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1
Bell, Victoria. "Advancing cognitive therapy for psychosis." Thesis, University of Oxford, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.606409.
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There is an increasing awareness of the limitations of Cognitive Behavioural Therapy for psychosis (CBTp) and researchers are attempting to advance its efficacy. The first part of this thesis was a systematic review of the new CBT approaches for positive symptoms. The evidence for their efficacy was summarised and then examined from a methodological perspective. A search of the literature since 2003 produced sixteen studies, falling into two main strands: an interventionist causal model approach, with studies indicating the potential for greater effect sizes for both persecutory delusions and auditory hallucinations; and 'third wave' CBT, with mindfulness and acceptance-based approaches demonstrating limited benefits for auditory hallucinations. The new developments are potentially a step forward from standard CBTp and implications for future research are discussed. Multiple factors have been identified in the development of persecutory thinking. The second part of this thesis specifically focused on interpersonal sensitivity as a hypothesised causal factor of persecutory delusions, in line with the interventionist causal model approach referred to above. The study evaluated the impact of a newly-devised cognitive behavioural intervention for interpersonal sensitivity (CBT-IPS) for patients with persecutory delusions. The therapy was tested in an uncontrolled pilot study, which included a 2-week baseline period and I-month follow-up. CBT-IPS did not depend on disputing the validity of delusional beliefs• but on reducing concerns regarding criticism or rejection. Eleven participants with persecutory delusions and a psychosis diagnosis completed the 6-session CBT-IPS intervention. Results indicated statistically significant reductions with large effect sizes for both interpersonal sensitivity and persecutory delusions, consistent with the hypothesised causal role. Participants also reported a significant decline in negative beliefs about others. All gains were maintained at follow-up. This was the first test of CBT-IPS and it shows promise as a therapeutic intervention. The next step is to conduct a randomised controlled trial.
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Falconer, Donald Wilson. "The cognitive impact of electroconvulsive therapy." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 2009. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=26027.
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Turkington, Douglas. "Cognitive-behavioural therapy (CBT) for schizophrenia." Thesis, University of Newcastle upon Tyne, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271209.
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Farrelly, Robert. "Clients experinces of cognitive behavioural therapy." Thesis, University of Oxford, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531832.
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Williams, Clare Anne. "Belief change in cognitive-behavioural therapy." Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326777.
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Smith, E. "Mindfulness-based cognitive therapy for partnerships." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11053/.
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Section A summarises theory and research relevant to understanding the interaction between intimate-partnership and depressive relapse. Interpersonal theories of depression are introduced. Following this, extant empirical studies examining the effects of interpersonal processes on depressive relapse are critically evaluated. As these studies do not consider how depressive relapse might affect the intimate-partner over time, a separate body of literature examining the impact of depression on intimate-partners is reviewed. Limitations and gaps in the existing evidence-base are discussed, and areas for future research are outlined, such as studies to understand the bidirectional interaction and to explore alternative interventions that enable both partners to cope with relapses. Section B presents a Grounded Theory study of the process of engaging in mindfulness-based cognitive therapy (MBCT), which is a relapse prevention strategy for depression, as an intimate-partnership. Twelve participants took part in a semi-structured interview about their experience of the MBCT course. These data were triangulated with sessional data from an MBCT course and facilitator validation. The proposed theory captured the ‘process of learning new mindfulness skills together’. While intimate-partnerships who engaged in an MBCT course seemed to learn similar mindfulness skills as in individual MBCT courses, learning as a partnership seemed to facilitate home practice, attendance and a sense of mutual support, which led to unique outcomes for the partnership and their sense of responsibility for each others’ wellbeing. Limitations and implications are discussed. Section C provides a critical appraisal of the process of conducting this research study, including the researcher’s learning experience, implications for clinical practice and future research.
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Bevington, Jason P. "Cognitive management : using cognitive therapy to facilitate organisational change and learning." Thesis, University of Edinburgh, 1999. http://hdl.handle.net/1842/26327.
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Employees in today's organisations face the challenge of coping with difficulties caused by constant change. Although an abundance of change management strategies and organisational learning initiatives are available, the literature is abound with examples of projects that have been ineffective. This thesis brings the organisational, clinical and cognitive levels of analysis together by exploring the efficacy of applying cognitive therapy to organisations. This psychotherapeutic approach has been used successfully and extensively in clinical psychology and psychiatry to identify and challenge people's interpretations of situations and events. Utilising a non-equivalent groups pre-test/ post-test design, it is hypothesised that 'cognitive management', a combination of cognitive therapy and organisational strategies, will help group members to identify and modify their work-related automatic thoughts and assumptions and consequently lead to improved employee well-being and effectiveness. As groups provide the foundations of many organisations, this method of working constitutes the focus of the research. The sample comprises of two teams (one intervention and one control) from the public sector and two teams (one intervention and one control) from the private sector. Both quantitative and qualitative methods were used. The results of the empirical investigation suggest that cognitive management is effective in positively changing employees work-related thoughts, emotions and behaviours. Methodological considerations are discussed and further applications of cognitive management are outlined.
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Edwards, D. J. A., Jennifer Henwood, and S. Kannan. "Cognitive therapy for social phobia : the human face of cognitive science." Alternation, 2003. http://hdl.handle.net/10962/d1008281.
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[abstract from Index to SA Periodicals]Points to the male/masculine ideology pervading science. Gives a history of cognitive science. Shows that current clinical models on which cognitive therapy treatments are based are complex and detailed, but also situated and human. Warns about the contemporary enthusiasm for cognitive science. Presents a case study which illustrates how the cognitive model of social phobia works inpractice when applied to one person's life situation.
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Gower, Philip. "Therapist competence, case conceptualisation and therapy outcome in cognitive behavioural therapy." Thesis, University of Exeter, 2011. http://hdl.handle.net/10036/3275.
