Research on CBT vs. meds?

April 6, 2006 9:33 PM

Looking for scholarly psychology article comparing cognitive behavioural therapy to medication. Preferably showing CBT to be superior to meds alone.

I'm taking a psych course out of interest and I'm doing an essay on CBT. I thought I'd query the hive instead of wading through mountains of papers. I really just need this specific piece of info. I've heard it enough times (or at least that the CBT/meds combo is superior to meds alone), so I figure there's something out there.

This looked like a good one, but I can't seem to pull up anything but the abstract.

Hopefully I don't get a JFGI for this. I did check out google scholar, pubmed etc. and could only find articles addressing CBT in relation to a specific mental illness. I was hoping for a more general commentary.

Thanks!

posted by Idiot Mittens to Education (9 answers total)

Does the school you're offering have any online subscriptions to article databases? I was able to find a lot of stuff on EBSCO while searching for cognitive behavioural therapy.

Heres a "small" sample (I can get full text for you, if you send me an email):

Record: 1
Title: IT'S JUST A THOUGHT.
Authors: Lynch, Elizabeth
Source: Nursing Standard; 2/15/2006, Vol. 20 Issue 23, p22-23, 2p, 1c
Document Type: Article
Subject Terms: *BEHAVIOR therapists
*BEHAVIOR therapy
*LIFE skills
*MENTAL health services
*PSYCHOTHERAPY
*TRAINING
*COGNITIVE ability
Author-Supplied Keywords: Cognitive behavioural therapy
Depression
Post-traumatic stress disorder
Problem solving
Computer program
NAICS/Industry Codes622210 Psychiatric and Substance Abuse Hospitals
623220 Residential Mental Health and Substance Abuse Facilities
Abstract: Cognitive behavioural therapy (CBT) is a useful approach for helping people to reframe negative thoughts and feelings. With a shortage of available therapists, computer-based treatment is becoming popular among people who would not usually seek help. [ABSTRACT FROM AUTHOR]
ISSN: 0029-6570
Accession Number: 19902574
Database: Academic Search Elite
Record: 2
Title: Can you read the emotional radar?
Authors: Davis, Carol
Source: Nursing Standard; 11/30/2005, Vol. 20 Issue 12, p26-27, 2p
Document Type: Article
Subject Terms: *EDUCATION -- Curricula
*INSTINCT (Behavior)
*NURSING -- Study & teaching
*EMOTIONAL intelligence
GREAT Britain. National Health Service
Geographic Terms: GREAT Britain
Author-Supplied Keywords: Emotional intelligence
Emotional quotient
Emotional radar
Cognitive behavioural therapy
Communication skills
NAICS/Industry Codes61 Educational Services
Abstract: Emotional intelligence means that your instinct picks up what is happening to those around you. And it is a skill that can be learned, provided you have the time and inclination. [ABSTRACT FROM AUTHOR]
ISSN: 0029-6570
Accession Number: 19217508
Database: Academic Search Elite
Record: 3
Title: Integrating Mindfulness Meditation With Cognitive and Behavioural Therapies: The Challenge of Combining Acceptance-and Change-Based Strategies.
Authors: Lau, Mark A.1,2 mark•[e-mail]
McMain, Shelley F.1,3
Source: Canadian Journal of Psychiatry; Nov2005, Vol. 50 Issue 13, p863-869, 7p
Document Type: Article
Subject Terms: *BEHAVIOR modification
*BEHAVIOR therapy
*COGNITION disorders
*COGNITIVE therapy
*MEDITATION
*MODALITY (Theory of knowledge)
*PSYCHIATRY -- Methodology
*PSYCHOTHERAPY
*DIAGNOSIS
MENTAL Illness
Author-Supplied Keywords: mindfulness meditation
cognitive-behavioural therapy
dialectical behaviour therapy
psychotherapy integration
mindfulness-based cognitive therapy
acceptance
Abstract (English): Recent innovations in psychological treatments have integrated mindfulness meditation techniques with traditional cognitive and behavioural therapies, challenging traditional cognitive and behavioural therapists to integrate acceptance- and change-based strategies. This article details how 2 treatments, mindfulness-based cognitive therapy and dialectical behaviour therapy, have met this challenge. We review the integration rationale underlying the 2 treatments, how the treatments combine strategies from each modality to accomplish treatment goals, implications for therapist training, and treatment effectiveness. In addition, we discuss the challenges of assessing the benefits of incorporating acceptance-based strategies. Both therapies have integrated acceptance-based mindfulness approaches with change-based cognitive and behavioural therapies to create efficacious treatments. [ABSTRACT FROM AUTHOR]
Abstract (French): Les innovations récentes des traitements psychologiques ont intégré les techniques de méditation de l'attention avec les thérapies cognitivo-comportementales classiques, mettant ainsi les thérapeutes cognitivo-comportementaux classiques au défi d'intégrer l'acceptation et les stratégies axées sur le changement. Cet article décrit comment 2 traitements, la thérapie cognitive fondée sur l'attention et la thérapie comportementale dialectique ont relevé ce défi. Nous examinons le fondement sous-jacent de l'intégration des 2 traitements, la façon dont les traitements combinent les stratégies de chaque modalité pour atteindre les objectifs de traitement, les implications sur la formation des thérapeutes, et l'efficacité des traitements. En outre, nous présentons les défis que représente l'évaluation des avantages d'incorporer des stratégies fondées sur l'acceptation. En somme, les deux thérapies ont intégré les approches de l'attention fondées sur l'acceptation avec les thérapies cognitivo-comportementales axées sur le changement pour créer des traitements efficaces. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario.
