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Book ; Online ; E-Book: Existential Therapy: Responses to Frequently Asked Questions

Arnold-Baker, Claire / Wharne, Simon / Dowek, Nancy Hakim / Gibson, Neil / Molle, Jo / van Deurzen, Emmy

2023

Abstract: In Existential Therapy: Responses to Frequently Asked Questions, the authors address those questions most frequently asked by potential clients of existential therapy or by people beginning their training or by those interested in counselling or ... ...

Abstract	In Existential Therapy: Responses to Frequently Asked Questions, the authors address those questions most frequently asked by potential clients of existential therapy or by people beginning their training or by those interested in counselling or psychotherapy.The book is divided into five parts, with each focusing on responding to questions about different elements of existential theory and its practice and applications:Part 1: Existential philosophyPart 2: Existential method and theoryPart 3: Existential skills and practicePart 4: Existential applications in different contextsPart 5: Existential relevance to everyday lifeThe Q&A format, presented in accessible language, emphasises commonly unknown or misunderstood areas that are typically overlooked.The book will appeal to a wide audience of potential clients and trainees, practitioners from other approaches, and those outside of the profession who are curious to understand more about existential therapy.
Keywords	INTERNAL MEDICINE ; MEDICAL
Subject code	616.8914
Language	English
Size	1 online resource (168 p.)
Publisher	Taylor & Francis (Unlimited)
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	1-000-95261-4 ; 9781032409856 ; 978-1-000-95261-2 ; 1032409851
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Computerised therapy for depression with clinician vs. assistant and brief vs. extended phone support

Gega Lina / Swift Louise / Barton Garry / Todd Gillian / Reeve Nesta / Bird Kelly / Holland Richard / Howe Amanda / Wilson Jon / Molle Jo

Trials, Vol 13, Iss 1, p

study protocol for a randomised controlled trial

2012 Volume 151

Abstract: Abstract Background Computerised cognitive behaviour therapy (cCBT) involves standardised, automated, interactive self-help programmes delivered via a computer. Randomised controlled trials (RCTs) and observational studies have shown than cCBT reduces ... ...

Abstract	Abstract Background Computerised cognitive behaviour therapy (cCBT) involves standardised, automated, interactive self-help programmes delivered via a computer. Randomised controlled trials (RCTs) and observational studies have shown than cCBT reduces depressive symptoms as much as face-to-face therapy and more than waiting lists or treatment as usual. cCBT’s efficacy and acceptability may be influenced by the “human” support offered as an adjunct to it, which can vary in duration and can be offered by people with different levels of training and expertise. Methods/design This is a two-by-two factorial RCT investigating the effectiveness, cost-effectiveness and acceptability of cCBT supplemented with 12 weekly phone support sessions are either brief (5–10 min) or extended (20–30 min) and are offered by either an expert clinician or an assistant with no clinical training. Adults with non-suicidal depression in primary care can self-refer into the study by completing and posting to the research team a standardised questionnaire. Following an assessment interview, eligible referrals have access to an 8-session cCBT programme called Beating the Blues and are randomised to one of four types of support: brief-assistant, extended-assistant, brief-clinician or extended-clinician. A sample size of 35 per group (total 140) is sufficient to detect a moderate effect size with 90% power on our primary outcome measure (Work and Social Adjustment Scale); assuming a 30% attrition rate, 200 patients will be randomised. Secondary outcome measures include the Beck Depression and Anxiety Inventories and the PHQ-9 and GAD-7. Data on clinical outcomes, treatment usage and patient experiences are collected in three ways: by post via self-report questionnaires at week 0 (randomisation) and at weeks 12 and 24 post-randomisation; electronically by the cCBT system every time patients log-in; by phone during assessments, support sessions and exit interviews. Discussion The study’s factorial design increases its efficiency by allowing the ...
Keywords	Cognitive behaviour therapy ; Internet ; Guided self-help ; Medicine (General) ; R5-920
Subject code	150
Language	English
Publishing date	2012-08-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Computerised therapy for depression with clinician vs. assistant and brief vs. extended phone support: study protocol for a randomised controlled trial.

Gega, Lina / Swift, Louise / Barton, Garry / Todd, Gillian / Reeve, Nesta / Bird, Kelly / Holland, Richard / Howe, Amanda / Wilson, Jon / Molle, Jo

Trials

2012 Volume 13, Page(s) 151

Abstract: Background: Computerised cognitive behaviour therapy (cCBT) involves standardised, automated, interactive self-help programmes delivered via a computer. Randomised controlled trials (RCTs) and observational studies have shown than cCBT reduces ... ...

