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Tate, Yvonne Bissonnette. "CBT to CDT: Toward a developmental paradigm for conceptualizing anger management". W&M ScholarWorks, 2008. https://scholarworks.wm.edu/etd/1550154177.
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Kirkpatrick, David J. A. "Therapists' self-practice of CBT". Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/13921/.
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This study investigated the prevalence of voluntary self-practice of Cognitive Behaviour Therapy (CBT) by accredited CBT practitioners, and explored the ability of the Theory of Planned Behaviour (TPB) to predict intentions to engage in CBT self-practice. A TPB questionnaire was constructed by implementing the protocol devised by Francis et al. (2004), with content specific items generated from an elicitation exercise to obtain salient beliefs regarding CBT self-practice. A sample of 177 accredited CBT practitioners completed an online survey which included demographic items and the TPB questionnaire. It was found that 46.4% of participants intended to self-practice CBT more than once a week over the following month. While the TPB predicted intentions to self-practice CBT (R2 = .445, p < .001), structural equation modeling revealed that the theory of reasoned action (R2 = .473, p < .001) was the best model fit of the observed data (RMSEA = .00, CFI = 1.00). It was concluded that a substantial proportion of CBT practitioners intended to regularly engage in CBT self-practice, with intentions predicted by subjective normative beliefs and attitudes towards the behaviour. Implications are discussed, with calls for the study to be replicated. Potential future research is considered, with suggestions to explore the role of CBT self-practice to promote therapist wellbeing.
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Collins, Ronan. "'Client choice' : how some CBT therapists construct collaboration : implications for CBT and counselling psychology practice". Thesis, University of Roehampton, 2016. https://pure.roehampton.ac.uk/portal/en/studentthesis/client-choice-how-some-cbt-therapists-construct-collaboration--implications-for-cbt-and-counselling-psychology-practice(db45cd83-20bf-4c12-a917-256c04221ed1).html.
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Collaboration between therapist and client has been put forward as a core element of successful therapeutic encounters. There has been debate as to the nature of collaboration in cognitive behavioural therapy. In the UK this debate has intensified since the introduction of Increasing Access to Psychological Therapies (IAPT) in 2008 as CBT is the favoured therapeutic modality within IAPT. Collaboration in CBT has been conceptualised in dichotomous ways. From one perspective it is constructed in positivistic terms, in which the therapist implements manualised protocols with little consideration for the therapeutic relationship; from the other perspective collaboration is constructed in dialogic terms, in which therapist and client use CBT interventions to consider new meanings that the client deems to be relevant. The current study used a discourse analytic methodology to investigate how CBT therapists construct collaboration in their therapeutic practices. The aim was to explicate interpretive repertories that participants used in the construction of collaboration. Semi-structured interviews were used with 8 CBT therapists. Questions related to the arguments for and against the nature of collaboration in CBT. A client choice interpretive repertoire was used by all participants. It was constructed in various ways in line with either positivistic or dialogic perspectives or elements of both. Individual participants constructed client choice from both perspectives suggesting that the dichotomy in perspectives on collaboration in CBT may not be clear-cut. There is an implication for counselling psychology practitioners to reflect on their use of dichotomous perspectives to conceptualise their professional identities.
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Parker, Valerie H. "The comparative efficacy of CBT versus CBAT for the treatment of problematic anger". Ann Arbor, Mich. : ProQuest, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1442834.
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Thesis (M.A. in Psychology)--S.M.U., 2007.Title from PDF title page (viewed Mar. 18, 2008). Source: Masters Abstracts International, Volume: 45-05, page: 2665. Adviser: Lorelei Simpson. Includes bibliographical references.
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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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Gunn, Anthony. "The automated CBT psychologist: the development and trial of an online cbt treatment program for stuttering adolescents". Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/12745.
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Introduction: This thesis took a successfully trialed, fully automated Internet based CBT (iCBT) program for treating socially anxious stuttering adults, known as CBTpsych (see Helgadottir, Menzies, Onslow, Packman & O'Brian, 2009b), and adapted it for stuttering adolescents. This saw the development and phase I trial of a fully automated iCBT program that targets social anxiety in stuttering adolescents, and does not require clinician involvement. Method: The adolescent iCBT program used algorithms to tailor treatment to each user’s specific issues relating to social anxiety. All seven modules in the iCBT program were designed around Clark and Wells’ (1995) model of social anxiety. Twelve stuttering adolescents presenting for stuttering treatment at the Australian Stuttering Research Centre (ASRC) were offered iCBT program access for five months. Participants were not allowed access to a psychologist during the trial. Results: Of the 12 participants enrolled in the study, three never started the iCBT program. Nine participants used the iCBT program, and 44% (n = 4/9) completed it. Only four participants returned their post-treatment assessment booklets. Post-treatment analysis revealed reductions in assessment scores for those who completed the program. Post-trial phone interviews with five of the nine participants who used the program suggested: (1) a positive response to iCBT; (2) that time constraints and school pressures act as a serious barrier for this age group accessing Internet based treatment. Conclusion: In line with earlier findings on this age group, stuttering adolescents were shown to be a difficult population to engage, evident by the high non-completion rate of the iCBT program (42%, n = 5/12) and the high non-completion rate of post-trial assessment booklets (67%, n = 8/12). More research is needed to find ways of lifting adolescent completion rates with Internet based treatment.
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Smith, Meghan. "Characterizing the Implementation of CBT for Youth Anxiety". VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3239.
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Although evidence-based treatments (EBTs) often perform well in research settings, when EBTs are delivered in practice settings they sometimes fail to outperform usual care (UC). One reason for this could be that therapists in practice settings may not follow the EBT protocol as closely or may deliver more therapeutic interventions that align with other treatment domains. I tested this possibility in the context of cognitive-behavioral treatment (CBT) for youth anxiety by comparing how CBT was delivered in practice (i.e., community-based clinics) and research (i.e., lab) settings. A diverse sample of youth (aged 7-15) received one of two treatments to address primary presenting problems of anxiety: CBT in a lab (N = 51), CBT in clinics (N = 18), or UC in clinics (N = 22). The extensiveness of therapeutic interventions delivered was measured using the Therapy Process Observational Coding System for Child Psychotherapy – Strategies Scale (McLeod & Weisz, 2010). Two coders independently coded the same available sessions. Analyses investigated mean-level differences in interventions session-by-session, over time between the three groups. Results indicated that CBT delivery differed across groups, over time. Future researchers should use this characterization to further implementation and process-outcome research, and eventually either enhance quality control efforts or alter aspects of EBT protocols (Garland, Hulbert, & Hawley, 2006).
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Väisänen, M. (Mika). "Usability of an online CBT Program prototype:case of Arjenhallinta". Master's thesis, University of Oulu, 2017. http://urn.fi/URN:NBN:fi:oulu-201706022487.
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Internet-based Cognitive Behavior-Therapy (CBT) programs may be a solution for the ever-growing demand of mental health treatment services. This thesis describes the usability testing process of Arjenhallinta internet-based CBT program in development.
Arjenhallinta was evaluated using Cognitive Walkthrough and usability testing methods in order to find usability issues in the current version of the program. Found issues were communicated to the customer and recommendations were given to address the issues in future versions of the program. Qualitative data from user test observation and gathered feedback served as a basis for the recommendations.
Arjenhallinta being both marketing website of the therapist as well as an internet-based CBT program, the most critical issues found were related to website navigation and CBT homework exercise instructions, latter which is associated with treatment outcome. Users had problems navigating from the marketing website back to the CBT program and the instructions to the CBT exercises were frequently missed and found inadequate by test participants.
