Questions related to Cognitive Behavioral Therapy
I am looking for researchers who have studied the impact of remote, eHealth, mobile or internet treatments for binge eating disorder (BED). If you have conducted such studies (or know a team that has), have the results been published and/or is there anywhere this data can be accessed?
I am trying to find evidence that CBT is useful for improving neuropsychiatric symptoms (such as depression, anxiety, agitation, mood, etc) in patients suffering from mild cognitive impairment or mild Alzheimer's Disease. I would be grateful if you could share individual studies or a review/meta-analysis meeting this criteria. Thank you.
The efficacy of CBT in treating Anorexia Nervosa is inconclusive. Through reading I have not encountered many papers that discuss CBT's efficacy based on individual components - e.g. Cognitive restructuring and distortions.
Are there any interesting papers out there like this?
The efficacy of CBT in treating Anorexia Nervosa is inconclusive. Through reading I have not encountered many papers that discuss CBT's efficacy based on the individual components - e.g. Cognitive restructuring.
I'm interested in what components of CBT are most effective and which are not -
Are there any interesting / useful papers out there?
Looking at Anorexia Nervosa - the evidence base for CBT's effectiveness is inconclusive. Though, I was thinking before about the link between Anorexia and emotions (not being able to express / experiencing negative emotions - and partly "using" food restriction as a way to control these) - let's say a strong therapeutic bond is formed, and an individual feels comfortable discussing extraneous feelings / thoughts - could this help with the need for food as a control mechanism and aid recovery in some way..
Not sure there is much evidence on this though.
I just came across a really interesting point of view in a clinical manual by a leading author in clinical treatment in Spain, Miguel Ángel Vallejo. He claims, based on a study by Rude and Rehm (1991)*, that psychotherapy is most effective when it boosts already-existing capacities and skills, rather than when it focuses on ameliorating deficits. That seems to run counter to much of what I have seen before in psychotherapy; does this idea match your clinical experience, or do you have any additional bibliography that might support this claim Thanks a lot!
*The citation to this article is given as "Rude, S. S., & Rehm, L. P. (1990). Cognitive and behavioral predictors of response to treatments for depression. Clinical Psychology Review, 11, 493–514"; however, all I can find online is this other article, with a different name, although (apparently) similar content: https://psycnet.apa.org/record/1992-06180-001
I know there is (somewhat) widespread agreement that relaxation techniques can be used as a form of avoidance of exposure in panic disorder, and hence breathing techniques and progressive muscle relaxation are discouraged so that the client feels the full physiological activation and becomes aware that the symptoms that he/she experiences are not actually dangerous or life-threatening in any way.
However, I was wondering whether this would apply as well to exposures in other forms of anxiety, say, specific phobia or social phobia. In those instances, it seems to me that the exposure to the phobic stimulus is not prevented by the relaxation/breathing techniques, and so these techniques would be merely an aid to facilitate the exposure. The client would not habituate to the physiological activation (which would be dampened by the relaxation techniques), but he/she could still dispel his/her irrational beliefs about coming into contact with the feared object.
Any science to back this up?
It is currently believed that TAF bias commonly found pronounced in OCD individuals requires specific treatment options for relieving distress. However, TAF is generally considered as one of the various prevalent irrational biases that come under umbrella construct of "over-importance of thoughts". In Cognitive Therapy, TAF is addressed like any other cognitive distortions and same techniques are applied to overcome this maladaptive style of thinking like are done with other distortions. TAF becomes prominent in many sub-classes of OCD individuals, specifically those with obsessions in absence of compulsions (immoral impulses or urges). Are you aware of any specific techniques and methods to treat TAF?
I have a feeling that the specificity of exposure should be more or less irrelevant in behavioral therapy of agoraphobia secondary to panic disorder, since the fear is of being unable to escape or receive help regardless of the specific surroundings, as opposed to what one might observe in situational specific phobia. Therefore, it shouldn't matter whether one is stuck on a plane or in an elevator, for instance, and exposure should work in both situations. However, I can't find any research to sustain this claim. Could anybody point me in the right direction? Thank you very much!
I'm looking for a CBT manual that teaches you how to apply CBT to different disorders; that is, the book that I'm looking for would have a break-down of all disorders to which CBT can be applied, and within each section you'd have specific information of how to tailor the protocol to that specific disorder.
