Abstract：
:Recently the UK Government announced an unprecedented, large-scale initiative for Improving Access to Psychological Therapies (IAPT) for depression and anxiety disorders. Prior to this development, the Department of Health established two pilot projects that aimed to collect valuable information to inform the national roll-out. Doncaster and Newham received additional funds to rapidly increase the availability of CBT-related interventions and to deploy them in new clinical services, operating on stepped-care principles, when appropriate. This article reports an evaluation of the new services (termed 'demonstration sites') during their first thirteen months of operation. A session-by-session outcome monitoring system achieved unusually high levels of pre to post-treatment data completeness. Large numbers of patients were treated, with low-intensity interventions (such as guided self-help) being particularly helpful for achieving high throughput. Clinical outcomes were broadly in line with expectation. 55-56% of patients who had attended at least twice (including the assessment interview) were classified as recovered when they left the services and 5% had improved their employment status. Treatment gains were largely maintained at 10 month follow-up. Opening the services to self-referral appeared to facilitate access for some groups that tend to be underrepresented in general practice referrals. Outcomes were comparable for the different ethnic groups who access the services. Issues for the further development of IAPT are discussed.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Clark DM,Layard R,Smithies R,Richards DA,Suckling R,Wright Bdoi
10.1016/j.brat.2009.07.010subject
Has Abstractpub_date
2009-11-01 00:00:00pages
910-20issue
11eissn
0005-7967issn
1873-622Xpii
S0005-7967(09)00170-3journal_volume
47pub_type
杂志文章abstract：:A randomized controlled trial (N=52) was conducted comparing cognitive-behavioral therapy with a waiting list control group to identify mediators and predictors of treatment outcome. Reduction of weight concerns mediated abstinence of binge eating at post-treatment. Abstinence was marginally mediated by changes in eat...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.brat.2007.06.003
更新日期：2007-11-01 00:00:00
abstract：:This study compared and combined fluoxetine and individual cognitive behavioral therapy in the treatment of bulimia nervosa. Participants were 76 women who sought treatment at the Eating Disorders Program of the Toronto Hospital and who met DSM-III-R criteria for bulimia nervosa. Subjects were randomly assigned to rec...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0005-7967(97)00041-7
更新日期：1997-09-01 00:00:00
abstract：:Social phobics, anxious controls and non-patient controls took part in a brief videotaped conversation with a stooge in order to investigate the cognitive model of social phobia. Thoughts, behaviour, and attention during the conversation were assessed. Compared to the control groups, social phobics had more negative s...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(93)90024-o
更新日期：1993-03-01 00:00:00
abstract：:The purpose of this small pilot study was three-fold: (a) to begin development of a coding scheme for supervisor and therapist skill acquisition, (b) to preliminarily investigate a pilot train-the-trainer paradigm for skill development, and (c) to evaluate self-reported versus observed indicators of skill mastery in t...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2013.12.001
更新日期：2014-02-01 00:00:00
abstract：:Recent studies have shown that avoidance behavior may become excessive and inflexible (i.e., detached from its incentive value and resistant to extinction). On the other hand, prospective intolerance of uncertainty (P-IU) has been defined as a factor leading to excessive responding in uncertain situations. Thus, uncer...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2018.02.008
更新日期：2018-05-01 00:00:00
abstract：:20 patients with somatoform disorders as defined by DSM-IV and 20 healthy controls were examined for their proprioception. Several psychophysiological theories of somatoform disorders suggest biased proprioceptive abilities. The primary question is, whether we may find an inaccurate myogen perception in somatization a...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(00)00108-x
更新日期：2001-12-01 00:00:00
abstract：:Anger is related to violence prior to hospitalization, during hospitalization, and after discharge. Meta-analyses have established treatment efficacy in reducing anger, but few studies have addressed whether reduced anger leads to lowered aggressive behavior. This study concerns individually-delivered anger treatment,...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2014.12.001
更新日期：2015-02-01 00:00:00