2Deputy Head, Cognitive Behaviour Therapy Unit, Centre for Addiction and Mental Health, Toronto, Ontario.
3Head, Dialectical Behaviour Therapy Clinic, Centre for Addiction and Mental Health, Toronto, Ontario.
ISSN: 0706-7437
Accession Number: 19283335
Database: Academic Search Elite
Record: 4
Title: Group Psychotherapy for Opiate Addicts in Methadone Maintenance Treatment – A Controlled Trial.
Authors: Scherbaum, N.1 [e-mail]
Kluwig, J.1
Specka, M.1
Krause, D.2
Merget, B.1
Finkbeiner, T.1
Gastpar, M.2
Source: European Addiction Research; 2005, Vol. 11 Issue 4, p163-171, 9p, 2 charts, 4 graphs
Document Type: Article
Subject Terms: *BEHAVIOR therapy
*DRUG abuse -- Treatment
*GROUP psychotherapy
*METHADONE maintenance
*SUBSTANCE abuse -- Treatment
Author-Supplied Keywords: Group psychotherapy
Methadone maintenance treatment
Cognitive behavioural therapy
Concomitant drug use
Abstract: A controlled trial was conducted evaluating cognitive-behavioural group psychotherapy as a measure to reduce concomitant drug use in methadone maintenance treatment (MMT). 73 opiate addicts were randomly assigned to local routine MMT or to routine MMT plus group psychotherapy (20 sessions over 20 weeks). Psychotherapy was delivered by therapists according to a manual. Drug use (urine screen) was compared at onset of psychotherapy, end of intervention period (6 months after study onset), and 6 months later. Data analysis was done according to intention-to-treat principles. Results indicated that patients in the psychotherapy group (n = 41) showed less drug use than control subjects (n = 32). This group difference was statistically significant at 6-month follow-up (p = 0.02). These findings underscore the usefulness of group psychotherapy in MMT. The delayed effect is comparable to other studies evaluating cognitive-behavioural psychotherapy. Copyright © 2005 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Department of Addictive Behavior and Addiction Medicine, Rheinische Kliniken Essen, University Hospital Essen, Essen, Germany
2Department of Psychiatry and Psychotherapy, Rheinische Kliniken Essen, University Hospital, Essen, Germany
ISSN: 1022-6877
DOI: 10.1159/000086397
Accession Number: 17949205
Database: Academic Search Elite
Record: 5
Title: Treatment of depression in children and adolescents.
Authors: Ryan, Neal D.1 [e-mail]
Source: Lancet; 9/10/2005, Vol. 366 Issue 9489, p933-940, 8p, 2 charts
Document Type: Article
Subject Terms: *DEPRESSION in adolescence
*DEPRESSION in children
*DEPRESSION, Mental -- Chemotherapy
*SEROTONIN uptake inhibitors
*SUICIDE -- Prevention
*TEENAGERS -- Medical care
Treatment
Therapeutic use
Abstract: Summary Depressive disorders during youth occur frequently, are chronic and recurrent, and are associated with significant functional impairment, morbidity, and mortality. Two psychotherapeutic approaches--cognitive behavioural therapy and interpersonal therapy--are each better than wait-list or treatment-as-usual approaches. Several antidepressants have proven efficacious compared with placebo; however, more than half the studies comparing antidepressant treatment with placebo in children and adolescents with depression have not shown any benefit of the active compounds. Suicide rates are decreasing overall in adolescents, and there seems to be a correlation between the use of selective serotonin reuptake inhibitors (SSRIs) and a decrease in completed suicide. However, there was a signal for increase in suicide attempts and suicidal ideation in patients on acute antidepressant treatment when all antidepressants were assessed as a single group. Thus, there is substantial debate about the best approach to treat this serious disorder. Here, we discuss the treatment options for depression in children and adolescents. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1University of Pittsburgh Medical Center, Pittsburgh, PA15213, USA
ISSN: 0099-5355
DOI: 10.1016/S0140-6736(05)67321-7
Accession Number: 18170946
Database: Academic Search Elite
Record: 6
Title: Cognitive remediation therapy as an intervention for acute anorexia nervosa: a case report.
Authors: Davies, Helen1
Tchanturia, Kate1 [e-mail]
Source: European Eating Disorders Review; Sep/Oct2005, Vol. 13 Issue 5, p311-316, 6p, 2 charts, 3 graphs
Document Type: Article
Subject Terms: *ANOREXIA nervosa
*EATING disorders
*NEUROPSYCHOLOGICAL tests
*THERAPEUTICS
*THERAPIST & patient
*DISABILITIES
Treatment
Author-Supplied Keywords: cognitive remediation therapy
anorexia nervosa
set-shifting
Abstract: The aim of this case report is to illustrate how cognitive remediation therapy (CRT) can be used as part of the treatment programme in acute anorexia nervosa (AN) to stimulate mental activities and improve thinking skills and information-processing systems when other therapies, for example cognitive behavioural therapy (CBT), may be too complex and intense for the patient to engage in. Furthermore, we hypothesize that CRT may be an effective tool in improving flexibility of thinking in AN, as previous neuropsychological findings have proved that rigidity is one of the maintaining factors in AN. Copyright © 2005 John Wiley & Sons, Ltd and Eating Disorders Association. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Institute of Psychiatry, King's College, University of London, UK
