Cognitive Behaviour Therapy最新文献_第2页

Racial/ethnic identity moderates changes in skill use and therapeutic alliance but not anxiety or depression in the Unified Protocol. 在统一协议中，种族/民族身份调节技能使用和治疗联盟的变化，但不调节焦虑或抑郁。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-04-29 DOI: 10.1080/16506073.2025.2495956

Matthew W Southward, Alex G Urs, Thomas G Adams, Shannon Sauer-Zavala

{"title":"Racial/ethnic identity moderates changes in skill use and therapeutic alliance but not anxiety or depression in the Unified Protocol.","authors":"Matthew W Southward, Alex G Urs, Thomas G Adams, Shannon Sauer-Zavala","doi":"10.1080/16506073.2025.2495956","DOIUrl":"https://doi.org/10.1080/16506073.2025.2495956","url":null,"abstract":"Cognitive-behavioral therapy (CBT) patients with minoritized racial/ethnic backgrounds report similar outcomes as White patients but may report weaker alliances and less frequent CBT skill use. Given its transdiagnostic utility, we tested how racial/ethnic background impacted treatment outcomes, the alliance, and therapy skill use in the Unified Protocol (UP). Participants (N = 70, Mage = 33.7, 67% female, 74% White) with emotional disorders completed six sessions of core UP modules. Participants rated their past-week anxiety, depression, and skill use before each session and the strength of the alliance after each session. We tested whether racial/ethnic background moderated the slopes of symptom change, alliance, and skill use. White patients reported marginally steeper reductions in anxiety than patients with minoritized identities, B = .27, p = .08, but similar improvements in depression and overall alliance, ps > .10. However, White patients reported steeper increases in agreement on the tasks of therapy, B = -.31, p = .047, and skill use, B = .36, p = .02. Patients with minoritized identities may achieve similar reductions in anxiety and depression as White patients despite smaller increases in therapy task agreement and skill use. Clinicians working with patients with minoritized identities may prioritize these two constructs.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-18"},"PeriodicalIF":4.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962087","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

Delivery formats of cognitive behavior therapy in adults with eating disorders: a network meta-analysis. 成人饮食失调患者认知行为治疗的交付形式：网络荟萃分析。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-04-29 DOI: 10.1080/16506073.2025.2495950

Pim Cuijpers, Mathias Harrer, Clara Miguel, Tara Donker, Aaron Keshen, Eirini Karyotaki, Jake Linardon

{"title":"Delivery formats of cognitive behavior therapy in adults with eating disorders: a network meta-analysis.","authors":"Pim Cuijpers, Mathias Harrer, Clara Miguel, Tara Donker, Aaron Keshen, Eirini Karyotaki, Jake Linardon","doi":"10.1080/16506073.2025.2495950","DOIUrl":"https://doi.org/10.1080/16506073.2025.2495950","url":null,"abstract":"Although CBT has been found to be effective in the treatment of eating disorders, it is not clear if there are differences between treatment formats. We conducted a network meta-analysis (NMA) of randomized trials of broadly defined CBT comparing individual, group, guided self-help (GSH) and unguided self-help (USH) with each other or with a control condition. The NMA used a frequentist graph-theoretical approach and included 36 trials (53 comparisons; 3,136 participants). Only one trial was aimed at anorexia nervosa. All formats resulted in large, significant effects when compared to waitlists, with no significant difference between formats (group: g = 1.08, 95% CI: 0.84; 1.31; GSH: g = 0.94, 95% CI: 0.75; 1.13; individual: g = 1.06, 95% CI: 0.77; 1.36; USH: g = 0.62, 95% CI: 0.30; 0.93). No significant difference was found between any format and care-as-usual. Analyses limited to binge eating disorder supported the effects of individual, group and GSH formats, with no significant differences between them. Few trials with low risk of bias were available. CBT for eating disorders can probably be delivered effectively in any format, without significant differences between the formats. These results should be considered with caution because of the non-significant differences when compared to care-as-usual and the considerable risk of bias.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-13"},"PeriodicalIF":4.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969544","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 brief workplace intervention for anxiety sensitivity aimed at reducing the risk of posttraumatic stress in first responders. 一个简短的工作场所干预焦虑敏感性旨在降低风险的创伤后应激的第一响应者。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-04-24 DOI: 10.1080/16506073.2025.2491467

