Behavioural Treatment (behavioural + treatment)

Distribution by Scientific Domains

Kinds of Behavioural Treatment

  • cognitive behavioural treatment


  • Selected Abstracts


    Behavioural treatment of urinary incontinence and encopresis in children with learning disabilities: transfer of stimulus control

    DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 4 2000
    Linda Smith MAMSc Clinical Psychologist
    Urinary and faecal incontinence present a considerable problem in people with learning disabilities, despite the general effectiveness of behavioural techniques in continence training. Children with learning disabilities and obsessional behaviour may be particularly resistant to toilet training, even where relatively cognitively able, and often despite a substantial degree of control over their eliminatory functions. Their resistance may be more appropriately regarded as a challenging behaviour and their incontinence better explained by factors other than a simple failure to learn. A 'stimulus-control'hypothesis proposes that the child's nappy (diaper) /potty/underwear has developed strong stimulus control over the elimination response. This report describes three case studies in which treatment-resistant children, aged between 8 and 12 years, with mild or moderate learning disabilities, were successfully treated for nappy-dependent nocturnal encopresis or diurnal urinary incontinence. The children were routine case referrals for whom previous attempts to train bowel or bladder control had failed. Behavioural techniques, such as 'shaping'(gradually increasing the proximity to the toilet),,fading'(reducing the presence of the nappy), and rewards for eliminating, effected successful transfer of stimulus control over elimination from nappy to toilet. Treatment times varied, depending on the degree of the child's obsession and resistance to change. [source]


    Out-patient behaviour therapy in alcoholism: treatment outcome after 2 years

    ACTA PSYCHIATRICA SCANDINAVICA, Issue 3 2002
    W. Burtscheidt
    Burtscheidt W, Wölwer W, Schwarz R, Strauss W, Gaebel W. Out-patient behaviour therapy in alcoholism: treatment outcome after 2 years. Acta Psychiatr Scand 2002: 106: 227,232. © Blackwell Munksgaard 2002. Objective:,The main aim of the study was the evaluation of out-patient behavioural approaches in alcohol dependence. Additionally, the persistence of treatment effects and the impact of psychiatric comorbidity in long-term follow-up was examined. Method:,A total of 120 patients were randomly assigned to non-specific supportive therapy or to two different behavioural therapy programmes (coping skills training and cognitive therapy) each comprising 26 weekly sessions; the follow-up period lasted 2 years. Results:,Patients undergoing behavioural therapy showed a consistent trend towards higher abstinence rates; significant differences between the two behavioural strategies could not be established. Moreover, the results indicate a reduced ability of cognitive impaired patients to cope with short-time abstinence violations and at a reduced benefit from behavioural techniques for patients with severe personality disorders. Conclusion:,Behavioural treatment yielded long-lasting effects and met high acceptance; yet, still in need of improvement is the development of specific programmes for high-risk patients. [source]


    Cognitive behavioural treatment of sexual offenders.

    CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue S1 2001
    Anderson, By Marshall, Fernandez
    No abstract is available for this article. [source]


    Factors associated with the use of aids to cessation in English smokers

    ADDICTION, Issue 8 2009
    Daniel Kotz
    ABSTRACT Aims To assess factors associated with the use of smoking cessation aids among smokers trying to quit in a country where these aids are widely available and free or cheap to access. Design Cross-sectional household survey, the ,Smoking Toolkit Study'. Setting England. Participants A total of 3767 respondents who smoked and made at least one serious quit attempt in the past 12 months were interviewed from November 2006 to April 2008. Measurements We analysed differences across socio-demographic and smoking characteristics in the use of nicotine replacement therapy (NRT) over the counter or on prescription, bupropion, varenicline, telephone support and the National Health Service Stop Smoking Service (NHS-SSS) which combines behavioural support with medication. Findings More than half of smokers trying to quit (51.2%) had used any kind of treatment; 48.4% had used some form of medication but only 6.2% had used the NHS-SSS. The use of some form of smoking cessation treatment was higher in female than in male smokers [odds ratio (OR): 1.24, 95% confidence interval (CI): 1.08, 1.43] and increased with age (OR: 1.19, 95% CI: 1.14,1.25) and cigarettes smoked per day (OR = 1.05, 95% CI = 1.04,1.06). There was no association with social grade. Smokers who planned their quit attempt were more likely to have used all types of smoking cessation treatments, except for telephone support. Conclusions In England, half of all attempts to quit smoking are aided by some form of pharmacological or behavioural treatment. However, the use of the most effective treatment option (the NHS-SSS) is low, despite it being free of charge. Factors associated with an increased use of aids to cessation were female sex, older age, more cigarettes smoked per day and planning a quit attempt. Research is needed into how to increase utilization rates, particularly among males and younger smokers. [source]


