{"title":"Psychiatry in the context of changing cultural norms: Mental disorders among migrants and refugees","authors":"Andrei Efremov","doi":"10.1016/j.jbct.2025.100544","DOIUrl":"10.1016/j.jbct.2025.100544","url":null,"abstract":"<div><h3>Context</h3><div>The study aimed to determine the impact of cultural change on the mental health of migrants and refugees in the United States, including an analysis of mental disorders (depression, anxiety disorders, post-traumatic stress disorder (PTSD), social isolation, stress, and adjustment difficulties) associated with adaptation to new cultural norms and living conditions.</div></div><div><h3>Method</h3><div>The methodology included an examination of regulatory documents, clinical case studies, comparative analysis, and both theoretical and content analysis. The impact of migration on the mental health of migrants and refugees in the United States was addressed, focusing on legal, social and medical aspects. Real-world cases from refugee clinics in New York (2014–2016) were analysed based on data from U.S. mental health agencies. Committee for Refugees and Immigrants, American Psychological Association, National Immigrant Justice Centre. Unique data were the quantitative and qualitative indicators indicating a high proportion of PTSD, depression and anxiety among refugees (up to 70% of patients).</div></div><div><h3>Results</h3><div>The study determined that the key barriers to improving mental health are language and culture, uncertain legal status, and lack of access to social support. The results confirmed that a comprehensive approach, including the integration of psychotherapy, medication and social adaptation, is effective for the rehabilitation of this population. The study also emphasised the need to expand health insurance programmes, introduce culturally sensitive approaches to treatment, and develop digital tools for psychological care.</div></div><div><h3>Conclusions</h3><div>These findings can be used as a basis for further research and the development of new strategies to support the mental health of these groups.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100544"},"PeriodicalIF":1.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How many sessions of CBT-I are needed?","authors":"Susanna Jernelöv","doi":"10.1016/j.jbct.2025.100543","DOIUrl":"10.1016/j.jbct.2025.100543","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100543"},"PeriodicalIF":1.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mindful path to psychological wellbeing: a comprehensive review","authors":"Shubhangi Attrey , Shilpa Joshi , Vimal Bhatt","doi":"10.1016/j.jbct.2025.100537","DOIUrl":"10.1016/j.jbct.2025.100537","url":null,"abstract":"<div><h3>Purpose</h3><div>Mindfulness has recently emerged as a topic of significant interest and discussion. A key element of psychological well-being is mindfulness, which promotes improved self-awareness, emotional control, focus, stress management, self-regulation, and reduces stress and anxiety, which leads to greater well-being and life satisfaction.</div><div>The current research aims to explore the conceptualization of mindfulness, its dimensions, and its integration with psychological wellbeing dimensions, contributing to the achievement of greater overall wellbeing.</div></div><div><h3>Methodology</h3><div>This is a general review paper using PRISMA, which includes data from sources, including research papers, review articles from Scopus database with a year ranging from 2010 to 2024.</div></div><div><h3>Findings</h3><div>The majority of measures showed a positive correlation between mindfulness and successful outcomes. The present study also suggests that mindfulness has the potential to enhance wellbeing outcomes (e.g., autonomy, self-acceptance, environmental mastery, personal growth, and interpersonal relationships) by reducing mental health issues such as stress, anxiety, and depression.</div></div><div><h3>Limitations/implications</h3><div>The study’s insights from a particular region are limited due to its focus only on mindfulness with psychological well-being components to reduce the impact of post psychological outcomes, which may have an impact on the findings’ generalizability. For the results to be more applicable and relevant in a variety of academic contexts, future research should aim in understanding the long-term sustainability of mindfulness benefits in all walks of life. Additionally, examining the impact of mindfulness on specific organizational outcomes, such as turnover rates, employee engagement, and team dynamics, could provide deeper insights into its benefits.</div></div><div><h3>Originality</h3><div>This study examines the integration of mindfulness with various components of psychological well-being and indicates that mindfulness is positively correlated with a number of well-being outcomes. It is recommended that both individuals and organizations incorporate mindfulness practices into their daily routines in order to promote a culture of well-being that not only strengthens individual resilience but also improves personal health.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100537"},"PeriodicalIF":1.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandria Muench , Hannah Scott , Janet M.Y. Cheung
