Cognitive Behaviour Therapy最新文献_第4页

Group cohesion and alliance predict cognitive-behavioral group treatment outcomes for youth with anxiety disorders. 小组凝聚力和联盟可预测焦虑症青少年认知行为小组治疗的结果。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-08-06 DOI: 10.1080/16506073.2024.2385906

Krister W Fjermestad, Malin H Wallin, Frederike Naujokat, Bryce D McLeod, Wendy K Silverman, Lars-Göran Öst, Matthew D Lerner, Einar R Heiervang, Gro Janne Wergeland

{"title":"Group cohesion and alliance predict cognitive-behavioral group treatment outcomes for youth with anxiety disorders.","authors":"Krister W Fjermestad, Malin H Wallin, Frederike Naujokat, Bryce D McLeod, Wendy K Silverman, Lars-Göran Öst, Matthew D Lerner, Einar R Heiervang, Gro Janne Wergeland","doi":"10.1080/16506073.2024.2385906","DOIUrl":"https://doi.org/10.1080/16506073.2024.2385906","url":null,"abstract":"Knowledge about how to enhance group cognitive behavioral therapy (GCBT) outcomes is needed. In a randomized controlled effectiveness trial, we examined group cohesion (the bond between group members) and the alliance (the client-clinician bond) as predictors of GCBT outcomes. The sample was 88 youth (M age 11.7 years, SD = 2.1; 54.5% girls; 90.7% White) with anxiety disorders. Observers rated group cohesion and alliance in 32 sessions from 16 groups. We examined early group cohesion and alliance (r = .50, p < .001) and group cohesion and alliance change from early to late in treatment in relation to outcomes using generalized estimation equations accounting for nesting within groups (ICCs .31 to .55). The outcomes were diagnostic recovery, clinical severity, and parent- and youth-reported anxiety symptoms, each at post-treatment, 12-months, and 4-years follow-up. There were more significant associations with 4-years follow-up than earlier outcomes. Clinical severity and parent-reported anxiety symptoms were more frequently predicted than diagnostic recovery. Clinician- and parent-reported outcomes were far more frequently significantly predicted by cohesion and alliance than youth-rated outcomes. We conclude that group cohesion and alliance are related but distinct variables, both associated with some GCBT outcomes for as long as 4 years after treatment.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893065","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

Improvements in emotion regulation during cognitive behavior therapy predict subsequent social anxiety reductions. 认知行为疗法对情绪调节的改善预示着随后社交焦虑的减轻。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-10 DOI: 10.1080/16506073.2024.2373784

Maria Å Garke, Nils Hentati Isacsson, Örn Kolbeinsson, Hugo Hesser, Kristoffer N T Månsson

{"title":"Improvements in emotion regulation during cognitive behavior therapy predict subsequent social anxiety reductions.","authors":"Maria Å Garke, Nils Hentati Isacsson, Örn Kolbeinsson, Hugo Hesser, Kristoffer N T Månsson","doi":"10.1080/16506073.2024.2373784","DOIUrl":"https://doi.org/10.1080/16506073.2024.2373784","url":null,"abstract":"Individuals with social anxiety disorder (SAD) experience overall emotion regulation difficulties, but less is known about the long-term role of such difficulties in cognitive behavior therapy (CBT) for SAD. Forty-six patients with SAD receiving internet-delivered CBT, and matched healthy controls (HCs; n = 39), self-reported the Difficulties in Emotion Regulation Scale (DERS), Liebowitz Social Anxiety Scale (LSAS-SR), and participated in anticipatory speech anxiety behavioral experiments. Patients were measured at seven time points before, during and after CBT over a total period of 28 months, and HCs at two timepoints. Disaggregated growth curve models with a total of 263 observations were used, as well as intra-class correlation coefficients and regression models. Patients' LSAS-SR and DERS ratings were reliable (ICC = .83 and .75 respectively), and patients, relative to controls, showed larger difficulties in emotion regulation at pre-treatment (p < .001). During CBT, within-individual improvements in emotion regulation significantly predicted later LSAS-SR reductions (p = .041, pseudo-R2 = 43%). Changes in emotion regulation may thus be important to monitor on an individual level and may be used to improve outcomes in future developments of internet-delivered CBT.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141562842","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

