Journal of Cognitive Psychotherapy最新文献

Effects of a Values-Oriented Versus Standard CBT Rationale on Treatment Perceptions and Anticipated Engagement With Exposure Therapy. 价值观导向与标准CBT理论基础对暴露疗法治疗感知和预期参与的影响。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-10-15 DOI: 10.1891/JCP-2026-0006

Jillian Pestana, Carolyn Davies

引用次数: 0

Low-Intensity Cognitive Behavioral Therapy for Children and Young People Delivered by Mental Health Support Teams. 心理健康支持小组为儿童和青少年提供的低强度认知行为治疗。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-10-15 DOI: 10.1891/JCP-2026-0002

Phoebe Allanson, Marianne Durand, Lauren Adderley, Kevin Hochard, Fiona Pender

{"title":"Low-Intensity Cognitive Behavioral Therapy for Children and Young People Delivered by Mental Health Support Teams.","authors":"Phoebe Allanson, Marianne Durand, Lauren Adderley, Kevin Hochard, Fiona Pender","doi":"10.1891/JCP-2026-0002","DOIUrl":"https://doi.org/10.1891/JCP-2026-0002","url":null,"abstract":"Mental Health Support Teams (MHSTs) were established in 2018 to address gaps in mental health support for children and young people (CYP). Information on the characteristics of CYP accessing this support, alongside evidence regarding the outcomes associated with low-intensity cognitive behavioral therapy (LI-CBT) interventions delivered by MHSTs, remains limited.This study examined the demographic characteristics and outcomes of 240 CYP who accessed LI-CBT through MHSTs between January 2021 and March 2025. \"Reliable improvement\" rates were determined using Revised Child Anxiety and Depression Scale scores and the reliable change index. \"Recovery\" rates were calculated for CYP scoring above the clinical threshold preintervention (n = 96).Overall, 69% of CYP demonstrated reliable improvement (N = 240). In all, 58% of those above the clinical threshold preintervention recovered. Demographics were broadly reflective of the community.MHSTs-delivered LI-CBT interventions are associated with favorable outcomes for mild levels of need and support recovery in CYP with moderate to severe difficulties.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197179","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}

引用次数: 0

Differential Contributions of Internalized Racism Facets on Psychological Distress. 内化种族主义对心理困扰的不同贡献。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-10-03 DOI: 10.1891/JCP-2025-0049

Jaime R G Quiles, Norman B Schmidt

{"title":"Differential Contributions of Internalized Racism Facets on Psychological Distress.","authors":"Jaime R G Quiles, Norman B Schmidt","doi":"10.1891/JCP-2025-0049","DOIUrl":"https://doi.org/10.1891/JCP-2025-0049","url":null,"abstract":"This study examined the relative contributions of various facets of internalized racism (IR) to anxious arousal and depressive symptoms. A racially diverse sample of 205 U.S.-based racial/ethnic minority adults (M age = 27.96, 60% female, 55.6% Black/African American, 18.5% Asian, 14.6% multiracial, and 11.3% other) completed validated measures of IR, anxiety, and depression. Hierarchical regressions were conducted to assess the unique effects of four IR facets across affective and cognitive dimensions: emotional reactions (affective) with group devaluation, adoption of dominant cultural standards, and patterns of thinking (cognitive), above and beyond sociodemographic information. Global IR was significantly and positively associated with both anxiety and depression, with affective facets being significantly associated with anxiety, whereas the cognitive process of group devaluation was significantly associated with both anxiety and depressive symptomatology. These findings suggest that specific cognitive and affective facets may be implicated in the development of internalizing symptoms among minoritized individuals, particularly shame-based emotional responses and intragroup devaluation. Clinical implications suggest that cognitive restructuring and acceptance-based approaches may help address maladaptive beliefs and emotions tied to racial identity. This study extends the existing literature by exploring how cognitive and affective forms of IR may differentially relate to anxious and depressive presentations, providing direction for refining theoretical models of race-related stress and psychopathology.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116574","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}

引用次数: 0

Investigating the Role of Stress in Misophonia: Stress as a Clinical Correlate and Its Influence on Treatment Outcomes. 研究恐音症中压力的作用：压力作为临床相关因素及其对治疗结果的影响。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-10-03 DOI: 10.1891/JCP-2026-0015

