scholarly journals Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment

2022 ◽  
Author(s):  
Thomas B. Bertelsen ◽  
Joeseph A. Himle ◽  
Åshild Tellefsen Håland
Keyword(s):  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Anxiety Symptoms ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Family Accommodation ◽  
Important Target ◽  
Youth Anxiety ◽  
Bidirectional Relationship ◽  
Previous Session

AbstractFamily accommodation is associated with an increase in anxiety and has recently received attention as a target for intervention for youth anxiety. Existing theories posit that the increase in family accommodation increases youth anxiety and can attenuate the effect of psychotherapy. However, the directionality between family accommodation and youth anxiety has not been investigated. A cross-lagged cross-panel design was used to assess accommodation and anxiety for 10 sessions for 73 youths with an anxiety disorder, who were receiving cognitive-behavioral therapy. The analysis revealed a bidirectional relationship, such that to some extent previous session family accommodation increased youth anxiety symptoms (β = 0.11, 95% CI [0.06, 0.17]), but to an even greater extent previous session youth-rated anxiety symptoms increased family accommodation (β = 0.23, 95% CI [0.08, 0.38]). Family accommodation is an important target for reducing youth anxiety but should be addressed simultaneously as interventions directly targeting youth anxiety.

Family Accommodation as a Predictor of Cognitive-Behavioral Treatment Outcome for Childhood Anxiety

2018 ◽  
Vol 99 (1) ◽  
pp. 45-55 ◽  
Author(s):  
Alison Salloum ◽  
Ross Andel ◽  
Adam B. Lewin ◽  
Carly Johnco ◽  
Nicole M. McBride ◽  
...  
Keyword(s):  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Childhood Anxiety ◽  
Cognitive Behavioral ◽  
Computer Assisted ◽  
Cognitive Behavioral Treatment ◽  
Family Accommodation ◽  
Pediatric Anxiety ◽  
End Of Treatment ◽  
Unit Increase

The current study examined the association of family accommodation (i.e., assisting the child to avoid experiencing anxiety and/or removing demands secondary to anxiety) and treatment remission and response among 72 youth (ages 7 to 13 years) who participated in a randomized clinical trial of a computer-assisted cognitive-behavioral therapy for pediatric anxiety. Measures of family accommodation, anxiety, treatment improvement, and functional impairment were administered. Results suggest that every one unit increase in the level of impact of accommodation on child functioning at baseline was associated with a 26% decrease in the odds of remission at the end of treatment. None of the accommodation subscales predicted treatment response. Findings support the practitioner assessing family accommodation at baseline and further research on family accommodation and treatment outcomes.

Cognitive–Behavioral Treatment of Depression in Men

2014 ◽  
Vol 9 (2) ◽  
pp. 94-102 ◽  
Author(s):  
Jason S. Spendelow
Keyword(s):  
Help Seeking ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Empirical Support ◽  
Cognitive Behavioral ◽  
Public Health Issue ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Negative Effects ◽  
Recommended Treatment

Depression is a significant public health issue and many researchers have suggested that modifications to conventional cognitive–behavioral therapy (CBT) are required to address infrequent help-seeking in men and counter negative effects of traditional masculinity on therapeutic engagement. This narrative review summarizes recommended alterations to CBT in the areas of therapeutic setting, process, and content. Key themes from this literature include a focus on behavioural interventions, and harmful cognitions that orginate from the traditional male gender stereotype. This literature is marked by limited empirical support for many of the recommended treatment modifications, and several options for future research are outlined.

RAINBOW

2017 ◽  
Author(s):  
Amy E. West ◽  
Sally M. Weinstein ◽  
Mani N. Pavuluri
Keyword(s):  
Bipolar Disorder ◽  
Mental Health Professionals ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Treatment Manual ◽  
Good Friend ◽  
Pediatric Bipolar Disorder ◽  
Cognitive Behavioral Treatment ◽  
Behavioral Strategies

