Cognitive Behavioral Analysis System of Psychotherapy as group psychotherapy for chronically depressed inpatients: a naturalistic multicenter feasibility trial.

The Cognitive Behavioral Analysis System of Psychotherapy (CBASP) is a relatively new approach in the treatment of chronic depression (CD). Adapted as group psychotherapy for inpatients, CBASP is attracting increasing attention. In this naturalistic multicenter trial, we investigated its feasibility after 10 sessions of CBASP group therapy over a treatment time of at least 5 to a maximum of 10 weeks. Treatment outcome was additionally assessed. Across four centers, 116 inpatients with CD (DSM-IV-TR) attended CBASP group psychotherapy. Feasibility was focused on acceptance, and evaluated for patients and therapists after five (t1) and ten sessions (t2) of group psychotherapy. Observer- and self-rating scales (Hamilton Depression Rating Scale-24 items, HDRS24; Beck Depression Inventory-II, BDI-II; World Health Organization Quality of Life assessment, WHOQOL-BREF) were applied before group psychotherapy (t0) and at t2. Dropouts were low (10.3%). Patients' evaluation improved significantly from t1 to t2 with a medium effect size (d = 0.60). Most of the patients stated that the group had enriched their treatment (75.3%), that the size (74.3%) and duration (72.5%) were 'optimal' and 37.3% wished for a higher frequency. Patients gave CBASP group psychotherapy an overall grade of 2 ('good'). Therapists' evaluation was positive throughout, except for size of the group. Outcome scores of HDRS24, BDI-II, and WHOQOL-BREF were significantly reduced from t0 to t2 with medium to large effect sizes (d = 1.48; d = 1.11; d = 0.67). In this naturalistic open-label trial, CBASP, when applied as inpatient group psychotherapy, was well accepted by patients and therapists. The results point towards a clinically meaningful effect of inpatient treatment with CBASP group psychotherapy on depression and quality of life. Other potential factors that could have promoted symptom change were discussed. A future controlled study could investigate the safety and efficacy of CBASP group psychotherapy for inpatients.

Overcoming treatment resistance in chronic depression: a pilot study on outcome and feasibility of the cognitive behavioral analysis system of psychotherapy as an inpatient treatment program.

BACKGROUND: The Cognitive Behavioral Analysis System of Psychotherapy (CBASP), initially developed as an outpatient treatment for chronic depression (CD), has been adapted as a multidisciplinary 12-week inpatient program for CD. METHODS: Seventy inpatients with CD and treatment resistance were included in a noncontrolled trial. The Hamilton Depression Rating Scale served as the primary outcome measure. Prospective naturalistic follow-up assessments were conducted 6 and 12 months after discharge. RESULTS: Dropout rate was 7.1%; 90.4% perceived the program as helpful. Pre-post comparisons yielded strong effect sizes; 75.7% of the intention-to-treat sample responded, and 40.0% remitted. Nonremission was associated with experiencing temporary deterioration of symptoms during treatment. After 6 months 75.0% and after 12 months 48.0% of patients sustained response. CONCLUSIONS: The CBASP program appears as a feasible acute treatment for treatment-resistant CD inpatients with promising outcome. However, the continuation of treatment after discharge should be optimized especially for patients with subjective deterioration during treatment.

Influence of Removal of a Non-native Tree Species Mimosa caesalpiniifolia Benth. on the Regenerating Plant Communities in a Tropical Semideciduous Forest Under Restoration in Brazil.

Exotic species are used to trigger facilitation in restoration plantings, but this positive effect may not be permanent and these species may have negative effects later on. Since such species can provide a marketable product (firewood), their harvest may represent an advantageous strategy to achieve both ecological and economic benefits. In this study, we looked at the effect of removal of a non-native tree species (Mimosa caesalpiniifolia) on the understory of a semideciduous forest undergoing restoration. We assessed two 14-year-old plantation systems (modified "taungya" agroforestry system; and mixed plantation using commercial timber and firewood tree species) established at two sites with contrasting soil properties in São Paulo state, Brazil. The experimental design included randomized blocks with split plots. The natural regeneration of woody species (height ≥0.2 m) was compared between managed (all M. caesalpiniifolia trees removed) and unmanaged plots during the first year after the intervention. The removal of M. caesalpiniifolia increased species diversity but decreased stand basal area. Nevertheless, the basal area loss was recovered after 1 year. The management treatment affected tree species regeneration differently between species groups. The results of this study suggest that removal of M. caesalpiniifolia benefited the understory and possibly accelerated the succession process. Further monitoring studies are needed to evaluate the longer term effects on stand structure and composition. The lack of negative effects of tree removal on the natural regeneration indicates that such interventions can be recommended, especially considering the expectations of economic revenues from tree harvesting in restoration plantings.

