Cognitive–Behavioral Theory in Sport and Performance Psychology

Author(s):  
Faye F. Didymus

The cognitive–behavioral model of psychotherapy holds cognition at the core of psychological problems and disorders. The theoretical foundations of this model imply that dysfunctional thinking is common to all psychiatric disorders, psychological problems, and medical problems with a psychological component, and that changing an individual’s cognition results in causal changes in emotions and behaviors. In addition, when working with the cognitive–behavioral model, practitioners acknowledge that ongoing cognitive formulation is the basis of effective practice; that working with an individual’s beliefs about themselves, the world, and others results in sustained change; and that neurobiological changes occur following cognitive–behavioral therapy (CBT). The cognitive–behavioral model has been successfully applied in many domains (e.g., clinical, occupational, and sport psychology) where interventions are framed around the beliefs that characterize a presenting issue. Cognitive restructuring is one technique for implementing CBT that has been applied in sport and performance psychology. This technique is particularly relevant to performance domains because of the focus on cognitive formulation; the underpinning associations between cognition, emotion, and behavior; and the links between positively valenced emotions and superlative performance. Findings of sport psychology research extend the application of CBT beyond clinical populations and highlight the usefulness of cognitive–behavioral approaches for optimizing experiences of and performance in sport. Some would argue that the first scientifically testable paradigm that was built on the cognitive–behavioral model of psychotherapy, and came chronologically slightly before CBT, is rational emotive behavior theory (REBT). Because both CBT and REBT share cognitive–behavioral roots, they have many similarities in their underpinning assumptions and in the ways that they are applied. REBT, however, focuses on rational and irrational beliefs and the links between an individual’s beliefs and his or her emotions and performance. REBT has a more philosophical focus with motivational theoretical roots when compared to other CBT approaches. Distinguishing features of REBT also lie in the techniques used and, hence, the way in which the underlying principles of the cognitive–behavioral model are applied. Disputing is the applied foundation of REBT and is a method of questioning an individual’s beliefs that generate emotional responses. This technique aims to help an individual recognize and adjust flaws in his or her thinking to work toward a more functional philosophy. Research that has used REBT in sport and performance contexts is sparse but that which does exist highlights the approach as a promising one for optimizing athletes’ beliefs and their emotional, behavioral, and physiological responses.

Author(s):  
Jennifer L. Greenberg ◽  
Anne Chosak ◽  
Angela Fang ◽  
Sabine Wilhelm

Body dysmorphic disorder (BDD) is characterized by an excessive preoccupation with an imagined or slight defect in one’s appearance. BDD is a severe and common disorder associated with high levels of functional impairment and high rates of suicidality. Interventions, including cognitive-behavioral therapy and pharmacotherapy, are effective for BDD. This chapter outlines the cognitive-behavioral model and therapy of BDD. The chapter reviews pharmacotherapy of BDD, and discusses the role of combination therapy. The chapter also addresses ineffective approaches for the treatment of BDD, including the role of cosmetic procedures. Early recognition and intervention are critical, and limit its chronicity and subsequent morbidity.


2011 ◽  
Vol 5 (2) ◽  
pp. 166-191 ◽  
Author(s):  
Vaithehy Shanmugam ◽  
Sophia Jowett ◽  
Caroline Meyer

The purpose of this study was twofold: to explore the utility of components related to the transdiagnostic cognitive-behavioral model of eating disorders within an athletic population and to investigate the extent to which the model can be applied across gender, sport type, and performance standard to explain eating psychopathology. Five hundred and eighty-eight (N = 588) male and female British athletes completed a battery of self-report instruments related to eating psychopathology, interpersonal diffculties, perfectionism, self-esteem, and mood. Structural equation modeling revealed that eating psychopathology may arise from an interaction of interpersonal diffculties, low self-esteem, high levels of self-critical perfectionism, and depressive symptoms. Analysis further highlighted that the manner in which eating psychopathology may arise is invariant across athletes’ sport type and performance standard, but not across gender. The current findings suggest that the tested components of the transdiagnostic cognitive-behavioral model are pertinent and useful in explaining eating psychopathology among athletes.


