{"title":"Two Case Examples of Cognitive Behavioral Treatment for Hoarding Disorder.","authors":"Colin H Stanton, 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":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":"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}
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, Jennifer L Bryan, Thomas R Mullin, 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":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":"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}
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, Isa Zappullo, Chiara Baiano, 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":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":"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}
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, Rachel S Goldblum, Jessica Mullins, 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":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":"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}
{"title":"Neuroticism: A New Framework for Emotional Disorders and Their Treatment by Shannon Sauer-Zavala and Dr. David Barlow, New York: Guilford Press, 2021. 270pp. ISBN 978-1-4625-4718-0.","authors":"Alyssa Hertz, Amy Goetz","doi":"10.1891/JCP-2022-0002","DOIUrl":"https://doi.org/10.1891/JCP-2022-0002","url":null,"abstract":"","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557285","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":"Sexual Orientation Intrusive Thoughts and Well-Being: The Mediating Role of Psychological Inflexibility.","authors":"Julie M Petersen, Michael P Twohig","doi":"10.1891/JCP-2021-0005","DOIUrl":"https://doi.org/10.1891/JCP-2021-0005","url":null,"abstract":"<p><p>Sexual orientation intrusive thoughts are a debilitating form of obsessive-compulsive disorder. The present study aimed to elucidate how psychological inflexibility and dysfunctional beliefs may impact the relationships of sexual orientation intrusive thoughts and obsessive-compulsive (OC) symptoms with well-being. A total of 181 undergraduate students completed measures of sexual orientation intrusive thoughts, OC symptoms, psychological inflexibility, dysfunctional beliefs, and well-being. Results indicated positive correlations between psychological inflexibility, sexual orientation intrusive thoughts, dysfunctional beliefs, and OC symptoms, along with negative correlations between well-being and sexual orientation intrusive thoughts, OC symptoms, dysfunctional beliefs, and psychological inflexibility. Psychological inflexibility acted as a mediator between sexual orientation intrusive thoughts and well-being and between OC symptoms and well-being. Dysfunctional beliefs were not a significant mediator. These results suggest that psychological inflexibility may partially explain the association between OC symptoms and well-being, pointing toward the need for future research on the impact of psychological inflexibility on well-being in the context of OC symptoms.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9610158","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":"Does Using a Mindfulness App Reduce Anxiety and Worry? A Randomized-Controlled Trial.","authors":"Deah Abbott, Caleb W Lack, Page Anderson","doi":"10.1891/JCPSY-D-20-00058","DOIUrl":"https://doi.org/10.1891/JCPSY-D-20-00058","url":null,"abstract":"<p><p><b>Objectives:</b> the availability of smartphone-based mindfulness training applications (apps) may circumvent many barriers to receiving in-person help, but little controlled research has been conducted on them. This study sought to evaluate the effectiveness of a widely used -mindfulness training app, Headspace, at reducing anxiety and worry. <b>Methods:</b> this study used a randomized-controlled design to examine the app using a 3 (Time; baseline, 4 weeks, 8 weeks) × 2 (Access; immediate, delayed for 4 weeks) design. Participants who reported moderate to high anxiety or worry were randomly assigned to receive -either -immediate access or delayed access to the app. For null hypothesis significance testing (NHST), analyses of variance were used to test the hypotheses that app access for 4 and 8 weeks would reduce anxiety and worry as compared to waitlist or baseline and that app access for 8 weeks would reduce anxiety and worry as compared to 4 weeks. Bayes estimates were used to -determine the level of evidence for the hypothesis that app access reduces anxiety and worry. <b>Results:</b> four weeks of app access significantly reduced anxiety symptoms, as did 8 weeks, but NHST indicated there were no significant difference between 4 and 8 weeks of access. We failed to reject the null for the analysis of variance on worry, but Bayesian estimates indicated substantial evidence for the hypothesis that the mindfulness training app reduces worry. <b>Conclusions:</b> this research shows that using Headspace can reduce anxiety and worry, but that there does not appear to be a consistent dose relation.