfaction. This qualitative phenomenological study was used to better understand the individuals' experiences through interviews with 10 married individuals who were selected using criterion sampling. Data analysis included reading transcripts, coding, labeling, and interpreting the experiences. The results of this study revealed that communication and conflict resolution had an impact on marital satisfaction and extended support and supplemental programs influenced the experiences of the participants. The implications for positive social change relate to improved communication between married couples that may result in lasting improvements in their marriages. Others can learn from these experiences to create further positive change. Counselors could provide support outside of class and provide a supplemental program in order to improve the experience, possibly increase marital satisfaction, and decrease the likelihood of divorce.
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Lai, Yuen-kwan Wendy. "The effectiveness of positive psychotherapy and cognitive behavioral therapy on Chinese patient with clinical depression a multiple case study /." Click to view E-thesis via HKUTO, 2006. http://sunzi.lib.hku.hk/hkuto/record/B37101328.
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Bauman, Louella Denee. "Nurse Practitioner Knowledge, Perception and Attitude for Behavioral Therapy Use in Type Two Diabetes." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/612609.
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Objective: Diabetes mellitus is a known epidemic that is increasing throughout the United States and if current trends continue, it is estimated that as many as one in three U.S. adults could have diabetes by 2050. Considerable evidence has been found to link the presence of depression and or Diabetes Distress Syndrome with type two diabetes mellitus. Current studies demonstrate that lack of treatment of Diabetes Distress Syndrome may result in a decrease in medication adherence, participation in diabetic group meetings, and quality of life. The purpose of this study was to examine nurse practitioners (NPs') knowledge, perceptions and attitudes in utilizing behavioral therapy in TTDM management. Research Design and Methods: A total of 20 NPs completed the survey using Qualtrics. Results: suggest that there is a lack of knowledge in regards to Diabetes Distress Syndrome. Current practice for behavioral services in TTDM treatment is also deficient, however, NPs' are willing to learn more and use it as a treatment modality in their practice.
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Lai, Yuen-kwan Wendy, and 黎婉君. "The effectiveness of positive psychotherapy and cognitive behavioral therapy on Chinese patient with clinical depression: a multiple case study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B37101328.
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Simpson, Samantha Karma-Jean. "Effects of Exercise on Clinical Couple Interactions." BYU ScholarsArchive, 2018. https://scholarsarchive.byu.edu/etd/7702.
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Research has shown that exercise has the potential to improve couple relationships. This study contributes to current literature by examining the associations between exercise, its duration, and its intensity and daily clinical couple interactions. Participants were 22 married couples in a treatment-as-usual setting who completed daily diaries about daily behaviors and marital interactions. Multilevel models were run, and results showed that wives who exercised were more likely to report a negative interaction with their husband that day. When wives exercised longer, both they and their husbands were more likely to report positive interactions that day. Interestingly, if husbands exercised longer on a given day, their wives were less likely to report positive interactions and there was no association between husbands' perception of interactions and their own exercise duration. Finally, we found that when wives exercised more intensely, both she and her husband were less likely to report positive marital interactions. These results have implications for clinicians working with couples in therapy.
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Brent, Meredith. "Therapeutic Processes in a Cognitive-Behavioral Treatment for Depressed Adolescents with Inflammatory Bowel Disease." DigitalCommons@USU, 2006. https://digitalcommons.usu.edu/etd/6220.
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Youth with inflammatory bowel disease (IBD) have higher rates of depression than healthy youth. A cognitive-behavioral treatment, primary and secondary control enhancement training-physical illness (PASCET-PI), for depressed adolescents with IBD was associated with reductions in depressive symptoms. The purpose of this study was to examine the salience of nonspecific processes (factors inherent in any human relationship) and specific processes (factors related to therapy content) during PASCET-PI sessions and their association with improvements in psychological functioning.
Participants included 10 adolescent patients with IBD with mean illness duration of 31.9 months. At intake, eight participants qualified for a diagnosis of major depressive disorder and two for a diagnosis of minor depression. Participants completed measures of depressive symptomatology and clinicians completed the Children's Global Assessment Scale (CGAS). Measures were completed at posttreatment, 6 months posttreatment, and 1 year posttreatment. Independent judges used the Psychotherapy Process Q-sort (PQS) to rate the salience of therapeutic processes for PASCET-PI sessions #2 and #8 for each subject.
