Cognitive Behaviour Therapy最新文献

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The indirect effects of trauma-related shame and experiential avoidance on PTSD and suicidality 创伤相关羞耻感和体验性回避对PTSD和自杀的间接影响
IF 4.7 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-30 DOI: 10.1080/16506073.2026.2736051
Jacquelyn Quiroga,David H. Johnson,Brian J. Albanese
{"title":"The indirect effects of trauma-related shame and experiential avoidance on PTSD and suicidality","authors":"Jacquelyn Quiroga,David H. Johnson,Brian J. Albanese","doi":"10.1080/16506073.2026.2736051","DOIUrl":"https://doi.org/10.1080/16506073.2026.2736051","url":null,"abstract":"","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":"9 1","pages":"1-17"},"PeriodicalIF":4.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149093323","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
Investigating the role of affective valence and arousal in exposure therapy for anxiety and related disorders. 探讨情感效价和觉醒在焦虑及相关障碍暴露治疗中的作用。
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-29 DOI: 10.1080/16506073.2026.2736050
Hayley E Fitzgerald, Laura J Long, Star Moore, Adam R Cobb, Rebecca E Lubin, E Marie Parsons, Nadine R Taghian, Jason Shumake, Marie-H Monfils, Michael J Telch, Jasper A J Smits, Michael W Otto
{"title":"Investigating the role of affective valence and arousal in exposure therapy for anxiety and related disorders.","authors":"Hayley E Fitzgerald, Laura J Long, Star Moore, Adam R Cobb, Rebecca E Lubin, E Marie Parsons, Nadine R Taghian, Jason Shumake, Marie-H Monfils, Michael J Telch, Jasper A J Smits, Michael W Otto","doi":"10.1080/16506073.2026.2736050","DOIUrl":"https://doi.org/10.1080/16506073.2026.2736050","url":null,"abstract":"<p><p>Positive affect has been hypothesized to improve exposure learning outcomes. However, empirical studies of this hypothesis have yielded mixed findings and suggest that it is important to disentangle the relative contributions of both affective valence and arousal. The current study is a secondary analysis from a clinical trial investigating predictors of nonresponse to 12 weekly sessions of exposure-based CBT for individuals with anxiety disorders (<i>N</i> = 100). State affective valence and arousal ratings were assessed before and after exposure sessions. Lagged multilevel modeling revealed that greater positive affective valence and lower affective arousal before and after exposure sessions independently predicted lower anxiety severity the following week, evidencing small standardized effects. Standard multiple regression analyses indicated that both the average affective valence and arousal reported before exposure sessions significantly predicted week 12 anxiety severity, when controlling for week 1 anxiety severity, evidencing medium-to-large standardized effects. Findings support the hypothesis that state affective valence and arousal levels before and after exposure sessions are related to the outcome of exposure therapy for anxiety disorders. Results are discussed in the context of variable findings from previous studies. Future research should continue to elucidate the mechanisms governing the effect of positive affect on exposure learning.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":3.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073837","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
Changes in happy and sad emotions across the course of the PTSD Coach Online-Arabic intervention: a latent growth curve analysis. 在创伤后应激障碍在线阿拉伯语教练干预过程中,快乐和悲伤情绪的变化:潜在增长曲线分析。
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-16 DOI: 10.1080/16506073.2026.2734726
Catherine A Maloney, Katherine Edler, Kate Ellis, Laura Miller-Graff
{"title":"Changes in happy and sad emotions across the course of the PTSD Coach Online-Arabic intervention: a latent growth curve analysis.","authors":"Catherine A Maloney, Katherine Edler, Kate Ellis, Laura Miller-Graff","doi":"10.1080/16506073.2026.2734726","DOIUrl":"https://doi.org/10.1080/16506073.2026.2734726","url":null,"abstract":"<p><p>Exposure to socio-political violence is associated with increased levels of posttraumatic stress symptoms (PTSS). The current study explores prospective patterns of emotion change among Egyptian adults (<i>N</i> = 87) across 8 weekly timepoints, all of whom endorsed elevated PTSS. Participants were randomized to either have access to the PTSD Coach Online-Arabic app (<i>n</i> = 41) or be enrolled in a waitlist control (<i>n</i> = 46). A series of latent growth curve models were fit to evaluate within-group change in the basic emotions of <i>sadness</i> and <i>happiness</i>. For <i>sad</i> ratings, a quadratic model with random effects best fit the data and the treatment group was included as a predictor of growth factors. Enrollment in the treatment group predicted significantly lower rates of sadness during the final week of the intervention (<i>b</i> = -.35, <i>S.E</i>. = .15, <i>p</i> = .020) and at the endline assessment (<i>b</i> = -.42, <i>S.E</i>. = .21, <i>p</i> = .043). Neither the linear nor quadratic growth model fit well for the <i>happy</i> models. These results suggest enrollment in the intervention predicted improvements in sadness among adults affected by PTSS.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-9"},"PeriodicalIF":3.4,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982281","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 and mechanisms of internet-delivered transdiagnostic CBT for students with adjustment disorder: the role of cognitive inflexibility, self-compassion, and mindfulness. 网络传递的跨诊断CBT治疗学生适应障碍的有效性和机制:认知不灵活性、自我同情和正念的作用。