{"title":"No variable left behind: The necessity for multi-variable assessments of insomnia","authors":"Alexandria Muench , Hannah Scott , Janet M.Y. Cheung","doi":"10.1016/j.jbct.2025.100541","DOIUrl":"10.1016/j.jbct.2025.100541","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100541"},"PeriodicalIF":1.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144663654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"French validation of the responses to positive affect scale","authors":"Catherine Bortolon , Stéphane Raffard","doi":"10.1016/j.jbct.2025.100535","DOIUrl":"10.1016/j.jbct.2025.100535","url":null,"abstract":"<div><div>How people regulate their positive affect has been found to be key for mental health, while being implicated in mental health disorders such as bipolar disorder and depression. The goal of this study was to validate a French version of the Responses to Positive Affect Scale (RPA, Feldman et al., 2008), which provides a measure of two emotion regulation strategies to up-regulate positive affect (rumination) and down-regulate it (dampening). This online study was comprised of different questionnaires designed to analyse the psychometric properties of the RPA in French non-clinical populations. The proposed three-factor model shows an adequate fit to the data, with all approximate fit indices showing acceptable model fit. One item had a lower loading on the dampening factor and was excluded from the analyses. The three subscales of the RPA showed satisfactory internal consistency. The scale also demonstrates good convergent validity and acceptable test–retest validity. This online study can be associated with common limits of self-reported measures. Moreover, our results should be replicated in future studies to validate its discriminant capacity and measurement invariance. In conclusion, the French version of the RPA can be considered reliable for assessing how people upregulate and downregulate positive emotions. Contrary to other measures of emotion regulation, the RPA focus specifically on positive affect and might be particularly relevant in the context of bipolar disorder, depression and other mental health disorders characterised by maladaptive regulation of positive emotions.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100535"},"PeriodicalIF":1.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A pilot study of SEE FAR CBT in prison settings: Effects on PTSD symptoms and recidivism rates","authors":"Ayelet Gur , Gilat Bavly , Mooli Lahad","doi":"10.1016/j.jbct.2025.100536","DOIUrl":"10.1016/j.jbct.2025.100536","url":null,"abstract":"<div><div>Post-traumatic stress disorder and childhood trauma are prevalent in prison populations, linking traumatic experiences to criminal behavior. This study aimed to examine the effectiveness of SEE FAR cognitive behavioral therapy in reducing post-traumatic stress disorder symptoms, depression, and subjective distress among male inmates, and to explore recidivism rates. SEE FAR cognitive behavioral therapy combines cognitive behavioral therapy, somatic experience, and imagery-based methods, incorporating therapeutic cards with artistic drawings to facilitate trauma processing across cultural barriers. A pre-post intervention design was employed with thirty-eight adult male inmates at an Israeli prison who completed the full treatment protocol alongside mandatory rehabilitation programs. Participants showed significant improvements across all clinical measures with large effect sizes. Post-traumatic stress disorder symptoms, depression scores, and subjective distress ratings demonstrated statistically significant reductions following treatment, with average symptom reduction exceeding thresholds for clinically significant change. Correlational analyses revealed that participants with higher baseline symptom severity experienced proportionally greater treatment gains. Preliminary recidivism analysis of thirty-five released inmates showed lower reoffending rates compared to the general prison population in the first two years post-release. The intervention succeeded despite frequent prison environment disruptions and demonstrated effectiveness across diverse offense types. These preliminary findings suggest the protocol’s potential as a mental health treatment in correctional settings, though controlled studies with larger samples are needed to establish effectiveness and confirm impacts on recidivism.