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Clients rarely present with prototypical presentations for which an “off the shelf” cognitive-behavioural therapy (CBT) approach can be used, and the most frequently cited rationale for case conceptualisation is matching clients’ unique presentations and therapy goals with available theory and research. In this, it is argued that case conceptualisation guides therapy by ensuring that individual cognitive and behavioural processes are targeted, thereby maximising therapy efficacy. Therefore, therapists who are competent in case conceptualisation should achieve better outcomes. However, little is known about the relationship between competency in case conceptualisation and general CBT competence, or how competency in case conceptualisation is linked to therapy outcome. Forty audiotapes selected from an ongoing study (CoBalT: Cognitive Behavioural Therapy as an adjunct to Pharmacotherapy for Treatment Resistant Depression in Primary Care: a randomised controlled trial) were rated for competency in case conceptualisation and competence in CBT using the Collaborative Case Conceptualisation – Rating Scale (CCC-RS) and Cognitive Therapy Scale – Revised (CTS-R) respectively. The assessment of competence was carried out by independent groups of researchers with expertise in these assessments, blind to treatment outcome. Therapy outcome was measured using The Beck Depression Inventory II (BDI-II). The results showed that 1) competence in case conceptualisation shared a strong and positive relationship with general CBT competence and, 2) that competence (in case conceptualisation and general CBT competence) was associated with better treatment outcome for depression. The results highlight competence in case conceptualisation as an important facet of therapist CBT competence, and indicate that investing in the training and selection of therapists competent in case conceptualisation as well as CBT competence has the potential to enhance treatment outcomes.
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Whitehead, Ruth Elizabeth. "Cognitive behaviour therapy for adolescents with psychosis." Thesis, University of Birmingham, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.408798.
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Jenkins, Hannah. "An exploration of cognitive behavioural therapy training." Thesis, Cardiff University, 2017. http://orca.cf.ac.uk/104375/.
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This thesis contains an exploration of Cognitive Behavioural Therapy (CBT) training. Paper one consists of a systematic review of 13 studies exploring the experience of CBT training. Findings were categorised into four themes; the exploration of Self-practice/Self-reflection, internal processes throughout CBT training, perceived effective components of CBT training, and general satisfaction with CBT training. Overall the findings concluded that CBT training is experienced in a relatively positive way, however, the journey can be difficult for students at times. The review revealed a clear gap in the literature regarding the general experience of CBT training, with no imposed focuses or pre-conceived themes. Implications for students, training course providers and commissioners are discussed. Paper two describes an empirical study conducted on eight students pre and post their postgraduate Diploma in CBT. Personal construct theory and the repertory grid technique were employed to capture students’ experience of training and their construal of their personal and professional development. Findings reported that whilst participants construed themselves as closer to ‘desirable’ elements post training, these differences were not statistically significant. A statistical difference was observed however, in participants’ perception of an ‘Ideal therapist’ post training. Implications for CBT training programmes are discussed and findings related to the political context both in Wales and the rest of the UK. Paper three presents a critical reflection and evaluation of the first two papers, including the authors’ personal reflections on the research process overall and her own experience of postgraduate, professional training in Clinical Psychology.
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Fennell, Melanie J. V. "Investigations of Beck's cognitive therapy for depression." Thesis, Royal Holloway, University of London, 1985. http://repository.royalholloway.ac.uk/items/2959892e-4d17-43e5-8791-d68db3ea1941/1/.
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Beck's cognitive model of depression suggests that negative thinking can play an important role in the development and maintenance of clinical depression. It follows from this that interventions which reduce the frequency or intensity of depressing thoughts will also reduce depression. This prediction forms the basis of cognitive-behavioural therapy (CBT) for depression, as developed by Beck and his colleagues. The cognitive model of depression, and cognitive therapy, are described. The development of a questionnaire (the Cognitions Questionnaire -- CQ) is then presented, designed to assess various dimensions of depressive thinking in relation to positive, negative and neutral hypothetical events. Relationships between scores on the questionnaire and level of depression in psychiatric and community samples are examined, and possible indices of continuing cognitive vulnerability to depression following an episode are explored. As an alternative to the traditional outcome trial, a within-subject experimental design is proposed, designed to test the central prediction of the cognitive model outlined above by examining the immediate effects on depressive thinking and on depression of specified cognitive therapy interventions. A series of experiments is presented, which demonstrated that in patients low in endogeneity, a brief, standardised distraction procedure reliably reduced the frequency of depressing thoughts, compared to a control procedure. As would be predicted from the cognitive model of depression, this was accompanied by significant reductions in depression. A study using non depressed student subjects showed that these effects could not be attributed to the direct impact of the two procedures on depressed mood. Similar results were not found in depressed patients high in endogeneity. The nature of this difference in responsiveness to distraction is explored, and its implications for the theory and practice of CBT for depression are discussed.
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Worthington, Hannah Ruth. "Termination in therapy : a comparison of cognitive behaviour therapy and interpersonal psychotherapy." Thesis, University of Edinburgh, 2006. http://hdl.handle.net/1842/25338.
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A significant amount of literature and research exists exploring the development of the therapeutic relationship in psychotherapy; however in comparison literature on termination remains relatively lacking. This study compares Interpersonal Psychotherapy (IPT) and Cognitive Behaviour Therapy (CBT) on various components of termination and also aims to correlate amount of termination activity with therapeutic outcome. A content analysis of 42 final (or penultimate) therapy sessions was carried out using a coding scheme derived from the Termination Behaviour Checklist – Therapist (Quintana & Holahn, 1992). Qualitative analysis sought to illustrate quantitative findings in more detail. Overall there was a significantly greater amount of termination activity in IPT sessions compared to CBT. In particular, specific findings were significantly more evaluation of therapy, closure of the therapeutic relationship and greater patient expression of affect, in IPT in comparison to final sessions of CBT. There was no significant difference between therapeutic interventions in terms of discussion of the patient’s future. A significant positive correlation between amount of termination activity and a reduction in symptoms of depression was found. These findings are consistent with theoretical orientation, in which IPT explicitly defines a phase of termination of therapy and a cognitive-behavioural approach emphasises relapse prevention. Implications are for a greater focus on other aspects of the termination process in CBT. In addition the finding that amount of termination activity was related to a reduction in symptoms of depression, alerts therapists to an awareness of managing termination when patients have not experienced an expected improvement in presenting symptoms.
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Ruppert, Margaret. "Group therapy integrated with CAT : interactive group therapy integrated with cognitive analytic therapy, understandings and tools." Thesis, University of East Anglia, 2013. https://ueaeprints.uea.ac.uk/53361/.
