Problem Solving

Question 1

Problem solving is used for

Answer 1

Practical worries

Question 2

Borkovec et al 2004

Answer 2

Avoidance is an internal process preventing movement with worry

Question 3

Dugas et al 2003

Critique

Answer 3

Taking meds

25% 12 month

40% 6 month

Uncertainty as a factor preventing problem solving

GAD symptoms clinically insignificant

• 60% post- treatment
• 88% 6 month
• 83% 12 month
• 95% 24 month

Question 4

Worry is…

Answer 4

The inability to problem solve

• avoidance
• uncertainty
• meta cognitions

Question 5

Myners-Wallis et al 2000

Answer 5

Problem solving for depression

Question 6

Warmerdemetal 2008

Answer 6

Ccbt to support problem solving

Question 7

Arena et al 2008

Answer 7

PS older adults

Question 8

Problem solving stages

Answer 8

Myles & Rushford 2007
Mynors-Wallis & Lau 2010

Both state multiple stages are required

Identify the problem
Identify the possible solutions
Analyses strengths and weaknesses
Select a solution
Plan implementation
Review

Question 9

Williams 2009

Answer 9

Problem solving approach

Question 10

Problem solving can be delivered in two ways:

Answer 10

Package for managing depression Brosan & Hogan 2007 or Williams 2009

Or over four to six sessions: Mynors-Wallis & Lau 2010

Question 11

Problems within problem solving

Answer 11

Difficulty generating solutions

• depression triggers poor concentration, memory, reduced motivation and hopelessness
  
  • to counter this patient could ask for support from a friend or partner

Lack of assertiveness
- Williams et al 2009 assertiveness psycho-ed

Rumination gets in the way

• thinking about the situation can have adverse effects
• encourage active thinking

Question 12

Nolen-Hoeksemaa 1991

Answer 12

Rumination gets in the way of problem solving

THINK: vicious flower

Question 13

Bell & D’Zurilla 2008

Cuijpers et al 2007b

Answer 13

Problem solving is effective for working age and older adults for depression

Question 14

Problem solving is effective as brief standalone treatment for people with depression in primary care

Answer 14

Dowrick et al 2000

Mynors-Wallis et al 1995

Question 15

Dugas et al 1995

Answer 15

Anxiety disorders do not impair problem solving but they do impair problem orientation

Suggesting GAD patients know what they need to do to sort their problems out however are unable to attend to them-

Question 16

One anxiety disorder associated with lack of effective problem solving

Answer 16

GAD

Question 17

Dugas et al 1997

Answer 17

GAD- as they are unable to cope with the uncertainty and emotional arousal leading to avoidance