Beck - Treatments of Dysfunctional Behaviour Flashcards

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1
Q

Ellis RET

A

Rational Emotive Theory.
Based on cognitive approach to treatment, the assumption that illogical thought processes cause dysfunctional behaviour, therefore need to be restructured.
ABC’s

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2
Q

A’s

A

activating event, contribute to psychological disturbance eg. being criticised

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3
Q

Bs

A

beliefs, influence psychological well-being

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4
Q

Cs

A

consequences, happen if you have the faulty and illogical beliefs.

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5
Q

Aim

A

To compare the effectiveness of cognitive therapy and drug therapy.
Pharmacotherapy and cognitive therapy.

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6
Q

Method

A

Controlled experiment, participants = random allocation to condition.
Independent measures design.

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7
Q

Sample

A

44 patients diagnoses with moderate to severe depression attending psychiatric outpatients clinics.

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8
Q

Procedure

A

Patients assessed with 3 self reports before treatment using Beck Depression Inventory, Hamilton Rating Scale and Rasking rating scale.
12 weeks:
- 1 hour cognitive therapy session twice a week
OR
- 100 imipramine capsules prescribed by visiting the doctor for 20 minute a week.

Cognitive therapy session were prescribed and controlled, therapists were observed to ensure reliability.

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9
Q

Findings

A
  • Both groups shows a significant decrease in depression on all three rating scales.
  • Cognitive therapy resulted in significantly greater improvement than did pharmacotherapy on self-administered measure of depression (Beck Depression Inventory) and clinical ratings (Hamilton or Rasking).
  • Cognitive treatment showed significantly greater improvements or complete remission of symptoms 78.9%, compared to 22.7% of pharmacotherapy.
  • Substantial decrease in anxiety ratings.
  • Follow-up contacts at three and six months indicate that treatment gains evident at termination were maintained over time.
  • 68% pharmacotherapy re entered treatment for depression, only 16% psychotherapy patients did.
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10
Q

Drop out rate

A

Cognitive therapy = 5%
Drug treatment group = 32%
Significantly higher with pharmacotherapy.

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11
Q

Conclusions

A

Cognitive therapy leads to a better treatment of depression than drug therapy. Shown by:

  • fewer symptoms reports and observed.
  • better adherence to treatment.
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