Journal of consulting and clinical psychology最新文献

{"title":"Accuracy of therapists' predictions of outcome in internet-delivered cognitive behavior therapy for depression and anxiety in routine psychiatric care.","authors":"Erik Forsell, Simon Mattsson, Nils Hentati Isacsson, Viktor Kaldo","doi":"10.1037/ccp0000943","DOIUrl":"https://doi.org/10.1037/ccp0000943","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Early identification of failing psychological treatments could be of high clinical value, but therapists themselves have been found to be bad at predicting who will benefit or not. Previous research has some methodological limitations, and therapists' predictive accuracy has never been examined in internet-delivered treatments. <b><i>Method:</i></b> Therapists providing internet-delivered cognitive behavior therapy for depression, social anxiety disorder, and panic disorder in routine psychiatric care made outcome predictions for 897 patients during the fourth week of treatment. Therapists' accuracies were also compared to the accuracy of a simple statistical model and benchmarks for clinically acceptable/useful levels of accuracy from previous research. <b><i>Results:</i></b> Therapists were more accurate than chance, but their balanced accuracy was on average nine percentage points lower than the balanced accuracy of the statistical model (though confidence intervals often overlapped) and only in one case did the predictions reach the clinical acceptance and utility benchmarks. Therapists could predict on average 16% of the variance in outcome. Therapists were overly optimistic, predicting positive outcomes on average twice as often as they occurred. They differed in confidence in their predictions, though this did not affect how correct they were. <b><i>Conclusions:</i></b> Internet-delivered cognitive behavior therapy-therapists can often predict treatment outcomes better than chance, but generally not as well as the statistical model, and probably not accurately enough that they would be willing to act on their predictions, or that they could be used in an adaptive treatment strategy. Our previous findings suggest that patients would benefit from statistical monitoring and prediction tools in clinical settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 3","pages":"176-190"},"PeriodicalIF":4.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The more, the merrier? Establishing a dose-response relationship for the effects of cognitive control training on depressive symptomatology.","authors":"Yannick Vander Zwalmen, David Demeester, Kristof Hoorelbeke, Nick Verhaeghe, Chris Baeken, Ernst H W Koster","doi":"10.1037/ccp0000945","DOIUrl":"https://doi.org/10.1037/ccp0000945","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Cognitive control impairments are frequently observed after remission from depression. There is evidence to show that cognitive control training (CCT) can reduce such impairments and related risk for recurrent episodes. However, it is currently unclear how many CCT sessions are required for short- and long-term effects. <b><i>Method:</i></b> This randomized controlled trial investigates the dose-response relationship of CCT in a sample of individuals with remitted depression (<i>n</i> = 216). Participants were randomly assigned to one of six arms, each receiving a different amount of training sessions (zero, one, five, 10, 15, or 20 sessions) over the course of 4 weeks, with each session lasting 15 min. Depressive symptoms and other cognitive and emotional transfer effects were examined shortly after training, as well as at 3- and 6-month follow-up. <b><i>Results:</i></b> We found task-specific, but no near cognitive transfer. Mixed-effects models showed that a minimum of 10 training sessions was required for a significant decrease in depressive symptoms shortly after training with medium effect sizes, but this was not maintained at 3- or 6-month follow-up. We observed reductions in perseverative thinking in all groups receiving 10 or more CCT sessions, which remained present until 6-month follow-up. <b><i>Conclusions:</i></b> A minimum of 10 CCT sessions is required for beneficial effects on depressive symptoms and perseverative thinking. Where perseverative thinking remained decreased long-term, this was not the case for depressive symptoms, indicating the need for continued training or the use of booster sessions to maintain training-related improvement. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 3","pages":"161-175"},"PeriodicalIF":4.