Cognitive Behaviour Therapy最新文献

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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":"<p><p>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.</p>","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":"<p><p>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 (<i>N</i> = 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.</p>","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":"<p><p>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.</p>","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
Efficacy of a blended, mobile-based intervention with integrated virtual reality exposure therapy for panic disorder and agoraphobia: a pilot randomized controlled trial 基于移动设备的综合虚拟现实暴露疗法对恐慌症和广场恐惧症的干预效果:一项随机对照试验
IF 4.7 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2025-08-28 DOI: 10.1080/16506073.2025.2550427
Jari Planert, Anne Sophie Hildebrand, Alla Machulska, Kati Roesmann, Marie Neubert, Tim Klucken
{"title":"Efficacy of a blended, mobile-based intervention with integrated virtual reality exposure therapy for panic disorder and agoraphobia: a pilot randomized controlled trial","authors":"Jari Planert, Anne Sophie Hildebrand, Alla Machulska, Kati Roesmann, Marie Neubert, Tim Klucken","doi":"10.1080/16506073.2025.2550427","DOIUrl":"https://doi.org/10.1080/16506073.2025.2550427","url":null,"abstract":"","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":"20 1","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915459","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 impact of perfectionism on treatment outcomes of mental health disorders: a systematic review of randomised controlled trials 完美主义对精神健康障碍治疗结果的影响:随机对照试验的系统回顾
IF 4.7 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2025-08-26 DOI: 10.1080/16506073.2025.2547199
Zhaohong Jiang, Sarah J. Egan, Danyelle Greene, Macey Frost, Yu Ma, Roz Shafran
{"title":"The impact of perfectionism on treatment outcomes of mental health disorders: a systematic review of randomised controlled trials","authors":"Zhaohong Jiang, Sarah J. Egan, Danyelle Greene, Macey Frost, Yu Ma, Roz Shafran","doi":"10.1080/16506073.2025.2547199","DOIUrl":"https://doi.org/10.1080/16506073.2025.2547199","url":null,"abstract":"","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":"20 1","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899948","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
Transdiagnostic single-session interventions identify rapid versus gradual responders and inform therapy personalisation before commencing therapy for eating disorders 跨诊断单期干预识别快速反应和渐进反应,并在开始治疗饮食失调之前告知治疗个性化
IF 4.7 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2025-08-20 DOI: 10.1080/16506073.2025.2547977
Tracey D. Wade, Glenn Waller
{"title":"Transdiagnostic single-session interventions identify rapid versus gradual responders and inform therapy personalisation before commencing therapy for eating disorders","authors":"Tracey D. Wade, Glenn Waller","doi":"10.1080/16506073.2025.2547977","DOIUrl":"https://doi.org/10.1080/16506073.2025.2547977","url":null,"abstract":"","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":"31 1","pages":"1-14"},"PeriodicalIF":4.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899958","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
Group cognitive behavioral therapy for reducing procrastination in college students: a randomized controlled trial 群体认知行为疗法减少大学生拖延症:一项随机对照试验
IF 4.7 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2025-08-20 DOI: 10.1080/16506073.2025.2543893
Sam M. H. de Haas, Linda Blaesing, Rick Oosterhoff, Alexander Rozental, Anouk P.J. Scheres
{"title":"Group cognitive behavioral therapy for reducing procrastination in college students: a randomized controlled trial","authors":"Sam M. H. de Haas, Linda Blaesing, Rick Oosterhoff, Alexander Rozental, Anouk P.J. Scheres","doi":"10.1080/16506073.2025.2543893","DOIUrl":"https://doi.org/10.1080/16506073.2025.2543893","url":null,"abstract":"","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":"15 1","pages":"1-19"},"PeriodicalIF":4.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899717","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
Therapist adherence to cognitive-behavioural therapy and quality of care from a patient perspective. 从病人的角度看,治疗师坚持认知行为疗法和护理质量。
IF 3.2 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2025-08-19 DOI: 10.1080/16506073.2025.2548367
Hillevi Bergvall, Gerhard Andersson, Tobias Lundgren, Benjamin Bohman
{"title":"Therapist adherence to cognitive-behavioural therapy and quality of care from a patient perspective.","authors":"Hillevi Bergvall, Gerhard Andersson, Tobias Lundgren, Benjamin Bohman","doi":"10.1080/16506073.2025.2548367","DOIUrl":"10.1080/16506073.2025.2548367","url":null,"abstract":"<p><p>Despite efforts to implement evidence-based guidelines, little is known about the quality of cognitive-behavioural therapy (CBT) for depression, anxiety disorders, obsessive-compulsive disorder, and posttraumatic stress disorder in routine clinical practice. The present study aimed to investigate therapist adherence to CBT, and related aspects of quality of care, from a patient perspective. In a cross-sectional study, 90 participants from 21 routine psychiatric outpatient units in Stockholm completed a web-based survey post-CBT. Participants reported a high degree of therapist adherence to CBT techniques and procedures (<i>M</i> = 3.02 on a scale of 0 to 4), with higher adherence for social anxiety disorder and posttraumatic stress disorder than for depression (<i>p</i> = .002, ω<sup>2</sup> = 0.21). Therapist adherence was moderately correlated with patient improvement (τs = .37-.38, <i>p</i>s < .001). Participants reported a high degree of symptom improvement (<i>M</i>  = 3.10) and treatment satisfaction (<i>M</i> = <i>3</i>.38) and received a median of 15 sessions. Also, we found examples of excessive healthcare provision and non-adherence, as 17% far exceeded the recommended number of sessions, 80% had concurrent psychotropic treatments despite lower guideline priority, and 11% took benzodiazepines though not recommended. In conclusion, we found that CBT was delivered with high quality.