Direct effects of cognitive therapy skill acquisition on cognitive therapy skill use, idiosyncratic dysfunctional beliefs and emotions in distressed individuals: An experimental study
Open accessAbstract
Experimental studies that manipulate treatment procedures to investigate their direct effects on treatment processes and outcomes are necessary to find out the effective elements and improve the effects of cognitive behavioral therapy (CBT) for depression. The present study randomized mildly to severely depressed participants into a procedure focused on cognitive therapy skill acquisition (CTSA; n = 27) or a control procedure focused on being exposed to theories of automatic thinking (n = 25) and investigated the direct effects on cognitive therapy (CT) skill use, credibility of idiosyncratic dysfunctional beliefs and strength of emotions. After the procedure, participants were exposed to a sad mood induction and given an assignment to test their CT skills. Participants who received the CTSA procedure used more CT skills compared to participants that received the control procedure, but there were no differences between conditions in the decrease of the credibility of idiosyncratic dysfunctional beliefs and strength of emotions. However, in participants with mild levels of depression, those who underwent the CTSA procedure showed larger decrease in the credibility of their most malleable belief (i.e. mostly automatic negative thoughts) compared to those who received the control procedure, but the significance of these findings disappeared when controlling for differences in ratings of the procedures. Future experimental studies should focus on the effects of CT skill training in the long term, the dose of the procedure and individual patient differences to find out under what circumstances the use of CT skills can lead to a reduction in dysfunctional thinking and subsequent symptoms of depression.
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Suboptimal quantification of the active elements of cognitive-behavioral therapies has hampered progress in elucidating mechanisms of change.
“Suboptimal quantification of the active elements of cognitive-behavioral therapies has hampered progress in elucidating mechanisms of change.”
From Measuring the active elements of cognitive-behavioral therapies (2023) · cites this paper as Bruijniks, Los, & Huibers, 2020
The Introduction (page unavailable) says that CBT-for-depression research lacks studies isolating and manipulating therapeutic procedures, and that some measures of dysfunctional beliefs may be too insensitive to detect change. This supports a methodological obstacle to understanding mechanisms, but the paper does not specifically say that poor quantification of active therapy elements has hampered progress across cognitive-behavioral therapies. (LLM, conf=0.78)
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- Authors
- Bruijniks, S. J. E., Los, S. A., & Huibers, M. J. H.
- Affiliations
- Amsterdam Public Health (NL)
- Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Bruijniks, Sanne J.E.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 67
- Pages
- 101460
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2913435826
- Cited by
- 11
- References
- 43
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 4 · 2019: 1
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- depression, negative automatic thoughts, automatic thinking, treatment process, skills training
- MeSH terms
- Adult, Depression, Emotions, Female, Humans, Cognitive Behavioral Therapy, Young Adult
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