Outcome of cognitive‐behavioural therapy in training practice with anxiety disorder patients

Bados, Arturo; Balaguer, Gemma; García, Carmina Saldaña

doi:10.1348/014466507x209961

Cited by 14 publications

(26 citation statements)

References 30 publications

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“…Indeed, CBT with safety behavior received higher anticipated adherence ratings in this study than CBT that discouraged safety behavior, suggesting that safety behavior may reduce the risk of dropout. Given that dropout and refusal are common problems in exposure-based treatments for anxiety disorders (e.g., Bados et al, 2007;Foa et al, 2005), the results of this study are encouraging. Of course, the findings may not generalize to treatment-seeking samples, so it will be important to examine the effect of safety behavior on actual refusal and dropout rates in treatment settings.…”

Section: Table 3 Comparison Of Medication-savvy and Medication-naivementioning

confidence: 57%

Further Support for the Acceptability-Enhancing Roles of Safety Behavior and a Cognitive Rationale in Cognitive Behavioral Therapy for Anxiety Disorders

2014

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It has been proposed that the judicious use of safety behavior may enhance the acceptability of cognitive behavioral therapy (CBT). Indeed, Milosevic and Radomsky (2013a) found that descriptions of CBT incorporating safety behavior were more acceptable than those that discouraged safety behavior. This study aimed to replicate and extend this work. Participants were 688 undergraduates who rated the acceptability of descriptions of CBT varying in safety behavior (judicious or discouraged) and rationale (cognitive or extinction). Consistent with Milosevic and Radomsky, CBT with safety behavior was significantly more acceptable than traditional CBT. Cognitively based CBT was preferred over extinction-based CBT. The effects of prior treatment and general distress were also examined. Overall, previous treatment and greater anxiety were associated with significantly lower acceptability ratings. Results support the acceptability-enhancing role of safety behavior in CBT and are discussed in terms of cognitive-behavioral theory and treatment of anxiety and related disorders.

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Section: Table 3 Comparison Of Medication-savvy and Medication-naivementioning

confidence: 57%

Further Support for the Acceptability-Enhancing Roles of Safety Behavior and a Cognitive Rationale in Cognitive Behavioral Therapy for Anxiety Disorders

2014

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“…There are only a handful of studies focusing on psychotherapy education and the associated therapy clinics. However, there are some studies of the effects of CBT performed by therapist candidates with limited theoretical education, and the conclusions made in these studies seems to be that CBT performed by therapist candidates can be effective (Bados, Balaguer & Saldaña, 2007;Buckley, Newman, Kellett & Beail, 2006;Hiltunen, Kocys & Perrin-Wallqvist, 2013;Lappalainen, Lehtonen, Skarp, Taubert, Ojanen & Hayes, 2007;€ Ost, Karlstedt & Wid en, 2012). There seems to be more and more focus on emotions, emotional coping and emotional awareness in CBT (Ellard, Fairholme, Boisseau, Farchione & Barlow, 2010;Linehan, 1993).…”

Section: Introductionmentioning

confidence: 99%

Affect at the different phases of cognitive behavioral therapy: An evaluation of psychotherapy provided by candidates

Stark

Hiltunen

2016

Scandinavian J Psychology

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The purpose of this study was to investigate the affect, as measured by “Positive and Negative Affect Schedule” (PANAS), its influence on psychopathology, and to examine the effect of changing affect during cognitive behavioral therapy (CBT). The study was carried out at the psychotherapy training center, Karlstad University. The hypothesis was whether clients with mental disorders have a self‐destructive affective personality (low PA and high NA) and healthy individuals have a self‐actualizing personality (high PA and low NA). Thirty‐two healthy participants and 44 clients participated in the study. The clients were asked to fill in the PANAS once throughout CBT, either during evaluation, treatment or finishing phase, accordingly there were three different groups at different therapy phases. The healthy subjects were also asked to fill in the self‐report scale once. The comparison of the three phases of therapy and the four affective personality types showed a significant difference between the phases of therapy and the four affective personality types: totally 16 (of 22) and eight (of nine) clients measured at the evaluation and treatment phases, respectively, had a self‐destructive personality. However, at the end of therapy five (of 13) clients had a self‐actualizing personality characteristics, while only three of them were self‐destructive. Furthermore, the results indicate that affective personality does not seem to be a basic and stable personality trait, which could be altered by therapy. The affections measured by PANAS may be influenced by psychopathology and CBT, when conducted by candidate therapists it can be effective in terms of affect changes.