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-13"},"PeriodicalIF":3.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871806","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
Videoconferencing-delivered cognitive behavioural therapy for social anxiety disorder: a randomised controlled trial. 视频会议提供的认知行为疗法治疗社交焦虑症:一项随机对照试验。
IF 3.2 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2025-08-06 DOI: 10.1080/16506073.2025.2540916
Halaina R Winter, Alice R Norton, Bethany M Wootton
{"title":"Videoconferencing-delivered cognitive behavioural therapy for social anxiety disorder: a randomised controlled trial.","authors":"Halaina R Winter, Alice R Norton, Bethany M Wootton","doi":"10.1080/16506073.2025.2540916","DOIUrl":"10.1080/16506073.2025.2540916","url":null,"abstract":"<p><p>Videoconferencing-delivered cognitive behaviour therapy (vCBT) has the potential to overcome barriers to accessing treatment for social anxiety disorder (SAD). The present study examines the efficacy and acceptability of vCBT for SAD in a randomised controlled trial. Seventy-eight participants were randomised to a vCBT condition or waitlist control group (61.8% female, 34.2% male, 3.9% non-binary; <i>M</i>age = 39.19, <i>SD</i> = 12.28). On the Social Interaction Anxiety Scale and Social Phobia Scale-short form (SIAS-6; SPS-6), vCBT within-group analyses indicated large effect sizes from pre-treatment to post-treatment on the SIAS-6 (Cohen's <i>d</i> = 0.95; 95% CI: 0.45-1.41) and SPS-6 (<i>d</i> = 0.90; 95% CI: 0.41-1.37). The between-group effect size at post-treatment was large on the SPS-6 (<i>d</i> = 1.01; 95% CI: 0.51-1.47) and medium on the SIAS-6 (<i>d</i> = 0.55; 95% CI: 0.09-1.00). At post-treatment, 57% of participants in the vCBT condition no longer met criteria for SAD and 68% at 3-month follow-up. Benchmarking analyses indicated similar treatment effect sizes to in-person CBT for SAD. Participants rated the program as acceptable and treatment completion rates were high. The results suggest that vCBT may be a viable remote treatment option for individuals with SAD.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-17"},"PeriodicalIF":3.2,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788445","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
Online emotion regulation treatment for maladaptive anger inhibition – an open-label pilot with a pooled interrupted time series design 在线情绪调节治疗不适应愤怒抑制-一个开放标签试点与池中断时间序列设计
IF 4.7 2区 心理学
Cognitive Behaviour Therapy Pub Date : 2025-08-04 DOI: 10.1080/16506073.2025.2542355
Johannes Larsson, Olivia Ojala, Johan Bjureberg, Philip Sederström, Oskar Hvass, Patrik Björk, Samuel Lidskog, Hugo Hesser
{"title":"Online emotion regulation treatment for maladaptive anger inhibition – an open-label pilot with a pooled interrupted time series design","authors":"Johannes Larsson, Olivia Ojala, Johan Bjureberg, Philip Sederström, Oskar Hvass, Patrik Björk, Samuel Lidskog, Hugo Hesser","doi":"10.1080/16506073.2025.2542355","DOIUrl":"https://doi.org/10.1080/16506073.2025.2542355","url":null,"abstract":"Despite documented risks associated with excessive anger inhibition, few treatments specifically target maladaptive anger inhibition. Building on a previously evaluated treatment for general anger, this study evaluated the feasibility, acceptability, and preliminary efficacy of a brief (4-week), therapist-supported online emotion-regulation treatment for maladaptive anger inhibition. In total 38 participants (89.5% female; M-age = 43.8, SD = 14.1) with elevated levels of maladaptive anger inhibition were offered treatment, which was evaluated using a pooled interrupted time series design (ITS). Treatment outcomes included measures of anger inhibition, anger rumination, and anger assertion that were assessed during a baseline phase (4 weeks) and a treatment phase (4 weeks). Feasibility was supported by high retention and adherence, and minor adverse events. Moreover, participants reported high treatment credibility and satisfaction, indicating good acceptability of the treatment. Piecewise growth curve analysis for ITS, comparing baseline and treatment phases, revealed significant and large immediate effects on all outcomes: anger inhibition (d = 1.26), anger rumination (d = 0.80), and anger assertion (d = 0.79), with small additional gains observed at 3-month follow-up. Taken together, the findings suggest that this brief online emotion-regulation treatment for maladaptive anger inhibition is feasible, acceptable, potentially effective, warranting further investigation in an RCT. ClinicalTrials.gov identifier: NCT06697587.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":"30 1","pages":"1-16"},"PeriodicalIF":4.7,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770102","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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