APRIL 10 Flashcards

(51 cards)

1
Q

paper: different components of ______ ______ ______ affect specific _______ _______”

A

different components of COGNITIVE BEHAVIOURAL THERAPY affect specific COGNITIVE MECHANISMS:

applies computational modelling approach to understand underlying mechanisms of diff types of therapeutic interventions with a focus on psychotherapy

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2
Q

psychotherapy (aka talk therapy)

A

focuses on EMOTIONS, COGNITIONS and BEHAVIOUR

using therapeutic techniques to help individuals understand and resolve mental health challenges and improve wellbeing

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3
Q

CBT

A

cognitive behavioural therapy

collection of evidence-based psychotherapy interventions

focuses on CHANGING UNHELPFUL THOUGHT PATTERNS and BEHAVIOUR

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4
Q

is it clear how CBT works?

A

no

CBT interventions are COMPLEX and MULTI-COMPONENT

not clear how diff components of these interventions work

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5
Q

understanding how specific elements of psychotherapy work could…

A

open door to DEVELOPING MORE TARGETED, PERSONALIZED TREATMENTS

(because mental health conditions are heterogeneous)

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6
Q

CBT - behavioural and cognitive therapies are administered…

A

TOGETHER

as parts of the same treatment program

yet they DIFFER in underlying theory

do BEHAVIOURAL and COGNITIVE APPROACHES work through COMMON or DISTINCT mechanisms?

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7
Q

behavioural approaches emphasize what?

A

primary importance of behavioural change

ie. planning action (does this work on reward sensitivity or outcome sensitivity?)

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8
Q

cognitive approaches emphasize what?

A

primary importance of cognitive change

ie. attributions

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9
Q

by decomposing specific components of therapy using computational modelling, it’s possible to…

A

examine how specific interventions target mechanisms underlying observable symptoms

start to get more GRANULAR understanding of what’s going on

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10
Q

hypotheses (general)

A

researchers formulated specific hypotheses about mechanisms by which behavioural and cognitive interventions might lead to symptom improvement

separate ones for both BEHAVIOURAL and COGNITIVE interventions

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11
Q

tested theses hypotheses in lab setting using tasks specifically designed to probe what 2 things?

A
  1. reward-effort decision making
  2. causal attribution
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12
Q

gamification

A

in building their tasks, they repeatedly optimized to BALANCE:

  1. RELIABILITY of the tasks with
  2. ENGAGEMENT of the PARTICIPANTS
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13
Q

what does behavioural activation therapy do?

A

helps individuals INCREASE ENGAGEMENT in REWARDING ACTIVITIES

to target LOW MOOD

ie. acting according to a PREDETERMINED PLAN increases likelihood of acting and therefore of experiencing rewards

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14
Q

behavioural activation promotes acting according to what as opposed to intrinsic motivation?

A

a PRE-DETERMINED PLAN

  1. increases likelihood of acting
  2. increases likelihood of getting rewarded
  3. kicks of positive reinforcement loop
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15
Q

how could behavioural activation therapy be boosting activity?

A
  1. by making potential rewards SEEM MORE SALIENT (increasing sensitivity to rewards)
  2. by REDUCING THE PERCEIVED EFFORT required to obtain the reward (reducing effort sensitivity)
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16
Q

increasing sensitivity to reward aka

A

making rewards seem more salient

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17
Q

reducing perceived effort to reward aka

A

reducing effort sensitivity

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18
Q

while both effort sensitivity and reward sensitivity are affected in MDD, it isn’t clear…

A

not clear how these processes INTERACT

and if one may be a BETTER TARGET for interventions

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19
Q

role of goal-setting in behavioural activation therapy: created a task that probes what?

A

probes “how to decide when rewards are worth effort”

administered task BEFORE and AFTER planning/goal setting intervention

used comp modelling to examine extent to which each construct (reward sensitivity/salience and effort sensitivity) is ALTERED by the INTERVENTION

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20
Q

reward-effort decision-making task

A

Ps told they were traveling through land covered in rivers

had to ‘power up’ to fly across the water at each crossing point

could choose between diff routes (that required diff effort levels) to collect diff amounts of coins

cashed in for real money at the end

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21
Q

after each crossing in the reward-effort decision-making task, they rated…

A
  1. sense of ACHIEVEMENT of successful EFFORT EXERTION
  2. sense of PLEASURE in gaining rewards
  3. BOREDOM
22
Q

goal-setting intervention

A

based on behavioural activation therapy for low mood

  1. read TEXT describing importance of setting goals
  2. completed comprehension quiz about the text
23
Q

after the first task and the goal setting intervention, Ps did what?

