Cognitive Behaviour Therapy最新文献_第7页

Adding online storytelling-based acceptance and commitment therapy to antidepressant treatment for primary care patients: a randomized clinical trial. 在初级保健患者的抗抑郁治疗中加入基于在线故事的接受和承诺疗法：一项随机临床试验。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.1080/16506073.2023.2265560

Carter H Davis, Marissa L Donahue, Brandon A Gaudiano, Lisa A Uebelacker, Michael P Twohig, Michael E Levin

{"title":"Adding online storytelling-based acceptance and commitment therapy to antidepressant treatment for primary care patients: a randomized clinical trial.","authors":"Carter H Davis, Marissa L Donahue, Brandon A Gaudiano, Lisa A Uebelacker, Michael P Twohig, Michael E Levin","doi":"10.1080/16506073.2023.2265560","DOIUrl":"10.1080/16506073.2023.2265560","url":null,"abstract":"Depression is most often treated in primary care, where the prevailing treatment is antidepressant medication. Primary care patients with depression are less likely to be exposed to psychosocial interventions, despite evidence suggesting many of these treatments are effective. An example is acceptance and commitment therapy (ACT), a behavioral treatment for depression with a growing evidence base. A self-guided ACT intervention with a peer narrative (i.e. storytelling) format was developed with the intention of creating a treatment option for primary care patients that was more accessible than traditional psychotherapy. Titled LifeStories, the online program features videos of real individuals sharing coping skills for depression based on lived experiences and key ACT principles. A total of 93 primary care patients taking antidepressants were randomized to either continued antidepressant treatment alone or antidepressant treatment plus LifeStories for 4 weeks. There were no differences over time on depression severity and psychological inflexibility. However, LifeStories led to greater improvements in quality of life and increased patients' interest in additional treatment compared to antidepressant medication alone.Clinical trial pre-registration: ClinicalTrials.gov (NCT04757961).","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10841889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49675143","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

The effectiveness of transdiagnostic cognitive behavioural therapy for anxiety disorders: the role of and impact of comorbid depression. 焦虑症的跨诊断认知行为疗法的有效性：共病抑郁症的作用和影响。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.1080/16506073.2023.2274290

Megan G George, Pasquale Roberge, Martin D Provencher, Peter J Norton

{"title":"The effectiveness of transdiagnostic cognitive behavioural therapy for anxiety disorders: the role of and impact of comorbid depression.","authors":"Megan G George, Pasquale Roberge, Martin D Provencher, Peter J Norton","doi":"10.1080/16506073.2023.2274290","DOIUrl":"10.1080/16506073.2023.2274290","url":null,"abstract":"Transdiagnostic Cognitive Behaviour Therapy (tCBT), an intervention designed to be applicable across multiple diagnoses, was introduced to improve limitations in traditional therapy such as cost and access to trained therapists. It has been established as an effective and efficacious treatment for anxiety disorders, though there has been little research focussed on the role of depression. The current study investigated the role of comorbid depression during tCBT for anxiety disorders in primary care settings as an outcome and a moderator of anxiety outcomes. Results of multi-level ANOVAs indicated no significant difference in anxiety outcomes regardless of whether there was a comorbid depression diagnosis in the tCBT condition, and that individuals with a comorbid depression diagnosis experienced significantly greater reduction in anxiety severity than those without. Depression symptom severity decreased to a significantly greater extent in the tCBT condition than in TAU when the outcome measure of Patient Health Questionnaire was utilised as the outcome measure, but this was not mirrored when the Clinician Severity Rating was utilised as the outcome measure. This study provides preliminary support for the effectiveness of Transdiagnostic Cognitive Behaviour therapy for those with both a principal anxiety disorder and comorbid depression in symptom reduction.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478983","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

Assessing clinician competence in the delivery of cognitive-behavioural therapy for eating disorders: development of the Cognitive-Behavioural Therapy Scale for Eating Disorders (CBTS-ED). 评估临床医生对饮食失调的认知行为治疗能力：饮食失调认知行为治疗量表（CBTS-ED）的编制。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.1080/16506073.2023.2263640