PQS ratings of PASCET-PI sessions were con-elated with ideal prototypes of cognitive-behavioral treatment (CBT), inteqnrsonal therapy (IPT), and psychodynamic (PD) orientations that were previously developed based on PQS ratings of an ideal session, according to expert therapists. Findings indicate that PASCET-PI sessions most closely resembled the CBT prototype (r = .51, p < .05). Change scores on outcome measures were correlated with PQS-prototype correlates to determine which processes were associated with improved psychological functioning. Findings suggest that reductions in depressive symptomatology were associated with processes characteristic of various orientations. Thus, CBT processes were not exclusive in promoting change. There were strong positive relationships between change scores of the PCS and prototypes of all orientations (CBT, IPT, and PD) at posttreatment and between the CDI and ASQ and all orientations at 6-months follow-up (r = .62 -.72, p < .05). Comparisons of specific process-outcome correlates and nonspecific process-outcome correlates did not reveal significant differences.
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Avny, Shelley. "The Alliance-Outcome Association in CBT and Usual Care for Youth Depression Delivered in Community Settings." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2368.
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The child-therapist alliance is believed to be a critical ingredient of successful psychotherapy for youth depression. However, only a few studies have examined the association between the alliance and clinical outcomes in the treatment of youth depression. The present thesis examined the alliance-outcome association in two treatments for youth depression: cognitive-behavioral therapy (CBT) and usual clinical care (UC). Data were from an effectiveness trial conducted in six community clinics (see Weisz et al., 2009). Forty-one youth were randomly assigned to receive CBT or UC from community clinicians. The observed early alliance, alliance shifts, and self-reported alliance did not significantly predict child- or parent-reported depression outcome. However, the direction and strength of the alliance-outcome associations differed across alliance methodology (self- and observer-report) and condition (CBT and UC). Early child alliance did significantly predict treatment satisfaction. Implications and limitations of the results are discussed.
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Fogler, Jason M. "Expressed emotion, perceived criticism, and depression as predictors of outcome in treatment for social anxiety disorder." Thesis, Boston University, 2005. https://hdl.handle.net/2144/38029.
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Thesis (Ph.D.)--Boston UniversityAlthough meta-analytic studies support the efficacy of cognitive-behavioral therapy for social anxiety disorder, a proportion of patients drop out of treatment or fail to benefit. Research to date has explored patient- and treatment-specific predictors of poor treatment response, including comorbid depression, but has not evaluated variables related to the patient's social environment. Expressed emotion (EE), an index of critical, hostile, and overprotective attitudes expressed by a significant other toward an individual with a psychiatric or medical condition, has been found to predict psychiatric relapse and poor treatment outcome in a wide range of disorders. Because EE and a closely related construct, perceived criticism, have been shown to predict treatment outcome and course in anxiety and mood disorders, it was expected that EE and perceived criticism would also predict treatment outcome in social anxiety disorder. Forty patients undergoing 12-session group cognitive-behavioral therapy for social anxiety disorder completed questionnaires about their symptoms of social anxiety and depression, and levels of perceived criticism, before and after treatment. Each participant designated one significant other who was then assessed for EE using the Camberwell Family Interview, a semi-structured interview method. Results indicate that higher initial severity of social anxiety and lower levels of perceived criticism predicted treatment dropout. There was also a trend for participants with a significant other rated as high in emotional overinvolvement, one of the EE-subscales, to show less change on a composite measure of anxiety symptoms. Comorbid depression and critical EE were associated with pretreatment severity of social anxiety but not outcome. These findings add to an increasing body of literature showing that the manifestation of significant others' EE, and EE's effect on clinical outcome, can vary as a function of the identified patient's diagnosis. For socially anxious individuals, perceiving criticism in the social environment may provide an important impetus for seeking and adhering to treatment, whereas significant others' overprotective behavior may negatively impact their ability to benefit from treatment. Further research replicating these findings, clarifYing the mechanisms and developing supplemental interventions, are important future directions.
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Murray, Shanna L. "PATIENT ADHERENCE TO A CANCER THERAPY REGIMEN: ITS BEHAVIORAL ASPECTS AND VARIABLES RELATED TO ADHERENCE." Connect to this title online, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1137178439.
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Frías, Armenta Martha, Irma Rodríguez, and Romero José Gaxiola. "Behavioral and social effects of family violence in Mexican children." Pontificia Universidad Católica del Perú, 2003. http://repositorio.pucp.edu.pe/index/handle/123456789/101361.
