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Evaluation ViewAttendees 3

Treatment - CBT
Symposia

Symposium 129 - Innovations in the systematic evaluation of clinical research on cognitive-behavioral therapy-based interventions

Sunday, November 17, 2024
10:30 AM – 12:00 PM EST
Location: Grand Ballroom K/L, Level 5, Downtown Marriott
CE: 1.5

Keywords: CBT, ,
Level of Familiarity: Moderate to advanced
Recommended Readings: Ormel, J., Hollon, S. D., Kessler, R. C., Cuijpers, P., & Monroe, S. M. (2022). More treatment but no less depression: The treatment-prevalence paradox. Clinical Psychology Review, 91, 102111.https://doi.org/10.1016/j.cpr.2021.102111.,   Salkovskis, P. M., Sighvatsson, M. B., & Sigurdsson, J. F. (2024). How effective psychological treatments work: Mechanisms of change in cognitive behavioural therapy and beyond. Behavioural and Cognitive Psychotherapy. doi:10.1017/S1352465823000590,   Arch, J. J., Fishbein, J. N., Finkelstein, L. B., & Luoma, J. B. (2022). Acceptance and commitment therapy processes and mediation: Challenges and how to address them. Behavior Therapy. doi: 10.1016/j.beth.2022.07.005
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Aligned with the National Institute of Mental Health’s focus on understanding mechanisms of change underlying interventions for mental health concerns applied to unique individuals, critical evaluation of the state of the science supporting cognitive-behavioral therapy (CBT) is an important scholarly priority. Such critical examination of CBT-based interventions, along with identification of areas for growth and opportunity for further theoretical, technological, and empirical refinement, is essential for fostering a generative clinical science. Furthermore, while a large body of literature supports the efficacy of various forms of CBT, including acceptance and commitment therapy (ACT), for a range of mental health conditions, relatively less is known about specific (vs. general) mechanisms of change, moderators, and boundary conditions of such interventions. Additionally, the rise in our understanding of the effects of the replicability and measurement crises, along with a renewed push for centering open science practices, has led to calls for continued critical analysis of past scientific conclusions regarding CBT-based interventions. Such reevaluation may be especially worthwhile to pursue within the context of suboptimal measurement of process and outcome variables in some intervention science literatures, as well as the possibility of publication bias, investigator allegiance, and other questionable research practices within CBT research writ large. However, such scholarly discourse requires a careful balance to be struck between critical skepticism and reasonable recognition of scientific progress within CBT from a collaborative perspective of intellectual humility. In this symposium, four scientists embodying these principles (i.e., expertise in CBT-based approaches and willingness to critically evaluate them) present empirical studies that employ innovative techniques, including systematic review and comprehensive meta-analysis. Such efforts will serve to further advance the process of systematic evaluation of clinical research endeavors examining CBT-based interventions. Through continued advances and innovations in research practices for aggregating the state of the CBT scientific literature, our field will be better positioned to improve the reach and scalability of interventions for diverse groups of individuals. Additionally, such work will serve to better inform policymakers and key stakeholders for increasing dissemination efforts and promoting the status of CBT-based approaches within national and international healthcare organizations.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. List key current and historical issues within the process of evaluating the state of the scientific literature regarding CBT-based interventions
  2. Demonstrate knowledge of challenges and opportunities within the process of evaluating the evidentiary value of CBT-based interventions.
  3. Describe how publication bias, imprecise measurement, and other questionable research practices impacted existing CBT research.
  4. Describe effective methods and approaches for critiquing existing CBT treatment research with both equipoise and critical skepticism.
  5. Articulate research strategies and methods for improving aggregation techniques for quantifying CBT process and outcome literature.

Presentations:

  • 10:30 AM – 12:00 PM EST
    (SYM 129) Sociodemographic Representation in Randomized Controlled Trials for Anxiety-related Disorders in the U.S.: A Systematic Review (1993–2023)

    Speaker: Clarissa Ong, Ph.D. – University of Toledo

    Co-author: Alexa Skolnik, B.A. – University of Toledo

    Co-author: Hannah M. Johnson, B.S. – Southern Illinois University

    Co-author: Jennifer Krafft, Ph.D. (she/her/hers) – Mississippi State University

    Co-author: Sarah Loew – Southern Illinois University

    Co-author: Andrew Kurtz, B.A. – Florida State University

    Co-author: Eric Lee, Ph.D. (he/him/his) – Southern Illinois University

  • 10:30 AM – 12:00 PM EST
    (SYM 129) The Status of Evidence‑based Treatments for Moral Injury Syndrome: Review and Meta‑analysis of Randomized Controlled Trial

    Speaker: Tyler Owen, None – Texas Tech University

    Co-author: Stephen Aita, PhD – VA maine Healthcare System and Department of Psychology, University of Maine

    Co-author: Susannah Kondrath, Ph.D. – VA Maine Healthcare System and Department of Psychology, University of Maine

    Co-author: Nicholas C. Borgogna, Ph.D. (he/him/his) – Texas Tech University

    Co-author: Timothy Usset, PhD – VA Maine Healthcare System

  • 10:30 AM – 12:00 PM EST
    (SYM 129) The First 1,000 RCTS Part 1: A Comprehensive Meta-analysis of Acceptance and Commitment Therapy

    Speaker: Nicholas C. Borgogna, Ph.D. (he/him/his) – Texas Tech University

    Co-author: Tyler Owen, None – Texas Tech University

    Co-author: Samuel D. Spencer, Ph.D. (he/him/his) – University of North Texas

  • 10:30 AM – 12:00 PM EST
    (SYM 129) The First 1,000 RCTS Part 2: A Meta-analysis of Acceptance and Commitment Therapy Processes

    Speaker: Samuel D. Spencer, Ph.D. (he/him/his) – University of North Texas

    Co-author: Tyler Owen, None – Texas Tech University

    Co-author: Nicholas C. Borgogna, Ph.D. (he/him/his) – Texas Tech University

  • 10:30 AM – 12:00 PM EST
    (SYM 129) We Can Define It, but How Do We Actually Measure It? A Content Analysis of Psychological Flexibility Scales

    Speaker: Eric Lee, Ph.D. (he/him/his) – Southern Illinois University

    Co-author: Alexa Skolnik, B.A. – University of Toledo

    Co-author: Clarissa Ong, Ph.D. – University of Toledo