scholarly journals The third wave of cognitive behavioral therapy and the rise of process-based care

2017 ◽  
Vol 16 (3) ◽  
pp. 245-246 ◽  
Author(s):  
Steven C. Hayes ◽  
Stefan G. Hofmann
Author(s):  
Svitlana P. Derev’anko

Prolonged instability of socio-political conditions and unpredictable transformations in the modern life of many countries of the world require from the average person realization of stress-protective abilities and constant activation of an adaptive reserve. These features of modern life make increased demands on psychotherapeutic practice. One of the most recognized modern methods of psychotherapeutic care around the world is cognitive-behavioral therapy, which is rapidly evolving and systematically updated with new data. We consider timely and relevant analysis of recent publications in the field of cognitive-behavioral therapy and identification of promising research topics that will serve as a basis for their further in-depth study. The purpose of the article is to determine the main directions and priority topics of research of cognitive-behavioral therapy at the present stage of its development (for the last 5 years during 2017-2021). During the research the methods of theoretical analysis of scientific sources on research issues were used; systematization, generalization of the analyzed data. According to the results of our study, two main areas were identified: theoretical and methodological (specified components of the “third wave” of cognitive-behavioral therapy; data on comparing the methodology of cognitive-behavioral therapy with other psychotherapeutic practices, including Gestalt therapy, Мusic therapy) and methodical (means of cognitive-behavioral therapy aimed at diagnosing cognitive errors – “Scale of emotional schemes of R. Likha” in adaptation by N. Sirota, questionnaire of cognitive errors by A. Freeman, R. DeVolf in adaptation by O. Bobrov and E. Faizrakhmanova, Scale of cognitive exposures R. Kovin in the adaptation of T. Kryukova, identified areas of implementation of modern training programs of cognitive-behavioral therapy – educational activities, family relationships). The obtained results can be applied in the education in order to update the work programs and educational literature on teaching the basics of cognitive-behavioral therapy. A review of current research on cognitive-behavioral therapy has shown that the priority topics of the theoretical and methodological direction are the latest trends of the third wave of cognitive-behavioral therapy, as well as a comparative analysis of cognitive-behavioral therapy and other psychotherapeutic practices. The most relevant topics of methodological direction are the development and adaptation of methodological tools of cognitive-behavioral therapy; improvement of technologies for conducting sessions of cognitive-behavioral therapy in clinical practice; introduction of training programs in the paradigm of cognitive-behavioral therapy in socio-pedagogical practice. It can be generalized that modern cognitive-behavioral therapy is intensively developed and updated in accordance with the requirements of the time (integration of approaches, Internet communication, mobile applications for cognitive-behavioral therapy).


BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e037590 ◽  
Author(s):  
Pamela J Surkan ◽  
Syed Usman Hamdani ◽  
Zill-e Huma ◽  
Huma Nazir ◽  
Najia Atif ◽  
...  

IntroductionPrenatal anxiety is a prevalent condition that is harmful for women and a strong predictor of postpartum depression. This trial assesses an intervention initiated in early pregnancy to mid pregnancy among women with clinical or subclinical symptoms of anxiety in Pakistan.Methods and analysisHappy Mother, Healthy Baby(HMHB) is a phase three, two-arm, single-blind, individual randomised clinical trial conducted in the outpatient department of Holy Family Hospital, a large public tertiary care facility affiliated with Rawalpindi Medical University (RMU). Pregnant women (enrolled at ≤22 weeks of gestation) receive six individual HMHB sessions based on cognitive–behavioral therapy (CBT) and relaxation techniques that are administered by non-specialist providers and tailored to address anxiety symptoms. Two to six booster sessions are given between the fifth consecutive weekly core session and the sixth core session that occurs in the third trimester. Apart from baseline data, data are collected in the third trimester, at birth and at 6-weeks postpartum. Primary outcomes include diagnoses of postpartum common mental disorders. Secondary outcomes include symptoms of anxiety and of depression, and birth outcomes including small-for-gestational age, low birth weight and preterm birth. An economic analysis will determine the cost effectiveness of the intervention.EthicsEthics approval was obtained from the Johns Hopkins Bloomberg School of Health Institutional Review Board (Baltimore, USA), the Human Development Research Foundation Ethics Committee (Islamabad, Pakistan), the RMU Institutional Research Forum (Rawalpindi, Pakistan) and the National Institute of Mental Health-appointed Global Mental Health Data Safety and Monitoring Board.DisseminationResults from this trial will build evidence for the efficacy of a CBT-based intervention for pregnant women delivered by non-specialised providers. Identification of an evidence-based intervention for anxiety starting in early pregnancy to mid pregnancy may be transferable for use and scale-up in other low-income and middle-income countries.Trial registration numberNCT03880032.


2018 ◽  
Vol 27 (3) ◽  
pp. 148-151
Author(s):  
Kavita Sreekumar ◽  
Annely D’Lima ◽  
M. P. Silveira ◽  
Riddhima Gaonkar

Antenatal counseling improves the rate of exclusive breastfeeding. But routine antenatal counseling may not be effective in achieving this. Cognitive behavioral therapy derived techniques may be more useful in improving breastfeeding outcomes. We did this study to test the effectiveness of a single session of cognitive counseling compared to routine counseling in the third trimester for improving LATCH score. Fifty mother–baby dyads were enrolled. Twenty-six mothers underwent cognitive counseling and 24 mothers underwent routine counseling. After birth, the LATCH scores were assessed within the first 24 hours in the newborn. A single session of cognitive breastfeeding counseling in the third trimester is effective in significantly improving the LATCH scores in the immediate newborn period.


2011 ◽  
Vol 26 (S2) ◽  
pp. 740-740
Author(s):  
D. Vasile ◽  
O. Vasiliu ◽  
A.G. Mangalagiu ◽  
C. Tudor ◽  
V. Bogdan ◽  
...  

IntroductionAnorexia nervosa (AN) has been approached from multiple medical, social and psychological perspectives, but it still stands as a major challenge for the clinician, due to its resistance to treatment, low therapeutic compliance and severe complications.ObjectiveTo asses the efficacy of an interpersonal focused cognitive-behavioral therapy (CBT) in patients diagnosed with AN.MethodsWe enrolled in 12 weeks, 3 sessions a week, CBT program a number of three patients, females, admitted successively in our departments, diagnosed with AN, who didn’t have previously any kind of psychotherapy. The first patient was 22, diagnosed with AN-restricting type, had a BMI of 14.5 and a score on Eating Attitudes Test (EAT) of 34. The second patient was 19, presented AN-binge eating-purging, had a BMI of 14 and an EAT score of 35. The third patient was 25, had also AN-binge eating-purging, a BMI of 15 and an EAT score of 32.ResultsThe first two patients responded well to the CBT program, but the first signs of recovery (EAT decreases of at least 5 points and increases of at least 1 unit on BMI) appeared after 10 weeks (15 sessions). The third patient discontinued rather fast the psychological treatment. The follow up (12 weeks after endpoint) showed relapse in one CBT-treated patient and a severe status of the patient that discontinued psychotherapy.ConclusionThe CBT focused on communicational skills enhancement is beneficial in patients with AN, but responses appear rather late and need to be boosted by frequent follow-up sessions.


Author(s):  
Glenn Waller ◽  
Helen Cordery ◽  
Emma Corstorphine ◽  
Hendrik Hinrichsen ◽  
Rachel Lawson ◽  
...  

2017 ◽  
Vol 2 (1) ◽  
pp. 31-36
Author(s):  
Pascal Wabnitz ◽  
Michael Schulz ◽  
Michael Löhr ◽  
André Nienaber

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