The Application of CBT for Adults with Learning Disabilities
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This chapter provides an evidence-based overview of predominantly cognitive behavioral interventions for common mental disorders, that is, anxiety and depression, undertaken in the field of intellectual disabilities (ID). The evidence was generated by reviewing international publications between 1980 and 2020 which identified the use of cognitive behavioral therapy (CBT), including third wave CBT therapies, and was also informed by our extensive clinical practice in the field of ID. The first section provides an outline of the historical and sociological context of psychological therapies and the possible barriers to CBT in an ID population. The chapter includes a summary of how intellectual disabilities, depression, and anxiety disorders are defined. It considers key issues, problems and solutions associated with applying CBT and its associated approaches in an ID population. Finally, two case vignettes introduce the reader to CBT techniques to illustrate ideas that will help clients using CBT to bring about a reduction in self-defeating behaviors. With the aid of a support worker and electronic sources, there is a much broader range of resources to help client and therapist journey and support the therapeutic alliance.
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Other research has demonstrated that a modified CBT approach can yield positive outcomes for people with learning disabilities who experience anger problems and depression.
“Other research has demonstrated that a modified CBT approach can yield positive outcomes for people with learning disabilities who experience anger problems and depression.”
From Implementation of a CBT-based dental anxiety management pathway for patients with learning disabilities (2024) · cites this paper as [18]
Cites
Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color
Crenshaw, K. (1991) · Stanford Law Review · doi:10.2307/1229039 · Cited by 29,585 · see citing works
Minority Stress and Mental Health in Gay Men
Meyer, I. H. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137286 · Cited by 4,264 · see citing works
(2014) · Cited by 1,541 · see citing works
Mental ill-health in adults with intellectual disabilities: prevalence and associated factors
Cooper, S., Smiley, E., Morrison, J. M., Williamson, A., & Allan, L. (2006) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.106.022483 · Cited by 1,338 · see citing works
Wechsler Adult Intelligence Scale
Szczepkowski, K. V., & Demakis, G. J. (2020) · Springer eBooks · doi:10.1007/978-3-319-24612-3_1034 · Cited by 1,085 · see citing works
Naturalistic Follow-up of a Behavioral Treatment for Chronically Parasuicidal Borderline Patients
Linehan, M. M. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240055007 · Cited by 910 · see citing works
Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M. J., Cropley, T. G., Hosmer, D., & Bernhard, J. D. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199809000-00020 · Cited by 826 · see citing works
Single-case experimental designs: a systematic review of published research and current standards
Smith, J. D. (2012) · Psychological Methods · doi:10.1037/a0029312 · Cited by 630 · see citing works
The third wave of cognitive behavioral therapy and the rise of process-based care
Hayes, S. C., & Hofmann, S. G. (2017) · World Psychiatry · doi:10.1002/wps.20442 · Cited by 613 · see citing works
Mental health of children and adolescents with intellectual disabilities in Britain
Emerson, E., & Hatton, C. (2007) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.038729 · Cited by 575 · see citing works
The revised cognitive therapy scale (CTS-R): psychometric properties.
Blackburn, I.-M., James, I. A., Milne, D. L., Baker, C., Standart, S., Garland, A., & Reichelt, F. K. (2001) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465801004040 · Cited by 568 · see citing works
Cognitive-Behavioral Interventions to Reduce Suicide Behavior: A Systematic Review and Meta-Analysis
Tarrier, N., Taylor, K., & Gooding, P. (2008) · Behavior Modification · doi:10.1177/0145445507304728 · Cited by 384 · see citing works
Taylor, D. J., & Pruiksma, K. E. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2014.902808 · Cited by 359 · see citing works
Ali, A., Scior, K., Ratti, V., Strydom, A., King, M., & Hassiotis, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070855 · Cited by 334 · see citing works
Self-citationCognitive behavioral therapy in anxiety disorders: current state of the evidence
Otte, C. (2011) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2011.13.4/cotte · Cited by 313 · see citing works
Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression.