Abstract	Background: Computerised cognitive behaviour therapy (cCBT) involves standardised, automated, interactive self-help programmes delivered via a computer. Randomised controlled trials (RCTs) and observational studies have shown than cCBT reduces depressive symptoms as much as face-to-face therapy and more than waiting lists or treatment as usual. cCBT's efficacy and acceptability may be influenced by the "human" support offered as an adjunct to it, which can vary in duration and can be offered by people with different levels of training and expertise. Methods/design: This is a two-by-two factorial RCT investigating the effectiveness, cost-effectiveness and acceptability of cCBT supplemented with 12 weekly phone support sessions are either brief (5-10 min) or extended (20-30 min) and are offered by either an expert clinician or an assistant with no clinical training. Adults with non-suicidal depression in primary care can self-refer into the study by completing and posting to the research team a standardised questionnaire. Following an assessment interview, eligible referrals have access to an 8-session cCBT programme called Beating the Blues and are randomised to one of four types of support: brief-assistant, extended-assistant, brief-clinician or extended-clinician.A sample size of 35 per group (total 140) is sufficient to detect a moderate effect size with 90% power on our primary outcome measure (Work and Social Adjustment Scale); assuming a 30% attrition rate, 200 patients will be randomised. Secondary outcome measures include the Beck Depression and Anxiety Inventories and the PHQ-9 and GAD-7. Data on clinical outcomes, treatment usage and patient experiences are collected in three ways: by post via self-report questionnaires at week 0 (randomisation) and at weeks 12 and 24 post-randomisation; electronically by the cCBT system every time patients log-in; by phone during assessments, support sessions and exit interviews. Discussion: The study's factorial design increases its efficiency by allowing the concurrent investigation of two types of adjunct support for cCBT with a single sample of participants. Difficulties in recruitment, uptake and retention of participants are anticipated because of the nature of the targeted clinical problem (depression impairs motivation) and of the studied interventions (lack of face-to-face contact because referrals, assessments, interventions and data collection are completed by phone, computer or post). Trial registration: Current Controlled Trials ISRCTN98677176.
MeSH term(s)	Cognitive Behavioral Therapy/economics ; Cognitive Behavioral Therapy/methods ; Cost-Benefit Analysis ; Counseling/economics ; Depression/diagnosis ; Depression/economics ; Depression/psychology ; Depression/therapy ; Health Care Costs ; Humans ; Patient Dropouts ; Physician Assistants/economics ; Physicians/economics ; Psychiatric Status Rating Scales ; Research Design ; Sample Size ; Surveys and Questionnaires ; Telephone/economics ; Therapy, Computer-Assisted/economics ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2012-08-27
Publishing country	England
Document type	Comparative Study ; Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	2040523-6
ISSN	1745-6215 ; 1468-6694 ; 1745-6215
ISSN (online)	1745-6215
ISSN	1468-6694 ; 1745-6215
DOI	10.1186/1745-6215-13-151
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Clinical effectiveness, cost-effectiveness and acceptability of low-intensity interventions in the management of obsessive-compulsive disorder: the Obsessive-Compulsive Treatment Efficacy randomised controlled Trial (OCTET).

Health technology assessment (Winchester, England)

2017 Volume 21, Issue 37, Page(s) 1–132

Abstract: Background: The Obsessive-Compulsive Treatment Efficacy randomised controlled Trial emerged from a research recommendation in National Institute for Health and Care Excellence obsessive-compulsive disorder (OCD) guidelines, which specified the need to ... ...

