Cognitive Behaviour Therapy最新文献_第7页

Efficacy of brief online parent management training for parents of children with externalizing behavior problems: a pilot randomized controlled trial. 简短的在线家长管理培训对外化行为问题儿童家长的效果：一项随机对照试验。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-04-11 DOI: 10.1080/16506073.2026.2654791

Jens Högström, Hanna Alderblad, Sofie Sjöberg, Jonathan Nelson Plith, Alexander Carlson, Johan Lundin Kleberg, Stephen P H Whiteside

{"title":"Efficacy of brief online parent management training for parents of children with externalizing behavior problems: a pilot randomized controlled trial.","authors":"Jens Högström, Hanna Alderblad, Sofie Sjöberg, Jonathan Nelson Plith, Alexander Carlson, Johan Lundin Kleberg, Stephen P H Whiteside","doi":"10.1080/16506073.2026.2654791","DOIUrl":"https://doi.org/10.1080/16506073.2026.2654791","url":null,"abstract":"Online-delivered parent management training (PMT) has been shown to effectively improve parenting strategies and reduce externalizing behavior problems (EBPs) in children. However, most existing programs are extensive and primarily target families with moderate to severe difficulties, leaving few accessible and cost-effective options for those with mild to moderate problems. This randomized controlled trial evaluated the efficacy of BIP SAMBA, a brief online-delivered and therapist-guided PMT program developed for parents of children with mild to moderate EBPs. A community sample of parents of N = 30 children aged 5-10 were randomly assigned (1:1) to either BIP SAMBA or to a waitlist control condition. Parents in the intervention group reported significantly greater reduction of EBPs compared to the waitlist group (b = 19.02, ƒ2 = 0.29, p = .013), reflecting a moderate effect size. Parents in the intervention group also developed more involvement in their children's everyday activities. Program adherence was high with 93% of participants completing all core modules. Gains were maintained or had continued to improve at the 1-month follow-up. These findings suggest that BIP SAMBA could be a promising early-stage intervention for families with less severe forms of EBPs. The trial was pre-registered at Clinicaltrials.gov (NCT04670185).","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-16"},"PeriodicalIF":3.2,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662358","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

Who benefits most? Exploring demographic and psychological predictors of misophonia psychotherapy outcomes. 谁是最大的受益者？探讨恐音症心理治疗结果的人口学和心理学预测因素。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-04-10 DOI: 10.1080/16506073.2026.2655348

Julie M Petersen, Emily M Bowers, Mercedes G Woolley, Guadalupe G San Miguel, Karen Muñoz, Michael P Twohig

{"title":"Who benefits most? Exploring demographic and psychological predictors of misophonia psychotherapy outcomes.","authors":"Julie M Petersen, Emily M Bowers, Mercedes G Woolley, Guadalupe G San Miguel, Karen Muñoz, Michael P Twohig","doi":"10.1080/16506073.2026.2655348","DOIUrl":"https://doi.org/10.1080/16506073.2026.2655348","url":null,"abstract":"Misophonia is characterized by intense emotional and physiological responses to specific auditory triggers, typically repetitive, human-generated sounds. Treatment research in misophonia is nascent, with several studies showing promising outcomes across a range of treatments. While these findings suggest that misophonia symptoms are responsive to psychological interventions, more research is needed to identify which treatments are most effective, and for whom. This study examined baseline prognostic factors of treatment outcome from a randomized controlled trial for adults with misophonia, comparing acceptance and commitment therapy to progressive relaxation training for misophonia. Using multilevel modeling, the following baseline variables were tested as prognostic factors of clinician- and self-reported misophonia symptoms over time: age, age of misophonia onset, number of comorbid psychological diagnoses, psychological flexibility, and baseline misophonia severity. While exploratory, the findings suggest that older age, earlier age of onset and greater comorbidity, psychological inflexibility, and baseline symptom severity have small-to-moderate clinical and statistical effects on the longitudinal maintenance of treatment gains. Together, these findings highlight the complexity of treating misophonia and identifying potential treatment responders early on.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-17"},"PeriodicalIF":3.2,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653892","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

Utilization of different types of safety behavior during exposure-based CBT for anxiety disorders and its correlates. 基于暴露的CBT治疗焦虑症过程中不同类型安全行为的使用及其相关因素。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-04-02 DOI: 10.1080/16506073.2026.2649627