    Practitioner Review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma

    THE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 12 2006
    Kimberly A. Ehntholt
    Background:, Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Method:, Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results:, Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion:, More research is required in order to expand our limited knowledge base. [source]


    Cognitive-behavioural rehabilitation of high-risk violent offenders: Investigating treatment change with explicit and implicit measures of cognition

    APPLIED COGNITIVE PSYCHOLOGY, Issue 3 2010
    Devon L. L. Polaschek
    Important as it is both to risk of re-offending and to cognitive behavioural treatment, violent cognition is seldom measured in rehabilitation programmes, and even more rarely linked to measures of violence risk. Most often, researchers measure violent cognition by having offenders complete transparent self-report questionnaires. This approach may be flawed both by socially desirable responding and by theoretical speculation that stronger links exist between automatic rather than explicit, consciously deliberated cognition and violent behaviour. We measured violent cognition in several ways; collecting data with two self-report scales, along with two Implicit Association Tests (IATs) from men commencing and completing an intensive cognitive-behavioural rehabilitation programme for high-risk violent prisoners. We addressed the questions of whether these two forms of assessment,explicit and implicit,are related, and which is most strongly linked to estimates of violence, based on the Violence Risk Scale. Explicit and implicit tests were not related to each other, although both self-report scales, and one of the IATs elicited significantly more pro-social responses following treatment. Further, the Aggression Questionnaire (AQ) scores were significantly correlated with dynamic risk both pre- and post-programme, while post-programme, scores on one of the two IATs was significantly correlated with dynamic and static risk, as measured pre- and post-programme. These findings suggest that implicit and explicit measures may be assessing different aspects of cognition, and only some are related to violence risk. Copyright © 2010 John Wiley & Sons, Ltd. [source]


    Lifelong premature ejaculation: from authority-based to evidence-based medicine

    BJU INTERNATIONAL, Issue 2 2004
    M.D. Waldinger
    SUMMARY Historically, four periods can be distinguished in the approach to and treatment of lifelong premature ejaculation. Although drug treatment has been an option for many decades, psychotherapy prevailed as the first choice of treatment. However, the application of the principles of evidence-based medicine shows that there is little evidence to support the psychological approach and behavioural treatment. In contrast, controlled trials with selective serotonin reuptake inhibitors, clomipramine and anaesthetic ointments have repeatedly shown the efficacy of both daily and ,as-needed' drug treatment to delay ejaculation. Currently, an evidence-based approach is gradually replacing the authority-based psychological attitude that characterized the view of premature ejaculation. Based on psychopharmacological studies there is evidence that premature ejaculation is related to a diminished serotonergic neurotransmission, and 5-HT2C or 5-HT1A receptor disturbances. Moreover, animal studies show the presence of a distinct ejaculation-related neural circuit in the central nervous system; its role in premature ejaculation remains to be elucidated. [source]


    Treatment of child anxiety: an exploratory study of the role of maternal anxiety and behaviours in treatment outcome

    CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 1 2008
    Cathy Creswell
    Anxiety disorders are common among parents of anxious children and have been found to impede child treatment outcomes, yet it is unclear whether it is parental anxiety that needs to be targeted in therapy or associated parental behaviours. Twenty-two children (6,12 years) with a current anxiety disorder and their mothers received cognitive,behavioural treatment (CBT) for child anxiety. In addition, of the 12 mothers who met criteria for a current anxiety disorder, 6 received CBT for their own disorder. Assessments were made of the mother,child interaction. The main findings were: (1) children did less well from treatment where their mothers had a current anxiety disorder; (2) treatment of maternal anxiety disorder did not improve child treatment outcome; and (3) maternal overinvolvement and expression of fear was associated with child treatment outcome. The results suggest that in the context of maternal anxiety disorder, child treatment outcome may be improved by specifically targeting parenting behaviours. Copyright © 2008 John Wiley & Sons, Ltd. [source]


    Frequency of fainting, vomiting and incontinence in panic disorder: A descriptive study

    CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 3 2007
    Sheryl M. Green
    Little is known about how often individuals with panic disorder (PD) actually experience the physical catastrophes that they fear (e.g., fainting, vomiting, incontinence). This study investigated the frequency of such events in PD and the circumstances under which they occur. A systematic chart review of 574 consecutive patients diagnosed with PD was completed. Nineteen out of 35 patients who had previously reported a history of fainting, vomiting or incontinence (i.e., loss of bowel or bladder control) during a panic attack were interviewed by telephone. Of this sample, 11 confirmed a history of fainting, four confirmed a history of vomiting and four confirmed a history of incontinence during at least one previous panic attack. Four of these individuals reported more than one type of event and several others reported that they had only come close to experiencing these feared events. Participants also reported on the timing of these events (relative to their panic attacks), the circumstances under which the events occurred, as well as possible causes and outcomes of the events. Although rare, catastrophic events such as fainting, vomiting and incontinence appear to occur in the context of panic attacks for some individuals. The implications for cognitive behavioural treatment of PD are discussed. Copyright © 2007 John Wiley & Sons, Ltd. [source]


    Cognitive therapy versus moclobemide in social phobia: a controlled study

    CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 4 2001
    Désirée B. Oosterbaan
    Eighty-two patients with social phobia were randomly assigned to cognitive therapy or double-blind drug treatment with moclobemide (300,600 mg per day) or placebo. After 15 weeks of active treatment, a 2-month treatment-free follow-up as well as a 15-month naturalistic follow-up were scheduled. At post-test, cognitive therapy was significantly superior to moclobemide, but not to placebo, on a composite social phobia measure. At 2-month follow-up, cognitive therapy was superior to both moclobemide and placebo. Treatment gains were maintained in cognitive therapy during 2-month and 15-month follow-up, however, most patients (66%) who completed the study needed additional cognitive and/or behavioural treatment. Moclobemide proved not superior to placebo at post-test as well as at 2-month follow-up. As most patients from the medication conditions were treated with cognitive and/or behavioural treatment during the naturalistic follow-up period, at the 15-month assessment no between-group differential effects were found to remain. These results indicate that cognitive therapy is an effective treatment for social phobia in both the short and long term. As the results from previous studies on the efficacy of moclobemide in social phobia were inconclusive, our data tip the scales in the direction that there is no place for moclobemide in the treatment of social phobia. Copyright © 2001 John Wiley & Sons, Ltd. [source]


    Optimizing blood pressure reduction: predicting success in the home environment

    CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 1 2001
    A. R. Craig
    Transferring skills to non-clinic contexts remains a challenge for clinical psychologists. Research is needed that investigates strategies of transferring clinic skills as well as factors that are associated with successful transfer. This paper presents research that involved training clients to reduce blood pressure (BP) in the home environment and isolating factors related to successful BP reduction. Subjects diagnosed with mild hypertension participated in a controlled trial investigating the efficacy of continuous BP feedback in helping to reduce systolic BP in the clinic and home environment. While the benefits of learning BP feedback in the clinic was not shown to be beneficial over a control, training in the home environment was shown to reduce BP significantly in comparison to controls. Factors shown to be associated consistently and reliably with reduction of BP in the home were those that involved beliefs or expectations of self-control. Expectations (self-efficacy) and an internal locus of control consistently predicted the ability to reduce both systolic and diastolic BP in the home environment. Implications for the behavioural treatment of hypertension are discussed. Copyright © 2001 John Wiley & Sons, Ltd. [source]


