Cognitive Behaviour Therapy最新文献_第9页

Tailored internet-delivered cognitive behavior therapy for breast cancer patients: a randomized controlled trial with an active control group. 为乳腺癌患者量身定制的互联网认知行为疗法：一项随机对照试验，有一个积极的对照组。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-24 DOI: 10.1080/16506073.2026.2635464

Gerhard Andersson, Anton Käll, Manja Enström, Lena Jonsson, Karolina Ehnsiö, Elisabeth Nilsson-Ihrfelt, Per Carlbring, Marie-Louise Fjällskog

{"title":"Tailored internet-delivered cognitive behavior therapy for breast cancer patients: a randomized controlled trial with an active control group.","authors":"Gerhard Andersson, Anton Käll, Manja Enström, Lena Jonsson, Karolina Ehnsiö, Elisabeth Nilsson-Ihrfelt, Per Carlbring, Marie-Louise Fjällskog","doi":"10.1080/16506073.2026.2635464","DOIUrl":"https://doi.org/10.1080/16506073.2026.2635464","url":null,"abstract":"Psychological distress is common among breast cancer survivors. Psychosocial interventions can be effective but rarely consider heterogeneity of symptoms. The present study investigated the effects of therapist-supported tailored internet-delivered cognitive behavioral therapy (ICBT) for cancer-related psychological symptoms in breast cancer survivors. Seventy breast cancer survivors reporting elevated levels of depressive and/or anxiety symptoms were recruited and randomized to take part in either ICBT (n = 35) or a moderated online discussion forum (n = 35). The ICBT condition was tailored according to the problems reported by the participant. Questionnaires assessing psychiatric and cancer-related psychological symptoms, quality of life, and benefit finding were used. Data were collected before and after the treatment phase at week 10, as well as after six months, and the study was completed back in 2008. The results at the posttreatment indicated significant differences across all outcomes favoring the ICBT condition. Effect sizes ranged between small (Cohen's d = -0.35) for body change stress, and large for symptoms of depression and anxiety (Cohen's d = -0.89). Symptom levels were sustained for the ICBT group at follow-up but with few between-group differences. The results indicate that tailored ICBT can help breast cancer patients who experience psychological distress following medical treatment.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-15"},"PeriodicalIF":3.2,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282697","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

Building resilience with heart rate variability biofeedback (HRVB) in emergency department and ICU healthcare workers: a randomized controlled trial. 利用心率变异性生物反馈（HRVB）在急诊科和ICU医护人员中建立恢复力：一项随机对照试验

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-24 DOI: 10.1080/16506073.2026.2635469

Geordi Cortez-Neavel, Ann Marie Warren, Gregory V Chauvette, Megan E Douglas, Emma Turner, Trenton Raff, Kiara Leonard, Monica M Bennett, John S Garrett, Terry D Noah, Penny S Huddleston, Alissa Old Crow, Michael Foreman, Mark B Powers

{"title":"Building resilience with heart rate variability biofeedback (HRVB) in emergency department and ICU healthcare workers: a randomized controlled trial.","authors":"Geordi Cortez-Neavel, Ann Marie Warren, Gregory V Chauvette, Megan E Douglas, Emma Turner, Trenton Raff, Kiara Leonard, Monica M Bennett, John S Garrett, Terry D Noah, Penny S Huddleston, Alissa Old Crow, Michael Foreman, Mark B Powers","doi":"10.1080/16506073.2026.2635469","DOIUrl":"https://doi.org/10.1080/16506073.2026.2635469","url":null,"abstract":"Healthcare workers in emergency departments (EDs) and intensive care units (ICUs) are highly vulnerable to stress and burnout. Resilience training may mitigate these effects, but most programs are resource intensive and untested. Heart Rate Variability Biofeedback (HRVB) is a brief intervention (30-min introduction and self-practice 10 min twice daily) that shows promise, yet randomized controlled trials are limited. We randomized patient-facing healthcare workers (n = 37) from EDs and ICUs at a large Southwestern medical center to 4 weeks of HRVB or a waitlist (WL) control. After posttreatment assessment, WL participants crossed over to receive HRVB, and both groups were reassessed 4 weeks later. Resilience, stress, depression, and burnout were measured at pretreatment, posttreatment, and follow-up. Consistent with prediction, resilience (CD-RISC-10) increased significantly in the HRVB group relative to WL from pre- to posttreatment (d = .79, p = .003), and gains were maintained at follow-up. Contrary to prediction, reductions in stress, depression, and burnout were not significantly greater in HRVB than WL. Reliable Change Index analysis showed 21% of HRVB participants improved reliably at posttreatment and 24% at follow-up. Findings support HRVB as a feasible, individually delivered intervention to enhance resilience among ED and ICU healthcare providers.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-15"},"PeriodicalIF":3.2,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness and outcomes of digital telehealth third-wave cognitive behavioral therapy for depression and anxiety: a systematic review and meta-analysis. 数字远程医疗第三波认知行为治疗抑郁症和焦虑症的效果和结果：系统回顾和荟萃分析。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-17 DOI: 10.1080/16506073.2026.2623505

