Journal of consulting and clinical psychology最新文献

{"title":"Efficacy of cognitive behavioral therapies with a trauma focus for posttraumatic stress disorder: An individual participant data meta-analysis.","authors":"Simonne L Wright,Eirini Karyotaki,Marit Sijbrandij,Pim Cuijpers,Jonathan I Bisson,Davide Papola,Anke B Witteveen,Sudie E Back,Dana Bichescu-Burian,Liuva Capezzani,Marylene Cloitre,Grant J Devilly,Thomas Elbert,Marcelo Feijo Mello,Julian D Ford,Damion Grasso,Richard Gray,Moira Haller,Nigel Hunt,Rolf J Kleber,Julia König,Claire Kullack,Jonathan Laugharne,Rachel Liebman,Christopher William Lee,Jeannette Lely,John C Markowitz,Candice Monson,Mirjam J Nijdam,Sonya Norman,Miranda Olff,Tahereh Mina Orang,Luca Ostacoli,Nenad Paunovic,Eva Petkova,Rita Rosner,Maggie Schauer,Joy M Schmitz,Ulrich Schnyder,Brian Smith,Anka A Vujanovic,Yinyin Zang,Soraya Seedat","doi":"10.1037/ccp0000942","DOIUrl":"https://doi.org/10.1037/ccp0000942","url":null,"abstract":"OBJECTIVEThis individual participant data meta-analysis aimed to investigate the effectiveness of cognitive behavioral therapy with a trauma focus (CBT-TF) for posttraumatic stress disorder (PTSD). Furthermore, we examined the effect of moderators on PTSD symptom severity.METHODThis study included randomized controlled trials comparing CBT-TF to an inactive or active comparison group for adults with PTSD. The primary and secondary outcomes were PTSD symptom severity and remission, respectively. Moderators included sociodemographic and clinical variables.RESULTSTwelve studies compared CBT-TF with inactive (n = 625) and 11 with active comparison conditions (n = 706). The one-stage individual participant data meta-analysis found that CBT-TF was more effective than inactive comparison conditions (β = -0.78; OR = 2.34) and not significantly different from active comparison conditions (β = 0.02; OR = 0.53) in reducing PTSD symptom severity and achieving PTSD remission, respectively. When comparing CBT-TF with inactive treatments, moderator analysis found that divorced participants had greater PTSD symptoms postintervention following CBT-TF than participants who were single, cohabitating, or married receiving CBT-TF, both in the completer (β = 0.93) and full-sample (β = 0.59) analyses. For the active treatment comparison, moderator analysis found that participants taking psychotropic medication had lower PTSD symptoms following CBT-TF than those not taking psychotropic medication in the completer analysis (β = -0.39).CONCLUSIONBased on our moderator analyses, further research is needed to understand the effect of psychotropic medication on the CBT-TF intervention process. Moreover, divorced participants with PTSD receiving CBT-TF might benefit from enhanced support. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"30 1","pages":"401-426"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087844","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":"Beyond total scores: Enhancing psychotherapy outcome prediction with item-level scores.","authors":"Juan Segundo Pena Loray,Miriam Ina Hehlmann,Juan Martín Gomez Penedo,Henning Schöttke,Julian A Rubel","doi":"10.1037/ccp0000957","DOIUrl":"https://doi.org/10.1037/ccp0000957","url":null,"abstract":"OBJECTIVEThis study aims at improving dropout and treatment nonresponse prevention by optimizing the performance of models for their prediction through the integration of item-level data.METHODRoutine data from 1,277 patients (Mage = 36.95, SDage = 13.64; 64.77% female) treated at Osnabrück University was used to train and evaluate 20 machine-learning algorithms and five ensemble models. Measures included sociodemographic information, Outcome Questionnaire-30, Questionnaire for the Evaluation of Psychotherapeutic Progress, Questionnaire on Emotional Well-Being, Symptom Checklist-90-R, and the Inventory of Interpersonal Problems-32. Prediction models were trained with nested cross-validation and validated in a holdout sample. SHapley Additive exPlanations values were extracted for the best resulting model.RESULTSItem-level models achieved the highest performance for both dropout (F1-Score = 0.87, Brier score = 0.0529, balanced accuracy = 0.88) and treatment nonresponse (F1-Score = 0.60, Brier score = 0.1646, balanced accuracy = 0.72) prediction. Items reflecting cognitive and bodily dimensions, respectively, emerged as key predictors.CONCLUSIONThis study demonstrates the clinical value of using item-level data to enhance predictive modeling for dropout and treatment nonresponse and the potential to provide actionable insights for clinical practice. Integrating such models into clinical feedback systems could help identify at-risk patients and reduce dropout and nonresponse rates. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"15 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065726","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 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":"","doi":"10.1037/ccp0000956.supp","DOIUrl":"https://doi.org/10.1037/ccp0000956.