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Internet and New Technology Based CBT Dear colleagues, friends and distinguished members of the EABCT family; It is a great pleasure and honor to welcome you to the 47th Annual Congress of the European Association for Behavioral and Cognitive Therapies (EABCT’17). When we started this journey, our destination to host you was Istanbul. Living in a world of uncertainty, here we are in Ljubljana. However, we all know that it is not the destination but the journey that counts and the only meaningful journey is the one within. I have no doubt that the charm of Ljubljana on top of the high quality scientific programme will make the difference between an ordinary congress and a truly memorable experience. We are grateful for the generous positive feedback we received following the past international CBT Congress organized by the Turkish Association of Cognitive and Behavioral Therapies (TACBT). This makes the present congress even more challenging for us in order to excel the success of the previous ones. The congress’ scientific and organizing committee has worked very hard to present you a programme with first class presenters. On behalf of the TACBT, I would like to express my gratitude to all of our esteemed colleagues who have kindly accepted to contribute generously despite the challenge of relocation of the congress venue. The theme of the congress is chosen as “bridging dissemination with good practice”. This theme is chosen on the idea that dissemination of CBT is highly important but “dissemination of good practice” is a vital requirement to maintain its prestigious, therapeutic and preventive status. We hope that the programme will provide delegates an excellent opportunity for professional development, networking and exchange of ideas. Believing in the motto that learning never exhausts the mind; our programme includes 16 pre-congress workshops, 39 incongress workshops (some of these workshops will be free of charge), 30 keynotes and plenaries, 12 masterclass sessions, 4 skill classes, 5 clinical roundtables, 1 debate, 39 symposiums, 16 open paper and 3 poster sessions. I hope that this congress will also give you opportunity to see your old friends and make new ones through the friendly atmosphere of EABCT Community. We hope that you will enjoy your time in Ljubljana as there is plenty to see and we also hope you will join us for the reception and gala dinner. Please do not hesitate to ask for any assistance as we will be at your disposal to make your stay as enjoyable and as comfortable as possible. Cordial Regards On behalf of the TACBT, Mehmet Sungur President of the 47th Annual Congress of the EABCT Professor of Psychiatry, Psychiatry Dept of Marmara University Hospital,Istanbul President of the Turkish Association of Cognitive and Behaviour Therapies (TACBT) Former President of European Association of Behaviour and Cognitive Therapy (EABCT) President of the International Association for Cognitive Psychotherapy (IACP) Executive Board Member of the European Federation of Sexology (EFS) 1 INDEXS KEYNOTES 3 - 12 PLENARIES 14 - 25 WORKSHOPS PRE-CONGRESS WORKSHOPS 27 - 45 IN-CONGRESS WORKSHOPS 47 - 78 FREE IN-CONGRESS WORKSHOPS 80 - 90 MASTERCLASSES 92 - 104 SKILLCLASSES 106 - 109 CLINICAL ROUNDTABLES 111 - 115 SYMPOSIUMS 117 - 231 OPEN PAPERS 232 - 284 POSTERS 286 - 388 KEYNOTES WEDNESDAY, 13 SEPTEMBER 2017 OPENING KEYNOTE DISSEMINATING GOOD PRACTICE:LESSONS LEARNED FROM THE PAST AND CHALLENGES FOR THE FUTURE Mehmet Z. Sungur, Marmara University Disseminating Good Practice of CBT:Lessons learned and future Challenges Efforts and contributions of many scientist practitioners have evolved CBT to become the most efficacious therapeutic approach with the strongest current evidence in treatment of a wide variety of clinical disorders. However it can be predicted that there are quite a number of future challenges and alarms waiting to be discussed and tackled.One of the major alarms is about the lack of preciseness in defining CBT.The term CBT is losing its specifity. CBT is now recognized not only as a specific form of therapy but also as an umbrella term that includes many different empirically supported approaches including those defined as " third wave". This brings clarity issues that needs to be discussed further. Coherence issues arise due to different processes and principles used in different schools of CBT and lack of a sound comprehensive theory that would bridge the gaps within the CBT family.As clarity and coherence reduce, judging competence becomes more challenging.Methods to assess competence becomes an emerging alarm. As dissemination of CBT increases questions arise about its quality. CBT is now more available and accessible but it becomes a challenge to decide whether CBT is really implented as intended. Adherence