Pamella Nizio, Ava A Jones, Tanya Smit, Julia D Buckner, Brooke Y Redmond, Michael S Businelle, Ezemenari M Obasi, Michael J Zvolensky, Lorra Garey
{"title":"The indirect effect of anxiety sensitivity on smoking motives through false safety behaviors among Black adults who smoke.","authors":"Pamella Nizio, Ava A Jones, Tanya Smit, Julia D Buckner, Brooke Y Redmond, Michael S Businelle, Ezemenari M Obasi, Michael J Zvolensky, Lorra Garey","doi":"10.1080/16506073.2026.2664879","DOIUrl":"10.1080/16506073.2026.2664879","url":null,"abstract":"<p><p>Despite smoking at lower rates, Black adults who smoke face disproportionate tobacco-related health disparities, including higher nicotine dependence, exposure, and lower cessation rates compared to other racial groups. Smoking motives play a critical role in smoking maintenance and relapse. Anxiety sensitivity (AS), a transdiagnostic cognitive-affective construct, has emerged as a strong predictor of smoking motives (habit, affect reduction, sensorimotor, and stimulant motives) among Black adults who smoke. However, mechanisms underlying this relationship remain unclear. False safety behaviors (FSB), or behaviors used to alleviate symptoms of anxiety and stress in response to phobic stimuli (i.e. false threats), may serve as a mechanism between AS and smoking motives. The current study examined the indirect effects of FSB in the relationship between AS and smoking motives (habitual, addictive, negative affect reduction, pleasure, stimulation, and sensorimotor) among Black adults who smoke. Participants included 78 (28.2% female; <i>M</i><sub><i>age</i></sub> = 43.5 years, <i>SD</i> = 11.7 years) Black adults who reported current daily smoking. Results showed that AS was indirectly associated with all smoking motives through FSB (all <i>p</i>'s < .001-.02). The current results highlight the importance of FSB utilization as a targetable mechanism for smoking cessation treatments for Black adults who smoke and who experience elevated AS.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-11"},"PeriodicalIF":3.2,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147867162","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}
Stephanie T Gumuchian, Ariel Boyle, Gabriela Kennedy, Shiu F Wong, Mark A Ellenbogen
{"title":"Development and validation of the multidimensional Fear of Depression Recurrence Questionnaire (FoDRQ).","authors":"Stephanie T Gumuchian, Ariel Boyle, Gabriela Kennedy, Shiu F Wong, Mark A Ellenbogen","doi":"10.1080/16506073.2025.2500981","DOIUrl":"10.1080/16506073.2025.2500981","url":null,"abstract":"<p><p>Despite high recurrence rates in major depressive disorder (MDD), little is known about the factors influencing recurrence. Understanding the changes that occur between major depressive episodes (MDEs) is imperative. It is possible that being fearful of experiencing another MDE may lead to cognitive and behavioural changes that increase MDD recurrence risk. There are no available tools designed to capture these fears. This study developed and validated a self-report questionnaire measuring fears of depression recurrence (FoDR). 552 participants remitted from MDD (75% female; Age 18-73, <i>M</i><sub><i>age</i></sub> = 29.5, <i>SD</i> = 9.2) participated. Separate samples were used for the exploratory factor analysis (<i>n</i> = 200) and confirmatory factor analysis (<i>n</i> = 352). Test-retest reliability was assessed (<i>n</i> = 244). The results supported the retention of a 24-item scale, the <i>Fear of Depression Recurrence Questionnaire (FoDRQ)</i>, loading onto three factors (severity, content, triggers). The FoDRQ demonstrated excellent internal consistency and composite reliability, and acceptable test-retest reliability. The scale showed strong convergent and divergent validity across other validated measures. FoDRQ scores significantly predicted measures of experiential avoidance and mental health self-management. The FoDRQ has excellent psychometric properties and can be used to understand how FoDR may influence MDD outcomes, recurrence risk, and illness-related coping.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"327-350"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109738","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}
Therese Ruud Snuggerud, Henrik Nordahl, KariAnne Vrabel, Asle Hoffart, Sverre Urnes Johnson
