Women With Certain Mental Disorders Less Responsive to CBT When Facing Infertility Problems

Women with adjustment disorders who face fertility problems as part of a couple may have a higher risk of a poor prognosis in response to cognitive-behavioral therapy (CBT), astudy inBMC Psychiatrysuggests.Mahbobeh Faramarzi, M.D., of Babol University of Medical Sciences in Babol, Iran, and colleagues conducted a secondary analysis based on a previousrandomized, controlled trial of women with adjustment disorders who had received fertility treatments and were facing fertility problems as part of a couple.The original study compared the efficacy of an internet cognitive behavioral program (ICBT) with face-to-face CBT for 152 women diagnosed with adjustment disorders who were facing the couple ’s fertility problems. Treatment was offered in eight 50-minute individual sessions by two therapists, and follow-up took place at three and six months. The programs included psychoeducation, principles of CBT, restructuring techniques, behavioral techniques, changing schemas, and reviewing goals. The researchers defined adherence as receiving at least four of the eight sessions.The researchers assessed the women ’s mental health through measurements such as the Adjustment Disorder new Module-20, the Hospital Anxiety and Depression Scale, the Cognitive Therapy Awareness Scale, and the Automatic Thought Questionnaire. They defined nonresponse to treatment as less than a 50% reduction in the anxiety and depr ession total scores. Among the principal diagnoses, the prevalence of adjustmen...
Source: Psychiatr News - Category: Psychiatry Tags: adjustment disorders anxiety CBT cognitive-behavioral therapy couple infertility depression internet-delivered CBT women Source Type: research