Cognitive restructuring, behavioral activation and cognitive-behavioral therapy in the treatment of adult depression: A network meta-analysis.

Cognitive-behavioral therapy (CBT) is an empirically supported psychotherapy shown to be effective and durable for the treatment of a variety of psychiatric illnesses. It is problem focused and conceptually driven. Cognitive restructuring, behavioral activation, exposure, and developing good action plans for out-of-session practice are tools that benefit patients for a lifetime. The purpose of this review is to provide an overview of the literature that supports the use of CBT, introduce the key elements of the therapeutic approach, and illustrate them with case examples. The structure of the session and the CBT approach to the therapeutic alliance are highlighted in the text. This review contains 23 tables, and 59 references. Key words: Cognitive-behavioral therapy, cognitive restructuring, collaboration, behavioral activation, exposure

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Development and Validation of the Cognitive-Behavioral Therapy Skills Questionnaire

Behavior Modification ◽

10.1177/0145445511419254 ◽

2011 ◽

Vol 35 (6) ◽

pp. 595-618 ◽

Cited By ~ 37

Author(s):

Karen L. Jacob ◽

Michael S. Christopher ◽

Edmund C. Neuhaus

Keyword(s):

Factor Analysis ◽

Cognitive Behavioral Therapy ◽

Skill Acquisition ◽

Behavioral Activation ◽

Psychiatric Symptoms ◽

Behavioral Therapy ◽

Cognitive Restructuring ◽

Skills Training ◽

Cognitive Behavioral ◽

Two Factors

Although several theories exist to describe why patients improve in cognitive-behavioral therapy (CBT), in only a limited number of studies has CBT skill acquisition been examined, particularly among patients with complex clinical profiles. Thus, the overarching aim of this research was to develop a tool to measure patients’ use of CBT skills, such that it would have clinical utility for patients and therapists during treatment. In Study 1, the authors developed an initial set of items for the Cognitive-Behavioral Therapy Skills Questionnaire (CBTSQ). They submitted these items to an exploratory factor analysis in an initial administration ( n = 350) and to a confirmatory factor analysis in a second administration ( n = 378). Results indicated that there were two factors (Behavioral Activation and Cognitive Restructuring) with good factor structure and internal consistency, and both the factors evidenced expected relationships with other constructs. In Study 2, the criterion validity of the CBTSQ was investigated on a patient sample in a CBT-oriented treatment setting. Results showed that CBTSQ scores increased following treatment, and Cognitive Restructuring and Behavioral Activation scores predicted reduction of overall psychiatric symptoms and depression. Thus, the CBTSQ appears to be a promising measure of CBT skill acquisition and treatment outcome as well as an instrument that can help patients and therapists monitor progress specifically related to a CBT skills training treatment approach.

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Religion-Adapted Cognitive Behavioral Therapy: A Review and Description of Techniques

Journal of Religion and Health ◽

10.1007/s10943-021-01345-z ◽

2021 ◽

Author(s):

Marianna de Abreu Costa ◽

Alexander Moreira-Almeida

Keyword(s):

Cognitive Behavioral Therapy ◽

Randomized Clinical Trials ◽

Behavioral Activation ◽

Practical Knowledge ◽

Behavioral Therapy ◽

Cognitive Restructuring ◽

Cognitive Behavioral ◽

Religious Activities ◽

Religious Adaptation ◽

And Coping

AbstractSystematic reviews have shown the efficacy of religion-adapted cognitive behavioral therapy (R-CBT); however, many clinicians lack practical knowledge of these protocols. We describe here the techniques of religious adaptation to CBT that have proved effective. We selected randomized clinical trials comparing R-CBT with control conditions in clients with a diagnosis of a psychiatric disorder and extracted the information from their adapted manuals. The most frequent religious adaptations were the integration of religious content to perform cognitive restructuring, psychoeducation and motivation; engagement in religious activities such as behavioral activation, meditation, or prayer to help cognitive restructuring, using religious values and coping strategies. A description of these techniques is presented here, as well as some practical examples.

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Core CBT Components

Applied Cognitive Behavioral Therapy in Schools ◽

10.1093/med-psych/9780197581384.003.0006 ◽

2021 ◽

pp. 101-116

Author(s):

Lee N. Purvis ◽

Brian A. Zaboski ◽

Diana Joyce-Beaulieu

Keyword(s):

Cognitive Behavioral Therapy ◽

Children And Adolescents ◽

Progress Monitoring ◽

Behavioral Activation ◽

Behavioral Therapy ◽

Cognitive Restructuring ◽

Cognitive Behavioral ◽

Intervention Process ◽

Monitoring Strategies ◽

Core Components

Chapter 6 describes two core components of cognitive behavioral therapy (CBT): behavioral activation and cognitive restructuring. These two components are viewed as first-line interventions for depression and mood disturbances. Chapter 6 begins by describing behavioral activation and walking practitioners through each step of the intervention process. It describes how practitioners can assist clients to identify their values, monitor their activities, and build behavioral activation hierarchies to address demotivation, anhedonia, and maladaptive thoughts. The second part of the chapter discusses cognitive restructuring, whereby children and adolescents learn how to evaluate evidence for their thoughts, create thought records, and assess the validity of their thoughts. The efficacy of both techniques is reviewed, as well as progress-monitoring strategies.

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