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Cognitive Behavior Therapy Makes Strides
2017-07-04 20:33:00
Maricor Zapata

Experts report that cognitive behavior therapy treats depression and anxiety very effectively for chronic pain patients.

Cognitive behavior therapy reduces anxiety and depression considerably for chronic pain patients.Experts from the European League Against Rheumatism report that acceptance and commitment therapy, a certain type of cognitive behavioral therapy that deals primarily with the change of behavior and psychological flexibility, majorly reduced self-reported depression as well as anxiety in patients who took part in a pain rehabilitation program.

Abbreviated CBT, cognitive behavioral therapy is a term that refers to a certain form of psychotherapy that was initially developed for the treatment of specifically depression.It is now used in contemporary psychotherapeutic practice to treat a variety of mental disorders.The ultimate objective of CBT is to positively alter nonproductive modes of thought and behavior in the minds of patients.More specifically, the term itself refers to two separate therapeutic forms (behavior therapy and cognitive therapy) because it is basically an amalgam of the two.

 This blending of therapies is best administered to patients suffering from forms of depression or anxiety.The theory behind CBT submits to the idea that patients cannot simply overcome nonproductive or harmful behaviors with rational thought, and it suggests that, instead, such behaviors manifest due to prior, environmental conditioning and the impositions of external forces on developing persons.

On June 16, the results of a study were presented at the Annual European Congress of Rheumatology (EULAR) 2017, and they implicated acceptance and commitment therapy as being distinctly capable of mitigating anxiety and depression based on their study and the pain rehabilitation program.The treatment also reportedly increased patients’ activity engagement, effectiveness and acceptance of pain.In order to make sense of the prospective advantages of an eight-week program, which involved group acceptance and commitment therapy (ACT), researchers took measures of activity engagement and pain acceptance by way of the Chronic Pain Acceptance Questionnaire.These serve as metrics for indicators of psychological distress; as did the Hospital Anxiety and Depression Scale and the self-efficacy assessment.They reassessed on the final day of the program and at the follow-up six months thereafter.

 Patients with chronic pain registering scores at each of three time points saw measurable improvement across the board from baseline to the six-month follow-up, and this improvement is inclusive of a change in the average anxiety, depression self-efficacy, pain willingness and activity engagement. “To further validate the role of ACT in the treatment of chronic pain, specifically in a rheumatology context, a randomised controlled clinical trial that includes measures of physical and social functioning withina  Rheumatology service would be desirable,” said Dr.Noirin Nealon Lennox, the study’s lead author from Ulster University in Northern Ireland.

ACT is just one form of CBT, but it involves certain therapeutic process called psychological flexibility.This concentrates on behavior change that is consistent with the core values of the patient as opposed to simply attempting to reduce symptoms.Evidence that ACT is effective in treating chronic pain this way has been gradually increasing for some time, and a systematic review recently confirmed, in fact, the efficacy of ACT to improve physical function and reduce distress for adults afflicted with chronic pain in a pain rehabilitation program.

 Frequently abbreviated REBT, rational emotive behavior therapy is a psychotherapy based on philosophy and experience, and it was the very first psychotherapy variant based on CBT.It emphasizes the resolution of behavioral and emotional conflicts and disturbances with the goal of allowing clients to live happier lives.REBT is attributed to Albert Ellis, an American psychotherapist, and it is actually often considered to be a sort of subset of CBT.This particular form of CBT, though, is more narrowly geared toward guiding clients toward the realization that they frequently, unnecessarily upset themselves, and it also includes the objective of teaching them techniques to calm themselves back down on their own.As such, it is most applicable for a specific brand of patient whose psychological ills are conceivably their own doing.

 Carl Rogers introduced client-centered therapy as a conversational form of psychotherapy during the 1940s and ’50s before any such therapies were developed based on CBT.Its primary objective is to give clients a chance to become self-aware so that they can personally recognize negative impacts on their behavior, emotions, and attitudes for the good of everyone.It is one of the more popular as well as effective treatment methods despite receiving regular criticism from several other known psychoanalysts.Rogers’s theories establish six requisite conditions for therapeutic change: (1) a relationship between therapist and client, (2) incongruence between the client’s experience and awareness, (3) the therapist is passively “involved” in the rehashed experiences of the client, (4) the therapist is unconditionally accepting, (5) the therapist conveys empathy regularly, and (6) the client actually does feel accepted by the therapist.This is actually the kind of psychotherapy most commonly depicted on television and in films.


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