Caroline Im Brahm, Ingmar Heinig, Stephan Goerigk, Volker Arolt, Christina Bartnick, Udo Dannlowski, Jürgen Deckert, Katharina Domschke, Thomas Fydrich, Alfons O Hamm, Maike Hollandt, Jürgen Hoyer, Tilo Kircher, Katja Koelkebeck, Ulrike Lueken, Jürgen Margraf, Paul Pauli, Jens Plag, Jan Richter, Winfried Rief, Silvia Schneider, Benjamin Straube, Andreas Ströhle, Hans-Ulrich Wittchen, Peter Neudeck, Andre Pittig

{"title":"Utilization of different types of safety behavior during exposure-based CBT for anxiety disorders and its correlates.","authors":"Caroline Im Brahm, Ingmar Heinig, Stephan Goerigk, Volker Arolt, Christina Bartnick, Udo Dannlowski, Jürgen Deckert, Katharina Domschke, Thomas Fydrich, Alfons O Hamm, Maike Hollandt, Jürgen Hoyer, Tilo Kircher, Katja Koelkebeck, Ulrike Lueken, Jürgen Margraf, Paul Pauli, Jens Plag, Jan Richter, Winfried Rief, Silvia Schneider, Benjamin Straube, Andreas Ströhle, Hans-Ulrich Wittchen, Peter Neudeck, Andre Pittig","doi":"10.1080/16506073.2026.2649627","DOIUrl":"10.1080/16506073.2026.2649627","url":null,"abstract":"Safety behavior is used to prevent or minimize perceived threats and contributes to the maintenance of anxiety disorders. Various types of safety behavior (e.g. cognitive, interoceptive strategies, aids, substances) are prevalent. Although assumed to be counterproductive during exposure-based CBT, little is known about its frequency and course across exposure exercises and its relation to treatment outcome. This study examined safety behavior during exposure-based CBT in a large multicenter outpatient sample and investigated its association with treatment outcome and clinical and exposure characteristic correlates. Safety behavior was dichotomously assessed after each exposure exercise using standardized worksheets (7,301) from 639 patients with panic disorder/agoraphobia, social anxiety disorder, or multiple specific phobia. Despite instructions to refrain from it, approximately half of patients reported safety behavior during their first exposure, most frequently cognitive strategies. It decreased significantly across exercises. More frequent safety behavior was associated with less symptom improvement and occurred more often with higher anticipatory and actual fear. Decline was steeper in therapist-guided than self-directed exposures, although therapist-guided exposures occurred first. Safety behavior is common early in exposure-based CBT and decreases across exposure exercises. Continuous monitoring appears important given its associations with clinical variables, exposure characteristics, and treatment outcome.Trial registration: NIMH Protocol Registration System (01EE1402A), German Register of Clinical Studies (DRKS00008743).","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":3.2,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590561","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

Exploring the role of anxiety sensitivity in amplifying momentary posttraumatic stress disorder symptoms. 探讨焦虑敏感性在放大瞬间创伤后应激障碍症状中的作用。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-03-12 DOI: 10.1080/16506073.2026.2643715

Alexis M Berry, David H Johnson, Daniela Porro, Bryce K Clausen, Norman B Schmidt, Brian J Albanese

{"title":"Exploring the role of anxiety sensitivity in amplifying momentary posttraumatic stress disorder symptoms.","authors":"Alexis M Berry, David H Johnson, Daniela Porro, Bryce K Clausen, Norman B Schmidt, Brian J Albanese","doi":"10.1080/16506073.2026.2643715","DOIUrl":"https://doi.org/10.1080/16506073.2026.2643715","url":null,"abstract":"Anxiety sensitivity (AS) is a transdiagnostic vulnerability factor that reflects the misinterpretation of anxiety-related sensations as harmful or dangerous. AS is believed to increase posttraumatic stress disorder (PTSD) symptom severity, in part, by amplifying acute reactivity to trauma reminders. While AS has been consistently linked with PTSD symptom severity, little work has tested whether trait-level AS amplifies the effects of naturalistic trauma reminders on momentary PTSD symptomology. Trauma-exposed adults (N = 82) completed a baseline survey and diary follow-up in which PTSD symptoms were assessed three days/week for two weeks. Multilevel modeling was used to evaluate whether baseline, trait-level AS moderated the association between within-person increases in trauma reminders and PTSD symptoms. Unexpectedly, AS total score did not significantly moderate the relationship between momentary trauma reminders and PTSD symptom clusters. However, AS cognitive and social concerns significantly interacted with trauma reminders to predict greater PTSD avoidance symptoms and AS physical concerns blunted the effect of trauma reminders on negative alterations in cognition and mood (NACM). These findings add to growing literature linking AS with PTSD symptom severity and demonstrated that AS subfactors may differentially amplify the effects of traumatic reminders on PTSD symptom clusters.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":3.2,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442829","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

