Effectiveness of therapies

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  • Created by: freya_bc
  • Created on: 21-01-17 17:05
Eysenck, (1952)
better success rate without therapy- electic therapy 64% slight improvement compared to 44%, 72% better off with GP intervention
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Smith and Glass, (1977)
average person receiving treatment is 75% better off than untreated individual
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Psychodynamic issue
evidence for success is limited as struggle to get research due to privacy in therapy
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Wampold, (2006)
little difference across therapies
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Lambert and Ogles, (2004)
BUT where there are differences CBT is preferred
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Dare et al., (2001)
compared STPP with other therapies, 33% STPP no longer met DSM criteria compared to 5% routine
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Fonagy, (2005)
Psychodynamic therapy effective when specific
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Leichsenring, (2001)
6 RCTs comparing STPP and CBT no evidence that one more effective than other
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Khele, (2008)
HEP lack evidence therefore little interest from NICE
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Rosenzweig, (1936)
common rather than specific factors, DODO BIRD CONJECTURE, not one therapy approach that's better than others- all just as good
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Wampold, (2006)
meta analyses- all therapies lead to comparable effect sizes- DODO BIRD EFFECT- fits well with common factors
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Lambert and Bergin, (1994)
common factors more frequently studied: accurate, empathy, positive regard, congruence or genuineness. Variation how much due to therapy and how much other factors 85% unspec factors
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Asay and Lambert, (1999)
Lambert's Pie- est how much to do with specific techniques and how much something that wasnt specific to therapy type. Technique 15%, expectancy/placebo 15%, t rel 30% client variables 40%
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Why PCT struggle for NICE recog?
EBT stats better suited to therapies adopting DSM categories using specific techniques to treat specific symptoms, reject m model bearly any techniques in PCT treat person not symptoms
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King et al., (2000)
HEP good for dep RCT brief psychotherapy 12 sessions bs PCT both equally effective in reducing mild/mod dep symptoms therefore PCT recommended for dep
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Gibbard and Hanley, (2000)
PCT effective for anx/dep over 5 years, not limited to mild/mod but also mod/severe
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Sturmpfel and Goldman, (2002)
Gestalt as effective as cog therapy and PCT with dep and phobias
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Khele, (2008)
NICE guidelines recommend forms of CBT for dep, GAD, SAD, phobia bipolar, bulimia, OCD, PTSD, schiz
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Rachman and Wilson, (2008)
NICE systematic review- effectiveness of CBT for dep/anx. In 2008 gov alloc 300 mil to improving access to psych therapies (IAPT)
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De Rubeis, (2005)
CBT for depression- severe MDD RCT: placebo vs antidep vs CT, CT as effective as antidep, more effective than placebo
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Hollon et al., (2005)
episodic/LT research importan, CT has enduring effect- protects against symptom return
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Kani, (2015)
CBT for phobia/anx-CBT for dental phobia following av 5 sessions, 79% had treatment without sedation
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Kendall, (1994, 1997)
coping cat CBT programme for 9-13yo- improvement in self and parent related anx scores
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Smith and Glass, (1977)

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average person receiving treatment is 75% better off than untreated individual

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Psychodynamic issue

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Card 4

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Wampold, (2006)

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Lambert and Ogles, (2004)

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