Cognitive Behaviour Therapy最新文献

Perceived causal networks created using structured interviews: feasibility and reliability. 使用结构化访谈创建的感知因果网络：可行性和可靠性。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-01 Epub Date: 2025-02-18 DOI: 10.1080/16506073.2025.2464637

E Kaariniemi, V Bosund, J Reichert, J Bjureberg, L Klintwall

{"title":"Perceived causal networks created using structured interviews: feasibility and reliability.","authors":"E Kaariniemi, V Bosund, J Reichert, J Bjureberg, L Klintwall","doi":"10.1080/16506073.2025.2464637","DOIUrl":"10.1080/16506073.2025.2464637","url":null,"abstract":"The network approach to psychopathology postulates that it is more helpful to think of psychiatric problems to be caused by each other, rather than by underlying diseases. Personalized networks can be created using questionnaires asking participants about their perceptions of the causal links between symptoms, which is time-efficient but has shown low test-retest reliability. The present study explores whether perceptions of causal links can instead be assessed using interviews. The study investigates the feasibility, acceptability and test-retest reliability of such an interview format. 21 adolescents were interviewed twice within one week. Results showed an average test-retest reliability for node centrality of rs = .703 (SD = .148), and for causal links rs = .533 (SD = .198). A majority of participating adolescents rated the interview as easy to understand. On a group level, the node both most central and frequent was negative emotions. Future studies should evaluate the clinical utility of networks created in interviews, both in terms of face-validity and to guide clinicians in treatment choices.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"685-707"},"PeriodicalIF":4.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440214","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

Perfectionism as a risk factor for psychopathology in a community sample of young women: disorder-specific pathways to disordered eating or obsessive-compulsive symptoms. 在一个年轻女性社区样本中，完美主义作为精神病理学的一个风险因素：失调的特定途径导致饮食失调或强迫症症状。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-01 Epub Date: 2025-02-11 DOI: 10.1080/16506073.2025.2461472

Nathalie Claus, Barbara Cludius, Sarah J Egan, Roz Shafran, Thomas Ehring, Keisuke Takano, Karina Limburg

{"title":"Perfectionism as a risk factor for psychopathology in a community sample of young women: disorder-specific pathways to disordered eating or obsessive-compulsive symptoms.","authors":"Nathalie Claus, Barbara Cludius, Sarah J Egan, Roz Shafran, Thomas Ehring, Keisuke Takano, Karina Limburg","doi":"10.1080/16506073.2025.2461472","DOIUrl":"10.1080/16506073.2025.2461472","url":null,"abstract":"Perfectionism has been suggested as a risk factor relevant to multiple psychological disorders, including obsessive-compulsive disorder (OCD) and eating disorders (ED). However, it remains unclear how perfectionism contributes to general and specific psychopathology. Disorder-specific processes (e.g. body dissatisfaction, responsibility) between perfectionism and subsequent symptoms may offer an explanation. The current study examined longitudinal associations between perfectionism, body dissatisfaction or responsibility, and symptoms of ED or OCD. A community sample of 499 women (18-30) completed a three-wave online study, assessing perfectionism, ED and OCD symptoms, body dissatisfaction, and responsibility/threat overestimation. Temporal relations between perfectionism and symptoms were analyzed using a structural equation model. Effects of body dissatisfaction and responsibility/threat overestimation were analyzed using multiple hierarchical regressions. Results showed that perfectionism predicted subsequent OCD symptoms, but not ED symptoms. ED symptoms, but not OCD symptoms, predicted subsequent perfectionism. No interaction effects between perfectionism and the disorder-specific processes were found. Instead, body dissatisfaction independently contributed to both ED and OCD symptoms, whereas inflated responsibility/threat overestimation predicted specifically OCD symptoms. To conclude, perfectionism appears to increase the risk of psychological symptoms. However, in this sample this was specific to OCD symptoms. Given ED symptoms predicted later perfectionism, bidirectional effects need to be considered.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"664-684"},"PeriodicalIF":4.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390453","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 effectiveness of the Bergen 4-day treatment for OCD in Iceland. 卑尔根 4 天疗法在冰岛治疗强迫症的初步效果。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-01 Epub Date: 2025-02-04 DOI: 10.1080/16506073.2025.2453722

