THERAPISTS’ PERCEPTIONS: ADDED VALUES OF DMT AND CBT FOR CHILDREN WITH ADs’
DOI:
https://doi.org/10.24193/subbpsyped.2019.1.01Keywords:
DMT, CBT, anxiety disorders, children, therapist’s perceptionsAbstract
Anxiety disorders (ADs) are common among children. Many types of psychological treatments exist, including: Cognitive Behavioral Therapy (CBT), psychodynamic treatments, Play therapy and expressive arts therapies such as Dance Movement Therapy (DMT). DMT and CBT are based on distinct theoretical assumptions and therefore are inherently different. Nonetheless, in the last decade, these approaches are becoming closer. The aim of the present study was to examine therapists’ perceptions of the added value of each therapy approach (DMT/CBT) to the other, when treating children with ADs. The study utilized a quantitative design. The sample included 99 therapists in three groups: DMT-only (n = 35), CBT-only (n = 42), and combined DMT+CBT (n = 22). As hypothesized, the findings indicated that DMT+CBT therapists and therapists who use only one type of the treatment (DMT-only/CBT-only) perceive a higher added value of their treatment’s principles compared to therapists who use only the other type of treatment. All therapists perceive a high added value of CBT to DMT, whereas the added value of DMT to CBT is perceived significantly higher by DMT+CBT therapists and DMT-only therapists in comparison to CBT-only therapists. The novelty lies in the therapists’ perceiving the combination of both treatments as possible in treating children with ADs. The combination of both therapies implies that they have connections and common principles. Concurrently, the differences between them create a combined treatment in which each approach complements the other and therefore provides and facilitates a broader response for children with ADs.References
Barlow, D. (2001). Clinical handbook of psychological disorders: A step-by-step treatment manual (3rd ed.) New York, NY: Guilford Press.
Baron, R.A., & Byrne, D. (2000). Social psychology. MA, US: Allyn & Bacon.
Beardall, N., & Surrey, J. (2013). Relational mindfulness and relational movement in training dance/movement therapists. In Mindfulness and the Arts Therapies: Theory and Practice (pp. 276-287). Jessica Kingsley Publishers, London.
Beck, J.S. (2011). Cognitive behavior therapy: Basics and beyond. New York, NY: Guilford Press.
Butler, A.C., Chapman, J.E., Forman, E.M., & Beck, A.T. (2006). The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clinical Psychology Review, 26(1), 17-31.
Chaiklin, S., & Wengrower, H. (Eds.). (2015). The art and science of dance/ movement therapy: Life is dance. New York, NY: Routledge.
Chavira, D.A., Stein, M.B., Bailey, K., & Stein, M.T. (2004). Child anxiety in primary care: Prevalent but untreated. Depression and aAnxiety, 20(4), 155-164.
Costello, E.J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of GeneralPpsychiatry, 60(8), 837-844.
Creswell, J.W., & Creswell, J.D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th Edition). Thousand Oaks, CA: Sage Publications.
Czamanski-Cohen, J., Sarid, O., Huss, E.Ifargan, A., Niego, L., & Cwikel, J. (2014). CB-ARTS-The use of a hybrid: Cognitive behavioral and art based protocol for treating pain and symptoms accompanying coping with chronic illness. The Arts in Psychotherapy, 41(4), 320-328.
Dobson, K.S., & Dozois, D.J.A. (2001). Historical and philosophical bases of the cognitive behavioral therapies. In K. S. Dobson (Ed.), Handbook of cognitive- behavioral therapies, 2nd ed., (pp. 3-39). New York, NY: Guilford Press.
Essau, C.A., Conradt, J., & Petermann, F. (2000). Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. Journal of Anxiety Disorders, 14(3), 263-279.
Hirshfeld-Becker, D.R., Masek, B., Henin, A., Blakely, L.R., Pollock-Wurman, R.A., McQuade, J. & Biederman, J. (2010). Cognitive behavioral therapy for 4-to 7-year-old children with anxiety disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 78(4), 498.
