Efficacy of the trial-based thought record, a new cognitive therapy strategy designed to change core beliefs, in social phobia

Oliveira, Irismar Reis de; Powell, Vania Bitencourt; Wenzel, Amy; Caldas, M.; Seixas, Camila; Almeida, Cláudia Maria de; Bonfim, Thaís D.; Grangeon, Maria Conceição; Castro, Martha Moreira Cavalcante; Galvão, Amanda; Moraes, R. de Oliveira; Sudak, Donna M.

doi:10.1111/j.1365-2710.2011.01299.x

Cited by 29 publications

(41 citation statements)

References 14 publications

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“…12 A possible explanation for this finding is that TBTR had a more significant effect on fear of negative evaluation (FNE) scores than CCT techniques, as shown in a previous publication of this study. 16 The one-way ANCOVA showed a significant treatment effect (F[1, 33] = 5.47; p = 0.03) at midtreatment and at post-treatment, with participants in the TBTR group scoring lower on FNE assessments than participants in the CCT group.…”

Section: Discussionmentioning

confidence: 99%

“…The method used in this study is described in greater detail elsewhere, 16 but a brief description of the main methodological aspects is provided below.…”

Section: Methodsmentioning

confidence: 99%

“…Findings regarding QoL are reported in the present study, while a detailed description of results involving other clinical outcomes has been previously published. 16 …”

mentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…The method used in this study is described in greater detail elsewhere, 16 but a brief description of the main methodological aspects is provided below.…”

Section: Methodsmentioning

confidence: 99%

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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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“…In a randomized trial in which the TBTR was compared with traditional CBT strategies, 36 patients presenting a diagnosis of social anxiety disorder (SAD) were evaluated 9 . TBTR was at least as effective as conventional CBT in the treatment of SAD, and particularly effective in decreasing the fear of negative evaluation scores, supporting the relevance of further research with larger samples, and different disorders and populations.…”

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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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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“…Finally, de Oliveira and colleagues (2012) compared conventional CT to trial-based CT, an intervention focused on challenging core beliefs with cognitive therapy techniques modified to reflect courtroom procedures (e.g., examining evidence for and against as prosecutor and defense attorney). They found significant reductions in FNE scores from pre-treatment to post-treatment for both treatments, but post-treatment scores were lower among participants in trial-based CT than those in conventional CT (de Oliveira et al, 2012). Gains were maintained at 12-month follow-up for both treatment groups.…”

Section: Fear Of Negative Evaluationmentioning

confidence: 56%

Treatment of Adult Social Anxiety Disorder: A Treatments-by-Dimensions Review

Anderson

Hope

2014

Social Anxiety

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Efficacy of the trial-based thought record, a new cognitive therapy strategy designed to change core beliefs, in social phobia

Abstract: This study provides preliminary evidence that TBTR is at least as efficacious as CCT in reducing symptoms of SAD, pointing to the need for additional studies of TBTR in SAD and other psychiatric disorders.

Cited by 29 publications

References 14 publications

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

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

Changing negative core beliefs with trial-based thought record

Treatment of Adult Social Anxiety Disorder: A Treatments-by-Dimensions Review

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