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Cognitive-behaviour Therapy For Tinnitus: Dismantling Study To Maximise Treatment Efficacy
Funder
National Health and Medical Research Council
Funding Amount
$230,220.00
Summary
Tinnitus (ringing in the ears) is a problem which affects a large number of people and for which there is no generally successful medical treatment. People are usually told that they will have to learn to live with the problem. Cognitive-behaviour therapy (CBT) has emerged as the principle means of helping people to cope with tinnitus. The proposed study aims to: (a) enhance the efficacy of CBT interventions for tinnitus, (b) identify the active components of CBT that mediate treatment gains, an ....Tinnitus (ringing in the ears) is a problem which affects a large number of people and for which there is no generally successful medical treatment. People are usually told that they will have to learn to live with the problem. Cognitive-behaviour therapy (CBT) has emerged as the principle means of helping people to cope with tinnitus. The proposed study aims to: (a) enhance the efficacy of CBT interventions for tinnitus, (b) identify the active components of CBT that mediate treatment gains, and (c) specify the mechanisms by which change occurs. The study is designed to dismantle the multi-component CBT tinnitus management protocol to investigate the relative efficacy of the individual components of treatment. The need to identify the types of psychological therapies which work best for potentially different kinds of tinnitus patients is important on both practical and theoretical grounds. Identifying and including only those components of treatment that are beneficial, and eliminating those that are not, is crucial to matching specific treatments to specific patients, which represents a major endeavour in contemporary psychotherapy research. Whether there are individual differences in response to the different components of the treatment or whether there is a single most potent component is of considerable theoretical interest. It is expected that subjects who receive the full treatment will display the largest immediate and long-term gains. Treatments which involve cognitive restructuring will produce better effects than those that do not. This project will contribute to enhanced functioning among tinnitus patients and increase the proportion of those who can benefit from empirically supported therapies.Read moreRead less
Assessment And Prevention Of The Early Signs Of Anxiety And Depression In Children.
Funder
National Health and Medical Research Council
Funding Amount
$149,363.00
Summary
Anxiety and depression are common mental health problems and children rate them as their most common emotional problems. Recent research has indicated that brief psychotherapy programs are effective in reducing these problems in 8 to 14 year olds, however, the earliest signs of these problems are detectable in the preschool years. Thus there is an urgent need for adequately evaluated community prevention programs to address the promotion of sound mental health in much younger children. The aim o ....Anxiety and depression are common mental health problems and children rate them as their most common emotional problems. Recent research has indicated that brief psychotherapy programs are effective in reducing these problems in 8 to 14 year olds, however, the earliest signs of these problems are detectable in the preschool years. Thus there is an urgent need for adequately evaluated community prevention programs to address the promotion of sound mental health in much younger children. The aim of this study is to conduct a comprehensive controlled trial of a community based programme for the detection and prevention of early signs of internalising disorders (i.e., shyness, fears and anxiety, depression). It is hypothesised that by intervening when children are young with the aim of improving parent-child interaction patterns, children will be steered towards a more competent and resilient approach to life. The study consists of three major components. First, we will evaluate the psychometric properties and predictive validity of the best available measures of teachers', parents' and children's' perceptions of the child's adjustment status. Second, we will follow-up the full cohort of preschool children to test which combination of the measures best predicts internalising disorders after 2 years. Third, we will conduct a controlled trial with a sample of the larger cohort to evaluate the effects of a brief parent and teacher training programme on children's adjustment. The major questions of this project are: a) Can we successfully identify children in a community preschool setting and under the age of 6 who are at risk of developing internalizing disorders? b) What assessment measures are the most reliable and valid predictors of the development of internalising disorders in this age group? c) What are the short-term and medium-term effects of a parent and teacher prevention program on children stratified according to risk for internalising disorders?Read moreRead less
Enhancing Treatment Effectiveness In Acute Stress Disorder
Funder
National Health and Medical Research Council
Funding Amount
$235,330.00
Summary
Posttraumatic stress disorder (PTSD) is the most common psychiatric condition to develop after trauma. Early intervention of PTSD following a trauma is indicated because chronic PTSD can be resistant to treatment. Early intervention is possible because acute stress disorder immediately after a trauma identifies those people who will develop chronic PTSD. Although cognitive behaviour therapy of acute stress disorder can effectively prevent PTSD in many cases, many people do not benefit from this ....Posttraumatic stress disorder (PTSD) is the most common psychiatric condition to develop after trauma. Early intervention of PTSD following a trauma is indicated because chronic PTSD can be resistant to treatment. Early intervention is possible because acute stress disorder immediately after a trauma identifies those people who will develop chronic PTSD. Although cognitive behaviour therapy of acute stress disorder can effectively prevent PTSD in many cases, many people do not benefit from this treatment because this treatment involves exposure to distressing memories and emotions, and this contributes to many people dropping out of treatment. This project aims to extend the utility of early intervention following trauma by assessing approaches that can be used by most trauma survivors. The project compares early intervention with either exposure, cognitive therapy, combined exposure and cognitive therapy, or supportive counseling. All therapy will be conducted in the initial four weeks and will comprise 6 sessions. Assessments will be conducted posttreatment, six-months follow-up, and one-year follow-up. The outcomes of this project will have significant public health benefits because they will lead to increased treatment effectiveness for acutely traumatized people, and will markedly reduce the incidence of PTSD in the community.Read moreRead less
Effects Of A Midwife-led Counselling Intervention To Improve Postpartum Womens Mental Health
Funder
National Health and Medical Research Council
Funding Amount
$674,240.00
Summary
Prevention of perinatal mental health difficulties is a national priority. In addition to depressed mood, some mothers experience a range of anxiety disorders. Many women report that problems are not discussed or diagnosed and few receive help. We will conduct a trial and qualitative evaluation of an early counselling intervention for distressed postpartum women. The intervention, offered by trained midwives, aims to reduce anxiety, depression and promote positive parenting.