scholarly journals Adherence and competence assessment in studies of CBT for psychosis: current status and future directions

2011 ◽  
Vol 20 (2) ◽  
pp. 121-126 ◽  
Author(s):  
D. Fowler ◽  
R. Rollinson ◽  
P. French
Keyword(s):  
Cognitive Therapy ◽  
Large Scale ◽  
Rating Scale ◽  
Current Status ◽  
Behaviour Therapy ◽  
Future Directions ◽  
Making Sense ◽  
Cognitive Behaviour ◽  
The Uk ◽  
Careful Assessment

All good quality trials of psychological interventions need to check formally that therapists have used the techniques prescribed in the published therapy manuals, and that the therapy has been carried out competently. This paper reviews methods of assessing adherence and competence used in recent large-scale trials of Cognitive Behaviour Therapy (CBT) for psychosis in the UK carried out by our research groups. A combination of the Cognitive Therapy Rating Scale and specific versions of the Cognitive Therapy for Psychosis Adherence Scales provides an optimal assessment of adherence and competence. Careful assessment of the competence and adherence can help identify the procedures actually carried out with individuals within trials. The basic use of such assessments is to provide an external check on treatment fidelity on a sample of sessions. Such assessment can also provide the first step towards moving research towards making sense of CBT for psychosis as a complex intervention and identifying which techniques work for which problems of people with psychosis, at which stages of disorder?

Cognitive Therapy for Anxiety Disorders: Current Status and Future Challenges

2008 ◽  
Vol 36 (6) ◽  
pp. 695-704 ◽  
Author(s):  
Freda McManus ◽  
Nick Grey ◽  
Roz Shafran
Keyword(s):  
Cost Effectiveness ◽  
Anxiety Disorders ◽  
Cognitive Behaviour Therapy ◽  
Empirical Investigation ◽  
Evidence Base ◽  
Current Status ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Future Challenges ◽  
The Uk

AbstractThis paper reviews recent theoretical, conceptual and practice developments in cognitive-behaviour therapy (CBT) for anxiety disorders. The empirical status of CBT for anxiety disorders is reviewed and recent advances in the field are outlined. Challenges for the future development of CBT for the anxiety disorders are examined in relation to the efficacy, effectiveness and cost-effectiveness of the approach. It is concluded that the major challenge currently facing CBT for anxiety disorders in the UK is how to meet the increased demand for provision whilst maintaining high levels of efficacy and effectiveness. It is suggested that the creation of an evidence base for the dissemination of CBT needs to become a priority for empirical investigation in order effectively to expand the provision of CBT for anxiety disorders.

An investigation into the factor structure of the Cognitive Therapy Scale – Revised (CTS-R) in a CBT training sample

2021 ◽  
pp. 1-11
Author(s):  
Sarah Beale ◽  
Silia Vitoratou ◽  
Sheena Liness
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Cognitive Therapy ◽  
Exploratory Factor Analysis ◽  
Factor Structure ◽  
Factor Model ◽  
Single Factor ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Confirmatory Factor

Abstract Background: Effective monitoring of cognitive behaviour therapy (CBT) competence depends on psychometrically robust assessment methods. While the UK Cognitive Therapy Scale – Revised (CTS-R; Blackburn et al., 2001) has become a widely used competence measure in CBT training, practice and research, its underlying factor structure has never been investigated. Aims: This study aimed to present the first investigation into the factor structure of the CTS-R based on a large sample of postgraduate CBT trainee recordings. Method: Trainees (n = 382) provided 746 mid-treatment audio recordings for depression (n = 373) and anxiety (n = 373) cases scored on the CTS-R by expert markers. Tapes were split into two equal samples counterbalanced by diagnosis and with one tape per trainee. Exploratory factor analysis was conducted. The suggested factor structure and a widely used theoretical two-factor model were tested with confirmatory factor analysis. Measurement invariance was assessed by diagnostic group (depression versus anxiety). Results: Exploratory factor analysis suggested a single-factor solution (98.68% explained variance), which was supported by confirmatory factor analysis. All 12 CTS-R items were found to contribute to this single factor. The univariate model demonstrated full metric invariance and partial scalar invariance by diagnosis, with one item (item 10 – Conceptual Integration) demonstrating scalar non-invariance. Conclusions: Findings indicate that the CTS-R is a robust homogenous measure and do not support division into the widely used theoretical generic versus CBT-specific competency subscales. Investigation into the CTS-R factor structure in other populations is warranted.

