Journal of Behavioral and Cognitive Therapy最新文献_第7页

Factors influencing the efficacy of an online behavioural intervention for children and young people with tics: Process evaluation of a randomised controlled trial 影响抽搐儿童和青少年在线行为干预效果的因素:一项随机对照试验的过程评估

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.02.005

Kareem Khan , Chris Hollis , Charlotte L. Hall , E. Bethan. Davies , Elizabeth Murray , Per Andrén , David Mataix-Cols , Tara Murphy , Cris Glazebrook

{"title":"Factors influencing the efficacy of an online behavioural intervention for children and young people with tics: Process evaluation of a randomised controlled trial","authors":"Kareem Khan , Chris Hollis , Charlotte L. Hall , E. Bethan. Davies , Elizabeth Murray , Per Andrén , David Mataix-Cols , Tara Murphy , Cris Glazebrook","doi":"10.1016/j.jbct.2022.02.005","DOIUrl":"10.1016/j.jbct.2022.02.005","url":null,"abstract":"<div><p>The Online Remote Behavioural Intervention for Tics (ORBIT) trial found that an internet-delivered, therapist-supported, and parent-assisted Exposure and Response Prevention (ERP) intervention reduced tic severity and improved clinical outcomes. This process evaluation aimed to explore mechanisms of impact and factors influencing efficacy. Participants were 112 children with a tic disorder and their parents randomised to the active intervention arm of the ORBIT trial. Child engagement was assessed by usage metrics and parent engagement by chapter completion. Experiences of the digital intervention were explored by semi-structured interviews. Outcomes (3-months post randomisation) were change in tic severity and overall clinical improvement. Tic severity reduced from baseline to 3-month follow-up and 36% were rated as much improved clinically. Greater tic severity at baseline predicted reduction in tic severity. Parental engagement was the only independent predictor of clinical improvement. There were no statistically significant mediators or moderators of the relationship between level of child engagement and outcome. From the qualitative findings, child participants appreciated working together with parents on the intervention and participants found the intervention engaging. ORBIT may be an effective and acceptable intervention for children and young people with tic disorders, with parental engagement being a key factor in successful outcomes.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 3","pages":"Pages 197-206"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589979122000142/pdfft?md5=0308147716bd32c5824130e374a24d55&pid=1-s2.0-S2589979122000142-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128212996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Emotion regulation as a mediator between early maladaptive schemas and non-suicidal self-injury in youth 情绪调节在青少年早期适应不良图式与非自杀性自伤之间的中介作用

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.05.001

Annemarie Nicol , Phillip S. Kavanagh , Kristen Murray , Anita S. Mak

{"title":"Emotion regulation as a mediator between early maladaptive schemas and non-suicidal self-injury in youth","authors":"Annemarie Nicol , Phillip S. Kavanagh , Kristen Murray , Anita S. Mak","doi":"10.1016/j.jbct.2022.05.001","DOIUrl":"10.1016/j.jbct.2022.05.001","url":null,"abstract":"<div><p>Non-suicidal self-injury is commonly explained using an emotion regulation framework. Increasingly, early maladaptive schemas (EMS) are also used to conceptualise self-injury. However, there is an absence of research examining the relationship between EMS, emotion regulation, and self-injury. The current study attempted to address this gap by comparing youth with and without a history of self-injury on measures of emotion regulation difficulties and EMS, specifically Abandonment/Instability and Defectiveness/Shame. Specifically, we were interested in assessing whether difficulties in emotion regulation mediated the relationship between EMS and self-injury. Four hundred and three Australian secondary and university students aged between 16 and 25 years, completed measures of self-injury, EMS, and difficulties in emotion regulation. We found significant and positive relationships between Abandonment/Instability, Defectiveness/Shame and six emotion regulation difficulties. Young people with a self-injury history reported more difficulties in emotion regulation compared to those who had never self-injured. For each of the EMS, there was a direct effect on self-injury status, as well as an indirect effect via total emotion regulation difficulties. There was a significant indirect effect of Abandonment/Instability on self-injury via limited access to emotion regulation strategies. Results contribute to our understanding of mechanisms underlying the association between EMS and self-injury, that is, through emotion regulation difficulties. Results are discussed with reference to clinical implications, suggesting that targeting both EMS and emotion regulation difficulties may be appropriate when working with young self-injurers.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 3","pages":"Pages 161-170"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122723349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Emotion regulation difficulties in a non-clinical sample with symmetry, ordering and arranging symptoms 具有对称、有序和排列症状的非临床样本情绪调节困难

