Abstract:
BACKGROUND:Case formulation (CF) is considered a core component of cognitive behavioural therapy (CBT). Despite this, few studies have explored the content and quality of CFs in routine practice and any associated impact on treatment outcome. AIMS:This study investigated (1) the content, timing and quality of CF for patients (N = 29) with Obsessive Compulsive Disorder; (2) the impact of CF on symptoms, distress and therapeutic alliance; and (3) the relationship between CF quality and treatment outcome. METHOD:CF content and quality were assessed from audiotapes of routine CBT sessions using a validated coding manual and evaluated against treatment outcomes at different stages of therapy. RESULTS:CFs were developed early during treatment and contained strong behavioural and cognitive components, with a focus on symptoms and maintaining factors. CF quality ratings ranged from rudimentary to excellent. A significant improvement in distress and the therapeutic alliance occurred following the introduction of CF, but no significant relationship was found between CF quality and outcome at any stage of treatment. CONCLUSION:CF may be valuable in reducing patient attrition, due to its impact early in treatment. Further research is needed to explore the most important components of CF. Theoretically sound and disorder specific measurement tools for evaluating CFs are required.
journal_name
Behav Cogn Psychotherjournal_title
Behavioural and cognitive psychotherapyauthors
Nattrass A,Kellett S,Hardy GE,Ricketts Tdoi
10.1017/S135246581400006Xsubject
Has Abstractpub_date
2015-09-01 00:00:00pages
590-601issue
5eissn
1352-4658issn
1469-1833pii
S135246581400006Xjournal_volume
43pub_type
临床试验,杂志文章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
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Enhanced Cognitive Behaviour Therapy (CBT-E) (Fairburn, Cooper and Shafran, 2003) was developed as a treatment approach for eating disorders focusing on both core psychopathology and additional maintenance mechanisms. AIMS:To evaluate treatment outcomes associated with CBT-E in a NHS Eating Disorders Servic...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465814000393
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Social phobia frequently occurs as a comorbid condition, with high rates reported among people with psychosis. Little is known about the nature of social anxiety in this population or whether current psychological theories apply. AIMS:This paper aims to develop and pilot a suitable measure to explore imager...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465811000439
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Self-regulatory executive function theory (Wells and Matthews, 1994; Wells, 2008) stresses the role of metacognitions in the development of emotional disorders. Within this metacognitive model, positive beliefs about ruminative thinking are thought to be a risk factor for engaging in rumination and subsequen...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465813000325
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:The phenomenological heterogeneity of auditory hallucinations (AHs) means individual models struggle to account for all aspects of the experience. One alternative is that distinct subtypes of AHs exist, with each requiring their own unique explanatory model and tailored cognitive behavioural intervention str...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465813000714
更新日期:2015-01-01 00:00:00
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
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:While exposure therapy effectively reduces anxiety associated with specific phobias, not all individuals respond to treatment and some will experience a return of fear after treatment ceases. AIMS:This study aimed to test the potential benefit of increasing the intensity of exposure therapy by adding an ext...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1017/S1352465818000437
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Physical injury and psychological trauma associated with combat in the wars in Iraq and Afghanistan frequently lead to a constellation of symptoms including pain, post traumatic stress disorder (PTSD), and depression. METHOD:This single case study describes the application of a behaviorally-based psychother...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1017/S1352465810000081
更新日期:2010-05-01 00:00:00
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
更新日期:2009-10-01 00:00:00
abstract:BACKGOUND:Limited data suggest that crime may have a devastating impact on older people. Although identification and treatment may be beneficial, no well-designed studies have investigated the prevalence of mental disorder and the potential benefits of individual manualized CBT in older victims of crime. AIMS:To ident...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1017/S1352465814000514
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Body dysmorphic disorder (BDD) is relatively common in adolescents and can have serious negative consequences. However, the treatment of BDD in young people has received virtually no empirical attention to date, and the evidence-base for cognitive behaviour therapy (CBT) in this population is limited to a sm...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465812000100
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Research suggests that core schemas are important in both the development and maintenance of psychosis. AIMS:The aim of the study was to investigate and compare core schemas in four groups along the continuum of psychosis and examine the relationships between schemas and positive psychotic symptomatology. ...
