Journal of Behavioral and Cognitive Therapy最新文献

{"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}

{"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 ,&nbsp;Shilpa Joshi ,&nbsp;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}

{"title":"No variable left behind: The necessity for multi-variable assessments of insomnia","authors":"Alexandria Muench ,&nbsp;Hannah Scott ,&nbsp;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 ,&nbsp;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 ,&nbsp;Gilat Bavly ,&nbsp;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 ,&nbsp;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}