Journal of consulting and clinical psychology最新文献

{"title":"Supplemental Material for Randomized Controlled Trial of Smartphone-Based Interpretation Bias Intervention for Anxiety and Depression","authors":"","doi":"10.1037/ccp0000996.supp","DOIUrl":"https://doi.org/10.1037/ccp0000996.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"19 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147620154","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":"Supplemental Material for Efficacy of a Blended Counseling Intervention (I-PREGNO) on Mental Well-Being of Vulnerable Mothers Postpartum: Findings From a Cluster Randomized Controlled Trial","authors":"","doi":"10.1037/ccp0000998.supp","DOIUrl":"https://doi.org/10.1037/ccp0000998.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"20 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619856","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":"Supplemental Material for Comparing Dropout From Cognitive Processing Therapy Versus Prolonged Exposure: Results From a Randomized Clinical Trial","authors":"","doi":"10.1037/ccp0000999.supp","DOIUrl":"https://doi.org/10.1037/ccp0000999.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"111 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619858","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":"Supplemental Material for Interventions for Autistic Adults: A Meta-Analysis","authors":"","doi":"10.1037/ccp0001003.supp","DOIUrl":"https://doi.org/10.1037/ccp0001003.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"2 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619857","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":"Who benefits from a digital intervention for appearance concerns? A randomized controlled trial of a large mixed-gender sample.","authors":"Tapan A Patel, Jesse R Cougle","doi":"10.1037/ccp0001007","DOIUrl":"10.1037/ccp0001007","url":null,"abstract":"<p><strong>Objective: </strong>Individuals with excessive appearance concerns commonly engage in appearance-related safety behaviors (ARSBs), or behaviors aimed at managing or avoiding negative evaluation of one's physical appearance. Targeting these behaviors can lead to reductions in appearance concerns and related symptoms. However, prior studies have only examined these effects among women scoring above a specific cutoff, excluding men and individuals with lower levels of these concerns. The present study further evaluated the efficacy of this brief ARSB intervention and examined who benefits from this intervention.</p><p><strong>Method: </strong>Adults (N = 400) interested in treatment for appearance concerns were recruited across the United States and randomized to a 1-month smartphone-based intervention targeting ARSBs or a four-session relaxation video control.</p><p><strong>Results: </strong>Baseline appearance concerns moderated condition effects such that, among those with elevated concerns, ARSB fading led to lower appearance concerns than control at post, while conditions did not differ among those with low concerns. Probing the moderated effect using the Johnson-Neyman technique indicated ARSB fading led to significantly lower appearance concerns at post among those scoring in the upper two thirds in appearance concerns (SMD = 0.39). ARSB fading also led to lower body dissatisfaction (SMD = 0.15-0.19) at post and follow-up, and among those high in appearance concerns, ARSB fading led to lower bulimic symptoms at post (SMD = 0.34). No demographic factor moderated the effects of treatment, indicating comparable efficacy between men and women.</p><p><strong>Conclusions: </strong>These findings further support the efficacy of ARSB fading and provide novel evidence for individuals who are likely to benefit from this intervention. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"216-227"},"PeriodicalIF":5.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized controlled trial of job crafting as a digital health intervention for occupational burnout in psychological therapists.","authors":"Jaime Delgadillo, Victoria Laker, Melanie Simmonds-Buckley, Ben Davis, Jessica Furlong-Silva, Sarah Keeble, Oliver Davis, Amy Southgate, Poppy Royal, Mike Lucock, Gemma Booth, Jo Ludbrook, Marc McDonagh, Carla Webb, Hayley Tyson-Adams, Jen Moon, Richard Thwaites","doi":"10.1037/ccp0000992","DOIUrl":"https://doi.org/10.1037/ccp0000992","url":null,"abstract":"<p><strong>Objective: </strong>Occupational burnout is common in the mental health care workforce, with negative consequences for professionals and patients. This study aimed to evaluate the efficacy of a digital health intervention to alleviate burnout in psychological therapists.</p><p><strong>Method: </strong>This randomized controlled trial recruited 135 therapists working across 17 psychological services in England. The intervention involved six online group webinars based on principles of job crafting. Half of the participants accessed the intervention immediately (Group 1), and half were assigned to a waitlist control group (Group 2). After 6 weeks, Group 2 started the intervention. Participants completed measures of burnout (primary outcome), well-being, and job satisfaction at four time points (baseline, 6, 12, 36 weeks). Outcomes were compared between groups using mixed-effects models controlling for baseline severity and clustering by service.