{"title":"The feasibility and preliminary outcomes of a two-week attention training technique intervention for young adults with mixed anxiety disorders.","authors":"Therese Ruud Snuggerud, Henrik Nordahl, KariAnne Vrabel, Asle Hoffart, Sverre Urnes Johnson","doi":"10.1080/16506073.2025.2509168","DOIUrl":"10.1080/16506073.2025.2509168","url":null,"abstract":"<p><p>The study investigated the feasibility and preliminary outcomes of a two-week group Attention Training Technique (ATT; Wells, 1990, 2007) intervention for patients with mixed anxiety disorders in a residential setting, compared to a waitlist control. Twenty patients diagnosed with social anxiety disorder, panic disorder with agoraphobia, or generalized anxiety disorder were randomly assigned either to receive the ATT intervention first or wait three weeks before treatment. Patients were assessed at baseline, pre-treatment, post-treatment, 3-month follow-up, and 6-month follow-up. Results supported ATT feasibility, as evidenced by patient credibility, treatment expectancy, retention rate and drop-out rate. There was a significant difference in anxiety improvement between the ATT intervention and the waitlist. Among all patients who received the ATT intervention, a notable improvement in anxiety symptoms was observed from pre-treatment to post-treatment, with sustained improvement at 3- and 6-month follow-up. Clinical evaluations of patients' diagnoses indicated a marked reduction in diagnosis severity from baseline to post-treatment and 6-month follow-up. Patients also showed consistent improvement across all secondary outcome measures. A two-week group ATT intervention in a residential setting appeared feasible and was associated with improvements in anxiety symptoms, diagnoses, and related psychological problems, which were sustained at follow-up.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"372-390"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157228","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}
Alexandra M Adamis, Sarah C Jessup, Bunmi O Olatunji
{"title":"Unique and interactive effects of intolerance of uncertainty and emotion regulation on daily negative emotionality.","authors":"Alexandra M Adamis, Sarah C Jessup, Bunmi O Olatunji","doi":"10.1080/16506073.2025.2509178","DOIUrl":"10.1080/16506073.2025.2509178","url":null,"abstract":"<p><p>Intolerance of uncertainty (IU) is a transdiagnostic risk factor for emotional disorders. Although IU has been linked to anxious responding, the effects of IU on other forms of negative emotions (e.g. sadness and anger) in everyday life remain unclear. Further, the extent to which emotion regulation strategies moderate the effects of IU on daily emotionality is unknown. The present study aimed to clarify the specificity of IU's association with negative emotionality in everyday life, as well as to examine the moderating effects of emotion regulation. Participants (<i>n</i> = 122; 76% female) were first assessed for psychiatric diagnoses, IU, and their habitual use of reappraisal and suppression. They then completed one week of ecological momentary assessment of levels of anxiety, sadness, and anger in daily life. Results revealed modest associations between IU and levels of anxiety and sadness, but not anger, experienced during the week, even after controlling for psychiatric diagnoses and other concurrent negative emotions. Neither habitual reappraisal nor suppression moderated the effects of IU on daily emotionality. Findings suggest that IU is more closely tied to internalizing (vs. externalizing) emotional profiles and is associated with heightened negative emotionality independent of psychiatric diagnoses and emotion regulation strategy use.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"391-404"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109785","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}
Joshua Tritsch, Katharina Körber, Benjamin Pross, Karin Strasser, Irina Papazova, Alkomiet Hasan, Steffen Moritz, Wolfgang Strube
{"title":"Metacognitive training light: adjusted, short-term, multi-professional metacognitive training for patients with psychotic symptoms in psychiatric care.","authors":"Joshua Tritsch, Katharina Körber, Benjamin Pross, Karin Strasser, Irina Papazova, Alkomiet Hasan, Steffen Moritz, Wolfgang Strube","doi":"10.1080/16506073.2025.2512975","DOIUrl":"10.1080/16506073.2025.2512975","url":null,"abstract":"<p><p>Aimed at simplifying treatment access for patients experiencing psychosis and cognitive impairments, language barriers or short in-hospital stays, we developed metacognitive training light (MCT-Light). This exploratory proof-of-concept study investigated to what extent MCT-Light is feasible, accepted and helps improve patients' psychotic symptoms. We recruited 45 inpatients with psychotic and cognitive symptoms during their current stay, who were enrolled in MCT-Light, and assessed them before their first and after their third session. As primary endpoint we explored changes in the Positive and Negative Syndrome Scale (PANSS) positive factor. Secondary analyses included (1) feasibility of integrating MCT-Light into treatment plans, (2) acceptability and (3) potential efficacy of MCT-Light towards improving Clinical Global Impression (CGI) and Beck Cognitive Insight Scale (BCIS) scores. Among the 29 completers, we observed significant improvements for the primary endpoint (<i>r</i> = .829, <i>p</i> < .0001) and secondary exploratory endpoints (CGI: <i>r</i> = .767, <i>p</i> < .0001; BCIS: d = -.458, <i>p</i> = .020), and MCT-light was generally well accepted. Its implementation might help close gaps in healthcare provision for patients challenged with the aforementioned barriers, by providing a feasible alternative to conventional MCT. Future randomized trials could employ long-term follow-ups to assess the stability of MCT-Light's effects.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"432-444"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224496","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}
