M. Twohig, Mohammad Seydavi, L. Capel, Michael E. Levin, Mehdi Akbari
{"title":"Scoping Review of Acceptance and Commitment Therapy for Obsessive–Compulsive Disorder in Iran","authors":"M. Twohig, Mohammad Seydavi, L. Capel, Michael E. Levin, Mehdi Akbari","doi":"10.1891/jcp-2023-0009","DOIUrl":"https://doi.org/10.1891/jcp-2023-0009","url":null,"abstract":"","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139438835","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}
Jennifer L Buchholz, Jonathan S Abramowitz, Samantha N Hellberg, Heidi J Ojalehto, Michael Twohig
{"title":"Different Psychological Processes in Traditional and ACT-Enhanced ERP for Obsessive-Compulsive Disorder.","authors":"Jennifer L Buchholz, Jonathan S Abramowitz, Samantha N Hellberg, Heidi J Ojalehto, Michael Twohig","doi":"10.1891/JCP-2021-0004","DOIUrl":"https://doi.org/10.1891/JCP-2021-0004","url":null,"abstract":"<p><p><b>Background:</b> Acceptance and commitment therapy (ACT) has been shown to promote willingness to experience intrusive thoughts among individuals with obsessive-compulsive disorder (OCD). Exposure with response prevention (ERP) delivered from an ACT framework (i.e., ACT+ERP) may facilitate changes in how patients relate to their unwanted internal experiences.<b>Aims:</b> Accordingly, the present study aimed to examine the effect of ACT+ERP on appraisals of intrusive thoughts, relative to standard ERP.<b>Methods:</b> Forty-eight adults who received 16 treatment sessions as part of a randomized controlled trial comparing standard ERP to ACT+ERP completed the Interpretation of Intrusions Inventory (III) at pre-treatment, post-treatment, and follow-up.<b>Results:</b> Results showed a significant main effect of time for all III subscales, suggesting that appraisals of intrusive thoughts shift over the course of treatment. The effect of the condition × time interaction, however, differed between the III subscales. Specifically, a significant interaction emerged for the control of thoughts subscale, such that individuals who received ACT+ERP experienced greater reductions in beliefs about the need to control thoughts. The interaction term was not significant for importance of thoughts or responsibility subscales.<b>Conclusions:</b> Findings suggest that augmenting ERP with ACT enhances change in beliefs about the need to control thoughts, but not in beliefs about responsibility and the importance of thoughts. Clinical implications and future research directions will be discussed.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9850083","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":"<i>The Family Guide to Getting Over OCD: Reclaim Your Life and Help Your Loved One</i>, by Jonathan S. Abramowitz. New York: The Guilford Press, 2021. 241 pp. ISBN 978-1-4625-2.","authors":"Ashleigh M Harvey, Rheanna Ata Brown","doi":"10.1891/JCP-2022-0007","DOIUrl":"https://doi.org/10.1891/JCP-2022-0007","url":null,"abstract":"","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834244","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}
Jill Pineda, Lisa Nowinski, Kirstin Birtwell, Jacob M Hooker, Joseph F McGuire, Christopher J McDougle, Robyn P Thom
{"title":"Clinical Challenges and Solutions in Adapting Cognitive Behavioral Therapy for Anxiety in Adults With Intellectual Disability.","authors":"Jill Pineda, Lisa Nowinski, Kirstin Birtwell, Jacob M Hooker, Joseph F McGuire, Christopher J McDougle, Robyn P Thom","doi":"10.1891/JCP-2022-0032","DOIUrl":"https://doi.org/10.1891/JCP-2022-0032","url":null,"abstract":"<p><p>While cognitive behavioral therapy (CBT) is a first-line treatment for anxiety, it is not typically offered to those with intellectual disability (ID). In this article, we provide a historical perspective on the treatment of mental health concerns in adults with ID, describe an adapted CBT treatment for anxiety in adults with Williams syndrome (WS) and mild to moderate ID, and discuss general modifications to CBT for adults with ID. Strategies used to successfully adapt CBT for adults with WS that may generalize for adults with ID more broadly include: (a) using child-based CBT manuals as a framework; (b) involving a caregiver as a therapy partner; (c) incorporating a high level of repetition; (d) simplifying language; (e) slowing the pace of instruction; and (f) incorporating specific examples and adaptations for WS.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10067640","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 Maintaining Factors and Social Anxiety: The Mediating Role of Cognitive Fusion and Experiential Avoidance.","authors":"Esmail Soltani, Quincy J J Wong, Laaya Ahmadzadeh, 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":null,"pages":null},"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}
{"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, 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":null,"pages":null},"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}
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, Cynthia L Turk, 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":null,"pages":null},"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}
{"title":"Resilience, Generalized Self-Efficacy, and Mindfulness as Moderators of the Relationship Between Stress and Well-Being.","authors":"Owen Richard Lightsey, 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":null,"pages":null},"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}
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, Katherine S Wahrer, Emily Walsh, Lia Rosenstein, 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":null,"pages":null},"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}
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, Katharine L Thomas, Natalie Hundt, Ali Abbas Asghar-Ali, 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":null,"pages":null},"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}