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This qualitative study investigated bringing Cognitive Analytic Therapy (CAT) tools and understandings (Ryle & Kerr, 2002) into a time-limited (16 sessions) interactive, here-and-now, group therapy (Yalom,1985). Group members were not exposed to CAT or individual work with the two facilitators prior to the group. The study investigated the group members’ experience, particularly in respect of the CAT tools; the facilitators’ experience of integrating CAT tools and understandings into the group; and the adaptations made to use the CAT tools in the group. The six group members were all service users within a secondary mental health service. Data were post session feedback forms and focus groups which were analysed using Template Analysis (King, 1998). CAT tools were simplified sequential diagrammatic reformulations (SDRs), which were made in the group; a group reformulation letter and a group goodbye letter. Five members completed the therapy and three brought goodbye letters. The discussion focuses on whether the adaptations made to the tools undermined fidelity to CAT. Facilitators described only advantages in using the tools and their pre-group fears of the tools impeding the group work proved unfounded. Group members appreciated the letters but differed in their feelings about their diagrams but they did use each others’ diagrams within the group and reported finding this helpful. A criticism from them was lack of direction from the facilitators, particularly in recording exits on the diagram. This is discussed along with some of the limitations of the study, particularly the researcher being the only coder.
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Adler, Abby Danielle. "Change in Automatic and Strategic Cognition: An Examination of Cognitive Therapy for Depression." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1333579543.
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Steyn, Katharine Mary. "Posttraumatic stress disorder, its sequelae and cognitive behavioural therapy as an appropriate therapy." Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/50062.
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Thesis (MA)--University of Stellenbosch, 2004.ENGLISH ABSTRACT: Posttraumatic stress Disorder (PTSD) has been researched and written about since its recognition as a disorder in the DSM-III in 1980. This study reviews the literature on PTSD and cognitive behavioural therapies, designed for its treatment. It covers the historical aspects of how the syndrome came to be identified, defined and recognized as a discrete disorder. The neurobiological features of the disorder, its cognitive processes, particularly those of dissociation and traumatic memory are dealt with. Cognitive behavioural therapies are reviewed, these include: relaxation; hypnosis; exposure; eye movement desensitization reprocessing; anxiety management training; cognitive therapy and combination therapies. Further areas for research are suggested based on the lacunae that have yet to be explored with regard to cognitive behavioral therapy treatments.
AFRIKAANSE OPSOMMING: Posttraumatiesestressversteuring is nagevors en bespreek vandat dit in 1980 in die DSM-III as 'n versteuring herken is. Hierdie studie gee 'n oorsig van die literatuur oor PTSVen kognitiewe gedragsterapeutiese, ontwerp om dit te behandel. Dit gee 'n historiese oorsig van hoe dit geïdentifiseer, beskryf en gedefinieër is as 'n spesifieke gedragsversteuring. Die neurobiologiese implikasies van die versteuring, die kognitiewe kenmerke, veral die van dissosiasie en traumatiese geheue word ondersoek. Kognitiewe gedragsterapieword beskryf en sluit die volgende in: ontspanning; blootstelling, oogbewegingdesensiteringherprosering; angsbeheeropleiding; kognitiewe terapie en kombinasie terapie. Verdere areas vir navorsing word voorgestel en is gebasseer op die gebrekke wat bestaan in kognitiewebedragsterapie.
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Hamill, Michelle C. "Letters in cognitive analytic therapy : the patient's experience." Thesis, University of East Anglia, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430597.
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"Written words don't fade, they endure through space and time, bearing witness to the work of therapy and immortalising it" (Epston, 1994: p31) Aim: This study explored how the therapeutic letters, which are used as a standard procedure in Cognitive Analytic Therapy (CAT), contribute to the therapy from the perspective of patients. Background: CAT is a structured, time-limited psychotherapy (Ryle & Kerr, 2002). Letters form an important part of the reformulation and ending stages in CAT. However, little is known about the impact these letters have on the therapeutic process and how they are used from the perspective of the patient. Exploring the meaning and use of letters may further our understanding of this process, as well as giving value to patients' opinions. Method: Semi-structured interviews were used to elicit eight participants' perspectives of how the letters in CAT contributed to their therapy. A thematic analysis based on certain grounded theory principles was used to analyse the interview transcripts. Results: The analysis of participants' accounts suggested that the letters in CAT contributed to therapy through a process of `connecting' patients in varying degrees in the following four ways to: `understanding and awareness of self', `relationship with therapist', `perception of the structure and process of therapy', and `communicating self with others'. CAT theory has addressed many of these findings. However, the dilemmas and risk associated with the letters, such as re-invoking painful emotions by re-reading them and whether to share them with others, pervaded patients' accounts, offering a more complex understanding of the part the letters played, beyond those currently proposed by CAT theory. Discussion: It is proposed that it is the letters' ability to tap into patients' experience of connecting and relating, internally and externally, and the difficulties entailed in this that makes them such potentially powerful therapeutic tools. Clinical and theoretical implications and suggestions for future research are also discussed
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Bromley, Leslie Andrew. "Mechanisms of change in mindfulness-based cognitive therapy." Thesis, University of Exeter, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.603474.
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Mindfulness-based Cognitive Therapy (MBCT) is an 8-week meditation-based group intervention program developed for preventing depressive relapse in people with recurrent depression. While recent studies have supported the efficacy of the therapy, there is a lack of data to support the mechanisms presented by theory. The thesis attempted to investigate MBCTs change processes through exploring patient's experiences during the program, their reflections after the course, and to assess practice, process, and outcome changes in the longer term. The thesis included six studies that used a triangulation of methodologies in an attempt to identify and measure MBCT change processes and assess whether they were associated with reductions in depressive symptoms and staying well in the long term. Findings from a qualitative analysis identified eight main themes that 11 MBCT patients felt had helped to bring about positive change following participation in MBCT, namely awareness, attention, skilful action, control, acceptance, group, difficulties, and transformation. A further study assessed change following participation in MBCT for 40 patients and showed reductions in depressive symptoms which were associated with increased self-compassion, self-kindness, common humanity, reversed over identification, mindfulness, nonjudging of inner experience, nonreactivity to inner experience, self-control, monitoring and control of mood, attributional style, goal setting, and reduced devaluative views of the self. A long term study investigated the effects of MBCT for 36 MBCT patients across 52 months after attending the programme. There was evidence to suggest that participants maintained meditation practice up to a 52 months follow up, that there was a decrease in depressive symptoms and this was associated with increased self-compassion, mindfulness, decreased devaluative views of the self, and a decreased tendency to experience a depressive episode. Participants who stayed well and did not experience a relapse were more likely to reportiess self•judgment, less over identification, and decreased devaluative views of the self. These findings offer preliminary support for some of the MBCT change processes that were assessed.
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Mackenzie, Joanna C. "The impact of case formulation in cognitive therapy." Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326782.
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Brown, Shona Lynsey. "Cognitive behavioural therapy for non-cardiac chest pain." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/9722.
