Cognitive behavioural therapy with older adults: enthusiasm without the evidence?

2009 ◽  
Vol 2 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Philip Wilkinson

AbstractCognitive behavioural interventions specifically for older people have been described and researched for the last 30 years. However, despite a robust evidence base to support the use of CBT in the treatment of mental disorders in younger adults, trials with older people have generally been of poor methodological quality. Therefore, the potential of CBT to improve the outcome of late-life mental illness has not yet been adequately tested and demonstrated. The priorities, if this is to happen, are to develop standardized, reproducible CBT interventions and to evaluate these in large trials alongside medication or as part of case-management interventions.

Author(s):  
Deirdre E. Logan ◽  
Rachael M. Coakley ◽  
Brittany N. Barber Garcia

Cognitive-behavioural therapy (CBT) is the most commonly researched and empirically supported psychological treatment for the management of paediatric pain. CBT is a brief, goal-oriented psychotherapy treatment using a hands-on, practical problem-solving approach (Kendall, 2012). It is based on the concept that thoughts, feelings, and behaviours are causally interrelated. This chapter offers an overview of CBT and its application to pain management, describes specific cognitive-behavioural strategies commonly used for paediatric acute and chronic pain problems, presents the empirical evidence supporting these approaches, and highlights key considerations and emerging directions in the use of CBT and related treatments for paediatric pain.


2004 ◽  
Vol 10 (5) ◽  
pp. 371-377 ◽  
Author(s):  
Jason Hepple

Psychotherapies with older people have been slow to develop, both theoretically and operationally, in the UK. This is due to ageism and the predominance of models of psychological development relevant to children and younger adults. Despite this, many have applied their practice and skills to psychological work in old age psychiatry, countering the dominance of the ‘organic’ model. An evidence and practice base exists to suggest that cognitive–behavioural therapy, interpersonal therapy, cognitive analytic therapy, psychodynamic and systemic approaches can help in a range of psychiatric problems in older people, including affective disorders, personality disorders and dementia. The inclusion of older people in existing psychotherapy services and the development of networks of practitioners whose support and supervision are encouraged are likely to be positive ways forward.


2013 ◽  
Vol 14 (1) ◽  
pp. 5-20 ◽  
Author(s):  
Nick Alderman ◽  
Caroline Knight ◽  
Jennifer Brooks

Symptoms of neurobehavioural disability acquired through brain injury, especially aggression, are associated with severe social handicap. Differences in terminology have resulted in varying estimates, but aggressive behaviour disorder appears to be characteristic of survivors at some point in their recovery journey. This paper provides a brief review regarding the prevalence, development and causes of aggression associated with acquired brain injury (ABI), and what can be done to help manage them. The advantages of using standardised measures conceptualised for ABI in the assessment and formulation of aggressive behaviour disorders are especially highlighted. A range of treatment methods and the evidence base relating to these are described. The contribution of pharmacological therapies, cognitive behavioural therapy and behavioural interventions are explored. It is argued that the strongest evidence base is associated with behaviour therapy, especially when carried out in the context of neurobehavioural rehabilitation, and two case studies are described to illustrate the clinical advantages of interventions derived from operant theory. Comparative lack of ABI experts trained in the management of post-acute behaviour disorders remains a limiting factor.


1998 ◽  
Vol 15 (3) ◽  
pp. 151-159 ◽  
Author(s):  
Nicole Redlich ◽  
Margot Prior

This paper provides an overview of cognitive-behavioural interventions in pediatric behavioural medicine. Although the literature so far is sparse, the contribution of cognitive-behavioural therapy is reviewed in the areas of pediatric cancer, asthma, and diabetes mellitus. The future potential of cognitive-behavioural therapy for the management of other chronic conditions, including cystic fibrosis and rheumatoid arthritis, is recommended.


2018 ◽  
Vol 4 (1) ◽  
pp. 33-41
Author(s):  
Afreen Ahmad ◽  
Sanna Huda ◽  
Imaan Kherani ◽  
Zeba Khoja ◽  
Jasmine Nanji

This paper aims to provide an overview of current research in cognitive behavioural interventions which address verbal impairment in children with autism. The studies are evaluated based on methodological quality and the validity of the data collected. Studies examining behavioural interventions for children with autism were selected from a number of databases, namely Ovid, PsychINFO, and Embase. Multiple filtration rounds were conducted to ensure that papers met the inclusion criteria, followed the DSM IV autism definition, and met the methodological quality standards. A CONSORT style observational longitudinal checklist was used to evaluate the methodological quality of the studies. Criteria pertaining to study designs were more commonly addressed than those focusing on internal validity. Analysis of literature subsequent to the year 2000 demonstrated an emergence of behavioural therapies focused on remediating verbal impairment in children diagnosed with autism. Common limitations amongst all reviewed papers were discussed in terms of impact on validity and reliability. Finally, the discussion consolidated the future directives noted in all papers to discuss trajectories for further research. The chosen literature often neglected to include essential quantitative information that affected their validity. Inclusion of control groups and appropriate sample sizes should be investigated, and future directions of this research should include the use of a diverse sample that is representative of different ethnic backgrounds and socioeconomic statuses.


2008 ◽  
Vol 36 (6) ◽  
pp. 705-712 ◽  
Author(s):  
Craig Steel

AbstractThe past decade has seen considerable growth in the evidence base of cognitive behavioural therapy for psychosis. Consistent reports of moderate effect sizes have led to such interventions being recommended as part of routine clinical practice. Most of this evidence is based on a generic form of CBT for psychosis applied to a heterogeneous group. An increase in the effectiveness of cognitive behavioural interventions may require new protocols. Such therapeutic developments should be based on the theoretical understanding of the psychological processes associated with specific forms of psychotic presentation. The current evidence base of CBT for psychosis is reviewed, and barriers that have held back the development of this research are discussed.


1991 ◽  
Vol 19 (4) ◽  
pp. 337-345 ◽  
Author(s):  
Paul King ◽  
Christine Barrowclough

Ten elderly patients with anxiety problems were treated individually using cognitive-behavioural interventions. These involved helping the patients reinterpret their anxiety symptoms in a non-threatening way. Questionnaire and self-report data suggested that cognitive-behavioural therapy may be an effective intervention for elderly patients with anxiety problems.


Author(s):  
Gert-Jan Hendriks ◽  
Willeke H van Zelst ◽  
Anton J van Balkom ◽  
Eleonora Uphoff ◽  
Lindsay Robertson ◽  
...  

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