Journal of Behavioral and Cognitive Therapy最新文献

{"title":"Bibliometric insights into pica: A psychological perspective on evolving research trends","authors":"Walton Wider ,&nbsp;Nicholas Tze Ping Pang ,&nbsp;Chit Thet Lal Oo ,&nbsp;Muhammad Ashraf Fauzi ,&nbsp;Jem Cloyd Melendres Tanucan ,&nbsp;Khine Zar Zar Thet","doi":"10.1016/j.jbct.2025.100523","DOIUrl":"10.1016/j.jbct.2025.100523","url":null,"abstract":"<div><div>Pica is a multifaceted eating disorder involving the persistent ingestion of non-nutritive substances, often associated with significant medical and psychological risks. This study presents the first bibliometric analysis on pica, aiming to consolidate and examine the breadth of research in this field. We analyzed 386 publications from the Web of Science database to explore evolving research trends and thematic developments related to pica. Employing bibliographic coupling, we identified five thematic clusters illuminating diverse aspects of pica, including neurobiological and adaptive mechanisms, behavioral interventions in developmental disabilities, and diagnostic and treatment innovations in feeding disorders. Meanwhile, co-word analysis uncovered four additional research streams, highlighting intersections between nutritional deficiencies, mental health, and lifespan care for individuals with autism spectrum disorder or intellectual disabilities. Our findings underscore the complexity and interdisciplinary nature of pica, revealing how biological, psychological, and environmental factors collectively shape both etiology and management strategies. In particular, the growing emphasis on personalized, function-based interventions—ranging from behavioral therapies to pharmacological treatments—signals a shift toward more integrative approaches in clinical practice. This is further supported by emerging research on technology-assisted interventions and animal models, which offer promising avenues for understanding and addressing pica at individual and population levels. Overall, this inaugural bibliometric synthesis of pica highlights current evidence-based strategies for early detection and intervention and underscores the need for culturally sensitive, multidisciplinary frameworks that span clinical, developmental, and community contexts. These insights lay a foundation for future collaborative endeavors and targeted research aimed at improving outcomes for individuals affected by this complex disorder.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 2","pages":"Article 100523"},"PeriodicalIF":1.7,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429048","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":"Behavioral activation to prevent depression in at-risk adolescents: A pilot feasibility, acceptability and potential impact trial","authors":"Stephanie Belanger ,&nbsp;Annabelle Naud ,&nbsp;Tania Lecomte ,&nbsp;Frédéric Nault-Brière","doi":"10.1016/j.jbct.2024.100518","DOIUrl":"10.1016/j.jbct.2024.100518","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to assess the feasibility, acceptability, and potential impact of a novel 5-week group Behavioral Activation (BA) prevention program for adolescents at risk of depression.</div></div><div><h3>Methods</h3><div>A pilot study with a pre-post design was conducted on one group of adolescents (<em>N</em> = 9) with depressive symptoms in a high school setting. The nonparametric Wilcoxon signed-rank test was conducted to determine potential impact of the program on depressive symptomatology, the incidence of depressive diagnoses and behavior change from pretest to posttest.</div></div><div><h3>Results</h3><div>Feasibility and acceptability were established by the active participation, low drop-out rate, and positive comments collected. As for the potential impact of the program, significant pre-post differences suggest improvement in participants who initially presented with subclinical depressive symptoms. Participants enjoyed the activities they were participating in, despite an overall reduction in the number and variety of activities that were possible due to the pandemic lockdown. Also, the participants expressed an improvement in their functioning.</div></div><div><h3>Conclusions</h3><div>The group BA prevention program for at-risk adolescents appears feasible, acceptable, and effective within a school setting. A larger controlled trial is needed to confirm its efficacy and determine the clinical significance of BA as a preventive intervention for adolescent depression.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 1","pages":"Article 100518"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092577","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":"A case series in using virtual-reality assisted CBTp for social difficulties in psychosis","authors":"Leila Jameel ,&nbsp;Mar Rus-Calafell ,&nbsp;Matteo Cella ,&nbsp;Jonathan Bradley ,&nbsp;Lucia Valmaggia","doi":"10.1016/j.jbct.2024.100519","DOIUrl":"10.1016/j.jbct.2024.100519","url":null,"abstract":"<div><h3>Intro</h3><div>People with psychosis often experience social difficulties associated with psychological processes, such as fear of harm or negative evaluation from others. Virtual reality presents a unique opportunity to use social environments in therapy. This study presents a case-series of virtual-reality assisted cognitive behavioural therapy (VR-CBTp) for people with first episode psychosis (FEP) who are experiencing social difficulties. It aimed to evaluate the feasibility and acceptability of this novel therapy in real-world clinical settings.