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100536"},"PeriodicalIF":1.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of a single-session psychoeducational intervention delivered in CBT and metaphorical therapy format: A pilot study","authors":"Simon Zuscak , Mark Whittington","doi":"10.1016/j.jbct.2025.100531","DOIUrl":"10.1016/j.jbct.2025.100531","url":null,"abstract":"<div><div>Psychoeducation is an important therapeutic process that aims to empower individuals to manage their mental health challenges. This pilot study explored the efficacy of a single-session psychoeducational approach, comparing traditional Cognitive Behavioural Therapy (CBT) with a novel Metaphorical Therapy (MT). Participants (N = 35) underwent either a single psychoeducational session of CBT or MT. Results indicated that both CBT and MT groups demonstrated increased knowledge and agency following the intervention, with no significant differences between conditions. Participants expressed high satisfaction with the session and the single-session format facilitated the development of a therapeutic alliance. Overall, this study found that brief psychoeducational interventions exhibit positive outcomes, and that MT is comparable to CBT. Future research is needed with larger sample sizes and extended intervention durations to comprehensively assess treatment efficacy and changes in symptom burden, and to further the evidence base for MT.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100531"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edilaine Aparecida da Silva , Gislene Diniz Moraes , Eduardo de Moura Neto , Tarcísio Silva Coelho , Caio Margarido Moreira , Victor Cavallari Souza , Rodrigo Bazan , Jeffer Eidi Sasaki , Janser Moura Pereira , Gustavo José Luvizutto , Luciane Aparecida Pascucci Sande de Souza
{"title":"Effect of smartphone-based physical training combined with cognitive training on cognitive abilities in individuals with long COVID: A multicenter pilot randomized clinical trial","authors":"Edilaine Aparecida da Silva , Gislene Diniz Moraes , Eduardo de Moura Neto , Tarcísio Silva Coelho , Caio Margarido Moreira , Victor Cavallari Souza , Rodrigo Bazan , Jeffer Eidi Sasaki , Janser Moura Pereira , Gustavo José Luvizutto , Luciane Aparecida Pascucci Sande de Souza","doi":"10.1016/j.jbct.2025.100534","DOIUrl":"10.1016/j.jbct.2025.100534","url":null,"abstract":"<div><h3>Background</h3><div>Preliminary studies have suggested that neuropsychological rehabilitation is a potentially useful tool for treating cognitive deficits associated with patients with long COVID.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the effects of physical training (PT) alone or in combination with cognitive training (PCT) on the cognitive abilities of individuals with long COVID.</div></div><div><h3>Methods</h3><div>This multicenter, pilot, randomized, single-blind, parallel-group study included 81 individuals with long COVID. The individuals were randomized into two groups: 1) PT: <em>n</em> = 37 and 2) PCT: <em>n</em> = 44. Cognitive abilities (decision time, decision quality, reaction time, reaction quality, attention, and impulsivity control [analyzed through a three-level cognitive test]) were evaluated using the mobile application. In the PCT group, physical exercise was associated with the performance of cognitive tasks (reaction time, Stroop, memory, go/no-go, and Simon tasks) using a mobile application. The PT group was presented with a recorded video of the physical activities streamed on YouTube. Individuals performed seven exercises at home, with tasks involving the most frequent activities of daily living. Fifteen sessions of 50 min, three times a week, for five weeks with a moderate challenge, were performed.</div></div><div><h3>Results</h3><div>There was an increase in decision quality in the PCT group compared to the PT group at the end of the intervention (<em>p</em> = 0.008). Participants in both groups showed improved after training in reaction quality, attention, and impulsivity control.</div></div><div><h3>Conclusion</h3><div>Smartphone-based physical training combined with cognitive training increase decision quality. Both training (PCT and PT) increased the reaction quality, attention, and impulsivity control.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100534"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mélinée Chapoutot , Francesca Meloni , Laure Peter-Derex , Hélène Bastuji , Wendy Leslie , Benjamin Schoendorff , Raphaël Heinzer , Alain Nicolas , Susan Higgins , Alexia Bourgeois , Guillaume T. Vallet , Royce Anders , Marc Ounnoughene , Francesca Siclari , Yasser Khazaal , Benjamin Putois
