Journal of Behavioral and Cognitive Therapy最新文献

{"title":"Cross-cultural adaptation and psychometric properties of the Cognitive Behavioral Avoidance Scale- CBAS in Brazilian adults","authors":"Adriana Munhoz Carneiro ,&nbsp;Pedro Henrique Nunes Souto ,&nbsp;Alia Garrudo Guirado ,&nbsp;Ricardo Alberto Moreno ,&nbsp;Keith S. Dobson","doi":"10.1016/j.jbct.2025.100550","DOIUrl":"10.1016/j.jbct.2025.100550","url":null,"abstract":"<div><h3>Background</h3><div>Avoidance behavior, defined as a tendency to escape or disengage from negative stimuli, is an important psychosocial component in Major Depressive Disorder (MDD), related to its maintenance and severity.</div><div>Objective</div><div>The importance of measuring this variable to enhance results in clinical interventions, this study realized a cross-cultural adaptation of the CBAS into Brazilian-Portuguese (CBAS-BR) and investigated its psychometric properties in clinical and non-clinical samples.</div><div>Methods</div><div>After the translation-back translation process by an expert committee review, the CBAS-BR was applied to a total of 310 adults (67 with major depressive disorder; 243 healthy controls). The Beck Depression Inventory-II (BDI-II), Montgomery–Åsberg Depression Rating Scale (MADRS), and the Depression Thought Scale (DTS) were also applied. Internal consistency (Cronbach’s α, McDonald’s ω), confirmatory factor analysis (CFA), and convergent validity were examined.</div><div>Results</div><div>The original four-factor structure (Behavioral Social, Behavioral non-social, Cognitive Social, and Cognitive non-social) showed excellent fit (CFI = 0.981, TLI = 0.979, RMSEA = 0.046, 90 % CI = 0.039–0.053 [<em>p</em> = 0.85]). Internal consistency was high for the total scale (Cronbach’s α = 0.96; McDonald’s ω = 0.96) and for each subscale (α = 0.86–0.92). The CBAS-BR has moderate to strong correlations with the DTS, BDI II, and MADRS, supporting convergent validity.</div><div>Conclusions</div><div>The CBAS-BR is a reliable and valid measure for assessing cognitive-behavioral avoidance in Brazilian adults. It’s expected that its use may contribute to detecting maladaptive avoidance patterns and to proposing more targeted activation strategies to reduce symptoms or relapses in MDD.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100550"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of transcranial direct current stimulation, acceptance and commitment therapy, and their combination in reducing impulsivity among women living with migraine headaches: a randomized controlled trial","authors":"Yasaman Damirchi ,&nbsp;Sheida Sodagar ,&nbsp;Mohammad Reza Seirafi ,&nbsp;Afshin Salahian ,&nbsp;Behnam Safarpour Lima","doi":"10.1016/j.jbct.2025.100554","DOIUrl":"10.1016/j.jbct.2025.100554","url":null,"abstract":"<div><h3>Background</h3><div>Migraine headaches are associated with increased impulsivity, which can exacerbate headache frequency.</div></div><div><h3>Methods</h3><div>This randomized controlled trial investigated the effectiveness of transcranial direct current stimulation (tDCS), acceptance and commitment therapy (ACT), and their combination in reducing impulsivity among 96 women (mean age = 36.15, SD = 6.14) with migraines, recruited from private neurology clinics in Tehran, Iran. Participants were assigned to tDCS (10 sessions), ACT (8 online group sessions), tDCS + ACT (18 sessions), or a control group with no intervention. Impulsivity was measured using the Barratt Impulsivity Scale at baseline, post-intervention, and three-month follow-up.</div></div><div><h3>Results</h3><div>All interventions significantly reduced impulsivity scores. The combined tDCS + ACT intervention showed the largest effect sizes across overall impulsivity (OI: η² = 0.528, P = 0.001) and subscales: AI: η² = 0.432, P = 0.001, NI: η² = 0.381, P = 0.001), and MI: η² = 0.429, P = 0.001. The combined intervention outperformed tDCS alone in reducing AI (P = 0.001), NI (P = 0.002), MI (P = 0.006), and OI (P = 0.001). ACT alone was more effective than tDCS in reducing AI, NI, and OI (P &lt; 0.005). The combined therapy resulted in an average 23-point reduction in OI scores from baseline to follow-up.</div></div><div><h3>Conclusion</h3><div>Limitations include a small sample size, short follow-up period, and reliance on self-reported measures. The findings suggest that ACT, tDCS, and their combination effectively reduce impulsivity in women with migraines, with the combined approach offering superior benefits. This reduction may improve emotional regulation and potentially decrease migraine frequency and severity. Larger studies with extended follow-up are needed to confirm these preliminary results.