Journal Cover
Behavioural and Cognitive Psychotherapy
Journal Prestige (SJR): 0.976
Citation Impact (citeScore): 2
Number of Followers: 179  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1352-4658 - ISSN (Online) 1469-1833
Published by Cambridge University Press Homepage  [387 journals]
  • BCP volume 47 issue 6 Cover and Front matter
    • PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000511
      Issue No: Vol. 47, No. 6 (2019)
  • BCP volume 47 issue 6 Cover and Back matter
    • PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000523
      Issue No: Vol. 47, No. 6 (2019)
  • Beliefs about safety behaviours in the prediction of safety behaviour use
    • Authors: Johanna M. Meyer; Alex Kirk, Joanna J. Arch, Peter J. Kelly, Brett J. Deacon
      Pages: 631 - 644
      Abstract: Background: Safety behaviours are ubiquitous across anxiety disorders and are associated with the aetiology, maintenance and exacerbation of anxiety. Cognitive behavioural models posit that beliefs about safety behaviours directly influence their use. Therefore, beliefs about safety behaviours may be an important component in decreasing safety behaviour use. Unfortunately, little empirical research has evaluated this theorized relationship.Aims: The present study aimed to examine the predictive relationship between beliefs about safety behaviours and safety behaviour use while controlling for anxiety severity.Method: Adults with clinically elevated levels of social anxiety (n = 145) and anxiety sensitivity (n = 109) completed an online survey that included established measures of safety behaviour use, quality of life, and anxiety severity. Participants also completed the Safety Behaviour Scale (SBS), a measure created for the current study which includes a transdiagnostic checklist of safety behaviours, as well as questions related to safety behaviour use and beliefs about safety behaviours.Results: Within both the social anxiety and anxiety sensitivity groups, positive beliefs about safety behaviours predicted greater safety behaviour use, even when controlling for anxiety severity. Certain beliefs were particularly relevant in predicting safety behaviour use within each of the clinical analogue groups.Conclusions: Findings suggest that efforts to decrease safety behaviour use during anxiety treatment may benefit from identifying and modifying positive beliefs about safety behaviours.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000298
      Issue No: Vol. 47, No. 6 (2019)
  • Utilization of learned skills in cognitive behavioural therapy for panic
    • Authors: Asala Halaj; Nitzan Yekutiel, Asher Y. Strauss, Jonathan D. Huppert
      Pages: 645 - 658
      Abstract: Background:Research has long investigated the cognitive processes in the treatment of depression, and more recently in panic disorder (PD). Meanwhile, other studies have examined patients’ cognitive therapy skills in depression to gain insight into the link between acquiring such skills and treatment outcome.Aims:Given that no scale exists to examine in-session patient use of panic-related cognitive behavioural therapy (CBT) skills, the aim of this study was to develop a new measure for assessing patients’ cognitive and behavioural skills in CBT for PD.Method:This study included 20 PD patients who received 12 weekly individual therapy sessions. The Cognitive Behavioral Therapy Panic Skills (CBTPS) rating system was developed. Three independent raters coded tapes of therapy sessions at the beginning and end of treatment.Results:The coefficient alphas and inter-rater reliability were high for the cognitive and behavioural subscales. Improvement in the patients’ CBTPS scores on both subscales indicated overall symptom improvement, above improvement in anxiety sensitivity.Conclusion:To our knowledge, this is the first study examining the impact of patient acquisition of CBT PD skills on treatment outcome. A new measure was developed based on the observations and was deemed reliable and valid. The measure facilitates the examination of the mechanisms of change in treatment for PD. An in-depth examination of the CBTPS may refine our understanding of the impact of each skill on PD treatment outcome. Further research relating to acquiring CBT skills could shed light on the mechanisms of change in treatment.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S135246581900033X
      Issue No: Vol. 47, No. 6 (2019)
  • Mediational role of rumination and reflection on irrational beliefs and
    • Authors: Murat Artiran; Omer Faruk Şimşek, Martin Turner
      Pages: 659 - 671
