Cognitive Behaviour Therapy最新文献_第8页

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

Mediators during a Multimodal intervention for stress-induced exhaustion disorder. 在对压力引起的疲惫障碍进行多模式干预期间的调解因素。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2023-12-22 DOI: 10.1080/16506073.2023.2295217

Jacob Clason van de Leur, Fred Johansson, Lance M McCracken, Fredrik Åhs, Gunilla Brodda Jansen, Monica Buhrman

{"title":"Mediators during a Multimodal intervention for stress-induced exhaustion disorder.","authors":"Jacob Clason van de Leur, Fred Johansson, Lance M McCracken, Fredrik Åhs, Gunilla Brodda Jansen, Monica Buhrman","doi":"10.1080/16506073.2023.2295217","DOIUrl":"10.1080/16506073.2023.2295217","url":null,"abstract":"Our understanding of the underlying psychological processes of development, maintenance, and treatments for stress-induced exhaustion disorder (ED) remains limited. Therefore, the current study aimed to explore whether sleep concerns, pathological worry, perfectionistic concerns, and psychological flexibility mediate change in exhaustion symptoms during a Multimodal intervention for ED based on Cognitive behavioral therapy principles. Participants (N = 913) were assessed at three time points, and mediation was explored using a two-criteria analytical model with linear mixed-effects models (criterion one) and random intercepts cross-lagged panel modeling (criterion 2). Criterion one for mediation was successfully met, as the findings indicated significant associations between time in treatment, with all suggested mediators, and exhaustion symptoms (significant ab-products). However, criterion two was not satisfied as changes in the mediators did not precede changes in exhaustion symptoms. Therefore, mediation could not be established. Instead, changes in the suggested mediators appeared to result from changes in exhaustion symptoms. Consequently, sleep concerns, pathological worry, perfectionistic concerns, and psychological flexibility appear to improve in conjunction with exhaustion symptoms during treatment, where improvement in exhaustion is indicated as the main driving factor, based on this exploratory analysis. The implications of these findings are contextualized within a broader framework of process-based therapy.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"235-253"},"PeriodicalIF":4.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828495","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

Ultra-brief acceptance & commitment therapy for inpatients with psychosis - a single-case experimental design investigating processes of change. 针对精神病住院患者的超短期接受与承诺疗法--研究改变过程的单例实验设计。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-05-01 Epub Date: 2024-01-09 DOI: 10.1080/16506073.2023.2300369

Carmen Muñoz González-Deleito, Lance M McCracken, Mårten J Tyrberg

{"title":"Ultra-brief acceptance & commitment therapy for inpatients with psychosis - a single-case experimental design investigating processes of change.","authors":"Carmen Muñoz González-Deleito, Lance M McCracken, Mårten J Tyrberg","doi":"10.1080/16506073.2023.2300369","DOIUrl":"10.1080/16506073.2023.2300369","url":null,"abstract":"People with primary psychosis are among the most seen in inpatient psychiatry. Treatment guidelines recommend both pharmacological and psychological treatments. However, psychological treatments are not routinely offered in many settings. There is also a lack of research on psychological treatments for this vulnerable population in the inpatient setting. The first aim of the current study was to examine treatment effects of a brief form of Acceptance and Commitment Therapy on outcomes valued by the treatment recipients. The second aim was to explore hypothetical processes of change in relation to outcomes over time. Three people with primary psychosis were treated for two to four sessions. A replicated single-case experimental design with multiple baselines across subjects (Clinical Trials registration number ID NCT04704973) was employed to examine treatment effects. The Personal Questionnaire (PQ) was used as primary outcome, symptom believability and preoccupation as proposed processes of change. Data were analyzed using visual inspection, calculation of Tau-U values, and cross-lagged correlation. All participants improved significantly on PQ and the symptom preoccupation measure. Two improved significantly on the symptom believability measure. Cross-lagged correlation analyses showed no clear mediation. Change in proposed processes of change and primary outcome predominantly happened concomitantly, although patterns of results reflected individual differences.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"267-285"},"PeriodicalIF":4.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402198","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

Brief observable anxiety sensitivity treatment: intervention development and a pilot randomized-controlled acceptability and feasibility trial to evaluate a brief intervention for anxiety sensitivity social concerns. 短期观察性焦虑敏感性治疗:干预发展及评估焦虑敏感性社会关注的短期干预的随机对照可接受性和可行性试验。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-03-01 Epub Date: 2023-11-28 DOI: 10.1080/16506073.2023.2288551

Kevin G Saulnier, Brandon Koscinski, Sierra Flynt, Catherine Accorso, Nicholas P Allan