</div></div><div><h3>Methods</h3><div>Eight eligible participants were recruited and received a course of 10 sessions of individual formulation-driven VR-CBTp with a focus on improving social functioning. A novel VR environment and therapy package were piloted for the use of the assessment, formulation and treatment of social difficulties. Psychometric assessments were conducted pre- and post-therapy, and participants provided qualitative feedback about their experiences.</div></div><div><h3>Results</h3><div>The results provided preliminary information to suggest that the therapy was feasible and acceptable, recruiting to target and with good participant retention. Pre-post comparison of treatment outcomes revealed a reliable change on some of the assessed domains, indicating participants experienced clinical benefits from the therapy.</div></div><div><h3>Conclusion</h3><div>The inclusion of VR into a course of CBTp for people with psychosis who experience social difficulties was found to be feasible and acceptable with potential therapeutic benefits. A number of challenges to implementation in real-world clinical settings and future directions were identified.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 1","pages":"Article 100519"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092598","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":"Preliminary effectiveness of the SKILLS program in reducing transdiagnostic symptoms: An exploratory study","authors":"A. Vancappel ,&nbsp;E. Jansen ,&nbsp;A. Mangolini ,&nbsp;C. Dicosimo ,&nbsp;W. El-Hage","doi":"10.1016/j.jbct.2024.100514","DOIUrl":"10.1016/j.jbct.2024.100514","url":null,"abstract":"<div><h3>Introduction</h3><div>The transdiagnostic approach is an emerging and promising method for psychotherapy, addressing various psychiatric disorders. However, there is still a dearth of available transdiagnostic programs. This study explores the preliminary effectiveness of a new SKILLS program focusing on training transdiagnostic skills.</div></div><div><h3>Method</h3><div>Twenty-one patients (18 women) with diverse psychiatric disorders participated. They completed the SKILLS program and self-reported questionnaires (Transdiagnostic Skills Scale and Symptomatic Transdiagnostic Test) before and after.</div></div><div><h3>Results</h3><div>Significant improvements in various skills were observed post-program. Additionally, a significant reduction in psychiatric symptoms occurred, notably within clusters such as anxiety, emotional lability, and dejection.</div></div><div><h3>Conclusion</h3><div>This study provides preliminary evidence supporting the SKILLS program. Further randomized controlled trials are needed to validate its effectiveness.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 1","pages":"Article 100514"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092578","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 efficacy of cognitive behavioral therapy (CBT) in managing depression among nurses: A systematic review","authors":"Ja’far M. Alkhawaldeh ,&nbsp;Majd T. Mrayyan ,&nbsp;Dalal Yehia ,&nbsp;Noha M Al-Shdayfat ,&nbsp;Huda A. Anshasi ,&nbsp;Ola A. Kutah ,&nbsp;Osama Alkouri ,&nbsp;Mahmoud A. Khawaldeh ,&nbsp;Majdi M. Alzoubi ,&nbsp;Raya Alhusban ,&nbsp;Mohammad Khalaf Alkhawaldeh ,&nbsp;Abdullah Algunmeeyn ,&nbsp;Ahmad Aqel ,&nbsp;Amani F. Shhadeh ,&nbsp;Mamdouh El-hneiti","doi":"10.1016/j.jbct.2024.100520","DOIUrl":"10.1016/j.jbct.2024.100520","url":null,"abstract":"<div><h3>Background</h3><div>Depression rates among nurses are alarmingly high, largely attributed to their demanding workload and stressful work environment. This has fueled ongoing discussions about the effectiveness of cognitive-behavioral therapy (CBT) in managing depression in this population.</div></div><div><h3>Objective</h3><div>This systematic review aims to evaluate the effectiveness of CBT in reducing depression among nurses.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across eight databases to identify randomized controlled trials (RCTs) published in English between 2008 and 2022. The inclusion criteria were critically assessed by two independent reviewers, and the validity of the RCTs was evaluated using the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Additionally, the Risk of Bias in Non-Randomized Studies of Interventions (ROBINS-2) method was employed by two authors to assess the potential for bias in the selected studies. The review adhered to the PRISMA reporting guidelines.</div></div><div><h3>Results</h3><div>Eight RCTs relevant to the research question were identified. Among these, five trials demonstrated that CBT effectively reduces depression among nurses. However, methodological inconsistencies, small sample sizes, and variations in intervention characteristics were noted across studies.</div></div><div><h3>Conclusions</h3><div>Existing evidence supports the effectiveness of CBT in managing depression among nurses. Nevertheless, limitations such as methodological biases and heterogeneity underscore the need for more robust and well-designed RCTs to confirm these findings.</div><div><strong>Study Registration</strong>: PROSPERO Protocol ID: CRD42023449904.