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DOI: 10.1055/s-0029-1245963
© Georg Thieme Verlag KG Stuttgart · New York
Die Dritte Welle der Verhaltenstherapie
Eine Übersicht über die Methoden und ihre EvidenzbasierungThe Third Wave of Cognitive-Behavioural PsychotherapiesConcepts and EfficacyPublication History
Publication Date:
16 March 2011 (online)

Zusammenfassung
Während der letzten 20 Jahre wurde eine Reihe von Psychotherapiemethoden entwickelt, die unter dem Namen „3. Welle der Verhaltenstherapie” zusammengefasst werden. Dazu gehören unter anderem die Dialektisch-Behaviorale Therapie (DBT), Acceptance und Committment Therapy (ACT), Schematherapie, Cognitive Behavioral Analysis System of Psychotherapy (CBASP), Achtsamkeitsbasierte Kognitive Therapie (MBCT), und die Metakognitive Therapie (MCT). Die Methoden werden in ihren Grundkonzepten vorgestellt und die bisherige Datenlage zusammengefasst.
Abstract
During the last two decades a number of psychotherapies have been developed which are summarised as the third wave of cognitive behavioural therapies. Among these are dialectical behaviour therapy (DBT), acceptance and commitment therapy (ACT), schema therapy, cognitive behavioural analysis system of psychotherapy (CBASP), mindfulness-based cognitive therapy (MBCT), and metacognitive therapy (MCT). The purpose of this article is to describe the basic concepts of these treatments and to summarise available studies concerning their efficacy.
Schlüsselwörter
CBASP - Dialektisch-behaviorale Therapie - Akzeptanz und Committment Therapie - Schematherapie - Achtsamkeitsbasierte kognitive Therapie - Metakognitive Therapie
Keywords
CBASP - dialectical-behavioural therapy - acceptance and committment therapy - schema therapy - mindfulness-based cognitive therapy - meta-cognitive therapy
Literatur
- 1 Wolpe J, Plaud J J. Pavlov’s contributions to behavior therapy. The obvious and not so obvious. Am Psychol; 1997 52 (9): 366-372
MissingFormLabel
- 2 Bouton M E. Learning and behavior: a contemporary synthesis. Sunderland: Sinauer; 2007
MissingFormLabel
- 3
Eysenck H J.
Learning theory and behaviour therapy.
J Ment Sci.
1959;
105
61-75
MissingFormLabel
- 4
Beck A T.
The evolution of the cognitive model of depression and its neurobiological correlates.
Am J Psychiatry.
2008;
165
969-977
MissingFormLabel
- 5
Shafran R, Clark D M, Fairburn C G et al.
Mind the gap: Improving the dissemination of CBT.
Behav Res Ther.
2009;
47
902-909
MissingFormLabel
- 6
Hayes S C.
Acceptance and commitment therapy, relational frame theory, and the third wave of
behavioral and cognitive therapies.
Behavior Therapy.
2004;
35
639-665
MissingFormLabel
- 7
Longmore R J, Worrell M.
Do we need to challenge thoughts in cognitive behavior therapy?.
Clin Psychol Rev.
2007;
27
173-187
MissingFormLabel
- 8
Ost L G.
Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis.
Behav Res Ther.
2008;
46
296-321
MissingFormLabel
- 9
Hofmann S G, Sawyer A T, Fang A.
The empirical status of the „new wave” of cognitive behavioral therapy.
Psychiatr Clin North Am.
2010;
33
701-710
MissingFormLabel
- 10
Hofmann S G, Asmundson G J.
Acceptance and mindfulness-based therapy: new wave or old hat?.
Clin Psychol Rev.
2008;
28
1-16
MissingFormLabel
- 11
Wenzlaff R M, Wegner D M.
Thought suppression.
Annu Rev Psychol.
2000;
51
59-91
MissingFormLabel
- 12
Beauregard M.
Mind does really matter: evidence from neuroimaging studies of emotional self-regulation,
psychotherapy, and placebo effect.
Prog Neurobiol.
2007;
81
218-236
MissingFormLabel
- 13
Flavell J H.
Cognitive development: children’s knowledge about the mind.
Annu Rev Psychol.