Examining adherence and engagement variables as predictors of change in a digital acceptance and commitment therapy intervention for adults with chronic health conditions. 检查依从性和参与变量作为慢性健康状况成人数字接受和承诺治疗干预变化的预测因素。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-03-11 DOI: 10.1080/16506073.2026.2642732

Michael E Levin, Francesca M Knudsen, Korena S Klimczak, Stephanie Nettleton, Marissa L Donahue, Ty B Aller

{"title":"Examining adherence and engagement variables as predictors of change in a digital acceptance and commitment therapy intervention for adults with chronic health conditions.","authors":"Michael E Levin, Francesca M Knudsen, Korena S Klimczak, Stephanie Nettleton, Marissa L Donahue, Ty B Aller","doi":"10.1080/16506073.2026.2642732","DOIUrl":"https://doi.org/10.1080/16506073.2026.2642732","url":null,"abstract":"Digital mental health interventions (DMHIs) are a promising resource for adults with chronic health conditions (CHCs). However, DMHI adherence is a challenge, with ongoing questions about how best to characterize and address the multifaceted features of engagement. This secondary exploratory analysis sought to characterize DMHI engagement variables including session completion, engagement in interactive exercises, time in sessions, and self-reported completion of homework assignments and to test which engagement variables predicted improvements in outcomes. A sample of 50 adults with a CHC randomized to an acceptance and commitment therapy-based DMHI were examined in this secondary analysis. Although adherence to DMHI sessions was only moderate (M = 4.04 sessions completed of 6), other engagement variables in sessions that participants completed were high. Time in sessions and homework completion were the most consistent predictors of improvements over time, especially for changes from baseline to one-month follow-up, such that only those highly engaged improved on well-being, mental health outcomes, and psychological flexibility. Session completion was the least consistent predictor of changes in outcomes. Overall, results suggest that it may be more important how users engage in DMHIs than the number of sessions completed, highlighting the importance of examining and addressing multiple features of engagement.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-12"},"PeriodicalIF":3.2,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431240","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

Overcoming perfectionism during childhood and adolescence: a systematic review and meta-analysis of interventions. 克服儿童和青少年时期的完美主义：干预措施的系统回顾和荟萃分析。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-03-10 DOI: 10.1080/16506073.2026.2631149

Andrea Fuster, María Vicent, Julio Sánchez-Meca, Carolina Gonzálvez

{"title":"Overcoming perfectionism during childhood and adolescence: a systematic review and meta-analysis of interventions.","authors":"Andrea Fuster, María Vicent, Julio Sánchez-Meca, Carolina Gonzálvez","doi":"10.1080/16506073.2026.2631149","DOIUrl":"https://doi.org/10.1080/16506073.2026.2631149","url":null,"abstract":"The first aim of this study was to conduct a systematic review and meta-analysis of the effectiveness of interventions implemented to reduce multidimensional perfectionism in children and adolescents compared to the control group. The second aim was to examine potential moderators (i.e. country, treatment recipients, sample type, sample age, treatment goal, type of therapy, N of sessions, treatment modality, follow-up, scale) to determine whether these variables influenced the outcomes. A systematic search process was conducted using the Web of Science, Scopus, PsycINFO, and Psicodoc databases. Twenty studies were selected, four of which had two intervention groups, and one of which reported data by gender. Consequently, the meta-analytic dataset consisted of a total of 25 independent intervention-control comparisons. The interventions were clinically effective in reducing Overall Perfectionism (g = .32 and .36), Perfectionistic Concerns (g = .25 and .43), and Perfectionistic Strivings (g = .35 and .33) for both baseline-posttest and baseline-follow-up assessments, respectively. The only two significant moderators were the type of scale used and the sample's country, both of which influenced Perfectionistic Concerns and Perfectionistic Strivings, but not Overall Perfectionism. These findings highlight the interventions' effectiveness in reducing Overall Perfectionism and its two higher-order dimensions in children and adolescents.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-20"},"PeriodicalIF":3.2,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431288","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

Targeting emotional vulnerability and impulsivity in gambling disorder: a proof-of-concept study on internet delivered cognitive behavioral therapy for comorbid pathway subtypes. 针对赌博障碍患者的情绪脆弱性和冲动性：网络认知行为治疗共病途径亚型的概念验证研究。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-03-06 DOI: 10.1080/16506073.2026.2639523

Olof Molander, Amanda Johnsson, Johan Bjureberg, Nitya Jayaram-Lindström, Nicki A Dowling, Brjánn Ljótsson

