RSS-Feed abonnieren
DOI: 10.1055/s-0042-1750851
Cognitive Behavioral Therapy: Principles, Science, and Patient Selection in Neurology
Funding L.W. is currently funded by the Chief Scientist Office of the Scottish Government with a grant for examining cognitive phenotypes in long COVID.![](https://www.thieme-connect.de/media/sin/202202/lookinside/thumbnails/10-1055-s-0042-1750851_220003-1.jpg)
Abstract
Cognitive behavioral therapy (CBT) is a widely used therapeutic modality in general psychiatric practice. In this review, we consider its application to neurological disorders. We examine the basic framework of CBT—that symptoms, emotions, thoughts, and behaviors are all interrelated and that therapeutic interventions that lead to change in thoughts or behavior may have the potential to reduce symptoms or emotional distress. We also outline specific methodological issues to consider when reading or planning studies of CBT interventions, highlighting important topics pertaining to quality control, control group selection, dropouts, and generalizability. We then review the evidence base for CBT's use across a range of neurological disorders. In doing so, we highlight where there is a clear evidence base, and where it is a technique with potential. The review is targeted at a general neurology audience as introduction to the topic not as an advanced guide for expert practitioners.
Publikationsverlauf
Artikel online veröffentlicht:
08. Juni 2022
© 2022. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Beck AT. Thinking and depression: I. Idiosyncratic content and cognitive distortions. Arch Gen Psychiatry 1963; 9 (04) 324-333
- 2 Beck AT. Thinking and depression: II. Theory and therapy. Arch Gen Psychiatry 1964; 10 (06) 561-571
- 3 Epictetus. The Enchiridion. 2nd ed.. Liberal Arts Press; 1955
- 4 Kant I. Lectures on Logic (The Cambridge Edition of the Works of Immanuel Kant). 2nd ed.. Cambridge University Press; 2009
- 5 Nakao M, Barsky AJ. Clinical application of somatosensory amplification in psychosomatic medicine. Biopsychosoc Med 2007; 1: 17
- 6 Perez DL, Barsky AJ, Vago DR, Baslet G, Silbersweig DA. A neural circuit framework for somatosensory amplification in somatoform disorders. J Neuropsychiatry Clin Neurosci 2015; 27 (01) e40-e50
- 7 Dubois P. Les Psychonevroses et Leur Traitement Moral. Masson;; 1904
- 8 Button KS, Munafò MR. Addressing risk of bias in trials of cognitive behavioral therapy. Shanghai Jingshen Yixue 2015; 27 (03) 144-148
- 9 Jauhar S, McKenna PJ, Radua J, Fung E, Salvador R, Laws KR. Cognitive-behavioural therapy for the symptoms of schizophrenia: systematic review and meta-analysis with examination of potential bias. Br J Psychiatry 2014; 204 (01) 20-29
- 10 Walwyn R, Roberts C. Therapist variation within randomised trials of psychotherapy: implications for precision, internal and external validity. Stat Methods Med Res 2010; 19 (03) 291-315
- 11 Ysrraelit MC, Fiol MP, Gaitán MI, Correale J. Quality of life assessment in multiple sclerosis: different perception between patients and neurologists. Front Neurol 2018; 8 (JAN): 729
- 12 Ward NS, Brander F, Kelly K. Intensive upper limb neurorehabilitation in chronic stroke: outcomes from the Queen Square programme. J Neurol Neurosurg Psychiatry 2019; 90 (05) 498-506
- 13 Turner-Stokes L, Williams H, Bill A, Bassett P, Sephton K. Cost-efficiency of specialist inpatient rehabilitation for working-aged adults with complex neurological disabilities: a multicentre cohort analysis of a national clinical data set. BMJ Open 2016; 6 (02) e010238
- 14 Sackley CM, Walker MF, Burton CR. et al; OTCH Trial Investigators. An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial. BMJ 2015; 350: h468
- 15 Furukawa TA, Noma H, Caldwell DM. et al. Waiting list may be a nocebo condition in psychotherapy trials: a contribution from network meta-analysis. Acta Psychiatr Scand 2014; 130 (03) 181-192
- 16 National Collaborating Centre for Mental Health (UK).. Depression in Adults with a Chronic Physical Health Problem: Treatment and Management. Leicester, UK: British Psychological Society (UK);; 2010
- 17 Fernie BA, Kollmann J, Brown RG. Cognitive behavioural interventions for depression in chronic neurological conditions: a systematic review. J Psychosom Res 2015; 78 (05) 411-419
