Defining treatment completion according to patient competency: A case example using brief cognitive behavioral therapy (BCBT) for suicidal patients.

Bryan, Craig J.; Gartner, Ashley M.; Wertenberger, Evelyn; Delano, Kenneth; Wilkinson, Erin; Breitbach, Jill E.; Bruce, Travis O.; Rudd, M. David

doi:10.1037/a0026307

Cited by 10 publications

(6 citation statements)

References 50 publications

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“…major depressive disorder (Bryan et al, 2012;Rudd, 2012). Further, there is existing evidence from the current investigation, as well as evidence reported by Pompili et al (2013), suggesting that these negative cognitive appraisals are associated with suicidality, and can be treated appropriately using cognitively based therapies.…”

Section: Although a Diagnosis Of Ptsd Was Indeed More Common Amongmentioning

confidence: 49%

“…For example, these cognitive symptoms have been targets of change in cognitive processing therapy for quite some time now (Resick, Nishith, Weaver, Astin, & Feuer, 2002). More recently, brief cognitive behavioral therapy has been used with military populations in an effort to reduce suicide behaviors, thereby allowing patients to more fully engage in longer term therapies to address associated conditions, such as PTSD and major depressive disorder (Bryan et al, 2012; Rudd, 2012). Further, there is existing evidence from the current investigation, as well as evidence reported by Pompili et al (2013), suggesting that these negative cognitive appraisals are associated with suicidality, and can be treated appropriately using cognitively based therapies.…”

Section: Discussionmentioning

confidence: 99%

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DSM–5 posttraumatic stress disorder symptoms associated with suicide behaviors in veterans.

Legarreta¹,

Graham²,

North³

et al. 2015

Psychological Trauma: Theory, Research, Practice, and Policy

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A connection between suicidality and posttraumatic stress disorder (PTSD) has been consistently demonstrated; however, the underlying relationship between suicidality and PTSD remains unclear. The aim of this study was to examine patterns of DSM-5 PTSD symptom endorsement that differentiated veteran participants with and without a history of suicide behaviors. We enrolled 95 veterans, 32 of whom reported no suicide ideation (SI) or suicide attempts (SA). The 63 remaining participants reported a history of SI, with 28 of the 63 also reporting a historical SA. Participants completed a standardized diagnostic interview (Structured Clinical Interview for DSM-IV-TR; First, Spitzer, Gibbon, & Williams, 2002), structured interview of suicidal behaviors (Columbia-Suicide Severity Rating Scale; Posner et al., 2011), and selected clinical measures. Veterans who reported SI and/or SA were more likely to meet criteria for PTSD on DSM-5 than were veterans who reported neither SI nor SA. Participants who reported SA were more likely to meet criteria for clusters C and D. Finally, at the symptom level, those who reported SI were more likely to report experiencing feelings of alienation. Those who reported a SA were more likely to report avoidance of thoughts and feelings, inability to recall an important aspect of their trauma, persistent negative beliefs, diminished interest, and feelings of alienation. These findings suggest that targeting specific symptoms of PTSD may aid in treatment of suicidal thoughts and behaviors associated with PTSD.

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Section: Although a Diagnosis Of Ptsd Was Indeed More Common Amongmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

DSM–5 posttraumatic stress disorder symptoms associated with suicide behaviors in veterans.

Legarreta¹,

Graham²,

North³

et al. 2015

Psychological Trauma: Theory, Research, Practice, and Policy

View full text Add to dashboard Cite

show abstract

“…Because progress through brief CBT is based on demonstrated competency and skill mastery, participants had to demonstrate the ability to successfully complete this task in order to terminate the treatment. Additional sessions were conducted until participants demonstrated the ability to successfully complete this task (21).…”

Section: Treatment Conditionsmentioning

confidence: 99%

Brief Cognitive-Behavioral Therapy Effects on Post-Treatment Suicide Attempts in a Military Sample: Results of a Randomized Clinical Trial With 2-Year Follow-Up

Rudd

Bryan²,

Wertenberger³

et al. 2015

AJP

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“…A comparison will be made for all cases in an intent-to-treat analysis and also for treatment completers. Treatment completers are defined as those who attend at minimum of 75% of the sessions, as outlined in the current literature 56. In intent-to-treat analyses, multiple imputation procedures will be used to impute missing data.…”

Section: Methods and Analysismentioning

confidence: 99%

Group interventions for amyotrophic lateral sclerosis caregivers in Ireland: a randomised controlled trial protocol

et al. 2019

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IntroductionAmyotrophic lateral sclerosis (ALS) is a rapid and fatal motor disease marked by progressive physical impairment due to muscle weakness and wasting. It is multidimensional with many patients presenting with cognitive and/or behavioural impairment. Caregivers of patients with ALS, commonly non-paid immediate family members, often take primary responsibility for the complex care needs of patients in non-medicalised setting, and many as a consequence experience caregiver burden, anxiety, and/or depression.Methods and analysisThis randomised controlled trial (RCT) will use randomisation to allocate n=75 caregivers of patients with ALS from the national ALS clinic into three groups with an equal distribution. The RCT consists of two intervention groups and a wait list control (treatment as usual [TAU]) group. The intervention arms of the trial consist of a ‘mindfulness-based stress reduction’ and ‘building better caregivers’ manualised group-based intervention, with 9 and 6 weekly sessions, respectively. The TAU group will have access to intervention at the end of the trial period. Primary outcomes are self-report questionnaires on anxiety and depression symptoms, with caregiver burden and quality of life considered secondary outcomes. Assessment will commence at baseline, immediately following the intervention period, and after a period of 12 weeks to assess the effectiveness and efficacy of participating in an intervention. Patient cognitive and behavioural data will also be considered. Means of treatment and control groups at Time 0 and 1 will be analysed using mixed model multivariate analysis of variance followed by analysis of variance, and treatment effect-sizes will be calculated. This RCT protocol is pre-results and has been registered with an international database resulting in an International Standard Randomised Controlled Trials Number (ISRCTN53226941).Ethics and disseminationEthics approval was obtained from the Beaumont Hospital Medical Research Ethics Committee. Results of the main trial will be submitted for publication in a peer-reviewed journal.

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Defining treatment completion according to patient competency: A case example using brief cognitive behavioral therapy (BCBT) for suicidal patients.

Cited by 10 publications

References 50 publications

DSM–5 posttraumatic stress disorder symptoms associated with suicide behaviors in veterans.

DSM–5 posttraumatic stress disorder symptoms associated with suicide behaviors in veterans.

Brief Cognitive-Behavioral Therapy Effects on Post-Treatment Suicide Attempts in a Military Sample: Results of a Randomized Clinical Trial With 2-Year Follow-Up

Group interventions for amyotrophic lateral sclerosis caregivers in Ireland: a randomised controlled trial protocol

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