Marta Corberán, Laura Carratalá-Ricart, Mara Segura-Serralta, Irene Agulló, Gemma García-Soriano, María Roncero
{"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}
Leila K Capel, Mercedes G Woolley, Emily M Bowers, Keaton J Soileau, Garth Thomas, Michael E Levin, Michael P Twohig
{"title":"Psychological Inflexibility as a Session-to-Session Process of Change in Acceptance and Commitment Therapy-Enhanced Behavior Therapy for Adults With Trichotillomania.","authors":"Leila K Capel, Mercedes G Woolley, Emily M Bowers, Keaton J Soileau, Garth Thomas, Michael E Levin, Michael P Twohig","doi":"10.1891/JCP-2025-0021","DOIUrl":"https://doi.org/10.1891/JCP-2025-0021","url":null,"abstract":"<p><p>One potential explanation for difficulty in treating trichotillomania despite increased research on evidence-based treatments is the heterogeneity in symptom presentation. An individualized treatment approach may help increase treatment response and recovery. Additionally, understanding which processes help improve treatment outcomes in psychosocial interventions may be particularly important. This study examined how changes in trichotillomania-specific psychological inflexibility related to week-to-week levels of hair-pulling severity and distress. We also explored a potential bidirectional relationship between hair-pulling severity and trichotillomania-specific psychological inflexibility. Results indicated that trichotillomania symptom severity predicted trichotillomania-specific psychological inflexibility and vice versa, suggesting a bidirectional relationship. Additionally, trichotillomania-specific psychological inflexibility may play a more central role in trichotillomania symptom changes. Moreover, distress was strongly predicted by current trichotillomania-specific psychological inflexibility. Trichotillomania-specific psychological inflexibility appears to be a process of change in treatment for trichotillomania. Clinical implications are discussed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":"39 4","pages":"306-320"},"PeriodicalIF":1.1,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811247","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}
Meredith Hettler, Elyssa Steinberg, Payne Winston-Lindeboom, Guy Diamond, Brad Riemann, Michael Roeske
{"title":"Augmenting ERP With Attachment-Based Family Therapy: A Case Report in Residential OCD Treatment.","authors":"Meredith Hettler, Elyssa Steinberg, Payne Winston-Lindeboom, Guy Diamond, Brad Riemann, Michael Roeske","doi":"10.1891/JCP-2025-0017","DOIUrl":"https://doi.org/10.1891/JCP-2025-0017","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) is a debilitating, often chronic condition with symptoms that are time-consuming and can cause distress or impairment. OCD can involve and have a significant impact on families. Although calls for family-inclusive treatment for OCD exist, results on its effectiveness are mixed. This case report presents Jane, a young adult with OCD in psychiatric residential treatment, and how her symptoms were profoundly affected and maintained in part by maladaptive family processes. Attachment-based family therapy is used in conjunction with exposure and response prevention to reduce Jane's symptoms, minimize family accommodations, address underlying family processes, and improve family dynamics. Treatment outcomes were assessed through standardized tools, clinician observations, and patient self-reports. By the conclusion of treatment, Jane saw reductions in OCD, anxiety, and depressive symptoms, an increase in well-being, and improved family communication. Implications and recommendations will be discussed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606877","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}
Lauren E Browning, Alexandria H Chang, Nathan M Boyle, Kesley A Ramsey, Joseph F McGuire
{"title":"Therapists' Perspectives on the Use, Barriers, and Facilitators of Digital Mental Health Interventions and Extended Reality into the Treatment of OCD.","authors":"Lauren E Browning, Alexandria H Chang, Nathan M Boyle, Kesley A Ramsey, Joseph F McGuire","doi":"10.1891/JCP-2025-0022","DOIUrl":"https://doi.org/10.1891/JCP-2025-0022","url":null,"abstract":"<p><p>Although exposure with response prevention (ERP) is the frontline treatment for obsessive-compulsive disorder (OCD), several challenges exist in its implementation. Emerging technologies, including mobile health (mHealth) apps and extended reality (XR), offer innovative solutions to overcome these challenges. In