Computer-aided psychotherapy: revolution or bubble?

2007 ◽  
Vol 191 (6) ◽  
pp. 471-473 ◽  
Author(s):  
I. M. Marks ◽  
K. Cavanagh ◽  
L. Gega
Keyword(s):  
Randomised Controlled Trials ◽  
Behavioural Therapy ◽  
Current Status ◽  
Future Directions ◽  
Cognitive Behavioural ◽  
Rapid Spread ◽  
The World ◽  
Computer Aided ◽  
Randomised Controlled ◽  
The Uk

SummaryResearch into computer-aided psychotherapy is thriving around the world. Most of it concerns computer-aided cognitive–behavioural therapy (CCBT). A recent narrative review found 97 computer-aided psychotherapy systems from nine countries reported in 175 studies, of which 103 were randomised controlled trials. The rapid spread of the mass delivery of psychotherapy through CCBT, catalysed in the UK by the National Institute for Health and Clinical Excellence's recommendation of two CCBT programmes and the Department of Health's CCBT implementation guidance, seems unprecedented. This editorial is a synopsis of the current status of CCBT and its future directions.

scholarly journals PET-CT in the UK: current status and future directions

2016 ◽  
Vol 71 (7) ◽  
pp. 673-690 ◽  
Author(s):  
A.F. Scarsbrook ◽  
S.F. Barrington
Keyword(s):  
Current Status ◽  
Future Directions ◽  
Pet Ct ◽  
The Uk

The application of LiF:Mg,Cu,P to large scale personnel dosimetry: current status and future directions

2006 ◽  
Vol 119 (1-4) ◽  
pp. 248-254 ◽  
Author(s):  
M. Moscovitch ◽  
T. J. St. John ◽  
J. R. Cassata ◽  
P. K. Blake ◽  
J. E. Rotunda ◽  
...  
Keyword(s):  
Large Scale ◽  
Current Status ◽  
Future Directions

Cognitive Behaviour Therapy for Menopausal Hot Flushes and Night Sweats: A Qualitative Analysis of Women's Experiences of Group and Self-Help CBT

2012 ◽  
Vol 41 (4) ◽  
pp. 441-457 ◽  
Author(s):  
Janet Balabanovic ◽  
Beverley Ayers ◽  
Myra S. Hunter
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Hot Flushes ◽  
Behaviour Therapy ◽  
Main Trial ◽  
Making Sense ◽  
Self Help ◽  
Cognitive Behaviour ◽  
Night Sweats ◽  
The Impact ◽  
Group Cbt

Background: There is a growing need for non-medical treatments for women experiencing problematic menopausal symptoms such as hot flushes and night sweats (HF/NS). A recent randomized control trial (RCT) (MENOS2) provides evidence of the effectiveness of Group CBT and Self-Help CBT for HF/NS. Aims: This study examines MENOS 2 participants’ experience of the CBT treatments. Method: Twenty women who had experienced CBT for HF/NS (10 Group CBT and 10 Self-Help CBT) were interviewed at the end of the trial to explore how they experienced the treatment and its effects. The interviews were analysed using interpretative phenomenological analysis. Results: Women experienced both treatment formats as positive and helpful, increasing their ability to cope and their sense of control over HF/NS. Four super-ordinate themes were identified: making sense of symptom change, new ways of coping and regaining control, acknowledging and challenging the menopause taboo, and social interaction and support versus individual learning. Conclusions: These qualitative results are consistent with those of the main trial in that women found both CBT formats helpful in reducing the impact of HF/NS. However, the results also suggest possible mechanisms of change and provide useful information on women's responses to the different treatment components and formats.

