Cognitive Behaviour Therapy最新文献

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 4.3 2区心理学

Cognitive Behaviour Therapy Pub 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":"https://doi.org/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":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2024-11-28","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

A proof-of-concept trial of a smoking cessation and anxiety sensitivity reduction smartphone application for Black adults. 针对黑人成年人的戒烟和降低焦虑敏感性智能手机应用概念验证试验。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-20 DOI: 10.1080/16506073.2024.2431555

Lorra Garey, Jillian H Robison, Cameron T Matoska, Audrey Montgomery, Ava Jones, Emily T Hébert, Anka A Vujanovic, Krista M Kezbers, Marshall K Cheney, Matthew W Gallagher, Ezemenari M Obasi, Michael J Zvolensky, Michael S Businelle

{"title":"A proof-of-concept trial of a smoking cessation and anxiety sensitivity reduction smartphone application for Black adults.","authors":"Lorra Garey, Jillian H Robison, Cameron T Matoska, Audrey Montgomery, Ava Jones, Emily T Hébert, Anka A Vujanovic, Krista M Kezbers, Marshall K Cheney, Matthew W Gallagher, Ezemenari M Obasi, Michael J Zvolensky, Michael S Businelle","doi":"10.1080/16506073.2024.2431555","DOIUrl":"https://doi.org/10.1080/16506073.2024.2431555","url":null,"abstract":"Black persons who smoke are recognized as a smoking health disparity group and face higher rates of tobacco-related disease and morbidity. These disparities result from, in part, exposure to minority-related stress, which results in lower rates of quit success. Anxiety sensitivity (AS), which refers to the fear of stress, is associated with lower rates of cessation and impedes quit success among Black adults who smoke. The current study evaluated the feasibility, utilization, acceptability, and initial efficacy of a smoking cessation and AS reduction smartphone application for Black adults with elevated AS who smoke (The Mobile Anxiety Sensitivity Program for Smoking [MASP]). Participants (N = 24; 62.50% female; Mage = 47.83 years, SD = 9.32) participated in a 6-week trial of MASP. Retention was 83.33% at the 6-week follow-up and MASP utilization was high, with all features used by most participants. Participants reported that MASP was acceptable and 25% of participants reported 7-day point-prevalence abstinence, demonstrating strong utility and impact potential. Results also indicated a statistically significant reduction in AS from baseline to follow-up (p = .003, Cohen's d=.76). Black persons who smoke with AS may benefit from an accessible, adaptive app with culturally tailored treatment that addressed AS in the context of smoking cessation.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-26"},"PeriodicalIF":4.3,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675359","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

My grief app for prolonged grief in bereaved parents: a randomised waitlist-controlled trial. 我的悲伤应用程序用于治疗丧亲父母的长期悲伤：随机等待对照试验。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-14 DOI: 10.1080/16506073.2024.2429068

Josefin Sveen, Maarten C Eisma, Paul A Boelen, Filip K Arnberg, Rakel Eklund

{"title":"My grief app for prolonged grief in bereaved parents: a randomised waitlist-controlled trial.","authors":"Josefin Sveen, Maarten C Eisma, Paul A Boelen, Filip K Arnberg, Rakel Eklund","doi":"10.1080/16506073.2024.2429068","DOIUrl":"https://doi.org/10.1080/16506073.2024.2429068","url":null,"abstract":"A minority of bereaved adults experiences prolonged grief disorder, depression, and/or posttraumatic stress disorder, with heightened risks observed among bereaved parents. Cognitive-behavioural therapies, both face-to-face and online, have demonstrated efficacy in treating post-loss mental health problems. Mobile phone applications potentially offer an efficient and cost-effective way to deliver self-help to bereaved adults, yet controlled effectiveness studies are lacking. Therefore, we examined the short-term efficacy of the My Grief app, based on cognitive-behavioural therapy, in 248 bereaved parents, in a randomised controlled trial (Clinicaltrials.gov, identifier: NCT04552717). Participants were randomly allocated to access to the My Grief app (n = 126) or a waitlist (n = 122). At baseline and post-assessment, symptoms of prolonged grief, posttraumatic stress, and depression, negative grief cognitions, rumination, and avoidance were assessed. Reductions in prolonged grief and posttraumatic stress symptoms and negative cognitions in the intervention group were larger than in the control group, albeit with small effect sizes. Fifteen app users reported negative experiences with the app; for example, some mentioned that it elicited painful memories and emotions related to their loss. My Grief appears to achieve modest improvements in mental health in bereaved parents. Given that it is accessible and low-cost, it is an important addition to the suite of prolonged grief interventions.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-17"},"PeriodicalIF":4.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616112","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

