TY - JOUR

T1 - Advancing psychotherapy and evidence-based psychological interventions

AU - Emmelkamp, Paul Maria Gerardus

AU - David, Daniel

AU - Beckers, Tom

AU - Muris, Peter

AU - Cuijpers, P.

AU - Lutz, Wolfgang

AU - Andersson, Gerhard

AU - Araya, Ricardo

AU - Banos Rivera, Rosa M.

AU - Barkham, Michael

AU - Berking, Matthias

AU - Berger, Thomas K.

AU - Botella, Christina M.

AU - Carlbring, Per

AU - Colom, Francecs

AU - Essau, Cecilia Ahmoi

AU - Hermans, Dirk

AU - Hofmann, Stefan G.

AU - Knappe, Susanne

AU - Ollendick, Thomas H.

AU - Raes, Filip

AU - Rief, Winfried

AU - Riper, Heleen

AU - Van Der Oord, Saskia

AU - Vervliet, Bram

N1 - Copyright © 2013 John Wiley & Sons, Ltd.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Psychological models of mental disorders guide research into psychological and environmental factors that elicit and maintain mental disorders as well as interventions to reduce them. This paper addresses four areas. (1) Psychological models of mental disorders have become increasingly transdiagnostic, focusing on core cognitive endophenotypes of psychopathology from an integrative cognitive psychology perspective rather than offering explanations for unitary mental disorders. It is argued that psychological interventions for mental disorders will increasingly target specific cognitive dysfunctions rather than symptom-based mental disorders as a result. (2) Psychotherapy research still lacks a comprehensive conceptual framework that brings together the wide variety of findings, models and perspectives. Analysing the state-of-the-art in psychotherapy treatment research, "component analyses" aiming at an optimal identification of core ingredients and the mechanisms of change is highlighted as the core need towards improved efficacy and effectiveness of psychotherapy, and improved translation to routine care. (3) In order to provide more effective psychological interventions to children and adolescents, there is a need to develop new and/or improved psychotherapeutic interventions on the basis of developmental psychopathology research taking into account knowledge of mediators and moderators. Developmental neuroscience research might be instrumental to uncover associated aberrant brain processes in children and adolescents with mental health problems and to better examine mechanisms of their correction by means of psychotherapy and psychological interventions. (4) Psychotherapy research needs to broaden in terms of adoption of large-scale public health strategies and treatments that can be applied to more patients in a simpler and cost-effective way. Increased research on efficacy and moderators of Internet-based treatments and e-mental health tools (e.g. to support "real time" clinical decision-making to prevent treatment failure or relapse) might be one promising way forward.

AB - Psychological models of mental disorders guide research into psychological and environmental factors that elicit and maintain mental disorders as well as interventions to reduce them. This paper addresses four areas. (1) Psychological models of mental disorders have become increasingly transdiagnostic, focusing on core cognitive endophenotypes of psychopathology from an integrative cognitive psychology perspective rather than offering explanations for unitary mental disorders. It is argued that psychological interventions for mental disorders will increasingly target specific cognitive dysfunctions rather than symptom-based mental disorders as a result. (2) Psychotherapy research still lacks a comprehensive conceptual framework that brings together the wide variety of findings, models and perspectives. Analysing the state-of-the-art in psychotherapy treatment research, "component analyses" aiming at an optimal identification of core ingredients and the mechanisms of change is highlighted as the core need towards improved efficacy and effectiveness of psychotherapy, and improved translation to routine care. (3) In order to provide more effective psychological interventions to children and adolescents, there is a need to develop new and/or improved psychotherapeutic interventions on the basis of developmental psychopathology research taking into account knowledge of mediators and moderators. Developmental neuroscience research might be instrumental to uncover associated aberrant brain processes in children and adolescents with mental health problems and to better examine mechanisms of their correction by means of psychotherapy and psychological interventions. (4) Psychotherapy research needs to broaden in terms of adoption of large-scale public health strategies and treatments that can be applied to more patients in a simpler and cost-effective way. Increased research on efficacy and moderators of Internet-based treatments and e-mental health tools (e.g. to support "real time" clinical decision-making to prevent treatment failure or relapse) might be one promising way forward.

KW - Health sciences

KW - Adolescents

KW - Children

KW - Cognitive behavioural therapy

KW - Cognitive endophenotypes

KW - Cognitive processing

KW - Dimensional approaches

KW - E-mental health

KW - Effectiveness

KW - Models for psychopathology

KW - Psychology

UR - http://www.scopus.com/inward/record.url?scp=84891060746&partnerID=8YFLogxK

UR - https://www.mendeley.com/catalogue/bfad15a4-8289-315d-b31f-41372534b00b/

U2 - 10.1002/mpr.1411

DO - 10.1002/mpr.1411

M3 - Scientific review articles

C2 - 24375536

AN - SCOPUS:84891060746

VL - 23

SP - 58

EP - 91

JO - International Journal of Methods in Psychiatric Research

JF - International Journal of Methods in Psychiatric Research

SN - 1049-8931

IS - S1

ER -