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The aim of this study was tome asure effects of domestic violence on children, both child abuse and exposure to marital violence. 300 families were randomly selected in Hermosillo, Sonora, a northwestern Mexican city. Two members of each family were interviewed: the mother anda minor randomly selected among all their children. The research instrument collected demographicinformation, and information regarding mother's and parent's alcohol consumption, marital violence,child abuse, and child misconduct. A structural model was tested which estimated the effects ofchild abuse and exposure to marital violence on child problems. Results showed that the two forms of violence had repercussions on delinquent and antisocial behavior, produced attention problems,depression, anxiety, sadness and the manifestation of somatic symptoms. In addition, mother's education a level had a significant and negative effect on children's behavioral and social problemsand father's educational level inhibited their aggression against their wives. Alcohol consumption was positively related to child abuse. These results seems to indicate that both child abuse andexposure to marital violence rcsult in harmful consequences on children's behavior and well-being.Se examinan los efectos de la violencia doméstica en niños. Se seleccionaron 300 familias al azaren la ciudad de Hermosillo, Sonora, México. Se entrevistó a dos miembros de cada familia: la madre y un menor al azar. Se aplicó una batería de instrumentos de información demográfica: datos acerca del consumo de alcohol de los padres, agresiones del padre contra la madre, maltrato que recibían los menores de sus padres y los problemas de conducta infantiles. Al analizar estos datos se obtuvieron estadísticas univariadas. Posteriormente se examinaron las variables utilizando un modelo de ecuaciones estructurales. Los resultados mostraron que tanto el maltrato recibido como el ser testigo de la violencia que recibía la madre, tuvieron repercusiones en la conducta delictiva y antisocial de los menores. Los niños presentaron problemas de atención, ansiedad, depresión, timidez y somatización. El nivel educativo de la madre tuvo un efecto significativo en los problemas de conducta infantil. De la misma manera, la escolaridad de los maridos tuvo un efecto negativo en las agresiones que ellos dirigían contra sus esposas. El consumo de alcohol de los padres se relacion ópositivamente con el maltrato infantil.
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Lewis, Cara C. 1981. "Understanding Patterns of Change: Predictors of Response Profiles for Clients Treated in a CBT Training Clinic." Thesis, University of Oregon, 2011. http://hdl.handle.net/1794/11928.
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xvi, 90 p. : ill. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.Empirical support for the efficacy of CBT in treating depression suggests that the majority of clients will respond to this intervention. However, the more nuanced, and clinically relevant, question of "Which clients will respond to CBT for depression?" has been difficult to answer. Research efforts have focused on two different approaches to this question. One approach focuses on trajectories of symptom change within the first weeks of treatment to identify clients who are most likely to achieve response. A second approach looks to pretreatment client variables such as hopelessness and dysfunctional attitudes to identify clients who are more likely to respond. The current study is the first to simultaneously compare these two approaches to the prediction of treatment outcome. The sample consists of 222 clients (65.32% female, 92.79% Caucasian), ages 18 through 64 (M =27.85, SD = 11.28), receiving treatment for mood and anxiety disorders (59% met criteria for comorhid disorders) in a CBT oriented psychology training clinic. Results suggest that the rate of change in depressive symptoms over the first five treatment sessions significantly and consistently predicted outcome over and above the majority of pretreatment variables, except for precontemplation stages of change scores and initial severity of depression and anxiety symptoms. Similarly, rate of change in anxiety symptoms significantly predicted outcome on two of the three measures over and above the majority of pretreatment variables, except for hopelessness and initial severity of anxiety symptoms. Post hoc analyses revealed different predictors of outcome when trajectories of change and pretreatment variables were examined separately. Both rates of change and a number of pretreatment variables predicted outcome. Finally, pretreatment predictors of rate of early symptom change such as a contemplative orientation to change and therapist experience, were identified which may suggest that therapists should target these factors to potentially maximize rapid early symptom change, and in turn outcome. The findings are discussed in terms of their implications regarding methodological approaches to treatment outcome research and treatment planning for adults with comorbidities.
Committee in charge: Anne Simons, Chairperson, Psychology; Philip Fisher, Member, Psychology; Hyoun Kim, Member, Not from U of O; Jane Mendle, Member, Psychology; Jeff Todahl, Outside Member, Counseling; Psychology and Human Services
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Glade, Aaron C. "Differentiation, marital satisfaction, and depressive symptoms: an application of Bowen Theory." The Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1123257865.