abstract：:The purpose of the present study was twofold: First, to test Rachman's (1976) theory (Behaviour Research and Therapy, 14, 125-131) which predicts that "directly" conditioned fears will differ from "indirectly" conditioned fears in magnitude and anxiety response patterns. Secondly, to explore validity issues related to...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(95)00044-x
更新日期：1995-11-01 00:00:00
abstract：OBJECTIVE:Although there is compelling evidence that trauma-focused cognitive behavioral therapy (TF-CBT) is an effective treatment for traumatized youth, we know less about the mechanisms contributing to symptom reduction. To improve the understanding of change mechanisms in TF-CBT, this paper investigates the possibl...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2018.10.010
更新日期：2018-12-01 00:00:00
abstract：:Nineteen of 27 patients suffering from Irritable Bowel Syndrome (IBS) who had completed a multicomponent treatment involving progressive muscle relaxation, thermal biofeedback, cognitive therapy and IBS education were located and evaluated 4 yr posttreatment. Seventeen of 19 (89.5, or 63% of the total original sample)...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(90)90085-w
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:The evidence base for the treatment of adolescents with bulimia nervosa (BN) is limited. AIMS:To assess the feasibility, acceptability, and clinical outcomes of a web-based cognitive-behavioural (CBT) intervention for adolescents with bulimic symptomatology. METHOD:101 participants were recruited from eati...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章
doi：10.1016/j.brat.2009.05.006
更新日期：2009-09-01 00:00:00
abstract：:Fear of spiders, disgust sensitivity, and spiders' disgust-evoking status were assessed in a group of spider phobic girls (n = 22) who applied for treatment, in a group of non-phobic girls (n = 21), and in the parents of both groups of children. The phobic girls were tested both before and after behavioural treatment ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(97)00002-8
更新日期：1997-06-01 00:00:00
abstract：:This paper considers the possible reasons for the relative failure of behavioural treatment for 'ruminations' (obsessional thoughts without overt compulsive behaviour). It is argued that this problem is due to an inadequate conceptualisation of the nature of ruminations and that as a result, exposure and response prev...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(89)90073-9
更新日期：1989-01-01 00:00:00
abstract：:The present study investigated the relationship between anxiety sensitivity and fear of pain in a large group of healthy adolescents (N=200). Participants completed the childhood anxiety sensitivity index for children-revised, a questionnaire measuring four specific domains of anxiety sensitivity: fear of cardiovascul...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(01)00018-3
更新日期：2001-11-01 00:00:00
abstract：:Preferential preattentive processing towards threat has been proposed to play a casual role in the development of anxiety, mainly because it reliably predicts emotional responding to stressful events. However, in the investigation of the predictive value of preferential preattentive processing towards threat, the emot...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2007.03.001
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:The effectiveness of a combined methylphenidate/behavioural treatment (BT) versus methylphenidate-only for Chinese children with Attention-Deficit/Hyperactivity Disorder (ADHD) was tested in routine clinical practice in Hong Kong. METHODS:A randomized group comparison design was adopted with two treatment c...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2008.06.007
更新日期：2008-09-01 00:00:00
abstract：:The psychometric properties of the 27-item Albany Panic and Phobia Questionnaire (APPQ) were evaluated in 1930 outpatients with DSM-IV anxiety and mood disorders. Although prior findings of a 3-factor latent structure were upheld in several replications (Social Phobia, Agoraphobia, Interoceptive), three items failed t...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2004.03.004
更新日期：2005-03-01 00:00:00
abstract：:Previous research has documented the inhibitory effects of worry on cardiovascular reactivity to subsequently presented fear-relevant stimuli. Although theoretical assertions point to the verbal-linguistic (as opposed to imagery-based) nature of worry as the cause of these inhibitory effects, extant research investiga...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103748
更新日期：2020-12-01 00:00:00
abstract：:The development and initial evaluation of a new, comprehensive and multicomponent behavioral treatment (Trauma Management Therapy, or TMT) for chronic combat-related Post-Traumatic Stress Disorder (PTSD) is described. The program utilizes elements of intensive exposure therapy, programmed practice, and structured soci...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(96)00020-4
