Cognitive Mechanisms of Change in CBT for Adolescent Depression: Associations among Client Involvement, Cognitive Distortions, and Treatment Outcome

2013 ◽  
Vol 6 (4) ◽  
pp. 311-324 ◽  
Author(s):  
Stephen R. Shirk ◽  
Patrice S. Crisostomo ◽  
Nathaniel Jungbluth ◽  
Gretchen R. Gudmundsen
Author(s):  
Victoria Pile ◽  
Jennifer Y. F. Lau

Depression is common, impairing and typically begins in adolescence. As interventions for adolescent depression are limited in their effectiveness and difficult to access, a fuller understanding of the underlying cognitive mechanisms is needed to drive treatment development. Cognitive biases are suggested to not only feature during an episode of depression but also to be associated with the onset, course and risk of relapse in depression. This chapter reviews evidence for cognitive biases in the processing of emotional material, in particular biases in attention, interpretation and memory. There is (some) evidence that depression in young people is associated with biases in interpretation and memory processes. Evidence for a relationship with attention biases is less consistent, perhaps due to differences in methodology. Whilst greater understanding of cognitive biases has begun to generate treatment innovation for young people, these are in their infancy.


2018 ◽  
Vol 62 (12) ◽  
pp. 3853-3872 ◽  
Author(s):  
Danique Smeijers ◽  
Erik Bulten ◽  
Jan Buitelaar ◽  
Robbert-Jan Verkes

Aggression Replacement Training (ART) is widely used to reduce aggression and is considered to be effective although there are also inconsistent results. Studies investigating the effectiveness of ART do not focus on neurocognitive characteristics. Focusing on these aspects would result in enhanced understanding of underlying mechanisms of ART. The current open uncontrolled treatment study assessed whether neurocognitive characteristics were associated with change in aggression during the social skills and anger control modules of ART among forensic psychiatric outpatients. Furthermore, differences between treatment dropouts and completers and change in these characteristics during ART were examined. A reduction of trait aggression, cognitive distortions, and social anxiety was observed. Neurocognitive characteristics were not associated with change in aggression, could not distinguish treatment completers from dropouts, and did not change after ART. It is suggested that new paradigms should be developed which take into account the social context in which these impairments appear.


2008 ◽  
Vol 212 (5) ◽  
pp. 427-442 ◽  
Author(s):  
Ilan Laufer ◽  
Michiro Negishi ◽  
Nallakandi Rajeevan ◽  
Cheryl M. Lacadie ◽  
R. Todd Constable

2014 ◽  
Vol 41 (2) ◽  
pp. 400-410 ◽  
Author(s):  
P. Garety ◽  
H. Waller ◽  
R. Emsley ◽  
S. Jolley ◽  
E. Kuipers ◽  
...  

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