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.03.002

Maedeh Vahidpour

{"title":"Emotion regulation difficulties in a non-clinical sample with symmetry, ordering and arranging symptoms","authors":"Maedeh Vahidpour","doi":"10.1016/j.jbct.2022.03.002","DOIUrl":"10.1016/j.jbct.2022.03.002","url":null,"abstract":"<div><p><span><span><span>Difficulty in regulating emotions is implicated in the severity and persistence of obsessive-compulsive disorder (OCD). While emotional regulation has recently been examined relative to certain clinical manifestations of this disorder, its association with symmetry, ordering, and arranging symptoms (SOAS) remains poorly understood. However, the heterogeneity of both OCD and emotional regulation difficulties has hindered the identification of specific associations that may permit the refinement of treatment strategies. The present study examines this issue in a sample of 237 participants who completed online questionnaires of </span>OCD symptoms and difficulties in emotional regulation. Initial analyses demonstrated positive and significant correlations between SOAS and several forms of emotional difficulties when considered individually. However, </span>multivariate analyses demonstrated the preponderant role of impulse control difficulties (β</span>    <0.100) in explaining variance in SOAS. When experiencing negative emotions, difficulties in impulse control behaviors appear to play a salient role in the exacerbation of symptoms of symmetry, ordering, and arranging, and merit particular attention in the choice of clinical interventions for these patients.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 3","pages":"Pages 239-242"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124248043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapist- and therapy-related predictors of outcomes in a randomized controlled trial of school-based treatments for pediatric anxiety 在一项以学校为基础的儿童焦虑治疗的随机对照试验中，治疗师和治疗相关的结果预测因素

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.03.001

Carissa M. Orlando , E.B. Caron , Isaac C. Smith , Thomas J. Harrison , Jeffrey E. Pella , Golda S. Ginsburg

{"title":"Therapist- and therapy-related predictors of outcomes in a randomized controlled trial of school-based treatments for pediatric anxiety","authors":"Carissa M. Orlando , E.B. Caron , Isaac C. Smith , Thomas J. Harrison , Jeffrey E. Pella , Golda S. Ginsburg","doi":"10.1016/j.jbct.2022.03.001","DOIUrl":"10.1016/j.jbct.2022.03.001","url":null,"abstract":"<div><p><span>The current study examined predictors of outcomes across two school clinician-delivered treatments (i.e., treatment as usual [TAU] or modular cognitive-behavioral therapy [M-CBT]) for youth with anxiety disorders. Predictors reflected two broad domains—therapist factors (i.e., education, years of experience, therapeutic orientation, work related stressors/barriers, self-efficacy, and attitudes towards evidence-based practices) and treatment-related factors (i.e., dosage, child compliance with treatment, </span>therapeutic alliance, therapeutic nonspecifics, and proportion and quality of evidence-based structure elements). One hundred and ninety-five youth (mean age 10.98; 50.3% female, 53.5% non-Hispanic Caucasian) and 54 therapists (90.7% female, 72.2% non-Hispanic Caucasian) that were enrolled and randomized in a previous study (Ginsburg et al., 2020) participated. Results showed that incorporation of more evidence-based structure elements (e.g., agenda setting, assigning homework) and higher child compliance with treatment significantly increased odds of response to treatment. These findings provide important information about key ingredients to successful treatments, regardless of treatment condition/modality, and can be used to inform future training and implementation of school-based treatments for youth with anxiety disorders.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 3","pages":"Pages 171-182"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126968554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Use of mental health services and perceived barriers to access services among college students with suicidal ideation 有自杀意念的大学生心理健康服务的使用和获得服务的感知障碍

