Journal of Behavioral and Cognitive Therapy最新文献

{"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}

{"title":"Exploration of the preliminary effectiveness and acceptability of a self-help digital intervention to support benzodiazepine cessation and improve mental health and wellbeing: A one-group pilot trial","authors":"Britt Klein ,&nbsp;Erin Oldenhof ,&nbsp;Huy Nguyen ,&nbsp;Peter Schattner ,&nbsp;Kerrie Shandley","doi":"10.1016/j.jbct.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.jbct.2023.09.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Benzodiazepines (BDZs) are often inappropriately prescribed to manage anxiety and insomnia for longer-term use, despite guidelines recommending short-term use (i.e., &lt;4 weeks). A range of harms can occur rapidly with regular use, and dependence can make stopping BDZs challenging. Evidence shows that a combination of BDZ tapering and psychological support are effective interventions, yet are not widely accessible.</p></div><div><h3>Methods</h3><p>This was a one-group pilot trial of a 6-week fully automated self-help BDZ digital intervention (‘BDZ digital health’), providing guidance on how to safely taper BDZs as well as psychological support. The trial was undertaken with Australian adults considering a reduction and/or withdrawal from their BDZ (N = 43). Participants were assessed at pre-intervention (Week 0), during intervention (Week 3), post-intervention (Week 6), and at a 3- and 6-month follow-up (Week 18 and 30 respectively).</p></div><div><h3>Results</h3><p>Reductions in BDZ use and self-reported dependency were observed over the course of the intervention. Significant symptom reductions in anxiety, insomnia, depression, psychological distress, and emotional dysregulation, as well as improvements in mental wellbeing and quality of life were observed when looking across all timepoints. However, the specific assessment timepoint changes for depression and psychological distress did not reach significance from the pre- to post-intervention timepoint. The intervention acceptability ratings were in the moderately high to high range.</p></div><div><h3>Discussion</h3><p>The preliminary results of the pilot trial suggest that BDZ digital health is an acceptable and promising self-help digital intervention to assist adults reducing and withdrawing from their BDZs, and to improve their mental health and wellbeing.</p><p><strong>Trial registration:</strong> ACTRN12617000574347 (24/04/2017).</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 3","pages":"Pages 179-193"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71760771","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":"Intelligence quotient, combat experiences, psychosocial functioning, and depressive symptoms’ roles in PTSD symptom severity and treatment completion","authors":"Gail D. Tillman ,&nbsp;Elizabeth Ellen Morris ,&nbsp;Tyler Rawlinson ,&nbsp;Christina Bass ,&nbsp;Mary Turner ,&nbsp;Kelsey Watson ,&nbsp;Nyaz Didehbani ,&nbsp;F. Andrew Kozel ,&nbsp;Michael A. Kraut ,&nbsp;Michael A. Motes ,&nbsp;John Hart Jr.","doi":"10.1016/j.jbct.2023.07.001","DOIUrl":"https://doi.org/10.1016/j.jbct.2023.07.001","url":null,"abstract":"<div><p>Pre-, peri-, and post-deployment factors, including demographic factor, psychological traits, and previous trauma experience, have been hypothesized to influence severity of combat-related posttraumatic stress disorder<span><span> (PTSD) and whether an individual completes a treatment trial. Here we report on the roles of these factors on pretreatment PTSD symptom severity and how these factors affected treatment drop-out in 103 participants enrolled in a previously conducted treatment trial for PTSD for these individuals. We found that comorbid depression, IQ, breadth of combat experiences, and psychosocial functioning play significant roles in accounting for PTSD severity, with those five variables accounting for ∼51% of the variance, with depressive symptoms (∼38% of the variance in CAPS total score), extent of trauma exposure (∼5%), IQ (∼3%), the index trauma being related to witnessing a threat (∼3%), and psychosocial functioning (∼2%) contributing significantly. The same factors were investigated to assess their influence on completion of treatment protocols, where higher IQs and less diversity of trauma exposures were associated with a higher completion rate. Thus, the factors contributing to PTSD symptoms and treatment completion are diverse, encompass pre-, peri-, and post-trauma conditions, and span the breadth of neurobiological, combat, and </span>psychosocial factors.