{"title":"Targeting emotional vulnerability and impulsivity in gambling disorder: a proof-of-concept study on internet delivered cognitive behavioral therapy for comorbid pathway subtypes.","authors":"Olof Molander, Amanda Johnsson, Johan Bjureberg, Nitya Jayaram-Lindström, Nicki A Dowling, Brjánn Ljótsson","doi":"10.1080/16506073.2026.2639523","DOIUrl":"https://doi.org/10.1080/16506073.2026.2639523","url":null,"abstract":"Gambling disorder represents a growing global public health challenge, particularly among populations with high symptom severity and psychiatric comorbidity. This proof-of-concept study aimed to develop a guided, internet-delivered cognitive behavioral therapy intervention based on the etiological Pathways Model and to evaluate its feasibility, within-group changes in outcomes, and potential mediators. The sample included twenty-five participants with high symptom severity of gambling disorder and comorbid psychiatric symptoms, primarily depression and anxiety. During treatment, participants completed an average of 19.9 behavioral exercises (standard deviation = 43.7) targeting gambling disorder, emotional vulnerability, and impulsivity. Participants rated the internet-delivered program as acceptable and user-friendly and reported only expected negative effects related to cognitive behavioral therapy. Gambling symptoms, anxiety symptoms, and depression symptoms decreased significantly with large within-group effects, with seventy-two percent classified as responders at post-treatment and fifty-two percent at three-month follow-up. Exploratory mediation analyses indicated that reductions in gambling symptoms were explained by both gambling disorder-specific and pathway-related factors. The findings support the feasibility of theoretically informed internet-delivered cognitive behavioral therapy for gambling disorder with comorbidities and highlight opportunities to optimize interventions for vulnerable subgroups.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-16"},"PeriodicalIF":3.2,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147364043","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 distress tolerance in treatment of posttraumatic stress and substance use disorders: a systematic review. 痛苦耐受在治疗创伤后应激和物质使用障碍中的作用：系统回顾。

IF 3.4 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-03-05 DOI: 10.1080/16506073.2026.2637777

Christina N Gillezeau, Margo C Hurlocker

{"title":"The role of distress tolerance in treatment of posttraumatic stress and substance use disorders: a systematic review.","authors":"Christina N Gillezeau, Margo C Hurlocker","doi":"10.1080/16506073.2026.2637777","DOIUrl":"10.1080/16506073.2026.2637777","url":null,"abstract":"Comorbid posttraumatic stress disorder and substance use disorder (PTSD-SUD) is associated with more severe symptoms, higher treatment dropout, and worse treatment outcomes than either condition alone. Distress tolerance (DT) is a potentially modifiable risk factor of PTSD and SUD that may impact treatment outcomes. However, little is known about changes in or impact of DT on comorbid PTSD-SUD treatment. This review identified treatment outcome studies of adult samples with SUD and diagnosis or symptoms of comorbid PTSD that examined the assessment of DT and its effects on treatment. Eight articles representing seven unique studies were included. No study included DT-specific interventions for PTSD and/or SUD, and only three examined change in DT over the course of treatment. Most studies examined DT as a predictor of premature treatment discontinuation or a baseline predictor of treatment outcomes. Though DT was not a robust predictor of treatment discontinuation and results were inconsistent on SUD outcomes, lower levels of DT predicted slower or less symptom improvement in PTSD. Future work should address DT in comorbid PTSD-SUD, identify active ingredients of current empirically supported treatments for PTSD and/or SUD, and incorporate additional DT skills into existing treatments, particularly for clients with low DT.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-23"},"PeriodicalIF":3.4,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147364079","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

A cross-cultural incremental effects meta-analysis of acceptance and commitment therapy for depression: does targeting depression even matter? 抑郁症接受与承诺治疗的跨文化增量效应荟萃分析：以抑郁症为目标是否重要？

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-03-05 DOI: 10.1080/16506073.2026.2633192

Nicholas C Borgogna, Tyler Owen, Samuel D Spencer, Duckhyun Jo, Mahdieh Jafari, Jacob Vaughn, Niloofar Najib Nia, Michelle Shegedin, Cody L Meyer, David A L Johnson, Allison Owen, Arleen Firoozan, Dan Petrovitch, D Drew Whittington, Emily Paez, Katie P Himes, Kyle M Brasil, Louis A Pagano, Maedeh Imany, Melisa Williams Ibora, Nima Mohammadaliha, Seyedehsamaneh Asgharian, Stephanie L Lin, Stephen L Aita, Valentine Chirokoff, Vasilios Ikonomou, Yeji Yang, Uibin Lee, Benjamin D Hill

