Cognitive Behaviour Therapy最新文献

Universal personality dimensions and dysfunctional obsessional beliefs in the DSM-5's OCD and related disorders (OCRDs). DSM-5强迫症及相关障碍（OCRDs）中的普遍人格维度和功能障碍强迫观念。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-01 Epub Date: 2024-10-01 DOI: 10.1080/16506073.2024.2408381

Diana M Lisi, Chelsea Wood-Ross, Rotem Regev, Judith M Laposa, Neil A Rector

{"title":"Universal personality dimensions and dysfunctional obsessional beliefs in the DSM-5's OCD and related disorders (OCRDs).","authors":"Diana M Lisi, Chelsea Wood-Ross, Rotem Regev, Judith M Laposa, Neil A Rector","doi":"10.1080/16506073.2024.2408381","DOIUrl":"10.1080/16506073.2024.2408381","url":null,"abstract":"This study aimed to determine the extent to which personality and cognitive factors contribute to the identification of shared associations between the DSM-5's OCD and Related Disorders (OCRDs). Participants (n = 239) were treatment-seeking outpatients with a principal diagnosis of obsessive-compulsive disorder (OCD), body dysmorphic disorder (BDD), hoarding disorder (HD), trichotillomania (TTM), or excoriation disorder (EXC), as compared to healthy community controls (n = 100). Analyses examined the relationships between diagnostic group, personality dimensions, and obsessive beliefs. Results demonstrated that compared to non-clinical controls, all diagnostic groups scored significantly higher on neuroticism and lower on extraversion and conscientiousness. Few significant differences were found across diagnostic groups: extraversion was higher in the TTM group (vs. all OCRDs), conscientiousness was lower in the HD group (vs. OCD, TTM, EXC), and openness to experience was higher in the TTM and EXC groups (vs. OCD, HD). Obsessional beliefs were significantly elevated in all clinical conditions (vs. controls) except for beliefs surrounding responsibility and threat estimation, which were only significantly higher in OCD and BDD groups. These results highlight shared personality and cognitive vulnerability in the OCRDs as well as unique disorder-specific vulnerabilities related to OCD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"349-366"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public safety personnel's perceptions of mental health training: an assessment of the Emotional Resilience Skills Training. 公共安全人员对心理健康培训的看法：对情绪恢复技能培训的评估。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-01 Epub Date: 2024-09-23 DOI: 10.1080/16506073.2024.2402995

Jolan Nisbet, Shannon Sauer-Zavala, Katie L Andrews, Robyn E Shields, Kirby Q Maguire, Taylor A Teckchandani, Ronald R Martin, Gregory P Krätzig, R Nicholas Carleton

{"title":"Public safety personnel's perceptions of mental health training: an assessment of the Emotional Resilience Skills Training.","authors":"Jolan Nisbet, Shannon Sauer-Zavala, Katie L Andrews, Robyn E Shields, Kirby Q Maguire, Taylor A Teckchandani, Ronald R Martin, Gregory P Krätzig, R Nicholas Carleton","doi":"10.1080/16506073.2024.2402995","DOIUrl":"10.1080/16506073.2024.2402995","url":null,"abstract":"Public safety personnel (PSP) work experiences necessitate diverse and frequent exposures to potentially psychologically traumatic events (PPTEs) and other occupational stressors, which may explain the higher prevalence of mental health disorders and suicidal ideation among PSP relative to the general population. Consequently, PSP require emotional coping skills and evidence-informed mental health training to navigate arduous situations. The Emotional Resilience Skills Training (ERST) is a pilot 13-week mental health training program led by a peer and based on the robustly evidenced Unified Protocol for the Transdiagnostic Treatment of Mental Disorders. The study assessed whether PSP: perceived the ERST as improving their mental health or their management of stressors; applied the associated knowledge and skills; and would recommend ESRT to other PSP. Data were collected using a self-report survey and focus groups. A total of 197 PSP (58% male) completed a self-report survey and 72 PSP (33% female) participated in a sector-specific focus group to assess the ERST. The results indicate that PSP perceived ERST as helpful when applied. Almost all participants would recommend the training to other PSP. PSP expressed the ongoing need for mental health skills and knowledge, but also identified mental health training gaps during early-career training and stages.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"318-332"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"I am now on 'speaking terms' with my migraine monster" - patient experiences in acceptance-based cognitive behavioral therapy delivered via the internet for migraine: a randomized controlled pilot study using a mixed-method approach. "我现在能与我的偏头痛怪物'对话'了"--通过互联网提供的基于接受的认知行为疗法治疗偏头痛的患者体验：一项采用混合方法的随机对照试点研究。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-01 Epub Date: 2024-10-03 DOI: 10.1080/16506073.2024.2408384

