Journal of Behavioral and Cognitive Therapy最新文献

{"title":"Perception and memory of sleep/wake states: implications for the treatment of insomnia","authors":"Michael L. Perlis ,&nbsp;Wallace B. Mendelson","doi":"10.1016/j.jbct.2025.100539","DOIUrl":"10.1016/j.jbct.2025.100539","url":null,"abstract":"<div><div>Among the historically loose strands in insomnia research have been the observations that: 1. sleep produces a form of mesograde amnesia; 2. patients with insomnia tend to differ from good sleepers in their perception of sleep/wake states; and 3. That sleep state misperception is reversed by some hypnotics. This brief note suggests that these observations, made in the 1980s and 1990s, along with studies of the arousal thresholds from sleep and investigations of the amnesia associated with sleep, might have renewed relevance for our current understanding of the pathophysiology and treatment of insomnia.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100539"},"PeriodicalIF":1.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104412","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 acceptance and commitment therapy (ACT) as a stand-alone treatment for bipolar disorder: protocol for a randomized controlled trial","authors":"Tatiana Cohab Khafif ,&nbsp;William Ferreira Perez ,&nbsp;Sofia Hamoui ,&nbsp;Clara Nardini ,&nbsp;Taís Biazus ,&nbsp;Sofia Dayan ,&nbsp;Karla de Almeida Matthias ,&nbsp;Ana Kleinman ,&nbsp;Renatha El Rafihi-Ferreira ,&nbsp;Beny Lafer","doi":"10.1016/j.jbct.2025.100545","DOIUrl":"10.1016/j.jbct.2025.100545","url":null,"abstract":"<div><h3>Background</h3><div>Bipolar Disorder (BD) involves recurrent episodes of mania/hypomania and depression, causing significant impairment in quality of life, functioning, and sleep. Although Psychoeducation, Cognitive Behavioral Therapy, and Family-Focused Therapy show efficacy, especially for recurrence of new episodes, novel interventions targeting bipolar depression and subthreshold symptoms remain necessary. Acceptance and Commitment Therapy (ACT), with effectiveness demonstrated across multiple psychiatric disorders, may improve depressive symptoms, quality of life, and functioning in BD.</div></div><div><h3>Objectives</h3><div>This study examines ACT’s impact as a stand-alone intervention, alongside usual pharmacotherapy, on depressive symptoms in BD. Additional targets include quality of life, functioning, sleep quality, and psychological flexibility.</div></div><div><h3>Methods</h3><div>This randomized controlled trial will compare ACT plus usual treatment to usual treatment alone in adults aged 18–65 years with BD, experiencing a current depressive episode or subthreshold depression. The ACT group will undergo 12 weekly sessions. Measurements (baseline, post, 6, 9 and 12 months) will encompass depression symptoms (primary outcome), and functioning, quality of life, sleep quality, and psychological flexibility as secondaries. Analyses using linear mixed models or generalized estimating equations (GEE) will assess group differences over time.</div></div><div><h3>Discussion</h3><div>If ACT reduces depressive symptoms and improves related outcomes, it could serve as a valuable adjunct treatment min BD management. This protocol describes the study framework, assessment tools, and intervention approach, expanding understanding of strategies for addressing depressive phases and subthreshold symptoms in BD.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100545"},"PeriodicalIF":1.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011033","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":"The effects of exercise intervention for restricted and repetitive behavior in children with autism spectrum disorder: A network meta-analysis","authors":"Kanglin Wang,&nbsp;Fen Qiu,&nbsp;Jingbo Liu,&nbsp;Xinyu Yang","doi":"10.1016/j.jbct.2025.100549","DOIUrl":"10.1016/j.jbct.2025.100549","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the relative effects of different interventions on repetitive stereotyped behaviors in children with autism spectrum disorders, and to compare the roles of different interventions, to provide an evidence-based basis for developing effective Exercise prescription.</div></div><div><h3>Methods</h3><div>Literature from domestic and international databases such as Cochrane Library, PubMed, Web of Science, MEDLINE, PsycINFO, Embase, China Knowledge, Baidu Academic, and Wanfang was searched. The search encompassed the period from the inception of the database to July 21, 2024, with analysis conducted using RevMan 5.3 and Stata 15.0.</div></div><div><h3>Results</h3><div>A total of 10 studies were included in the analysis. Meta-regression<!--> <!