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Cognitive Maintaining Factors and Social Anxiety: The Mediating Role of Cognitive Fusion and Experiential Avoidance. 认知维持因素与社交焦虑:认知融合与经验回避的中介作用。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0010
Esmail Soltani, Quincy J J Wong, Laaya Ahmadzadeh, Seyede Sajedeh Sheikholeslami
{"title":"Cognitive Maintaining Factors and Social Anxiety: The Mediating Role of Cognitive Fusion and Experiential Avoidance.","authors":"Esmail Soltani,&nbsp;Quincy J J Wong,&nbsp;Laaya Ahmadzadeh,&nbsp;Seyede Sajedeh Sheikholeslami","doi":"10.1891/JCP-2022-0010","DOIUrl":"https://doi.org/10.1891/JCP-2022-0010","url":null,"abstract":"<p><p>Cognitive fusion (CF) and experiential avoidance (EA) are two constructs of acceptance and commitment therapy that contribute to psychological distress. The current study aimed to examine whether CF and EA accounted for variance in the relationships between key cognitive maintaining factors of social anxiety and indicators of social anxiety. This issue was investigated using a longitudinal design in a nonclinical sample. Participants (<i>N</i> = 361) completed baseline measures of CF, EA, cognitive maintaining factors, and indicators of social anxiety, and the measures of indicators of social anxiety were recompleted 6 weeks later (<i>N</i> = 262). Results showed that baseline postevent processing had significant indirect effects on fear of negative evaluation at follow-up: (a) via CF, (b) via EA, and (c) via a serial pathway of CF → EA. Interventions that aim to reduce CF, in particular, may be a priority in reducing fear of negative evaluation associated with postevent processing.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10067641","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
Examining Associations Between Metacognitive Beliefs and Type II Worry: The Specificity of Negative Metacognitive Beliefs to State Type II Worry During a Worry Episode. 检视元认知信念与II型担忧之间的关联:负面元认知信念对焦虑发作期间II型担忧状态的特异性
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0026
Thomas A Fergus, Katherine E Stratton
{"title":"Examining Associations Between Metacognitive Beliefs and Type II Worry: The Specificity of Negative Metacognitive Beliefs to State Type II Worry During a Worry Episode.","authors":"Thomas A Fergus,&nbsp;Katherine E Stratton","doi":"10.1891/JCP-2022-0026","DOIUrl":"https://doi.org/10.1891/JCP-2022-0026","url":null,"abstract":"<p><p>The metacognitive model of generalized anxiety disorder (GAD) considers Type II worry, which represents one's tendency to negatively appraise worry, as a defining feature of GAD, and negative metacognitive beliefs are central to eliciting Type II worry during worry episodes. Extant research has found that individuals experiencing GAD report elevated Type II worry, and that negative metacognitive beliefs correlate with Type II worry. However, because of how Type II worry was assessed in existing studies, it remains unclear if negative metacognitive beliefs relate to state Type II worry specifically during a worry episode. This study sought to fill that gap in the existing literature among a sample of individuals experiencing elevated GAD symptom severity (<i>N</i> = 106). Participants completed an assessment of GAD symptom severity and metacognitive beliefs, while later attending an in-person study session where they completed a worry induction and state Type II worry, as conceptualized as the strength of negative appraisals of worry, which was then assessed. Metacognitive beliefs generally positively correlated with state Type II worry, with negative metacognitive beliefs being the only metacognitive belief domain that correlated with state Type II worry in multivariate analyses. Implications for how these results support the metacognitive model of GAD and treatment implications are discussed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048990","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
A Case Study of a Woman with Obsessions Related to COVID-19. 一个与COVID-19有关的痴迷的女人的案例研究。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2021-0001
Anna B Hunter, Cynthia L Turk, Kathryn D Kriegshauser