{"title":"A narrative review of strategies for discontinuing long-term benzodiazepine use and methodological recommendations: Is a success rate of only one in three patients sufficient?","authors":"Mélinée Chapoutot , Francesca Meloni , Laure Peter-Derex , Hélène Bastuji , Wendy Leslie , Benjamin Schoendorff , Raphaël Heinzer , Alain Nicolas , Susan Higgins , Alexia Bourgeois , Guillaume T. Vallet , Royce Anders , Marc Ounnoughene , Francesca Siclari , Yasser Khazaal , Benjamin Putois","doi":"10.1016/j.jbct.2025.100533","DOIUrl":"10.1016/j.jbct.2025.100533","url":null,"abstract":"<div><div>Benzodiazepines (BZs) are psychotropic medications mainly prescribed for insomnia and anxiety. They can cause dependence, leading to decades of use. As such, there is debate grounded in confusion between substance abuse and fear of dependence in some patients. Clinical practice and evidence-based reviews agree that BZ dependence is difficult to treat: without support, only 7% of misusers manage to stop taking them. Analyzing randomized control trials (RCTs), this review examines three main interventions for BZ withdrawal: brief intervention (BI), substitution medication (SM) and cognitive-behavioral therapy (CBT). Post-intervention abstinence rates suggest that BIs can be compared to a simple taper program (TP), requiring low patient involvement, and may enable one in three patients to discontinue BZ use. However, this strategy should be considered with caution: outcomes could be adversely affected by the presence of a psychiatric disorder, a factor not controlled in these studies, nor are long-term results evaluated. Furthermore, can we consider that treating one in three patients is sufficient? CBT proved highly effective, enabling three in four patients attempting to abstain to successfully discontinue use, including patients with insomnia or anxiety. The SM approach showed no superiority over placebo effects. Moreover, abstinence rates being only measured over the very short term, no recommendations can be made regarding their use. This review concludes that there is a major methodological discrepancy between these approaches, BI and SM studies presenting substantially lower methodological quality in comparison to CBT studies. The present article proposes methodological recommendations for the study of BZ withdrawal methods.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100533"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Spencer , Marie-Paule Gustin , Royce Anders , Mélinée Chapoutot , Wendy Leslie , Benjamin Schoendorff , Nima Golijani-Moghaddam , David L. Dawson , Laure Peter-Derex , Benjamin Putois
{"title":"Psychometric properties of the Comprehensive Assessment of Acceptance and Commitment Therapy processes (CompACT) scale: Extending validity research to a French population","authors":"Jessica Spencer , Marie-Paule Gustin , Royce Anders , Mélinée Chapoutot , Wendy Leslie , Benjamin Schoendorff , Nima Golijani-Moghaddam , David L. Dawson , Laure Peter-Derex , Benjamin Putois","doi":"10.1016/j.jbct.2025.100532","DOIUrl":"10.1016/j.jbct.2025.100532","url":null,"abstract":"<div><h3>Context</h3><div>Prior research has identified that Acceptance and Commitment Therapy (ACT) may notably improve psychological flexibility. Despite its recognized effectiveness, French therapists and clinical researchers still lack the appropriate instruments to assess important parameters of ACT. For example, a previous standard in French, the AAQ-II, omits crucial variables that would fully represent ACT processes. In contrast, the CompACT scale, which encompasses the ensemble of ACT processes, through three dyadic processes (Openness to Experience, Behavioral Awareness, Valuation of Action), exhibits better suitability but lacks an empirically-validated adaptation in French. Therefore, this study aimed to translate, adapt, and validate the CompACT scale in French, focusing on both the general population and benzodiazepine users, the latter’s long-term use illustrates experiential avoidance, making them a highly relevant, alternative population for studying ACT processes. Statistical comparisons of these populations may be used to bring valuable insights and assess the scale’s construct validity.</div></div><div><h3>Method</h3><div>The CompACT scale was translated and counter-translated by experts. An intermediate version was pre-tested by 34 participants, leading to the final version for psychometric validation with 423 French speakers (269 benzodiazepine users, 154 general population). The study evaluated structure, reliability, and various validities.</div></div><div><h3>Results</h3><div>The French CompACT showed strong psychometric properties.</div></div><div><h3>Conclusion</h3><div>Validating the French CompACT provides a reliable ACT process measure. This is crucial as psychological inflexibility contributes to numerous psychopathologies, making CompACT valuable for therapists.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100532"},"PeriodicalIF":1.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}