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized controlled effectiveness trial of transdiagnostic treatment and measurement-based care for adolescents with emotional disorders in community clinics.","authors":"Jill Ehrenreich-May, Amanda Jensen-Doss, Lauren Milgram, David Rosenfield, Ashley M Shaw, Jamie LoCurto, Monica Nanda Robinson, E B Caron, Phyllis Lee, Golda S Ginsburg","doi":"10.1037/ccp0000947","DOIUrl":"https://doi.org/10.1037/ccp0000947","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This article presents primary outcomes from the Community Study of Outcome Monitoring for Emotional Disorders in Teens, a two-site, randomized controlled trial comparing the effectiveness of the <i>Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Adolescents</i> plus measurement-based care (UP-A), measurement-based care alone (TAU+), and treatment as usual (TAU) in community mental health clinics. <b><i>Method:</i></b> A total of 174 clinicians were randomized to implement TAU (<i>n</i> = 49), TAU plus an MBC measure (TAU+; <i>n</i> = 63), or UP-A plus MBC (UP-A; <i>n</i> = 62). In addition, 196 adolescents were randomized to receive 16 weeks of either TAU (<i>n</i> = 68), TAU+ (<i>n</i> = 60), or UP-A (<i>n</i> = 68). Independent evaluator-, self-, and caregiver-reported adolescent anxiety and depression symptoms were measured at baseline and Weeks 8, 16, and 28 postenrollment. <b><i>Results:</i></b> Adolescents in all groups showed improvement over time, and compared with TAU, adolescents receiving TAU+ and UP-A conditions improved more quickly on adolescent-report measures only. There were no treatment group differences observed on independent evaluator (primary outcome) or caregiver-report measures. In post hoc analyses, moderators of treatment response included treatment duration and complexity of symptom presentation. <b><i>Conclusions:</i></b> In one of the largest adolescent-focused, community-located psychotherapy trials conducted in the United States, transdiagnostic treatment plus measurement-based care and measurement-based care alone conferred some adolescent-reported symptom benefits compared with treatment as usual, although adolescents in all conditions exhibited improvements in anxiety and depression. Future directions for subsequent adolescent psychotherapy effectiveness trials for anxiety and depression are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 3","pages":"144-160"},"PeriodicalIF":4.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized trial of an app-enhanced group cognitive behavioral therapy for adolescents with mood or psychotic spectrum disorders.","authors":"Marc J Weintraub, Megan C Ichinose, Jamie L Zinberg, Anabel Salimian, Robin D Brown, Georga Morgan-Fleming, Jennifer M Gamarra, Tiffany Tran, David J Miklowitz","doi":"10.1037/ccp0000946","DOIUrl":"https://doi.org/10.1037/ccp0000946","url":null,"abstract":"<p><p><i><b>Objectives</b></i>: Evidence-based psychosocial treatments for the early stages of mood or psychotic spectrum disorders are difficult to find in public health settings, and the efficacy of these treatments is limited by inconsistent behavioral skill practice among youth between sessions. Treatments can be made more accessible and efficacious when delivered through a group format that makes use of mobile applications to remind users to practice skills. <b><i>Method</i></b>: We conducted a 9-week, randomized controlled trial of the unified protocol (UP) for cognitive behavioral therapy (CBT) delivered via telehealth in a group format, comparing an app-enhanced version of the treatment (AppUP) to standard UP for adolescents with mood and psychotic spectrum conditions. The app was designed to help participants review session content, practice treatment skills, and log their psychiatric symptoms. Study assessors evaluated adolescents for psychiatric symptom severity and psychosocial functioning prior to treatment, at posttreatment, and 3 months posttreatment. <b><i>Results</i></b>: Sixty adolescents (<i>M</i>age = 15.0, SD = 1.3) initiated the trial (30 were randomly assigned to each condition) with 49 retained at posttreatment (9 weeks) and 48 retained at 3 months posttreatment. Adolescents in AppUP showed greater improvements in psychosocial functioning over the 5-month study compared with those in standard UP. AppUP was also associated with greater reductions in depression severity among youth with more self-reported skill practice compared to those in standard UP. <b><i>Conclusions</i></b>: This study supports the benefits of transdiagnostic CBT for youth with mood and psychotic symptoms. An adjunctive app appears to improve psychosocial functioning and mood among these youth, especially among those who practice behavioral skills regularly. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 3","pages":"131-143"},"PeriodicalIF":4.