Cognitive Behaviour Therapy最新文献_第6页

Advancing CBT for panic disorder and agoraphobia by integrating a digital intervention into treatment: a pilot randomized controlled trial 通过将数字干预整合到治疗中来推进CBT治疗恐慌障碍和广场恐惧症：一项试点随机对照试验

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-07-01 DOI: 10.1080/16506073.2025.2503834

Ece Atik, Jan Kalde, Johannes Stricker, Magnus Schückes, Peter Neudeck, Reinhard Pietrowsky, Andre Pittig

引用次数: 0

Working alliance and empowerment in internet-based groups versus individual treatment: a secondary analysis. 工作联盟和授权在基于互联网的团体与个人治疗：二次分析。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-26 DOI: 10.1080/16506073.2025.2521126

Laura Duddeck, Ava Schulz, Babette Renneberg, Thomas Berger, Johanna Boettcher

{"title":"Working alliance and empowerment in internet-based groups versus individual treatment: a secondary analysis.","authors":"Laura Duddeck, Ava Schulz, Babette Renneberg, Thomas Berger, Johanna Boettcher","doi":"10.1080/16506073.2025.2521126","DOIUrl":"https://doi.org/10.1080/16506073.2025.2521126","url":null,"abstract":"Internet-based interventions show promise for meeting the increasing demand for psychological support, yet the mechanisms driving their effectiveness remain unclear. This study examines the roles of empowerment and working alliance in reducing social anxiety disorder (SAD) and improving adherence in a clinician-guided group (GT) compared to a clinician-guided individual treatment (IT). A total of 120 individuals meeting the SAD diagnostic criteria were randomized into one of the two active conditions. Both empowerment and working alliance were repeatedly assessed, and their effects on social anxiety and adherence (measured by completed exercises) were analyzed through t-tests, correlations, repeated measures ANOVA, and mediation models. Results revealed no significant differences between GT and IT in empowerment or alliance, although both improved throughout the intervention. GT demonstrated early advantages in alliance, while IT showed slightly better adherence and a stronger connection between empowerment and adherence. No mediation effects were observed. This study is among the first to indicate that online interventions can enhance empowerment. However, neither group nor individual treatment proved superior in enhancing empowerment or alliance. This could be due to power limitations; therefore, results should be interpreted as tendencies. Further research is needed to clarify how these factors help reduce symptoms of social anxiety.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":4.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495036","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 role of illness perception and behaviour in the treatment of adolescents with multisystem functional somatic disorders: a post hoc mediation analysis of the AHEAD trial. 疾病感知和行为在青少年多系统功能性躯体疾病治疗中的作用：AHEAD试验的事后中介分析。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-26 DOI: 10.1080/16506073.2025.2521719

Karen H Kallesøe, Eva Ørnbøl, Kaare Bro Wellnitz, Charlotte Ulrikka Rask

{"title":"The role of illness perception and behaviour in the treatment of adolescents with multisystem functional somatic disorders: a post hoc mediation analysis of the AHEAD trial.","authors":"Karen H Kallesøe, Eva Ørnbøl, Kaare Bro Wellnitz, Charlotte Ulrikka Rask","doi":"10.1080/16506073.2025.2521719","DOIUrl":"https://doi.org/10.1080/16506073.2025.2521719","url":null,"abstract":"Psychological interventions can reduce symptom load and disability in adolescents with various functional somatic disorders (FSD). However, mechanisms of change are less investigated, especially in those with multisystem symptomatology. In a post-hoc analysis, illness perception, illness behaviour, and psychological inflexibility (experiential avoidance and fusion) were examined as mediators of changes in self-perceived physical health in adolescents 3 months after receiving group-based Acceptance and Commitment Therapy versus Enhanced Usual Care. Baseline levels of proposed mediators were also assessed for moderation effects. Data from 91 adolescents (15-19 years) with multisystem FSD (duration ≥1 year) from the RCT \"ACT for Health in Adolescents\" (AHEAD) were used in a classic mediation analysis. Mediators were measured at baseline (before assessment), 5.5 months (2 weeks after end-of-treatment), and 8 months (3 months after end-of-treatment). Improvements in negative illness perceptions and psychological inflexibility (experiential avoidance) mediated the effect of AHEAD on physical health at 8 months. The mediation effect increased with higher baseline levels, but the moderation effects were non-significant. AHEAD reduced negative illness perception and psychological inflexibility (experiential avoidance) and, consequently, improved physical health in adolescents with multisystem FSD. Reducing these factors may be important treatment targets in future treatment programmes for adolescents with FSD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-22"},"PeriodicalIF":4.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495035","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 use of exposure in anxiety-related disorders and associations with practitioner characteristics 暴露在焦虑相关障碍中的使用及其与从业人员特征的关联

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-18 DOI: 10.1080/16506073.2025.2518424

Sara Scheveneels, Dirk Hermans, Jana Janssens, Anja Greeven, Arnold van Emmerik

引用次数: 0

Integrating guided Internet-based Cognitive Behavioral Therapy for insomnia into general practice: a multi primary health care center study. 将指导性的基于互联网的认知行为疗法纳入全科实践：一项多初级卫生保健中心的研究。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-11 DOI: 10.1080/16506073.2025.2514154

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":"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 (n = 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, p < .001, Hedges' g = 1.40). Depression (β = 5.496, g = 0.68) and anxiety (β = 3.982, g = 0.56) also showed moderate improvements (p < .001). All sleep diary measures improved significantly (p < .001), and sleep medication use dropped from 48.6% at pretreatment to 17.5% at posttreatment (p < .001). These findings suggest that guided ICBT-I in primary care effectively reduces insomnia and improves mental health, with outcomes comparable to specialized care.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":4.3,"publicationDate":"2025-06-11","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}

