Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-pftt2 Total loading time: 0 Render date: 2024-05-11T20:50:24.928Z Has data issue: false hasContentIssue false

Chapter 15 - Psychological Treatment

Published online by Cambridge University Press:  04 January 2024

Rachel Thomasson
Affiliation:
Manchester Centre for Clinical Neurosciences
Elspeth Guthrie
Affiliation:
Leeds Institute of Health Sciences
Allan House
Affiliation:
Leeds Institute of Health Sciences
Get access

Summary

Psychological therapies are used widely in liaison mental health settings to treat individuals with a variety of different mental health problems. The three most common clinical problem areas, however, are persistent physical symptoms (PPS), depression/anxiety associated with physical disease and self-harm. There is a relatively strong evidence base for treatments which target PPS, albeit with certain caveats, whereas the evidence for co-morbid depression/anxiety is quite weak. Psychological treatments for self-harm are discussed in Chapter 5. The most common psychological intervention is cognitive behavioural therapy (CBT), for which there is a large evidence base. There is, however, no clear evidence that CBT is superior to most other bona fide therapies which are currently delivered in a National Health Service (NHS) setting.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baskin, TW, Tierney, S, Minami, T et al. Establishing specificity in psychotherapy: A meta-analysis of structural equivalence of placebo controls. J Consult Clin Psychol. 2003;71(6):973–9.CrossRefGoogle ScholarPubMed
Menon, V, Rajan, T, Kuppili, P et al. Cognitive behavior therapy for medically unexplained symptoms: A systematic review and meta-analysis of published controlled trials. Indian J Psychol Med. 2017;39(4):399406.CrossRefGoogle ScholarPubMed
Robinson, L, Delgadillo, J, Kellett, S. The dose-response effect in routinely delivered psychological therapies: A systematic review. Psychother Res. 2020;30(1):7996.CrossRefGoogle ScholarPubMed
Zijlema, WL, Stolk, R, Lowe, B et al. How to assess common somatic symptoms in large-scale studies: A systematic review of questionnaires. J Psychosom Res. 2013;74(6):459–68.CrossRefGoogle ScholarPubMed
Huibers, MJ, Cohen, Z, Lemmens, L et al. Predicting optimal outcomes in cognitive therapy or interpersonal psychotherapy for depressed individuals using the personalized advantage index approach. PLoS One. 2015;10(11):e0140771.CrossRefGoogle ScholarPubMed
Delgadillo, J, Gonzalez Salas Duhne, P. Targeted prescription of cognitive-behavioral therapy versus person-centered counseling for depression using a machine learning approach. J Consult Clin Psychol. 2020;88(1):1424.CrossRefGoogle ScholarPubMed
Friedl, N, Berger, T, Krieger, T et al. Using the Personalized Advantage Index for individual treatment allocation to cognitive behavioral therapy (CBT) or a CBT with integrated exposure and emotion-focused elements (CBT-EE). Psychother Res. 2020;30(6):763–75.CrossRefGoogle ScholarPubMed
van Dessel, N, den Boeft, M, van der Wouden, J et al. Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. Cochrane Database Syst Rev. 2014;11:CD011142.Google Scholar
Abbass, A, Lumley, M, Town, J et al. Short-term psychodynamic psychotherapy for functional somatic disorders: A systematic review and meta-analysis of within-treatment effects. J Psychosom Res. 2021:110473.CrossRefGoogle Scholar
Price, JR, Tidy, ME, Hunot, V. Cognitive behaviour therapy for chronic fatigue syndrome in adults. In Cochrane Database of Systematic Reviews. London; 2008.Google Scholar
Castell, BD, Moss-Morris, RE. Cognitive behavioral therapy and graded exercise for chronic fatigue syndrome: A meta-analysis. Clin Psychol Sci. 2011;18:311–24.Google Scholar
Marques, MM, de Gucht, V, Gouveia, M et al. Differential effects of behavioral interventions with a graded physical activity component in patients suffering from chronic fatigue (syndrome): An updated systematic review and meta-analysis. Clin Psychol Rev. 2015;40:123–37.CrossRefGoogle ScholarPubMed
Kim, DY, Lee, JS, Park, SY et al. Systematic review of randomized controlled trials for chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). J Transl Med. 2020;18(1):7.CrossRefGoogle ScholarPubMed
