Behavioural and Cognitive Psychotherapy最新文献_第5页

Building resilience in the Improving Access to Psychological Therapy (IAPT) Psychological Wellbeing Practitioner (PWP) role: a qualitative grounded theory study. 提高心理治疗（IAPT）心理健康从业者（PWP）角色中的复原力建设：一项定性基础理论研究。

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-08-07 DOI: 10.1017/S1352465823000334

Marco Vivolo, Joel Owen, Paul Fisher

{"title":"Building resilience in the Improving Access to Psychological Therapy (IAPT) Psychological Wellbeing Practitioner (PWP) role: a qualitative grounded theory study.","authors":"Marco Vivolo, Joel Owen, Paul Fisher","doi":"10.1017/S1352465823000334","DOIUrl":"10.1017/S1352465823000334","url":null,"abstract":"Aim: Staff retention, particularly in the Psychological Wellbeing Practitioner (PWP) workforce, has historically been challenging for Improving Access to Psychological Therapy (IAPT) services. This study sought to develop an explanatory model of the resilience-building process in PWPs working within the IAPT programme.Method: A qualitative design was conducted, using a grounded theory methodology. Participants were recruited from two IAPT services in the National Health Service (NHS), which were part of the same Mental Health Trust. Ten PWPs were interviewed via videoconferencing using semi-structured interviews.Results: An explanatory model of resilience in PWPs encompassed three phases: the experience of work-related challenges, the connection with their values and the related appraisal of adversity in resilient ways, and the implementation of effective coping strategies.Conclusions: The model highlights that PWPs develop resilience through values-based sensemaking and by proactively engaging in effective coping mechanisms. This study contributes to the current understanding of the process of resilience in PWPs. More research is needed to explore the developmental processes underlying PWPs' resilience. The implications of the findings in relation to existing conceptualisations of resilience, staff wellbeing and retention are explored. Recommendations for future research are also given.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive change before sudden gains in cognitive behavioural therapy for panic disorder. 恐慌症认知行为疗法突然取得进展之前的认知变化。

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-10-12 DOI: 10.1017/S1352465823000449

Rachel Lee, Dean McMillan, Jaime Delgadillo, Rachael Alexander, Mike Lucock

{"title":"Cognitive change before sudden gains in cognitive behavioural therapy for panic disorder.","authors":"Rachel Lee, Dean McMillan, Jaime Delgadillo, Rachael Alexander, Mike Lucock","doi":"10.1017/S1352465823000449","DOIUrl":"10.1017/S1352465823000449","url":null,"abstract":"Background: Sudden gains occur in a range of disorders and treatments and are of clinical and theoretical significance if they can shed light on therapeutic change processes. This study investigated the relationship between sudden gains in panic symptoms and preceding cognitive change during cognitive behavioural therapy (CBT) for panic disorder.Method: Participants with panic disorder completed in session measures of panic symptoms and catastrophic cognitions. Independent samples t-tests were used to compare the post-treatment score of those who met criteria for one or more sudden gain during treatment with those who did not, and to compare within-session cognitive change between pre-sudden gain sessions and the previous (control) session.Results: Twenty-two (42%) of 53 participants experienced a sudden gain during treatment. Participants demonstrating a sudden gain showed more improvement in panic symptoms from pre- to post-treatment than those without a sudden gain. The within-session cognitive change score in the pre-gain session was significantly greater than in the control session.Conclusions: Sudden gains occurred in individual CBT for panic disorder and within-session cognitive change was associated with sudden gains. This is consistent with the cognitive model of panic disorder and highlights how sudden gains can help to identify key change processes.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive behavioural therapy for depression and anxiety in a carer for two family members with dementia: a single case experimental design study. 认知行为疗法治疗患有痴呆的两名家庭成员的抑郁和焦虑:一项单例实验设计研究。

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-11-23 DOI: 10.1017/S135246582300053X