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"38 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229406","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 The Effect of Mindfulness Interventions on Couple Relationship Satisfaction: A Systematic Review and Meta-Analysis","authors":"","doi":"10.1037/ccp0000954.supp","DOIUrl":"https://doi.org/10.1037/ccp0000954.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"61 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229407","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 Exploring the Matching Effect: The Association Between Preference Accommodation, the Working Alliance, and Outcome in Psychotherapy","authors":"","doi":"10.1037/ccp0000955.supp","DOIUrl":"https://doi.org/10.1037/ccp0000955.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"16 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229408","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 Beyond Total Scores: Enhancing Psychotherapy Outcome Prediction With Item-Level Scores","authors":"","doi":"10.1037/ccp0000957.supp","DOIUrl":"https://doi.org/10.1037/ccp0000957.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"70 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229409","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 Differential Effect of Early Response on Outcomes in Person-Centered Experiential Therapy and Cognitive Behavioral Therapy for the Treatment of Adult Moderate or Severe Depression","authors":"","doi":"10.1037/ccp0000948.supp","DOIUrl":"https://doi.org/10.1037/ccp0000948.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"2021 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229414","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 Cognitive Restructuring Before Exposure Therapy or Behavioral Experiments? How the Timing of Expectancy Violation and Magnitude of Expectancy Change Influence Exposure Therapy Outcomes","authors":"","doi":"10.1037/ccp0000953.supp","DOIUrl":"https://doi.org/10.1037/ccp0000953.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"36 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229412","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 Building Toward a Text-Based Intervention for Parents of Suicidal Adolescents Seeking Emergency Department Care: A Pilot Randomized Controlled Trial","authors":"","doi":"10.1037/ccp0000950.supp","DOIUrl":"https://doi.org/10.1037/ccp0000950.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"18 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229413","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":"Building toward a text-based intervention for parents of suicidal adolescents seeking emergency department care: A pilot randomized controlled trial.","authors":"Ewa Czyz,Inbal Nahum-Shani,Cynthia Ewell Foster,Valerie Micol,Amanda Jiang,Nadia Al-Dajani,Alejandra Arango,Maureen Walton,Victor Hong,Sheikh Iqbal Ahamed,Cheryl King","doi":"10.1037/ccp0000950","DOIUrl":"https://doi.org/10.1037/ccp0000950","url":null,"abstract":"OBJECTIVEThe growing demand for emergency department (ED) care for suicidal ideation and attempts in adolescents calls for effective interventions preventing post-ED recurrence of suicidal crises. Parents are tasked with implementing postdischarge suicide prevention recommendations, often with little support. To address this need, this study examined a parent-facing texting intervention targeting parental engagement in suicide prevention activities to lower youth suicide risk after discharge.METHODA pilot randomized controlled trial was conducted with 120 parents (83.3% mothers) and their adolescents (ages 13-17, 65.8% female, 75.0% White) presenting to an ED with suicide risk concerns. Parents were randomized to a control group or a 6-week intervention providing parents with daily adolescent-centered text messages encouraging post-ED parental engagement in recommended suicide prevention activities with or without added parent-centered texts intended to support parents' own well-being. Proposed mechanisms (parental self-efficacy, engagement in suicide prevention activities) were assessed at 2, 6, and 12 weeks. This trial is registered with https://clinicaltrials.gov (NCT05058664).RESULTSThe text-based intervention was feasible and acceptable. In exploratory analyses, relative to control, the text-based intervention was associated with greater parental engagement in suicide prevention activities postintervention at 6 (d = 0.48, p = .027) and 12 weeks (d = 0.53, p = .019) and lower youth suicide attempts at 12 weeks (hazard ratio = 0.23, CI [0.06, 0.96], p = .044), regardless of whether parents received additional parent-centered texts.CONCLUSIONSWarranting further study in a fully powered trial, findings suggest this parent-facing texting intervention intended to promote youth safety was acceptable and may offer a promising strategy to lower post-ED youth suicide risk. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"52 1","pages":"382-389"},"PeriodicalIF":5.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143945578","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}