      Abstract: Background:The cognitive restructuring of maladaptive beliefs within many cognitive behavioural psychotherapies typically encourages the client to undertake self-reflection. However, whilst self-consciousness can aid self-regulation, it is also implicated in a broad Grange of psychopathologies. The extent to which self-consciousness is associated with psychological distress is yet to be fully determined, but recent literature suggests that irrational beliefs, as proposed within rational emotive behaviour theory (REBT) may play an important role.Aims:The aim of the study was to test the mediational effects of self-consciousness, specifically reflection and rumination, on the relationship between irrational beliefs and psychological distress. Based on past research, it was hypothesized that reflection and rumination would mediate the positive relationship between irrational beliefs and psychological distress. We expected irrational beliefs to interact with rumination to positively predict psychological distress, and irrational beliefs to interact with reflection to negatively predict psychological distress.Method:The present research tested a structural equation model (SEM) in which rumination and reflection mediated the relationship between irrational beliefs and psychological distress.Results:Results indicated that rumination mediates the positive relationship between irrational beliefs and psychological distress. However, in contrast to our hypotheses, significant mediation did not emerge for reflection.Conclusions:This study is the first to show how irrational beliefs and rumination interact to predict psychopathology using advanced statistical techniques. However, future research is needed to determine whether similar mediational effects are evident with rational beliefs as opposed to irrational beliefs.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000031
      Issue No: Vol. 47, No. 6 (2019)
  • Multi-professional IAPT CBT training: clinical competence and patient
    • Authors: Sheena Liness; Sarah Beale, Susan Lea, Suzanne Byrne, Colette R. Hirsch, David M. Clark
      Pages: 672 - 685
      Abstract: Background:There is international interest in the training of psychological therapists to deliver evidence-based treatment for common mental health problems. The UK Improving Access to Psychological Therapies (IAPT) programme, one of the largest training initiatives, relies on competent therapists to successfully deliver cognitive behaviour therapy (CBT) and promote good patient outcome.Aims:To evaluate an IAPT CBT training course by assessing if trainees’ clinical skills improve during training and reach competency standards, and to report patient outcome for submitted training cases. To investigate a possible relationship between trainee competence and patient outcome. To explore professional differences during training.Method:CBT trainee (n = 252) competence was assessed via audio recordings of therapy sessions at the beginning, middle and end of training. Patient pre- to post-treatment outcomes were extracted from submitted training cases (n = 1927). Differences in professional background were examined across competence, academic final grade and tutorial support.Results:CBT trainees attained competence by the end of the course with 77% (anxiety recordings) and 72% (depression recordings) improving reliably. Training cases reported pre- to post-treatment effect sizes of 1.08–2.26 across disorders. CBT competence predicted a small variance in clinical outcome for depression cases. Differences in professional background emerged, with clinical psychologists demonstrating greater competence and higher academic grades. Trainees without a core professional background required more additional support to achieve competence.Conclusions:Part of a new CBT therapist workforce was successfully trained to deliver relatively brief treatment effectively. Trainees without a core profession can be successfully trained to competence, but may need additional support. This has implications for workforce training.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000201
      Issue No: Vol. 47, No. 6 (2019)
  • A pilot study of acceptance-based behavioural weight loss for adolescents
           with obesity
    • Authors: Jena Shaw Tronieri; Thomas A. Wadden, Sharon M. Leonard, Robert I. Berkowitz
      Pages: 686 - 696
      Abstract: Background:Acceptance and commitment therapy (ACT) is a psychological treatment that has been found to increase weight loss in adults when combined with lifestyle modification, compared with the latter treatment alone. However, an ACT-based treatment for weight loss has never been tested in adolescents.Methods:The present pilot study assessed the feasibility and acceptability of a 16-week, group ACT-based lifestyle modification treatment for adolescents and their parents/guardians. The co-primary outcomes were: (1) mean acceptability scores from up to 8 biweekly ratings; and (2) the percentage reduction in body mass index (BMI) from baseline to week 16. The effect size for changes in cardiometabolic and psychosocial outcomes from baseline to week 16 also was examined.Results:Seven families enrolled and six completed treatment (14.3% attrition). The mean acceptability score was 8.8 for adolescents and 9.0 for parents (on a 1–10 scale), indicating high acceptability. The six adolescents who completed treatment experienced a 1.3% reduction in BMI (SD = 2.3, d = 0.54). They reported a medium increase in cognitive restraint, a small reduction in hunger, and a small increase in physical activity. They experienced small improvements in most quality of life domains and a large reduction in depression.Conclusions:These preliminary findings indicate that ACT plus lifestyle modification was a highly acceptable treatment that improved weight, cognitive restraint, hunger, physical activity, and psychosocial outcomes in adolescents with obesity.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000262
