Alesia Moulton-Perkins, D. Moulton, K. Cavanagh, Alex Jozavi, C. Strauss
Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) are effective in reducing distress among people with physical or mental health problems. However, implementation is limited by variable geographic provision, ability to travel, and the need for remote service delivery during the coronavirus disease 2019 (COVID-19) crisis. Integration with Internet-enabled technologies like videoconferencing potentially enhances access. This article reports a systematic review exploring the feasibility, acceptability, safety, and efficacy of delivering MBCT/MBSR by videoconferencing (MBCT/MBSR-VC). No restrictions were made about population or study design. Eleven online databases were searched and 10 studies met inclusion criteria. Narrative synthesis was used because of study heterogeneity. Articles featured physical health and nonclinical samples, but not mental health. Three studies had moderate-strong methodological quality. Results supported the feasibility and acceptability of MBCT/MBSR-VC. Considerations of safety were largely unreported. MBCT/MBSR-VC demonstrated medium positive effects on mental health outcomes compared with inactive controls (ds = 0.44 -0.71), and little difference compared with active controls like in-person delivery (all confidence intervals crossed zero). Evidence regarding mindfulness or self-compassion as potential mechanisms of action was inconclusive. Future implementation research should target mental health populations using noninferiority designs. Adapting MBCT/MBSR to remote delivery will require development of guidelines and training packages to ensure best practice in this medium and adherence to evidence-based MBCT/MBSR models.
{"title":"Systematic review of mindfulness-based cognitive therapy and mindfulness-based stress reduction via group videoconferencing: Feasibility, acceptability, safety, and efficacy.","authors":"Alesia Moulton-Perkins, D. Moulton, K. Cavanagh, Alex Jozavi, C. Strauss","doi":"10.1037/INT0000216","DOIUrl":"https://doi.org/10.1037/INT0000216","url":null,"abstract":"Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) are effective in reducing distress among people with physical or mental health problems. However, implementation is limited by variable geographic provision, ability to travel, and the need for remote service delivery during the coronavirus disease 2019 (COVID-19) crisis. Integration with Internet-enabled technologies like videoconferencing potentially enhances access. This article reports a systematic review exploring the feasibility, acceptability, safety, and efficacy of delivering MBCT/MBSR by videoconferencing (MBCT/MBSR-VC). No restrictions were made about population or study design. Eleven online databases were searched and 10 studies met inclusion criteria. Narrative synthesis was used because of study heterogeneity. Articles featured physical health and nonclinical samples, but not mental health. Three studies had moderate-strong methodological quality. Results supported the feasibility and acceptability of MBCT/MBSR-VC. Considerations of safety were largely unreported. MBCT/MBSR-VC demonstrated medium positive effects on mental health outcomes compared with inactive controls (ds = 0.44 -0.71), and little difference compared with active controls like in-person delivery (all confidence intervals crossed zero). Evidence regarding mindfulness or self-compassion as potential mechanisms of action was inconclusive. Future implementation research should target mental health populations using noninferiority designs. Adapting MBCT/MBSR to remote delivery will require development of guidelines and training packages to ensure best practice in this medium and adherence to evidence-based MBCT/MBSR models.","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41900909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Systematic Review of Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction via Group Videoconferencing: Feasibility, Acceptability, Safety, and Efficacy","authors":"","doi":"10.1037/int0000216.supp","DOIUrl":"https://doi.org/10.1037/int0000216.supp","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47152699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for The Role of Enhanced Emotional Awareness in Promoting Change Across Psychotherapy Modalities","authors":"","doi":"10.1037/int0000244.supp","DOIUrl":"https://doi.org/10.1037/int0000244.supp","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48086427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Individualizing psychotherapy research designs.","authors":"U. Kramer","doi":"10.1037/INT0000160","DOIUrl":"https://doi.org/10.1037/INT0000160","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"30 1","pages":"440-457"},"PeriodicalIF":3.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49209459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The evidence base for the treatment of dependent personality disorder (DPD) is sparse and there are few credible evaluations of the effectiveness of integrative psychotherapies. This study therefore employed an A/B with extended follow-up quasi-Experimental single case design with a female patient meeting diagnostic criteria for DPD, treated with cognitive analytic therapy (CAT). The patient was treated with the 24-session version of the model, with 6 months structured follow-up. Fidelity to the treatment model was found to be satisfactory. There was a significant effect of phase of study in the time series of the primary idiographic measure of reassurance-seeking. On the primary nomothetic measure (i.e., the Interpersonal Dependency Inventory), there was a reliable improvement to self-confidence on assessment-termination comparisons. Confidence in the reliability of the idiographic results is limited by evidence of improvements occurring during the baseline phase. The methodological limitations and clinical/theoretical implications are discussed for the use of integrative psychotherapies with patients with strong dependent traits.