ISSN: 1072-4133
DOI: 10.1002/erv.655
Accession Number: 18172072
Database: Academic Search Elite
Record: 7
Title: Recurrence of post traumatic stress disorder.
Authors: Murray, Aileen1
Source: Nursing Older People; Sep2005, Vol. 17 Issue 6, p24-30, 7p, 1 chart, 8c
Document Type: Article
Subject Terms: *OLDER people -- Diseases
*BEHAVIOR
*COGNITIVE therapy
*POST-traumatic stress disorder
*PSYCHOTHERAPY
*THERAPEUTICS
Abstract: This article aims to explore the issues and treatments associated with the recurrence of trauma-related stress in later life. It focuses on examining the current theoretical ideas, issues and opinion regarding the recurrence of post-traumatic stress disorder (PTSD) in later life. Little of the literature available focuses on the psychotherapeutic aspects of treating older people who experience PTSD and limitations associated with a lack of research into this area are acknowledged throughout. Psychological treatment options such as cognitive behavioural therapy or eye-movement desensitisation are wholly inappropriate as the cognitive resources required to participate in the treatment have deteriorated.
Author Affiliations: 1Senior nurse, St James Hospital, Portsmouth
Full Text Word Count: 6387
ISSN: 1472-0795
Accession Number: 18147183
Database: Academic Search Elite
Record: 8
Title: All in the mind?
Authors: Wilday, Sharon1
Dovey, Alan2
Source: Occupational Health; Sep2005, Vol. 57 Issue 9, p25-28, 4p, 3 diagrams, 2c
Document Type: Article
Subject Terms: *ANXIETY
*BEHAVIOR therapy
*COGNITIVE therapy
*DEPRESSION, Mental
*INDUSTRIAL hygiene
*MENTAL health
*WORK environment
GREAT Britain. Health & Safety Executive
Geographic Terms: GREAT Britain
Abstract: Presents the summary of a research on the effectiveness of cognitive behavioural therapy in the intervention for anxiety and depression in the workplace in Great Britain. Benefits of employment; Categories of the maintenance factors of emotional disorders; Example of anxiety maintenance within the workplace; Symptoms of depression; Recommendations from the British Health and Safety Executives on promoting the awareness of mental health in the workplace.
Author Affiliations: 1CB psychotherapist and honorary clinical lecturer, University of Birmingham
2Clinical lecturer in cognitive behaviour therapy (CBT), University of Birmingham
Full Text Word Count: 2753
ISSN: 0029-7917
Accession Number: 18404325
Database: Academic Search Elite
Record: 9
Title: CAREER VIEW.
Authors: Lamb, Sue
Source: Occupational Health; Sep2005, Vol. 57 Issue 9, p34-34, 1p, 1c
Document Type: Article
Subject Terms: *BEHAVIOR therapy
*COGNITIVE therapy
*INDUSTRIAL hygiene
*MOTHERS -- Employment
*PREGNANT women -- Employment
Abstract: Addresses questions about occupational health. Use of cognitive behavioural therapy as part of the proactive approach to absence management; Increase or change in opportunities with flexible working for pregnant women or new mothers.
Full Text Word Count: 837
ISSN: 0029-7917
Accession Number: 18404329
Database: Academic Search Elite
Record: 10
Title: Palestine.
Authors: McAuley, David
Tomlinson, Geoff
Confue, Phil
Isaac, Suzanne
Bateman, Liz
Burt, Michaela
Source: Mental Health Practice; Jun2005, Vol. 8 Issue 9, p15-18, 4p
Document Type: Article
Subject Terms: *ANXIETY
*MEDICAL care
*MENTAL health
*MENTAL health services
*STRESS (Psychology)
Geographic Terms: PALESTINE
Author-Supplied Keywords: culture and religion
staffing levels
cognitive behavioural therapy
community care
NAICS/Industry Codes62 Health Care and Social Assistance
Abstract: This article presents information related to mental health professionals who are working in the territories of the West Bank and the Gaza Strip and are helping to care for people who have endured the stress of living under Israeli occupation for decades. Because of the stress, the levels of anxiety disorders are high: one study reported that 10 per cent of the population suffered from post traumatic stress disorder (PTSD); 12 per cent for anxiety disorders; 5 per cent met criteria for DSM-IV mood disorder. The mental health services in Palestine are underdeveloped and fragmentary. The only inpatient resource for the West Bank is Bethlehem Hospital that has approximately 200 beds.
ISSN: 1465-8720
Accession Number: 17228247
Database: Academic Search Elite
Record: 11
Title: APPLICATION OF COGNITIVE-BEHAVIOURAL HYPNOTIC TREATMENT FOR ANXIETY MANAGEMENT IN THE CHINESE.
Authors: Calvin Kai-ching Yu1 [e-mail]
Source: Contemporary Hypnosis; Jun2005, Vol. 22 Issue 2, p104-114, 11p
Document Type: Article
Subject Terms: *ANXIETY
*COGNITION
*HUMAN behavior
*HYPNOTISM -- Therapeutic use
*STRESS (Psychology)
Geographic Terms: CHINA
Author-Supplied Keywords: CBT
Chinese
cognitive-behavioural therapy
hypnosis
treatment efficacy
anxiety management
