Journal of consulting and clinical psychology最新文献

{"title":"A randomized controlled trial of injunctive norms feedback with and without motivational interviewing to reduce alcohol use and negative consequences among college students.","authors":"Clayton Neighbors, Lindsey M Rodriguez, Dipali V Rinker, Chelsie M Young, Angelo M DiBello, Alex Swanson, Heather Krieger, Mary Tomkins, Jessica M Cronce, C Raymond Knee, Melissa A Lewis","doi":"10.1037/ccp0000989","DOIUrl":"https://doi.org/10.1037/ccp0000989","url":null,"abstract":"<p><strong>Objective: </strong>Personalized normative feedback interventions targeting perceived descriptive norms (perceptions of how much or how often other people drink) have repeatedly been shown to reduce problem drinking among young adults. Less work has targeted perceived injunctive norms (perceptions of others' approval of drinking), possibly due to the potential for reactance to feedback, which communicates that others disapprove of intervention recipients' drinking. Motivational interviewing (MI) is a nonjudgmental clinical approach that diffuses reactance by emphasizing empathy and autonomy. This study evaluated the efficacy of in-person computer-delivered injunctive personalized normative feedback (IPNF) and facilitator-delivered IPNF with MI (IPNF + MI) in reducing alcohol consumption (past month drinking, typical weekly drinking, and maximum drinks consumed on one occasion) and two indices of alcohol-related consequences.</p><p><strong>Method: </strong>Participants included 605 heavy-drinking college students from two large universities who were randomized to receive either IPNF, IPNF + MI, or attention control feedback. Participants completed 3- and 6-month follow-up surveys.</p><p><strong>Results: </strong>Findings revealed no significant reductions in alcohol outcomes for IPNF relative to control. Results showed significant reductions for IPNF + MI relative to control in drinks per week and both indices of alcohol-related consequences. The effect of IPNF + MI was significantly stronger than IPNF for one index of consequences. There were no between-condition effects for peak drinks consumed or past month drinking after correcting for multiple comparisons. Mediation results revealed indirect effects of both IPNF conditions versus control through reductions in injunctive norms on all outcomes.</p><p><strong>Conclusions: </strong>Results provide modest evidence for injunctive norms-based feedback as an intervention strategy for heavy-drinking students only when MI-delivered. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 2","pages":"74-87"},"PeriodicalIF":5.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146227100","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":"Examining theoretical mediators in a culturally adapted, community health worker-led intervention for depression and anxiety.","authors":"Kari M Eddington, Andrew J Supple, Claire Poindexter, Sheri Markle, Gabriela Livas, Margarita Alegría","doi":"10.1037/ccp0000995","DOIUrl":"https://doi.org/10.1037/ccp0000995","url":null,"abstract":"<p><strong>Objective: </strong>Emerging research suggests that mental health interventions led by community health workers (CHW) are effective and increase access to services for minoritized groups. However, the question of how these interventions work has rarely been tested. In this secondary analysis of data from a randomized clinical trial of a CHW-led intervention that included training in mindfulness and encouraged active engagement and self-efficacy in managing mental health care, we aimed to examine several mediators of change based on theoretical mechanisms of action.</p><p><strong>Method: </strong>A sample of 1,044 racially and ethnically diverse adults (mean age 42.6; 83.8% female-identifying) with moderate to severe depression or anxiety symptoms were randomly assigned to the Strong Minds, Strong Communities psychoeducational intervention or an enhanced control condition. Models tested the direct effects of the intervention on outcomes (depression, anxiety, and functional impairment) as well as the indirect effects of proposed mediators (mindfulness, patient activation, self-efficacy, and working alliance).</p><p><strong>Results: </strong>Multiple mediator models showed consistent, significant indirect effects of mindfulness across all outcomes, suggesting partial mediation. Patient activation was a significant partial mediator for depression only. Results for the working alliance were consistently nonsignificant. Exploratory analyses examined moderation by racial/ethnic group (Latinx, Asian, non-Latinx Black, and non-Latinx White), finding no significant effects.