Abstract:
:Patients with treatment-resistant depression received up to 8 sessions of metacognitive therapy (MCT) targeting attentional control, rumination, worry, and metacognitive beliefs. A baseline period was followed by weekly sessions with follow-up assessments at 6 and 12 months post treatment. Large and statistically significant improvements occurred in all symptom measures at post treatment and were maintained over follow-up. Two out of 3 process measures significantly improved at post treatment and all of these measures were improved at follow-up. Treatment was associated with similar response rates on the BDI and Hamilton rating scale. Using liberal criteria 80% of completers were classified as recovered at post treatment and 70% at follow-up on the BDI. In the intention to treat sample 66.6% were recovered at post treatment and 58.3% at follow-up. More stringent criteria showed 60% recovery rates at post treatment and at 12 m. The results suggest that MCT could be a brief and effective treatment and they provide a precedent for more definitive randomized controlled trials.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Wells A,Fisher P,Myers S,Wheatley J,Patel T,Brewin CRdoi
10.1016/j.brat.2012.02.004subject
Has Abstractpub_date
2012-06-01 00:00:00pages
367-73issue
6eissn
0005-7967issn
1873-622Xpii
S0005-7967(12)00031-9journal_volume
50pub_type
临床试验,杂志文章abstract::Clark and Wells' (1995): 'A cognitive model of social phobia'. In Social phobia: Diagnosis, assessment, and treatment (pp. 69-93), R. G. Heimberg, M. R. Liebowitz, D. A. & F. R. Hope (eds.); cognitive model of social phobia proposes that social phobics generate a negative impression of how they appear to others. This ...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章
doi:10.1016/s0005-7967(98)00150-8
更新日期:1999-07-01 00:00:00
abstract::Avoidance behaviors are central to the anxiety disorders and implicated in many other forms of psychopathology, but the reinforcing mechanism of avoidance remains largely elusive. It has been suggested that subjective relief during successful omission of threat may serve as a reinforcer and contribute to the developme...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2019.103526
更新日期:2020-01-01 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::Ley (Behaviour Research and Therapy, 29, 301-304, 1991) provided a reinterpretation of experimental findings on the efficacy of breathing retraining plus cognitive restructuring in reducing the symptomatology of patients with panic disorder with agoraphobia which were presented in a 1989 article in this journal. On th...
journal_title:Behaviour research and therapy
pub_type: 评论,杂志文章
doi:10.1016/0005-7967(92)90010-e
更新日期:1992-11-01 00:00:00
abstract::Rumination about body weight/figure as well as food is common in patients with Anorexia Nervosa (AN) and may be a maintenance factor of the disorder. While rumination can generally be considered as a cognitive-affective process, food-related rumination may be driven primarily by a physiological response to undernutrit...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2018.10.001
更新日期:2018-12-01 00:00:00
abstract::Using a mixed within-between design, this study was designed to evaluate the sensorial and cognitive/evaluative aspects of bronchoconstriction induced by progressive methacholine inhalation. 25 asthmatic patients and 15 normal controls were given two consecutive bronchoconstriction tests, inducing a fall of > 30% of t...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(94)90016-7
更新日期:1994-07-01 00:00:00
abstract::Re-exposure to the unconditioned stimulus (US) following fear extinction in the laboratory produces reinstatement of fear. Similarly in clinical situations, anxiety patients may experience adverse events that reinstate fear following successful exposure therapy. The current study employed two USs, shock and loud noise...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2012.02.005
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:The cognitive theory of personality disorders hypothesizes that the emotional dysregulation and interpersonal problems in individuals with borderline personality disorder (BPD) are, at least partially, caused by dysfunctional cognitive schemas. These schemas lead to biased evaluation of environmental and int...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2009.02.003
更新日期:2009-05-01 00:00:00
abstract::We examined data from a community survey of trauma exposure and DSM-IV PTSD in Winnipeg, Canada to explore factors associated with the higher rate of PTSD in women than men. Women were found to be at significantly increased risk for PTSD following exposure to serious trauma (odds ratio approximately 5), even when sexu...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(99)00098-4
更新日期:2000-06-01 00:00:00
abstract::The attempted control of intrusive, uncontrollable thoughts has been implicated in the maintenance of a range of psychological disorders. The current paper describes the refinement of the Thought Control Questionnaire Insomnia (TCQI; Behav. Cogn. Psychoth. 29 (2001)) through its administration to a sample (n=385) incl...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2004.07.003
更新日期:2005-08-01 00:00:00
abstract::Binge exposure with response-prevention of bingeing (ERP-B) was evaluated in 20 female Ss within an inpatient eating disorders unit over 9 sessions as an adjunct to standard milieu therapy. Subjects met DSM-III-R criteria for either bulimia nervosa (BN) (n = 13) or the bulimic subtype of anorexia nervosa (AN-B) (n = 7...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(95)00011-l
更新日期:1995-07-01 00:00:00
abstract::Theoretical models in anorexia nervosa (AN) implicate difficulties with emotion regulation as a maintaining factor. To date little is known about how different factors might maintain these difficulties. Forty eight women were recruited, 24 receiving treatment for AN (called broadly defined AN) and 24 healthy controls....
