Therapy contamination as a measure of therapist treatment adherence in a trial of cognitive behaviour therapy versus befriending for psychosis.

Abstract:

BACKGROUND:High quality randomized controlled trials (RCT) of psychotherapeutic interventions should ensure that the therapy being tested is what is actually delivered. However, contamination of one therapy into the other, a critical component of treatment adherence, is seldom measured in psychotherapy trials of psychosis. AIMS:The aim of the study was to determine whether a purpose-designed measure, the ACE Treatment Integrity Measure (ATIM) could detect therapy contaminations within a controlled trial of cognitive behavioural therapy (CBT) versus Befriending for first-episode psychosis and to compare the ATIM to a more traditional adherence measure, the Cognitive Therapy Scale (CTS). METHOD:Therapy sessions were audio-recorded and at least one therapy session from 53 of the 62 participants in the RCT was rated by an independent rater using the CTS and ATIM. RESULTS:Ninety-nine therapy sessions were rated. All Befriending sessions and all but three CBT sessions were correctly identified. The ATIM showed that 29 of the 99 (29%) sessions were contaminated by techniques from the other therapy. Within the CBT sessions, 19 of the 51 sessions (37%) were contaminated by one or more Befriending techniques. Of the Befriending sessions, 10 of 48 (21%) were contaminated by ACE techniques. The mean CTS score was higher in the CBT than the Befriending group. CONCLUSIONS:The ATIM was able to detect contaminations and revealed more meaningful, fine-grained analysis of what therapy techniques were being delivered and what contaminations occurred. The study highlights the benefit of employing purpose-designed measures that include contamination when assessing treatment adherence.

journal_name

Behav Cogn Psychother

authors

Bendall S,Allott K,Jovev M,Marois MJ,Killackey EJ,Gleeson JF,Alvarez-Jimenez M,McGorry PD,Jackson HJ

doi

10.1017/S1352465813000921

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

314-27

issue

3

eissn

1352-4658

issn

1469-1833

pii

S1352465813000921

journal_volume

43

pub_type

临床试验,杂志文章,随机对照试验
  • The map of cognitive processes in boredom: multiple mediation models.

    abstract:BACKGROUND:Trait boredom is associated with several internalizing and externalizing problems. Addressing existing research gaps in the field, the present study investigated the map of cognitive processes for boredom, based on the rational emotive behaviour therapy model (REBT). AIMS:The general aim of the study was to...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000867

    authors: Milea I,Cardoş RAI,David D

    更新日期:2020-12-16 00:00:00

  • Training frontline mental health staff to deliver "low intensity" psychological therapy for psychosis: a qualitative analysis of therapist and service user views on the therapy and its future implementation.

    abstract:BACKGROUND:Increasing access to evidence-based talking therapies for people with psychosis is a national health priority. We have piloted a new, "low intensity" (LI) CBT intervention specifically designed to be delivered by frontline mental health staff, following brief training, and with ongoing supervision and suppor...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000908

    authors: Waller H,Garety P,Jolley S,Fornells-Ambrojo M,Kuipers E,Onwumere J,Woodall A,Craig T

    更新日期:2015-05-01 00:00:00

  • Cognitive behavioural responses to envy: development of a new measure.

    abstract:BACKGROUND:Envy is depicted as motivating destructive desires and actions intended to spoil or destroy that which is envied. AIM:To develop a new valid and reliable measure of malicious envy (C-BRES), which included items representing the cognitive, emotional and behavioural responses empirically associated with this ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000614

    authors: Jordan C,Vitoratou S,Siew Y,Chalder T

    更新日期:2020-07-01 00:00:00

  • The mediating role of early maladaptive schemas in the relation between quality of attachment relationships and symptoms of depression in adolescents.

    abstract:BACKGROUND:Quality of attachment relations between adolescents and their parents and peers may be related to early maladaptive schemas as well as to symptoms of depression. AIMS:The aim of the current study was to assess whether schema domains and maladaptive schemas mediate the relation between indices of quality of ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465811000117

    authors: Roelofs J,Lee C,Ruijten T,Lobbestael J

    更新日期:2011-07-01 00:00:00

  • Behavioural and Cognitive Psychotherapy: A Descriptive Review (2000 to July 2016).

    abstract:BACKGROUND:The Behavioural and Cognitive Psychotherapy (BCP) Journal is the main academic publication of the British Association for Behavioural and Cognitive Psychotherapies. It publishes empirical studies, reviews and theoretical papers, brief reports and single cases. AIM:To describe the main areas of interest and ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000121

    authors: Caro Gabalda I

    更新日期:2017-07-01 00:00:00

  • Exploring the Associations between Social Rank and External Shame with Experiences of Psychosis.

