Dissemination of cognitive-behavioral treatments for anxiety disorders: Overcoming barriers and improving patient access

Gunter, Raymond W.; Whittal, Maureen L.

doi:10.1016/j.cpr.2009.11.001

Cited by 194 publications

(157 citation statements)

References 45 publications

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“…SAD is characterized by intense fear in social situations, causing considerable distress and impaired daily functioning. Although there are several empirically supported psychological (for a meta-analysis, see Acarturk, Cuijpers, van Straten, & de Graaf, 2009) and pharmacological treatments for SAD (for a meta-analysis, see Blanco et al, 2003), many patients with this condition do not access treatment for a number of reasons (e.g., inability to afford treatment, concern about what others might think, concern over side effects; Gunter & Whittal, 2010;Lovell & Richards, 2000;Olfson et al, 2000;Weisberg, Dyck, Culpepper, & Keller, 2007). Moreover, even when they inquire about treatment, only about 15% initiate it (e.g., Olfson et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Attention bias modification for social anxiety: A systematic review and meta-analysis

Heeren

Mogoaşe

Philippot

et al. 2015

Clinical Psychology Review

266

189

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Section: Introductionmentioning

confidence: 99%

Attention bias modification for social anxiety: A systematic review and meta-analysis

Heeren

Mogoaşe

Philippot

et al. 2015

Clinical Psychology Review

266

189

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“…Perhaps it is for these reasons the survey showed that those who received supervision not only felt more empowered to deliver CBT than the comparison group, they also felt more confident in their abilities as therapists in general as well as in their clients' abilities to handle the demands and complexities of this treatment approach. Greater confidence in patients' abilities to engage in CBT and the observed usefulness in reducing symptoms have been viewed as keys to long-term dissemination and adoption of EBPs [5,7]. Of course, it is possible that improved self-efficacy is with a byproduct of developing stronger CBT skills as measured by objective assessment such as ratings on the Cognitive Therapy Scale (CTS) by trained experts.…”

Section: Discussionmentioning

confidence: 99%

“…However, therapists often have reservations about the implementation process, such as concerns about the validity of new treatments, overloaded work schedules, and limited time for training [5,6]. Even with training, clinicians may struggle to incorporate new skills into their therapeutic repertoire and may lack confidence in their ability to do so [7,8].…”

Section: Introductionmentioning

confidence: 99%

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Therapists’ Self-Efficacy for CBT Dissemination: is Supervision the Key?

Wilkerson

Basco²

2014

J Psychol Psychother

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Dissemination of Evidence-Based Psychotherapies (EBPs) to mental health centers is an important step in maximizing quality of care for people with psychiatric disorders. Therapists at mental health centers are critical to this process, and self-efficacy for the delivery of EBPs might be crucial in their utilization of new treatment methods. The need for clinical supervision following didactic training in EBPs is not entirely clear and the time and costs may not be justified based on the current literature. The present study surveyed therapists (N=45) who were trained in Cognitive Behavioral Therapy (CBT) For Major Depressive Disorder (MDD) as part of a large dissemination effort in Texas, some of whom received clinical supervision with a CBT expert. Results indicated that therapists who received supervision showed significantly greater self-efficacy for basic counseling skills (p=.005), greater confidence in their clients' abilities to practice CBT (p<.001), and a greater belief in CBT as an effective psychotherapy (p<.001). However, while those who participated in supervision showed greater self-efficacy for CBT skills (p=.013), findings were not significant after adjusting for family wise error. Implications for incorporating supervision into the dissemination process are discussed.

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“…Treatment is focused on identifying and modifying negative thoughts, modified attitudes related to extreme responsibilities, increase exposure and reduce avoidance behaviors (Gunter and Whittal, 2010). Whittal (2009) believes that cognitive therapy is an effective strategy for improving social functioning and depression in patients with OCD.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of the Cognitive and Exposure Therapy in the Treatment of Obsessive-Compulsive Disorder

Mahmoodi

Gharibi

Khaledian

2013

ILSHS

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The aim of this study was the investigation of the efficacy of the Cognitive and Exposure therapy on the treatment of obsessive-compulsive disorder. This study is experimental expanded with multiple group pre-test, post-test. The statistical population of this study are included all patients with OCD, referred to clinical centers, hospitals and private clinics and counseling centers in Saghez and Boukan citiesat the age of 40-20 years. The statistical sample of this study is included 45 patientswith Obsessive Compulsive Disorder, Who were selected randomly. Cognitive therapy was administered for the first experimental group and the second experimental group receives exposure therapy while the control group received no treatment. Subscales Madsly questionnaire was usedfor data gathering for OCD. For data analysis, multivariate analysis of covariance (MANCOVA) and least significant difference test to compare scores differences between pretest -posttest variables in the experimental and control groups was used. Findings showed that Cognitive and Aversion Therapy on the control group has a significant impact on the improvement of obsession, check out, washing, slowness and obsessive doubts. The results showed that Whittal Cognitive Therapy more impact on the reduction of obsessions in comparsion with Exposure therapy.

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Dissemination of cognitive-behavioral treatments for anxiety disorders: Overcoming barriers and improving patient access

Cited by 194 publications

References 45 publications

Attention bias modification for social anxiety: A systematic review and meta-analysis

Attention bias modification for social anxiety: A systematic review and meta-analysis

Therapists’ Self-Efficacy for CBT Dissemination: is Supervision the Key?

Efficacy of the Cognitive and Exposure Therapy in the Treatment of Obsessive-Compulsive Disorder

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