Journal of Cognitive Psychotherapy最新文献

{"title":"Acceptance and Commitment Therapy for Social Anxiety Disorder in U.S. Military Veterans: A Multiple Baseline Study.","authors":"Jeremiah E Fruge, Michael P Twohig","doi":"10.1891/JCP-2025-0042","DOIUrl":"https://doi.org/10.1891/JCP-2025-0042","url":null,"abstract":"<p><p>Acceptance and commitment therapy (ACT) is a supported intervention used with active-duty soldiers and veterans. In this multiple baseline study, we tested a 10-session ACT protocol for veterans with social anxiety disorder (SAD) using a culturally adapted protocol of ACT for veterans. At the individual level, three of four participants showed responses to treatment. Average self-monitored avoidance behaviors across all four participants decreased from 44.55 per day at pretreatment to 29.71 during treatment and further to 10.18 at follow-up. Average levels of self-reported anxiety moderately decreased by comparison. Finally, self-reports of psychological flexibility, sleep, suicidality, anxiety, and depression all moved in appropriate directions throughout treatment. Descriptions of exercises tailored to veteran populations are included. Limitations and future directions are discussed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Be or Not to Be-That Is the Obsession: The Nature and Treatment of Existential Obsessions and a Call for Research.","authors":"Jonathan S Abramowitz, Emily K Juel, Mujgan Inozu, Joseph B Friedman, Nicholas S Myers","doi":"10.1891/JCP-2025-0014","DOIUrl":"10.1891/JCP-2025-0014","url":null,"abstract":"<p><p>Existential obsessions-persistent, intrusive doubts about unanswerable questions such as the nature of reality, identity, free will, and death-are an understudied and underrecognized presentation of obsessive-compulsive disorder (OCD). Although these symptoms align with core OCD features, their abstract and philosophical content distinguishes them from more commonly studied presentations. This article provides a conceptualization of existential obsessions, outlining their phenomenology, cognitive-behavioral underpinnings, and implications for assessment and treatment. We identify four primary content domains, namely, metaphysical, thanatological, ontological, and deterministic obsessions, and draw on established OCD models to explain their development and maintenance. Sociocultural and developmental influences are also highlighted. We then outline treatment recommendations based on the conceptual model and present a research agenda to address gaps in the literature, including the need for targeted assessment tools, empirical tests of proposed mechanisms, and treatment trials. Just as other manifestations of OCD have gained clarity through empirical study, existential obsessions merit scientific attention to enhance recognition and improve outcomes.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":"78-96"},"PeriodicalIF":1.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insecure Attachment and Psychological Distress in Early Adolescence: Loneliness as a Mediator.","authors":"Chih-Ling Li, Pei-Chen Wu","doi":"10.1891/JCP-2025-0001","DOIUrl":"10.1891/JCP-2025-0001","url":null,"abstract":"<p><p>The existing research on attachment has been predominantly limited to Western adult populations and parental attachment relationships, leaving significant gaps in our understanding of adolescent development. The present study addresses these limitations by investigating how insecure attachment to mothers, fathers, and peers is associated with psychological distress in early adolescence (grades 7-9), with particular attention to the mediating role of loneliness. This developmental period represents a critical window for intervention, as patterns of social-emotional adjustment established during early adolescence often persist into adulthood. Our sample comprised 813 junior high school students who completed 3 well-validated self-report measures: the Relationships Structures Questionnaire assessing attachment patterns; the University of California, Los Angeles Loneliness Scale measuring subjective social isolation; and the Depression Anxiety Stress Scales-21 evaluating psychological distress. Using structural equation modeling, we tested three mediation models to examine both direct and indirect pathways from insecure attachment to psychological distress through loneliness. The results revealed several important patterns: First, we observed moderate positive correlations between anxious and avoidant attachment styles (<i>r</i> = .38-.44), suggesting that these insecure attachment patterns frequently co-occur. Second, structural models demonstrated significant total effects of insecure attachment on psychological distress across most relationship figures, with the notable exception of avoidant peer attachment. Third, while both anxious and avoidant attachment positively predicted psychological distress, avoidant peer attachment exhibited a negative association with distress symptoms. Fourth, and most crucially, loneliness emerged as a significant mediator in all models, explaining substantial portions of the attachment-distress relationship. Gender, attachment style, and loneliness together explained 36%-38% of the variance in distress. These findings have important theoretical and practical implications. Theoretically, they extend attachment research beyond its traditional focus on parental relationships by demonstrating the unique and combined influences of multiple attachment figures during early adolescence. Practically, the robust mediating role of loneliness suggests that interventions targeting both attachment security and social connection may be particularly effective for reducing adolescent distress. We recommend that family education programs incorporate attachment-informed parenting strategies while school counseling interventions address peer relationships and loneliness directly.