Cognitive Behaviour Therapy最新文献

{"title":"The role of therapist support on the efficacy of an internet-delivered stress recovery intervention for healthcare workers: a randomized control trial.","authors":"Auguste Nomeikaite,&nbsp;Gerhard Andersson,&nbsp;Blake F Dear,&nbsp;Austeja Dumarkaite,&nbsp;Odeta Gelezelyte,&nbsp;Inga Truskauskaite,&nbsp;Evaldas Kazlauskas","doi":"10.1080/16506073.2023.2214699","DOIUrl":"https://doi.org/10.1080/16506073.2023.2214699","url":null,"abstract":"<p><p>Internet-delivered CBT interventions effectively improve different aspects of mental health, although the therapist's role remains unclear. The aim of this trial was to evaluate the efficacy of a therapist-supported 6-week internet-delivered intervention in improving stress recovery among healthcare workers compared to a group with optional therapist support. A total of 196 participants were recruited and randomly allocated to regular therapists' support or optional therapists' support groups. The primary outcome measure was the Recovery Experiences Questionnaire (REQ), developed to assess four components of stress recovery: psychological detachment, relaxation, mastery, and control. Secondary outcomes measured perceived stress (PSS-10), anxiety (GAD-7), depression (PHQ-9), and psychological well-being (WHO-5). All four stress recovery skills improved significantly after participating in the intervention at a 3-month follow-up, with small to medium effects (0.27-0.65) in both groups. At follow-up, we also found a significant reduction in perceived stress, depression, and anxiety in both groups, as well as an improvement in psychological well-being. The results indicate that ICBT can be effective in improving stress recovery skills among healthcare workers with optional support from the therapist, provided at the participants' request. This RCT suggests that optional therapist support could meet participants' needs and reduce resources needed in routine care.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10101059","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}

{"title":"Online cognitive behavioral therapy for prolonged grief after traumatic loss: a randomized waitlist-controlled trial.","authors":"L I M Lenferink,&nbsp;M C Eisma,&nbsp;M Y Buiter,&nbsp;J de Keijser,&nbsp;P A Boelen","doi":"10.1080/16506073.2023.2225744","DOIUrl":"https://doi.org/10.1080/16506073.2023.2225744","url":null,"abstract":"<p><p>Prolonged grief disorder, a condition characterized by severe, persistent, and disabling grief, is newly included in ICD-11 and DSM-5-TR. Prolonged grief symptoms can be effectively treated with face-to-face or internet-delivered cognitive behavioral therapy. Traumatic losses may elicit higher prevalence of severe grief reactions. While face-to-face cognitive behavioral therapy appears efficacious in treating prolonged grief symptoms in traumatically bereaved individuals, it is not yet clear if internet-based cognitive behavioral therapy is efficacious for this population. Therefore, we investigated the efficacy of a 12-week internet-delivered cognitive behavioral therapy for people bereaved through traffic accidents in a randomized waitlist-controlled trial (registration number: NL7497, Dutch Trial Register). Forty adults bereaved though a traffic accident were randomized to internet-based cognitive behavioral therapy (<i>n</i> = 19) or a waitlist control condition (<i>n</i> = 21). Prolonged grief, post-traumatic stress, and depression symptoms were assessed at baseline, post-treatment, and 8-week follow-up. Dropout in the treatment condition was relatively high (42%) compared to the control condition (19%). Nevertheless, multilevel analyses showed that internet-based cognitive behavioral therapy strongly reduced prolonged grief, post-traumatic stress, and depression symptoms relative to the control condition at post-treatment and follow-up. We conclude that internet-based cognitive behavioral therapy appears a promising treatment for traumatically bereaved adults.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035019","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}

