Guided internet-based cognitive-behavioral therapy for patients with rheumatic conditions: A systematic review

Terpstra, Jessy A.; Vaart, Rosalie van der; Ding, He Jie; Kloppenburg, Margreet; Evers, Andrea W M

doi:10.1016/j.invent.2021.100444

Cited by 14 publications

(14 citation statements)

References 62 publications

(301 reference statements)

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“…Our research aligns with previous studies [ 1 , 2 , 22 , 44 , 47 ], which examined several psychological interventions in treating RA. Nevertheless, more studies are available on one specific psychological intervention [ 17 , 33 , 42 ], such as CBT or mindfulness [ 36 , 58 ]. Most studies show significant positive effects of psychological interventions [ 36 , 47 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

“… Cognitive behavioral therapy (CBT). CBT is a short-term method with a wide range of tools; it is evidence-based, well-established, and one of the most widely acknowledged psychological treatments available [ 36 , 37 ]. It helps patients improve their problem solving skills; achieve behavioral changes; and further reveal the relationship between beliefs, thoughts, and feelings, as well as the behaviors that stem from these factors [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of Psychological Interventions for Rheumatoid Arthritis (RA): A Systematic Review and Meta-Analysis

Nagy¹,

Szigedi²,

Takács

et al. 2023

Life

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Rheumatoid arthritis (RA) is a long-term disorder that significantly impairs somatic, emotional, and psychological functioning. The objective of this review is to identify, appraise, and synthesize the effects of psychological interventions (e.g., cognitive behavioral therapy (CBT), emotional disclosure (ED), group therapy (GT), mindfulness (M), patient education (PE), and relaxation (R)) on biopsychosocial outcomes in the treatment of rheumatoid arthritis (RA). A systematic search of all relevant existing randomized clinical trials (RCTs) was conducted using the following online bibliographic databases: JSTOR, PubMed, PsycNET, and The Cochrane Library. Reference lists were searched for additional reports. The Cochrane Risk of Bias tool (RoB 2.0) was used to assess the risk of bias in the included studies. After the selection process, 57 articles were included and 392 were excluded. Three separate meta-analyses were conducted involving psychological interventions as the main variables, showing: (1) significant positive medium effect sizes for average values (Hedges-g = 0.399, Z = 0.399, p = 0.009); (2) significant positive large effect sizes for maximum values (Hedges-g = 0.856, Z = 4.223, p < 0.001); and (3) non-significant results for minimum values (Hedges-g = −0.047, Z = −0.335, p = 0.738). These results demonstrate that, when grouped, psychological interventions are, on average, moderately effective in treating RA. Overall, this review shows consistent, supportive evidence that psychological interventions can significantly contribute to the standard medical care of RA patients. However, more high-quality, large-sample RCTs still need to confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Psychological Interventions for Rheumatoid Arthritis (RA): A Systematic Review and Meta-Analysis

Nagy¹,

Szigedi²,

Takács

et al. 2023

Life

View full text Add to dashboard Cite

show abstract

“…They also presented an increased avoidance behavior. Due to the adaptive role of self-efficacy in health results [64][65][66] and in oral and dental health in particular [67,68], these results might seem contradictory. However, there are no previous publications in the field of endodontics so the interpretation of the present results is complex.…”

Section: Discussionmentioning

confidence: 99%

Pain and Avoidance during and after Endodontic Therapy: The Role of Pain Anticipation and Self-Efficacy