{"title":"Brief observable anxiety sensitivity treatment: intervention development and a pilot randomized-controlled acceptability and feasibility trial to evaluate a brief intervention for anxiety sensitivity social concerns.","authors":"Kevin G Saulnier, Brandon Koscinski, Sierra Flynt, Catherine Accorso, Nicholas P Allan","doi":"10.1080/16506073.2023.2288551","DOIUrl":"10.1080/16506073.2023.2288551","url":null,"abstract":"Social anxiety disorder is one of the most prevalent anxiety disorders. There is a need to develop brief, virtual, single-session interventions targeting constructs associated with social anxiety, such as anxiety sensitivity social concerns (ASSC). ASSC is the maladaptive belief about consequences arising from observable symptoms of anxious arousal. This study was designed to evaluate the initial acceptability and feasibility of a brief ASSC reduction program (Brief Observable Anxiety Sensitivity Treatment [BOAST]) which included a single clinician-led intervention session followed by a two-week ecological momentary intervention (EMI), delivered via mobile app. Participants (N = 36) were adults with elevated ASSC who were randomly assigned to receive BOAST (n = 19) or a waitlist control (n = 17). The trial was prospectively registered at clinicaltrials.gov (NCT04859790). Results supported the acceptability of BOAST with mixed findings for feasibility. Feasibility metrics for the EMI component were below pre-defined thresholds; however, there was evidence that homework completion was associated with symptom reduction. Preliminary efficacy metrics indicated that participants in the BOAST condition had large reductions in ASSC and one measure of social anxiety at 1-month follow-up. This study provides preliminary support for the acceptability of BOAST and elucidates avenues for future clinical and research efforts.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"190-206"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444185","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

Clinical and psychological implications of post-traumatic stress in firefighters: a moderated network study. 消防员创伤后应激的临床和心理影响:一个有调节的网络研究。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-03-01 Epub Date: 2023-11-14 DOI: 10.1080/16506073.2023.2282374

Aleksandr Karnick, Nicole M Caulfield, Morgan Buerke, Ian Stanley, Daniel Capron, Anka Vujanovic

{"title":"Clinical and psychological implications of post-traumatic stress in firefighters: a moderated network study.","authors":"Aleksandr Karnick, Nicole M Caulfield, Morgan Buerke, Ian Stanley, Daniel Capron, Anka Vujanovic","doi":"10.1080/16506073.2023.2282374","DOIUrl":"10.1080/16506073.2023.2282374","url":null,"abstract":"Firefighters are frequently exposed to trauma and may experience a unique symptom presentation of post-traumatic stress. Prior research has identified stronger associations between certain post-traumatic stress symptoms (e.g. detachment, intrusions, physiological reactivity) using network analysis. However, little is known about the effects of symptom severity and emergency work-related trauma on symptom networks. The present study probed the network structure of post-traumatic stress symptoms in trauma-exposed firefighters (N = 871) to model the dynamic interactions of psychological symptoms. We developed a network of post-traumatic stress symptoms and a network of post-traumatic stress with clinical covariates and used moderated network modelling to assess the effects of having PTSD and experiencing work-related trauma on the networks. We identified high edge correlations between several nodes (e.g. startle/hypervigilance, internal/external cue avoidance, detachment/lack of interest) and high centrality of detachment, external cue avoidance, and flashbacks. Additionally, having PTSD moderated positive network associations between risk-taking and suicidality and between distorted blame and post-traumatic cognitions. Work-related trauma moderated negative associations between appetite gain and loss and appetite loss and suicidality. Findings suggest that targeting specific symptoms of detachment, external cue avoidance, and flashbacks could allow for the development of effective trauma-informed interventions for these populations.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"171-189"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92153046","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

Patient motivation and adherence in metacognitive therapy for major depressive disorder: an observational study. 重度抑郁症元认知治疗的患者动机和依从性:一项观察性研究。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-03-01 Epub Date: 2023-12-04 DOI: 10.1080/16506073.2023.2289863

Espen R Lassen, Susanne Aabel Lia, Ingrid Hjertaas, Odin Hjemdal, Leif Edward Ottesen Kennair, Roger Hagen, Stian Solem

{"title":"Patient motivation and adherence in metacognitive therapy for major depressive disorder: an observational study.","authors":"Espen R Lassen, Susanne Aabel Lia, Ingrid Hjertaas, Odin Hjemdal, Leif Edward Ottesen Kennair, Roger Hagen, Stian Solem","doi":"10.1080/16506073.2023.2289863","DOIUrl":"10.1080/16506073.2023.2289863","url":null,"abstract":"The aim of this observational study was to examine the predictive and discriminant validity of patient motivation and adherence in metacognitive therapy (MCT) for depression. Motivational development for recovered- and non-recovered patients was also investigated. Motivation in sessions 1, 4, and 7 was measured using the Motivational Interviewing Skill Code 2.5 (MISC) in a 10-session trial of MCT for depression (N = 37). Adherence was assessed with the CBT compliance measure in session 7. The Beck Depression Inventory measured treatment outcome at 3-year follow-up. Recovered patients developed significantly more change talk and taking steps, and less sustain talk, as therapy progressed, compared to non-recovered patients. Evidence of the predictive validity of motivation in sessions 1 and 4 was limited. Higher sustain talk and taking steps in session 7 were significant predictors of more and less depressive symptoms, respectively. There was a moderate-strong correlation between motivation and adherence. The results confirm the predictive value of MISC in sessions 7 of MCT for depression, and establish differential motivational development between recovered and non-recovered patients. Subsequent research should clarify the discriminant validity and temporal relationships between motivation, adherence, and other clinical variables.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"220-234"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138476989","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