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.02.003

Mathilde Janota , Viviane Kovess-Masfety , Clara Gobin-Bourdet , Mathilde M. Husky

{"title":"Use of mental health services and perceived barriers to access services among college students with suicidal ideation","authors":"Mathilde Janota , Viviane Kovess-Masfety , Clara Gobin-Bourdet , Mathilde M. Husky","doi":"10.1016/j.jbct.2022.02.003","DOIUrl":"10.1016/j.jbct.2022.02.003","url":null,"abstract":"<div><p>Suicide is an important public health<span><span> issue in France, where the suicide rate is among the highest in Europe. While suicidal thoughts and behaviors are prevalent among young adults including college students, an important gap exists between the presence of psychological difficulties and the use of mental health services. Using data drawn from the French portion of the World Mental </span>Health International College Student survey initiative (WMH-ICS), the current study investigates the use of mental health services among college students with 12-month suicidal ideation and examines the barriers identified by students who did not receive care, and include cohorts enrolled pre-pandemic and during the pandemic. Only one quarter received services and among those who did not, one half reported a perceived need. Prior services use, any anxiety disorder, depressive disorder, and suicide attempt were associated with the use of services in the past 12 months. The most frequently reported barriers were wanting to handle the problem on their own, being unsure of where to go or who to see, and being too embarrassed. The pandemic context was associated neither with services use nor with greater reported barriers. These findings underline the gap in mental health services use among college students despite the accessibility of mental health services in France. Identifying the barriers which restrict the use of mental health services among students could contribute to identifying specific targets for prevention, and facilitate access to appropriate services.</span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 3","pages":"Pages 183-196"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128800595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Perspectives on the course of major depression: Trajectories of remission and relapse with CBT or no treatment 重性抑郁症病程的观点:CBT治疗或不治疗的缓解和复发轨迹

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.04.003

Gregory V. Chauvin , Danielle L. Hoyt , Michael W. Otto

{"title":"Perspectives on the course of major depression: Trajectories of remission and relapse with CBT or no treatment","authors":"Gregory V. Chauvin , Danielle L. Hoyt , Michael W. Otto","doi":"10.1016/j.jbct.2022.04.003","DOIUrl":"10.1016/j.jbct.2022.04.003","url":null,"abstract":"<div><p><span><span>To provide a normative backdrop by which clinical-researchers and clinicians can consider the benefits of cognitive behavioral therapy (CBT) for </span>major depressive disorder (MDD), we consider what is known and what can be extrapolated about the average patterns of remission and relapse for CBT-treated versus untreated individuals with MDD. To achieve this, a detailed analysis of the average monthly trajectories experienced by CBT-treated patients is performed: remission during the duration of acute-phase (three months) and continuation-phase CBT (nine months thereafter) as well as relapse during the year following remission are examined utilizing published </span>clinical trial<span> data. We contextualize these mean treatment trajectories with comparative trajectories of untreated individuals and provide both graphical (primary outcome) and textual information on the patterns of remission and relapse as judged by the current literature. Finally, through investigating these trajectories, we also present where the current literature is and is not well-informed on the longitudinal course of CBT-treated and untreated MDD.</span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 3","pages":"Pages 231-237"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132017476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tribute to Joël Swendsen 向Joël Swendsen致敬

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.08.002

引用次数: 0

Exploring skill utilization as a mechanism of dialectical behavioral therapy among adults with eating disorders in a partial hospitalization program 在部分住院治疗的成人饮食失调患者中，探索技能运用作为辩证行为治疗的机制

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-09-01 DOI: 10.1016/j.jbct.2022.04.002

Anna M. Karam , Brittany K. Bohrer , Christina E. Wierenga , Leslie K. Anderson , Walter H. Kaye , Tiffany A. Brown