Vanessa Ip, Santhija Jegatheeswaran, Aaima Akbar Cheema, Maya FitzGerald, Zahra Wakif, Jannat Kaur Thind, Shannen Kyte, Spencer Yung, Ruchi Raiker, Muhammad Anas Ansar, Muhammad Ayub, Ahmad Jamal Khan, And Farooq Naeem

{"title":"Effectiveness and outcomes of digital telehealth third-wave cognitive behavioral therapy for depression and anxiety: a systematic review and meta-analysis.","authors":"Vanessa Ip, Santhija Jegatheeswaran, Aaima Akbar Cheema, Maya FitzGerald, Zahra Wakif, Jannat Kaur Thind, Shannen Kyte, Spencer Yung, Ruchi Raiker, Muhammad Anas Ansar, Muhammad Ayub, Ahmad Jamal Khan, And Farooq Naeem","doi":"10.1080/16506073.2026.2623505","DOIUrl":"https://doi.org/10.1080/16506073.2026.2623505","url":null,"abstract":"Third-wave Cognitive Behavioral Therapy (CBT) interventions, which integrate mindfulness and acceptance-based strategies, have demonstrated efficacy in reducing anxiety and depression. However, barriers such as cost and limited access to in-person therapy restrict widespread usage. Digital delivery of third-wave CBT provides a promising, cost-effective alternative. This meta-analysis aims to synthesize the evidence for the effectiveness of digital telehealth third-wave CBT interventions in reducing symptoms of depression and anxiety through a comprehensive search of randomized controlled trials. Secondary objectives include subgroup analyses of additional psychosocial outcomes. A total of 13 studies were included with n = 2123 total participants. Results indicated a small-to-moderate reduction in anxiety symptoms (g = -0.38, 95% CI [-0.68, -0.09], df = 9, p = 0.01) with substantial heterogeneity. Depression outcome analysis showed consistent reduction in depressive symptoms (g = -0.41, 95% CI [-0.55, -0.27]), with low heterogeneity. Digital third-wave CBT interventions have the potential to reduce symptoms of depression and anxiety and offer accessibility while being comparable to traditional therapy formats. These findings highlight the potential of digital mental health interventions to address global disparities in mental health care as well as the need for improved trial design and methodologies.We have registered this study with the International Prospective Register of Systematic Reviews (PROSPERO) under CRD42024541721.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-20"},"PeriodicalIF":3.2,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212251","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

Tailored digital self-help for anxiety and depression: a randomized feasibility trial with or without guidance. 为焦虑和抑郁量身定制的数字自助：有或没有指导的随机可行性试验。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-17 DOI: 10.1080/16506073.2026.2632368

Magnus Karlsson-Good, Fredrik Holländare, Hugo Hesser, Björn Östlund, Isac Odén, Frida Tallström, Julia Stenelius, Viktor Kaldo, Erik Forsell, Brjánn Ljótsson, Nils Lindefors, Martin Kraepelien