Stefan Hofmann has something like this in his "An Introduction to Modern CBT", where he touches upon panic disorder, agoraphobia, social anxiety, OCD, GAD, depression, alcohol abuse and sex disorders. This is a very introductory book, however, and Hofmann touches on these various disorders very briefly. Is there anything like this but with a bit more content?
Any help will be greatly appreciated.
In psychology, we have many approaches to base our evaluation and treatment of a patient, such as psychology of education, community psychology, social psychology, humanistic approach, cognitive-behavioural approach, neuropsychological approach, industrial-organizational approach, psychodynamic, etc. I get that some approaches don't fit with the level of target/observation (e.g. I/O psychology for a single mother at home dealing with major depression), and that each one is a tool in the toolbox for a specific need and objective, but I ask for a possible integration of similar or potentially complementary approaches (neuropsy with TCC or humanistic with ecological model of Bronfenbrenner confirmed with neuropsy, etc.). In summary, I am curious of what has been proposed to build a sort of unity with some of the approaches in modern psychology.
Masters Thesis based on Treating Depression using Cognitive Behavioral Therapy. I am looking at the efficiency of CBT. I am not sure if we can use Case Studies for Masters Thesis and if so how? Meaning that I know for qualitative study we suppose to really come up with a theory or add to it.
I am conducting a review of literature these days of CBT interventions using electronic media. I cant find a simple classification of these medias and was wondering if someone can kindly help me?
Literature would tell that CBT is one of the widely used and researched therapy, but there are also claims that it has already lost its efficacy throughout time.
I'm working on using these 3 modalties to assess the impact of counselling and pyschological interventions when working with women living with FGM
Listings of therapy components are needed to fit intervention descriptions onto. I will not define 'components' here to avoid an unwanted narrowing of responses.
I am searching for studies presenting case studies or some techniques of spiritually/religiously integrated therapy used for the treatment of OCD. But, I couldn't find any study on this topic. I wonder whether or not there is any research on spiritually integrated psychotherapy for OCD. If so, which techniques or process does such a therapy include for treatment of OCD or scrupulosity?
With that said, is there anyone who use any religious centered techniques of CBT/ERP/ACT or Mindfulness based therapies for scrupulosity?
I really need your help and suggestions on this topic.
I am looking forward for your help and suggestions. Thank you.
I am looking for full dissertations of reviews which have made use of the Downs & Black CMSQ in order to get some sort of structure as to how to present the results.
I am currently busy with a systematic review on the efficacy of homeopathic treatment for PMS and would appreciate any assistance.
I am developing a compound that has been shown to treat respiratory depression, and improve oxygenation in the presence of anesthetic agents I am seeking an expert in anesthesiology and sleep disordered breathing for the proposed treatment of respiratory depression in surgical patients with disordered breathing conditions (e.g. OSA) to collaborate on the development program. Feel free to contact me directly at email@example.com.
I am planning a meta-analysis of patient drop-out in psychotherapy. This would include both randomised trials of psychotherapy interventions which report drop-out rate, and naturalistic/observational studies of drop-out in routine psychotherapy which test various predictors of drop-out, for example alliance (Sharf, Diener & Primavera).
I understand that I can assess risk of bias and study quality in randomised trials using various tools, for example the Cochrane Foundation's Risk of Bias tool, and that similar tools exist for assessing quality in observational tests of interventions which may not be randomised (cohort or case series studies) e.g. Cochrane's ROBINS-I tool (Sterne et al 2016). However, this still assumes an intervention is being tested and looks for bias that could affect that conclusion.
I am less sure what I would assess in a process-outcome study that examines predictors of drop-out that would affect the results. Allocation is not an issue, although blinding of raters could be, e.g. keeping any raters blind as to the drop-out status.
Is there a pubished or unpublished tool which can be used to assess the quality of process-outcome studies?
Thanks in advance.
Please, I need to find evidence about the effectiveness of Rational Emotive Behavior Therapy (REBT) to treating disruptive behavior disorders in children and adolescents (guidelines, RCTs, reviews or meta-analyzes, as well as any other information). Thank you very much.