{"title":"Exploring skill utilization as a mechanism of dialectical behavioral therapy among adults with eating disorders in a partial hospitalization program","authors":"Anna M. Karam , Brittany K. Bohrer , Christina E. Wierenga , Leslie K. Anderson , Walter H. Kaye , Tiffany A. Brown","doi":"10.1016/j.jbct.2022.04.002","DOIUrl":"10.1016/j.jbct.2022.04.002","url":null,"abstract":"<div><p><span><span><span>Research supports the use of dialectical behavior therapy (DBT) for patients with eating disorders (EDs). The DBT skills deficit model suggests that individuals engage in </span>maladaptive behaviors<span> to reduce or avoid strong emotions due to lack of knowledge or mastery of more effective methods to regulate distress. A primary component of DBT is teaching patients skills to cope with emotional dysregulation. Building upon previous research, this study examined whether change in DBT skills use frequency mediated the relationship between </span></span>emotion dysregulation<span> and ED symptoms across ED diagnoses, in a sample of treatment-seeking adults with EDs (</span></span><em>N</em>  <span><span>454). Variables were measured at treatment admit, one-month post-admission, and discharge. Bootstrapped mediation analyses were used and biased-corrected 95% confidence intervals (CIs) were computed. Increases in DBT skills use mediated the association between emotion dysregulation and ED psychopathology (95% CI [−.0022, −.0002]), but not change in </span>binge eating (95% CI [−.0034, .0001]) or self-induced vomiting (95% CI [−.0032, .0006]). The index of moderated mediation for all outcomes indicated the simple mediation model did not significantly differ as a function of diagnosis type. Results provide support for the DBT skills deficit model in an ED sample and suggest that DBT improves ED psychopathology by increasing frequency of using effective coping skills.</span></p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 3","pages":"Pages 223-229"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133921420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum to “Internet delivered guided cognitive behavioral self-help for panic disorder: An open trial and benchmarking study” [J. Behav. Cogn. Ther. 32 (2022) 73–83] 网络引导下的认知行为自助对惊恐障碍的影响[J]。Behav。Cogn。Ther. 32 (2022) 73-83]

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-06-01 DOI: 10.1016/j.jbct.2022.04.004

Asher Y. Strauss , Asala Halaj , Dina Zalaznik , Isaac Fradkin , Benjamin A. Katz , Elad Zlotnick , Snir Barzilay , Gerhard Andersson , David Daniel Ebert , Jonathan D. Huppert

引用次数: 0

Sex differences in blushing and eye contact in mixed versus same-sex dyads 异性恋和同性双性恋中脸红和眼神交流的性别差异

Journal of Behavioral and Cognitive Therapy Pub Date : 2022-06-01 DOI: 10.1016/j.jbct.2021.10.001

Peter D. Drummond

{"title":"Sex differences in blushing and eye contact in mixed versus same-sex dyads","authors":"Peter D. Drummond","doi":"10.1016/j.jbct.2021.10.001","DOIUrl":"https://doi.org/10.1016/j.jbct.2021.10.001","url":null,"abstract":"<div><p><span>It is commonly assumed that women blush more strongly than men, but sex differences in blushing have been identified in only a few studies and what underlies these differences has not been explored. Hence, the aim of this study was to investigate factors that might underlie sex differences in blushing. To monitor blushing, changes in pulse amplitude in the forehead skin were measured in 40 male and 40 female participants during stressful laboratory tasks (serial subtractions and singing). A male or female experimenter interacted with participants during these tasks in a critical or friendly manner. In addition to blushing, the effect of these manipulations on gaze </span>aversion (a nonverbal cue of embarrassment) was explored. Blushing was greater in women than men and was greater in participants tested by a male than female experimenter. However, neither the sex-composition of experimenter-participant dyads nor the interpersonal style of the experimenter modified blushing intensity, despite effects on eye contact. These findings suggest that sex-linked influences on autonomic reactivity rather than embarrassment moderate blushing during social interactions. These sex-linked influences may be important during cognitive-behavioural treatments for social anxiety associated with fear of blushing.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"32 2","pages":"Pages 145-150"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92020904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0