Development and validation of the Cognitive Behavioural Therapy Skills Scale among college students

Sakata, Masatsugu; Toyomoto, Rie; Yoshida, Katsukuni; Luo, Yan; Nakagami, Yukako; Aoki, Shuntaro; Irie, Tomonari; Sakano, Yuji; Suga, Hidemichi; Sumi, Michihisa; Muto, Takashi; Shiraishi, Nao; Sahker, Ethan; Uwatoko, Teruhisa; Furukawa, Toshi A

doi:10.1136/ebmental-2020-300217

Cited by 11 publications

(8 citation statements)

References 24 publications

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“…The PHQ-9 consists of 9 items from the major depressive episode diagnostic criteria in the Diagnostic Mental Disorder, Fourth Edition, 17 each rated between 0=not al all and 3=nearly every day. The secondary outcomes were anxiety symptoms measured by the Generalised Anxiety Disorder-7 (GAD-7), 18 CBT skills for each intervention component of this trial by the CBT Skills Scale, 19 and the Presenteeism scale from the WHO Health and Work Performance Questionnaire (HPQ) 20 at week 8 after randomisation.…”

Section: Discussionmentioning

confidence: 99%

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Components of smartphone cognitive-behavioural therapy for subthreshold depression among 1093 university students: a factorial trial

Sakata

Toyomoto

Yoshida

et al. 2022

Evid Based Mental Health

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BackgroundInternet-based cognitive-behavioural therapy (iCBT) is effective for subthreshold depression. However, which skills provided in iCBT packages are more effective than others is unclear. Such knowledge can inform construction of more effective and efficient iCBT programmes.ObjectiveTo examine the efficacy of five components of iCBT for subthreshold depression.MethodsWe conducted an factorial trial using a smartphone app, randomly allocating presence or absence of five iCBT skills including self-monitoring, behavioural activation (BA), cognitive restructuring (CR), assertiveness training (AT) and problem-solving. Participants were university students with subthreshold depression. The primary outcome was the change on the Patient Health Questionnaire-9 (PHQ-9) from baseline to week 8. Secondary outcomes included changes in CBT skills.FindingsWe randomised a total of 1093 participants. In all groups, participants had a significant PHQ-9 reduction from baseline to week 8. Depression reduction was not significantly different between presence or absence of any component, with corresponding standardised mean differences (negative values indicate specific efficacy in favour of the component) ranging between −0.04 (95% CI −0.16 to 0.08) for BA and 0.06 (95% CI −0.06 to 0.18) for AT. Specific CBT skill improvements were noted for CR and AT but not for the others.ConclusionsThere was significant reduction in depression for all participants regardless of the presence and absence of the examined iCBT components.Clinical implicationWe cannot yet make evidence-based recommendations for specific iCBT components. We suggest that future iCBT optimisation research should scrutinise the amount and structure of components to examine.Trial registration numberUMINCTR-000031307.

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Section: Discussionmentioning

confidence: 99%

“…The secondary outcomes were anxiety symptoms measured by the Generalised Anxiety Disorder-7 (GAD-7), 18 CBT skills for each intervention component of this trial by the CBT Skills Scale, 19 and the Presenteeism scale from the WHO Health and Work Performance Questionnaire (HPQ) 20 at week 8 after randomisation.…”

Section: Methodsmentioning

confidence: 99%

Components of smartphone cognitive-behavioural therapy for subthreshold depression among 1093 university students: a factorial trial

Sakata

Toyomoto

Yoshida

et al. 2022

Evid Based Mental Health

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“…Cognitive Behavioral Play Therapy (CBPT) approach has been compelling in the attachment of treatment sessions and it has explicit, tangible goals and strategies. In the previous research also stated that this therapy has increase the level ofself-esteem by 19% among students in treatment groups (Atayi, et al, 2018;Sakata, et al, 2021).…”

Section: Effects Of Cognitive Behavioral Play Therapy (Cbpt) Techniques In Control Group At Pretest and Posttest On Low Self-esteem Amongmentioning

confidence: 81%

Effects of cognitive cehavioral play therapy techniques on low self-esteem among students

