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A case series to examine whether people with learning disabilities can learn prerequisite skills for cognitive behavioural therapy
Open accessAbstract
Although cognitive behavioural therapy (CBT) is recommended for the treatment of a number of mental disorders among the general population, the ability of individuals with learning disabilities (LD) to understand CBT concepts and engage in CBT has been questioned. Aims: To examine whether specific prerequisite skills for CBT can be taught to people with LD using a newly developed training intervention and to investigate the acceptability of the intervention. Method: The study adopted a within-subjects case series research design. Quantitative assessment methods were used to evaluate the CBT skills of six adults with mild to moderate LD pre-intervention, following intervention and at 1-week follow-up. Participants were also asked to provide some qualitative feedback about how they had experienced the intervention. Results: The cognitive mediation skills and the ability of most participants to link activating events to emotions increased following intervention training and this improvement was maintained for four of them at follow-up. The feedback of participants regarding the process and content of the task demands was positive. Conclusions: The findings suggest that people with LD can learn some of the skills considered necessary to participate in CBT, such as cognitive mediation. However, further and more robust research is required to substantiate these findings.
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People with learning disabilities have historically been excluded from CBT interventions due to a perceived inability to participate and engage in the cognitive component of therapy.
“Yet historically, people with learning disabilities have been excluded from CBT interventions due to a perceived inability to participate and engage in the cognitive component of therapy.”
From Implementation of a CBT-based dental anxiety management pathway for patients with learning disabilities (2024) · cites this paper as [15]
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Metadata
- Authors
- Tsimopoulou, I., Kroese, B. S., Unwin, G., Azmi, S., & Jones, C.
- Affiliations
- University of Birmingham (GB)
- Birmingham Community Healthcare NHS Trust (GB)
- Corresponding author
- Kroese, Biza Stenfert
- Venue
- The Cognitive Behaviour Therapist
- Publisher
- Cambridge University Press (CUP)
- Published
- 2018
- Volume
- 11
- ISSN
- 1754-470X (ISSN-L)
- OpenAlex
- W2793293875
- Cited by
- 12
- References
- 68
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 2
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Cognitive Behaviour Therapist (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
- Funders
- University of Birmingham
- Alexander S. Onassis Public Benefit Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- learning disabilities, cognitive behavioral therapy, prerequisite skills, cognitive mediation, training program, acceptability, emotional awareness, mental illness
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