{"title":"A Case Study of a Woman with Obsessions Related to COVID-19.","authors":"Anna B Hunter,&nbsp;Cynthia L Turk,&nbsp;Kathryn D Kriegshauser","doi":"10.1891/JCP-2021-0001","DOIUrl":"https://doi.org/10.1891/JCP-2021-0001","url":null,"abstract":"<p><p>This de-identified case study seeks to increase the understanding of the process and impact of modifying exposure and response prevention (ERP) to address obsessions associated with COVID-19. The case study presents the assessment, diagnosis, and treatment of obsessive-compulsive disorder via televideo utilizing ERP for a woman who presented with difficulty with contamination and harm obsessions related to COVID-19. Over the course of 7 months, including an initial evaluation, this client attended 24 treatment sessions via synchronous video telehealth. Psychoeducation, self-monitoring, <i>in vivo</i> and imaginal exposures, response prevention, and behavioral activation strategies were utilized. Following treatment, this client was successfully managing symptoms and her scores on the Yale Brown Obsessive-Compulsive Scale and Sheehan Disability Scale had decreased significantly.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048995","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
Resilience, Generalized Self-Efficacy, and Mindfulness as Moderators of the Relationship Between Stress and Well-Being. 弹性、广义自我效能和正念在压力与幸福感关系中的调节作用。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0004
Owen Richard Lightsey, Ben N Smith
{"title":"Resilience, Generalized Self-Efficacy, and Mindfulness as Moderators of the Relationship Between Stress and Well-Being.","authors":"Owen Richard Lightsey,&nbsp;Ben N Smith","doi":"10.1891/JCP-2022-0004","DOIUrl":"https://doi.org/10.1891/JCP-2022-0004","url":null,"abstract":"<p><p>Heeding calls to examine multiple protective factors within single studies, this study tested whether resilience uniquely predicted higher life satisfaction and lower depression over the predictive ability of generalized self-efficacy (GSE) and mindfulness among 332 university students. A second purpose was to test whether resilience uniquely buffered the relationship between two forms of stress-cumulative stress from particular negative life events and general perceived stress-and both life satisfaction and depression over the buffering ability of GSE and mindfulness. In hierarchical multiple regressions, resilience uniquely predicted 3% of the variance in satisfaction with life and 1% of the variance in depression. GSE and mindfulness buffered the relationship between cumulative negative life event stress and depression. At higher levels of GSE and mindfulness, the relationship between cumulative negative life event stress and depression was weaker.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048988","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
A Pilot Randomized Controlled Trial of the Feasibility and Acceptability of Acceptance and Commitment Therapy for Comorbid Social Anxiety Disorder in a Routine Practice Setting. 接受和承诺治疗共病社交焦虑障碍的可行性和可接受性的随机对照试验。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0014
Kristy L Dalrymple, Katherine S Wahrer, Emily Walsh, Lia Rosenstein, Mark Zimmerman
{"title":"A Pilot Randomized Controlled Trial of the Feasibility and Acceptability of Acceptance and Commitment Therapy for Comorbid Social Anxiety Disorder in a Routine Practice Setting.","authors":"Kristy L Dalrymple,&nbsp;Katherine S Wahrer,&nbsp;Emily Walsh,&nbsp;Lia Rosenstein,&nbsp;Mark Zimmerman","doi":"10.1891/JCP-2022-0014","DOIUrl":"https://doi.org/10.1891/JCP-2022-0014","url":null,"abstract":"<p><p>A prior open trial of acceptance and commitment therapy (ACT) for comorbid social anxiety disorder (SAD) and depression showed clinically significant improvement over the course of 16 sessions. The aim of the current study was to test the feasibility and acceptability of ACT for this population in a pilot randomized trial within a routine practice setting. Patients (<i>n</i> = 26) were randomly assigned to 16 weeks of medication treatment as usual (mTAU) versus mTAU plus ACT (mTAU + ACT). Results showed that a significantly greater percentage of patients in mTAU not only dropped out of the study but also dropped out of treatment at the practice altogether, compared to patients in mTAU + ACT. Overall, results from this study suggest that having a comparison condition of mTAU alone in a randomized trial in a routine practice setting is not feasible and that patients with comorbid forms of SAD may require psychotherapy to remain engaged in treatment in standard clinical practice. Preliminary results for patients within the mTAU + ACT condition on treatment satisfaction and outcomes were comparable to results from the prior open trial, suggesting that ACT itself is worthy of further investigation. Further modifications to the study design may be needed to develop a feasible and acceptable comparison condition against which to test ACT for comorbid SAD in a routine practice setting.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048989","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
