Cognitive Behavior Therapy (CBT) Intervention for an Elite Cricketer with Anxiety: A Multiple Baseline, Single-Case Study and Process Report

Abstract

This study presents a multiple baseline, single-case Cognitive Behavior Therapy (CBT) intervention and process report on “Regulus” (pseudonym), an elite cricketer experiencing anxiety in the preparatory 4 months leading up to an ICC Cricket World Cup. The research critically examines the therapeutic processes within a cognitive behavior therapy (CBT) framework, integrating intervention efficacy analysis with a detailed process report. The objective is to demonstrate the practical application of CBT theory and techniques using a detailed intervention study and process report format. Starting off with a sport specific CBT formulation, the study delivered the intervention using cognitive restructuring through reframing and alternative belief interventions specific to sport. The study employed a single-case, multiple baseline design across 12 sessions over 14 wk. Anxiety and cognitive appraisals were measured pre-, mid-, and post-intervention with a one-month follow-up. Quantitative results demonstrated significant reductions in anxiety (−56.2%), threat-related appraisals (−50%), and loss-related appraisals (−48.66%), alongside increased challenge appraisals (+30%). Qualitative process reports further illustrated reductions in catastrophic thinking and maladaptive coping behaviors, showcasing CBT’s effectiveness in refining mental resilience for elite sports performance. We conclude with possible directions for further practice-based evidence directions.