Showing papers on "Cognitive behavioral therapy published in 1987"
TL;DR: Cognitive-behavioral therapy produces significant reductions in pain behavior and disease activity that are not maintained without additional treatment, and future work should be devoted to developing effective maintenance therapy.
Abstract: EFFECTS OF COGNITIVE-BEHAVIORAL THERAPY ON RHEUMATOID ARTHRITIS PAIN BEHAVIOR: ONE-YEAR FOLLOW-UP. L.A. Bradleyl, L.D. Young lx, K.O. Andersonl, R.A. Turner2, C.A. Agudelo2*, L.K. McDaniell*, E.L. Semblez\", Sections on lMadica1 matology, Bowman Gray School of Medicine, Winston-Salem, NC 27103, USA Aim of Investigation: The study examined the relative effects of a cognitive-behavioral (CB) group therapy program, a structured social support (SS) program, and a no-treatment control condition upon the pain behavior of rheumatoid arthritis (RA) patients. Methods: Fifty-three patients with diagnoses of definite or classic RA were randomly assigned to one of the three treatment conditions. The CB and SS treatment groups were equivalent in group support, initial expectations for improvement, disease duration, functional class, and pharmacologic therapies. Results: Analyses of covariance were performed on the posttreatment, six-month, and one-year follow-up data using the pretreatment data as covariates. The CB subjects showed significant reductions in pain behavior and disease activity at posttreatment that were not maintained during the follow-up. Both the CB and SS subjects showed nearly significant reductions in state anxiety that were maintained one year following treatment. However, there was a nearly significant tendency for all subjects to report increased depression from posttreatment to follow-up. Conclusions: CB therapy produces significant reductions in pain behavior and disease activity that are not maintained without additional treatment. Future work should be devoted to developing effective maintenance therapy.
22 citations
TL;DR: An underlying eating disorder should be suspected in patients who relapse after treatment for pancreatitis and hyperlipidemia and Multidisciplinary treatment should be used in these patients to improve therapeutic efficacy and uncover behavioral patterns that have a direct impact on their life expectancy.
Abstract: • Between 1978 and 1985, we conducted a prospective study of 21 patients who survived several attacks of pancreatitis and were diagnosed as having primary hyperlipidemia. None of the patients suffered from chronic alcoholism, primary diabetes, or cholelithiasis or was receiving prolonged steroid therapy. Lowering of plasma lipid values toward normal was achieved in all patients following a program of combined dietary and drug (bezafibrate) therapy. Five patients had recurrent episodes of pancreatitis during the treatment program. These patients were diagnosed subsequently as suffering from bulimia and were all given cognitive behavioral therapy. One patient died following an attack of pancreatitis. An underlying eating disorder should be suspected in patients who relapse after treatment for pancreatitis and hyperlipidemia. Multidisciplinary treatment should be used in these patients to improve therapeutic efficacy and uncover behavioral patterns that have a direct impact on their life expectancy. (Arch Intern Med1987;147:705-708)
18 citations
TL;DR: Depression measures showed that all the patients were improved at the end of treatment and therapeutic benefits were maintained at a 1-yr follow-up, confirming the beneficial effects for depressive patients of cognitive therapy with stringent methodological controls.
Abstract: Srrmmary.-A muluple-baseline design with counterdemands instructions was used to evaluate the efficacy of cognitive therapy in five depressed patients. Depression measures (LMMPI, Hamilton, and Beck Depression Inventory) showed that all the patients were improved at the end of treatment and therapeutic benefits were maintained at a l-yr. follow-up. These resula conf~rmed the beneficial effects for depressive patients of cognitive therapy with scrlogent methodological controls. Since the seminal study of Rush, Beck, Kovacs, and Hollon (1977), several researchers concluded that cognitive behavioral therapy was effective in depression (Beck, Sha~, Rush, & Emery, 1979; Blackburn & Bishop, 1981; Christie, 1981; Murphy, Simons, Wetzel, & Lustma, 1984; Shaw, 1977; Taylor & Marshall, 1977; Teasdale, Fennell, Hibbert, & Amies, 1984; Williams, 1984; Wilson, Goldin, & Charbonneau-Powis, 1983). However, no study has ever evaluated the effects of such therapy associated with negative expectancies or counterdemand instructions. If patients showed an improvement despite these expectancies, it would further confirm the efficacy of cognitive therapy. In the present smdy, French depressive out-patients were given cognitive therapy in a multiple baseline-design associated with positive and negative therapeutic instructions.
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