Journal of Behavioral and Cognitive Therapy最新文献

{"title":"Effectiveness of Cognitive Processing Therapy for PTSD in serious mental illness","authors":"Pallavi Nishith,&nbsp;Gary Morse,&nbsp;Nathaniel A. Dell","doi":"10.1016/j.jbct.2024.100486","DOIUrl":"https://doi.org/10.1016/j.jbct.2024.100486","url":null,"abstract":"<div><h3>Objective</h3><p><span><span><span>The goal of the study was to conduct a pilot test of the effectiveness of Cognitive Processing Therapy (CPT) for the </span>treatment of </span>Posttraumatic Stress Disorder (PTSD) in Serious Mental Illness (SMI). </span><strong><em>Method</em></strong><span>: An open pilot trial was conducted at a certified community behavioral health center with 49 participants with major depressive, bipolar, or psychotic disorders to evaluate CPT which comprised of 12 individual weekly therapy sessions and included education about trauma and PTSD, emotional processing of the trauma, and cognitive restructuring of trauma-related stuck-point beliefs, with a specific focus on safety, trust, control, esteem, and intimacy. </span><strong><em>Results</em></strong>: The results demonstrated statistically significant changes in PTSD and depression symptoms and improvement in end-state functioning. <strong><em>Conclusion</em></strong>: Results demonstrate promising evidence of CPT in addressing PTSD and end-state functioning in the SMI population. Findings warrant rigorously designed trials with a focus on people with comorbid psychotic disorders and PTSD.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 1","pages":"Article 100486"},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652819","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":"Physical activity and negative affect in a naturalistic treatment-seeking sample with anxiety-related disorders","authors":"Yiqin Zhu ,&nbsp;Lindiwe Mayinja ,&nbsp;Kevin Narine ,&nbsp;Lily A. Brown","doi":"10.1016/j.jbct.2023.11.001","DOIUrl":"10.1016/j.jbct.2023.11.001","url":null,"abstract":"<div><h3>Objective</h3><p>Increased physical activity may be associated with reduction in negative affect or increase in emotional self-efficacy, defined as one’s confidence to cope with negative affect, though these hypotheses have not been adequately empirically tested in individuals with anxiety-related disorders. We aimed to examine bi-directional associations among physical activity, negative affect, and emotional self-efficacy.</p></div><div><h3>Methods</h3><p><span>Data were collected from adult patients receiving cognitive behavior therapy (CBT) for anxiety (</span><em>N</em><span> = 35). Participants were provided with a Fitbit and completed ecological momentary assessment throughout their CBT, up to 20 weeks. We examined bi-directional relationships using linear mixed-effect models.</span></p></div><div><h3>Results</h3><p>Greater physical activity (steps) were significantly associated with same-day anxiety reduction and next-week depression reduction. Increased emotional self-efficacy was significantly associated with average physical activity in the next week.</p></div><div><h3>Conclusions</h3><p>Physical activity may bring direct emotional benefits for individuals receiving CBT for anxiety disorders. Clinicians should consider explicitly encouraging patients to increase physical activity after consulting with their physician as needed, through basic strategies like walking, and emotional self-efficacy could be a targeted precursor to encouraging physical activity.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 1","pages":"Article 100480"},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138616472","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":"Obsessive-compulsive symptoms and dimensional models of psychopathology: The contribution of “not just right experiences”","authors":"Claudio Sica ,&nbsp;Corrado Caudek ,&nbsp;Ilaria Colpizzi ,&nbsp;Anna Malerba ,&nbsp;Gioia Bottesi","doi":"10.1016/j.jbct.2023.11.002","DOIUrl":"10.1016/j.jbct.2023.11.002","url":null,"abstract":"<div><p>Dimensional models provide a framework for characterizing psychopathology and personality disorders based on lower-order maladaptive traits, typically organized into five overarching domains: Negative Affect or Internalizing, Detachment, Antagonism, Disinhibition, and Psychoticism or Thought Disorder. Within the context of these dimensional models, the classification of Obsessive-Compulsive (OC) symptoms has raised questions, as they are often placed within the Negative Affect/Internalizing or Psychoticism/Thought Disorder domains. The discrepancy in their categorization may be attributed to the diversity in how these symptoms manifest. An alternative perspective involves the adoption of a measure associated with a vulnerability factor for OCD, which may transcend the specific symptoms of the disorder. In this study, our objective was to explore the association between 'Not Just Right Experiences' (NJREs) and the dimensions specified in the DSM-5 Alternative Model of Personality Disorders (AMPD). We utilized two distinct samples, one consisting of 978 participants and the other comprising 1004, all of whom were non-clinical individuals. Through a series of exploratory factor analyses conducted on the initial sample, we uncovered a hierarchical structure of general psychopathology. Within this structure, NJREs were situated within the AMPD's Psychoticism domain. Furthermore, the Psychoticism domain exhibited a strong and unique association with all OC symptoms, surpassing the influence of other AMPD components. A structural equation model applied to the second sample validated these findings, indicating that both the Psychoticism and Negative Affect played significant roles in explaining a substantial portion of the variance observed in NJRE measures. These outcomes have pertinent clinical implications, particularly in the context of Cognitive-Behavioral Therapy for individuals with OCD.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 1","pages":"Article 100481"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589979123000379/pdfft?md5=e40a89b4bafdb7e1edd5e006c83d2f75&pid=1-s2.0-S2589979123000379-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewers acknowledgment","authors":"","doi":"10.1016/S2589-9791(23)00035-5","DOIUrl":"https://doi.org/10.1016/S2589-9791(23)00035-5","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 4","pages":"Page 236"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589979123000355/pdfft?md5=1cddba5f00ee90a1d98bc0692843fc49&pid=1-s2.0-S2589979123000355-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138656909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From home practice to virtual reality: The subjective experience of mindfulness-based therapy of people with concomitant social anxiety and psychotic disorder","authors":"Catherine Hache-Labelle ,&nbsp;Stéphanie Simard ,&nbsp;Marie Villeneuve ,&nbsp;Amal Abdel-Baki ,&nbsp;Martin Lepage ,&nbsp;M. Archibaldo Bravo ,&nbsp;Tania Lecomte","doi":"10.1016/j.jbct.2023.10.003","DOIUrl":"10.1016/j.jbct.2023.10.003","url":null,"abstract":"<div><h3>Aims</h3><p>This paper aims at exploring the subjective experience, particularly in terms of acceptability and feasibility, of a mindfulness-based intervention for people with a psychotic disorder<span> and social anxiety. Mindfulness interventions benefit from empirical support for decreasing anxiety in people with psychotic disorders, yet the effects on specific anxiety disorders, namely social anxiety, have scarcely been studied.</span></p></div><div><h3>Methods</h3><p><span>Three different studies were conducted in order to determine the feasibility and acceptability of the mindfulness intervention and of the use of homework and VR exposure for people with psychotic disorder and social anxiety: two single case studies (one with virtual reality) and a pilot study (</span><em>n</em> = 6).</p></div><div><h3>Results</h3><p>The intervention proposed was generally well-accepted and appreciated by the participants, but the meditation homework stood out as rather difficult for some participants. The virtual reality addition appeared to have a positive impact on the therapy, being also well-accepted and appreciated by the participant, but also considered stressfull.</p></div><div><h3>Conclusions</h3><p>This paper shows that the mindfulness-based intervention presented is feasible, appreciated by the participants and has potential to be useful and therapeutic in the context of social anxiety in people with a psychotic disorder, even though efficacy cannot be established in these exploratory studies. The added value of encouraging at-home practice and of using VR exposure to the treatment merits further investigation. Future studies are needed to determine the efficacy of the treatment, especially with the virtual reality exposure and homework encouragements.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 4","pages":"Pages 216-226"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135664983","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":"Learning from other patients – A feasibility study to establish an ecologically valid paradigm to modify negative expectations in depression through authentic psychotherapeutic treatment reports","authors":"Edith Rapo ,&nbsp;Winfried Rief ,&nbsp;Tobias Kube","doi":"10.1016/j.jbct.2023.10.001","DOIUrl":"10.1016/j.jbct.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Patients’ expectations about psychotherapy are of great importance, since they can influence the outcome of psychotherapy. Thus, it is important to ensure that patients have positive expectations about the outcomes of psychotherapy. This is particularly relevant in patients<span> with major depression, since they often hold (unrealistically) negative expectations and tend to maintain these expectations despite novel positive information. Here, we test the feasibility of a novel, ecologically valid experimental paradigm to investigate how depressed patients learn from other patients’ experiences with psychotherapy, and which cognitive mechanisms hinder the integration of novel positive information.