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Dissertations / Theses on the topic 'Medications and cognitive behavior therapy'
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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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Gollan, Jackie K. "Posttreatment predictors of depression relapse following cognitive behavior therapy /." Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/9005.
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CATLIN, CASEY CHRISTIE. "THERAPIST DIRECTIVENESS AND HOMEWORK COMPLIANCE IN COGNITIVE BEHAVIOR THERAPY." Thesis, The University of Arizona, 2008. http://hdl.handle.net/10150/190434.
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Alexander, Helen. "Coping with Sickle Cell Disease Using Cognitive Behavior Therapy." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5157.
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This project focused on identifying the best evidence available on the use of cognitive behavior therapy (CBT) for pediatric patients and families with sickle cell disease (SCD) to improve their coping skills with pain management. This resulted from an identified gap in nursing practice regarding psychosocial support for this subset of hospitalized pediatric patients. The practice-focused question was whether there was evidence in the literature on the use of CBT techniques to improve parental coping skills with children who have chronic and life-threatening illness that could be utilized with sickle cell disease. The theory of stress and coping guided the underpinnings of the study process. The Johns Hopkins Nursing evidence-based practice model (JHNEBP) was the framework for this project. A systematic review was conducted utilizing research-based articles from the major healthcare databases. The original search resulted in over 12,000 articles. This pool was further refined based upon a link between the pediatric population with chronic or life-threatening conditions and family coping skills. This was further narrowed down based on the use of social-cognitive therapy and coping skills. This process resulted in 6 research articles on the use of CBT with the target population. An evaluation of these studies found evidence that CBT can improve parental coping skills. Nursing support for parental coping with SCD has the positive social impact of decreased parental stress and improved quality of life for both the child and the family unit.
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Hoff, Alexandra Louise. "Targeting Parental Overcontrol in Cognitive Behavior Therapy for Anxious Youth." Diss., Temple University Libraries, 2017. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/475616.
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Psychology<br>Ph.D.<br>Many parent factors have been associated with child anxiety, and researchers have examined how parents may be most beneficially involved in cognitive behavior therapy (CBT) for anxious youth. Results have been mixed as to whether parent CBT, family CBT, and parent interventions addressing parental anxiety or overcontrol have an added benefit over youth-focused CBT. The present study compared (a) a parent group intervention targeting autonomy granting, (b) a parent CBT skills group, and (c) a parent support control group, all provided in conjunction with individual CBT for anxious youth ages 7 to 17. Randomly assigned group conditions, as well as variance in overall parent attendance across conditions, were examined as predictors of change in parenting behaviors and in child anxiety. No significant differences in youth anxiety outcomes were found across parent group conditions, and parental beliefs and involvement improved most for the support control group. However, youth whose parents attended more group sessions showed a significantly greater decrease in anxiety severity than youth whose parents attended fewer (0, 1) sessions, which was mediated by a significantly greater decrease in parental avoidance of child anxiety. The results suggest that additional parent participation in treatment may have an added benefit, even with an unstructured support group format, but do not offer clarity about the benefit of targeted interventions for parents.<br>Temple University--Theses
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Cariss, Margaret E. "A comparison of the changes in premenstrual symptoms and coping strategies following fluoxetine medication of cognitive behaviour therapy for premenstrual dysphoric disorder (PMDD)." Thesis, Open University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.370041.
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Zuellig, Andrea R. "A comparison of the effect of three therapies on generalized anxiety disordered adults' self-reported internal working models of attachment." Full text available online (restricted access), 2002. http://images.lib.monash.edu.au/ts/theses/Zuellig.pdf.
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Amin, Jennifer, and Sanna Forslund. "Cognitive Behavior Therapy for Multiple Chemical Sensitivity: A Single CaseExperimental Design." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-73356.
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Meng, Yuxin. "Alleviating Anxiety of Asthmatic Children: Engaging Design into Cognitive Behavior Therapy." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1471347666.
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Bannon, Erin E. "The Efficacy of Acceptance Based Behavior Therapy Versus Cognitive Therapy for Test Anxiety and Working Memory Performance." Bowling Green State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1510866677089178.
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Ulmer, Jonathan D. "An assessment of the cognitive behavior exhibited by secondary agriculture teachers." Diss., Columbia, Mo. : University of Missouri-Columbia, 2005. http://hdl.handle.net/10355/4125.
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Thesis (Ph. D.)--University of Missouri-Columbia, 2005.<br>The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file viewed on (July 19, 2006) Vita. Includes bibliographical references.
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Nolan, Elizabeth Mintzer Herbert James D. "Long-term follow-up of cognitive behavior therapy for social anxiety disorder /." Philadelphia, Pa. : Drexel University, 2005. http://dspace.library.drexel.edu/handle/1860/542.
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Jeon, Sangchoon. "Factors associated with time to resolution of pain and fatigue among cancer patients undergoing chemotherapy in a cognitive behavioral intervention group." Diss., Connect to online resource - MSU authorized users, 2006.
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Rassau, Anoushka. "Effects of synchronous chat-based on-line cognitive behavior therapy on study related anxiety and behavior." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1067.
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Very little research is currently available about therapy conducted in chat-based Internet environments. Most of the existing research concerns therapy delivered via email or on-line support groups. For this reason, this review first presents an overview of literature concerning practical issues relevant to Internet-based therapy in general and then presents a review of the research that is available regarding therapy provided in chat-based Internet environments. The literature reviewed in this paper has been obtained from several on-line databases and Internet search engines. The available research on chat-based therapy has produced mainly anecdotal or inconclusive results. There is a need for controlled research that more clearly displays the relationship between an intervention provided in a chat environment and the participants' problems.
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Ford, Stephanie Hall. "A Pilot Study Examining The Difference In Community Mental Health Services Users' Symptomatology and Concordance with Medication Regimens After Completion of the Quarto Adherence Therapy Intervention." FIU Digital Commons, 2004. http://digitalcommons.fiu.edu/etd/3632.
