A Pilot Study of the Cognitive Treatment of Dysthymic Disorder

1991 ◽  
Vol 19 (4) ◽  
pp. 369-372 ◽  
Author(s):  
Ariel Stravynski ◽  
Anton Shahar ◽  
Richard Verreault

Six patients meeting DSM-III criteria for dysthymic disorder completed fifteen weekly sessions of one hour of individual cognitive therapy. Pre-, post- and six months follow-up assessments were carried out by an independent assessor. A significant improvement in depression was observed after treatment and maintained at six months follow-up. Clinically, improvements were meaningful and wide ranging and four of the patients no longer met DSM-III criteria for dysthymic disorders. Cognitive treatment acted specifically as it reduced significantly the frequency of negative automatic thoughts during treatment and follow-up.

Author(s):  
Siddrah Irfan ◽  
Nor Sheereen Zulkefly

AbstractObjectivesThe present pilot study examined the associations between attachment relationships, psychological problems, and negative automatic thoughts among late adolescents in Rawalpindi, Pakistan.SubjectsA total of 98 participants (male = 49, female = 49) were recruited from government colleges in Rawalpindi, Pakistan.MethodsThe measures used to assess the research variables of this cross sectional study were the Inventory of Parent-Peer Attachment (IPPA-Urdu), Depression, Anxiety, and Stress Scale (DASS-Urdu), and the Automatic Thought Questionnaire (ATQ-Urdu).ResultsAll of these measures had good reliabilities. Findings of the correlation analyses demonstrated that maternal, paternal and peer attachment relationships were negatively related to symptoms of depression and anxiety as well as to negative automatic thoughts. On the other hand, depressive and anxiety symptoms were positively associated with negative automatic thoughts. Additionally, findings suggested that future studies must investigate adolescents from two-parent households and exclude those with only one living parent.ConclusionThe results underscored the need for further investigations of the linkages between attachment relationships, negative automatic thoughts and psychological problems on larger samples.


1987 ◽  
Vol 60 (2) ◽  
pp. 555-560 ◽  
Author(s):  
Lionel Collet ◽  
Jean Cottraux ◽  
Robert Ladouceur

A multiple-baseline design with counterdemands instructions was used to evaluate the efficacy of cognitive therapy in five depressed patients. Depression measures (MMPI, Hamilton, and Beck Depression Inventory) showed that all the patients were improved at the end of treatment and therapeutic benefits were maintained at a 1-yr. follow-up. These results confirmed the beneficial effects for depressive patients of cognitive therapy with stringent methodological controls.


Author(s):  
Tom Burns ◽  
Eva Burns‐Lundgren

Cognitive behaviour therapy (CBT) brings together the strengths of behaviour therapy and cognitive therapy. ‘Cognitive behaviour therapy’ identifies three layers of thinking in CBT theory: negative automatic thoughts, underlying assumptions, and core beliefs (often called schemas). CBT is very structured and pretty prescriptive. Once negative automatic thoughts have been identified they need to be tested and examined. This is referred to as collaborative empiricism. Collaborative empiricism has two functions. The first, and most obvious, is to identify, test, and modify negative automatic thoughts. The second is to teach the patient to become her own therapist. Specialized CBT—mindfulness-based cognitive therapy and dialectical behaviour therapy—is also described.


1989 ◽  
Vol 154 (3) ◽  
pp. 386-389 ◽  
Author(s):  
Nagy Riad Bishay ◽  
Neil Petersen ◽  
N. Tarrier

Thirteen patients presenting with morbid jealousy were treated using a cognitive approach adapted from Beck's cognitive therapy for depression. Cognitions in morbid jealousy showed the characteristics of automatic thoughts as described by Beck, and were based on faulty assumptions derived from interpretations of past experiences. The cognitive treatment directed mainly at the faulty assumptions resulted in improvements in ten patients and no change in one; two patients dropped out of treatment. The results are considered encouraging.


1997 ◽  
Vol 25 (3) ◽  
pp. 251-259 ◽  
Author(s):  
Richard G. Moore ◽  
Ivy-Marie Blackburn

In outpatients with recurrent major depression who failed to respond to acute treatment with antidepressant medication, this study compared the effects of follow-up treatment with cognitive therapy with those of follow-up treatment with medication. In the small number of patients treated, there were some indications of response to cognitive therapy. A greater number of patients responded at least partially to cognitive therapy according to one of the two response criteria, and mean scores on two measures of depression changed to a greater extent with cognitive therapy than with continued medication. Results are consistent with previous studies, but replication is required due to the small numbers involved. The potential implications for provision of treatment are discussed.


2013 ◽  
Vol 43 (1) ◽  
pp. 63-73 ◽  
Author(s):  
Ewa Mörtberg ◽  
Asle Hoffart ◽  
Benjamin Boecking ◽  
David M. Clark

Background: Cognitive therapy is an effective treatment for social anxiety disorder but little is known about the mechanisms by which the treatment achieves its effects. Aims: This study investigated the potential role of self-focused attention and social phobia related negative automatic thoughts as mediators of clinical improvement. Method: Twenty-nine patients with social phobia received individual cognitive therapy (ICT) in a randomized controlled trial. Weekly process and outcome measures were analysed using multilevel mediation models. Results: Change from self-focused to externally focused attention mediated improvements in social anxiety one week later. In contrast, change in frequency of, or belief in, negative social phobia related negative automatic thoughts did not predict social anxiety one week later. Conclusions: Change in self-focused attention mediate therapeutic improvement in ICT. Therapists should therefore target self-focused attention.


Crisis ◽  
2010 ◽  
Vol 31 (2) ◽  
pp. 109-112 ◽  
Author(s):  
Hui Chen ◽  
Brian L. Mishara ◽  
Xiao Xian Liu

Background: In China, where follow-up with hospitalized attempters is generally lacking, there is a great need for inexpensive and effective means of maintaining contact and decreasing recidivism. Aims: Our objective was to test whether mobile telephone message contacts after discharge would be feasible and acceptable to suicide attempters in China. Methods: Fifteen participants were recruited from suicide attempters seen in the Emergency Department in Wuhan, China, to participate in a pilot study to receive mobile telephone messages after discharge. All participants have access to a mobile telephone, and there is no charge for the user to receive text messages. Results: Most participants (12) considered the text message contacts an acceptable and useful form of help and would like to continue to receive them for a longer period of time. Conclusions: This suggests that, as a low-cost and quick method of intervention in areas where more intensive follow-up is not practical or available, telephone messages contacts are accessible, feasible, and acceptable to suicide attempters. We hope that this will inspire future research on regular and long-term message interventions to prevent recidivism in suicide attempters.


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