Jessica Beard, Zafra Cooper, Philip Masson, Victoria A Mountford, Rebecca Murphy, Bronwyn Raykos, Madeleine Tatham, Jennifer J Thomas, Hannah M Turner, Tracey D Wade, Glenn Waller

{"title":"Assessing clinician competence in the delivery of cognitive-behavioural therapy for eating disorders: development of the Cognitive-Behavioural Therapy Scale for Eating Disorders (CBTS-ED).","authors":"Jessica Beard, Zafra Cooper, Philip Masson, Victoria A Mountford, Rebecca Murphy, Bronwyn Raykos, Madeleine Tatham, Jennifer J Thomas, Hannah M Turner, Tracey D Wade, Glenn Waller","doi":"10.1080/16506073.2023.2263640","DOIUrl":"10.1080/16506073.2023.2263640","url":null,"abstract":"Evidence-based cognitive-behaviour therapy for eating disorders (CBT-ED) differs from other forms of CBT for psychological disorders, making existing generic CBT measures of therapist competence inadequate for evaluating CBT-ED. This study developed and piloted the reliability of a novel measure of therapist competence in this domain-the Cognitive Behaviour Therapy Scale for Eating Disorders (CBTS-ED). Initially, a team of CBT-ED experts developed a 26-item measure, with general (i.e. present in every session) and specific (context- or case-dependent) items. To determine statistical properties of the measure, nine CBT-ED experts and eight non-experts independently observed six role-played mock CBT-ED therapy sessions, rating the therapists' performance using the CBTS-ED. The inter-item consistency (Cronbach's alpha and McDonald's omega) and inter-rater reliability (ICC) were assessed, as appropriate to the clustering of the items. The CBTS-ED demonstrated good internal consistency and moderate/good inter-rater reliability for the general items, at least comparable to existing generic CBT scales in other domains. An updated version is proposed, where five of the 16 \"specific\" items are reallocated to the general group. These preliminary results suggest that the CBTS-ED can be used effectively across both expert and non-expert raters, though less experienced raters might benefit from additional training in its use.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41101619","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

Evaluating the interactive impact of acculturative stress and anxiety sensitivity on behavioral health outcomes among Latinx during a period of high COVID-19 impact. 在新冠肺炎高影响时期，评估适应文化压力和焦虑敏感性对拉丁裔人行为健康结果的互动影响。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.1080/16506073.2023.2273794

Nubia A Mayorga, Kara F Manning, Andres G Viana, Victor Buitron, Salma Argueta, Michael Zvolensky

{"title":"Evaluating the interactive impact of acculturative stress and anxiety sensitivity on behavioral health outcomes among Latinx during a period of high COVID-19 impact.","authors":"Nubia A Mayorga, Kara F Manning, Andres G Viana, Victor Buitron, Salma Argueta, Michael Zvolensky","doi":"10.1080/16506073.2023.2273794","DOIUrl":"10.1080/16506073.2023.2273794","url":null,"abstract":"As a multi-systemic disease, COVID-19 infection engendered a rise in co-occurring mental and physical health symptoms, particularly affecting the Latinx population. The current work sought to evaluate the main and interactive influence of acculturative stress and anxiety sensitivity in terms of mental and physical health symptoms among 181 Latinx persons (30.4% female, Mage = 34.1 years, SD = 8.20). Data were collected during a period of high COVID-19 impact (2020-2021) and analyses included five separate, two-step hierarchical regressions that were conducted for each of the criterion variables: (1) fear of coronavirus; (2) somatic symptoms; (3) fatigue severity; (4) anxiety symptoms; and (5) depression symptoms. For all analyses, step 1 covariates included years living in the U.S. COVID-19 impact, gender identity, education, and work life distress and home life distress. Results revealed an interactive effect of anxiety sensitivity and acculturative stress on COVID-19 fear, unique main effects for both anxiety sensitivity and acculturative stress on COVID-19 related fear and somatic symptoms, and main effects for anxiety sensitivity alone in relation to fatigue severity, anxiety, and depression. Overall, this study represents an initial investigation of the associations between acculturative stress, anxiety sensitivity, and a range of salient COVID-19 related outcomes among Latinx persons.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10841410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478982","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

