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EFT-T vs Waitlist feasibility RCT Documents
No full textDocuments relating to the EFT-T v Waitlist feasibility RCT (http://www.isrctn.com/ISRCTN11430110
The efficacy of internet-delivered treatment for generalized anxiety disorder: A systematic review and meta-analysis
No full textAbstractGeneralized Anxiety Disorder (GAD) is typically considered a chronic condition characterized by excessive worry. Lifetime prevalence is 4.3–5.9%, yet only a small percentage seeks treatment. GAD is treatable and in recent years internet-delivered treatment interventions have shown promise. This paper aims to systematically search for literature on internet-delivered psychological interventions for the treatment of GAD and conduct a meta-analysis to examine their efficacy. The purpose of the paper is to inform the community of researchers, program developers and practitioners in internet delivered interventions of the current state-of-the-art and research gaps that require attention. A systematic search of the literature was conducted to find all studies of internet-delivered treatments for GAD (N=20). Using Review Manager 5 all Randomized Controlled Trials (RCTs; n=11) that met our established eligibility criteria were included into a meta-analysis that calculated effect sizes via the standardized mean difference. Compared to the waiting-list controls, the results demonstrate positive outcomes for GAD symptoms (d=−0.91) and its central construct of pathological worry (d=−0.74). The meta-analysis supports the efficacy of internet-delivered treatments for GAD including the use of disorder-specific (4 studies) and transdiagnostic treatment protocols (7 studies). Caution is advised regarding the results as the data is limited and highly heterogeneous, but revealing of what future research might be needed
Developing emotion focused therapy for CAD in women with breast cancer : an analysis of six case studies
No full textTHESIS 11181Aims: The aim of the current study is to develop a variant of Emotion Focused
Therapy (EFT) for Comorbid Anxiety and Depression (CAD) in women with breast cancer by presenting a series of case studies followed by a cross case analysis. The
aim is to move from an EFT understanding of working with depression and anxiety (respectively), and to make the first steps towards understanding the application of
EFT to CAD in the context of breast cancer. The study will collect qualitative and quantitative process and outcome data that should inform the development of EFT for CAD. Method: This was a mixed methods study. Participants (n=6) were recruited from a psycho-oncology service in a radiotherapy hospital. Participant suitability for participation was based on their initial intake assessment, their score on the Hospital Anxiety and Depression Scale (HADS; Zigmond & Snaith, 1983) and the Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P; First, Spitzer, Gibbon & Williams, 2002). Participants underwent 14-21 sessions of therapy that were audio and video recorded. Quantitative pre-post outcome measures were completed pre, mid, post, and six month follow up. Descriptive analyses and t-test for dependent samples were carried out on the quantitative data. Effect sizes were calculated which were standardised pre-post differences. Qualitative data were collected at the end of each session from patients and at the end of treatment from both patients and therapists. Qualitative data were analysed in accordance with a descriptive and interpretive qualitative research method described by Elliott and Timulak (2005). Result: Findings indicate that the pre-post difference in mean scores for the treatment group was statistically significant, with large effect sizes across all measures and suggests that findings are comparable with results for other currently accepted, empirically supported treatments of distress in women with breast cancer. Findings from qualitative outcomes are broadly consistent with the literature on the qualitative aspects of humanistic and experiential therapies to date (Timulak & Creaner, 2010). Case accounts establish core painful emotion schemes and track the transformation of
emotion schemes across therapy sessions, with verbatim clinical interactions provided to illustrate change and explore the potential implications of these findings. The current study supports EFT’s case formulation of depression and anxiety, and contributes a conceptual framework around the particularities of loneliness, shame, maladaptive guilt and disenfranchised losses that are part of the core painful experiences in women with breast cancer and CAD. Conclusion: From a review of the six case studies, the results of the current study appear promising, suggesting that both EFT theory and CAD in women with breast cancer, and EFT theory of treatment for CAD in women with breast cancer warrant further examination. An examination of qualitative and quantitative results indicates that therapy appears to have been effective, to varying degrees across all cases. A significant amount of material concerning therapy process in terms of case conceptualisation and emotion transformation has contributed to the development of EFT as a treatment for CAD in women with breast cancer
Application of Emotion-focused Therapy as a treatment of Generalised Anxiety Disorder : analysis of eight case studies