更新日期：1996-07-01 00:00:00
abstract：:The objective of this study was to investigate the effect of a positive 'mood for sex' on genital and subjective sexual arousal in functional women, using a musical mood induction procedure. Fifty-one female Ss were randomly assigned to one of four conditions: erotic film preceded by mood induction; erotic fantasy pre...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0005-7967(94)00059-s
更新日期：1995-05-01 00:00:00
abstract：:Many smartphone applications (apps) for mental health (MHapps) are available to the public. However, few have been the subject of a randomized controlled trial (RCT), and the change processes that are hypothesized to mediate claimed effects have not been previously studied. This RCT compared the efficacy of three publ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2018.08.003
更新日期：2018-10-01 00:00:00
abstract：:The South Asian region, including Pakistan, reports one of the highest rates of perinatal depression. Effective task-shifting perinatal mental health interventions exist and are gaining attention of policy makers, as a potential solution to bridge the existing treatment gap. However, no specific indicators are availab...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103559
更新日期：2020-07-01 00:00:00
abstract：:Breslau, Peterson, and Shultz (2008) reported that prior trauma alone, in the absence of PTSD, did not predict an increased PTSD risk, relative to no prior trauma. Only prior trauma that resulted in PTSD predicted an increased PTSD risk following a subsequent trauma. Recently, Cougle, Resnick, and Kilpatrick (2009) pr...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2010.07.001
更新日期：2010-10-01 00:00:00
abstract：:Challenges in the prevention of disordered eating field include moving from efficacy to effectiveness and developing an integrated approach to the prevention of eating and weight-related problems. A previous efficacy trial indicated that a universal disordered eating prevention program, based on the social cognitive m...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,多中心研究
doi：10.1016/j.brat.2015.11.010
更新日期：2016-02-01 00:00:00
abstract：:Fear generalization lies at the heart of many anxiety problems, but little is known about the factors that can influence this phenomenon. The present study investigated whether verbal instructions about specific stimulus features can influence conditioned fear generalization. All participants were fear conditioned to ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2009.09.005
更新日期：2010-01-01 00:00:00
abstract：:Past research has largely focused on examining self-esteem as an independent as opposed to a dependent variable. At the same time, research suggests that during adolescence, self-esteem is subject to yearly, monthly, as well as daily change, and consequently, it is important to identify underlying vulnerability factor...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2012.06.002
更新日期：2012-10-01 00:00:00
abstract：:The present paper addresses de Ruiter, Rijken, Garssen, and Kraaimaat's (Behaviour Research and Therapy, 27, 647-655, 1989) interpretation of data pertaining to the efficacy of breathing retraining in the treatment of panic disorder. The proffered reinterpretation of these data makes it clear that breathing retraining...
journal_title：Behaviour research and therapy
pub_type： 评论,杂志文章
doi：10.1016/0005-7967(91)90121-i
更新日期：1991-01-01 00:00:00
abstract：:The current study examined the effects of negative information on the enhancement of childhood fear. A large group of normal primary school children aged between 4 and 12 years (N=285) received either negative or positive information about an unknown, doglike animal, called 'the beast'. Children's fears were assessed ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(01)00137-1
更新日期：2003-02-01 00:00:00
abstract：:Anxiety, depression and stress, often co-occurring, are the psychological problems for which university students most often seek help. Moreover there are many distressed students who cannot, or choose not to, access professional help. The present study evaluated the efficacy of an internet-based guided self-help progr...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2013.03.003
更新日期：2013-07-01 00:00:00
abstract：:Elevated brain reward and attention region response, and weaker inhibitory region response to high-calorie food images have been found to predict future weight gain. These findings suggest that an intervention that reduces reward and attention region response and increases inhibitory control region response to such fo...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2017.04.007
更新日期：2017-07-01 00:00:00