Aren¹,

Duamit²

2020

JIK

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This study aims to determined the effects of Cognitive Behavioral Play Therapy (CBPT) techniques on low self-esteem among UNIMAS Students. More specifically, this study identified the effects of Cognitive Behavioral Play Therapy (CBPT) techniques in experimental group at pretest and posttest on low self-esteem among UNIMAS students and to identified the effects of Cognitive Behavioral Play Therapy (CBPT) techniques in control group at pretest and posttest on low self-esteem among UNIMAS students. A case study design is distributed questionnaire called as Rosenberg Self-Esteem Scale (RSES) and counselling sessions. Purposive sampling is used to get the most suitable respondents for this study. The findings of this study have revealed there were significant difference at pretest and posttest among respondents in experimental group and control group which were respondents in experimental group increased their level of self-esteem, while there were respondents decreased their level of self-esteem in control group. Counselling sessions utilizing Cognitive Behavioral Play Therapy (CBPT) techniques have increased the level of self-esteem among UNIMAS students in experimental group who attended the group counselling sessions because they have low level of self-esteem. All the dialogues that been stated by the client in the counselling sessions about their self-esteem can be related to respondents’ personality, cognitive, behavior, emotions and actions. The findings of this study have implications towards University students and counsellor. As for the university students, they gained insight, understanding and knowledge the importance of having good level of self-esteem. For the counsellor, counsellor being helpful, trusted and skillful which after utilized the CBPT techniques, they gained new skills and knowledge on that particular therapy.

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“…Each item is rated on a Likert scale between 0=barely true of me through 3=mostly true of me, and the average of the score items constitutes the score for each skill. The reliability and validity of the CBT Skills Scale have been ascertained 32…”

Section: Methodsmentioning

confidence: 99%

Four 2×2 factorial trials of smartphone CBT to reduce subthreshold depression and to prevent new depressive episodes among adults in the community–RESiLIENT trial (Resilience Enhancement with Smartphone in LIving ENvironmenTs): a master protocol

et al. 2023

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IntroductionThe health burden due to depression is ever increasing in the world. Prevention is a key to reducing this burden. Guided internet cognitive–behavioural therapies (iCBT) appear promising but there is room for improvement because we do not yet know which of various iCBT skills are more efficacious than others, and for whom. In addition, there has been no platform for iCBT that can accommodate ongoing evolution of internet technologies.Methods and analysisBased on our decade-long experiences in developing smartphone CBT apps and examining them in randomised controlled trials, we have developed the Resilience Training App Version 2. This app now covers five CBT skills: cognitive restructuring, behavioural activation, problem-solving, assertion training and behaviour therapy for insomnia. The current study is designed as a master protocol including four 2×2 factorial trials using this app (1) to elucidate specific efficacies of each CBT skill, (2) to identify participants’ characteristics that enable matching between skills and individuals, and (3) to allow future inclusion of new skills. We will recruit 3520 participants with subthreshold depression and ca 1700 participants without subthreshold depression, to examine the short-term efficacies of CBT skills to reduce depressive symptoms in the former and to explore the long-term efficacies in preventing depression in the total sample. The primary outcome for the short-term efficacies is the change in depressive symptoms as measured with the Patient Health Questionnaire-9 at week 6, and that for the long-term efficacies is the incidence of major depressive episodes as assessed by the computerised Composite International Diagnostic Interview by week 50.Ethics and disseminationThe trial has been approved by the Ethics Committee of Kyoto University Graduate School of Medicine (C1556).Trial registration numberUMIN000047124.

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Development and validation of the Cognitive Behavioural Therapy Skills Scale among college students

Cited by 11 publications

References 24 publications

Components of smartphone cognitive-behavioural therapy for subthreshold depression among 1093 university students: a factorial trial

Components of smartphone cognitive-behavioural therapy for subthreshold depression among 1093 university students: a factorial trial

Effects of cognitive cehavioral play therapy techniques on low self-esteem among students

Four 2×2 factorial trials of smartphone CBT to reduce subthreshold depression and to prevent new depressive episodes among adults in the community–RESiLIENT trial (Resilience Enhancement with Smartphone in LIving ENvironmenTs): a master protocol

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