Evaluation of the effect of cognitive therapy on perioperative anxiety and depression among Nigerian surgical patients

Osinowo, Helen O.; Bo, Osuntokun; Adejumo, A. O.

doi:10.4314/wajm.v22i4.28060

Cited by 12 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CBT is a highly structured, skills-based approach largely informed by social-cognitive theory (17;18), which construes the maintenance of addictive behaviors at least in part as learned behaviors to cope with stress and problems (19). CBT was selected for this Kenyan adaptation because of its strong empirical support in both individual and group formats to reduce substance abuse (20–22), durability of treatment effects (23;24), and prior successful applications in sub-Saharan Africa to reduce risky sexual behaviors among HIV-infected Zambian couples (25) and to improve mood among Nigerian surgical patients (26). Furthermore, because of its highly structured format, we felt CBT was feasible for training paraprofessionals and for delivery to those with limited formal education.…”

Section: Introductionmentioning

confidence: 99%

Treatment outcomes of a stage 1 cognitive–behavioral trial to reduce alcohol use among human immunodeficiency virus‐infected out‐patients in western Kenya

et al. 2011

View full text Add to dashboard Cite

Aims Dual epidemics of HIV and alcohol use disorders, and a dearth of professional resources for behavioral treatment in sub-Saharan Africa, suggest the need for development of culturally relevant and feasible interventions. The purpose of this study was to test the preliminary efficacy of a culturally adapted 6-session gender-stratified group cognitive-behavioral therapy (CBT) intervention delivered by paraprofessionals to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. Design Randomized clinical trial comparing CBT against a usual care assessment only control Setting A large HIV outpatient clinic in Eldoret, Kenya, part of the Academic Model for Providing Access to Healthcare collaboration Participants 75 HIV-infected outpatients who were antiretroviral (ARV)-initiated or ARV-eligible and who reported hazardous or binge drinking Measurements Percent drinking days (PDD) and mean drinks per drinking days (DDD) measured continuously using the Timeline Followback Findings There were 299 ineligible and 102 eligible outpatients with 12 refusals. Effect sizes of the change in alcohol use since baseline between the two conditions at the 30-day follow-up were large (d=.95, p=.0002, mean difference=24.93 (95% CI: 12.43, 37.43) PDD; d=.76, p=.002, mean difference=2.88 (95% CI: 1.05, 4.70) DDD). Randomized participants attended 93% of the 6 CBT sessions offered. Reported alcohol abstinence at the 90-day follow-up was 69.4% (CBT) and 37.5% (usual care). Paraprofessional counselors achieved independent ratings of adherence and competence equivalent to college-educated therapists in the U.S. Treatment effect sizes were comparable to alcohol intervention studies conducted in the U.S. Conclusions Cognitive-behavioral therapy can be successfully adapted to group paraprofessional delivery in Kenya and may be effective in reducing alcohol use among HIV-infected Kenyan outpatients.

show abstract

Section: Introductionmentioning

confidence: 99%

Treatment outcomes of a stage 1 cognitive–behavioral trial to reduce alcohol use among human immunodeficiency virus‐infected out‐patients in western Kenya

et al. 2011

View full text Add to dashboard Cite

show abstract

“…CBT teaches patients coping skills to handle high-risk substance use situations. CBT was selected for this Kenyan adaptation because of its strong empirical support in both individual and group formats to reduce substance abuse,15–17 durability of treatment effects, and prior successful applications in sub-Saharan Africa to reduce risky sexual behaviors among HIV-infected Zambian couples18 and to improve mood among Nigerian surgical patients 19. Furthermore, because of its highly structured format, we felt CBT was feasible for training paraprofessionals and for delivery to those with limited formal education.…”

Section: Introductionmentioning

confidence: 99%

Systematic Cultural Adaptation of Cognitive-Behavioral Therapy to Reduce Alcohol Use Among HIV-Infected Outpatients in Western Kenya

et al. 2009

View full text Add to dashboard Cite

Two-thirds of those with HIV worldwide live in sub-Saharan Africa. Alcohol use is associated with the HIV epidemic through risky sex and suboptimal ARV adherence. In western Kenya, hazardous drinking was reported by HIV (53%) and general medicine (68%) outpatients. Cognitive behavioral treatment (CBT) has demonstrated strong efficacy to reduce alcohol use. This article reports on a systematic cultural adaptation and pilot feasibility study of group paraprofessional-delivered CBT to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. Following adaptation and counselor training, five pilot groups were run (n=27). Overall attendance was 77%. Percent days abstinent from alcohol (PDA) before session 1 was 52%-100% (women) and 21-36% (men), and by session 6 was 96%-100% (women) and 89%-100% (men). PDA effect sizes (Cohen's d) between first and last CBT session were 2.32 (women) and 2.64 (men). Participants reported treatment satisfaction. Results indicate feasibility, acceptability and preliminary efficacy for CBT in Kenya.

show abstract

“…Otro estudio controlado aleatorizado en Nigeria, de programas de prevención en adultos en situación de riesgo para la depresión y la ansiedad, tales como pacientes quirúrgicos, también mostró efectos beneficiosos (46).…”

