Journal of consulting and clinical psychology最新文献

{"title":"The role of cardiac-related fear, hypervigilance, and avoidance behavior in exposure-based cognitive behavioral therapy for atrial fibrillation: A mediation analysis based on a randomized controlled trial.","authors":"Josefin Särnholm, Erland Axelsson, Helga Skúladóttir, Marianne Bonnert, Maria Bragesjö, Christian Rück, Susanne S Pedersen, Frieder Braunschweig, Brjánn Ljótsson","doi":"10.1037/ccp0000961","DOIUrl":"10.1037/ccp0000961","url":null,"abstract":"<p><strong>Objective: </strong>Atrial fibrillation (AF) is associated with distressing symptoms and diminished quality-of-life (QoL). In a recent randomized controlled trial (RCT), online exposure-based cognitive behavioral therapy (AF-CBT) targeting symptoms preoccupation, i.e., cardiac-related fear, hypervigilance, and avoidance behavior, in patients with symptomatic paroxysmal (i.e., intermittent) AF significantly improved AF-specific QoL relative to a control group receiving standardized AF education. This study aims to investigate whether a reduction in symptom preoccupation can explain the treatment effect of AF-CBT on self-rated AF symptoms and AF disability.</p><p><strong>Method: </strong>We used data from a recent RCT involving 127 patients diagnosed with paroxysmal AF, randomized to undergo AF-CBT over 10 weeks (n = 65) or to receive AF education (n = 62). Two putative mediators, cardiac-related fear/hypervigilance and avoidance behavior, along with a competing mediator, perceived stress, were measured weekly. Outcome variables included self-rated AF symptoms and AF-related disability.</p><p><strong>Results: </strong>Results from parallel process growth models indicated that the reduction in symptom preoccupation-but not perceived stress-mediated the controlled effect of AF-CBT on both AF symptoms and disability. In cross-lagged panel models, of the within-individual week-by-week change, a reduction in cardiac-related fear predicted subsequent improvement in AF symptoms, while a decrease in avoidance behavior predicted subsequent improvement in AF-related disability.</p><p><strong>Conclusions: </strong>Our findings suggest that symptom preoccupation plays a significant role in AF symptoms and disability and can be effectively targeted by online AF-CBT. Integrating this understanding into the clinical management of AF holds promise for improving patient outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 8","pages":"527-539"},"PeriodicalIF":5.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855372","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":"Curvilinear relations between insight-, cognition-, and skills-oriented technique use and outcome across treatments, or Goldilocks and the three psychotherapies.","authors":"Kevin S McCarthy, Nili Solomonov, Dianne L Chambless, Barbara L Milrod, Jacques P Barber","doi":"10.1037/ccp0000962","DOIUrl":"10.1037/ccp0000962","url":null,"abstract":"<p><strong>Objective: </strong>A \"Goldilocks\" effect is when \"just right\" conditions are present for a phenomenon to occur. In psychotherapy research, the Goldilocks effect is when moderate intervention levels (not very low or high) correlate with more improvement than very high or very low levels. Finding curvilinear relations requires the wider range of what a specific intervention can take, which can be seen when examining technique and outcome across different treatments rather than within a single therapy orientation.</p><p><strong>Method: </strong>For 151 patients with panic disorder (66% female, 33% racial/ethnic minority) in a randomized comparative trial of panic-focused psychodynamic psychotherapy (B. L. Milrod et al., 1997), panic control therapy (Craske et al., 2000), and applied relaxation training (Schwalberg & Chambless, 2006), observers assessed insight-, cognition-, and skills-focused techniques using the multitheoretical list of therapeutic interventions (McCarthy & Barber, 2009) from Weeks 1, 5, and 9 session recordings. Outcome was assessed at Weeks 1, 5, 9, and termination by the Panic Disorder Severity Scale (Shear et al., 1997).</p><p><strong>Results: </strong>When looking across treatments, very high or low (not moderate) insight-oriented interventions were associated with the most symptom improvement by the subsequent assessment point and at termination. Moderate (not very high or low) skills- and cognition-oriented interventions correlated with more improved outcome at the subsequent assessment and termination. These findings describe when interventions are used in general but not within a specific protocol treatment.</p><p><strong>Conclusions: </strong>Curvilinear relations between technique and symptom change might more closely depict how interventions relate to outcome than might more conventional linear approaches. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"93 8","pages":"551-563"},"PeriodicalIF":5.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855370","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 Credibility and Expectations: Important Factors for Understanding Clinical Response, Treatment Completion, and Dropout in Internet-Delivered Psychological Interventions","authors":"","doi":"10.1037/ccp0000969.supp","DOIUrl":"https://doi.org/10.1037/ccp0000969.