Mercedes G Woolley, Emily M Bowers, Julie M Petersen, Karen Muñoz, Michael P Twohig

{"title":"Investigating the Role of Stress in Misophonia: Stress as a Clinical Correlate and Its Influence on Treatment Outcomes.","authors":"Mercedes G Woolley, Emily M Bowers, Julie M Petersen, Karen Muñoz, Michael P Twohig","doi":"10.1891/JCP-2026-0015","DOIUrl":"https://doi.org/10.1891/JCP-2026-0015","url":null,"abstract":"Misophonia is a sound intolerance disorder characterized by strong emotional and physiological reactions to specific everyday sounds. Emerging research suggests that stress may play an important role in misophonia, yet little work has examined whether stress uniquely contributes to misophonia severity or influences treatment response. The present study examined the role of stress in misophonia using data from a randomized clinical trial of treatment-seeking adults (N = 60) comparing acceptance and commitment therapy and progressive relaxation training. First, we examined whether stress symptoms were uniquely associated with misophonia severity and impairment at baseline when accounting for anger, disgust propensity and sensitivity, anxiety, depression, obsessive-compulsive symptoms, and demographic variables. Second, we examined whether baseline stress influenced trajectories of change in misophonia outcomes over time and whether these differed across treatment conditions. Results suggested that, at baseline, stress symptoms were the only clinical correlate that uniquely predicted misophonia symptom severity and misophonia-related impairment. Baseline stress was also associated with differences in treatment trajectories, such that individuals reporting lower stress showed greater improvement in misophonia symptoms and impairment by the 6-month follow-up compared with those with higher stress. However, stress did not interact with treatment condition; both treatments performed equally regardless of stress levels. These findings suggest that stress may represent a broader psychological process associated with misophonia severity and the durability of treatment gains.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116564","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}

引用次数: 0

Development and Pilot Testing of Internet-Delivered Cognitive Behavioral Therapy for Anxiety and Obsessive-Compulsive Disorders in Autistic Adolescents. 网络认知行为治疗自闭症青少年焦虑和强迫症的发展和试点测试。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-08-31 DOI: 10.1891/JCP-2025-0056

Jessica Szu-Chi Cheng, Jolie B Held, Callie G Murphy, Ogechi Cynthia Onyeka, Andrew G Guzick, David B Riddle, Leandra N Berry, Robin P Goin-Kochel, Marianna C Messerli, Jeffrey A Carter, Mariana Vazquez, Erika S Trent, Peter J Boedeker, Troy Quast, Eric A Storch

{"title":"Development and Pilot Testing of Internet-Delivered Cognitive Behavioral Therapy for Anxiety and Obsessive-Compulsive Disorders in Autistic Adolescents.","authors":"Jessica Szu-Chi Cheng, Jolie B Held, Callie G Murphy, Ogechi Cynthia Onyeka, Andrew G Guzick, David B Riddle, Leandra N Berry, Robin P Goin-Kochel, Marianna C Messerli, Jeffrey A Carter, Mariana Vazquez, Erika S Trent, Peter J Boedeker, Troy Quast, Eric A Storch","doi":"10.1891/JCP-2025-0056","DOIUrl":"https://doi.org/10.1891/JCP-2025-0056","url":null,"abstract":"Anxiety disorders are prevalent in autistic adolescents, yet barriers to treatment access exist. The current article describes (a) the development of an internet-delivered, therapist-assisted cognitive behavioral therapy protocol adapted for autistic adolescents with co-occurring anxiety and/or obsessive-compulsive disorder and (b) preliminary feasibility, acceptability, and effectiveness data. Ten autistic adolescents between the ages of 11 and 17 were enrolled. Based on qualitative feedback and quantitative data (i.e., program usage, completion, and satisfaction), the intervention demonstrated strong acceptability and feasibility. Among the eight participants who completed treatment, there were statistically significant reductions in clinician- and parent-rated anxiety symptoms, but not child-rated anxiety symptoms. Posttreatment response and remission rates were 37.5% and 25%, respectively. Further evaluation in a randomized controlled trial is warranted.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867302","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}

