Journal of Behavioral and Cognitive Therapy最新文献_第10页

The perceived importance of alliance and technique adherence within cognitive behavioural therapy: A comparison of patients’ and therapists’ beliefs 认知行为治疗中联盟和技术坚持的重要性:患者和治疗师信念的比较

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-09-01 DOI: 10.1016/j.jbct.2021.03.002

Ian Johnson, Glenn Waller

{"title":"The perceived importance of alliance and technique adherence within cognitive behavioural therapy: A comparison of patients’ and therapists’ beliefs","authors":"Ian Johnson, Glenn Waller","doi":"10.1016/j.jbct.2021.03.002","DOIUrl":"10.1016/j.jbct.2021.03.002","url":null,"abstract":"<div><p><span>Alliance and adherence to therapeutic techniques are key elements of Cognitive Behavioural Therapy (CBT). Therapists’ beliefs about how important alliance and technique adherence are throughout CBT might impact how they deliver therapy. Furthermore, these beliefs might or might not be congruent with patients’ therapy-related beliefs. This research investigated whether therapists hold similar beliefs to patients regarding the importance of alliance and technique adherence throughout CBT and whether therapists could accurately predict patients’ beliefs. CBT therapists (</span><em>n</em>  =<!--> <span>181) rated the importance of alliance and technique adherence to CBT outcomes in early, mid and late therapy. Therapists also predicted patients’ responses. Mann-Whitney U tests compared therapists’ responses and therapists’ predictions with patients’ responses at each stage of therapy. Therapists rated alliance and technique adherence as more important than patients did throughout therapy, with the largest discrepancy for alliance in early therapy. Therapists accurately predicted patients’ alliance importance ratings but underestimated patients’ technique adherence importance ratings for early and mid-therapy. Therapists are encouraged to challenge their assumptions about patients’ therapy-related beliefs by having open discussions with patients. Therapists are encouraged to prioritise technique adherence as well as alliance in early CBT.</span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 3","pages":"Pages 239-247"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"112706814","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}

引用次数: 0

Efficacy of interventions for improving health in patients with multiple sclerosis on insomnia symptoms and sleep quality: A systematic review of randomized controlled trials 干预措施改善多发性硬化症患者失眠症状和睡眠质量的疗效:随机对照试验的系统综述

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2020.12.001

Valeria Bacaro , Carlo Buonanno , Francesco Mancini , Chiara Baglioni

{"title":"Efficacy of interventions for improving health in patients with multiple sclerosis on insomnia symptoms and sleep quality: A systematic review of randomized controlled trials","authors":"Valeria Bacaro , Carlo Buonanno , Francesco Mancini , Chiara Baglioni","doi":"10.1016/j.jbct.2020.12.001","DOIUrl":"https://doi.org/10.1016/j.jbct.2020.12.001","url":null,"abstract":"<div><p><span><span>Patients with multiple sclerosis (MS) often experience reduced health-related </span>quality of life<span><span> and mental health<span> comorbidity. The prevalence of insomnia disorder and sleep quality impairments in MS patients ranges from 47% to 62%. Nevertheless, these problems often remain underdiagnosed and undertreated. This review systematically and critically assesses evidence from randomized clinical trials which evaluated the efficacy of different clinical interventions targeting mental and general health </span></span>in patients with MS on insomnia symptoms and sleep quality. Pubmed, PsycINFO and Medline databases were systematically searched. Eligible studies included adults</span></span>  <span>18 years with MS diagnosis; were randomized clinical trials; and reported pre and post-treatment data for primary or secondary outcomes. Nine studies were selected including 755 adults with an MS diagnosis. Studies evaluated the efficacy of various treatments: psychological interventions (5); pharmacotherapy, including medications for fatigue, cannabis extract and melatonin<span> (3); energy conservation therapy (1). Preliminary support was found for psychological interventions and cannabis extract. This work highlights the important need for more high-quality randomized controlled trials for interventions targeting insomnia in MS patients.</span></span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 137-145"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91749367","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}

引用次数: 0

Presence experienced in smartphone-based exposure: First and third person perspectives 基于智能手机的曝光体验:第一人称和第三人称视角

