Journal of consulting and clinical psychology最新文献

{"title":"Focal, intervention-specific, and titrated: Which artificial intelligence tools are FIT for mental health care?","authors":"Joshua S Steinberg, William Thies, John R Weisz","doi":"10.1037/ccp0001029","DOIUrl":"https://doi.org/10.1037/ccp0001029","url":null,"abstract":"<p><p>For artificial intelligence (AI) used in conjunction with psychotherapy, clinicians and clients need a principled basis for deciding which tools to engage with, and intervention designers need guidance on building tools that are most likely to be safe and effective. As the evidence base on mental health (MH)-AI safety and efficacy grows, we propose tools that are FIT: focal (bounded in problem focus), intervention-specific (bounded in therapeutic procedures), and titrated (with dose and duration calibrated to match the use case). FIT is a proposed framework, designed to reduce three specific risks that have been linked to conversational MH-AI. The dimensions are intended as practical starting guardrails, not as an exhaustive list. In this viewpoint article, the authors' argument concerns only MH-AI used in routine clinical care-tools prescribed by or used with input for guidance from a clinician. The authors leave aside fully unsupervised consumer use, which raises additional concerns beyond this viewpoint. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 8","pages":"453-455"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839952","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":"Cognitive rehabilitation and exposure/sorting therapy for hoarding disorder: A randomized controlled trial.","authors":"Catherine R Ayers, Jessica J Zakrzewski, Mary E Dozier, Tina Mayes, Michael Thomas, Elizabeth W Twamley, Alexis Carty-Campbell, James Pittman","doi":"10.1037/ccp0001022","DOIUrl":"10.1037/ccp0001022","url":null,"abstract":"<p><strong>Objective: </strong>Hoarding disorder (HD) is one of the most common and impairing neuropsychiatric conditions in late life. Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) for HD is effective in reducing HD symptoms and improving functioning when compared with case management. In the current trial (NCT02402647), we compared CREST to a robust control condition, exposure therapy (ET), to determine if CREST provides additional benefit to HD symptom reduction, functioning, and quality of life over ET.</p><p><strong>Method: </strong>One hundred fifteen Veterans with HD were randomized to receive 26 once weekly, 1-hr manualized individual sessions of CREST (n = 59) or ET (n = 56). CREST included seven sessions of cognitive rehabilitation therapy, while ET included seven sessions of psychoeducation with both groups completing the same manualized ET for 26 sessions. Participants completed assessments at baseline and posttreatment. Outcome measures included assessments of HD symptom severity, functional capacity, self-reported functioning, self-reported disability, and quality of life. Linear mixed-effects models were used to examine change at posttreatment.</p><p><strong>Results: </strong>Participants were mostly male (64%) and White/non-Hispanic (72%) and on average were 62 years old with 16 years of education. Participants averaged a 42% improvement in HD symptoms posttreatment (ΔSI-R = 24.3 ± 17.8), but groups did not differ on improvement in HD symptoms, functional capacity, disability, or quality of life. The CREST group reported greater improvements in interpersonal functioning at posttreatment (d = 0.48, p = .012).</p><p><strong>Conclusions: </strong>Exposure-based treatment is highly effective for HD. Both CREST and ET groups demonstrated significant reductions in HD symptoms. CREST participants demonstrated additional improvement in self-reported interpersonal functioning. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 8","pages":"470-481"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839752","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":"Fifteen-month drinking reductions in a randomized clinical trial of cognitive-behavioral and mindfulness-based treatments and a matched nontreatment-seeking community sample.","authors":"Barbara S McCrady, Katie Witkiewitz, Alicia Shiver, Megan Swartz, Roberta Chávez, Stefan Klimaj, Eric D Claus","doi":"10.1037/ccp0001025","DOIUrl":"10.1037/ccp0001025","url":null,"abstract":"<p><strong>Objective: </strong>To examine drinking outcomes over time among two samples recruited and assessed using similar criteria, procedures, and measures: heavy drinkers who were not seeking treatment and treatment seekers.</p><p><strong>Method: </strong>Heavy-drinking participants were recruited for a naturalistic study of the course of alcohol use in a nonhelp-seeking community sample (N = 190) and a randomized clinical trial (N = 110) of 2-4 sessions of motivational enhancement therapy followed by eight sessions of cognitive-behavioral or mindfulness-based treatment. Alcohol use was assessed with the Timeline Followback at baseline and 3-, 9-, and 15-month follow-ups. Percent heavy drinking days was the primary outcome variable; percent drinking days and drinks per drinking day were secondary outcome variables. Propensity score analysis was used to reduce potential effects of confounding, and latent growth curve model with maximum likelihood estimation was used to assess changes in drinking over time.</p><p><strong>Results: </strong>Compared with the nonhelp-seeking community sample, the clinical sample showed greater reductions in frequency of heavy drinking and of any drinking over the 15 months of follow-up. There were no differences between treatment conditions on any outcome variable. The clinical and community samples both decreased their drinking over time with medium to large effect size reductions in the clinical sample and small effect size reductions in the community sample.