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Behavioural and Cognitive Psychotherapy

Noah Lorenz, Eva Heim, Alexander Roetger, Eva Birrer, Andreas Maercker
BACKGROUND: Insomnia has become a major public health concern. AIMS: The study examined the efficacy of a web-based unguided self-help programme with automated feedback. The programme was based on cognitive behaviour therapy for insomnia (CBT-I). The investigation particularly focused on factors that contribute to the maintenance of insomnia and tested whether treatment effects were stable over a period of 12 months. METHOD: Fifty-six participants were randomly assigned either to web-based CBT-I or to the waiting-list control group...
September 6, 2018: Behavioural and Cognitive Psychotherapy
Nichole Fairbrother, Ronald G Barr, Mandy Chen, Shivraj Riar, Erica Miller, Rollin Brant, Annie Ma
BACKGROUND: Unwanted intrusive thoughts of intentionally harming one's infant (intrusive harm thoughts) are common distressing experiences among postpartum mothers and fathers. AIM: To understand infant crying as a stimulus for intrusive harm thoughts and associated emotional responses in prepartum and postpartum mothers and fathers in response to infant cry. METHOD: Following completion of self-report measures of negative mood and anger, prepartum (n = 48) and postpartum (n = 44) samples of mother and father pairs completed 10 minutes of listening to audio-recorded infant crying...
August 29, 2018: Behavioural and Cognitive Psychotherapy
John Burke, Derek Richards, Ladislav Timulak
BACKGROUND: Anxiety disorders are a highly prevalent cause of impairment globally with generalized anxiety disorder (GAD) sharing many features with other anxiety disorders. AIMS: The present study investigated the helpful and hindering events and impacts for individuals with generalized anxiety who engaged with a supported 6-week online intervention based on cognitive behavioural therapy (iCBT). METHOD: Participants (n = 36) completed the Helpful and Hindering Aspects of Therapy (HAT) for each session...
August 28, 2018: Behavioural and Cognitive Psychotherapy
R Shafran, A Gyani, J Rostron, S Allen, P Myles-Hooton, H Allcott-Watson, S Rose
BACKGROUND: Most people with common mental health problems do not seek evidence-based psychological interventions. AIMS: The aim of this study was to investigate whether monitoring symptoms of depression and anxiety using an app increased treatment-seeking. METHOD: Three hundred and six people with significant levels of anxiety and depression, none of whom were currently receiving treatment, were randomly allocated to receive either (a) information about local psychological services only, (b) information plus regular symptom monitoring (every 6 days), or (c) information plus open symptom monitoring (monitoring when they felt like it)...
August 23, 2018: Behavioural and Cognitive Psychotherapy
Bikem Haciomeroglu, Mujgan Inozu
BACKGROUND: Reassurance seeking in obsessive compulsive disorder (OCD) is a kind of neutralization behaviour that causes considerable interpersonal conflicts. AIMS: The purpose of this study was to conduct the adaptation of the Reassurance Seeking Questionnaire (ReSQ; Kobori and Salkovskis, 2013) into the Turkish language, and to examine its psychometric properties. Moreover, we aimed to identify the specificity of reassurance seeking to OCD, as opposed to other anxiety disorders and depression...
August 22, 2018: Behavioural and Cognitive Psychotherapy
Paul E Jenkins, Ceri Morgan, Catherine Houlihan
BACKGROUND: Underweight eating disorders (EDs) are notoriously difficult to treat, although a growing evidence base suggests that outpatient cognitive behaviour therapy for EDs (CBT-ED) can be effective for a large proportion of individuals. AIMS: To investigate the effectiveness of CBT-ED for underweight EDs in a 'real-world' settings. METHOD: Sixty-three adults with underweight EDs (anorexia nervosa or atypical anorexia nervosa) began outpatient CBT-ED in a National Health Service setting...
August 2, 2018: Behavioural and Cognitive Psychotherapy
Hafrún Kristjánsdóttir, Baldur Heiðar Sigurðsson, Paul Salkovskis, Engilbert Sigurðsson, Magnús Blöndahl Sighvatsson, Jón Friðrik Sigurðsson
BACKGROUND: In recent years, cognitive behavioural group therapies (CBGT) have been increasingly deployed as a strategy to increase the efficiency and cost-effectiveness in treatment of common mental health problems. The vast majority of these therapies are disorder specific, but in the last few years there has been growing interest in transdiagnostic CBGT. AIMS: The aim of this study was twofold: to evaluate the treatment effects of transdiagnostic CBGT on disorder specific symptoms and what (if any) differences would be observed in the treatment effects with regard to general as opposed to disorder specific symptoms measured pre- and post-treatment...
