Cognitive Behaviour Therapy最新文献_第5页

Worry and rumination as a transdiagnostic target in young people: a co-produced systematic review and meta-analysis. 作为青少年跨诊断目标的担忧和反刍：共同制作的系统综述和荟萃分析。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-06-26 DOI: 10.1080/16506073.2024.2369936

Sarah J Egan, Danyelle Greene, Thomas Callaghan, Shravan Raghav, Julia Funk, Theresa Badenbach, Samuel Talam, Georgia Kemp, Peter McEvoy, Thomas Ehring, Johannes Kopf-Beck

引用次数: 0

An initial test of a new self-guided internet-based intervention for social anxiety: iExposure 基于互联网的社交焦虑自我指导干预新方法的初步测试：iExposure

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-06-19 DOI: 10.1080/16506073.2024.2368519

Mikael Rubin, Eli Gebhardt, Luna Malloy, Michael J. Telch

引用次数: 0

Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals. 小组认知行为疗法对成人抑郁症的疗效：对不同医护人员进行的系统回顾和荟萃分析。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2024-02-19 DOI: 10.1080/16506073.2024.2313741

Cecil Pak Shun Wong, Jacky Tsz Kit Yeung, Daniel Yee Tak Fong, Robert David Smith, Angela Hoi Yan Ngan, Yanny Yin Ling Lam, Kitty Siu Shan Chan, Hilary Hau Yee Leung, Man Ping Wang, Janet Yuen Ha Wong

{"title":"Effectiveness of group cognitive behavioral therapy for depression in adults: a systematic review and meta-analysis of delivery by different healthcare professionals.","authors":"Cecil Pak Shun Wong, Jacky Tsz Kit Yeung, Daniel Yee Tak Fong, Robert David Smith, Angela Hoi Yan Ngan, Yanny Yin Ling Lam, Kitty Siu Shan Chan, Hilary Hau Yee Leung, Man Ping Wang, Janet Yuen Ha Wong","doi":"10.1080/16506073.2024.2313741","DOIUrl":"10.1080/16506073.2024.2313741","url":null,"abstract":"This study addresses the gap in understanding the varied effectiveness of group cognitive behavioral therapy (gCBT) delivered by different professionals. This study aims to address this gap by conducting a systematic review of randomized controlled trials (RCTs) that evaluate gCBT and compare it to inactive controls in adults with a clinical diagnosis of depression. A total of 33 RCTs were included for analysis. In the overall analysis, 'profession of gCBT deliverer' was not a significant moderator in the meta-regression model (p = 0.57). For people without comorbidity, the overall effect size estimate was -0.69 (95% CI, -1.01. to -0.37, p = 0.03). Among gCBT deliverers, psychologists and nurses/psychiatric nurses demonstrated significant effectiveness, with psychologists showing a large effect size of -0.78 (95% CI, -1.25 to -0.30, p < 0.01) and nurses/psychiatric nurses showing a medium effect size of -0.45 (95% CI, -0.85 to -0.05, p = 0.03). The certainty of evidence for both professionals was moderate. These results have significant implications for the delivery of mental healthcare, as nurses/psychiatric nurses may be more accessible and cost-effective than psychologists in some settings. However, further research is necessary to determine the effectiveness of gCBT delivered by a broader range of healthcare professionals for patients with depression and other comorbidities.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899524","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 randomised controlled evaluation of an online perfectionism intervention for people with disordered eating - how perfect does it need to be? 针对饮食失调患者的在线完美主义干预随机对照评估--需要多完美？

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2024-02-08 DOI: 10.1080/16506073.2024.2313739