Traits of the host trees, not community diversity, drive epiphytes abundance in tropical seasonal forests / Atributos das árvores hospedeiras, e não a diversidade da comunidade, conduzem a abundância de epífitas em florestas tropicais sazonais

Abstract Epiphytes are considered indicators of forest ecological integrity, but the factors that explain their abundance are still not well understood. We here evaluated tree colonization by epiphytes in old-growth monospecific reforestation stands of Astronium urundeuva (M.Allemão) Engl. (Anacardiaceae) and Eucalyptus saligna Sm. (Myrtaceae), in comparison to a neighbor seasonal tropical forest fragment under similar environmental conditions. In each forest type, we identified and measured all trees (planted and colonizers) from 5-cm stem diameter in five 200 m² plots and quantified all vascular epiphytes per tree. Tree species were categorized by bark roughness, canopy deciduousness and growth rate. The abundance of epiphytes and the frequency of host trees were higher in the A. urundeuva plantation than in the native forest, with the E. saligna stand in an intermediate position. Also, we found that host traits influenced the abundance of epiphytes in their trunks. Host trees had average stem perimeter and height both higher than non-hosts, which indicates that colonization is more likely to occur in older trees. The average abundance of epiphytes per tree was higher in species with rough bark, but no relationship was found with canopy deciduousness or tree growth rate. We evidenced, therefore, that forest plantations, even if monospecific, can provide habitat for epiphytes. However, at community level, colonization success, either in native or restored forest, depends on the relative abundance of species whose bark type favors epiphytes establishment.

Resumo Epífitas são consideradas indicadores de integridade ecológica em florestas, mas os fatores que explicam sua abundância ainda não são bem compreendidos. Neste estudo, avaliamos a colonização por epífitas em antigos talhões monoespecíficos de Astronium urundeuva (M.Allemão) Engl. (Anacardiaceae) e Eucalyptus saligna Sm. (Myrtaceae), em comparação com um fragmento vizinho de floresta estacional semidecidual sob condições ambientais semelhantes. Em cada tipologia florestal, identificamos e medimos todas as árvores (plantadas e que colonizaram os locais) a partir de 5 cm de diâmetro à altura padrão, em cinco parcelas de 200 m². Nelas, também quantificamos todas as epífitas vasculares por árvore. Em busca de uma explicação funcional para as diferenças entre espécies, utilizamos rugosidade da casca, deciduidade da copa e taxa de crescimento como atributos potencialmente relevantes. A abundância das epífitas e a frequência de forófitos foi maior no talhão de A. urundeuva do que na floresta nativa, com o talhão de E. saligna ocupando uma posição intermediária. Encontramos evidências, também, de que os atributos dos forófitos influenciaram a abundância de epífitas em seus troncos. Os forófitos apresentaram maior perímetro médio e altura que as árvores não hospedeiras, o que indica que a colonização é mais provável de ocorrer em árvores mais velhas. A abundância média de epífitas por árvore foi maior em espécies com casca rugosa, mas nem a deciduidade da copa, nem a velocidade de crescimento exerceram efeito neste aspecto. Evidenciamos, portanto que, plantações florestais, ainda que monoespecíficas, podem prover habitat para epífitas. Contudo, em nível de comunidade, o sucesso da colonização, seja em florestas nativas ou restauradas, depende da abundância relativa de espécies cujo tipo de casca favorece o estabelecimento de epífitas.

Perceptions of environmental change and use of traditional knowledge to plan riparian forest restoration with relocated communities in Alcântara, Eastern Amazon.

