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Empirically supported couple and family interventions for marital distress and adult mental health problems
- Journal of Consulting and Clinical Psychology
, 1998
"... This article evaluates the efficacy, effectiveness, and clinical significance of empirically supported couple and family interventions for treating marital distress and individual adult disorders, including anxiety disorders, depression, sexual dysfunctions, alcoholism and problem drinking, and schi ..."
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Cited by 61 (6 self)
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This article evaluates the efficacy, effectiveness, and clinical significance of empirically supported couple and family interventions for treating marital distress and individual adult disorders, including anxiety disorders, depression, sexual dysfunctions, alcoholism and problem drinking, and schizophre-nia. In addition to consideration of different theoretical approaches to treating these disorders, different ways of including a partner or family in treatment are highlighted: (a) partner-family-assisted interventions, (b) disorder-specific partner-family interventions, and (c)more general couple-family therapy. Findings across diagnostic groups and issues involved in applying efficacy criteria to these populations are discussed. Since the 1970s, there has been a major shift in knowledge regarding the effectiveness of couple-based and family-based interventions for treating adult mental health problems. During this period, various theoretical perspectives have been articu-lated, specific manual-based intervention strategies have been developed, and controlled treatment outcome investigations have explored a number of specific issues of importance. The current
Sudden gains and critical session in cognitive-behavioral therapy for depression. J Consult Clin Psychol
, 1999
"... In this study of cognitive—behavioral therapy for depression, many patients experienced large symptom improvements in a single between-sessions interval. These sudden gains ' average magnitude was 11 Beck Depression Inventory points, accounting for 50 % of these patients' total improvement ..."
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Cited by 36 (0 self)
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In this study of cognitive—behavioral therapy for depression, many patients experienced large symptom improvements in a single between-sessions interval. These sudden gains ' average magnitude was 11 Beck Depression Inventory points, accounting for 50 % of these patients' total improvement. Patients who experienced sudden gains were less depressed than the other patients at posttreatment, and they remained so 18 months later. Substantial cognitive changes were observed in the therapy sessions preceding sudden gains, but few cognitive changes were observed in control sessions, suggesting that cognitive change in the pregain sessions triggered the sudden gains. Improved therapeutic alliances were also observed in the therapy sessions immediately after the sudden gains, as were additional cognitive changes, suggesting a three-stage model for these patients ' recovery: preparation-> critical session/sudden gain-> upward spiral.
Where oh where are the specific ingredients? A metaanalysis of component studies in counseling and psychotherapy
- Counseling Psychology
, 2001
"... Component studies, which involve comparisons between a treatment package and the treatment package without a theoretically important component or the treatment package with an added component, use experimental designs to test whether the component is necessary to produce therapeutic benefit. A meta- ..."
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Cited by 28 (1 self)
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Component studies, which involve comparisons between a treatment package and the treatment package without a theoretically important component or the treatment package with an added component, use experimental designs to test whether the component is necessary to produce therapeutic benefit. A meta-analysis was conducted on 27 component studies culled from the literature. It was found that the effect size for the difference between a package with and without the critical components was not significantly different from zero, indicating that theoretically purported important components are not responsible for therapeutic benefits. Moreover, the effect sizes were homogeneous, which suggests that there were no important variables moderating effect sizes. The results cast doubt on the specificity of psychological treatments. It was established in the 1980s that counseling and psychother-apy are remarkably efficacious (Lambert & Bergin, 1994; Wam-pold, 2000); now on center stage is the controversy about whether the beneficial effects of counseling and psychotherapy are due to the specific ingredients of the treatments or to the factors common in all therapies (Wampold, 2000). On one side are the advocates of empirically supported treatments who claim that treatments are analogues of medical treatments in that efficacy is attributed to their respective specific ingredients, which are usually presented in
Current status and future prospects of clinical psychology: Toward a scientifically principled approach to mental and behavioral health care
- Perspectives on Psychological Science
, 2009
"... SUMMARY—The escalating costs of health care and other recent trends have made health care decisions of great societal import, with decision-making responsibility often being transferred from practitioners to health economists, health plans, and insurers. Health care decision making increasingly is g ..."
