Fostering Cognitive Change in Cognitive Therapy of Depression: An Investigation of Therapeutic Strategies

AbstractThere is little evidence regarding which therapist strategies promote cognitive change in cognitive therapy (CT) of depression. Drawing from a sample of CT patients, we selected two consecutive sessions for which patients reported markedly different amounts of cognitive change (CC; i.e., a low and high cognitive change session). We then investigated whether four observer-rated psychotherapy process variables differentiated high and low CC sessions. Our analyses focused on 62 patients with large session-to-session differences in self-reported CC. Results from single predictor models showed the therapeutic alliance and therapists ’ use of cognitive methods predicted high versus low CC session type. In a model including multiple predictors, only cognitive methods remained significant. These findings are consistent with the view that cognitive methods promote CC in CT.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research

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Conclusions: Clinical guidance around combined treatment (psychotherapy plus ADMs) should be reconsidered. CBT alone is superior to IPT alone and to combined treatment, while IPT alone is non-inferior to combined treatment. More research is needed to assess the moderating effect of older age and number of previous episodes on IPT efficacy. The Study in Context: CVS Health: Cognitive behavioral therapy (CBT) apps may help you more than sleeping pills Growing research aims at helping cancer patients in distress access most-likely-to-help self-care options, from Mindfulness training to Web-based cognitive behavioral therapy...
Source: SharpBrains - Category: Neuroscience Authors: Tags: Cognitive Neuroscience Health & Wellness cognitive behavioural therapy face-to-face therapy interpersonal psychotherapy major depression psychiatry Source Type: blogs
CONCLUSIONS: The conclusions of this review are limited due to the low number and very poor quality of included studies. No conclusions can be made about the efficacy of psychological interventions (delivered alone or in combination with pharmacotherapy) for the treatment of comorbid depression and substance use disorders, as they are yet to be compared with no treatment or treatment as usual in this population. In terms of differences between psychotherapies, although some significant effects were found, the effects were too inconsistent and small, and the evidence of too poor quality, to be of relevance to practice. ...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Psychotherapy that includes social rhythm therapy —which helps people develop regular patterns in their daily activities such as work, eating, and sleeping—has been shown to be an effective treatment for patients with bipolar disorder. This disorder typically creates disruptions in the circadian clock, and social rhythm therapy can help reset t his clock. Asmall study published in theAmerican Journal of Psychotherapy now suggests that combining interpersonal psychotherapy and social rhythm therapy can help patients with unipolar depression as well.The analysis included 30 patients who received 12 months of inte...
Source: Psychiatr News - Category: Psychiatry Tags: American Journal of Psychotherapy bipolar disorder depressive symptoms interpersonal and social rhythm therapy major depressive disorder Marie Crowe social impairment Source Type: research
BACKGROUND: Psychotherapies for depression are equally effective on average, but individual responses vary widely. Outcomes can be improved by optimizing treatment selection using multivariate prediction models. A promising approach is the Personalized Adv...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Program and Other Evaluations, Effectiveness Studies Source Type: news
CONCLUSIONS: If replicated, long-term PAI predictions could enhance precision medicine by selecting the optimal treatment for a given depressed individual over the long term. PMID: 31753043 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
Abstract The prevalence of major unipolar depression in children and adolescents is increasing in the United States. In 2016, approximately 5% of 12-year-olds and 17% of 17-year-olds reported experiencing a major depressive episode in the previous 12 months. Screening for depression in adolescents 12 years and older should be conducted annually using a validated instrument, such as the Patient Health Questionnaire-9: Modified for Teens. If the diagnosis is confirmed, treatment should be initiated for persistent, moderate, and severe depression. Active support and monitoring may be sufficient for mild, self-limited...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
No clear superiority seen on cost basis for second - generation antidepressants versus cognitive therapy
Source: The Doctors Lounge - Psychiatry - Category: Psychiatry Tags: Family Medicine, Internal Medicine, Pharmacy, Psychiatry, Journal, Source Type: news
AbstractPurpose of ReviewTo review non-behavioral and non-medical psychosocial therapies for individuals with intellectual disabilities to identify if any such approaches are effective.Recent FindingsThere are more randomized controlled trials (RCTs), systematic reviews, and meta-analyses than in the past; however, most RCTs are of poor quality.SummaryMost research treatments such as cognitive behavior therapy and diagnoses such as depression and anger. There is limited research on other forms of psychotherapy and other diagnoses. Future research needs to include high quality RCTs of psychosocial treatments for common, soc...
Source: Current Developmental Disorders Reports - Category: Child Development Source Type: research
CONCLUSIONS: Clinical guidance around combined treatment (psychotherapy plus ADMs) should be reconsidered. CBT alone is superior to IPT alone and to combined treatment, while IPT alone is non-inferior to combined treatment. More research is needed to assess the moderating effect of older age and number of previous episodes on IPT efficacy. PMID: 31615583 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
Once you begin to dip your toes into psychological therapies, it doesn’t take long before you begin to see TLAs all over the place. So today I’m going to post on two things: some of the TLAs, and why or how we might consider using these approaches in pain rehabilitation. The first one is CBT, or cognitive behavioural therapy. CBT grew out of two movements: behaviour therapy (Skinner and the pigeons, rats and all that behaviour modification stuff), and cognitive therapy (Ellis and Beck and the “cognitive triad” – more on this later). When the two approaches to therapy are combined, we have c...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Cognitive behavioral therapy Coping strategies Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice Source Type: blogs
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