Urinary Catecholamine Levels and Response to Group Cognitive Behaviour Therapy in Depression

2010 ◽  
Vol 38 (4) ◽  
pp. 479-483 ◽  
Author(s):  
Tian P. S. Oei ◽  
Genevieve A. Dingle ◽  
Molly McCarthy
Keyword(s):  
Repeated Measures ◽  
Cognitive Behaviour Therapy ◽  
Biological Marker ◽  
Automatic Thoughts ◽  
Dysfunctional Attitudes ◽  
Depression Symptoms ◽  
Urinary Catecholamine ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Catecholamine Levels

Aim: The aim was to investigate whether high catecholamine (CA) excreters would respond less well to a group cognitive behaviour therapy (CBT) treatment for depression than others. Method: A sample of 70 adults with depression symptoms participated in a 12-week course of group CBT. Participants’ 24 hour urinary catecholamine levels at pre-therapy and post-therapy were used to classify them as High (N = 10); Low (N = 33) or Mixed (N = 27) according to a cut-off one standard deviation above a published mean for healthy adults. Beck Depression Inventory (BDI) and cognitions questionnaire (Automatic Thoughts Questionnaire; Beck Hopelessness Scale and Dysfunctional Attitudes Scale) were used. Results: Repeated measures ANOVA analyses showed an equal rate of mood improvement in all three groups over the course of CBT, despite the fact that the High excreters were on average more depressed throughout the study. Changes in depression symptoms were mirrored by improvements in cognitive measures in the three catecholamine groups. Conclusion: This study indicates that adults showing a biological marker of depression (elevated catecholamine levels) are equally able to benefit from CBT treatment as adults without this marker.

Cognitive Changes Following Recovery from Depression in a Group Cognitive-Behaviour Therapy Program

1999 ◽  
Vol 33 (3) ◽  
pp. 407-415 ◽  
Author(s):  
Tian P. S. Oei ◽  
Lyndall M. Sullivan
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Cognitive Theory ◽  
Automatic Thoughts ◽  
Dysfunctional Attitudes ◽  
Activity Levels ◽  
Behaviour Therapy ◽  
Cognitive Changes ◽  
Therapy Program ◽  
Cognitive Behaviour ◽  
Scale Scores

Objective: We report on the changes in cognitions as a result of cognitive—behaviour therapy (CBT), in 35 recovered and 32 non-recovered mood disordered patients who had undergone a 12-week group CBT program for depression. Method: An end-of-therapy cut-off score of 10 on the BDI was used to define recovered and non-recovered patients. ANOVA analyses were conducted to explore possible main effects of recovery status and time on various clinical measures, including cognitions and activity levels. Results: Mean mood and activity self-rating measures were significantly higher for the recovered as compared to the non-recovered patients over the course of the program. Similarly, scores on the Automatic Thoughts Questionnaire (ATQ) for recovered patients were within the non-clinical range, in contrast to their non-recovered counterparts. In addition, recovered patients improved significantly in their Hopelessness scores, and there was a change in the expected direction in their Dysfunctional Attitudes Scale scores, although this was not significant. Conclusion: These results are consistent with the proposition of cognitive theory (i.e. the remediation of negative cognition plays a significant role in recovery from depression during CBT).

Cognitive behaviour therapy via interactive video

1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 53-55 ◽  
Author(s):  
M Manchanda ◽  
P Mclaren
Keyword(s):  
Outcome Measures ◽  
Cognitive Behaviour Therapy ◽  
Interactive Video ◽  
Single Case ◽  
Dysfunctional Attitudes ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Process And Outcome ◽  
Different Levels

Interactive video has been identified as a potential delivery medium for psychotherapy. Interactive video may restrict the range of both verbal and non-verbal communication and consequently impede the development of a therapeutic relationship, thus influencing the process and outcome of therapy. A single case study explored the feasibility of the provision of cognitive behaviour therapy using interactive video with a client diagnosed a shaving mixed anxiety and depressive disorder. A range of outcome measures were included together with an independent psychiatric assessment prior to, and on completion of, therapy. Different levels of outcome were also examined: clinical, social, user views and administration. Outcome measures indicated a reduction in psychopathology and some modification of dysfunctional attitudes, with no apparent impairment of the working alliance.

