Cognitive Behaviour Therapy最新文献

Ethical considerations and practical suggestions for CBT consultation in mental health implementation research and practice. 心理健康实施研究与实践中CBT咨询的伦理思考与实践建议

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-11-01 Epub Date: 2025-06-04 DOI: 10.1080/16506073.2025.2511088

Samantha J Rushworth, Siena K Tugendrajch, Torrey A Creed, Courtney Benjamin Wolk, Michael Steinberg, Emily Becker-Haimes

{"title":"Ethical considerations and practical suggestions for CBT consultation in mental health implementation research and practice.","authors":"Samantha J Rushworth, Siena K Tugendrajch, Torrey A Creed, Courtney Benjamin Wolk, Michael Steinberg, Emily Becker-Haimes","doi":"10.1080/16506073.2025.2511088","DOIUrl":"10.1080/16506073.2025.2511088","url":null,"abstract":"Implementation efforts to increase delivery of cognitive-behavioral therapy (CBT) require ongoing consultation to support the necessary skill development, intervention delivery, and sustainability of its practice in the face of common barriers. However, many ethical challenges can arise within consultation across implementation research and practice at both an individual and organizational level that are not easily resolved within current ethical guidelines. In this paper, we highlight the role of consultation in implementation science and practice and illustrate major ethical challenges that can arise in CBT consultation (i.e. role clarity, influence and power dynamics, professional differences, legal requirements), providing relevant case examples. We then offer practical suggestions for consultants to effectively and proactively address ethically challenging situations, guided by a structured problem-solving framework with reflective questions. We present an extended case example to demonstrate the utility of the proposed framework to support clinicians-particularly practitioners engaged in training and consultation-to support delivery of high-quality, evidence-based care. We conclude by discussing important future directions as they relate to ethical consultation practices to advance CBT implementation.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"712-728"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215164","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

Introduction to the special issue on training, supervision, and implementation. 关于培训、监督和实施的专题介绍。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-23 DOI: 10.1080/16506073.2025.2563423

Sven Alfonsson

引用次数: 0

Providing a new transdiagnostic emotion-focused pain treatment in a clinical context: therapists' experiences of facilitators and barriers. 在临床环境中提供以情绪为中心的新型跨诊断疼痛治疗：治疗师对促进因素和障碍的体验。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-11-01 Epub Date: 2024-10-22 DOI: 10.1080/16506073.2024.2417426

Karin Löfstrand, Elisabeth Björk Brämberg, Ida Flink, Matilda Wurm, Sofia Bergbom

{"title":"Providing a new transdiagnostic emotion-focused pain treatment in a clinical context: therapists' experiences of facilitators and barriers.","authors":"Karin Löfstrand, Elisabeth Björk Brämberg, Ida Flink, Matilda Wurm, Sofia Bergbom","doi":"10.1080/16506073.2024.2417426","DOIUrl":"10.1080/16506073.2024.2417426","url":null,"abstract":"Providing new psychological treatments in clinical settings requires implementation strategies adapted to the organizational context. This study explored how licensed psychologists experienced their context when providing a new transdiagnostic psychological treatment, \"the hybrid treatment\", to treat comorbid pain and emotional problems in a clinical setting. We aimed to identify which contextual factors the therapists experienced as facilitating or hindering, to gain a better understanding of important considerations when planning a future implementation strategy. Contextual factors were identified using the Consolidated Framework of Implementation Research (CFIR) in data collection and analysis. Data were collected through semi-structured interviews (N = 9). Thematic analysis resulted in the identification of five main influencing factors: Perception of the intervention's adaptability, prioritization of the patient's needs, leadership engagement, structure for collaboration, and therapists' professional engagement. The results highlight the importance of ensuring a clearly stated mandate for the key individuals involved. The findings may guide future implementation of new psychological treatments into regular care, to enhance facilitators and overcome barriers.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"729-747"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459776","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

