Sixty pdd patients received a 12week multidisciplinary cbasp program. A comparison of nefazodone, the cognitive behavioralanalysis system of psychotherapy, and their combination for the treatment of chronic depression. Open access protocol cognitivebehavioural analysis system. Comparative efficacy of the cognitive behavioral analysis system of psychotherapy versus supportive psychotherapy for early onset chronic depression. Cognitivebehavioural analysis system of psychotherapy cbasp is the only psychotherapy that has been specifically designed for chronic depression and has been examined in an increasing number of trials against medications, alone or in combination. The cognitive behavioral analysis system of psychotherapy cbasp as treatment for chronic depression chronic depression cd is a severe and disabling disorder that often begins in early childhood. Eightytwo patients who had responded to acute and continuation phase cbasp were randomized to monthly cbasp or assessment only for 1 year. The authors examined the efficacy of the cognitivebehavioral analysis system of psychotherapy cbasp as a maintenance treatment for chronic forms of mdd. The empirical status of cognitivebehavioral therapy. The second goal is to establish a perceptual connection between the patients behavior and the consequences that are produced. Pdf a comparison of nefazodone, the cognitive behavioral. Mccollough, 2000 is an integrative therapy for chronically depressed adults that combines components of cognitive, behavioral, interpersonal, and psychodynamic therapies.
In this study, we will therefore focus on the one psychotherapy that has been specifically designed for chronic depression, the cognitivebehavioural analysis system of psychotherapy cbasp. Cognitive behavioral analysis system of psychotherapy cbasp the techniques and tools of cbasp j. In the latter trial, the combination of psychotherapy cognitive behavioral analysis system of psychotherapy. The group workbook for treatment of persistent depression is a guide for patients suffering from persistent depression who participate in group therapy. Cbasp and medication turned out to be the most effective treatment for this patient group when compared to both monotherapies. Outpatients with nonpsychotic mdd with and without antecedent dysthymia, and with other comorbid mental and general medical conditions were included. The approach with the strongest empirical support is the cognitive behavioral analysis system of psychotherapy mccullough, 2000, the only psychotherapeutic method speci. Treating chronic depression with disciplined personal. James mccullough has developed a psychotherapeutic approach known as cognitive behavioral analysis system of psychotherapy cbasp specifically for chronic depression to overcome these deficits. Mcculloughs article in the journal of psychotherapy, treatment for chronic depression. Request pdf cognitive behavioral analysis system of psychotherapy. Cbasp has been identified by the american psychological association as having strong evidence for the treatment of persistent depressive disorder and is the therapy of choice for persistently.
Efficacy of the sequential integration of psychotherapy. The workbook provides handouts and skills training that require the help of a trained professional to teach and animate in a group format. Group workbook for treatment of persistent depression. This could be related to a higher rate of early trauma and specific deficits in cognitive and interpersonal functioning within this group of patients.
In this new volume, treating chronic depression with disciplined personal involvement. Cognitive behavioral analysis system of psychotherapy cbasp. Mccullough anad coauthor marvin goldfried have produced a treatment manual for the cognitive behavioral analysis system of psychotherapy cbasp, a new form of therapy for chronic depression. The cognitive behavioural analysis system of psychotherapy cbasp is a new therapy specifically designed to treat chronic depression. However, cbasp has never been directly compared to a nonspecific control treatment. Piagetian preoperational structural functioning in the socialinterpersonal arena maintains the disorder and causes cognitiveemotionalbehavioral patterns to remain on an immature level.
The aim of this article is to provide information and an explanation of cbasp that will equip mental health nurses with sufficient understanding of. In this paper an overview of the theories underpinning the cognitive behavioural analysis system of psychotherapy cbasp will be presented. Most of the patients underwent traumatic experiences in interpersonal relationships. A comparison of nefazodone, the cognitive behavioral analysis system of psychotherapy, and their combination for the treatment of chronic depression. Jim mccullough developed cognitive behavioral analysis system of psychotherapy, or cbasp, to treat chronic depression. Chapter discusses the cognitive behavioral analysis system of psychotherapy cbasp for chronic depression, and covers the integrative approach, the diagnosis of chronic depression, assessment, its applicability and structure, processes including structuralperceptual psychopathology, inability to generate empathy, and gross interpersonal skill deficits, methods used situational analysis. We adapted cbasp as inpatient treatment on a general acute psychiatric ward and evaluated its outcome and feasibility. Schramm psychiatry and psychotherapy, university medical center freiburg, freiburg im breisgau, germany chronic depression accounts for roughly a third of all mood disorders. Cbasp therapy has effectively treated both early and lateonset types of chronic depression. Psychotherapy of chronic depression there are a number of evidencebased methods of psychotherapy for the treatment of. Although mccullough has been writing about depression and the cognitive behavioural analysis system of psychotherapy cbasp for a number of years, the may 2000 publication in the new england journal of medicine of the results of a 12centre study of 681 outpatients with chronic depression, randomly assigned to nefazodone, cbasp, or both. Mccullough describes in detail what disciplined personal involvement is and how it is. Accordingly, part 1 of tile article describes tile chronically depressed adult, lie target individual for whoimi the cognitive behavioral analysis system of psychotherapy cbasp.
