Journal of Behavioral and Cognitive Therapy最新文献

{"title":"Acknowledging Our 2025 Reviewers","authors":"","doi":"10.1016/j.jbct.2026.100570","DOIUrl":"10.1016/j.jbct.2026.100570","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100570"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394563","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":"Adaptation and psychometric network analysis of the Psy-Flex in Peruvian population","authors":"Samy L. Huerta ,&nbsp;Rose Barbaran-Alvarado ,&nbsp;Aaron Travezaño-Cabrera ,&nbsp;Lindsey W. Vilca","doi":"10.1016/j.jbct.2025.100555","DOIUrl":"10.1016/j.jbct.2025.100555","url":null,"abstract":"<div><div>Psychological flexibility is a primary factor for mental health and is the main process addressed within Acceptance and Commitment Therapy (ACT). In this sense, different instruments have been created to measure this variable. However, their limitations are resolved with the Psy-Flex, a brief instrument that measures psychological flexibility from its six components and demonstrates adequate psychometric properties. Therefore, the present study aims to validate the Psy-Flex in the Peruvian population from a network analysis. The sample comprised 1040 participants, and the translation of the Psy-Flex from a previous study in Latin America was used, along with the PHQ-2, GAD-2, and MLQ, which had been previously validated in Peru. Additionally, content validity was assessed. The Exploratory Graph Analysis (EGA) determined the unidimensionality of the Psy-Flex, as well as the stability of the items, structural consistency, validity of other variables, and measurement invariance across gender. In conclusion, the results of adapting the Psy-Flex in Peru enable us to accurately measure psychological flexibility due to its brevity, sensitivity, psychometric evidence, and relevance.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100555"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320394","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":"Linguistic and cultural adaptation of internet-based cognitive behavioral therapy for tinnitus to Indian English: Methods and readability outcomes","authors":"Hari Prakash Palaniswamy ,&nbsp;Harini Vasudevan ,&nbsp;Aparna Oak ,&nbsp;Keerthana Rajanbabu ,&nbsp;Vinaya Manchaiah ,&nbsp;Eldré Beukes ,&nbsp;Gerhard Andersson","doi":"10.1016/j.jbct.2025.100558","DOIUrl":"10.1016/j.jbct.2025.100558","url":null,"abstract":"<div><h3>Background</h3><div>Tinnitus often causes distress, irritability, difficulty sleeping, and lack of concentration due to its consistent persistence. Cognitive behavioral therapy (CBT) is a proven psychological treatment that can reduce tinnitus-related distress and can be provided via the Internet (ICBT). Such evidence-based, accessible treatments are not yet available in India. The increasing access to eHealth interventions in India will support and increase access to interventions like ICBT. This study aims to adapt ICBT for tinnitus to Indian English, ensuring it is culturally, linguistically, and contextually appropriate for the Indian population.</div></div><div><h3>Method</h3><div>The material was carefully reviewed by an audiologist, a linguist, a psychologist and a psychiatrist. The adaptation procedure primarily followed the ISPOR Principles of Good Practice for the translation and cultural adaptation, with a few adaptations from the Ecological validity model. Conflicts were resolved with consensus among all professionals. Then, the content was validated by the psychologist and psychiatrist. Additionally, readability adjustments ensured comprehensibility of the target population.</div></div><div><h3>Results</h3><div>A total of 76 (54 words and 22 phrases) were recommended for modification for reasons including cultural adaptation, lexicon, linguistic relevance, and concept coverage. Lexicons were the highest reason (52%) for modification. The material was critically validated by the expert committee and finalized based on comprehensibility, cultural appropriateness, and concept coverage, as the average scores were above 8 (benchmark pre-determined) for all modules. The readability scores also fell within the pre-determined criteria to finalize the material.</div></div><div><h3>Conclusion</h3><div>This material has been adapted and validated for the Indian population, and it can now be further developed as a treatment program. This represents a significant step towards establishing standard, evidence-based tinnitus treatment protocols in India. Further studies should examine the feasibility, efficacy, and effectiveness of ICBT for the Indian population through clinical trials.