Section: Prevención En Salud Mentalunclassified

“…Algunas de las brechas más estudiadas han sido en relación con la falta de acceso a tratamientos médicos (por ejemplo, psicofarmacológicos) y psicosociales (por ejemplo, psicoeducación, terapia cognitivo-conductual)(19-21) o la baja efectividad "en el mundo real" de los tratamientos psicofarmacológicos (por ejemplo, CA-TIE, STAR*D), debido a causas como la falta de adherencia a tratamiento farmacológico(28) y/o a la falta de efectividad inherente de estos tratamientos en algunas áreas psicopatológicas específicas (por ejemplo, antipsicóticos atípicos no han demostrado mejoría de síntomas cognitivos en esquizofrenia (27,32), antidepresivos han demostrado solo un 20-30% de mejoría en la primera línea de tratamiento) (30,31). Por este motivo, y con el objetivo de reducir la morbimortalidad y discapacidad generada por las enfermedades mentales, se hace necesario un nuevo enfoque de prevención de enfermedades mentales y promoción de la salud mental (18,38,43,52,53,55,56), especialmente debido a que un gran porcentaje de las patologías mentales crónicas comienzan en la infancia(4,7,33,34,37) y están asociadas a factores de riesgo de enfermar (46)(47)(48)(49)(50). En un enfoque de promoción y prevención, las principales estrategias propuestas son: 1) detección de estados mentales de riesgo (por ejemplo, personas con síntomas subumbrales, familiares de primer grado con enfermedad mental, episodios breves y autolimitados; déficits neuropsicológicos precoces y rasgos específicos de personalidad premórbida; biomarcadores séricos, imagenológicos, bioeléctricos y genéticos de endofenotipos de enfermedades mentales específicas)(34,37,40); 2) programas de promoción de estilos de estilos de vida saludables en salud mental (por ejemplo, ejercicio físico, estrategias de resolución de problemas, pensamientos positivos, toma de decisiones y psicoeducación para prevenir ansiedad y depresión en poblaciones vulnerables) (38,(40)(41)(42); 3) prevención de situaciones de riesgo que aumentan la probabilidad de enfermedad mental (por ejemplo, pobreza, aislamiento social, abuso y maltrato infantil, enfermedad mental perinatal de la madre, alimentación precaria del infante, acceso temprano a alcohol y drogas, inequidad socioeconómica e inestabilidad laboral, entre otros) (45-51), con énfasis en intervenciones tempranas a lo largo de la infancia -y todo el ciclo vitaly focalizadas en poblaciones de riesgo (especialmente en países de medianos y bajos ingresos) (52,…”

Section: Conclusionesunclassified

Prevención e intervenciones tempranas en salud mental: una perspectiva internacional

Irarrázaval

Prieto

Armijo³

2016

Acta bioeth.

View full text Add to dashboard Cite

Resumen: Las enfermedades mentales son comunes, crónicas y discapacitantes, y representan un problema de salud pública importante en nuestro país y en todo el mundo. Para las enfermedades mentales más comunes, disponemos actualmente de intervenciones médicas y psicosociales con eficacia probada. Sin embargo, estas aún son insuficientes, y su disponibilidad no se condice con la alta morbilidad y mortalidad que encontramos para las enfermedades mentales. En respuesta a esto, en los últimos 15 años se ha realizado un esfuerzo considerable para desarrollar técnicas de detección temprana, para personas con alto riesgo clínico de desarrollo de enfermedad mental, e intervenciones precoces para prevenir o retrasar la progresión a la enfermedad completa. Un mayor énfasis en la salud mental y la integración de la atención a la salud mental en todos los programas de desarrollo pertinentes, fortalecerán el esfuerzo general de desarrollo, así como garantizará, por primera vez, la atención sostenida de la inversión y la investigación al principal contribuyente mundial de la pérdida de productividad y carga de enfermedad. Palabras clave: prevención, intervención temprana, salud mental Prevention and early interventions in mental health: an international perspectiveAbstract: Mental diseases are common, chronic and disabling, representing a problem in public health of importance in our country and in the world. For most common mental diseases, currently we dispose of medical and psycho social interventions with proven efficacy. Nevertheless, these are not sufficient yet, and their availability does not diminish the morbidity and mortality produced by mental diseases. In order to solve this, a considerable effort has been carried out in the last 15 years to develop techniques of early detection for persons with high clinical risk to develop mental illness and precocious interventions to prevent or delay the progression of full illness. A greater emphasis in mental health and integrating mental health care in all relevant development programs will strengthen the general development effort, as well as it will ensure, for the first time, sustained attention to investment and research to the main world contributor to loss of productivity and disease burden. Prevenção e intervenções precoces em saúde mental: uma perspectiva internacionalResumo: As enfermidades mentais são comuns, crônicas e descapacitantes, e representam um problema de saúde pública importante em nosso país e em todo o mundo. Para as enfermidades mentais mais comuns dispomos atualmente de intervenções médicas e psicossociais com eficácia comprovada. Entretanto, estas ainda são insuficientes, e sua disponibilidade não condiz com a alta morbidade e mortalidade que encontramos para as enfermidades mentais. Em resposta a isto, nos últimos 15 anos foi realizado um esforço considerável para desenvolver técnicas de detecção precoce para pessoas com alto risco clínico de desenvolvimento de enfermidade mental, e intervenções precoces para prevenir ou atrasar a progressão da enf...

show abstract

Evaluation of the effect of cognitive therapy on perioperative anxiety and depression among Nigerian surgical patients

Cited by 12 publications

References 0 publications

Treatment outcomes of a stage 1 cognitive–behavioral trial to reduce alcohol use among human immunodeficiency virus‐infected out‐patients in western Kenya

Treatment outcomes of a stage 1 cognitive–behavioral trial to reduce alcohol use among human immunodeficiency virus‐infected out‐patients in western Kenya

Systematic Cultural Adaptation of Cognitive-Behavioral Therapy to Reduce Alcohol Use Among HIV-Infected Outpatients in Western Kenya

Prevención e intervenciones tempranas en salud mental: una perspectiva internacional

Contact Info

Product

Resources

About