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Assessing cognitive mediation of relapse prevention in recurrent mood disorders

✍ Scribed by John D. Teasdale


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
134 KB
Volume
4
Category
Article
ISSN
1063-3995

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✦ Synopsis


Cognitive-behavioural therapy (CBT) reduces risk of relapse in mood disorders. Further improvements in preventative interventions will benefit from identification and assessment of the cognitive processes mediating relapse prevention. Possible mediating mechanisms are considered and their implications for assessment are discussed. It is recommended that assessment focus on the cognitive sets' (schematic mental models) and patterns of cognitive-affective processing that become activated in situations of potential relapse (dysphoric mood, loss-related events). Assessments should use contextually-situated challenge' paradigms (e.g. mood induction procedures) aimed at identifying, dynamically, potential to respond, rather than procedures aimed at assessing static, enduring, `cognitive structures'. Illustrative examples are provided.