Abstract	Background: The Obsessive-Compulsive Treatment Efficacy randomised controlled Trial emerged from a research recommendation in National Institute for Health and Care Excellence obsessive-compulsive disorder (OCD) guidelines, which specified the need to evaluate cognitive-behavioural therapy (CBT) treatment intensity formats. Objectives: To determine the clinical effectiveness and cost-effectiveness of two low-intensity CBT interventions [supported computerised cognitive-behavioural therapy (cCBT) and guided self-help]: (1) compared with waiting list for high-intensity CBT in adults with OCD at 3 months; and (2) plus high-intensity CBT compared with waiting list plus high-intensity CBT in adults with OCD at 12 months. To determine patient and professional acceptability of low-intensity CBT interventions. Design: A three-arm, multicentre, randomised controlled trial. Setting: Improving Access to Psychological Therapies services and primary/secondary care mental health services in 15 NHS trusts. Participants: Patients aged ≥ 18 years meeting Interventions: Participants were randomised to (1) supported cCBT, (2) guided self-help or (3) a waiting list for high-intensity CBT. Main outcome measures: The primary outcome was OCD symptoms using the Yale-Brown Obsessive Compulsive Scale - Observer Rated. Results: Patients were recruited from 14 NHS trusts between February 2011 and May 2014. Follow-up data collection was complete by May 2015. There were 475 patients randomised: supported cCBT ( Limitations: A significant issue in the interpretation of the results concerns the high level of access to high-intensity CBT during the waiting list period. Conclusions: Although low-intensity interventions are not associated with clinically significant improvements in OCD symptoms, economic analysis over 12 months suggests that low-intensity interventions are cost-effective and may have an important role in OCD care pathways. Further research to enhance the clinical effectiveness of these interventions may be warranted, alongside research on how best to incorporate them into care pathways. Trial registration: Current Controlled Trials ISRCTN73535163. Funding: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in
MeSH term(s)	Adolescent ; Adult ; Aged ; Cognitive Behavioral Therapy/economics ; Cognitive Behavioral Therapy/methods ; Cost-Benefit Analysis ; Female ; Humans ; Internet/statistics & numerical data ; Male ; Mental Health ; Mental Health Services/organization & administration ; Middle Aged ; Obsessive-Compulsive Disorder/therapy ; Quality-Adjusted Life Years ; Self-Management/methods ; Software ; State Medicine/economics ; Telemedicine/economics ; Telemedicine/methods ; United Kingdom ; Waiting Lists ; Young Adult
Language	English
Publishing date	2017-07-06
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Randomized Controlled Trial
ZDB-ID	2006765-3
ISSN	2046-4924 ; 1366-5278
ISSN (online)	2046-4924
ISSN	1366-5278
DOI	10.3310/hta21370
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Low-intensity cognitive-behaviour therapy interventions for obsessive-compulsive disorder compared to waiting list for therapist-led cognitive-behaviour therapy: 3-arm randomised controlled trial of clinical effectiveness.

PLoS medicine

2017 Volume 14, Issue 6, Page(s) e1002337

Abstract: Background: Obsessive-compulsive disorder (OCD) is prevalent and without adequate treatment usually follows a chronic course. "High-intensity" cognitive-behaviour therapy (CBT) from a specialist therapist is current "best practice." However, access is ... ...

Abstract	Background: Obsessive-compulsive disorder (OCD) is prevalent and without adequate treatment usually follows a chronic course. "High-intensity" cognitive-behaviour therapy (CBT) from a specialist therapist is current "best practice." However, access is difficult because of limited numbers of therapists and because of the disabling effects of OCD symptoms. There is a potential role for "low-intensity" interventions as part of a stepped care model. Low-intensity interventions (written or web-based materials with limited therapist support) can be provided remotely, which has the potential to increase access. However, current evidence concerning low-intensity interventions is insufficient. We aimed to determine the clinical effectiveness of 2 forms of low-intensity CBT prior to high-intensity CBT, in adults meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for OCD. Methods and findings: This study was approved by the National Research Ethics Service Committee North West-Lancaster (reference number 11/NW/0276). All participants provided informed consent to take part in the trial. We conducted a 3-arm, multicentre randomised controlled trial in primary- and secondary-care United Kingdom mental health services. All patients were on a waiting list for therapist-led CBT (treatment as usual). Four hundred and seventy-three eligible patients were recruited and randomised. Patients had a median age of 33 years, and 60% were female. The majority were experiencing severe OCD. Patients received 1 of 2 low-intensity interventions: computerised CBT (cCBT; web-based CBT materials and limited telephone support) through "OCFighter" or guided self-help (written CBT materials with limited telephone or face-to-face support). Primary comparisons concerned OCD symptoms, measured using the Yale-Brown Obsessive Compulsive Scale-Observer-Rated (Y-BOCS-OR) at 3, 6, and 12 months. Secondary outcomes included health-related quality of life, depression, anxiety, and functioning. At 3 months, guided self-help demonstrated modest benefits over the waiting list in reducing OCD symptoms (adjusted mean difference = -1.91, 95% CI -3.27 to -0.55). These effects did not reach a prespecified level of "clinically significant benefit." cCBT did not demonstrate significant benefit (adjusted mean difference = -0.71, 95% CI -2.12 to 0.70). At 12 months, neither guided self-help nor cCBT led to differences in OCD symptoms. Early access to low-intensity interventions led to significant reductions in uptake of high-intensity CBT over 12 months; 86% of the patients allocated to the waiting list for high-intensity CBT started treatment by the end of the trial, compared to 62% in supported cCBT and 57% in guided self-help. These reductions did not compromise longer-term patient outcomes. Data suggested small differences in satisfaction at 3 months, with patients more satisfied with guided self-help than supported cCBT. A significant issue in the interpretation of the results concerns the level of access to high-intensity CBT before the primary outcome assessment. Conclusions: We have demonstrated that providing low-intensity interventions does not lead to clinically significant benefits but may reduce uptake of therapist-led CBT. Trial registration: International Standard Randomized Controlled Trial Number (ISRCTN) Registry ISRCTN73535163.
MeSH term(s)	Adolescent ; Adult ; Aged ; Cognitive Behavioral Therapy/methods ; Female ; Humans ; Male ; Middle Aged ; Obsessive-Compulsive Disorder/therapy ; Treatment Outcome ; United Kingdom ; Waiting Lists ; Young Adult
Language	English
Publishing date	2017-06-27
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2185925-5
ISSN	1549-1676 ; 1549-1277
ISSN (online)	1549-1676
ISSN	1549-1277
DOI	10.1371/journal.pmed.1002337
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 6042: Show issues

