Case Series: The application of "third wave" Cognitive Behavioural Therapies in difficult to treat asthma

Jodie Fellows; Laura Flower; John Blakey; Ramesh Kurukulaartchy; Ruth Howard; Adel Mansur

doi:10.3109/02770903.2014.1003155

Case Series: The application of "third wave" Cognitive Behavioural Therapies in difficult to treat asthma

Jodie Fellows, Laura Flower, John Blakey, Ramesh Kurukulaartchy, Ruth Howard, Adel Mansur

Psychology

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

Objective: This paper provides for the first time cases of individual psychological therapy undertaken in tertiary, difficult to treat asthma services using “third wave” Cognitive Behavioural Therapy (CBT) approaches.

Methods: These cases were selected to represent common psychological presentations in difficult to treat asthma clinics, namely denial of severity and over-identification with asthma. Assessment, formulation, intervention and results are outlined.

Results: Case 1 demonstrated change from severe to mild depression and anxiety, reduction in shame and improved well-being. Case 2 demonstrated improvements in well-being and psychological symptoms. Both interventions were experienced by the patients as highly satisfactory.

Conclusions: It is concluded that a psychological understanding of patients' presentations can open up new avenues for intervention. Further research into the potential utility of third wave cognitive therapies in difficult to treat asthma is warranted.

Original language	English
Pages (from-to)	905-912
Number of pages	8
Journal	Journal of Asthma
Volume	52
Issue number	9
Early online date	7 Jan 2015
DOIs	https://doi.org/10.3109/02770903.2014.1003155
Publication status	Published - 21 Oct 2015

Keywords

Severe Asthma
Psychology
Psychotherapy
Cognitive behavior therapy
Mindfulness
Acceptance and Commitment Therapy
Compassion Focused Therapy
brittle asthma

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Cite this

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abstract = "Objective: This paper provides for the first time cases of individual psychological therapy undertaken in tertiary, difficult to treat asthma services using “third wave” Cognitive Behavioural Therapy (CBT) approaches.Methods: These cases were selected to represent common psychological presentations in difficult to treat asthma clinics, namely denial of severity and over-identification with asthma. Assessment, formulation, intervention and results are outlined.Results: Case 1 demonstrated change from severe to mild depression and anxiety, reduction in shame and improved well-being. Case 2 demonstrated improvements in well-being and psychological symptoms. Both interventions were experienced by the patients as highly satisfactory.Conclusions: It is concluded that a psychological understanding of patients' presentations can open up new avenues for intervention. Further research into the potential utility of third wave cognitive therapies in difficult to treat asthma is warranted.",

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AU - Kurukulaartchy, Ramesh

AU - Howard, Ruth

AU - Mansur, Adel

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N2 - Objective: This paper provides for the first time cases of individual psychological therapy undertaken in tertiary, difficult to treat asthma services using “third wave” Cognitive Behavioural Therapy (CBT) approaches.Methods: These cases were selected to represent common psychological presentations in difficult to treat asthma clinics, namely denial of severity and over-identification with asthma. Assessment, formulation, intervention and results are outlined.Results: Case 1 demonstrated change from severe to mild depression and anxiety, reduction in shame and improved well-being. Case 2 demonstrated improvements in well-being and psychological symptoms. Both interventions were experienced by the patients as highly satisfactory.Conclusions: It is concluded that a psychological understanding of patients' presentations can open up new avenues for intervention. Further research into the potential utility of third wave cognitive therapies in difficult to treat asthma is warranted.

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KW - Mindfulness

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Case Series: The application of "third wave" Cognitive Behavioural Therapies in difficult to treat asthma

Abstract

Keywords

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