Predictors of engagement with between-session work in Cognitive Behavioural Therapy (CBT)-based interventions: a mixed-methods systematic review and "best fit" framework synthesis. 认知行为疗法（CBT）干预中参与疗程间工作的预测因素：混合方法系统综述和 "最合适 "框架综合。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-09 DOI: 10.1080/16506073.2024.2369939

Mia Bennion, Karina Lovell, Amy Blakemore, Emily Vicary, Penny Bee

{"title":"Predictors of engagement with between-session work in Cognitive Behavioural Therapy (CBT)-based interventions: a mixed-methods systematic review and \"best fit\" framework synthesis.","authors":"Mia Bennion, Karina Lovell, Amy Blakemore, Emily Vicary, Penny Bee","doi":"10.1080/16506073.2024.2369939","DOIUrl":"https://doi.org/10.1080/16506073.2024.2369939","url":null,"abstract":"Between-session work (BSW) acts as the vehicle to translate skills learnt in therapy sessions into adaptive changes in everyday life, a key goal in Cognitive Behavioural Therapies (CBT). Despite a well-established relationship between engagement with BSW and enhanced treatment outcomes, difficulties completing between-session tasks are common and factors affecting patient engagement with BSW are poorly understood. This mixed-methods systematic review and \"best fit\" framework synthesis explored predictors of engagement with BSW in CBT-based interventions. Comprehensive searches were conducted across five databases, identifying 59 eligible studies. This combined theory and empirical evidence approach depicted ten predictor themes related to between-session engagement, spanning individual, relational and contextual concepts. While ambiguous findings were generated by existing evidence, several factors emerged as relatively consistent predictors of engagement with BSW: positive patient beliefs regarding BSW and treatment such as perceived helpfulness, and practitioner competency in planning and reviewing BSW, including providing a rationale and addressing difficulties were associated with greater engagement. Conversely, patient in-session resistance, including counter change talk, was an indicator of disengagement between-sessions. The impact of patient symptomology, sociocultural environment, practitioner beliefs and the therapeutic relationship is unclear. The conceptual model presented offers a testable framework for researchers and a guideline for practitioners.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558222","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 emotional cues improve free recall of positive and neutral words in unmedicated patients with major depressive disorder. 消极情绪线索能提高未服药重度抑郁症患者对积极和中性词语的自由回忆能力。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-01 Epub Date: 2024-03-13 DOI: 10.1080/16506073.2024.2328288

Sapir Miron, Eyal Kalanthroff

{"title":"Negative emotional cues improve free recall of positive and neutral words in unmedicated patients with major depressive disorder.","authors":"Sapir Miron, Eyal Kalanthroff","doi":"10.1080/16506073.2024.2328288","DOIUrl":"10.1080/16506073.2024.2328288","url":null,"abstract":"Individuals with major depressive disorder (MDD) exhibit attentional biases toward negative, mood-congruent stimuli while filtering out positive and neutral stimuli, resulting in memory biases to negative content. While attentional and memory biases in MDD have been extensively studied, the underlying mechanisms of these biases remain unclear. The current study investigates a novel model proposing that exposure to negative emotional cues triggers a transient \"attentional window\" in individuals with MDD, leading to heightened and deeper cognitive processing of any subsequent information, irrespective of its content. Forty-two unmedicated patients with MDD and no comorbid disorder and 41 healthy controls, completed six blocks of the emotional memory task, in which they were asked to watch a short video (negative, neutral, or positive valence) followed by a memory test on a list of neutral or positive valance words. Results indicated that participants with MDD, but not healthy controls, had better recall performance after a negative video compared to after neutral or positive videos, and that this effect occurred for both neutral and positive word-lists. These findings provide evidence that participants with MDD engage in deeper information processing following exposure to negative emotional stimuli. Potential clinical implications are discussed.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109562","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