I wonder whether there are scholarly attempts to compare the ABC (Activating Event, Belief, Consequence) framework in Cognitive (Behavioral) Therapies with the ABC (Antecedent, Behavior, Consequences) framework in psychotherapeutic applications of Applied Behavior Analysis (ABA)? This question sounds somewhat silly given that the Cognitive school emerged as a critique of "hard" behaviorism in the historical context. But the question seems relevant given that there is an upgraded behaviorism (which incorporated RFT for instance). I have some ideas yet want to discover whether the question is already addressed somewhere.
The polyvagal theory could imply for me that "for humans (and social mammals) the most adaptive stress-response is social communication and self-soothing. There are exceptional situations still nowadays, when flight-or-fight response is useful, but in most of our distressing everyday situations, agressive-defensive behavior is costly although we are trained to use it more often than necessary, and we are untrained to use social engagement, when it could be more helpful".
Can this opinion on homeostatic responses fit to some other theories, regarding 1) health and placebo, 2) communication 3) body-mind connection, 4) emotions? Could you recommend papers that help to examine these implications?
1) Can placebo-effect be (at least partly) explained by the polyvagal theory? One evolutionary background of placebo was thought to be that the phylogenetically newest (from the times when our linage started to form social groups) immune reactions are metabolically expensive, therefor only in the perceived social support they are switched on (Humphrey, 2002). Otherwise, in the lack of sufficient social support, more ancient immune responses are activated (from the heritage of reptiles e.g.) which serve to move less and allocate the stored metabolic energy on healing wounds or infections (pain, sickness behavior) (Straub, 2012). Is it possible, that these newer, more effective and more expensive immune responses are activated by the social engagement system? Is it possible, that the modern civilized individuals receive less social input than their ancestors in hunter-gatherer tribes, and thus their neuroceptive system is chronically switched to ‘lonely survivor’ mode, enhancing ancient neuroimmune responses which are not adaptive any more to our biogenetical evolution (chronic pain, autoimmune diseases)?
2) Regarding behavior-responses, is the polyvagal theory connected to the model of non-violent communication, in that the adaptive communication strategy for humans in most of the cases would be empathic connection (Rosenberg, 2003)? Could chronic violent communication have a negative effect on psychosomatic health through the suppression of the social engagement system and the activation of sympathetic system?
3) Regarding neuroception, beside the empathic presence of an other person, to which extent can I ’stand by myself’, talk to myself and shape my inner dialogue so that I feel socially supported? Are body awareness, as an internalized attention from our caregivers (Bakal, Coll, & Schaefer, 2008), self-compassion, health behaviour enhanced by the social engagement system, and inhbitied by the more ancient stress responses?
4) How the activation of the three vegetative system is connected to emotions, e.g. are anger, fear, happiness connected to different pattern of neovagal, sympathetic, and archeovagal activation? Can the polyvagal threefold model be related to the sevenfold model of basic emotions of Panksepp (Panksepp, 2005)?
Please read the first article that a patient does not need to have a traumatic event to cause a severe mental disorder. It depends on how badly organ functions were hurt.
It also does not mean after a traumatic event makes the treatment becomes harder. Please read the second article. The key is the right treatment used?
For phobia, NLP works. Jump out of the box, there are more solutions with excellent results.
Is anyone aware of how to score the STRAPR measurement by Goldstein et al? I'm having difficulty finding scoring information for a project I've been working on.
Does anyone know about studies that compared a combination of cognitive defusion and cognitive restructuring, with cognitive restructuring alone, and/or with cognitive defusion alone, regarding their effects on believability of targeted thoughts?
Children leading normal life but having tendencies of anxiety or have anxiety due to various reasons but are still not clinically diagnosed, how to treat them using Counselling.
Which counselling technique is best?
I am using Becks Anxiety Inventory to screen adolescents. Is this the right scale to use before starting with my project?
I am in search of tasks with high test retest reliability and otherwise sound psychometric properties.
Although I am most interested in disinhibition of behavior and sensitivity to interoceptive cues, I am open to the study of other constructs.
I JUST WANT A RELIABLE TASK! :) Thanks in advance
We measured CD4 levels over 12 months, and the levels are skewed at 2 of the 12 data points. In running a longitudinal analysis (e.g., mixed models) with CD4 as the outcome, should I correct for skew for only those 2 data points, or for all 12 points so that the metric is similar?
