Hannah C Levy, Anishka Jean, Terence H W Ching, Alyssa Nett, Jessica Mullins, David F Tolin
{"title":"Low Estradiol May Not Impede Cognitive Restructuring in Women With Anxiety Disorders.","authors":"Hannah C Levy, Anishka Jean, Terence H W Ching, Alyssa Nett, Jessica Mullins, David F Tolin","doi":"10.1891/JCPSY-D-20-00038","DOIUrl":"https://doi.org/10.1891/JCPSY-D-20-00038","url":null,"abstract":"<p><p>Prior research suggests that estradiol may moderate fear extinction in animal models and humans. Based on these findings, estradiol may also moderate cognitive reappraisal, which is theorized to be an important mechanism of change in extinction-based therapy (exposure therapy). We compared cognitive restructuring (CR) skills acquisition and outcome between women with primary anxiety disorders who had high versus low estradiol using a standardized CR task that closely resembles clinical practice. As a proxy of CR outcome, we assessed subjective distress ratings before and after the task and psychophysiological arousal (heart rate and electrodermal activity) throughout the task. Contrary to predictions, results showed that CR skills acquisition and outcome did not differ between the high and low estradiol groups. Although both groups demonstrated reductions in negative affect and skin conductance responses during the CR task, suggesting that participants were able to acquire CR skills and use them effectively to regulate distress, the groups did not differ with respect to CR ability or outcome. The findings suggest that estradiol may not moderate cognitive reappraisal, and may have more of an effect on basic habituation and extinction processes instead.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39288310","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":"Exposure Therapy for Misophonia: Concepts and Procedures.","authors":"Ana Rabasco, Dean McKay","doi":"10.1891/JCPSY-D-20-00042","DOIUrl":"https://doi.org/10.1891/JCPSY-D-20-00042","url":null,"abstract":"<p><p>Misophonia, a condition marked by extreme intolerance to certain classes of sounds (e.g., respiratory or gustatory noises), has recently attracted increased research attention. As yet there are no evidence-based treatments, although some promising options are under empirical consideration. This paper presents a stress management and exposure therapy-based treatment protocol for adults with misophonia. The protocol details considerations specific to exposure therapy for misophonia, including unique considerations for developing hierarchies and example misophonia exposure exercises and exposure homework. Stress management approaches employed to facilitate engagement with exposure are also described. Two case examples are included, which illustrate the application of the misophonia treatment protocol. The first case describes treatment for a client whose misophonia symptoms are the primary focus and the second case describes treatment for a client whose misophonia symptoms are secondary to relationship difficulties. This protocol can be used to stimulate further treatment research for misophonia and guide treatment for individuals with misophonia.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39296575","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":"The Ability to Control One's Thoughts Alleviates the Adverse Effects of Negative Life Events on Depression.","authors":"Feng Ying Lu, Wen Jing Yang, Qing Lin Zhang, Jiang Qiu","doi":"10.1891/JCPSY-D-20-00032","DOIUrl":"10.1891/JCPSY-D-20-00032","url":null,"abstract":"<p><p>Although negative life events are a risk factor for developing depression, cognitive control can help maintain one's mental health. However, whether thought-control ability (TCA) can alleviate the adverse effects of negative life events on depression is unclear. Therefore, two studies were conducted to test if it does, by having participant's complete measures of negative life events, TCA, and depression. Study 1, which included 140 healthy young adults, showed TCA mediated the relationship between negative life events and depressive symptoms, and that TCA also moderated the relationship between negative life events and depressive symptoms. Study 2 recruited patients with major depressive disorder (MDD) to test whether the findings could be generalized to individuals with MDD. Study 2 found TCA also mediated the relationship between negative life events and symptoms of MDD. Suggesting that improving the ability to control negative thoughts in daily life help maintain mental health and prevent depressive symptoms.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39206228","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}
Alexandria M Luxon, Gregory S Chasson, Monnica T Williams, Matthew D Skinta, M Paz Galupo
{"title":"Brooding Over the Closet: Differentiating Sexual Orientation Rumination and Sexual Orientation Obsessions.","authors":"Alexandria M Luxon, Gregory S Chasson, Monnica T Williams, Matthew D Skinta, M Paz Galupo","doi":"10.1891/JCPSY-D-20-00013","DOIUrl":"10.1891/JCPSY-D-20-00013","url":null,"abstract":"<p><p>Two concepts that describe repetitive thoughts regarding an individual's sexual orientation-sexual orientation rumination and sexual orientation obsessions-have been introduced into the research literature. Despite the fact that these concepts have similarities, important distinctions exist with regard to their theoretical underpinnings, development, and catalyst of stress. As these concepts have never been teased apart in the research literature, understanding how these concepts are similar and different is particularly important. To this end, the present overview synthesizes the current literature regarding these concepts with the purpose of providing a decisional framework for differentiating sexual orientation rumination and sexual orientation obsessions and suggesting areas of future research.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39206227","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":"A Review of Motivational Interviewing in Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder.","authors":"Andrew G Guzick, Randi E McCabe, Eric A Storch","doi":"10.1891/JCPSY-D-20-00027","DOIUrl":"https://doi.org/10.1891/JCPSY-D-20-00027","url":null,"abstract":"<p><p>Although cognitive behavioral therapy (CBT) is a highly effective treatment for individuals with obsessive-compulsive disorder (OCD), a portion people with OCD do not benefit fully from CBT due to ambivalence about participating in treatment, nonadherence to exposure exercises, and dropout. This paper reviews the promising evidence for motivational interviewing (MI) as a therapeutic approach that is well suited to address these issues and potentially improve treatment outcomes. It will also provide a discussion of MI processes that may enhance CBT for OCD which can foster a collaborative relationship that integrates a patient's own goals and values into exposure planning, helps resolve ambivalence or reluctance to engage in exposure exercises and builds and supports patients' intrinsic motivation to participate in treatment. The review will conclude with a case report describing the use of pre-CBT MI for an individual with OCD.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38901423","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}