{"title":"Tailored digital self-help for anxiety and depression: a randomized feasibility trial with or without guidance.","authors":"Magnus Karlsson-Good, Fredrik Holländare, Hugo Hesser, Björn Östlund, Isac Odén, Frida Tallström, Julia Stenelius, Viktor Kaldo, Erik Forsell, Brjánn Ljótsson, Nils Lindefors, Martin Kraepelien","doi":"10.1080/16506073.2026.2632368","DOIUrl":"https://doi.org/10.1080/16506073.2026.2632368","url":null,"abstract":"Therapist-guided internet-based cognitive behavioural therapy (iCBT) has improved access to treatment for depression and anxiety, but scalability is limited by reliance on trained therapists. This feasibility trial evaluated a tailored digital self-help intervention for adults with depressive and anxiety symptoms, delivered with or without clinician guidance. In total, 124 participants in Sweden with at least mild depressive or anxiety symptoms were recruited through social media and randomized (1:1) to an eight-week program with (n = 63) or without (n = 61) clinician guidance. All participants completed telephone assessments before and after the intervention. The primary aim was to assess feasibility of both versions, while considering outcome advantages of guidance and reduced clinician time with self-help. Feasibility outcomes included adherence, credibility, satisfaction, and adverse events. The intervention was perceived as credible, with high satisfaction and engagement: most participants used the program weekly, and two thirds completed at least three of five modules. Outcomes were similar across groups, though participants with guidance reported higher satisfaction. Clinician time averaged 36 minutes for self-help participants and 66 minutes for those receiving guidance. Both groups showed large symptom reductions (Cohen's d = 1.05-1.10), supporting feasibility and motivating future trials comparing self-help and clinician-guided delivery.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-16"},"PeriodicalIF":3.2,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of cognitive behavioral therapy for harmful cannabis use: a systematic review and meta-analysis. 认知行为疗法对有害大麻使用的有效性：系统回顾和荟萃分析。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-17 DOI: 10.1080/16506073.2026.2613114

Safat Ullah, Asad Ullah, Fayaz Ahmad, Abdul Latif, Muhammad Sohaib, Muhammad Firaz Khan, Bilal Ahmad, Ghasem Yadegarfar, Saeed Farooq, Farooq Naeem, Priyamvada Paudyal

{"title":"Effectiveness of cognitive behavioral therapy for harmful cannabis use: a systematic review and meta-analysis.","authors":"Safat Ullah, Asad Ullah, Fayaz Ahmad, Abdul Latif, Muhammad Sohaib, Muhammad Firaz Khan, Bilal Ahmad, Ghasem Yadegarfar, Saeed Farooq, Farooq Naeem, Priyamvada Paudyal","doi":"10.1080/16506073.2026.2613114","DOIUrl":"https://doi.org/10.1080/16506073.2026.2613114","url":null,"abstract":"This systematic review and meta-analysis evaluated the effectiveness of cognitive behavioral therapy (CBT) for cannabis use. Randomized controlled trials (RCTs) assessing CBT for cannabis use were systematically searched in MEDLINE, PsycINFO, CINAHL, AMED, Cochrane Library, and clinical trial registries. Quality of the studies were appraised using the Cochrane Risk of Bias tool (RoB1). A total of 2347 records were screened, of which nine RCTs involving 1280 participants were eligible for inclusion. Meta-analysis results showed that CBT didn't produce significant reductions in cannabis use frequency, compared with contingency management, treatment as usual and other psychosocial interventions. The pooled estimates were 0.12 (95% Confidence Interval [CI]: -0.02, 0.26; p=0.10) in short-term, -0.03 (95% CI: -0.18, 0.13; p=0.75) medium-term, and 0.01 (95% CI: -0.18, 0.20; p=0.91) long-term follow-ups. Daily cannabis consumption outcomes were inconsistent, showing a significant medium-term effect (-0.50; 95% CI: -0.90, -0.10; p<0.05) but insignificant effects at other time points. Limitations included study heterogeneity, small sample sizes, and risk of bias. Findings highlight the need for standardized CBT content, integrated with adjunctive therapies, to enhance treatment outcomes for individuals with cannabis use.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":3.2,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212324","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

Real-world effectiveness of minimally-guided internet-delivered cognitive behavioural therapy (iCBT) versus therapist-guided CBT: a cohort study using Ontario's linked health-administrative data. 最小引导的互联网认知行为疗法（iCBT）与治疗师引导的CBT的实际有效性：使用安大略省相关健康管理数据的队列研究。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-12 DOI: 10.1080/16506073.2026.2624695