Driving cognitive change: a guide to behavioural experiments in cognitive therapy for anxiety disorders and PTSD. 推动认知改变：焦虑症和创伤后应激障碍认知疗法的行为实验指南。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-11-01 Epub Date: 2025-06-26 DOI: 10.1080/16506073.2025.2518427

Emma Warnock-Parkes, Graham R Thew, Hannah Murray, Nick Grey, Jennifer Wild, Alice Kerr, Alisha Smith, Richard Stott, Anke Ehlers, David M Clark

引用次数: 0

Clinical supervision based on video vs. verbal report: a randomized controlled trial. 基于视频与口头报告的临床督导：随机对照试验。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-11-01 Epub Date: 2024-11-28 DOI: 10.1080/16506073.2024.2434016

Florian Weck, Ulrike Maaß, Tatjana Paunov, Peter E Heinze, Franziska Kühne

{"title":"Clinical supervision based on video vs. verbal report: a randomized controlled trial.","authors":"Florian Weck, Ulrike Maaß, Tatjana Paunov, Peter E Heinze, Franziska Kühne","doi":"10.1080/16506073.2024.2434016","DOIUrl":"10.1080/16506073.2024.2434016","url":null,"abstract":"Clinical supervision is considered important in psychotherapy training, but little is known about the efficacy of specific supervision methods. We investigate two such methods (video-based vs. verbal report-based supervision) in a randomized controlled trial. Seventy-three supervisees were trained in common cognitive-behavioral therapy methods (i.e. behavioral activation and cognitive restructuring) by means of written information and a modelling video demonstrating the techniques. Supervisees had to apply the techniques in role plays with standardized patients (presenting depressive patients). Subsequently, supervisees were randomized to supervision, based on the video, or supervision based on the verbal report of the supervisees. Subsequently and after a three-month follow-up period, supervisees had to demonstrate the therapeutic techniques again. Therapist competence, therapeutic alliance, empathy, and anxiety were assessed through various different perspectives (i.e. independent raters, standardized patients, and supervisees' self-evaluation). Both supervision conditions lead to a significant improvement of therapeutic competences, therapeutic alliance, and empathy. No significant differences were found between the two supervision conditions. At three-month follow-up, training effects decreased on all perspectives except standardized patients. A training condition without supervision would be necessary to demonstrate that improvements are specific effects of the supervision conditions. Moreover, further supervision seems necessary to maintain training effects over time.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"748-766"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738744","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

Networks for treatment selection in psychotherapy: providing a manual for process-based perceived causal networks 心理治疗中治疗选择的网络：为基于过程的感知因果网络提供手册

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-10-07 DOI: 10.1080/16506073.2025.2568000

Anna Seewald, Steffen Erik Schummer, Sara Franz, Michael Franz, Winfried Rief

{"title":"Networks for treatment selection in psychotherapy: providing a manual for process-based perceived causal networks","authors":"Anna Seewald, Steffen Erik Schummer, Sara Franz, Michael Franz, Winfried Rief","doi":"10.1080/16506073.2025.2568000","DOIUrl":"https://doi.org/10.1080/16506073.2025.2568000","url":null,"abstract":"Idiographic networks offer a transdiagnostic approach to case conceptualization and may aid in selecting the treatment focus. We provide a practical manual for constructing idiographic paper-pencil networks. These networks focus on a single main problem, delineate the maladaptive processes that perpetuate it, and thereby inform treatment recommendations. We tested the feasibility and clinical utility of the network construction. Eight therapists applied a manual to construct idiographic paper-pencil networks with twelve patients. Both therapists and patients assessed the feasibility of the manual, the clarity of the network visualization, and the perceived clinical utility of the networks. Additionally, they evaluated changes in common therapeutic factors due to network construction. Therapists and patients rated the manual as highly feasible, viewed the network visualizations favorably, and assessed the clinical utility of the networks positively. Both therapists and patients reported improvements in treatment expectations, therapeutic alliance, and therapy motivation due to network construction. This study provides a manual for developing idiographic process-based networks during the initial psychotherapy session. Both therapists and patients evaluated the manual and the resulting networks positively, suggesting their potential to enhance case conceptualization and treatment selections in psychotherapy.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":"112 1","pages":"1-13"},"PeriodicalIF":4.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145241952","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