July 25, 2018: Behavioural and Cognitive Psychotherapy
Alicia Spidel, Isabelle Daigneault, David Kealy, Tania Lecomte
BACKGROUND: Although Acceptance and Commitment Therapy (ACT) may be effective for individuals with psychosis and a history of childhood trauma, little is known about predictors of treatment response among such patients. AIMS: The current study examined: (1) whether severity of trauma predicted treatment response, and (2) profiles of patients with regard to their responses to treatment. METHOD: Fifty participants with psychosis and childhood trauma history were recruited and randomized to take part in either eight sessions of group-based ACT, or to be on a waiting list for the ACT group (i...
July 17, 2018: Behavioural and Cognitive Psychotherapy
Stephanie Louise, Susan L Rossell, Neil Thomas
BACKGROUND: A prominent area of advancement in the psychological treatment for people with persisting psychosis has been the application of mindfulness-based therapies. Recent literature has recommended the investigation of focused mindfulness interventions for voices (auditory hallucinations) as a specific experience. To date, only mindfulness programs in group format have been examined. AIMS: This non-randomized pilot study aimed to assess the acceptability, feasibility and potential outcomes of an individual mindfulness program for persistent voices on the negative impact of voices on the subjective experience of mental health and wellbeing, depression and voice-related distress and disruption...
July 9, 2018: Behavioural and Cognitive Psychotherapy
Megan Cowles, Lorna Hogg
BACKGROUND: There is strong evidence to suggest that anxiety is associated with paranoia in clinical and non-clinical samples. However, no research to date has directly manipulated anxiety to investigate if state-anxiety has a causal role in state-paranoia in clinical populations. AIMS: To investigate whether an anxious-mood induction leads to greater paranoia than a neutral-mood induction in people experiencing psychosis and paranoia and, if so, whether this is predicted by anxiety over and above other variables...
June 25, 2018: Behavioural and Cognitive Psychotherapy
Melissa M Norberg, Amie R Newins, Yan Jiang, Jianqiu Xu, Eduard Forcadell, Cristina Alberich, Brett J Deacon
BACKGROUND: While exposure therapy effectively reduces anxiety associated with specific phobias, not all individuals respond to treatment and some will experience a return of fear after treatment ceases. AIMS: This study aimed to test the potential benefit of increasing the intensity of exposure therapy by adding an extra step that challenged uncontrollability (Step 15: allowing a spider to walk freely over one's body) to the standard fear hierarchy. METHOD: Fifty-one participants who had a severe fear of spiders completed two 60-min exposure sessions 1 week apart in a context that was either the same or different from the baseline and follow-up assessment context...
November 2018: Behavioural and Cognitive Psychotherapy
Susie A Hales, Martina Di Simplicio, Lalitha Iyadurai, Simon E Blackwell, Kerry Young, Christopher G Fairburn, John R Geddes, Guy M Goodwin, Emily A Holmes
BACKGROUND: Despite the global impact of bipolar disorder (BD), treatment success is limited. Challenges include syndromal and subsyndromal mood instability, comorbid anxiety, and uncertainty around mechanisms to target. The Oxford Mood Action Psychology Programme (OxMAPP) offered a novel approach within a cognitive behavioural framework, via mental imagery-focused cognitive therapy (ImCT). AIMS: This clinical audit evaluated referral rates, clinical outcomes and patient satisfaction with the OxMAPP service...
November 2018: Behavioural and Cognitive Psychotherapy
Annika Norell-Clarke, Maria Tillfors, Markus Jansson-Fröjmark, Fredrik Holländare, Ingemar Engström
BACKGROUND: Recent treatment studies with cognitive behavioural therapy for insomnia (CBT-I) have demonstrated effects on both sleep problems and depression. Two previous studies have indicated that the beneficial effect from CBT-I on depression may come through improved sleep, although insomnia severity during treatment had not previously been investigated as a mediator. AIMS: Our aim was to investigate if insomnia severity during treatment mediated between CBT-I and depression severity after treatment, in a sample with co-morbid insomnia and depressive symptomology...