The usability testing activities were found feasible by the customer therapist Martti Puttonen. Identifying and addressing usability issues early contributes to the development of internet-based CBT program that is well received by its users. Positive user perception has an effect on the usage and the effectiveness of online mental health program.
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Dhillon, Gurmit. "Developing a CBT manual for adult inpatient secure services". Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/374544/.
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Machado, Mardem de Almeida. "Ensino de matematica financeira por CBT-uma abordagem metodologica". reponame:Repositório Institucional da UFSC, 1997. https://repositorio.ufsc.br/xmlui/handle/123456789/158127.
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Tese (Doutorado) - Universidade Federal de Santa Catarina, Centro TecnologicoMade available in DSpace on 2016-01-08T21:42:54Z (GMT). No. of bitstreams: 0 Previous issue date: 1997
O propósito deste trabalho é focalizar os recursos da tecnologia hipermídia no processo de ensino/aprendizagem através de um aplicativo computacional. Parte-se da premissa que essa metodologia de ensino pode ser mais motivadora, proporcionando um maior rendimento. Elaborou-se um aplicativo de Matemática Financeira, que foi utilizado por uma turma de 1o. ano do curso de Ciências Econômicas da Universidade Estadual de Londrina para testar essa hipótese. Em seguida, aplicou-se um questionário aos alunos participantes do curso para verificar a eficácia e a facilidade de navegação. Foram também realizadas entrevistas e uma pesquisa em bancos de investimentos e empresas de comércio de vários segmentos para verificar a validade do conteúdo proposto no aplicativo. O paradigma da hipermídia educacional está sendo considerado como uma tecnologia promissora, que poderá trazer novas possibilidades ao processo de ensino/aprendizagem de matérias curriculares por fornecer um ambiente que favorece a criatividade e a exploração pelos alunos e professores. A Educação centrada nesse ambiente permite adequar situações de aprendizagem a uma prática pedagógica que venha estimular a construção do conhecimento, visando a formação de um cidadão criativo e capaz de tomar suas próprias decisões.
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Al-Rawas, Salim Dhofar Ahmed. "Development of a computer-based teaching centre for industrial colleges in the Sultanate of Oman". Thesis, University of Strathclyde, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273809.
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Gratton, Suzannah. "Evaluation of a Computer-Based CBT package for Exam Anxiety". Thesis, University of Surrey, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.485982.
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Sreenan, Brian. "Personalised treatments in CBT and the therapeutic alliance in IAPT". Thesis, City University London, 2013. http://openaccess.city.ac.uk/3670/.
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This study used a sequential mixed methods analysis to investigate the importance of the Therapeutic Alliance (TA) in an Improving Access to Psychological Therapies (IAPT) service. The first part of this study used thematic analysis to analyse data collected from two focus groups, one containing seven qualified IAPT therapists and one containing five trainee IAPT therapists. The qualitative analysis resulted in three super-ordinate themes: 1) The impact of the IAPT trainee experience on the TA, 2) Equality in the relationship versus early IAPT protocol, and 3) Severity of client symptoms and impact on TA. The second part of this study used a pantheoretical measure of the TA (Helping Alliance Questionnaire-II, Luborsky et al., 1979) along with measures of depression (PHQ-9, Kroenke et al., 2001) and anxiety (GAD-7, Spitzer et al., 2006), to answer three main questions raised by part 1 of the study: (1) Is there be a significant difference in TA scores between trainee therapists and qualified therapists? (2) Does IAPT protocol impact on the early TA? (3)Is symptom severity be correlated with the TA? A fourth question was generated as a result of the literature review: (4) Does early or late TA predict depression and anxiety scores? A total of 18 therapists, nine qualified and nine trainees, and their respective clients (n=37) took part in the quantitative section of the study. Quantitative results showed that there was no significant difference in TA scores between trainee and qualified therapists. Secondly, a strong TA was found across the two groups. Thirdly, symptom severity was not significantly correlated with client or therapist TA scores. Finally, end of treatment client TA scores along with baseline depression and anxiety scores were shown to be predictive of end of treatment change in depression and anxiety levels. Implications for practice and Counselling Psychology are discussed and avenues for future research are suggested.
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Dawson, Paul David. "The relationship between alliance and outcome in CBT for psychosis". Thesis, University of East Anglia, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.443188.
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Coughtrey, A. E. "Telephone-delivered group CBT for anxiety : experiences of group members". Thesis, University College London (University of London), 2013. http://discovery.ucl.ac.uk/1406200/.
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Cognitive behavioural therapy (CBT) for common mental health problems is increasingly being delivered by telephone, over the internet and via guided self-help. This thesis examines telephone-delivered interventions for anxiety and depression and is presented in three parts. Part I is a literature review of the effectiveness of telephone interventions for anxiety and depression. Sixteen studies met criteria for the review. Overall, study quality was good and there was reasonable evidence that telephone interventions show promise in reducing symptoms of anxiety and depression. Further research is required to determine the characteristics of people who find telephone-delivered interventions beneficial. Part II presents the findings from a qualitative study of recipients’ experiences of a 14-week telephone-delivered CBT group for anxiety disorders. Seventeen people completed a telephone interview. Interview transcripts were analysed using the ‘framework’ approach and yielded 10 themes organised into three domains. There were therapeutic benefits from taking part in the groups, even in the absence of symptom change. However, a number of barriers and challenges (e.g. difficulties in connecting with others over the telephone) sometimes prevented people from making full use of the groups. Further research is needed to understand the impact of delivering group CBT by telephone, in order to guide the delivery of similar low-intensity interventions for anxiety. Part III is a reflection on the research process and focuses on the impact of using the telephone for semi-structured interviews, the advantages and challenges of conducting research with external organisations, and the implications for the delivery of low-intensity interventions.
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Wills, Frank. "Therapeutic attitudes and the acquisition of competence during CBT training". Thesis, University of Bristol, 2007. http://hdl.handle.net/1983/757fa4c4-a22f-4d29-8536-7a196a07cde1.
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Psychotherapy has differentiated into models of practice based on diverse principles. Current policies in the UK favour expansion of empirically supported treatments, especially cognitive behaviour therapy (CBT). This is likely to result in therapists seeking training in CBT after previously adhering to other models.
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Brewster, Kay. "Client experiences of cognitive behaviour therapy (CBT) : factors influencing engagement". Thesis, Lancaster University, 2015. http://eprints.lancs.ac.uk/75548/.
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This thesis constitutes a qualitative exploration of individuals’ experiences of cognitive behaviour therapy (CBT) in both physical and mental healthcare settings. The literature review comprises a meta-synthesis of nine papers exploring experiences of CBT, which resulted in the identification of six themes: shared experience allowing reconnection; CBT skills enabling changing relationship with illness; therapist factors central to engagement; therapy as challenging; the importance of being able to talk to someone outside of the family; and therapy as life-changing. The main implication of these findings is the need for greater consideration of the complex nature of social support in the context of chronic illness and the specific challenges and benefits of engagement in CBT in this population. The empirical paper provides a qualitative exploration of the experiences of adults who have dropped out of CBT in a community mental healthcare setting. Thematic analysis resulted in the identification of five themes: the role of therapist factors; limitations of the CBT model; CBT as pathologising; the socio-political context of CBT; and responsibility for engagement and change. This is the first qualitative exploration of CBT drop-out across diagnostic groups and, as such, this study contributes an important insight into the challenges associated with engagement in CBT and the influence of socio-political context. Finally, the strengths, limitations and challenges of the research process are discussed in the critical appraisal, with particular reference to the broader theme of occupying the position of both clinician and researcher.