response, we surveyed OCD therapists to establish the utilization of emerging technologies in clinical practice and investigate accompanying barriers. A total of 223 therapists reported their use, interest, and perceived barriers regarding mHealth and XR tools in clinical practice. While 62.1% presently reported using mHealth apps-mostly mindfulness and mood tracking-fewer therapists used them for ERP-specific tasks. Despite high interest in XR by OCD therapists, only 9.1% had used XR in ERP. Barriers to technology utilization included lack of knowledge, limited training, and uncertainty about evidence to support use. Findings highlight a need for clinical resources, therapist training, and further research to determine how to optimize the implementation of ERP using novel technologies.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606867","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}
Benjamin J Mitchell, Emily I Braley, Nisha Jagannathan, Wayne K Goodman, Eric A Storch, Andrew D Wiese
{"title":"The Good, the Bad, and the Ugly: Clinical Considerations for Telehealth Delivery of Exposure Therapies for Anxiety Disorders.","authors":"Benjamin J Mitchell, Emily I Braley, Nisha Jagannathan, Wayne K Goodman, Eric A Storch, Andrew D Wiese","doi":"10.1891/JCP-2025-0033","DOIUrl":"https://doi.org/10.1891/JCP-2025-0033","url":null,"abstract":"<p><p>Telehealth has become a pillar for the delivery of psychotherapy, including exposure-based treatments for anxiety-related disorders. While research broadly supports the efficacy of telehealth-delivered anxiety treatments, clinicians and patients need to weigh the benefits and limitations to make informed decisions. This piece highlights the benefits of supporting continued use of telehealth exposure-based treatments, including access to specialized services, treatment efficiency, facilitation of naturalistic exposures, and family involvement. We also outline challenges related to building rapport, delivering psychoeducation, monitoring safety behaviors, and treating young children or individuals with complex presentations. Strengths and weaknesses are summarized in a checklist that can be used as a preliminary tool for clinicians and patients to assess the suitability of teletherapy. Additionally, we discuss gaps between efficacy and clinician perceptions of feasibility and identify future research directions, including examination of treatment moderators and development of triage frameworks to guide treatment format decisions. Teletherapy holds lasting promise for exposure-based care, but its implementation must be flexible, tailored, and informed by evidence and patient-specific factors.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507697","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}
Andrew M Sherrill, Dominik O Mattioli, Rebecca L Schneider, Kathryn M Bell, Sadie Kee, Christopher W Wiese, Saeed Abdullah, Donovan M Ellis
{"title":"Generative Artificial Intelligence for Exposure Therapy: Guidelines for Clinicians and Patients.","authors":"Andrew M Sherrill, Dominik O Mattioli, Rebecca L Schneider, Kathryn M Bell, Sadie Kee, Christopher W Wiese, Saeed Abdullah, Donovan M Ellis","doi":"10.1891/JCP-2025-0036","DOIUrl":"https://doi.org/10.1891/JCP-2025-0036","url":null,"abstract":"<p><p>The emergence of generative artificial intelligence (GenAI) presents new opportunities for enhancing exposure therapy for anxiety- and trauma-related disorders. GenAI is not a replacement for clinical expertise but a powerful ancillary tool. This article offers practical guidance for clinicians and patients on how to use GenAI to develop and conduct personalized exposure exercises. To help orient clinicians to these tools, we provide an overview of ethical considerations and describe the fundamentals of how to use GenAI between and within sessions. We discuss how GenAI tools can assist in generating exposure stimuli, such as images, videos, and scripts, as well as conversational agents. We also provide guidance on how these tools can assist in brainstorming and organizing exposure hierarchies. Finally, we discuss how exposure therapy can continue to flourish using GenAI through clinician training, the exchange of GenAI stimuli and procedures, and clear messaging from leadership and organizations.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507680","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}
Hena Thakur, Ian Sotomayor, Juan Pablo Zapata, Tyra Bergstrom, Mingjing Huang, Shannon Hill, Andy Rapoport, Katie Berry, Emily Davison, Jessica L Schleider
