Journal of consulting and clinical psychology最新文献

{"title":"Efficacy of a blended counseling intervention (I-PREGNO) on mental well-being of vulnerable mothers postpartum: Findings from a cluster randomized controlled trial.","authors":"Lea Vogel,Lennart Seizer,Eva Boehlke,Tom Deliens,Tanja Färber,Carmen Henning,Christoph Liel,Ulrike Lux,Ansgar Opitz,Natalie Schoemann,Caroline Seiferth,Mireille N Van Poppel,Vicka Versele,Jörg Wolstein,Johanna Löchner","doi":"10.1037/ccp0000998","DOIUrl":"https://doi.org/10.1037/ccp0000998","url":null,"abstract":"OBJECTIVEParents face numerous changes and challenges during the postpartum period, increasing their risk of mental health issues. Parents with psychosocial burdens are particularly vulnerable to develop mental health issues and are in need of targeted intervention programs. This article presents analyses of secondary outcomes of a cluster randomized controlled trial examining the efficacy of the intervention \"I-PREGNO\" in psychosocially burdened mothers during the postpartum period. I-PREGNO represents a 12-week mobile application-based blended counseling aiming to enhance transdiagnostic psychological mechanisms and health behavior during the postpartum period.METHODA two-arm parallel cluster randomized controlled trial was conducted in Germany with N = 108 psychosocially burdened mothers of children aged 0-12 months, recruited via a national early childhood intervention program. Assessments included baseline assessment (T0), postintervention assessment 12 weeks after baseline (T1), and one follow-up assessment 6 months after baseline (T2). Mixed-model repeated measures analyses were used to examine differences in well-being between the intervention group and the control group (treatment as usual), measured by scores on the Parenting Stress Index and the Edinburgh Postnatal Depression Scale.RESULTSNo significant differences between the groups at T1 and T2 were observed on Parenting Stress Index and the Edinburgh Postnatal Depression Scale. Post hoc tests revealed that mothers in the intervention group who started the intervention within the first 5 months postpartum had significantly reduced Parenting Stress Index scores at T1.CONCLUSIONWhile exploratory analyses indicated that I-PREGNO may have potential in reducing parenting stress shortly after childbirth, it may not be sufficient for the prevention of postpartum depressive symptoms. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"35 1","pages":"173-186"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599393","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":"Comparing dropout from cognitive processing therapy versus prolonged exposure: Results from a randomized clinical trial.","authors":"Kelly L Harper,Thomas M Crow,Johanna Thompson-Hollands,Jaclyn C Kearns,Alexandra C Mattern,Elizabeth N Collazo,Melanie B Arenson,Brian P Marx,Paula P Schnurr","doi":"10.1037/ccp0000999","DOIUrl":"https://doi.org/10.1037/ccp0000999","url":null,"abstract":"OBJECTIVEDropout from evidence-based psychotherapies for posttraumatic stress disorder (PTSD; e.g., cognitive processing therapy [CPT] and prolonged exposure [PE]) remains a problem, with rates around 38%-51% in routine care settings. Research is needed to characterize predictors and timing of dropout to inform intervention efforts. Using data from the largest randomized controlled trial of CPT and PE to date, we examined the timing and predictors of dropout, including sociodemographic and psychosocial variables.METHODParticipants (N = 916; average age = 45.2; 79.9% male; 64.4% White) were U.S. veterans with PTSD who were randomized to receive PE (n = 455) or CPT (n = 461). Participants completed measures to assess demographic characteristics, PTSD symptoms, depression symptoms, quality of life, substance use, and treatment expectations and preferences. Dropout was defined as completing less than 12 sessions or completing fewer sessions than required based on the study protocol for early responders.RESULTSDropout was significantly higher in PE (52.31%) than in CPT (45.77%). Survival analyses indicated better retention in CPT over time and suggested that this group difference became significant starting after Session 3. Slower reduction in PTSD symptom severity was related to dropout in CPT, but not in PE. Regression models showed that veterans who were younger, Black, and service-connected for PTSD were more likely to drop out.CONCLUSIONSFew pretreatment predictors were associated with dropout, indicating the need for additional research, such as using more intensive, longitudinal methods with time-varying predictors during treatment, to elucidate reasons for dropout from these first-line trauma psychotherapies. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"18 1","pages":"140-150"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599392","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":"Randomized controlled trial of smartphone-based interpretation bias intervention for anxiety and depression.","authors":"Alexandra L Silverman,Gabriela Kovarsky Rotta,Doah Shin,Irelee Ferguson,Courtney Beard","doi":"10.1037/ccp0000996","DOIUrl":"https://doi.org/10.1037/ccp0000996","url":null,"abstract":"OBJECTIVEHabitWorks (HW) is a personalized, transdiagnostic, smartphone-based interpretation bias intervention for depression and anxiety that has demonstrated feasibility and acceptability in prior pilot studies. This preregistered randomized controlled trial (https://doi.org/10.17605/OSF.IO/EJ89T; Silverman, Kovarsky Rotta, et al., 2025) tested the effectiveness of HW compared with a symptom tracking (ST) control condition.METHODA nonclinical community sample of U.S. adults with at least mild anxiety and depression symptoms (N = 340; Mage = 33.04 years, 57.4% women, 60.6% White, 14.7% Black, 11.2% Asian, 10.9% Multiracial, 22.1% Hispanic/Latine) were randomly assigned to complete three weekly interpretation bias exercises and once weekly depression and anxiety symptom surveys (HW) or three weekly depression and anxiety symptom surveys (ST) for 4 weeks.RESULTSA priori benchmarks for retention, adherence, and satisfaction were achieved: 77.8% of HW participants were still using the app in Week 4, 43.7% achieved perfect adherence, and app usability and acceptability were rated positively. As hypothesized, HW was superior to ST at improving negative and benign interpretation biases (Word-Sentence Association Paradigm) and functional impairment (Work and Social Adjustment Scale); and HW (vs. ST) participants reported significantly greater global improvement (Clinical Global Impressions Scale-Improvement Self-Report) and subjective engagement (Twente Engagement with eHealth Technologies Scale) at postintervention. Unexpectedly, while depression and anxiety symptoms (Patient Health Questionnaire-8 and Generalized Anxiety Disorder Scale-7) improved significantly, these changes were not unique to HW.CONCLUSIONSHW is an engaging and scalable intervention that may be effective for improving overall severity and functioning. Further validation of effectiveness for specific symptom domains is needed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"84 1","pages":"125-139"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599395","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":"Interventions for autistic adults: A meta-analysis.","authors":"Isaac C Smith,Laura Graham Holmes,Susan W White","doi":"10.1037/ccp0001003","DOIUrl":"https://doi.org/10.1037/ccp0001003","url":null,"abstract":"OBJECTIVEThe vast majority of autistic adults experience challenges related to co-occurring mental health problems, social cognition, postsecondary education or competitive employment, and other concerns. Services to address these challenges have been identified as a priority for research. This review and meta-analysis were undertaken to determine the clinical impact of interventions for a wide range of concerns for autistic adults.METHODWe conducted a preregistered systematic review and meta-analysis of interventions targeting social cognition, mental health, and academic- and transition-related outcomes for autistic adults. Randomized controlled trials and quasi-experimental studies were eligible for inclusion, while single-case and pre-post designs were excluded. We extracted data on participant and intervention characteristics, primary outcome data in 10 domains (e.g., mental health, social cognition), and risk of bias.RESULTSThirty-five studies were included (N = 1,631 total participants). Random-effects meta-analyses using robust variance estimation revealed significant small to moderate pooled effect sizes for mental health (k = 16, g = .35, 95% CI [0.19, 0.51], I2 = 18.13%), social cognition (k = 16, g = .45, 95% CI [0.17, 0.74], I2 = 67.77%), and quality of life (k = 8, g = .64, 95% CI [0.14, 1.15], I2 = 80.48%). Meta-analyses of behavioral, cognitive, adaptive, and employment outcomes were nonsignificant.CONCLUSIONInterventions for autistic adults show promise, often producing small-to-moderate positive outcomes as compared to treatment as usual or waitlist controls. Effects largely align with those seen in the child and adolescent autism literature, despite considerable heterogeneity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"32 1","pages":"159-172"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599428","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 Injunctive Norms Feedback With and Without Motivational Interviewing to Reduce Alcohol Use and Negative Consequences Among College Students","authors":"","doi":"10.1037/ccp0000989.supp","DOIUrl":"https://doi.org/10.1037/ccp0000989.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"9 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260947","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 Examining Theoretical Mediators in a Culturally Adapted, Community Health Worker-Led Intervention for Depression and Anxiety","authors":"","doi":"10.1037/ccp0000995.supp","DOIUrl":"https://doi.org/10.1037/ccp0000995.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"96 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260948","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 Therapist Effects in Internet-Delivered Cognitive Behavior Therapy for Anxiety and Depression","authors":"","doi":"10.1037/ccp0000994.supp","DOIUrl":"https://doi.org/10.1037/ccp0000994.