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Morrow, Jennifer A. "Technologically Assisted Intervention (TAI): Are Clients Satisfied with Online Therapy?" DigitalCommons@USU, 2008. https://digitalcommons.usu.edu/etd/20.
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This study examined the level of satisfaction reported by participants of a technologically assisted intervention study (TAI). TAI is a type of teletherapy done through online, live video conferencing. Satisfaction was examined at three different time points, post therapy, 3-months post therapy, and 6-months post therapy. Analyses examined if there were any changes in reported satisfaction over the three time periods. Participants received cognitive behavioral therapy (CBT) targeted at reducing symptoms of mild to moderately severe depression. A satisfaction measure was developed for this study, and included quantitative and qualitative items which were analyzed to determine participants' level of satisfaction. Seventeen women residing in the Vernal and Roosevelt, Uintah Basin areas, volunteered to participate in the study that was funded by a CURI and AES grant.
This study found that the women experienced a high level of satisfaction with TAI across the various dimension measured. This high level of satisfaction remained consistent across the three time periods examined. Qualitative data offered a depth of understanding regarding what particularly participants were and weren't satisfied with. (106 pages)
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Mutiso, Lori A. "Factors Influencing Depression in Men: A Qualitative Investigation." UKnowledge, 2015. http://uknowledge.uky.edu/nursing_etds/15.
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The purpose of this qualitative descriptive study is to describe men’s experiences of depression in order to provide direction for future research of the screening, diagnosing, and treatment of men's depression. Previous research indicates that men experience different depressive symptoms than women, and there is a possibility that men's depression is not being adequately captured by current screening standards, which would theoretically lead to a large number of men with unrecognized, undiagnosed, and untreated depression. If this is the case, this may explain the disproportionately low number of men diagnosed with depression compared to women, in contrast to the disproportionately high number of men who complete suicides. There is a need in the literature for descriptions of depression experienced by men in order to determine the adequacy of current psychometric screening tools and approaches to treatment which are currently in practice. This qualitative study seeks to begin to fill in this gap in the literature. Key findings indicate that intentionally and unintentionally hide their feelings of depression, and that men experience anger as an early sign of depression. In addition, men often do not recognize their distress as depression until someone else suggests they seek professional help; and men use various methods of distraction to cope with their distress, including excessive working, sleeping, eating, TV watching, and alcohol consumption. Recommendations for further research are discussed.
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McLaughlin, Courtney Lisbeth. "EVALUATING THE EFFECT OF AN EMPIRICALLY-SUPPORTED GROUP INTERVENTION FOR STUDENTS AT-RISK FOR DEPRESSION IN A RURAL SCHOOL DISTRICT." Kent State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=kent1276557200.
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Schwob, Jeremy T. "A Smartphone Application for the Treatment of Generalized Anxiety Disorder." University of Dayton / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=dayton1461176493.
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Story, Delia Mary Hearn. "Evaluating Knowledge And Barriers To The Use Of Cognitive Behavioral Therapy By Nurse Practitioners In The Treatment Of Depression And Anxiety In Primary Care." Diss., The University of Arizona, 2014. http://hdl.handle.net/10150/333459.
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Depressive and anxiety disorders are the most commonly encountered mental health problems seen in the primary care setting; they represent a serious public health concern, and are inordinately time consuming for the primary care provider. Cognitive behavioral therapy (CBT) is an effective tool for the treatment of both depression and anxiety, and can be delivered in a variety of abbreviated forms appropriate for use in the primary care setting. Despite its apparent benefits, few primary care providers report using CBT in their practices. The purpose of this project was to develop a better understanding of provider knowledge and perceived barriers regarding the use of CBT for the treatment of depression and anxiety in the primary care setting. A better understanding of practitioners' knowledge of CBT and their perceived barriers to its use will establish a baseline for further exploration of the issue, and will help guide the development of strategies to address the gap in practice. A brief questionnaire was provided to a convenience sample of Nurse Practitioners (NP) during a regular meeting of the Southern Arizona Advanced Practice Nurse/Nurse Practitioner Society. The results of the data analysis showed that 90% of the sampled NPs considered themselves to be skilled in detecting depression and anxiety in their patients, and 80% were confident in their abilities to treat patients with these disorders. However, only 30% of sampled NPs currently use CBT in their practices. The sample indicated a broad lack of knowledge related to multiple aspects of CBT including technique, training, implementation, and reimbursement. Education and training were revealed to be the strongest predictors of willingness to use CBT. Only 30% of NPs were introduced to the use of CBT in their NP programs. The results suggest that increased education in the proper technique, process, and billing methods for CBT may contribute to greater utilization by NPs in the primary care setting.