Katherine Robinson, Sarah J Egan, Roz Shafran, Tracey D Wade

{"title":"A randomised controlled evaluation of an online perfectionism intervention for people with disordered eating - how perfect does it need to be?","authors":"Katherine Robinson, Sarah J Egan, Roz Shafran, Tracey D Wade","doi":"10.1080/16506073.2024.2313739","DOIUrl":"10.1080/16506073.2024.2313739","url":null,"abstract":"Less help-seeking for an eating disorder is predicted by higher levels of denial of, and failure to perceive, illness severity. This research evaluates a \"backdoor\" approach to early intervention by investigating whether internet cognitive behaviour therapy for perfectionism can significantly improve disordered eating. Additionally, we investigated whether a more interactive intervention impacted outcomes. Participants were recruited worldwide online; 368 were screened, 172 (46.7%) met inclusion criteria (endorsed high shape, weight, or eating concerns) and randomised to an interactive (Focused Minds Program; FMP) or static PDF intervention (Centre for Clinical Intervention; CCI-P) or waitlisted (control condition). Participants completed assessments on disordered eating, perfectionism, and a range of secondary variables at the end of treatment, and 1- and 3-month follow-up. Intent-to-treat analyses indicated that, compared to control, FMP resulted in significantly lower levels of disordered eating at each assessment and CCI-P at the 1- and 3-month follow-up (respective 3-month follow-up between group effect sizes of 0.78 and 0.54). There were no significant differences between the two active interventions on any measure except depression and hated self. Results suggest an alternative approach to directly tackling disordered eating that is low-cost is effective, with a more interactive intervention producing a more rapid effect.Trials Registration: Australian New Zealand Clinical Trials Registry (ANZCTR) Trial Number: ACTRN12621001448831.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702053","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

Treating perfectionism via the Internet: a randomized controlled trial comparing cognitive behavior therapy to unified protocol. 通过互联网治疗完美主义：认知行为疗法与统一方案的随机对照试验比较。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2024-03-14 DOI: 10.1080/16506073.2024.2327339

Alexander Rozental, Roz Shafran, Fred Johansson, David Forsström, Filip Jovicic, Olle Gelberg, Katarina Molin, Per Carlbring, Gerhard Andersson, Monica Buhrman

{"title":"Treating perfectionism via the Internet: a randomized controlled trial comparing cognitive behavior therapy to unified protocol.","authors":"Alexander Rozental, Roz Shafran, Fred Johansson, David Forsström, Filip Jovicic, Olle Gelberg, Katarina Molin, Per Carlbring, Gerhard Andersson, Monica Buhrman","doi":"10.1080/16506073.2024.2327339","DOIUrl":"10.1080/16506073.2024.2327339","url":null,"abstract":"Perfectionism can be problematic when your self-worth is dependent on achievements and leads to inflexible standards, cognitive biases, and rigid behaviors. Cognitive behavior therapy for perfectionism is shown to be effective, including for targeting psychiatric symptoms and when delivered via the Internet (iCBT-P). However, few studies have compared it to an active comparator. The current study randomly assigned 138 participants seeking help for perfectionism to iCBT-P or Internet-based Unified Protocol (iUP). Both treatments provided guidance on demand from a therapist and were eight weeks in duration. The results indicated large within-group effects of Cohen's d 2.03 (iCBT) and 2.51 (iUP) on the Clinical Perfectionism Questionnaire at post-treatment, and maintained effects at 6- and 12-month follow-up, but no between-group difference (β = 0.02, SE = 1.04, p = .98). Secondary outcomes of depression, anxiety, quality of life, self-compassion, procrastination, and stress ranged from small to large, with no differences between the conditions. Both treatments were deemed credible, relevant, of high quality, and well-adhered by the participants. Further research needs to be conducted, but the findings could indicate a lack of specificity, perhaps suggesting there is no need to differentiate between different treatments that are transdiagnostic in nature.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140118987","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

Psychometric evaluation of the appearance anxiety inventory in adolescents with body dysmorphic disorder. 身体畸形障碍青少年外貌焦虑量表的心理计量学评估。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2024-01-04 DOI: 10.1080/16506073.2023.2299837

Martina Gumpert, Daniel Rautio, Benedetta Monzani, Amita Jassi, Georgina Krebs, Lorena Fernández de la Cruz, David Mataix-Cols, Markus Jansson-Fröjmark