</span></p><p>ClinicalTrials.gov identifier: NCT01391832.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 3","pages":"Pages 139-151"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71760774","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 association between coping behaviors and the interpersonal theory of suicide in college students","authors":"Zain Hussain ,&nbsp;Ryan Michael Hill","doi":"10.1016/j.jbct.2023.05.005","DOIUrl":"https://doi.org/10.1016/j.jbct.2023.05.005","url":null,"abstract":"<div><h3>Objectives</h3><p>High levels of stress are associated with suicide ideation among college students. The interpersonal theory of suicide provides a framework for conceptualizing the association between stress and suicide. This study will examine the associations between multiple types of stress (daily life hassles vs. negative life events) on suicidal ideation and the role of adaptive/maladaptive coping skills as potential moderators of the relationship between stress, thwarted belongingness, perceived burdensomeness, and suicidal ideation.</p></div><div><h3>Design</h3><p>The current study is a secondary analysis of data gathered from South-eastern university students in the U.S.</p></div><div><h3>Method</h3><p>College students (N = 218) with elevated depressive symptoms completed cross-sectional surveys. Participants were predominantly (78%) women and (72.8%) Hispanic, with a mean age of 20.81 years (SD = 3.96).</p></div><div><h3>Results</h3><p>Daily life hassles and negative life events were indirectly associated with suicidal ideation via perceived burdensomeness and thwarted belongingness. Only maladaptive coping behaviors significantly moderated the indirect effect of daily life hassles and negative life events on suicide ideation via perceived burdensomeness, but not thwarted belongingness. Thus, reliance on maladaptive coping behaviors increased the strength of the association between daily life hassles/negative life events and suicidal ideation.</p></div><div><h3>Limitations</h3><p>This study utilized cross-sectional data from a sample of college students with elevated depressive symptoms and may not generalize to other college student populations. Additionally, the use of cross-sectional data precludes causal interpretations of the findings.</p></div><div><h3>Conclusion</h3><p>An improved understanding of potential buffers against the effects of stress can help identify opportunities for targeted prevention efforts to reduce rates of suicide-related behaviors in college students. Findings suggest that efforts to reduce student use of maladaptive coping behaviors may help to negate the negative impacts of stress on suicidal ideation.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 2","pages":"Pages 118-126"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50180995","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":"Risk scores in digital psychiatry: Expanding the reach of complex smartphone data by condensing it into simple results","authors":"Carsten Langholm,&nbsp;Noy Alon,&nbsp;Sarah Perret,&nbsp;John Torous","doi":"10.1016/j.jbct.2023.05.004","DOIUrl":"https://doi.org/10.1016/j.jbct.2023.05.004","url":null,"abstract":"<div><p>As college counseling centers struggle to meet the growing demands of behavioral health services, digital mental health tools like smartphone apps offer a scalable solution to increase access to care. However, clinicians report greater time demands and uncertainty over how to act upon digital data. In this paper, by using established statistical techniques, we condense complex smartphone data into results that are quickly understood and clinically meaningful. Specifically, we show how smartphone digital phenotyping data collected by college students can be used to predict an individual’s anxiety and depression level on a daily or weekly basis with an error of less than 10%. These predictions are then condensed into a 1 to 5 scale with a 1 representing patients with the lowest risk of presenting high anxiety or depression, and a 5 representing the patients with the highest risk. If used in a clinical setting, these risk scores have the potential to help college counseling centers monitor symptom severity in real-time via students’ own smartphones, allocate resources more efficiently, and ensure that students are receiving the appropriate level of treatment.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"33 2","pages":"Pages 90-96"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50181111","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}