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Assessing cognitive mediation of relapse prevention in recurrent mood disorders
Author(s) -
Teasdale John D.
Publication year - 1997
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/(sici)1099-0879(199709)4:3<145::aid-cpp130>3.0.co;2-z
Subject(s) - psychology , mood , cognition , mediation , mood disorders , psychological intervention , psychotherapist , clinical psychology , anxiety , psychiatry , political science , law
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. © 1997 John Wiley & Sons, Ltd.