Breagh Newcombe, Janine V Olthuis, Emma R Giberson

{"title":"A brief workplace intervention for anxiety sensitivity aimed at reducing the risk of posttraumatic stress in first responders.","authors":"Breagh Newcombe, Janine V Olthuis, Emma R Giberson","doi":"10.1080/16506073.2025.2491467","DOIUrl":"https://doi.org/10.1080/16506073.2025.2491467","url":null,"abstract":"First responders are repeatedly exposed to trauma in the course of their work, increasing their vulnerability to posttraumatic stress disorder (PTSD). Efforts to reduce the risk of PTSD could focus on individual factors that increase the risk for PTSD. Although many of these factors are immutable, others, such as high anxiety sensitivity (AS), can theoretically be targeted and fortified through intervention. The current study investigated the effectiveness of a brief (single session) cognitive behavioural therapy for AS intervention vs. a waitlist control in reducing AS, and subsequently mitigating PTSD and related mental health symptoms. Participants were 179 first responders from eight workplaces in Canada. The intervention was delivered remotely to these workplaces in a group format. Workplaces were randomly assigned to the intervention or waitlist control. Participants completed a self-report questionnaire pre-intervention, one-week post-intervention, and 8 months later (and at comparable time points in the control condition). Hierarchical linear regressions revealed that intervention conditions did not predict (a) AS during one-week follow-up or (b) PTSD and related symptoms during eight-month follow-up. Theoretical and clinical implications, including recommendations specific to interventions involving first responders, are discussed in detail.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":4.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In the eye of the beholder - validating the visual social anxiety scale (VSAS) in social anxiety disorder. 在旁观者的眼中——社交焦虑障碍视觉社交焦虑量表（VSAS）的验证。

IF 4.3 2区心理学

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

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

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

引用次数: 0

Attentional control dampens the effects of intolerance of uncertainty and uncertainty-related attentional bias on posttraumatic stress symptoms. 注意控制抑制对不确定性的不容忍和与不确定性相关的注意偏差对创伤后应激症状的影响。

IF 4.3 2区心理学

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

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

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

引用次数: 0

Preliminary efficacy of an online intervention based on Acceptance and Commitment Therapy for family caregivers of people with dementia: a feasibility study. 基于接受与承诺疗法的在线干预对痴呆患者家庭照顾者的初步效果：可行性研究。

IF 4.3 2区心理学

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

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

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

引用次数: 0

Was it helpful? Treatment outcomes and practice assignment adherence and helpfulness among U.S. service members with PTSD and MDD. 有帮助吗？创伤后应激障碍和重度抑郁症美国军人的治疗结果、实践任务依从性和帮助性。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-03-26 DOI: 10.1080/16506073.2025.2482155

Kristen H Walter, Nicholas P Otis, Alexander C Kline, Erin L Miggantz, W Michael Hunt, Lisa H Glassman

{"title":"Was it helpful? Treatment outcomes and practice assignment adherence and helpfulness among U.S. service members with PTSD and MDD.","authors":"Kristen H Walter, Nicholas P Otis, Alexander C Kline, Erin L Miggantz, W Michael Hunt, Lisa H Glassman","doi":"10.1080/16506073.2025.2482155","DOIUrl":"https://doi.org/10.1080/16506073.2025.2482155","url":null,"abstract":"Practice assignments (i.e. homework) are a key component in cognitive behavioral therapies that predict treatment outcomes for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) separately. However, research has not explored these variables among individuals with comorbid PTSD and MDD. This study evaluated whether practice assignment adherence and helpfulness predicted PTSD (Clinician-Administered PTSD Scale for DSM-5; CAPS-5) and MDD (Montgomery-Åsberg Depression Rating Scale; MADRS) outcomes at posttreatment and 3-month follow-up. Data were derived from a randomized clinical trial comparing cognitive processing therapy (CPT) and behavioral activation-enhanced CPT (BA+CPT) among 83 U.S. active duty service members with comorbid PTSD and MDD. Participants reported greater assignment adherence in BA+CPT than CPT (p = .008), primarily due to higher adherence to BA assignments within BA+CPT. Multilevel models indicated helpfulness ratings were significantly related to decreased CAPS-5 scores (p = .044) but not MADRS scores (p = .074); service members with the highest helpfulness ratings achieved the best outcomes. Adherence was not significantly related to CAPS-5 (p = .494) or MADRS (p = .114) outcomes. Findings provide clinical insights regarding compliance in integrated treatments and highlight the value in assessing helpfulness of practice assignments during treatment.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708897","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

Transitions to trauma-focused evidence-based psychotherapy for posttraumatic stress disorder from other treatments: a qualitative investigation of clinicians' perspectives. 从其他治疗转向创伤后应激障碍的循证心理治疗：临床医生观点的定性调查。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-03-25 DOI: 10.1080/16506073.2025.2481475