</p><p><strong>Results: </strong>Differences between groups were statistically significant after 6 weeks, favoring job crafting versus waitlist control in burnout (d = 0.43, p < .001), well-being (d = -0.39, p = .023), and job satisfaction (d = -0.28, p = .006) measures. However, the magnitude of improvements relative to baseline levels declined over a 36-week period.</p><p><strong>Conclusion: </strong>A brief job crafting intervention led to short-term improvements in occupational health indicators. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"245-251"},"PeriodicalIF":5.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815442","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":"Treating maternal mental health problems with an app-based program: A randomized control trial of the Building Emotional Awareness and Mental Health (BEAM) program, for mothers of young children.","authors":"Leslie E Roos, Anna L Mackinnon, E Bailin Xie, Kaeley M Simpson, Charlie Rioux, Kristin A Reynolds, Ryan J Giuliano, Jennifer Harrington, Jennifer L P Protudjer, Shannon Sauer-Zavala, Gerald F Giesbrecht, Catherine Lebel, Dana Watts, Madeline Belows, Lara Penner-Goeke, Makayla Freeman, Lianne Tomfohr-Madsen","doi":"10.1037/ccp0001000","DOIUrl":"10.1037/ccp0001000","url":null,"abstract":"<p><strong>Objectives: </strong>Exposure to maternal mental illness in the first 3 years of life is associated with poor child outcomes. Many mothers experience mental health problems and few have access to evidence-based treatments. Mobile health treatments show promise for mood and anxiety disorders but rarely include parenting strategies. This study evaluated the efficacy of Building Emotional Awareness and Mental Health (BEAM), a 10-week app-based therapist-guided program, which responds to maternal mental health and parenting needs.</p><p><strong>Method: </strong>A two-arm, Phase III randomized controlled trial was conducted to evaluate the BEAM intervention compared to unrestricted services-as-usual. Participants completed self-report measures at eligibility, prior to randomization, and immediately following the intervention. The sample included 140 mothers with children aged 18-36 months, who self-reported moderate-to-severe symptoms of depression and/or anxiety.</p><p><strong>Results: </strong>Participants in both groups experienced significant decreases in depression over time with no significant difference between groups. However, BEAM outperformed the unrestricted services-as-usual condition in reducing anxiety symptoms. Among participants with higher levels of anxiety and depression symptoms at screening, those assigned to BEAM experienced greater reductions in anxiety, anger, and dysfunctional parenting interactions as well as lower harsh parenting composite scores compared to unrestricted services-as-usual.</p><p><strong>Conclusion: </strong>BEAM is a highly scalable intervention that has the potential to rapidly reach underserved groups in need of mental health and parenting support. Next steps include improving the user interface and exploring engagement and implementation of the program within existing health and social service systems for long-term improvements in family health and well-being. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"228-244"},"PeriodicalIF":5.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815493","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":"Alliance in internet-based interventions: A systematic review and correlation multilevel meta-analysis.","authors":"Christoph Flückiger, Anna-Marie Schweizer, Madita-Sophie Boehme, Juan Martín Goméz Penedo, Thomas Berger, Bruce E Wampold","doi":"10.1037/ccp0001005","DOIUrl":"https://doi.org/10.1037/ccp0001005","url":null,"abstract":"<p><strong>Objective: </strong>Internet-based interventions (IBIs) offer scalable, low-threshold treatment options for mental health care. The therapeutic alliance is a key collaborative quality in psychological therapy, yet its role and structure in IBIs remain debated.</p><p><strong>Method: </strong>This correlational meta-analysis synthesizes the overall alliance-outcome association (k = 82 effect sizes nested in s = 40 independent samples; n = 2,864 participants) and its variability across the Working Alliance Inventory subscales using meta-analytic multilevel models.</p><p><strong>Results: </strong>The overall association was small to moderate (r = .21) confirming the relevance of alliance in digital contexts. Subscale-specific analyses showed that task (r = .25) and goal (r = .19) were more predictive of treatment outcomes than bond (r = .12), highlighting a shift toward cognitive-collaborative components in IBIs. Even exploratory in nature, none of the examined moderators (diagnosis, alliance rater, face-to-face contact, therapeutic approach, publication year, and country) systematically influenced the effect size.