Abstract: This paper reports a treatment group, including four Chinese participants, run for general anxiety management with the aid of hypnosis, principally derived from the three-session stress management programme devised by the Hypnosis Unit of University College London. Instead of exploring the deep history in relation to the aetiology of the present problems, this group focussed on intervening in the vicious cognitive-behavioural-physiological cycle of anxiety problems. A total of three sessions spread over three weeks was undertaken, including brief assessments of anxiety, psychoeducation of stress and of the use of hypnosis, hypnotic intervention, and counselling. Hypnosis was utilized as an adjunct to counselling, ego-strengthening, stress management, and in facilitating cognitive restructuring. Both formal assessments and subjective reports reflected a significant improvement in management of stress. On the whole, as measured by the Client Satisfaction Questionnaire, the participants were satisfied and cherished the hypnothera-peutic experience. This paper demonstrates the possible application of hypnosis in the Chinese population as well as the efficacy of hypnosis for anxiety management. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Department of Counselling and Psychology, Hong Kong Shue Yan College, Hong Kong.
ISSN: 0960-5290
Accession Number: 18103348
Database: Academic Search Elite
Record: 12
Title: Pointing the finger.
Authors: Fursland, Eileen
Source: Nursing Standard; 5/25/2005, Vol. 19 Issue 37, p22-23, 2p
Document Type: Article
Subject Terms: *AGGRESSIVENESS
*ANGER
*BEHAVIOR therapy
*NURSE & patient
*PATIENTS
*PSYCHOLOGY
Author-Supplied Keywords: Uniforms
Infection control
Methicillin-resistant Staphylococcus aureus (MRSA)
Abstract: The aim of this article is to enable reflection on practice by exploring a nurse-patient scenario and identifying what factors trigger anger and aggressive behaviour It recommends strategies that can be used to tackle anger among patients, and emphasises the importance of the therapeutic relationship. Anger management, which usually refers to cognitive behavioural therapy designed to enable people to manage anger, is not explored. [ABSTRACT FROM AUTHOR]
ISSN: 0029-6570
Accession Number: 17169508
Database: Academic Search Elite
Record: 13
Title: Understanding the arousal of anger: a patient-centred approach.
Authors: Hollinworth, Helen1 [e-mail]
Clark, Charlotte2
Harland, Rowena2
Johnson, Linda2
Partington, Gareth2
Source: Nursing Standard; 5/25/2005, Vol. 19 Issue 37, p41-47, 7p
Document Type: Article
Subject Terms: *AGGRESSIVENESS
*ANGER
*BEHAVIOR therapy
*NURSE & patient
*THERAPEUTICS
Author-Supplied Keywords: Emotions
Psychology
Anger
Abstract: The aim of this article is to enable reflection on practice by exploring a nurse-patient scenario and identifying what factors trigger anger and aggressive behaviour It recommends strategies that can be used to tackle anger among patients, and emphasises the importance of the therapeutic relationship. Anger management, which usually refers to cognitive behavioural therapy designed to enable people to manage anger, is not explored. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Senior teaching practitioner, Faculty of Health, Suffolk College, Ipswich
2Lecturer, Faculty of Health, Suffolk College, Ipswich
ISSN: 0029-6570
Accession Number: 17172087
Database: Academic Search Elite
Record: 14
Title: Psychological Treatments for Social Phobia.
Authors: Rowa, Karen1,2
Antony, Martin M.3,4 [e-mail]
Source: Canadian Journal of Psychiatry; May2005, Vol. 50 Issue 6, p308-316, 9p
Document Type: Article
Subject Terms: *BEHAVIOR therapy
*COGNITIVE therapy
*PHOBIAS
*PLACEBO (Medicine)
*PSYCHOTHERAPY
*SOCIAL phobia
Treatment
Author-Supplied Keywords: social anxiety disorder
anxiety
treatment
therapy
cognitive-behavioural therapy
social phobia
Abstract (English): Objective: To review the empirical status of psychological treatments for social phobia (SP), commenting both on cognitive-behavioural interventions and on more recent iterations of those approaches. We also review the effective components of cognitive-behavioural therapy (CBT). Method: We qualitatively reviewed the empirical literature on the psychological treatment of SP. We include empirical studies, metaanalyses, and recent conference presentations in this review. Results: Cognitive and behavioural interventions for SP appear to be more effective than wait-list controls and supportive therapy. Comparisons of CBT and pharmacologic treatment have produced inconsistent results. Several new treatments for SP demonstrate promising results. Conclusion: Evidence suggests that various psychosocial treatments for SP are better than wait-list controls and credible placebo interventions. Ongoing projects investigate the relative efficacy of combining medication and psychosocial treatments over monotherapies; this line of research is important to continue. Further research should also focus on which components of CBT are most effective. [ABSTRACT FROM AUTHOR]
