Journal of consulting and clinical psychology最新文献

{"title":"Supplemental Material for Is There a Treatment for the Turker Blues? A Fully Remote Nationwide Randomized Controlled Trial of a Digital Intervention for Depression in Adult Online Workers","authors":"","doi":"10.1037/ccp0000982.supp","DOIUrl":"https://doi.org/10.1037/ccp0000982.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"81 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397014","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 Impact of Routine Outcome Monitoring and Feedback Integration on Treatment Outcome: A Therapist-Specific Indicator of Belief Updating Processes?","authors":"","doi":"10.1037/ccp0000974.supp","DOIUrl":"https://doi.org/10.1037/ccp0000974.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"12 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397018","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 Between- and Within-Person Relations Between Treatment Modules and Symptom Improvements Across Six Randomized Controlled Trials","authors":"","doi":"10.1037/ccp0000972.supp","DOIUrl":"https://doi.org/10.1037/ccp0000972.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"28 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397016","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 Emotion Regulation as a Transdiagnostic Treatment Construct Across Group Cognitive Behavioral Therapies for Adult Anxiety and Depression","authors":"","doi":"10.1037/ccp0000967.supp","DOIUrl":"https://doi.org/10.1037/ccp0000967.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"62 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145396884","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":"The quasi-experimental multiple baseline panel design: A suitable design for psychotherapy outcome research in clinical practice.","authors":"Fredrik Falkenström, Rikard Fjällström, Dan Bengtsson","doi":"10.1037/ccp0000973","DOIUrl":"https://doi.org/10.1037/ccp0000973","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"98 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397007","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":"Exploring the influence of loneliness and social isolation in transdiagnostic internet-delivered cognitive behavioral therapy for depression and anxiety.","authors":"Anton Käll,Ram P Sapkota,Alayna Gretton,Andrew Wilhelms,Marcie Nugent,Gerhard Andersson,Blake Dear,Nick Titov,Heather D Hadjistavropoulos","doi":"10.1037/ccp0000975","DOIUrl":"https://doi.org/10.1037/ccp0000975","url":null,"abstract":"OBJECTIVEPast research shows that social factors play an important role in mental health outcomes, but there is limited research on how these factors influence Internet-delivered cognitive behavior therapy (ICBT). This study investigated the prevalence of subjective (i.e., feelings of loneliness) and objective social isolation among patients receiving transdiagnostic ICBT. We explored whether social factors change over treatment and moderate treatment effectiveness and engagement.METHODThis study used data collected in a routine ICBT clinic. Among clients with elevated depression and/or anxiety who started ICBT (n = 625), we analyzed measures of depression, anxiety, loneliness, and social engagement administered at pretreatment, various points during the treatment and 20 weeks follow-up.RESULTSPretreatment prevalence of frequent loneliness and social isolation was 75.7% and 54.6%, respectively. Depression and anxiety decreased over time, with large effect sizes from pretreatment to follow-up (depression d = 1.56; anxiety d = 1.63). Loneliness decreased significantly (d = 0.69), while social engagement improved moderately (d = 0.37). Higher pretreatment loneliness was associated with higher average levels of depression across the treatment period and with fewer completed treatment lessons.CONCLUSIONSOverall, results indicate that loneliness and social isolation are prevalent among clients seeking ICBT and both decrease during transdiagnostic ICBT. More frequent loneliness during the treatment was associated with lower engagement and smaller treatment gains, while social isolation was not. These findings suggest that further research is warranted on how to address loneliness within ICBT. It also suggests that social isolation can be reduced by means of transdiagnostic ICBT. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"42 1","pages":"663-676"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351543","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 comparing two processes of exposure therapy: Extinction learning and habituation.","authors":"Michael Treanor,Tomislav D Zbozinek,Benjamin M Rosenberg,Amy Sewart,Christina F Sandman,Julian Ruiz,Michelle G Craske","doi":"10.1037/ccp0000970","DOIUrl":"https://doi.org/10.1037/ccp0000970","url":null,"abstract":"OBJECTIVETo investigate the role of extinction learning and habituation by comparing inhibitory retrieval to habituation-focused exposure for social anxiety and panic disorder.METHODIn this assessor-blinded, parallel-group, two-arm randomized controlled clinical superiority trial, 89 treatment-seeking adults with social anxiety (n = 77) or panic disorder (n = 12) received nine weekly therapy sessions of inhibitory retrieval or habituation-focused exposure therapy. Outcomes were client-reported symptoms, interviewer-rated client distress and impairment, and a behavioral approach task.RESULTSModified intent-to-treat analyses were conducted using multilevel modeling. There were no group differences on principal outcomes of interviewer-rated distress and impairment, nor significant pairwise differences on symptom scores at posttreatment or follow-up (ps > .11). However, secondary and exploratory analyses revealed that relative to the habituation condition, participants in the inhibitory retrieval condition demonstrated significantly steeper decreases in self-reported anxiety from baseline to posttreatment, b = 0.05, 95% CI [0.01, 0.08], χ2(1) = 6.67, p = .010; session-by-session self-reported anxiety, b = 0.01, 95% CI [0.004, 0.02], χ2(1) = 12.33, p = .001; and distress during a behavioral approach task, f = .134, χ2(1) = 4.75, p = .029. Additionally, a higher percentage of participants in the inhibitory condition achieved clinically significant change on self-reported anxiety at posttreatment (43% vs. 13%), although there were no group differences on interviewer-rated indices of clinically significant change (ps > .42).CONCLUSIONBoth methods of exposure therapy were effective. Exposure therapy targeting extinction learning modestly improved outcomes on secondary and exploratory measures although, aside from reliable and clinically significant change, group differences at posttreatment and follow-up were not significant. Habituation-focused exposure therapy was not superior on any measure. