Treatment experiences during a cognitive behaviour therapy group intervention targeting repetitive negative thinking: A qualitative study

2021 ◽  
Author(s):  
Roland Rogiers ◽  
Hanna Van Parys ◽  
Chris Baeken ◽  
Dirk Van den Abbeele ◽  
Jonathan Remue ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Group Intervention ◽  
Cognitive Behaviour Therapy ◽  
Therapy Group ◽  
Behaviour Therapy ◽  
Repetitive Negative Thinking ◽  
Negative Thinking ◽  
Cognitive Behaviour

Enhancing self-esteem in adults with autism spectrum disorders: a pilot cognitive behaviour therapy (CBT) group intervention

2017 ◽  
Vol 3 (2) ◽  
pp. 66-75 ◽  
Author(s):  
Debbie Spain ◽  
Sarah H. Blainey
Keyword(s):  
Autism Spectrum Disorders ◽  
Group Intervention ◽  
Cognitive Behaviour Therapy ◽  
Self Esteem ◽  
Autism Spectrum ◽  
Behaviour Therapy ◽  
Content Type ◽  
Cognitive Behaviour ◽  
Spectrum Disorders ◽  
Adults With Asd

Purpose Psychosocial risk factors and high rates of psychiatric comorbidity render individuals with autism spectrum disorders (ASD) vulnerable to developing low self-esteem (LSE). Cognitive behaviour therapy (CBT) interventions are effective for enhancing self-esteem in typically developing populations, but the degree to which they are clinically beneficial for individuals with ASD has been little explored. The paper aims to discuss these issues. Design/methodology/approach A pilot group intervention was undertaken to investigate the effectiveness and acceptability of CBT for LSE in adults with ASD. Adaptations to standard protocols were made, in order to accommodate core ASD characteristics. Findings Four participants attended eight sessions: these comprised formulation of causal and maintaining mechanisms for LSE, cognitive interventions designed to reduce self-criticism and promote a more balanced self-view, and behavioural interventions intended to increase engagement in enjoyable activities, and enhance problem-solving skills and assertiveness. Self-report questionnaires were completed at four time points: baseline, at the first and last sessions, and at one-month follow-up. Data analysis indicated no change in the primary self-esteem outcome measure. Some improvements were noted on secondary outcomes, specifically in social anxiety and depressive symptoms, and general functioning. Research limitations/implications Further studies are needed to determine how to design and deliver CBT interventions and techniques which target LSE in individuals with ASD. Originality/value This is one of the first CBT group interventions designed to address LSE in adults with ASD.

Reconsidering perfect: a qualitative study of the experiences of internet-based cognitive behaviour therapy for perfectionism

2020 ◽  
Vol 48 (4) ◽  
pp. 432-441
Author(s):  
Alexander Rozental ◽  
Radha Kothari ◽  
Tracey Wade ◽  
Sarah Egan ◽  
Gerhard Andersson ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Qualitative Study ◽  
Psychiatric Disorders ◽  
Interpersonal Relationships ◽  
Thematic Analysis ◽  
Cognitive Behaviour Therapy ◽  
Comprehensive Treatment ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Positive Results

AbstractBackground:Internet-based cognitive behaviour therapy (ICBT) is a promising format for treating different psychiatric disorders. In addition, several clinical trials have found positive results when using it to target transdiagnostic processes, such as perfectionism. However, few qualitative investigations have been conducted on the experiences of clients undergoing such treatments.Method:In the current study, clients completing 12-week guided ICBT for perfectionism responded to open-ended questions at post-treatment. In total, 30 out of 62 (48.4%) described their impressions of its content and the support provided by their guide.Results:The results were analysed qualitatively using thematic analysis. Five themes were found in the responses: Learning how to do things differently, Noticing the positives, Feeling safe to be honest, A comfortable treatment format and Barriers to treatment.Conclusions:The results suggest that many clients were able to achieve a change in perspective in relation to their perfectionism and started facing their fears. They were also able to report the benefits of doing things differently as part of treatment, such as an improvement in their interpersonal relationships. Most clients were also positive about the treatment format, enjoying its flexibility and the encouragement offered by their therapist. However, obstacles such as conflicting commitments, personal difficulties, time-consuming and comprehensive treatment modules, and a desire for more support were brought up by some, suggesting that there are aspects that could be considered in the future.