Shaw, B. F., Elkin, I., Yamaguchi, J., Olmsted, M. P., Vallis, M., Dobson, K. S., Lowery, A., Sotsky, S. M., Watkins, J. T., & Imber, S. D. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.67.6.837 · Cited by 306 · see citing works
Cognitive Behavioral Therapy for Mood Disorders: Efficacy, Moderators and Mediators
Driessen, E., & Hollon, S. D. (2010) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2010.04.005 · Cited by 291 · see citing works
Kolb, A. Y., & Kolb, D. A. (2012) · Springer eBooks · doi:10.1007/978-1-4419-1428-6_227 · Cited by 275 · see citing works
Mindfulness-based therapy in adults with an autism spectrum disorder: a randomized controlled trial
Spek, A. A., van Ham, N. C., & Nyklíček, I. (2013) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2012.08.009 · Cited by 274 · see citing works
Fair tests of clinical trials: A treatment implementation model
Lichstein, K. L., Riedel, B. W., & Grieve, R. (1994) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(94)90001-9 · Cited by 244 · see citing works
Vereenooghe, L., & Langdon, P. E. (2013) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2013.08.030 · Cited by 240 · see citing works
Weston, L., Hodgekins, J., & Langdon, P. E. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.08.001 · Cited by 215 · see citing works
Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression.
Shaw, B. F., Elkin, I., Yamaguchi, J., et al. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.67.6.837 · Cited by 213 · see citing works
Cognitive‐Behaviour Therapy for People with Learning Disabilities
(1998) · Journal of Intellectual Disability Research · doi:10.1046/j.1365-2788.1998.00159.x · Cited by 196 · see citing works
Adolescents with Learning Disabilities at Risk? Emotional Well-Being, Depression, Suicide
Huntington, D. D., & Bender, W. N. (1993) · Journal of Learning Disabilities · doi:10.1177/002221949302600303 · Cited by 195 · see citing works
Reid, S. C., Kauer, S. D., Hearps, S. J., Crooke, A. H., Khor, A. S., Sanci, L. A., & Patton, G. C. (2011) · BMC Family Practice · doi:10.1186/1471-2296-12-131 · Cited by 192 · see citing works
Taylor, J. L., Novaco, R. W., Gillmer, B. T., Robertson, A., & Thorne, I. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29990 · Cited by 176 · see citing works
Carr, J. E., Coriaty, S., Wilder, D. A., Gaunt, B. T., Dozier, C. L., Britton, L. N., Avina, C., & Reed, C. L. (2000) · Research in Developmental Disabilities · doi:10.1016/s0891-4222(00)00050-0 · Cited by 164 · see citing works
Jonathan, M., & Richardson, A. (2008) · Tizard Learning Disability Review · doi:10.1108/13595474200800036 · Cited by 162 · see citing works
Willner, P., Jones, J., Tams, R., & Green, G. (2002) · Journal of Applied Research in Intellectual Disabilities · doi:10.1046/j.1468-3148.2002.00121.x · Cited by 152 · see citing works
McCabe, M. P., McGillivray, J., & Newton, D. C. (2006) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2005.00772.x · Cited by 116 · see citing works
Toward an Assessment of Suitability of People with Mental Retardation for Cognitive Therapy
Dagnan, D., Chadwick, P., & Proudlove, J. (2000) · Cognitive Therapy and Research · doi:10.1023/a:1005531226519 · Cited by 114 · see citing works
Ali, A., Hall, I., Blickwedel, J., & Hassiotis, A. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003406.pub4 · Cited by 109 · see citing works
Self-citationRose, J., Loftus, M., Flint, B., & Carey, L. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29972 · Cited by 107 · see citing works
Nicoll, M., Beail, N., & Saxon, D. H. (2012) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12013 · Cited by 107 · see citing works
Brown, J. F., Brown, M. Z., & Dibiasio, P. (2013) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2012.700684 · Cited by 104 · see citing works
Whitehouse, R. M., Tudway, J. A., Look, R., & Kroese, B. S. (2006) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1468-3148.2005.00281.x · Cited by 101 · see citing works
Mental health services for adults with learning disabilities
Bouras, N., & Holt, G. (2004) · The British Journal of Psychiatry · doi:10.1192/bjp.184.4.291 · Cited by 99 · see citing works
