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Behavioural and Cognitive Psychotherapy

Joelle N Soucy, Heather D Hadjistavropoulos, Nicole E Pugh, Blake F Dear, Nickolai Titov
BACKGROUND: Although internet-delivered cognitive behaviour therapy (ICBT) yields large clinical outcomes when accompanied by therapeutic support, a portion of clients do not benefit from treatment. In ICBT, clients review treatment materials online typically on a weekly basis. A key component of therapist-assistance involves answering questions as clients review and work on assignments related to the treatment materials. AIMS: The goal of this study was to enhance understanding of the nature of client questions posed during ICBT and examine potential associations between the number of questions asked and treatment outcomes in order to provide insight into how to improve ICBT for future users...
January 26, 2019: Behavioural and Cognitive Psychotherapy
Sephora H Rodgers, Robert Schütze, Natalie Gasson, Rebecca A Anderson, Robert T Kane, Sergio Starkstein, Katherine Morgan-Lowes, Sarah J Egan
BACKGROUND: Mindfulness-based cognitive therapy (MBCT) has evidence of efficacy in a range of populations, but few studies to date have reported on MBCT for treatment of anxious and depressive symptoms in Parkinson's disease (PD). AIMS: The aim of this study was to examine the efficacy of modified MBCT in reducing symptoms of anxiety and depression and improving quality of life in PD. METHOD: Thirty-six individuals with PD were randomly assigned to either modified MBCT or a waitlist control...
January 18, 2019: Behavioural and Cognitive Psychotherapy
Pamela Jacobsen, Matthew Richardson, Emma Harding, Paul Chadwick
BACKGROUND: There is an emerging evidence base that mindfulness for psychosis is a safe and effective intervention. However, empirical data on the within-session effects of mindfulness meditation was hitherto lacking. AIMS: The aim of the study was to assess the impact of taking part in a mindfulness for psychosis group, using a within-session self-report measure of general stress, and symptom-related distress. METHOD: Users of a secondary mental health service (n = 34), who experienced enduring psychotic symptoms, took part in an 8-week mindfulness for psychosis group in a community setting...
January 18, 2019: Behavioural and Cognitive Psychotherapy
Jennifer L Buchholz, Jonathan S Abramowitz, Bradley C Riemann, Lillian Reuman, Shannon M Blakey, Rachel C Leonard, Katherine A Thompson
BACKGROUND: Scrupulosity is a common yet understudied presentation of obsessive compulsive disorder (OCD) that is characterized by obsessions and compulsions focused on religion. Despite the clinical relevance of scrupulosity to some presentations of OCD, little is known about the association between scrupulosity and symptom severity across religious groups. AIMS: The present study examined the relationship between (a) religious affiliation and OCD symptoms, (b) religious affiliation and scrupulosity, and (c) scrupulosity and OCD symptoms across religious affiliations...
January 15, 2019: Behavioural and Cognitive Psychotherapy
Margaux Roch-Gagné, France Talbot
BACKGROUND: Cognitive exposure, a treatment of choice for hypothetical fears, involves listening repeatedly to a recorded scenario of one's worst hypothetical fear. A major limitation, however, is that the script cannot be easily modified. AIMS: The current study assessed the feasibility of a brief guided internet-based written exposure therapy (iWET) for hypothetical fears, Mind at Peace. METHOD: Fifty-three adults presenting clinical levels of anxiety (GAD-7 ≥ 8) and worry (PSWQ ≥ 45) were recruited...
January 14, 2019: Behavioural and Cognitive Psychotherapy
S Curley, M F Smout, L A Denson
BACKGROUND: Behavioural activation (BA) is an effective front-line treatment for depression but some consumers find it unattractive or aversive, and its rationale unconvincing. AIMS: To investigate whether individual differences in symptoms of depression, borderline personality pathology or adverse childhood events would: (1) influence ratings of BA treatment credibility; (2) predict credibility rating differences in comparison to schema therapy (ST) exemplifying a contrasting theoretical rationale with a significant developmental history focus; (3) a third aim was to test whether BA credibility was increased by providing research evidence of its efficacy...
January 14, 2019: Behavioural and Cognitive Psychotherapy
H M Bowers, A L Wroe
BACKGROUND: Previous research suggests benefits of targeting beliefs about the unacceptability of emotions in treatment for irritable bowel syndrome (IBS). AIMS: The current study developed and tested an intervention focusing on beliefs and behaviours around emotional expression. METHOD: Four participants with IBS attended five group sessions using cognitive behavioural techniques focusing on beliefs about the unacceptability of expressing emotions...
November 8, 2018: Behavioural and Cognitive Psychotherapy
Andrew Denovan, Neil Dagnall, George Lofthouse
BACKGROUND: Neuroticism is associated with inflated somatic symptom reporting. Worry and rumination are a cognitive concomitant of neuroticism and potentially mediate the neuroticism-somatic complaint relationship. AIMS: The present study examined the degree to which worry and rumination mediated the relationship between neuroticism and somatic complaints. METHOD: A sample of 170 volunteers, recruited via convenience sampling, took part. Participants completed a series of self-report measures: the Eysenck Personality Questionnaire Revised-Short Form, Penn State Worry Questionnaire, the Ruminative Response Scale and the Somatic Symptom Scale-8...
November 7, 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
Izabela Nowak, Piotr Świtaj, Carla Sabariego, Cornelia Oberhauser, Marta Anczewska
BACKGROUND: There is a need to develop culturally adapted interventions that support the personal recovery and real-world functioning of people diagnosed with schizophrenia. AIMS: This study reports on the development and evaluation of a culturally adapted, recovery-oriented, cognitive behavioural workshop for service users with schizophrenia. METHOD: The feasibility and acceptability were assessed, as were changes over time in personal recovery and psychosocial functioning (primary outcomes) along with psychopathology and health-related behaviours (secondary outcomes), using multi-level modelling...
October 30, 2018: Behavioural and Cognitive Psychotherapy
J E J Buckman, R Saunders, P Fearon, J Leibowitz, S Pilling
BACKGROUND: Identifying depressed patients unlikely to reach remission and those likely to relapse after reaching remission is of great importance, but there are few pre-treatment factors that can help clinicians predict prognosis and together these explain relatively little variance in treatment outcomes. Attentional control has shown promise in studies to date, but has not been investigated prospectively in routine clinical settings with depressed patients. AIMS: This study aimed to pilot the use of a brief self-report measure of attentional control in routine care and investigate the associations between attentional control, psychological treatment response and relapse to depression up to 1 year post-treatment...
October 24, 2018: Behavioural and Cognitive Psychotherapy
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