Marie Persson, Bledar Daka, Emma Varkey, Josefine L Lilja, Linnea Nissling, Olena Cronstedt, Ann-Katrine Perschbacher, Anna Bratt, Sandra Weineland

{"title":"\"I am now on 'speaking terms' with my migraine monster\" - patient experiences in acceptance-based cognitive behavioral therapy delivered via the internet for migraine: a randomized controlled pilot study using a mixed-method approach.","authors":"Marie Persson, Bledar Daka, Emma Varkey, Josefine L Lilja, Linnea Nissling, Olena Cronstedt, Ann-Katrine Perschbacher, Anna Bratt, Sandra Weineland","doi":"10.1080/16506073.2024.2408384","DOIUrl":"10.1080/16506073.2024.2408384","url":null,"abstract":"Migraine is a common neurological disorder globally. Migraines, with or without aura, are episodic and recurring with symptom-free periods. Frequent and prolonged attacks can lead to chronic migraine. This pilot randomized controlled trial (RCT) aimed to evaluate feasibility of therapist-guided, acceptance-based internet cognitive behavioral therapy (iCBT) as an adjunct to standard medical care for migraine patients in Swedish primary healthcare settings using a mixed methods approach. Participants (treatment n = 15, control n = 14) underwent qualitative and quantitative assessments to evaluate feasibility, acceptance, and initial treatment effects. Interviews with participants (n = 7) indicate that most participants had struggled with migraines for decades and expressed dissatisfaction with the limited medical care. They found the flexible, digital format particularly helpful, praising its accessibility and structured learning. While they appreciated the comprehensive content, some faced challenges with the psychological language and the program pace. Post-treatment, participants reported emotional and behavioral changes, and better migraine management. Seventy-two percent of the 29 participants completed both baseline and 3-month follow-up measures. On average, participants completed 7.7 modules, with 60% completing all 10 modules. Promising effect size indicated a reduction in migraine days during the three-month follow-up. Both qualitative and quantitative data support the feasibility and acceptability of the intervention in primary care settings.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"367-390"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transitioning into trauma-focused evidence-based psychotherapy for posttraumatic stress disorder from other treatments: a qualitative investigation. 从其他疗法过渡到以创伤为重点的循证心理疗法治疗创伤后应激障碍：一项定性调查。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-01 Epub Date: 2024-10-03 DOI: 10.1080/16506073.2024.2408386

Nicholas Holder, Rachel M Ranney, Alejandra K Delgado, Natalie Purcell, Gayle Y Iwamasa, Adam Batten, Thomas C Neylan, Brian Shiner, Shira Maguen