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Objectives: This thesis aims to explore evidence for the effectiveness of cognitive behavioural therapy (CBT) for non-cardiac chest pain (NCCP). Design: The systematic review aimed to evaluate evidence for CBT as an effective intervention for anxiety in the NCCP population. Study one describes the chest pain characteristics, illness beliefs and prevalence of anxiety in a NCCP sample in a cross-sectional design. Study two explores the acceptability and clinical effectiveness of a CBT-based self-help intervention for NCCP patients, using a between subjects, repeated measures design. Methods: A systematic review was completed via a comprehensive literature search for comparative studies examining CBT-based interventions for NCCP including a measure of anxiety. In the empirical study, participants completed measures of anxiety, illness beliefs and indices of chest pain (self-reported frequency, severity and impact on activities) at baseline. Comparisons between illness beliefs and anxiety were undertaken using descriptive statistics and Pearson correlations. Participants were randomised to receive a CBT-based self-help intervention booklet or treatment as usual, with questionnaires re-administered at three-month follow-up. ANOVAs were used to evaluate whether the intervention led to improvements in anxiety levels, or increased belief in participants’ personal control of symptoms. Results: Ten studies met inclusion criteria for the systematic review, with four studies showing evidence regarding the effectiveness of CBT for anxiety. Approximately two thirds of the thesis research sample reported on-going pain following clinic attendance, for the majority this was ‘very mild’ or ‘mild’ pain. Almost half (47%) reported experiencing clinically significant anxiety. Stress was the most common causal attribution advocated by the sample to explain their chest pain. Anxiety scores were significantly associated with psychological attribution scores, but not with personal control or illness coherence beliefs. In study two, 87 participants completed the study and ITT analyses were completed on 119. There were no significant differences between the groups in terms of reduced anxiety or self-reported belief in personal control of symptoms. The intervention booklet was evaluated largely positively by those who reported reading it. Conclusions: CBT-based self-help appears an acceptable intervention for those diagnosed with NCCP. Further research is needed to identify those who are most likely to benefit from such self-help intervention.
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Linna, Sari J. "Therapist responsiveness in cognitive-behavioural therapy for depression." Thesis, University of Sheffield, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.680096.
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Moore, George Thomas. "Cognitive therapy a counseling model for Orthodox therapists /." Theological Research Exchange Network (TREN), 1998. http://www.tren.com.
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Lansbergen, Marijke. "Pilot evaluation of method of levels cognitive therapy." Thesis, University of Manchester, 2011. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.549081.
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Stubbings, Daniel R. "The effectiveness of videoconference-based cognitive-behavioural therapy." Thesis, Curtin University, 2012. http://hdl.handle.net/20.500.11937/2111.
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The purpose of this research was to expand scientific understanding regarding the use of videoconferencing technology to administer psychological services. The primary study in this thesis is a randomised-controlled trial comparing in-person to videoconference-based Cognitive-Behavioural Therapy (CBT). This study is, to the author’s knowledge, the largest clinical trial investigating the effectiveness of CBT via videoconference that has been conducted on an adult population in Australia. Twenty-nine clients were recruited who had a primary DSM-IV diagnosis of anxiety and/or depression. Participants were randomly assigned to receive 12 sessions of either in-person or videoconference-based treatment. Participants in both conditions received treatment at a university clinic in Perth Western Australia.The intervention provided was based on CBT manualised treatments but individualised to suit the unique needs of each client. Primary symptomology and quality of life was measured pre, post and 6-weeks following treatment. Secondary outcome measures included working alliance, credibility of therapy and client satisfaction. Overall, retention in both treatment conditions was similar. Statistical analysis using multi-level linear modelling indicated a significant reduction in client symptoms across time but no significant differences between treatment conditions. There were also no significant differences between conditions on working alliance, credibility of therapy and client satisfaction ratings. The findings of study one suggest that CBT via videoconference can be effectively provided in a real-world clinical practice context.The second study in this thesis is an in-depth case study of a client with severe and complex obsessive-compulsive disorder who received forty sessions of psychotherapy administered through a mix of videoconference and text-chat. Session recordings, transcripts and therapists notes were analysed using thematic analysis to explore how the technology influenced client engagement. The results indicated that the mixture of videoconferencing and text-chat might have facilitated client engagement by helping to reduce interpersonal anxiety, thus allowing the client to continue disclosing and discussing issues that were espoused in shame, guilt and embarrassment. To the author’s knowledge, the methods of engaging the client via combined videoconference and text-chat reported in study two have not been reported in the literature before.
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COSTA, NETA Ana Alves de Sousa. "Aceitando ou mudando pensamentos? Como práticas de mindfulness são integradas no Mindfulness-Based Cognitive Therapy (MBCT)." Universidade Federal do Maranhão, 2017. http://tedebc.ufma.br:8080/jspui/handle/tede/1918.
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Mindfulness practices have been used in the treatment of clinical problems, for some time, with the use of the pioneer program of Kabat-Zinn, Mindfulness-based Stress Reductions (MBSR), program that served as a prototype for the development of other mindfulness-based, among them the of Segal, Williams and Teasdale, MindfulnessBased Cognitive Therapy (MBCT), which integrates mindfulness practices with strategies of Cognitive Therapy. From these integrations mindfulness practices have been inserted in the process of Cognitive Behavioral Therapy (CBT) increasingly, even the two clinical models showing-philosophical and theoretical principles of methods different interventions. Therefore, this study aimed to discuss how the theoretical fundaments of MBSR and CBT are integrated in MBCT, as well as possible reasons and implications of the inclusion of mindfulness strategies in CBT. For this we used articles available on the internet, books and chapters of books on the subject, in English, Portuguese and Spanish, without restriction to year of publication. The theoretical comparison was accomplished through four conceptions that supports the theoretical models: cognition, behavior, and environment of pathology. In addition, he likened himself, through the analysis of two sections, the interventions carried out in TCC and MBCT. Overall, they identified some similarities and compatibilities between the theoretical assumptions of CBT and MBCT, MBSR programs and being a significant difference how understand the cognitions, because while in TCC she is seen as deterministic and causal, MBSR programs and MBCT is just another mental event. It appeared also, controversies clear when one considers the classical cognitive model of Aaron Beck.