{"title":"Psychometric evaluation of the appearance anxiety inventory in adolescents with body dysmorphic disorder.","authors":"Martina Gumpert, Daniel Rautio, Benedetta Monzani, Amita Jassi, Georgina Krebs, Lorena Fernández de la Cruz, David Mataix-Cols, Markus Jansson-Fröjmark","doi":"10.1080/16506073.2023.2299837","DOIUrl":"10.1080/16506073.2023.2299837","url":null,"abstract":"The Appearance Anxiety Inventory (AAI) is a self-report measure assessing the typical cognitions and behaviours of body dysmorphic disorder (BDD). Despite its use in research and clinical settings, its psychometric properties have not been evaluated in young people with BDD. We examined the factor structure, reliability, validity, and sensitivity to change of the AAI in 182 youths with BDD (82.9% girls; Mage = 15.56, SD = 1.37) consecutively referred to two specialist outpatient clinics in Stockholm, Sweden (n = 97) and London, England (n = 85). An exploratory factor analysis identified three factors, namely \"threat monitoring\", \"camouflaging\", and \"avoidance\", explaining 48.15% of the variance. The scale showed good internal consistency (McDonalds omega = 0.83) and adequate convergent validity with the Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder for Adolescents (BDD-YBOCS-A; rs = 0.42) and the Clinical Global Impression-Severity Scale (rs = 0.32). Sensitivity to change was adequate, with AAI total scores and individual factor scores significantly decreasing over time in the subgroup of participants receiving multimodal treatment for BDD (n = 79). Change of AAI scores over treatment showed a positive statistically significant moderate-to-good correlation (r = 0.55) with changes in BDD symptom severity, measured by the BDD-YBOCS-A. The study provides empirical support for the use of the AAI in young people with BDD in clinical settings.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139086169","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

Mediators during a Multimodal intervention for stress-induced exhaustion disorder. 在对压力引起的疲惫障碍进行多模式干预期间的调解因素。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2023-12-22 DOI: 10.1080/16506073.2023.2295217

Jacob Clason van de Leur, Fred Johansson, Lance M McCracken, Fredrik Åhs, Gunilla Brodda Jansen, Monica Buhrman

{"title":"Mediators during a Multimodal intervention for stress-induced exhaustion disorder.","authors":"Jacob Clason van de Leur, Fred Johansson, Lance M McCracken, Fredrik Åhs, Gunilla Brodda Jansen, Monica Buhrman","doi":"10.1080/16506073.2023.2295217","DOIUrl":"10.1080/16506073.2023.2295217","url":null,"abstract":"Our understanding of the underlying psychological processes of development, maintenance, and treatments for stress-induced exhaustion disorder (ED) remains limited. Therefore, the current study aimed to explore whether sleep concerns, pathological worry, perfectionistic concerns, and psychological flexibility mediate change in exhaustion symptoms during a Multimodal intervention for ED based on Cognitive behavioral therapy principles. Participants (N = 913) were assessed at three time points, and mediation was explored using a two-criteria analytical model with linear mixed-effects models (criterion one) and random intercepts cross-lagged panel modeling (criterion 2). Criterion one for mediation was successfully met, as the findings indicated significant associations between time in treatment, with all suggested mediators, and exhaustion symptoms (significant ab-products). However, criterion two was not satisfied as changes in the mediators did not precede changes in exhaustion symptoms. Therefore, mediation could not be established. Instead, changes in the suggested mediators appeared to result from changes in exhaustion symptoms. Consequently, sleep concerns, pathological worry, perfectionistic concerns, and psychological flexibility appear to improve in conjunction with exhaustion symptoms during treatment, where improvement in exhaustion is indicated as the main driving factor, based on this exploratory analysis. The implications of these findings are contextualized within a broader framework of process-based therapy.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828495","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

Ultra-brief acceptance & commitment therapy for inpatients with psychosis - a single-case experimental design investigating processes of change. 针对精神病住院患者的超短期接受与承诺疗法--研究改变过程的单例实验设计。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2024-01-09 DOI: 10.1080/16506073.2023.2300369