</p><p><strong>Conclusion: </strong>These findings suggest that structured, short-term CHW-led interventions are operating through similar therapeutic processes as those observed in studies using licensed professionals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 2","pages":"114-123"},"PeriodicalIF":5.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226662","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":"Covariation of symptomatic and mechanistic change during dialectical behavior therapy for suicidal self-harming youth.","authors":"Jamie D Bedics, Joan Rosenbaum Asarnow, Michele S Berk, Elizabeth McCauley, Robert Gallop","doi":"10.1037/ccp0000986","DOIUrl":"https://doi.org/10.1037/ccp0000986","url":null,"abstract":"<p><strong>Objective: </strong>The effectiveness of psychotherapy for suicidal youth remains a public health priority. Dialectical behavior therapy (DBT; Linehan, 1993) has been recognized as a well-established treatment for suicidal youth (Witt et al., 2021). Although promising, little work has explored mechanisms of change in DBT for suicidal youth (Asarnow et al., 2021). This study aimed to examine covariation in rates of change between symptoms and theorized mechanistic variables during a randomized controlled trial of DBT for suicidal youth.</p><p><strong>Method: </strong>The present study was a secondary data analysis of a randomized controlled trial of DBT for 173 suicidal youth (ages 12-18; McCauley et al., 2018). Multilevel modeling was used to examine the association between person-level rates of change for self-harm (suicide attempts and nonsuicidal self-injury), suicidal ideation, DBT skills, emotion dysregulation, and reasons for living.</p><p><strong>Results: </strong>Both treatment groups showed statistically significant covariation between reductions in self-harm and suicidal ideation. Rates of change in self-harm and suicidal ideation decreased with improvement in emotion regulation for both treatments. An increase in endorsed reasons for living significantly covaried with reductions in self-harm and suicidal ideation within the DBT condition only.</p><p><strong>Conclusions: </strong>Study results support the potential value of efforts to reduce suicidal ideation and self-harm through improving emotion regulation and demonstrate common and unique mechanisms of change across treatments for youths at elevated suicide/self-harm risk. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 2","pages":"63-73"},"PeriodicalIF":5.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226496","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 Increasing the Effectiveness of Psychotherapy in Routine Care Through Transdiagnostic Online Modules? Randomized Controlled Trial Investigating Blended Care","authors":"","doi":"10.1037/ccp0000983.supp","DOIUrl":"https://doi.org/10.1037/ccp0000983.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"29 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993392","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 Strengthening Couple Functioning to Enhance Child Outcomes in Low-Income Families: A Randomized Controlled Trial","authors":"","doi":"10.1037/ccp0000988.supp","DOIUrl":"https://doi.org/10.1037/ccp0000988.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"1 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993390","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 What Works for Whom in Outpatient Cognitive-Behavioral Therapy? Integration of Techniques From Different Therapeutic Orientations and Their Interactions as Predictors of Treatment Outcome in Different Diagnostic Groups","authors":"","doi":"10.1037/ccp0000987.supp","DOIUrl":"https://doi.org/10.1037/ccp0000987.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"39 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993393","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 Who Benefits Most From Couple Relationship Education: A Machine Learning Approach","authors":"","doi":"10.1037/ccp0000991.supp","DOIUrl":"https://doi.org/10.1037/ccp0000991.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"76 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993394","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 Why Are Some Cases Not on Track? An Investigation of Common Obstacles and Solutions During Feedback-Informed Psychological Therapy","authors":"","doi":"10.1037/ccp0000977.supp","DOIUrl":"https://doi.org/10.1037/ccp0000977.