Materials used to support cognitive behavioural therapy for depression: a survey of therapists’ clinical practice and views

ABSTRACT

Use of supporting materials in cognitive behavioural therapy (CBT) is widely advocated, and homework increases effectiveness. The study aimed to identify materials most frequently used by CBT therapists to support CBT for depression, and those perceived clinically most effective. Questionnaires were sent to 3665 accredited CBT therapists asking about their use of resources commonly described in CBT manuals, and their views on effectiveness. Of 3665 approached by post/email, 994 (27%) responded. Another 33 completed the questionnaire via the study website. 818/1027 (80%) of respondents were accredited practitioners who deliver one-to-one therapy. Symptom measures, lists of problems/goals, activity schedules, behavioural activation diaries/plans, and case formulation worksheets were used “frequently” or “very frequently” by over 85% of respondents. Sleep diaries and computerised CBT were used least. Most resources were used within and between sessions. Activity schedules, behavioural activation diaries/plans, case formulation worksheets, thought records, and resources to support the identification of conditional beliefs were regarded as most effective. Symptom measures, sleep diaries, and computerised/online materials were considered only moderately effective. Therapists use a wide range of materials to support individual CBT. For delivering CBT, technology-enabled approaches should incorporate a range of materials to enable therapists to tailor treatment effectively.     

Genetic,Maternal, School,Intelligence, and Media Use Predictors of Adult Criminality: A Longitudinal Test of the Catalyst Model in Adolescence through Early Adulthood

The catalyst model suggests that adult criminality arises from the interaction of genetic and proximal social influences such as family influences, but that distal social influences such as media exposure have only negligible influence. This article uses data from a 13-year longitudinal study of adolescent health to examine the catalyst model. As expected by the catalyst model, adult criminality was best explained by a confluence of genetic and proximal social risk factors. The influence of media exposure on adult criminality was negligible. Implications of these findings for both theory and policy are discussed.     

A Controlled Pilot-Outcome Study of Sensory Integration (SI) in the Treatment of Complex Adaptation to Traumatic Stress

This study tested whether sensory integration (SI) treatment combined with psychotherapy would improve symptom outcome over psychotherapy alone in the treatment of complex posttraumatic stress, as measured by the Disorders of Extreme Stress Not Otherwise Specified (DESNOS) clinical construct in a group of 10 adult patients with histories of childhood abuse. DESNOS symptoms were assessed at three time periods (T1, baseline; T2, after experimental group SI treatment; and T3, after wait-list control group SI treatment) using the Structured Interview for Disorders of Extreme Stress (SIDES). The Sensory Learning Program? (SLP), developed by the Sensory Learning Institute of Boulder, Colorado, was used as the SI treatment modality. Results indicated significant differential improvement for the group treated with SLP in SIDES Total Score (T1/T2 and T2/T3), Self Perception (T1/T2 and T2/T3), Affect Regulation (T2/T3), and Alterations in Meaning (T1/T2).     

Self-Knowledge and the ‘Inner Eye’

Mutual perceptual knowledge is a prevalent feature of our everyday lives, yet appears to be exceptionally difficult to characterise in an acceptable way. This paper argues for a renewed understanding of Stephen Schiffer's iterative approach to mutual knowledge, according to which mutual knowledge requires an infinite number of overlapping, embedded mental states. It is argued that the charge of ‘psychological implausibility’ that normally accompanies discussion of this approach can be offset by identifying mutual knowledge, not with the infinite iterations themselves, but with the finite base which Schiffer proves is capable of generating those iterations. An understanding of this finite base as a primitive, relational property holding between two or more people, allows us to understand the iterations as an implicit and ‘harmless’ intrapersonal feature of what is an interpersonal phenomenon. The paper concludes by relating the account to joint attention in infant interaction.     

Combining Ericksonian and Sandplay Approaches to Therapy with Children who Manifest Depression as a Developmental Barrier

This study reports on the use of the Ericksonian approach combined with sandplay therapy to assist children who present with depression, a troublesome developmental barrier. Participants were six children and/or adolescents with depression (two males and four females; age range 7 to 18; ethnicity: five white and one black). The intervention occurred once a week over a two-month period (eight 60-minute sessions in total). Outcome data were collected using qualitative interview and thematically analyzed. The Ericksonian approach to sandplay therapy had an overall positive effect on children who experienced depression as a developmental barrier.     

Adolescents as “producers of their own development”: Correlates and consequences of the importance and attainment of developmental tasks

In a four-wave longitudinal study, 228 adolescents from seven age cohorts were investigated annually regarding the importance and subjective attainment of age-specific developmental tasks. Distal outcomes (educational trajectory and residential independence) were examined when the adolescents were 21 years old. The results of latent growth models (LGM) showed that there was no mean level change in the importance of developmental tasks, whereas perceived attainment of developmental tasks increased over time. In general, whereas the importance of developmental tasks was more impacted by family factors, the attainment of tasks was more influenced by individual factors. Adolescents with more parental support for autonomy had higher developmental aspirations. Adolescents with unemployed fathers showed greater increases in the importance of developmental tasks, which subsequently predicted a higher educational trajectory. Only a small proportion of adolescents perceived a high initial level of attainment of diverse tasks; for 85% of the sample, the typical growth pattern with respect to overall attainment of developmental tasks was a moderate initial level, which increased over time. Girls, early maturers, and first-born adolescents reported higher perceived attainment of developmental tasks.     

The Journal of Positive Psychology – Reviewers for 2012

Optimism and pessimism are associated with important outcomes including health and depression. Yet it is unclear if these apparent polar opposites form a single dimension or reflect two distinct systems. The extent to which personality accounts for differences in optimism/pessimism is also controversial. Here, we addressed these questions in a genetically informative sample of 852 pairs of twins. Distinct genetic influences on optimism and pessimism were found. Significant family-level environment effects also emerged, accounting for much of the negative relationship between optimism and pessimism, as well as a link to neuroticism. A general positive genetics factor exerted significant links among both personality and life-orientation traits. Both optimism bias and pessimism also showed genetic variance distinct from all effects of personality and from each other.     

Increasing Behavioral Skills and Level of Understanding in Adults: A Brief Method Integrating Dennison's Brain Gym & #x00AE; Balance with Piaget's Reflective Processes

A single session intervention was given individually to 4 adults in order to assist them in achieving their personal goals by improving their behavioral skills for achieving the goals and their conceptual understanding of & #x201C;how to & #x201D; attain these goals. The method was based on a brain-ability analysis of understanding & #x201C;conservation & #x201D; on Jean Piaget's conservation tasks combined with Paul and Gail Dennison's Brain Gym & #x201C;balance & #x201D; procedure. My & #x201C;whole brain understanding & #x201D; model (C. A. Wolfsont, 1999, 2000) and M. L. Commons et al.'s Hierarchical Complexity Scoring System manual were used to analyze the verbal protocols (M. L. Commons et al., 1992; Commons, Danaher, & Meaney, 2000). Increases were found in the participants' conceptual understanding and in the complexity of their performance.     

Psychometric Properties and Norms of the Family Needs Scale

We studied 205 low-income families, using the Family Needs Scale (FNS). Factor analysis of the FNS data resulted on a 7-factor solution with high internal consistency within the various subscales. We provide normative scores based on the factor structure of the FNS. A total of 53 parents completed the FNS on two occasions with an average of four weeks between these two ratings. In general, the test-retest reliabilities were low to moderate. A total of 61 pairs of parents independently rated their families with the FNS. Again, agreement between raters was low to moderate. Several factors that may have detracted from better test-retest and interrater reliability were identified. Our data point to the need for more psychometric studies with the FNS.