6. Cognitive behaviour therapy

2015 ◽  
pp. 72-86
Author(s):  
Tom Burns ◽  
Eva Burns‐Lundgren
Keyword(s):  
Cognitive Therapy ◽  
Cognitive Behaviour Therapy ◽  
Automatic Thoughts ◽  
Core Beliefs ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Negative Automatic Thoughts ◽  
Cognitive Behaviour

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.

scholarly journals Online randomized controlled trial of brief and full cognitive behaviour therapy for depression

2006 ◽  
Vol 36 (12) ◽  
pp. 1737-1746 ◽  
Author(s):  
H. CHRISTENSEN ◽  
K. M. GRIFFITHS ◽  
A. J. MACKINNON ◽  
KYLIE BRITTLIFFE
Keyword(s):  
Randomized Controlled Trial ◽  
Open Access ◽  
Stress Management ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Behaviour Therapy ◽  
Randomized Controlled ◽  
Cognitive Behaviour

Background. Effective internet-based programs for depression usually incorporate a component that provides telephone or email contact. Open access websites, without such contact, show high rates of attrition and poorer outcomes. The present study was designed as an exploratory investigation of the parameters that influence the effectiveness and retention of users on open access websites. We investigated whether brief cognitive behaviour therapy (CBT) was as effective as an extended version, whether add-on components of behaviour therapy or stress management contributed to positive outcomes, and whether longer programs were associated with greater attrition.Method. An online randomized controlled trial (RCT) was conducted between 13 January 2005 and 26 May 2005 (19 weeks). A total of 2794 registrants (1846 women and 948 men; median age category 35–44 years) with elevated scores on the Goldberg Depression Scale of 5·96 (S.D.=2·09) elected online to be randomized to one of six versions of a CBT website. The versions were compiled consisting of various components of brief CBT, extended CBT, behaviour strategies, stress management and problem solving.Results. A total of 20·4% of participants completed the assigned intervention. The interaction of measurement occasion and treatment version was significant [F(13,131)=2·20, p=0·01]. A single module of brief introductory CBT was not effective in reducing depression symptoms. However, extended CBT with or without the addition of behaviour strategies resulted in the reduction of depression.Conclusions. Brief CBT-based interventions are not as effective as extended interventions. However, longer programs are associated with higher rates of dropout.

scholarly journals Comparing Physical Exercise in Groups to Group Cognitive Behaviour Therapy for the Treatment of Panic Disorder in a Randomized Controlled Trial

2012 ◽  
Vol 41 (4) ◽  
pp. 408-432 ◽  
Author(s):  
Anders Hovland ◽  
Inger Hilde Nordhus ◽  
Trond Sjøbø ◽  
Bente A. Gjestad ◽  
Birthe Birknes ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Physical Exercise ◽  
Repeated Measures ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
The Body ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Clinically Significant

Background: Previous studies have suggested that physical exercise can reduce symptoms for subjects suffering from panic disorder (PD). The efficacy of this intervention has so far not been compared to an established psychotherapy, such as cognitive behaviour therapy (CBT). Assessment of controlled long-term effects and the clinical significance of the treatment are also lacking. Aim: To compare physical exercise to CBT as treatment for PD, and assess controlled long-term and clinically significant effects. Method: PD-patients were randomized to either three weekly sessions of physical exercise (n = 17), or one weekly session of CBT (n = 19). Both treatments ran for 12 weeks, were manualized and administered in groups. Patients were assessed twice before the start of treatment, at post-treatment and at 6 and 12 months thereafter. Primary outcome-measures consisted of the Mobility Inventory (MI), the Agoraphobia Cognitions Questionnaire (ACQ) and the Body Sensations Questionnaire (BSQ). Results: A two-way repeated measures MANOVA of these measures demonstrated a significant effect of time, F(16, 544) = 7.28, p < .01, as well as a significant interaction effect, F(16, 544) = 1.71, p < .05, in favour of CBT. This finding was supported by the assessment of clinically significant changes of avoidant behaviour and of treatment-seeking one year later. Conclusion: Group CBT is more effective than group physical exercise as treatment of panic disorder, both immediately following treatment and at follow-up assessments.