As práticas de mindfulness vêm sendo utilizadas no tratamento complementar de problemas clínicos, há algum tempo, com o uso do programa pioneiro de Kabat-Zinn, o Mindfulness-Basead Stress Reductions (MBSR), programa que serviu de protótipo para o desenvolvimento de outros baseados em mindfulness, dentre eles o de Segal, Williams e Teasdale, o Mindfulness-Based Cognitive Therapy (MBCT), que integra práticas de mindfulness com estratégias da Terapia Cognitiva. A partir dessas integrações as práticas de mindfulness vêm sendo inseridas no processo da Terapia CognitivoComportamental (TCC) de modo crescente, mesmo os dois modelos clínicos apresentando princípios teóricos-filosóficos e métodos de intervenções diferentes.Diante disso, este estudo objetivou discutir como os fundamentos teóricos do MBSR e da TCC são integrados no MBCT, bem como possíveis razões e implicações da inclusão de estratégias mindfulness na TCC. Para isso foram utilizados artigos disponibilizados na internet, livros e capítulos de livros sobre a temática, no idioma inglês, português e espanhol, sem restrição de ano de publicação. A comparação teórica foi realizada por meio de quatro concepções: cognição, comportamento, ambiente e visão de patologia. Além disso, comparou-se, por meio da análise de dois trechos de sessão, as intervenções realizadas na TCC e no MBCT. De modo geral, foram identificadas algumas semelhanças e compatibilidades entre os pressupostos teóricos da TCC e dos programas MBSR e MBCT, sendo a diferença significativa o modo como entendem as cognições, pois enquanto na TCC ela é vista como causal e determinista, nos programas MBSR e MBCT é apenas mais um evento mental. Verificou-se também, controvérsias claras quando se considera o modelo cognitivo clássico de Aaron Beck.
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Edwards, Emily A. "GROUP COGNITIVE BEHAVIORAL THERAPY OVER INDIVIDUAL COGNITIVE BEHAVIORAL THERAPY? A META-ANALYSIS OF EFFECTIVE TREATMENT OF ANXIETY DISORDERS IN MIDDLE CHILDHOOD." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/236.
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Anxiety is a commonly diagnosed disorder in middle childhood that affects many aspects of the child’s life. Effective treatment is needed so that children are able to experience fewer or no symptoms of anxiety and to manage anxiety. Cognitive behavioral treatment (CBT) is widely used as a treatment for children with anxiety. CBT can either be facilitated in an individual or group format but there are inconsistencies in the literature regarding which modality is most effective. A meta-analysis was conducted to compare the effectiveness of individual CBT (ICBT) and group CBT (GCBT) in treating school-aged children with anxiety disorders. Eligible studies focused on the Coping Cat program for ICBT or GCBT programs such as FRIENDS. Participants from the selected studies were between the ages of 5-12 years and were treated by either ICBT or GCBT. Effect sizes were calculated from post-intervention measures and combined to examine group differences. It was found that ICBT was associated with a very large effect size (1.05) and GCBT (0.54) had a large effect size. This suggests that ICBT is the superior treatment modality as children who received individualized treatment reported a greater reduction or elimination of anxiety symptoms. Individual treatment allows opportunity for the therapist to work with the child and their families whereas in GCBT, there is less time to create treatment plans that are uniquely tailored. A proposed ICBT program is outlined that addresses a richer family component and social skills training.
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Thrasher, Andrew J. "Cognitive distortions of lottery gamblers." online access from Digital Dissertation Consortium access full-text, 2003. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?3114805.
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Molinaro, Fabiano [Verfasser]. "Therapeutic interventions and patient's cognitive-emotional regulation in a standard cognitive therapy / Fabiano Molinaro." Ulm : Universität Ulm. Medizinische Fakultät, 2014. http://d-nb.info/1059165392/34.
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Downing, Kenneth H. "Cognitive therapy and spirituality the battleground and the blend /." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005downingk.pdf.
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König, Julia. "Cognitive Processing Therapy in der Behandlung der Posttraumatischen Belastungsstörung." Diss., lmu, 2012. http://nbn-resolving.de/urn:nbn:de:bvb:19-140933.
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Buhrman, Monica. "Guided Internet-Based Cognitive Behaviour Therapy for Chronic Pain." Doctoral thesis, Uppsala universitet, Institutionen för psykologi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-183326.
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Chronic pain is a one of the most common causes of disability and sick leave. Psychological factors play a central role in the experience of pain and are important in the management of pain. However, for many people with chronic pain CBT is not available. There is a need to develop alternative ways to deliver treatments that reach more individuals with chronic pain. Internet-based treatments have been shown to be effective for several disorders and recent research suggests that internet-based CBT for chronic pain can be effective. The present thesis included four randomized controlled studies with the aim of evaluating whether guided internet-based treatments based on CBT can help individuals with chronic pain regarding psychological variables. Study I investigated the effects of an internet-based CBT intervention with telephone support for chronic back pain. The study showed reductions in some variables assessed. Study II investigated the effects of an internet-based CBT intervention for chronic back pain without telephone support and with a live structured interview before inclusion. It was found that the treatment can reduce some of the distress associated with chronic pain. Study III investigated the effects of a guided internet-delivered CBT as a secondary intervention. Participants were patients who had previously completed multidisciplinary treatment at a pain management unit. Results showed that the internet-based treatment can be a feasible option for persons with residual problems after completed pain rehabilitation. Effects remained at six-month follow-up. Study IV focused on the effect of a guided internet-delivered acceptance and commitment therapy (ACT) for persons with chronic pain. Results suggest that an internet-delivered ACT treatment can help persons with chronic pain. Effects remained at six-month follow-up. In conclusion, guided internet-based CBT can decrease distress associated with chronic pain.
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Bruce, Melanie. "Preparing people with learning disabilities for cognitive behaviour therapy." Thesis, University of East Anglia, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.435156.
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Matthew, Andrew G. "Cognitive-behaviour therapy and problem drinking, a meta-analysis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ51567.pdf.
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Marino, Alfonso. "Treating chronic insomnia, a cognitive-behavioural group therapy approach." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ63577.pdf.
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Jüris, Linda. "Hyperacusis : Clinical Studies and Effect of Cognitive Behaviour Therapy." Doctoral thesis, Uppsala universitet, Psykiatri, Akademiska sjukhuset, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-207577.