{"title":"Transitioning into trauma-focused evidence-based psychotherapy for posttraumatic stress disorder from other treatments: a qualitative investigation.","authors":"Nicholas Holder, Rachel M Ranney, Alejandra K Delgado, Natalie Purcell, Gayle Y Iwamasa, Adam Batten, Thomas C Neylan, Brian Shiner, Shira Maguen","doi":"10.1080/16506073.2024.2408386","DOIUrl":"10.1080/16506073.2024.2408386","url":null,"abstract":"Although trauma-focused evidence-based psychotherapy (TF-EBP) is recommended for posttraumatic stress disorder (PTSD), rates of TF-EBP initiation among veterans is very low. Service delivery research has shown that other treatments are commonly provided to veterans diagnosed with PTSD, including stabilization treatments. As little is known about how veterans experience the transition to TF-EBP, we conducted a qualitative examination of veterans' perspectives on transitions in PTSD treatment. We recruited a diverse sample of veterans (n = 30) who recently initiated TF-EBP to complete semi-structured qualitative interviews focusing on six domains (PTSD treatment options, cultural sensitivity of treatment, PTSD treatment selection, transition criteria, beliefs about stabilization treatment, treatment needs/preferences). Rapid qualitative analysis procedures were used to identify themes. Themes included: (1) wanting to learn about TF-EBP earlier; (2) perceived risks of transition; (3) relationships with non-TF-EBP providers as transition barriers; (4) high symptoms and poor interpersonal functioning as transition facilitators; (5) benefits of treatment planning and handoffs; (6) prior therapy best when aligned with TF-EBP; (7) socialization as a key benefit of prior therapy; and (8) medications supporting TF-EBP. Results highlight the importance of introducing TF-EBP early to veterans, establishing and communicating a comprehensive care plan, and anchoring stabilization treatment in TF-EBP concepts.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"391-407"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anger in social anxiety disorder. 社交焦虑症患者的愤怒

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-01 Epub Date: 2024-09-12 DOI: 10.1080/16506073.2024.2403149

Roni Oren-Yagoda, Gal Werber, Idan M Aderka

{"title":"Anger in social anxiety disorder.","authors":"Roni Oren-Yagoda, Gal Werber, Idan M Aderka","doi":"10.1080/16506073.2024.2403149","DOIUrl":"10.1080/16506073.2024.2403149","url":null,"abstract":"The present study focused on the emotional experience of anger among individuals with and without social anxiety disorder (SAD). Eighty-eight participants took part in the study, half (n = 44) met diagnostic criteria for SAD and half (n = 44) did not meet criteria for SAD. Participants completed a 21-day experience sampling measurement (ESM) in which they reported on daily social interactions and emotions. Using multilevel linear modeling we found that individuals with SAD experienced more anger compared to individuals without SAD. We also found a Diagnosis × Social Context interaction such that interactions with distant others were associated with elevated anger compared to interactions with close others for individuals with SAD but not for individuals without SAD. Finally, we found that for individuals with SAD (but not those without SAD) anger on a given day (day t) was associated with elevated anxiety on the following day (day t + 1), above and beyond previous anxiety, sadness and guilt (i.e. anxiety, sadness and guilt reported on day t). This suggests that anger may play a unique role in maintaining or exacerbating anxiety among individuals with SAD. Additional implications of our findings for models of psychopathology and for treatment of SAD are discussed.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"333-348"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of written exposure therapy for Korean patients with post-traumatic stress disorder: non-randomized treatment-as-usual waitlist-controlled study. 书面暴露疗法对韩国创伤后应激障碍患者的疗效：非随机照常治疗候补对照研究。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-01 Epub Date: 2024-10-01 DOI: 10.1080/16506073.2024.2410815

Ji-Ae Yun, Chang-Hwa Lee, Seong Hoon Jeong, Je-Chun Yu, Kyeong-Sook Choi

{"title":"Effectiveness of written exposure therapy for Korean patients with post-traumatic stress disorder: non-randomized treatment-as-usual waitlist-controlled study.","authors":"Ji-Ae Yun, Chang-Hwa Lee, Seong Hoon Jeong, Je-Chun Yu, Kyeong-Sook Choi","doi":"10.1080/16506073.2024.2410815","DOIUrl":"10.1080/16506073.2024.2410815","url":null,"abstract":"Written exposure therapy (WET) is a five-session exposure-based protocol for treating post-traumatic stress disorder (PTSD). The brevity and tolerability of WET present the potential to overcome barriers in implementing evidence-based therapy for PTSD within the Korean mental healthcare system. This study investigated the effectiveness of WET in Korean patients with PTSD through a waitlist-controlled trial (KCT0008112). A total of 57 patients with PTSD were allocated non-randomly to either WET (n = 27) or treatment-as-usual waitlist groups (n = 30). Both groups were followed up until the twenty-fourth week after the initial session. Primary outcomes assessed included PTSD symptoms, depressive symptoms, and general function. In the WET group, significant improvements were observed in PTSD symptoms, depressive symptoms, and general function compared to the control group. After the waiting period, the waitlist group also participated in WET, and exhibited significant improvement in all scores. The between- and within-group effect sizes were large. The dropout rate in both groups was 10.9%, and the mean satisfaction ratings were 28.24 ± 3.33 (range 22-32; scale range 8-32). The present study provides evidence of WET successfully reducing PTSD and depressive symptoms and improving general function among Korean patients with PTSD. Moreover, WET was well tolerated and received by Korean patients with PTSD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"408-425"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Elevations in depression and anxiety symptoms prior to discharge from partial hospitalization. 部分住院治疗出院前的抑郁和焦虑症状升高。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-01 Epub Date: 2024-09-05 DOI: 10.1080/16506073.2024.2400258