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A randomized, experimental pilot study of QUATRO Adherence Therapy examined differences at baseline and follow up in the dependent variables of severity of psychiatric symptomatology and medication concordance as measured by the Positive and Negative Symptom Scale and the Personal Evaluation of Transitions in Treatment for subjects with schizophrenia and schizoaffective disorder at a community mental health center. The sample was 23 subjects. A questionnaire developed for the study collected data at follow-up. Data were analyzed using descriptive statistics, /-tests, and repeat Anova to compare groups and determine significance of change following completion of the intervention. Program evaluation was positive. Statistical comparison indicated no significant differences were found in change scores for either group. Implications for further research are that a larger scale randomized controlled study is needed to produce statistical significance.
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Au, Yeung Wai-yin, and 歐陽慧賢. "The application of cognitive-behavioral procedures in probation setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1987. http://hub.hku.hk/bib/B31247763.
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黃浪詞 and Long-chi Rinna Wong. "Using process research to identify stress-alleviating helpful events in stress inoculation training." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31976797.
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Johnson, Patrick R. "The cognitive behavioral treatment of chronic headache : group versus individual treatment format /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487260531956491.
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Hernandez, Ileana. "Cognitive behavior therapy for anxiety disorders in youth: Treatment specificity and mediation effects." FIU Digital Commons, 2014. http://digitalcommons.fiu.edu/etd/1423.
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The present study investigated the efficacies of Individual CBT (ICBT), Parent Relationship Skill Training (RLST, which targets increasing parental acceptance of youth and increasing autonomy granting) and Parent Reinforcement Skills Training (RLST, which targets increasing parental positive reinforcement and decreasing negative reinforcement). The specific aims were to examine treatment specificity and mediation effects of parenting variables. ICBT was used as a baseline comparison condition.
The sample consisted of 253 youth (ages 5-16 years; M = 9.38; SD = 2.42) and their parents. To examine treatment outcome and specificity, the data were analyzed using analysis of variance within a structural equation modeling framework. Mediation was analyzed via structural equation modeling using MPlus.
Results indicated that ICBT, RLST, and RFST produced positive treatment outcomes across all indices of change (i.e., clinically significant improvement, anxiety symptom reduction) and across all informants (i.e., youths and parents). RLST was associated with incremental reduction in youth anxiety symptoms beyond ICBT, as per youth report. Treatment specificity effects were found for participants in RFST in terms of parental reinforcement, as per parent report only. Treatment mediation was not found for any of the hypothesized parenting variables (i.e., parental acceptance, parental autonomy granting, parental reinforcement). The results support the use of CBT involving only the youth and the parent and youth together for treating youth anxiety. The findings’ implications are further discussed in terms of the need to conduct further meditational treatment outcome designs in order to continue to advance theory and research in youth anxiety treatment.
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Goldstein-Kerzner, Cathy E. (Cathy Ellen) Carleton University Dissertation Psychology. "Examination of components of cognitive behavior therapy in the treatment of bulimia nervosa." Ottawa, 1996.
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Edwards, Anna Rosenberg. "Psychotherapy and Pharmacotherapy for Social Anxiety Disorder: A Comprehensive Meta-Analysis." Diss., Temple University Libraries, 2011. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/110933.
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Psychology<br>Ph.D.<br>Social anxiety disorder is the fourth most prevalent mental disorder in the US. Over the past several decades, psychotherapeutic, specifically cognitive behavioral, and pharmacologic approaches have been found efficacious for social anxiety disorder. A number of meta-analyses have been conducted since 1995 examining the efficacy of cognitive behavioral therapy (CBT) and/or pharmacotherapy for social anxiety disorder. Though there have been numerous trials in the past decade, no meta-analysis examining both psychotherapy and pharmacotherapy for social anxiety disorder has been published since 2001. For the present study, a comprehensive literature search produced 93 publications featuring 94 controlled trials (N = 11,503), which were included in the final analyses. We found a moderate to large effect size for all active treatments compared to control conditions. Significant heterogeneity among treatment effects was evident, largely accounted for by true variation between effects, versus standard error. Examination of potential study characteristic moderators indicated that treatment type (CBT, medication, combination), analysis type (intent-to-treat vs. completer), funding source, type of screening interview, type of treatment clinic (academic or private), version of diagnostic criteria, type of social anxiety sample (generalized social anxiety disorder only vs. mixed sample of generalized and specific social anxiety disorder) and type of inclusion/exclusion criteria related to other anxiety disorders were significant moderators. Publication type, inclusion/exclusion criteria related to depression and substance abuse/dependence, and full sample comorbidity with another disorder were not. Treatment type was no longer a significant moderator once control condition was accounted for. In psychotherapy trials, self-exposure (as compared to all other types of CBT) and psychotherapist training were significant moderators, whereas variables corresponding to treatment modality and delivery were not. Medication class and specific drug type were significant moderators for pharmacotherapy studies comparing an active treatment to a control condition. Head-to-head comparisons, which included trials comparing active treatments, indicated no differences between psychotherapy, medication, and the combination of the two. Further, social anxiety treatment had moderate to large effects on depression and quality of life.<br>Temple University--Theses
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Heard, Heidi L. "Cost-effectiveness of dialectical behavior therapy in the treatment of borderline personality disorder /." Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/9082.
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劉慧儀 and Wai-yee Lau. "Effectiveness of group cognitive-behavior treatment for childhood anxiety in community clinic setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41712511.
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Lau, Wai-yee. "Effectiveness of group cognitive-behavior treatment for childhood anxiety in community clinic setting." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41712511.
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Pescatello, Meredith S. "Treatment Engagement and Effectiveness Using an Internet-Delivered Cognitive Behavioral Therapy at a University Counseling Center." BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/9078.