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 1","pages":"Article 100520"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092581","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":"Initial development and preliminary study of the social mentalities scale − Brief form","authors":"Bruno Faustino ,&nbsp;Isabel Fonseca ,&nbsp;Isabel Santos ,&nbsp;Catarina F. Raposo ,&nbsp;Maurizio Brasini","doi":"10.1016/j.jbct.2024.100513","DOIUrl":"10.1016/j.jbct.2024.100513","url":null,"abstract":"<div><h3>Introduction</h3><div>The Social Mentalities Scale (SMS) was developed to assess six motivational systems associated with the evolutionary perspective of human interactions. With 75 items SMS may be viewed as a long instrument with limitations such as time consumption, response fatigue and/or declining data quality. To address these issues, this study describes the development of the Social Mentalities Scale − Brief Form (BF-SMS) in a community sample.</div></div><div><h3>Methods</h3><div>The total sample (<em>N</em> = 471, <em>M</em> = 35.6, <em>SD</em> = 15.5), was divided in two subsamples (<em>n</em> = 236 and <em>n</em> = 235) where Exploratory Factor Analysis (EFA) and a Confirmatory Factor Analysis (CFA) were used.</div></div><div><h3>Results</h3><div>EFA suggested a six-factor solution (<em>X²</em> = 10820.397, <em>df</em> = 2775, <em>p</em> &lt; 0.001), and the final CFA suggested an adequate model fit (CFI = 0.99, TLI = 0.98, RMSEA = 0.053, [.044, 0.061], <em>p</em> &lt; 0.001). The final form SMS-BF remained with 26 items and all subscales correlated positively with SMS subscales.</div></div><div><h3>Conclusions</h3><div>The SMS-BF may be an alternative for the SMS supplanting the identified limitations of the long forms. Further studies may address convergent, divergent and discriminant validities in other samples.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 1","pages":"Article 100513"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092599","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":"ACKNOWLEDGING OUR 2024 REVIEWERS","authors":"","doi":"10.1016/j.jbct.2024.100517","DOIUrl":"10.1016/j.jbct.2024.100517","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 4","pages":"Article 100517"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743408","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 Benzodiazepine Dependence Questionnaire (BDEPQ): Development of a brief version and validation of a French adaptation","authors":"Royce Anders ,&nbsp;Mélinée Chapoutot ,&nbsp;Francesca Meloni ,&nbsp;Laure Peter-Derex ,&nbsp;Marie-Paule Gustin ,&nbsp;Benjamin Putois","doi":"10.1016/j.jbct.2024.100510","DOIUrl":"10.1016/j.jbct.2024.100510","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Benzodiazepines (BZDs) are the most widely-used pharmaceutical treatment for anxiety and insomnia. While effective for short term protocols, their risk–benefit tradeoff for long-term protocols should be considered with caution. Similar to alcohol, these substances act on the GABA system, and are known to result in rapid tolerance, (sometimes intense) withdrawal syndromes, and fast dependence. Long-term consumption aggravates sleep disorders and anxiety, and increases the risk of accidents. Both the French and the Swiss are high users of BZDs. It is estimated that between 2–5% of adults take them for longer than recommended. Commercialized since the 1970s, there is still no freely available French-language questionnaire assessing dependence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim/Purpose&lt;/h3&gt;&lt;div&gt;The principal objective of this study was to empirically assess the original Benzodiazepine Dependence Questionnaire (BDEPQ) of 30 items, as well as a herein developed abridged version of 11 items, the BDEPQ-11 specific to sleep use. As the abridged version is of practical length, was found efficient, and likewise does not require the purchase of a license, it is appreciable for clinical applications and research, and serves the interest of public health. These two scales were empirically assessed respective to their adaptation to the French language, currently observed as the 5th most-spoken language in the world.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The process of scale adaptation followed the important norms established by &lt;span&gt;&lt;span&gt;Guillemin et al. (1993)&lt;/span&gt;&lt;/span&gt;: translation, back-translation, committee review, and pre-testing. A large sample of n = 531 participants who have been taking BZDs since at least 12 months were recruited and responded to the questionnaire, along with other scales in order to assess the adaptation’s convergent and divergent validity. Clinical diagnoses of BZD dependence were also available for a subset of the sample, n = 165 by which discriminability of the scale for distinguishing severe dependance could also be assessed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result&lt;/h3&gt;&lt;div&gt;Both the full-length and brief versions of the French-adapted BDEPQ satisfied the confirmatory factor analysis norms, and in which the brief version surpassed the original. The two versions also displayed appropriate convergent and divergent validity results with other scales. However, in regard to the exploratory factor analysis norms and correspondence with clinical diagnoses from professionals, only the brief version excelled, especially with regard to its subscale that quantifies BZD drug tolerance and misuse.