-->analyses revealed that exercise interventions can effectively ameliorate repetitive and stereotyped behaviors in children with Autism Spectrum Disorder (ASD). Further subgroup analyses demonstrated significant differences in the effects of these interventions based on varying intervention cycles and the ages of the participants. To delve deeper into the impact of different interventions, reticulated Meta-analyses were conducted. The results indicated that ball games (SMD = −5.35 [-6.92, −3.77]), karate training (SMD = −0.93 [-1.68, −0.17]), and bicycle riding (SMD = −0.97 [-1.90, −0.04]) interventions played a significant role in reducing repetitive and stereotyped behaviors in children with ASD.<!--> <!-->Additionally,<!--> <!-->the cumulative probability ranking (SUCRA) results suggested that ball games may be the most effective means of improving these behaviors in children with ASD (SUCRA = 79).</div></div><div><h3>Conclusion</h3><div>Ball games showed the highest SUCRA ranking (79 %), but their clinical application is limited by significant heterogeneity (I² = 78 %), small sample size (10 RCTs, n = 245), and tool-specific effects (SMD = -4.2 in RBS-R vs. −1.1 in GARS-2). Subgroup analyses highlighted age (5–8 years) and duration (&gt;9 weeks) as critical factors. Additionally, potential biases (e.g., unclear allocation concealment in 30 % of studies) and the need for larger, multi-center trials should be noted. Sports interventions may be optimized by combining ball games with karate or cycling.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100549"},"PeriodicalIF":1.6,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007614","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":"Cross-cultural adaptation and psychometric properties of the Cognitive Behavioral Avoidance Scale- CBAS in Brazilian adults","authors":"Adriana Munhoz Carneiro ,&nbsp;Pedro Henrique Nunes Souto ,&nbsp;Alia Garrudo Guirado ,&nbsp;Ricardo Alberto Moreno ,&nbsp;Keith S. Dobson","doi":"10.1016/j.jbct.2025.100550","DOIUrl":"10.1016/j.jbct.2025.100550","url":null,"abstract":"<div><h3>Background</h3><div>Avoidance behavior, defined as a tendency to escape or disengage from negative stimuli, is an important psychosocial component in Major Depressive Disorder (MDD), related to its maintenance and severity.</div><div>Objective</div><div>The importance of measuring this variable to enhance results in clinical interventions, this study realized a cross-cultural adaptation of the CBAS into Brazilian-Portuguese (CBAS-BR) and investigated its psychometric properties in clinical and non-clinical samples.</div><div>Methods</div><div>After the translation-back translation process by an expert committee review, the CBAS-BR was applied to a total of 310 adults (67 with major depressive disorder; 243 healthy controls). The Beck Depression Inventory-II (BDI-II), Montgomery–Åsberg Depression Rating Scale (MADRS), and the Depression Thought Scale (DTS) were also applied. Internal consistency (Cronbach’s α, McDonald’s ω), confirmatory factor analysis (CFA), and convergent validity were examined.</div><div>Results</div><div>The original four-factor structure (Behavioral Social, Behavioral non-social, Cognitive Social, and Cognitive non-social) showed excellent fit (CFI = 0.981, TLI = 0.979, RMSEA = 0.046, 90 % CI = 0.039–0.053 [<em>p</em> = 0.85]). Internal consistency was high for the total scale (Cronbach’s α = 0.96; McDonald’s ω = 0.96) and for each subscale (α = 0.86–0.92). The CBAS-BR has moderate to strong correlations with the DTS, BDI II, and MADRS, supporting convergent validity.</div><div>Conclusions</div><div>The CBAS-BR is a reliable and valid measure for assessing cognitive-behavioral avoidance in Brazilian adults. It’s expected that its use may contribute to detecting maladaptive avoidance patterns and to proposing more targeted activation strategies to reduce symptoms or relapses in MDD.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100550"},"PeriodicalIF":1.6,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007613","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":"Cognitive behavior therapy for treatment seeking: intervention development and empirical findings","authors":"Morica Hutchison ,&nbsp;Caitlin Titus ,&nbsp;Aileen Aldalur ,&nbsp;Tracy Stecker","doi":"10.1016/j.jbct.2025.100551","DOIUrl":"10.1016/j.jbct.2025.100551","url":null,"abstract":"<div><h3>Objective</h3><div>Interventions have been developed to increase treatment engagement among individuals with behavioral health problems, yet over 50% of individuals do not receive treatment. New interventions are needed to address unmet treatment needs by promoting treatment-seeking behaviors.