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Sørensen, Anders Dræby. "Exploring learning outcomes in CBT and existential therapy in Denmark". Thesis, Middlesex University, 2015. http://eprints.mdx.ac.uk/18450/.
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The purpose of this thesis is to draw attention to the special characteristics of the outcome of psychotherapy through qualitative research. The thesis explores a phenomenological and hermeneutic enquiry into the lived experience of psychotherapy in terms of learning outcomes. This includes both Existential therapy (ET) and Cognitive-behavioural therapy (CBT) and their possible differences and similarities. I can describe learning as any experiential change that occurs in the participants understanding as result of the therapy in which they participate. Learning outcomes are concerned with the achievements of the learner rather than the intentions of the educator, as expressed in the objectives of an educational effort. The thesis uses Interpretive Phenomenological Analysis (IPA) as a qualitative method to explore meanings of the learning phenomenon generated from themes found in transcripts of semi-structured interviews from twelve participants with an equal length of short time client experience of psychotherapy. That is, six participants who had attended CBT and six participants who had attended ET. Consistent themes from the data indicate that, overall, psychotherapy helps clients to enhance general learning in three major domains: (1) Self and life; (2) Thinking, acting and feeling; (3) Relationships with others. The data also indicates that ET overall helps clients to enhance particular learning of authenticity and insight into self, life and relationships with others with courage, engagement and freedom in an open and personal approach to difficulties and life issues. Furthermore, the data indicates that CBT overall helps the client to enhance particular learning of self-capability and self-esteem with independence in self-chosen relationships and capabilities for organized and appropriate approach to difficulties and life issues. Thus, ET is more oriented towards learning authenticity and self-positioning in life, whereas CBT is more oriented towards learning capabilities for organized and appropriate ways of thinking, acting and feeling. This research points to the value of the learning perspective for therapeutic practice and facilitates a model of psychotherapeutic learning with an understanding of learning outcomes based on motivational learning, learning to do with previous experiences, learning design for process, the therapeutic learning relationship and the educational role of the psychotherapist.
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O'Driscoll, C. W. "Process analysis of trauma focused CBT for individuals with schizophrenia". Thesis, University College London (University of London), 2014. http://discovery.ucl.ac.uk/1448512/.
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This volume is in three parts. Part 1 is a meta-analysis and literature review investigating the role of cognitive emotion regulation strategies in schizophrenia, with dissociation and alexithymia as possible mediators. It summarises the evidence on a conceptual link between these variables and their possible importance within schizophrenia in relation to both assessment and treatment. The review and meta-analyses suggested large effects for the maladaptive use of cognitive emotion regulation strategies in schizophrenia compared to healthy controls. The role of dissociation, its sub-categories, and alexithymia are also discussed. Clinical and research implications are then postulated. Part 2 describes an empirical study that investigated in-session process variables in trauma focused CBT for individuals with schizophrenia. The working alliance, emotional processing, affect arousal and primary emotions were investigated at early and late phase of therapy. A subgroup of participants who experienced child trauma (as opposed to adult trauma only) was also explored. The results showed no difficulty in engagement or suitability for this focus of therapy and participants appear to have the capacity to undertake the cognitive-emotional demands inherent in the treatment. The process analysis had limitations and recommendations are given for clinical practice and future research. Part 3 is a critical appraisal that gives reflections on the application of process analysis within clinical CBT trials. It discusses issues regarding conceptualising specific vs. non-specific variables in CBT research, study design and measurement. It offers some suggestions and recommendations when considering research in this area.
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Ernawati, Ni Made. "Producer–market orientation of community-based tourism (CBT) products: A case study in Bali, Indonesia". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1685.
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Community-based tourism (CBT) provides an attractive alternative to mass tourism. In Bali, Indonesia, it is a potentially significant contributor to tourism development. The aim of this research was to obtain a greater understanding of CBT through an examination of relevant issues, and the perceptions of the host communities and tourists regarding CBT products. This study used a mixed methods approach to collect data from the host communities and tourists who visited the villages in Bali.
Five main elements of CBT products came to light during a review of the literature in the preliminary phase of the research. Subsequently, aspects of authenticity and change for development as important features of sustainable CBT products were identified and added to the study during the qualitative phase of the research. At the conclusion of Research Phase 1, the qualitative stage, four additional elements had been identified, making a total of 10. These 10 CBT product elements were then further subdivided and formed the variables for the data collection instrument used in Research Phase 2, the quantitative study.
The Research Phase 1 qualitative results indicate that the CBT tourists clearly identified their expectations of CBT products and were supportive of a sustainable industry to preserve the villagers‟ way of life and the rural environment. However, they were also concerned about safety and hygiene. The Research Phase 2 quantitative results consistently show similar findings. Furthermore, a significant number of tourists expressed a willingness to use and consume products and services provided by the community.
As part of the research, two types of CBT tourists were identified – „overnighters‟ and “daytrippers‟. Both groups sought the same type of attractions, albeit in different degrees of intensity, yet they required different types and standards of services and facilities. The overnighter group intermingled, they wanted to experience the local culture and lifestyle, and were more accepting of the local amenities. By contrast, the daytrippers experienced a snap-shot of village life while on excursions away from their resort hotel accommodation.
The Research Phase 1 qualitative results show that the host communities were aware ofthe intrinsic value of the tourist attractions in their villages, but lacked the confidence to share them with visitors. The community respondents in this phase of the study also demonstrated limited awareness of tourists‟ needs. The Research Phase 2 quantitative results indicate an adequate understanding of CBT features, but enhancements were needed in some areas, such as product packaging, information and narration, and service provision.
Tri hita karana (THK) is a Balinese life value that has been adopted as an underpinning principle of a sustainable approach to tourism development in Bali. According to the principles of THK, a harmonious balance within and between the three relationships of a human to Universe-spirit, a human to humans, and a human to nature is necessary for human contentment. For the CBT product match, all three THK relationships were „represented harmoniously‟, rather than „represented equally‟. It is also shown that the components of both the Balinese THK and the global sustainability values are represented in the CBT products.
The overall survey results indicate that the host communities and tourists had considerable agreement about CBT product items, with an average rating of most variables for both groups of around 2 (moderate agreement). This high level of concurrence may be due to a majority of respondents, who are sustainable tourists, and the host communities‟ innate connection with THK principles, thereby slanting the results towards sustainability in both groups. The results of this research provide a greater understanding of the nexus of host communities‟ and tourists‟ perceptions, which can be used as guidelines for future CBT product developments.
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DeVaux, David R. "A Tutorial on Authorware". Master's thesis, Virginia Tech, 1996. http://hdl.handle.net/10919/37163.
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Authorware is an icon-based multimedia authoring tool which allows the rapid development of complex interactive multimedia projects, particularly courseware and kiosk applications, for both the Macintosh and Microsoft Windows operating systems. This project consists of three main elements: interactive courseware, written in Authorware, which teaches the student basic concepts involved in Authorware programming, and demonstrates the function of each of the icons used to program in Authorware; a tutorial through which students are given the opportunity to use Authorware to incorporate various media elements, including written audio, graphics, video, and text, into their own interactive courseware; and various course materials, including a statement of objectives, study questions, and quiz questions. These materials were developed for use in the Virginia Tech Computer Science course CS4984 (Multimedia, Hypertext, and Information Access) as part of the unit on System and Application Construction.Master of Science
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Burns, Kelly L. "A Trauma-Informed Cognitive-Behavioral Intervention for Pediatric Oncology Patients". Diss., Virginia Tech, 2012. http://hdl.handle.net/10919/37608.