引用次数: 0

Characterizing gender differences in appearance-related safety behaviors and their relationship with clinical symptoms. 外貌安全行为的性别差异及其与临床症状的关系

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-10 DOI: 10.1080/16506073.2025.2516200

Tapan A Patel, Jesse R Cougle

{"title":"Characterizing gender differences in appearance-related safety behaviors and their relationship with clinical symptoms.","authors":"Tapan A Patel, Jesse R Cougle","doi":"10.1080/16506073.2025.2516200","DOIUrl":"https://doi.org/10.1080/16506073.2025.2516200","url":null,"abstract":"Concerns with one's physical appearance is a core feature of multiple psychiatric disorders including body dysmorphic disorder and eating disorders. Recent research has evaluated smartphone-based interventions for appearance targeting appearance-related safety behaviors (ARSB), maladaptive strategies that individuals use to avoid being negatively evaluated due to their appearance. These studies have largely focused on women and excluded men representing a major gap in the literature. The present study sought to examine the relevance ARSBs in two studies. In Study 1, we examined the invariance of ARSBs in a large sample (N = 840) of young adults. We found evidence of partial scalar gender invariance of ARSBs, which also showed similar relationship with clinical symptoms between genders. In Study 2, we evaluated the efficacy of targeting ARSBs in an open trial of men with elevated appearance concerns (N = 40), most of whom identified as a sexual minority (97.3%). Participants showed reductions in appearance concerns, eating disorder symptoms, social anxiety, and overvaluation of appearance that were maintained one-month after treatment. Taken together, the present investigation suggests that ARSBs are also clinically relevant in men, and ARSB fading shows similar efficacy in men as it does in women.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257511","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

Internet-delivered cognitive behavioral therapy for adolescents with excessive worry: a randomized controlled trial with mediation analysis. 网络传递的青少年过度焦虑认知行为疗法：一项随机对照试验与中介分析。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-06 DOI: 10.1080/16506073.2025.2515196

Tove Wahlund, Sean Perrin, Klara Olofsdotter Lauri, Malin Burman, Simone Dagerborn, Micaela Meregalli, Maja Västhagen, Maral Jolstedt, Martina Nord, Eva Serlachius, Sarah Vigerland, Erik Andersson

{"title":"Internet-delivered cognitive behavioral therapy for adolescents with excessive worry: a randomized controlled trial with mediation analysis.","authors":"Tove Wahlund, Sean Perrin, Klara Olofsdotter Lauri, Malin Burman, Simone Dagerborn, Micaela Meregalli, Maja Västhagen, Maral Jolstedt, Martina Nord, Eva Serlachius, Sarah Vigerland, Erik Andersson","doi":"10.1080/16506073.2025.2515196","DOIUrl":"https://doi.org/10.1080/16506073.2025.2515196","url":null,"abstract":"Excessive worry is common during adolescence and across psychiatric disorders. This study investigates whether: (1) internet-delivered cognitive behavioral therapy (ICBT) focused on exposure to uncertainty is effective in reducing excessive worry; (2) improvements in worry are associated with reductions in other psychiatric symptoms; and (3) changes in intolerance of uncertainty (IU) mediate worry outcomes. Adolescents (N = 62; aged 13-17 years) with excessive worry (≥30 total score on Penn State Worry Questionnaire for Children) were randomly allocated to 8 weeks of ICBT (n = 31) or a waitlist for ICBT (Waitlist, n = 31). Self-reported worry (primary outcome) was measured weekly for 12 weeks and controlled effects assessed at week 12 post-baseline. IU and a comparator mediator (depression) were measured every other week for 12 weeks during the treatment/waitlist phase. ICBT yielded significantly large reductions in worry compared to Waitlist (bootstrapped d = 0.59). Worry reductions mediated improvements in anxiety and depression symptoms. Changes in depression, but not IU, mediated worry outcomes. A brief course of worry-focused ICBT yielded moderate reductions in worry that was associated with improvements in anxiety and depression. Contrary to expectation, changes in IU did not explain worry reductions in this uncertainty- focused treatment. Further studies are needed to identify potential change mechanisms.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-23"},"PeriodicalIF":4.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233406","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

Metacognitive training light: adjusted, short-term, multi-professional metacognitive training for patients with psychotic symptoms in psychiatric care. 轻元认知训练：在精神科护理中对精神病症状患者进行调整的、短期的、多专业元认知训练。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-05 DOI: 10.1080/16506073.2025.2512975

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":"https://doi.org/10.1080/16506073.2025.2512975","url":null,"abstract":"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 (r = .829, p < .0001) and secondary exploratory endpoints (CGI: r = .767, p < .0001; BCIS: d = -.458, p = .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.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-13"},"PeriodicalIF":4.3,"publicationDate":"2025-06-05","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}

引用次数: 0

The paradox of choice: user preferences and completion rates in single-session vs. multi-session digital mental health interventions. 选择悖论：单次会话与多次会话数字心理健康干预的用户偏好和完成率。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-06-04 DOI: 10.1080/16506073.2025.2512971

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":"https://doi.org/10.1080/16506073.2025.2512971","url":null,"abstract":"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.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-11"},"PeriodicalIF":4.3,"publicationDate":"2025-06-04","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}

引用次数: 0

The feasibility and preliminary outcomes of a two-week attention training technique intervention for young adults with mixed anxiety disorders. 为期两周的注意力训练技术干预青少年混合性焦虑症的可行性及初步结果。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2025-05-27 DOI: 10.1080/16506073.2025.2509168

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":"https://doi.org/10.1080/16506073.2025.2509168","url":null,"abstract":"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.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":4.3,"publicationDate":"2025-05-27","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}

引用次数: 0