Pretreatment characteristics associated with symptom reduction during group cognitive processing therapy versus exposure therapy for PTSD: an exploratory study of Veterans. 退伍军人创伤后应激障碍群体认知加工治疗与暴露治疗中与症状减轻相关的预处理特征:一项探索性研究。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.1080/16506073.2023.2268277

Christopher Hunt, Brooks Casas, Pearl H Chiu, Lia J Smith, Laura Priorello, Kelly Lee, Matthew Estey, Mary R Newsome, M Wright Williams

{"title":"Pretreatment characteristics associated with symptom reduction during group cognitive processing therapy versus exposure therapy for PTSD: an exploratory study of Veterans.","authors":"Christopher Hunt, Brooks Casas, Pearl H Chiu, Lia J Smith, Laura Priorello, Kelly Lee, Matthew Estey, Mary R Newsome, M Wright Williams","doi":"10.1080/16506073.2023.2268277","DOIUrl":"10.1080/16506073.2023.2268277","url":null,"abstract":"Exposure and cognitive-based therapies are both effective for PTSD, but knowledge of which intervention is best for which patient is lacking. This lack of knowledge is particularly noticeable for group treatments, as no study has examined whether responses to different group therapies are associated with different pretreatment characteristics. Here, we explored whether pretreatment levels of three types of psychological characteristics-PTSD symptom clusters, posttraumatic cognitions, and emotion regulation difficulties-were associated with symptom reduction during group-delivered cognitive versus exposure-based PTSD treatment. Participants were Veterans with PTSD drawn from two previous clinical trials: one of group CPT (GCPT; n = 32) and the other of group-based exposure therapy (GBET; n = 21). Growth curve modeling was used to identify pretreatment variables that predicted weekly PTSD symptom changes during each therapy. Higher posttraumatic cognitions at pretreatment predicted steeper PTSD symptom reduction during GCPT but not GBET. Additionally, symptom reduction during each therapy was associated with different pretreatment emotion regulation difficulties: difficulties with goal-directed behavior for GBET and lack of emotional clarity and limited access to emotion regulation strategies for GCPT. These findings suggest that assigning Veterans to a group PTSD therapy that better matches their pretreatment psychological profile might facilitate a better therapeutic response.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10842083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134648588","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

Negative emotional reactivity to minority stress: measure development and testing. 对少数群体压力的负面情绪反应：测量发展和测试。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.1080/16506073.2023.2260560

Michael J Zvolensky, Justin M Shepherd, Lorra Garey, Mary Woody, Michael W Otto, Bryce Clausen, Tanya Smit, Nubia A Mayorga, Jafar Bakhshaie, Victor Buitron

{"title":"Negative emotional reactivity to minority stress: measure development and testing.","authors":"Michael J Zvolensky, Justin M Shepherd, Lorra Garey, Mary Woody, Michael W Otto, Bryce Clausen, Tanya Smit, Nubia A Mayorga, Jafar Bakhshaie, Victor Buitron","doi":"10.1080/16506073.2023.2260560","DOIUrl":"10.1080/16506073.2023.2260560","url":null,"abstract":"The purpose of the present investigation was to develop and test a measure of negative emotional reactivity to racial/ethnic minoritized stress. In Study 1, we developed item content for a measure of negative emotional reactivity to racial/ethnic minoritized stress. We then evaluated item performance and produced a refined 15-item scale among a large sample of racial/ethnic minority adults (N = 1,343). Results supported a unidimensional construct and high levels of internal consistency. The factor structure and internal consistency were replicated and extended to a sample of Latinx persons who smoke (N = 338) in Study 2. There was evidence of convergent validity of the Emotional Reactivity to Minoritized Stress (ERMS) total score in terms of theoretically consistent and statistically significant relations with indices of mental health problems, social determinants of health, and substance use processes. There was also evidence that the ERMS demonstrated divergent validity in that it was negatively associated with psychological well-being, health literacy, subjective social status in Study 1, and positive abstinence expectancies in Study 2. Overall, the present study establishes the reliability and validity of measuring individual differences in negative emotional reactivity to racial/ethnic minority stress with the ERMS and that such responsivity is associated with behavioral health problems.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10840979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41093579","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

