Effectiveness of Using a Mixed of CBT, CT-R, and Oral Treatment in Reducing Depression and Anxiety

Authors

  • Juliana Hindradjat Department of Christian Education, Sekolah Tinggi Teologi Kharisma, Bandung, Indonesia https://orcid.org/0000-0003-1820-8072
  • P. H. Livana Department of Nursing and Professionals Undergraduate Study Programs, Sekolah Tinggi Ilmu Kesehatan Kendal, Sijeruk, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8401

Keywords:

Anxiety, Cognitive behavior therapy, Depression, Recovery-oriented cognitive therapy

Abstract

This qualitative research with case study method aims to determine the effectiveness of the combined use of CBT, CT-R and oral treatment to reduce depression and anxiety. The subject in this study was a 55 years old woman. Data were obtained through observation, interviews, and measurement of depression and anxiety levels using the DASS and MCMI-IV instruments. The results of this study showed that the combined use of CBT, CT-R and oral treatment reduced depression level and anxiety as indicated by a decrease in persistent depression scores 75 to 14, major depression scores 102 to 12 and generalized anxiety scores 115 to 30 on MCMI-IV scale. Measurements using the DASS show a decrease in depression scores 25 as major depression to 3 as normal depression, and a decrease in anxiety 16 as severe anxiety to 4 as normal anxiety. The measurement results supported by physical, psychological and behavioral changes. In addition, there are changes in personalities from borderline, melancholic and dependent to turbulent, histrionic and compulsiveon MCMI-IV scale..

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References

Schröder J, Berger T, Meyer B, Lutz W, Hautzinger M, Späth C, et al. Attitudes towards internet interventions among psychotherapists and individuals with mild to moderate depression symptoms. Cognit Ther Res. 2017; 745–756. https://doi.org/10.1007/s10608-017-9850-0 DOI: https://doi.org/10.1007/s10608-017-9850-0

Lau RW, Mak WH. Effectiveness of workplace interventions for depression in Asia: A meta-analysis. 2017. https://doi.org/10.1177/2158244017710293. DOI: https://doi.org/10.1177/2158244017710293

Tran TD, Tran T, Fisher J. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry. 2013;13:24. https://doi.org/10.1186/1471-244X-13-24 PMid:23311374 DOI: https://doi.org/10.1186/1471-244X-13-24

Alamdarloo GH, Khorasani SM, Najafi M, Jabbari FS, Shojaee S. The effect of cognitive-behavioral therapy on depression, anxiety, and stress levels in iranian males with addiction. 2019. Available from: https://us.sagepub.com/en-us/nam/open-access-at-sage. DOI: https://doi.org/10.1177/2158244018824466

Hofmann SG, Wu JQ, Boettcher H. Effect of cognitive-behavioral therapy for anxiety disorders on quality of life: A meta-analysis. J Consult Clin Psychol. 2014;82(3):375-91. https://doi.org/10.1037/a0035491 PMid:24447006 DOI: https://doi.org/10.1037/a0035491

Khaledian M, Zarin HK, Jalalian A. The eefeectiveness of group cognitive behavior therapy on reduction of aadicts’ depression. Res Addict. 2014;8(29):78-88.

Titov N, Dear BF, Ali S, Zou JB, Lorian CN, Terides MD, et al. Science direct clinical and cost-effectiveness of therapist-guided internet-delivered cognitive behavior therapy for older adults with symptoms of depression: A randomized controlled trial. Behav Ther. 2015;46(2):193-205. http://dx.doi.org/10.1016/j.beth.2014.09.008 PMid:25645168 DOI: https://doi.org/10.1016/j.beth.2014.09.008

Karg RS, Bose J, Batts KR, Forman-Hoffman VL, Liao D, Hirsch E, et al. Past year mental disorders among adults in the United States: Results from the 2008-2012 mental health surveillance study. CBHSQ Data Rev. 2014. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27748100. [Last accessed on 2021 Nov 10].

Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. The global burden of mental disorders: An update from the WHO World Mental Health (WMH) surveys. Epidemiol Psichiatr Soc. 2009;18(1):23-33. https://doi.org/10.1017/s1121189x00001421 PMid:19378696 DOI: https://doi.org/10.1017/S1121189X00001421

Bhaskar AS, Hogan DM, Archfield SA. Urban base flow with low impact development. Hydrol Processes. 2016;30:3156-71. DOI: https://doi.org/10.1002/hyp.10808

Attridge M. Internet-based cognitive-behavioral therapy for employees with anxiety, depression, social phobia, or insomnia: Clinical and work outcomes. 2020. https://doi.org/10.1177/2158244020914398 DOI: https://doi.org/10.1177/2158244020914398

Nolen-Hoeksema, S. An interactive model for the emergence of gender differences in depression in adoles- cence. J Res Adolesc, 1994;4(4):519-534. DOI: https://doi.org/10.1207/s15327795jra0404_5

Velting ON, Setzer NJ, Albano AM. Update on and advances in assessment and cognitive-behavioral treatment of anxiety disorders in children and adolescents. Prof Psychol Res Pract. 2004;35(1):42-54. DOI: https://doi.org/10.1037/0735-7028.35.1.42

Steer RA, Brown GK, Beck AT, Sanderson WC. Mean beck depression inventory-i1 scores by severity of major depressive episode. Psychol Rep. 2001;88(3 Pt 2):1075-6. https://doi.org/10.2466/pr0.2001.88.3c.1075 PMid:11597055 DOI: https://doi.org/10.2466/pr0.2001.88.3c.1075

Corsini RJ, Wedding D. Current Psychotherapies. United State of America; 2011. DOI: https://doi.org/10.1002/9780470479216.corpsy0248

Merikangas KR, Kalaydjian A. Magnitude and impact of comorbidity of mental disorders from epidemiologic surveys. Curr Opin Psychiatry. 2007;20(4):353-8. https://doi.org/10.1097/YCO.0b013e3281c61dc5 PMid:17551350 DOI: https://doi.org/10.1097/YCO.0b013e3281c61dc5

Baldwin DS and Birtwistle J. An Atlas of Depression. The Parthenon Publishing Group; 2002. https://doi.org/10.1201/NOE1850709428 DOI: https://doi.org/10.1201/NOE1850709428

Beck AT, Grant P, Inverso E, Brinen AP, Perivoliotis D. Reccovery-Oriented Cognitive Therapy for Serious Mental Health Conditions. New York: The Guilford Press; 2021.

Damanik ED. Pengujian Reliabilitas, Validitas, Analisis item Dan Pembuatan Norma Depression Anxiety Stress Scale (DASS). Depok: Universitas Indonesia; 2006.

Gomez F. A Guide to the Depression, Anxiety and Stress Scale; 2014;(Dass 21). Available from: http://www.iwsml.org.au/images/mental_health/Frequently_Used/Outcome_Tools/Dass21.pdf

Triwahyuni A, Purwono U, Sadarjoen SS, Sapri ER. Pengembangan Millon Personality Type Inventory (Mpti) sebagai instrumen pengukuran kepribadian di Indonesia. J Psychol Sci Prof. 2019;3(2):65. DOI: https://doi.org/10.24198/jpsp.v3i2.21402

Beck JS. Cognitive Behavior Therapy Basics and Beyond. 3rd ed. New York: The Guilford Press; 2021.