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Hyperacusis is a type of decreased sound tolerance where the individual has decreased loudness discomfort levels (LDL), normal hearing thresholds and is sensitive to ordinary environmental sounds. Persons with hyperacusis frequently seek help at audiological departments as they are often affected by other audiological problems. Regrettably, there is neither a consensus-based diagnostic procedure nor an evidence-based treatment for hyperacusis. The principal aim of this thesis was to gain knowledge about the clinical condition hyperacusis. The specific aim of Paper I was to compare hyperacusis measurement tools in order to determine the most valid measures for assessing hyperacusis. Items from a constructed clinical interview were compared with the LDL test, the Hyperacusis Questionnaire (HQ) and the Hospital Anxiety and Depression Scale (HADS). LDLs were significantly correlated with the anxiety subscale of the HADS. A third of the 62 investigated patients scored below the previously recommended cut-off for the HQ. The results suggest that HQ and HADS in combination with a clinical interview are useful as part of the assessment procedure in patients with hyperacusis. The aim of Paper II was to further investigate the patient group with respect to individual characteristics, psychiatric morbidity and personality traits. It was shown that anxiety disorders and anxiety-related personality traits were over-represented, which suggests common or cooperating mechanisms. Avoidance behaviour proved to be very common in the patient group, as was being unable to work due to hyperacusis. In Paper III it was investigated in a randomized controlled trial whether Cognitive Behaviour Therapy (CBT) could be helpful for patients with hyperacusis. The effect of CBT for hyperacusis was assessed with measures of LDLs, symptoms of hyperacusis and of anxiety and depression, fear of (re)injury due to exposure to sounds, and quality of life, compared to a waiting list control group. There were significant group effects for a majority of the measures with moderate and strong effect sizes within- and between groups. After assessment the waiting list group was also given CBT, and was then reassessed with similar effects. The results were maintained for 12 months, concluding CBT to be potentially helpful for these patients.
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Searson, Ruth. "Cognitive-behavioural therapy for bipolar disorder : a case series." Thesis, University of Manchester, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.505523.
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Welch, C. Lawrence. "Reformulation in cognitive analytic therapy : reliability, validity and process." Thesis, University of Sheffield, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531157.
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Bennett, Jarna Johanna. "Potential mechanisms of change in mindfulness-based cognitive therapy." Thesis, University of Southampton, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.533244.
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Savelev, Sergey U. "Extracts of salvia species : relation to potential cognitive therapy." Thesis, University of Newcastle Upon Tyne, 2003. http://hdl.handle.net/10443/608.
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BACKGROUND: Dementia is a neurodegenerative disease of the brain associated with cognitive and memory impairments. Despite recognition of several types of dementia, the Alzheimer type is the most studied and understood. The cholinergic theory of Alzheimer's disease led to the development of licensed drugs based on the inhibition of the enzyme acetylcholinesterase. Extracts of Salvia (sage) species have been reported to have cholinergic activities relevant to the treatment of Alzheimer's disease. AIMS: Lack of information on a chemical fingerprint of the extracts responsible for inhibition of the enzymes butyrylcholinesterase and acetylcholinesterase prompted this in vitro investigation of sage species for anti-cholinesterase activity. Cholinergic receptor binding activity, inhibition of ß-secretase, and a pro-inflammatory cytokine suppressive activity of extracts of sage species were also studied as relevant treatment targets. METHODS: The extracts were obtained by methods of supercritical fluid extraction using 1,1,1,2-tetrafluoroethane (Phytosol A) and steam distillation. Dose-dependant inhibition of human cholinesterases by the extracts and constituents was determined using the method of Ellman, while inhibition of ß-secretase via a fluorometric method. The nicotinic acetylcholine receptors binding activity was measured as an amount of [3H]-nicotine displaced from human acetylcholine receptors, whereas the muscarinic activity was assessed using the displacement of [3H]-scopolamine. Determination of interleukin 8 inhibitory activity by the extracts was performed via a quantitative sandwich enzyme immunoassay using a commercially available kit. RESULTS: Inhibition of butyrylcholinesterase by the Phytosol extracts of S. apiana, S. fruticosa and S. officinalis var. purpurea was non-competitive. In contrast, inhibition of acetylcholinesterase by S. officinalis var. purpurea oil was competitive. S. corrugata extract was the most potent inhibitor of acetylcholinesterase with an IC50 value of 0.009±0.004 mg ml", while S. officinalis var. purpurea oil was the most active inhibitor of butyrylcholinesterase with an IC50 value of 0.015±0.004 mg ml''. Time dependent increase in inhibition of butyrylcholinesterase by steam distilled oils of S. fruticosa and S. officinalis var. "purpurea" was also evident. IC50 values decreased from 0.15±0.007 and 0.14±0.007 mg ml-1 with 5 minutes to 0.035±0.016 and 0.06±0.018 mg ml-1 with 90 minutes incubation time respectively. Phytosol A extracts were more potent than steam distilled oils with respect to anti-cholinesterase activity. Minor synergy in inhibition of bovine acetylcholinesterase was apparent in 1,8-cineole/a-pinene and 1,8- cineole/caryophyllene oxide combinations, whereas a combination of camphor and 1,8- cineole was antagonistic. Oil of S. apiana displaced [3H]-nicotine from human nicotinic acetylcholine receptors and [3H]-scopolamine from muscarinic acetylcholine receptors in a dose dependent manner with IC50 values of 0.02 mg ml" and IC50 0.1 mg ml" respectively. This oil also showed a modest suppression of interleukin 8 secretions from goblet cells. None of the tested oils and constituents had anti-ß secretase activity. CONCLUSION: These findings demonstrate that the cholinergic activity of the extracts results from a complex interaction between their constituents. Thus, inhibition of acetylcholinesterase is mainly due to the activity of the main constituents with some degree of synergy, whereas anti-butyrylcholinesterase activity is down to major synergistic interactions and identification of a chemical fingerprint responsible for the overall activity is therefore challenging. A synergistic combination of extracts or their standardised fractions with multiple activities is may be a candidate for clinical trials in Alzheimer's disease.
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Williams, Katherine. "Neuropsychological mechanisms of mindfulness-based cognitive therapy for depression." Thesis, University of Manchester, 2018. https://www.research.manchester.ac.uk/portal/en/theses/neuropsychological-mechanisms-of-mindfulnessbased-cognitive-therapy-for-depression(25cab58d-c473-450a-8423-ca76327f867c).html.