Sóley Dröfn Davidsdottir, Ólafía Sigurjonsdottir, Sigurbjörg Jóna Ludvigsdottir, Gerd Kvale, Bjarne Hansen, Kristen Hagen, Ásmundur Gunnarsson, Kristján Helgi Hjartarson, Gudmundur Skarphedinsson, Lars-Göran Öst

{"title":"Preliminary effectiveness of the Bergen 4-day treatment for OCD in Iceland.","authors":"Sóley Dröfn Davidsdottir, Ólafía Sigurjonsdottir, Sigurbjörg Jóna Ludvigsdottir, Gerd Kvale, Bjarne Hansen, Kristen Hagen, Ásmundur Gunnarsson, Kristján Helgi Hjartarson, Gudmundur Skarphedinsson, Lars-Göran Öst","doi":"10.1080/16506073.2025.2453722","DOIUrl":"10.1080/16506073.2025.2453722","url":null,"abstract":"The Bergen 4-day treatment (B4DT) for obsessive-compulsive disorder (OCD) is a concentrated form of exposure and response prevention that has been evaluated and implemented nationwide in Norway. Its effectiveness has yet to be fully established in other countries. A total of 86 patients with OCD underwent the treatment at the Icelandic Anxiety Centre (KMS) from 2018 to 2023. Of these, 61.6% were classified as having severe symptoms, and 38.4% with moderate symptoms. Of the sample, 72.1% had previously received psychological treatment for OCD and 86.0% had at least one comorbid disorder, depression being the most common (50.0%). Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was administered pre-treatment, posttreatment, and at 3-month follow-up, along with measures on general anxiety, depression, and occupational impairment. The mean score on Y-BOCS was 30.5 (SD = 3.6) pre-treatment, 10.6 (SD = 4.1) posttreatment and 10.9 (SD = 5.4) at 3-month follow-up. By the end of treatment, 94.9% of the patients had responded and 68.0% were in remission. At the 3-month follow-up, 92.5% were responders and 67.9% remitters. Participants were satisfied with the treatment and had improved in terms of occupational functioning, which was maintained at follow-up. These preliminary results suggest that the B4DT may be a swift and effective treatment format for OCD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"626-643"},"PeriodicalIF":4.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188555","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

Examining interrelations among trajectories of mindful awareness, acceptance, and values-consistent actions in acceptance-based behavioral therapy for generalized anxiety disorder. 研究以接受为基础的行为疗法治疗广泛性焦虑症过程中的正念意识、接受和价值观一致行动之间的相互关系。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-01 Epub Date: 2024-11-07 DOI: 10.1080/16506073.2024.2423654

Stephanie Marando-Blanck, Sarah A Hayes-Skelton, Lizabeth Roemer, Susan M Orsillo

{"title":"Examining interrelations among trajectories of mindful awareness, acceptance, and values-consistent actions in acceptance-based behavioral therapy for generalized anxiety disorder.","authors":"Stephanie Marando-Blanck, Sarah A Hayes-Skelton, Lizabeth Roemer, Susan M Orsillo","doi":"10.1080/16506073.2024.2423654","DOIUrl":"10.1080/16506073.2024.2423654","url":null,"abstract":"The goal of this study was to understand how mindful awareness, acceptance, and values-consistent action change across acceptance-based behavioral therapy (ABBT) for generalized anxiety disorder (GAD) and determine their effect on symptoms. We examined weekly data from 31 individuals who received ABBT as part of a randomized control trial for individuals with GAD (Hayes-Skelton, Roemer, & Orsillo, 2013). Participants answered questions weekly about three components of ABBT, including the percentages of time they spent over their past week: 1) aware of the present moment, 2) accepting of their internal experiences, and 3) engaging in values. GAD symptoms were examined using two self-report measures (DASS-21 Stress subscale and PSWQ) and two clinician-rated interview measures (CSR and SIGH-A) at pre- and post-treatment.1 Mindful awareness, acceptance, and values-consistent action increased linearly across ABBT. All three change trajectories were positively correlated (Z's 2.99 to 8.74, p's < .001). Mindful awareness, acceptance, and values-consistent action across treatment predicted decreases in GAD symptoms above and beyond baseline for most outcome measures (Z's -1.95 to -3.03, p's < .05), with the exception that mindfulness did not predict DASS-stress (Z = -1.39, p = .17). These findings are consistent with the structure and model of ABBT.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"577-595"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Benefits of the "worst-case scenario": a multi-level examination of the effects of confronting the feared outcome during imagery-based exposure. “最坏情况”的好处：在基于图像的暴露中，对面对恐惧结果的影响进行多层次的检查。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-01 Epub Date: 2025-01-30 DOI: 10.1080/16506073.2025.2456479