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Cited by 26 (1 self)
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SUMMARY—The escalating costs of health care and other recent trends have made health care decisions of great societal import, with decision-making responsibility often being transferred from practitioners to health economists, health plans, and insurers. Health care decision making increasingly is guided by evidence that a treatment is efficacious, effective–disseminable, cost-effective, and scientifically plausible. Under these conditions of height-ened cost concerns and institutional–economic decision making, psychologists are losing the opportunity to play a leadership role in mental and behavioral health care: Other types of practitioners are providing an increasing proportion of delivered treatment, and the use of psychi-atric medication has increased dramatically relative to the provision of psychological interventions.
Empirically supported psychological therapies
- Journal of Consulting and Clinical Psychology
, 1998
"... This article introduces the special section of the Journal of Consulting and Clinical Psychology on empirically supported psychological therapies. After a discussion of the rationale for the selection of the specific terms in the label, several justifications are considered for conducting and learni ..."
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Cited by 21 (0 self)
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This article introduces the special section of the Journal of Consulting and Clinical Psychology on empirically supported psychological therapies. After a discussion of the rationale for the selection of the specific terms in the label, several justifications are considered for conducting and learning from empirical evaluations of psychological therapies. Finally, the process that guided the special section is described.
Behavior therapy for depressed cancer patients in primary care
- Psychotherapy: Theory, Research, Practice, Training
, 2005
"... Major depression is a common psychi-atric disorder among cancer patients and is associated with psychosocial impairment and decreased quality of life. Although some research has ex-plored psychological interventions with cancer patients, outcome studies inves-tigating the benefits of behavior therap ..."
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Cited by 18 (5 self)
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Major depression is a common psychi-atric disorder among cancer patients and is associated with psychosocial impairment and decreased quality of life. Although some research has ex-plored psychological interventions with cancer patients, outcome studies inves-tigating the benefits of behavior therapy among cancer patients with well diag-nosed depression are nonexistent. The present study was a preliminary clinical trial (n 6) used to assess the effec-tiveness of a Brief Behavioral Activa-tion Treatment for Depression (BATD) among depressed cancer patients in primary care. Results revealed strong treatment integrity, good patient com-pliance, excellent patient satisfaction with the BATD protocol, and significant pre–post treatment gains across mea-sures assessing depression, quality of life, and medical outcomes. These gains were associated with strong effect sizes and were maintained at 3-month follow up. BATD may represent a practical primary care treatment that may rem-edy problems associated with tradi-tional psychosocial interventions. Study limitations and future research direc-tions are discussed. Major depression is the most common psychi-atric disorder among cancer patients, with prev-alence rates ranging from 13 % to 56 % (Croyle & Rowland, 2003). Relative to nondepressed cancer patients, depressed cancer patients exhibit greater decline in the quality of recreational activities, relationships, self-care skills, physical activities, and sleep (Parker, Baile, DeMoor, & Cohen, 2003). Depressed cancer patients also experience a more rapid progression of cancer symptoms, increased mortality, more metastasis and pain, and increased medical utilization (Ciaramella &
Is cognitive case formulation science or science fiction
- Clinical Psychology: Science & Practice
, 2003
"... As with all systematic models of therapy, cognitive therapy distills a theory to the understanding of particular cases through the case formulation method. This article sets out criteria to evaluate whether cognitive case formulation follows the process of scientific inquiry, and it questions whethe ..."
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Cited by 12 (0 self)
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As with all systematic models of therapy, cognitive therapy distills a theory to the understanding of particular cases through the case formulation method. This article sets out criteria to evaluate whether cognitive case formulation follows the process of scientific inquiry, and it questions whether the formulation method meets these criteria. In terms of the evidence base for the cognitive theory that underpins cognitive case formulation, the research suggests that although the descriptive elements of cognitive theory are substantiated, the explanatory elements have received less support. In terms of the scientific status of the cognitive case formulation process, current evidence for the reliability of the cognitive case formulation method is modest, at best. There is a striking paucity of research examining the validity of cognitive case formulations or the impact of cognitive case formulation on therapy outcome. Implications for the clinical use of cognitive case formulation within a scientistpractitioner model are discussed, and potential programs of research to evaluate the case formulation method are described. Key words: depression, anxiety, personality disorder, cognitive therapy, case formulation, cognitive models.