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2013.04.005
更新日期:2013-08-01 00:00:00
abstract::The role of avoidance behavior in perpetuating the experience of intrusive thoughts among burn survivors was investigated. The Impact of Events Scale (IES), which has subscales that measure the frequency of intrusive thoughts and avoidance behavior, was administered to burn survivors (n = 23) upon discharge and four m...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(96)00019-8
更新日期:1996-08-01 00:00:00
abstract::Potential threat can prime defensive responding and avoidance behavior, which may result in the loss of rewards. When aversive consequences do not occur, avoidance should, thus, be quickly overcome in healthy individuals. This study examined the impact of threat anticipation on reward-based decisions. Sixty-five parti...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2017.01.003
更新日期:2017-09-01 00:00:00
abstract::This paper describes the development of the Child Dental Control Assessment (CDCA), a situationally-specific measure of control strategies for school-age children visiting the dentist. A pilot proceeded two definitive studies. In the pilot, the instructions and a battery of items were pretested. The first study was wi...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(96)00057-i
更新日期:1996-01-01 00:00:00
abstract::Body checking has been conceptualized as a behavioral manifestation of the core overvaluation of eating, shape, and weight concerns underlying eating disorder psychopathology. Cognitive-behavioral theories suggest that body checking behaviors may function to maintain dietary restriction. The current study examined the...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2013.05.004
更新日期:2013-08-01 00:00:00
abstract::This paper describes a preliminary experimental evaluation of a technique intended to help people suffering from chronic back pain and low pain acceptance to alter the aversiveness or threat value of their persisting pain. Using a multiple baseline cross-over design six individuals with chronic back pain were taught t...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2009.05.003
更新日期:2009-08-01 00:00:00
abstract::This article presents a psychometric evaluation of the Claustrophobia Scale (CS), consisting of one subscale for measuring anxiety (20 items, 0-4) and one for avoidance (18 items, 0-2). Participants were 87 claustrophobic patients and 200 normal controls randomly selected from the community. The results show that CS h...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,多中心研究
doi:10.1016/j.brat.2004.10.004
更新日期:2007-05-01 00:00:00
abstract::The study compared the effects of Acceptance and Commitment Therapy (ACT) with Tinnitus Retraining Therapy (TRT) on tinnitus impact in a randomised controlled trial. Sixty-four normal hearing subjects with tinnitus were randomised to one of the active treatments or a wait-list control (WLC). The ACT treatment consiste...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2011.08.001
更新日期:2011-11-01 00:00:00
abstract::Memories of negative emotional events persist more over time relative to memories for neutral information. Such persistence has been attributed to heightened encoding and consolidation processes. However, reactivation of the encoded information may also lead to reduced memory decay through rehearsal or a reconsolidati...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2020.103752
更新日期:2020-12-01 00:00:00
abstract::The psychological consequences of bullying have been the focus of much research over the last 25 years. However, the relationship between bullying and psychotic experiences has been relatively ignored despite the weight of evidence which suggests that traumatic events in childhood are significantly related to psychoti...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2006.11.009
更新日期:2007-07-01 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::The current study assessed the processing of facial displays of emotion (Happy, Disgust, and Neutral) of varying emotional intensities in participants with high vs. low social anxiety. Use of facial expressions of varying intensities allowed for strong external validity and a fine-grained analysis of interpretation bi...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2007.08.006
更新日期:2007-12-01 00:00:00
abstract::Ehlers and Clark [(2000). A cognitive model of post-traumatic stress disorder. Behaviour Research and Therapy, 38, 319-345] cognitive model of post-traumatic stress disorder (PTSD) has been relatively untested with children. Seventy-five children (7-16 years) were interviewed within 4 weeks of an injury that led to ho...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2008.02.008
更新日期:2008-06-01 00:00:00
abstract::Metacognitive models theorize that more negative appraisals of craving-related thoughts and feelings, and greater efforts to avoid or control these experiences, exacerbate suffering and increase chances the person will use substances to obtain relief. Thus far, little research has examined how attempts to quit smoking...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2014.05.003
更新日期:2014-08-01 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::Beck, Epstein, Harrison and Emery (unpublished manuscript, 1983) developed the Sociotropy-Autonomy Scale (SAS) to assess personality constructs that were considered possible vulnerability factors to reactive depression. Principal components and factor analyses of an expanded 93-item version of the SAS were performed w...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(94)00074-t
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:Elevated levels of anxiety and panic are common in respiratory disease. To date the cognitive-behavioural model of panic has been utilised to help explain and manage panic in respiratory disease. This cross-sectional study investigated the relationship between illness perceptions and panic in chronic obstruc...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2008.10.004
更新日期:2009-01-01 00:00:00
abstract::Chronic pain is a significant public health problem associated with functional impairment, increased medical expenditures, and opioid misuse. Recent work has suggested that certain transdiagnostic psychosocial factors may be more important than pain intensity to better understand pain and opioid outcomes. Specifically...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2020.103786
更新日期:2021-01-01 00:00:00
abstract::It has been suggested that an increased attentional focus on the mother should be maladaptive in middle childhood. However, the effect of a more narrow attentional field around the mother may depend on the mother-child relationship. The current study tested whether a more narrow attentional field around the mother is ...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2016.12.002
更新日期:2017-03-01 00:00:00