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Mental health disorders are a leading cause of disability and mortality worldwide. Mental health services do not meet demand due to accessibility issues, financial burden, and increasing needs. Technology can provide affordable, accessible mental health care and some research suggests internet-delivered Cognitive Behavior Therapy (iCBT) may be an effective treatment. In iCBTs, participants typically complete Cognitive Behavior Therapy modules and videos and are supported by a therapist. Advantages of iCBT over face-to-face therapy include lower cost, no travel time, easy access, no waitlists, and trackable progress. To our knowledge there have been no naturalistic studies of iCBT programs. Therefore, this study will evaluate the usage and effectiveness of one iCBT program, SilverCloud, in a university counseling center. Participants (N=5568) were students at a large, private western university. Participants were either self-referred to the program, chose to enroll at intake as a standalone intervention, or were referred by their treating clinician as an adjunct to regular treatment. We compared the outcomes and usage of participants using SilverCloud concurrently with psychotherapy to participants using SilverCloud alone, and participants in psychotherapy alone.
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Paparello, Silvia. "The many faces of neurocognitive development behavior and neurocorrelates of holistic face processing /." Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2007. http://wwwlib.umi.com/cr/ucsd/fullcit?p3284166.
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Thesis (Ph. D.)--University of California, San Diego, 2007.<br>Title from first page of PDF file (viewed January 14, 2008). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references. Faces are central stimuli in our everyday life, hence, face processing is a sophisticated and highly specialized cognitive ability, at which adults are experts and children are proficient. Unlike other visuospatial abilities, face perception develops very slowly, becoming adult-like only well into adolescence. Some performance disparities between children and adults may reflect differences in general cognitive abilities, such as attention and memory. Alternatively, performance differences can be attributed to specific cognitive strategies implemented during face processing by different age groups; or to the interaction between the improvement of general abilities throughout development and the refinement of face specific cognitive strategies. The intent of the current studies was to further assess the development of and relationship between cognitive strategies in face processing. Specifically, we investigated the behavior and neurocorrelates associated with holistic face processing in children (8- to 11-year-olds), adolescents, and adults, utilizing the composite face effect. The task requires participants to engage in both holistic and featural processing, but certain trials (aligned-same) elicit a visual illusion called the composite face effect (CFE, calculated as difference between misaligned-same and aligned-same trials), which is considered an index of holistic processing. All age groups (adults, adolescents, 8- to 9-year-olds, 10- to 11-year-olds) showed a CFE, suggesting reliance on holistic processing. Notably, about half of the 8- to 11-year-old children displayed adult-like behavior and adult-like CFE, suggesting their reliance on holistic processing. However, the other half of the children performed below-chance on aligned-same trials, displayed an extremely large CFE, and a significant difference between different trials, suggesting reliance on a featural strategy. Thus child age groups were regrouped according to their accuracy performance on the hardest condition (aligned-same trials) into high performing and low performing children. We hypothesize that the aligned-same trials were too taxing for low-performing children, thus they fell back into relying on simpler strategies such as a difference-detection featural strategy. In order to further investigate the CFE behavioral differences between age and performance groups, we completed an imaging study. For the fMRI study children were grouped by performance rather than age following the results of our behavioral study. Overall, our imaging results for the CFE, thus for holistic processing, resembled behavioral results in that adult and high performing child groups revealed a similar (but not identical) whole-brain pattern of activation, whereas the low performing child group showed a distinctive pattern of activation for the composite face effect. Adults and high performing children showed a pattern of activation spanning frontal, parietal, temporal, and occipital lobes. In contrast, low performing children revealed a pattern of activation that spanned frontal, temporal, cingulate, and cerebellar regions. Brain areas typically associated with face processing, such as the right fusiform gyrus and right inferior temporal gyrus did not reach significance for the low performing child group. These differences may be attributable to the use of different cognitive strategies. However, the extent of frontal and cingulate cortex activation in low performing children may also suggest that because the task was especially difficult for them, working memory resources were particularly taxed, thus affecting the neural network engaged. Importantly, not only were performance differences associated with distinct neurocorrelates (i.e., differing profiles for low performing children vs. high performing children and adults), but age differences also had an appreciable effect. In fact, high performing children did not significantly differ from adults in the behavioral CFE, but did show differences in the neural CFE.
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Butler, Robert Walker. "The development of an experimental inventory for the identification of cognitive strategies for coping with acute pain /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487261553058949.
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Au, Yeung Wai-yin. "The application of cognitive-behavioral procedures in probation setting /." [Hong Kong : University of Hong Kong], 1987. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12341733.
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Dalfen, Samara. "Change in dysfunctional beliefs and symptoms during cognitive behavior therapy for resistant obsessive compulsive disorder." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=80248.
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A central question in the field of Obsessive-Compulsive Disorder (OCD) is the role of symptom-related dysfunctional beliefs thought to underlie symptoms. This study examines change in symptoms and related dysfunctional beliefs during Cognitive Behavior Therapy (CBT) with 32 previously treatment resistant OCD patients. Three questions were examined: (a) What is the relationship between dysfunctional beliefs and symptoms at pre-treatment; (b) How much change occurs in symptoms, and related beliefs, during specialized CBT; and (c) What is the relationship between change in cognitive and symptom variables. On average, symptoms and related beliefs of symptomatic-responders resolved to within normal limits following treatment. Beliefs of patients whose symptoms did not improve remained unchanged. Pre-treatment strength of overestimation of threat and response to unpredictability were significant predictors of symptomatic improvement. Change in overcontrol of intrusive thoughts and overestimation of threat significantly predicted change in symptoms. Theoretical and treatment implications of the findings are discussed.
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Rudge, Marion. "An Exploratory Analysis of Change During Group CBT for Social Phobia in Clinical Practice: A Treatment-Effectiveness Study." Thesis, University of Canterbury. Psychology, 2007. http://hdl.handle.net/10092/1417.