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"69 1","pages":"705-717"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351513","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":"Why we need effective deimplementation strategies to reduce the costs by ineffective and potentially harmful therapies.","authors":"Philipp Herzog,Carmen P McLean","doi":"10.1037/ccp0000981","DOIUrl":"https://doi.org/10.1037/ccp0000981","url":null,"abstract":"The provision of unsupported, proven ineffective, and potentially harmful therapies is a persistent problem in mental health care. Multiple reasons at the provider, system/policy, and public levels can help explain why practitioners are drawn to use poorly supported and pseudoscientific treatments. The example of posttraumatic stress disorder demonstrates how past attempts to implement evidence-based practice have failed, underlining the limits of an overly strong focus on traditional implementation strategies. This continuing science-practice gap comes at a cost not only for the individual but also for society, thereby wasting valuable resources and reducing their public health impact. Proceeding in parallel with implementation efforts to increase access to well-supported treatment, implementation science must also develop and deploy deimplementation strategies to tackle this challenge. Deimplementation science studies methods to systematically remove non-evidence-based practices from routine clinical care. The longitudinal prescription practice trend for posttraumatic stress disorder medication showed the benefits of targeted deimplementation efforts (e.g., reducing medication overprescription), but there is less evidence for successfully deimplementing psychological therapies. To fill this research gap, we propose a potential deimplementation framework targeting low-value and inappropriate care. Prioritizing deimplementation (e.g., removing ineffective and harmful treatments) may prevent wasting resources in research and health care, thereby exerting a public health impact equally large as the uptake of evidence-based innovations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"23 1","pages":"653-662"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351545","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":"Ethnicity and income as predictors of clinical outcomes of a youth-focused personalizable modular treatment.","authors":"Evelyn Cho,Bruce F Chorpita,Kendal Reeder,Margarita Alegría,Maggi A Price,John R Weisz, ","doi":"10.1037/ccp0000979","DOIUrl":"https://doi.org/10.1037/ccp0000979","url":null,"abstract":"OBJECTIVEPersonalizable modular treatments may be helpful in addressing the mental health needs of minoritized youths. We used data from five randomized effectiveness trials of the Modular Approach to Therapy for Children, a personalizable, individually tailored, modular treatment for common youth mental health concerns, to investigate whether clinical outcomes were predicted by ethnicity, family income, and their interaction.METHODParticipants were drawn from a pool of 537 clinically referred youths treated for internalizing and/or externalizing problems in community clinics and their caregivers. The mean youth age was 9.97 (SD = 2.59); 57% were male; 49% were White, 22% Hispanic or Latinx, 14% Black, 13% multiethnic, 1% Asian, and 1% other ethnicity. Family income ranged from 21% to 776% of the federal poverty threshold, with 38% below the threshold. Youths and caregivers completed standardized measures of internalizing and externalizing problems quarterly for up to 24 months and standardized measures of internalizing and externalizing problems and idiographic top problem severity weekly throughout treatment.RESULTSFollowing adjustment for multiple analyses, ethnicity, income, and their interaction did not predict symptom improvement on any youth or caregiver-reported outcomes.CONCLUSIONSYouths treated with the Modular Approach to Therapy for Children experienced comparable clinical benefits across ethnic groups and income levels, with no predictor effects when the number of tests was controlled for. The findings support future research on personalizable modular treatment for minoritized youths. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"10 1","pages":"677-689"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351544","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":"Pilot microrandomized trial of a brief digital intervention for suicidal thoughts.","authors":"Kate H Bentley,Molly I Ball,Swaraj Bose,Rebecca G Fortgang,Daniel D L Coppersmith,Dylan DeMarco,Nancy Hu,Felipe Herrmann,Merryn Daniel,Walter Dempsey,Matthew K Nock","doi":"10.1037/ccp0000978","DOIUrl":"https://doi.org/10.1037/ccp0000978","url":null,"abstract":"OBJECTIVEThe goal of this study was to conduct a pilot microrandomized trial to assess the feasibility and acceptability of a brief digital intervention aimed at promoting in-the-moment coping strategy use for suicidal thoughts after psychiatric hospitalization.METHODSeventy-one adults hospitalized for suicide risk (Mage = 31.94 years, 46.48% female, 78.87% White) were enrolled and included in analyses. Real-time reports of suicidal thoughts were collected for 28 days after discharge via ecological momentary assessment. Each time participants reported an elevated momentary suicide urge or intent on an ecological momentary assessment survey, they were randomized to smartphone-based messages aimed at promoting the use of evidence-based coping strategies (vs. \"no message\" control). Messages included either personalized or general coping strategy recommendations.RESULTSForty-four participants (57.89%) met criteria for randomization at least once and were randomized on average 11.48 times (SD = 23.38); 8.85% of completed ecological momentary assessments met randomization criteria. Participants found the intervention messages feasible and acceptable. Most described the messages as helpful and preferred personalized (over general) messages. Statistical analyses revealed no group-level iatrogenic intervention effects. Following intervention (vs. no intervention), participants were significantly more likely to report use of a coping strategy to manage suicidal thoughts, with stronger effects for personalized messages.CONCLUSIONSThis pilot microrandomized trial supports the feasibility and acceptability of a brief digital intervention for promoting in-the-moment coping strategy use during episodes of suicidal thinking. Results inform the development of novel just-in-time adaptive interventions for suicide prevention and the design of larger-scale microrandomized trials to evaluate and optimize them. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"45 1","pages":"690-704"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351510","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}