{"title":"A cross-cultural incremental effects meta-analysis of acceptance and commitment therapy for depression: does targeting depression even matter?","authors":"Nicholas C Borgogna, Tyler Owen, Samuel D Spencer, Duckhyun Jo, Mahdieh Jafari, Jacob Vaughn, Niloofar Najib Nia, Michelle Shegedin, Cody L Meyer, David A L Johnson, Allison Owen, Arleen Firoozan, Dan Petrovitch, D Drew Whittington, Emily Paez, Katie P Himes, Kyle M Brasil, Louis A Pagano, Maedeh Imany, Melisa Williams Ibora, Nima Mohammadaliha, Seyedehsamaneh Asgharian, Stephanie L Lin, Stephen L Aita, Valentine Chirokoff, Vasilios Ikonomou, Yeji Yang, Uibin Lee, Benjamin D Hill","doi":"10.1080/16506073.2026.2633192","DOIUrl":"https://doi.org/10.1080/16506073.2026.2633192","url":null,"abstract":"Acceptance and commitment therapy (ACT) is a transdiagnostic psychotherapy intervention. We sought to demonstrate the degree to which ACT interventions incrementally reduce depression symptoms when they are primary targets, as well as secondary features of other conditions. We reviewed controlled trials for ACT interventions with depression outcome measures. Studies were identified from the comprehensive repository of ACT controlled trials. Analyses included data from 21,830 participants (k = 263 studies). Overall, ACT interventions resulted in a significant reduction in depression symptoms (g = 0.88). ACT interventions targeting depression against passive controls (waitlists) demonstrated strong incremental effects (g = 1.10). ACT interventions against passive controls where depression was a secondary outcome demonstrated moderate incremental effects (g = 0.61). ACT interventions that targeted depression against active controls demonstrated weak effects (g = 0.35). Publication year did not influence outcomes. ACT was only modestly superior to controls in trials conducted in the United States/Canada, relative to trials from other world regions. Higher quality studies were associated with weaker effects. Altogether, ACT is associated with a significant reduction in depression regardless of whether it is targeted. The degree to which ACT is superior to other interventions is small and likely dependent on contextual factors.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":3.2,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354164","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

Beating OCD and Learning Digitally (BOLD): an open trial of a therapist-supported, self-guided exposure and response prevention app for adults with OCD. 打败强迫症和数字化学习（BOLD）：一款治疗师支持的、自我引导的、针对成年强迫症患者的暴露和反应预防应用程序的公开试验。

IF 3.4 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-03-05 DOI: 10.1080/16506073.2026.2630174

Tao Lin, Kyla Godorecci, Claire Zhang, Bryanna Mackey, Matthew Mattoni, Lauryn Garner, Lily A Brown, Andrew G Guzick, Jeremy Tyler

{"title":"Beating OCD and Learning Digitally (BOLD): an open trial of a therapist-supported, self-guided exposure and response prevention app for adults with OCD.","authors":"Tao Lin, Kyla Godorecci, Claire Zhang, Bryanna Mackey, Matthew Mattoni, Lauryn Garner, Lily A Brown, Andrew G Guzick, Jeremy Tyler","doi":"10.1080/16506073.2026.2630174","DOIUrl":"10.1080/16506073.2026.2630174","url":null,"abstract":"Exposure and response prevention (EX/RP) is a first-line, evidence-based treatment for obsessive-compulsive disorder (OCD), yet its widespread implementation remains limited. Major barriers to EX/RP access are the intervention's intensity and lack of qualified providers. There is a growing need for scalable, technology-supported interventions that reduce treatment burden while preserving core therapeutic components. Therefore, we developed Beating OCD and Learning Digitally (BOLD), a self-guided EX/RP web application delivered with minimal therapist support. This small open trial (N = 16) evaluated the acceptability, feasibility, and preliminary outcomes of BOLD in adults with OCD. We found that BOLD significantly reduced OCD symptoms with large effect sizes among treatment completers (d = -1.27). Half of participants completed the full intervention and reported high satisfaction and gains in self-efficacy. Two-thirds (62.5%) of treatment completers were classified as treatment responders. When compared to a matched sample receiving traditional EX/RP, BOLD showed comparable treatment outcomes. Time-effectiveness analysis indicated that BOLD required 73.39% less therapist contact time to achieve equivalent symptom reduction than traditional EX/RP. These findings highlight BOLD's potential as a scalable, cost-effective intervention for OCD. Researchers should refine BOLD by optimizing engagement and reducing barriers to participation and investigate its effectiveness in a full-power randomized controlled trial.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-16"},"PeriodicalIF":3.4,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354176","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