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The effectiveness of a Group CBT programme for Social Phobia was assessed using 18 participants recruited from a routine practice setting. Therapy was based on CBT techniques as practiced routinely by the clinical practice, and were not modified for the study by factors such as strict exclusion criteria and adherence to rigid manualised treatments. Pre- to post-treatment effect sizes compared favourably with those reported in a meta-analysis (Taylor, 1996). The findings provide support for the accessibility and effectiveness of group CBT techniques for Social Phobia in field settings. While some individuals within the sample experienced dramatic improvement, some remained severely impaired even at post-treatment. The results of Hierarchical Multiple Regressions indicated that lower levels of pre-treatment depression severity, higher levels of attendance, and greater homework compliance, were predictive of more improvement on some, but not all, measures of outcome. Implications for treatment are discussed.
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Musser, Mim. "Training the church in rational Christian thinking." Theological Research Exchange Network (TREN), 1987. http://www.tren.com.
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Woloshyn, Wendy. ""More perfect": Towards a phenomenology of perfectionism /." Burnaby B.C. : Simon Fraser University, 2007. http://ir.lib.sfu.ca/handle/1892/9308.
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Thesis (M.A.) - Simon Fraser University, 2007.<br>Theses (Faculty of Education) / Simon Fraser University. Senior supervisor: Stephen Smith -- Faculty of Education. Also issued in digital format and available on the World Wide Web.
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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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Meaden, Ann. "The experience of rational emotive behaviour therapy." Thesis, University of Wolverhampton, 2010. http://hdl.handle.net/2436/113730.
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The literature review produced for this thesis systematically analysed qualitative studies of cognitive therapy using a methodology checklist and a meta-synthesis technique. Ten papers which used qualitative analysis to look at clients’ experiences of Cognitive Behavioural Therapy (CBT) met the selection criteria. Seven themes emerged. Three were linked to a therapeutic relationships theme; the trusted listener, power and authority and others like me. Four were linked to the impact of cognitive therapy theme; empowering information, analysing the problem, thinking differently and doing things differently. It was concluded that future research should focus on the components of cognitive therapy and that differences in technique between CBT and Rational Emotive Behaviour Therapy (REBT) should be explored via a qualitative study of clients’ experiences of REBT. A qualitative approach was taken to look at clients’ experiences of REBT. Seven participants were interviewed using a semi-structured interview guide and the resulting transcripts were analysed using interpretive phenomenological analysis. Three themes emerged: one which looked at what it was like to have mental health problems; a second, which looked at clients’ expectations and experiences of the more technical aspects of therapy, and a third which examined the therapeutic relationship. All of the participants appeared to value therapy. However, the extent to which they knew about and used the theory and philosophy of REBT varied greatly. These results suggest that further research needs to be carried out which looks at how people benefit from therapy as clients views may differ from those of therapists. A critical appraisal of the research process was written using the REBT model to reflect the experience of producing the thesis.
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Zarling, Amie Nichole. "A preliminary trial of ACT skills training for aggressive behavior." Diss., University of Iowa, 2013. https://ir.uiowa.edu/etd/2420.
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The objective of the current research was to test the initial feasibility and potential efficacy of a group-based Acceptance and Commitment Therapy (ACT) intervention for partner aggression, compared to a support and discussion control group, in a clinical sample of adults. Specifically, the study was intended to provide preliminary evidence of the impact of an ACT group on psychological and physical aggression, and to examine the processes responsible for any treatment effects. One hundred and one participants (mean age = 31; 68% female) were randomly assigned to receive ACT or the support and discussion control group. Both interventions consisted of 12 weekly 2-hour sessions and participants were assessed with self-report measures at pre-treatment, twice during treatment, at post-treatment, and at 3- and 6-month follow-up. Results of growth curve modeling analyses demonstrated that participants in the ACT group had significantly greater decreases in psychological and physical aggression at post-treatment and follow-up, and also showed improvements in depressive symptoms, interpersonal problems, and social functioning. Finally, the effect of the ACT group on psychological and physical aggression was mediated by experiential avoidance, suggesting that the intervention had its effects, at least in part, through increasing emotional acceptance. These results demonstrate that an ACT approach to aggression may be a viable alternative to traditional treatments.
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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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Hilbert, Anja, Stephan Herpertz, Ross D. Cosby, et al. "Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder." Elsevier, 2019. https://ul.qucosa.de/id/qucosa%3A75708.
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Rapid response is considered the most well-established outcome predictor across treatments of binge-eating disorder (BED), including cognitive-behavioral therapy (CBT). This study sought to identify latent trajectories of early change in CBT and compare them to common rapid response classifications. In a multicenter randomized trial, 86 adults with BED (DSM-IV) or subsyndromal BED provided weekly self-reports of binge eating over the first 4 weeks of CBT, which were analyzed to predict binge eating, depression, and body mass index at posttreatment, 6-, and 18-month follow-up. Using latent growth mixture modeling, three patterns of early change—including moderate and low decreasing—as well as low stable binge eating were identified, which significantly predicted binge-eating remission at 6-month follow-up. Other classifications of rapid response based on Receiver Operating Characteristics curve analyses or on the literature (≥ 10% reduction in binge eating at week 1, ≥ 70% reduction in binge eating at week 4) only predicted posttreatment remission or overall depression, respectively. Latent change trajectories, but not other rapid response classifications, predicted binge-eating frequency over time. A fine-grained analysis of change over the first 4 weeks of CBT for BED revealed different trajectories of early change in binge eating that led to an improved prediction of binge-eating outcome, compared to that of common rapid response classifications. Thorough monitoring of early change trajectories during treatment may have clinical utility.
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Vaillancourt, Kate E. "Outpatient Dialectical Behavior Therapy at a Community Mental Health Center: Outcome Study." Antioch University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1339163723.
