Alleviating distressing intrusive memories in depression: A comparison between computerised cognitive bias modification and cognitive behavioural education
Autor: | Emily Eva Holmes, Aliza Werner-Seidler, Jill M. Newby, Michelle L. Moulds, Tamara J. Lang |
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Jazyk: | angličtina |
Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Intrusiveness Cognitive bias modification Thoughts medicine.medical_treatment Memory Episodic Shorter Communication Experimental and Cognitive Psychology Affect (psychology) Medical Records 03 medical and health sciences Young Adult 0302 clinical medicine Memory medicine Humans 0501 psychology and cognitive sciences Imagery Psychiatry Psychiatric Status Rating Scales Cognitive Behavioral Therapy Autobiographical memory Depression Cognitive behaviour therapy 05 social sciences Distress Affect Clinical Psychology Psychiatry and Mental health Mood Therapy Computer-Assisted Intrusive memory Cognitive therapy Anxiety Female medicine.symptom Symptom Assessment Psychology 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Behaviour Research and Therapy |
ISSN: | 0005-7967 |
DOI: | 10.1016/j.brat.2014.03.001 |
Popis: | Negative appraisals maintain intrusive memories and intrusion-distress in depression, but treatment is underdeveloped. This study compared the efficacy of computerised bias modification positive appraisal training (CBM) versus a therapist-delivered cognitive behavioural therapy session (CB-Education) that both aimed to target and alter negative appraisals of a negative intrusive autobiographical memory. Dysphoric participants (Mean BDI-II = 27.85; N = 60) completed baseline ratings of a negative intrusive memory, negative appraisals and the Impact of Event Scale, and were randomly allocated either one session of CBM, CB-Education, or a no intervention monitoring control condition (Control). Mood and intrusion symptoms were assessed at one week follow-up. For all groups, there were significant reductions over one week in mood (depression and anxiety), memory intrusiveness and negative appraisals. Groups differed in terms of intrusion-related distress, with the CB-Education group showing greatest reduction, followed by the CBM group. The study provides evidence for the link between maladaptive appraisals of intrusive memories and distress in depressed mood. Further, both a single session of CB-Education and (to a lesser degree) CBM are useful in reducing intrusion-related distress. This study may have been underpowered to detect differences and replication is needed with larger samples. Highlights • We evaluated techniques that targeted negative appraisals of intrusive memories. • Compared one-session CBM and CBT interventions, versus Control. • CBT education was more effective than control in reducing distress at one week. • CBM of appraisals led to intermediate reductions in distress at one week. • Maladaptive appraisals of intrusions can be effectively reduced in depression. |
Databáze: | OpenAIRE |
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