{"title":"‘Showing people part of your life’: service-user experiences of taking and sharing photographs in a DBT-informed emotional coping skills group","authors":"J. Barrow, C. Masterson, R. Lee","doi":"10.1017/S1754470X23000132","DOIUrl":"https://doi.org/10.1017/S1754470X23000132","url":null,"abstract":"Abstract The added value of using photographs to explore experiences has been embraced in research methods such as photo-elicitation and Photovoice. Despite evidence that photographs aid communication and understanding, there is little research investigating photograph use within cognitive behavioural therapy. This project explores participant experiences of taking and sharing photographs within a dialectical behaviour therapy (DBT)-informed emotional coping skills group intervention. Five service users were recruited from groups that had implemented the taking and sharing of photographs as a feature of homework tasks and feedback. Semi-structured interviews were conducted, using the photographs taken for the group as prompts, and interpretive phenomenological analysis was used to develop themes. Group evaluation data were used to support the analysis. Participants were positive about the impact of the photographs, despite initially experiencing anxieties regarding sharing them. The task supported them to express themselves in ways that added value to verbal feedback, which had benefits for group relationships and for the therapeutic tasks such as mindful observing. Further research is indicated, given the small sample and participants all being white, working-age females. However, the findings suggest that using photographs as homework tasks could support communication and the exploration of experiences that may be difficult to express using words. Key learning aims (1) Photographs may be an excellent tool for the communication of meaning and emotion in therapy. (2) Photographs taken on smartphones are likely to be a user-friendly, familiar and effective addition to homework recording tools. (3) Sharing photographs may have particular benefit for service users who struggle to be open about or express their feelings. (4) Photographs can provide a prop to help service users share experiences in a non-verbal way, which may help when working with people who struggle to describe their emotional experiences. (5) Sharing photographs can lead to a deeper connection with others, although some negotiation about what types of images can be captured will need agreement in a group setting.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90819632","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}

{"title":"Session-by-session change in misophonia: a descriptive case study using intensive CBT.","authors":"Jane Gregory, Chloe Foster","doi":"10.1017/S1754470X23000107","DOIUrl":"10.1017/S1754470X23000107","url":null,"abstract":"<p><p>There is preliminary evidence that CBT may be helpful for improving symptoms of misophonia, but the key mechanisms of change are not yet known for this disorder of decreased tolerance to everyday sounds. This detailed case study aimed to describe the delivery of intensive, formulation-driven CBT for an individual with misophonia and report on session-by-session outcomes using a multidimensional measurement tool (S-Five). The patient was offered twelve hours of treatment over five sessions, using transdiagnostic and misophonia-specific interventions. Reliable and clinically significant change was found from baseline to one-month follow up. Visual inspection of outcome graphs indicated that change occurred on the \"outbursts\" and \"internalising appraisals\" S-Five subscales following assessment, and on the \"emotional threat\" subscale after first treatment session. The other two subscales started and remained below a clinically significant level. The biggest symptom change appeared to have occurred after second session, which included interventions engaging with trigger sounds. The results demonstrated the individualised nature of misophonia, supporting the use of individually tailored treatment for misophonia and highlighting the importance of using a multidimensional measurement tool.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7615391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75729371","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}

{"title":"Efficacy of virtual reality-based exposure therapy for the treatment of fear of flying: a systematic review","authors":"J.M. Ribé-Viñes, J. Gutiérrez-Maldonado, Zahra Zabolipour, M. Ferrer-García","doi":"10.1017/S1754470X23000119","DOIUrl":"https://doi.org/10.1017/S1754470X23000119","url":null,"abstract":"Abstract Previous research has shown that virtual reality (VR)-based exposure therapy is effective in the treatment of anxiety disorders. However, more information regarding the specific features of this intervention for the treatment of fear of flying (FoF) is needed. The primary aim of this systematic review was to update and analyse the existing data on the efficacy of VR exposure treatment (VRET) in FoF, providing information on the optimal methodological conditions for its administration. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was employed to select the articles. PsycInfo, Medline and Web of Science were chosen as databases with a wide range of publications related to health and psychology. Thirty-three eligible articles were included in this review. Results showed that participants’ anxiety decreased after being systematically exposed to flight-related VR environments. VRET is at least as effective as other evidence-based treatments, such as cognitive behavioural therapy (CBT) or in vivo exposure therapy (IVET), and therefore is a highly recommended alternative when IVET is difficult to administer, and an excellent complement to enhance CBT efficacy. Regarding sensory cues, the addition of motion feedback synchronised with visual and auditory cues during the exposure to VR environments might improve the efficacy of VRET for FoF, but more research supporting this statement is still needed.","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87817136","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}