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Future directions in depression prevention.","authors":"Philip J Batterham, Louise Birrell, Aliza Werner-Seidler, Maree Teesson, Pim Cuijpers, Tracy R G Gladstone, Andrew J Mackinnon, Aimy Slade, Helen Christensen","doi":"10.1037/ccp0000936","DOIUrl":"https://doi.org/10.1037/ccp0000936","url":null,"abstract":"<p><strong>Objective: </strong>Rising rates of mental illness in young people over recent decades are a trend that represents a wake-up call across the globe. The causes of this increase are not known. We also know little about effective interventions or implementation strategies to prevent depression in either youth or adults. The need for the prevention of mental ill health represents an outstanding research opportunity for our field.</p><p><strong>Method: </strong>This conceptual article identifies current challenges in our field, provides potential solutions, and suggests the most promising avenues for future solutions and how we might investigate them.</p><p><strong>Results: </strong>Key challenges include the following: poor implementation with low fidelity; methodological challenges related to appropriate sampling, time frames, interventions, and active controls; and lack of fit between interventions and their context. Potential solutions include the following: supplementing trials with evidence from large-scale epidemiological studies, establishing prevention models that work at scale including those that address social determinants and show effectiveness in low- and middle-income countries, building capacity in methods, and strengthening geographically dispersed networks of prevention researchers and practitioners.</p><p><strong>Conclusions: </strong>There are major challenges in conducting prevention research and demonstrating effects. New perspectives and collaborations are needed to overcome existing barriers. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A whole-of-society approach to depression prevention during the global pandemic: Preliminary data from three large-scale trials.","authors":"Tracy R G Gladstone, Patrick Pössel, Cheryl Lefaiver, Kristin L Berg, Kristen Kenan, Katherine R Buchholz, Iulia Mihaila, Marian L Fitzgibbon, Brianna Sheppard, Hélène A Gussin, Cathy Joyce, Huma Khan, Jason Canel, Michael Gerges, Michael Berbaum, Linda Schiffer, Kathleen R Diviak, Matthew Lowther, Rebecca T Feinstein, Amanda Knepper, Erica Plunkett, Katherine Lashway, Pia M Montenegro, Amy Kane, Yang Liu, Aubrey Thornton, Eleanor Powell, Emily Pela, Caterina Patriarca, Ashley McHugh, Mathew Chong, Calvin Rusiewski, Shion Kabasele, Allen Shi, Patrick Ryczek, Kenneth Rasinski, Benjamin W Van Voorhees","doi":"10.1037/ccp0000938","DOIUrl":"https://doi.org/10.1037/ccp0000938","url":null,"abstract":"<p><strong>Objective: </strong>Despite the prevalence of depressive disorders among youth, there is no health system model to address the prevention of these disorders.</p><p><strong>Method: </strong>With the goal of creating effective, tolerable, and scalable interventions for the prevention of adolescent depression, we have fielded three randomized clinical trials, centered in health care delivery organizations that use a whole-of-society approach: (a) Path 2 Purpose (<i>N</i> = 664), comparing the Competent Adulthood Transition with Cognitive Behavioral, Humanistic, and Interpersonal Training (CATCH-IT; B. W. Van Voorhees et al., 2015), guided digital health intervention to a synchronous mental health specialist-led group cognitive behavioral intervention, Coping with Depression Course-Adolescent; (b) PATHway (<i>N</i> = 400), examining the efficacy of the CATCH-IT components; and (c) Behavioral Health Stratified Treatment (<i>N</i> = 780), which examines the feasibility and potential benefit of a coordinated care, risk stratification, and intervention matching approach for adolescents with intellectual and developmental disabilities using both CATCH-IT (lower risk) and the Coping with Depression Course-Adolescent (higher risk).</p><p><strong>Results: </strong>The study samples for all three trials include youth from traditionally underrepresented groups (71.8%) with some economic distress (47.6%). Intervention utilization was moderate across trials. Feedback from study teams reveals general barriers to implementation and challenges specific to the pandemic.</p><p><strong>Conclusions: </strong>We review these trials, report preliminary data on demographics and intervention utilization, and provide feedback from study teams on implementation challenges encountered. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating evidence-based clinical reasoning and action in youth mental health care: The Reaching Families multisite randomized trial.","authors":"Bruce F Chorpita, Kimberly D Becker, Alayna L Park, Davielle Lakind, Karen Guan, Maya M Boustani, Meredith R Boyd, Wendy Chu, Eleanor G Wu, Kendra S Knudsen","doi":"10.1037/ccp0000939","DOIUrl":"https://doi.org/10.1037/ccp0000939","url":null,"abstract":"<p><strong>Objective: </strong>Despite decades of policy emphasizing the role of evidence in guiding services, few studies have sought to improve the degree to which evidence is used in supervision and treatment. This study reports supervisor and therapist outcomes from the Reaching Families multisite cluster-randomized controlled trial, which tested the effects of a coordinated knowledge system (CKS) against practice guidelines (PG) on the use of evidence in supervision and treatment targeting low treatment engagement in publicly funded youth community mental health organizations located in two geographically distinct, underresourced communities where service inequities are common.</p><p><strong>Method: </strong>The sample included 121 mental health professionals (92.6% female; 81.0% Black, Indigenous, and people of color1) randomly assigned to a CKS or PG control condition. We recorded, transcribed, and coded 430 supervision and 208 treatment sessions involving 221 youth (Mage = 13.1 years, 46.2% female; 78.7% Black, Indigenous, and people of color) and/or their caregivers who reported engagement concerns during therapy.</p><p><strong>Results: </strong>CKS dyads showed uniformly greater use of evidence focused on specific client needs relative to dyads in the PG condition, with large effect sizes and no differences in the effect of condition across the sites. Secondary analyses showed that tools in the CKS condition were perceived significantly more positively than those in the PG condition in terms of effort and effectiveness, and supervisory workload was the same across both conditions.</p><p><strong>Conclusions: </strong>In routine clinical care delivered within highly representative community settings, a strategically designed knowledge resource can improve evidence-based reasoning and action and be perceived as easy to use and useful without negatively impacting workload. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 2","pages":"65-82"},"PeriodicalIF":4.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A theoretically based experimental manipulation of the processing of sudden gains: Considering reasons, meaning, and opportunities to leverage the gain.","authors":"Jonathan G Shalom, Asher Y Strauss, Jonathan D Huppert, Gerhard Andersson, Idan M Aderka","doi":"10.1037/ccp0000941","DOIUrl":"https://doi.org/10.1037/ccp0000941","url":null,"abstract":"<p><strong>Objective: </strong>Sudden gains in psychotherapy have been found to predict outcome, but the conditions under which this occurs remain understudied. In the present study, we experimentally examined the effects of processing sudden gains on treatment outcome.</p><p><strong>Method: </strong>As part of a large randomized controlled trial of internet-delivered cognitive behavior therapy for social anxiety disorder (<i>n</i> = 182), we experimentally manipulated therapists' responses to sudden gains. Specifically, we randomized individuals who experienced a sudden gain (<i>n</i> = 52) to either receive (n = 26) or not receive (<i>n</i> = 26) processing of the gain.</p><p><strong>Results: </strong>We found that processed sudden gains were significantly less likely to be reversed compared to unprocessed sudden gains. We also found that individuals with processed sudden gains had lower symptom levels at posttreatment/follow-up compared to individuals with unprocessed sudden gains (<i>M</i>_difference = 15.65, <i>SE</i> = 5.87, <i>p</i> = .023, Cohen's <i>d</i> = 0.84; <i>M</i>_difference = 16.68, <i>SE</i> = 6.36<i>, p</i> = .026, Cohen's <i>d</i> = 1.05; respectively). In addition, individuals with unprocessed sudden gains did not have significantly different symptom levels at posttreatment/follow-up compared to individuals who did not experience a sudden gain during treatment.</p><p><strong>Conclusions: </strong>Our findings suggest that in internet-delivered cognitive behavior therapy for social anxiety disorder, the processing of sudden gains (rather than the gains themselves) leads to upward spirals of improvement that affect long-term outcomes. Replication of these findings in additional studies is needed, and, if replicated, such findings could provide the basis for adding processing of sudden gains to existing therapeutic protocols. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 2","pages":"120-130"},"PeriodicalIF":4.