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":"7-23"},"PeriodicalIF":1.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiating Scrupulosity and Religiosity: The Mediating Role of Fear of Self, Inferential Confusion, and Obsessive Beliefs in Mental and Contact Contamination.","authors":"Mujgan Inozu, Nicholas S Myers, Emily K Juel, Joseph B Friedman, Jonathan S Abramowitz","doi":"10.1891/JCP-2025-0003","DOIUrl":"10.1891/JCP-2025-0003","url":null,"abstract":"<p><p>This study explores the distinct roles of religiosity and scrupulosity in relation to cognitive factors-obsessive beliefs, fear of self, and inferential confusion-across contact and mental contamination (MC). Unlike prior research, it examines how religiosity and scrupulosity differentially predict contamination concerns through these cognitive factors. A sample of 235 undergraduates (83.4% female, <i>M</i> = 18.84 years) completed self-report measures assessing contamination types, scrupulosity, religiosity, fear of self, inferential confusion, and obsessive beliefs. Results showed that scrupulosity, compared with religiosity, was a stronger predictor of contamination, particularly MC, suggesting the importance of distinguishing between normative religious belief and pathological doubt. Fear of self and inferential confusion mediated the link between scrupulosity and MC, while inferential confusion alone mediated contact contamination. These findings highlight the distinct cognitive pathways underlying mental and contact contamination and emphasize the clinical relevance of targeting scrupulosity, fear of self, and inferential confusion-rather than religiosity-in interventions for contamination-related obsessive-compulsive disorder symptoms. Limitations include the sample's limited generalizability, cross-sectional design, and Western context, which may not fully capture cultural and religious influences.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":"24-41"},"PeriodicalIF":1.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating a Case of Disgust-Based Contamination Obsessive-Compulsive Disorder Using a Functional Approach to Exposure and Response Prevention: A Case Study.","authors":"Richard S Gallagher","doi":"10.1891/JCP-2024-0008","DOIUrl":"10.1891/JCP-2024-0008","url":null,"abstract":"<p><p>Research has shown that disgust-based contamination obsessive-compulsive disorder (OCD) is often challenging to treat due to neurological and behavioral differences that can inhibit short-term habituation. This article presents a case study of using a novel functional approach to exposure and response prevention for disgust-based OCD focused on facilitating practice in avoided situations, incorporating concepts from acceptance and commitment therapy as well as emerging literature on using judicious safety behaviors to enable repeated practice. This case involves a 39-year-old male patient with disgust-based contamination OCD treated using this approach. Following a short course of psychotherapy combined with self-directed practice, the patient's measured level of OCD severity (Yale-Brown Obsessive Compulsive Scale) was reduced by 56% over a 5-month period, with the patient meeting remission at posttreatment.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":"42-51"},"PeriodicalIF":1.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Cognitive Rehabilitation Nursing on Cognitive Impairment in Patients With Schizophrenia: A Comprehensive Systematic Review and Meta-Analysis.","authors":"Xin Di, Wang Yan, Li Biao, Liu Tuo, Meng Jing","doi":"10.1891/JCP-2025-0012","DOIUrl":"10.1891/JCP-2025-0012","url":null,"abstract":"<p><p>Cognitive impairment is a core feature of schizophrenia, significantly affecting patients' daily functioning and quality of life. Cognitive rehabilitation nursing (CRN) has emerged as a promising nonpharmacological approach to improve cognitive deficits. This systematic review and meta-analysis aimed to evaluate the efficacy of CRN in enhancing cognitive function in patients with schizophrenia. A systematic literature search was conducted in Web of Science, PubMed, and Scopus for studies published between 2020 and 2025, using a combination of controlled vocabulary and free-text terms. Eligible studies were original, peer-reviewed articles examining CRN interventions in individuals with schizophrenia, with cognitive or functional outcomes. Fifteen studies comprising 19 intervention arms met the inclusion criteria. Methodological quality was assessed using the Cochrane RoB-2 (Risk of Bias 2) tool for randomized trials and ROBINS-I (Risk of Bias in Non-randomized Studies of Interventions) for nonrandomized studies. Standardized mean differences (SMDs) with Hedges' g correction were calculated under a random-effects model. Heterogeneity was examined using I² statistics, and publication bias was evaluated through funnel plots and Egger's test. A total of 19 intervention arms from 15 studies were included. Overall, cognitive rehabilitation yielded a small but favorable effect across cognitive domains (SMD = 0.35, <i>p</i> = .084), with a significant moderate-to-large effect observed for executive function (SMD = 0.63, <i>p</i> = .035), particularly in studies employing computerized, individualized, or virtual reality-based interventions. Effects on global cognition, memory, and functional outcomes were smaller and nonsignificant, while social cognition, assessed in one study, showed a small negative effect (SMD = -0.34, <i>p</i> = .046). Pharmacological and game-based interventions showed inconsistent efficacy. Substantial heterogeneity was present (I² = 85.3%), with outcome domain emerging as a significant moderator (<i>p</i> < .001). Publication bias analysis indicated potential small-study effects, although no missing studies were identified via the trim-and-fill method. This meta-analysis supports the effectiveness of CRN in improving cognitive outcomes in schizophrenia, with the strongest effects on executive function. Targeted, multimodal, and tech-enhanced interventions showed the greatest promise. Despite heterogeneity, the findings were consistent, reinforcing CRN's role in multidisciplinary psychiatric care.