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Conceptualizing mental health difficulties among a pediatric oncology population from a traumatic stress perspective is gaining speed. Research has shown support for the development of posttraumatic stress reactions among chronically ill children and their family members. Despite this evidence, the majority of intervention studies have not incorporated key trauma-informed intervention components that have proven to be effective in symptom reduction for trauma-exposed children. Examining key aspects of both the child trauma and pediatric psychology fields have enabled researchers to meld their strengths into one comprehensive approach. This revised perspective has clinical implications for the development of prevention and intervention techniques that are more likely to yield superior outcomes. Yet, an evidence-based, trauma-informed intervention for youth has not yet been empirically examined among a pediatric oncology population. Thus, the purpose of this study was to examine the efficacy of TF-CBT intervention program for children/adolescents diagnosed with cancer and their parents. Methods: This was a prospective longitudinal study that utilized a single-subject, non-concurrent multiple baseline design to assess the efficacy of TF-CBT intervention. A sample of five youth (ages 9 to 15) and seven parents enrolled in the study; three youth and five parents completed their participation in the study. Manualized treatment consisted of six sessions lasting approximately two hours per session (including child and parent) that targeted psychoeducation, relaxation training, affective identification and expression skills, cognitive processes, coping strategies, trauma processing, and family processes. Examined constructs, including posttraumatic stress symptomatology, depression, quality of life, parenting stress, coping utilization, coping efficacy, somatization, internalizing, and externalizing symptoms, were assessed by child self-report, parent report, and parent self-report at enrollment (baseline), post-treatment, and one-, and three-month follow-up. Results: Simulation Modeling Analysis (SMA) revealed a statistically significant reduction, from baseline to intervention, for one parentâ s PTSS (R = -0.711, p = .027) and another parentâ s PTSS reduction approached significance (R = -0.747, p = .055). Comparatively, no significant reduction was found for child PTSS. One child showed a significant improvement in coping efficacy (R = 0.619, p = .048) as a function of the intervention, and an additional two child participants approached significance (R = 0.618, p = .055; R = 0.689, p = .094). Visual inspection of the data did reveal noteworthy reductions for some study participants in both domain specific (i.e., PTSS) and broader psychological outcomes (e.g., quality of life, somatization, internalizing and externalizing symptoms, etc.). Conclusions: These results provide some support for a trauma-informed CBT intervention for pediatric oncology patients in remission and their parents.Ph. D.
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Pugliese, Cara Elisabeth. "A Pilot Study Examining the Feasibility and Preliminary Efficacy of Problem Solving Therapy in College Students with Autism Spectrum Disorders". Diss., Virginia Tech, 2012. http://hdl.handle.net/10919/77113.
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College students with Autism Spectrum Disorder (ASD), though academically capable, can have serious difficulty adapting to the college environment. There is a growing need for the identification and development of efficacious interventions and supports for these young adults. The present study sought to address this need by adapting and piloting a group-based cognitive-behavioral intervention program, Problem-Solving Skills: 101 (PSS:101), to promote problem solving ability in college students with ASD. Primary aims of the study were to adapt a well-established problem solving treatment for college students with ASD into a treatment manual, and to collect data on the feasibility of PSS:101. An exploratory aim was to collect preliminary data on the short-term efficacy of this intervention. Five students with ASD from a public, technology and engineering focused university participated in this nine-week, group-based program. Therapists met all treatment integrity objectives across sessions. Four of the five participants completed at least 8 of the 9 sessions and assigned between-session assignments were generally completed (83% completion rate), indicating a high level of treatment adherence. Independent evaluators' ratings of participant engagement, therapeutic relationship, and group process were relatively high. Preliminary efficacy data suggested mixed results across participants. Further evaluation of the program appears warranted.Ph. D.
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Shimkus, Erica Kathleen y Erica Kathleen Shimkus. "Family Nurse Practitioners' Use of Cognitive Behavioral Therapy Treatment for Depression in Adolescents". Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/622941.
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Background: Cognitive behavioral therapy (CBT) is an effective treatment modality for adolescents suffering from depression. Yet, it is often under-utilized among family nurse practitioners (FNPs) in the primary care setting. Known barriers exist within the realm of providers' lack of use of CBT in the primary setting, however, there is little research specifically on FNPs usage of the modality. Purpose: This paper seeks to understand FNPs' use of CBT in the primary care setting to treat adolescents with depression. Method and Sampling: A qualitative design was used to understand FNPs' use of CBT for adolescents suffering from depression. A faculty member and I recruited FNP participants through email. Ten FNPs currently working in the primary care setting with experience ranging from one to ten years participated in the study. Two focus group interviews were conducted in order to have a deeper understanding of the use of CBT in practice to treat adolescent depression. The interviews were audio taped and analyzed to reveal emerging themes. Results: After analyzing the audio recordings two common themes emerged: Unpreparedness and role conflict. Subthemes emerged within the area of unpreparedness that included knowledge regarding screening for depression in the adolescent population, utilization of clinical practice guidelines, available community resources and referrals, and the application of CBT in the treatment of adolescent depression. The theme of role conflict was associated with time constraints within the allotted time frame per patient and the conflict of providing mental health services when feeling as though their primary training is that of a family practice provider. Conclusion: The findings showed that the lack of use of CBT is multifactorial with knowledge being the greatest inhibiting factor. CBT is a recommended, first-line treatment option within the clinical practice guidelines for the treatment of adolescent depression. However, FNPs are not currently utilizing CBT in their practice to treat adolescent depression. There is much to be learned about adolescent depression in its entirety prior to incorporating CBT into practice.
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Zimmerman, Marian Rose. "A Randomized Clinical trial of Cognitive-Behavioral Therapy for Insomnia in a College Student Population". Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84307/.
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Nearly 10% of college students experience chronic insomnia. Cognitive-behavioral therapy for insomnia (CBTi) is an empirically validated multi-component treatment that has been demonstrated to produce reliable and durable benefits in the general adult population. However, there have been no studies examining the effectiveness of multi-component CBTi in a college student population, even though many studies have examined the efficacy of single treatment modalities. These young adults are different from the general adult population because they are in a unique transitional developmental phase as they are maturing from adolescence into adulthood, they are sleepier than adults, they tend to have irregular sleep schedules, and their living situations are often different from the general adult population. In this study college students with chronic insomnia were randomly assigned to either six sessions of CBTi or a wait list control (WLC) group. All participants completed sleep diaries, sleep measures, and psychosocial measures. The results indicated students who received CBTi showed improvements in sleep efficiency (SE), sleep onset latency (SOL), number of awakenings (NWAK), time awake after sleep onset (WASO), and sleep quality (SQ). They also had decreased insomnia severity (ISI), dysfunctional beliefs about sleep (DBAS), and general fatigue (MFI), as well as increases in global sleep quality (PSQI).
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Messari, Sophia. "CBT for psychosis : a qualitative exploration of therapists' and clients' accounts". Thesis, University of East London, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.412743.
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Lawlor, Caroline. "Trust and paranoia in the therapeutic relationship in CBT : therapists' perspectives". Thesis, University of London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542380.
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Li, Chi-kwan Carole y 李智群. "Mind-body intervention and CBT for insomnia in breast cancer survivors". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/209528.
