Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities: a qualitative investigation of process issues

Pert, Carol; Jahoda, Andrew; Kroese, Biza Stenfert; Trower, Peter; Dagnan, Dave; Selkirk, Mhairi

doi:10.1111/j.1365-2788.2012.01546.x

Cited by 63 publications

(70 citation statements)

References 49 publications

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“…We are unable to determine whether or not this reflects the participants' own difficulties in comprehending and utilising these more complex strategies, the confidence of the lay therapists in delivering these more abstract components of the programme or the shorter time available to assimilate these elements of the programme. However, adults with intellectual disabilities who received individual CBT sessions delivered by clinical psychologists in a previous qualitative study also failed to recall any specific cognitive strategies, 190 suggesting that this problem is not attributable specifically either to lay therapists or to time constraints, and may reflect the intrinsic difficult of the cognitive components of CBT for people with intellectual disabilities.…”

Section: Wider Impacts Of the Interventionmentioning

confidence: 97%

“…A qualitative study of individual CBT similarly reported that participants valued the opportunity to talk about their problems, experienced the process of being listened to as validating, and were helped by positive therapeutic relationships characterised by warmth, empathy and ease. 190 This has implications for the selection, training and supervision of lay therapists, as discussed further below.…”

Section: Use Of Mixed Methodologymentioning

confidence: 99%

“…Yet, information about the lived experiences of this group of service users might guide the development and design of psychological therapies and significantly enrich and complement the data described in quantitative studies. We are aware of only three published studies of the experiences of engagement in psychological therapies by people with intellectual disabilities, [189][190][191] only one of which was concerned with CBT. 190 Mixed methods research holds out the prospect of a holistic understanding of process and outcome that if successfully implemented should enrich the understanding of both the qualitative and the quantitative components.…”

Section: Use Of Mixed Methodologymentioning

confidence: 99%

“…We are aware of only three published studies of the experiences of engagement in psychological therapies by people with intellectual disabilities, [189][190][191] only one of which was concerned with CBT. 190 Mixed methods research holds out the prospect of a holistic understanding of process and outcome that if successfully implemented should enrich the understanding of both the qualitative and the quantitative components. [192][193][194] The use of a mixed methodology in the present study has enriched both the qualitative and the quantitative components.…”

Section: Use Of Mixed Methodologymentioning

confidence: 99%

See 3 more Smart Citations

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

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This report should be referenced as follows:Willner P, Rose J, Jahoda A, Stenfert Kroese B, Felce D, MacMahon P, et al. A cluster randomised controlled trial of a manualised cognitive-behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities. Health Technol Assess 2013;17(21). This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). Health Technology Assessment is indexed and abstracted inEditorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 08/53/34. The contractual start date was in May 2009. The draft report began editorial review in May 2012 and was accepted for publication in August 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the ...

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Section: Wider Impacts Of the Interventionmentioning

confidence: 97%

Section: Use Of Mixed Methodologymentioning

confidence: 99%

Section: Use Of Mixed Methodologymentioning

confidence: 99%

Section: Use Of Mixed Methodologymentioning

confidence: 99%

See 2 more Smart Citations

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…Cognitive behavioural interventions have been found effective [59][60][61][62] and acceptable [63] across a number of psychological conditions in people with mild intellectual disabilities. Mindfulness-based cognitive behavioural therapy (CBT) was found helpful in adults with intellectual disabilities, anxiety and depression [64].…”

Section: Trans-diagnostic Effects Of Traumamentioning

confidence: 99%

Trauma and Life Events in Adults with Intellectual Disability

Wigham

Emerson

2015

Curr Dev Disord Rep

102

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Exposure to adverse life events and environmental stressors (e.g. violence, poverty, sexual abuse) has been found to be high in intellectual disability populations. Notwithstanding resilience, for some people with intellectual disability, adverse life events and environmental stressors may lead to PTSD and may affect well-being in more diffuse but potentially still clinically impactful ways (e.g. challenging behaviour, obesity, substance misuse). Advances have occurred in the field of trauma in intellectual disability. More specifically, a small number of assessment measures have been developed for PTSD and a small number of studies evaluated treatment interventions such as cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR). Awareness has also increased regarding the potential life course effects on mental health of exposure to environmental stressors. While these developments are promising, the field warrants more research and development. This paper considers recent developments in knowledge on the psychological effects of exposure to adverse life events and environmental stressors in adults with intellectual disabilities.

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CBT with People with Intellectual Disabilities

Kroese

2014

How to Become a More Effective CBT Therapist

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Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities: a qualitative investigation of process issues

Abstract: The supportive aspects of therapeutic relationships were particularly important to participants undergoing CBT. The clinical implications are considered.

Cited by 63 publications

References 49 publications

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Trauma and Life Events in Adults with Intellectual Disability

CBT with People with Intellectual Disabilities

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