scholarly journals Trajectories of change in well-being during cognitive behavioral therapies for anxiety disorders: Quantifying the impact and covariation with improvements in anxiety.

Psychotherapy ◽  
2020 ◽  
Vol 57 (3) ◽  
pp. 379-390
Author(s):  
Matthew W. Gallagher ◽  
Colleen A. Phillips ◽  
Johann D'Souza ◽  
Angela Richardson ◽  
Laura J. Long ◽  
...  
2006 ◽  
Vol 28 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Kimberly E Hoagwood ◽  
Kelly Kelleher ◽  
Laura K Murray ◽  
Peter S Jensen

OBJETIVE: The present study examined implementation issues in adopting cognitive-behavioral therapies in routine clinical settings in four countries reflecting diverse cultures, languages, settings, and traditions. METHOD: A Director's Systems Survey was administered prior to program implementation and one year later. Therapist ratings on attitudes about evidence-based practices and satisfaction were also gathered. RESULTS: All sites reported successful adoption of the program, although significant variations existed in fiscal support, family involvement, prior experience with cognitive-behavioral therapies, and plans for sustainability. Therapists' ratings indicated overall satisfaction with the implementation of the project. Findings from the Director's Systems Survey pointed to five factors facilitating implementation: 1) early adoption and guidance by innovative leaders (i.e., the Directors); 2) attention to the "fit" between the intervention model and local practices; 3) attention to front-end implementation processes (e.g., cultural adaptation, translation, training, fiscal issues); 4) attention to back-end processes early in the project (e.g., sustainability); and 5) establishing strong relationships with multiple stakeholders within the program setting. CONCLUSIONS: The implementation issues here mirror those identified in other studies of evidence-based practices uptake. Some of the obstacles to implementation of evidence-based practices may be generic, whereas issues such as the impact of political/economic instability, availability of translated materials, constitute unique stressors that differentially affect implementation efforts within specific countries.


Assessment ◽  
2020 ◽  
pp. 107319112098006
Author(s):  
Joel N. Fishbein ◽  
Ruth A. Baer ◽  
Joshua Correll ◽  
Joanna J. Arch

Self-transcendence is thought to increase well-being and is implicitly promoted in contextual cognitive behavioral therapies (CCBTs). This study conceptualizes, develops, and validates the first comprehensive CCBT-informed self-transcendence questionnaire. Using a CCBT-informed theory, we propose four self-transcendence facets: distancing oneself from mental content, distinguishing an observer of mental experience that is separate from the content of experience, experiencing innate connectedness with other beings, and noticing the constantly changing nature of experience. We measured these facets with items from existing relevant questionnaires and novel, expert-informed items. Exploratory factor analyses and bifactor exploratory structural equation models supported the first three of these facets. Those factors evidenced convergent validity with decentering, defusion, experiential avoidance, and mindfulness, and criterion and incremental validity in predicting psychological well-being. Our findings support a CCBT-informed model of self-transcendence, introduce the first instrument to comprehensively measure the self-transcendence facets we identified, indicate links with well-being, and suggest future intervention targets.


2017 ◽  
Vol 225 (3) ◽  
pp. 252-267 ◽  
Author(s):  
Jan Richter ◽  
Andre Pittig ◽  
Maike Hollandt ◽  
Ulrike Lueken

Abstract. As a core component of cognitive-behavioral therapies (CBT), behavioral exposure is an effective treatment for anxiety disorders. Still, recent treatment studies demonstrate relatively high rates of treatment dropout, nonresponse, and relapse, indicating a substantial need for optimizing and personalizing existing treatment procedures. In the present article, we aim to address current challenges and future demands for translational research in CBT for the anxiety disorders, including (a) a better understanding of those mechanisms conferring behavioral change, (b) identifying important sources of individual variation that may act as moderators of treatment response, and (c) targeting practical barriers for dissemination of exposure therapy to routine care. Based on a recursive process model of psychotherapy research we will describe distinct steps to systematically translate basic and clinical research “from bench to bedside” to routine care, but also vice versa. Some of these aspects may stimulate the future roadmap for evidence-based psychotherapy research in order to better target the treatment of anxiety disorders as one core health challenge of our time.


Author(s):  
Jeffrey M. Cohen ◽  
Michelle G. Newman

Sexual minorities face unique threats to psychological well-being that are primarily social in nature. These minority stressors include negative social exchanges at both the structural and interpersonal levels. Minority stress results in psychiatric distress; however, sexual minorities display increased self-esteem and decreased anxiety and depression when in proximity to other sexual minorities. This suggests group-based psychotherapy may be a uniquely effective treatment for the mental health of sexual minority clients. Group-based cognitive–behavioral therapies (CBTs), inclusive of traditional and third-wave modalities, enjoy a robust evidence base. This chapter reviews the evidence for group-based CBTs with sexual minorities, and it offers recommendations for the adaptation of group-based CBTs for work with sexual minorities. An illustrative example of a CBT group that was delivered to sexual minority adolescents is provided.


1996 ◽  
Vol 41 (5) ◽  
pp. 475-476
Author(s):  
Arthur M. Neuz ◽  
Elizabeth A. Meadows

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