Gosch EA, Flannery-Schroeder E, Mauro CF, Compton SN. Principles of cognitive-behavioral therapy for anxiety disorders in children. J Cogn Psychother. 2006;20(3):247-62. DOI: https://doi.org/10.1891/jcop.20.3.247

Hea EO, Houseman J, Bedek K, Sposato R. The use of cognitive behavioral therapy in the treatment of depression for individuals with CHF. Heart Fail Rev. 2009;14(1):13-20. https://doi.org/10.1007/s10741-008-9081-2 PMid:18228140 DOI: https://doi.org/10.1007/s10741-008-9081-2

Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitive-behavioral therapy: A review of metaanalyses. Clin Psychol Rev. 2006;26(1):17-31. https://doi.org/10.1016/j.cpr.2005.07.003 PMid:16199119 DOI: https://doi.org/10.1016/j.cpr.2005.07.003

Allen NB. Cognitive therapy of depression. Aaron T Beck, A John Rush, Brian F Shaw, Gary Emery. New York: Guilford Press, 1979. Aust N Z J Psychiatry. 2002;36:275-8 https://doi.org/10.1046/j.1440-1614.2002.t01-5-01015.x DOI: https://doi.org/10.1046/j.1440-1614.2002.t01-5-01015.x

Williams J, Roth A, Vatthauer K, McCrae CS. Cognitive behavioral treatment of Insomnia. Chest. 2013;143(2):554-65. https://doi.org/10.1378/chest.12-0731 PMid:23381322 DOI: https://doi.org/10.1378/chest.12-0731

Williams E, Ferrito M, Tapp J, Williams E, Ferrito M, Tapp J. Cognitive-behavioural therapy for schizophrenia in a forensic mental health setting. J Forensic Pract. 2014;16(1):68-77. https://doi.org/10.1108/JFP-12-2012-0028 DOI: https://doi.org/10.1108/JFP-12-2012-0028

Koschmann E, Abelson JL, Kilbourne AM, Smith SN, Fitzgerald K, Pasternak A. Implementing evidence-based mental health practices in schools: Feasibility of a coaching strategy. J Ment Health Train Educ Pract. 2019;14(4):212-31. https://doi.org/10.1108/JMHTEP-05-2018-0028 DOI: https://doi.org/10.1108/JMHTEP-05-2018-0028

Toneatto T, Calderwood K. Cognitive-Behavior Therapy for Concurrent Anxiety and Alcohol Use Disorder: A Randomized Control Trial. Int J Ment Health Addict. 2015;13(2):297–306. DOI: https://doi.org/10.1007/s11469-014-9529-7

Pour TH. The effect of cognitive behavioural therapy on anxiety in infertile women. Euro J Exp Biol. 2014;4(1):415-9.

Videbeck SL. Psychiatric-Mental Health Nursing. Philadephia: Lippincott Williams & Wilkins; 2008.

Zakiyah Z. The effect and effectiveness of computer-based cognitive behavioral therapy (cbt) on clients of anxiety and depression. E-Journal Widya Kesehatan Dan Lingkungan. 2014;1(1):75-80.

Keliat AB, Akemat. Model Praktik Keperawatan Profesional Jiwa. Jakarta: EGC; 2012.

Beck AT, Hollon SD, Young JE, Bedrosian RC, Budenz D. Treatment of Depression With Cognitive Therapy and Amitriptyline. Arch Gen Psychiatry. 1985;42(2):142–148. https://doi.org/10.1001/archpsyc.1985.01790250036005 DOI: https://doi.org/10.1001/archpsyc.1985.01790250036005

Knapp P, Kieling C, Beck AT. What do psychotherapists do? A systematic review and meta-regression of surveys. Psychother Psychosom. 2015;84(6):377-8. https://doi.org/10.1159/000433555 PMid:26402554 DOI: https://doi.org/10.1159/000433555

Clark DM, Canvin L, Green J, Layard R, Pilling S, Janecka M. Transparency about the outcomes of mental health services (IAPT approach): An analysis of public data. Lancet. 2018;391(10121):679-86. http://dx.doi.org/10.1016/S0140-6736(17)32133-5 PMid:29224931 DOI: https://doi.org/10.1016/S0140-6736(17)32133-5