Abstract (French): Objectif: Examiner l'état empirique des traitements psychologiques de la phobie sociale, en commentant à la fois les interventions cognitivo-comportementales et les itérations plus récentes de ces approches. Nous examinons également les composantes efficaces de la thérapie cognitivo-comportementale. Méthode : Nous avons examiné qualitativement la documentation empirique sur le traitement psychologique de la phobie sociale. Nous avons inclus les études empiriques, les méta-analyses et les présentations récentes à des congrès dans cet examen. Résultats: Les interventions cognitives et comportementales dans la phobie sociale semblent être plus efficaces que les contrôles de listes d'attente et que la thérapie de soutien. Les comparaisons entre la thérapie cognitivo-comportementale et le traitement pharmacologique ont produit des résultats inégaux. Plusieurs nouveaux traitements de la phobie sociale affichent des résultats prometteurs. Conclusion : Les données probantes indiquent que nous avons divers traitements psychologiques de la phobie sociale qui sont meilleurs que les contrôles de listes d'attente et les interventions avec placebo crédibles. Les projets en cours recherchent l'efficacité relative de la combinaison des médicaments avec les traitements psychosociaux par rapport aux monothérapies, et il est important que se poursuive cet aspect de la recherche. Les études ultérieures doivent aussi déterminer quelles composantes de la thérapie cognitivo-comportementale sont les plus efficaces. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Anxiety Treatment and Research Centre, St Joseph's Healthcare, Hamilton, Ontario.
2Department of Psychiatry and Behavioural Neuroscienees, McMaster University, Hamilton, Ontario.
3Director, Anxiety Treatment and Research Centre, St Joseph's Healthcare, Hamilton, Ontario.
4Professor, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario.
ISSN: 0706-7437
Accession Number: 17241691
Database: Academic Search Elite
Record: 15
Title: Cognitive behavioural therapy: helping the client find her voice.
Source: Mental Health Practice; May2005, Vol. 8 Issue 8, p34-37, 4p
Document Type: Article
Subject Terms: *CLINICAL medicine
*COGNITIVE psychology
*COGNITIVE therapy
*COUNSELING
*HUMAN behavior
*PSYCHIATRY
*PSYCHOTHERAPY
Abstract: This article reports that the cognitive behavioral therapy (CBT) is the most evidence-based form of psychotherapy. Its importance in this regard is evidenced in the National Institute of Clinical Excellence guidelines and in the "Evidence Based Clinical Practice Guideline on Treatment Choice in Psychological Therapies and Counselling." CBT is clearly helpful, but a major problem in the CBT literature is the absence of the client's voice. A trawl through the CBT literature generally, and back copies of this journal specifically, will demonstrate that practitioners write about their work and successes, while their clients' experiences are relegated to second place representation by proxy through the theoretical frameworks of practitioners.
ISSN: 1465-8720
Accession Number: 17028487
Database: Academic Search Elite
Record: 16
Title: Cognitive-Behavioural Therapy for Severe Mental Disorders.
Authors: Rector, Neil A.1,2
Source: Canadian Journal of Psychiatry; Apr2005, Vol. 50 Issue 5, p245-246, 2p
Document Type: Editorial
Subject Terms: *BEHAVIOR therapy
*COGNITION disorders
*DEPRESSION, Mental
*PSYCHOSES
*PSYCHOTHERAPY
*SCHIZOPHRENIA
Abstract: The article presents information about the research papers related to cognitive behavioral therapy (CBT). The CBT treatment approach to schizophrenia has been detailed in several step-by-step treatment manuals. Typically, it includes these therapeutic goals: the establishment of a solid therapeutic alliance; psychoeducation, within a biopsychosocial model, about the nature of psychosis; reducing stigma and normalizing the symptoms of psychosis; delivering cognitive and behavioural interventions to reduce the occurrence and distress associated with delusions and hallucinations; reducing comorbid anxiety and depression; reducing relapse. Physician Corrine Cather, a leading expert in the CBT treatment of schizophrenia at Harvard Medical School, outlines a novel cognitive-behavioral approach to remediating social functioning deficits. In contrast to the prevailing view that the symptoms of psychosis should be targeted first to remove putative barriers to improved social and vocational performance, she outlines a new treatment approach wherein the primary treatment target is to harness patients' motivation to help them identify, pursue and achieve important life goals in the face of residual psychotic symptoms.
Author Affiliations: 1Psychologist, Centre for Addiction and Mental Health, Toronto, Ontario.
2Associate Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario.
ISSN: 0706-7437
Accession Number: 17383895
Database: Academic Search Elite
Record: 17
Title: Functional Cognitive-Behavioural Therapy: A Brief, Individual Treatment for Functional Impairments Resulting From Psychotic Symptoms in Schizophrenia.
Authors: Cather, Corinne1,2 [e-mail]
Source: Canadian Journal of Psychiatry; Apr2005, Vol. 50 Issue 5, p258-263, 6p
Document Type: Article
Subject Terms: *BEHAVIOR therapy
*PSYCHIATRY
*PSYCHOLOGY
*PSYCHOSES
*PSYCHOTHERAPY
*SCHIZOPHRENIA
Author-Supplied Keywords: psychosis
schizophrenia
cognitive-behavioural therapy
Abstract (English): This paper describes a novel cognitive-behavioural approach to treating psychotic symptoms — functional cognitive-behavioural therapy (FCBT) — which was developed with the primary aim of remediating social functioning deficits in patients with residual psychotic symptoms. In FCBT, symptom-focused cognitive-behavioural therapy (CBT) interventions are delivered in the context of working on functional goals: a premise of FCBT is that the therapeutic alliance and patient motivation are enhanced by linking interventions to life goals. The paper outlines the rationale for expanding existing approaches to target social functioning impairment and uses case illustrations to exemplify particular phases of treatment as well as specific CBT interventions. Results from a pilot study of FCBT are summarized, together with suggestions for new research directions. [ABSTRACT FROM AUTHOR]