Sarah C Jessup, Thomas Armstrong, Catherine E Rast, Sarah E Woronko, Mitchell Jackson, Alexander L Anwyl-Irvine, Edwin S Dalmaijer, Bunmi O Olatunji

{"title":"Benefits of the \"worst-case scenario\": a multi-level examination of the effects of confronting the feared outcome during imagery-based exposure.","authors":"Sarah C Jessup, Thomas Armstrong, Catherine E Rast, Sarah E Woronko, Mitchell Jackson, Alexander L Anwyl-Irvine, Edwin S Dalmaijer, Bunmi O Olatunji","doi":"10.1080/16506073.2025.2456479","DOIUrl":"10.1080/16506073.2025.2456479","url":null,"abstract":"Exposure therapy is an efficacious treatment for anxiety-related disorders. Yet, fear often returns after treatment. Occasional reinforcement, in which the feared stimulus is intermittently presented during extinction, increases safety learning and slows fear renewal in conditioning paradigms and analogue samples, but no studies to date have examined this strategy in clinical samples. The present study examined the effects of vicarious occasional reinforcement on fear renewal in a snake-phobic sample across multiple levels of analysis. Fear was intermittently reinforced by providing reminders of the feared outcome (a snake bite) throughout a two-session analogue video exposure manipulation. Snake-phobic adults were randomized to one of three conditions: a single-cue [S], multiple-cue [M], or multiple-cue+fear-outcome [M+FO] exposure group. Results showed the three groups did not significantly differ in threat expectancy or attentional bias for threat at follow-up. Despite sustained anxiety, however, the M+FO condition completed significantly more steps on a visual avoidance task at follow-up than the M and S conditions and heightened mean distress during exposure mediated this effect. The M and S groups did not significantly differ in visual avoidance at follow-up. These findings suggest incorporating reminders of the feared outcome into exposure may be an effective strategy for increasing inhibitory retrieval.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"644-663"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064325","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

Examining the use of interoceptive exposure exercises in people with and without a history of chronic physical health problems. 检查在有和没有慢性身体健康问题史的人群中使用内感受性暴露练习。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-01 Epub Date: 2025-01-09 DOI: 10.1080/16506073.2024.2447722

Samantha G Farris, Michael J Zvolensky, Lorra Garey, Michael S Businelle

{"title":"Examining the use of interoceptive exposure exercises in people with and without a history of chronic physical health problems.","authors":"Samantha G Farris, Michael J Zvolensky, Lorra Garey, Michael S Businelle","doi":"10.1080/16506073.2024.2447722","DOIUrl":"10.1080/16506073.2024.2447722","url":null,"abstract":"Interoceptive exposure (IE) exercises are underused, especially in people with chronic physical health problems. Secondary data analyses were conducted to examine the use of and acute responses to IE exercises in individuals with and without a history of chronic physical health problem(s). Participants (N = 413; Mage = 38.6, 56.1% with chronic physical health problems) enrolled in a 6-month randomized controlled trial that aimed to reduce anxiety and depression. Participants had access to a smartphone-based intervention that included on-demand access to IE exercises: head rush, straw breathing, chair spinning, fast breathing, and running in place. Utilization of the IE exercises and acute responses to the exercises were evaluated in the context of chronic physical health problem history. Participants with versus without a chronic physical health problem completed statistically significantly more IE exercises. Acute effects of IE exercises on distress and physical sensations were similar for those with and without a history of chronic physical health problems, as well as those who were versus were not taking medication. There is no evidence that chronic disease history influences the acute response to IE exercises. Continued research is needed to further assess the safety of IE exercises in people with various medical conditions.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"596-612"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exercise prior to cognitive behavior therapy sessions for depression: a feasibility pilot study. 抑郁症认知行为治疗前的运动：一项可行性试点研究。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-09-01 Epub Date: 2025-01-14 DOI: 10.1080/16506073.2024.2449088