</p><p><strong>Conclusions: </strong>Both samples of heavy drinkers reduced their drinking over time, but receiving behavioral treatment was associated with more substantial decreases in drinking frequency and intensity, attaining levels comparable to or below that of a community sample. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 8","pages":"482-495"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839768","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":"Who is the ideal match for the modular approach to therapy for children (MATCH)? Symptom moderators of transdiagnostic treatment response.","authors":"Julie M Petersen, Malena A Nygaard, Aaron A Corn, Katherine E Venturo-Conerly, John R Weisz","doi":"10.1037/ccp0001026","DOIUrl":"10.1037/ccp0001026","url":null,"abstract":"<p><strong>Objective: </strong>Comorbidity of internalizing and externalizing problems is common in youths; transdiagnostic treatments were developed partly to address comorbidity. However, little is known about how outcomes of these treatments relate to comorbidity. We examined the association between internalizing-externalizing comorbidity and symptom outcomes for the transdiagnostic Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems.</p><p><strong>Method: </strong>We analyzed data from three randomized controlled trials. Participants (N = 400) were sorted into four categories using baseline symptom severity cutoffs on the Youth Self-Report and Child Behavior Checklist: no clinical elevation, internalizing elevation only, externalizing elevation only, and comorbid internalizing/externalizing elevation. Nested multilevel models were used to test for moderation effects of clinical elevation over 18 months.</p><p><strong>Results: </strong>Youths and caregivers reported significant symptom decreases. No differences were found between caregiver-rated groups for Child Behavior Checklist total scores over time (ds = 0.03-0.09). However, youth reports showed the greatest reductions in Youth Self-Report total scores for those with youth-rated internalizing only (d = 0.20) and comorbid symptoms (d = 0.28) elevated at baseline as compared with no elevation. Results from youth reports suggested that older youths experience less symptom reduction.</p><p><strong>Conclusion: </strong>For caregiver reports, symptom reductions were similar across the four groups, suggesting that Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems may be effective across problem areas. For youth reports, symptom reduction was more pronounced for the comorbid group and the internalizing only group as compared with no elevation. These findings support the appropriateness of Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems in addressing comorbidity, but the effects of age and the contrast between caregiver and youth perspectives warrant further study. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 8","pages":"496-509"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839957","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 trial of a brief online intervention to reduce alcohol misuse and promote treatment initiation among veterans.","authors":"Eric R Pedersen, Jordan P Davis, Justin F Hummer, Keegan D Buch, Kathryn Bouskill, Ireland M Shute, Reagan E Fitzke, Denise D Tran, Seth Houghton, Clayton Neighbors, Shaddy K Saba","doi":"10.1037/ccp0001023","DOIUrl":"10.1037/ccp0001023","url":null,"abstract":"<p><strong>Objective: </strong>Post-9/11 U.S. veterans exhibit elevated rates of hazardous drinking, alcohol use disorder, and co-occurring mental health conditions, yet many do not access behavioral health treatment. We evaluated BRAVE, a single-session, mobile phone-delivered intervention integrating personalized normative feedback, motivational interviewing, and values-based strategies to reduce alcohol use and promote treatment engagement.</p><p><strong>Method: </strong>Post-9/11 young adult veterans aged 18-40 who screened positive for hazardous drinking and were not engaged in behavioral health care (<i>N</i> = 748) were recruited via targeted social media ads and randomized to BRAVE or an interactive resources-only control condition. Participants completed baseline and 3-, 6-, 9-, and 12-month follow-up surveys assessing alcohol use, alcohol-related consequences, mental health symptoms, treatment receipt, and readiness for care.</p><p><strong>Results: </strong>Compared with control, BRAVE produced a significant sustained reduction in alcohol-related consequences over 12 months (<i>B</i> = -0.07). Post hoc analyses showed significant decreases in physical and interpersonal consequences from drinking. Though outcomes of drinking frequency, drinking quantity, binge drinking frequency, readiness to seek care, and behavioral health treatment receipt favored BRAVE, none of these treatment effects were significant, and effect sizes were very small in magnitude. In post hoc analyses restricted to veterans screening positive at baseline for alcohol use disorder, anxiety, depression, or posttraumatic stress disorder, we observed that among veterans screening positive for anxiety disorders, BRAVE participants were notably 15% more likely to receive treatment during follow-up.</p><p><strong>Conclusions: </strong>Findings indicate that this brief, mobile intervention can yield meaningful reductions in alcohol-related harm. Broader dissemination and exploration of multisession or peer-supported enhancements may strengthen long-term impacts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"456-469"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520515","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":"Supplemental Material for Testing Self-Help Interventions for Adults With Clinical Perfectionism: A Randomized Controlled Trial Comparing Online Skills Modules to a Book","authors":"","doi":"10.1037/ccp0001011.supp","DOIUrl":"https://doi.org/10.1037/ccp0001011.