Most attention has been toward improving the positive symptoms of schizophrenia. Medications are especially effective for positive symptoms. Negative symptoms often are what holds pts back from a productive life. I am looking for information/articles about this.
looking at themes for in depth research of
Restructuring of the NHS and improving access to psychological therapies
CBT is recommended in first instance why, nice guidelines, Layard influence, cost, and assess ability,
Effectiveness of CBT-EVIDENCE rcts, biomedical/biopsysocial where cbt fits
Limitations of cbt-how currently used
struggling to identify sources to narrow effectively any recommended journal sources please,
How to work with shame, rejection, limitations and intimacy issues that some skin diseases may trigger.
Also, examples of specific formulation.
Thanks in advance.
Very often I'm working with people that are impaired by a traumatic spinal cord injury. People elaborate this loss along some more-or-less-defined phases, that are very alike to the phases of grief.
Usually the period of grief ends with the possibility, for the person, to put his/her resources on new objectives.
However in the case of acquired disabilities the entity of the loss is enormous and may impair each future scenario.
Are there studies, based on a cognitive - behavioural framework, that may help me to better understand how to face these problems?
I am a PhD student and I'm looking for Italian psychologists, psychiatrists and researchers adopting Behavioural Family Therapy (Faloon's model) for psychotic subjects, because I'd like to be trained in it. Can anyone help me? Thank you.
I am working with a team to create a web-based CBT platform. We would love to be able to adapt an existing model that had already been validated. I would very much appreciate any help or direction on this! Thank you!
Palo-Alto approach is one of the branch of brief therapy. It was developed at the MRI in Palo-Alto. It used constructivism, systemic, cybernetics and other concept as pragmatics of communication, double bind, paradox. I would like to find out publication, studies about the efficiency of the approach for human problem solving. These could be qualitative or quantitative studies.
If a couple recorded their daily interactions for a week (in their kitchen & living room), this footage would help a counsellor understand the problems of the relationship, and could help the couple see their relationship from a fresh perspective. The technique could be applied to range of therapeutic situations. Has there been research on this kind of approach?
Edit (after 2 answers received): the question asks whether research on this has ever occurred. The criticisms offered in the 2 answers so far are reasonable. Would their predictions be borne out in an experimental trial? That is one of the empirical questions I'm interested in.
I am aware that you can use CBT to actively change your thoughts about memories. However, I am interested in whether there are therapies to actively get rid of bad memories. For example, when a person becomes stressed about a current activity, they may dream about previous bad experiences. Is there a way to actively get rid of these memories so they no longer affect the person?
Dual role- Therapist abiding by the spirit of MI at the same time being on a multi-disciplinary team that confrontation is used frequently to point out substance use.
I studied the article entitled "Do we need to challenge thoughts in cognitive behavioral therapy?" by Richard J. Longmore and Michael Worrell. I'd like to read more about it.
Do you know any paper on interventions related to this?
It seems to me that research on heuristics and biases from cognitive psychology could help CBT to understand more about the causes and the persistence of cognitive distorsions. However, I was able to find very few published works that try to integrate these two research traditions: https://www.researchgate.net/publication/247212928_Cognitive_factors_in_clinical_research_and_practice
Are you aware of some other similar works?
I am wanting to generate a pre-test of death anxiety in subjects without using any mortality salience primer. My hypothesis is that people who fit DSM criteria for active substance abuse will score higher in DA at baseline even without death reminders. I am theorizing they have a particular lack of self-esteem buffers to MS and DA. The point is to test and see if baseline DA alone is sufficient to identify the substance abuser apart from the average temperate drinker. Thoughts? Method suggestions?
Swedish guidelines from Socialstyrelsen favour CBT for mild, either CBT or SSRI for moderate depression and does not recommend a combinatory approach with integrated psychopharmacological and cognitive behavioural treatment.
Clinical case observations may indicate that CBT combined with SSRI can have beneficial effect, especially for relapse prevention.
What is the state of the art due to current research for adults 18 - 60 years of age?