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-10 DOI: 10.1080/16506073.2026.2720139
A Juszczyk-Kalina, T J Farchione, A L Williams, P Holas
{"title":"Effectiveness and mechanisms of internet-delivered transdiagnostic CBT for students with adjustment disorder: the role of cognitive inflexibility, self-compassion, and mindfulness.","authors":"A Juszczyk-Kalina, T J Farchione, A L Williams, P Holas","doi":"10.1080/16506073.2026.2720139","DOIUrl":"https://doi.org/10.1080/16506073.2026.2720139","url":null,"abstract":"<p><p>Adjustment disorder (AjD) is highly prevalent among university students and is associated with significant distress and impaired academic functioning, yet evidence-based interventions remain limited. This randomized controlled trial evaluated the effectiveness and mechanisms of a six-week internet-delivered Unified Protocol (iCBT-UP) for students with AjD, compared with an active control (iPMR) and a wait-list control. A total of 181 students meeting ICD-11 criteria for AjD were randomized (2:2:1) to iCBT-UP (<i>n</i> = 79), iPMR (<i>n</i> = 63), or wait-list (<i>n</i> = 39). Assessments were conducted at baseline, post-treatment, and one-month follow-up. Outcomes included AjD, academic adjustment, experiential avoidance, self-compassion, and mindfulness. Daily diary assessments captured changes in self-compassion, mindfulness and psychological flexibility. Treatment effects were examined using mixed repeated-measures ANOVA and mediation analyses. Both active interventions significantly reduced AjD symptoms relative to wait-list, whereas only iCBT-UP improved academic adjustment. Reductions in experiential avoidance and increases in self-compassion mediated the effects of iCBT-UP on decreases in AjD symptoms. Self-compassion also mediated the effects of iCBT-UP on improvements in academic adjustment. Daily diary analyses showed increases in self-compassion and psychological flexibility in both active conditions. These findings support transdiagnostic CBT as an effective intervention for AjD and highlight key mechanisms of change.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-24"},"PeriodicalIF":3.4,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918843","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
Virtual group Dialectical Behavior Therapy for Binge Eating Disorder: acceptability and preliminary clinical outcomes from a routine service evaluation. 暴饮暴食症的虚拟群体辨证行为治疗:可接受性及常规服务评估的初步临床结果。
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-01 Epub Date: 2025-10-13 DOI: 10.1080/16506073.2025.2571633
Emma Briggs, Sarah Wakefield, Gillian Adams, Jessica Beard, Hannah Turner
{"title":"Virtual group Dialectical Behavior Therapy for Binge Eating Disorder: acceptability and preliminary clinical outcomes from a routine service evaluation.","authors":"Emma Briggs, Sarah Wakefield, Gillian Adams, Jessica Beard, Hannah Turner","doi":"10.1080/16506073.2025.2571633","DOIUrl":"10.1080/16506073.2025.2571633","url":null,"abstract":"<p><p>Whilst there is evidence supporting the effectiveness of Dialectical Behavior Therapy (DBT) for the treatment of Binge Eating Disorder (BED), it remains unclear whether this can be delivered virtually without loss of clinical effect. This study aims to explore the acceptability and preliminary clinical effectiveness of a virtual therapist-led DBT group for BED. Of 108 adults with BED who were offered a virtual 10-week DBT group between 2020 and 2022, 51 commenced treatment; 8 groups were conducted. Patients completed measures of eating disorder pathology, mood and anxiety at start, end of treatment, and 1-month follow-up. Binge abstinence rates were recorded weekly. Forty-seven percent of those offered the group began treatment; of that group 71% completed treatment. Binge abstinence rates of 64.71% were achieved by end of treatment. Generalized Linear Mixed Models showed significant reductions in eating and mood pathology, with generally strong effect sizes. All changes were maintained at 1-month follow-up. Preliminary findings suggest that a virtual 10-week DBT group for BED is clinically effective. Further research is required to replicate these findings in an appropriately powered sample. The significant number of patients not opting-in suggests barriers to treatment uptake that would be helpful to explore to further inform treatment acceptability.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"846-855"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279199","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