Multiculturalism and Disability: A critical perspective
Gilson, S. F., & DePoy, E. (2000) · Disability & Society · doi:10.1080/09687590025630 · Cited by 93 · see citing works
Cognitive Therapy Abilities in People with Learning Disabilities
Sams, K., Collins, S., & Reynolds, S. A. (2006) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1468-3148.2006.00303.x · Cited by 91 · see citing works
Jahoda, A. J., Hastings, R. P., Hatton, C., Cooper, S., Dagnan, D., Zhang, R., McConnachie, A., McMeekin, N., Appleton, K., Jones, R., et al. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30426-1 · Cited by 87 · see citing works
Assessment of the Component Skills for Cognitive Therapy in Adults with Intellectual Disability
Joyce, T., Globe, A., & Moody, C. (2006) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1468-3148.2005.00287.x · Cited by 78 · see citing works
Hassiotis, A., Serfaty, M. A., Azam, K., Strydom, A., Blizard, R., Romeo, R., Martin, S., & King, M. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.05.076 · Cited by 75 · see citing works
Self-citationSingh, N. N., Lancioni, G. E., Karazsia, B. T., Winton, A. S. W., Myers, R. E., Singh, A. N. A., Singh, A. D. A., & Singh, J. (2012) · Mindfulness · doi:10.1007/s12671-012-0180-8 · Cited by 75 · see citing works
McGillivray, J., McCabe, M. P., & Kershaw, M. M. (2007) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2007.09.005 · Cited by 74 · see citing works
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, A. N. A., Adkins, A. D., & Singh, J. (2010) · Psychology Crime and Law · doi:10.1080/10683160903392731 · Cited by 71 · see citing works
Haddock, G., Lobban, F. A., Hatton, C., & Carson, R. (2004) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.414 · Cited by 68 · see citing works
Brown, F. J., & Hooper, S. (2009) · Journal of Intellectual Disabilities · doi:10.1177/1744629509346173 · Cited by 64 · see citing works
Robertson, J. P., & Collinson, C. (2011) · Health Risk & Society · doi:10.1080/13698575.2011.556185 · Cited by 64 · see citing works
Single-Case Methods in Clinical Psychology: A Practical Guide
Morley, S. (2017) · doi:10.4324/9781315412931 · Cited by 63 · see citing works
Improving health and lives: The Learning Disabilities Public Health Observatory
Emerson, E., Glover, G. R., Turner, S., Greig, R., Hatton, C., Baines, S., Copeland, A., Evison, F., Roberts, H., Robertson, J., et al. (2012) · Advances in Mental Health and Intellectual Disabilities · doi:10.1108/20441281211198835 · Cited by 57 · see citing works
Cooney, P., Jackman, C., Coyle, D., & O’Reilly, G. (2017) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.117.198630 · Cited by 51 · see citing works
Jahoda, A. J., Dagnan, D., Kroese, B. S., Pert, C., & Trower, P. (2009) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2009.01189.x · Cited by 47 · see citing works
Emerson, E., Fortune, N., Aitken, Z., Hatton, C., Stancliffe, R. J., & Llewellyn, G. M. (2020) · Disability and health journal · doi:10.1016/j.dhjo.2020.100889 · Cited by 45 · see citing works
Willner, P., & Goodey, R. (2006) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1468-3148.2005.00279.x · Cited by 44 · see citing works
Hassiotis, A., Serfaty, M. A., Azam, K., Strydom, A., Martin, S., Parkes, C., Blizard, R., & King, M. (2011) · Trials · doi:10.1186/1745-6215-12-95 · Cited by 43 · see citing works
Self-citationMcGillivray, J., & Kershaw, M. M. (2013) · Journal of Intellectual Disability Research · doi:10.1111/jir.12110 · Cited by 42 · see citing works
Working with People with Learning Disabilities: Theory and Practice
Thomas, D., & Woods, H. (2003) · Thammasat University Digital Collections · Cited by 41 · see citing works
Haddock, K., & Jones, R. S. P. (2006) · Journal of Intellectual Disabilities · doi:10.1177/1744629506067612 · Cited by 36 · see citing works
Rose, N., O'Brien, A., & Rose, J. (2007) · Advances in Mental Health and Learning Disabilities · doi:10.1108/17530180200700031 · Cited by 33 · see citing works
Generalization of Anger‐Coping Skills from Day‐Service to Residential Settings