{"title":"Quasi-experimental N = 1 evaluation of the effectiveness of cognitive analytic therapy for dependent personality disorder.","authors":"S. Kellett, Sophie Lees","doi":"10.1037/INT0000170","DOIUrl":"https://doi.org/10.1037/INT0000170","url":null,"abstract":"The evidence base for the treatment of dependent personality disorder (DPD) is sparse and there are few credible evaluations of the effectiveness of integrative psychotherapies. This study therefore employed an A/B with extended follow-up quasi-Experimental single case design with a female patient meeting diagnostic criteria for DPD, treated with cognitive analytic therapy (CAT). The patient was treated with the 24-session version of the model, with 6 months structured follow-up. Fidelity to the treatment model was found to be satisfactory. There was a significant effect of phase of study in the time series of the primary idiographic measure of reassurance-seeking. On the primary nomothetic measure (i.e., the Interpersonal Dependency Inventory), there was a reliable improvement to self-confidence on assessment-termination comparisons. Confidence in the reliability of the idiographic results is limited by evidence of improvements occurring during the baseline phase. The methodological limitations and clinical/theoretical implications are discussed for the use of integrative psychotherapies with patients with strong dependent traits.","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"30 1","pages":"458-475"},"PeriodicalIF":3.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46532033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denise J. Larsen, William J. Whelton, Todd Rogers, Jesse McElheran, K. Herth, J. Tremblay, Jill I. Green, Karen Dushinski, Kyle Schalk, Martha Chamodraka, José F. Domene
{"title":"Multidimensional Hope in Counseling and Psychotherapy Scale.","authors":"Denise J. Larsen, William J. Whelton, Todd Rogers, Jesse McElheran, K. Herth, J. Tremblay, Jill I. Green, Karen Dushinski, Kyle Schalk, Martha Chamodraka, José F. Domene","doi":"10.1037/int0000198","DOIUrl":"https://doi.org/10.1037/int0000198","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"30 1","pages":"407-422"},"PeriodicalIF":3.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41662992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viola N. L. S. Schilling, Kaitlyn Boyle, Julian A. Rubel, C. Flückiger, Dirk Zimmermann, W. Lutz
{"title":"Patients’ and therapists’ actions on the precipice of change: Session processes before sudden gains and sudden losses.","authors":"Viola N. L. S. Schilling, Kaitlyn Boyle, Julian A. Rubel, C. Flückiger, Dirk Zimmermann, W. Lutz","doi":"10.1037/int0000242","DOIUrl":"https://doi.org/10.1037/int0000242","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43065709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chairwork is a psychotherapeutic method that frequently focuses on self-multiplicity and internal relationships. Compassion focused therapy (CFT) uses chairwork to generate and apply compassion toward threat-based aspects of the self. This study explores self-multiplicity in a CFT chairwork intervention for self-criticism. Twelve participants with depression were interviewed following the intervention and the resultant data were analyzed using interpretative phenomenological analysis. Three superordinate themes were identified: differentiating selves; mental imagery of selves; and integrating and transforming selves with compassion. The results highlight how the intervention enabled clients to differentiate internal aspects of themselves in a way that was accessible and helpful, increasing self-complexity and introducing the potential to observe and change patterns of self-to-self relating. The process of bringing compas- sion to self-criticism was found to integrate both aspects of the critical dialogue, transforming the “critic” by understanding its fears and function. The use of mental imagery facilitated clients’ experience of self-multiplicity and symbolized the kind of changes generated by the exercise. Implications for clinical practice are discussed.