Association between therapists' negative beliefs about exposure therapy and its use in an Australian sample: a brief report. 治疗师对暴露疗法的负面看法与其在澳大利亚样本中的应用之间的联系:一份简短的报告。
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-01 Epub Date: 2025-10-29 DOI: 10.1080/16506073.2025.2578746
Karen Moses, Craig J Gonsalvez, Perin Kurt, Tanya Meade
{"title":"Association between therapists' negative beliefs about exposure therapy and its use in an Australian sample: a brief report.","authors":"Karen Moses, Craig J Gonsalvez, Perin Kurt, Tanya Meade","doi":"10.1080/16506073.2025.2578746","DOIUrl":"10.1080/16506073.2025.2578746","url":null,"abstract":"<p><p>Despite a wealth of research demonstrating the efficacy of exposure therapy for the anxiety and related disorders, research shows that few therapists use this technique in clinical practice. Negative beliefs about exposure therapy have been shown to be the most significant barrier to use or optimal use. A richer and more nuanced understanding of the relationship between negative beliefs and exposure use, and its implications for training and practice, is warranted. This research aimed to identify the specific negative beliefs about exposure held by Australian psychologists, and the association of these beliefs with the use of therapist-assisted and self-guided exposure (i.e. between-session exposure homework) of exposure therapy for anxiety, obsessive-compulsive, and post-traumatic stress disorders. One hundred registered psychologists participated in an online study. Results suggest that the most frequently endorsed negative belief is the need for arousal reduction techniques to tolerate distress associated with exposure therapy. Negative beliefs about exposure were negatively correlated with both therapist-supported and self-guided exposure of exposure therapy across all disorders, though largest correlations were found for therapist-supported techniques. Training implications of these findings are discussed.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"856-863"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145387400","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 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-01 Epub 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":"10.1080/16506073.2025.2565669","url":null,"abstract":"<p><p>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 <i>eSense</i>) to explore whether SA history predicted treatment engagement or outcomes, and whether PTSD symptoms improved. Women with SIAD were randomized to online CBT (<i>n</i> = 43), online MBT (<i>n</i> = 43), or a waitlist control (<i>n</i> = 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 <i>eSense</i>, for SIAD.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"759-779"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","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
Feasibility, utility, and acceptability of an online ACT-based rehabilitation for clinical burnout. 基于act的在线临床倦怠康复的可行性、效用和可接受性。
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-01 Epub Date: 2025-07-15 DOI: 10.1080/16506073.2025.2530420
Jakob Clason van de Leur, Karolina Lundbäck, Sanna Forslund, Nicole Virtanen, Monica Buhrman
{"title":"Feasibility, utility, and acceptability of an online ACT-based rehabilitation for clinical burnout.","authors":"Jakob Clason van de Leur, Karolina Lundbäck, Sanna Forslund, Nicole Virtanen, Monica Buhrman","doi":"10.1080/16506073.2025.2530420","DOIUrl":"10.1080/16506073.2025.2530420","url":null,"abstract":"<p><p>The prevalence of stress-related sick leave in Western society has increased clinical and scientific interest in conditions like clinical burnout. However, evidence-based treatments for clinical burnout remain scarce. This uncontrolled pilot study examined the feasibility, utility, and acceptability of an online rehabilitation program for clinical burnout based on Acceptance and Commitment Therapy (ACT). Twenty-six patients with clinical burnout were included in a 12-week online ACT rehabilitation. Self-rated questionnaires were administered pre-treatment, weekly during treatment, post-treatment, and at three- and six-month follow-ups. Independent raters assessed clinical severity, average working time, and functional disability. There were no dropouts and a high module completion rate (85%), demonstrating feasibility. The rehabilitation's utility was supported by clinical ratings indicating reduced clinical severity, functional disability, and increased working time from 18% at baseline to 75% at the six-month follow-up. Significant improvements were seen in exhaustion, anxiety, depression, psychological flexibility, and perfectionistic concerns with medium to large effect sizes (<i>g</i> = 0.67-1.31) at post-treatment, which were maintained at the six-month follow-up (<i>g</i> = 0.86-1.50). Treatment credibility and satisfaction were high, with few negative effects, indicating high acceptability. These findings suggest that this ACT-based online rehabilitation for clinical burnout holds sufficient promise to warrant further clinical trials.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"714-727"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636385","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