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Background. Mindfulness-based Cognitive Therapy (MBCT) is a relapse-prevention treatment for people in remission from major depression (rMDD). The neuropsychological mechanisms of MBCT are largely unknown. The key theoretical mechanisms of MBCT include self-compassion and rumination, with other mindfulness-based studies suggesting mechanisms across domains of attention, emotional processing, and cognitive flexibility. The aims of this thesis were to investigate the neuropsychological and neuroimaging mechanisms of MBCT in rMDD and to investigate relationships with relapse six months beyond MBCT. Paper One. 40 MBCT, 33 Treatment As Usual (TAU), and 42 healthy volunteers (HVs) took part. Experimental tasks for self-compassion and rumination were completed at baseline and post-session, alongside self-report questionnaires. Results showed increases for self-compassion following MBCT, with non-specific reductions for rumination. Paper Two. 40 MBCT, 33 TAU, and 42 HV participants took part. Tasks of attention, emotional processing, and cognitive flexibility were completed at baseline and post-session. Results showed increases in positive emotions post-MBCT, with non-specific changes for face emotion recognition and affective attentional bias tasks both post-MBCT and TAU. There were no changes over time for sustained attention or cognitive flexibility. Paper Three. 16 rMDD participants completed baseline and post-MBCT fMRI tasks of sustained attention and self-blame. Results showed reduced activation over time in the bilateral dACC in self-blame contrasts but no activation changes for sustained attention. Paper Four. 69 rMDD participants (38 MBCT & 31 TAU) completed task-based and self-report assessments up to six months follow-up. Non-relapsing MBCT participants showed increased self-compassion post-session which was maintained in follow-up. MBCT non-relapsing and TAU participants showed reduced rumination post-session and in follow-up. Conclusions. MBCT encourages a move towards more self-compassionate, positive processing but does not alter more automatic, bottom-up levels of processing. MBCT initiates a process for change beyond the course, particularly for self-compassion. Findings have theoretical and clinical implications and extend our understanding of the mechanisms of MBCT in rMDD participants.
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Frzina, Jasmina. "Clients' experiences of relational depth within Cognitive Behavioural Therapy." Thesis, University of Manchester, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.632306.
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Background: Relational depth (RD) is gaining empirical attention as a well-articulated phenomenon within therapeutic relationship literature. Despite this, with the exception of a small number of client-focused studies, research of this issue is relatively sparse and predominantly reflects upon therapeutic work from a person-centred orientation. Aims and Methods: The aim of this research was to explore clients’ experiences of RD within individual Cognitive Behavioural Therapy. Eight clients, who had self-identified at least one helpful relational moment with their therapist, were interviewed about their experience. The interviews were transcribed and analysed employing Grounded Theory methods. Findings and Discussion: Four core categories emerged from the analysis. These were: (1) the experience of the therapist, (2) the experience of self, (3) the experience of the therapy relationship, and (4) the perceived impact/effects of the moment of RD. Each core category and the corresponding subordinate codes are described by illustrative quotes from the participants. Following this, each finding is discussed in relation to RD research and beyond. Conclusions: This research project ultimately demonstrates that clients who have worked with a cognitive behavioural therapist can and do experience RD during their individual therapy. The like-by-like comparison of the findings with previous RD research indicated a high degree of convergence. Nevertheless, when differences are present, clients’ RD experience is influenced and to some extent contained by dissimilarity in experience between therapist and non-therapist clients. This is also manifested through theoretical differences of the given therapeutic approach. No negative impact or effect was described by the clients as a result of their experience of a moment of RD. The implications of the findings are highlighted and future research is suggested.
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Burchardt, Francis. "Client experience of the formulation within cognitive behavioural therapy." Thesis, University of Sheffield, 2004. http://etheses.whiterose.ac.uk/14860/.
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Section I: Literature Review A literature review examining the relationship between the formulation and the therapeutic alliance in cognitive behavioural therapy. Various 'definitions' of the formulation are reported, and the relative roles and merits of 'nomothetic' and 'idiosyncratic' formulations considered. The function of the formulation is considered in relation to its development in conjunction with the therapeutic relationship and alliance. Research and clinical case reviews are critiqued. Section II: Research Report An Interpretative Phenomenological Analysis of clients' experience of the formulation within cognitive-behavioural therapy. A sample of(N=8) of clients with depression and/or anxiety were interviewed following the 'acute phase' ofCBT during 'follow-up'. Interviews provided five master themes: Somebody that listened and understood - trust in therapist; Understanding what happens; A Foundation and Direction - Something to start from, something to work on; Working to a plan; and Effectiveness and Self -efficacy. These master themes and associated sub-themes represent clients' experience of progress through therapy and the experience and process of formulation. Section III: Critical Appraisal A critical appraisal describing the origin, planning and process of the research, personal reflection and experience gained.
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Naeem, Farooq. "Adaptation of cognitive behaviour therapy for depression in Pakistan." Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/364922/.
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Background: Cognitive Behaviour Therapy (CBT) in its current form might not be applicable in Non Western cultures. Differences between western and non western cultures have been reportedly widely. Psychotherapy was developed in the west and is underpinned by many beliefs and practices which might be specific only to the Western culture. However, in order to modify CBT we need to understand whether the concepts associated with the CBT might cause conflicts among people who receive therapy, the barriers in giving therapy and the views of the patients. This project was carried out mainly in Pakistan to adapt CBT for depression. Aims: To find out if CBT can be successfully adapted in a Non Western culture. Methods: This was a mixed methods Study. The project consisted of two phases. In the first phase a series of studies were carried out, including interviews with psychologists, patients and group discussions with university students about their views regarding concepts underlying therapy. In the second phase a CBT for depression manual was modified using guidelines which were developed on the basis of studies carried out in the first phase. This manual was then tested in a small pilot project using a Randomised Controlled Trial (RCT) design. Results: We were able to find themes and subthemes, on the basis of studies in first phase of the project, which were used to modify a CBT for depression manual. We developed an adaptation framework on the basis of the identified factors. This framework consisted of three broad themes (name theme) with each subdivided into seven sub themes. The pilot study showed that therapists trained for a short period and under supervision can deliver CBT using a manual. Results of pilot showed that modified CBT is more effective than 'care as usual' in reducing symptoms of depression. Conclusions: The study demonstrates that for CBT to be effective in Non Western cultures, it needs modification. This can be achieved using small scale qualitative studies locally, which explore experience of therapists working in a given culture as well as by exploring the views of patients. Further information can be obtained by talking to the members of that community about concepts underlying CBT. However, these are preliminary findings and further research needs to be done to explore this area further.
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Bolderston, Helen. "Acceptance and commitment therapy : cognitive fusion and personality functioning." Thesis, University of Southampton, 2013. https://eprints.soton.ac.uk/359833/.
