CBT For Anxiety Disorders E-Book

Gregoris Simos

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 587

Veröffentlichungsjahr: 2013

Beschreibung

CBT for Anxiety Disorders presents a comprehensive overview of the latest anxiety disorder-specific treatment techniques contributed by the foremost experts in various CBT approaches.

• Summarizes the state-of-the-art CBT approaches for each of the DSM anxiety disorders
• Represents a one-stop tool for researchers, clinicians, and students on CBT for anxiety disorders
• Features world leading CBT authors who provide an up to date description of their respective treatment approaches in a succinct, and clinician-tailored, fashion

Leseprobe

Contents

Cover

Title Page

Copyright

List of Contributors

List of Figures, Tables, and Boxes

Introduction

References

Chapter 1: Panic Disorder and Agoraphobia

Overview

Cognitive Behavioral Model

Components of Cognitive Behavioral Therapy

Science of Exposure Therapy

Differential Diagnosis

Comorbidity

Efficacy

Medication Management

Adaptations for Ethnic Subgroups

Summary

References

Chapter 2: Obsessive–Compulsive Spectrum Disorders: Diagnosis, Theory, and Treatment

Phenomenology and Symptom Presentation

Diagnosis and Epidemiology

Treatment Approaches

References

Chapter 3: Generalized Anxiety Disorder: Targeting Intolerance of Uncertainty

Problems with GAD Diagnosis and Treatment

Novel Psychological Treatments for GAD

A Cognitive Model of GAD Targeting IU

Case Conceptualization in CBT-IU

Cognitive Behavior Therapy Targeting IU

Psychoeducation and Worry Awareness Training

Uncertainty Recognition and Exposure

Reevaluation about the Usefulness of Worry

Problem-Solving Training

Processing Core Fears

Relapse Prevention

Issues in GAD Diagnosis and Assessment

Comorbidity and Differential Diagnosis

Additional Clinical Considerations

Concluding Remarks

References

Chapter 4: Social Anxiety Disorder: Treatment Targets and Strategies

Introduction

History of Cognitive Behavioral Therapy for SAD

Modern CBT for SAD

Treatment Efficacy

Case Example

Treatment Plan

Treatment Strategies

Conclusion

References

Chapter 5: Specific Phobias

Diagnostic Criteria for Specific Phobia

Differential Diagnoses

Comorbidity

Prevalence

Age of Onset

Gender Differences

Natural Course

Treatment Seeking

Cognitive Behavioral Therapy for Specific Phobias

Participant Modeling

Coping Techniques

Cognitive Therapy

Systematic Desensitization

Pharmacological Treatments

Efficacy of CBT for Specific Phobias

A Case of Multiple Specific Phobias This is an abbreviated description of the case described by Öst (1987c).

Summary and Conclusions

References

Chapter 6: Health Anxiety

Defining Health Anxiety

Assessment and Diagnostic Considerations

Cultural and Special Considerations

Summary

References

Chapter 7: Trauma-Focused Cognitive Behavior Therapy for Posttraumatic Stress Disorder and Acute Stress Disorder

Posttraumatic Stress Disorder and Acute Stress Disorder – the Clinical Picture

Development of Cognitive Behavioral Treatments for PTSD and ASD

Assessment of a Patient's Suitability for Trauma-Focused Psychological Treatment

Cognitive Therapy for PTSD

Medication Management

Complex Cases

Case Example

Acknowledgments

References

Chapter 8: Culturally Appropriate CBT for the Anxiety Disorders

Introduction

A Cultural Model of the Generation of Anxiety Disorders

Key Components of the Culturally Sensitive Treatment of Refugees and Ethnic Minorities

Conclusion

References

Chapter 9: Newer Generations of CBT for Anxiety Disorders

Introduction

How Did We Get Here: A Partial History of CBT?

Concepts and Processes Stressed in Newer Versions of CBT

Specific Processes Emphasized in Newer Generation CBTs

Another Way to Think about It, “the Umbrella of CBT”

Review of Newer Therapies for Anxiety

Where Should CBT Go from Here?

Need for Basic Research

Clinically Useful Psychological Processes

Psychological Processes, Techniques, and Then Treatment Packages

Need for Translation of Research Questions

Conclusion

References

Index

This edition first published 2013 © 2013 John Wiley & Sons, Ltd.

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Library of Congress Cataloging-in-Publication Data

CBT for anxiety disorders : a practitioner book / edited by Gregoris Simos and Stefan G. Hofmann. pages cm Includes bibliographical references. ISBN 978-0-470-97552-7 (cloth) – ISBN 978-0-470-97553-4 (pbk.) 1. Anxiety disorders – Treatment. 2. Cognitive therapy. I. Simos, Gregoris, 1953– editor of compilation. II. Hofmann, Stefan G., editor of compilation. III. Title: Cognitive behavior therapy for anxiety disorders. RC531.C42 2013 616.85′22–dc23 2012047737

A catalogue record for this book is available from the British Library.

