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Adaptation of a cognitive-behavioral protocol for generalized anxiety disorder patients with low educational attainment

Adaptation of a cognitive-behavioral protocol for generalized anxiety disorder patients with low educational attainment

Coutinho, Fernanda Correa, Pereira Dias, Gisele ORCID: 0000-0001-7276-2010, Marques, Roberta Sá Fortes, Range, Bernard Pimentel, Alves Brasil, Marco Antonio, Filpi, Antonio and Nardi, Antonio Egidio (2017) Adaptation of a cognitive-behavioral protocol for generalized anxiety disorder patients with low educational attainment. Trends in Psychology, 25 (3). pp. 1411-1426. ISSN 2358-1883 (Online) (doi:https://doi.org/10.9788/TP2017.3-22)

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Abstract

This article reports the experience of treating low-income patients with a primary diagnosis of generalized anxiety disorder (GAD) in a public hospital in Rio de Janeiro, Brazil. At the start of the project for outpatient treatment, which included the application of a cognitive model for GAD treatment, we observed that the majority of patients presented low educational level, which made it hard for them to understand key aspects of the cognitive-behavioral based treatment offered. Therefore, important adap- tations to the treatment protocol were made necessary, including the way techniques were presented and applied, the therapeutic approach used, and even the duration of sessions. Since variations of cognitive therapy are increasingly being applied in hospital outpatient clinics in countries worldwide, the objective of this article is to present the adaptations performed and promote a discussion on the possible solutions for the difficulties faced in applying clinical psychology practice among patients with low educational and socioeconomic levels. This is a clinical study presenting an illustrative case, where adaptations to the treatment protocol were essential for the positive outcome of the case. It is concluded that, with the scope of treatment in mind, the therapist must be attentive to the client's demands and particularities in order to achieve therapeutic success.

Item Type: Article
Additional Information: © The Author(s), 2018. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Uncontrolled Keywords: Generalized anxiety disorder, cognitive-behavioral therapy, low-educational/ low-income patients, case report
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Faculty / Department / Research Group: Faculty of Education & Health
Faculty of Education & Health > Department of Psychology, Social Work & Counselling
Last Modified: 02 Jul 2019 16:07
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: GREAT 4
URI: http://gala.gre.ac.uk/id/eprint/23923

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