{"title":"Psychometric evaluation of the Swedish Multidimensional Psychological Flexibility Inventory (MPFI).","authors":"Fara F Tabrizi,&nbsp;Andreas B Larsson,&nbsp;Hampus Grönvall,&nbsp;Lux Söderstrand,&nbsp;Ellen Hallén,&nbsp;Marie-France Champoux-Larsson,&nbsp;Tobias Lundgren,&nbsp;Felicia Sundström,&nbsp;Amani Lavefjord,&nbsp;Monica Buhrman,&nbsp;Örjan Sundin,&nbsp;Lance McCracken,&nbsp;Fredrik Åhs,&nbsp;Billy Jansson","doi":"10.1080/16506073.2022.2153077","DOIUrl":"https://doi.org/10.1080/16506073.2022.2153077","url":null,"abstract":"<p><p>Psychiatric disorders are common, and reliable measures are crucial for research and clinical practice. A cross-diagnostic construct that can be used to index treatment outcomes as well as prevalence of psychological ill health is psychological flexibility. The aim of this study was to validate a Swedish version of the Multidimensional Psychological Flexibility Inventory (MPFI). The MPFI has 12 subscales, six of which measure flexibility, and six that measure inflexibility. Using confirmatory factor analysis in a community sample of 670 participants, we found that a model with two higher order factors had satisfactory fit (CFI = .933) and a 12-factor model had the best fit to the data (CFI = .955). All 12 subscales showed adequate reliability (CRs = .803-.933) and the factor structure was similar across age groups and gender. Findings suggest that the Swedish version of the MPFI is a reliable instrument that can be used to index psychological flexibility. Potential areas for improvement of the instrument are discussed.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9679905","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}

{"title":"Examining the relationship between cognitive factors and insight in panic disorder before and during treatment.","authors":"Asala Halaj,&nbsp;Asher Y Strauss,&nbsp;Dina Zalaznik,&nbsp;Isaac Fradkin,&nbsp;Elad Zlotnick,&nbsp;Gerhard Andersson,&nbsp;David Daniel Ebert,&nbsp;Jonathan D Huppert","doi":"10.1080/16506073.2023.2179539","DOIUrl":"https://doi.org/10.1080/16506073.2023.2179539","url":null,"abstract":"<p><p>Individuals with Panic Disorder (PD) often have impaired insight, which can impede their willingness to seek treatment. Cognitive processes, including metacognitive beliefs, cognitive flexibility, and jumping to conclusions (JTC) may influence the degree of insight. By understanding the relationship between insight and these cognitive factors in PD, we can better identify individuals with such vulnerabilities to improve their insight. The aim of this study is to examine the relationships between metacognition, cognitive flexibility, and JTC with clinical and cognitive insight at pretreatment. We investigate the association among those factors' changes and changes in insight over treatment. Eighty-three patients diagnosed with PD received internet-based cognitive behavior therapy. Analyses revealed that metacognition was related to both clinical and cognitive insight, and cognitive flexibility was related to clinical insight at pre-treatment. Greater changes in metacognition were correlated with greater changes in clinical insight. Also, greater changes in cognitive flexibility were related to greater changes in cognitive insight. The current study extends previous studies suggesting potential relationships among insight, metacognition, and cognitive flexibility in PD. Determining the role of cognitive concepts in relation to insight may lead to new avenues for improving insight and can have implications for engagement and treatment-seeking behaviors.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9677704","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}