      Issue No: Vol. 47, No. 6 (2019)
  • Older adult hoarders’ experiences of being helped by volunteers and
           volunteers’ experiences of helping
    • Authors: Kirsty Ryninks; Vuokko Wallace, James D. Gregory
      Pages: 697 - 708
      Abstract: Background:There is limited research into the experiences of receiving and providing help in the context of hoarding disorder.Aims:The present study aimed to explore the experiences of older people with hoarding difficulties receiving help and volunteers providing support to people with hoarding problems.Method:Qualitative methods were adopted to investigate the lived experience of participants. A total of seven volunteer helpers and four people with hoarding disorder were recruited and interviewed using a semi-structured interview, designed to explore experiences of providing and receiving help. Qualitative analysis of the interview data was performed using interpretive phenomenological analysis.Results:Four superordinate themes were identified: relationship between client and volunteer; ‘live life again’; challenges; and supporting volunteers. The relationship was crucial in providing a trusting foundation from which clients felt able to move forward. Volunteers provided a space for clients to talk and appropriate self-disclosure helped to build a relationship. The informal and ‘non-professional’ status of volunteers enabled clients to take the lead and feel more in control of the therapeutic process. Volunteer flexibility and lack of time constraints contributed to clients ‘making space’ for themselves, both in their home and their lives. The support from volunteers enabled clients to ‘live life again’ and created a domino effect, bringing about improvements in other areas of their lives.Conclusions:The findings are discussed in relation to the training of health professionals to work with people with hoarding difficulties and the implications of the findings for treatment approaches and service provision.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S135246581900016X
      Issue No: Vol. 47, No. 6 (2019)
  • Imagery rescripting for the treatment of trauma in voice hearers: a case
    • Authors: Georgie Paulik; Craig Steel, Arnoud Arntz
      Pages: 709 - 725
      Abstract: Background: High rates of trauma and post-traumatic stress disorder (PTSD) are reported in people who hear voices (auditory hallucinations). A recent meta-analysis of trauma interventions in psychosis showed only small improvements in PSTD symptoms and voices. Imagery Rescripting (ImRs) may be a therapy that is more effective in this population because it generalizes over memories, which is ideal in this population with typically repeated traumas.Aims: The primary aims of this study were to investigate whether ImR reduces (1) PTSD symptoms, and (2) voice frequency and distress in voice hearers.Method: We used a single arm open trial study, case-series design. Twelve voice hearers with previous traumas that were thematically related to their voices participated. Brief weekly assessments (administered in sessions 1–8, post-intervention, and at 3-month follow-up) and longer measures (administered pre-, mid- and post-intervention) were administered. Mixed regression analysis was used to analyse the results.Results: There was one treatment drop-out. Results of the weekly measure showed significant linear reductions over time in all three primary variables – voice distress, voice frequency, and trauma intrusions – all with large effect sizes. These effects were maintained (and continued to improve for trauma intrusions) at 3-month follow-up. On the full assessment tools, all measures showed improvement over time, with five outcomes showing significant time effects: trauma, voice frequency, voice distress, voice malevolence and stress.Conclusions: The findings of the current study suggest that ImRs for PTSD symptoms is generally well tolerated and can be therapeutically beneficial among individuals who hear voices.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000237
      Issue No: Vol. 47, No. 6 (2019)
  • The influences of virtual social feedback on social anxiety disorders
    • Authors: Tomoko Kishimoto; Xinfang Ding
      Pages: 726 - 735