    abstract:BACKGROUND:Low social rank and external shame have been found to be significantly associated with anxiety and depression. However, their relevance to experiences of psychosis has rarely been explored. AIMS:This study aims to examine the relationship of social rank and external shame to personal recovery, depression an...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465815000570

    authors: Wood L,Irons C

    更新日期:2016-09-01 00:00:00

  • Preliminary Findings of a New Primary and Community Care Psychological Service in Northern Ireland: Low-Intensity Cognitive Behavioural Therapy for Common Mental Health Difficulties.

    abstract:BACKGROUND:The prevalence of mental health difficulties in Northern Ireland (NI) is significantly higher than in England. In recent years, there have been extensive consultations, and subsequent recommendations made in NI in an effort to address this. AIMS:The current study aims to evaluate the effectiveness of an 'Im...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465818000322

    authors: McDevitt-Petrovic O,Kirby K,McBride O,Shevlin M,McAteer D,Gorman C,Murphy J

    更新日期:2018-11-01 00:00:00

  • An open trial in the NHS of Blues Begone: a new home based computerized CBT program.

    abstract:BACKGROUND:Computer based treatment for depression and anxiety has been available for several years and has demonstrated useful clinical effects. Most existing computerized CBT products in the UK that are designed to treat depression and co-morbid anxiety require patients to visit a clinic and require staff input to ma...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465809990282

    authors: Purves DG,Bennett M,Wellman N

    更新日期:2009-10-01 00:00:00

  • Temporal patterns of change in panic disorder during cognitive behaviour therapy: an Indian study.

    abstract:BACKGROUND:CBT has been proven to be effective in the treatment of panic disorder; however, attempts to study the process of change are limited. AIM:The study evaluated the temporal patterns of change in the panic symptoms, cognitions, behaviours, and anxiety sensitivity in subjects with panic disorder being treated w...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465813000635

    authors: Manjula M,Prasadarao PS,Kumaraiah V,Raguram R

    更新日期:2014-09-01 00:00:00

  • Virtual Reality Exposure Therapy for the Treatment of Dental Phobia: A Controlled Feasibility Study.

    abstract:BACKGROUND:Virtual reality exposure therapy (VRET) has been used to treat a variety of fears and phobias. AIM:To determine the feasibility (i.e. safety and efficacy) of using VRET to treat dental phobia. METHOD:Safety was evaluated by determining any adverse events or symptom exacerbation. Efficacy of VRET was evalua...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000534

    authors: Gujjar KR,van Wijk A,Sharma R,de Jongh A

    更新日期:2018-05-01 00:00:00

  • What are Clients Asking Their Therapist During Therapist-Assisted Internet-Delivered Cognitive Behaviour Therapy? A Content Analysis of Client Questions.

    abstract:BACKGROUND:Although internet-delivered cognitive behaviour therapy (ICBT) yields large clinical outcomes when accompanied by therapeutic support, a portion of clients do not benefit from treatment. In ICBT, clients review treatment materials online typically on a weekly basis. A key component of therapist-assistance in...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465818000668

    authors: Soucy JN,Hadjistavropoulos HD,Pugh NE,Dear BF,Titov N

    更新日期:2019-07-01 00:00:00

  • The Development and Evaluation of the Psychometric Properties of the Negative Beliefs about Post-Event Processing Scale.

    abstract:BACKGROUND:Although negative beliefs have been found to be associated with worry symptoms and depressive rumination, negative beliefs have yet to be examined in relation to post-event processing and social anxiety symptoms. AIMS:The purpose of the current study was to examine the psychometric properties of the Negativ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000340

    authors: Rodriguez H,Kissell K,Lucas L,Fisak B

    更新日期:2017-11-01 00:00:00

  • Feasibility and preliminary efficacy of dialectical behaviour therapy skills groups for Veterans with suicidal ideation: pilot.

    abstract:BACKGROUND:Veterans are at high risk for suicide; emotion dysregulation may confer additional risk. Dialectical behaviour therapy (DBT) is a well-supported intervention for suicide attempt reduction in individuals with emotion dysregulation, but is complex and multi-component. The skills group component of DBT (DBT-SG)...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465819000122

    authors: Decker SE,Adams L,Watkins LE,Sippel LM,Presnall-Shvorin J,Sofuoglu M,Martino S

    更新日期:2019-09-01 00:00:00

  • The role of predisposition to hallucinations on non-clinical paranoid vs. socially anxious individuals after hearing negative affective-laden sounds: an experimental investigation.