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"58 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148394002","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 Modified Digital Unified Protocol Targeting Both Positive and Negative Emotion Regulation: A Randomized Clinical Trial","authors":"","doi":"10.1037/ccp0001010.supp","DOIUrl":"https://doi.org/10.1037/ccp0001010.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"36 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148394064","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 Perceived Changes in Drinking Are a Mechanism of Spillover Effects From a Brief Alcohol Intervention Conducted in a College Social Network","authors":"","doi":"10.1037/ccp0001015.supp","DOIUrl":"https://doi.org/10.1037/ccp0001015.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"4 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148394001","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":"An international randomized waitlist-controlled trial of internet-delivered cognitive behavioral therapy for sexual urges toward children.","authors":"Allison McMahan, Malin Joleby, Gerhard Andersson, Elizabeth J Letourneau, Michael C Seto, Timothy J Luke, Christoffer Rahm","doi":"10.1037/ccp0001019","DOIUrl":"10.1037/ccp0001019","url":null,"abstract":"<p><strong>Objective: </strong>Test whether Prevent It 2.0, a 9-week, anonymous internet-delivered cognitive behavioral therapy (iCBT) program, reduces the severity of sexual urges and behaviors toward children to prevent acts of child sexual exploitation and abuse.</p><p><strong>Method: </strong>In a randomized 1:1 waitlist-controlled trial with crossover at Karolinska Institutet, Sweden, N = 203 adults (≥18 years; 92.1% men, 0.5% women, 7.4% other; age 18-70, 66.6% aged 21-40; 49.8% Europe, 38.9% North America) were allocated to iCBT (n = 100) or waitlist (n = 103). The preregistered primary outcome was severity of sexual urges toward children (adapted Sexual Symptoms Assessment Scale). Secondary outcomes included weekly time spent observing children for sexual purposes, including use of child sexual abuse material, and severity of accessed material. The study was preregistered on https://ClinicalTrials.gov (ID: NCT05663047; Karolinska Institutet, 2022) and the Open Science Framework (DOI: https://doi.org/10.17605/OSF.IO/Y2DC4; Rahm et al., 2022).</p><p><strong>Results: </strong>iCBT participants reported a significantly greater reduction in sexual urges toward children (-6.41 scale points, 95% confidence interval, CI [-8.26, -4.56]; d = -1.01, 95% CI [-1.30, -0.72]), as well as a significant decrease in time spent observing children for sexual purposes (including use of child sexual abuse material; -1.87 hr weekly, 95% CI [-2.91, -0.82], d = -0.517, 95% CI [-0.806, -0.228]) after 9 weeks compared to the attention-controlled waitlist.</p><p><strong>Conclusions: </strong>Prevent It 2.0 demonstrated efficacy in reducing sexual urges and offending related behaviors toward children, producing clinically significant reductions over 9 weeks, in an anonymous online sample. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 7","pages":"425-436"},"PeriodicalIF":6.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706830","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":"Guided digital cognitive-behavioral therapy for insomnia: A (cost-)effective intervention for people with insomnia and psychological distress? Results of a randomized controlled trial.","authors":"Joyce E Reesen, Savannah L C Ikelaar, Alex E van Keeken, Shanna van Trigt, Jeanne Leerssen, Roxanne E Bongers, Adriaan W Hoogendoorn, Judith E Bosmans, Neeltje M Batelaan, Jaap Lancee, Eus J W Van Someren","doi":"10.1037/ccp0001020","DOIUrl":"10.1037/ccp0001020","url":null,"abstract":"<p><strong>Objective: </strong>Insomnia is common in anxiety, posttraumatic stress disorder (PTSD), and borderline personality disorder (BPD), but cognitive-behavioral therapy for insomnia (CBT-I) is understudied in these conditions. We evaluated the (cost-)effectiveness of CBT-I in adults with insomnia and symptoms of anxiety, PTSD, or BPD.</p><p><strong>Method: </strong>A total of 157 adults with insomnia and symptoms of anxiety, PTSD, or BPD were randomized to guided digital CBT-I or sleep diary control. Assessments at baseline, 2-month posttreatment, and 8-month follow-up included insomnia severity (Insomnia Severity Index), mental health symptoms, sleep diary measures, and positive health. Cost-effectiveness (Insomnia Severity Index-based) and cost-utility (quality-adjusted life years-based) were analyzed from a societal perspective.</p><p><strong>Results: </strong>At posttreatment, CBT-I produced large reductions in insomnia severity versus control (d = -1.04; p < .001) and small effects on symptoms of anxiety and BPD (ds = -0.28; -0.36) but not of PTSD. At follow-up, effects on insomnia severity remained large (d = -0.98; p < .001), but effects on anxiety and BPD were no longer significant. Most sleep diary measures showed small-to-moderate improvements; positive health changes were minimal. CBT-I did not significantly reduce societal costs (-€826, 95% CI [-3,797, 2,144]) but showed a 94% probability of cost-effectiveness at €450 per Insomnia Severity Index point and 71% at €20,000 per quality-adjusted life year.</p><p><strong>Conclusions: </strong>CBT-I is a (cost-)effective treatment for insomnia with co-occurring anxiety, PTSD, or BPD symptoms, although effects on anxiety and BPD are small, and none were found for PTSD. These findings support integrating CBT-I into routine care, potentially alongside targeted interventions for co-occurring psychological distress. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 7","pages":"437-451"},"PeriodicalIF":6.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706877","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}