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Comorbid chronic insomnia was found highly prevalent in breast cancer patients. It also persisted through survivorship. Negative emotions upon diagnosis and during the course of cancer treatment might complicate the underlying mediating factors between stress and insomnia found in non-cancer population. Cognitive Behavioural Therapy (CBT) has been evidenced in improving insomnia. With the appreciation of Mindfulness training in improving cognitive flexibility and rumination, a novel treatment approach integrating CBT and mindfulness—Mind-Body Intervention (MBI) was developed.
There were three objectives in the research. Firstly, prevalence data on insomnia and clinical profile of Hong Kong Chinese breast cancer survivors were obtained. Secondly, the mediating roles of negative emotions, hyperarousal, pre-sleep arousals in the relationship between perceived stress and insomnia were examined. Thirdly, the effects of CBT and MBI for breast cancer survivors with insomnia were investigated.
In the first study, 1049 women who survived from non-metastatic breast cancer were invited to complete a survey on stress, mental health, arousals and insomnia. Those who met psychophysiological insomnia were invited to participate in the second study, which was a multisite randomized controlled trial. The 73 participants were allocated to CBT (n=24), MBI (n=27) or waiting list control, WLC (n=22). Both treatments were five weekly-session group therapies. Outcomes on insomnia, mental health, arousals, dysfunctional beliefs, quality of life and mindfulness, were obtained on baseline, post-treatment, 3-month and 6-month follow-ups.
Results of the first study revealed 34.6% of the participants suffered from clinical insomnia, while 15.1%, 27.4% and 12.8% endorsed moderate to extremely severe depression, anxiety and stress respectively. Duration of insomnia was correlated with insomnia severity. Hyperarousal was found moderating cognitive ore-sleep arousal and anxiety, these in turn, together with depression mediated the relationship between perceived stress and insomnia severity. Results of the second study supported the hypothesis both CBT and MBI improved insomnia and other psychological symptoms, while WLC did not. After treatment, significant decreases of 59 and 67 minutes of total wake time per night were found for CBT and MBI respectively. Sleep efficiency values significantly increased in CBT (12.2%) and MBI (12.7%). Moderate to large effect sizes and clinically significant differences were found in most sleep and psychological variables. Generally, CBT produced larger effect sizes than MBI on post-treatment. The therapeutic gains were found sustaining through 3-month to 6-month follow-ups in both treatments. However, the effect sizes of CBT were on the declining trend, while those of MBI were more stable.
The results suggested that insomnia and anxiety were frequently experienced in breast cancer even after completing the medical treatments. The longer the survivors suffered from insomnia, the higher the severity was found. In additional to the cognitive pre-sleep arousal, the important mediating roles of depression and anxiety imply that insomnia treatments should incorporate strategies designed to help in decreasing rumination/worry before bedtime and improving mental health conditions. The findings also provided initial evidence for the efficacy of MBI as a viable treatment for insomnia. More vigorous randomized controlled trial and the long-term efficacy could be further studied.published_or_final_version
Clinical Psychology
Doctoral
Doctor of Psychology
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Honyashiki, Mina. "Specificity of CBT for Depression: A Contribution from Multiple Treatments Meta-analyses". 京都大学 (Kyoto University), 2014. http://hdl.handle.net/2433/193573.
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Bengtsson, Jonas. "Therapists' experiences of conducting CBT online vis-á-vis face-to-face". Thesis, Umeå universitet, Institutionen för psykologi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100811.
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Denna uppsats utforskar olika terapeuters erfarenheter av att bedriva KBT på nätet respektive ansikte-mot-ansikte. Elva terapeuter deltog i semistrukturerade intervjuer, som analyseras tematiskt med en abduktiv ansats. Resultaten visade att terapeuterna såg ansikte-mot-ansikte-terapi som en starkare upplevelse än internetterapi, och den senare som mer manualbaserad men också innehållande mer arbetstidskontroll. Resultaten visade också att allians möjligen kan skapas lättare och snabbare i ansikte-mot-ansikte och att internetterapi är starkt beroende av klienternas inre motivation. De sista temana berörde fördelarna med hybridterapi och att båda terapiformerna attraherade olika klienter och terapeuter. Kliniska implikationer som bör undersökas är om arbete med internetterapi kan buffra terapeuters utmattning, samt huruvida terapiformen kan förbättras genom att bli mindre manualberoende för att bli lättare att individualisera.This thesis explores therapists’ experiences of conducting CBT online and face-to-face. Eleven therapists partook in semi-structured interviews, which were thematically analysed using an abductive approach. The results indicate that the therapists viewed face-to-face-therapy as a stronger experience than internet-based CBT, and the latter as more manualised but providing more work-time control. They also showed that working alliance may be achieved faster and more easily in face-to-face-therapy and that internet-based CBT is heavily reliant on the intrinsic motivation of the clients. The final themes concerned the advantages of blended therapy and that both therapy forms appealed to different clients and therapists. Clinical implications in need of investigation are whether working with internet-based CBT might buffer therapist exhaustion, and whether this therapy form can be improved by becoming less manual dependant in order to be easier to individualise.
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Hedley, Andrew M. "How do counselling psychology trainees experience working with CBT in their placements?" Thesis, London Metropolitan University, 2018. http://repository.londonmet.ac.uk/3535/.
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Rationale: This study set out to provide an open investigation into how trainee counselling psychologists in the UK experience working with cognitive behavioural therapy (CBT) in their placements. Research and commentary by qualified and trainee counselling psychologists have expressed some concern about how well the profession’s values are upheld when they are working with CBT within the NHS and IAPT settings. However, it is unclear how widely these concerns are shared amongst counselling psychologists the majority of whom work in the NHS. Furthermore, the relevance of these concerns to trainees who may work with CBT in a wide range of other clinical settings within the public, charitable, and private sector was uncertain. Method: Interpretative phenomenological analysis was used to explore six final-year trainee counselling psychologists’ lived experience of working with CBT in their placements. Data was collected through semi-structured interviews via Skype. Findings: It uncovered three interconnected superordinate themes: (i) Pure CBT work vs. integration (ii) CBT conflicts with counselling psychology’s values, and (iii) Deconstructing & assimilating CBT. These findings were interpreted and discussed in relation to the existing literature. The key finding was that the participants’ belief in professional values often led them to feel frustrated with their work in CBT placements and with supervisors that expected them to only work with CBT as a stand-alone-approach. In this regard, the participants’ primary training in person-centred therapy or psychodynamic therapy and their preference for integrative approaches was deemed significant. The dissatisfaction reported by the participants concerning their CBT experiences was largely consistent with previous studies. The methodological limitations of the study are discussed and recommendations are made for further research to investigate the extent of these concerns and what could be done to address them.
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McKenzie, Paul Stephen. "Chronic low back pain and insomnia : understanding the experience and attributions made by out-patients about sleeplessness, pain and their interaction". Thesis, University of Edinburgh, 2012. http://hdl.handle.net/1842/8014.