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100554"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive behavior therapy for treatment seeking: intervention development and empirical findings","authors":"Morica Hutchison ,&nbsp;Caitlin Titus ,&nbsp;Aileen Aldalur ,&nbsp;Tracy Stecker","doi":"10.1016/j.jbct.2025.100551","DOIUrl":"10.1016/j.jbct.2025.100551","url":null,"abstract":"<div><h3>Objective</h3><div>Interventions have been developed to increase treatment engagement among individuals with behavioral health problems, yet over 50% of individuals do not receive treatment. New interventions are needed to address unmet treatment needs by promoting treatment-seeking behaviors.</div></div><div><h3>Methods and Measures</h3><div>This paper reviews the development, pilot testing, and empirical findings of Cognitive Behavioral Therapy for Treatment-Seeking (CBT-TS), a novel intervention designed to increase treatment-seeking behaviors. We discuss the findings of nine CBT-TS intervention trials among adults with a variety of behavioral health diagnoses (e.g., depression, alcohol use, suicidal ideation).</div></div><div><h3>Results</h3><div>CBT-TS was developed to focus on cognitive factors that predict treatment-seeking behaviors, implementation outside of existing treatment systems, flexible administration (in-person or phone), and applicability to diverse populations. CBT-TS has demonstrated efficacy in improving behavioral health treatment utilization. Populations studied include military service members, veterans and community adults presenting with alcohol use disorder, post-traumatic stress disorder, suicidal thoughts and behaviors, and comorbid diagnoses. Follow-up periods ranged from 1- to 12-months and examined the percentage of participants initiating and/or sustaining treatment engagement, qualitative findings of beliefs endorsed, and reductions in behavioral health symptoms.</div></div><div><h3>Conclusions</h3><div>CBT-TS shows tremendous promise as a brief, evidence-based intervention to improve treatment-seeking behaviors among diverse populations. Opportunities exist to expand CBT-TS across populations such as individuals in rural settings, and among other diagnostic groups such as individuals with chronic pain. Further study is warranted to identify reasons for the variability of treatment initiation rates and its potential to increase treatment engagement and completion.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 1","pages":"Article 100551"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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":"2025-11-01","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":"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":"2025-11-01","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":"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":"2025-11-01","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":"Perception and memory of sleep/wake states: implications for the treatment of insomnia","authors":"Michael L. Perlis ,&nbsp;Wallace B. Mendelson","doi":"10.1016/j.jbct.2025.100539","DOIUrl":"10.1016/j.jbct.2025.100539","url":null,"abstract":"<div><div>Among the historically loose strands in insomnia research have been the observations that: 1. sleep produces a form of mesograde amnesia; 2. patients with insomnia tend to differ from good sleepers in their perception of sleep/wake states; and 3. That sleep state misperception is reversed by some hypnotics. This brief note suggests that these observations, made in the 1980s and 1990s, along with studies of the arousal thresholds from sleep and investigations of the amnesia associated with sleep, might have renewed relevance for our current understanding of the pathophysiology and treatment of insomnia.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100539"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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":"2025-11-01","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":"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":"2025-11-01","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":"2025-11-01","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}