Cover design by Cyan Design

List of Contributors

Gordon J.G. Asmundson, Department of Psychology, University of Regina, Regina, Canada

Jacqueline Bullis, Department of Psychology, Boston University, Boston, MA, USA

David A. Clark, Department of Psychology, University of New Brunswick, Fredericton, Canada

Michelle G. Craske, Department of Psychology, UCLA, Los Angeles, CA, USA

Jesse M. Crosby, McLean Hospital/Harvard Medical School, Belmont, MA, USA

Anke Ehlers, Department of Experimental Psychology, University of Oxford, Oxford, UK

Cassidy Gutner, Department of Psychology, Boston University, Boston, MA, USA

Devon E. Hinton, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Arbour Counseling Services, Lowell, MA, USA; Children's Hospital/Martha Eliot Health Center and Harvard Medical School, Jamaica Plain, MA, USA

Stefan G. Hofmann, Department of Psychology, Boston University, Boston, MA, USA

Lars-Göran Öst, Department of Psychology, Stockholm University, Stockholm, Sweden

Lena Reuterskiöld, Department of Psychology, Stockholm University, Stockholm, Sweden

Melisa Robichaud, Vancouver CBT Centre, Vancouver, Canada; University of British Columbia, Department of Psychiatry, Vancouver, Canada

Martin La Roche, Children's Hospital/Martha Eliot Health Center and Harvard Medical School, Jamaica Plain, MA, USA

Gregoris Simos, Department of Educational and Social Policy, University of Macedonia, Thessaloniki, Greece

Steven Taylor, Department of Psychiatry, University of British Columbia, Vancouver, Canada

Michel A. Thibodeau, Department of Psychology, University of Regina, Regina, Canada

Michael P. Twohig, Department of Psychology, Utah State University, Logan, UT, USA

Michelle R. Woidneck, Department of Psychology, Utah State University, Logan, UT, USA

Introduction

Gregoris Simos1 and Stefan G. Hofmann2

1University of Macedonia, Thessaloniki, Greece2Boston University, Boston, MA, USA

Anxiety disorders are some of the most prevalent disorders, affecting three out of ten people in their lifetime (Kessler et al., 2005). These disorders start early in life, negatively affect significant aspects of functioning, tend to be chronic and unremitting, and cause considerable psychological suffering and life impairments (Martin, 2003). In addition, they are highly comorbid with three out of four anxiety disorder patients experience at least one other mental disorder in their lifetime (Michael, Zetsche, and Margraf, 2007).

The efficacy of cognitive behavior therapy (CBT) for anxiety disorders in adults has been supported by multiple meta-analyses (Hofmann et al., 2012). For example, CBT is superior to no treatment and control treatments (Norton and Price, 2007; Olatunji, Cisler, and Deacon, 2010), including placebo control (Hofmann and Smits, 2008). The latter meta-analysis shows that CBT is associated with medium to large effect sizes over placebo, suggesting that, although effective, there is still considerable room for further improvement (Hofmann and Smits, 2008).

Research on the cognitive model of anxiety and the development of disorder-specific cognitive treatment protocols for anxiety disorders is a continuously evolving process (e.g., Clark and Beck, 2010). For this reason, we invited some of the foremost experts on CBT for anxiety disorders to provide an update of the contemporary state of the art of treating anxiety disorders. All chapters include the treatment rationale, concrete clinical case examples, therapist–patient dialogues and, where appropriate, subsections of techniques for dealing with treatment complications, comorbid disorders, and managing concurrent pharmacotherapy, and ethnicity.

The list of contributors and topics include “Panic Disorder and Agoraphobia” (Chapter 1) by Michelle G. Craske and Gregoris Simos; “Obsessive–Compulsive Spectrum Disorders: Diagnosis, Theory, and Treatment” (Chapter 2) by David A. Clark and Gregoris Simos; “Generalized Anxiety Disorder: Targeting Intolerance of Uncertainty” (Chapter 3) by Melisa Robichaud; “Social Anxiety Disorder: Treatment Targets and Strategies” (Chapter 4) by Stefan G. Hofmann, Jacqueline Bullis, and Cassidy Gutner; “Specific Phobias” (Chapter 5) by Lars-Göran Öst and Lena Reuterskiöld; “Health Anxiety” (Chapter 6) by Michel A. Thibodeau, Gordon J.G. Asmundson, and Steven Taylor; “Trauma-Focused Cognitive Behavior Therapy for Posttraumatic Stress Disorder and Acute Stress Disorder” (Chapter 7) by Anke Ehlers; “Culturally Appropriate CBT for the Anxiety Disorders” (Chapter 8) by Devon E. Hinton and Martin La Roche; and “Newer Generations of CBT for Anxiety Disorders” (Chapter 9) by Michael P. Twohig, Michelle R. Woidneck, and Jesse M. Crosby.

Our hope is that this text will provide the reader with up-to-date knowledge about the current state-of-the-art CBT approaches for anxiety disorders. We believe that it will be of interest to anyone who wants to help patients with anxiety disorders – practitioners in training, senior clinicians, researchers, residents, graduate psychology, and medical students.

References

Clark, D.A. and Beck, A.T. (2010) Cognitive Therapy of Anxiety Disorders: Science and Practice, Guilford Press, New York.

Hofmann, S.G. and Smits, J.A. (2008) Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 69, 621–632.

Hofmann, S.G., Asnaani, A., Vonk, I.J.J. et al. (2012) The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36, 427–440.

Kessler, R.C., Berglund, P., Demler, O. et al. (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602.

Martin, P. (2003) The epidemiology of anxiety disorders: a review. Dialogues in Clinical Neuroscience, 5, 281–298.

Michael, T., Zetsche, U., and Margraf, J. (2007) Epidemiology of anxiety disorders. Psychiatry, 6, 136–142.

Norton, P.J. and Price, E.C. (2007) A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders. Journal of Nervous and Mental Diseases, 195, 521–531.

Olatunji, B.O., Cisler, J.M., and Deacon, B.J. (2010) Efficacy of cognitive behavioral therapy for anxiety disorders: a review of meta-analytic findings. Psychiatric Clinics of North America, 33, 557–577.