{"title":"“Suddenly you are King Solomon”: Multiplicity, transformation and integration in compassion focused therapy chairwork.","authors":"Tobyn Bell, J. Montague, J. Elander, P. Gilbert","doi":"10.1037/int0000240","DOIUrl":"https://doi.org/10.1037/int0000240","url":null,"abstract":"Chairwork is a psychotherapeutic method that frequently focuses on self-multiplicity and internal relationships. Compassion focused therapy (CFT) uses chairwork to generate and apply compassion toward threat-based aspects of the self. This study explores self-multiplicity in a CFT chairwork intervention for self-criticism. Twelve participants with depression were interviewed following the intervention and the resultant data were analyzed using interpretative phenomenological analysis. Three superordinate themes were identified: differentiating selves; mental imagery of selves; and integrating and transforming selves with compassion. The results highlight how the intervention enabled clients to differentiate internal aspects of themselves in a way that was accessible and helpful, increasing self-complexity and introducing the potential to observe and change patterns of self-to-self relating. The process of bringing compas- sion to self-criticism was found to integrate both aspects of the critical dialogue, transforming the “critic” by understanding its fears and function. The use of mental imagery facilitated clients’ experience of self-multiplicity and symbolized the kind of changes generated by the exercise. Implications for clinical practice are discussed.","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2020-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41677180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley Lawrence, A. Alkozei, M. Irgens, Mónica C Acevedo-Molina, Susan A Brener, Alexa B. Chandler, Ronald F Chau, Caroline Y. Doyle, Ariel L. McKinney, Sarah N. Price, Caroline E. Shanholtz, Emily J Van Etten, Elizabeth S Ver Hoeve, D. Sbarra, M. O’Connor
{"title":"Think again: Adaptive repetitive thought as a transdiagnostic treatment for individuals predisposed to repetitive thinking styles.","authors":"Ashley Lawrence, A. Alkozei, M. Irgens, Mónica C Acevedo-Molina, Susan A Brener, Alexa B. Chandler, Ronald F Chau, Caroline Y. Doyle, Ariel L. McKinney, Sarah N. Price, Caroline E. Shanholtz, Emily J Van Etten, Elizabeth S Ver Hoeve, D. Sbarra, M. O’Connor","doi":"10.1037/int0000209","DOIUrl":"https://doi.org/10.1037/int0000209","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2020-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44087912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Delivery of psychotherapy has rapidly changed as a function of physical distancing recommendations by the World Health Organization that aim to slow transmission of COVID-19 during a global pandemic. A consequent need for rapid infusion of psychological science into care delivered via telepsychotherapy has emerged. As an international journal with global reach, the Journal of Psychotherapy Integration (JPI) has responded to this need with an expanded special issue devoted entirely to the topic of telepsychotherapy in the age of COVID-19. This issue brings together empirical findings, substantial grant-funded projects, national-level task forces, and/or international collaborations to inform the response of psychotherapists as they seek to provide high-quality care under new and uniquely challenging circumstances. Within this editorial, the body of work reflected across this special issue is viewed through a lens of psychotherapy integration and within the context of internationalization. Readers are also directed to a recent collection of JPI articles that focuses on transformations to the person of the psychotherapist in response to significant, life-altering experiences. Finally, JPI's resolve to continue addressing emergent pandemic-induced issues is affirmed with a new call for articles aimed at infusing high-quality scholarship to inform psychotherapy with those facing economic insecurity or deep poverty.
{"title":"Introduction to the special issue on telepsychotherapy in the age of COVID-19.","authors":"J. Callahan","doi":"10.1037/int0000231","DOIUrl":"https://doi.org/10.1037/int0000231","url":null,"abstract":"Delivery of psychotherapy has rapidly changed as a function of physical distancing recommendations by the World Health Organization that aim to slow transmission of COVID-19 during a global pandemic. A consequent need for rapid infusion of psychological science into care delivered via telepsychotherapy has emerged. As an international journal with global reach, the Journal of Psychotherapy Integration (JPI) has responded to this need with an expanded special issue devoted entirely to the topic of telepsychotherapy in the age of COVID-19. This issue brings together empirical findings, substantial grant-funded projects, national-level task forces, and/or international collaborations to inform the response of psychotherapists as they seek to provide high-quality care under new and uniquely challenging circumstances. Within this editorial, the body of work reflected across this special issue is viewed through a lens of psychotherapy integration and within the context of internationalization. Readers are also directed to a recent collection of JPI articles that focuses on transformations to the person of the psychotherapist in response to significant, life-altering experiences. Finally, JPI's resolve to continue addressing emergent pandemic-induced issues is affirmed with a new call for articles aimed at infusing high-quality scholarship to inform psychotherapy with those facing economic insecurity or deep poverty.","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41492274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：