Lindsey E Knott, Temilola Salami, Mollie R Gordon, Melissa I Torres, John H Coverdale, Phuong T Nguyen
{"title":"Motivational Interviewing as a Therapeutic Strategy for Trafficked Persons.","authors":"Lindsey E Knott, Temilola Salami, Mollie R Gordon, Melissa I Torres, John H Coverdale, Phuong T Nguyen","doi":"10.1891/JCPSY-D-20-00028","DOIUrl":"https://doi.org/10.1891/JCPSY-D-20-00028","url":null,"abstract":"<p><p>It is estimated that 40 million people worldwide have experienced human trafficking (UN, International Labour Organization & Walk-Free Foundation, 2019), with 313,000 trafficked persons in the state of Texas alone (Busch-Armendariz et al., 2016). These staggering numbers are indicative of human trafficking as a growing public health concern. To date researchers have neither studied nor proposed a specific psychotherapeutic modality in the treatment of trafficked persons. Given the unique concerns of this populations, including mistrust of authority, emotional coercion, and abuse by traffickers, often co-occurring substance use concerns, and difficulty with standard treatment adherence, we propose a therapeutic strategy that might assist providers in addressing a broad range of concerns, particularly assisting trafficked persons in the effort to leave their situation. This strategy is motivational interviewing (MI; Miller et al., 2009) and has shown substantial efficacy to enhance motivation to change as applied within in a broad range of healthcare settings. We briefly review the broad tenants of MI and illustrate its application within two hypothetical cases of trafficking. Future research that examines the potential benefits of MI within trafficking populations is warranted.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38901422","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":"Motivational Interviewing Enhances Group Cognitive Behavioral Therapy for Anxiety Disorders.","authors":"Esben Strodl, Joel Yang","doi":"10.1891/JCPSY-D-20-00025","DOIUrl":"10.1891/JCPSY-D-20-00025","url":null,"abstract":"<p><p>This pilot study tested whether the addition of motivational interviewing (MI) prior to group cognitive behavioral therapy (CBT) for anxiety may improve the effectiveness of the treatment. Prior to group CBT, 40 individuals with a principal diagnosis of an anxiety disorder (40% panic disorder, 25% generalized anxiety disorder, 22.5% social phobia, and 12.5% others) were randomly assigned to receive either three individual sessions of MI or were assigned to a control group that did not receive MI. The pretreatment MI group, compared to the control group, experienced significantly greater reduction in anxiety symptoms post-CBT. These results suggest that brief MI pretreatment enhances the efficacy of CBT on anxiety. A combination of MI and CBT may be particularly promising for the treatment of anxiety, with MI directed at increasing motivation and commitment to change, and CBT directed at helping the client achieve the desired changes.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25572410","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":"Introduction to the Special Issue on Exploring the Versatility of Motivational Interviewing.","authors":"Yasmine Omar","doi":"10.1891/JCPSY-D-21-00004","DOIUrl":"10.1891/JCPSY-D-21-00004","url":null,"abstract":"<p><p>Evidence indicates that motivation early in treatment is critical to treatment outcome, and motivational interviewing (MI) has addressed this finding by helping individuals work through ambivalence about change. Not only has it demonstrated improvements in treatment outcome across treatment populations and settings, it has been adapted with success into brief motivational interventions. This special issue explores the use of MI with populations at great risk for ambivalence in therapy, including college students violating campus policy, individuals who have been trafficked, and individuals in exposure therapy. The papers further highlight the versatility of MI-based interventions, as well as their limitations, that may help inform future directions for adapting MI as we move toward digital and web-based interventions.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25572407","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}
Julia D Buckner, Anthony H Ecker, Katherine Walukevich-Dienst, Elizabeth M Lewis, Erika Pugh, Cristina N Abarno
{"title":"Brief Motivation-Based Interventions for Students Sanctioned for Violating Campus Cannabis Use Policies.","authors":"Julia D Buckner, Anthony H Ecker, Katherine Walukevich-Dienst, Elizabeth M Lewis, Erika Pugh, Cristina N Abarno","doi":"10.1891/JCPSY-D-20-00026","DOIUrl":"10.1891/JCPSY-D-20-00026","url":null,"abstract":"<p><p>College cannabis use continues to rise, yet few students voluntarily seek treatment for cannabis use, despite use-related problems. Thus, the campus judicial system may be one way to identify high-risk cannabis users and intervene with them. Despite research indicating that brief motivational interventions (BMIs) decrease risky alcohol use among students sanctioned for psychological services following campus alcohol policies violations, extant data do not support BMI for students who violate cannabis polices. Thus, the aims of this review paper are to (a) review the extant literature of BMI for cannabis use among sanctioned students, (b) discuss some unique issues concerning BMI for cannabis use, and (c) provide case examples of promising novel ways BMI may be used to address unique needs of these students. Given the wide range of cannabis use and related problems experienced by these students, personalized approaches to BMI-based interventions may improve outcomes for these students.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25572409","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}