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"149 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748231","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":"Results of a positive affect intervention for male couples: Change over time and effects on mental health.","authors":"Madison Shea Smith, Isaac Greenawalt, Judith T. Moskowitz, Elizabeth L. Addington, Brian Mustanski, Michael E. Newcomb","doi":"10.1037/ccp0000963","DOIUrl":"https://doi.org/10.1037/ccp0000963","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"25 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520330","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 A Randomized Controlled Trial of an Online Dialectical Behavior Therapy Skills Intervention for War-Related Distress","authors":"","doi":"10.1037/ccp0000958.supp","DOIUrl":"https://doi.org/10.1037/ccp0000958.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"47 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520333","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 to evaluate the efficacy of a daily report card intervention to enhance the efficacy of individualized education programs for children with attention-deficit/hyperactivity disorder.","authors":"Gregory A. Fabiano, Nicole K. Schatz, Brittany M. Merrill, Jennifer Piscitello, Timothy B. Hayes, Morgan Jusko, Elizabeth M. Gnagy, Andrew R. Greiner, Devon Tower, Amy Boeckel, Rosalia Gallo, Kellina Lupas, Chanelle Gordon, Marcela Ramos, Jennifer Sikov, Stacey Caron, William E. Pelham","doi":"10.1037/ccp0000959","DOIUrl":"https://doi.org/10.1037/ccp0000959","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"19 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520368","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 Results of a Positive Affect Intervention for Male Couples: Change Over Time and Effects on Mental Health","authors":"","doi":"10.1037/ccp0000963.supp","DOIUrl":"https://doi.org/10.1037/ccp0000963.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"18 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520369","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 an online dialectical behavior therapy skills intervention for war-related distress.","authors":"Or Segal, Hadas Hevron, Helene Sher, Idan M. Aderka, Noam Weinbach","doi":"10.1037/ccp0000958","DOIUrl":"https://doi.org/10.1037/ccp0000958","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"67 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520370","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 Testing Adaptations to Contingency Management for Alcohol Use Disorders: A Randomized Controlled Trial","authors":"","doi":"10.1037/ccp0000960.supp","DOIUrl":"https://doi.org/10.1037/ccp0000960.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"13 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340900","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":"Interrelationships of symptomatic and relational distress: Improvements in interpersonal problems predict subsequent improvement in depressive symptoms during open-ended psychotherapy for adults with depression.","authors":"Andreas Høstmælingen,Helene Amundsen Nissen-Lie,Jon Trygve Monsen,Ole André Solbakken","doi":"10.1037/ccp0000956","DOIUrl":"https://doi.org/10.1037/ccp0000956","url":null,"abstract":"OBJECTIVEDepressed patients often experience interpersonal distress. Understanding how interpersonal distress and depressive symptoms are associated may have implications for understanding the etiology and maintenance of depression, as well as for treatment. In this naturalistic psychotherapy study, we explored whether change in depressive symptoms predicted subsequent change in interpersonal distress or vice versa.METHODDepressive symptoms (depression scale of the Symptom Check List-90-Revised) and interpersonal problems (Inventory of Interpersonal Problems-64) were assessed on nine occasions, including before, during, and after treatment and at 1 and 2.5 years follow-up in a sample of 178 depressed patients receiving open-ended psychotherapy. We used latent curve modeling with structured residuals to assess possible reciprocal relations between interpersonal problems and depression, controlling for personality disorder.RESULTSThe findings showed that interpersonal distress had a slower rate of change compared to depressive symptoms, but improvements in interpersonal distress predicted subsequent improvement in depressive symptoms during psychotherapy, and this effect was stable over time. Patients with comorbid personality disorder had higher initial levels of both depression and interpersonal distress, but there were no differences in rates of change for any of the outcomes.CONCLUSIONOur results indicate that improvements in interpersonal problems may play an important role in alleviating depressive symptoms during psychotherapy. We propose that reduction of interpersonal distress is associated with increased interpersonal flexibility, which may lead to more positive responses from others, thereby contributing to a reduction in depressive symptoms. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"1 1","pages":"457-470"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087840","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}