</p><p><strong>Conclusions: </strong>The results confirm the robustness of the prediction of the alliance on outcomes observed in the general literature and at the same time point to the particular qualities of using IBIs. Future work is needed to adapt the conceptualization and assessment of alliance in IBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"187-196"},"PeriodicalIF":5.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815456","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":"Strengthening self-continuity to reduce depressive symptoms and derailment: A multiphasic mixed-methods randomized controlled trial.","authors":"Christopher J Davis, Emma J Levinbook, Sydnie R Spearman, Cassondra Lyman, Anthony L Burrow","doi":"10.1037/ccp0001006","DOIUrl":"https://doi.org/10.1037/ccp0001006","url":null,"abstract":"<p><strong>Objective: </strong>Emerging adulthood is a critical period for identity formation and heightened vulnerability to depression. Given that disruptions in identity continuity and coherence-captured by the construct derailment-are linked to elevated depressive symptoms, strengthening temporal-identity processes may offer a path for symptom relief. We tested a narrative journaling intervention targeting self-continuity to reduce depressive symptoms among emerging adults.</p><p><strong>Method: </strong>In Phase 1, we examined baseline associations among derailment, self-continuity, and depressive symptoms in a community sample (N = 242). In Phase 2, eligible participants (N = 112) were randomized to a derailment-focused intervention or neutral reflective journaling control condition, with outcomes assessed during the intervention and at 2 week and 2 month postintervention. In Phase 3, we conducted an exploratory thematic analysis of responses within the experimental condition.</p><p><strong>Results: </strong>Relative to controls, participants in the experimental condition reported lower derailment, higher self-continuity, and lower depressive symptoms, with group differences maintained at 2 month postintervention. An autoregressive cross-lagged path analysis yielded a pattern consistent with an indirect association between intervention assignment and both downstream depressive symptoms and derailment through early gains in self-continuity. Exploratory thematic analyses indicated that participants reporting larger symptom decreases described narratives characterized by reflective self-evaluation, whereas those reporting minimal changes more often described fragmented narratives and ruminative brooding.</p><p><strong>Conclusion: </strong>Findings provide evidence that a derailment-focused journaling intervention may reduce depressive symptoms and derailment. Early gains in self-continuity represent a plausible candidate process and a target for future mechanistic tests. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"197-215"},"PeriodicalIF":5.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815477","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":"Legal outcomes of task-shifting contingency management for youth substance use to rural probation officers: Secondary results from a randomized clinical trial.","authors":"Ashli J Sheidow,Tess K Drazdowski,Jason E Chapman,Michael R McCart","doi":"10.1037/ccp0001002","DOIUrl":"https://doi.org/10.1037/ccp0001002","url":null,"abstract":"OBJECTIVEYouth substance use disorder is a significant problem in rural communities, yet treatment access is negligible. Task-shifting evidence-based treatments to juvenile probation officers (JPOs) may help, but could increase surveillance and thus be iatrogenic for legal outcomes. Task-shifting contingency management (CM) to JPOs was examined for increased youth legal system consequences.METHODData were from a randomized clinical trial that randomized 32 JPOs in Idaho to probation as usual (PAU) or family-based CM integrated into probation. Then, 160 youth with substance use disorder on probation were randomized to JPOs delivering PAU or JPO-delivered CM. Legal system records (charges and detentions) spanning 18 months before and after randomization were obtained for each youth from the state database.RESULTSFor CM and PAU groups, respectively, 32.6% versus 51.4% had at least one charge postrandomization, 22.1% versus 20.3% had at least one detention, and median charge count was 0.0 (interquartile range, 0.0-1.0) versus 1.0 (interquartile range, 0.0-2.0). Intent-to-treat generalized linear mixed effects models nested youth within JPOs. Groups did not differ on charge count (event rates = 1.12; 95% CI [0.29, 4.36]) or likelihood of detention (OR = 1.54; 95% CI [0.65, 3.65]). However, CM youth had a significantly lower likelihood of receiving a charge (OR = 0.42; 95% CI [0.21, 0.83]), with a predicted probability of 31% (95% CI [21%, 42%]) versus 52% for PAU (95% CI [40%, 63%]).CONCLUSIONSYouth legal system consequences do not worsen when JPOs deliver CM. The likelihood of a new charge actually decreases when JPOs deliver CM. Task-shifting CM for youth substance use to JPOs could increase treatment access in rural communities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"274 1","pages":"151-158"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599394","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}