Higa-McMillan, C.K., Francis, S.E., Rith-Najarian, L., & Chorpita, B.F. (2016). Evidence base update: 50 years of research on treatment for child and adolescent anxiety. Journal of Clinical Child & Adolescent Psychology, 45(2), 91-113.
Hofmann, S.G., Asnaani, A., Vonk, I.J., Sawyer, A.T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.
Hofmann, S.G., & Smits, J.A. (2008). Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials. The Journal of Clinical Psychiatry, 69(4), 621-632.
In-Albon, T., & Schneider, S. (2007). Psychotherapy of childhood anxiety disorders: A meta-analysis. Psychotherapy and Psychosomatics, 76(1), 15-24.
James, A.C., James, G., Cowdrey, F.A., Soler, A., & Choke, A. (2013). Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane database of systematic reviews, (6).
Kendall, P.C., Safford, S., Flannery-Schroeder, E., & Webb, A. (2004). Child anxiety treatment: outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. Journal of Consulting and Clinical Psychology, 72(2), 276.
Koch, S., Kunz, T., Lykou, S., & Cruz, R. (2014). Effects of dance movement therapy and dance on health-related psychological outcomes: A meta-analysis. The Arts in Psychotherapy, 41(1), 46-64.
Pietrzak, T., Lohr, C., Jahn, B., & Hauke, G. (2017). Embodying cognition in Cognitive Behavioral Therapy. Retrieved from: https://www.preprints.org/manuscript/201709.0065/v1/download.doi:10.20944/preprints201709.0065.v1
Pine, D.S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55(1), 56-64.
Ramsawh, H.J., Chavira, D.A., & Stein, M.B. (2010). Burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology, and a research agenda. Archives of Pediatrics & Adolescent Medicine, 164(10), 965-972.
Ritter, M., & Low, K.G. (1996). Effects of dance/movement therapy: A metaanalysis. The Arts in Psychotherapy, 23(3), 249-260.
Sharon, Y. (2018). Tipul cognitivi hitnahaguti b’emtzaut omanuyot [Cognitive behavioral therapy using the arts]. In S. Snir, & D. Regev (Eds.), K’shehatipul b’emtzaut omanuyot pogesh et ma’arexet haxinux b’yisrael [When Expressive Arts Therapy meets the Israeli educational system]. Haifa, Israel: University of Haifa.
Tortora, S. (2015). Dance/movement psychotherapy in early childhood treatment and in pediatric oncology. The Art and Science of Dance/Movement Therapy: Life is Dance, 159-181.
Treadwell, T.W., Dartnell, D., Travaglini, L.E., Staats, M., & Devinney, K. (2016). Group therapy workbook: Integrating cognitive behavioral therapy with psychodramatic theory and practice. Denver, CO: Outskirts Press.
Walkup, J.T., Albano, A.M., Piacentini, J., Birmaher, B., Compton, S.N., Sherrill, J.T., ... & Iyengar, S. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359(26), 2753-2766.
Yonkers, K.A., Bruce, S.E., Dyck, I.R., & Keller, M.B. (2003). Chronicity, relapse, and illness—course of panic disorder, social phobia, and generalized anxiety disorder: findings in men and women from 8 years of follow-up. Depression and Anxiety, 17(3), 173-179.
Weitz, N., & Opre, A. (2018). The effectiveness of DMT-CBT combination in Anxiety Disorders treatment: therapists’ perceptions. Future Academy, 600-606. doi: https://doi.org/10.15405/epsbs.2019.06.72
Wiedenhofer, S., Hofinger, S., Wagner, K., & Koch, S. C. (2017). Active factors in dance/movement therapy: Health effects of non-goal-orientation in movement. American Journal of Dance Therapy, 39(1), 113-125.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Studia Universitatis Babeș-Bolyai Psychologia-Paedagogia
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