Veterans with co-occurring PTSD and BPD symptoms benefit from dialectical behavior therapy: effects of PTSD on BPD symptom trajectories. PTSD合并BPD症状的退伍军人受益于辩证行为疗法:PTSD对BPD症状轨迹的影响。
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-01 Epub Date: 2025-10-14 DOI: 10.1080/16506073.2025.2572480
Alison M Schreiber, Margaret T Davis, Chelsea D Cawood
{"title":"Veterans with co-occurring PTSD and BPD symptoms benefit from dialectical behavior therapy: effects of PTSD on BPD symptom trajectories.","authors":"Alison M Schreiber, Margaret T Davis, Chelsea D Cawood","doi":"10.1080/16506073.2025.2572480","DOIUrl":"10.1080/16506073.2025.2572480","url":null,"abstract":"<p><p>Among those with borderline personality disorder (BPD), dialectical behavior therapy (DBT) is considered a frontline treatment for reducing impulsivity and suicidality and improving emotion regulation. DBT has been proven effective when delivered within Veterans Health Administration. Much of the research supporting the use of DBT was conducted on patients with relatively clean diagnostic profiles (e.g. excluding bipolar disorder). However, Veterans are diagnostically complex and are especially likely to have comorbid posttraumatic stress disorder (PTSD). We sought to understand how a PTSD diagnosis affected treatment outcomes among Veterans who presented for full-model DBT treatment. In a sample of 62 Veterans, half of whom had probable (<i>N</i> = 24) or confirmed (<i>N</i> = 7) PTSD, we tested whether comorbid PTSD and BPD affected baseline severity, treatment engagement, or treatment outcomes. Compared to those without PTSD, BPD-PTSD did not hamper treatment engagement and was unrelated to BPD symptom severity at baseline. BPD-PTSD was associated with noninferior and indeed sharper reductions in BPD symptoms throughout treatment. That is, relative to Veterans without PTSD, Veterans with co-occurring PTSD and BPD symptoms reported steeper symptom reductions. Altogether, our findings support the use of DBT in Veterans who present with both BPD symptoms and PTSD.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"780-794"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285667","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
Internet-based cognitive behavioral therapy (ICBT) for adolescents with anxiety disorders delivered with different types of therapist support: a randomized feasibility trial. 基于网络的认知行为疗法(ICBT)在不同类型治疗师支持下对青少年焦虑症的治疗:一项随机可行性试验
IF 3.4 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2026-09-01 Epub Date: 2025-07-03 DOI: 10.1080/16506073.2025.2522995
N M Sørensen, H Skaarnes, K Mathiasen, L F McLellan, M Thastum, J J Lomholt
{"title":"Internet-based cognitive behavioral therapy (ICBT) for adolescents with anxiety disorders delivered with different types of therapist support: a randomized feasibility trial.","authors":"N M Sørensen, H Skaarnes, K Mathiasen, L F McLellan, M Thastum, J J Lomholt","doi":"10.1080/16506073.2025.2522995","DOIUrl":"10.1080/16506073.2025.2522995","url":null,"abstract":"<p><p>Internet-based cognitive behavioral therapy (ICBT) programs are offered with varying types of therapist support. But little is known about the impact of therapist support in these programs. The aim of this study was to test the feasibility of delivering ICBT for adolescents with anxiety disorders with different types of written therapist support in a routine care setting. This was done in preparation of a large-scale randomized controlled trial of clinical effectiveness. 15 adolescents aged 12-17 years, and their parents participated in the study. They were randomized 1:1 to either 1) ICBT with planned support, or 2) ICBT with support on demand. Feasibility measures included feasibility and acceptability of treatment and study procedures, and acceptability of the intervention and conditions. Clinical outcome measures included anxiety diagnosis and symptom severity. The results indicate that it may be feasible to deliver the ICBT intervention with different degrees of support. However, the results also indicate that some adaptations to procedures were needed, as the difference in support received between conditions was not as pronounced as expected. The main adaptation derived from this study was altering the planned support condition to provide support at fixed weekly intervals instead of upon session completion.ClinicalTrials.gov ID: NCT06076954.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"690-713"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552516","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
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