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Schuler, Tammy A. "Marital Quality Affects Biobehavioral Outcomes in Advanced and Recurrent Breast Cancer Patients." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1306854906.
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Silveira, Aline Marco de. "Caracterização de relacionamentos conjugais quanto a comunicação e afeto e sua relação com a parentalidade, problemas de comportamento infantil e depressão materna." Universidade Estadual Paulista (UNESP), 2018. http://hdl.handle.net/11449/158309.
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Aline de Marco - CARACTERIZAÇÃO DE RELACIONAMENTOS CONJUGAIS QUANTO A COMUNICAÇÃO E AFETO E SUA RELAÇÃO COM A PARENTALIDADE, PROBLEMAS DE COMPORTAMENTO INFANTIL E DEPRESSÃO MATERNA - corrigido.pdf: 1820297 bytes, checksum: 326bdd2ab8bffc53c34badcccd6933dc (MD5)Approved for entry into archive by Lucilene Cordeiro da Silva Messias null (lubiblio@bauru.unesp.br) on 2018-11-21T11:29:47Z (GMT) No. of bitstreams: 1 silveira_am_me_bauru.pdf: 1820297 bytes, checksum: 326bdd2ab8bffc53c34badcccd6933dc (MD5)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
O relacionamento conjugal consiste em uma das principais interações para o círculo familiar e a satisfação conjugal pontua como primordial para o bom desenvolvimento marital. Problemas com a parentalidade, com o comportamento infantil e a depressão materna acabam por favorecer condições de insatisfação na conjugalidade. Assim sendo, a partir de uma amostra de 130 mulheres, casadas, mães de crianças com e sem problemas de comportamento, o presente trabalho é composto por dois estudos que têm por objetivo geral realizar uma comparação entre aspectos da relação conjugal, práticas parentais positivas e negativas, depressão materna, ocorrência de problemas de comportamento infantil e habilidades sociais infantis. Para tal foram desenvolvidos dois estudos: Estudo I-) objetivou realizar uma comparação entre comunicação e afeto na relação conjugal, com parentalidade e indicativo de depressão materna; Estudo II-) objetivou realizar uma comparação entre comunicação e afeto na relação conjugal, considerando a ocorrência de problemas de comportamento infantil e habilidades sociais infantis. Para a realização do primeiro estudo, foram utilizados os instrumentos de análise Questionário de Relacionamento Conjugal, Entrevista de Habilidades Sociais Educativas Parentais e Questionário Sobre a Saúde do Paciente-9 obtendo, de modo geral, que tanto o grupo de mulheres com práticas parentais positivas quanto o grupo de mulheres com baixa frequência de práticas parentais negativas tem alta frequência de comunicação no relacionamento conjugal. Casais com práticas positivas comunicam-se mais positivamente e se relacionam de modo mais afetuoso que casais com práticas negativas. Quanto à depressão materna, obteve-se que o grupo de mães sem indicativo de depressão demonstrou expressar e receber com maior frequência afeto e comunicação em seu relacionamento. O mesmo grupo comunica-se tanto de forma positiva quanto de forma negativa com o cônjuge e interage tanto de forma positivamente afetuosa quanto de forma negativamente afetuosa. No entanto, a maior quantidade de mães deste grupo afirma estar satisfeita com seu relacionamento conjugal. Para o Estudo II foram utilizados os instrumentos Questionário de Relacionamento Conjugal, Entrevista de Habilidades Sociais Educativas Parentais e Child Behavior Checklist e, de maneira geral, obteve-se que o grupo de mães de crianças sem problemas de comportamento descrevem relacionamentos com maior frequência de comunicação e afeto, apresentando relações com mais comunicação positiva, no entanto, também descreveram comunicação negativa e afeto negativo na relação. Contudo, a maior quantidade de mães de crianças sem problemas de comportamento ainda descreveram estar satisfeitas com seu relacionamento. No que concerne às comparações referentes às habilidades sociais infantis, obteve-se que o grupo de mães de crianças sem déficits para habilidades sociais apresentou maior frequência de comunicação em seu relacionamento, comunicando-se de forma mais negativa, no entanto, agindo de forma mais positivamente afetuosa na interação com o cônjuge. Como contribuição para o presente estudo, destaca-se as relações entre a satisfação conjugal e a parentalidade, bem como entre a satisfação conjugal e problema de comportamento infantil e habilidades sociais infantis, considerando sua relação com a depressão materna.