The role of sexual assault history and Posttraumatic Stress Disorder (PTSD) symptoms in online treatment for Sexual Interest/Arousal Disorder in women. 性侵犯史和创伤后应激障碍（PTSD）症状在女性性兴趣/性唤起障碍在线治疗中的作用

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-30 DOI: 10.1080/16506073.2025.2565669

K R Stephenson, E A Mahar, K Adamo, A Jelinek, C Cullen, L A Brotto

{"title":"The role of sexual assault history and Posttraumatic Stress Disorder (PTSD) symptoms in online treatment for Sexual Interest/Arousal Disorder in women.","authors":"K R Stephenson, E A Mahar, K Adamo, A Jelinek, C Cullen, L A Brotto","doi":"10.1080/16506073.2025.2565669","DOIUrl":"https://doi.org/10.1080/16506073.2025.2565669","url":null,"abstract":"Cognitive-Behavioral Therapy (CBT) and Mindfulness-Based Therapy (MBT) are efficacious treatments for Sexual Interest/Arousal Disorder (SIAD) in women. Many women with SIAD have a history of sexual assault (SA), but the degree to which SA history predicts engagement in treatment of SIAD, or its efficacy, is generally unknown. It is also possible that treatment of SIAD may improve Posttraumatic Stress Disorder (PTSD) symptoms related to SA. We engaged in secondary analysis of a trial assessing an online intervention for SIAD (called eSense) to explore whether SA history predicted treatment engagement or outcomes, and whether PTSD symptoms improved. Women with SIAD were randomized to online CBT (n = 43), online MBT (n = 43), or a waitlist control (n = 43). Participants completed self-report measures of engagement, SIAD symptoms, and PTSD symptoms at baseline, mid-treatment, posttreatment, and 6-month posttreatment. SA history did not predict treatment engagement or changes in SIAD symptoms. Overall PTSD symptoms decreased in MBT over and above waitlist. Exploratory analyses including follow-up assessment suggested that, among SA survivors, PTSD symptoms improved most in CBT whereas, for those without SA history, improvement was greater in MBT. SA survivors can use and benefit from evidence-based online therapies, like eSense, for SIAD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":3.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191263","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

Understanding the unwanted: a mixed-methods study on negative effects in an internet-based intervention for depression. 了解不想要的：一项基于互联网的抑郁症干预的负面影响的混合方法研究。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-29 DOI: 10.1080/16506073.2025.2565674

Friederike Fenski, Manuel Heinrich, Carmen Schaeuffele, Pavle Zagorscak, Christine Knaevelsrud, Johanna Boettcher

{"title":"Understanding the unwanted: a mixed-methods study on negative effects in an internet-based intervention for depression.","authors":"Friederike Fenski, Manuel Heinrich, Carmen Schaeuffele, Pavle Zagorscak, Christine Knaevelsrud, Johanna Boettcher","doi":"10.1080/16506073.2025.2565674","DOIUrl":"https://doi.org/10.1080/16506073.2025.2565674","url":null,"abstract":"Internet-based interventions (IBIs) are effective for treating depression, but they can also lead to negative effects in some participants. There is no consensus on which specific characteristics of negative effects clinicians and researchers should focus on. Studies often combine distinct (sub)categories of negative effects, complicating interpretation. This study aimed to identify specific (sub)categories of negative effects related to depression and adherence and explore their predictors. In a sample of participants undergoing an IBI for depression (N = 1610; 61% female), 113 participants (7%) reported experiencing at least one negative effect. 110 participants qualitatively reported negative effects and were categorized into a framework consisting of two main categories (treatment-related vs. patient-related) of negative effects, divided into five subcategories (format, contact, implementation, symptoms, and insight). No differences in adherence were observed between any (sub)categories of negative effects; however, participants who reported treatment-related negative effects showed significantly lower symptom improvement than those reporting patient-related negative effects. No patient demographic characteristics predicted any negative effects. Differentiating treatment- and patient-related negative effects could enhance future research and intervention efforts.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":3.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184745","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