Carmen Muñoz González-Deleito, Lance M McCracken, Mårten J Tyrberg

{"title":"Ultra-brief acceptance & commitment therapy for inpatients with psychosis - a single-case experimental design investigating processes of change.","authors":"Carmen Muñoz González-Deleito, Lance M McCracken, Mårten J Tyrberg","doi":"10.1080/16506073.2023.2300369","DOIUrl":"10.1080/16506073.2023.2300369","url":null,"abstract":"People with primary psychosis are among the most seen in inpatient psychiatry. Treatment guidelines recommend both pharmacological and psychological treatments. However, psychological treatments are not routinely offered in many settings. There is also a lack of research on psychological treatments for this vulnerable population in the inpatient setting. The first aim of the current study was to examine treatment effects of a brief form of Acceptance and Commitment Therapy on outcomes valued by the treatment recipients. The second aim was to explore hypothetical processes of change in relation to outcomes over time. Three people with primary psychosis were treated for two to four sessions. A replicated single-case experimental design with multiple baselines across subjects (Clinical Trials registration number ID NCT04704973) was employed to examine treatment effects. The Personal Questionnaire (PQ) was used as primary outcome, symptom believability and preoccupation as proposed processes of change. Data were analyzed using visual inspection, calculation of Tau-U values, and cross-lagged correlation. All participants improved significantly on PQ and the symptom preoccupation measure. Two improved significantly on the symptom believability measure. Cross-lagged correlation analyses showed no clear mediation. Change in proposed processes of change and primary outcome predominantly happened concomitantly, although patterns of results reflected individual differences.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402198","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

Validity of the distress tolerance inventory in predicting response to the Cold-Pressor Test. 预测冷压测试反应的痛苦耐受量表的有效性。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-04-23 DOI: 10.1080/16506073.2024.2333963

E. Siegel, G. P. Cassidy, M. Telch

{"title":"Validity of the distress tolerance inventory in predicting response to the Cold-Pressor Test.","authors":"E. Siegel, G. P. Cassidy, M. Telch","doi":"10.1080/16506073.2024.2333963","DOIUrl":"https://doi.org/10.1080/16506073.2024.2333963","url":null,"abstract":"Distress intolerance-a broad band dispositional variable has been shown to serve as a transdiagnostic risk factor for psychopathology. We investigated the predictive validity of the physical and emotional subscales of the Distress Tolerance Inventory (DTI) on behavioral responding (immersion time) and moment-to-moment subjective distress ratings to the Cold-Pressor Test. College students (N = 134) completed self-report questionnaires indexing physical and emotional distress tolerance and then completed a cold pressor challenge. The DTI displayed convergent validity with several well-established self-report measures assessing distress tolerance (i.e. DTS, PCS, DIS). Participants' scores on the DTI physical subscale (but not the DTS or DTI emotional subscale) predicted participants' immersion time on the cold pressor challenge, thus supporting the construct validity of the DTI physical distress subscale. The DIS also predicted immersion time, though its internal consistency was marginal. These data suggest that the DTI is a valid measure for both emotional and physical distress tolerance and should be considered as a viable alternative to the DTS, especially for investigative domains involving physical distress such as chronic pain, or screening personnel for physically demanding tasks.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140670795","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 adherence to a publicly available self-guided digital mental health intervention. 坚持使用可公开获取的自助式数字心理健康干预措施的预测因素。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-04-15 DOI: 10.1080/16506073.2024.2341807

Mercedes G. Woolley, Korena S. Klimczak, Carter H. Davis, Michael E. Levin

{"title":"Predictors of adherence to a publicly available self-guided digital mental health intervention.","authors":"Mercedes G. Woolley, Korena S. Klimczak, Carter H. Davis, Michael E. Levin","doi":"10.1080/16506073.2024.2341807","DOIUrl":"https://doi.org/10.1080/16506073.2024.2341807","url":null,"abstract":"Low adherence to self-guided digital mental health interventions (DMHIs) have raised concerns about their real-world effectiveness. Naturalistic data from self-guided DMHIs are often not available, hindering our ability to assess adherence among real-world users. This study aimed to analyze 3 years of user data from the public launch of an empirically supported 12-session self-guided DMHI, to assess overall program adherence rates and explore predictors of adherence. Data from 984 registered users were analyzed. Results showed that only 14.8% of users completed all 12 modules and 68.6% completed less than half of the modules. Users who were younger, had milder depression, had never seen a mental health provider, and who rejected signing-up for weekly program emails completed significantly more modules. Results add to concerns about the generalizability of controlled research on DMHIs due to lower adherence outside of research trials. This study highlights the potential of user data in identifying key factors that may be related to adherence. By examining adherence patterns among different sub-sets of users, we can pinpoint and focus on individuals who may adhere and benefit more from self-guided programs. Findings could also have implications for guiding intervention personalization for individuals who struggle to complete DMHIs.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140702552","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