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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.<br>https://dc.etsu.edu/etsu_books/1214/thumbnail.jpg
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Johansson, Robert. "Treating depression and its comorbidity : From individualized Internet-delivered cognitive behavior therapy to affect-focused psychodynamic psychotherapy." Doctoral thesis, Linköpings universitet, Psykologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-100385.
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The overarching goal of this thesis has been to enhance Internet-delivered psychological treatments for depression and its comorbidity. To this end, three randomized controlled trials (Study II, III and IV) with a total of 313 participants were conducted. A prevalence study (Study I) was also conducted to provide an up-to-date estimate of the prevalence of depression, anxiety disorders, and their comorbidity in the Swedish general population. Study I showed that more than every sixth individual in Sweden suffers from symptoms of depression and/or anxiety. Comorbidity between depression and anxiety was substantial and associated with higher symptom burden and lower health-related quality of life. Study II showed that a tailored Internet-based CBT protocol (ICBT) was effective in reducing symptoms of depression when compared to a control group. Among individuals with more severe depression and comorbidities, the tailored ICBT treatment worked better than standardized ICBT. Study III showed that a psychodynamic Internet-based psychotherapy was highly effective in the treatment of depression, when compared to a group who received psychoeducation and online support. In Study IV, an Internet-delivered affect-focused psychodynamic psychotherapy proved to have a large effect on depression and a moderately large effect on anxiety disorders. In conclusion, this thesis shows that in the context of treating depression and its comorbidity, Internet-delivered psychological treatments can be potentially enhanced by psychodynamic psychotherapy and by individualization.<br>Det övergripande syftet med denna avhandling har varit att vidareutveckla internetbaserad psykologisk behandling för depression och dess komorbiditet. Tre randomiserade kontrollerade studier (Studie II, III och IV) med totalt 313 deltagare genomfördes i linje med detta syfte. En prevalensstudie (Studie I) genomfördes också för att tillhandahålla ett uppdaterat estimat av prevalensen av depression, ångest och deras komorbiditet i Sverige. Studie I visade att mer än var sjätte individ i Sverige lider av symptom på depression och/eller ångest. Det fanns påtaglig komorbiditet mellan depression och ångest, vilket var associerat med högre symptombörda och lägre livskvalitét. Studie II visade att en skräddarsydd internetbaserad KBT-behandling var effektiv för att reducera symptom på depression, i jämförelse med en kontrollgrupp. Bland individer med svårare depression och komorbiditet, fungerade den skräddarsydda interventionen bättre än en standardiserad. Studie III visade att psykodynamisk internetbehandling var effektiv vid behandling av depression, i jämförelse med en grupp som fick psykoedukation och stödsamtal online. I Studie IV visades att en affektfokuserad psykodynamisk internetbehandling hade stor effekt vad gällde att reducera symptom på depression, och medelstor effekt vad gällde att reducera symptom på ångest. Sammanfattningsvis visar denna avhandling att internetbaserad psykologisk behandling kan potentiellt vidareutvecklas av psykodynamisk psykoterapi och individanpassning, vid behandling av depression och dess komorbiditet.
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Rozental, Alexander. "Negative effects of Internet-based cognitive behavior therapy : Monitoring and reporting deterioration and adverse and unwanted events." Doctoral thesis, Stockholms universitet, Klinisk psykologi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-135382.
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Internet-based cognitive behavior therapy (ICBT) has the potential of providing many patients with an effective form of psychological treatment. However, despite helping to improve mental health and well-being, far from everyone seem to benefit. In some cases, negative effects may also emerge. The overall aim of the present thesis was to establish the occurrence and characteristics of such incidents in ICBT using a combination of quantitative and qualitative methods. Study I determined deterioration, non-response, and adverse and unwanted events in a sample of 133 patients undergoing ICBT for social anxiety disorder. The results indicated that up to 6.8% fared worse during the treatment period, depending on the self-report measure and time point, as determined using the Reliable Change Index (RCI), while the non-response rate was between 29.3 to 86.5% at post treatment assessment, and 12.9% experienced other negative effects. Study II investigated the responses to open-ended questions on adverse and unwanted events among 556 patients in four separate clinical trials of ICBT; social anxiety disorder, panic disorder, major depressive disorder, and procrastination. In total, 9.3% reported negative effects, with a qualitative content analysis revealing two categories and four subcategories; patient-related, i.e., gaining insight and experiencing new symptoms, and treatment-related, i.e., difficulties applying the treatment interventions and problems related to the treatment format. Study III explored the number of patients achieving reliable deterioration, as determined using the RCI on the individual raw scores of 2866 patients from 29 clinical trials of ICBT. The results showed that the deterioration rate was higher among patients in a control condition, 17.4%, in comparison to treatment, 5.8%. Predictors were related to decreased odds of deterioration for patients receiving treatment; clinical severity at pre treatment assessment, being in a relationship, having a university degree, and being older. As for the control condition, only clinical severity at pre treatment assessment was associated with decreased odds of deterioration. Study IV examined a newly developed self-report measure for monitoring and reporting adverse and unwanted events, the Negative Effects Questionnaire. The results suggested a six-factor solution with 32 items; symptoms, quality, dependency, stigma, hopelessness, and failure. One-third of the patients reported experiencing unpleasant memories, stress, and anxiety, with novel symptoms and a lack of quality in the treatment and therapeutic relationship having the greatest negative impact. The general finding of the present thesis is that negative effects do occur in ICBT and that they are characterized by deterioration, non-response, and adverse and unwanted events, similar to psychological treatments delivered face-to-face. Researchers and clinicians in ICBT are recommended to monitor and report negative effects to prevent a negative treatment trend and further the understanding of what might contribute to their incidents. Future research should investigate the relationship between negative effects and treatment outcome, especially at follow-up, to examine if they are transient or enduring. Also, interviews could be conducted with those achieving reliable deterioration to explore if and how it is experienced by the patients and to see if it is attributed to the treatment interventions or other circumstances.