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9238167","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":"Maximizing Outcomes by Harnessing Patient Values: A Call for Increased Collaboration With Clergy in the Treatment of Scrupulosity-Themed Obsessive-Compulsive Disorder.","authors":"Eric A Storch, Madeleine N Fuselier","doi":"10.1891/JCP-2022-0038","DOIUrl":"https://doi.org/10.1891/JCP-2022-0038","url":null,"abstract":"","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9238171","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":"Neuroimaging Correlates of Cognitive Behavioral Therapy for Insomnia (CBT-I): A Systematic Literature Review.","authors":"Debbie Sabot, Oliver Baumann","doi":"10.1891/JCPSY-D-21-00006","DOIUrl":"https://doi.org/10.1891/JCPSY-D-21-00006","url":null,"abstract":"<p><p>Cognitive behavioral therapy for insomnia (CBT-I) is the gold-standard non-pharmacological treatment for insomnia, a complex disorder that comprises psychological, behavioral, and physiological components. This systematic literature review aimed to evaluate a growing body of exploratory studies that have examined CBT-I treatment effects using neuroimaging assessment. Nine studies met current review selection criteria, of which six studies compared insomnia groups with good sleepers, waitlist, and/or control groups. CBT-I administration varied in treatment length and duration across the studies, as did neuroimaging assessment, which included task-based and resting-state functional magnetic resonance imaging (fMRI), and structural magnetic resonance imaging (MRI). Functional connectivity abnormalities were observed in participants, including reduced engagement in task-related brain regions and apparent difficulties in regulating default mode brain areas that appeared to reverse following CBT-I treatment. Taken together, the neuroimaging results complement behavioral measures of treatment efficacy, indicating support for the effectiveness of CBT-I treatment in the recovery of brain function and structure.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9238170","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}
Joshua J Broman-Fulks, John J Bergquist, Christian A Hall, Kelsey Thomas, Kerry C Kelso
{"title":"Incremental Validity of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy Mechanisms for Anxiety and Panic Symptomology.","authors":"Joshua J Broman-Fulks, John J Bergquist, Christian A Hall, Kelsey Thomas, Kerry C Kelso","doi":"10.1891/JCPSY-D-20-00056","DOIUrl":"https://doi.org/10.1891/JCPSY-D-20-00056","url":null,"abstract":"<p><p><b>Background:</b> acceptance and commitment therapy (ACT) and cognitive-behavioral therapy (CBT) are empirically supported treatments for anxiety and panic disorder (PD), though they differ in their putative vulnerability and maintenance processes. The present study examined the incremental validity of several of these models' proposed core processes, including anxiety sensitivity (AS), dispositional avoidance, experiential avoidance (EA), cognitive fusion (CF), and mindfulness, as well as the interaction of the processes within each model, in the prediction of anxiety and panic symptomology. <b>Methods:</b> a sample of US adults (<i>n</i> = 316) completed self-report measures of AS, dispositional avoidance, EA, CF, mindfulness, anxiety, and PD symptoms. A series of hierarchical multiple regression analyses were conducted. <b>Results:</b> hierarchical regression analyses indicated that AS, dispositional avoidance, and EA predicted anxiety and panic symptoms even after controlling for one another, CF, mindfulness, and demographic variables. Although mindfulness and CF was correlated with anxiety and panic at the univariate level, they did not predict either outcome above and beyond AS, dispositional avoidance, and EA. When interaction terms were added to the models, the interaction between AS and -dispositional avoidance was a significant predictor of panic and anxiety symptoms, whereas the interaction between EA and CF only predicted panic symptoms. None of the interactions that included mindfulness were significant predictors. <b>Conclusions:</b> these findings provide support the independent and interactive predictive value of traditional CBT (AS, dispositional avoidance, and AS-dispositional avoidance) and ACT (EA) processes for anxiety and panic symptoms, but raise questions about the incremental predictive utility of CF and mindfulness.</p>","PeriodicalId":47207,"journal":{"name":"Journal of Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9238172","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}