Journal of consulting and clinical psychology最新文献

{"title":"Complete delivery matters: Multilevel complier average causal effect analysis of universal mental health curricula in two randomized controlled trials in U.K. schools.","authors":"Christopher Knowles, Emma Thornton, Margarita Panayiotou, Daniel Hayes, Abigail Thompson, Jessica Deighton, Joao Santos, Carla Mason, Emma Ashworth, Rosie Mansfield, Anna March, Paul Stallard, Neil Humphrey","doi":"10.1037/ccp0000997","DOIUrl":"10.1037/ccp0000997","url":null,"abstract":"<p><strong>Objective: </strong>Complete implementation is assumed in intention-to-treat analyses of universal, school-based mental health literacy curricula, but implementation data routinely reveal program delivery is often incomplete (or in extreme cases, no implementation occurs). Complier average causal effect estimation can rigorously determine whether this makes a difference to intervention outcomes.</p><p><strong>Method: </strong>We used multilevel complier average causal effect estimation to establish if intervention compliance modified treatment effects for universal, school-based mental health literacy interventions delivered in two large U.K. cluster randomized controlled trials (Interventions in Schools for Promoting Mental Wellbeing: Research in Education; Approaches for Wellbeing and Mental Health Literacy: Research in Education): Strategies for Safety and Wellbeing (k = 64 primary schools, N = 3,397 pupils, 91% compliers; k = 29 secondary schools, N = 3,692 pupils, 87% compliers), Mental Health and High School Curriculum Guide (k = 84 secondary schools, N = 4,879 pupils, 71% compliers; complete vs. incomplete delivery: effects on help-seeking intentions); and Youth Aware of Mental Health (k = 87 secondary schools, N = 5,408 pupils, 51% compliers; complete delivery vs. no delivery: effects on emotional difficulties).</p><p><strong>Results: </strong>A compliance effect was observed for Youth Aware of Mental Health (d = -0.97), Mental Health and High School Curriculum Guide (d = 0.17), and Strategies for Safety and Wellbeing when implemented in secondary schools (d = 0.24) but not primary schools.</p><p><strong>Conclusion: </strong>This study provides important evidence that universal school-based mental health literacy curricula can serve as potentially efficacious programs to reduce emotional difficulties and enhance help-seeking behavior but that effects in secondary schools are largely contingent on, or amplified by, complete session delivery. To maximize impact, research must prioritize development of effective strategies and systems of support to overcome commonly identified barriers to implementation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 5","pages":"267-280"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163343","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":"Mental health benchmarks in the United States: An unheeded call to action.","authors":"David J Linkh, Steven L Lancaster","doi":"10.1037/ccp0001012","DOIUrl":"10.1037/ccp0001012","url":null,"abstract":"<p><p>Despite longstanding calls for standardized benchmarks in U.S. outpatient mental health care, none are widely adopted, limiting the ability to evaluate outcomes, compare providers, and advance measurement-based care (MBC). Benchmarks-defined as expected outcome distributions adjusted for diagnosis, severity, and treatment dose-would make care quality observable and actionable. Their absence reflects systemic barriers, including fragmented leadership, misaligned incentives, and limited adoption of routine outcomes monitoring, rather than technical constraints. This gap obscures variability in outcomes, weakens quality improvement efforts, and hinders enforcement of mental health parity. Drawing on field experience and international comparisons, this paper argues that benchmarking must be treated as public infrastructure, supported by federal leadership, aligned incentives, and safe data-sharing frameworks. Establishing national benchmarks is essential to improving transparency, accountability, and equity in outpatient mental health care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 5","pages":"253-255"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163380","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":"Effect of third-wave cognitive behavioral therapy in adults with acquired brain injury: A systematic review and meta-analysis of randomized controlled trials.","authors":"Cecilie Rask Buskbjerg, Alice Munk, Robert Zachariae, Sofie Hedegaard Klausen, Ali Amidi, Lisa Maria Wu","doi":"10.1037/ccp0001008","DOIUrl":"10.1037/ccp0001008","url":null,"abstract":"<p><strong>Objective: </strong>Third-wave cognitive behavioral therapies may be beneficial for relieving psychological symptoms in adults with acquired brain injury, but no comprehensive overview and pooled estimate of their effects exist. We conducted a systematic review and meta-analysis of randomized controlled trials to address this gap.