Cognitive Therapy: Current Status and Future Directions

Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Annual review of medicine (Impact Factor: 12.93). 02/2011; 62(1):397-409. DOI: 10.1146/annurev-med-052209-100032
Source: PubMed

ABSTRACT Cognitive therapy is a system of psychotherapy with a powerful theoretical infrastructure, which has received extensive empirical support, and a large body of research attesting to its efficacy for a wide range of psychiatric and medical problems. This article provides a brief overview of the conceptual and practical components of cognitive therapy and highlights some of the empirical evidence regarding its efficacy. Cognitive therapy (often labeled generically as cognitive behavior therapy) is efficacious either alone or as an adjunct to medication and provides a prophylaxis against relapse and recurrence.

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    • "Cognitive handbooks describe different cognitive techniques (Beck, et al., 1979; Caro Gabalda, 2011). A relevant aspect shown in most of them is how the main aim in the various techniques is the modification of faulty thinking, and in addition, the discovery of dysfunctional thinking processes and patterns. "
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    ABSTRACT: This paper discusses the various subjects embedded in cognitive psychotherapy. The cognitive model developed by Beck, considered as a rationalist and modernist model, will exemplify these subjects. Cognitive therapy should be placed in the modernist historical context and related to a subject characterized as having rationality and the ability to observe and detect cognitions, emotions and behaviors. The paper develops this background introducing three main subject types. The first is the introspective and conscious subject, who is able to observe what is within oneself, has free access, and is conscious of one’s cognitive world. The second is the cognitive miser that describes the subject who enters into therapy. The final subject identified, is the trained scientist who is able to develop a more objective knowledge, changing faulty schemas and cognitive distortions. This subject is the one most looked for in cognitive therapy. We could connect these subjects to some of the main elements of cognitive therapy such as the concept of ABC, assessment procedures, cognitive techniques or the relevance of schemas. Finally, the paper suggests some issues for study that could contribute to the theoretical and clinical evolution of cognitive psychotherapy
    Anales de Psicología 05/2015; 31(2). DOI:10.6018/analesps.31.1.200201 · 0.50 Impact Factor
    • "Cognitive processing thus appears to covary with symptom severity in a manner similar to cognitive content, whereas cognitive structure may be a more promising vulnerability factor for depression not reflective of current symptom status. CBT is explicitly designed to target cognitive functioning in depression, and has been associated with decreased risk of relapse and remission as compared to other forms of treatment (Beck & Dozois, 2011; Hollon et al., 2005). It is therefore possible that indices of cognitive structure, although relatively stable as compared to other forms of cognition in MDD, may change following this targeted treatment and result in the sustained treatment response that follows CBT. "
    International Journal of Cognitive Therapy 09/2014; 7(3):235-250. DOI:10.1521/ijct.2014.7.3.235 · 0.98 Impact Factor
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    • "At the core of CBT is cognitive restructuring, interpersonal skills training and engagement in pleasant activities [70]. Currently, CBT is one of the most extensively researched psychotherapies and is widely used in psychiatry as an acute intervention as well as to prevent relapse for depression [71-73]. Although CBT can be delivered by a therapist to an individual or a group, more recently internet and/or phone delivered CBT interventions have become increasingly popular [74]. "
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    ABSTRACT: Background The unprecedented rates of global migration present unique challenges to mental health services in migrant receiving countries to provide efficacious and culturally salient treatment for mental health conditions including depression. This review aimed to identify and evaluate the effectiveness of depression interventions specifically directed towards first-generation immigrant populations. Methods We conducted a systematic review of original research published between 2000 and 2013 that investigated depression interventions in first generation immigrants. Results Fifteen studies were included; the majority focused on Latino immigrants living in the United States (US). Twelve studies investigated the use of psychotherapies; the remainder examined collaborative care models and physical exercise-based interventions. Cognitive Behavioral Therapy and Behavioral Activation tended to improve depressive symptoms, especially when culturally adapted to suit clients while Problem Solving Therapy improved depressive symptomology with and without adaptations. Collaborative care and exercise did not significantly improve depressive symptoms. Conclusion Depression may be effectively treated by means of psychotherapies, especially when treatments are culturally adapted. However the reviewed studies were limited due to methodological weaknesses and were predominantly undertaken in the US with Latino patients. To improve generalizability, future research should be undertaken in non-US settings, amongst diverse ethnic groups and utilize larger sample sizes in either randomized clinical trials or observational cohort studies.
    BMC Psychiatry 06/2014; 14(1):176. DOI:10.1186/1471-244X-14-176 · 2.21 Impact Factor
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