Abstract (French): Cet article décrit une nouvelle approche cognitivo-comportementale du traitement des symptômes psychotiques — la thérapie cognitivo-comportementale fonctionnelie (TCCF) — qui a été élaborée dans le principal but de remédier aux déficiences de fonctionnement social, chez les patients présentant des symptômes psychotiques résiduels. Dans la TCCF, les interventions de thérapie cognitivo-comportementale (TCC) axée sur les symptômes se pratiquent dans le contexte d'atteindre des buts fonctionnels : une prémisse de la TCCF est que l'alliance thérapeutique et la motivation du patient s'améliorent lorsqu'on lie les interventions à des objectifs de vie. L'article explique les fondements de l'expansion des approches existantes pour cibler la déficience de fonctionnement social, et utilise des exempies de cas pour illustrer les phases particuiières du traitement, ainsi que les interventions spécifiques de TCC. Les résultats d'une étude pilote de la TCCF sont résumés, et des suggestions pour de futures études sont présentées. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Clinical Assistant in Psychology, Massachusetts General Hospital, Boston, Massachusetts.
2Instructor, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
ISSN: 0706-7437
Accession Number: 17383927
Database: Academic Search Elite
Record: 18
Title: Obsessive–compulsive disorder: a critical review of therapeutic perspectives.
Authors: Schruers, K.1 [e-mail]
Koning, K.1
Luermans, J.1
Haack, M. J.1
Griez, E.1
Source: Acta Psychiatrica Scandinavica; Apr2005, Vol. 111 Issue 4, p261-271, 11p
Document Type: Article
Subject Terms: *ANTIPSYCHOTIC drugs
*BEHAVIOR therapy
*HUMAN behavior
*NEUROSES
*OBSESSIVE-compulsive disorder
*THERAPEUTICS
Author-Supplied Keywords: behavioural therapy.
obsessive-compulsive disorder
Abstract: Schruers K, Koning K, Luermans J, Haack MJ, Griez E. Obsessive–compulsive disorder: a critical review of therapeutic perspectives.Acta Psychiatr Scand 2005: 1–11.© Blackwell Munksgaard 2005.Obsessive–compulsive disorder (OCD) is a chronic disabling disease with profound implications for social functioning. Thirty per cent of all patients with OCD show insufficient improvement with state-of-the-art treatment. Conventional treatment and alternative treatment options for this population were investigated.A selective review of the relevant scientific literature on OCD treatment and treatment resistance was conducted.In addition to serotonin reuptake inhibitors (SRIs) and cognitive-behavioural therapy, alternative monotherapies, SRI augmentation strategies with a variety of drugs and electroconvulsive therapy have shown results in individual cases, but no conclusive evidence has been found in placebo-controlled trials. While studies investigating neurosurgery for refractory OCD show positive results, most of these studies have methodological shortcomings.Novel approaches currently under investigation that have shown promising effects for treatment-resistant OCD include SRI augmentation with atypical antipsychotics and chronic deep brain stimulation, a new surgical technique. Placebo-controlled trials for both treatment options will be needed to confirm preliminary findings. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Academic Anxiety Center, Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, the Netherlands.
ISSN: 0001-690X
DOI: 10.1111/j.1600-0447.2004.00502.x
Accession Number: 16258513
Database: Academic Search Elite
Record: 19
Title: A review of self-management interventions for panic disorders, phobias and obsessive-compulsive disorders.
Authors: Barlow, J. H.1 [e-mail]
Ellard, D. R.1
Hainsworth, J. M.1
Jones, F. R.1
Fisher, A.1
Source: Acta Psychiatrica Scandinavica; Apr2005, Vol. 111 Issue 4, p272-285, 14p
Document Type: Article
Subject Terms: *ANXIETY
*BEHAVIOR therapy
*NEUROSES
*OBSESSIVE-compulsive disorder
*PANIC disorders
*PHOBIAS
Author-Supplied Keywords: literature review
phobic disorders
panic disorder
obsessive-compulsive disorder.
self-management
Abstract: Barlow JH, Ellard DR, Hainsworth JM, Jones FR, Fisher A. A review of self-management interventions for panic disorders, phobias and obsessive-compulsive disorders.Acta Psychiatr Scand 2005: 1–14.© Blackwell Munksgaard 2005.To review current evidence for the clinical and cost-effectiveness of self-management interventions for panic disorder, phobias and obsessive-compulsive disorder (OCD).Papers were identified through computerized searches of databases for the years between 1995 and 2003, manual searches and personal contacts. Only randomized-controlled trials were reviewed.Ten studies were identified (one OCD, five panic disorder, four phobias). Effective self-management interventions included cognitive-behavioural therapy (CBT) and exposure to the trigger stimuli for phobias and panic disorders. All involved homework. There was evidence of effectiveness in terms of improved symptoms and psychological wellbeing when compared with standard care, waiting list or relaxation. Brief interventions and computer-based interventions were effective for most participants. In terms of quality, studies were mainly based on small samples, lacked long-term follow-up, and failed to address cost-effectiveness.Despite the limitations of reviewed studies, there appears to be sufficient evidence to warrant greater exploration of self-management in these disorders. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Interdisciplinary Research Centre in Health, School of Health and Social Sciences, Coventry University, Coventry, UK.
