Trial-Based Thought Record (TBTR): preliminary data on a strategy to deal with core beliefs by combining sentence reversion and the use of analogy with a judicial process

Oliveira, Irismar Reis de

doi:10.1590/s1516-44462008000100003

Cited by 26 publications

(37 citation statements)

References 4 publications

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“…The first study on the efficacy of the TBTR in changing dysfunctional CBs and their corresponding emotions was conducted 7 , and significant results (p < 0.001) were observed in the adherence to CBs and associated emotions of 30 patients, reinforcing the hypothesis that this technique could, at least temporarily, contribute to the weakening of unhealthy CBs and their related emotions. Subsequently, the intensity of patients' dysfunctional CBs and corresponding emotions after the first use of the TBTR was assessed in a larger sample (n = 166) 8 , confirming the previous findings.…”

Section: Introductionmentioning

confidence: 82%

“…One of its main techniques is the trial-based thought record (TBTR), an intervention aimed at modifying dysfunctional CBs by simulating a legal trial. TBTR incorporates elements from various techniques already known in standard CBT and other psychotherapeutic approaches 7 . The patient has the opportunity to role-play him/herself not only as the defendant, but also as the prosecutor and the defense attorney, as well as a member of the jury, as opposed to what usually happens when dysfunctional CBs are activated 5 .…”

Section: Introductionmentioning

confidence: 99%

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Changing negative core beliefs with trial-based thought record

Delavechia¹,

Velasquez²,

Duran

et al. 2016

Arch. Clin. Psychiatry (São Paulo)

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Background: Trial-based thought record (TBTR) is a technique used in trial-based cognitive therapy (TBCT), and simulates a court trial. It was designed to restructure unhelpful core beliefs (CBs) during psychotherapy. Objective: To confirm previous findings on the efficacy of TBTR in decreasing patients' adherence to self-critical and unhelpful CBs and corresponding emotions, as well as assessing the differential efficacy of the empty-chair approach relative to the static format of TBTR. Methods: Thirty-nine outpatients were submitted to a 50-minute, one-session, application of the TBTR technique in the emptychair (n = 18) or conventional (n = 21) formats. Patients' adherence to unhelpful CBs and the intensity of corresponding emotions were assessed after each step of TBTR, and the results obtained in each format were compared. Results: Significant reductions in percent values both in the credit given to CBs and in the intensity of corresponding emotions were observed at the end of the session (p < .001), relative to baseline values. ANCOVA also showed a significant difference in favor of the empty-chair format for both belief credit and emotion intensity (p = .04). Discussion: TBTR may help patients reduce adherence to unhelpful CBs and corresponding emotions and the empty-chair format seems to be more efficacious than the conventional format.

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Section: Introductionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Changing negative core beliefs with trial-based thought record

Delavechia¹,

Velasquez²,

Duran

et al. 2016

Arch. Clin. Psychiatry (São Paulo)

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“…11 A more recent study of SAD patients who received 12 to 20 2-hour CBGT sessions concluded that, although symptoms of SAD and some aspects of QoL improved for up to 12 months after CBGT, the social functioning domain did not change, suggesting the need for better treatments for this condition. 12 The trial-based thought record (TBTR), 13 a novel approach used in trial-based cognitive therapy (TBCT), 14 was developed to address negative core beliefs (CBs) in CBT. In TBTR, the therapist engages the patient in a simulation of a legal trial, stimulating the activation of negative CBs and associated negative emotions, with the aim of reducing their effect with disconfirming evidence.…”

Section: Introductionmentioning

confidence: 99%

Changing core beliefs with trial-based cognitive therapy may improve quality of life in social phobia: a randomized study

Powell

Oliveira

Seixas

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To determine whether there are differences in quality of life (QoL) improvement after treatment with the trial-based thought record (TBTR) versus conventional cognitive therapy (CCT) in patients with social anxiety disorder (SAD). Method: A randomized trial comparing TBTR with a set of CCT techniques, which included the standard 7-column dysfunctional thought record (DTR) and the positive data log (PDL) in patients with SAD, generalized type. Results: Repeated measures analysis of variance (ANOVA) revealed a significant time effect in the general health, vitality, social functioning, and mental health domains of the Short Form 36. It also indicated significant treatment effects on the bodily pain, social functioning, role-emotional, and mental health domains, with higher scores in the TBTR group. One-way analysis of covariance (ANCOVA), using pretreatment values as covariates, showed that TBTR was associated with significantly better QoL post-treatment (bodily pain, social functioning and role-emotional) and at follow-up (role-emotional). A significant treatment effect on the role-emotional domain at 12-month follow-up denoted a sustained effect of TBTR relative to CCT. Conclusion: This study provided preliminary evidence that TBTR is at least as effective as CCT in improving several domains of QoL in SAD, specifically when the standard 7-column DTR and the PDL are used.

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“…32 This method might be useful in restructuring negative beliefs in depressed patients. Despite the lack of clinical trials comparing this method with other psychological approaches used to treat depression, case reports indicate its potential in this regard.…”

Section: Trial-based Thought Record (Tbtr)mentioning

confidence: 99%