Group Cognitive Behaviour Therapy for Depression - Does it Help Bipolar Patients Too?

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
L. Moore ◽  
J. Gibson ◽  
A. Carr
Keyword(s):  
Quality Of Life ◽  
Cognitive Behaviour Therapy ◽  
Dysfunctional Attitudes ◽  
World Health ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Bipolar Patients ◽  
Group Cbt

Aims:To compare the effectiveness of a manualised group cognitive behaviour therapy (CBT) programme for people with bipolar disorder (BPD) and major depressive disorder (MDD).Method:In addition to treatment as usual (TAU), 17 people with BPD and 17 matched controls with MDD completed 8 or 12 sessions of twice weekly group CBT, followed by 6 booster sessions, held at monthly intervals. Participants completed the Structured Clinical Interview for DSM-IV Axis 1 Disorders, Clinician Version (SCID-1) and the University of Rhode Island Change Assessment (URICA) prior to therapy. They completed the Beck Depression Inventory - II (BDI), the Beck Anxiety Inventory (BAI), the Clinical Outcomes in Routine Evaluation (CORE), the World Health Organisation Quality of Life Brief Version (WHOQoL - BREF) and the Dysfunctional Attitudes Scale (DAS) before and after therapy and at the final follow-up session. The BDI and BAI were also completed at each group session.Results:Both groups showed statistically and clinically significant improvement on the BDI and BAI after treatment and at follow-up. Both groups showed a significant improvement on the psychological health sub-scale on the WHOQoL-BREF.Conclusions:Manualised group CBT leads to a reduction in the symptoms of depression and anxiety in people with both BPD and MDD and helps improve their perceived quality of life.Declaration of interest:None.

Patient predictors of response to cognitive behaviour therapy and schema therapy for depression

2018 ◽  
Vol 52 (9) ◽  
pp. 887-897 ◽  
Author(s):  
Janet D Carter ◽  
Virginia VW McIntosh ◽  
Jennifer Jordan ◽  
Richard J Porter ◽  
Katie Douglas ◽  
...  
Keyword(s):  
Learning And Memory ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Verbal Learning ◽  
Automatic Thoughts ◽  
Schema Therapy ◽  
Behaviour Therapy ◽  
Predictors Of Response ◽  
Treatment Type ◽  
Cognitive Behaviour

Objective: Few studies have examined differential predictors of response to psychotherapy for depression. Greater understanding about the factors associated with therapeutic response may better enable therapists to optimise response by targeting therapy for the individual. The aim of the current exploratory study was to examine patient characteristics associated with response to cognitive behaviour therapy and schema therapy for depression. Methods: Participants were 100 outpatients in a clinical trial randomised to either cognitive behaviour therapy or schema therapy. Potential predictors of response examined included demographic, clinical, functioning, cognitive, personality and neuropsychological variables. Results: Individuals with chronic depression and increased levels of pre-treatment negative automatic thoughts had a poorer response to both cognitive behaviour therapy and schema therapy. A treatment type interaction was found for verbal learning and memory. Lower levels of verbal learning and memory impairment markedly impacted on response to schema therapy. This was not the case for cognitive behaviour therapy, which was more impacted if verbal learning and memory was in the moderate range. Conclusion: Study findings are consistent with the Capitalisation Model suggesting that therapy that focuses on the person’s strengths is more likely to contribute to a better outcome. Limitations were that participants were outpatients in a randomised controlled trial and may not be representative of other depressed samples. Examination of a variety of potential predictors was exploratory and requires replication.

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