Depression Flashcards
(26 cards)
what is the cognitive approach to depression
depression is due to irrational thoughts from maladaptive internal mental processes
what is Becks negative triad
The Self
The World
The Future
what is the self
self schemas
feeling inadequate and unworthy
what is thr world
the belief that people are hostile or threatening
what is the future
the belief that things will always turn out badly
outline Ellis ABC model
Activating event: something that happens
Belief: Irrational beliefs (for people w depression)
Consequence: negative consequences due to the irrational beliefs
what is mustabatory thinking
thinking the world must be a certain way
research support for Becks cognitive model of depression
Cohen et all tracked development of 473 adolescents, regularly measuring cognitive vulnerability
- cognitive vulnerability predicted later depression showing an association between cognitive vulnerability and depression
what is the real world application for Becks cognitive model of depression
used in screening and treatment for depression
what is cognitive vulnerability
ways of thinking that may predispose a person to becoming depressed e.g. faulty thought processing, negative triad
what is the real world application for Ellis ABC model
psychological treatment for depression
- REBT > vigourous arguing with the patient to alter their irrational beliefs
what is one limitation of the Ellis ABC model
only explains reactive depression and not endogenous depression
- not all depression comes from an activating event
what are ethical issues with the ABC model
locates the responsibility of depression on the patient because its their fault for thinking irrationally
what is CBT
cognitive behaviour therapy > most commonly used psychological treatment for depression
what is the cognitive approach to treating depression
CBT
outline the cognitive element of CBT
- assessment of the client and then the therapist works with them to clarify the problems and put together a plan
whats the behavioural element of CBT
working to change the irrational negative thoughts and put more effective behaviours into place
what is Becks cognitive therapy
- identify automatic thoughts about the negative triad and then challenge them
- set homework for client to help the client test the reality of their beliefs
what is Ellis REBT
- rational emotive behaviour therapy
- extends ABC model to ABCDE
- D: dispute E: effect
what is the technique for REBT
to identify and dispute irrational thoughts
what is behavioural activation
decreases the individuals avoidance and isolation and increases their engagement in activities that have been shown to improve mood
what is the evidence for the effectiveness of CBT
March et al compared antidepressants to CBT with treatment to 327 depressed adolescents
81% of CBT were improved
81% of antidepressants were improved
86% of CBT + antidepressants were improved
This suggests that CBT is just as effective as antidepressants and can significantly improve treatment if both are used
what is a pro to the clients for CBT
it is cost effectivr
outline a limitation of CBT for depression
lack of effectiveness for severe cases
- some clients cant motivate themselves to do CBT
- unsuitable for people with learning disabilities due to complex rational thinking element