No full textTHESIS 10467The aim of the current study is to develop an effective variant of Emotion- focused Therapy (EFT) for Generalised Anxiety Disorder (GAD), which can be delivered within the same time-frame as currently accepted, empirically supported treatments of GAD, which could, if shown to have promising results, be further validated in a randomized clinical trial (RCT). The aim is then to benchmark the results of the current study against the findings of other research studies which have investigated the efficacy of psychotherapeutic treatments of GAD. The study will also collect qualitative data on the outcomes of therapy as well as helpful and unhelpful aspects of the therapy process
DROPOUT FROM AN INTERNET-DELIVERED CBT INTERVENTION
No full textDespite the efficacy and widespread use of online-delivered psychological interventions, treatment dropout remains a problem that for the most part is poorly understood. This qualitative study investigated the subjective experience of dropout from a supported iCBT programme for adults with depression and anxiety. This was a nested study part of a larger RCT investigating the (cost)effectiveness of iCBT for depression and anxiety in the UK?s Improving Access to Psychological Therapies programme. Fifteen purposively sampled participants (8 female) were interviewed via telephone using a semi-structured interview schedule that was developed from the existing research in the field. Data was analysed using the descriptive-interpretive approach. The experience of treatment leading to dropout can be understood in terms of ten domains: Relationship to Technology, Motivation to Start, Background Knowledge and Attitudes towards iCBT, Change in Motivation, Usage of the Programme, Changes due to the Intervention, Engagement with Content, Experience Interacting with the Supporter, Experience of Online Communication and Termination of the Supported Period. Dropout participants have a wide variety of experiences that are both positive and negative. Reported changes in motivation categorise dropout participants into two groups: those who feel ready to leave treatment early and those who have negative reasons for dropping out. The diversity of experiences and evidence of the role played by patient discretion in the decision to drop out brings into question the current conceptualisation of the phenomenon as a homogenous, negative construct. Dropout is a nuanced phenomenon, requiring further exploration in terms of its parameters and patient typology.
Keywords: depression; anxiety; iCBT; dropout; internet intervention
Taking Stock of Descriptive-Interpretative Qualitative Psychotherapy Research: Issues and Observations from the Front Line. Counselling and Psychotherapy Research.
No full textThe paper offers a perspective on some of the methodological issues present in current qualitative psychotherapy research (QPR). The authors are involved in this type of research (for 20 and 40 years, respectively) as researchers, as reviewers of papers submitted to journals publishing QPR, as well as past editors of such journals. The authors reflect at how the overall field of psychotherapy research has had an influence on how QPR is conducted. The authors further discuss a wide range of issues pertaining to QPR that often bring confusion in the community of psychotherapy researchers. These include: brand naming largely overlapping qualitative methods; epistemological confusion arising from the context and application of these methods; issues of data collection and the range of types of qualitative data; the confounding of investigative questions or aims with findings; the issue of interpretative frameworks in data analysis; strategies by which findings are generated; difficulties in assessing the representativeness of findings to the target sample; issues of generalisability of findings; and possibilities for developing cumulative knowledge across studies. The paper specifically focuses on those genres of qualitative research that have a descriptive–interpretative character, typically represented by brand‐name approaches such as empirical phenomenology, hermeneutics, interpretative phenomenological analysis, consensual qualitative research, grounded theory and thematic analysis, etc
Humanistic-experiential therapies in the treatment of generalised anxiety: A perspective
No full textThis study discusses the current status of evidence‐based psychological therapies for generalised anxiety disorder (GAD). It points to the dominance of cognitive‐behavioural therapies (CBTs) and compares this dominance with the position of humanistic‐experiential therapies (HEPs) in this area. The paper hypothesises several reasons for this situation, including historical developments as well as HEPs’ ambivalence around embracing mainstream mental health classification systems, and corresponding types of research. The paper then highlights some recent developments in HEPs for anxiety disorders (particularly emotion‐focused therapy; EFT); developments that are breaking new conceptual grounds while also generating new outcome research
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Essentials of Descriptive-Interpretive Qualitative Research : A Generic Approach
No full textWe present a generic approach to qualitative research in the descriptive-interpretive tradition (including grounded theory, interpretative phenomenological analysis, thematic analysis and consensual qualitative research), emphasizing common, practical research strategies and practices and offering numerous examples
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