Early intervention and augmentation therapy for eating disorders: a Delphi consensus study on transdiagnostic cognitive behavioural processes. 饮食失调的早期干预和强化治疗：跨诊断认知行为过程的德尔菲共识研究。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-25 DOI: 10.1080/16506073.2025.2564387

Jamie-Lee Pennesi, Mia L Pellizzer, Tracey D Wade

{"title":"Early intervention and augmentation therapy for eating disorders: a Delphi consensus study on transdiagnostic cognitive behavioural processes.","authors":"Jamie-Lee Pennesi, Mia L Pellizzer, Tracey D Wade","doi":"10.1080/16506073.2025.2564387","DOIUrl":"10.1080/16506073.2025.2564387","url":null,"abstract":"Little is known about which transdiagnostic cognitive behavioural processes (precipitating or maintaining factors across different psychiatric disorders) are most critical to target to improve the outcomes of interventions for eating disorders (EDs). As a first step toward developing a better understanding of this issue, we conducted a modified Delphi study to reach consensus on processes for early intervention and augmenting evidence-based treatment. Across three rounds, four panels were included: people with lived experience (n = 38), significant others (n = 27), clinicians specialising in the treatment of EDs (n = 44), and ED researchers (n = 29). For early intervention, nine processes were endorsed: basing self-worth on one or two aspects of oneself; persistent and excessively high standards; poor distress tolerance skills; being self-critical; negative body image; difficulty coping with developmental life transitions; low self-compassion; low self-worth and self-acceptance; and negative social media use. For augmenting treatment, nine similar processes were endorsed, except life transitions and social media use, which were replaced by social isolation and unhelpful thinking habits. This information can inform a future research agenda for improving interventions for EDs. However, consensus only occurred for approximately one fifth of the 49 processes, with a disconnect between the lived experience and researcher panels that requires attention.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-15"},"PeriodicalIF":3.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136790","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

Preference for the modality of psychosocial treatment for anxiety in adults with comorbid anxiety and chronic musculoskeletal pain. 对焦虑合并慢性肌肉骨骼疼痛的成人的社会心理治疗方式的偏好。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-23 DOI: 10.1080/16506073.2025.2564817

Annell Ovalles, E Marie Parsons, Margot Steinberg, Tali M Ball, Robert R Edwards, Erica R Checko, Jenna R Carl, Jasper A J Smits, Michael W Otto

{"title":"Preference for the modality of psychosocial treatment for anxiety in adults with comorbid anxiety and chronic musculoskeletal pain.","authors":"Annell Ovalles, E Marie Parsons, Margot Steinberg, Tali M Ball, Robert R Edwards, Erica R Checko, Jenna R Carl, Jasper A J Smits, Michael W Otto","doi":"10.1080/16506073.2025.2564817","DOIUrl":"https://doi.org/10.1080/16506073.2025.2564817","url":null,"abstract":"Chronic musculoskeletal pain (MSKP) is a common and challenging condition often occurring with generalized anxiety disorder (GAD). Cognitive behavior therapy (CBT) is a first-line treatment for GAD, but limitations on the potential availability or engagement in CBT have encouraged consideration of remote and autonomous treatment options. Yet, little is known about preferences for different modalities of CBT. This study evaluated relative preferences for in-person, telehealth, or digital CBT among individuals with comorbid MSKP and anxiety. Using local and national online advertising, we recruited a sample of 85 individuals with MSKP and self-reported clinical levels of anxiety (mean age: 40.3, 74.4% female, 67.1% White). Results indicated a significant preference for in-person therapy over digital treatment. Nonetheless, multiple indices of higher pain-related fear and distress were linked to a greater relative preference for digital therapy. Dissemination of scalable digital treatment for anxiety for adults with MSKP may find the best reception among individuals with these characteristics.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-10"},"PeriodicalIF":3.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124317","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