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2020.12.002

Matthew C. Arias , Daniel W. McNeil , Robert N. Stuchell

{"title":"Presence experienced in smartphone-based exposure: First and third person perspectives","authors":"Matthew C. Arias , Daniel W. McNeil , Robert N. Stuchell","doi":"10.1016/j.jbct.2020.12.002","DOIUrl":"10.1016/j.jbct.2020.12.002","url":null,"abstract":"<div><p>Various formats to deliver exposure stimuli have been developed, including video-based stimuli. Virtual reality-based exposure often utilizes a first-person perspective, which is associated with greater presence (e.g., feeling integrated in a virtual world) than third-person perspective. Yet, few have compared exposure stimuli presented in first-person versus third-person perspective. Thus, this study examined presence and anxiety levels associated with exposure video perspective. Participants (<em>N</em>  <span>18) completed a two-week video-based exposure treatment (i.e., watched one week of first-person perspective film and one week of third-person perspective film, counterbalanced). Participants reported anxiety and presence felt during the exposures. Results indicated greater presence was experienced during first-person videos than third-person ones. Anxiety levels did not differ between video perspective. An interaction between perspective and video order was found; those who watched third-person videos during week one reported more anxiety when presented first-person videos than those who watched the reverse order. Results support previous findings that more presence is reported with first-person than third-person perspective. More importantly, this study suggests an innovative way to sequence exposure stimuli so as to maximally sustain therapeutic levels of arousal over the course of treatment.</span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 193-198"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"104530399","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}

引用次数: 0

Compliant patients with borderline personality disorder non-responsive to one-year dialectical behavior therapy: Outcomes of a second year 依从性边缘型人格障碍患者对一年辩证行为治疗无反应:第二年的结果

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2021.01.001

Virginie Salamin, Armin Kratzel, Isabelle Gothuey, Florence Guenot

{"title":"Compliant patients with borderline personality disorder non-responsive to one-year dialectical behavior therapy: Outcomes of a second year","authors":"Virginie Salamin, Armin Kratzel, Isabelle Gothuey, Florence Guenot","doi":"10.1016/j.jbct.2021.01.001","DOIUrl":"10.1016/j.jbct.2021.01.001","url":null,"abstract":"<div><p><span>There is a lack of information in the literature on patients with borderline personality disorder (BPD) who do not respond sufficiently to the standard one-year dialectical behavior therapy (DBT). In this naturalistic, observational study, we compared 43 patients completing and responding to one year of DBT (m</span>    <span><span>34.4 years, 91.7% women) with BPD who completed but did not respond clinically to the standard one-year DBT (first-year non-responders, NR1). We also followed the NR1's progress in treatment during a second consecutive year of DBT. Despite a lack of difference in clinical characteristics at baseline, progress of R1 and NR1 patients differed substantially and significantly during the first year of DBT. Over two years, the NR1 patients significantly improved on all outcome measures. However, most of the changes became significant only after 18 months of therapy. The proportion of NR1 patients attaining a </span>Global Assessment of Functioning score</span>  <span>60 after their second year of treatment was close to that of R1 patients (58.3% and 62.8%, respectively). Despite improvements in BPD symptomatology<span> and an increased use of DBT skills, rates of reliable clinical change indicated that these NR1 patients remained vulnerable to depression and emotion regulation difficulties.</span></span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 115-124"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jbct.2021.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"111935472","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}

引用次数: 0

Attentional bias in individuals with obsessive-compulsive disorder: A preliminary eye-tracking study 强迫症患者的注意偏差:一项初步的眼动追踪研究

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2020.10.005

Mairead Mullen , Donncha Hanna , Maria Bradley , Dave Rogers , Julie-Ann Jordan , Kevin F.W. Dyer

