Using an Evidence-Based Methodology to Identify the Competences Required to Deliver Effective Cognitive and Behavioural Therapy for Depression and Anxiety Disorders

2008 ◽  
Vol 36 (2) ◽  
pp. 129-147 ◽  
Author(s):  
Anthony D. Roth ◽  
Stephen Pilling
Keyword(s):  
Anxiety Disorders ◽  
Formal Specification ◽  
Behavioural Therapy ◽  
Evidence Based ◽  
Depression And Anxiety ◽  
Therapist Variables ◽  
Psychological Therapies

AbstractA number of developments make the formal specification of competences in CBT both timely and relevant, in particular the Improving Access to Psychological Therapies (IAPT) programme, the increasing focus on process and therapist variables in determining outcome, and the increasing diversity of CBT. This paper outlines the development of an evidence-based methodology for determining both a model and a framework for CBT competences, and considers issues related to the implementation of the framework.

scholarly journals Improving Access to Psychological Therapies (IAPT) - The Need for Radical Reform

2018 ◽  
Vol 23 (9) ◽  
pp. 1136-1147 ◽  
Author(s):  
Michael J Scott
Keyword(s):  
Anxiety Disorders ◽  
Psychological Treatment ◽  
Structured Interview ◽  
Diagnostic Interview ◽  
Personal Injury ◽  
Depression And Anxiety ◽  
Modus Operandi ◽  
Radical Reform ◽  
Psychological Therapies ◽  
Treatment Of Depression

Improving Access to Psychological Therapies is a UK government-funded initiative to widen access to the psychological treatment of depression and anxiety disorders. The author has had the opportunity to independently assess 90 Improving Access to Psychological Therapies clients, using a standardised semi-structured interview, the Structured Clinical Diagnostic Interview for DSM Disorders (SCID) and to listen to their account of interaction with the service. The results suggest that only the tip of the iceberg fully recovers from their disorder (9.2%) whether or not they were treated before or after a personal injury claim. There is a pressing need to re-examine the modus operandi of the service.

The comparison between CBT focused on perfectionism and CBT focused on emotion regulation for individuals with depression and anxiety disorders and dysfunctional perfectionism: a randomized controlled trial

2020 ◽  
pp. 1-18
Author(s):  
Mohammad Mahmoodi ◽  
Maryam Bakhtiyari ◽  
Abbas Masjedi Arani ◽  
Abolfazl Mohammadi ◽  
Mohsen Saberi Isfeedvajani
Keyword(s):  
Randomized Controlled Trial ◽  
Emotion Regulation ◽  
Anxiety Disorders ◽  
Emotional Disorders ◽  
Group Treatment ◽  
Repeated Measures ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Depression And Anxiety ◽  
Randomized Controlled

Abstract Background: There is considerable evidence indicating that similar aetiological and maintenance processes underlie depressive and anxious psychopathology. According to the literature, perfectionism and emotion regulation are two transdiagnostic constructs associated with symptoms of emotional disorders. Aims: This study is the first randomized controlled trial comparing the efficacy of cognitive behavioural therapy for perfectionism (CBT-P) and the unified protocol for the transdiagnostic treatment of emotional disorders (UP). Method: Seventy-five participants with a range of depressive and anxiety disorders and elevated perfectionism were randomized to three conditions: CBT-P, UP or a waitlist control (WL). Results: Repeated measures ANOVA indicated that the treatment groups reported a significantly greater pre–post reduction in the severity of symptoms of disorders, as well as a significantly greater pre–post increase in quality of life, all with moderate to large effect sizes compared with the WL group. Treatment gains were maintained at 6-month follow-up. The CBT-P group reported a significantly greater pre–post reduction in perfectionism compared with UP, and the UP group reported a significantly greater pre–post improvement in emotion regulation compared with CBT-P. Conclusions: Findings support CBT for perfectionism and regard UP as efficacious treatments for individuals with depression and anxiety disorders who also have dysfunctional perfectionism. It appears that perfectionism cannot be a serious obstacle to UP. As this is a preliminary study and has some limitations, it is recommended that further research be conducted.

Can a ‘return-to-work’ agenda fit within the theory and practice of CBT for depression and anxiety disorders?