Three types of university students with subthreshold depression characterized by distinctive cognitive behavioral skills. 阈下抑郁症的三种类型大学生的认知行为技能不同。

IF 4.7 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-03-01 Epub Date: 2023-11-27 DOI: 10.1080/16506073.2023.2288557

Nao Shiraishi, Masatsugu Sakata, Rie Toyomoto, Kazufumi Yoshida, Yan Luo, Yukako Nakagami, Aran Tajika, Hidemichi Suga, Hiroshi Ito, Michihisa Sumi, Takashi Muto, Hiroshi Ichikawa, Masaya Ikegawa, Takafumi Watanabe, Ethan Sahker, Teruhisa Uwatoko, Hisashi Noma, Masaru Horikoshi, Taku Iwami, Toshi A Furukawa

{"title":"Three types of university students with subthreshold depression characterized by distinctive cognitive behavioral skills.","authors":"Nao Shiraishi, Masatsugu Sakata, Rie Toyomoto, Kazufumi Yoshida, Yan Luo, Yukako Nakagami, Aran Tajika, Hidemichi Suga, Hiroshi Ito, Michihisa Sumi, Takashi Muto, Hiroshi Ichikawa, Masaya Ikegawa, Takafumi Watanabe, Ethan Sahker, Teruhisa Uwatoko, Hisashi Noma, Masaru Horikoshi, Taku Iwami, Toshi A Furukawa","doi":"10.1080/16506073.2023.2288557","DOIUrl":"10.1080/16506073.2023.2288557","url":null,"abstract":"Subthreshold depression impairs young people's quality of life and places them at greater risk of developing major depression. Cognitive behavioral therapy (CBT) is an evidence-based approach for addressing such depressive states. This study identified subtypes of university students with subthreshold depression and revealed discrete profiles of five CBT skills: self-monitoring, cognitive restructuring, behavioral activation, assertive communication, and problem solving. Using data from the Healthy Campus Trial (registration number: UMINCTR-000031307), a hierarchical clustering analysis categorized 1,080 students into three clusters: Reflective Low-skilled, Non-reflective High-skilled, and Non-reflective Low-skilled students. Non-reflective Low-skilled students were significantly more depressed than other students (p < .001). The severity of depression seemed to be related to the combination of self-monitoring skills and other CBT skills. Considering the high prevalence of poor self-monitoring skills in persons with autism, the most severe depression was observed in the significant association between Non-reflective Low-skilled students and autistic traits (p = .008). These findings suggest that subthreshold depression can be categorized into three subtypes based on CBT skill profiles. The assessment of autistic traits is also suggested when we provide CBT interventions for Non-reflective Low-skilled students.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"207-219"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138440344","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 relationships between perfectionism and symptoms of depression, anxiety and obsessive-compulsive disorder in adults: a systematic review and meta-analysis. 成人完美主义与抑郁、焦虑和强迫症症状的关系:系统回顾和荟萃分析。

IF 4.3 2区心理学

Cognitive Behaviour Therapy Pub Date : 2024-03-01 Epub Date: 2023-11-13 DOI: 10.1080/16506073.2023.2277121

Thomas Callaghan, Danyelle Greene, Roz Shafran, Jessica Lunn, Sarah J Egan

{"title":"The relationships between perfectionism and symptoms of depression, anxiety and obsessive-compulsive disorder in adults: a systematic review and meta-analysis.","authors":"Thomas Callaghan, Danyelle Greene, Roz Shafran, Jessica Lunn, Sarah J Egan","doi":"10.1080/16506073.2023.2277121","DOIUrl":"10.1080/16506073.2023.2277121","url":null,"abstract":"Perfectionism is a transdiagnostic process associated with depression, anxiety, and obsessive-compulsive disorder (OCD). The focus of this systematic review and meta-analysis was to examine evidence for the association between perfectionistic strivings and perfectionistic concerns with symptoms of depression, general anxiety, social anxiety, task anxiety, and OCD in adults. A total of 416 studies were included, with 113,118 participants aged 17 to 90 years (M = 23.83). Perfectionistic concerns had significant medium correlations with anxiety, OCD and depressive symptoms (pooled r = .38 to .43). Perfectionistic strivings had significant, small correlations with OCD, depression and all anxiety outcomes (pooled r = .10 to .21), except social anxiety where there was no association. Results demonstrate perfectionistic concerns have a stronger relationship with psychological distress than perfectionistic strivings, but strivings are significantly related to distress. Future research should examine the causal relationships between perfectionism dimensions and psychopathology.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"121-132"},"PeriodicalIF":4.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89717236","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