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Severity

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Severity generally refers to the number and intensity of symptoms as captured by ROMs. Whilst high baseline/pre-treatment symptom severity may predict limited recovery following an LICBT intervention (Gyani et al., 2013), it does not imply there will be no treatment response (Delgadillo et al., 2017a). For example, for the treatment of depression, research has demonstrated that LICBT interventions such as behavioural activation (Chapter 11) can yield clinical effects comparable to components of HICBT interventions (Lorenzo-Luaces and Dobson, 2019). Basing clinical decisions regarding Step allocation on ROM severity alone may therefore not provide a full picture. Rather, adopting a patient-centred approach that considers ROM severity alongside other information may better inform the decision as to step allocation.

Low-intensity CBT Skills and Interventions

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