1999;
50
21-45
MissingFormLabel
- 14 Lewis M, Haviland-Jones J M, Feldmann-Barrett L. Handbook of Emotions. New York: Guilford; 2008
MissingFormLabel
- 15 Neimeyer R A, Mahoney M J. Constructivism in psychotherapy. Washington: American Psychological Association; 1999
MissingFormLabel
- 16 Hayes S C, Follette V M, Linehan M M. Mindfulness and acceptance. Expanding the cognitive-behavioral tradition. New York: Guilford; 2004
MissingFormLabel
- 17 Fraser J S, Solovey A D. Second-order change in psychotherapy. The golden thread that unifies effective treatments. Washington: American Psychological Association; 2007
MissingFormLabel
- 18 Linehan M M. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford; 1993
MissingFormLabel
- 19 Hayes S C, Strosahl K D, Wilson K G. Acceptance and commitment therapy. An experiential approach to behavior change. New York: Guilford; 1999
MissingFormLabel
- 20 Young J E. Cognitive therapy for personality disorders: a schema-focused approach. Sarasota: Professional Resource Press; 1999
MissingFormLabel
- 21 McCullough J P. Treatment for chronic depression. Cognitive behavioral analysis system of psychotherapy (CBASP). New York: Guilford; 2000
MissingFormLabel
- 22 Segal Z V, Williams J M, Teasdale J D. Mindfulness-based cognitive therapy for depression. New York: Guilford; 2002
MissingFormLabel
- 23 Wells A. Metacognitive therapy for anxiety and depression. New York: Guilford; 2009
MissingFormLabel
- 24
Linehan M M, Nielsen S L.
Assessment of suicide ideation and parasuicide: hopelessness and social desirability.
J Consult Clin Psychol.
1981;
49
773-775
MissingFormLabel
- 25
Linehan M M, Goodstein J L, Nielsen S L et al.
Reasons for staying alive when you are thinking of killing yourself: the reasons for
living inventory.
J Consult Clin Psychol.
1983;
51
276-286
MissingFormLabel
- 26
Linehan M M.
Dialectical behavior therapy for borderline personality disorder. Theory and method.
Bull Menninger Clin.
1987;
51
261-276
MissingFormLabel
- 27
Lieb K, Zanarini M C, Schmahl C et al.
Borderline personality disorder.
Lancet.
2004;
364
453-461
MissingFormLabel
- 28 Linehan M M. Cognitive behavioral treatment of borderline personality disorder. New York [u. a.]: Guilford; 1993: 558
MissingFormLabel
- 29 Linehan M M. Skills training manual for treating personality disorder. New York [u. a.]: Guilford; 1993: 180
MissingFormLabel
- 30 Linehan M. Dialektisch-behaviorale Therapie der Borderline-Persönlichkeitsstörung. München: CIP-Medien; 1996: 422
MissingFormLabel
- 31 Kabat-Zinn J. Full catastrophe living : using the wisdom of your body and mind to face stress, pain,
and illness; the program of the Stress Reduction Clinic at the University of Massachusetts
Medical Center. 15. [anniversary ed.] New York: Delta Trade Paperbacks; 2005
MissingFormLabel
- 32 Linehan M. Trainingsmanual zur dialektisch-behavioralen Therapie der Borderline-Persönlichkeitsstörung. CIP-Medien; 2004
MissingFormLabel
- 33
Linehan M M, Armstrong H E, Suarez A et al.
Cognitive-behavioral treatment of chronically parasuicidal borderline patients.
Arch Gen Psychiatry.
1991;
48
1060-1064
MissingFormLabel
- 34
Linehan M M, Heard H L, Armstrong H E.
Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline
patients.
Arch Gen Psychiatry.
1993;
50
971-974
MissingFormLabel
- 35
Verheul R, Van Den Bosch L M, Koeter M W et al.
Dialectical behaviour therapy for women with borderline personality disorder: 12-month,
randomised clinical trial in The Netherlands.
Br J Psychiatry.
2003;
182
135-140
MissingFormLabel
- 36
Linehan M M, Comtois K A, Murray A M et al.
Two-year randomized controlled trial and follow-up of dialectical behavior therapy
vs therapy by experts for suicidal behaviors and borderline personality disorder.