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100558"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321119","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":"2026-02-01","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":"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":"2026-02-01","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":"Design and preliminary evaluation of AYRE: A virtual reality-based intervention for the treatment of emotional disorders","authors":"Zoilo Emilio García-Batista ,&nbsp;Kiero Guerra-Peña ,&nbsp;Ivan Alsina Jurnet ,&nbsp;Antonio Cano-Vindel ,&nbsp;Adriana Álvarez-Hernández ,&nbsp;Solmary Herrera-Martinez ,&nbsp;Marlia Bordas ,&nbsp;Isis Cruz ,&nbsp;Leonardo A. Medrano","doi":"10.1016/j.jbct.2025.100560","DOIUrl":"10.1016/j.jbct.2025.100560","url":null,"abstract":"<div><div>Difficulties in emotional regulation are a key transdiagnostic challenge in mental health, contributing to the development and maintenance of anxiety and depression. Virtual reality (VR)-based interventions have emerged as promising tools to enhance emotional skills through immersive and interactive environments. This study presents a preliminary evaluation of <em>Assistance for Emotional Regulation</em> (AYRE), an innovative VR intervention that integrates mindfulness, diaphragmatic breathing, and progressive muscle relaxation; three evidence-based techniques combined for the first time in a fully immersive therapeutic setting.</div><div>A total of 123 adults from the Dominican Republic (mean age = 28.4 years; 62.6 % women) participated in the study. The intervention consisted of a<!--> <!-->single 1-hour AYRE session, delivered in a controlled laboratory setting at the university. The study followed a<!--> <!-->pre–post design without a control group, with anxiety and depressive symptoms assessed immediately before and after the intervention. After a single AYRE session, participants reported meaningful reductions in anxiety and depressive symptoms. Regression analyses showed that higher baseline levels of anxiety and depression were the only significant predictors of post-intervention improvement. Participants evaluated AYRE positively, describing the experience as “calming,” “intuitive,” and “more engaging than traditional techniques.” These impressions support AYRE’s feasibility and user acceptability in real-world settings.</div><div>In conclusion, AYRE appears to be a promising and scalable digital tool for supporting emotional regulation. Its integration of validated techniques into a personalized and immersive VR environment suggests potential for complementing traditional mental health interventions and improving access to care in underserved contexts.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100560"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466363","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":"Optimizing evidence-based CBT-I: what the future should look like","authors":"Michael Perlis ,&nbsp;Ellemarije Altena","doi":"10.1016/j.jbct.2025.100564","DOIUrl":"10.1016/j.jbct.2025.100564","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100564"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145681492","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":"Exploring the correlation between engagement and sensory behaviors in children with autism using a portable dual-mode bubble tube in passive and active modes of operation","authors":"Dundi Umamaheswara Reddy ,&nbsp;Kanaparthi V. Phani Kumar ,&nbsp;Bandaru Ramakrishna ,&nbsp;Ganapathy Sankar Umaiorubagam","doi":"10.1016/j.jbct.2025.100556","DOIUrl":"10.1016/j.jbct.2025.100556","url":null,"abstract":"<div><div>Integrating multiple intervention strategies with Cognitive Behavioral Therapy (CBT) tailored for children with autism could improve therapeutic outcomes. However, there has been no direct empirical investigation on how these intervention strategies affect the engagement of children with autism, which further relates to their sensory profiles. This gap leads to a new study exploring the integration of a visually stimulating sensory device, such as Bubble Tube (BT), into classical CBT. BTs are commercially viable and frequently used in sensory rooms and are recognised for enhancing visual perception, supporting color recognition, and improving attention. Despite the widespread use of BTs in clinical interventions, differentiating the effectiveness of passive and active modes of operation has not been explored. Hence, an enhanced version of BT, a Dual Mode Interactive Bubble Tube (DMIBT), is proposed and experimented for its use in CBT. Like BT, the DMIBT can be operated in both active mode (child-controlled) and passive mode (therapist-controlled) to provide versatile visual stimulations by changes in color intensity, bubble speed, and color transitions. To better understand how children with autism engage with the bubble tube in both passive and active modes, a pilot study was conducted with twenty children (n = 20) diagnosed with Autism Spectrum Disorder for five weeks. From the findings it is evident that children’s engagement was significantly (p &lt; 0.001) higher in the active mode compared to the passive mode, and the engagement scores were positively correlated with their sensory-seeking sensory profile scores in both passive(r = 0.871, p &lt; 0.001) and active (r = 0.844, p &lt; 0.001) modes. The results suggest that DMIBT, when operated in active mode, provides greater opportunities for engagement in children with autism and those who have strong sensory-seeking profiles. Furthermore, the real-time customisation of sensory outputs through DMIBT allows children to better enhance their sensory experiences, making it a promising strategy for integration into modern CBT methods. This can ensure active engagement to support sensory regulation, relaxation, or behavioral activation in children with autism.