Reducing safety behaviors to prevent anxious symptoms: a pre-registered prevention intervention study. 减少安全行为以预防焦虑症状：一项预先注册的预防干预研究。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2023-11-01 Epub Date: 2023-07-25 DOI: 10.1080/16506073.2023.2237671

Ellen L Gorman, Jason T Goodson, Gerald J Haeffel

{"title":"Reducing safety behaviors to prevent anxious symptoms: a pre-registered prevention intervention study.","authors":"Ellen L Gorman, Jason T Goodson, Gerald J Haeffel","doi":"10.1080/16506073.2023.2237671","DOIUrl":"10.1080/16506073.2023.2237671","url":null,"abstract":"The purpose of this pre-registered study was to test the efficacy of a simple, low-impact safety behavior prevention intervention for anxiety. The intervention was delivered online using a 4-week workbook format. Participants (n = 130) were a non-clinical sample of American college students; they were randomly assigned to one of two intervention conditions: safety-behavior reduction or active control condition (academic skills). Results showed that participants in the safety behavior workbook condition did not report fewer safety behaviors or lower levels of anxiety compared to the active control condition post-intervention. Exploratory analyses found that fidelity mattered; participants who completed all the workbook activities reported a significant decrease in the safety-behaviors relative to the control condition. However, those who reduced their use of safety behaviors reported greater levels of anxiety compared to participants in the control condition who reduced their safety behaviors. These results suggest that encouraging safety behavior reduction in non-clinical samples may have the unintended consequence of maintaining anxiety.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920051","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

Virtual reality (VR) treatments for anxiety disorders are unambiguously successful, so why are so few therapists using it? Barriers to adoption and potential solutions. 虚拟现实（VR）治疗焦虑症无疑是成功的，那么为什么很少有治疗师使用它呢？采用的障碍和潜在的解决方案。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2023-11-01 Epub Date: 2023-06-28 DOI: 10.1080/16506073.2023.2229017

Tyler B Wray, Joshua J Kemp, Margo Adams Larsen

{"title":"Virtual reality (VR) treatments for anxiety disorders are unambiguously successful, so why are so few therapists using it? Barriers to adoption and potential solutions.","authors":"Tyler B Wray, Joshua J Kemp, Margo Adams Larsen","doi":"10.1080/16506073.2023.2229017","DOIUrl":"10.1080/16506073.2023.2229017","url":null,"abstract":"Anxiety disorders are a significant cause of disability globally, yet only one in ten sufferers receives adequate quality treatment. Exposure-based therapies are effective in reducing symptoms associated with a number of anxiety disorders. However, few therapists use exposure techniques to treat these conditions, even when they are adequately trained in them, often because of concerns about provoking distress, drop out, logistical barriers, and other concerns. Virtual reality exposure therapy (VRET) can address many of these concerns, and a large body of research decisively shows that VRET is as efficacious for treating these conditions as in vivo exposures. Yet, use of VRET remains low. In this article, we discuss several factors we believe are contributing to low VRET adoption among therapists and raise potential solutions to address them. We consider steps that VR experience developers and researchers might take, such as leading studies of VRET's real-world effectiveness and treatment optimization trials and continuing to improve the fit of platforms with clinicians' workflows. We also discuss steps to address therapist reservations using aligned implementation strategies, as well as barriers for clinics, and the roles that professional organizations and payers could have in improving care by encouraging adoption of VRET.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10592498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9683826","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

An online self-guided cognitive intervention for unwanted intrusive thoughts about harming infants in new parents: initial randomised controlled trial with mediation analysis. 一项针对新父母伤害婴儿的不必要侵入性想法的在线自我指导认知干预：带有中介分析的初步随机对照试验。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2023-11-01 Epub Date: 2023-07-03 DOI: 10.1080/16506073.2023.2229015