<br>Internetbaserad kognitiv beteendeterapi (IKBT) har goda förutsättningar att kunna bli en form av psykologisk behandling som på ett effektivt sätt hjälper patienter med att hantera sin psykiska ohälsa och förbättra sitt välmående. Trots detta är det dock långtifrån alla som tycks bli bättre. För en del kan det till och med resultera i negativa effekter. Det övergripande syftet med denna avhandling har således varit att undersöka förekomsten av sådana fall och hur dessa uttrycks, såväl med kvantitativa som kvalitativa metoder. Studie I fastställde andelen försämrade, oförändrade samt andra ogynnsamma eller oönskade händelser bland 133 personer som behandlades med IKBT för social ångest. Resultatet visade att uppemot 6,8 % försämrades under sin behandlingsperiod beroende på vilket självskattningsformulär respektive tidpunkt som studerades, beräknat enligt metoden Reliable Change Index (RCI). Likaså var 29,3 % till 86,5 % oförändrade vid eftermätningen samt att 12,9 % rapporterade andra former av negativa effekter. Studie II undersökte svaren på öppna frågor som gällde ogynnsamma eller oönskade händelser bland 556 patienter i fyra olika kliniska studier med IKBT; social ångest, paniksyndrom, egentlig depressionsepisod och prokrastinering. Totalt sett rapporterade 9,3 % att de hade erfarit negativa effekter, vilka analyserades med hjälp av kvalitativ innehållsanalys. Två övergripande kategorier och fyra subkategorier framkom; patientrelaterade, som ökad insikt respektive nya symptom, samt behandlingsrelaterade, som svårigheter att implementera behandlingsinterventionerna respektive problem med behandlingsformatet. Studie III utrönte andelen patienter som försämrades i enlighet med RCI, baserat på insamlad rådata från 2866 personer i 29 olika kliniska studier med IKBT. Resultatet visade att försämring var mer förekommande hos de som var i en kontrollgrupp, 17,4 %, jämfört med de som fick behandling, 5,8 %. Bland de som genomgick behandling existerade det även ett par prediktorer som innebar lägre odds för försämring; större svårigheter vid förmätningen, att befinna sig i en relation, att ha en universitetsutbildning respektive att vara äldre. För de som var i en kontrollgrupp var enbart större svårigheter vid förmätningen relaterat till lägre odds för försämring. Studie IV testade ett nykonstruerat självskattningsformulär; Negative Effects Questionnaire. Resultatet visade på en faktorlösning med sex faktorer och 32 påståenden; symptom, kvalitet, beroende, stigma, hopplöshet respektive misslyckande. En tredjedel av personerna svarade att de hade upplevt obehagliga minnen, stress och ångest, samtidigt som nya symptom och bristande kvalitet i både behandlingen respektive den terapeutiska relationen hade haft störst negativ inverkan på dem. Den generella slutsatsen av denna avhandling är således att negativa effekter förekommer i IKBT och att de kännetecknas av försämring, ett oförändrat tillstånd samt andra ogynnsamma eller oönskade händelser, något som liknar tidigare forskning av psykologisk behandling som bedrivs ansikte-mot-ansikte. Forskare och behandlare i IKBT rekommenderas att övervaka och rapportera negativa effekter i syfte att förhindra en negativ utveckling i behandlingen samt för att öka kunskapen om vad som kan bidra till deras förekomst. Framtida forskning bör undersöka relationen mellan negativa effekter och behandlingsutfall utifrån längre tidsperspektiv för att se om dess påverkan är övergående eller ihållande. Vidare kan till exempel intervjuer utföras med de patienter som har försämrats för att ta reda på om och hur det uppfattas samt huruvida det har förorsakats av behandlingen eller andra omständigheter.<br><p>At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 4: In press.</p>
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Mello, Patricia Gaspar. "Effectiveness of a cognitive-behavior therapy protocol for posttraumatic stress disorder and implications for trauma memory narratives." Pontifícia Universidade Católica do Rio Grande do Sul, 2014. http://hdl.handle.net/10923/6951.
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Previous issue date: 2014<br>Posttraumatic Stress Disorder (PTSD) is a mental disorder developed after the exposure to a traumatic event. People suffering from PTSD usually presents symptoms of reexperiencing, avoidance, hyperarousal, shame, and guilty. Several theories try to explain how PTSD is developed, but there is relative consensus about the influence of an impaired memory processing. Literature points out many types of treatments that aim to regulate this memory impairment and, therefore, reduce PTSD symptoms. Cognitive-Behavior Therapy (CBT) is considered a gold-standard treatment for PTSD. However, most studies about CBT for PTSD are developed in the military context or in developed countries. As far as we know, there is a limited number of studies exploring this subject in Brazil, even with evidence suggesting Brazilian CBT therapists have different treatment approaches when compared with American CBT therapists. Our study aimed to verify the efficacy of an adapted CBT treatment for PTSD in Brazilians regarding PTSD symptoms, cognitions, depression and trauma memory content. This dissertation is composed by (1) a brief introduction, explaining the main concepts we used to develop the study; (2) a theoretical section composed by a systematic review about CBT techniques for PTSD treatment; (3) an empirical section composed by two papers, being one regarding the efficacy of adapted CBT protocol for PTSD symptoms, cognitions and depression, another about memory content in PTSD before and after exposure tasks; and (4) final considerations summarizing our main findings. Results show that our CBT protocol successfully reduces PTSD symptomatology, patient’s memory seems to be less fragmented and they tend to include less psychophysiological sensations of fear and anxiety in their trauma memory narratives after therapy. The results suggest our CBT protocol is effective on the treatment of PTSD in Brazilians and it helps patients to organize and attribute a more functional meaning to their traumatic experiences.