Willner, P., & Tomlinson, S. (2007) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1468-3148.2007.00366.x · Cited by 32 · see citing works
Evaluating an anxiety group for people with learning disabilities using a mixed methodology
Marwood, H., & Hewitt, O. M. (2012) · British Journal of Learning Disabilities · doi:10.1111/j.1468-3156.2012.00749.x · Cited by 32 · see citing works
Oxford Textbook of the Psychiatry of Intellectual Disability
Chauhan, U., Courtney, K., & Hoghton, M. (2020) · doi:10.1093/med/9780198794585.001.0001 · Cited by 32 · see citing works
Brown, M. J., & Marshall, K. F. (2006) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2006.00947.x · Cited by 30 · see citing works
Bowl, R. (1996) · International Journal of Social Psychiatry · doi:10.1177/002076409604200301 · Cited by 27 · see citing works
Vereenooghe, L., Reynolds, S. A., Gega, L., & Langdon, P. E. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.05.007 · Cited by 27 · see citing works
Acceptance and Commitment Therapy for Psychosis
Na, E. (2022) · Korean Journal of Schizophrenia Research · doi:10.16946/kjsr.2022.25.1.17 · Cited by 27 · see citing works
Boyden, P., Esscopri, N., Ogi, L., Brennan, A., & Kalsy, S. (2009) · Journal of Intellectual Disabilities · doi:10.1177/1744629509345394 · Cited by 22 · see citing works
Kirkland, J. (2005) · British Journal of Learning Disabilities · doi:10.1111/j.1468-3156.2005.00320.x · Cited by 21 · see citing works
Beail, N. (2017) · Advances in Mental Health and Intellectual Disabilities · doi:10.1108/amhid-09-2016-0021 · Cited by 21 · see citing works
Willner, P., Jahoda, A., Rose, J., Stenfert-Kroese, B., Hood, K., Townson, J., Nuttall, J., Gillespie, D., & Felce, D. (2011) · Trials · doi:10.1186/1745-6215-12-36 · Cited by 20 · see citing works
Scott, K. D., Hatton, C., Knight, R., Singer, K., Knowles, D., Dagnan, D., Hastings, R. P., Appleton, K., Cooper, S., Melville, C. A., et al. (2018) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12529 · Cited by 20 · see citing works
ACORNS: a tool for the visualisation and modelling of atypical development
Moore, D. G., & George, R. (2011) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2011.01471.x · Cited by 12 · see citing works
Coping With Criticism and Praise
Esdale, L., Jahoda, A. J., & Pert, C. (2015) · American Journal on Intellectual and Developmental Disabilities · doi:10.1352/1944-7558-120.3.258 · Cited by 12 · see citing works
Using Questions in Cognitive Therapy with People with Intellectual Disabilities
Dagnan, D., Pulford, H. J., Cathers, R., & Jahoda, A. J. (2015) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465815000193 · Cited by 6 · see citing works
Hassiotis, A., Serfaty, M. A., Azam, K., Strydom, A., Blizard, R., Romeo, R., Martin, S., & King, M. (2012) · Cited by 4 · see citing works
Self-citationPsychodynamic Psychotherapy in Learning Disability: Theory and Practice Revisited
Hassiotis, A. (1999) · Journal of Learning Disabilities for Nursing Health and Social Care · doi:10.1177/174462959900300208 · Cited by 4 · see citing works
Self-citationTROG: a communication test for service users
Broadway-Horner, M. (2020) · Learning Disability Practice · doi:10.7748/ldp.23.1.14.s13 · Cited by 2 · see citing works
Self-citationOrsmond, G. I., Seltzer, M. M., Krauss, M. W., & Hong, J. (2003) · American Journal on Mental Retardation · doi:10.1352/0895-8017(2003)108
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- Authors
- Serfaty, M., Broadway-Horner, M., & Hassiotis, A.
- Venue
- Evidence-Based Treatment for Anxiety Disorders and Depression
- Publisher
- Cambridge University Press
- Published
- 2021-12-31
- Pages
- 507-532
- OpenAlex
- W4205458051
- Cited by
- 1
- References
- 81
- Citations by year
- 2024: 1
- FWCI
- 1.63
- Type
- book chapter
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Cambridge University Press eBooks (publishedVersion)
- ChesterRep (University of Chester) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- cognitive behavioral therapy, intellectual disability, learning disabilities, anxiety disorders, depression, third-wave CBT, self-defeating behavior, therapeutic relationship, support staff
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