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"332 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260950","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 Cost-Effectiveness of Transdiagnostic Group Cognitive Behavioral Therapy for Emotional Disorders in Primary Care: An Analysis of the PsicAP Clinical Trial","authors":"","doi":"10.1037/ccp0000990.supp","DOIUrl":"https://doi.org/10.1037/ccp0000990.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"41 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260952","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":"Therapist effects in internet-delivered cognitive behavior therapy for anxiety and depression.","authors":"Ivy F G Feliciano, Lauren Staples, Amelia Scott, Michael P Jones, Heather Hadjistavropoulos, Nickolai Titov, Blake F Dear","doi":"10.1037/ccp0000994","DOIUrl":"https://doi.org/10.1037/ccp0000994","url":null,"abstract":"<p><strong>Objective: </strong>Several clinical studies have found that therapists differ in their client outcomes, supporting the notion of \"therapist effects\" in psychotherapy. However, only a handful of studies have investigated therapist effects in internet-delivered cognitive behavior therapy. This study aimed to examine therapist effects in internet-delivered cognitive behavior therapy treatment of anxiety and depression in routine care.</p><p><strong>Method: </strong>Data of 8,145 clients who were treated by 44 therapists were examined. Generalized linear mixed models were performed to identify the presence of therapist effects and the amount of variance attributable to therapists across several outcomes: (a) change in symptoms over time, (b) the occurrence of clinically significant change, (c) treatment completion, and (d) client satisfaction.</p><p><strong>Results: </strong>Significant therapist effects were observed across all outcomes, indicating that there were differences between therapists in each outcome domain. However, the therapist effects appear relatively modest overall, with therapists explaining 1.5% and 1.4% of variance in change over time in anxiety and depression, respectively, 0.6% and 0.7% of the variance in the occurrence of clinical change in anxiety and depression, respectively, 2.3% of treatment completion, and 1.4% of client satisfaction.</p><p><strong>Conclusions: </strong>The findings suggest that there are differences among therapists across a range of outcomes. However, these differences account for a modest proportion of the overall variation in client outcomes. Future research is needed to replicate these findings across different contexts before firm conclusions are drawn. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 2","pages":"88-100"},"PeriodicalIF":5.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226643","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":"Cost-effectiveness of transdiagnostic group cognitive behavioral therapy for emotional disorders in primary care: An analysis of the PsicAP clinical trial.","authors":"Paloma Ruiz-Rodríguez, Roger Muñoz-Navarro, Gabriel Esteller-Collado, Luciana Moretti, María Carpallo-González, Maider Prieto-Vila, César González-Blanch, Juan Antonio Moriana, Leonardo Adrián Medrano, Antonio Cano-Vindel","doi":"10.1037/ccp0000990","DOIUrl":"10.1037/ccp0000990","url":null,"abstract":"<p><p>Objective/s: Transdiagnostic cognitive behavioral therapy has proven to be an effective treatment for emotional disorders. However, the cost-effectiveness of group Transdiagnostic cognitive behavioral therapy remains unknown. Given the growing demand for psychological care in primary care in the context of limited resources, an economic evaluation of transdiagnostic group cognitive behavioral therapy (TD-GCBT) would provide valuable data for treatment decision making.</p><p><strong>Aims: </strong>To conduct an economic evaluation of the PsicAP treatment protocol.</p><p><strong>Method: </strong>The PsicAP-Costs was a multicenter, randomized controlled trial of 429 patients with a suspected diagnosis of anxiety, depression, and/or somatoform disorders. Participants were randomized to treatment as usual (TAU [control group] or TD-GCBT plus TAU [experimental group]). Treatment consisted of seven sessions of TD-GCBT delivered over a 12-14 week period.</p><p><strong>Results: </strong>The primary efficacy outcomes were significantly better in the TD-GCBT + TAU group, with small to large effect sizes for the reduction of depression, anxiety, and somatization symptoms. The economic evaluation yielded a mean incremental effectiveness of .06 quality-adjusted life years with a mean incremental cost of 263€. This resulted in an incremental cost-effectiveness ratio of 4,759€ per quality-adjusted life year.</p><p><strong>Conclusions: </strong>The integration of TD-GCBT into TAU represents a cost-effective therapeutic approach. The incremental cost-effectiveness ratio of 4,759€ per quality-adjusted life years is well below the willingness-to-pay threshold accepted in Spain, which ranges from 20,000€ to 25,000€. At this threshold, the probability that the intervention is cost-effective is high, ranging from 86% to 89%. Therefore, the implementation of TD-GCBT in PC may represent a cost-effective option for improving the quality of care for emotional disorders. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 2","pages":"101-113"},"PeriodicalIF":5.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146227037","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}