Lawson Falshaw, Leah Clatworthy

{"title":"Cognitive behavioural therapy for depression and anxiety in a carer for two family members with dementia: a single case experimental design study.","authors":"Lawson Falshaw, Leah Clatworthy","doi":"10.1017/S135246582300053X","DOIUrl":"10.1017/S135246582300053X","url":null,"abstract":"Background: Evidence suggests that cognitive behavioural therapy (CBT) can be a helpful approach for older adults experiencing anxiety and depression. Some research has suggested this is also the case for those caring for a family member with dementia. Little research has been conducted into the impact of CBT for older adults juggling the demands of caring for multiple family members with dementia.Aims: This case study aimed to evaluate the application of CBT to 'Mrs P', a 68-year-old client experiencing anxiety and depression whilst caring for two family members with dementia.Method: A single case experimental design study was conducted to assess the effectiveness of CBT formulation and intervention, including cognitive restructuring of unhelpful thoughts about caregiving and increasing engagement in pleasurable activities.Results: Mrs P's depression and anxiety scores improved significantly throughout treatment, and she met her goal of being able to manage when caregiving activities go wrong during daily life.Conclusions: CBT may be a helpful approach to reducing anxiety and depression in dementia family caregivers.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring dissociation across adolescence and adulthood: developing the short-form Černis Felt Sense of Anomaly scale (ČEFSA-14). 测量青春期和成年期的分离：制定简短的Černis异常感觉量表（ČEFSA-14）。

IF 2 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-11-06 DOI: 10.1017/S1352465823000498

Emma Černis, Bao S Loe, Katie Lofthouse, Polly Waite, Andrew Molodynski, Anke Ehlers, Daniel Freeman

{"title":"Measuring dissociation across adolescence and adulthood: developing the short-form Černis Felt Sense of Anomaly scale (ČEFSA-14).","authors":"Emma Černis, Bao S Loe, Katie Lofthouse, Polly Waite, Andrew Molodynski, Anke Ehlers, Daniel Freeman","doi":"10.1017/S1352465823000498","DOIUrl":"10.1017/S1352465823000498","url":null,"abstract":"Background: Dissociation may be important across many mental health disorders, but has been variously conceptualised and measured. We introduced a conceptualisation of a common type of dissociative experience, 'felt sense of anomaly' (FSA), and developed a corresponding measure, the Černis Felt Sense of Anomaly (ČEFSA) scale.Aims: We aimed to develop a short-form version of the ČEFSA that is valid for adolescent and adult respondents.Method: Data were collected from 1031 adult NHS patients with psychosis and 932 adult and 1233 adolescent non-clinical online survey respondents. Local structural equation modelling (LSEM) was used to establish measurement invariance of items across the age range. Ant colony optimisation (ACO) was used to produce a 14-item short-form measure. Finally, the expected test score function derived from item response theory modelling guided the establishment of interpretive scoring ranges.Results: LSEM indicated 25 items of the original 35-item ČEFSA were age invariant. They were also invariant across gender and clinical status. ACO of these items produced a 14-item short-form (ČEFSA-14) with excellent psychometric properties (CFI=0.992; TLI=0.987; RMSEA=0.034; SRMR=0.017; Cronbach's alpha=0.92). Score ranges were established based on the expected test scores at approximately 0.7, 1.25 and 2.0 theta (equivalent to standard deviations above the mean). Scores of 29 and above may indicate elevated levels of FSA-dissociation.Conclusions: The ČEFSA-14 is a psychometrically valid measure of FSA-dissociation for adolescents and adults. It can be used with clinical and non-clinical respondents. It could be used by clinicians as an initial tool to explore dissociation with their clients.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7615643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a training programme in individual case formulation skills and a scale for assessing its effectiveness. 制订个案制订技巧的训练计划及评估其成效的尺度。

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-11-23 DOI: 10.1017/S1352465823000577

Richard Hallam, Gary Brown, Liza Turner, Elizabeth Blomfield, Sharif El Leithy, Ines Mendes

引用次数: 0

An investigation of treatment return after psychological therapy for depression and anxiety. 抑郁症和焦虑症心理治疗后治疗回报调查。

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-08-11 DOI: 10.1017/S1352465823000322

Ben Lorimer, Stephen Kellett, Julia Giesemann, Wolfgang Lutz, Jaime Delgadillo

{"title":"An investigation of treatment return after psychological therapy for depression and anxiety.","authors":"Ben Lorimer, Stephen Kellett, Julia Giesemann, Wolfgang Lutz, Jaime Delgadillo","doi":"10.1017/S1352465823000322","DOIUrl":"10.1017/S1352465823000322","url":null,"abstract":"Background: Some patients return for further psychological treatment in routine services, although it is unclear how common this is, as scarce research is available on this topic.Aims: To estimate the treatment return rate and describe the clinical characteristics of patients who return for anxiety and depression treatment.Method: A large dataset (N=21,029) of routinely collected clinical data (2010-2015) from an English psychological therapy service was analysed using descriptive statistics.Results: The return rate for at least one additional treatment episode within 1-5 years was 13.7%. Furthermore, 14.5% of the total sessions provided by the service were delivered to treatment-returning patients. Of those who returned, 58.0% continued to show clinically significant depression and/or anxiety symptoms at the end of their first treatment, while 32.0% had experienced a demonstrable relapse before their second treatment.Conclusions: This study estimates that approximately one in seven patients return to the same service for additional psychological treatment within 1-5 years. Multiple factors may influence the need for additional treatment, and this may have a major impact on service activity. Future research needs to further explore and better determine the characteristics of treatment returners, prioritise enhancement of first treatment recovery, and evaluate relapse prevention interventions.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility, acceptability and clinical benefit of a trauma-focused stabilisation group for post-traumatic stress disorder patients with complex presentations on primary care waitlists. 以创伤为中心的稳定组对初级保健候诊名单上表现复杂的创伤后应激障碍患者的可行性、可接受性和临床效益。