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Personality disorders (PDs) are common, chronic, mental health problems. The majority of treatment outcome research, which has focused specifically on Borderline PD, has provided substantial empirical support for Dialectical Behaviour Therapy (DBT; Linehan, 1993), particularly in terms of self-harm reduction. Nevertheless, DBT graduates can continue to experience poor personality functioning across PD diagnostic categories, Axis I disorders, and restricted lives. Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999), might be suitable as a follow-up intervention for DBT graduates, to address their continued difficulties: to date, however, there has been little empirical investigation of its utility in relation to PD. This thesis was therefore designed to examine theoretical underpinnings of ACT relevant to the development of an ACT intervention for DBT graduates. Study 1 tested the performance of a new self-report measure of cognitive fusion (CF), the Cognitive Fusion Questionnaire (CFQ), with a mental health sample, including individuals with PD. CF is a key ACT concept, and the CFQ proved to be a psychometrically sound measure of CF with people with mental health problems. Study 2 used cross-sectional modelling to show that CF fully mediated the relationships between two PD risk factors, negative affectivity and childhood trauma, and personality functioning in adulthood. Study 3 used the CFQ to investigate the behavioural correlates of CF. These findings strengthened the possibility that an ACT-based intervention might prove effective in improving outcomes for DBT graduates. To explore this further, Studies 4 and 5 were designed as very small-scale uncontrolled treatment development trials for this population. Study 4 suggested that ACT had a positive impact on engagement in life, but produced little improvement in psychiatric symptomology. Study 5 tested a revised protocol, which yielded more consistently positive findings, with improvements in both engagement in life and psychiatric symptoms. These findings tentatively suggest that ACT may have a role to play as a DBT follow-up intervention.
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Morera, Tirma. "Psychosocial recovery and mindfulness-based cognitive therapy for psychosis." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/psychosocial-recovery-and-mindfulnessbased-cognitive-therapy-for-psychosis(58f7fd56-ba48-4c43-9c72-0be62ec8b20e).html.
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Papers one and two have been prepared for submission to the journal Psychology and Psychotherapy: Theory, Research and Practice. Paper one provided a review of studies investigating staff views about psychosocial aspects of recovery in psychosis. Fifteen studies met the criteria for the review. The first eight studies investigated staff views about recovery in psychosis more broadly. The remaining studies were grouped together according to similarities of recovery themes being investigated. Each study was summarised and critiqued with regards to their findings and limitations. Limitations to the review are also considered. The overall literature is evaluated and discussed with regards to clinical implications and suggestions for future research. Paper two investigated staff and service user views about mindfulness-based cognitive therapy groups for psychosis (MBCT). Q-methodology was used to explore participants’ beliefs about a range of views about MBCT for psychosis and to compare similarities and differences between views. Staff and service user data were analysed separately. Analysis resulted in a single consensus factor for staff views, and four factors for service user views about MBCT for psychosis. Overall, the staff sample strongly disagreed that mindfulness is harmful but were uncertain about its usefulness in the treatment of psychosis. The service user sample advocated the utility of mindfulness interventions for promoting wellbeing and reducing the symptomatic distress associated with psychosis. Paper three provides a critical reflection of the systematic review (paper one), and the empirical paper (paper two). An appraisal of the research process as whole is provided, in addition to how findings from paper one and paper two relate to the wider context of theory, research and practice.
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Gollan, Jackie K. "Posttreatment predictors of depression relapse following cognitive behavior therapy /." Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/9005.
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CATLIN, CASEY CHRISTIE. "THERAPIST DIRECTIVENESS AND HOMEWORK COMPLIANCE IN COGNITIVE BEHAVIOR THERAPY." Thesis, The University of Arizona, 2008. http://hdl.handle.net/10150/190434.
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Cavallini, Adriane Ito de Queiroz. "Sudden Gains in Cognitive-Behavioral Therapy for Eating Disorders." BYU ScholarsArchive, 2010. https://scholarsarchive.byu.edu/etd/2466.
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The present study examined whether or not the temporal pattern of symptom change defined as sudden gains is applicable to and has significant ramifications for understanding recovery from eating disorders. Sudden gains were defined as stable and clinically significant changes that take place between two sessions of treatment. Data for the current study were drawn from an efficacy study of CBT for eating disorders which included session-by-session measures of eating disorder symptomatology. Predictors of sudden gains were measured by an observer coded scale that included ratings of therapist use interventions, client change in behaviors and beliefs, client engagement, and homework completion. Three research questions were addressed: First, is the phenomenon of sudden gains present in CBT for eating disorders? Second, do sudden gains in CBT for eating disorders follow the three-stage model proposed for sudden gain recovery in other disorders (i.e., cognitive changes during critical sessions => sudden gains => upward spiral that includes further cognitive changes and greater long-term symptom improvement (Tang & DeRubeis, 1999b)? Third, what are the predictors of sudden gains in CBT for eating disorders that distinguish the critical session that takes place right before the sudden gain? Findings suggest that many eating disordered clients (62%) experienced at least one sudden gain during the course of CBT treatment. Three distinct types of sudden gains were identified: total symptom sudden gains, eating-related sudden gains, and body-related sudden gains. The average magnitude of these sudden gains was large representing on average 35% of total symptom improvement. Clients who experienced total symptom and body-related sudden gains demonstrated fewer eating disordered symptoms than the other clients at posttreatment. During the session preceding the sudden gain, therapists had increased levels of cognitive interventions and empathy, and clients experienced more cognitive changes and increased motivation.
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Alexander, Helen. "Coping with Sickle Cell Disease Using Cognitive Behavior Therapy." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5157.
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This project focused on identifying the best evidence available on the use of cognitive behavior therapy (CBT) for pediatric patients and families with sickle cell disease (SCD) to improve their coping skills with pain management. This resulted from an identified gap in nursing practice regarding psychosocial support for this subset of hospitalized pediatric patients. The practice-focused question was whether there was evidence in the literature on the use of CBT techniques to improve parental coping skills with children who have chronic and life-threatening illness that could be utilized with sickle cell disease. The theory of stress and coping guided the underpinnings of the study process. The Johns Hopkins Nursing evidence-based practice model (JHNEBP) was the framework for this project. A systematic review was conducted utilizing research-based articles from the major healthcare databases. The original search resulted in over 12,000 articles. This pool was further refined based upon a link between the pediatric population with chronic or life-threatening conditions and family coping skills. This was further narrowed down based on the use of social-cognitive therapy and coping skills. This process resulted in 6 research articles on the use of CBT with the target population. An evaluation of these studies found evidence that CBT can improve parental coping skills. Nursing support for parental coping with SCD has the positive social impact of decreased parental stress and improved quality of life for both the child and the family unit.
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Whelen, Megan L. "Positive and Negative Affect in Cognitive Behavioral Therapy for Depression." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586452794797565.
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