2010 ◽  
Vol 3 (1) ◽  
pp. 27-42 ◽  
Author(s):  
Matthew Wesson ◽  
Matthew Gould
Keyword(s):  
Anxiety Disorders ◽  
Return To Work ◽  
Clinical Excellence ◽  
Theory And Practice ◽  
Depression And Anxiety ◽  
Behaviour Therapy ◽  
Occupational Outcomes ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

AbstractHelping service users to return to work has emerged as a key therapeutic objective of the Improving Access to Psychological Therapies (IAPT) initiative. IAPT programmes implement National Institute for Health and Clinical Excellence (NICE) guidelines, especially cognitive behaviour therapy (CBT), for people suffering from anxiety and depression. However, relatively little research has been conducted to date into whether, or how, cognitive behavioural interventions can help individuals return to work. This paper reviews literature and research into CBT and occupational outcomes and considers whether a return-to-work agenda may jeopardize the therapeutic alliance which is suggested to be necessary for effective CBT. Moreover, through the use of clinical examples from our practice, we suggest ways in which employment issues might be integrated into CBT for depression and anxiety disorders. We conclude that a return-to-work agenda can be utilized during therapy while maintaining a collaborative and secure therapeutic relationship, especially, perhaps if work issues are embedded within the formulation. However, further research is needed, not only to determine whether CBT can help individuals return to work but also how CBT might best integrate a return-to-work agenda.

scholarly journals Addressing concerns about smoking cessation and mental health: theoretical review and practical guide for healthcare professionals

2020 ◽  
pp. 1-11
Author(s):  
Gemma M. J. Taylor ◽  
Amanda L. Baker ◽  
Nadine Fox ◽  
David S. Kessler ◽  
Paul Aveyard ◽  
...  
Keyword(s):  
Mental Health ◽  
Smoking Cessation ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Behavioural Therapy ◽  
Routine Care ◽  
Evidence Based ◽  
Depression And Anxiety ◽  
Stop Smoking ◽  
Cognitive Behavioural

SUMMARY Smoking rates in people with depression and anxiety are twice as high as in the general population, even though people with depression and anxiety are motivated to stop smoking. Most healthcare professionals are aware that stopping smoking is one of the greatest changes that people can make to improve their health. However, smoking cessation can be a difficult topic to raise. Evidence suggests that smoking may cause some mental health problems, and that the tobacco withdrawal cycle partly contributes to worse mental health. By stopping smoking, a person's mental health may improve, and the size of this improvement might be equal to taking antidepressants. In this article we outline ways in which healthcare professionals can compassionately and respectfully raise the topic of smoking to encourage smoking cessation. We draw on evidence-based methods such as cognitive–behavioural therapy (CBT) and outline approaches that healthcare professionals can use to integrate these methods into routine care to help their patients stop smoking.

scholarly journals Θετικές παρεμβάσεις στη Γνωσιακή-Συμπεριφορική Ψυχοθεραπεία

2020 ◽  
Vol 19 (3) ◽  
pp. 297
Author(s):  
Πασχαλία Μυτσκίδου ◽  
Βλοντάκης Ιωάννης
Keyword(s):  
Anxiety Disorders ◽  
Well Being ◽  
Behavioural Therapy ◽  
Depression And Anxiety ◽  
Cognitive Behavioural ◽  
Preliminary Validation ◽  
Life Therapy ◽  
Hope Therapy

Cognitive-Behavioural Therapy (CBT) is a well-established, evidence-based psychotherapy. Although it is the therapy of choice for both depression and anxiety disorders, many patients remain symptomatic after termination of their treatment, while relapses are not uncommon in the long-term follow-ups. Over time, different techniques have beenproposed in order to enrich cognitive-behavioural psychotherapy and increase its effectiveness. From the field of Positive Psychology, three psychotherapeutic strategies, Well-Being Therapy, Hope Therapy and Quality of Life Therapy, have been applied as additional ingredients in cognitive-behavioral packages. They are applied either as relapse prevention or as therapeutic strategies, in patients with affective and anxiety disorders who failed to respond to standard psychotherapeutic treatments. This paper presents the clinical and conceptual framework, as well as the structure and application of each strategy. Their potential clinical usefulness and results of preliminary validation studies are presented. Finally, their contribution in enriching the effectiveness of CBT is discussed.