Sandra Weineland, Hanna Tarkian Tillgren, Kerstin Blom, Susanna Jernelöv, Robert Johansson, Gerhard Andersson, Viktor Kaldo
{"title":"Integrating guided Internet-based Cognitive Behavioral Therapy for insomnia into general practice: a multi primary health care center study.","authors":"Sandra Weineland, Hanna Tarkian Tillgren, Kerstin Blom, Susanna Jernelöv, Robert Johansson, Gerhard Andersson, Viktor Kaldo","doi":"10.1080/16506073.2025.2514154","DOIUrl":"10.1080/16506073.2025.2514154","url":null,"abstract":"<p><p>Insomnia is prevalent, emphasizing the need for effective and sustainable treatments. While short-term use of sleep medication is recommended, long-term use remains common, underscoring the necessity for psychological treatments like Cognitive Behavioral Therapy for Insomnia (CBT-I) in clinical practice. This study aimed to evaluate the effectiveness of guided Internet-Based Cognitive Behavioral Therapy for insomnia (ICBT-I) when integrated into general practice. Participants (<i>n</i> = 177) were recruited from 33 primary health care centers (PCCs) and enrolled in an eight-week guided ICBT-I program. Eligible participants were at least 18 years old and reported sleep problems significantly affecting their daily lives. Significant reductions in insomnia were observed, with large improvements in sleep disturbances. ISI scores decreased significantly from pre- to post-treatment (β = 9.368, <i>p</i> < .001, Hedges' g = 1.40). Depression (β = 5.496, g = 0.68) and anxiety (β = 3.982, g = 0.56) also showed moderate improvements (<i>p</i> < .001). All sleep diary measures improved significantly (<i>p</i> < .001), and sleep medication use dropped from 48.6% at pretreatment to 17.5% at posttreatment (<i>p</i> < .001). These findings suggest that guided ICBT-I in primary care effectively reduces insomnia and improves mental health, with outcomes comparable to specialized care.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"445-465"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265520","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}
Emily M Bowers, Korena S Klimczak, Ty B Aller, Michael E Levin
{"title":"The paradox of choice: user preferences and completion rates in single-session vs. multi-session digital mental health interventions.","authors":"Emily M Bowers, Korena S Klimczak, Ty B Aller, Michael E Levin","doi":"10.1080/16506073.2025.2512971","DOIUrl":"10.1080/16506073.2025.2512971","url":null,"abstract":"<p><p>Digital mental health interventions (DMHIs) offer scalable solutions for addressing mental health needs, but low adherence remains a significant challenge. Single session DMHIs may offer a feasible alternative to address this issue, providing an accessible and low-effort option for users. The present study examines whether adding the choice of a single session DMHI in addition to a multi-session DMHI provides a feasible alternative for users who might otherwise disengage. This study examined naturalistic data from 509 university students who registered for a 12-session DMHI, single session DMHI, or both. The majority (58%) chose only the multi-session DMHI, while 24.2% chose only the single-session option, and 17.5% registered for both. Rates of completing one session of the chosen DMHI were highest for the single session DMHI (56.1%), with the lowest rates among those who registered for both programs. Users who chose the single session DMHI reported lower motivation and less frequent intentions to address mental health. Satisfaction with the single-session program was high. These results highlight the promise of single-session DMHIs as a feasible and acceptable intervention to help navigate adherence challenges with longer programs, while raising questions about the effectiveness of having users choose between single-session and multi-session DMHIs.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"466-476"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215165","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}
Yuval Hadash, Omer Dar, Romi Oren-Schwartz, Amit Bernstein
