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Emotional Wellness and Stress Resilience
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Gia Merlo, Ariyaneh Nikbin, Hanjun Ryu
Positive cognitive restructuring is one of the most effective coping mechanisms because it addresses the negative feelings that contribute to stress. In doing so, we may approach future stressful situations with a more positive outlook.
Psychological Intervention
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
Samantha Rafie, Sarah Rispinto, Sarah Martin
One’s thoughts and beliefs about one’s pain significantly affect one’s pain experience. Ongoing catastrophization contributes to avoidance of activity and associated disability,57 which perpetuates the chronic pain cycle. Cognitive restructuring, a core component of CBT,58 is a technique that aims at challenging and changing one’s unhealthy or maladaptive thoughts by identifying new alternatives to one’s experiences.44 Cognitive restructuring includes identifying the automatic thought or faulty thought, identifying the unpleasant or negative emotions, challenging the thought, and changing the thought.59,60 The first step to changing maladaptive thought patterns is to bring awareness to the automatic thoughts we experience. Oftentimes, these thoughts happen outside of one’s awareness and bringing them to the surface can aid in one’s ability to modify them. Of importance is the ability to link how negative thoughts contribute to affective distress or negative emotional states including depression, anxiety, and anger.45 As self-awareness grows and individuals are able to recognize how their thoughts influence their mood, and subsequently their pain, they are better able to challenge the validity of their distorted thoughts and incorporate more adaptive thoughts.43
Prenatal Diagnosis
Published in Rosa Maria Quatraro, Pietro Grussu, Handbook of Perinatal Clinical Psychology, 2020
Cognitive restructuring and reappraisal. Whereas fear has been found to be more responsive to exposure techniques, the self-blame and guilt that patients commonly feel after a TOPFA may respond better to cognitive reappraisal techniques (Rothbaum, Meadows, Resick, & Foy, 2000) and help patients re-build their shattered assumptions about themselves and the world.
Healthcare provider knowledge, beliefs, and attitudes regarding opioids for chronic non-cancer pain in North America prior to the emergence of COVID-19: A systematic review of qualitative research
Published in Canadian Journal of Pain, 2023
Louise V. Bell, Sarah F. Fitzgerald, David Flusk, Patricia A. Poulin, Joshua A. Rash
Providers reported concerns over patient adverse effects, physical tolerance, and addiction. Moreover, experiencing or witnessing negative patient-related salient events (e.g., patients who have overdosed) and provider-related salient events (e.g., threat to provider) contributed to hesitancy surrounding prescribing opioids to manage pain. Salient negative events can result in cognitive biases that impact the delivery of medical care,61,62 such as availability63 and representativeness biases.64 Cognitive behavioral techniques could be beneficial for highlighting cognitive biases. For example, cognitive restructuring could be used to acknowledge distorted thoughts and promote reasoned practice.65 Incorporating cognitive bias awareness into the curriculum at medical centers has yielded promising results, demonstrating that residents were able to recognize biases and create strategies to avoid biased reasoning.66–68 Given associations between chronic opioid use and an increased risk for opioid use disorder, overdose, and death,69–72 it is difficult to interpret whether concerns over adverse effects represent an accurate appreciation for potential opioid-related harms or relative risk aversion.
Using digital interventions to reduce digitalization-related stress: does it work?
Published in International Journal of Occupational Safety and Ergonomics, 2023
Katharina F. Pfaffinger, Julia A. M. Reif, Erika Spieß, Jan Philipp Czakert, Rita Berger
Cognitive restructuring, as a cognitive-behavioural intervention, aims to educate people about the role of their own thoughts and emotions in the stress management process [62]. Cognitive restructuring is based on the assumption that emotions or stress have a cognitive element that can be influenced and changed through cognitive processes. In cognitive restructuring interventions, participants learn about their personal style of thinking (e.g., negative thoughts), how this thinking style affects their behaviour and how they can replace negative or irrational thoughts with positive or rational ones. Cognitive-behavioural intervention approaches go back to Beck [63] and Ellis [64], who suggested therapeutic strategies to change maladaptive cognitions which in turn leads to changes in emotional distress and problematic behaviours [65]. In changing dysfunctional behaviours, cognitive-behavioural interventions target problem-focused coping styles. Often, functional behaviours are trained, and clients are engaged in practising, which makes cognitive-behavioural interventions rather active interventions. Problem-focused coping can be an effective way for dealing with stressful situations especially if stressors are principally controllable by the person affected [1].
Unmoving and unmoved: experiences and consequences of impaired non-verbal expressivity in Parkinson’s patients and their spouses
Published in Disability and Rehabilitation, 2019
Adrienne Wootton, Nicola J. Starkey, Carol C. Barber
Impaired facial expressivity appears to interfere with two processes crucial to human social cognition and interaction – the ability of partners to decode the emotions of people who have PD, and people with PD’s ability to mirror or share in emotion with others. A key finding was that partners confused facial masking with negative affect. Partners also made attributions about the cause of perceived affect, the nature of which could be distressing and dysfunctional. This may be because expressions are usually processed automatically and can be used to form judgments without intention or conscious awareness of having done so [28]. This suggests that partners and family members may benefit from assistance in identifying and challenging negative or distressing cognitions that arise when interacting with an individual who has reduced expressivity. Cognitive restructuring techniques may be particularly useful, as the thought processes partners described appear similar to common cognitive distortions such as mind reading and personalization [29]. For example, one participant described challenging automatic thoughts about her husband’s unhappiness, by using a technique somewhat similar to Examining the Evidence [30], “what I think he’s feeling is probably not what he’s feeling… he’s not unhappy because of me and kids…remind myself of all the good things that we are doing…There’s no reason for him to be unhappy sort of thing” (P12 – Partner).