引用次数: 0

An Integrated Transdiagnostic Approach for Veterans With Co-occurring Anxiety, Posttraumatic Stress Disorder, and Alcohol Use: An Open Pilot Trial and Case Studies. 退伍军人焦虑、创伤后应激障碍和酒精使用的综合跨诊断方法：一项开放的试点试验和案例研究

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-08-31 DOI: 10.1891/JCP-2025-0055

Anthony H Ecker, Rachel K Scott, Breeana White, Alan Z Sheinfil, Drew A Helmer, Megan M Kelly, Matthew W Gallagher, Erin P Finley, Michael A Cucciare, Jeffrey A Cully

{"title":"An Integrated Transdiagnostic Approach for Veterans With Co-occurring Anxiety, Posttraumatic Stress Disorder, and Alcohol Use: An Open Pilot Trial and Case Studies.","authors":"Anthony H Ecker, Rachel K Scott, Breeana White, Alan Z Sheinfil, Drew A Helmer, Megan M Kelly, Matthew W Gallagher, Erin P Finley, Michael A Cucciare, Jeffrey A Cully","doi":"10.1891/JCP-2025-0055","DOIUrl":"https://doi.org/10.1891/JCP-2025-0055","url":null,"abstract":"Posttraumatic stress disorder (PTSD), anxiety disorders, and alcohol use disorders commonly co-occur among veterans, resulting in greater impairment in the quality of life and other health outcomes than single disorders. Despite the availability of evidence-based psychotherapies, including integrated treatments addressing both anxiety/PTSD and alcohol use, treating comorbid disorders remains challenging. Leveraging providers' skills through modular, adjunctive materials focused on alcohol use might improve their ability to provide transdiagnostic care. Veterans (N = 6) with alcohol use disorder and anxiety and/or PTSD were recruited for an open pilot trial of Bridging the Gap, an adjunctive cognitive-behavioral manual used with the Unified Protocol. Pre- and posttreatment indicators of clinical impact, feasibility, and acceptability were examined; three cases illustrate the delivery of the clinical materials. Small-to-large effects for anxiety and PTSD outcomes and small effects for alcohol outcomes were observed. Bridging the Gap can support providers in delivering key elements of transdiagnostic care.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867352","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}

引用次数: 0

Bridging Technology and Psychotherapy: Mixed Reality Exposure and Response Prevention for Contamination-Related Obsessive-Compulsive Disorder. 桥接技术和心理治疗：污染相关强迫症的混合现实暴露和反应预防。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-08-11 DOI: 10.1891/JCP-2026-0004

Swantje Borsutzky, Franziska Miegel, Lara Rolvien, Luzie Lohse, Lena Jelinek

{"title":"Bridging Technology and Psychotherapy: Mixed Reality Exposure and Response Prevention for Contamination-Related Obsessive-Compulsive Disorder.","authors":"Swantje Borsutzky, Franziska Miegel, Lara Rolvien, Luzie Lohse, Lena Jelinek","doi":"10.1891/JCP-2026-0004","DOIUrl":"https://doi.org/10.1891/JCP-2026-0004","url":null,"abstract":"Mixed reality exposure and response prevention (MERP) has been proposed as an innovative format to address barriers that limit the implementation of traditional in vivo exposure and response prevention (ERP) in obsessive-compulsive disorder (OCD). This case report illustrates the clinical application of MERP in a 57-year-old woman with chronic contamination-related OCD who had previously completed extensive outpatient psychotherapy, including cognitive behavioral therapy with ERP, with only temporary improvement. As part of a randomized controlled trial, she received six therapist-led MERP sessions in which disorder-relevant virtual contamination cues were superimposed onto the real therapy environment to enable immersive exposure while maintaining ecological validity. MERP was well accepted, and no adverse events occurred. Symptom severity decreased from severe to moderate on the Yale-Brown Obsessive-Compulsive Scale (26-20), with marked improvement in obsessions, reduced avoidance, and increased ability to refrain from neutralization. The patient reported a greater sense of agency and successful transfer of exposure principles into daily life. The case highlights typical challenges observed in MERP, including fluctuations in sense of immersion, technical limitations that affect stimulus stability, and covert mental neutralization, and outlines practical strategies to address them. Overall, the report demonstrates that MERP is a feasible and acceptable delivery format for ERP in contamination-related OCD and provides clinically relevant insights for optimizing its implementation in routine care.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713977","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}

