[Evidence-Based Psychological Treatments for Adults: A Selective Review]

Evidence-Based Psychological Treatments for Adults: A Selective Review. BACKGROUND: Psychological treatments have shown their efficacy, effectiveness, and efficiency in dealing with mental disorders. However, considering the scientific knowledge generated in recent years, in the Spanish context, there are no updating studies about empirically supported psychological treatments. The main goal was to carry out a selective review of the main empirically supported psychological treatments for mental disorders in adults. METHOD: Levels of evidence and degrees of recommendation were collected based on the criteria proposed by the Spanish National Health System (Clinical Practice Guidelines) for different psychological disorders. RESULTS: The results indicate that psychological treatments have empirical support for the approach to a wide range of psychological disorders. These levels of empirical evidence gathered range from low to high depending on the psychological disorder analysed. The review indicates the existence of certain fields of intervention that need further investigation. CONCLUSIONS: Based on this selective review, psychology professionals will be able to have rigorous, up-to-date information that allows them to make informed decisions when implementing empirically based psychotherapeutic procedures based on the characteristics of the people who require help.

Behavioral activation versus cognitive restructuring to reduce automatic negative thoughts in anxiety generating situations.

BACKGROUND: Recent studies have compared the efficacy of cognitive intervention compared to behavioral techniques for the treatment of different disorders. In line with that work, the empirical study presented here examined the efficacy of Behavioral Activation (BA) and Cognitive Therapy (CT) on Negative Automatic Thoughts (PANs) elicited in situations generating anxiety. METHOD: Based on a sample of 42 students aged 18 to 21 who took the ISRA B, BADS and EROS, 18 subjects with the highest scores were selected and assigned at random to one of two experimental groups or to a control group. Experimental Group 1 was given intervention based on CT and Experimental Group 2 based on BA. Both interventions consisted of five 60-min sessions. RESULTS: Pre and post treatment measurement analyses reveal that both conditions effectively reduced the intensity of the anxiety response. However, BA was the only condition showing a significant reduction in ANTs. CONCLUSIONS: The results are discussed stressing the efficacy of BA in exclusively cognitive intervention.

Integrative Behavioral Couple Therapy (IBCT) as a third-wave therapy.

BACKGROUND: This article presents a description of the Integrative Behavioral Couple Therapy (IBCT), and puts forwards its contributions, its techniques and progress, the research data on its usefulness compared to traditional behavioral couple therapy, and explains basically its articulation in third-wave behavior therapies using the concepts of functionality, rule-governed/contingency-shaped behavior and acceptance. METHOD: A theoretical review of the main IBCT bibliography was carried out. RESULTS: The review shows that this intervention model includes innovative intervention strategies (to promote acceptance and tolerance) that join the already well-known behavioral couple therapy techniques (behavior exchange, communication training and couple problem solving), substantially modifying the therapy. Furthermore, it incorporates useful orientation for especially difficult problems in couples (such as infidelity and substance use, abuse and dependence situations). CONCLUSIONS: After this analysis, IBCT is revealed as a new intervention, the scope of which is still spreading among professionals. The acceptance concept, one of the core elements of third-wave therapies, has been fruitfully included in behavioral couple therapy through the IBCT.