ISSN: 0001-690X
DOI: 10.1111/j.1600-0447.2005.00499.x
Accession Number: 16258514
Database: Academic Search Elite
Record: 20
Title: Evidence-Based Crime Prevention: Conclusions and Directions for a Safer Society.
Authors: Welsh, Brandon C.1
Farrington, David P.2
Source: Canadian Journal of Criminology & Criminal Justice; Apr2005, Vol. 47 Issue 2, p337-354, 18p
Document Type: Article
Subject Terms: *CRIME
*CRIME prevention
*CRIMINAL justice, Administration of
*SOCIAL policy
*SOCIAL problems
*VICTIMS
Geographic Terms: CANADA
NAICS/Industry Codes92211 Courts
92313 Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
Abstract (English): In an evidence-based society, government crime prevention policy and local practice would be based on interventions with demonstrated effectiveness in preventing crime - using what works best. Systematic reviews are the most comprehensive method of assessing the effectiveness of crime prevention measures and, in an evidence-based society, they would be the source that governments would turn to for help in the development of policy. This article summarizes the main findings of a project of the Campbell Collaboration Crime and Justice Group to advance knowledge on what works to prevent crime for a wide range of interventions, organized around four important domains: at-risk children, offenders, victims, and high-crime places. The full conclusions are published in the forthcoming book Preventing Crime: What Works for Children, Offenders, Victims, and Places. The good news from this first wave of reviews is that most of the interventions are effective in pre- venting crime and, in many cases, produce sizeable effects. This includes social-skills training for children, cognitive-behavioural therapy and incarceration -based drug treatment for offenders, face-to-face restorative justice conferences involving victims and offenders, prevention of repeat residential burglary victimization, hot spots policing, closed-circuit television surveillance, and improved street lighting. Acting on the evidence from these systematic reviews could contribute to a safer society, both now and in the long run. Alongside the Campbell Collaboration effort to prepare and maintain systematic reviews for use by policy makers, practitioners, and the general public, a program of research into new crime prevention and intervention experiments needs to be initiated. [ABSTRACT FROM AUTHOR]
Abstract (French): Dans une société qui mise sur les résultats, les politiques gouvernementales et les pratiques locales en matière de prévention du crime privilégient les interventions qui ont fait leurs preuves - ce qui marche le mieux. Dans une telle société, la meilleure façon d'évaluer l'efficacité des mesures de prévention du crime consiste à effectuer des études systématiques qui guident les gouvernements dans l'élaboration de leur programme d'action en Ia matière. Cet article résume les principaux résultats d'un projet du groupe de coordination Campbell pour la justice et la prévention du crime, projet de recherche sur les moyens efficaces de lutte contre le crime, retenus parmi une grande variété d'interventions ciblées sur les enfants àrisque, les délinquants, les victimes et les lieux mal famés. its conclusions complètes en sont publiées dans le livre à paraître intitulé Preventing Crime: What Works for Children, Offenders, Victims, and Places. Cette première série d'analyses donne des résultats encourageants en ce sens que la plupart des interventions sont efficaces pour la prévention du crime et donnent, dans bien des cas, des résultats significatifs. Ces interventions sont diverses: cours d'apprentissage social pour les enfants, thérapie cognitivo-comportementale et traitement des délinquants toxicomanes en établissement, face à face entre victimes et délinquants au nom de Ia justice réparatrice, prévention des cambriolages à répétition, maintien de l'ordre dans les lieux mal famés, surveillance par télévision en circuit fermé, amélioration de l'éclairage public. On pourrait contribuer à une société plus sûre en donnant suite aux conclusions de ces études méthodiques, tant dans l'immédiat qu'à plus long terme. Outre la préparation et la mise à jour des études méthodiques entreprises par le groupe Campbell au profit des décideurs, des praticiens et du grand public, il faudrait lancer un programme de recherche sur les nouvelles expériences faites en matière de prévention du crime et de lutte contre la criminalité. [ABSTRACT FROM AUTHOR]
Author Affiliations: 1Department of Criminal Justice, University of Massachusetts Lowell.
2Institute of Criminology,Cambridge University.
ISSN: 1707-7753
Accession Number: 16953174
Database: Academic Search Elite
posted by fvox13 at 9:49 PM on April 6, 2006

