Cognitive Behaviour Therapy最新文献_第6页

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 4.3 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":" ","pages":"394-408"},"PeriodicalIF":4.3,"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":" ","pages":"351-363"},"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":" ","pages":"364-376"},"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 4.3 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":" ","pages":"377-393"},"PeriodicalIF":4.3,"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":" ","pages":"436-453"},"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

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

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":" ","pages":"286-301"},"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

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":" ","pages":"302-323"},"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

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":" ","pages":"324-350"},"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":" ","pages":"254-266"},"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