{"title":"Attentional bias in individuals with obsessive-compulsive disorder: A preliminary eye-tracking study","authors":"Mairead Mullen , Donncha Hanna , Maria Bradley , Dave Rogers , Julie-Ann Jordan , Kevin F.W. Dyer","doi":"10.1016/j.jbct.2020.10.005","DOIUrl":"https://doi.org/10.1016/j.jbct.2020.10.005","url":null,"abstract":"<div><p>Attentional biases have been overlooked as a treatment focus in CBT practice. This pilot study examined patterns of attentional bias in an OCD clinical sample with a view to understanding the key mechanisms in order to inform assessment and intervention. It was hypothesised that individuals with OCD would demonstrate vigilance, delayed disengagement, and maintenance attentional biases towards OCD-related stimuli relative to a matched control group. Participants with OCD (<em>n</em>  =16) matched by age and gender. Vigilance, disengagement and maintenance biases were measured by recording eye-movements during a free gaze task in which pairs of neutral-OCD and neutral-aversive images were presented. The OCD group demonstrated no evidence of vigilance or delayed disengagement biases toward OCD stimuli but did exhibit a maintenance bias towards OCD and, to a lesser extent, general aversive images. Clinical implications include the assessment of patient attentional biases to aid CBT interventions.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 199-204"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jbct.2020.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91749365","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}

引用次数: 3

Randomized pilot trial of cognitive-behavioral therapy and acceptance-based behavioral therapy in the treatment of Spanish-speaking Latino primary care patients with generalized anxiety disorder 认知行为疗法和基于接受的行为疗法治疗西班牙语拉丁裔初级保健患者广泛性焦虑障碍的随机先导试验

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2020.11.007

Mildred Vera , Adriana Obén , Deborah Juarbe , Norberto Hernández , Coralee Pérez-Pedrogo

{"title":"Randomized pilot trial of cognitive-behavioral therapy and acceptance-based behavioral therapy in the treatment of Spanish-speaking Latino primary care patients with generalized anxiety disorder","authors":"Mildred Vera , Adriana Obén , Deborah Juarbe , Norberto Hernández , Coralee Pérez-Pedrogo","doi":"10.1016/j.jbct.2020.11.007","DOIUrl":"10.1016/j.jbct.2020.11.007","url":null,"abstract":"<div><p><span><span><span>The evidence base supporting the usefulness of traditional cognitive-behavioral therapy (CBT) and newer acceptance-based CBT treatments for </span>generalized anxiety disorder (GAD) has grown over the past decades. GAD is prevalent among several Latino subgroups, particularly Puerto Ricans. However, there remains uncertainty regarding the appropriateness of these interventions for Spanish-speaking Latinos since they have been routinely excluded in both efficacy and effectiveness studies. As an initial step to bridge this gap, this pilot study examined the potential efficacy of two CBT interventions for GAD, traditional CBT and acceptance-based behavioral therapy (ABBT), in a sample of Spanish-speaking Latinos. Ninety </span>primary care patients with GAD were randomly assigned to receive CBT (</span><em>n</em>  =30), or treatment as usual (TAU) (<em>n</em>  <!-->30). Excessive worry, the core feature of GAD, was assessed with the Penn State Worry Questionnaire (PSWQ), which is considered the gold standard measure of GAD-related worry. At follow-up, PSWQ scores for participants in the CBT and ABBT groups were statistically lower than those of the TAU group and statistically comparable to each other. CBT and ABBT reduced worry level to a greater degree than usual care by follow-up. Our findings provide preliminary, yet crucial data, which support the potential of both interventions targeting GAD symptoms among Spanish-speaking Latino primary care patients.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 91-103"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40490346","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}

引用次数: 5

Does cognitive behavioral therapy for anxiety disorders improve threat reappraisal?: A meta-analysis 焦虑症的认知行为疗法能改善威胁重估吗?:荟萃分析

