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":" ","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}
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":" ","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}
{"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":" ","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}
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":" ","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}
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":" ","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}
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":" ","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}
{"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":"37 2","pages":"183-184"},"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":"37 2","pages":"142-155"},"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":"37 1","pages":"26-42"},"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":"37 1","pages":"3-6"},"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}