- 18 Dolan N, Simmonds-Buckley M, Kellett S, Siddell E, Delgadillo J. Effectiveness of stress control large group psychoeducation for anxiety and depression: systematic review and meta-analysis. Br J Clin Psychol 2021; 60 (03) 375-399
- 19 Guttmacher JA, Birk L. Group therapy: what specific therapeutic advantages?. Compr Psychiatry 1971; 12 (06) 546-556
- 20 Noble AJ, Reilly J, Temple J, Fisher PL. Cognitive-behavioural therapy does not meaningfully reduce depression in most people with epilepsy: a systematic review of clinically reliable improvement. J Neurol Neurosurg Psychiatry 2018; 89 (11) 1129-1137
- 21 Reuber M. Cognitive-behavioural therapy does meaningfully reduce depression in people with epilepsy. J Neurol Neurosurg Psychiatry 2018; 89 (11) 1127
- 22 Carson AJ, Ringbauer B, MacKenzie L, Warlow C, Sharpe M. Neurological disease, emotional disorder, and disability: they are related: a study of 300 consecutive new referrals to a neurology outpatient department. J Neurol Neurosurg Psychiatry 2000; 68 (02) 202-206
- 23 Juang KD, Wang SJ, Fuh JL, Lu SR, Su TP. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache 2000; 40 (10) 818-823
- 24 Pontone GM, Williams JR, Anderson KE. et al. Prevalence of anxiety disorders and anxiety subtypes in patients with Parkinson's disease. Mov Disord 2009; 24 (09) 1333-1338
- 25 Korostil M, Feinstein A. Anxiety disorders and their clinical correlates in multiple sclerosis patients. Mult Scler 2007; 13 (01) 67-72
- 26 Chun HYY, Whiteley WN, Dennis MS, Mead GE, Carson AJ. Anxiety after stroke the importance of subtyping. Stroke 2018; 49 (03) 556-564
- 27 Moonen AJH, Mulders AEP, Defebvre L. et al. Cognitive behavioral therapy for anxiety in Parkinson's disease: a randomized controlled trial. Mov Disord 2021; 36 (11) 2539-2548
- 28 Chun HYY, Carson AJ, Tsanas A. et al. Telemedicine cognitive behavioral therapy for anxiety after stroke: proof-of-concept randomized controlled trial. Stroke 2020; 51 (08) 2297-2306
- 29 Gil-González I, Martín-Rodríguez A, Conrad R, Pérez-San-Gregorio MÁ. Quality of life in adults with multiple sclerosis: a systematic review. BMJ Open 2020; 10 (11) e041249
- 30 Billones R, Liwang JK, Butler K, Graves L, Saligan LN. Dissecting the fatigue experience: a scoping review of fatigue definitions, dimensions, and measures in non-oncologic medical conditions. Brain Behav Immun Health 2021; 15: 100266
- 31 Penner IK, Paul F. Fatigue as a symptom or comorbidity of neurological diseases. Nat Rev Neurol 2017; 13 (11) 662-675
- 32 van Kessel K, Moss-Morris R. Understanding multiple sclerosis fatigue: a synthesis of biological and psychological factors. J Psychosom Res 2006; 61 (05) 583-585
- 33 Harrison AM, Safari R, Mercer T. et al. Which exercise and behavioural interventions show most promise for treating fatigue in multiple sclerosis? A network meta-analysis. Mult Scler 2021; 27 (11) 1657-1678
- 34 Knoop H, van Kessel K, Moss-Morris R. Which cognitions and behaviours mediate the positive effect of cognitive behavioural therapy on fatigue in patients with multiple sclerosis?. Psychol Med 2012; 42 (01) 205-213
- 35 White PD, Goldsmith KA, Johnson AL. et al; PACE Trial Management Group. Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial. Lancet 2011; 377 (9768): 823-836
- 36 Cousins S, Ridsdale L, Goldstein LH, Noble AJ, Moorey S, Seed P. A pilot study of cognitive behavioural therapy and relaxation for migraine headache: a randomised controlled trial. J Neurol 2015; 262 (12) 2764-2772
- 37 Harris P, Loveman E, Clegg A, Easton S, Berry N. Systematic review of cognitive behavioural therapy for the management of headaches and migraines in adults. Br J Pain 2015; 9 (04) 213-224
- 38 Okai D, Askey-Jones S, Samuel M. et al. Trial of CBT for impulse control behaviors affecting Parkinson patients and their caregivers. Neurology 2013; 80 (09) 792-799
- 39 Gutkin M, McLean L, Brown R, Kanaan RA. Systematic review of psychotherapy for adults with functional neurological disorder. J Neurol Neurosurg Psychiatry 2020; 92 (01) 36-44
- 40 Goldstein LH, Robinson EJ, Mellers JDC. et al; CODES Study Group. Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial. Lancet Psychiatry 2020; 7 (06) 491-505
- 41 Carson A, Ludwig L, Welch K. Psychologic theories in functional neurologic disorders. Handb Clin Neurol 2016; 139: 105-120