Cbasp cognitive behavioral analysis system of psychotherapy. Keller, mccullough, klein, arnow, dunner, gelenberg et al. The cognitive behavioral analysis system of psychotherapy cbasp is designed specifically for chronic depression and is based on donald kieslers interpersonal model, with the role of the psychotherapist being administered from a disciplined personal involvement perspective. Goals of cbasp psychotherapy the first goal is the establishment of dyadic safety in the therapy relationship. These latest guidelines expand on his pioneering work, treatment for chronic depression. Kim penberthy marianne liebingwilson bob macvicar john swan eric levander american psychological association 2018 annual convention san francisco, ca, usa august 2018. Openurl1crossref2pubmed3web of science4 q in patients with chronic major depressive disorder mdd, does the cognitive behavioural analysis system of psychotherapy cbasp prevent. To achieve its learning goals, cbasp has been operationalized such that the two major goals are learned in an. Another important result was that a longer duration of treatment had significant clinical benefits 3. Cognitivebehavioural analysis system of psychotherapy. Study protocol open access comparative efficacy of the. A disorderoriented, theorydriven psychotherapy method from the third generation of behavior therapy models, designed for the. The cognitive behavioral analysis system of psychotherapy cbasp. This treatment is based on the underlying theory that chronically depressed adults function at the preoperational stage of cognitive development, having either not progressed further in the case of early onset depression, or.
Jim mccullough, the psychologist who developed cbasp, noticed that there are certain patterns of thought that occur often in people with chronic depression global thinking. Cognitive behavioral analysis system of psychotherapy, cbasp. The cognitive behavioural analysis system of psychotherapy. Conceptually the biopsychosocial signs and symptoms of chronic depression are viewed as the result of either arrested maturational development at a piagetian preoperational stage in earlyonset patients or heightened emotionality and general functional. Cbasp has been shown to be as efficacious as medication singly, and in combination with antidepressant medication is associated. Cognitive behavioral therapy part 1 an overview cognitivebehavioraltherapy cbtisageneralclassificationofpsychotherapy,based onsociallearningtheory. Cognitive behavioral analysis system of psychotherapy cbasp is an evidence based treatment for chronic depression. Cognitive behavioral analysis system of psychotherapy cbasp was developed specifically for the chronically depressed patient. Cognitive behavioral analysis system of psychotherapycbasp. A transtheoretical analysis pdf in this, their 4th edition, prochaska and norcross have begun to achieve their goalto make the crosstheoretical themes stronger than the languagebound and often confusing differences among psychotherapy theorists. Cognitive behavioral analysis system of psychotherapy for. A disorderoriented, theorydriven psychotherapy method from the third generation of behavior therapy models, designed for the treatment of chronic depression, authord schoepf and peter neudeck, year2011. Cbasp is the only therapy model developed specifically for the treatment of chronic depression. The cpr reaction from the therapist makes explicit the consequences of the patients behavior on the clinician with the goal to modify the problem behavior of the patient.
Case formulation in cognitive behavioural analysis system. Comparative efficacy of the cognitive behavioral analysis. The first section talks about the psychopathology of depression and breaks down how to define whether the patient has earlyonset or lateonset depression. Many readers may be deterred by the description of it as a treatment manual and conclude that it is not of any further interest. Cognitive behavioral analysis system of psychotherapy and. The cognitive behavioral analysis system of psychotherapy cbasp was originally developed for outpatients with persistent depressive disorder pdd. This volume describes the cognitive behavioral analysis system of psychotherapy cbasp, a researchbased approach designed to motivate chronically depressed patients to change and to help them develop needed problemsolving and relationship skills.
J kim penberthy this cognitive behavioral analysis system of psychotherapy cbasp group manual is a treatment guide for mental health professionals working with persistently depressed individuals. Cognitive behavioral analysis system of psychotherapy. Cognitivebehavioral analysis system of psychotherapy as a maintenance treatment for chronic depression. A disorderoriented, theorydriven psychotherapy method from th e third generation 89 over a 37month period. The cognitive behavioral analysis system of psychotherapy. Pdf cognitive behavioral analysis system of psychotherapy. The cognitive behavioral analysis system of psychotherapy cbasp was developed specifically to treat the chronically or persistently depressed adult. Thinking in overly general terms or distorting the perception. Request pdf cognitive behavioral analysis system of psychotherapy the cognitive behavioral analysis system of psychotherapy cbasp. Jim mccullough, the psychologist who developed cbasp, noticed that there are certain patterns of thought that occur often in people with chronic depression. In contrast to the cognitive focus of mbct, cbasp mainly has an interpersonal orientation.
812 25 737 1395 195 870 533 362 1198 751 843 876 828 1200 1344 1120 1213 1058 387 767 170 516 1363 981 1077 1157 1224 1359 1450 505 355 1092 1073