Cochrane, M, Mitchell, E, Hollingworth, W et al. Cost-effectiveness of interventions for chronic fatigue syndrome or myalgic encephalomyelitis: A systematic review of economic evaluations. Appl Health Econ Health Policy. 2021;19(4):473–86.CrossRefGoogle ScholarPubMed
Ford, AC, Harris, LA, Quigley, EMM, Moayyed, P. Effect of antidepressants and psychological therapies in irritable bowel syndrome: An updated systematic review and meta-analysis. Am J Gastroenterol. 2019;114:2139.CrossRefGoogle ScholarPubMed
Laird, KT, Tanner-Smith, EE, Russell, AC et al. Short-term and long-term efficacy of psychological therapies for irritable bowel syndrome: A systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2016;14(7):937–47, e4.CrossRefGoogle ScholarPubMed
Black, CJ, Thakur, ER, Houghton, LA et al. Efficacy of psychological therapies for irritable bowel syndrome: Systematic review and network meta-analysis. Gut. 2020;69(8):1441–51.CrossRefGoogle ScholarPubMed
Krouwel, M, Farley, A, Greenfield, S et al. Systematic review, meta-analysis with subgroup analysis of hypnotherapy for irritable bowel syndrome: Effect of intervention characteristics. Complement Ther Med. 2021;57:102672.CrossRefGoogle ScholarPubMed
Carlson, P. Psychological interventions for psychogenic non-epileptic seizures: A meta-analysis. Seizure. 2017;45:142–50.CrossRefGoogle ScholarPubMed
Gutkin, M, Brown, R, Kanaan, RA. Systematic review of psychotherapy for adults with functional neurological disorder. J Neurol Neurosurg Psychiatry. 2020:321926.CrossRefGoogle Scholar
Sheard, T, Maguire, P. The effect of psychological interventions on anxiety and depression in cancer patients: Results of two meta-analyses. Br J Cancer. 1999;80(11):1770–80.CrossRefGoogle ScholarPubMed
Jassim, GA, Hickey, A, Carter, B. Psychological interventions for women with non-metastatic breast cancer. Cochrane Database of Systematic Reviews. 2015:CD008729.CrossRefGoogle Scholar
Richardson, AE, Broadbent, E, Morton, RP. A systematic review of psychological interventions for patients with head and neck cancer. Support Care Cancer. 2019;27(6):2007–21.CrossRefGoogle ScholarPubMed
Cillessen, L, Johannsen, M, Speckens, AEM et al. Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: A systematic review and meta-analysis of randomized controlled trials. Psychooncology. 2019;28(12):2257–69.CrossRefGoogle ScholarPubMed
Guarino, A, Polini, C, Forte, G et al. The effectiveness of psychological treatments in women with breast cancer: A systematic review and meta-analysis. J Clin Med. 2020;9(1).CrossRefGoogle ScholarPubMed
Mundle, R, Afenya, E, Agarwal, N. The effectiveness of psychological intervention for depression, anxiety, and distress in prostate cancer: A systematic review of literature. Prostate Cancer Prostatic Dis. 2021; 24(3):674–87.CrossRefGoogle ScholarPubMed
Coventry, PA, Bower, P, Keyworth, C et al. The effect of complex interventions on depression and anxiety in chronic obstructive pulmonary disease: Systematic review and meta-analysis. PLoS One. 2013;8(4):e60532.CrossRefGoogle ScholarPubMed
Farver-Vestergaard, I, Jacobsen, D, Zachariae, R. Efficacy of psychosocial interventions on psychological and physical health outcomes in chronic obstructive pulmonary disease: A systematic review and meta-analysis. Psychother Psychosom. 2015;84(1):3750.CrossRefGoogle ScholarPubMed
Zhang, X, Yin, C, Tian, W et al. Effects of cognitive behavioral therapy on anxiety and depression in patients with chronic obstructive pulmonary disease: A meta-analysis and systematic review. Clin Respir J. 2020;14(10):891900.CrossRefGoogle ScholarPubMed
Ma, RC, Chin, YY, Wang, YQ et al. Effectiveness of cognitive behavioural therapy for chronic obstructive pulmonary disease patients: A systematic review and meta-analysis. Complement Ther Clin Pract. 2020;38:101071.CrossRefGoogle ScholarPubMed
Uchendu, C, Blake, H. Effectiveness of cognitive-behavioural therapy on glycaemic control and psychological outcomes in adults with diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials. Diabet Med. 2017;34(3):328–39.CrossRefGoogle ScholarPubMed