Posttraumatic cognition change trajectories in veterans with PTSD who completed an intensive Cognitive Processing Therapy treatment program. 完成认知加工疗法强化治疗项目的创伤后应激障碍退伍军人的创伤后认知变化轨迹。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-01 Epub Date: 2024-03-13 DOI: 10.1080/16506073.2024.2329246

Daniel Szoke, Erin Walker, Nicole Christ, Dale Smith, Philip Held

{"title":"Posttraumatic cognition change trajectories in veterans with PTSD who completed an intensive Cognitive Processing Therapy treatment program.","authors":"Daniel Szoke, Erin Walker, Nicole Christ, Dale Smith, Philip Held","doi":"10.1080/16506073.2024.2329246","DOIUrl":"10.1080/16506073.2024.2329246","url":null,"abstract":"Negative posttraumatic cognitions (NPCs) have been linked to symptoms of PTSD and are an important target of cognitive behavioral treatments for PTSD, including Cognitive Processing Therapy (CPT). Yet to be explored are the different change trajectories of NPCs during CPT. Knowledge of such change trajectories could elucidate common NPC change processes within CPT and their relationship to PTSD symptom severity. We examined NPC change trajectories in a group of 443 veterans who completed a 2-week intensive CPT program. We identified four NPC trajectory groups termed start high end high, start high end moderate, start moderate end low, and start low end low. Most of the groups showed an increase in NPCs at the midpoint of treatment before ultimately decreasing. As predicted, baseline PTSD symptom severity predicted change trajectory group membership. Also, NPC change trajectories were associated with PTSD severity at the end of treatment such that individuals in smaller NPC change groups had higher PTSD symptoms at the end of treatment, and vice versa. Clinicians can use this knowledge to make predictions of a particular client's NPC change trajectory and set expectations for what progress in treatment may look like, including normalizing increases in NPCs from the start of treatment.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109563","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 relationship between expressive suppression, therapeutic bond, and treatment outcomes of a positive affect intervention for adults with anxiety and/or depression. 针对焦虑症和/或抑郁症成人的积极情绪干预的表达性抑制、治疗纽带和治疗效果之间的关系。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-01 Epub Date: 2024-03-14 DOI: 10.1080/16506073.2024.2321891

Samantha N Hoffman, Murray B Stein, Charles T Taylor

{"title":"The relationship between expressive suppression, therapeutic bond, and treatment outcomes of a positive affect intervention for adults with anxiety and/or depression.","authors":"Samantha N Hoffman, Murray B Stein, Charles T Taylor","doi":"10.1080/16506073.2024.2321891","DOIUrl":"10.1080/16506073.2024.2321891","url":null,"abstract":"Expressive suppression (ES; reducing emotional expression) is linked with reduced social connectedness in individuals with anxiety or depression. One implication is that people who use ES may have difficulty establishing a bond with their therapist which may impede clinical improvement. We examined this hypothesis in 33 adults with clinically elevated anxiety or depression receiving treatment focused on enhancing positive thoughts, emotions, and behaviors. At baseline, participants rated ES for positive and negative emotions during a standardized conversation task designed to generate connectedness. They also rated measures of early (session 3) perceived therapeutic bond and treatment outcomes (i.e. positive affect and social connectedness). ES of positive (r = -.39, p = .018), but not negative (r = .06, p = .747), emotions was negatively associated with therapeutic bond. Therapeutic bond mediated the relationship between greater ES of positive emotions during affiliation and lower post-treatment positive affect, 95% bias-corrected bootstrap confidence interval [-0.021, -0.000], adjusted for pre-treatment positive affect, as well as lower post-treatment social connectedness [-0.397, -0.015]; however, the indirect effect was not significant when accounting for pre-treatment social connectedness (p > .05). ES of positive emotions may be an important factor in the development of therapeutic bond and therefore treatment outcomes for individuals with anxiety or depression.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140118986","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