scholarly journals Transdiagnostic group cognitive behaviour therapy for anxiety in bipolar disorder—a pilot feasibility and acceptability study

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Tania Perich ◽  
Philip B. Mitchell ◽  
Tanya Meade
Keyword(s):  
Bipolar Disorder ◽  
Cognitive Behaviour Therapy ◽  
Therapy Group ◽  
Working Hours ◽  
Structured Interview ◽  
Self Report ◽  
Behaviour Therapy ◽  
Co Morbidity ◽  
Cognitive Behaviour ◽  
Homework Adherence

Abstract Objective Anxiety is prominent for many people living with bipolar disorder, yet the benefit of psychological interventions in treating this co-morbidity has been minimally explored and few studies have been conducted in a group format. This study aimed to assess the feasibility and acceptability of a transdiagnostic cognitive behaviour therapy group anxiety programme (CBTA-BD) for people living with bipolar disorder. Methods Participants were recruited to take part in a 9-week group therapy programme designed to treat anxiety in bipolar disorder using cognitive behaviour therapy. They were assessed by structured interview (SCID-5 RV) to confirm the diagnosis of bipolar disorder and assessed for anxiety disorders. Self-report questionnaires—DASS (depression, anxiety, stress), ASRM (mania), STAI (state and trait anxiety) and Brief QOL.BD (quality of life) pre- and post-treatment were administered. Results Fourteen participants enrolled in the programme, with 10 participants (5 male; 5 female) completing the follow-up assessments. Two groups (one during working hours, the other outside working hours) were conducted. The programme appeared acceptable and feasible with a mean of 6.9 (77%) sessions attended, though five (50%) participants completed less than 3 weeks homework. Conclusion The transdiagnostic cognitive behaviour therapy group anxiety programme (CBTA-BD) proved feasible and acceptable for participants; however, homework compliance was poor. A larger randomised pilot study is needed to assess the benefits of the intervention on symptom measures and address homework adherence, possibly through providing support between sessions or tailoring it more specifically to participant needs.

Trauma-focussed cognitive-behaviour therapy for people with mild intellectual disabilities: outcomes of a pilot study

2016 ◽  
Vol 10 (5) ◽  
pp. 299-310 ◽  
Author(s):  
Biza Stenfert Kroese ◽  
Sara Willott ◽  
Frances Taylor ◽  
Philippa Smith ◽  
Ruth Graham ◽  
...  
Keyword(s):  
Intellectual Disabilities ◽  
Group Intervention ◽  
Cognitive Behaviour Therapy ◽  
Complex Ptsd ◽  
Behaviour Therapy ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Content Type ◽  
Cognitive Behaviour ◽  
People With Intellectual Disabilities

Purpose Trauma-focussed cognitive-behaviour therapy (TF-CBT) is the most effective treatment for post-traumatic stress disorder (PTSD). Individuals who present with complex PTSD are among the most complex and challenging patients seen by intellectual disability psychology and psychiatry services. The purpose of this paper is to study TF-CBT intervention for people with intellectual disabilities and complex PTSD. Design/methodology/approach Three groups of adults with intellectual disabilities (ID) presenting with complex PTSD (n=3, n=5 and n=4) were treated using a 12-week manualised intervention adapted from a procedure routinely used in adult mental health services. Participants completed the Impact of Event Scale as adapted for people with intellectual disabilities (IES-ID) before and after the intervention, and interviews conducted to ascertain their experiences of the group were analysed using interpretative phenomenological analysis (IPA). Findings The ten participants who completed the intervention showed a 27 per cent decrease in median Impact of Event Scale Intellectual Disabilities scores, equivalent to a medium effect size (d=0.50). Five themes were identified from the interviews: being listened to; it is nice to know you are not the only one; being in a group can be stressful; the importance of feeling safe; achieving and maintaining change. Participants also provided constructive feedback to promote improvements to the manual. Research limitations/implications A feasibility study followed by methodologically robust clinical trials is now needed to establish the effectiveness of the intervention and its utility in clinical practice. Practical implications This small study has confirmed the potential of TF-CBT as an intervention for extremely vulnerable individuals with ID who present with complex PTSD. Social implications The findings indicate that a group intervention is both feasible for and acceptable to adults with ID. Originality/value To date, no study has investigated the effectiveness and feasibility of a TF-CBT group intervention for adults with mild ID.

Sign in / Sign up

Export Citation Format

Share Document