<br>O Transtorno de Estresse Pós-Traumático (TEPT) é um transtorno mental desenvolvido após a exposição a um evento traumático. Pessoas que sofrem com TEPT geralmente experienciam sintomas de revivência, evitação e excitabilidade aumentada. Diversas teorias tentam explicar como o TEPT se desenvolve, mas há relativo consenso sobre o envolvimento de processos de memória disfuncionais. A literatura aponta que existem muitos tipos de tratamento que buscam modular a memória de pacientes com TEPT e, assim, reduzir seus sintomas. A Terapia Cognitivo-Comportamental (TCC) é considerada o tratamento de escolha para o TEPT, porém a maior parte dos estudos sobre TCC para TEPT é desenvolvida no contexto militar ou em países desenvolvidos. Até onde se tem conhecimento, ainda há pouca pesquisa explorando esse assunto no Brasil, ainda que existam evidencias de que terapeutas de TCC brasileiros possuem abordagens diferentes de tratamento se comparados com terapeutas americanos. Este estudo objetivou verificar a eficácia de um protocolo de TCC adaptado para TEPT em brasileiros no que se refere a sintomas e cognições de TEPT, depressão e conteúdo de memória traumática. Esta tese é composta de (1) uma breve introdução, explicando os principais conceitos utilizados para desenvolver a pesquisa; (2) uma seção teórica composta por uma revisão sistemática a respeito de técnicas cognitivocomportamentais para o tratamento do TEPT;(3) uma seção empírica composta por dois artigos, sendo um sobre a eficácia de um protocolo de TCC adaptado para sintomas e cognições de TEPT e depressão, e o outro artigo relativo a conteúdo de memória traumática em TEPT antes e depois da terapia; e (4) considerações finais compilando nossos principais achados. Os resultados sugerem que o protocolo de TEPT adaptado diminui a sintomatologia de TEPT e a memória traumática dos pacientes torna-se menos fragmentada após a terapia. Além disso, os pacientes tendem a incluir menos sensações psicofisiológicas em suas narrativas da memória traumática após a terapia. Os resultados sugerem que este protocolo de TCC é efetivo para tratar TEPT em brasileiros e auxilia os pacientes a organizar e atribuir um significado mais funcional a suas experiências traumáticas
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Hazell, Cassie M. "Is 16 the magic number? : Guided self-help CBT intervention for Voices Evaluated (GiVE)." Thesis, University of Sussex, 2017. http://sro.sussex.ac.uk/id/eprint/70214/.
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Hearing distressing voices (also known as auditory verbal hallucinations) is a common symptom associated with a number of mental health problems. Psychological therapies, specifically cognitive behaviour therapy (CBT) can be an effective intervention for this patient group. The aim of CBT for voices (CBTv) is to reduce the distress associated with the experience, by encouraging the patient to re-evaluate their beliefs about the voice's omnipotence, omniscience, and malevolence. Despite the evidence for CBTv, very few patients are offered this therapy; largely due to a lack of resources. The aim of this thesis was to develop and begin to evaluate a CBT-based intervention for voices that was resource-light; in the hope that it could be more easily be implemented into clinical services, and therefore increase access. This thesis begins with an introduction to the research area, and is followed by a review and evaluation of the methods used in this thesis. Chapter 6 is a systematic review and meta-analysis of the current literature on brief (< 16 NICE recommended sessions) CBT for psychosis (CBTp). Chapters 7 and 8 describe the process of developing a brief CBT intervention for voices, based on the CBT self-help book ‘Overcoming Distressing Voices'. Both people who hear voices, and mental health clinicians were consulted on the intervention concept and design. The outcome of these studies was guided self-help CBTv, and an accompanying therapy workbook to guide the intervention. Chapters 9 and 10 detail the design and findings of a randomised controlled trial of guided self-help CBTv delivered by Clinical Psychologists, versus a wait-list control group. Data was collected at baseline (pre-randomisation) and 12 weeks post-randomisation. The primary outcome was voice-related distress. The findings across all of the studies are then summarised and reflected upon within the Discussion chapter – including consideration of the extent to which the overall aim of this thesis (increasing access) has been achieved.
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Zsembery, Celeste Lloyd. "Rhetoric in Dialectical Behavior Therapy: Healing Minds Through Argumentation." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3093.
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The fields of psychology and rhetoric share the goal of improving human mental health and behavior through persuasion. This thesis traces the history of rhetoric and psychology theory, focusing on the parallel theories of Nienkamp's internal rhetoric and Herman's dialogical self. Both theories model the human mind as having multiple psyches that actively interact to interpret human experience and project human behavior. I conclude with a case study of anorexic patients using ethos, pathos, and logos in dialectical behavior therapy (DBT), arguing that principles of rhetoric can help patients with mental disorders cognitively realign their thinking more effectively than drug treatments can.
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Masuda, Akihiko. "Acceptance and commitment training and stigma toward people with psychological disorders : developing a new technology /." abstract and full text PDF (free order & download UNR users only), 2006. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3231683.
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Thesis (Ph.D.)--University of Nevada, Reno, 2006.<br>"August, 2006." Includes bibliographical references (leaves 65-83). Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2006]. 1 microfilm reel ; 35 mm. Online version available on the World Wide Web.
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Persson, Joanne K. "Clinician attitudes towards, and patient well-being outcomes from, computerised Cognitive Behavioural Therapy : a research portfolio." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33093.
