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Behavioural and Cognitive Psychotherapy

Samantha K Brooks, Trudie Chalder, Katharine A Rimes
BACKGROUND: Cognitive-behavioural models of chronic fatigue syndrome (CFS) suggest that personality factors such as perfectionism and high moral standards may contribute to the development of CFS. AIMS: To investigate cognitive, behavioural and emotional processing risk factors for CFS. METHOD: CFS patients (n = 67) at a UK specialist clinic completed questionnaires about psychological characteristics both currently and retrospectively (6 months pre-CFS onset)...
January 18, 2017: Behavioural and Cognitive Psychotherapy
Jonathan Rabner, Nicholas D Mian, David A Langer, Jonathan S Comer, Donna Pincus
BACKGROUND: Worry is a common feature across many anxiety disorders. It is important to understand how and when worry presents from childhood to adolescence to prevent long-term negative outcomes. However, most of the existing studies that examine the relationship between worry and anxiety disorders utilize adult samples. AIMS: The present study aimed to assess the level of worry in children and adolescents and how relationships between worry and symptoms of separation anxiety disorder (SAD) and social anxiety disorder (Soc) may present differently at different ages...
November 17, 2016: Behavioural and Cognitive Psychotherapy
Paul M Salkovskis, Josie Millar, James D Gregory, Karina Wahl
BACKGROUND: Repeated checking in OCD can be understood from a cognitive perspective as the motivated need to achieve certainty about the outcome of a potentially risky action, leading to the application of Elevated Evidence Requirements (EER) and overuse of subjective criteria. METHOD: Twenty-four obsessional checkers, 22 anxious controls, and 26 non-clinical controls were interviewed about and rated recent episodes where they felt (a) they needed to check and (b) checked mainly out of habit (i...
November 9, 2016: Behavioural and Cognitive Psychotherapy
Farjana Nasrin, Katharine Rimes, Andrea Reinecke, Mike Rinck, Thorsten Barnhofer
BACKGROUND: It has been suggested that the behavioural activation (BA) treatments for depression unfold their effects, at least partly, through changes in approach and avoidance tendencies. However, as yet, little research has examined the cognitive effects of these interventions. AIMS: This study investigated the impact of a single session of BA on depressive symptomatology, self-reported avoidance, and behavioural approach and avoidance tendencies. METHOD: Forty-six patients with a diagnosis of Major Depression were recruited from primary care psychological therapies services and block randomized to either a single session of behavioural activation (n = 22) or waiting list control (n = 24) delivered by an unblinded therapist...
January 2017: Behavioural and Cognitive Psychotherapy
Lydia R M French, Laura Thomas, John Campbell, Willem Kuyken, Glyn Lewis, Chris Williams, Nicola J Wiles, Katrina M Turner
BACKGROUND: Cognitive Behavioural Therapy (CBT) aims to teach people skills to help them self-manage their depression. Trial evidence shows that CBT is an effective treatment for depression and individuals may experience benefits long-term. However, there is little research about individuals' continued use of CBT skills once treatment has finished. AIMS: To explore whether individuals who had attended at least 12 sessions of CBT continued to use and value the CBT skills they had learnt during therapy...
January 2017: Behavioural and Cognitive Psychotherapy
Gerard Hutchinson, Paul Willner, John Rose, Ian Burke, Tony Bastick
BACKGROUND: Anger causes significant problems in offenders and to date few interventions have been described in the Caribbean region. AIM: To evaluate a package of CBT-based Anger Management Training provided to offenders in prison in Trinidad. METHOD: A controlled clinical trial with 85 participants who participated in a 12-week prison-based group anger management programme, of whom 57 (67%: 16 control, 41 intervention) provided pretrial and posttrial outcome data at Times 1 and 2...