    Understanding families in their own context: schizophrenia and structural family therapy in Beijing

    JOURNAL OF FAMILY THERAPY, Issue 3 2002
    Lawrence Hsin Yang
    Evidence from a number of family intervention strategies demonstrates a beneficial impact on the course of schizophrenia. It appears that different family interventions have generic features that aid the patient to avoid relapse and improve functioning. A significant challenge for researchers is to modify these generic strategies to be sensitive to different cultural groups in order to ensure their effectiveness. Chinese culture, with its distinct cultural norms governing family interaction and intense stigma towards the mentally ill, would seem to raise a particular challenge. This paper offers an account of an eclectic model of structural family therapy that incorporates psychoeducation and behavioural treatments for schizophrenia as a theoretical guide to working in a cross,cultural context. A Beijing family, consisting of parents and their daughter with schizophrenia, were seen for sixteen months during a trial of family intervention in China. Through structural family concepts, China's sociocultural context of treatment resource constraints, population policy and stigma are examined and the impact of the illness on family organization is explored. [source]


    Effect of reclining and chin-tuck position on the coordination between respiration and swallowing

    JOURNAL OF ORAL REHABILITATION, Issue 6 2006
    T. AYUSE
    summary, Chin-tuck position and reclining posture have been used in dysphagia patients to prevent aspiration during swallowing. However, both behavioural treatments may affect respiratory function. This study was carried out to test the hypothesis that if chin-tuck posture and body reclining affected respiratory function, this would be associated with altered coordination between respiration and swallowing. To investigate this hypothesis, respiratory parameters and manometry were used in each of four combinations of reclining posture and chin-tuck position. In the 60 °reclining with 60 °chin-tuck position, duration of swallowing apnea (0·89 s.d. 0·17 s) and submental electromyography burst (2·34 s.d. 0·84 s) were significantly longer when compared to both upright sitting and 30 °reclining positions. We conclude that 60 °reclining from vertical with 60 °chin-tuck may affect oral processing stages which delay and reduce a variety of oropharyngeal movements. These in turn significantly influence the coordination between respiration and swallowing. [source]


    Conservative treatment of urge urinary incontinence in women: a systematic review of randomized clinical trials

    BJU INTERNATIONAL, Issue 3 2000
    L.C.M. Berghmans
    Objective,To assess the efficacy of physical therapies for first-line use in the treatment of urge urinary incontinence (UUI) in women, using a systematic review of randomized clinical trials (RCTs). Materials and methods,A computer-aided and manual search was carried out for RCTs published between 1980 and 1999 investigating the treatment of UUI defined by the keywords ,physical therapies', e.g. bladder (re)training (including ,behavioural' treatment), pelvic floor muscle (PFM) exercises, with or without biofeedback and/or electrical stimulation. The methodological quality of the included trials was assessed using methodological criteria, based on generally accepted principles of interventional research. Results,Fifteen RCTs were identified; the methodological quality of the studies was moderate, with a median (range) score of 6 (3,8.5) (maximum possible 10). Eight RCTs were considered of sufficient quality, i.e. an internal validity score of 5.5 points on a scale of 0,10, and were included in a further analysis. Based on levels-of-evidence criteria, there is weak evidence to suggest that bladder (re)training is more effective than no treatment (controls), and that bladder (re)training is better than drug therapy. Stimulation types and parameters in the studies of electrical stimulation were heterogeneous. There is insufficient evidence that electrical stimulation is more effective than sham electrical simulation. To date there are too few studies to evaluate effects of PFM exercise with or without biofeedback, and of toilet training for women with UUI. Conclusion,Although almost all studies included reported positive results in favour of physical therapies for the treatment of UUI, more research of high methodological quality is required to evaluate the effects of each method in the range of physical therapies. [source]