Trauma-focused therapy retention among military sexual trauma survivors: relationship with veterans' sexual or gender minority identification. 军队性创伤幸存者中的创伤焦点疗法保留率：与退伍军人的性少数群体或性别少数群体身份认同的关系。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-01 Epub Date: 2024-02-06 DOI: 10.1080/16506073.2024.2313740

Minden B Sexton, Heather M Cochran, Jessica R Schubert, Hillary M Gorin, Julia L Paulson, Meredith R Boyd, Katherine E Porter, Erin R Smith

{"title":"Trauma-focused therapy retention among military sexual trauma survivors: relationship with veterans' sexual or gender minority identification.","authors":"Minden B Sexton, Heather M Cochran, Jessica R Schubert, Hillary M Gorin, Julia L Paulson, Meredith R Boyd, Katherine E Porter, Erin R Smith","doi":"10.1080/16506073.2024.2313740","DOIUrl":"10.1080/16506073.2024.2313740","url":null,"abstract":"Military servicemembers identifying as sexual and gender minorities (SGM) are at increased risk for military sexual trauma (MST) exposure and Post-traumatic Stress Disorder (PTSD). Although evidence-based treatments can reduce symptoms of PTSD, treatment attrition is concerning. Unfortunately, evaluations of such approaches with veterans identifying as SGM are currently restricted to case studies offering limited information regarding treatment completion. Both historic and current contextual factors related to military and mental health practices may uniquely influence minority veterans' treatment engagement in veteran healthcare settings. We explored associations between SGM identification and treatment of MST-focused therapy completion patterns (finishing the full protocol [FP] or receiving minimally adequate care [MAC; defined as attending eight or more sessions]). Veterans (N = 271, 12.5% SGM) enrolled in individual Prolonged Exposure or Cognitive Processing Therapies at a Midwestern veterans hospital system. Those identifying as SGM were more likely than non-identifying peers to complete FP treatment and, even when attrition occurred, they were retained longer. For MAC, the SGM group was as likely as non-SGM peers to be retained. This research suggests SGM veterans represent a notable minority of those seeking treatment in association with MST and do not appear at greater risk for discontinuation from trauma-focused treatment.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691431","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

An investigation of the role of estradiol in fear reduction during a single session of exposure therapy. 对雌二醇在暴露疗法单次疗程中减少恐惧所起作用的研究。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-01 Epub Date: 2024-02-01 DOI: 10.1080/16506073.2024.2313743

Hannah C Levy, Jessica Mullins, David F Tolin

{"title":"An investigation of the role of estradiol in fear reduction during a single session of exposure therapy.","authors":"Hannah C Levy, Jessica Mullins, David F Tolin","doi":"10.1080/16506073.2024.2313743","DOIUrl":"10.1080/16506073.2024.2313743","url":null,"abstract":"Research suggests that estradiol may moderate fear extinction. It is unclear whether these results generalize to exposure therapy. The aim of the current study was to determine whether estradiol moderates outcomes in exposure therapy among women with anxiety disorders. Participants were 35 women with a primary diagnosis of an anxiety disorder who participated in the study as part of routine care at an anxiety specialty clinic. Endogenous estradiol was assessed via saliva. They provided subjective distress ratings before (pre) and after (post) an exposure session, as well as after a brief delay (recall). Contrary to predictions, there were no significant differences in exposure outcomes between the high and low estradiol groups. However, among participants with primary obsessive-compulsive disorder (OCD), results were partially consistent with the hypotheses. Women with lower estradiol initially demonstrated more improvement in subjective distress from pre- to post-exposure, but after the delay, significantly greater distress (attenuated extinction recall). Results suggest that women with lower estradiol may respond less favorably to exposure therapy for OCD relative to women with higher estradiol. These findings await replication in larger samples with longer recall delays. Should replication occur, these results may inform the use of estradiol to augment exposure therapy.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650408","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

Impact of three variants of prolonged exposure therapy on comorbid diagnoses in patients with childhood abuse-related PTSD. 长期暴露疗法的三种变体对童年受虐相关创伤后应激障碍患者合并诊断的影响。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-01 Epub Date: 2024-02-27 DOI: 10.1080/16506073.2024.2318729