The marital relationship consists in one of the main interactions to the family circle and the marital satisfaction points out as primordial to thegood marital development. Problems with parenthood, child behavior and maternal depression tend to favor conditions of dissatisfaction in conjugality. Thus, from a sample of 130 women, married, mothers of children with and without behavioral problems, the present research is composed of two studies that have as general objective to make a comparison between aspects of the conjugal relationship, positive and negative parental practices, maternal depression, occurrence of child behavior problems and children's social skills. For that, two studies were developed: Study I) aimed to comparing communication and affection in the conjugal relationship, with parenting and indicative of maternal depression; Study II) aimed to make a comparison between communication and affection in the conjugal relationship, considering the occurrence of children's behavior problems and children's social skills. In order to carry out the first study, the instruments of analysis used was the Questionário de Relacionamento Conjugal, Entrevista de Habilidades Sociais Educativas Parentais and Questionário Sobre a Saúde do Paciente-9, obtaining, in general, that both the group of women with positive parental practices and the group of women with low frequency of negative parental practices have a high frequency of communication in the marital relationship. Couples with positive practices communicate more positively and relate more affectionately than couples with negative practices. Regarding as to maternal depression, the group of mothers with no indication of depression was able to express and receive affection and communication more frequently in their relationship. The same group communicates both positively and negatively with the spouse and interacts affectively both positively and negatively. However, the higher number of mothers in this group affirms that they are satisfied with their marital relationships. For the Study II, it was used the instruments “Questionário de Relacionamento Conjugal” , “Entrevista de Habilidades Sociais Educativas Parentais” and “Child Behavior Checklist” and, in general, it was obtained that the group of mothers of children without behavioral problems describe relationships with greater frequency of communication and affection, presenting relationships with more positive communication, however, also described negative communication and negative affection in the relationship. However, the greater number of mothers of children without behavioral problems still described being satisfied with their relationship. Concerning the comparisons related to children's social skills, it was obtained that the group of mothers of children without social skills deficits presented a higher frequency of communication in their relationship, communicating more negatively, however, acting more positively affectionate in the interaction with the spouse. As contributions to the present study, the relationship between marital satisfaction and parenthood, as well as between marital satisfaction and child behavior problem and child’s social skills, is highlighted, considering its relation to maternal depression.
CAPES: 1577273
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Vesco, Anthony Thomas. "Impacts of Omega-3 Supplementation and Cognitive-Behavioral Therapy on Trajectories and Associations of Children’s Affectivity and Effortful Control." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1467327294.
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Moore, Michael Thomas. "Memory Biases and Depressive Realism." Kent State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=kent1248092716.
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Eberl, Carolin, Isabell Winkler, Steffen Pawelczack, Eva Tröbitz, Mike Rinck, Eni S. Becker, and Johannes Lindenmeyer. "Self-esteem consistency predicts the course of therapy in depressed patients." Public Library of Science, 2018. https://monarch.qucosa.de/id/qucosa%3A31242.
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Previous studies on self-esteem and depression demonstrated the usefulness of both implicit and explicit self-esteem as well as their congruence (also known as self-esteem consistency) to predict future depressive symptoms. High self-esteem consistency describes when implicit and explicit self-esteem match (e.g., both high or both low). In the current study, we investigated if implicit and explicit self-esteem and self-esteem consistency predict the course of treatment efficacy of a cognitive behavioral depression therapy. Explicit self-esteem was assessed by the Rosenberg Self-Esteem Scale, implicit self-esteem by a priming task. Participants were 31 patients with a major depressive or recurrent depressive disorder receiving cognitive behavioral therapy treatment in an inpatient setting. Self-esteem measures were administered before treatment. The development of depression symptoms during treatment and at the 4-month follow-up was measured on the Beck Depression Inventory. Implicit and explicit self-esteem did not predict the course of the therapy. Patients with congruent self-esteem, however, improved faster and showed lower severity of symptoms throughout treatment. In contrast, neither explicit nor implicit self-esteem nor self-esteem consistency predicted the stability of effects after treatment. Practical implications such as targeting discrepancies in self-esteem during treatment are discussed.