David D, Cristea I, Hofmann SG. Why cognitive behavioral therapy is the current gold standard of psychotherapy. Front Psychiatry. 2018;9:6-8. https://doi.org/10.3389/fpsyt.2018.00004 PMid:29434552 DOI: https://doi.org/10.3389/fpsyt.2018.00004

Hofmann SG, Asmundson GJ, Beck AT. The science of cognitive therapy. Behav Ther. 2013;44(2):199-212. https://doi.org/10.1016/j.beth.2009.01.007 PMid:23611069 DOI: https://doi.org/10.1016/j.beth.2009.01.007

Beck AT. A 60-year evolution of cognitive theory and therapy. Perspect Psychol Sci. 2019;14(1):16-20. https://doi.org/10.1177/1745691618804187 PMid:30799751 DOI: https://doi.org/10.1177/1745691618804187

Beck, A.T. Thinking and Depression: I.Idiosyncratic Content and Cognitive Distortion. Arch Gen Psychiatry. 1963;9:324-33. https://doi.org/10.1001/archpsyc.1963.01720160014002 PMid: 14045261 DOI: https://doi.org/10.1001/archpsyc.1963.01720160014002

Hapsari A, Kurniawan A. Efektivitas Cognitive Behavior Therapy (CBT) untuk meningkatkan kualitas tidur penderita gejala insomnia effectiveness of cognitive behavioral therapy to increase sleep quality in young adults insomnia patients abstract. JURNAL ILMU KELUARGA DAN KONSUMEN. 2019;12(3):223-35. DOI: https://doi.org/10.24156/jikk.2019.12.3.223

Walia HK, Mehra R. Overview of common sleep disorders and intersection with dermatologic conditions. Int J Mol Sci. 2016;17(5):654.https://doi.org/10.3390/ijms17050654 PMid:27144559 DOI: https://doi.org/10.3390/ijms17050654

National Institutes of Health. National Institutes of Health state of the science conference statement: Manifestations and management of chronic insomnia in adults June 13-15, 2005. Sleep. 2005;28(9):1049-57. https://doi.org/10.1093/sleep/28.9.1049 PMid:16268373 DOI: https://doi.org/10.1093/sleep/28.9.1049

Cunnington D, Junge MF, Fernando AT. Insomnia: Prevalence, consequences and effective treatment. Med J Aust. 2013;199(8):S36-40. https://doi.org/10.5694/mja13.10718 PMid:24138364 DOI: https://doi.org/10.5694/mja13.10718

Taylor DJ, Pruiksma KE. Cognitive and behavioural therapy for insomnia (CBT-I) in psychiatric populations: A systematic review. Int Rev Psychiatry. 2014;26(2):205-13. https://doi.org/10.3109/09540261.2014.902808 PMid:24892895 DOI: https://doi.org/10.3109/09540261.2014.902808

Kryger M, Roth T, Dement WC. Principles and Practice of Sleep Medicine. 2017.

Trauer JM, Qian MY, Doyle JS, Rajaratnam SMW, Cunnington D. Cognitive behavioral therapy for chronic insomnia: A systematic review and meta-analysis. Ann Intern Med. 2015;163(3):191–204. DOI: https://doi.org/10.7326/M14-2841

Mao H, Ji Y, Xu Y, Tang G, Yu Z, Xu L, Wang W.. Group-Cognitive-Behavioral Therapy in insomnia: a cross-sectional casecontroleed study. Neuropsychiatric Disease and Treatment, 2017;13:2841-2848. https://doi.org/10.2147/NDT.S149610 DOI: https://doi.org/10.2147/NDT.S149610

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Published

2022-03-25

How to Cite

1.
Hindradjat J, Livana PH. Effectiveness of Using a Mixed of CBT, CT-R, and Oral Treatment in Reducing Depression and Anxiety. Open Access Maced J Med Sci [Internet]. 2022 Mar. 25 [cited 2024 Apr. 26];10(B):837-4. Available from: https://oamjms.eu/index.php/mjms/article/view/8401