COGNITIVE-BEHAVIORAL THERAPY AS A SYSTEM OF PSYCHOTHERAPEUTIC FIRST CHOICE INTERVENTIONS IN THE TREATMENT OF ANXIETY DISORDERS

Keywords: anxiety disorders, post-traumatic stress disorder (PTSD), generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder (PD), negative automatic thoughts (NAM), cognitive model, cognitive-behavioral therapy (CBT)

Abstract

Purpose. The purpose of the article is to provide with a review of the cognitive-behavioral psychotherapyin the treatment of anxiety disorders. Methods. The methods include conducting a theoretical analysisof scientific research on cognitive-behavioral therapy (CBT) of anxiety disorders, identifying the targetsof providing psychotherapeutic help to people experiencing anxiety, reviewing the cognitive formulationof anxiety and the practical methods of working with anxiety in the CBT model. Results. The main targets of psychological assistance to people suffering from the symptoms of anxiety, as well as the internationalpractice of psychotherapeutic interventions for certain anxiety disorders have been studied. When anxietyincreases, patients’ attention focuses on what they perceive as threats. Anxious patients notice larger threatsand they may perceive neutral situations as threatening, they tend to overlook safety, and to be overly focusedon their anxiety-related thoughts, feelings, and behaviors. This interferes with their productivity and leadsto a decrease in activity, work capacity, and deterioration of mental health. The research shows that CBTreduces anxiety and is an effective treatment for anxiety disorders: social phobia, post-traumatic stressdisorder, generalized anxiety disorder, panic disorder, and obsessive-compulsive disorder. Conclusions.The fundamental idea in the cognitive-behavioral therapy is that the same events cause different reactionsdepending on the interpretation of these events by an individual. This basic idea which forms the cognitivemodel has an additional value as it helps to build the resilience, endurance and work capacity that every personneeds in the conditions of war. Cognitive-behavioral therapy has proven effectiveness and acts as a systemof psychotherapeutic interventions of first choice in the treatment of the anxiety disorders. The obtainedresearch data indicate that the acceptance and commitment therapy ACT, the psychodynamic psychotherapyare recognized as effective in the treatment of anxiety disorders. Prospects for further research are determined:conducting experimental research in the treatment of anxiety disorders in the conditions of war in Ukraine.

References

1. Bandelow, B., Werner, A., Kopp, I., Rudolf, S. Wiltink, J., Beutel, M. (2022). The German Guidelines for the treatment of anxiety disorders: first revision. European Archives of Psychiatry and Clinical Neuroscience. Retrieved from https://doi.org/10.1007/s00406-021-01324-1
2. Bricot, L., Chaperon, A. (2020). L’affirmation de soi. Malakoff: Dunod.
3. Beck, J., Beck, A. (2020). Cognitive behavior therapy: Basics and beyond (3rd ed.). New York: Guilford Press.
4. Beck, A., Rush, A., Shaw, B., Emery, G. (l979). Cognitive therapy of depression. New York: Guilford Press.
5. Borza, L. (2017). Cognitive-behavioral therapy for generalized anxiety. Dialogues in Clinical Neurosciences. Vol. 19. Retreived from https://doi.org/10.31887/DCNS.2017.19.2/lborza
6. Clark, D., Beck, A. (2011). Cognitive Therapy of Anxiety Disorders Science and Practice. New York: Guilford Press.
7. Cottraux, J. (2020). Les psychothérapies cognitives et comportementales. Issy-les-Moulineaux : Elsevier Masson.
8. Dunmore, E., Clark, D., Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent Posttraumatic Stress Disorder (PTSD) after physical or sexual assault. Behavior Research and Therapy, p. 1063-1084. Retrieved from https://doi.org/10.1016/S0005-7967(00)00088-7
9. Hatami, M., Golkar, M., Farshadi, S. (2021). Comparing the effect of cognitive-behavioral therapy and acceptance and commitment therapy of hope, reliance, and happiness of veterans with psychopathy. Laplage em Revista (International). Volume 7, 3A. p.707-718. Retrieved from doi:10.24115/S2446-6220202173A1761
10. Jalal, В., Kruger, Q., Hinton, D. (2018). Adaptation of CBT for Traumatized South African Indigenous Groups: Examples from Multiplex CBT for PTSD.
11. Cognitive and Behavioral Practice.Volume 25, Issue 2. p. 335–349. Retrieved from https://doi.org/10.1016/j.cbpra.2017.07.003
12. Kaczkurkin, A., Foa, E. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in Clinical Neuroscience, p. 347–346. Retrieved from doi: 10.31887/DCNS.2015.17.3/akaczkurkin
13. Kennerly, H., Kirk, J., Westbrook, D. (2011). An introduction to cognitive behavioral therapy. London: Sage.
14. Lynn, S. (2012). Post-traumatic Stress Disorder: Cognitive Hypnotherapy, Mindfulness, and Acceptance-Based Treatment Approaches. American Journal of Clinical Hypnosis. Retrieved from doi: 10.1080/00029157.2011.645913
15. Nezgovorova, V., Reid, J., Fineberg, N., Hollander, E. (2022). Optimizing first line treatments for adults with OCD. Comprehensive Psychiatry. Retrieved from https://doi.org/10.1016/j.comppsych.2022.152305
16. Palazzolo, J. (2023). Les essentiels des TCC. Paris : Hermann.
17. Salkovskis, P. (2007). Cognitive-behavioural treatment for panic. Psychiatry. Vol.6 (5), p. 193–197. Retrived from DOI: 10.1016/j.mppsy.2007.03.002
18. Watkins, L., Sprang, K., Rothbaum, B. (2018). Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions. Frontiers in Behavioral Neuroscience. Retrieved from doi: 10.3389/fnbeh.2018.00258
19. Wolitzky-Taylor, K., Horowitz, J., Powers, M., Telch, M. (2008). Psychological approaches in the treatment of specific phobias: A meta-analysis. Clinical Psychology Review, Volume 28, Issue 6. p. 1021–1037. Retrieved from https://doi.org/10.1016/j.cpr.2008.02.007
Published
2024-07-01
Pages
49-54