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":"52-77"},"PeriodicalIF":1.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Welcoming 2026: Introduction to the <i>Journal of Cognitive Psychotherapy</i>.","authors":"Eric A Storch, Gray Hevle","doi":"10.1891/JCP-2025-0052","DOIUrl":"10.1891/JCP-2025-0052","url":null,"abstract":"","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":"3-6"},"PeriodicalIF":1.1,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Life Goals Collaborative Care for a Veteran With Bipolar Disorder: A Case Illustration.","authors":"Lindsey Poe, Rachel Scott, Amy Cuellar, Jared Bernard","doi":"10.1891/JCP-2025-0037","DOIUrl":"https://doi.org/10.1891/JCP-2025-0037","url":null,"abstract":"<p><p>Bipolar disorder is a chronic condition marked by mood instability and elevated suicide risk, particularly among U.S. veterans, with treatment nonadherence contributing to poor outcomes. Historically focused on lithium clinics and symptom management, bipolar disorder treatment began to shift in 1996 with the introduction of the Life Goals Program, an evidence-based self-management curriculum that emphasizes self-directed management and personal goal attainment. This case study features a U.S. male veteran with bipolar I disorder who completed 12 telehealth Life Goals sessions over 6 months. A multidisciplinary Veterans Affairs team conducted ongoing mood and risk monitoring, and self-report measures were collected at baseline, postintervention, and follow-up. Results showed reductions in depression and edginess, along with increased life satisfaction. The case illustrates the program's potential to support self-management and improve outcomes in individuals with bipolar disorder. While promising, future research-including randomized controlled trials-is needed to establish the program's broader efficacy.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Intervention via Mobile App for Eating Disorders: An Exploratory Case Series in Remission-Phase Patients.","authors":"Marta Corberán, Laura Carratalá-Ricart, Mara Segura-Serralta, Irene Agulló, Gemma García-Soriano, María Roncero","doi":"10.1891/JCP-2025-0019","DOIUrl":"https://doi.org/10.1891/JCP-2025-0019","url":null,"abstract":"<p><p>Relapse following treatment is a frequent occurrence in individuals with eating disorders (EDs), highlighting the importance of developing preventive interventions. The GG Eating Disorders (GGED) module is designed to address dysfunctional beliefs that contribute to the development and maintenance of these disorders through its use within a mobile application. The aim of this exploratory case series study is to analyze the efficacy of GGED in reducing ED-related dysfunctional beliefs and eating symptomatology and increasing body satisfaction and self-esteem among three patients with EDs in remission. Following the use of GGED, patients showed a decrease in most dysfunctional beliefs and ED symptoms, accompanied by an increase in body satisfaction and self-esteem. However, these changes did not reach clinical significance in all patients. The GGED module has the potential to serve as a very useful tool in maintaining cognitive changes following cognitive behavioral therapy and thus preventing relapse.<b>Clinical Trial Registration:</b> This study was registered with ClinicalTrials.gov (Identifier NCT06842862).</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Cognitive Behavioral Therapy on Memory and Metamemory in Obsessive-Compulsive Disorders.","authors":"Metehan Irak, Tamer Numan Duman","doi":"10.1891/JCP-2025-0016","DOIUrl":"https://doi.org/10.1891/JCP-2025-0016","url":null,"abstract":"<p><p>Pathological doubt in obsessive-compulsive disorder (OCD) suggests core deficits in memory and metamemory, but the nature of these deficits and their response to treatment remain unclear. This study aimed to address this gap by investigating (a) whether memory and metamemory problems in OCD are due to retrieval or encoding processes, and (b) the effect of cognitive behavioral therapy (CBT) on these functions. Sixty OCD patients and 60 matched healthy controls completed 3 episodic memory tasks involving different stimuli, with assessments of judgment-of-learning and feeling-of-knowing. OCD patients then completed a 10-week CBT intervention and were reassessed post-CBT and at 6-month follow-up. At baseline, OCD patients showed significantly lower memory and metamemory performance than controls. Following the intervention, they demonstrated significant improvements in clinical symptoms, memory, and metamemory, which were maintained at follow-up. The findings suggest that OCD-related memory and metamemory impairments involve both encoding and retrieval processes and that CBT is an effective treatment for improving both clinical and cognitive outcomes.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}