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2020.12.004

Amanda A. Draheim, Page L. Anderson

{"title":"Does cognitive behavioral therapy for anxiety disorders improve threat reappraisal?: A meta-analysis","authors":"Amanda A. Draheim, Page L. Anderson","doi":"10.1016/j.jbct.2020.12.004","DOIUrl":"https://doi.org/10.1016/j.jbct.2020.12.004","url":null,"abstract":"<div><p><span><span>The purpose of this study is to evaluate the evidence that cognitive behavioral therapy improves exaggerated appraisals of threat among people with a primary anxiety disorder. The current meta-analysis of 19 </span>randomized clinical trials (1594 participants) tests whether cognitive behavioral treatments for anxiety disorders improve threat reappraisal to a greater extent than wait-list control conditions, non-cognitive behavioral treatments, and active control conditions. A statistically significant and large cumulative effect (</span><em>g</em>  <0.01) indicated that cognitive behavioral therapy produces greater improvements in threat reappraisal relative to a comparison condition. Heterogeneity of the effect was high (<em>I</em><sup><em>2</em></sup>  =1.08) non-cognitive behavioral treatments (<em>g</em>  =0.29). The effect of cognitive behavioral treatment on threat reappraisal was greater for studies on panic disorder (<em>g</em>  <span>1.06) relative to social anxiety disorder (</span><em>g</em>  <span>0.60) and generalized anxiety disorder (</span><em>g</em>  <!-->0.35). Findings from this meta-analysis support cognitive models of anxiety, which assert that cognitive behavioral therapy improves people's ability to make more realistic appraisals of threat.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 125-135"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91713714","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}

引用次数: 7

A therapist-guided parent-delivered self-help group for anxiety disorders in children: An effectiveness study 一个由治疗师指导的父母提供的儿童焦虑症自助小组:一项有效性研究

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2020.11.008

Sonja Breinholst , Monika Walczak , Bianka Christiansen , Barbara Esbjørn

{"title":"A therapist-guided parent-delivered self-help group for anxiety disorders in children: An effectiveness study","authors":"Sonja Breinholst , Monika Walczak , Bianka Christiansen , Barbara Esbjørn","doi":"10.1016/j.jbct.2020.11.008","DOIUrl":"https://doi.org/10.1016/j.jbct.2020.11.008","url":null,"abstract":"<div><p><span>Standard CBT programs for childhood anxiety are costly. Low-intensity self-help </span>treatments may increase access to evidence-based interventions. These interventions are generally promising. We tested the effectiveness of a therapist-guided parent-delivered self-help group intervention based on the “Cool Kids” program at mid-treatment, post-treatment and 6-months follow-up. We enrolled 117 families with children aged 6–12 years. Effect sizes were calculated for mother, father and child reports. Reliable change and change in clinical status were based on mother and child report. We found a significant decrease in both anxiety and depression symptoms. Effect sizes were medium to large for anxiety symptoms following treatment. Mothers reported that 53.8% of the children obtained a reliable change in anxiety symptoms from pre- to post-treatment, and 66.7% from pre- to follow-up. Out of 72.6% children who were classified as having clinical anxiety prior to treatment, 52.9% and 58.8% changed their status to non-clinical at post-treatment and follow-up, respectively. Clinical significant change, involving having achieved both a reliable change and change of status from clinical to non-clinical, was obtained for 49.4% at post-treatment, and 58.8% at follow-up based on mother reports. Our findings indicate that parent-delivered self-help CBT groups may be a valuable asset in improving access to psychological cost-effective evidence-based treatments for anxious children.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 105-113"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91713715","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}

引用次数: 4

Treatment satisfaction with cognitive-behavioral therapy among children and adolescents with anxiety and depression: A systematic review and meta-synthesis 认知行为疗法对儿童和青少年焦虑和抑郁患者的治疗满意度:一项系统回顾和综合研究

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-06-01 DOI: 10.1016/j.jbct.2020.10.006

Nora Choque Olsson , Pernilla Juth , Emma Högberg Ragnarsson , Tobias Lundgren , Markus Jansson-Fröjmark , Thomas Parling