January 2017: Behavioural and Cognitive Psychotherapy
Ana Sofia Andrade, Margarida Moreira, Mónica Sá, Duarte Pacheco, Vera Almeida, José Carlos Rocha
BACKGROUND AND AIMS: As there are known risks of retraumatization through bereavement crisis interventions, we tailored a new intervention lowering the degree of direct emotional activation. However, we need some evidence on the effects of depression and psychotraumatic symptoms between 1 and 6 months after a loss. METHOD: We conducted a randomized controlled trial with two groups: control group (n = 18) and experimental group (n = 11) in two assessments (1 and 6 months after loss); both included a semi-structured interview (Socio-Demographic Questionnaire, Beck Depression Inventory and the Impact of Events Scale-Revised-IES-R)...
January 2017: Behavioural and Cognitive Psychotherapy
Mia Sydenham, Jennifer Beardwood, Katharine A Rimes
BACKGROUND: Beliefs that it is unacceptable to experience or express negative emotions have been found to be associated with various clinical problems. It is unclear how such beliefs, which could be viewed as a form of unhelpful perfectionism about emotions, may contribute to symptomatology. AIMS: This study investigated two hypotheses: a) greater endorsement of beliefs about the unacceptability of negative emotions will be associated with greater emotional avoidance and lower levels of support-seeking and self-compassion; b) these beliefs about emotions will be associated with higher levels of symptoms of depression, anxiety and fatigue and that this relationship will be mediated by social support-seeking, emotional avoidance and self-compassion...
January 2017: Behavioural and Cognitive Psychotherapy
Noor de Klerk, Tineke A Abma, Lotte L M Bamelis, Arnoud Arntz
BACKGROUND: Several studies have evaluated the (cost) effectiveness of schema therapy for personality disorders, but little research has been done on the perspectives of patients and therapists. AIM: The present study aims to explore patients' and therapists' perspectives on schema therapy. METHOD: Qualitative data were collected through in-depth semi-structured interviews with 15 patients and a focus group of 8 therapists. A thematic analysis was performed...
January 2017: Behavioural and Cognitive Psychotherapy
Sheena Liness, Susan Lea, Steffen Nestler, Hannah Parker, David M Clark
BACKGROUND: The UK Department of Health Improving Access to Psychological Therapies (IAPT) initiative set out to train a large number of therapists in cognitive behaviour therapies (CBT) for depression and anxiety disorders. Little is currently known about the retention of IAPT CBT trainees, or the use of CBT skills acquired on the course in the workplace after training has finished. AIMS: This study set out to conduct a follow-up survey of past CBT trainees on the IAPT High Intensity CBT Course at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London (KCL), one of the largest IAPT High Intensity courses in the UK...
January 2017: Behavioural and Cognitive Psychotherapy
Annemarie I Luik, Sophie Bostock, Leanne Chisnall, Simon D Kyle, Nicky Lidbetter, Nick Baldwin, Colin A Espie
BACKGROUND: Evidence suggests that insomnia may be an important therapeutic target to improve mental health. AIMS: Evaluating changes in symptoms of depression and anxiety after supported digital cognitive behavioural therapy (dCBT) for insomnia delivered via a community-based provider (Self Help Manchester) of the Improving Access to Psychological Therapies (IAPT) service. METHOD: Supported dCBT for insomnia was delivered to 98 clients (mean age 44...
January 2017: Behavioural and Cognitive Psychotherapy
David Hambrook, Tracey Taylor, Victoria Bream
BACKGROUND: Paruresis, or "shy bladder syndrome", is a relatively common anxiety disorder, yet little is known about the causes of, and effective treatments for this disabling condition. AIM: This report describes a case study in which a man (Peter) presenting with paruresis was treated using formulation-driven CBT, which aimed to address the idiosyncratic processes that were maintaining his anxiety and avoidance of urinating in public. METHOD: Peter attended 12 sessions of CBT including one follow-up session a month after treatment had ended...
January 2017: Behavioural and Cognitive Psychotherapy
Jesse R Cougle, Berta J Summers, Ashleigh M Harvey, Kirsten H Dillon, Nicholas P Allan
BACKGROUND: Disgust is thought to play a prominent role in multiple anxiety disorders and fears, including spider phobia, though little attention has been given to specific treatment strategies that may be effective for multiple disgust-based fears. AIMS: In the present study, we evaluated contamination-focused exposure as a potential transdiagnostic treatment strategy for disgust-based fears in a spider fearful sample. METHOD: Women with significant spider fear were randomized to three 30-minute sessions of exposure therapy involving repeated contact with a dirt mixture (n=17) or a waitlist control condition (n=17)...
