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Gepubliceerd in: Cognitive Therapy and Research 4/2018

15-05-2018 | Original Article

The Processes of Cognitive Behavioral Therapy: A Review of Meta-Analyses

Auteurs: Nikolaos Kazantzis, Hoang Kim Luong, Alexsandra S. Usatoff, Tara Impala, Rui Ying Yew, Stefan G. Hofmann

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2018

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Abstract

Cognitive Behavioral Therapy (CBT) refers to a treatment approach with strong empirical support for its efficacy for various disorders and populations. The goal of the present review was to provide a comprehensive survey of meta-analyses examining the processes of CBT, namely: treatment processes (cognitive reappraisal, behavioral strategies, emotional regulation, motivation strategies, and psychoeducation) and in-session processes (alliance, goal consensus and collaboration, feedback, group cohesion, and homework). We identified 558 meta-analyses of CBT, and 30 meta-analyses met our inclusion criteria as reviews of process-outcome relations. For treatment processes, the strongest support currently exists for cognitive (n = 8 meta-analyses) and behavioral strategies (n = 3 meta-analyses) as change processes in CBT for anxiety disorders and depression. For in-session processes, the strongest support currently exists for the role of the alliance (n = 8 meta-analyses) and homework assignments (n = 6 meta-analyses) as predictors of outcome. Overall, the evidence base for process-outcome relations in CBT is just emerging. Additional research is needed to examine the range of treatment processes in various clinical contexts. Moreover, except for a meta-analysis on collaboration, no meta-analytic studies have been reported on CBT-specific elements of the therapeutic relationship, such as collaborative empiricism and Socratic dialogue.