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-10-25 DOI: 10.1017/S1352465823000486

Michelle Wells, Anke Karl, Rachel Handley

{"title":"Feasibility, acceptability and clinical benefit of a trauma-focused stabilisation group for post-traumatic stress disorder patients with complex presentations on primary care waitlists.","authors":"Michelle Wells, Anke Karl, Rachel Handley","doi":"10.1017/S1352465823000486","DOIUrl":"10.1017/S1352465823000486","url":null,"abstract":"Background: Large numbers of people showing complex presentations of post-traumatic stress disorder (PTSD) in the NHS Talking Therapies services routinely require multi-faceted and extended one-to-one National Institute of Clinical Excellence (NICE) recommended treatment approaches. This can lead to longer waits for therapy and prolong patient suffering. We therefore evaluated whether a group stabilisation intervention delivered to patients on the waitlist for individual trauma-focused psychological treatment could help address this burden.Aims: The study aimed to ascertain a trauma-focused stabilisation group's acceptability, feasibility, and preliminary clinical benefit.Method and results: Fifty-eight patients with PTSD waiting for trauma-focused individual treatment were included in the study. Two therapists delivered six 5-session groups. The stabilisation group was found to be feasible and acceptable. Overall, PTSD symptom reduction was medium to large, with a Cohen's d of .77 for intent-to-treat and 1.05 for per protocol analyses. Additionally, for depression and anxiety, there was minimal symptom deterioration.Conclusions: The study provided preliminary evidence for the acceptability, feasibility and clinical benefit of attending a psychoeducational group therapy whilst waiting for one-to-one trauma therapy.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing self-esteem in adults with body dysmorphic symptoms: experimental testing and initial evaluation of a brief internet-based training 增强有身体畸形症状的成年人的自尊心：基于互联网的简短培训的实验测试和初步评估

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-02-26 DOI: 10.1017/s1352465824000110

Katharina Bosbach, Alexandra Martin, Johannes Stricker, Katrin Schoenenberg

{"title":"Enhancing self-esteem in adults with body dysmorphic symptoms: experimental testing and initial evaluation of a brief internet-based training","authors":"Katharina Bosbach, Alexandra Martin, Johannes Stricker, Katrin Schoenenberg","doi":"10.1017/s1352465824000110","DOIUrl":"https://doi.org/10.1017/s1352465824000110","url":null,"abstract":"Background:Low self-esteem is an important factor associated with body dysmorphic concerns. In treatment, self-esteem cannot always be adequately addressed. Internet-based interventions offer a low-threshold and cost-efficient possibility for treating body dysmorphic disorder (BDD).Aims:For this reason, we conducted two studies to explore the effectiveness of an internet-based intervention targeting improving self-esteem in adults with BDD symptoms.Method:The first study investigated the differential effects of a 1-week self-esteem training compared with a 1-week attention-focus training. Two hundred twenty adults with elevated body dysmorphic symptoms were randomly assigned to one of the two trainings. Our second study (n = 58 adults with body dysmorphic symptoms) evaluated an extended 2-week stand-alone self-esteem training.Results:In the first study, self-esteem in different domains (appearance, performance and social), self-focused attention, and BDD symptom severity improved in both groups. Other-focused attention only increased in the attention training group. Participants’ overall adherence was high. In the second study we observed significant improvements in self-esteem, BDD symptom severity, and other secondary outcomes, with additional improvements in most outcomes in the second week. Adherence was again high.Conclusions:Together, these findings show that a brief internet-based intervention may be a highly accepted and effective way of improving self-esteem in people suffering from BDD symptoms.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139969720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BCP volume 52 issue 2 Cover and Back matter BCP 第 52 卷第 2 期封面和封底

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-02-13 DOI: 10.1017/s1352465824000134

引用次数: 0

BCP volume 52 issue 2 Cover and Front matter BCP 第 52 卷第 2 期封面和封底

IF 1.8 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-02-13 DOI: 10.1017/s1352465824000122

引用次数: 0