Li, C, Xu, D, Hu, M et al. A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for patients with diabetes and depression. J Psychosom Res. 2017;95:4454.CrossRefGoogle ScholarPubMed
Winkley, K, Upsher, R, Stahl, D et al. Psychological interventions to improve self-management of type 1 and type 2 diabetes: A systematic review. Health Technol Assess. 2020;24(28):1232.CrossRefGoogle ScholarPubMed
Berhe, KK, Gebru, HB, Kahsay, HB. Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis). PLoS One. 2020;15(10):e0240839.CrossRefGoogle ScholarPubMed
Ngan, HY, Chong, YY, Chien, WT. Effects of mindfulness- and acceptance-based interventions on diabetes distress and glycaemic level in people with type 2 diabetes: Systematic review and meta-analysis. Diabet Med. 2021;38(4):e14525.CrossRefGoogle ScholarPubMed
Salmon, P, Ring, A, Dowrick, CF et al. What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized? J Psychosom Res. 2005;59(4):255–60; discussion 261–2.CrossRefGoogle ScholarPubMed
Baardseth, TP, Goldberg, SB, Pace, BT et al. Cognitive-behavioral therapy versus other therapies: Redux. Clin Psychol Rev. 2013;33(3):395405.CrossRefGoogle ScholarPubMed
Wampold, BE, Minami, T, Baskin, TW et al. A meta-(re)analysis of the effects of cognitive therapy versus ‘other therapies’ for depression. J Affect Disord, 2002;68(2–3):159–65.CrossRefGoogle ScholarPubMed
Paley, G, Cahill, J, Barkham, M et al. The effectiveness of psychodynamic-interpersonal therapy (PIT) in routine clinical practice: A benchmarking comparison. Psychol Psychother. 2008;81(Pt 2):157–75.CrossRefGoogle ScholarPubMed
Wakefield, S, Delgadillo, J, Kellett, S et al. The effectiveness of brief cognitive analytic therapy for anxiety and depression: A quasi-experimental case-control study. Br J Clin Psychol. 2021;60(2):194211.CrossRefGoogle ScholarPubMed
Barkham, M, Saxon, D. The effectiveness of high-intensity CBT and counselling alone and following low-intensity CBT: A reanalysis of the 2nd UK National Audit of Psychological Therapies data. BMC Psychiatry. 2018;18(1):321.CrossRefGoogle Scholar
Chalder, T, Patel, M, James, K et al. Persistent physical symptoms reduction intervention: A system change and evaluation in secondary care (PRINCE secondary) – A CBT-based transdiagnostic approach: study protocol for a randomised controlled trial. BMC Psychiatry. 2019;19(1):307.CrossRefGoogle ScholarPubMed
Barkham, M, Guthrie, E, Hardy, G, Margison, F. Psychodynamic-Interpersonal Therapy. London; 2017.Google Scholar
Pei, JH, Ma, T, Nan, RL et al. Mindfulness-based cognitive therapy for treating chronic pain: A systematic review and meta-analysis. Psychol Health Med. 2021;26(3):333–46.CrossRefGoogle ScholarPubMed
Zhou, B, Wang, G, Hong, Y et al. Mindfulness interventions for rheumatoid arthritis: A systematic review and meta-analysis. Complement Ther Clin Pract. 2020;39:101088.CrossRefGoogle ScholarPubMed
Dindo, L, Van Liew, JR, Arch, JJ. Acceptance and commitment therapy: A transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics. 2017;14(3):546–53.CrossRefGoogle ScholarPubMed
Patterson, DR, Jensen, MP. Hypnosis and clinical pain. Psychol Bull. 2003;129(4):495521.CrossRefGoogle ScholarPubMed
Brown, D. Evidence-based hypnotherapy for asthma: A critical review. Int J Clin Exp Hypn. 2007;55(2):220–49.CrossRefGoogle ScholarPubMed
Weissman, MM. Interpersonal psychotherapy: History and future. Am J Psychother. 2020;73(1):37.CrossRefGoogle ScholarPubMed
Hallam, C, Simmonds-Buckley, M, Kellett, S et al. The acceptability, effectiveness, and durability of cognitive analytic therapy: Systematic review and meta-analysis. Psychol Psychother. 2021;94(Suppl. 1):835.CrossRefGoogle ScholarPubMed
Kellner, R. Functional somatic symptoms and hypochondriasis: A survey of empirical studies. Arch Gen Psychiatry. 1985 Aug;42(8):821–33. doi: 10.1001/archpsyc.1985.01790310089012. PMID: 2861797.CrossRefGoogle ScholarPubMed
Escobar, JI, Waitzkin, H, Silver, RC, Gara, M, Holman, A. Abridged somatization: A study in primary care. Psychosom Med. 1998;60(4):466–72. doi: 10.1097/00006842-199807000-00012. PMID: 9710292.CrossRefGoogle ScholarPubMed
Riess, H. The science of empathy. J Patient Exp. 2017;4(2):74–7. doi: 10.1177/2374373517699267. PMID: 28725865.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×