Treatment development: Can we find a better way?

Hayes, Steven C.; Long, Douglas M.; Levin, Michael E.; Follette, William C.

doi:10.1016/j.cpr.2012.09.009

Cited by 61 publications

(57 citation statements)

References 74 publications

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“…Consequently, several prominent groups of researchers and clinicians have provided a range of benefits for moving towards a transdiagnostic approach to cognitive behavioural therapy (CBT; Craske 2012; Harvey et al 2004;Hayes et al 2013;Mansell et al 2009;McHugh et al 2009;McManus et al 2010). Yet, the empirical, theoretical and clinical status of the transdiagnostic approach lags behind the ambitions of its supporters.…”

Section: Introductionmentioning

confidence: 99%

The Cognitive Behavioural Processes Questionnaire: A Preliminary Analysis within Student, Mixed Clinical and Community Samples and the Identification of a Core Transdiagnostic Process

2014

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Theorists have highlighted the commonalities in cognitive and behavioural processes across multiple disorders i.e. transdiagnostic approach. We report two studies that tested the psychometric properties of a new scale to assess these processes. The Cognitive and Behavioural Processes Questionnaire (CBP-Q) was developed as a 15-item measure. In Study 1, the CBP-Q was administered to a student (n = 172) sample with a range of standardised measures of the processes and symptom measures. Study 2 repeated the evaluation in a mixed clinical group (n = 161) and a community control group (n = 57). An exploratory factor analysis resulted in a 12-item version of the CBP-Q, consisting of a single factor. The measure demonstrated good internal consistency, testretest stability and satisfactory convergent and divergent validity in both studies. Correlations with symptom-based measures showed increased engagement in these cognitive and behavioural processes to be associated with higher levels of symptomatology. The scale was elevated in the clinical relative to the community group and there were no differences in scores between broad diagnostic groupings (anxiety vs. mood vs. other). The CBP-Q has good psychometric properties. The findings are consistent with the transdiagnostic approach and indicate that a single, as yet unspecified factor may account for the shared variance across cognitive and behavioural maintenance processes.

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Section: Introductionmentioning

confidence: 99%

The Cognitive Behavioural Processes Questionnaire: A Preliminary Analysis within Student, Mixed Clinical and Community Samples and the Identification of a Core Transdiagnostic Process

2014

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“…As such, some authors have argued that these limitations are more practical than theoretical in nature [17 ]. In contrast, we would argue that the limitations of a basic science reticulating with non-functional middle-level terms are more theoretical than practical.…”

Section: Is Bottom-up the Answer?mentioning

confidence: 92%

“…Specifically, the reticulated model proposes that the flow of information between bottom-up and top-down approaches is bidirectional and mutually beneficial. According to this view, for example, ACT informs RFT about the human condition through middle-level terms, and RFT informs ACT by providing evidence for these middle-level terms [17 ]. However, while the idea of such a productive relationship between science and clinical practice is indeed appealing, this is not borne out in practice.…”

Section: Is a Reticulating Model The Answer?mentioning

confidence: 96%

“…Again, answering this is not straight-forward because there are problems inherent in a purely bottom-up approach: first, scientific progress is slow; second, basic researchers may not be interested in clinical concepts; and third, the complexity of the basic analysis may not translate into clinical concepts [17 ]. As such, some authors have argued that these limitations are more practical than theoretical in nature [17 ].…”

Section: Is Bottom-up the Answer?mentioning

confidence: 97%

“…In contrast, arguments against a bottom-up approach look much like typical obstructions to operating the scientist-practitioner model (e.g., basic research concepts often do not have clinical applicability). In response, CBS has offered something of a compromise [17 ] in terms of 'a reticulated (that is, web-like) model of scientific and practical development, in which theoretical and technological progress occurs at multiple levels but in an interconnected way' (p. 6). Specifically, the reticulated model proposes that the flow of information between bottom-up and top-down approaches is bidirectional and mutually beneficial.…”

Section: Is a Reticulating Model The Answer?mentioning

confidence: 98%

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