and competence are core variables of treatment integrity and the quality of these variables may change according to the way CBT is delivered. Internet based treatments have no doubt been a major advancement but improving access may sometimes necessitate changing format. However a new alarm arise whether it is really CBT when the format changes.Other challenges arise about whether efficacy obtained in randomized controlled studies remain effective during dissemination to routine clinical practice. Questions remain to be answered about the main paradigms for efficacious training practices and supervision. This presentation will try to address these challenges and alarms about dissemination and conclude that dissemination is a necessary construct but bridging dissemination with good and ethical practice is essential for CBT to preserve its prestigious status. 3 FRIDAY, 15 SEPTEMBER 2017 KEYNOTE 10 TREATING POSTTRAUMATIC STRESS DISORDER EFFECTIVELY AND EFFICIENTLY: A COGNITIVE APPROACH Anke Ehlers, the University of Oxford After traumatic events such as assault, severe accidents, natural disaster or bombings, many people develop distressing symptoms such as intrusive reexperiencing of the event, hyperarousal, and emotional numbing. While many people recover from these symptoms on their own, a significant proportion develops chronic posttraumatic stress disorder (PTSD). Ehlers and Clark (2000) suggested that chronic PTSD develops if trauma survivors process the traumatic event in a way that poses a serious current threat. The perceived threat has two sources: First, people with chronic PTSD show excessively negative appraisals of the trauma and/or its sequelae. Second, the nature of the trauma memory leads to easy cue-driven trauma memories that lack the awareness of the self in the past. Furthermore, the patients' appraisals motivate a series of dysfunctional behaviours and cognitive strategies that are intended to reduce the sense of current threat, but maintain the disorder. The model led to the development of cognitive therapy for PTSD (CT-PTSD). The presentation will review some of the research that informed the development of this treatment approach. Seven randomised controlled trials showed that the treatment is highly acceptable, and more effective than wait list, self-help or an equally credible psychological treatment. Three effectiveness studies found large treatment effect sizes by trained clinicians in a community setting and a routine NHS clinic. Despite these advances, there remains room for improvement and a significant minority of patients only show modest benefits. Recent research has sought to better understand the psychological mechanisms of treatment effects. Mediation analyses and latent growth curve analyses of changes over time showed that changes in appraisals and memory qualities drive symptom change. Many people with PTSD are currently not able to access psychological treatments. Self-study assisted treatments and therapist-assisted internet-based treatments show promise and may help with making effective treatments more widely available. A recent trial showed that the number of therapy sessions required to treat PTSD effectively CT-PTSD could be nearly halved by self-study modules that patients completed between sessions. The modules will be made available at https://www.psy.ox.ac.uk/research/oxford-centre-for-anxiety-disorders-and-trauma. A pilot study found that internet-delivered CT-PTSD may offer further improvement in the efficiency of treatment without loss of efficacy. 4 SATURDAY, 16 SEPTEMBER 2017 KEYNOTE 17 COULD SLEEP DEPRIVATION BE USED TO TURBOCHARGE BEHAVIOURAL ACTIVATION FOR THE RAPID TREATMENT OF DEPRESSION? David Veale, King's College The treatment of depression has much room for improvement. Pharmacotherapy is excited by the rapid treatment of depression by the use of intravenous ketamine or derivatives. How can we develop effective behavioural and environmental alternatives? One option is "triple chronotherapy”. It consists of total sleep deprivation for one night, followed by a phase advance of sleep over 4 days and bright light therapy every morning. This appears to be a turbocharged form of behavioural activation and to act by resetting dysregulated circadian rhythms. Two RCTs suggest that about 50% of inpatients respond within a few days. I will discuss a protocol for a study that is evaluating triple chronotherapy in the community. I will also discuss other behavioural interventions such as the use of amber glasses for treating mania or a phase delay of sleep. Professor David Veale is a Consultant Psychiatrist at the South London and Maudsley Trust and the Priory Hospital North London. He is a past President and Visiting Professor in Cognitive Behaviour Therapies at the Institute
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