{"title":"The effects of intensive mindfulness meditation training on mental health: evidence of effectiveness and safety from a matched-controlled intervention study.","authors":"Yuval Hadash, Omer Dar, Romi Oren-Schwartz, Amit Bernstein","doi":"10.1080/16506073.2026.2656720","DOIUrl":"https://doi.org/10.1080/16506073.2026.2656720","url":null,"abstract":"<p><p>Despite increased public interest and research on intensive high-dose mental health interventions, much remains unknown about the mental health effects and safety of multi-day intensive high-dose mindfulness meditation training. Accordingly, we conducted a preregistered prospective intervention study among 89 adults who registered for 6-day insight mindfulness meditation retreats and 46 matched controls (<i>M</i><sub><i>age</i></sub>(<i>SD</i><sub><i>age</i></sub>) = 33.75 (9.50), 56.3% female). Retreat participants demonstrated significant improvements in well-being, negative affect, perseverative thinking, brooding rumination, and depression symptoms at 2-week follow-up compared to matched controls (<i>η<sup>2</sup> range</i> = .04-.08, <i>p</i>s < .05). Effects on positive affect, emotion regulation, and anxiety symptoms were not significant. The percentage of participants exhibiting statistically reliable deterioration in mental health at 2-week follow-up was equal or lower among retreat participants than matched controls, both in the full sample and in a subsample with clinically elevated depression and/or anxiety (<i>OR</i>s < 1). Findings suggest that a 6-day mindfulness meditation retreat can produce rapid improvements in mental health, comparable to effect sizes of much longer 8-week mindfulness-based programs. Findings also challenge concerns about adverse effects of intensive high-dose meditation retreats and suggest they may be a safe and effective intervention modality, even for clinically vulnerable adults struggling with depression or anxiety.<b>Trial Registration:</b> ClinicalTrials.gov registration ID NCT04749264.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":3.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764839","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}
Andrew A J Muth, Kate Clauss, Tamara Cheney, Maya O'Neil
{"title":"A comparison of cognitive and exposure-oriented trauma therapies in improving quality of life: a meta-analysis.","authors":"Andrew A J Muth, Kate Clauss, Tamara Cheney, Maya O'Neil","doi":"10.1080/16506073.2026.2658094","DOIUrl":"https://doi.org/10.1080/16506073.2026.2658094","url":null,"abstract":"<p><p>Prior meta-analyses have demonstrated that psychotherapies for posttraumatic stress disorder (PTSD) have small to medium impacts in improving quality of life (QOL); however, they have not determined whether there are QOL differences between two major types of PTSD psychotherapies, cognitive-oriented therapies (CT) versus exposure-oriented therapies (ET). As such, the aim of this meta-analysis was to explore whether CTs versus ETs differentially impact QOL. A search was conducted through the PTSD Trials Standardized Data Repository and similar meta-analyses to identify randomized controlled trials of PTSD psychotherapies that included a QOL measure. This search yielded a total of 47 eligible studies. Results indicated that there was no statistically significant difference between CTs and ETs in impacting QOL, and regardless of therapy posttreatment gains in QOL diminished over extended follow-up. Overall, both CTs and ETs may help to improve QOL, but adaptations or new interventions may be needed to produce a more lasting impact.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-24"},"PeriodicalIF":3.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764830","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}
Marie Persson, Sandra Weineland, Anna Sundholm, Eva-Lisa Petersson, Gun Rembeck
{"title":"Dilemma regarding acute medication during a migraine attack - \"Yes, it will be fine; I'll have a cup of coffee\".","authors":"Marie Persson, Sandra Weineland, Anna Sundholm, Eva-Lisa Petersson, Gun Rembeck","doi":"10.1080/16506073.2026.2653989","DOIUrl":"https://doi.org/10.1080/16506073.2026.2653989","url":null,"abstract":"<p><p>The purpose of the present study was to explore the experiences and management of migraine pain in patients with chronic migraine. Ten patients with chronic migraine participated in open interviews grounded in functional behavioral analysis within a cognitive-behavioral framework. The interviews were analyzed using systematic text condensation. Participants' experiences and management of pain during a migraine attack were categorized into four concepts: <i>Migraine Pain Signal, Hope of False Alarm, Guiding Assumption</i>, and <i>Delayed Medical Management</i>. The experiences of pain during a migraine attack in are individual; however, common patterns in pain management can be identified. The participants in this study often found it challenging to differentiate migraine pain from other types of pain, automatically dismissed migraine pain signals, utilized non-medical management as their first intervention, and only resorted to their prescribed acute medication when it was no longer optimally effective. Delayed medical intervention and a lack of rest at the onset of the migraine attack in the pain phase can expose participants to significant moderate to severe migraine pain for several days, Clinically, this knowledge can be important as one of several risk markers for the progression from episodic to chronic migraine and for developing individually tailored rehabilitation strategies.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":3.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688545","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}