</div></div><div><h3>Methods and Measures</h3><div>This paper reviews the development, pilot testing, and empirical findings of Cognitive Behavioral Therapy for Treatment-Seeking (CBT-TS), a novel intervention designed to increase treatment-seeking behaviors. We discuss the findings of nine CBT-TS intervention trials among adults with a variety of behavioral health diagnoses (e.g., depression, alcohol use, suicidal ideation).</div></div><div><h3>Results</h3><div>CBT-TS was developed to focus on cognitive factors that predict treatment-seeking behaviors, implementation outside of existing treatment systems, flexible administration (in-person or phone), and applicability to diverse populations. CBT-TS has demonstrated efficacy in improving behavioral health treatment utilization. Populations studied include military service members, veterans and community adults presenting with alcohol use disorder, post-traumatic stress disorder, suicidal thoughts and behaviors, and comorbid diagnoses. Follow-up periods ranged from 1- to 12-months and examined the percentage of participants initiating and/or sustaining treatment engagement, qualitative findings of beliefs endorsed, and reductions in behavioral health symptoms.</div></div><div><h3>Conclusions</h3><div>CBT-TS shows tremendous promise as a brief, evidence-based intervention to improve treatment-seeking behaviors among diverse populations. Opportunities exist to expand CBT-TS across populations such as individuals in rural settings, and among other diagnostic groups such as individuals with chronic pain. Further study is warranted to identify reasons for the variability of treatment initiation rates and its potential to increase treatment engagement and completion.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100551"},"PeriodicalIF":1.6,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007615","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":"Academic procrastination: A systematic review of causal factors and interventions","authors":"Erfan Ramadhani,&nbsp;Punaji Setiyosari,&nbsp;Henny Indreswari,&nbsp;Arbin Janu Setiyowati,&nbsp;Ramtia Darma Putri","doi":"10.1016/j.jbct.2025.100552","DOIUrl":"10.1016/j.jbct.2025.100552","url":null,"abstract":"<div><div>Academic procrastination remains a significant barrier to student success, impacting both academic performance and mental health. This systematic review addresses the core factors contributing to academic procrastination, including fear of failure, perfectionism, and difficulties in emotional regulation, which lead to students delaying academic tasks. The study employs the PRISMA methodology, synthesizing findings from 27 empirical studies published between 2014 and 2024 to assess intervention efficacy. Cognitive-behavioral therapy (CBT) and motivational strategies emerged as effective approaches in reducing procrastination by addressing unrealistic thought patterns and enhancing self-regulation skills. Furthermore, technology-assisted interventions, such as digital planning tools, have shown promise in supporting students’ time management. In conclusion, this review underscores the importance of a personalized, multidimensional approach that integrates psychological, motivational, and technological strategies to optimize student outcomes and minimize procrastination.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100552"},"PeriodicalIF":1.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997849","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":"Implementation of Stimulus Control and Sleep Restriction Therapy for Insomnia: Standard Definitions and Best Practices.","authors":"Leisha J Cuddihy, Michael A Grandner, Sara Nowakowski","doi":"10.1016/j.jbct.2025.100542","DOIUrl":"https://doi.org/10.1016/j.jbct.2025.100542","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of mindfulness-based cognitive therapy counseling on sexual satisfaction and distress among married women with cyclical mastalgia","authors":"Elnaz Abedi ,&nbsp;Nasim Bahrami ,&nbsp;Mohammad Ebrahim Sarichloo ,&nbsp;Mark D. Griffiths ,&nbsp;Zainab Alimoradi","doi":"10.1016/j.jbct.2025.100548","DOIUrl":"10.1016/j.jbct.2025.100548","url":null,"abstract":"<div><h3>Introduction</h3><div>More than half of the female population suffers from cyclical mastalgia, which can interfere with sexual functioning and impact sexual satisfaction and cause sexual distress. The present study evaluated the efficacy of mindfulness-based cognitive therapy (MBCT) counseling on sexual satisfaction and sexual distress among married women with cyclical mastalgia.