BACKGROUND: Riparian forests provide ecosystem services that are essential for human well-being. The Pepital River is the main water supply for Alcântara (Brazil) and its forests are disappearing. This is affecting water volume and distribution in the region. Promoting forest restoration is imperative. In deprived regions, restoration success depends on the integration of ecology, livelihoods and traditional knowledge (TEK). In this study, an interdisciplinary research framework is proposed to design riparian forest restoration strategies based on ecological data, TEK and social needs. METHODS: This study takes place in a region presenting a complex history of human relocation and land tenure. Local populations from seven villages were surveyed to document livelihood (including 'free-listing' of agricultural crops and homegarden tree species). Additionally, their perceptions toward environmental changes were explored through semi-structured interviews (n = 79). Ethnobotanical information on forest species and their uses were assessed by local-specialists (n = 19). Remnants of conserved forests were surveyed to access ecological information on tree species (three plots of 1,000 m2). Results included descriptive statistics, frequency and Smith's index of salience of the free-list results. RESULTS: The local population depends primarily on slash-and-burn subsistence agriculture to meet their needs. Interviewees showed a strong empirical knowledge about the environmental problems of the river, and of their causes, consequences and potential solutions. Twenty-four tree species (dbh > 10 cm) were found at the reference sites. Tree density averaged 510 individuals per hectare (stdv = 91.6); and 12 species were considered the most abundant (density > 10ind/ha). There was a strong consensus among plant-specialists about the most important trees. The species lists from reference sites and plant-specialists presented an important convergence. CONCLUSIONS: Slash-and-burn agriculture is the main source of livelihood but also the main driver of forest degradation. Effective restoration approaches must transform problems into solutions by empowering local people. Successional agroforestry combining annual crops and trees may be a suitable transitional phase for restoration. The model must be designed collectively and include species of ecological, cultural, and socioeconomic value. In deprived communities of the Amazon, forest restoration must be a process that combines environmental and social gains.

Allometric equations for estimating tree biomass in restored mixed-species Atlantic Forest stands / Equações alométricas para estimativa da biomassa arbórea em plantios mistos com espécies nativas na restauração da Mata Atlântica

Restoration of Atlantic Forests is receiving increasing attention because of its role in both biodiversity conservation and carbon sequestration for global climate change mitigation. This study was carried out in an Atlantic Forest restoration project in the south-central region of São Paulo State - Brazil to develop allometric equations to estimate tree biomass of indigenous tree species in mixed plantations. Above and below-ground biomass (AGB and BGB, respectively), stem diameter (DBH: diameter at 1.3 m height), tree height (H: total height) and specific wood density (WD) were measured for 60 trees of 19 species. Different biomass equations (linear and nonlinear-transformed) were adjusted to estimate AGB and BGB as a function of DBH, H and WD. For estimating AGB and BGB, the linear biomass equation models were the least accurate. The transformed nonlinear biomass equation that used log DBH2, log H and log WD as predictor variables were the most accurate for AGB and the transformed nonlinear biomass equations that used log DBH2*WD as predictor variables were the most accurate for BGB. It is concluded that these adjusted equations can be used to estimate the AGB and BGB in areas of the studied project. The adjusted equations can be recommended for use elsewhere in the region for forest stands of similar age, tree size ranges, species composition and site characteristics.

A restauração da Mata Atlântica vem recebendo aumento na atenção por causa do papel na conservação da biodiversidade e sequestro de carbono para a mitigação da mudança global do clima. Este estudo foi conduzido em um projeto de restauração da Mata Atlântica na região centro-sul do Estado de São Paulo - Brasil e buscou desenvolver equações alométricas para estimar a biomassa arbórea de espécies nativas em plantios mistos. Em 60 árvores de 19 espécies foram medidas a biomassa acima e abaixo do solo, o diâmetro do tronco (DAP: diâmetro a 1,3 m de altura), altura (H) e densidade específica da madeira (Ds). Diferentes equações de biomassa (linear e não linear) foram ajustadas para estimar a biomassa acima e abaixo do solo, utilizando DAP, H e Ds como variáveis preditoras. As equações de biomassa lineares foram as menos acuradas para a estimativa da biomassa acima e abaixo do solo. As equações de biomassa não lineares que usaram log DAP2, log H e log Ds como variáveis preditoras foram mais acuradas para a estimativa da biomassa acima do solo e as não lineares que usaram log DBH2*WD como variáveis preditoras foram as mais acuradas para a estimativa da biomassa abaixo do solo. Conclui-se que estas equações ajustadas podem ser usadas na estimativa da biomassa acima e abaixo do solo nas áreas do projeto estudado. Também pode ser considerado o uso destas equações ajustadas em outras áreas restauradas da Mata Atlântica com idade do povoamento, classes de tamanho das árvores, composição de espécies e características das áreas similares ao deste estudo, desde que árvores sejam avaliadas para verificar a eficácia da equação a ser usada.