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cognitive-behavioral therapy (CBT)

A combination of cognitive therapy & behavioral therapy. Indications: - psychiatric disorders - substance abuse [11] - treatment of chronic pain* [9] - insomnia* - cardiovascular risk reduction ? - reduces recurrent cardiovascular events - does not reduce all-cause mortality [3] * useful for treatment of chronic pain & insomnia separately but pain-focused CBT appears to benefit insomnia as well [7] Notes: - telephone-based cognitive behavioral therapy (CBT) - appears effective - adherence is higher than with face-to-face CBT - long-term success better with face-to-face CBT [5] - improvements in pain modest, but accompanied by improvements in psychosocial outcomes & sustained at 1 year [12] - interactive voice-response CBT (IVR-CBT) - uses automated telephone technology to allow patients to report symptoms, pain, & function & provides pre-recorded messages of support & education - computer-based CBT for depression ineffective [6] - computer-based CBT for substance abuse outperforms standard (office-based) CBT - effects are longer-lasting than clinician-delivered CBT, for a wide array of substance use disorders [11]

Related

cognitive behavior rating scale (CBRS)

Specific

Alexander technique cognitive behavioral social skills training cognitive functional therapy dialectical behavior therapy EaseVRx eye movement desensitization & reprocessing therapy (EMDR)

General

cognitive therapy behavioral therapy

References

  1. Journal Watch 24(8):63, 2004 - Barsky AJ & Ahern DK Cognitive behavior therapy for hypochondriasis: a randomized controlled trial. JAMA 291:1464, 2004 PMID: 15039413
  2. Kraus CA et al Use of cognitive behavioral therapy in late-life psychiatric disorders. Geriatrics. 2007 Jun;62(6):21-6. Review. PMID: 17547480
  3. Gulliksson M et al Randomized Controlled Trial of Cognitive Behavioral Therapy vs Standard Treatment to Prevent Recurrent Cardiovascular Events in Patients With Coronary Heart Disease: Secondary Prevention in Uppsala Primary Health Care Project (SUPRIM) Arch Intern Med. 2011;171(2):134-140 PMID: 21263103 http://archinte.ama-assn.org/cgi/content/short/171/2/134
  4. McBeth J et al. Cognitive behavior therapy, exercise, or both for treating chronic widespread pain. Arch Intern Med 2011 Nov 14 PMID: 22082706 Arch Intern Med. Published online November 14, 2011
  5. Mohr DC et al. Effect of telephone-administered vs face-to-face cognitive behavioral therapy on adherence to therapy and depression outcomes among primary care patients: A randomized trial. JAMA 2012 Jun 6; 307:2278 PMID: 22706833
  6. Gilbody S et al. Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): Large scale pragmatic randomised controlled trial. BMJ 2015;351:h5627 PMID: 26559241 http://www.bmj.com/content/351/bmj.h5627
  7. Blake C, Cunningham J, Power CK et al The Impact of a Cognitive Behavioral Pain Management Program on Sleep in Patients with Chronic Pain: Results of a Pilot Study. Pain Med. 2015 Sep 9. PMID: 26352702
  8. Berry R, Verrier MJ, Rashiq S et al A brief cognitive-behavioral intervention for sleep in individuals with chronic noncancer pain: A randomized controlled trial. Rehabil Psychol. 2015 May;60(2):193-200 PMID: 26120745
  9. Makris UE, Abrams RC, Gurland B, Reid MC. Management of persistent pain in the older patient: a clinical review. JAMA. 2014 Aug 27;312(8):825-36. PMID: 25157726
  10. Heapy AA, Higgins DM, Goulet JL et al. Interactive voice response-based self-management for chronic back pain: The COPES noninferiority randomized trial. JAMA Intern Med 2017 Apr 3; PMID: 28384682
  11. Kiluk BD, Nich C, Buck MB et al. Randomized clinical trial of computerized and clinician-delivered CBT in comparison with standard outpatient treatment for substance use disorders: Primary within-treatment and follow-up outcomes. Am J Psychiatry 2018 May 24; PMID: 29792052 https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2018.17090978
  12. Burgess DJ, Calvert C, Hagel Campbell EM et al. Telehealth mindfulness-based interventions for chronic pain: The LAMP randomized clinical trial. JAMA Intern Med 2024 Aug 19; e243940 PMID: 39158851 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2822046