</span></p></div><div><h3>Method</h3><p><em>N</em><span> = 17 outpatients diagnosed with a major depressive disorder watched videotaped experience reports of five acting patients. Each acting patient was shown twice: first, before receiving psychotherapeutic treatment, where they reported on feeling depressed and pessimistic about their future; second, at the end of psychotherapy, where they reported on feeling better and having overcome the challenges they used to struggle with. Before and after watching the videos, participants rated their expectations for positive and negative future life events.</span></p></div><div><h3>Results</h3><p>Results indicate that the paradigm is well applicable and the videos were perceived as credible, interesting and helpful. Descriptive results show that the video reports led to a slight modification of expectations.</p></div><div><h3>Conclusion</h3><p>The results indicate that our new paradigm is a suitable tool to investigate expectation change in response to other patients’ experiences with psychotherapy. Furthermore, our paradigm is suitable to investigate potential cognitive mechanisms involved in expectation change in depression.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 4","pages":"Pages 195-206"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136009268","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":"Implementation of cognitive reappraisal in subthreshold psychosis","authors":"Jill R. Laquidara,&nbsp;Taylor Johnson,&nbsp;Elyssa M. Barrick,&nbsp;Madeline Ward,&nbsp;Sophia Saavedra,&nbsp;Sarah Hope Lincoln","doi":"10.1016/j.jbct.2023.10.002","DOIUrl":"https://doi.org/10.1016/j.jbct.2023.10.002","url":null,"abstract":"<div><p><span>Cognitive reappraisal<span> is an emotion regulation<span> strategy based in cognitive behavioral therapy and can be associated with positive outcomes for individuals with and at risk for psychosis. However, the literature is mixed regarding whether this population uses cognitive reappraisal effectively. The current study examined</span></span></span> <!-->cognitive reappraisal effectiveness in individuals at clinical high risk for psychosis and healthy control participants (<em>N</em> = 66; 34 clinical high risk, 32 healthy controls). The experimental task instructed participants to engage in reappraisal in real-time to regulate distress. We hypothesized that control participants would be more effective at using cognitive reappraisal compared to psychosis-risk participants, resulting in greater distress reduction post-reappraisal. Results demonstrated the opposite: the psychosis-risk group reported a greater change in distress level than the healthy control group after reappraisal was employed (Cohen’s <em>d</em><span> = 0.52). Exploratory analyses revealed that the clinical high risk group reported higher pre-task distress, but reported post-reappraisal distress levels equivalent to the healthy control group. These results contribute to emerging evidence that suggests individuals on the psychosis spectrum can implement reappraisal effectively. Therefore, complex training to improve cognitive reappraisal may not be needed. Instead, future research should examine the potential clinical utility of using simple reminders and/or guided prompts to promote cognitive reappraisal in individuals on the psychosis spectrum.</span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 4","pages":"Pages 207-215"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138656908","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":"Gaze and avoidant patterns of visual attention to aversive stimuli during fear habituation trial: A pilot eye tracking study","authors":"Minoru Takahashi ,&nbsp;Manabu Kikuchi ,&nbsp;Jun-ichi Yamamoto ,&nbsp;Michiyo Hirai","doi":"10.1016/j.jbct.2023.10.004","DOIUrl":"10.1016/j.jbct.2023.10.004","url":null,"abstract":"<div><p>Previous studies have revealed that attentional bias toward aversive stimuli may play a causal role in the development and maintenance of anxiety disorders. This pilot study designed an experiment, using eye tracking, to capture gaze patterns individuals may display during a fear habituation trial. Three trials were conducted with twenty-eight subjects who reported aversion<span> to insects. Pictures of cockroaches were used as aversive stimuli. The time proportion of the total visit duration and average visit duration toward aversive stimuli were analyzed using a mixed ANOVA<span>, with three habituation trials and four self-report on fear level scores as within-participants factors. Across trials, the time proportion of total visit duration was relatively low when fear levels were high, and increased when fear levels decreased. Across trials, the average visit duration was short when fear levels were relatively high, and the average visit duration became relatively long as fear levels decreased. The results indicated that higher fear levels during exposure are likely to lead to attentional avoidance which might be a strategic effortful coping process (Eysenck, et al. 2007). This study is an crucial first step toward understanding the gaze patterns that fearful individuals may display during exposure trials. Using eye tracking technology, we objectively identified these gaze patterns and opened avenues to enhance the efficacy of exposure-based interventions tailored to address phobias.