{"title":"Developing a Digital Single-Session Intervention to Promote Trauma-Informed Caregiving: Insights From Foster Caregivers and Child Welfare Providers.","authors":"Hena Thakur, Ian Sotomayor, Juan Pablo Zapata, Tyra Bergstrom, Mingjing Huang, Shannon Hill, Andy Rapoport, Katie Berry, Emily Davison, Jessica L Schleider","doi":"10.1891/JCP-2025-0028","DOIUrl":"https://doi.org/10.1891/JCP-2025-0028","url":null,"abstract":"<p><p>Youth in foster care exhibit behavioral and emotional challenges, often linked to complex trauma exposure. There is a paucity of accessible evidence-based interventions to support foster caregivers in addressing youths' needs. Self-guided, digital single-session interventions (SSIs) represent a promising solution. As the first phase of an intervention mapping project, we conducted a systematic, qualitative needs assessment with foster caregivers (<i>n</i> = 13) and child welfare providers (<i>n</i> = 6) to inform the design of a trauma-informed SSI for foster caregivers. A team-based, multistage analytic coding strategy guided by grounded theory principles and consisting of inductive and deductive approaches was used. Thematic content analysis and axial coding identified resulting themes. Three areas of challenges and desired support were identified, including validating foster caregivers and addressing systemic challenges, supporting caregivers in navigating foster care transitions, and addressing trauma and developmental challenges in foster youth. Implications for the design of a community-informed SSI are discussed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193412","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: Integration of Technologies into Cognitive Behavioral Therapies for Fear-Based Conditions.","authors":"Andrew D Wiese","doi":"10.1891/JCP-2025-0039","DOIUrl":"https://doi.org/10.1891/JCP-2025-0039","url":null,"abstract":"<p><p>Cognitive behavioral therapies are the first-line psychotherapeutics for fear-based conditions, including anxiety, obsessive-compulsive (OCD), and trauma-related disorders. Despite documented efficaciousness and effectiveness, various factors limit the availability of these evidence-based treatments. Technologies may be used to circumvent treatment barriers, improving access to care and optimizing treatments to address symptoms among those with fear-based conditions. Original research articles in this Special Issue include a study on provider use of digital mental health and extended reality technologies for the treatment of OCD; a stepped-care treatment study on trichotillomania, a condition highly comorbid with fear-based conditions; and a qualitative needs assessment for the development of a digital, trauma-informed, single-session intervention for foster caregivers. The Special Issue also includes two review pieces: one presenting treatment recommendations on generative artificial intelligence for exposure therapies and the second on treatment considerations for telehealth-delivered treatment for OCD.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193439","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-Constructive Psychotherapy for an Athlete's Harmful Competitive Anxiety, With a Schema Therapy Perspective on the Clinical Material: A Case Study.","authors":"Satu Kaski, Ulla Kinnunen","doi":"10.1891/JCP-2024-0039","DOIUrl":"https://doi.org/10.1891/JCP-2024-0039","url":null,"abstract":"<p><p>This case illustrates the therapeutic effect of brief cognitive-constructive psychotherapy on an athlete struggling with harmful competitive anxiety. The case material was also later reinterpreted using the framework of schema therapy. The purpose of the intervention was to increase the client's self-awareness and understanding of the ways in which she perceives, understands, accepts, and interprets her beliefs. The focus of this case is on the athlete's personal harmful competitive anxiety and the change in beliefs and anxiety during and after therapy. The original analysis method used was assimilation analysis, and the reinterpretation was based on the reflection on the case material using concepts of schema therapy. The results support the introduction of both cognitive-constructive and schema therapy to help athletes manage their belief systems and harmful competitive anxiety. Treatment differences, effects, and recommendations are discussed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498361","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}