A

repeated a MODIFIED VERSION of task

where they were INSTRUCTED to APPLY the INFO from intervention

  1. SET A GOAL (number of coins) PRIOR TO EACH BLOCK
24
Q

goal setting intervention: control

A

match-lengthed instruction and quiz about diff kinds of computer games

25
results: goal-setting intervention did what?
REDUCES EFFORT SENSITIVITY 1. Ps in goal-setting condition showed reduced effort sensitivity pre and post intervention 2. controls didn't show this 3. no effect on reward sensitivity
26
planning interventions work because they target what?
EFFORT SENSITIVITY (not reward sensitivity)
27
core idea of cognitive therapy
our INTERPRETATION of events is more important than the events themselves in INFLUENCING HOW WE FEEL importance of ATTRIBUTION STYLE (how we explain the causes of events in our lives)
28
3 dimensions of attribution style
1. internal or external? 2. stable or unstable? 3. global or specific?
29
what type of attributions predict future depressed mood?
internal, stable and global attributions for negative events
30
learned helplessness theory of MDD
focuses on tendency of individuals to EXPLAIN NEGATIVE EVENTS with INTERNAL and GLOBAL and STABLE ATTRIBUTIONS
31
cognitive therapies target attributions to do what?
to REAPPRAISE causes towards healthy patterns
32
researchers did what to probe effects of cognitive therapy?
1. designed task to PROBE ATTRIBUTIONS 2. administered the task before and after a COGNITIVE RESTRUCTURING INTERVENTION 3. used computational modelling to examine extent to which Ps CHANGED THEIR CAUSAL ATTRIBUTIONS after intervention
33
cognitive therapy experiment: wanted to see to what extent improved mood reflected...
1. DECREASED 'DEPRESSOGENIC' ATTRIBUTIONS (internal/global for neg events) or 2. INCREASED SELF-PROTECTIVE ATTRIBUTIONS (internal/global for pos events)
34
causal attribution task
presents Ps with brief descriptions of events asks them to choose the most likely causal explanation from list of 4 causal explanations vary in terms of INTERNAL vs EXTERNAL, and GLOBAL vs SPECIFIC
35
cognitive restructuring intervention
based on materials for cognitive therapy in low mood 1. info about cognitive model of explaining link between interpretation and feelings 2. interactive exercises identifying unhelpful and helpful attributions 3. practice generating alternative explanations for events in their own lives 4. comprehension quiz
36
cognitive restructuring intervention - control
based on materials from emotion-focused therapy 1. closely matched for length, interactivity etc 2. didn't contain references to link between cog interpretations and feelings/reappraisals
37
cognitive intervention led to a reduced probability of what?
of endorsing INTERNAL ATTRIBUTIONS for NEGATIVE EVENTS
38
cognitive restructuring ________ tendency to attribute negative events to internal causes
decreases
39
does each intervention (cognitive and behavioural) only impact the process it was designed to modulate?
1. goal setting, but NOT COGNITIVE RESTRUCTURING, reduces effort sensitivity 2. cognitive restructuring, but NOT GOAL SETTING, reduces internal attribution of negative events
40
goal setting intervention does what?
reduces effort sensitivity (behavioural therapy)
41
cognitive restructuring intervention does what?
reduces internal attribution of negative events (cognitive therapy)
42
T/F: the interventions are specific
true 1. goal setting intervention reduces effort sensitivity 2. cognitive restructuring intervention reduces internal attribution of negative events effects are specific to their relevant theoretically informed task and parameter measure
43
do magnitude of intervention effects relate to individual symptom profiles?
Ps completed a number of measures to study this hypothesized there are 2 LATENT TRAITS in symptom data that will differentially INFLUENCE SENSITIVITY to interventions 1. behavioural amotivation 2. negative cognition
44
2 LATENT TRAITS in symptom data that will differentially INFLUENCE SENSITIVITY to interventions
1. behavioural amotivation 2. negative cognition
45
behavioural amotivation
anhedonia and apathy "feeling little interest or pleasure in doing things" "feeling tired or having little energy"
46
negative cognition
negative self-beliefs "if other people know what you're really like, they'll think less of you"
47
higher behavioural amotivation predicted what?
1. higher effort sensitivity 2. higher response magnitude to goal-setting intervention SUGGESTS INDIVIDUALS HIGHER IN AMOTIVATION HAVE HIGHER BASELINE EFFORT SENSITIVITY and are MORE RESPONSIVE TO EFFECT OF GOAL-SETTING INTERVENTION in reducing effort sensitivity (but this didn't fully replicate so need more work)
48
higher negative cognition predicted what?
1. lower tendency to attribute positive events to internal causes 2. higher negative cognition DID NOT SIGNIFICANTLY PREDICT MAGNITUDE OF CHANGE FOLLOWING INTERVENTION
49
in cross over sample, some evidence for both...
negative cognition and behavioural amotivation in predicting tendency to attribute positive events to internal causes at baseline suggests that behaviour amotivation and negative cognition are BOTH ASSOCIATED WITH LOWER BASELINE SELF-PROTECTIVE TENDENCIES but only greater amotivation predicts the response to cognitive restructuring
50
there's some evidence that higher behavioural amotivation predicts what?
1. greater response to goal setting 2. attenuated response to cognitive restructuring
51
conclusions
1. key finding: observed effects of interventions were largely specific to the cognitive measures they were designed to target 2. suggests possibility of developing PERSONALIZED TREATMENTS 3. may be fruitful to target specific interventions to specific symptom presentations 4. there are clear limitations to this work - it's a proof of concept study, not a clinical trial