RAINBOW: A Child- and Family-Focused Cognitive-Behavioral Treatment for Pediatric Bipolar Disorder is a comprehensive, evidence-based treatment manual designed specifically for children ages 7–13 with bipolar spectrum disorders and their families. Developed by experts in pediatric mood disorders and tested in a randomized clinical trial (RCT), RAINBOW integrates psychoeducation and cognitive-behavioral therapy (CBT) with complementary techniques from mindfulness-based intervention, positive psychology, and interpersonal therapy to address the range of therapeutic needs of families affected by this disorder. Guided by the evidence on the neurobiological and psychosocial difficulties accompanying pediatric bipolar disorder, this treatment targets the child and family across seven core components: Routine, Affect Regulation, I Can Do It, No Negative Thoughts and Live in the Now, Be a Good Friend/Balanced Lifestyle for Parents, Oh How Do We Solve This Problem, and Ways to Get Support. Throughout the treatment, the child and family will learn how to identify mood states and triggers of mood dysregulation, and develop cognitive and behavioral strategies for improving mood stability. Children will build social skills, and caregivers will develop greater balance and self-care in their own lives. The family will learn ways to use routines, problem-solving, and social support to improve overall family functioning. Intended for qualified child-focused mental health professionals, this manual includes the conceptual background of the treatment and user-friendly step-by-step instruction in delivering RAINBOW with families, including handy session outlines and engaging worksheets for the child and caregiver(s).

Cognitive Behavioral Therapy

2017 ◽  
Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings
Keyword(s):  
Older Adults ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Treatment ◽  
Cognitive Distortions ◽  
Behavioral Therapy ◽  
Theory And Practice ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Behavioral Strategies ◽  
Term Care

Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral therapy (CBT). Theoretical principles, such as cognitive distortions, underlying assumptions and schema, and their presentation in older adults, are discussed. The treatment approach of CBT is outlined, including the nature of the therapeutic relationship, changing cognitions, behavioral strategies, the use of homework in treatment, and special considerations and adaptations for practice with older clients. Various contexts and settings where CBT is implemented are summarized, such as individual and group settings within community-based, acute-care, and long-term-care facilities. The chapter ends with the case example of cognitive behavioral treatment with an older female caregiver, which highlights and illustrates CBT practice with older adults.

A Comparison of Secular and Religious Versions of Cognitive Therapy with Depressed Christian College Students

1984 ◽  
Vol 12 (1) ◽  
pp. 45-54 ◽  
Author(s):  
David Richard Pecheur ◽  
Keith J. Edwards
Keyword(s):  
Behavior Modification ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Waiting List ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Cognitive Behavior ◽  
Cognitive Behavioral Treatment ◽  
Cognitive Behavior Modification ◽  
Treatment Of Depression

This study was designed to answer two related questions: (a) Could Beck's cognitive-behavioral treatment of depression be efficaciously employed in a religious population, and (b) would the efficacy of Beck's cognitive-behavioral treatment of depression be enhanced if it was integrated with the subjects’ religious beliefs? A multiple cutoff procedure was utilized in the selection of subjects for a secular cognitive behavior modification group, a religious cognitive behavior modification group, and a waiting list control group. The results indicated that the secular and the religious cognitive behavior modification groups were significantly more effective than the waiting list control group in alleviating depression. No significant differences were found between secular and the religious cognitive behavior modification groups. The reductions in depression were maintained at a one-month follow-up. The results relevant to Beck's cognitive-behavioral therapy of depression and to the treatment of religious patients are discussed.

Impact of Social Developmental Experiences on Cognitive-Behavioral Therapy for Generalized Social Phobia

2006 ◽  
Vol 20 (1) ◽  
pp. 7-16 ◽  
Author(s):  
Lynn E. Alden ◽  
Charles T. Taylor ◽  
M. Judith Laposa ◽  
Tanna M. B. Mellings
Keyword(s):  
Social Phobia ◽  
Working Alliance ◽  
Childhood Abuse ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Developmental Experiences ◽  
Poor Treatment Outcome ◽  
Generalized Social Phobia

The current study examined how the social developmental experiences of people with generalized social phobia (GSP) affect their therapeutic relationships and treatment response. GSP patients (N = 27) completed measures of social learning experiences, and then participated in a 12-session group cognitive-behavioral treatment program. Both patients and therapists completed the Working Alliance Inventory (WAI) and rated their perceptions of each other at sessions 3 and 8. Self-reported childhood parental abuse was associated with a weaker working alliance and a more negative patient-therapist relationship. Childhood abuse also increased the risk of a poor treatment outcome, as reflected in less change in symptoms of social phobia and depression.