Arch Gen Psychiatry.
2006;
63
757-766
MissingFormLabel
- 37
McMain S F, Links P S, Gnam W H et al.
A randomized trial of dialectical behavior therapy versus general psychiatric management
for borderline personality disorder.
Am J Psychiatry.
2009;
166
1365-1374
MissingFormLabel
- 38
Harned M S, Chapman A L, Dexter-Mazza E T et al.
Treating co-occurring Axis I disorders in recurrently suicidal women with borderline
personality disorder: a 2-year randomized trial of dialectical behavior therapy versus
community treatment by experts.
J Consult Clin Psychol.
2008;
76
1068-1075
MissingFormLabel
- 39
Linehan M M, Schmidt 3 rd H, Dimeff L A et al.
Dialectical behavior therapy for patients with borderline personality disorder and
drug-dependence.
Am J Addict.
1999;
8
279-292
MissingFormLabel
- 40
Linehan M M, Dimeff L A, Reynolds S K et al.
Dialectical behavior therapy versus comprehensive validation therapy plus 12-step
for the treatment of opioid dependent women meeting criteria for borderline personality
disorder.
Drug Alcohol Depend.
2002;
67
13-26
MissingFormLabel
- 41
Feldman G, Harley R, Kerrigan M et al.
Change in emotional processing during a dialectical behavior therapy-based skills
group for major depressive disorder.
Behav Res Ther.
2009;
47
316-321
MissingFormLabel
- 42 Hesslinger B, Philipsen A, Richter H. Psychotherapie der ADHS im Erwachsenenalter: ein Arbeitsbuch. Göttingen: Hogrefe; 2004
MissingFormLabel
- 43 Linehan M. Trainingsmanual zur dialektisch-behavioralen Therapie der Borderline-Persönlichkeitsstörung. München: CIP-Medien; 1996
MissingFormLabel
- 44 Bohus M, Wolf M. Interaktives Skillstraining für Borderline-Patienten die CD-ROM für Betroffene. Stuttgart: Schattauer; 2009
MissingFormLabel
- 45 Hayes S C, Barnes-Holmes D, Roche B. Relational frame theory. A post-skinnerian account of human language and cognition. New York: Kluwer; 2001
MissingFormLabel
- 46 Luoma J, Hayes S C, Walser R D. et al .ACT-Training. Handbuch der Acceptance & Commitment Therapie. Ein Lernprogramm in zehn Schritten. Paderborn: Junfermann; 2010
MissingFormLabel
- 47 Hayes S C, Smith S, Kugler G. In Abstand zur inneren Wortmaschine: Ein Selbsthilfe- und Therapiebegleitbuch auf
der Grundlage der Akzeptanz- und Commitment-Therapie (ACT). Tübingen: DGVT; 2007
MissingFormLabel
- 48
Forman E M, Herbert J D, Moitra E et al.
A randomized controlled effectiveness trial of acceptance and commitment therapy and
cognitive therapy for anxiety and depression.
Behav Modif.
2007;
31
772-799
MissingFormLabel
- 49
Gregg J A, Callaghan G M, Hayes S C et al.
Improving diabetes self-management through acceptance, mindfulness, and values: a
randomized controlled trial.
J Consult Clin Psychol.
2007;
75
336-343
MissingFormLabel
- 50
Kellogg S H, Young J E.
Schema therapy for borderline personality disorder.
J Clin Psychol.
2006;
62
445-458
MissingFormLabel
- 51 Arntz A, Van Genderen H, Schweiger J. et al .Schematherapie bei Borderline-Persönlichkeitsstörung. Weinheim: Beltz; 2010
MissingFormLabel
- 52
Giesen-Bloo J, Van Dyck R, Spinhoven P et al.
Outpatient psychotherapy for borderline personality disorder: randomized trial of
schema-focused therapy vs transference-focused psychotherapy.
Archives of General Psychiatry.
2006;
63
649-658
MissingFormLabel
- 53
Spinhoven P, Giesen-Bloo J, Dyck van R et al.
The therapeutic alliance in schema-focused therapy and transference-focused psychotherapy
for borderline personality disorder.
J Consult Clin Psychol.
2007;
75
104-115
MissingFormLabel
- 54
Farrell J M, Shaw I A, Webber M A.
