A UNITED KINGDOM SURVEY OF ACCRED ITED COGNITIVE BEHAVIOUR THERAPISTS' ATTITUDES TOWARDS AND USE OF STRUCTURED SELF-HELP MATERIALS
Abstract
Self-help materials can be offered to clients/patients either for use alone (unsupported self-help) or to support work with a health care practitioner (supported self-help). Structured self-help materials that use a Cognitive Behaviour Therapy (CBT) treatment approach have been shown to be clinically effective. We report a national survey of all 500 cognitive and behavioural psychotherapists registered with the British Association for Behavioural and Cognitive Psychotherapies, the lead organisation for CBT in the United Kingdom. A total of 265 therapists responded (53%). Self-help materials were used by 88.7% of therapists and were mostly provided as a supplement to individual therapy. Self-help was most frequently used to help patients experiencing depression, anxiety and obsessive compulsive disorder and was largely delivered using paper-based formats. The majority of self-help materials used a CBT approach. Only 36.2% of therapists had been trained in how to use self-help treatments, and those who had received training recommended self-help treatments to more clients/patients per week and rated self-help approaches as being significantly more helpful than those who had not received training.
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Use of text material in face-to-face treatment is common among CBT practitioners.
“Use of text material in face-to-face treatment has been found to be common among CBT practitioners [27]”
From Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study (2013) · cites this paper as [27]
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Self-citationZigmond, T. S. (2006) · Psychiatric Bulletin · doi:10.1192/pb.30.8.319
Oot, J. P., Ryden, C., Shapiro, D. A., Goldberg, D. P., MANN, A. H., Marks, I. M., & Ay, J. A. G. (2004)
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Self-citationSleman, O., & Andersson, F. (2007) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Palmili, L. (2013) · UPT. Syiah Kuala University Library (Syiah Kuala University)
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- Authors
- Keeley, H., Williams, C., & Shapiro, D. A.
- Affiliations
- University of Leeds (GB)
- University of Glasgow (GB)
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2002-04
- Volume
- 30
- Issue
- 2
- Pages
- 193-203
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2080584883
- Cited by
- 52
- References
- 0
- Citations by year
- 2023: 1 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 5 · 2012: 3
- FWCI
- 6.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- Funders
- British Association for Behavioural and Cognitive Psychotherapies
- University of Leeds
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy, therapist attitudes, depression, anxiety, obsessive-compulsive disorder, United Kingdom
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