Santos-Puerta

Peñacoba

2022

IJERPH

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Background: Pain anticipation has been identified as a predictor of pain and avoidance with respect to endodontic therapy. Self-efficacy is also key to the development and maintenance of health behaviors and achieve patient adherence to treatment. However, the role of self-efficacy has not been studied yet in endodontic treatment. Methods: This study was conducted on 101 patients who needed root canal therapy. They had to fill a questionnaire before treatment registered pain anticipation and self-efficacy; during and after treatment were registered pain intensity and avoidance. Results: Pain anticipation explained pain during (Beta = 0.51, t = 5.82, p ≤ 0.001, [0.34, 0.69]) and after treatment (Beta = 0.38, t = 4.35, p ≤ 0.001, [0.21, 0.55]). Self-efficacy did not have an influence in pain values. Pain anticipation explained avoidance during (Beta = 0.51, t = 3.60, p ≤ 0.001, [0.23, 0.80]) and after treatment (Beta = 0.62, t = 4.29, p ≤ 0.001, [0.33, 0.91]). Self-efficacy had a significant role in avoidance during treatment (Beta = 0.12, t = 2.19, p ≤ 0.03, [0.01, 0.23]) with a strong moderation relationship between pain anticipation and avoidance when self-efficacy was medium (Beta = 0.44, t = 3.24, p = 0.002, [0.17, 0.72]) or high (Beta = 0.84, t = 3.5, p ≤ 0.001, [0.37, 1.33]). Self-efficacy was not significant respect to avoidance after treatment. Conclusions: Self-efficacy is an important variable in endodontic therapy due to their moderating effect between pain anticipation and avoidance behavior during the procedure. It is necessary to improve the results of root canal therapy and reduce patient’s avoidance in order to take into account this variable.

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“…Selanjutnya perasaan yang dimiliki oleh individu diciptakan oleh pikirannya sendiri, bukan oleh objektivitas peristiwa, hal inilah yang membuat adanya gangguan emosi pada individu berasal dari distorsi dalam berfikir [19]. Teknik yang dilakukan dalam Cognitive Behavior Therapy (CBT) yaitu mengungkap pikiran individu melalui dialog internal atau self-talk dan interpretasi [20].…”

Section: Hasil Penelitian Sebelumnya Menemukan Bahwaunclassified

Cognitive Behavior Therapy pada Individu yang Mengalami Phobia Sosial

Fausta

Purnamasari²

2023

jpsy

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Social phobia is something that happens a lot today and needs special attention. In overcoming social phobia, it can be done with Cognitive Behavior Therapy therapy. The purpose of Cognitive Behavior Therapy (CBT) therapy is to see how the Cognitive Behavior Therapy (CBT) method can help change the behavior and cognition of individuals who experience social phobia. This research was conducted for approximately 1 month. The subjects in this study were adult individuals aged 23 years who experienced social phobia. The method of collecting data by researchers is through observation, interviews, and psychological tests. Psychological tests were given to the subjects in the form of cognitive tests, namely the Weschler Adult Intelligence Scale (WAIS), personality tests, namely the Graphic and Wartegg tests, as well as the Sack's Sentence Comletion Test (SSCT) inventory test and the Depression, Anxiety, and Stress Scale (DASS) tests. This study uses a quantitative approach with an experimental method using a single case pre-test post-test design. Researchers use Cognitive Behavior Therapy (CBT) techniques to change negative thoughts and behaviors into more positive thoughts and behaviors when in social situations, in order to reduce the symptoms of social phobia they have. The intervention was given to the subject in 3 sessions. The results of the intervention showed that there was a change in behavior before and after the intervention. Before being given the CBT intervention, the subject had an anxiety level from 0 to 100, which was rated at 80, but after the intervention the subject had a rating of 60. In addition, based on the comparison of the DASS test scores between pre-test and post-test, it also decreased. It was found that the anxiety score in the subject decreased from very severe to severe and although the decrease in score had not reached the normal stage, the score obtained had decreased.

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Guided internet-based cognitive-behavioral therapy for patients with rheumatic conditions: A systematic review

Cited by 14 publications

References 62 publications

The Effectiveness of Psychological Interventions for Rheumatoid Arthritis (RA): A Systematic Review and Meta-Analysis

The Effectiveness of Psychological Interventions for Rheumatoid Arthritis (RA): A Systematic Review and Meta-Analysis

Pain and Avoidance during and after Endodontic Therapy: The Role of Pain Anticipation and Self-Efficacy

Cognitive Behavior Therapy pada Individu yang Mengalami Phobia Sosial

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