Klara Olofsdotter Lauri, Kristina Aspvall, David Mataix-Cols, Eva Serlachius, Christian Rück, Erik Andersson

{"title":"An online self-guided cognitive intervention for unwanted intrusive thoughts about harming infants in new parents: initial randomised controlled trial with mediation analysis.","authors":"Klara Olofsdotter Lauri, Kristina Aspvall, David Mataix-Cols, Eva Serlachius, Christian Rück, Erik Andersson","doi":"10.1080/16506073.2023.2229015","DOIUrl":"10.1080/16506073.2023.2229015","url":null,"abstract":"Approximately one-fifth of new parents struggle with unwanted intrusive thoughts (UITs) about intentionally harming their child. This study evaluated the initial efficacy, feasibility and acceptability of a novel online self-guided cognitive intervention for new parents with distressing UITs. Self-recruited parents (N = 43, 93% female, age 23-43 years) of children 0-3 years reporting daily distressing and impairing UITs were randomized to the 8-week self-guided online cognitive intervention or to waiting-list. The primary outcome was change on the Parental Thoughts and Behaviour Checklist (PTBC) from baseline to week 8 (post-intervention). The PTBC and negative appraisals (mediator) were assessed at baseline, weekly, post-intervention and at the 1-month follow-up. Results showed that the intervention led to statistically significant reductions in distress and impairment associated with UITs at post-intervention (controlled between-group d = 0.99, 95% CI 0.56 to 1.43), which were maintained at the 1-month follow-up (controlled between-group d = 0.90, 95% CI 0.41 to 1.39). The intervention was deemed to be feasible and acceptable by the participants. Change in negative appraisals mediated reductions in UITs but the model was sensitive to mediator-outcome confounders. We conclude that this novel online self-guided cognitive intervention can potentially reduce the distress and impairment associated with UITs in new parents. Large-scale trials are warranted.Abbreviations: UITs: Unwanted Intrusive Thoughts PTBC: Parental Thoughts and Behaviour Checklist.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743006","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

Cognitive Behaviour Therapy (CBT) for Depersonalization Derealization Disorder (DDD): a self-controlled cross-over study of waiting list vs. active treatment. 认知行为疗法（CBT）治疗去个性化Derealization Disorder（DDD）：一项等待名单与主动治疗的自我对照交叉研究。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2023-11-01 Epub Date: 2023-09-15 DOI: 10.1080/16506073.2023.2255744

Elaine C M Hunter, Cheuk Lon Malcolm Wong, Rafael Gafoor, Glyn Lewis, Anthony S David

{"title":"Cognitive Behaviour Therapy (CBT) for Depersonalization Derealization Disorder (DDD): a self-controlled cross-over study of waiting list vs. active treatment.","authors":"Elaine C M Hunter, Cheuk Lon Malcolm Wong, Rafael Gafoor, Glyn Lewis, Anthony S David","doi":"10.1080/16506073.2023.2255744","DOIUrl":"10.1080/16506073.2023.2255744","url":null,"abstract":"Depersonalisation-Derealisation Disorder (DDD) has a prevalence of around 1% but is under-recognised and often does not respond to medical intervention. We report on a clinical audit of 36 participants with a diagnosis of chronic DDD who were sequentially recruited from a specialist DDD National Health Service clinic in London, United Kingdom, and who completed Cognitive Behavioural Therapy specifically adapted for DDD. The sample population had a mean age of 38.7 years (s.d. = 13.4), 61% were male and 69% were of White ethnicity. Three outcomes were assessed (Cambridge Depersonalisation Scale [CDS], Beck Depression Inventory [BDI], and the Beck Anxiety Inventory [BAI]) at three time points in a naturalistic, self-controlled, cross-over design. Hierarchical longitudinal analyses for outcome response clustered by patient were performed using scores from baseline, beginning, and end of therapy. All scores showed improvement during the treatment period, with medium effect sizes. CBT may be an effective treatment for DDD. However, treatment was not randomly assigned, and the sample was small. More research is needed, including the use of randomisation to assess the efficacy of CBT for DDD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609507","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