Evgenia Gatov, Gillian Strudwick, David Wiljer, Onil Bhattacharyya, Paul Kurdyak

{"title":"Real-world effectiveness of minimally-guided internet-delivered cognitive behavioural therapy (iCBT) versus therapist-guided CBT: a cohort study using Ontario's linked health-administrative data.","authors":"Evgenia Gatov, Gillian Strudwick, David Wiljer, Onil Bhattacharyya, Paul Kurdyak","doi":"10.1080/16506073.2026.2624695","DOIUrl":"https://doi.org/10.1080/16506073.2026.2624695","url":null,"abstract":"We leveraged linked, health-administrative data to compare the real-world effectiveness of Internet-delivered iCBT (online modules with minimal, asynchronous therapist support) to therapist-guided CBT (fully-synchronous, scheduled, one-on-one sessions) for depression and anxiety disorders at an outpatient clinic within a large psychiatric hospital in Ontario, Canada (Jan 2020-Aug 2021). Using Difference-in-Differences analyses, we assessed pre-post change in depression (PHQ-9) and anxiety (GAD-7) symptoms and examined mental health (MH)-related service utilization (emergency department visits, hospitalizations, outpatient visits) using Logistic and Negative Binomial regressions. Among N = 167 iCBT and N = 300 CBT participants, treatment modality was significantly associated with pre-post symptom change (p < 0.01), with greater reductions in CBT (-4pt PHQ-9, -3.6pt GAD-7), compared to iCBT (-2.3pt PHQ-9, + 0.4pt GAD-7). Sensitivity analyses restricting to treatment completers somewhat attenuated this finding. Both groups experienced reductions in MH-related service use, though iCBT clients were more likely to continue visiting acute (ORadj = 2.92, 95% CI 1.29-6.64) and outpatient services (RRadj = 1.32, 95% CI 1.03-1.69) 1-year post-treatment, adjusted for age, comorbidities, and baseline symptoms. In routine care, minimally-guided iCBT was associated with more modest symptom reductions than therapist-guided CBT. While iCBT remains a promising approach to meeting increasing MH service demands, efforts to ensure treatment adherence are likely needed to maximize its utility.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-20"},"PeriodicalIF":3.2,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164626","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

Sexual interactions and their effect on positive and negative emotions in social anxiety disorder. 性互动对社交焦虑障碍积极情绪和消极情绪的影响。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-07 DOI: 10.1080/16506073.2026.2625399

Talia Shechter Strulov, Chen Cohen, Idan M Aderka

{"title":"Sexual interactions and their effect on positive and negative emotions in social anxiety disorder.","authors":"Talia Shechter Strulov, Chen Cohen, Idan M Aderka","doi":"10.1080/16506073.2026.2625399","DOIUrl":"https://doi.org/10.1080/16506073.2026.2625399","url":null,"abstract":"Social Anxiety Disorder (SAD) is associated with significant interpersonal difficulties, yet little is known about how individuals with SAD experience sexual interactions. The current study examined the emotional consequences of sexual interactions among individuals with and without SAD, using a 21-day daily diary design. Participants were 108 single young adults (54 with SAD; 54 without), all of whom were not in a romantic relationship. Participants reported daily on their sexual interactions and emotional experiences. We found no significant differences in the number of sexual interactions between individuals with and without SAD as well as when social anxiety was examined as a continuum of severity. However, for individuals without SAD, sexual interactions were followed by higher levels positive emotions, whereas for individuals with SAD, no such emotional benefit was observed (and this remained when examining social anxiety as a continuum of severity). Finally, we found differences in the experience of negative emotions following sex between individuals with and without SAD, but those were not found when social anxiety was examined as a continuum. Implications for research and treatment of SAD are discussed.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-12"},"PeriodicalIF":3.2,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137201","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 the psychometric properties of the Multidimensional Experiential (MEAQ) Questionnaire in combustible cigarette smokers. 可燃香烟吸烟者多维体验问卷的心理测量特性研究。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-05 DOI: 10.1080/16506073.2026.2622944

Benjamin Billingsley, Angelo M DiBello, Samantha G Farris, Hyungseo Caroline Lee, Michael Chmielewski, Jonathan B Bricker, Edward A Selby, Marc L Steinberg