Juliet L Bockhorst, Chloe C Hudson, Thröstur Bjorgvinsson, Courtney Beard

{"title":"Elevations in depression and anxiety symptoms prior to discharge from partial hospitalization.","authors":"Juliet L Bockhorst, Chloe C Hudson, Thröstur Bjorgvinsson, Courtney Beard","doi":"10.1080/16506073.2024.2400258","DOIUrl":"10.1080/16506073.2024.2400258","url":null,"abstract":"Discharge from psychiatric treatment has been established as an emotionally intense and vulnerable time for patients; however, to date no studies have investigated symptoms directly preceding discharge and the impact on post-discharge outcomes. Our primary aim was to assess the prevalence of elevations in depression and anxiety symptoms prior to discharge from a partial hospitalization program (PHP). Our secondary aim was to assess whether these pre-discharge elevations predict post-discharge outcomes. We analyzed daily depression and anxiety symptom severity from 4211 patients attending a PHP. Two subsamples (n = 113 and n = 70) completed post-discharge outcome measures of symptom severity, well-being, and/or functional impairment at two-weeks, one-month, and three-months post-discharge. Approximately two-thirds of patients demonstrated a significant increase in depression (p < .001) and anxiety (p < .001) symptom severity prior to discharge. These pre-discharge elevations did not significantly predict post-discharge measures when controlling for symptom severity at discharge. Our results suggest patients experience an increase in symptom severity preceding discharge, even after improvement; however, these elevations do not provide additional prognostic information. Clinicians may consider sharing these results with patients to normalize the experience of symptom elevation prior to discharge and highlight that it is not a prognostic indicator.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"305-317"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In the eye of the beholder - validating the visual social anxiety scale (VSAS) in social anxiety disorder.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-04-09 DOI: 10.1080/16506073.2025.2487777

Raz Massad, Nimrod Hertz-Palmor, Yoav Blay, Shay Gur, Franklin R Schneier, Amit Lazarov

{"title":"In the eye of the beholder - validating the visual social anxiety scale (VSAS) in social anxiety disorder.","authors":"Raz Massad, Nimrod Hertz-Palmor, Yoav Blay, Shay Gur, Franklin R Schneier, Amit Lazarov","doi":"10.1080/16506073.2025.2487777","DOIUrl":"https://doi.org/10.1080/16506073.2025.2487777","url":null,"abstract":"The Visual Social Anxiety Scale (VSAS) is a novel picture-based self-report measure of social anxiety that shown promising psychometric properties among non-selected participants. The present study aimed to validate the VSAS among individuals with clinically diagnosed social anxiety disorder (SAD) and establish clinical cutoff scores. One-hundred-and-three adults with SAD completed the VSAS with a battery of additional self-report measures of social anxiety, depression, and general anxiety. Internal consistency, convergent and discriminant validities, were assessed. Clinical cutoff scores were established via a Receiver Operating Characteristics (ROC) analysis using a control group of individuals without any past or present psychopathology (n = 34). An Exploratory Factor Analysis (EFA) was performed to explore underlying thematic factors. The VSAS exhibited high internal consistency and adequate convergent and discriminant validities. The ROC analysis showed the area under the curve to be 0.95 and yielded an optimal cutoff score of 23.40, providing high accuracy (0.90), sensitivity (0.89), and specificity (0.91) for distinguishing SAD from non-SAD individuals. The EFA revealed a 3-factor structure representing the following themes: social interpersonal situations, formal interpersonal situations, and being the center of attention. The psychometric properties of the VSAS support its utility in assessing and identifying individuals with clinical SAD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-29"},"PeriodicalIF":4.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attentional control dampens the effects of intolerance of uncertainty and uncertainty-related attentional bias on posttraumatic stress symptoms.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-04-09 DOI: 10.1080/16506073.2025.2487798