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Literatuur
go back to reference Beck, A. T., Rush, A. J., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
go back to reference *David, A. R., & Szamoskozi, S. (2011). A meta-analytical study on the effects of cognitive behavioral techniques for reducing distress in organizations. Journal of Cognitive and Behavioral Psychotherapies, 11(2), 221–236. *David, A. R., & Szamoskozi, S. (2011). A meta-analytical study on the effects of cognitive behavioral techniques for reducing distress in organizations. Journal of Cognitive and Behavioral Psychotherapies, 11(2), 221–236.
go back to reference Ellis, A. (1970). The essence of rational psychotherapy: A comprehensive approach to treatment. New York: Institute for Rational Living. Ellis, A. (1970). The essence of rational psychotherapy: A comprehensive approach to treatment. New York: Institute for Rational Living.
go back to reference *Gil, P. J. M., Carrillo, F. X. M., & Sánchez-Meca, J. (2001). Effectiveness of cognitive-behavioural treatment in social phobia: A meta-analytic review. Psychology in Spain, 5, 17–25. *Gil, P. J. M., Carrillo, F. X. M., & Sánchez-Meca, J. (2001). Effectiveness of cognitive-behavioural treatment in social phobia: A meta-analytic review. Psychology in Spain, 5, 17–25.
go back to reference Hayes, S. C., & Hofmann, S. G. (2018). Process-based CBT: The science and core clinical competencies of Cognitive Behavioral Therapy. Oakland:New Harbinger Publications Hayes, S. C., & Hofmann, S. G. (2018). Process-based CBT: The science and core clinical competencies of Cognitive Behavioral Therapy. Oakland:New Harbinger Publications
go back to reference Hofmann, S. G. (2011). An introduction to modern CBT: Psychological solutions to mental health problems. Oxford: Wiley-Blackwell. Hofmann, S. G. (2011). An introduction to modern CBT: Psychological solutions to mental health problems. Oxford: Wiley-Blackwell.
go back to reference Hofmann, S. G., & Hayes, S. C. (in press). The future of intervention science: Process-based therapy. Clinical Psychological Science. Hofmann, S. G., & Hayes, S. C. (in press). The future of intervention science: Process-based therapy. Clinical Psychological Science.
go back to reference Kazantzis, N., Beck, J. S., Clark, D. A., Dobson, K. S., Hofmann, S. G., Leahy, R. L., & Wong, C. W. (in press). Socratic dialogue and guided discovery in cognitive behavioral therapy: A modified Delphi panel. International Journal of Cognitive Psychotherapy. Kazantzis, N., Beck, J. S., Clark, D. A., Dobson, K. S., Hofmann, S. G., Leahy, R. L., & Wong, C. W. (in press). Socratic dialogue and guided discovery in cognitive behavioral therapy: A modified Delphi panel. International Journal of Cognitive Psychotherapy.
go back to reference Kazantzis, N., Dattilio, F. M., & Dobson, K. S. (2017). The therapeutic relationship in cognitive behavior therapy: A clinician’s guide. New York: Guilford. Kazantzis, N., Dattilio, F. M., & Dobson, K. S. (2017). The therapeutic relationship in cognitive behavior therapy: A clinician’s guide. New York: Guilford.
go back to reference Kazantzis, N., Reinecke, M. A., & Freeman, A. (2010). Cognitive and behavior theories in clinical practice. New York: Guilford. Kazantzis, N., Reinecke, M. A., & Freeman, A. (2010). Cognitive and behavior theories in clinical practice. New York: Guilford.
go back to reference Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4, 863. CrossRefPubMedPubMedCentral Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4, 863. CrossRefPubMedPubMedCentral
go back to reference Lambert, M. J., & Hill, C. E. (1994). Assessing psychotherapy outcomes and processes. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (pp. 72–113). Oxford: Wiley. Lambert, M. J., & Hill, C. E. (1994). Assessing psychotherapy outcomes and processes. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (pp. 72–113). Oxford: Wiley.
go back to reference Lorenzo-Luaces, L., & DeRubeis, R. J. (2018). Miles to go before we sleep: Advancing the understanding of psychotherapy by modeling complex processes. Cognitive Therapy & Research, 42(2), 212–217. CrossRef Lorenzo-Luaces, L., & DeRubeis, R. J. (2018). Miles to go before we sleep: Advancing the understanding of psychotherapy by modeling complex processes. Cognitive Therapy & Research, 42(2), 212–217. CrossRef
go back to reference *Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis. Cognitive Therapy and Research, 34, 429–438. CrossRefPubMedPubMedCentral *Mausbach, B. T., Moore, R., Roesch, S., Cardenas, V., & Patterson, T. L. (2010). The relationship between homework compliance and therapy outcomes: An updated meta-analysis. Cognitive Therapy and Research, 34, 429–438. CrossRefPubMedPubMedCentral
go back to reference Newby, J. M., McKinnon, A., Kuyken, W., Gilbody, S., & Dalgleish, T. (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review, 40, 91–110. CrossRefPubMed Newby, J. M., McKinnon, A., Kuyken, W., Gilbody, S., & Dalgleish, T. (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review, 40, 91–110. CrossRefPubMed
go back to reference Olejnik, S., & Algina, J. (2003). Generalized eta and omega squared statistics: Measures of effect size for some common research designs. Psychological Methods, 8(4), 434–437. CrossRefPubMed Olejnik, S., & Algina, J. (2003). Generalized eta and omega squared statistics: Measures of effect size for some common research designs. Psychological Methods, 8(4), 434–437. CrossRefPubMed
go back to reference Orlinsky, D. E., Rønnestad, M. H., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcomes research: Continuity and change. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (pp. 307–393). New York: Wiley. Orlinsky, D. E., Rønnestad, M. H., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcomes research: Continuity and change. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (pp. 307–393). New York: Wiley.
go back to reference Sauer-Zavala, S., Boswell, J. F., Bentley, K. H., Thompson-Hollands, J., Farchione, T. J., & Barlowa, D. H. (2018). Expectancies, working alliance, and outcome in transdiagnostic and single diagnosis treatment for anxiety disorders: An investigation of mediation. Cognitive Therapy & Research, 42(2), 135–145. https://​doi.​org/​10.​1007/​s10608-017-9855-8. CrossRef Sauer-Zavala, S., Boswell, J. F., Bentley, K. H., Thompson-Hollands, J., Farchione, T. J., & Barlowa, D. H. (2018). Expectancies, working alliance, and outcome in transdiagnostic and single diagnosis treatment for anxiety disorders: An investigation of mediation. Cognitive Therapy & Research, 42(2), 135–145. https://​doi.​org/​10.​1007/​s10608-017-9855-8. CrossRef
Metagegevens
Titel
The Processes of Cognitive Behavioral Therapy: A Review of Meta-Analyses
Auteurs
Nikolaos Kazantzis
Hoang Kim Luong
Alexsandra S. Usatoff
Tara Impala
Rui Ying Yew
Stefan G. Hofmann
Publicatiedatum
15-05-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9920-y