Author(s):  
Helen B. Murray ◽  
Jennifer J. Thomas

Rumination disorder has classically been categorized as a disorder of infancy or early childhood. However, a number of recent reports describe rumination symptoms in adults, particularly in the setting of disordered eating. Although there is no established cognitive–behavioral model of rumination disorder, hypothesize that some maintaining mechanisms are common to all cases (e.g., habit), whereas others (e.g., anxiety, shape and weight concerns, and learned associations with specific foods) vary across individuals. No standard treatment currently exists for rumination. Although some cognitive and behavioral interventions appear to be effective based on case reports, little systematic research supports their generalizability across cases. To propel the field forward, this chapter offers a conceptual framework for the development and maintenance of rumination disorder in adults, and it introduces a novel treatment—cognitive–behavioral therapy for rumination disorder (CBT-RD)—as a resource for practicing clinicians.


2020 ◽  
Vol 6 (2) ◽  
pp. 443-452
Author(s):  
Matheus Elias dos Santos ◽  
Angela Ketlyn de Brito Souza ◽  
Luciene Costa Araújo Morais

The Selective Mutism is a disorder that affects children, characterized by the lack of oral communication in social exposure environments, being mainly identified at the beginning of the school term. This is a review article, in order to analyze in literature studies on the contributions of Therapy Cognitive-Behavioral at work with children diagnosed with Selective Mutism, and the use of techniques effective for treatment. The literature review occurred through the search for articles in the databases: Pepsic, Scielo, BVS-Psi e Google Scholar. Throughout this research, boolean descriptors and operators were used: “Selective Mutism” AND “Childhood” AND “Cognitive-Behavioral Therapy” AND “Treatment”. From the review critical reading of articles, twelve journals were selected, in the period between 2014 and 2020, in which the data was collected and organized through file, until they are analyzed and included in relevant information for the topic. The results found demonstrate that, the treatment of children diagnosed with Selective Mutism must be performed early, considering the social and learning losses related to it. The Cognitive-Behavioral Model has been shown to be effective and supported by methods and techniques that help the treatment of Selective Mutism and other childhood anxiety disorders.


2021 ◽  
Author(s):  
Sandra Kathrin Schenkel ◽  
Stefanie M. Jungmann ◽  
Maria Gropalis ◽  
Michael Witthoeft

BACKGROUND “Cyberchondria” describes detrimental effects of health-related Internet use. Current conceptualizations agree that cyberchondria is associated with anxiety-related pathologies and might best be conceptualized as a safety behavior, but little is known about its exact underlying mechanisms. OBJECTIVE The present systematic review and meta-analyses were conducted (a) to give an overview of conceptualizations of cyberchondria and its relation to anxiety-related pathologies, (b) to quantify the strength of association to health anxiety by using meta-analytic analyses, and (c) to highlight gaps in the literature, and (d) to outline a hypothetical integrative cognitive-behavioral model of cyberchondria based on the available empirical evidence. METHODS A systematic literature search was conducted using the PubMed, Web of Science, and PsycInfo electronic databases. N = 25 studies were included for the qualitative and n = 7 studies, comprising N = 3,069 individuals, for the quantitative synthesis. Meta-analyses revealed a strong association of cyberchondria (r = .63) and its subfacets (rs = .24 - .66) to health anxiety. RESULTS Results indicate that cyberchondria is a construct distinct, yet related to, health anxiety, obsessive-compulsive symptoms, intolerance of uncertainty, and anxiety sensitivity. Further studies should distinguish between state and trait markers of anxiety-related pathologies and use experimental and naturalistic longitudinal designs to differentiate among risk factors, triggers, and consequences related to cyberchondria. CONCLUSIONS Health-related Internet use in the context of health anxiety is best conceptualized as a health-related safety behavior maintained through intermittent reinforcement. We present a corresponding integrative cognitive-behavioral model.


2020 ◽  
Vol 11 ◽  
Author(s):  
Max Wolff ◽  
Ricarda Evens ◽  
Lea J. Mertens ◽  
Michael Koslowski ◽  
Felix Betzler ◽  
...  

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