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Systematic Review: Chronic pain and insomnia are highly comorbid, and evidence suggests a reciprocal relationship between these. CBT-I has been shown to improve sleep in those with chronic pain, therefore the potential of improved sleep leading to improvements in pain symptoms is a possibility. This led to the question: Does CBT-I improve pain symptoms in those with chronic pain and insomnia? A systematic review of the literature was conducted resulting in eight papers regarding six studies. Evidence was moderate that CBT-I improved sleep and pain related disability, but did not improve self reported pain levels. This discrepancy between improvements in pain related disability and no changes in self-reported pain levels led to the research question for the empirical element of the current thesis. Empirical Element of Thesis Objective: Chronic low back pain (CLBP) is a common form of chronic pain that affects a large population each year. Chronic pain and insomnia are highly comorbid conditions, yet knowledge about how patients perceive their interaction is limited. This qualitative study aims to inform our understanding of the patient experience with particular reference to beliefs and attributions surrounding pain, poor sleep and their interaction. Methods: 11 outpatients from a chronic pain clinic were recruited who suffered CLBP as their main symptom, and who had subsequently developed insomnia as a result. Data were analysed using Interpretative Phenomenological Analysis (IPA). Results: Qualitative analysis produced five super-ordinate themes: 1) the privacy of pain and solitude of sleep; 2) sleep/pain interaction; 3) night-time thinking; 4) adjustment and acceptance; and 5) self-management. Discussion: The first three themes combine to create the individual experience of CLBP: the visceral, emotional experience; the pre-existing and shifting beliefs; and the thought content. Once this is in place, the individual can reflect on what this means to them, and through acceptance, move through to adjustment. The individual accepts elements of their current experience, but where they see the opportunity to take control, these adjustments are translated into actions relating to self-management. These themes suggest CBT-I should be adapted to include pain specific beliefs to form a CBT for Insomnia and Chronic Pain (‘CBT-CPI’).
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deGroot, Jules. "A comparison of individual versus group administered family-focused CBT for childhood anxiety /". [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19381.pdf.
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Besev, Per y Mikael Gajecki. "Predicting offender recidivism among Swedish participants in the One-to-One CBT programme". Thesis, Stockholm University, Department of Psychology, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-28138.
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Priestley's One-to-One CBT programme is intended to reduce criminal recidivism. Data were collected from 1484 programme rounds in Sweden. 776 of these cases contained the data necessary for this study and were used in the analyses. The data included pre- and postprogramme test scores on areas addressed in the programme. The purpose of this study was to examine whether the tests or background data of participants have predictive properties for dropout and recidivism and whether test scores differ between sub-groups. To do this, t-tests and logistic regression analyses were performed. There were significant improvements on all scores post-programme. Only age predicted completion, with older participants being more likely to complete the program. Several variables were found to have predictive properties for recidivism. The most potent predictor for nonrecidivism was programme completion. The study finds a relation between some of the tests measuring psychological change, and recidivism. This partly supports the theory behind the programme.
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Vernmark, Kristofer. "Therapeutic alliance and different treatment formats when delivering internet-based CBT for depression". Doctoral thesis, Linköpings universitet, Psykologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-142389.
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Depression är en funktionsnedsättande problematik som påverkar en stor del av den vuxna populationen varje år. Trots ett omfattande behov av hjälp så råder det brist på tillgång till effektiv behandling. Kognitiv Beteendeterapi (KBT) är en evidensbaserad metod som har stöd vid behandling av depression och förmedlad via internet skulle metoden kunna tillgängliggöras för fler. Dock är det i dagsläget oklart vilka format och vilket innehåll som kan användas när behandlingen förmedlas via internet, samt vilken betydelse den terapeutiska alliansen har för en behandling som till största del sker på distans. Syftet med denna avhandling var att undersöka effekterna för olika format av internetbehandling (epostterapi, guidad självhjälp och blended treatment) vid depression, samt alliansens roll i dessa format. Studiernas resultat visar på att epostterapi och internetförmedlade självhjälpsprogram med behandlarstöd var effektiva metoder för att behandla depression. Alliansskattningar var höga, vilket visar att en positiv terapeutisk allians kan uppnås i internetbehandling. Patientskattningar av allians kunde inte predicera utfallet i någon av behandlingarna, men behandlarskattad allians predicerade förbättring på depressionsskattningar i blended treatment. Den här avhandlingen innehåller den första randomiserade kontrollerade studien på KBT-baserad epostterapi vid depression, samt det första internet-förmedlade självhjälpsprogrammet baserat på beteendeaktivering och ACT.Depression is a debilitating disorder that affects a large part of the adult population every year. Yet there is still a lack of access to effective care for people in need. Cognitive Behaviour therapy (CBT) is an evidence-based method for treating depression that together with the increased availability of Internet services provides an opportunity to increase access to effective treatment. Internet-based interventions can be effective in the treatment of depression, but there is a lack of knowledge concerning which formats of delivery that can be used and if therapeutic alliance is of equal importance when providing treatment over the Internet. The overall aim of this thesis was to examine the effects of different treatment formats (email therapy, guided self-help, and blended treatment) in internet-based CBT for depression and to further examine the role of alliance in these treatment modalities. Findings from this thesis show that email therapy and internetbased treatment programs were effective methods for treating depression. Alliance ratings were high, showing that a positive therapeutic alliance can be achieved in internet-based treatments. Patient-rated alliance could not predict outcome in any of the different treatment formats. However, therapist-rated alliance predicted change in depression during blended treatment. This thesis includes the first randomized controlled study on CBTbased email therapy, and the first internet-based behavioral activation program with ACT-components, for adult depression.
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McArthur, C. "Do adults with intellectual disabilities have the necessary skills to engage in CBT?" Thesis, University of East Anglia, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.543372.
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Hall, Katherine. "Trust and paranoia in the therapeutic relationship in CBT for psychosis : clients' perspective". Thesis, University of London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542381.
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Alfonsson, Sven. "Treatment Adherence in Internet-Based CBT : The Effects of Presentation, Support and Motivation". Doctoral thesis, Uppsala universitet, Klinisk psykologi i hälso- och sjukvård, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-280804.
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Homework assignments that patient work with between sessions is a key component in both face-to-face and Internet-based Cognitive Behavior Therapy (CBT). However, adherence to assignments is often low and it is largely unclear what factors predict or affect treatment adherence, and in the end, treatment outcomes. The overall aim of this thesis was to investigate if treatment presentation and therapist support can affect adherence and treatment outcome in internet-based CBT, whether adherence can be predicted by motivation variables and to compare differences in face-to-face and online conditions in this regard. A randomized controlled trial with a brief online relaxation program for people with stress and anxiety symptoms was conducted (n = 162). Participants in the enhanced support conditions completed a larger proportion of the online treatment but adherence was not affected by enhanced treatment presentation (Study I). Participants reported reduced symptoms of stress and anxiety after the relaxation program but there were no significant additional effects of enhanced presentation or support (Study II). Participants who adhered to the prescribed assignments reported lower symptom levels at study end, regardless of treatment conditions. Adherence to the online treatment was predicted by subject factors such as treatment credibility prior to the treatment and intrinsic motivation during the treatment (Study III). To further elucidate how motivation may affect adherence, an experiment with a one-session psychotherapy model was subsequently conducted (n = 100). Participants who were randomized to the face-to-face condition reported higher motivation for the assignment and completed significantly more of the homework compared to participants in the online condition (Study IV). Self-reported intrinsic motivation could predict adherence in both conditions while new motivational variables were identified specifically for the online condition. The results from these studies confirm that adherence to assignments in Internet-based CBT is difficult to affect with treatment features but can be predicted early in treatment by subject factors such as treatment credibility and motivation. How such motivational variables can be affected to improve treatments is still unclear.
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Mejias, Nihlén Theodor. "A Feasibility Study of a CBT-group Treatment for Hypersexual Disorder in Women". Thesis, Malmö universitet, Centrum för sexologi och sexualitetsstudier (CSS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-43177.