{"title":"Examining the psychometric properties of the Multidimensional Experiential (MEAQ) Questionnaire in combustible cigarette smokers.","authors":"Benjamin Billingsley, Angelo M DiBello, Samantha G Farris, Hyungseo Caroline Lee, Michael Chmielewski, Jonathan B Bricker, Edward A Selby, Marc L Steinberg","doi":"10.1080/16506073.2026.2622944","DOIUrl":"https://doi.org/10.1080/16506073.2026.2622944","url":null,"abstract":"The aim of the study was to validate the 30-item version of the Multidimensional Experiential Avoidance Questionnaire (MEAQ-30) in a sample of individuals who smoke combustible cigarettes and to examine the relationship between nicotine dependence, cigarette smoking, and experiential avoidance. Confirmatory factor analysis (CFA) was used to verify the structure of the MEAQ-30 and to test measurement invariance in a general population sample (n = 1040) and a sample of individuals who smoke combustible cigarettes (n = 550). Correlation and regression analyses were performed in a sample of individuals who smoke combustible cigarettes (n = 242) to evaluate the stability, dependability, convergent validity, discriminant validity, predictive validity and incremental predictive validity of the measure. The MEAQ-30 demonstrated adequate model fit and met criteria for measurement invariance. It exhibited good internal consistency, good stability, good discriminant validity, weak incremental predictive validity, and lower than expected levels of dependability. Based on our findings, the MEAQ-30 appears to be a valid measure of experiential avoidance in individuals who smoke combustible cigarettes.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-13"},"PeriodicalIF":3.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123967","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

Supporting college student mental health: a pilot investigation into an accessible intervention. 支持大学生心理健康：一项可获得干预措施的试点调查。

IF 3.2 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-02-03 DOI: 10.1080/16506073.2026.2622931

E L Pokowitz, N V Dominijanni, N Prakash, P J Deldin

引用次数: 0

The relationship between perfectionism and treatment outcomes among people receiving internet-based cognitive behaviour therapy for Generalised Anxiety Disorder. 网络认知行为治疗广泛性焦虑障碍患者的完美主义与治疗结果的关系。

IF 3.4 2区心理学

Cognitive Behaviour Therapy Pub Date : 2026-01-01 Epub Date: 2025-02-18 DOI: 10.1080/16506073.2025.2465737

S Tang, A Mahoney, K Dobinson, C T Shiner

{"title":"The relationship between perfectionism and treatment outcomes among people receiving internet-based cognitive behaviour therapy for Generalised Anxiety Disorder.","authors":"S Tang, A Mahoney, K Dobinson, C T Shiner","doi":"10.1080/16506073.2025.2465737","DOIUrl":"10.1080/16506073.2025.2465737","url":null,"abstract":"Perfectionism is a transdiagnostic process associated with multiple mental health disorders. Perfectionism can moderate the effectiveness of Cognitive Behavioural Therapy (CBT) for depression, but it remains unclear whether perfectionism is associated with CBT outcomes for anxiety disorders. This study investigated the relationship between perfectionism, treatment outcomes and adherence for individuals seeking internet-based CBT (iCBT) for Generalised Anxiety Disorder (GAD). A total of 1,904 adults from the general Australian community commenced an iCBT GAD program and completed measures of perfectionism, generalised anxiety, depression and psychological distress at baseline, mid-treatment, and post-treatment. Regression analyses were used to examine relationships between baseline perfectionism, post-treatment symptom reductions and treatment completion. Baseline perfectionism was significantly associated with pre-treatment GAD symptom severity, but not treatment completion or reductions in GAD severity post-iCBT. Significant reductions in generalised anxiety symptom severity (Hedges' g = 1.32), depression symptoms (g = 0.97), distress (g = 1.34) and perfectionism (both striving and evaluative concerns, g = 0.49 and g = 0.37, respectively) were observed with treatment. These findings suggest that iCBT for GAD is effective in reducing perfectionism, despite not directly targeting this process. Given there was no significant relationship between baseline perfectionism and treatment outcomes, it may not be necessary to specifically target perfectionism when delivering iCBT for GAD.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":" ","pages":"1-15"},"PeriodicalIF":3.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440215","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