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Jacob, Seema. "Parent-Child Interaction Therapy (PCIT) & Maternal Depression: A Proposal for the Application of PCIT With Mothers Who Are Depressed and Their Children." Wright State University Professional Psychology Program / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1308747844.
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Anaeche, Collins Ifeanyichukwu. "Marital Satisfaction of Couples in Heterosexual Relationships Where There Are Differences in Spirituality." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch161306665530616.
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Häggqvist, Jenni, and Salomé Hanna von. "Kognitiv funktion vid insomni, depression samt komorbid insomni och depression : skiljer grupperna sig åt och spelar det någon roll för behandlingsutfall?" Thesis, Linköpings universitet, Filosofiska fakulteten, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-114343.
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Insomni och depression är psykiatriska åkommor som idag drabbar många människor. Forskning har visat att det råder en stor samsjuklighet mellan diagnoserna där många drabbade lider av samtidig insomni och depression vilket utgör en stor belastning för den enskilde individen. Patienter rapporterar ofta en negativ påverkan på kognitiva funktioner, bland annat minnessvårigheter och problem med koncentration och uppmärksamhet. Inom forskningen råder det i dagsläget en osäkerhet kring vilka kognitiva nedsättningar som karakteriserar personer med dessa diagnoser och på vilka sätt de skiljer sig åt. Det finns också ett behov av att undersöka vilken roll kognitiv förmåga spelar för människors möjlighet att tillgodogöra sig psykologisk behandling. I föreliggande studie var syftet att undersöka dessa båda områden. Resultaten visade inte på några signifikanta skillnader mellan personer med insomni, personer med depression och personer med det komorbida tillståndet avseende kognitiva funktioner, när det mättes genom test av uppmärksamhet, arbetsminne och exekutiva funktioner. Däremot framkom vissa samband mellan arbetsminne och förbättring av upplevda sömnbesvär, liksom mellan förmåga till bibehållen uppmärksamhet och förbättring av depressionssymtom. Vidare forskning med större och jämnare urvalsgrupper behövs för att undersöka stabiliteten i dessa fynd.
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DURÃES, RICARDO SILVA DOS SANTOS. "IDENTIFICAÇÃO DE DISTORÇÕES COGNITIVAS EM CASAIS E INTERVENÇÃO COGNITIVO-COMPORTAMENTAL." Universidade Metodista de Sao Paulo, 2016. http://tede.metodista.br/jspui/handle/tede/1600.
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Submitted by Noeme Timbo (noeme.timbo@metodista.br) on 2017-01-25T12:53:43Z
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RicardoDuraes.pdf: 2397528 bytes, checksum: 3131144d042e53cdfcb5df2acb1abbc2 (MD5)Made available in DSpace on 2017-01-25T12:53:43Z (GMT). No. of bitstreams: 1 RicardoDuraes.pdf: 2397528 bytes, checksum: 3131144d042e53cdfcb5df2acb1abbc2 (MD5) Previous issue date: 2016-11-16
Automatic thoughts, emotions, behaviors and physiological responses have relationships with each other and are directly linked to the attribution of the causes, beliefs, values, attitudes and expectations in the relationship of couples and are associated with marital satisfaction and psychological distress. The aim of this study was to identify cognitive distortions couples and intervene from cognitive-behavioral therapy and increase levels of marital satisfaction. The sample consisted of 16 heteroafetivos couples, Brazilian, 18 years, literate and at least one year of marriage. Thus, the average age of the sample was 30.4 (SD=4,13) years and the majority (37.5%) reported having completed high school. The following instruments were used: Marital Satisfaction Scale (ESC); Dyadic Adjustment Scale (DAS); Relationship Belief Inventory (RBI); Marital Social Skills Inventory (IHSC); Automatic Thoughts Questionnaire (ATQ); Dysfunctional Attitude Scale (EAD); Back Depression Inventory - (BDI) and Beck Anxiety Inventory (BAI) applied before and after cognitive behavioral intervention, and a Questionnaire Sociodemographic. In the procedure, the couples came by 12 therapy sessions for 50-minutes weekly with cognitive-behavioral approach. Only the second session was individual. However, the first and the other sessions were combined. The results discloused as the most frenquentes cognitive distortions have the Mind Reading 34.4% (n = 11) and Hipergeneralization 31.3% (n = 10). In terms of final considerations it was observed that the cognitive behavioral intervention showed its effective, and then, corroborating improvement in marital satisfaction of most couples. Thus, the correlations of paired samples showed statistical significance (p=0,00) in the improvement of the levels of marital satisfaction, depression, anxiety, marital social skills and automatic thought compared to before and after the intervention.
