Feasibility study of a self-guided cognitive behaviour therapy Internet intervention for cancer carers

2013 ◽  
Vol 19 (4) ◽  
pp. 270 ◽  
Author(s):  
Karen Scott ◽  
Lisa Beatty
Keyword(s):  
Feasibility Study ◽  
Cognitive Behaviour Therapy ◽  
Early Stage ◽  
Evidence Base ◽  
Behaviour Therapy ◽  
Attrition Rates ◽  
Qualitative Feedback ◽  
Cognitive Behaviour ◽  
Study Participants ◽  
Changes Over Time

Despite the evidence base for Internet-delivered self-help programmes, their application to cancer carers has not been reported. This feasibility study evaluated a 6-week internet cognitive behaviour therapy (CBT) programme for early stage cancer carers. The study participants comprised 13 carers who were recruited over a 17-month period. Measures included distress, quality of life and programme engagement. Changes over time were measured using effect sizes (Cohen’s d), whereas acceptibility was assessed using qualitative feedback. Low enrolment and high attrition rates resulted in a failure to demonstrate feasibility. Large improvements in negative affect (d = 0.88) and emotional functioning (d = 0.62) were found. For treatment completers, the intervention holds promise in reducing distress. However, in light of the serious challenges with recruitment and retention, further research is needed to resolve participation barriers.

Psychosocial interventions with families, carers, and patients

2017 ◽  
Author(s):  
Tom Burns ◽  
Mike Firn
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Best Practice ◽  
Community Outreach ◽  
Psychosocial Interventions ◽  
Evidence Base ◽  
Family Management ◽  
Behaviour Therapy ◽  
Barriers And Enablers ◽  
Outreach Service ◽  
Cognitive Behaviour

The three broad areas of activity usually implied by psychosocial interventions in psychosis—psycho-education, behavioural family management, and cognitive behaviour therapy—are presented with their relative evidence base and strategies for delivering them through community outreach. Psychosocial interventions require a well-trained and resourced workforce, and the gap between best practice and routine delivery is manifest. Barriers and enablers are presented to show how this gap can be closed in a well-organized community outreach service.

The use of cognitive behaviour therapy to treat depression in people with learning disabilities: a systematic review

2015 ◽  
Vol 20 (2) ◽  
pp. 54-64 ◽  
Author(s):  
Caroline Jennings ◽  
Olivia Hewitt
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Cognitive Behaviour Therapy ◽  
Evidence Base ◽  
Small Sample ◽  
Future Research ◽  
Behaviour Therapy ◽  
Content Type ◽  
Psychological Therapies ◽  
Cognitive Behaviour

Purpose – Cognitive behaviour therapy (CBT) is currently one of the recommended treatments for depression for the general population and guidance recommends that people with a learning disability should have access to the same treatments as people without a learning disability. The purpose of this paper is to identify, outline and evaluate current research on the effectiveness of CBT for depression for people with a learning disability. The clinical, service and research implications are considered. Design/methodology/approach – A systematic search was conducted and five relevant articles were identified for critical review. Findings – There is a limited but promising evidence base for the use of CBT for depression with people with learning disabilities. Research limitations/implications – The current review identified a number of methodological issues and future research should attempt to overcome these (e.g. small sample sizes and lack of controls). In particular, research should focus on determining the relative contribution of cognitive and behavioural techniques in producing a change in depressive symptoms. Practical implications – Services (including those provided as part of Improving Access to Psychological Therapies) should be offering CBT-based interventions for people with learning disabilities who are experiencing depression. Originality/value – This paper provides a comprehensive and up to date review of the current literature regarding the use of CBT for depression for people with a learning disability. This will be of value to clinicians working with people with a learning disability as well as those commissioning services.

An evaluation of group cognitive behaviour therapy for low self-esteem in primary care

2014 ◽  
Vol 7 ◽  
Author(s):  
Stuart Pack ◽  
Emma Condren
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Self Esteem ◽  
Evidence Base ◽  
Future Research ◽  
Depression And Anxiety ◽  
Behaviour Therapy ◽  
Psychological Therapies ◽  
Cognitive Behaviour ◽  
Group Programme

AbstractLow self-esteem is widely acknowledged to be associated with the phenomenology of a number of mental health diagnoses, including those which are treated under the umbrella of Improving Access to Psychological Therapies (IAPT) services. To evaluate the effectiveness of group Cognitive Behaviour Therapy (CBT) based on the work of Fennell in treating low self-esteem 50 participants attended a 10-week group programme. Pre- and post-group measures of depression, anxiety and self-esteem were compared using Mann–Whitney U tests. The results indicated that there was a statistically significant and clinically meaningful change across all pre- and post-group measures. Mean post-group measures indicated levels of depression and anxiety which were below caseness and a healthy level of self-esteem. Results indicated that gains were well maintained at 3-month follow-up. The results from this study highlight the effectiveness of group CBT for low self-esteem and thus contribute to the limited evidence base in this area. Results are discussed with consideration of the existing evidence base, implications for clinical practice, and future research.