Does anyone know of empirical evidence demonstrating the observation that distraction can modulate both reappraisal and rumination (indirectly through reducing distress) in the context of emotion regulation? This relationship is suggested in Susan Nolen-Hoeksema's review on rumination entitled "Rethinking Rumination" (2008, p. 410). This relationship is stated via the diagram on page 410, however no direct citations are stated indicating the empirical support for this claim. Based on the way it is phrased however, it seems that this question was addressed in work by Susan Nolen-Hoeksema and her colleagues - however I am having trouble finding this empirical support.
We are trying to set a goal for rate of follow-through for referrals from our behavioral medicine consultants, who are integrated in our primary care department (community outpatient) to on-going psychotherapy? Does anyone know of literature that suggests a baseline for how many patients that are referred for therapy actually follow through?
UPDATE 6/25: Note that the referral is actually to a different department. Patients would be getting referred from a primary care appointment in which they meet with a behavioral health consultant. The BH consultant will be referring the Pt. to on-going therapy with a different therapist altogether. What referral follow-through rate should we expect, based on the literature?
I have been reading numerous journal articles on the connection between cognitive behavioural therapy and depression. Do suggest me any articles..
Anxiety sensitivity is a temperamental factor in explaining of emotional disorders. it had been studied in many researches, but can high scores in tools of assessing this factor predict treatment output in CBT?
Procrastination is a transdiagnostic phenomena that is common in some psychopathology And it's prevalent in academic and health care setting. Can anyone help me to find manuals based on CBT to this problem?
In anorexia nervosa (AN) treatment would bring the patient to stop controlling his food intake; but in Diabetes Mellitus food intake often have to be strictly controlled in order to maintain glycemia. Moreover, glycemia control could be used by AN patients to control their weight gains. How could we reconcilliate these two lines of treatment ?
I am looking for a treatment strategy to work with clients with co-occurring mental illness diagnoses.
Low self esteem is core in most psychopathology but there are rare guidelines, manuals, and protocols to help therapists to cover this condition.
Are there randomized controlled trial studies on Effectiveness of Online CBT for Anxiety Disorders, Obsessive-Compulsive Disorders, and Pathological Gambling?
I conduct trauma focused cognitive behavioral therapy will children. I have begun including play therapy in my sessions. I have not been able to find sufficient research studies on play therapy and trauma.
I am a MSc year 2 student studying Mindfulness studies and a Psychological therapist/counsellor working with clients one to one using mindfulness.
I am interested in what influences a therapist in the decision to introduce mindfulness or not. What is it about client characteristics or perceived receptiveness that makes the therapist introduce or not.
I am if i get enough input or find enough articles to support this investigation going to study it in year 3 a my work base project so would really appreciate your help in offerring your thoughts.
Many secondary source texts do not address the evolution of Alfred Adler's theory; that is, his movement from psychoanalysis to his later (1920 - 37) theory and practice ideas that integrate cognitive, constructivist, existential-humanistic, systemic, and psychodynamic perspectives. Much of contemporary psychology, psychotherapy, and counseling is replete with Adler's ideas although they use different nomenclature and almost never mention Alfred Adler. Albert Ellis stated that "Adler, perhaps more than Freud, is true father of modern psychotherapy." The existential psychiatrist, Henri Ellenberger, said that no author's work has been used more and acknowledged less than Alfred Adler. The theory textbooks by Corey and Prochaska and Norcross echo the statements by Ellis and Ellenberger.
As many of you know, we (psychotherapy researchers) have often focused on symptoms measures as measures of outcome. My students and I are trying to develop a more comprehensive measure that will include items about coherence, freedom to choose to mention just a few aspects of this new measure that have not always been included in past studies. My question is what aspects of psychotherapy outcome do you think a comprehensive (but short) measure of therapeutic outcome should include besides symptoms? The most helpful answers will be phrased very clearly and not include jargon. Thanks
I'm interested at comparing the two programs for a few children I work with in ABA sessions. I wondered if anyone has seen or done a study comparing the two or would like to consider doing aiding a study on this?
I am experimenting with a self help group for male-batterers based on the 12-step program of Alcoholics Anonymous. I am looking for literature on the subject and i am interested in experiences of other therapists/ researchers working with self- help groups for men who have difficulties in controlling their anger.