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"178 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993396","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":"Increasing the effectiveness of psychotherapy in routine care through transdiagnostic online modules? Randomized controlled trial investigating blended care.","authors":"Carmen Schaeuffele,Augustin Mutak,Solveig Behr,Friederike Fenski,Leona Hammelrath,Marie Puetz,Steffi Pohl,Christine Knaevelsrud,Johanna Boettcher","doi":"10.1037/ccp0000983","DOIUrl":"https://doi.org/10.1037/ccp0000983","url":null,"abstract":"OBJECTIVEBlended care (BC), the integration of Internet-based interventions into psychotherapy (PT), is thought of as a promising approach to enhance PT's effectiveness and efficiency. This randomized controlled trial aimed to investigate the effectiveness as well as the implementation and usage of BC with transdiagnostic online modules compared to PT in routine care in Germany. Routine outpatient PT is delivered by licensed psychotherapists across different therapeutic orientations (cognitive behavioral therapy, psychodynamic, systemic), with variable treatment lengths and procedures.METHODPsychotherapists in routine outpatient care recruited 1,159 patients who were randomized to BC or PT. The primary outcome was self-reported mental distress (the composite of anxiety and depression); secondary outcomes included self-reported satisfaction with life, level of functioning, eating pathology, and drug and alcohol use, as well as therapist-rated severity and changes. Outcomes were measured at baseline, 6 weeks, 12 weeks, 6 months, and 12 months. We examined whether BC and PT groups changed differently over time using linear mixed models. We also investigated differences in sessions and terminations and report usage metrics of the BC platform.RESULTSContrary to our hypotheses, we did not find differences between BC and PT in outcomes, including anxiety, depression, satisfaction with life, level of functioning, eating pathology, alcohol and drug use, therapist-rated severity, and satisfaction with treatment at 6 months postrandomization (all p > .05). BC and PT did not differ in the number of sessions or terminations. Regarding usage of the BC platform, 534 patients (91.6%) received at least one online chapter, with M = 7.26 (SD = 7.01) of a total of 39 online chapters assigned on average, and patients logged in M = 19.73 (SD = 24.66) times and spent M = 367.14 (SD = 338.27) minutes on the platform.CONCLUSIONSIn this real-world application of BC, therapists had considerable flexibility in implementing BC and integrating Internet-based interventions with sessions. Our findings suggest that the benefits observed in more structured BC setups may not fully translate to a flexible and transdiagnostic BC setup in routine care, potentially due to variations in implementation and adherence. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"39 1","pages":"11-25"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971855","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 couple functioning to enhance child outcomes in low-income families: A randomized controlled trial.","authors":"Justin A Lavner,Po-Heng Chen,Hannah C Williamson","doi":"10.1037/ccp0000988","DOIUrl":"https://doi.org/10.1037/ccp0000988","url":null,"abstract":"OBJECTIVELarge-scale efforts have disseminated couple and relationship programs to strengthen couple relationships among low-income families, with the hope that doing so would yield benefits for partners and their children. The present study provided a rigorous test of this hypothesis by examining indirect effects of a couple-focused preventive intervention on child outcomes in a large sample of low-income families.METHODData were drawn from the Supporting Healthy Marriage evaluation, in which 6,298 low-income married couples with children were randomized to a relationship education intervention with supplemental activities and family support services or to a control condition. Couple relationship functioning was assessed 12 months postrandomization, and five child outcomes (self-regulation, internalizing behavior problems, externalizing behavior problems, cognitive and academic performance, and social competence) were assessed 30 months postrandomization.RESULTSStructural equation models revealed that the intervention had significant indirect effects on children's self-regulation, internalizing behavior problems (children younger than 14 years), externalizing behavior problems (children younger than 14 years), cognitive and academic performance (children older than 5 years), and social competence, through enhanced couple functioning.CONCLUSIONSParticipation in a couple-focused intervention had significant indirect effects on low-income couples' children 30 months later through intervention-derived improvements in the couple relationship. These results suggest that strengthening couple relationships may be a viable option to indirectly promote child well-being in low-income families. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"5 1","pages":"39-48"},"PeriodicalIF":5.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971856","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}