</span></span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 4","pages":"Pages 227-235"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135663934","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":"Online acceptance and commitment therapy for chronic pain in a sample of people with Chiari Malformation: A pilot study","authors":"Monica A. Garcia ,&nbsp;Emily P. Rabinowitz ,&nbsp;Michael E. Levin ,&nbsp;Hayley Shasteen ,&nbsp;Philip A. Allen ,&nbsp;Douglas L. Delahanty","doi":"10.1016/j.jbct.2023.09.001","DOIUrl":"https://doi.org/10.1016/j.jbct.2023.09.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>The current study examined the efficacy of an online Acceptance and Commitment Therapy (ACT) intervention at addressing chronic pain in individuals with </span>Chiari Malformation<span> (CM) with the hope of informing adjunctive treatment options.</span></p></div><div><h3>Method</h3><p>52 adults (aged 18–65) with CM were randomized into either the treatment or a waitlist control group. Both groups completed baseline assessments followed by 8 weekly assessments of pain interference, anxiety, depression, sleep dysfunction, chronic pain acceptance, and psychological flexibility; the treatment group also completed 8 weekly online self-guided intervention modules. All participants were assessed at 8 weeks and 1-month post-intervention.</p></div><div><h3>Results</h3><p>Using hierarchical linear modeling, significant group differences were identified in the trajectories of psychological flexibility and chronic pain acceptance such that the treatment group improved at a faster rate. The curve in the trajectory of sleep dysfunction differed between groups but outcomes did not differ. There were no significant group differences in pain interference, depression, or anxiety symptoms, and psychological flexibility did not mediate any of the significant findings.</p></div><div><h3>Conclusion</h3><p>ACT processes of change were effectively engaged, as demonstrated by significant improvements in psychological flexibility and chronic pain acceptance within the treatment group. Possible modifications to the intervention may be necessary to improve treatment of non-responsive symptoms.</p><p><strong>Trial Registration.</strong><span> This study was registered with Clinical Trials.gov (Identifier NCT04089670, 19–17).</span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 3","pages":"Pages 152-168"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71760773","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":"Twelve-month trajectories of depression after group-based psychotherapy led by nonspecialists at primary health centers: A case study from Vietnam","authors":"Mai Tuyet Do ,&nbsp;Tam Thanh Nguyen ,&nbsp;Huong Thi Thanh Tran","doi":"10.1016/j.jbct.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.jbct.2023.09.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Depression is a top prevalent mental illness but has low care access globally. Community-based interventions were considered to be effective for depression with scarce resources.</p></div><div><h3>Purpose</h3><p>This study evaluated depression after group psychotherapy in primary settings in Vietnam for up to 12 months.</p></div><div><h3>Method</h3><p>A quasiexperimental study including a single-arm, pre- and post intervention assessment was conducted among 359 people aged 18–65 (PHQ-9 score ≥ 10) from August 2020 to January 2022 in 10 communes of Thai Nguyen Province, Vietnam. The PHQ-9 scores were collected at baseline and after 3, 6, and 12 months. The trained nonspecialists delivered 8 sessions of group therapy under supervision.</p></div><div><h3>Result</h3><p>Three hundred fifty-nine eligible people participated in the intervention, and three and two people dropped out after three months and six months, respectively. The mean PHQ-9 score decreased from 13.29 preintervention to 2.83 after 12 months. The difference in depression severity between the three points of follow-up was statistically significant (p &lt; 0.001). Ninety percent of participants achieved reliable improvement, and 96% recovered at 12 months.</p></div><div><h3>Conclusion</h3><p>Community-based psychotherapy can be a promising approach to depression management in limited settings in the long term, which needs further study to evaluate its acceptance and feasibility in a specific context.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 3","pages":"Pages 169-178"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71760772","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}