Narrowing the Treatment Gap: A Call to Increase Use of Direct-to-Consumer Marketing in Psychotherapy Practice and Research. 缩小治疗差距:呼吁在心理治疗实践和研究中增加直接面向消费者的营销。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0011
Derrecka M Boykin, Katharine L Thomas, Natalie Hundt, Ali Abbas Asghar-Ali, Jennifer L Bryan
{"title":"Narrowing the Treatment Gap: A Call to Increase Use of Direct-to-Consumer Marketing in Psychotherapy Practice and Research.","authors":"Derrecka M Boykin,&nbsp;Katharine L Thomas,&nbsp;Natalie Hundt,&nbsp;Ali Abbas Asghar-Ali,&nbsp;Jennifer L Bryan","doi":"10.1891/JCP-2022-0011","DOIUrl":"https://doi.org/10.1891/JCP-2022-0011","url":null,"abstract":"<p><p>A mental health treatment gap exists in which individuals who would benefit from evidence-based psychotherapies (EBPs) do not receive them. It is critical to take effective actions so that individuals with unmet mental health needs feel empowered to seek treatment. Direct-to-consumer (DTC) marketing meets this objective. DTC marketing is an effective, patient-centered approach that creates patient demand for a product or service by influencing patient behaviors, attitudes, and preferences. While primarily used in the United States and New Zealand to promote prescription drugs, uses and practices for DTC marketing with nonpharmaceutical EBPs are less established. This article highlights the value of leveraging this marketing approach to increase awareness and use of EBPs. Additionally, an illustrative example is presented that describes the use of social marketing and marketing mix principles to develop effective DTC marketing campaigns in psychotherapy practice.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048993","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
Two Case Examples of Cognitive Behavioral Treatment for Hoarding Disorder. 囤积障碍的认知行为治疗两例。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0009
Colin H Stanton, Blaise Worden
{"title":"Two Case Examples of Cognitive Behavioral Treatment for Hoarding Disorder.","authors":"Colin H Stanton,&nbsp;Blaise Worden","doi":"10.1891/JCP-2022-0009","DOIUrl":"https://doi.org/10.1891/JCP-2022-0009","url":null,"abstract":"<p><p>The application of cognitive behavioral therapy (CBT) for hoarding disorder (HD) is described. We describe the components of CBT for HD and provide examples of how this treatment was implemented with two individuals at our clinic, one in group treatment and the other in individual therapy. These case examples are used to highlight a process of troubleshooting common barriers to treatment, enhancing motivation, creating structure, and assessing treatment progress. We compare the group and individual treatment for HD and discuss the pros and cons of each approach. Furthermore, we emphasize the importance of in-session practice, accountability and clear expectations, and realistic goal-setting across individual and group treatment. Finally, based on the cases included here, we highlight the need for additional research to extend CBT for HD (e.g., additional modules to help family members support a loved one in treatment for HD).</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10067639","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
Making an Impact: Evaluation of an Enduring Online Training Empowering Clinicians to Respond to Hate Speech. 产生影响:持久在线培训评估授权临床医生应对仇恨言论。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0024
Moushumi Sahu, Jennifer L Bryan, Thomas R Mullin, Ali A Asghar-Ali
{"title":"Making an Impact: Evaluation of an Enduring Online Training Empowering Clinicians to Respond to Hate Speech.","authors":"Moushumi Sahu,&nbsp;Jennifer L Bryan,&nbsp;Thomas R Mullin,&nbsp;Ali A Asghar-Ali","doi":"10.1891/JCP-2022-0024","DOIUrl":"https://doi.org/10.1891/JCP-2022-0024","url":null,"abstract":"<p><p>Mental health clinicians frequently experience hate speech during patient care, resulting in an ethical dilemma. This study evaluated a 1-hour webinar discussing the ethics of working with Veterans who use hate speech, motivations and intentions of hate speech, and guidance on how to respond. The webinar was offered through the virtual Community-Based Outpatient Clinic Mental Health Grand Rounds session at the Veterans Health Administration (VHA). Rural mental health clinicians were the target audience; however, all VHA clinicians could attend. Participants were VHA clinicians who completed the evaluation for the training and received one continuing education unit for this training (<i>n</i> = 668). They were highly satisfied with the training and would recommend it to others. They also reported the intention to talk with coworkers and trainees about responding to hate speech and requested additional training. The recorded training can be viewed for free at https://www.mirecc.va.gov/visn16/working-with-patients-who-use-hate-speech.asp.