    abstract:BACKGROUND:Research suggested that negative affective-laden sounds act as environmental stressors that elicit negative affect (Bradley and Lang, 2000a). AIMS:We tried to test for the role of an interaction between predisposition to hallucinatory experiences and exposure to negative affective laden sounds for the prese...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000483

    authors: Lopes B,Pinto-Gouveia J

    更新日期:2013-03-01 00:00:00

  • An empirical study of defensive avoidance in paranoia.

    abstract:BACKGROUND:There is controversy as to whether psychological defensive avoidance is associated with paranoia. AIMS:To elucidate whether "Poor-me" paranoid patients, who believe that the persecution they perceive is undeserved, show more prominent avoidance of negative thoughts about themselves than healthy and clinical...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000805

    authors: Moutoussis M,El-Deredy W,Bentall RP

    更新日期:2015-03-01 00:00:00

  • Assessing Competence in Collaborative Case Conceptualization: Development and Preliminary Psychometric Properties of the Collaborative Case Conceptualization Rating Scale (CCC-RS).

    abstract:BACKGROUND:Case conceptualization is assumed to be an important element in cognitive-behavioural therapy (CBT) because it describes and explains clients' presentations in ways that inform intervention. However, we do not have a good measure of competence in CBT case conceptualization that can be used to guide training ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465814000691

    authors: Kuyken W,Beshai S,Dudley R,Abel A,Görg N,Gower P,McManus F,Padesky CA

    更新日期:2016-03-01 00:00:00

  • Does perfectionism impact adherence to homework assignment? A preliminary pilot study of perfectionism and procrastination of CBT homework.

    abstract:BACKGROUND:Homework assignments are generally viewed as an important factor of cognitive behaviour therapy (CBT). AIM:This study examined whether perfectionists procrastinate homework assignments. METHOD:Thirty-eight university students attended two sessions, 7 days apart from each other. After completing perfectioni...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465819000547

    authors: Kobori O,Dighton G,Hunter R

    更新日期:2020-03-01 00:00:00

  • Comparing two brief psychological interventions to usual care in panic disorder patients presenting to the emergency department with chest pain.

    abstract:BACKGROUND:Panic disorder (PD) is a common, often unrecognized condition among patients presenting with chest pain to the emergency departments (ED). Nevertheless, psychological treatment is rarely initiated. We are unaware of studies that evaluated the efficacy of brief cognitive-behavioural therapy (CBT) for this pop...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1017/S1352465811000506

    authors: Lessard MJ,Marchand A,Pelland MÈ,Belleville G,Vadeboncoeur A,Chauny JM,Poitras J,Dupuis G,Fleet R,Foldes-Busque G,Lavoie KL

    更新日期:2012-03-01 00:00:00

  • Imagery rescripting for the treatment of trauma in voice hearers: a case series.

    abstract:BACKGROUND:High rates of trauma and post-traumatic stress disorder (PTSD) are reported in people who hear voices (auditory hallucinations). A recent meta-analysis of trauma interventions in psychosis showed only small improvements in PSTD symptoms and voices. Imagery Rescripting (ImRs) may be a therapy that is more eff...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000237

    authors: Paulik G,Steel C,Arntz A

    更新日期:2019-11-01 00:00:00

  • Exploring perceptions of "wellness" in black ethnic minority individuals at risk of developing psychosis.

    abstract:BACKGROUND:The NICE Schizophrenia guidelines (NICE, 2009, Update) recommend that services should address cultural differences in treatment, expectations and adherence, and clients' explanatory models of illness should be better understood. Service users from Black African and Black Caribbean communities are overreprese...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000707

    authors: Codjoe L,Byrne M,Lister M,McGuire P,Valmaggia L

    更新日期:2013-03-01 00:00:00

  • Brief mindfulness-based therapy for chronic tension-type headache: a randomized controlled pilot study.

    abstract:BACKGROUND:Mindfulness-based therapy (MBT) has been demonstrated to be effective for reducing chronic pain symptoms; however, the use of MBT for Chronic Tension-Type Headache (CTH) exclusively has to date not been examined. Typically, MBT for chronic pain has involved an 8-week program based on Mindfulness Based Stress...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465813000234

    authors: Cathcart S,Galatis N,Immink M,Proeve M,Petkov J

    更新日期:2014-01-01 00:00:00

  • Why do patients with psychosis listen to and believe derogatory and threatening voices? 21 reasons given by patients.