Michèle Schmitter, Mikael Rubin, Jasper A J Smits, Sofie E Reijnen, Elianne D de Ruiter-Blijdorp, Miriam M A van den Berg, Revi de Jong-Dinar, Jan Spijker, Janna N Vrijsen

{"title":"Exercise prior to cognitive behavior therapy sessions for depression: a feasibility pilot study.","authors":"Michèle Schmitter, Mikael Rubin, Jasper A J Smits, Sofie E Reijnen, Elianne D de Ruiter-Blijdorp, Miriam M A van den Berg, Revi de Jong-Dinar, Jan Spijker, Janna N Vrijsen","doi":"10.1080/16506073.2024.2449088","DOIUrl":"10.1080/16506073.2024.2449088","url":null,"abstract":"Exercise directly improves mood and cognition. Providing exercise immediately before cognitive behavior therapy (CBT) sessions may therefore enhance the clinical responsiveness to CBT. The present pilot study examined the feasibility and direction of effect of exercise+CBT versus CBT in depressed outpatients using a stepped wedged design. Thirty-three patients received either group-based CBT (12-16 weeks) or group-based exercise+CBT within specialized mental healthcare settings. Weekly therapist-supervised exercise sessions (45 min, moderate intensity, running/indoor cycling) were provided directly before the CBT sessions, with encouragement for home-exercise. Feasibility was assessed through recruitment, retention, and safety, alongside treatment adherence and treatment effects on clinically relevant outcomes. Recruitment yielded 37% of eligible patients with similar retention rates across conditions. No adverse events were reported. The exercise+CBT condition attended 63% of supervised exercise sessions (72% at moderate/vigorous intensity) and fewer CBT sessions (42%) compared to the CBT condition (54%). The conditions showed similar improvements in depressive symptoms, rumination, and CBT skills over time. Our study shows in a specialized mental health care routine practice population that providing exercise before CBT sessions is feasible, warranting a future randomized controlled trial.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"613-625"},"PeriodicalIF":4.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982983","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

Associations of insecure adult attachment style, trauma-related social cognition, and emotion regulation difficulties with PTSD symptom severity among first responders who served during Hurricane Harvey. 在哈维飓风中服役的第一反应者中，不安全成人依恋类型、创伤相关社会认知和情绪调节困难与PTSD症状严重程度的关系

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-07-29 DOI: 10.1080/16506073.2025.2540922

Samuel J Leonard, Amanda Venta, Jaye Derrick, Elizabeth Anderson-Fletcher, Anka A Vujanovic

{"title":"Associations of insecure adult attachment style, trauma-related social cognition, and emotion regulation difficulties with PTSD symptom severity among first responders who served during Hurricane Harvey.","authors":"Samuel J Leonard, Amanda Venta, Jaye Derrick, Elizabeth Anderson-Fletcher, Anka A Vujanovic","doi":"10.1080/16506073.2025.2540922","DOIUrl":"https://doi.org/10.1080/16506073.2025.2540922","url":null,"abstract":"First responders play a vital role in the response to natural disasters and are at a disproportionate risk for developing post-traumatic stress disorder (PTSD) symptoms following these events. The association between attachment style and PTSD is well-established and has been documented among first responders. Understanding the social cognitive and affective factors implicated in the association between insecure adult attachment style and PTSD symptoms among first responders has the potential to inform specialized treatments for this population. The present investigation examined the serial indirect effect of insecure adult attachment style (i.e. attachment avoidance; attachment anxiety) on PTSD symptom severity through trauma-related social cognition and emotion regulation difficulties (ERD). The sample was comprised of 115 first responders (Mage = 42.25, SD = 10.38, 80.0% male) who served during Hurricane Harvey and were recruited to complete an online survey in 2022. Attachment avoidance was indirectly related to PTSD symptom severity via the sequential effects of trauma-related social cognition and ERD (β=.13, SE = .07, CI = .02-.29). The model including attachment anxiety as a statistical predictor was not significant (β = .10, SE = .07, CI = -.01-.27). These findings suggest that there is value in examining the role of social processes and emotion regulatory factors among first responders to inform evidence-based PTSD intervention efforts.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":3.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728388","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

