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Cognitive Therapy01:25

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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Inpatient cognitive analytic therapy for functional neurological disorder: A mixed methods four-phase single-case

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Area of Science:

  • Psychiatry and Psychology
  • Neurology
  • Psychotherapy Research

Background:

  • Functional Neurological Disorder (FND) presents complex challenges in treatment.
  • Cognitive Analytic Therapy (CAT) is a psychotherapeutic approach that may be beneficial for FND.
  • Evaluating inpatient interventions for FND is crucial for improving patient outcomes.

Purpose of the Study:

  • To assess the efficacy of inpatient Cognitive Analytic Therapy (CAT) for functional neurological disorder (FND).
  • To investigate CAT's impact on associated suicidality and other patient-reported outcomes.
  • To evaluate the effectiveness of CAT within an inpatient psychiatric setting.

Main Methods:

  • Employed a single-case experimental A-B-C plus follow-up design over 61 days.
  • Intervention involved eight sessions of CAT, synchronized with reformulation, recognition, and revision phases.
  • Measured daily idiographic anxiety, depression, burden, emotion regulation, distrust, and seizure frequency; utilized PHQ-9 and GAD-7; conducted change interviews.

Main Results:

  • No significant change in seizure-free days was observed.
  • Positive increases in recognition and revision of target problems and procedures occurred.
  • Significant improvements in daily depression scores, PHQ-9, and GAD-7 were noted; personal changes were deemed impactful and therapy-dependent.

Conclusions:

  • Inpatient CAT demonstrated a partially effective intervention profile for FND.
  • The therapy showed promise in improving psychological distress but had limited impact on seizure frequency.
  • Further controlled research is necessary to establish CAT's role in FND treatment.