</p><p><strong>Method: </strong>Three databases (Pubmed, APA PsycInfo, and the Cochrane Library) were searched. Included studies were quality-assessed and frequentist and Bayesian analytical strategies were employed for data synthesis and interpretation. Effects were evaluated for outcomes reported in ≥7 studies, and potential moderating influences of study characteristics were explored when available in ≥10 studies.</p><p><strong>Results: </strong>Twenty-eight randomized controlled trials (N = 1,869) were included. Statistically significant effects at postintervention were observed for depression (K = 20, Hedges's g = 0.49, 95% CI [0.17, 0.81]), anxiety (K = 13, g = 0.48, 95% CI [0.01, 0.95]), mindfulness skills (K = 7, g = 0.33, 95% CI [0.12, 0.54]), and health-related quality of life (QoL; K = 11, g = 0.62, 95% CI [0.21, 1.03]). At follow-up, effects were significant for depression (K = 12, g = 0.42, 95% CI [0.12, 0.72]), psychological flexibility (K = 4, g = 0.47, 95% CI [0.13, 0.81]), and stress (K = 3, g = 0.39, 95% CI [0.02, 0.77]). The observed effects were generally smaller after adjusting for outliers (±2 SDs; g = 0.23-0.29). After adjusting for outliers, Bayesian meta-analysis provided strong to very strong support (Bayes factors values: 16-90) for effects on depression at posttreatment and follow-up and QoL at posttreatment. The only moderator analysis reaching statistical significance was for study quality, with higher values being associated with smaller effects on anxiety and QoL.</p><p><strong>Conclusion: </strong>Third-wave cognitive behavioral therapies are likely to be beneficial for relieving psychological symptoms in adults with acquired brain injury, particularly depression and QoL. However, more research is needed to establish robust evidence for their efficacy and clinical relevance. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 5","pages":"305-324"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163372","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":"Investigating craving as an indicator of early response to buprenorphine treatment among adults with opioid use disorder.","authors":"Victoria R Votaw, Zoe London, Allen J Bailey, Roger D Weiss, R Kathryn McHugh","doi":"10.1037/ccp0001013","DOIUrl":"10.1037/ccp0001013","url":null,"abstract":"<p><strong>Objective: </strong>Reduction of craving is a key mechanism of buprenorphine treatment for opioid use disorder but has not been examined as an indicator of early response versus nonresponse. We aimed to (a) identify cut points for craving in the first week of buprenorphine treatment that best predicted later sustained opioid use and (b) examine associations between early nonresponse based on craving and opioid-related, retention, and psychosocial outcomes.</p><p><strong>Method: </strong>Data were from two buprenorphine trials (N = 562; M_age = 34 years; 38% female). Craving was rated on a 0-10 visual analog scale in each of the first 4 weeks. Area under the receiver operating characteristic curve was used to identify optimal craving cut points predicting sustained opioid use during Weeks 5-12. Associations between craving-based early nonresponse and opioid-free weeks, buprenorphine retention, and psychosocial outcomes were examined using regression models.</p><p><strong>Results: </strong>Sustained opioid use was optimally predicted by craving ≥2 in Week 1 (sensitivity = 0.700; specificity = 0.513, positive predictive value = 0.398, negative predictive value = 0.788). Participants above this threshold had 2.53 times greater odds 95% CI = [1.69, 3.81] of sustained opioid use. Craving-based nonresponse was also associated with fewer opioid-free weeks and poorer end-of-treatment depression and quality of life outcomes.</p><p><strong>Conclusions: </strong>Even mild craving early in buprenorphine treatment may signal an increased risk of poor outcomes, thus identifying those who could benefit from monitoring and low-effort interventions to manage craving. However, future work is needed to optimize the prediction of poor buprenorphine outcomes, potentially using models integrating both craving and opioid use in the first weeks of treatment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 5","pages":"256-266"},"PeriodicalIF":6.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163420","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":"Effectiveness of stepped counseling on depression in distressed family caregivers of older adults: A randomized pragmatic trial (ReDiCare).","authors":"Nils F Töpfer, Klaus Pfeiffer, Nicolas Wrede, Gisela Büchele, Gabriele Wilz","doi":"10.1037/ccp0001004","DOIUrl":"10.1037/ccp0001004","url":null,"abstract":"<p><strong>Objective: </strong>The high prevalence of depressive symptoms among family caregivers of older adults dependent on care highlights the need for interventions for reducing depression. Stepped-care approaches of evidence-based interventions have not yet been evaluated in routine settings despite their potential to tailor interventions to the specific risk and need profiles of caregivers in a resource-efficient way. The objective of the study was to evaluate the effectiveness of a stepped counseling approach on depressive symptoms in distressed family caregivers in a randomized pragmatic trial.