November 2016: Behavioural and Cognitive Psychotherapy
Elizabeth Newton, Nicola Shepherd, Jim Orford, Alex Copello
BACKGROUND: The psychological difficulties and emotional impacts resulting from the substance use of close relatives constitute a large, underestimated and frequently unidentified health burden. The development of primary care mental health services in response to the Improving Access to Psychological Therapies initiative provides an opportunity to investigate this in more depth. AIMS: A preliminary exploration of prevalence of IAPT service-users being treated for moderate-severe depression and/or anxiety who report that they have relatives with alcohol and/or drug problems...
November 2016: Behavioural and Cognitive Psychotherapy
John Rose, Lisa Nelson, Rebecca Hardiman
BACKGROUND: Cognitions are starting to receive more prominence as important when examining a number of factors including the topography of challenging behaviour. This study examined the relationships between maternal stress, challenging behaviour (aggressive and self-injurious behaviours) and parental cognitions and specifically whether maternal cognitions mediated the effect of challenging behaviour on parenting stress. METHOD: 46 mothers of children and young adults with ID completed questionnaires regarding their child's challenging behaviour, maternal cognitions and stress...
November 2016: Behavioural and Cognitive Psychotherapy
Luke H Schneider, Heather D Hadjistavropoulos, Y Nichole Faller
BACKGROUND: A previous study of therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) for generalized anxiety (Paxling et al., 2013) identified eight distinct therapist behaviours in ICBT (task reinforcement, self-efficacy shaping, task prompting, alliance bolstering, psychoeducation, empathetic utterances, deadline flexibility, and self-disclosure). It is unknown how generalizable these behaviours are across ICBT programs. AIMS: We systematically examined the frequency of these eight therapist behaviours and additional newly identified behaviours in e-mails sent to patients during the course of ICBT for depressive symptoms...
November 2016: Behavioural and Cognitive Psychotherapy
Philip Andersen, Paul Toner, Martin Bland, Dean McMillan
BACKGROUND: Transdiagnostic Cognitive Behaviour Therapy (CBT) seeks to identify core cognitive-behavioural processes hypothesized to be important across a range of disorders and to develop a treatment that targets these. This contrasts with standard CBT approaches that are disorder-specific. Proponents of transdiagnostic CBT suggest that it may offer advantages over disorder-specific CBT, but little is known about the effectiveness of this approach. AIMS: The review aimed to summarize trial-based clinical and cost-effectiveness data on transdiagnostic CBT for anxiety and depression...
November 2016: Behavioural and Cognitive Psychotherapy
Anna Kokavec
BACKGROUND: Psychosocial distress can contribute to avoidance, refusal, or discontinuation of cancer treatment, which could impact recovery and survival. AIMS: The aim of the present study was to evaluate the effectiveness of a community based psychosocial program on alleviating mood disturbance in breast cancer survivors at different stages of their breast cancer journey. METHOD: A total of 37 women participated in an 8-week psychosocial program at their local community centre...
November 2016: Behavioural and Cognitive Psychotherapy
Greta Voutilainen, Tiina Kouhia, David L Roberts, Jorma Oksanen
BACKGROUND: Social Cognition and Interaction Training (SCIT) is a psychosocial treatment designed to improve social functioning in schizophrenia by improving social cognition. Positive results have been reported from several studies, mainly from the USA, but more studies are needed to determine the feasibility of SCIT in different cultural contexts. AIMS: The objective of this study was to evaluate the feasibility and acceptability of the Finnish translation of SCIT in Finland...
November 2016: Behavioural and Cognitive Psychotherapy
Jonathon Slater, Michael Townend
BACKGROUND: Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention. AIMS: This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research...
November 2016: Behavioural and Cognitive Psychotherapy
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