A schema-focused approach to group psychotherapy for outpatients with borderline personality
disorder: a randomized controlled trial.
J Behav Ther Exp Psychiatry.
2009;
40
317-328
MissingFormLabel
- 55 Piaget J, Warden M. The language and thought of the child. Alchester, England: Read Books; 2007
MissingFormLabel
- 56
Kanfer F H, Saslow G.
Behavioral Analysis: An Alternative to Diagnostic Classification.
Arch Gen Psychiatry.
1965;
12
529-538
MissingFormLabel
- 57 McCullough J P. Skills training manual for diagnosing and treating chronic depression : cognitive
behavioral analysis system of psychotherapy. New York: Guilford Press; 2001
MissingFormLabel
- 58 McCullough J P. SpringerLink (Online service) .Treating Chronic Depression with Disciplined Personal Involvement Cognitive Behavioral
Analysis System of Psychotherapy (CBASP). Boston, MA; 2006
MissingFormLabel
- 59
Schweiger U, Sipos V.
Situationsanalyse nach dem Modell des Cognitive Behavioral Analysis System of Psychotherapy
(CBASP).
Verhaltenstherapie & Verhaltensmedizin.
2009;
30
56-68
MissingFormLabel
- 60
Manber R, Arnow B, Blasey C et al.
Patient’s therapeutic skill acquisition and response to psychotherapy, alone or in
combination with medication.
Psychological Medicine.
2003;
33
693-702
MissingFormLabel
- 61
Keller M B, McCullough J P, Klein D N et al.
A comparison of nefazodone, the cognitive behavioral-analysis system of psychotherapy,
and their combination for the treatment of chronic depression.
N Engl J Med.
2000;
342
1462-1470
MissingFormLabel
- 62
Nemeroff C B, Heim C M, Thase M E et al.
Differential responses to psychotherapy versus pharmacotherapy in patients with chronic
forms of major depression and childhood trauma.
Proc Natl Acad Sci U S A.
2003;
100
14 293-14 296
MissingFormLabel
- 63
Schatzberg A F, Rush A J, Arnow B A et al.
Chronic depression: medication (nefazodone) or psychotherapy (CBASP) is effective
when the other is not.
Arch Gen Psychiatry.
2005;
62
513-520
MissingFormLabel
- 64
Kocsis J H, Gelenberg A J, Rothbaum B O et al.
Cognitive behavioral analysis system of psychotherapy and brief supportive psychotherapy
for augmentation of antidepressant nonresponse in chronic depression: the REVAMP Trial.
Arch Gen Psychiatry.
2009;
66
1178-1188
MissingFormLabel
- 65 McCullough J P, Schramm E. Psychotherapie der chronischen Depression: cognitive behavioral analysis system of
psychotherapy; CBASP.. München [u. a.]: Elsevier, Urban und Fischer; 2006
MissingFormLabel
- 66 Kabat-Zinn J, Kesper-Grossman U. Stressbewältigung durch die Praxis der Achtsamkeit. Freiamt im Schwarzwald: Arbor-Verl.; 1999
MissingFormLabel
- 67
Godfrin K A, Heeringen van C.
The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes,
mental health and quality of life: A randomized controlled study.
Behav Res Ther.
2010;
48
738-746
MissingFormLabel
- 68
Teasdale J D, Segal Z V, Williams J M et al.
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive
therapy.
J Consult Clin Psychol.
2000;
68
615-623
MissingFormLabel
- 69
Bondolfi G, Jermann F, der Linden M V et al.
Depression relapse prophylaxis with Mindfulness-Based Cognitive Therapy: replication
and extension in the Swiss health care system.
J Affect Disord.
2010;
122
224-231
MissingFormLabel
- 70
Kuyken W, Byford S, Taylor R S et al.
Mindfulness-based cognitive therapy to prevent relapse in recurrent depression.
J Consult Clin Psychol.
2008;
76
966-978
MissingFormLabel
- 71
Teasdale J D, Moore R G, Hayhurst H et al.
Metacognitive awareness and prevention of relapse in depression: empirical evidence.
Journal of Consulting and Clinical Psychology.