Chris M Hoeboer, Marie-Louise J Kullberg, Danielle A C Oprel, Maartje Schoorl, Agnes van Minnen, Niki Antypa, Joanne Mouthaan, Rianne A de Kleine, Willem van der Does

{"title":"Impact of three variants of prolonged exposure therapy on comorbid diagnoses in patients with childhood abuse-related PTSD.","authors":"Chris M Hoeboer, Marie-Louise J Kullberg, Danielle A C Oprel, Maartje Schoorl, Agnes van Minnen, Niki Antypa, Joanne Mouthaan, Rianne A de Kleine, Willem van der Does","doi":"10.1080/16506073.2024.2318729","DOIUrl":"10.1080/16506073.2024.2318729","url":null,"abstract":"Recent studies indicated that Prolonged Exposure (PE) is safe and effective for posttraumatic stress disorder (PTSD). It is unclear whether PE also leads to a reduction in comorbid diagnoses. Data from a large randomized controlled trial (N = 149) on the effects of three variants of PE for PTSD were used. We examined the treatment effects on co-morbid diagnoses of depressive, anxiety, obsessive compulsive, substance abuse, psychotic, eating and personality disorders in a sample of patients with PTSD related to childhood abuse. Outcomes were assessed with clinical interviews at baseline, post-treatment and at 6- and 12-month follow-up. All variants of PE led to a decrease from baseline to post-treatment in diagnoses of depressive, anxiety, substance use and personality disorders. Improvements were sustained during follow-up. We found an additional decrease in the number of patients that fulfilled the diagnostic criteria of a depressive disorder between 6- and 12-month follow-up. No significant changes were observed for the presence of OCD, psychotic and eating disorders. Findings suggest that it is effective to treat PTSD related to childhood abuse with trauma-focused treatments since our 14-to-16 weeks PE for PTSD resulted in reductions in comorbid diagnoses of depressive, anxiety, substance use and personality disorders.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971176","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

Mediation of social anxiety and depression during internet-delivered treatment for social anxiety disorder. 在通过互联网治疗社交焦虑症的过程中，对社交焦虑和抑郁进行调解。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-07-01 Epub Date: 2024-03-19 DOI: 10.1080/16506073.2024.2331188

Jonathan G Shalom, Inbar Shaul-Tsoran, Asher Y Strauss, Jonathan D Huppert, Gerhard Andersson, Idan M Aderka

{"title":"Mediation of social anxiety and depression during internet-delivered treatment for social anxiety disorder.","authors":"Jonathan G Shalom, Inbar Shaul-Tsoran, Asher Y Strauss, Jonathan D Huppert, Gerhard Andersson, Idan M Aderka","doi":"10.1080/16506073.2024.2331188","DOIUrl":"10.1080/16506073.2024.2331188","url":null,"abstract":"Many individuals with social anxiety disorder (SAD) have depressive symptoms that meet criteria for major depressive disorder (MDD). In our study, we examined the temporal relationship between symptoms of social anxiety and symptoms of depression during the course of an 11-week internet-delivered cognitive behavioral treatment (ICBT) for SAD (n = 170). Specifically, we investigated whether weekly changes in social anxiety mediated changes in depression, changes in depression mediated changes in anxiety, both or neither. In addition, we compared individuals with SAD and MDD (n = 50) and individuals with SAD and no MDD (n = 120) to examine the role of MDD as a moderator of the social anxiety-depression relationship. Lower-level mediational modeling revealed that changes in social anxiety symptoms mediated changes in depression symptoms to a greater extent than vice versa. In addition, mediation among individuals with SAD and MDD was significantly greater compared to individuals with SAD and no MDD. Our findings suggest that ICBT is effective in treating individuals with SAD regardless of comorbid depression, and that focusing ICBT interventions on social anxiety can lead to significant reductions in depression among individuals with SAD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140157714","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