{"title":"Posttraumatic stress among trauma-exposed Hispanic/Latinx adults: relations to mental health.","authors":"Nubia A Mayorga, Justin M Shepherd, Cameron T Matoska, Katherine E Kabel, Anka A Vujanovic, Andres G Viana, Michael J Zvolensky","doi":"10.1080/16506073.2023.2176783","DOIUrl":"10.1080/16506073.2023.2176783","url":null,"abstract":"<p><p>Latinx persons are exposed to higher rates of traumatic events and conditional risks for developing posttraumatic stress disorder (PTSD) symptoms and comorbid mental health symptoms compared to other minority groups. The study evaluated PTSD symptom severity for global and specific cluster severity relating to co-occurring anxiety, social anxiety, depression, and suicidal ideation among 326 Latinx adults who endorsed trauma exposure. Results indicated that global PTSD symptom severity was significantly related to greater social anxiety, anxious arousal, depression, and suicidal ideation symptoms. PTSD arousal and reactivity symptom cluster had the strongest relation to anxious arousal, social anxiety, and depression, whereas negative alterations in cognitions and mood symptoms had the strongest association with social anxiety, depression, and suicidal ideation. The findings suggest that global PTSD symptom severity, alongside arousal and reactivity and negative alterations in cognitions and mood, are related to a range of concurrent negative mental health symptoms among trauma exposed Latinx young adults.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9733529","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}

{"title":"Predictors and sub-groups in the treatment of stress-induced exhaustion disorder.","authors":"Jakob Clason van de Leur,&nbsp;Fred Johansson,&nbsp;Lance M McCracken,&nbsp;Fredrik Åhs,&nbsp;Gunilla Brodda Jansen,&nbsp;Monica Buhrman","doi":"10.1080/16506073.2023.2197148","DOIUrl":"https://doi.org/10.1080/16506073.2023.2197148","url":null,"abstract":"<p><p>Little is known about psychological interventions for stress-induced Exhaustion disorder (ED), and there is a need for more research to improve the outcomes obtained in treatments. The present study examines predictors of improvement, including sub-group responses, in a large sample of ED patients receiving a Multimodal intervention (MMI) based on Cognitive Behavior Therapy (<i>N</i> = 915). In step one, available variables were explored separately as predictors of improvement in ED symptoms. In step two, sub-groups were explored through Latent Class Analysis to reduce the heterogeneity observed in the larger group and to investigate whether combining the variables from step one predicted symptom improvement. Younger age, no previous sick leave due to ED, and scoring high on anxiety, depression, insomnia, perfectionism, and treatment credibility emerged as separate predictors of improvement. In the sub-group analyses, a sub-group including participants who were single and had a lower income showed less improvement. Overall, people with ED participating in MMI report symptom improvement regardless of characteristics before treatment. However, the present findings do have the potential to inform future treatments for ED, as they highlight perfectionism as a predictor of improvement and the importance of assessing treatment credibility during treatment.</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9671327","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}

{"title":"Examining predictors of treatment effect in digital Acceptance and Commitment Therapy for chronic pain.","authors":"Charlotte Gentili,&nbsp;Vendela Zetterqvist,&nbsp;Jenny Rickardsson,&nbsp;Linda Holmström,&nbsp;Brjánn Ljótsson,&nbsp;Rikard Wicksell","doi":"10.1080/16506073.2023.2191826","DOIUrl":"https://doi.org/10.1080/16506073.2023.2191826","url":null,"abstract":"<p><p>Digitally delivered behavioral interventions for chronic pain have been encouraging with effects similar to face-to-face treatment. Although many chronic pain patients benefit from behavioral treatment, a substantial proportion do not improve. To contribute to more knowledge about factors that predict treatment effects in digitally delivered behavioral interventions for chronic pain, the present study analyzed pooled data (<i>N</i> = 130) from three different studies on digitally delivered Acceptance and Commitment Therapy (ACT) for chronic pain. Longitudinal linear mixed-effects models for repeated measures were used to identify variables with significant influence on the rate of improvement in the main treatment outcome pain interference from pre- to post-treatment. The variables were sorted into six domains (demographics, pain variables, psychological flexibility, baseline severity, comorbid symptoms and early adherence) and analysed in a stepwise manner. The study found that shorter pain duration and higher degree of insomnia symptoms at baseline predicted larger treatment effects. The original trials from which data was pooled are registered at clinicaltrials.gov (registration number: NCT03105908 and NCT03344926).</p>","PeriodicalId":10535,"journal":{"name":"Cognitive Behaviour Therapy","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9679121","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}