Empirically supported treatments in psychotherapy: towards an evidence-based or evidence-biased psychology in clinical settings?

Castelnuovo, Gianluca

doi:10.3389/fpsyg.2010.00027

Cited by 38 publications

(43 citation statements)

References 59 publications

(73 reference statements)

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“…Clinical psychology has to address obesity developing specific protocols and models (Manzoni et al, 2008; Castelnuovo, 2010a,b; Pietrabissa et al, 2012) above all in new settings (Molinari et al, 2012) and technology-based scenarios (Castelnuovo et al, 2003a,b, 2010, 2011a,b,c; Castelnuovo and Simpson, 2011; Manzoni et al, 2011), improving not only evidence-based prescriptions (Castelnuovo et al, 2004, 2005, 2008; Castelnuovo, 2010b), but also best practices such as the applications related to the promising Ugazio’s theory in analyzing psychological processes in female obesity.…”

Section: Resultsmentioning

confidence: 99%

The Power Semantics in Self and Other Repertory Grid Representations: A Comparison between Obese and Normal-Weight Adult Women

Faccio¹,

Belloni²,

Castelnuovo³

2012

Front. Psychology

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According to systemic-constructivist theory, all psycho-pathological organizations are linked to specific meanings which are developed by the individual within problematic situations in the context of learning, particularly within the family. The aim of this empirical study is to support the theory that eating disorders are linked to the “power semantics,” concept developed by Ugazio. The hypothesis that the bipolar construct “winner/loser” and the associated meanings are predominant for obese people, has been verified by interviewing 44 women (22 obese/overweight; 22 controls) using the Repertory Grid Test developed by Kelly. The participants’ elicited constructs were classified according to their semantic content and the data compared using statistical techniques. The power semantics were more prevalent and important in the Obese Group than in the Control Group. These results are critically discussed, highlighting possible clinical developments.

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Section: Resultsmentioning

confidence: 99%

The Power Semantics in Self and Other Repertory Grid Representations: A Comparison between Obese and Normal-Weight Adult Women

Faccio¹,

Belloni²,

Castelnuovo³

2012

Front. Psychology

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“…Il s'agirait notamment d'identifier des sous-groupes de patients susceptibles de bénéficier optimalement d'innovations telles que notre outil informatisé [26] [27]. Une alternative radicale consisterait à changer de paradigme [28], à s'intéresser plutôt aux « facteurs non-spécifiques » de façon à mieux les spécifier pour potentialiser leur intérêt thérapeutique.…”

Section: Discussionunclassified

Peut-on augmenter l’efficacité de la thérapie cognitive et comportementale pour le trouble obsessionnel compulsif par un adjuvant informatique innovant ?

et al. 2016

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The computerized tool may provide a well-accepted therapeutic adjuvant even though it doesn't improve the therapeutic effect. Using a personalized symptom-provocation task reveals the parallel evolution of symptoms and neurobehavioral markers through CBT. Despite the difficulty of improving an evidence-based therapy, mid-therapy results call for investigating the possible adjustments of treatment strategies at an early stage.

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“…and innovative clinical settings (remote out-patients' clinics, tele-health and e-health based settings) [65,68,70-72]. …”

Section: Discussionmentioning

confidence: 99%

The STRATOB study: design of a randomized controlled clinical trial of Cognitive Behavioral Therapy and Brief Strategic Therapy with telecare in patients with obesity and binge-eating disorder referred to residential nutritional rehabilitation

Castelnuovo

Manzoni

Villa

et al. 2011

Trials

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BackgroundOverweight and obesity are linked with Binge Eating Disorder (BED). Effective interventions to significantly reduce weight, maintain weight loss and manage associated pathologies like BED are tipically combined treatment options (dietetic, nutritional, physical, behavioral, cognitive-behavioral, pharmacological, surgical). Significant difficulties with regard to availability, costs, treatment adherence and long-term efficacy are present. Particularly Cognitive Behavioral Therapy (CBT) is the therapeutic approach indicated both in in-patient and in out-patient settings for BED. In recent years systemic and systemic-strategic psychotherapies have been implemented to treat patients with obesity and BED involved in familiar problems. Particularly a brief protocol for the systemic-strategic treatment of BED, using overall the strategic dialogue, has been recently developed. Moreover telemedicine, a new promising low cost method, has been used for obesity with BED in out-patient settings in order to avoid relapse after the in-patient step of treatment and to keep on a continuity of care with the involvement of the same clinical in-patient team.MethodsThe comparison between CBT and Brief Strategic Therapy (BST) will be assessed in a two-arm randomized controlled clinical trial. Due to the novelty of the application of BST in BED treatment (no other RCTs including BST have been carried out), a pilot study will be carried out before conducting a large scale randomized controlled clinical trial (RCT). Both CBT and BST group will follow an in-hospital treatment (diet, physical activity, dietitian counseling, 8 psychological sessions) plus 8 out-patient telephone-based sessions of psychological support and monitoring with the same in-patient psychotherapists. Primary outcome measure of the randomized trial will be the change in the Global Index of the Outcome Questionnaire (OQ-45.2). Secondary outcome measures will be the percentage of BED patients remitted considering the number of weekly binge episodes and the weight loss. Data will be collected at baseline, at discharge from the hospital (c.a. 1 month after) and after 6-12-24 months from the end of the in-hospital treatment. Data at follow-up time points will be collected through tele-sessions.DiscussionThe STRATOB (Systemic and STRATegic psychotherapy for OBesity), a comprehensive two-phase stepped down program enhanced by telepsychology for the medium-term treatment of obese people with BED seeking intervention for weight loss, will shed light about the comparison of the effectiveness of the BST with the gold standard CBT and about the continuity of care at home using a low-level of telecare (mobile phones).Trial registrationClinicalTrials.gov Identifier: NCT01096251

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Empirically supported treatments in psychotherapy: towards an evidence-based or evidence-biased psychology in clinical settings?

Cited by 38 publications

References 59 publications

The Power Semantics in Self and Other Repertory Grid Representations: A Comparison between Obese and Normal-Weight Adult Women

The Power Semantics in Self and Other Repertory Grid Representations: A Comparison between Obese and Normal-Weight Adult Women

Peut-on augmenter l’efficacité de la thérapie cognitive et comportementale pour le trouble obsessionnel compulsif par un adjuvant informatique innovant ?

The STRATOB study: design of a randomized controlled clinical trial of Cognitive Behavioral Therapy and Brief Strategic Therapy with telecare in patients with obesity and binge-eating disorder referred to residential nutritional rehabilitation

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