Os pensamentos automáticos, as emoções, os comportamentos e as respostas fisiológicas têm relações entre si e estão diretamente ligados às atribuição das causas, crenças, valores, atitudes e expectativas na relação dos casais e estão associados à satisfação conjugal e sofrimento psíquico. O objetivo desse estudo foi identificar distorções cognitivas em casais e intervir a partir da terapia cognitivo-comportamental e aumentar os níveis de satisfação conjugal. A amostra foi composta por 16 casais heteroafetivos, brasileiros, maiores de 18 anos, alfabetizados e com no mínimo um ano de união. Assim, a idade média da amostra foi de 30,4 (DP=4,13) anos e a maioria (37,5%) relatou ter ensino médio completo. Foram utilizados os seguintes instrumentos: Escala de Satisfação Conjugal (ESC); Escala de Ajustamento Diádico (DAS); Inventário de Crença Sobre Relacionamento (RBI); Inventário de Habilidades Sociais Conjugais (IHSC); Questionário de Pensamentos Automáticos (ATQ); Escala de Atitudes Disfuncionais (EAD); Inventário Back de Depressão – (BDI) e Inventário Beck de Ansiedade (BAI) aplicados antes e depois da intervenção cognitivo comportamental, além de um Questionário Sociodemográfico. Quanto ao procedimento, os casais passaram por 12 sessões de terapia de 50 minutos com base cognitivo-comportamental. Somente a segunda sessão foi individual. No entanto, a primeira e as demais sessões foram conjuntas. Os resultados mostraram que as distorções cognitivas mais frenquentes foram a Leitura de pensamento 34,4% (n=11) e de hipergeneralização 31,3% (n=10). Foi possível observar que a intervenção cognitivo comportamental se mostou eficaz, corroborando melhora nas satisfação conjugal da maioria dos casais. As correlações de amostras emparelhadas apresentaram significância estatística (p=0,00) na melhora dos níveis de satisfação conjugal, depressão, ansiedade, habilidades sociais conjugais e pensamentos automáticos comparado com o antes e depois da intervenção.
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Marder, Alyssa M. "Measuring Therapist Adherence to a Manual-Based Treatment Tested in a Community Setting: The PASCET Manual Adherence Scale (P-MAS)." VCU Scholars Compass, 2007. http://scholarscompass.vcu.edu/etd/682.
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The goal of the current study was to develop and test a rigorous measure of therapist adherence to a cognitive-behavioral, manual-based treatment for childhood and adolescent depression. This project employed data from the recently completed UCLAYouth Anxiety and Depression Treatment study. This study aimed to advance the literature by devoting the full focus of the project to the development of a manual-based measure that would demonstrate interrater reliability across multiple raters. This study reported on the psychometric development of the PASCET Manual Adherence Scale (PMAS) (e.g. scoring strategy, item development, reliability), a unique measure of therapist adherence that represents the content of the treatment manual for the "Primary and Secondary Control Enhancement Training" program (PASCET; Weisz et al., 1999). In sum, the P-MAS showed strong interrater reliability for most items of the scale. The items with poorer ICCs may have been influenced by instrumentation problems, small sample size, and range restriction. Some session content showed evidence that more meetings may be required to sufficiently cover the material, particularly for those that involve heavy in-vivo content, require the use of technology, or involve cognitive interventions which may be challenging for children and young teenagers. The results indicated that therapists adhered to slightly more than half of the prescribed manual content overall. The variability in adherence appeared greater for session-specific content than for standard session items, reflecting the variability within that content and the myriad of factors which may have influenced adherence to diverse material. Adherence for session-specific content demonstrated a slightly downward trend over time, with a significant drop off between the first and second phases of treatment and a leveling off between second and third phases. For all but two relevant sessions, therapist adherence to didactic content was significantly higher than adherence to in-vivo content, highlighting the challenges of engaging depressed youth in active learning. As this active involvement is theorized to be an essential component in addressing depressive symptoms, the challenges in implementation of this content may represent the most significant barrier to therapist adherence with this manual.
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Sampson, Marlene J. "Intervention Effects of a Cognitive Behavioral Skills Building Program onNewly Licensed Registered Nurses." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555516147835511.
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