</p><p><strong>Method: </strong>437 family caregivers of older adults (≥60 years) were randomly assigned to the intervention (n = 224) or a control group receiving routine care (CG; n = 213). The stepped counseling approach combined a low-threshold short problem-solving intervention (Intervention 1) with an optional subsequent telephone-based cognitive behavioral therapy intervention (Intervention 2). The primary outcome of depressive symptoms was compared between the groups at 3 months (T1, after intervention 1), 9 months (T2, after optional Intervention 2), and 15 months (T3, 6-month follow-up) using analyses of covariance.</p><p><strong>Results: </strong>Intention-to-treat analyses showed that the intervention significantly reduced depressive symptoms at T1 (d = -0.24), T2 (d = -0.28), and T3 (d = -0.26) compared to CG.</p><p><strong>Conclusions: </strong>The stepped counseling intervention had a small positive effect on depressive symptoms in a sample of caregivers with below-average socioeconomic status in one of the very few translational studies. The effectiveness of the intervention was likely reduced due to challenges posed by the COVID-19 pandemic. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 5","pages":"293-304"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163387","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 Randomized Controlled Trial of Smartphone-Based Interpretation Bias Intervention for Anxiety and Depression","authors":"","doi":"10.1037/ccp0000996.supp","DOIUrl":"https://doi.org/10.1037/ccp0000996.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"19 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147620154","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 Blended Counseling Intervention (I-PREGNO) on Mental Well-Being of Vulnerable Mothers Postpartum: Findings From a Cluster Randomized Controlled Trial","authors":"","doi":"10.1037/ccp0000998.supp","DOIUrl":"https://doi.org/10.1037/ccp0000998.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"20 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619856","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 Comparing Dropout From Cognitive Processing Therapy Versus Prolonged Exposure: Results From a Randomized Clinical Trial","authors":"","doi":"10.1037/ccp0000999.supp","DOIUrl":"https://doi.org/10.1037/ccp0000999.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"111 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619858","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 Interventions for Autistic Adults: A Meta-Analysis","authors":"","doi":"10.1037/ccp0001003.supp","DOIUrl":"https://doi.org/10.1037/ccp0001003.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"2 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619857","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":"Who benefits from a digital intervention for appearance concerns? A randomized controlled trial of a large mixed-gender sample.","authors":"Tapan A Patel, Jesse R Cougle","doi":"10.1037/ccp0001007","DOIUrl":"10.1037/ccp0001007","url":null,"abstract":"<p><strong>Objective: </strong>Individuals with excessive appearance concerns commonly engage in appearance-related safety behaviors (ARSBs), or behaviors aimed at managing or avoiding negative evaluation of one's physical appearance. Targeting these behaviors can lead to reductions in appearance concerns and related symptoms. However, prior studies have only examined these effects among women scoring above a specific cutoff, excluding men and individuals with lower levels of these concerns. The present study further evaluated the efficacy of this brief ARSB intervention and examined who benefits from this intervention.</p><p><strong>Method: </strong>Adults (N = 400) interested in treatment for appearance concerns were recruited across the United States and randomized to a 1-month smartphone-based intervention targeting ARSBs or a four-session relaxation video control.</p><p><strong>Results: </strong>Baseline appearance concerns moderated condition effects such that, among those with elevated concerns, ARSB fading led to lower appearance concerns than control at post, while conditions did not differ among those with low concerns. Probing the moderated effect using the Johnson-Neyman technique indicated ARSB fading led to significantly lower appearance concerns at post among those scoring in the upper two thirds in appearance concerns (SMD = 0.39). ARSB fading also led to lower body dissatisfaction (SMD = 0.15-0.19) at post and follow-up, and among those high in appearance concerns, ARSB fading led to lower bulimic symptoms at post (SMD = 0.34). No demographic factor moderated the effects of treatment, indicating comparable efficacy between men and women.</p><p><strong>Conclusions: </strong>These findings further support the efficacy of ARSB fading and provide novel evidence for individuals who are likely to benefit from this intervention. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"216-227"},"PeriodicalIF":6.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815475","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}