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048991","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
The Integrated Neuropsychological Therapy: A Psychotherapy Model Tying Neuropsychology and Cognitive Behavioral Therapy. 综合神经心理治疗:神经心理学与认知行为治疗相结合的心理治疗模式。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2021-0020
Sara Salzano, Isa Zappullo, Chiara Baiano, Massimiliano Conson
{"title":"The Integrated Neuropsychological Therapy: A Psychotherapy Model Tying Neuropsychology and Cognitive Behavioral Therapy.","authors":"Sara Salzano,&nbsp;Isa Zappullo,&nbsp;Chiara Baiano,&nbsp;Massimiliano Conson","doi":"10.1891/JCP-2021-0020","DOIUrl":"https://doi.org/10.1891/JCP-2021-0020","url":null,"abstract":"<p><p>Transdiagnostic cognitive behavioral therapy (CBT) is based on the identification of dysfunctional processes and intervention principles shared across psychopathology. From a neuropsychological perspective, deficits of executive functions and social cognition have been identified as common mechanisms involved in the genesis and maintenance of different psychopathological disorders. The present article describes a new psychotherapy model, the integrated neuropsychological therapy (INPT), built on the principles of transdiagnostic CBT and neuropsychology. Case formulation is operationalized into three levels of functioning, that is, automatic, reflective, and strategic, considering both neuropsychological processes and clinical contents. Treatment planning involves three phases, that is, preparation, enhancement, and change, each consisting of different treatment modules defined according to the above levels of functioning. These modules are selected based on the patient's profile defined during case formulation. The theoretical foundations of INPT are provided, and a case description is presented, which illustrates the implementation of the treatment model.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048994","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 Investigation of the Moderating Role of Estradiol in Interoceptive Exposure Therapy for Women with Panic Disorder. 雌二醇在惊恐障碍女性间感受性暴露治疗中的调节作用研究。
IF 0.7 4区 心理学
Journal of Cognitive Psychotherapy Pub Date : 2023-06-27 DOI: 10.1891/JCP-2022-0012
Hannah C Levy, Rachel S Goldblum, Jessica Mullins, David F Tolin
{"title":"An Investigation of the Moderating Role of Estradiol in Interoceptive Exposure Therapy for Women with Panic Disorder.","authors":"Hannah C Levy,&nbsp;Rachel S Goldblum,&nbsp;Jessica Mullins,&nbsp;David F Tolin","doi":"10.1891/JCP-2022-0012","DOIUrl":"https://doi.org/10.1891/JCP-2022-0012","url":null,"abstract":"<p><p>Emerging research in animal models and healthy women indicates that the sex hormone estradiol may moderate fear of extinction. There is limited research on estradiol in exposure-based therapy among clinically anxious women. The current pilot study aimed to address this gap by comparing exposure outcomes in women with panic disorder (PD) who had high (HE) vs. low estradiol (LE). Twenty-eight women (14 per group) with PD completed two interoceptive exposure sessions on consecutive days as well as self-report measures of panic severity. Electrodermal activity was assessed continuously throughout the exposure sessions. Results showed that although anxiety sensitivity and subjective distress improved from pre- to postexposure, suggesting that the intervention was effective in reducing panic-related anxiety, there were no differences in outcomes between the HE and LE groups. The findings suggest that estradiol may not moderate outcomes in exposure therapy in clinically anxious samples, although replication in larger samples will be needed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048996","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
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