Assessing patient suitability for short-term cognitive therapy with an interpersonal focus

Safran, Jeremy D.; Segal, Zindel V.; Vallis, Michael; Shaw, Brian F.; Samstag, Lisa Wallner

doi:10.1007/bf01172738

Cited by 223 publications

(326 citation statements)

References 17 publications

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“…However, while there is evidence that an understanding of the A-B-C model is associated with outcome from CBT (Safran et al, 1993), we still do not know whether this is also the case for people with IDs. Furthermore, various studies have shown strong links between verbal ability, and both readiness for CBT (Dagnan et al, 2000;Dagnan & Chadwick, 1997;Joyce et al, 2006;Reed & Clements, 1989;Sams, Collins, & Reynolds, 2006), as well as therapeutic gains (Willner, Jones, Tams, & Green, 2002).…”

Section: Can a Computerised Training Paradigm Assist People With Intementioning

confidence: 91%

“…However, there is insufficient evidence to conclude that psychological treatments for mental health problems amongst people with IDs are empirically validated (Vereenooghe & Langdon, 2013). One of the reasons for this is that people with IDs are thought to have difficulty grasping some of the concepts presented within CBT (Biza Stenfert-Kroese, Dagnan, & Loumidis, 1997), and while suitability criteria for CBT have been described in terms of the potential to form a therapeutic alliance, motivation for change, ability to remain problem-focused, accessibility of (negative) automatic thoughts, ability to differentiate between emotional states and general Running Head: COMPUTERISED TRAINING IN CBT SKILLS 4 affinity with the cognitive rationale (Safran, Segal, Vallis, Shaw, & Samstag, 1993;Safran, Vallis, Segal, & Shaw, 1986), there has been little work looking at these variables within therapy for people with IDs.The antecedent-belief-consequent (A-B-C) model (Ellis, 1977;Trower, Jones, Dryden, & Casey, 2011) has helped inform clinicians about the necessary skills that are needed in order to successfully take part in cognitive-behavioural therapy. The model asserts that emotional and behavioural responses or consequences (C) to an activating event or antecedent (A) are shaped by the person's interpretation or beliefs (B).…”

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confidence: 99%

“…The model asserts that emotional and behavioural responses or consequences (C) to an activating event or antecedent (A) are shaped by the person's interpretation or beliefs (B). These three components reflect three component skills needed in order to take part in CBT: (a) accessibility of automatic thoughts, (b) ability to differentiate emotions, and (c) understanding of the cognitive rationale (Safran et al, 1993(Safran et al, , 1986. Accessibility of automatic thoughts corresponds with the belief component, while differentiation of emotions corresponds to the consequences component, and the cognitive rationale is reflected within the cognitive mediation process, which hypotheses that the relationship between situations (2006), rather than just focus on emotions, assessed the ability of people with IDs and psychosis to differentiate between emotions, thoughts, and behaviours, reporting that behaviours and feelings were more easily identified than thoughts.…”

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confidence: 99%

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Can a computerised training paradigm assist people with intellectual disabilities to learn cognitive mediation skills? A randomised experiment