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“…Respecto a la duración de los tratamientos psicológicos, en nuestra clínica la media de sesiones de tratamiento se sitúa en torno a 17, que incluye una media de sesiones de evaluación e intervención de tres y 12 sesiones, respectivamente. Esta duración es similar a la duración en otras clínicas estudiadas, con valores que se mueven en una horquilla desde las 11 sesiones (Hiltunen, Kocys, & Perrin-Wallqvist, 2013), hasta las 18 sesiones o menos (Labrador et al, 2016) o incluso las 27 sesiones (Bados et al, 2007a). A pesar de la corta experiencia de los terapeutas, no se da una mayor duración de la intervención aplicada, como cabría esperar (Bados et al, 2007a).…”

Section: Variables Analizadas E Instrumentosunclassified

“…Esta duración es similar a la duración en otras clínicas estudiadas, con valores que se mueven en una horquilla desde las 11 sesiones (Hiltunen, Kocys, & Perrin-Wallqvist, 2013), hasta las 18 sesiones o menos (Labrador et al, 2016) o incluso las 27 sesiones (Bados et al, 2007a). A pesar de la corta experiencia de los terapeutas, no se da una mayor duración de la intervención aplicada, como cabría esperar (Bados et al, 2007a). Se observa una alta variabilidad en el número de sesiones por fase de tratamiento y totales, que con alta probabi- (Labrador et.…”

Section: Variables Analizadas E Instrumentosunclassified

Características de la asistencia psicológica en el contexto universitario: la Clínica Universitaria de la UAM

Elvira

Martí

Cebrián

et al. 2018

AMC

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ResumenEn el presente estudio se describe la tipología, las características sociodemográficas de los clientes y los tratamientos psicológicos aplicados en la Clínica Universitaria del CPA-UAM. La muestra está formada por 309 clientes, de los cuáles 255 finalizan el tratamiento. La mayoría de los clientes obtienen alta terapéutica (65,1%), con una duración de 17 sesiones de media. Los problemas clínicos más frecuentes son ansiedad (36,8%) y bajo estado de ánimo (13,3%). El tratamiento, realizado por psicólogos inexpertos bajo supervisión, logra una mejoría media significativa del nivel de funcionamiento de los clientes (28,26 puntos más en el EEAG, escala de 0-100) y una valoración media muy alta del éxito en el tratamiento por los clientes y los psicólogos (9,49 y 9,02 escala de 0-10, respectivamente). En conjunto, se discuten las implicaciones relativas a la práctica y la investigación clínica, y se destaca el papel de las clínicas universitarias como nexo entre ambos campos de la Psicología. AbstRActThe current study describe the typology, sociodemographic characteristics and psychological treatments applied in the CPA-UAM University Clinic. The sample is made of 309 cases, of which 255 completed the treatment. The majority of clients who started psychological treatment (65.1%) received the therapeutic release, after receiving 17 sessions on average. The most frequent clinical problems are anxiety (36.8%) and low mood (13.3%). Treatments are applied by inexperienced psychologists under supervision. On average, there is significant improvement in the functioning level of clients (28.26 points more in the EEAG, scale of 0-100) and the treatment is evaluated as very satisfactory by clients and psychologists (9.49 and 9.02, scale of 0-10, respectively). Finally, the implications for practice and clinical research are discussed, and the role of university clinics as a link between both fields of psychology is highlighted.

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Outcome of cognitive‐behavioural therapy in training practice with anxiety disorder patients

Abstract: Cognitive-behavioural therapy applied by trainee therapists in a private university service appears effective, although this efficacy may be somewhat lower than that in controlled studies. Moreover, the duration of treatment and the drop-out rate may be higher.

Cited by 14 publications

References 30 publications

Further Support for the Acceptability-Enhancing Roles of Safety Behavior and a Cognitive Rationale in Cognitive Behavioral Therapy for Anxiety Disorders

Further Support for the Acceptability-Enhancing Roles of Safety Behavior and a Cognitive Rationale in Cognitive Behavioral Therapy for Anxiety Disorders

Affect at the different phases of cognitive behavioral therapy: An evaluation of psychotherapy provided by candidates

Características de la asistencia psicológica en el contexto universitario: la Clínica Universitaria de la UAM

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