"Preferably showing CBT to be superior to meds alone."

Superior in treatment of what? CBT is going to be singularly useless for treatment of schizophrenia, for example.
posted by Steven C. Den Beste at 11:05 PM on April 6, 2006

The opening chapter of "feeling good" amazon link has a sort of "review" along with references - you could use that as a starting point for a lit search? I seem to remember that he was arguing CBT was as good as or better than meds (and sometimes even reading a book about CBT was as good as meds).
posted by handee at 12:11 AM on April 7, 2006

The Efficacy of Psychotherapy (APA Online)
posted by unmake at 1:11 AM on April 7, 2006

Go to PubMed and search for something like [cognitive therapy AND medication] and click on the review tab to read review articles. There are a lot fewer of them and they're more likely to be comprehensive.
posted by grouse at 1:14 AM on April 7, 2006

Also, if you have access to it, the BMJ's Clinical Evidence is fantastic for this sort of thing. Here's their page on depression in adults.
posted by grouse at 1:16 AM on April 7, 2006

Best answer: Blackburn, I.M., Bishop, S., Glen, A.I.M., Whalley, L.J., and Christie, J.E. "The Efficacy of Cognitive Therapy in Depression. A Treatment Trial Using Cognitive Therapy and Pharmacotherapy, Each Alone and in Combination." British Journal of Psychiatry, Vol. 139, January 1981, pp. 181-189.

Rush, A.J., Beck, A.T. , Kovacs, M., and Hollon, S. "Comparative Efficacy of Cognitive Therapy and Pharmacotherapy in the Treatment of Depressed Outpatients." Cognitive Therapy and Research, Vol. 1, No. 1, March 1977, pp. 17-38.
posted by koenie at 2:41 AM on April 7, 2006

Response by poster: Thanks for the replies so far. Actually Steven C. Den Beste, I guess its use in relation to depression would be most helpful, but that's not essential. Interestingly, I did come across an article that purported to show it is of some use with schizophrenia. I assume that's with milder cases, but I didn't read it all.
posted by Idiot Mittens at 5:05 AM on April 7, 2006

The Great Psychotherapy Debate by Bruce Wampold is a very convincing meta-analysis of most of the psychotherapy efficacy and effectiveness research. It certainly shows psychotherapy to be as helpful as medications, although contrary to what you might be asking, it does not show one type of psychotherapy, like CBT, to be any better than any other. Psychotherapy works because of factors general to all forms of psychotherapy, not specific factors associated with one theoretical model. This is, not incidentally, how psychotropics meds seem to work as well, which is why some MDs have better outcomes with meds than do others, because it is less the specific medication and more the general and common factors which help people with mental illness get better.
posted by OmieWise at 6:00 AM on April 7, 2006