    abstract:BACKGROUND:Around two-thirds of patients with auditory hallucinations experience derogatory and threatening voices (DTVs). Understandably, when these voices are believed then common consequences can be depression, anxiety and suicidal ideation. There is a need for treatment targeted at promoting distance from such voic...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000429

    authors: Sheaves B,Johns L,Griffith L,Isham L,McPin Hearing Voices Lived Experience Advisory Panel.,Kabir T,Freeman D

    更新日期:2020-11-01 00:00:00

  • Socialization to the model: the active component in the therapeutic alliance? A preliminary study.

    abstract:BACKGROUND:Therapeutic alliance has been found to be a significant predictor of outcome in psychotherapy yet what constitutes therapeutic alliance remains unclear. Examining the common constructs of therapeutic alliance, it is possible that there may be a conceptual overlap between active components of therapeutic alli...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465810000792

    authors: Daniels J,Wearden AJ

    更新日期:2011-03-01 00:00:00

  • The Negative Effects Questionnaire: psychometric properties of an instrument for assessing negative effects in psychological treatments.

    abstract:BACKGROUND:Psychological treatments provide many benefits for patients with psychiatric disorders, but research also suggests that negative effects might occur from the interventions involved. The Negative Effects Questionnaire (NEQ) has previously been developed as a way of determining the occurrence and characteristi...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000018

    authors: Rozental A,Kottorp A,Forsström D,Månsson K,Boettcher J,Andersson G,Furmark T,Carlbring P

    更新日期:2019-09-01 00:00:00

  • Adapted CBT to Stabilize Sleep on Psychiatric Wards: a Transdiagnostic Treatment Approach.

    abstract:BACKGROUND:Almost all patients admitted at acute crisis to a psychiatric ward experience clinically significant symptoms of insomnia. Ward environments pose challenges to both sleep and the delivery of therapy. Despite this, there is no description of how to adapt cognitive behavioural therapy (CBT) for insomnia to ove...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000789

    authors: Sheaves B,Isham L,Bradley J,Espie C,Barrera A,Waite F,Harvey AG,Attard C,Freeman D

    更新日期:2018-11-01 00:00:00

  • Cognitive-behavioural bibliotherapy for hypochondriasis: a pilot study.

    abstract:AIMS:The present study aims to determine whether cognitive-behavioural minimal contact bibliotherapy is acceptable to participants suffering from DSM-IV-TR hypochondriasis, and whether this intervention is able to reduce hypochondriacal complaints, as well as comorbid depressive complaints and trait anxiety. METHOD:Pa...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465809005293

    authors: Buwalda FM,Bouman TK

    更新日期:2009-05-01 00:00:00

  • An N = 1 evaluation of enhanced CBT supervision.

    abstract:BACKGROUND:Clinical supervision plays an essential role in the development of mental health professionals and is increasingly viewed as a discrete professional specialization. However, research has rarely addressed core issues such as the measurement and manipulation of clinical supervision, so there are very few direc...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000434

    authors: Milne DL,Reiser RP,Cliffe T

    更新日期:2013-03-01 00:00:00

  • Internet-delivered Cognitive Behaviour Therapy for Depressive Symptoms: An Exploratory Examination of Therapist Behaviours and their Relationship to Outcome and Therapeutic Alliance.

    abstract:BACKGROUND:A previous study of therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) for generalized anxiety (Paxling et al., 2013) identified eight distinct therapist behaviours in ICBT (task reinforcement, self-efficacy shaping, task prompting, alliance bolstering, psychoeducation, empathetic utter...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465816000254

    authors: Schneider LH,Hadjistavropoulos HD,Faller YN

    更新日期:2016-11-01 00:00:00

  • Perceived group climate as a predictor of long-term outcome in a randomized controlled trial of cognitive-behavioural group therapy for patients with comorbid psychiatric disorders.

    abstract:BACKGROUND:Research on group therapy indicates that various dimensions of the helpful relationship qualities (cohesion, climate, empathy, alliance) are associated with outcome. However, the use of a wide variety of empirical scales makes comparisons between studies as well as generalizations somewhat difficult. Althoug...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465809990208

    authors: Ryum T,Hagen R,Nordahl HM,Vogel PA,Stiles TC

    更新日期:2009-10-01 00:00:00

  • Positive schemas in schema therapy with older adults: clinical implications and research suggestions.

    abstract:BACKGROUND:Schema therapy is an effective treatment for borderline personality disorder and other complex disorders. Schema therapy is feasible in older adults, and the first empirical support for its effectiveness in later life was provided in older patients with a cluster C personality disorder. The central concept o...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,评审

    doi:10.1017/S1352465820000077

    authors: Videler AC,van Royen RJJ,Legra MJH,Ouwens MA

    更新日期:2020-07-01 00:00:00