      Abstract: Background:Social feedback in the virtual environment is a critical part of successful virtual reality exposure therapy (VRET), and identifying the influences of virtual social feedback on social anxiety patients is necessary.Aims:The present study aimed to explore the influences of ambiguous and negative virtual social feedback on social anxiety patients and a health control group (HCG).Method:Twenty-six social anxiety patients and 26 healthy participants were recruited. All participants were exposed to a virtual public speaking scenario. The participants were required to make two 3-minute speeches while the virtual audiences gave them either ambiguous feedback or negative feedback. The subjective units of discomfort (SUD) and heart rate were collected during the process.Results:The results showed that SAD individuals reported higher levels of subjective anxiety than those in the HCG, and the between-group differences were larger in the mild ambiguous condition than in the intense negative condition.Conclusions:This study indicates that social anxiety patients have an interpretation bias towards ambiguous virtual social feedback. Therefore, it is important for VR-based interventions to take into account not only the valence of the feedback but also the ambiguity aspect.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000377
      Issue No: Vol. 47, No. 6 (2019)
  • Judging clinical competence using structured observation tools: A
           cautionary tale
    • Authors: Anthony D. Roth; Pamela Myles-Hooton, Amanda Branson
      Pages: 736 - 744
      Abstract: Background:One method for appraising the competence with which psychological therapy is delivered is to use a structured assessment tool that rates audio or video recordings of therapist performance against a standard set of criteria.Aims:The present study examines the inter-rater reliability of a well-established instrument (the Cognitive Therapy Scale – Revised) and a newly developed scale for assessing competence in CBT.Method:Six experienced raters working independently and blind to each other’s ratings rated 25 video recordings of therapy being undertaken by CBT therapists in training.Results:Inter-rater reliability was found to be low on both instruments.Conclusions:It is argued that the results represent a realistic appraisal of the accuracy of rating scales, and that the figures often cited for inter-rater reliability are unlikely to be generalizable outside the specific context in which they were achieved. The findings raise concerns about the use of these scales for making summative judgements of clinical competence in both educational and research contexts.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000316
      Issue No: Vol. 47, No. 6 (2019)
  • Virtual reality-based cognitive behavioural therapy for patients with
           generalized social anxiety disorder: a pilot study
    • Authors: Chris N.W. Geraets; Wim Veling, Maartje Witlox, Anton B.P. Staring, Suzy J.M.A. Matthijssen, Danielle Cath
      Pages: 745 - 750
      Abstract: Background:Patients with generalized social anxiety disorder (SAD) avoid various social situations and can be reluctant to engage in in vivo exposure therapy. Highly personalized practising can be required before patients are ready to perform in vivo exposure. Virtual reality-based therapy could be beneficial for this group.Aims:To assess the feasibility and potential effect of virtual reality-based cognitive behavioural therapy (VR-CBT) for patients with severe generalized SAD.Methods:Fifteen patients with generalized SAD attended up to 16 VR-CBT sessions. Questionnaires on clinical and functional outcomes, and diary assessments on social activity, social anxiety and paranoia were completed at baseline, post-treatment and at 6-months follow-up.Results:Two patients dropped out of treatment. Improvements in social anxiety and quality of life were found at post-treatment. At follow-up, depressive symptoms had decreased, and the effect on social anxiety was maintained. With respect to diary assessments, social anxiety in company and paranoia were significantly reduced by post-treatment. These improvements were maintained at follow-up. No increase was observed in social activity.Conclusions:This uncontrolled pilot study demonstrates the feasibility and treatment potential of VR-CBT in a difficult-to-treat group of patients with generalized SAD. Results suggest that VR-CBT may be effective in reducing anxiety as well as depression, and can increase quality of life.
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000225
      Issue No: Vol. 47, No. 6 (2019)
  • Critical+Thinking+and+the+Process+of+Evidence-Based+Practice+Eileen+Gambrill+ISBN:+9780190463359'cc=au&lang=en&&rft.title=Behavioural+and+Cognitive+Psychotherapy&rft.issn=1352-4658&">Critical Thinking and the Process of Evidence-Based Practice Eileen
           Gambrill ISBN:
    • Authors: Graham R. Thew
      Pages: 751 - 752
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000389
      Issue No: Vol. 47, No. 6 (2019)
  • Exercise-Based+Interventions+for+Mental+Illness:+Physical+Activity+as+Part+of+Clinical+Treatment+Stubbs+Brendon+and+Rosenbaum+Simon,+Elsevier,+2018+ISBN+9780128126059+doi:+10.1017/S1352465819000341,+">Exercise-Based Interventions for Mental Illness: Physical Activity as Part
           of Clinical Treatment Stubbs Brendon and Rosenbaum Simon, Elsevier, 2018
           ISBN 9780128126059 doi: 10.1017/S1352465819000341,
    • Authors: Rowan Diamond
      Pages: 753 - 754
      PubDate: 2019-11-01T00:00:00.000Z
      DOI: 10.1017/S1352465819000341
      Issue No: Vol. 47, No. 6 (2019)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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