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

{"title":"Transitions to trauma-focused evidence-based psychotherapy for posttraumatic stress disorder from other treatments: a qualitative investigation of clinicians' perspectives.","authors":"Nicholas Holder, Rachel M Ranney, Alejandra K Delgado, Natalie Purcell, Gayle Y Iwamasa, Adam Batten, Thomas C Neylan, Brian Shiner, Shira Maguen","doi":"10.1080/16506073.2025.2481475","DOIUrl":"https://doi.org/10.1080/16506073.2025.2481475","url":null,"abstract":"Many veterans do not initiate trauma-focused evidence-based psychotherapy (TF-EBP) to treat posttraumatic stress disorder (PTSD). Instead, veterans receive other treatments prior to TF-EBP and the process of transitioning to TF-EBP is poorly understood. The goal of the current study was to understand clinicians' beliefs about and approaches to transitioning veterans into TF-EBP. Clinicians (n = 20) with any experience providing TF-EBP from across the national VA healthcare system participated in semi-structured qualitative interviews. Rapid qualitative analysis procedures were used to identify themes: (1) TF-EBP is rarely contraindicated; (2) there is no consensus on treatment alternatives after veterans decline TF-EBP; (3) unstructured therapy can be a barrier to TF-EBP; (4) data from non-TF-EBP can be used to encourage TF-EBP engagement; (5) veterans are poorly informed about PTSD referrals; (6) culturally responsive PTSD care involves asking questions throughout the treatment process; (7) TF-EBP was delivered with attention to how identity may impact treatment; (8) TF-EBP was among the first treatment option offered by all clinicians; (9) veterans initiate TF-EBP when willing; and (10) clinicians developed resources socialize veterans to structured treatment. Since non-TF-EBP approaches may be indicated (or requested) for some veterans, strategies to facilitate transitions to TF-EBP are needed.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699871","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

Negative posttraumatic cognitions and cognitive emotion regulation strategies as predictors of PTSD symptom change during an intensive outpatient program for PTSD. 负性创伤后认知和认知情绪调节策略作为PTSD症状改变的预测因子。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-03-18 DOI: 10.1080/16506073.2025.2481312

Jonathan W Murphy, Marley Warren, Dale L Smith, Sarah Pridgen, Philip Held

{"title":"Negative posttraumatic cognitions and cognitive emotion regulation strategies as predictors of PTSD symptom change during an intensive outpatient program for PTSD.","authors":"Jonathan W Murphy, Marley Warren, Dale L Smith, Sarah Pridgen, Philip Held","doi":"10.1080/16506073.2025.2481312","DOIUrl":"https://doi.org/10.1080/16506073.2025.2481312","url":null,"abstract":"Negative posttraumatic cognitions (NPCs) and cognitive emotion regulation (CER) strategies have both been proposed as predictors of change in evidence-based cognitive behavioral therapies for posttraumatic stress disorder (PTSD). However, they are rarely studied simultaneously, with only one study examining these predictors in a randomized clinical trial of prolonged exposure therapy. It remains to be tested how these variables predict improvements in PTSD severity in real world clinical settings or different delivery formats. Data from 487 military service members and veterans that participated in a 2-week nonrandomized, uncontrolled cognitive processing therapy-based intensive treatment program (ITP) for PTSD were used to evaluate NPCs and CER strategies as predictors of improvements in PTSD severity. Results showed that, in a model with both predictors, decreases in self-focused NPCs, world-focused NPCs, and catastrophizing (CER strategy) were associated with reductions in PTSD severity during treatment and at follow-up. However, these effects were small (R2 ranging from .005 to.04) relative to reductions in depression severity (R2 = .40). Although NPCs and CER strategies significantly predicted reductions in PTSD severity, their overall impact was relatively small in this nonrandomized, uncontrolled ITP. Future research should continue to investigate these and other predictors in a variety of treatment settings.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-11"},"PeriodicalIF":4.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656270","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

Exploring pathways from intolerance of uncertainty to worry in adults with generalised anxiety disorder. 探索患有广泛性焦虑症的成年人从不耐烦不确定性到担忧的途径。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-03-18 DOI: 10.1080/16506073.2025.2478246

Emily J Wilson, Maree J Abbott, Alice R Norton, David Berle, Ronald M Rapee

{"title":"Exploring pathways from intolerance of uncertainty to worry in adults with generalised anxiety disorder.","authors":"Emily J Wilson, Maree J Abbott, Alice R Norton, David Berle, Ronald M Rapee","doi":"10.1080/16506073.2025.2478246","DOIUrl":"https://doi.org/10.1080/16506073.2025.2478246","url":null,"abstract":"Three decades of research indicate that intolerance of uncertainty (IU) plays a role in the maintenance of mental health conditions. In particular, the relationship between IU and worry is especially strong. The current study aimed to conduct a partial examination of the Intolerance of Uncertainty Model (IUM) of GAD as well as the Transdiagnostic Model of Intolerance of Uncertainty (TMIU), in a clinical sample of adults with GAD using path analysis. Participants with a primary diagnosis of GAD (N = 112) completed a range of measures that assessed IU, cognitive avoidance (CA), positive beliefs about worry (PBW), threat estimates, worry, and anxiety, with two path analysis models constructed for the IUM and TMIU. In a preliminary analysis of the IUM, path analysis found that CA and PBW did not have an indirect effect the relationship between IU and worry, however, CA (and not PBW) had an indirect effect on the relationship between IU and anxiety. For the TMIU, the first model demonstrated a poor fit. In an alternative model, threat estimates were found to indirect effect the relationship between IU and worry as well as anxiety. This suggests that threat appraisals do play a role in the relationship between IU, worry and anxiety in individuals with GAD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":4.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656256","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