</div></div><div><h3>Methods</h3><div>A randomized controlled clinical trial was conducted in 2024 with 72 married women presenting with cyclical breast pain at comprehensive health centers in Qazvin, Iran. Participants were randomly allocated via quadruple block randomization with allocation concealment using sealed opaque envelopes, into an intervention group (n = 36) receiving eight 90-min MBCT sessions and a control group (n = 36) receiving no intervention. Demographic-obstetric questionnaires, the Visual Analogue Scale (VAS) for pain, the Cardiff Breast Pain Chart, the Female Sexual Satisfaction and Distress Scale, and the Five-Facet Mindfulness Questionnaire were completed by all participants at baseline and at one- and three-month follow-ups. Data were analyzed using repeated-measures analysis of covariance (ANCOVA) in SPSS-27, with statistical significance set at <em>p</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>The intervention group demonstrated significant improvements across all measured outcomes compared to controls. For sexual satisfaction, mean score differences between groups (baseline, first, and second follow-ups, respectively) were as follows: sexual satisfaction subscale (0.08, 4.49, 6.72; <em>p</em> &lt; 0.001), relationship subscale (0.56, 4.17, 6.56; <em>p</em> &lt; 0.001), and compatibility subscale (−0.33, 4.15, 7.61; <em>p</em> &lt; 0.001). Similarly, sexual distress scores showed marked reductions in relational concern (−0.22, 5.24, 8.33; <em>p</em> &lt; 0.001) and personal concern subscales (−0.97, 3.41, 7.74; <em>p</em> &lt; 0.001). Mindfulness scores increased substantially among those in the intervention group (0.11, 10.02, 15.31; <em>p</em> &lt; 0.001), while pain intensity scores decreased (−0.07, −1.67, −1.69; <em>p</em> &lt; 0.001), indicating both psychological and symptomatic benefits. All changes were statistically significant at one- and three-month follow-ups, confirming the sustained efficacy of MBCT counseling.</div></div><div><h3>Conclusion</h3><div>The findings suggest that MBCT could be considered as a complementary therapy in managing cyclical mastalgia, particularly for women experiencing sexual dysfunction. Future research to assess long-term effects and compare MBCT with other therapeutic approaches are recommended.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100548"},"PeriodicalIF":1.6,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724891","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":"Assessment and computation of sleep efficiency – Is close enough good enough?","authors":"Donn Posner ,&nbsp;Natalie Rolle","doi":"10.1016/j.jbct.2025.100538","DOIUrl":"10.1016/j.jbct.2025.100538","url":null,"abstract":"<div><div>Sleep efficiency (SE) is a central variable in both the delivery and titration of Cognitive Behavioral Therapy for Insomnia (CBT-I). Despite its critical role, there remains a surprising lack of consensus on how SE should be calculated. This paper examines the conceptual and operational inconsistencies surrounding SE, particularly the widespread use of \"Time in Bed\" (TIB) as the denominator in its computation. We argue that literal interpretations of TIB—often including pre-sleep or post-sleep activities—introduce clinically significant distortions in SE values. These distortions can lead to erroneous treatment decisions during CBT-I, such as inappropriate titration of the sleep window. We review the standard sleep diary variables, examine previously proposed alternatives like Reed and Sacco’s “Duration of the Sleep Episode” (DSE), and identify their limitations. Building on these insights, we propose a new formula for SE that more accurately reflects the patient’s intended sleep window, using “Sleep Opportunity” (SO) as a more valid denominator. We demonstrate through clinical examples how our proposed approach offers more accurate and actionable SE metrics, aligning with both patient experience and clinical judgment. Ultimately, we argue that close enough is <em>not</em> good enough, and a consensus definition is essential for clinical precision and research standardization in CBT-I.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100538"},"PeriodicalIF":1.6,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724987","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":"Managing the trajectory of insomnia: from public health to relapse prevention","authors":"Jason G. Ellis ,&nbsp;Pamela Alfonso-Miller ,&nbsp;Philip Cheng ,&nbsp;Celyne H. Bastien ,&nbsp;Ellemarije Altena ,&nbsp;Michael A. Grandner","doi":"10.1016/j.jbct.2025.100540","DOIUrl":"10.1016/j.jbct.2025.100540","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100540"},"PeriodicalIF":1.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711666","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}