{"title":"Treatment satisfaction with cognitive-behavioral therapy among children and adolescents with anxiety and depression: A systematic review and meta-synthesis","authors":"Nora Choque Olsson , Pernilla Juth , Emma Högberg Ragnarsson , Tobias Lundgren , Markus Jansson-Fröjmark , Thomas Parling","doi":"10.1016/j.jbct.2020.10.006","DOIUrl":"10.1016/j.jbct.2020.10.006","url":null,"abstract":"<div><p>Recent reviews estimated that the worldwide prevalence of anxiety and depression in children and adolescents is increasing, which has led to rising demands for treatment. Studies on clinical outcomes have shown positive effects of cognitive-behavioral therapy (CBT) in children and adolescents with anxiety and depression. However, there is a limited body of studies on the perspectives and experiences of the treatment participants. The objective of this review was to investigate treatment satisfaction with CBT among children and adolescents with anxiety and depression. We focused on the reporting quality of the treatment satisfaction and experiences of participants in the selected studies. From 1379 identified studies, 35 were selected based on inclusion and exclusion criteria. The results of a meta-synthesis and proportional meta-analysis suggest moderate to high treatment satisfaction with CBT in depressed and anxious children and adolescents. The included studies showed moderate to good reporting quality on treatment satisfaction. The measurements used varied, indicating a risk of different evaluations under the concept of “treatment satisfaction”. The common topics measured for treatment satisfaction were acceptability, treatment usefulness, alliance, barriers, recommendation, and others, leading to uncertainty concerning generalization. A wide variety of measures were used, indicating the need for standardized measures for treatment satisfaction in future research.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 2","pages":"Pages 147-191"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jbct.2020.10.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123693789","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}

引用次数: 11

Cognitive-behavioral therapy for adults with avoidant/restrictive food intake disorder 成人回避/限制性食物摄入障碍的认知行为治疗

Journal of Behavioral and Cognitive Therapy Pub Date : 2021-03-01 DOI: 10.1016/j.jbct.2020.10.004

Jennifer J. Thomas , Kendra R. Becker , Lauren Breithaupt , Helen Burton Murray , Jenny H. Jo , Megan C. Kuhnle , Melissa J. Dreier , Stephanie Harshman , Danielle L. Kahn , Kristine Hauser , Meghan Slattery , Madhusmita Misra , Elizabeth A. Lawson , Kamryn T. Eddy

{"title":"Cognitive-behavioral therapy for adults with avoidant/restrictive food intake disorder","authors":"Jennifer J. Thomas , Kendra R. Becker , Lauren Breithaupt , Helen Burton Murray , Jenny H. Jo , Megan C. Kuhnle , Melissa J. Dreier , Stephanie Harshman , Danielle L. Kahn , Kristine Hauser , Meghan Slattery , Madhusmita Misra , Elizabeth A. Lawson , Kamryn T. Eddy","doi":"10.1016/j.jbct.2020.10.004","DOIUrl":"10.1016/j.jbct.2020.10.004","url":null,"abstract":"<div><p>There are currently no evidence-based treatments for adults with avoidant/restrictive food intake disorder (ARFID). The purpose of this study was to evaluate the acceptability, feasibility, and proof-of-concept of cognitive-behavioral therapy for ARFID (CBT-AR) for adults. Males and females (ages 18–55 years) were offered 20-30 outpatient sessions of CBT-AR delivered by one of five therapists. Of 18 eligible adults offered CBT-AR, 15 chose to participate and 14 completed treatment. All patients endorsed high ratings of treatment credibility and expected improvement after the first session, and 93% of completers provided high ratings of satisfaction at the conclusion of treatment. Therapists rated the majority (80%) of patients as “much improved” or “very much improved.” Based on intent-to-treat analyses, ARFID severity on the Pica, ARFID, and Rumination Disorder Interview (PARDI) showed a large and significant decrease from pre- to post-treatment; and patients incorporated a mean of 18.0 novel foods. The underweight subgroup (<em>n</em>  <!-->4) gained an average of 11.38 pounds, showing a large and significant increase in mean BMI from the underweight to the normal-weight range. At post-treatment, 47% of patients no longer met criteria for ARFID. To our knowledge, this is the first prospective treatment study of ARFID in adults. The findings of this study provide preliminary evidence of feasibility, acceptability, and proof-of-concept of CBT-AR for heterogeneous presentations of ARFID in adults. Randomized controlled trials are needed to confirm these findings. ClinicalTrials.gov Identifier: <span>NCT02963220</span><svg><path></path></svg>.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"31 1","pages":"Pages 47-55"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jbct.2020.10.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39336116","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}

引用次数: 17