Perseverative effort and grit but not gratitude are protective against the onset of anxiety for cognitively at-risk individuals. 对于认知风险人群来说，坚持不懈的努力和毅力，而不是感恩，可以防止焦虑的发生。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-07-29 DOI: 10.1080/16506073.2025.2536787

John H Riskind, Ayse Altan-Atalay, Jacqueline Sison, Evan Kleiman

{"title":"Perseverative effort and grit but not gratitude are protective against the onset of anxiety for cognitively at-risk individuals.","authors":"John H Riskind, Ayse Altan-Atalay, Jacqueline Sison, Evan Kleiman","doi":"10.1080/16506073.2025.2536787","DOIUrl":"https://doi.org/10.1080/16506073.2025.2536787","url":null,"abstract":"Grit and gratitude protect against depression caused by cognitive vulnerability factors like hopelessness and rumination. This study examined whether these personality strengths could buffer against a cognitive vulnerability for anxiety, the looming cognitive style (LCS). A prospective design was used with university students (N = 247; 86.2% female; aged between 18 and 60) completing online questionnaires two times 6 weeks apart that assessed LCS, grit, gratitude, and anxiety and depression. Path analyses revealed that LCS had a significant main effect and a theoretically expected interaction effect on anxiety symptoms with \"grit perseverance but not with \"grit consistency\" or gratitude. Neither LCS, grit perseverance nor gratitude had any effects on depression symptoms, although an effect emerged for grit consistency. This study is the first to our knowledge to examine how personality strengths protect individuals against a cognitive vulnerability that is more specific to anxiety symptomatology than to depression. Along with other studies, the findings further suggest that a crucial way grit and personality strengths provide benefit is by protecting against cognitive vulnerabilities.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-11"},"PeriodicalIF":3.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728406","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

Emotion regulation as a mediator of dialectical behaviour therapy for autistic adults with suicidal ideation. 情绪调节在自闭症成人自杀意念辩证行为治疗中的中介作用。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-07-29 DOI: 10.1080/16506073.2025.2539301

Anne Huntjens, Filip Smit, L M C Wies van den Bosch, Ad Kerkhof, Bram Sizoo, Mark van der Gaag

{"title":"Emotion regulation as a mediator of dialectical behaviour therapy for autistic adults with suicidal ideation.","authors":"Anne Huntjens, Filip Smit, L M C Wies van den Bosch, Ad Kerkhof, Bram Sizoo, Mark van der Gaag","doi":"10.1080/16506073.2025.2539301","DOIUrl":"https://doi.org/10.1080/16506073.2025.2539301","url":null,"abstract":"Dialectical behaviour therapy (DBT) effectively reduces suicidality in autism by improving emotion regulation (ER), yet its underlying therapeutic mechanism is unclear. This study explores ER factors as mediators in DBT's impact on suicidal ideation in autistic individuals. Data from 123 adult outpatients with autism and suicidal behaviours were randomly assigned to DBT (n = 63) or treatment as usual (n = 60). Suicidal ideation was assessed using the Suicidal Ideation Attributes Scale, and six ER factors were measured with the Difficulties in Emotion Regulation Scale. Structural equation modelling compared a non-sequential model with a sequential model targeting ER factors in the following order: reducing suicide risk, enhancing emotional awareness, consolidating skills, and aligning coping strategies with long-term goals. ER mediated 67% of the total treatment effect. In the non-sequential mediation model, path coefficients were generally small (β ≤ 0.32) and largely not significant. Conversely, in the sequential model, path coefficients were stronger (range: 0.23 ≤ β ≤ 0.92) and all statistically significant (p < 0.01). DBT effectively reduces suicidal behaviour in autistic individuals, with ER playing a profound mediating role. Sequential targeting of ER factors cascades the therapeutic process, highlighting the importance of structured intervention.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-15"},"PeriodicalIF":3.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144728389","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