Kate Clauss, Travis A Rogers, Thomas A Daniel, Joseph R Bardeen

{"title":"Attentional control dampens the effects of intolerance of uncertainty and uncertainty-related attentional bias on posttraumatic stress symptoms.","authors":"Kate Clauss, Travis A Rogers, Thomas A Daniel, Joseph R Bardeen","doi":"10.1080/16506073.2025.2487798","DOIUrl":"https://doi.org/10.1080/16506073.2025.2487798","url":null,"abstract":"Intolerance of uncertainty (IU) is a risk factor for posttraumatic stress symptoms (PTSS) following trauma, and attentional biases for uncertainty stimuli (ABU) may be as well. Evidence suggests that better attentional control protects individuals who are vulnerable to several forms of psychopathology from developing such pathology. However, to our knowledge, the potential buffering effect of attentional control in relations between IU, ABU, and PTSS has yet to be examined. In the present study, 125 trauma-exposed undergraduate participants completed a battery of self-report measures and an eye-tracking visual-search task to assess ABU. The sample was primarily White (88.80%) and female (83.2%) with an average age of 19.70 years (SD = 2.60). A series of hierarchical regressions demonstrated that elevated IU and difficulties disengaging from uncertainty stimuli were associated with higher PTSS, but only among participants with lower scores on a measure of attentional control. For participants with relatively better attentional control, the associations between IU, ABU, and PTSS were non-significant. The non-clinical nature and relative homogeny of the current sample may limit generalizability of results, which warrant replication. Attentional control may protect trauma-exposed individuals from the negative effects of IU and ABU on PTSS.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preliminary efficacy of an online intervention based on Acceptance and Commitment Therapy for family caregivers of people with dementia: a feasibility study.

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-03-27 DOI: 10.1080/16506073.2025.2477600

Golnaz L Atefi, Rosalie J M van Knippenberg, Sara Laureen Bartels, Andrés Losada-Baltar, María Márquez-González, Frans R J Verhey, Marjolein E de Vugt

{"title":"Preliminary efficacy of an online intervention based on Acceptance and Commitment Therapy for family caregivers of people with dementia: a feasibility study.","authors":"Golnaz L Atefi, Rosalie J M van Knippenberg, Sara Laureen Bartels, Andrés Losada-Baltar, María Márquez-González, Frans R J Verhey, Marjolein E de Vugt","doi":"10.1080/16506073.2025.2477600","DOIUrl":"https://doi.org/10.1080/16506073.2025.2477600","url":null,"abstract":"With the rising number of dementia cases, supporting family caregivers to maintain their well-being is crucial. Acceptance and Commitment Therapy (ACT) shows promise in promoting psychological flexibility and positive behaviour change. However, it is still developing in caregiving contexts. This study evaluated the preliminary efficacy of a fully online ACT intervention for caregivers of people with dementia. This study employed a pre-post design with two follow-up assessments at 3 and 6 months. A 9-week web-based self-help ACT program, including individual goal setting prior to the intervention, and minimal contact motivational coaching, was provided to 30 family caregivers in the Netherlands. Linear mixed-effect models based on a complete-case analysis showed significant changes in depressive symptoms (mean difference: -3.34, d = -0.78). Significant and sustained improvements were observed in stress (mean difference: -6, d = -1.13) and anxiety (mean difference: -5.55, d = -1.38), both of which were clinically significant. Sense of competence increased (mean difference: 1.1, d = 0.45). ACT-specific measures, including psychological flexibility, engaged living, and inflexibility, also showed significant improvements with medium-to-large effect sizes. This online intervention demonstrated promising preliminary evidence of ACT's potential efficacy on caregivers' well-being, warranting further research in larger-scale controlled trials.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-22"},"PeriodicalIF":4.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0