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of facilitative interpersonal and relational skills training for teletherapy: A randomized controlled trial.","authors":"Tao Lin, Timothy Anderson, Eva Antebi-Lerman, Jordan Bate, Katie Aafjes-van Doorn","doi":"10.1037/ccp0000934","DOIUrl":"10.1037/ccp0000934","url":null,"abstract":"<p><strong>Objective: </strong>Therapists report a lack of confidence and competence in teletherapy compared to in-person therapy. Training focusing on teletherapy skills is scarce. This study reports on (a) the development of a training workshop for facilitative interpersonal skills (FIS) in teletherapy (tele-FIRST) and (b) a randomized controlled trial assessing the efficacy of tele-FIRST. Tele-FIRST is a 2-hr online synchronous training workshop that incorporates didactics, deliberate practice, simulation of teletherapy challenges, modeling, and discussion.</p><p><strong>Method: </strong>A set of tele-FIS stimulus clips that depict four types of teletherapy challenges (e.g., emotional disconnection, distraction) was used to evaluate and train therapists' teletherapy skills. A total of 182 licensed therapists and trainees were randomized into either the tele-FIRST or a waitlist group. Of these, 153 participants completed baseline assessment and were included in the final analyses (tele-FIRST: <i>n</i> = 82; waitlist: <i>n</i> = 71). At baseline, posttraining, and follow-up, participants were assessed on their observer-rated FIS for teletherapy, self-reported FIS, teletherapy skills, acceptance of teletherapy, and self-efficacy.</p><p><strong>Results: </strong>Therapists demonstrated increased teletherapy skills following the tele-FIRST workshop. After controlling for baseline scores, the tele-FIRST group demonstrated significantly higher observer-rated tele-FIS (η<i>_p</i>² = .134), self-reported FIS (η<i>_p</i>² = .106), teletherapy skills (η_<i>p</i>² = .037), acceptance of teletherapy technology (η<i>_p</i>² = .082), and self-efficacy (η_<i>p</i>² = .036) compared to the waitlist group at posttraining.</p><p><strong>Conclusion: </strong>The tele-FIRST demonstrated significant short-term effects on enhancing therapists' teletherapy skills as rated by both independent observers and therapists themselves. Tele-FIRST may improve the quality of teletherapy, though more research is needed to investigate its long-term effects. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"83-95"},"PeriodicalIF":4.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a mobile mindfulness smartphone app on posttraumatic stress disorder symptoms and alcohol use problems for veterans: A pilot randomized controlled trial.","authors":"Jordan P Davis, Eric R Pedersen, Brian Borsari, Sarah Bowen, Jason E Owen, Angeles Sedano, Denise D Tran, Shaddy Saba, Reagan E Fitzke, Joannalyn Delacruz, Liv Canning","doi":"10.1037/ccp0000940","DOIUrl":"https://doi.org/10.1037/ccp0000940","url":null,"abstract":"<p><strong>Objective: </strong>Veterans returning from deployment have high rates of posttraumatic stress disorder (PTSD) and co-occurring alcohol use disorder (AUD). Current treatments for PTSD and AUD report high dropout rates, and many veterans report alcohol misuse to cope with symptoms of PTSD. The present study is a pilot randomized controlled trial in which veterans (N = 201) were randomized to receive a mobile mindfulness-based intervention enhanced with brief alcohol intervention content (Mind Guide) or an active stress management program.</p><p><strong>Method: </strong>To be eligible for the study, veterans had to have served after September 11, 2001 (post-9/11 veteran) and screen positive for PTSD and AUD. All participants were asked to complete a baseline and four monthly follow-up assessments (two during treatment phase and two posttreatment phase). Primary outcomes were PTSD symptoms, frequency of alcohol use, and alcohol use consequences.</p><p><strong>Results: </strong>Engagement with Mind Guide was excellent (averages of over 31 logins and 5 hr of app usage). Those assigned to Mind Guide showed significant reductions in PTSD symptoms (d = -0.36; 16-week follow-up). No differences emerged for frequency of alcohol use (d = -0.12; 16-week follow-up) or consequences (d = -0.12; 16-week follow-up).</p><p><strong>Conclusions: </strong>Mind Guide may be a valuable adjunct to more intensive in-person PTSD treatment by facilitating interest in services, integration into care, and/or sustainment of posttreatment improvements. Further development of Mind Guide may enhance efficacy at reducing alcohol use and consequences. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 2","pages":"96-109"},"PeriodicalIF":4.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}