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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Obsessive Compulsive Treatment Efficacy Trial (OCTET) comparing the clinical and cost effectiveness of self-managed therapies: study protocol for a randomised controlled trial.

Trials

2014 Volume 15, Page(s) 278

Abstract: Background: UK National Institute of Health and Clinical Excellence guidelines for obsessive compulsive disorder (OCD) specify recommendations for the treatment and management of OCD using a stepped care approach. Steps three to six of this model ... ...

Abstract	Background: UK National Institute of Health and Clinical Excellence guidelines for obsessive compulsive disorder (OCD) specify recommendations for the treatment and management of OCD using a stepped care approach. Steps three to six of this model recommend treatment options for people with OCD that range from low-intensity guided self-help (GSH) to more intensive psychological and pharmacological interventions. Cognitive behavioural therapy (CBT), including exposure and response prevention, is the recommended psychological treatment. However, whilst there is some preliminary evidence that self-managed therapy packages for OCD can be effective, a more robust evidence base of their clinical and cost effectiveness and acceptability is required. Methods/design: Our proposed study will test two different self-help treatments for OCD: 1) computerised CBT (cCBT) using OCFighter, an internet-delivered OCD treatment package; and 2) GSH using a book. Both treatments will be accompanied by email or telephone support from a mental health professional. We will evaluate the effectiveness, cost and patient and health professional acceptability of the treatments. Discussion: This study will provide more robust evidence of efficacy, cost effectiveness and acceptability of self-help treatments for OCD. If cCBT and/or GSH prove effective, it will provide additional, more accessible treatment options for people with OCD. Trial registration: Current Controlled Trials: ISRCTN73535163. Date of registration: 5 April 2011.
MeSH term(s)	Attitude of Health Personnel ; Books ; Clinical Protocols ; Cognitive Behavioral Therapy/economics ; Cost-Benefit Analysis ; Health Care Costs ; Health Services Accessibility/economics ; Humans ; Internet/economics ; Obsessive-Compulsive Disorder/diagnosis ; Obsessive-Compulsive Disorder/economics ; Obsessive-Compulsive Disorder/physiopathology ; Obsessive-Compulsive Disorder/therapy ; Patient Acceptance of Health Care ; Predictive Value of Tests ; Psychiatric Status Rating Scales ; Research Design ; Self Care/economics ; Therapy, Computer-Assisted/economics ; Time Factors ; Treatment Outcome ; United Kingdom
Language	English
Publishing date	2014-07-10
Publishing country	England
Document type	Comparative Study ; Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	2040523-6
ISSN	1745-6215 ; 1468-6694 ; 1745-6215
ISSN (online)	1745-6215
ISSN	1468-6694 ; 1745-6215
DOI	10.1186/1745-6215-15-278
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book ; Online ; E-Book: Existential Therapy: Responses to Frequently Asked Questions

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Article ; Online: Computerised therapy for depression with clinician vs. assistant and brief vs. extended phone support

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Inter-library loan at ZB MED

Article ; Online: Computerised therapy for depression with clinician vs. assistant and brief vs. extended phone support: study protocol for a randomised controlled trial.

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Article ; Online: Clinical effectiveness, cost-effectiveness and acceptability of low-intensity interventions in the management of obsessive-compulsive disorder: the Obsessive-Compulsive Treatment Efficacy randomised controlled Trial (OCTET).

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Article ; Online: Low-intensity cognitive-behaviour therapy interventions for obsessive-compulsive disorder compared to waiting list for therapist-led cognitive-behaviour therapy: 3-arm randomised controlled trial of clinical effectiveness.

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In stock of ZB MED Cologne/Königswinter

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Article ; Online: Obsessive Compulsive Treatment Efficacy Trial (OCTET) comparing the clinical and cost effectiveness of self-managed therapies: study protocol for a randomised controlled trial.

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Kategorien

Order via subito