scholarly journals A Feasibility Study of the Translation of Cognitive Behaviour Therapy for Psychosis into an Australian Adult Mental Health Clinical Setting

2020 ◽  
Vol 37 (1) ◽  
pp. 22-32
Author(s):  
Lee Beames ◽  
Esben Strodl ◽  
Frances Dark ◽  
Jennifer Wilson ◽  
Judith Sheridan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Feasibility Study ◽  
Cognitive Behaviour Therapy ◽  
Public Mental Health ◽  
Individual Therapy ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Public Mental Health Services

AbstractThere is evidence that Cognitive Behaviour Therapy for Psychosis (CBTp) is an effective intervention for reducing psychotic symptoms. The recently updated Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines (RANZCP CPG) recommend CBTp for the therapeutic management of schizophrenia and related disorders. Translational research is required to examine how well CBTp can be applied into public mental health services. This feasibility study aimed to provide preliminary evidence on how acceptable, implementable, and adaptable individual or group CBTp may be within a public mental health service in Australia. Twenty-seven participants initially agreed to participate in the study with 16 participants being randomised to either group or individual therapy, 11 starting therapy and 7 completing therapy. The intervention involved approximately 20 h of manualised CBTp. Attendance was higher in the individual therapy. Subjective reports indicated that the therapy was acceptable to all completers. Participants who engaged in individual or group CBTp experienced a similar level of reduction in the severity of hallucinations and delusions. Individual CBTp may be a feasible, acceptable, and effective intervention to include in Australian public mental health services. A pilot trial is now required to provide further evidence for and guidance of how best to translate CBTp protocols to Australian mental health services.

Exploring the Effect of Case Formulation Driven CBT for Children with Anxiety Disorders: A Feasibility Study

2013 ◽  
Vol 43 (1) ◽  
pp. 20-30 ◽  
Author(s):  
Barbara H. Esbjørn ◽  
Marie Louise Reinholdt-Dunne ◽  
Sara K. Nielsen ◽  
Abigael C. Smith ◽  
Sonja Breinholst ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Feasibility Study ◽  
Cognitive Behaviour Therapy ◽  
The Other ◽  
Case Formulation ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Feasible Option ◽  
Meta Analyses

Background: Little is known about the effect of case-formulation based cognitive behaviour therapy (CBT) for anxious children. Aim: The present study explores the feasibility of case-formulation driven CBT for anxious children. Parents were involved in treatment as either co-facilitators (involved only as the child's assistants, treatment being primarily directed at the child), or as co-clients (parents received therapy targeting theoretically established maintaining mechanisms; children received half of the sessions, parents the other half). Method: Feasibility of the case-formulation driven CBT was established by comparing the completion rate and the percentage of children free of anxiety after treatment, with manualized treatments reported in existing meta-analyses. Children aged 7–12 years and their parents participated (n = 54). Families were assessed at pre- and posttreatment and at 6-month follow-up. Results: All families completed treatment and the percentage of recovery in the case-formulation driven approach was comparable to results obtained in manualized treatments. Conclusion: The findings from this stage I study supports the notion that a case-formulation driven approach to CBT may be a feasible option when selecting treatment for anxious children; however, further studies must be conducted before firm conclusions can be drawn.

Collaborative research: a case example of dissemination of CBT in primary care

2013 ◽  
Vol 6 ◽  
Author(s):  
Fiona Mathieson ◽  
Sunny Collings ◽  
Anthony Dowell ◽  
Felicity Goodyear-Smith ◽  
James Stanley ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Real World ◽  
Cognitive Behaviour Therapy ◽  
Mental Health Problems ◽  
Family Doctor ◽  
Evidence Base ◽  
Collaborative Approach ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

AbstractWhile we now have a strong evidence base for cognitive behaviour therapy in managing mental health problems, the challenge is to disseminate it into real-world settings. Two dissemination approaches exist: the dominant ‘research to practice’ model, a linear sequence, taking interventions from the research laboratory and overcoming barriers so as to apply them in the real world and a more collaborative approach, in which researchers work together with clinicians and patients to adapt existing treatments for real-world settings. This article provides a detailed example of a collaborative approach to adapting cognitive behaviour therapy, by developing a very brief mental health intervention for patients in a primary-care (family doctor) setting.

A critical evaluation of the role of cognitive behaviour therapy in children and adolescents with depression

2009 ◽  
Vol 2 (2) ◽  
pp. 83-91 ◽  
Author(s):  
Maura Delaney
Keyword(s):  
Children And Adolescents ◽  
Cognitive Behaviour Therapy ◽  
Depressive Disorders ◽  
Critical Evaluation ◽  
Evidence Base ◽  
Current Evidence ◽  
Behaviour Therapy ◽  
Treatment Of Depression ◽  
Cognitive Behaviour ◽  
Current Evidence Base

AbstractDepressive disorders are relatively common in adolescents although less so in younger children. They accrue significant morbidity and frequent long-term sequelae as well as increased suicide risk in sufferers. Evidence-based treatment of depression in children and adolescents is the subject of intense investigation and debate. This article reviews the current evidence base for cognitive behaviour therapy in this group and makes recommendations for further areas of research.

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