Cognitive Aspects of Posttraumatic Stress Reactions and their Treatment in Children and Adolescents: An Empirical Review and Some Recommendations

2005 ◽  
Vol 33 (4) ◽  
pp. 459-486 ◽  
Author(s):  
Tim Dalgleish ◽  
Richard Meiser-Stedman ◽  
Patrick Smith
Keyword(s):  
Children And Adolescents ◽  
Posttraumatic Stress ◽  
Large Scale ◽  
Stress Disorder ◽  
Acute Stress ◽  
Clinical Trial Data ◽  
Future Research ◽  
Stress Reactions ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

This paper reviews empirical research on cognitive factors associated with the experience of trauma and with the development of posttraumatic stress, Acute Stress Disorder (ASD) and Posttraumatic Stress Disorder (PTSD) in children and adolescents. The review covers three main areas: cognitive experimental and neuropsychological studies; large scale studies on representative samples; and, randomized clinical trial data examining cognitive-behaviour therapy (CBT) interventions. Overall, the conclusions are that progress in all three areas lags far behind that in adult work and that, perhaps, the studies to date raise more questions than they provide answers provided by the studies to date. The paper concludes with detailed empirical recommendations for future research in the three chosen domains.

Treating anxiety and depression in young adults: A randomised controlled trial comparing clinician-guided versus self-guided Internet-delivered cognitive behavioural therapy

2017 ◽  
Vol 52 (7) ◽  
pp. 668-679 ◽  
Author(s):  
Blake F Dear ◽  
Vincent J Fogliati ◽  
Rhiannon Fogliati ◽  
Bareena Johnson ◽  
Olivia Boyle ◽  
...  
Keyword(s):  
Young Adults ◽  
Cognitive Behaviour Therapy ◽  
Large Scale ◽  
Satisfaction With Life ◽  
Controlled Trial ◽  
Post Treatment ◽  
Anxiety And Depression ◽  
Behaviour Therapy ◽  
Advantages And Disadvantages ◽  
Cognitive Behaviour

Background: Internet-delivered cognitive behaviour therapy may increase access by young adults to evidence-based treatments for anxiety and depression. Objective: The aim of this study was to compare the efficacy of an Internet-delivered cognitive behaviour therapy intervention designed for adults aged 18–24 years, when delivered in clinician-guided versus self-guided formats. Design: The intervention, the Mood Mechanic Course, is a transdiagnostic treatment that simultaneously targets symptoms of anxiety and depression using cognitive and behavioural skills. The brief intervention comprised four lessons, delivered over 5 weeks. Following a brief telephone interview, young adults ( n = 191) with symptoms of anxiety and depression were randomly allocated to either (1) clinician-guided treatment ( n = 96) or (2) self-guided treatment ( n = 95). Results: At post treatment, large reductions (average improvement; clinician guided vs self-guided) were observed in symptoms of anxiety (44% vs 35%) and depression (40% vs 31%) in both groups. Significant improvements were also observed in general psychological distress (33% vs 29%), satisfaction with life (18% vs 15%) and disability (36% vs 29%). No marked or consistent differences in clinical outcomes emerged between conditions at post-treatment, at 3-month or 12-month follow-up. Satisfaction was high with both treatment formats, but slightly higher for clinician-guided treatment. Conclusion: These results indicate the potential of carefully developed Internet-delivered cognitive behaviour therapy interventions for young adults with anxiety and depression provided in either self or therapist-guided format. Further large-scale research is required to determine the short- and long-term advantages and disadvantages of different models of support.

scholarly journals Cognitive Behaviour Therapy for Psychosis in High Secure Services: An Exploratory Hermeneutic Review of the International Literature

2016 ◽  
Vol 44 (6) ◽  
pp. 652-672 ◽  
Author(s):  
Jonathon Slater ◽  
Michael Townend
Keyword(s):  
Psychological Intervention ◽  
Economic Value ◽  
Behavioural Therapy ◽  
Individual Therapy ◽  
Source Analysis ◽  
Behaviour Therapy ◽  
Research Attention ◽  
Cognitive Behaviour ◽  
Proven Efficacy ◽  
The Uk

Background: Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention. Aims: This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research. Method: A pragmatic approach was utilized through an iterative literature search strategy and hermeneutic source analysis of the identified studies. Results: Fourteen studies were identified from HS contexts from within the UK and internationally. These included group, individual therapy and CBTp linked milieus. Conclusions: CBTp is an active component of treatment in HS contexts. Some modes of delivery seem to have greater levels of efficacy with more typical HS patients. The literature indicates key differences between HS and non-HS applied CBTp. Continued application and evaluation of CBTp in HS conditions is warranted.

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