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This thesis follows the research portfolio format and is carried out in part fulfilment of the academic component of the Doctorate in Clinical Psychology at the University of Edinburgh. An abstract provides an overview of the entire portfolio thesis. Chapter One contains a systematic review of published research exploring staff attitudes towards computerized cognitive behavior therapy (cCBT). Chapter Two is an empirical study examining a range of potential predictor variables on well-being outcomes from cCBT. Chapter one is prepared for Behavioural and Cognitive Psychotherapy, whereas chapter two is prepared for submission to the journal, Behaviour Research and Therapy. Both chapters follow the relevant author guidelines. Background: Evidence suggests that computerised cognitive behavioural therapy (cCBT) is both effective and efficacious in treating depression and anxiety. Numerous barriers to its implementation and uptake have been identified, however, including attitudinal variables and high patient attrition rates. Research examining predictors of response from cCBT have tended to adopt the pathological model of distress, focussing on symptom reduction rather than the promotion of well-being. Furthermore, exploration of possible predictors has tended to focus on a narrow range of factors (e.g. age, gender), neglecting key psychosocial variables (e.g. social identification, baseline distress) that could be exerting an effect. Aims: A systematic review examined staff attitudes towards cCBT for depression, anxiety, and comorbid depression and anxiety, focussing on three attitudinal domains: Perceived acceptability of cCBT; staff's self-reported intention to use cCBT in the future, and perceived advantages and disadvantages of cCBT for depression and/or anxiety. An experimental study was subsequently conducted, examining a range of potential predictors on well-being outcomes from a cCBT intervention utilising Beating the Blues. Method: A systematic search across five databases was conducted, followed by manual searches. Strict search criteria were applied, resulting in the identification of 15 studies. These were subjected to quality assessment, data extraction and synthesis. For the empirical study, data from 1354 participants was collected, with subgroup-analyses conducted on those completing measures of life and mental health satisfaction, functioning and well-being. Key potential predictors of interest were level of group identification, baseline distress, and socioeconomic deprivation. Results: Findings from the systematic review indicated that staff held relatively positive attitudes towards cCBT, with some ambivalence emerging in relation to perceived advantages and disadvantages of the intervention. The empirical study obtained significant effects of group identification on life and mental health satisfaction. A mediating impact of group identity on baseline distress emerged, whereas a moderating effect of baseline distress on deprivation was obtained for the functioning model. Discussion: The current findings demonstrated both positive and negative aspects of staff attitudes towards cCBT for depression and/or anxiety, whereas the empirical project established a clear link between social identification, baseline distress, and well-being. Results from both studies are discussed in terms of clinical implications relating to the uptake of cCBT.
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Alfonsson, Sven. "Treatment Adherence in Internet-Based CBT : The Effects of Presentation, Support and Motivation." Doctoral thesis, Uppsala universitet, Klinisk psykologi i hälso- och sjukvård, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-280804.
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Homework assignments that patient work with between sessions is a key component in both face-to-face and Internet-based Cognitive Behavior Therapy (CBT). However, adherence to assignments is often low and it is largely unclear what factors predict or affect treatment adherence, and in the end, treatment outcomes. The overall aim of this thesis was to investigate if treatment presentation and therapist support can affect adherence and treatment outcome in internet-based CBT, whether adherence can be predicted by motivation variables and to compare differences in face-to-face and online conditions in this regard. A randomized controlled trial with a brief online relaxation program for people with stress and anxiety symptoms was conducted (n = 162). Participants in the enhanced support conditions completed a larger proportion of the online treatment but adherence was not affected by enhanced treatment presentation (Study I). Participants reported reduced symptoms of stress and anxiety after the relaxation program but there were no significant additional effects of enhanced presentation or support (Study II). Participants who adhered to the prescribed assignments reported lower symptom levels at study end, regardless of treatment conditions. Adherence to the online treatment was predicted by subject factors such as treatment credibility prior to the treatment and intrinsic motivation during the treatment (Study III). To further elucidate how motivation may affect adherence, an experiment with a one-session psychotherapy model was subsequently conducted (n = 100). Participants who were randomized to the face-to-face condition reported higher motivation for the assignment and completed significantly more of the homework compared to participants in the online condition (Study IV). Self-reported intrinsic motivation could predict adherence in both conditions while new motivational variables were identified specifically for the online condition. The results from these studies confirm that adherence to assignments in Internet-based CBT is difficult to affect with treatment features but can be predicted early in treatment by subject factors such as treatment credibility and motivation. How such motivational variables can be affected to improve treatments is still unclear.
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Dobbert, Chloe J. "The Silhouettes of Autism." Scholarship @ Claremont, 2013. http://scholarship.claremont.edu/cmc_theses/714.
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My passion as a student at the Claremont Colleges is to help children with Autism Spectrum Disorder grow and learn as normal children and to help prepare them for life outside the Autism Center at Claremont McKenna College. In my thesis project, I am exploring the concept of silhouettes through photography and my perceptions of the stories told to me by the children I teach. Esthetically, I am inspired by Kara Walker’s installation of large cutout silhouettes but I am using different mediums to accomplish my project: Artistically, I am inspired by the detailed descriptions of the obsessive stories and information provided to me by the children at the Autism Center. Primarily, I will be using photographs that I have taken of the children and creating silhouetted images of them through Photoshop. Afterwards, I will paint my perceptions of the detailed and creative descriptions of the different information relayed to me by each individual child. Secondary, there will be some life size black cutouts, on black paper, of different imagined scenarios with the children. In the spring, I see this as an installation with many separate pieces that contain different sizes, depth, and simplicity.
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Norlander, Bradley James Rogers Richard. "Targeting dimensions of psychopathy in at-risk youth assessment and utility of a focused cognitive behavioral therapy program /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9055.
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Silva, Kathryn Joanne Morin. "Cognitive behavioral intervention for children with disruptive behavior disorders in residential treatment." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1698.
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Increasing numbers of children being referred for mental health services are exhibiting problematic behaviors that can be subsumed under the category of Disruptive Behavior Disorders. This study with its foundations in a post-positivist approach was designed to explore treatment effectiveness of cognitive behavioral intervention applied to adolescents at Oak Grove Institute, a residential treatment facility. This study hypothesized that Wexler's PRISM Model, with its integration of affect, would be instrumental in modifying disruptive behavior as measured at Oak Grove Institute. Although the small sample size precluded statistically significant findings, there were interesting results with respect to two dependant variables. Findings approached significance on measures of impulsivity and verbal aggression. That is, impulsivity and verbal aggression scores were lowered.