A Randomized Trial of Brief Interventions for Problem and Pathological Gamblers
"... Limited research exists regarding methods for reducing problem gambling. Problem gamblers (N 180) were randomly assigned to assessment only control, 10 min of brief advice, 1 session of motivational enhancement therapy (MET), or 1 session of MET plus 3 sessions of cognitive–behavioral therapy. Gamb ..."
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Cited by 11 (1 self)
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Limited research exists regarding methods for reducing problem gambling. Problem gamblers (N 180) were randomly assigned to assessment only control, 10 min of brief advice, 1 session of motivational enhancement therapy (MET), or 1 session of MET plus 3 sessions of cognitive–behavioral therapy. Gambling was assessed at baseline, at 6 weeks, and at a 9-month follow-up. Relative to assessment only, brief advice was the only condition that significantly decreased gambling between baseline and Week 6, and it was associated with clinically significant reductions in gambling at Month 9. Between Week 6 and Month 9, MET plus cognitive–behavioral therapy evidenced significantly reduced gambling on 1 index compared with the control condition. These results suggest the efficacy of a very brief intervention for reduction of gambling among problem and pathological gamblers who are not actively seeking gambling treatment.
Cognitive therapy outcome: the effects of hopelessness in a naturalistic outcome study. Behav Res Ther 2004; 42
"... Abstract This study prospectively examined the effect of hopelessness on outcome in cognitive therapy. Hopelessness has a central role in cognitive theories of depression, and consistently predicts suicide attempts and suicide completion. Furthermore, there is indirect evidence that hopelessness pr ..."
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Cited by 7 (0 self)
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Abstract This study prospectively examined the effect of hopelessness on outcome in cognitive therapy. Hopelessness has a central role in cognitive theories of depression, and consistently predicts suicide attempts and suicide completion. Furthermore, there is indirect evidence that hopelessness predicts cognitive therapy outcome, in terms of early termination of therapy, perhaps in part because theories of therapy change suggest that ''remoralization'' is a critical first phase of change. It was hypothesized that hopelessness non-responsiveness early in therapy would be predictive of eventual outcome, over and above hopelessness severity at intake. In a naturalistic study of 122 patients diagnosed with unipolar depression, it was found that non-responsive hopelessness predicted outcome in cognitive therapy, and this effect is over and above any effect of initial severity of hopelessness or depression. These findings suggest that patients whose level of hope is responsive to early interventions make more rapid and pronounced improvements during ''real world'' cognitive therapy. #
How treatments for pathological gambling can be informed by treatments of substance use disorders
- Experimental and Clinical Psychopharmacology
, 2002
"... Substance use disorders and pathological gambling share similarities in terms of diagnostic criteria, epidemiology, and clinical course. However, relatively few studies have evaluated the efficacy of treatments for gambling disorders. As interest in pathological gambling grows, adaptation of effecti ..."
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Cited by 5 (1 self)
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Substance use disorders and pathological gambling share similarities in terms of diagnostic criteria, epidemiology, and clinical course. However, relatively few studies have evaluated the efficacy of treatments for gambling disorders. As interest in pathological gambling grows, adaptation of effective treatments from the field of substance abuse may advance the study of treatment for pathological gambling. This article reviews the similarities and differences between pathological gambling and substance use disorders. It describes psychotherapeutic and pharmacological treatments for substance use disorders and their translation to patho-logical gambling. Future research should consider investigating the onset and course of pathological gambling within the context of other psychiatric disorders, biological abnormal-ities associated with gambling, and combined effects of psychotherapy and pharmacotherapy in the treatment of this disorder. Pathological gambling is defined by the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM–IV];