Putative risk and resiliency factors after an augmented training program for preventing posttraumatic stress injuries among public safety personnel from diverse sectors. 来自不同行业的公共安全人员在参加了预防创伤后应激损伤的强化培训项目后的潜在风险和复原因素。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-11 DOI: 10.1080/16506073.2024.2420636

Juliana M B Khoury, Taylor A Teckchandani, Jolan Nisbet, Sherry H Stewart, Gordon J G Asmundson, Tracie O Afifi, Michelle C E McCarron, Gregory P Kratzig, Shannon Sauer-Zavala, J Patrick Neary, Renée S MacPhee, Alain Brunet, Terence M Keane, R Nicholas Carleton

{"title":"Putative risk and resiliency factors after an augmented training program for preventing posttraumatic stress injuries among public safety personnel from diverse sectors.","authors":"Juliana M B Khoury, Taylor A Teckchandani, Jolan Nisbet, Sherry H Stewart, Gordon J G Asmundson, Tracie O Afifi, Michelle C E McCarron, Gregory P Kratzig, Shannon Sauer-Zavala, J Patrick Neary, Renée S MacPhee, Alain Brunet, Terence M Keane, R Nicholas Carleton","doi":"10.1080/16506073.2024.2420636","DOIUrl":"https://doi.org/10.1080/16506073.2024.2420636","url":null,"abstract":"Mental health disorders are particularly prevalent among public safety personnel (PSP). Emotional Resilience Skills Training (ERST) is a cognitive behavioural training program for PSP based on the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (i.e. Unified Protocol). The current study was designed to assess whether ERST is associated with reduced putative risk factors for mental disorders and increased individual resilience. The PSP-PTSI Study used a longitudinal prospective sequential experimental cohort design that engaged each participant for approximately 16 months. PSP from diverse sectors (i.e. firefighters, municipal police, paramedics, public safety communicators) completed self-report measures of several putative risk variables (i.e. anxiety sensitivity, fear of negative evaluation, pain anxiety, illness and injury sensitivity, intolerance of uncertainty, state anger) and resilience at three time points: pre-training (n = 191), post-training (n = 103), and 1-year follow-up (n = 41). Participant scores were statistically compared across time points. Participants reported statistically significantly lower scores on all putative risk variables except pain anxiety, and statistically significantly higher resilience from pre- to post-training. Changes were sustained at 1-year follow-up. The results indicate that ERST is associated with reductions in several putative risk variables and improvement in resilience among PSP.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-20"},"PeriodicalIF":4.3,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616125","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 4.3 2区心理学

Cognitive Behaviour Therapy Pub 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":"https://doi.org/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":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A taxometric analysis of panic disorder. 恐慌症的分类分析

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-05 DOI: 10.1080/16506073.2024.2423656

Christian Hall, Joshua Broman-Fulks, Christopher Holden, Shawn Bergman

{"title":"A taxometric analysis of panic disorder.","authors":"Christian Hall, Joshua Broman-Fulks, Christopher Holden, Shawn Bergman","doi":"10.1080/16506073.2024.2423656","DOIUrl":"https://doi.org/10.1080/16506073.2024.2423656","url":null,"abstract":"Panic disorder is costly, and while evidence-based interventions for panic disorder are effective, obtaining a diagnosis often precludes access to such treatments. This is problematic because the categorical diagnosis of panic disorder (i.e. \"you have it, or you don't\") supported by modern diagnostic manuals contradicts empirically supported dimensional models of panic disorder. Taxometric analyses, which test the dimensional or categorical latent structure of constructs, have consistently revealed dimensional latent structures when applied to other anxiety disorders and panic-related processes, but taxometric analyses have never been applied to panic disorder. To address this gap in the literature, three nonredundant taxometric procedures were applied to seven theoretically-relevant indicators of panic disorder derived from Panic Disorder Severity Scale data collected from 663 participants recruited via Amazon Mechanical Turk. Simulated comparison plots and objective fit indices were also evaluated. The collective results provided consistent empirical support for a dimensional model of panic disorder, with an overall mean CCFI score of .39. The implications of the present findings for the measurement, assessment, diagnosis, and treatment of panic disorder are discussed.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-12"},"PeriodicalIF":4.3,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582616","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