Vereenooghe

Reynolds

Gega

et al. 2015

Behaviour Research and Therapy

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Aims:The aim was to examine whether specific skills required for cognitive behavioural therapy (CBT) could be taught using a computerised training paradigm with people who have intellectual disabilities (IDs). Training aimed to improve: a) ability to link pairs of situations and mediating beliefs to emotions, and b) ability to link pairs of situations and emotions to mediating beliefs.Method: Using a single-blind mixed experimental design, sixty-five participants with IDs were randomised to receive either computerised training or an attention-control condition.Cognitive mediation skills were assessed before and after training. Results:Participants who received training were significantly better at selecting appropriate emotions within situation-beliefs pairs, controlling for baseline scores and IQ. Despite significant improvements in the ability of those who received training to correctly select intermediating beliefs for situation-feelings pairings, no between-group differences were observed at post-test. Conclusions:The findings indicated that computerised training led to a significant improvement in some aspects of cognitive mediation for people with IDs, but whether this has a positive effect upon outcome from therapy is yet to be established. Prevalence rates of mental health problems among people with intellectual disabilities (IDs) vary widely depending on the diagnostic criteria and assessments used, with recent estimates suggesting that between thirteen and forty percent of people with IDs are affected (Cooper, Smiley, Morrison, Williamson, & Allan, 2007;Deb, Thomas, & Bright, 2001;Emerson & Hatton, 2007). The high prevalence rates, when compared to the general population, can be partly explained by the genetic vulnerability of people with IDs, and disadvantageous life events such as stigmatisation and isolation (Clarke, 2003;Cooper et al., 2007;Emerson & Hatton, 2007;Hulbert-Williams & Hastings, 2008;Reiss & Benson, 1984).Even though people with IDs have an elevated risk of developing mental health problems, the evidence regarding the efficacy of psychological therapies for this population has only been emerging slowly. A recent meta-analysis concluded that cognitive behavioural therapy was at least moderately effective for the treatment of anger regulation problems and depression (Vereenooghe and Langdon, 2013), and previous reviews have also supported the potential benefits of cognitive-behavioural therapy (CBT) for anger management (Hamelin, Travis and Sturmey, 2013;Nicoll, Beail and Saxon, 2013). However, there is insufficient evidence to conclude that psychological treatments for mental health problems amongst people with IDs are empirically validated (Vereenooghe & Langdon, 2013). One of the reasons for this is that people with IDs are thought to have difficulty grasping some of the concepts presented within CBT (Biza Stenfert-Kroese, Dagnan, & Loumidis, 1997), and while suitability criteria for CBT have been described in terms of the potential to form a therapeutic alliance, motivation ...

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Section: Can a Computerised Training Paradigm Assist People With Intementioning

confidence: 91%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Can a computerised training paradigm assist people with intellectual disabilities to learn cognitive mediation skills? A randomised experiment

Vereenooghe

Reynolds

Gega

et al. 2015

Behaviour Research and Therapy

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“…The Suitability of Short-term Cognitive Therapy (SSCT) scale identifies ten skills that would determine a person's suitability for therapy (Safran, Segal, Vallis, Shaw, & Samstag, 1993), including compatibility with the cognitive rationale and potential to form a therapeutic alliance. Our study targeted two of the four skills of the SSCT scale that are associated with capacity for participation in CBT and are predictive of therapy outcome for anxiety and depression: accessibility of automatic thoughts and awareness and differentiation of emotions (Renaud, Russell, & Myhr, 2014).…”

Section: Introductionmentioning

confidence: 99%

Using computers to teach people with intellectual disabilities to perform some of the tasks used within cognitive behavioural therapy: A randomised experiment

Vereenooghe

Gega

Reynolds

et al. 2016

Behaviour Research and Therapy

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full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP url' above for details on accessing the published version and note that access may require a subscription. Results: Training significantly improved ability to discriminate between behaviours, thoughts and feelings pooled together, compared to the attention-control condition, even when controlling for baseline scores and IQ. Large within-group improvements in the ability to identify behaviours and feelings were observed for the training condition, but not the attention-control group. There were no significant between-group differences in ability to identify thoughts, or on cognitive mediation skills. Conclusions:A single session of computerised training can improve the ability of people with IDs to understand and practise CBT tasks relating to behaviours and feelings. There is potential for computerised training to be used as a "primer" for CBT with people with IDs to improve engagement and outcomes, but further development on a specific computerised cognitive mediation tasks is needed.

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“…Uncontrolled pre-post-studies revealed that being married and displaying a lower initial symptom severity are prognostic of better response to CBT [37][38], however, it is unclear whether this finding is treatment-specific. Furthermore, patients who are above average intelligent seem to be more suitable for CBT than patients with lower intelligence [36,39].…”

Section: Some Patient Characteristics With Unclear Status: Prognosticmentioning

confidence: 99%

CBT in Affective Disorders – New Frontiers

Wolkenstein¹,

Hautzinger²

2013

Psychiatric Disorders - New Frontiers in Affective Disorders

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Assessing patient suitability for short-term cognitive therapy with an interpersonal focus

Cited by 223 publications

References 17 publications

Can a computerised training paradigm assist people with intellectual disabilities to learn cognitive mediation skills? A randomised experiment

Can a computerised training paradigm assist people with intellectual disabilities to learn cognitive mediation skills? A randomised experiment

Using computers to teach people with intellectual disabilities to perform some of the tasks used within cognitive behavioural therapy: A randomised experiment

CBT in Affective Disorders – New Frontiers

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