A systematic review of cognitive behavioural therapy for anxiety in adults with intellectual disabilities

Dagnan, Dave; Jackson, Iris; Eastlake, L.

doi:10.1111/jir.12548

Cited by 42 publications

(26 citation statements)

References 50 publications

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“…Quantitative results show that the CBT group had an overall positive impact on most participants’ anxiety, distress and global functioning, which was maintained for most at follow‐up. This study replicated findings that CBT might be helpful for people with learning disabilities and anxiety (Dagnan et al., 2018).…”

Section: Discussionsupporting

confidence: 89%

“…Cognitive and behavioural components were introduced in the group as guided by previous research (e.g. Dagnan et al, 2018; Douglass et al., 2007 for review; NICE Guideline 54, 2016).…”

Section: Methodsmentioning

confidence: 99%

“…The existing literature shows mixed results for CBT interventions on anxiety in people with learning disabilities. Dagnan's, Jackson, and Eastlake (2018) systematic review reported positive outcomes of CBT interventions on anxiety for people with learning disabilities, although much of the current literature consists of single case reports. Unwin, Tsimopoulou, Kroese, and Azmi (2016) systematically reviewed the literature around the effectiveness of CBT and concluded that there is equivocal evidence for improving anxiety with some uncontrolled studies demonstrating some positive results, and with the qualitative data consistently reflecting a positive perception of the treatment.…”

Section: Introductionmentioning

confidence: 99%

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A multiple methods evaluation of a cognitive behavioural therapy group for people with learning disabilities and anxiety

Giannaki¹,

Hewitt²

2020

Brit J Learn Disabil

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Accessible summary Cognitive Behavioural Therapy (CBT) can help individuals with learning disabilities and anxiety. A group was run to help people to manage their anxiety and to feel better. At the end participants and their supporters fed back their experiences of the group and filled in questionnaires to measure their anxiety and psychological distress. The group seems to reduce people's anxiety. This report adds to a growing body of existing literature demonstrating some benefits of CBT for people with learning disabilities and anxiety. Abstract Background Existing studies show mixed results of the effectiveness of CBT for people with learning disabilities and anxiety. Method A CBT group was run for people with learning disabilities and anxiety, who attended with a supporter. Qualitative interviews were conducted post‐group and analysed using thematic analysis. Standardised questionnaires measuring anxiety, psychological distress and overall functioning were administered at pre‐ and post‐group, and at follow‐up. Results Participants’ anxiety decreased overall post‐group, which remained largely at follow‐up. The group and the supporters’ involvement was helpful. Both supporters and participants recalled coping strategies that were presented in the group. Three out of four participants found attending a group challenging initially. The supporters seem to have specific expectations about the impact of the group. Conclusions The results of the study are consistent with the existing, growing body of evidence which supports the use of CBT for people with learning disabilities and anxiety.

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Section: Discussionsupporting

confidence: 89%

“…Cognitive and behavioural components were introduced in the group as guided by previous research (e.g. Dagnan et al, 2018; Douglass et al., 2007 for review; NICE Guideline 54, 2016).…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A multiple methods evaluation of a cognitive behavioural therapy group for people with learning disabilities and anxiety

Giannaki¹,

Hewitt²

2020

Brit J Learn Disabil

View full text Add to dashboard Cite

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“…Moreover, meta‐analysis enables the investigation of publication bias, but at present, there is no way of knowing how publication bias might have influenced the results of this review, as research reporting that certain third‐wave interventions are ineffective might not have been published (i.e., the file‐drawer problem). This issue has been encountered in other reviews (e.g., Chapman et al, ; Dagnan, Jackson, & Eastlake, ).…”

Section: Discussionmentioning

confidence: 74%

Third‐wave therapies and adults with intellectual disabilities: A systematic review

Patterson

Williams²,

Jones

2019

Research Intellect Disabil

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Background Third‐wave therapies appear to produce positive outcomes for people without intellectual disabilities. This systematic review aimed to establish which third‐wave therapies have been adapted for adults with intellectual disabilities and whether they produced positive outcomes. Method Four databases were searched systematically (PsycINFO, Web of Science, MEDLINE and PubMed), yielding 1,395 results. Twenty studies (N = 109) met the present review's inclusion/exclusion criteria. Results Included studies used mindfulness‐based approaches, dialectical behaviour therapy, compassion focused therapy and acceptance and commitment therapy. Due to considerable heterogeneity in the designs and outcome measures used, a meta‐analysis was not possible. Conclusions Evidence indicated that third‐wave therapies improved mental health symptoms for some and improved challenging/offending behaviour, smoking and mindfulness/acceptance skills for most. These findings must be interpreted with caution due to the low methodological quality of included studies. Future research should build on the current evidence base, using scientifically rigorous designs and standardized measures.

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“…This tool encompasses eight criteria (i.e., client demographics, history, current clinical condition, assessment method and results, intervention description, treatment outcomes, adverse events, and lessons learned) that are endorsed using four response options (i.e., yes, no, unclear, and not applicable). Given the aim of the current paper, to highlight and discuss developments in trauma treatment, the studies included in this review represent various interventions and research designs, including case studies for which there is a lack of guidance for quality appraisal (Dagnan, Jackson, & Eastlake, 2018). As such, several items (e.g., an assessment of fidelity to treatment) were added to the quality appraisal and the response options were slightly modified.…”

Section: Filtering Processmentioning

confidence: 99%

Trauma‐Specific Treatment for Individuals With Intellectual and Developmental Disabilities: A Review of the Literature From 2008 to 2018

Keesler

2020

Policy Practice Intel Disabi

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Background: Individuals with intellectual and developmental disabilities (IDD) are at increased risk for adverse experiences and developing posttraumatic stress disorder (PTSD). However, trauma and PTSD in this population are frequently underdiagnosed and undertreated. Despite the availability of multiple types of trauma-specific treatments for the general population, there is a gap in understanding these collective interventions within the IDD literature. Specific Aims: The aim of this article was to conduct a review of the peer-reviewed literature on trauma-specific treatment and IDD published from 2008 to 2018. Method: A systematic search of online databases was conducted using Academic Search Premier, MEDLINE, PsycARTICLES, and Social Work Abstracts. A quality appraisal was conducted on the studies included in the review. Findings: Twelve articles described four types of trauma-specific treatments: child-parent psychotherapy, exposure therapy, trauma-focused cognitive behavior therapy, and eye movement desensitization and reprocessing therapy. All studies demonstrated that the interventions were well tolerated and associated with improvement in trauma symptoms. Eight studies demonstrated sustained improvement at follow-up, ranging from 6 weeks to 5 years. Discussion: Research on trauma-specific treatments among individuals with IDD continues to present with methodological limitations yet provides considerations for future practice and a foundation for future research.

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A systematic review of cognitive behavioural therapy for anxiety in adults with intellectual disabilities

Abstract: A range of presentations have been described although the area is still at a primarily descriptive stage. We discuss intervention structures and approaches that require further research.

Cited by 42 publications

References 50 publications

A multiple methods evaluation of a cognitive behavioural therapy group for people with learning disabilities and anxiety

A multiple methods evaluation of a cognitive behavioural therapy group for people with learning disabilities and anxiety

Third‐wave therapies and adults with intellectual disabilities: A systematic review

Trauma‐Specific Treatment for Individuals With Intellectual and Developmental Disabilities: A Review of the Literature From 2008 to 2018

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