Anxiety sensitivity and COVID-19 mental health, fatigue, and well-being: a longitudinal examination among adults from the United States during March-October 2020. 焦虑敏感性与 COVID-19 心理健康、疲劳和幸福感：2020 年 3 月至 10 月期间对美国成年人的纵向调查。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-01 Epub Date: 2024-06-03 DOI: 10.1080/16506073.2024.2360054

Michael J Zvolensky, Jillian H Robison, Zachary S Ayers, Amy R Senger, Bryce K Clausen, Michael S Businelle, Matthew W Gallagher

{"title":"Anxiety sensitivity and COVID-19 mental health, fatigue, and well-being: a longitudinal examination among adults from the United States during March-October 2020.","authors":"Michael J Zvolensky, Jillian H Robison, Zachary S Ayers, Amy R Senger, Bryce K Clausen, Michael S Businelle, Matthew W Gallagher","doi":"10.1080/16506073.2024.2360054","DOIUrl":"10.1080/16506073.2024.2360054","url":null,"abstract":"There is widespread empirical evidence that the COVID-19 pandemic contributed to elevated risk of mental and physical health symptoms and decreased quality of life. The present investigation sought to examine if individual differences in anxiety sensitivity was associated with mental health, psychosomatic, and well-being among a sample of US adults during a 6-month period early in the COVID-19 pandemic. Employing longitudinal research methodology, we tested the hypothesis that the anxiety sensitivity global factor would be related to increased risk of anxiety, depression, fatigue, and lower well-being. Secondary analyses evaluated the lower order anxiety sensitivity factors for the same criterion variables. The sample consisted of 778 participants with an average age of 37.96 (SD = 11.81; range 18-73). Results indicated that, as hypothesized, anxiety sensitivity was associated with increased risk for more severe anxiety, depression, fatigue, and lesser well-being; the observed effects of anxiety sensitivity were relatively robust and evident in adjusted models that controlled for numerous theoretically and clinically relevant factors (e.g. perceived health status). Overall, these results suggest that pandemic functioning could likely be improved via interventions that target elevated anxiety sensitivity as a vulnerability factor for a broad range of aversive psychosomatic symptoms and personal well-being.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"642-660"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199639","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

Examining processes of change for acceptance and commitment therapy and cognitive behavioral therapy self-help books with depressed college students. 研究接受与承诺疗法和认知行为疗法自助书籍对抑郁症大学生的改变过程。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-01 Epub Date: 2024-04-30 DOI: 10.1080/16506073.2024.2346854

Carter H Davis, Michael P Twohig, Michael E Levin

{"title":"Examining processes of change for acceptance and commitment therapy and cognitive behavioral therapy self-help books with depressed college students.","authors":"Carter H Davis, Michael P Twohig, Michael E Levin","doi":"10.1080/16506073.2024.2346854","DOIUrl":"10.1080/16506073.2024.2346854","url":null,"abstract":"Given the prevalence of depression, it is worthwhile to consider a variety of treatment approaches to reach as many sufferers as possible, including highly accessible formats such as self-help books. Books based in acceptance and commitment therapy (ACT) and cognitive behavioral therapy (CBT) propose to treat depression through distinct processes of change, though the degree to which these treatments are distinguishable in this format is unclear. Furthermore, it is possible that some individuals may respond better to therapeutic processes from one approach over the other based on personal preferences. We tested the effects of ACT and CBT self-help books on processes of change in a sample of 139 depressed college students in which some participants were given a choice of treatment and others were randomized. Cognitive fusion, which improved better in the ACT group, was the only process of change that distinguished the two treatments. Additionally, early improvements in cognitive fusion were associated with less depression-related stigma at posttreatment. Lastly, randomization, instead of choosing a treatment, led to greater improvements in almost all processes of change. We discuss how these findings inform personalized care, tangible differences between ACT and CBT, and effective practices for treating depression at large scale.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"592-607"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854789","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 therapist role in parent-led cognitive behavioral therapy for children after trauma: treating trauma from a distance. 治疗师在家长主导的创伤后儿童认知行为疗法中的角色：远距离治疗创伤。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-01 Epub Date: 2024-06-05 DOI: 10.1080/16506073.2024.2360042