scholarly journals Adherence to evidence-based guidelines for depression and anxiety disorders is associated with recording of the diagnosis

2009 ◽  
Vol 31 (5) ◽  
pp. 460-469 ◽  
Author(s):  
Mirrian Smolders ◽  
Miranda Laurant ◽  
Peter Verhaak ◽  
Marijn Prins ◽  
Harm van Marwijk ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Evidence Based ◽  
Depression And Anxiety ◽  
Evidence Based Guidelines ◽  
Guidelines For Depression

scholarly journals Treating Depression and Anxiety with Digital Cognitive Behavioural Therapy for Insomnia: A Real World NHS Evaluation Using Standardized Outcome Measures

2016 ◽  
Vol 45 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Annemarie I. Luik ◽  
Sophie Bostock ◽  
Leanne Chisnall ◽  
Simon D. Kyle ◽  
Nicky Lidbetter ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Cognitive Behavioural Therapy ◽  
Generalized Anxiety Disorder ◽  
Behavioural Therapy ◽  
Generalized Anxiety ◽  
Depression And Anxiety ◽  
Psychological Therapies ◽  
Self Help ◽  
Cognitive Behavioural

Background: Evidence suggests that insomnia may be an important therapeutic target to improve mental health. Aims: Evaluating changes in symptoms of depression and anxiety after supported digital cognitive behavioural therapy (dCBT) for insomnia delivered via a community-based provider (Self Help Manchester) of the Improving Access to Psychological Therapies (IAPT) service. Method: Supported dCBT for insomnia was delivered to 98 clients (mean age 44.9 years, SD 15.2, 66% female) of Self Help Manchester. All clients received six support calls from an eTherapy coordinator to support the self-help dCBT. During these calls levels of depression (Patient Health Questionnaire, PHQ-9) and anxiety (Generalized Anxiety Disorder, GAD-7) were determined. Results: Depression (Mdifference-5.7, t(70) = 12.5, p < .001) and anxiety [Generalized Anxiety Disorder-7 (GAD-7), Mdifference-4.1, t(70) = 8.0, p < .001] were reduced following supported dCBT for insomnia. This translated into an IAPT recovery rate of 68% for depression and anxiety. Conclusions: These results suggest that dCBT for insomnia alleviates depression and anxiety in clients presenting with mental health complaints in routine healthcare.

The effectiveness of CBT training on service delivery systems: a benchmarking study

2018 ◽  
Vol 11 ◽  
Author(s):  
L.M. Hadden ◽  
M. Groom ◽  
L. Waddington
Keyword(s):  
Behavioural Therapy ◽  
Health Staff ◽  
Health Board ◽  
Evidence Based ◽  
Mental Health Staff ◽  
Online Questionnaire ◽  
Workplace Support ◽  
Psychological Therapies ◽  
Department Of Health ◽  
Improve Access

AbstractWales has not adopted the English IAPT system and has no centralized training plan for developing cognitive behavioural therapy (CBT) in Wales. However, Welsh Government policy expresses an ambition to improve access to evidence-based psychological therapies for people in Wales. This study focuses on one Welsh Health Board's plan to improve access to CBT. The study aims to benchmark support for effective delivery of CBT in the Health Board against NICE and Department of Health standards, and to establish whether the Health Board's plan is succeeding in developing staff capability and access to evidence-based CBT. Mental health staff funded by the Health Board to complete accredited training in CBT were asked to complete an online questionnaire asking about their training, accreditation, use of CBT, and experience of workplace support for delivering CBT. The standards were taken from the Department of Health competency framework for CBT, NICE guidelines and BABCP safety and confidentiality criteria. The Health Board performed well across seven standards of workplace support for the delivery of evidence-based CBT. Staff funded to undertake accredited CBT training continued to develop and to use CBT in their everyday clinical practice. The study indicates that the Health Board is succeeding in offering good standards of workplace support for CBT, including access to accredited CBT training. A recommendation is made that this be shared with other Welsh Health Boards and that a comparable study be undertaken within an IAPT service.

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