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The purpose of this thesis was to investigate the feasibility of a treatment for hypersexual disorder (HD) by calculating and reporting the results with pre-collected data from a research project at ANOVA/Karolinska Universitetssjukhuset. The treatment was a cognitive behavioral group therapy (CBGT) developed for HD administered in a 7-session group setting with a sample of HD-diagnosed women (n = 16). Feasibility was explored through symptom change of hypersexuality, sexual compulsivity, psychological distress, and depression. Symptom change in relationship to treatment attendance was also explored. In this thesis, the results are considered in a broader context, discussing theoretical issues concerning women’s sexuality in relation to hypersexual problems and medicalization of hypersexual behaviors. The treatment was shown to be feasible. Significant decrease was found on all measures. Attendance rate significantly correlated with a decrease in depressive symptoms, but not on other measures. Women’s sexuality might differ from men’s, but the treatment, which was first evaluated for men, is still feasible for women. Treatment for hypersexual problems in women and hypersexual problems in women in general have been understudied, which makes this study an important contribution to the research field. Further treatment studies could potentially investigate whether specific alterations based on gender and sexual orientation could be needed for further development of the treatment. There are issues concerning medicalization of hypersexual behaviors which should be considered when addressing the phenomenon, such as the influence of moral and cultural factors on the understanding of hypersexuality. Still, there is need for treatment for hypersexual behaviors experienced as problematic, and having these problems addressed within the medical and scientific field has potential for being beneficial and is preferred to having them left to alternative, unregulated health care providers.
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Pereira, Danilo. "Desenvolvimento de um CBT para aprendizagem e aperfeiçoamento dos conhecimentos sobre liderança situacional". Florianópolis, SC, 2000. http://repositorio.ufsc.br/xmlui/handle/123456789/78888.
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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro TecnológicoMade available in DSpace on 2012-10-17T20:30:42Z (GMT). No. of bitstreams: 0Bitstream added on 2014-09-25T18:29:30Z : No. of bitstreams: 1 173468.pdf: 51196427 bytes, checksum: 9f2f3f103183ce6e8ce0c137d9ac1070 (MD5)
As tecnologias de multimídia estão cada vez mais presentes no dia-a-dia de usuários e empresas que utilizam computadores. Seja para realizar apresentações de negócios e trabalhos de aula, catálogos eletrônicos, cursos multimídia, álbum digital de fotografias e páginas WEB, ou simplesmente para consultar enciclopédias digitais, ouvir música e instalar programas em CD-ROM.
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Ebert, Jon, Michele R. Moser y Janet Todd. "A Metrics Love Story: The Dance Between a State and TF-CBT Adoption". Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/4977.
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Mhlongo, Nanikie Charity y n/a. "Competency-Based assessment in Australia - does it work?" University of Canberra. Education and Community Studies, 2002. http://erl.canberra.edu.au./public/adt-AUC20050530.094237.
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South Africa since the liberation in 1994 has faced a lot of changes. The changes
include being a member of the international community. As part of the international
community, South Africa is finding itself largely faced by the challenges associated
with this position. Looking at other countries South Africa is realizing that the world
is looking at better ways of educating their people and organizing their education and
training systems so that they might gain the edge in an increasingly competitive
economic global environment. Success and survival in such a world demands that
South Africa has a national education and training system that provides quality
learning and promotes the development of a nation that is committed to life-long
learning.
Institutions of higher education in South Africa are currently changing their present
education system to conform to a Competency-Based Training (CBT) system. This
system has only been planned but not implemented yet and it is not clear how CBT
will be implemented, especially how the learners are going to be assessed.
Competency-Based Assessment (CBA) is an integral part of CBT that needs
particular attention if the new system is to succeed.
The key aims of this thesis are to investigate the current assessment policy and
practice at the Canberra Institute of Technology (CIT) underpinned by Competency-
Based Training system. The project will describe and analyze the Competency-Based
Assessment system used within CIT's CBT system. The project will focus on:
Observing classroom practice of CBA, analyzing students' and teachers' perceptions
of their involvement with CBA, and analyzing employers' perceptions of the
effectiveness of CBA.
The main aim of this thesis is to suggest recommendations for an assessment model
that will be suitable to implement within hospitality training institutions in South
Africa.
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McMurchie, Will. "Beating the Blues : Computerised Cognitive Behaviour Therapy for the treatment of depression and anxiety with older people". Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/9793.
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Introduction: With increasing longevity the population of the world is becoming older and there are growing numbers of people over the age of 65 years. This has implications for services providing psychological treatment to older people as there is likely to be an increasing demand for evidenced-based treatments such as Cognitive Behaviour Therapy (CBT) in the coming years. There are, however, relatively few clinical psychologists specialising in working with older people and therefore additional ways of dealing with the growing demands are essential. Computerised Cognitive Behaviour Therapy (CCBT) offers one potential option and NICE recommends Beating the Blues (BTB) as the most clinically and cost-effective package for treating depression. However, no study to date has explored the use of BTB with older people. Objective: The objective of the study was to address this gap in the literature and had the following aims: 1) to explore the uptake rate of BTB with older people; 2) to explore the characteristics of older people opting to receive BTB; 3) to explore the drop-out rate from BTB with older people; and 4) to determine if BTB was effective in reducing symptoms of depression and anxiety in older people experiencing these difficulties. The findings were compared to previous research on BTB with younger adults. Methodology: A between-groups, repeated measures design (with assessment time as the repeated measure) was used. Participants were given a free choice of receiving BTB plus treatment as usual (BTB+TAU) or treatment as usual alone (TAU). Treatment as usual was provided by clinicians from older people community mental health teams (e.g. psychiatric nurses) and the only constraint that was placed in this was that no face-to-face psychological therapy from an accredited therapist could be provided. The participants opting to receive BTB also completed eight sessions of BTB on a weekly basis. All participants completed a range of outcome measures prior to commencing treatment (pre), after eight weeks (post) and after a further 4 weeks (one month follow-up). Results & Discussion: The results indicated that 56.9 per cent of the participants opted to receive BTB and they reported having significantly more experience and confidence using a computer than those who declined BTB. It was also found that 72.7 per cent of older people completed all eight sessions of BTB (27.3 per cent discontinuation rate). This was comparable to what has been found in previous studies of BTB with younger adults. A two (treatment group) x three (time) repeated measures ANOVA revealed that, in comparison to the TAU group, the BTB+TAU group showed statistically significant greater improvements on measures of depression and anxiety by the end of treatment. This was maintained at one month follow-up. Furthermore, in comparison to the TAU group the BTB had a higher percentage of participants who met criteria for clinically significant improvement by the end of treatment and at one-month follow-up. The results suggest that BTB is an acceptable and effective treatment for older people experiencing depression and anxiety and the implications of these findings are discussed.
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Tinoco, Lucio Cunha. "Online Evaluation in WWW-Based Courseware: The Quizit System". Thesis, Virginia Tech, 1996. http://hdl.handle.net/10919/36881.
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The QUIZIT system has been developed to support adaptive and standard testing, along with automatic grading, record keeping, and test administration using the WWW as a delivery vehicle. We have applied QUIZIT in connection with our NSF-supported Education Infrastructure project on Interactive Learning with a Digital Library in Computer Science to help with evaluation in a master's level course as well as a large freshmen level service course. Preliminary testing in these courses has shown us that QUIZIT is a promising supplement to other forms of evaluation in self-paced education.
We also conjecture QUIZIT might be a valuable tool in distance learning environment.Master of Science
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Prinz, Karoline. "The Development of an Online Psycho-Education and Cognitive-Behavioural Intervention Program ‘Step Up’ for Young People to Combat Cyberbullying". Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/18921.