Anders Næss, Kristin J Haabrekke, Heidi M Päivärinne, Ingeborg Skjærvø, Marianne Martinsen, Silje M Ormhaug

{"title":"The therapist role in parent-led cognitive behavioral therapy for children after trauma: treating trauma from a distance.","authors":"Anders Næss, Kristin J Haabrekke, Heidi M Päivärinne, Ingeborg Skjærvø, Marianne Martinsen, Silje M Ormhaug","doi":"10.1080/16506073.2024.2360042","DOIUrl":"10.1080/16506073.2024.2360042","url":null,"abstract":"This article examines the therapist experience of their role in providing Stepped Care Cognitive-Behavioral-Therapy for Children after Trauma (SC-CBT-CT), a semi-homebased, parent-led trauma-treatment for children (7-12). Previous research has documented that parent-led, therapist-assisted psychological interventions are an acceptable and effective type of service delivery. Yet, the therapist perspective on their role when providing parent-led treatments has received limited research attention. Attention is therefore directed to the therapist experience of engaging parents, establishing relationships, and working with children's trauma narratives from a distance-through the engagement of parents. The data material consists of semi-structured interviews with SC-CBT-CT therapists. To identify patterns of experience, thought, and viewpoints in the overall data, a stepwise thematic analysis approach was applied. Two core themes emerged: 1) Perceptions of therapeutic control and therapeutic presence when engaging parents to lead their own children through an exposure-based program; 2) Establishment and maintenance of therapeutic alliances with and between parents and children. Although parents are inherently well-positioned to engage with their own children about trauma, the article highlights that treatment adherence, progression, and perseverance is contingent upon systematic therapist guidance, monitoring, and availability for support and problem-solving.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"621-641"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247955","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 long shadow of early-change patterns: a 3-year follow-up after the use of a web-based intervention for mild to moderate depressive symptoms. 早期改变模式的长影：使用网络干预轻度至中度抑郁症状后的 3 年随访。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-11-01 Epub Date: 2024-06-24 DOI: 10.1080/16506073.2024.2368520

Susanne Edelbluth, Jan Philipp Klein, Brian Schwartz, Miriam Hehlmann, Alice Arndt, Julian Rubel, Danilo Moggia, Thomas Berger, Björn Meyer, Steffen Moritz, Johanna Schröder, Wolfgang Lutz

{"title":"The long shadow of early-change patterns: a 3-year follow-up after the use of a web-based intervention for mild to moderate depressive symptoms.","authors":"Susanne Edelbluth, Jan Philipp Klein, Brian Schwartz, Miriam Hehlmann, Alice Arndt, Julian Rubel, Danilo Moggia, Thomas Berger, Björn Meyer, Steffen Moritz, Johanna Schröder, Wolfgang Lutz","doi":"10.1080/16506073.2024.2368520","DOIUrl":"10.1080/16506073.2024.2368520","url":null,"abstract":"Web-based interventions can be effective in treating depressive symptoms. Patients with risk not responding to treatment have been identified by early change patterns. This study aims to examine whether early changes are superior to baseline parameters in predicting long-term outcome. In a randomized clinical trial with 409 individuals experiencing mild to moderate depressive symptoms using the web-based intervention deprexis, three latent classes were identified (early response after registration, early response after screening and early deterioration) based on early change in the first four weeks of the intervention. Baseline variables and these classes were included in a Stepwise Cox Proportional Hazard Multiple Regression to identify predictors associated with the onset of remission over 36-months. Early change class was a significant predictor of remission over 36 months. Compared to early deterioration after screening, both early response after registration and after screening were associated with a higher likelihood of remission. In sensitivity and secondary analyses, only change class consistently emerged as a predictor of long-term outcome. Early improvement in depression symptoms predicted long-term outcome and those showing early improvement had a higher likelihood of long-term remission. These findings suggest that early changes might be a robust predictor for long-term outcome beyond baseline parameters.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"681-700"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442260","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