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;French is an official language in more than 25 countries and the availability of this adaptation responds to a growing clinical and research need regarding BZD dependence, as well as for important cross-cultural research. In both English and French, few scales on BZD dependence apart from the BDEPQ are a","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 4","pages":"Article 100510"},"PeriodicalIF":1.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704698","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":"Analyzing data in single-case experimental designs: Objectives and available software options","authors":"Rumen Manolov ,&nbsp;Lucien Rochat","doi":"10.1016/j.jbct.2024.100511","DOIUrl":"10.1016/j.jbct.2024.100511","url":null,"abstract":"<div><div>The current paper aims to explain the analysis of the data once it has been gathered. Given the multiple data analytical options available and the lack of consensus on which is optimal, we provide a series of organizing principles to better understand these options. We consider this a necessary first step before choosing an option and justifying that choice. Furthermore, in addition to discussing the applicability of each analytical option mentioned, we highlight freely available, user-friendly software that implements these options. We also include an example of application with real data to illustrate how different kinds of information can be obtained and used to draw conclusions about intervention effectiveness. Finally, we provide recommendations to applied researchers regarding planning (before data is gathered and analyzed) to increase the likelihood of conducting research that provides a solid basis for practice. We also offer recommendations related to reporting (after data is gathered and analyzed) to improve transparency.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 4","pages":"Article 100511"},"PeriodicalIF":1.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661135","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":"Efficacy of online mental health education on occupational burnout among medical staff","authors":"Yuze Shen ,&nbsp;Jiafeng Wang ,&nbsp;Peiqiang Yang ,&nbsp;Qiaozhen Chen","doi":"10.1016/j.jbct.2024.100512","DOIUrl":"10.1016/j.jbct.2024.100512","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To understand the levels of occupational burnout, anxiety, and depression among medical staff, to construct a mental health model for medical staff based on personality traits and demographic variables. Design and validate the effectiveness of health education via an online platform.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Using an online questionnaire platform, demographic and occupational information was collected from healthcare workers in the medical community of the First People’s Hospital of Linping District. The Eysenck Personality Questionnaire (EPQ), Job Burnout Inventory, Generalized Anxiety Disorder Self-Assessment Scale-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and psychological introspection were used to build a mental health model. For those identified with occupational burnout, an online mental health education program was conducted once a week for four weeks, focusing on self-emotional identification and management. The effectiveness of the program was re-evaluated one month later.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Out of 1127 questionnaires, the rate of positive occupational burnout was 22.1%. The analysis revealed that age (OR = 0.965, 95%CI 0.944–0.987), experiencing medical violence (OR = 2.585, 95%CI 1.829–3.654), treatment identification (OR = 0.831, 95%CI 0.753–0.917), medical versus nursing positions (OR = 0.654, 95%CI 0.468–0.914), administrative versus nursing positions (OR = 0.436, 95%CI 0.229–0.828) were significantly associated with the occurrence of occupational burnout. In addition, the EPQ test indicated that introverted personality (OR = 2.078, 95% CI 1.282–3.367, P = 0.003) and unstable personality (OR = 3.365, 95% CI 2.172–5.214, P &lt; 0.001) increased the risk of occupational burnout, whereas extroverted personality (OR = 0.394, 95% CI 0.231–0.672, P = 0.001) and stable personality (OR = 0.347, 95% CI 0.231–0.522, P &lt; 0.001) reduced it. Before and after the online mental health education intervention, self-comparison found that the participants showed significant improvement in emotional exhaustion (&lt;em&gt;t&lt;/em&gt; = 3.520), depersonalization (&lt;em&gt;t&lt;/em&gt; = 2.035), reduced personal accomplishment (&lt;em&gt;t&lt;/em&gt; = 4.749), total burnout score (&lt;em&gt;t&lt;/em&gt; = 5.952), PHQ-9 (&lt;em&gt;t&lt;/em&gt; = 4.017), and GAD-7 (&lt;em&gt;t&lt;/em&gt; = 4.234). However, compared to healthcare workers who have experienced medical violence, the average improvement rate in overall burnout scores for those who have not experienced medical violence is 9.28% higher (&lt;em&gt;t&lt;/em&gt; = 2.172).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;With increasing age, the risk of occupational burnout may decrease, while experiencing medical violence, being in a nursing position, and having an introverted or unstable personality are significant risk factors for occupational burnout. Online mental health education is effective in improving occupational burnout among healthcare workers, but its effectiveness is impacted by experiencing medical violen","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 4","pages":"Article 100512"},"PeriodicalIF":1.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661031","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}