Perfectionism in People who Stutter: Preliminary Findings Using a Modified Cognitive-Behavioral Treatment Approach

2007 ◽  
Vol 36 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Barbara J. Amster ◽  
Evelyn R. Klein
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Treatment ◽  
Treatment Approach ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Trial Testing ◽  
Preliminary Research ◽  
Pre Treatment

AbstractPerfectionistic people set unrealistic goals and, when they fail to reach them, experience self-criticism and blame. Preliminary research revealed that perfectionism appears to be a characteristic of people who stutter (PWS) (Amster, 1995). The purpose of the present study was to explore perfectionism in PWS and to determine if a modified cognitive behavioral therapy approach alone and combined with Stuttering Modification could help reduce perfectionistic tendencies and stuttering behaviors. Degree of perfectionism and scores of stuttering severity were measured with eight adult PWS and compared at pre-treatment, mid-treatment, after 6-weeks of treatment, and at 15 weeks follow-up, after treatment was withdrawn. Initial open-trial testing showed promising results as perfectionism and stuttering severity were reduced and communication attitudes improved. CBT significantly reduced perfectionism by mid-point. Stuttering decreased significantly throughout all phases of the study. Possible implications are discussed.

Cognitive-Behavioral Therapy With Couples: Empirical Status

2001 ◽  
Vol 15 (4) ◽  
pp. 299-310 ◽  
Author(s):  
Norman Epstein
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Couple Therapy ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Current Status ◽  
Cognitive Behavioral Treatment ◽  
Relationship Problems ◽  
Affective Factors ◽  
The Impact

This article briefly summarizes the behavioral, cognitive, and affective factors that have been implicated in couples’ relationship problems, describes representative interventions for those factors, and reviews the current status of outcome research on cognitive-behavioral therapy for couples. Although the initial studies have provided encouraging findings concerning the effectiveness of cognitive-behavioral treatment for distressed couples, limitations in the number and scope of the studies leave many unanswered questions. In particular, studies have not assessed the impact of cognitive-behavioral couple therapy as it is conducted in clinical practice. Additional research is needed to address issues such as the relative efficacy of different cognitive restructuring interventions and the impact of integrating interventions targeting cognitive, affective, and behavioral aspects of relationship problems.

Treatment of PTSD Using Cognitive and Cognitive Behavioral Therapies

2000 ◽  
Vol 14 (3) ◽  
pp. 261-285 ◽  
Author(s):  
Sherry A. Falsetti ◽  
Heidi S. Resnick
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Cognitive Strategies ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Trauma History ◽  
Civilian Trauma ◽  
Behavioral Therapies ◽  
Cognitive Behavioral Therapies

This article reviews the assessment and cognitive behavioral treatment of patients with civilian trauma related posttraumatic stress disorder (PTSD), and presents a case example to illustrate the use of cognitive behavioral therapy for PTSD. Areas of importance for assessment include thorough trauma history, PTSD symptomatology, comorbid disorders, coping skills, distorted cognitions, and level of behavioral avoidance. There are now several cognitive behavioral therapies available for the treatment of PTSD that have been empirically validated. These treatments will be briefly described and the extant treatment outcome literature will be reviewed. A case example, highlighting cognitive strategies within cognitive behavioral therapy, is presented.

Cognitive Behavioral Therapy for Anxiety and Fear in Pediatric Pain Contexts

2017 ◽  
Vol 31 (1) ◽  
pp. 41-56 ◽  
Author(s):  
C. Meghan McMurtry ◽  
Rachel M. Tomlinson ◽  
Lara M. Genik
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Evidence Base ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Case Examples ◽  
Acute Form ◽  
Inflammatory Bowel

Pain is a highly prevalent experience in pediatric medical populations, both in an acute form (e.g., iatrogenic pain from needle procedures) as well as in more chronic forms (e.g., as a result of arthritis, inflammatory bowel disease, or as a disease/disorder in and of itself). Guided by the biopsychosocial model, the overarching objective of this work is to examine cognitive behavioral treatment of anxiety in pain contexts. Specific aims are to (a) provide a brief overview of anxiety in youth with a high fear of needles and those experiencing chronic pain, (b) review the evidence base for cognitive behavioral therapy (CBT) for these populations, (c) outline considerations for implementing CBT-based approaches, and (d) provide two case examples which illustrate the application of CBT in these contexts. Brief concluding remarks include suggestions for future research such as improved screening and treatment of comorbid anxiety in the context of pain.

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