2002;
70
275-287
MissingFormLabel
- 72
Piet J, Hougaard E, Hecksher M S et al.
A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral
therapy for young adults with social phobia.
Scand J Psychol.
[epub ahead of print];
MissingFormLabel
- 73
Evans S, Ferrando S, Findler M et al.
Mindfulness-based cognitive therapy for generalized anxiety disorder.
J Anxiety Disord.
2008;
22
716-721
MissingFormLabel
- 74
Williams J M, Alatiq Y, Crane C et al.
Mindfulness-based Cognitive Therapy (MBCT) in bipolar disorder: preliminary evaluation
of immediate effects on between-episode functioning.
J Affect Disord.
2008;
107
275-279
MissingFormLabel
- 75
Kim Y W, Lee S H, Choi T K et al.
Effectiveness of mindfulness-based cognitive therapy as an adjuvant to pharmacotherapy
in patients with panic disorder or generalized anxiety disorder.
Depress Anxiety.
2009;
26
601-606
MissingFormLabel
- 76 Wells A. Cognitive therapy of anxiety disorders: a practice manual and conceptual guide.. Chichester; New York: J. Wiley & Sons; 1997
MissingFormLabel
- 77
Simons M, Schneider S, Herpertz-Dahlmann B.
Metacognitive therapy versus exposure and response prevention for pediatric obsessive-compulsive
disorder. A case series with randomized allocation.
Psychother Psychosom.
2006;
75
257-264
MissingFormLabel
- 78
Wells A, Welford M, King P et al.
A pilot randomized trial of metacognitive therapy vs applied relaxation in the treatment
of adults with generalized anxiety disorder.
Behav Res Ther.
2010;
48
429-434
MissingFormLabel
- 79
Wells A, Sembi S.
Metacognitive therapy for PTSD: a preliminary investigation of a new brief treatment.
J Behav Ther Exp Psychiatry.
2004;
35
307-318
MissingFormLabel
- 80
Wells A, King P.
Metacognitive therapy for generalized anxiety disorder: an open trial.
J Behav Ther Exp Psychiatry.
2006;
37
206-212
MissingFormLabel
- 81
Fisher P L, Wells A.
Metacognitive therapy for obsessive-compulsive disorder: a case series.
J Behav Ther Exp Psychiatry.
2008;
39
117-132
MissingFormLabel
- 82
Spada M M, Moneta G B, Wells A.
The relative contribution of metacognitive beliefs and expectancies to drinking behaviour.
Alcohol Alcohol.
2007;
42
567-574
MissingFormLabel
- 83
Keller M B, McCullough J P, Klein D N et al.
A comparison of nefazodone, the cognitive behavioral-analysis system of psychotherapy,
and their combination for the treatment of chronic depression.
New England Journal of Medicine.
2000;
342
1462-1470
MissingFormLabel
- 84
Soler J, Pascual J C, Campins J et al.
Double-blind, placebo-controlled study of dialectical behavior therapy plus olanzapine
for borderline personality disorder.
Am J Psychiatry.
2005;
162
1221-1224
MissingFormLabel
- 85
Lynch T R, Cheavens J S, Cukrowicz K C et al.
Treatment of older adults with co-morbid personality disorder and depression: a dialectical
behavior therapy approach.
Int J Geriatr Psychiatry.
2007;
22
131-143
MissingFormLabel
- 86
Clarkin J F, Levy K N, Lenzenweger M F et al.
Evaluating three treatments for borderline personality disorder: a multiwave study.
Am J Psychiatry.
2007;
164
922-928
MissingFormLabel
- 87
Levy K N, Meehan K B, Kelly K M et al.
Change in attachment patterns and reflective function in a randomized control trial
of transference-focused psychotherapy for borderline personality disorder.
J Consult Clin Psychol.
2006;
74
1027-1040
MissingFormLabel
- 88
Ma S H, Teasdale J D.
Mindfulness-based cognitive therapy for depression: replication and exploration of
differential relapse prevention effects.
J Consult Clin Psychol.
2004;
72
31-40
MissingFormLabel
Dr. Kai G. Kahl
Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie Medizinische Hochschule
Carl-Neuberg-Str. 1
30625 Hannover
Email: Kahl.Kai@mh-hannover.de