November 2018: Behavioural and Cognitive Psychotherapy
Orla McDevitt-Petrovic, Karen Kirby, Orla McBride, Mark Shevlin, Donal McAteer, Colin Gorman, Jamie Murphy
BACKGROUND: The prevalence of mental health difficulties in Northern Ireland (NI) is significantly higher than in England. In recent years, there have been extensive consultations, and subsequent recommendations made in NI in an effort to address this. AIMS: The current study aims to evaluate the effectiveness of an 'Improving Access to Psychological Therapies' (IAPT) stepped care service model using low-intensity cognitive behavioural therapy (LI-CBT) in primary and community care settings...
November 2018: Behavioural and Cognitive Psychotherapy
Bethany M Wootton, Alexandra Hunn, Annabelle Moody, Bethany R Lusk, Valerie A Ranson, Kim L Felmingham
BACKGROUND: Social anxiety disorder (SAD) is a common and chronic mental health condition. Given the significant prevalence and impairment caused by SAD, it is important to investigate novel ways to improve the efficacy of cognitive behavioural therapy (CBT) for SAD. One approach may be to provide CBT in an accelerated fashion, which involves multiple sessions per week. Such accelerated treatments have been shown to be effective in other anxiety disorders, but in SAD this accelerated treatment has only been studied in a group treatment format...
November 2018: Behavioural and Cognitive Psychotherapy
Bryony Sheaves, Louise Isham, Jonathan Bradley, Colin Espie, Alvaro Barrera, Felicity Waite, Allison G Harvey, Caroline Attard, Daniel Freeman
BACKGROUND: Almost all patients admitted at acute crisis to a psychiatric ward experience clinically significant symptoms of insomnia. Ward environments pose challenges to both sleep and the delivery of therapy. Despite this, there is no description of how to adapt cognitive behavioural therapy (CBT) for insomnia to overcome these challenges. AIMS: (i) To describe the key insomnia presentations observed in the Oxford Ward Sleep Solution (OWLS) trial and (ii) outline key adaptations aimed to increase accessibility and hence effectiveness of CBT for insomnia for a ward setting...
November 2018: Behavioural and Cognitive Psychotherapy
S K Sadri, P M McEvoy, S J Egan, R T Kane, C S Rees, A Anderson
No abstract text is available yet for this article.
November 2018: Behavioural and Cognitive Psychotherapy
Berta J Summers, Jesse R Cougle
BACKGROUND: Previous research suggests that computerized interpretation bias modification (IBM) techniques may be useful for modifying thoughts and behaviours relevant to eating pathology; however, little is known about the utility of IBM for decreasing specific eating disorder (ED) symptoms (e.g. bulimia, drive for thinness). AIMS: The current study sought to further examine the utility of IBM for ED symptoms via secondary analyses of an examination of IBM for individuals with elevated body dysmorphic disorder (BDD) symptoms (see Summers and Cougle, 2016), as these disorders are both characterized by threat interpretation biases of ambiguous appearance-related information...
November 2018: Behavioural and Cognitive Psychotherapy
Johanna Sundag, Christine Zens, Leonie Ascone, Susanne Thome, Tania M Lincoln
BACKGROUND: According to Young's schema theory, Early Maladaptive Schemas (EMSs) arise due to the violation of core emotional needs during childhood. It seems likely that parents have difficulties in satisfying their children's emotional needs if they have high levels of EMSs themselves. AIMS: This study investigated whether the extent of EMSs in parents is associated with the extent of EMSs in their offspring. Moreover, we tested for two putative mechanisms that account for this association: parental coping styles and parenting behaviour...
November 2018: Behavioural and Cognitive Psychotherapy
Katie Herron, Lorna Farquharson, Abigail Wroe, Annette Sterr
BACKGROUND: Cognitive behavioural therapy for insomnia (CBTI) has been successfully applied to those with chronic illness. However, despite the high prevalence of post-stroke insomnia, the applicability of CBTI for this population has not been substantially researched or routinely used in clinical practice. AIMS: The present study developed a 'CBTI+' protocol for those with post-stroke insomnia and tested its efficacy. The protocol also incorporated additional management strategies that considered the consequences of stroke...
November 2018: Behavioural and Cognitive Psychotherapy
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