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100556"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321120","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":"Clinician perspectives on using exposure to treat “not just right” symptoms in obsessive-compulsive disorder","authors":"Rachel A. Schwartz ,&nbsp;Madeline Hartig ,&nbsp;Martin E. Franklin","doi":"10.1016/j.jbct.2025.100559","DOIUrl":"10.1016/j.jbct.2025.100559","url":null,"abstract":"<div><div>Not Just Right (NJR) is a prevalent and debilitating presentation of obsessive–compulsive disorder (OCD) in which compulsions are performed to relieve a sense of incompleteness. Exposure plus response prevention (ERP) is the first-line OCD treatment but shows diminished effectiveness for NJR unless specifically tailored. How clinicians modify ERP for NJR OCD in practice—and to what effect—remains unknown. In this study, 96 mental health clinicians completed an online survey assessing their experiences and perceptions applying ERP with NJR symptoms. Clinicians generally viewed ERP to be effective for NJR OCD. Of 22 tailoring strategies surveyed (derived from the empirical literature), the large majority were endorsed by at least 30 % of clinicians and rated as at least “fairly helpful” for both adult and youth clients. The most frequently used ERP modifications (endorsed by ≥70 %) were informal functional assessment, designing exposures that specifically elicit NJR sensations, emphasizing tolerating discomfort, additional acceptance and mindfulness techniques, more gradual ritual prevention, and adding cognitive therapy. Expertise in ERP and NJR OCD was not related to the total number of tailoring strategies endorsed, the endorsement of any given strategy, or ERP’s perceived effectiveness; expertise was moderately correlated with the perceived helpfulness of 9 tailoring strategies. In addition, 12 novel tailoring strategies were identified from open-ended response items. Results support the view that ERP can be tailored to treat NJR OCD, highlight the relevance of inhibitory learning and acceptance and commitment therapy, and inform the development and evaluation of the first treatment protocol for NJR OCD. 249/250 words.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100559"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321118","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":"Reconceptualizing cultural adaptation in cognitive behavioral therapy through a cross-paradigmatic synthesis of empirical strategies, therapeutic outcomes, and transformative frameworks","authors":"Sesilianus Fau ,&nbsp;M. Ramli ,&nbsp;Nur Hidayah ,&nbsp;Tutut Chusniyah ,&nbsp;Pakorn Akkakanjanasupar","doi":"10.1016/j.jbct.2025.100557","DOIUrl":"10.1016/j.jbct.2025.100557","url":null,"abstract":"<div><div>Cognitive behavioral therapy (CBT) is effective across disorders, yet its cultural adaptability remains under-theorized and inconsistently evaluated. This review examines how cultural adaptations of CBT are designed, evaluated, and interpreted across epistemological paradigms. We conducted a PRISMA − guided systematic review of empirical studies on culturally adapted CBT (CA-CBT) published between 2014 and 2024. Searches were conducted in Scopus (final search: 15 February 2024). Eligible studies were coded using a structured extraction matrix and analyzed via reflexive thematic analysis within a cross-paradigmatic framework. Most studies adopted a positivist orientation (74 %, n = 26), with fewer interpretivist designs (26 %, n = 9) and none explicitly critical. Across settings, cultural adaptation was generally associated with improvements in symptoms, engagement, and retention – particularly when deep-structure modifications, such as integrating religious frameworks, culturally resonant metaphors, and community participation, were implemented. Effects varied by population and context, underscoring heterogeneity and the need for cautious interpretation and careful implementation. Interpretivist contributions illuminated cultural safety, therapeutic alliance, and identity restoration – dimensions rarely captured by symptom metrics. Overall, the findings support reframing cultural adaptation as a transformative process rather than a peripheral technical adjustment. We offer a pragmatic framework that aligns empirical rigor with cultural legitimacy and, with attention to structural responsiveness, to inform research design, therapist training, and policy aimed at context-responsive and equitable CBT globally.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100557"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362711","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}