引用次数: 0

Secure Storage Training to Reduce Veteran Suicide: Mental Health Clinicians' Needs Assessment Results. 安全储存训练以减少退伍军人自杀：心理健康临床医生需求评估结果。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-07-15 DOI: 10.1891/JCP-2025-0057

Jennifer L Bryan, Brandon Shanahan, Amber Kamdar, Lourence Misedah-Robinson, Ali Abbas Asghar-Ali

{"title":"Secure Storage Training to Reduce Veteran Suicide: Mental Health Clinicians' Needs Assessment Results.","authors":"Jennifer L Bryan, Brandon Shanahan, Amber Kamdar, Lourence Misedah-Robinson, Ali Abbas Asghar-Ali","doi":"10.1891/JCP-2025-0057","DOIUrl":"https://doi.org/10.1891/JCP-2025-0057","url":null,"abstract":"Many Veterans see a clinician shortly before suicide. Clinicians report a lack of training in firearm secure storage conversations as a barrier to initiating these conversations. We aimed to determine the needs of Veterans Health Administration mental health clinicians for training in discussing secure storage. A needs assessment survey of attitudes, barriers, facilitators, and desired training topics was sent to mental health clinicians at 15 Veterans Administration medical centers in the South, including Texas. Of clinicians completing the needs assessment (N = 566), most (93%) endorsed \"usually\" to \"always\" discussing secure storage. Reported barriers included Veterans not being open to such discussion (30.3%) and clinician discomfort (21.9%). Clinicians wanted more training regarding secure storage, scripts for conversations, and repairing rapport. Clinicians can discuss secure storage with Veterans to reduce suicide risk. Our results highlight the need to develop training to support clinicians in discussing secure storage with Veterans to prevent suicide.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457232","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}

引用次数: 0

Psychological Flexibility Moderated the Effect of Self-Esteem on Life Satisfaction Among Chinese College Students. 心理弹性调节自尊对大学生生活满意度的影响。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-07-15 DOI: 10.1891/JCP-2025-0046

Shushan Liu, Shengli Cheng

引用次数: 0

Is More Treatment Truly Better? A Meta-Analysis of the Dose-Response Effect of Individual Psychotherapy for Treatment of Generalized Anxiety Disorder in Adults. 更多的治疗真的更好吗？个体心理治疗治疗成人广泛性焦虑障碍的剂量反应效应荟萃分析。

IF 0.8 4区心理学

Journal of Cognitive Psychotherapy Pub Date : 2026-07-15 DOI: 10.1891/JCP-2025-0053

D Drew Whittington, Rebecca Billings, Louis A Pagano, Stephen L Aita, Jacob Vaughn, Samuel D Spencer, Nicholas C Borgogna

{"title":"Is More Treatment Truly Better? A Meta-Analysis of the Dose-Response Effect of Individual Psychotherapy for Treatment of Generalized Anxiety Disorder in Adults.","authors":"D Drew Whittington, Rebecca Billings, Louis A Pagano, Stephen L Aita, Jacob Vaughn, Samuel D Spencer, Nicholas C Borgogna","doi":"10.1891/JCP-2025-0053","DOIUrl":"https://doi.org/10.1891/JCP-2025-0053","url":null,"abstract":"In the current preregistered meta-analysis, we examined the relation between indicators of treatment amount and effectiveness of individual psychotherapy for generalized anxiety disorder (GAD). We synthesized within-subjects effects from existing randomized controlled trials of individual psychotherapy for adults with GAD (k = 41 studies; n = 1,607 participants). Using random-effects meta-regression, we found that duration of therapy and number of sessions were unrelated to treatment effectiveness. Studies with sessions lasting longer than 60 minutes produced larger effects than sessions shorter than 60 minutes (b = 0.62, 95% confidence interval [CI] [0.21, 1.05]). We also found a trivial relation between therapist contact time and treatment effect (b = 0.02, 95% CI [-0.01, 0.06]). These effects varied based on moderating variables. Our results highlight that more time spent in each session may yield larger treatment effects. Future research should aim to examine different \"doses\" of psychotherapy in efforts to optimize patient outcomes.","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457309","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}

引用次数: 0