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/S1352465813000593
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Individuals with generalized anxiety disorder (GAD) have elevated intolerance of uncertainty (IU) and anger, and IU mediates the relationship between GAD symptoms and anger. AIMS:The current pilot study examined whether group cognitive behavioural therapy (CBT) improves anger in people with GAD, and the deg...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 临床试验,杂志文章
doi:10.1017/S1352465819000249
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Cognitive Behavioural Therapy (CBT) aims to teach people skills to help them self-manage their depression. Trial evidence shows that CBT is an effective treatment for depression and individuals may experience benefits long-term. However, there is little research about individuals' continued use of CBT skills...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1017/S1352465816000382
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Social anxiety disorder (SAD) is common in youths. However, our understanding of SAD in children is inferior to that of SAD in adolescents or adults, and it is unclear if known adult SAD maintenance mechanisms may also operate in children with SAD. AIM:The paper sets out to investigate the specificity of po...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465820000430
更新日期:2020-07-28 00:00:00
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
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Cognitive behavior therapy (CBT) has been found to be generally effective for persons with schizophrenia. Less is known however about those who will engage in this treatment, and among those who engage, who benefits more versus less from this intervention. AIMS:This study sought to identify factors associat...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1017/S1352465813000428
更新日期:2014-09-01 00:00:00
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
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:The importance of supervision is increasingly recognized, yet it remains little understood, impairing research and practice. Specifically, the CBT supervision model provides a relatively "heartless" account of professional development, which may undermine its effectiveness. METHOD:A theoretical review of em...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S135246580900513X
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:There is little consensus as to whether agoraphobic avoidance in panic disorder is characterized by a prominence of particular symptoms and interpretations of those symptoms. AIMS:We sought to clarify the relationship between symptoms and agoraphobic avoidance and to establish whether catastrophic interpret...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S135246581000007X
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:While suppression is associated with detrimental post-traumatic psychological adjustment, research has not considered the effect of culture on this relationship. AIMS:This study investigated cultural differences in the effects of expressive suppression, whilst watching a traumatic film, on subjective distre...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1017/S1352465820000508
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Assessment and treatment of cohabiting monozygotic (MZ) twins with obsessive compulsive disorder (OCD) is a possible challenge for clinical psychologists. AIMS:This study aims to present a detailed history of two sets of cohabiting MZ twins with OCD, and describe the adaption of cognitive behavior therapy i...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465809990117
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Cognitive theorists posit that inflated responsibility beliefs contribute to the development of obsessive compulsive disorder (OCD). Salkovskis et al. (1999) proposed that experiencing heightened responsibility, overprotective parents and rigid rules, and thinking one influenced or caused a negative life eve...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465817000844
更新日期:2018-05-01 00:00:00
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
更新日期:2018-05-01 00:00:00
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
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Controversy continues to exist regarding how EMDR works and whether its mechanisms differ from those at work in standard exposure techniques. AIMS:To investigate first whether eye movement bilateral stimulation is an essential component of EMDR and, second, the current status of its theoretical basis. METH...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,评审
doi:10.1017/S1352465812000793
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:The cognitive behavioural (CB) model of health anxiety proposes parental illness leads to elevated health anxiety in offspring by promoting the acquisition of specific health beliefs (e.g. overestimation of the likelihood of illness). AIMS:Our study tested this central tenet of the CB model. METHOD:Partici...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465814000319
更新日期:2016-01-01 00:00:00
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
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:A number of strategies used to regulate positive affect (i.e. dampening and positive rumination) have been identified as having particular relevance to hypomanic personality (a proxy measure of mania risk). However, previous findings have been mixed and it is suggested that this may be the result of lack of ...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465820000855
更新日期:2020-12-09 00:00:00
abstract:BACKGROUND:Clark and Wells' (1995) cognitive model of social anxiety (CWM) explains the maintenance of social anxiety and has been used as a guide for treatment of Social Anxiety Disorder (SAD). Few studies have examined the components of the model together across different samples. AIMS:This study had two distinct ai...
journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章
doi:10.1017/S1352465815000685
更新日期:2016-07-01 00:00:00