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The overall study aim was to develop and evaluate an intervention that seeks to help young people deal with cyberbullying. An online intervention (Step Up) was created based on an existing school-based program with proven efficacy. The first study describes the development of Step Up as well as a trial that assessed the feasibility and acceptability. This study gathered qualitative feedback about the young people’s experience of the program, and assessed the practicality of the assessment battery. A short form of the PECK (Personal Experiences Checklist) a measure assessing a young person’s experience of being bullied was constructed using item response theory, and its structure confirmed with confirmatory factor analysis. Feedback from the feasibility study was used to refine the intervention and make it was highly user-friendly. A wait-list randomised controlled trial was planned and commenced, but then abandoned due to a lack of school recruitment. Instead, a single group pre-post-follow-up design was implemented as a pilot study to test the efficacy of Step Up. It was hypothesized that people who completed the program would report: less experience with cyberbullying; less emotional problems; and positive changes in self-compassion. Sixty-eight young people completed the pilot study, including a short-term follow-up assessment. The results show largely positive changes on the measures, but the conclusions are limited by the lack of a control group. In conclusion, preliminary evidence is provided to support the effectiveness of an online intervention targeting cyberbullying in reducing reported bullying and emotional symptoms, and increasing self-compassion. The current study provides a foundation for an initial contribution to the range of anti-bullying interventions required to make the online world a safer place.
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Ellis, Sarah Jane. "Sleep in parents of children and adolescents with cancer". Thesis, The University of Sydney, 2021. https://hdl.handle.net/2123/25851.
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Numerous studies have identified sleep as a major concern for parents of children and adolescents with cancer. Prevalence estimates of parental sleep disruption range between 37-71%, which is reflected in significant impairments in sleep quantity and quality. Poor sleep is associated with long-term adverse consequences to parents’ physical and psychological health and may have a direct impact on their capacity to care for their unwell child. Despite a well-documented need for effective sleep-targeted interventions in this population, none currently exist. This thesis comprises: 1.) A systematic review of existing non-pharmacological interventions addressing sleep in children/adolescents with a chronic illness; 2.) A cross-sectional controlled study (n=193), comparing the prevalence and predictors of self-reported sleep quantity and quality, mood, rumination and daytime functioning among parents of childhood cancer patients receiving outpatient treatment with parents of age-matched healthy children; 3.) A multi-perspective qualitative analysis (n=26) of parent and healthcare professional perceptions of barriers and facilitators to parents’ sleep on the paediatric oncology ward, and preferences for intervention; and 4.) A pilot evaluation (n=17) to establish the feasibility and acceptability of a theoretically driven, multi-component sleep intervention (CAT NAP: Carers at Night in Paediatrics), specifically tailored for parents of children with cancer sleeping overnight on the hospital ward. This thesis provides a comprehensive synthesis of sleep problems in parents of children and adolescents with cancer. It documents the systematic development and trial of an evidence-based intervention to support parents’ sleep needs and overall wellbeing, and provides directions for future research, including the potential applicability of cognitive behavioural therapy for insomnia in this population.
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Foggin, G. Thomas O'Rourke Paul J. "Prototype for enhancement of ANVIS/HUD CBT instruction through use of embedded visual simulation /". Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1997. http://handle.dtic.mil/100.2/ADA337897.
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Thesis (M.S. in Information Technology Management) Naval Postgraduate School, Sept. 1997.Thesis advisors, Anthony Ciavarelli, Tung X. Bui. Includes bibliographical references (p. 35-36). Also available online.
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Smethurst, Nicola Jane. "Ingredients of CBT for Persecutory Delusions : Expert consensus and experimental manipulation of safety behaviours". Thesis, University of Manchester, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.525896.
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Rabassa, Marianne. "Clients' experience of therapist self disclosure within a CBT context : an interpretative phenomenological analysis". Thesis, University of East London, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532964.
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The appropriateness of therapist self disclosure varies according to theoretical perspectives regarding the role of the therapeutic relationship. Psychodynamic theory relates therapist self disclosure to its impact on the interpretation of transference, Humanistic theory to the genuineness of the therapeutic encounter. In contrast CBT theory traditionally sees the relationship as secondary to technical interventions, the use of self disclosure in this context therefore remaining minimally explored. However, emerging opinion suggests that the therapeutic relationship is perhaps more relevant than has traditionally been suggested. Existing literature exploring this topic has remained on the whole quantitative, and not specifically related to a particular theory. The following research therefore has aimed to identify the client's opinion of therapist self-disclosure and embed this within a CBT context. A qualitative approach was used to produce a subjective account of how therapist self disclosure is experienced by the client and how this relates to assumptions of the role of the relationship within CBT. Nine participants were interviewed following therapy from within a secondary mental health care setting. Six had experienced CBT therapy. Using Interpretative Phenomenological Analysis, data was interpreted relating to existing theory regarding the role of the therapist within CBT and interpersonal schemas of self-other relationships. Five themes were identified along three domains that identified therapist self disclosure as helpful, non disclosure as helpful and self disclosure as unhelpful. The themes identified that therapist self disclosure was experienced in the context of existing schemas of the self and the therapist and assumptions of the self in relation to another, impacting on their own disclosure and engagement with therapy. A definition also emerged of therapist self disclosure that related more to the genuine knowing of the therapist both explicitly and implicitly. These findings contribute to existing literature that places the relationship and technical interventions within CBT as more inextricable from each other. Additionally, the appropriateness of self disclosure had a transient quality, and did not remain consistent throughout the experience of therapy. Implications for practice include exploring the impact of one's choice of interventions with clients and formulating an individual on a wider level, incorporating interpersonal schemas and their possible impact on the relationship and therapy.
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Mantica, Valentina. "The impact of the experience of working with CBT on counselling psychologists' professional identity". Thesis, University of Roehampton, 2012. https://pure.roehampton.ac.uk/portal/en/studentthesis/the-impact-of-the-experience-of-working-with-cbt-on-counselling-psychologists’-professional-identity(a1d88072-5759-40e1-855b-10770bdd1c28).html.
Texto completoResumen
Cognitive behaviour therapy (CBT) is a therapeutic modality which is commonly argued to be oriented to a medical model, and so to diverge significantly in theory and practice from the traditional relational and humanistic roots of counselling psychology. A large body of literature and research exists which examines counselling psychologists’ professional identity in medical settings, but there appears to be a significant gap in the extant literature relating to how counselling psychologists experience professional identity specifically in the practice of CBT, a therapeutic modality which presently provides a considerable amount of employment for counselling psychologists. To address this gap, the present study sought to explore qualitatively whether counselling psychologists’ experience of their professional identity is affected by the inclusion of CBT in their practice. A sample of eight counselling psychologists who worked with CBT and had been qualified for at least five years were interviewed. Data gathered from the semistructured interviews were transcribed and analysed using interpretative phenomenological analysis (IPA), a method selected because it is concerned with the detailed examination of personal lived experience and the meaning of experience to participants. The methodology was approached within the contextual constructionist epistemological framework. Three superordinate themes, each containing four subordinate themes, emerged from participants’ accounts: (i) components of professional identity; (ii) the contribution of CBT to the professional self; and (iii) how CBT compromises the professional self. The findings are discussed in relation to the relevant literature, and lines of enquiry that have emerged have been located in current postmodern literature, arguments and debates. One main conclusion of the present study is that feeling comfortable with CBT can CBT, Counselling Psychology and Professional Identity 3 depend upon practitioners’ initial training, personal experience, cultural background, personal characteristics and personal beliefs – that is, the professional self as emerging from the personal self. Clinical implications, methodological limitations, directions for future research and reflections upon the researcher’s reflexivity are presented.