Behavioural and Cognitive Psychotherapy最新文献

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'Flashforward' mental imagery in adolescents: exploring developmental differences and associations with mental health. 青少年的 "闪回 "心理想象:探索发育差异及与心理健康的关联。
IF 2 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-23 DOI: 10.1017/S1352465824000298
A Lau-Zhu, J Stacey, D Gibson, C Chan, M Cooper
{"title":"'Flashforward' mental imagery in adolescents: exploring developmental differences and associations with mental health.","authors":"A Lau-Zhu, J Stacey, D Gibson, C Chan, M Cooper","doi":"10.1017/S1352465824000298","DOIUrl":"https://doi.org/10.1017/S1352465824000298","url":null,"abstract":"<p><strong>Background: </strong>Future events can spring to mind unbidden in the form of involuntary mental images also known as 'flashforwards', which are deemed important for understanding and treating emotional distress. However, there has been little exploration of this form of imagery in youth, and even less so in those with high psychopathology vulnerabilities (e.g. due to developmental differences associated with neurodiversity or maltreatment).</p><p><strong>Aims: </strong>We aimed to test whether flashforwards are heightened (e.g. more frequent and emotional) in autistic and maltreatment-exposed adolescents relative to typically developing adolescents. We also explored their associations with anxiety/depression symptoms.</p><p><strong>Method: </strong>A survey including measures of flashforward imagery and mental health was completed by a group of adolescents (<i>n</i>=87) aged 10-16 (and one of their caregivers) who met one of the following criteria: (i) had a diagnosis of autism spectrum disorder; (ii) a history of maltreatment; or (ii) no autism/maltreatment.</p><p><strong>Results: </strong>Flashforwards (i) were often of positive events and related to career, education and/or learning; with phenomenological properties (e.g. frequency and emotionality) that were (ii) not significantly different between groups; but nevertheless (iii) associated with symptoms of anxiety across groups (particularly for imagery emotionality), even after accounting for general trait (non-future) imagery vividness.</p><p><strong>Conclusions: </strong>As a modifiable cognitive risk factor, flashforward imagery warrants further consideration for understanding and improving mental health in young people. This implication may extend to range of developmental backgrounds, including autism and maltreatment.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298761","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
Influential Relationship Questionnaire (IRQ): psychometric characteristics of an abbreviated Spanish version. 影响关系问卷 (IRQ):西班牙文缩写版的心理测量特征。
IF 2 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-23 DOI: 10.1017/S1352465824000286
Antonio J Vázquez Morejón, Marta López Narbona, Miguel Romero González, Raquel Vázquez-Morejón
{"title":"Influential Relationship Questionnaire (IRQ): psychometric characteristics of an abbreviated Spanish version.","authors":"Antonio J Vázquez Morejón, Marta López Narbona, Miguel Romero González, Raquel Vázquez-Morejón","doi":"10.1017/S1352465824000286","DOIUrl":"https://doi.org/10.1017/S1352465824000286","url":null,"abstract":"<p><strong>Background: </strong>The relevance of family relationships in the outcome of various disorders has been highlighted from different domains. Specifically, empirical studies on the relationship between the outcome of schizophrenia and various affective dimensions of family relationships have allowed the identification of particularly relevant aspects: criticism, hostility, and over-protection.</p><p><strong>Aims: </strong>The present study aims to adapt and validate an abbreviated Spanish version of the Influential Relationship Questionnaire (IRQ), an instrument that measures the patient's own perception of the affective dimensions of family relationships.</p><p><strong>Method: </strong>Participants were 188 patients (63.8% male) of the Public Health Service in Andalusia (Spain) with a diagnosis of schizophrenia or a related disorder. One hundred and thirty-six participants provided data related to both father and mother, and 52 only related to mother or father, so the analyses were carried out with a total of 324 questionnaires. Simultaneously, in 130 participants, the Perceived Criticism Scale was applied, and in 50 cases, relatives were asked to complete the Family Attitudes Scale.</p><p><strong>Results: </strong>Principal component analysis allowed for the identification of four factors that explained 61.53% of the total variance (criticism, over-protection, restriction, and care). The values of Cronbach's alpha coefficient, as well as the omega coefficient, showed high consistency. The temporal reliability for an interval of 3 months was high. The correlations between the IRQ dimensions and the other variables included in the study were significant and in the expected direction.</p><p><strong>Conclusions: </strong>The results support the reliability and validity of the abbreviated version of the IRQ.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298762","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 outcomes of imagery-focused interventions in relation to distress in people with delusions: a systematic literature review. 与妄想症患者痛苦相关的意象干预结果:系统性文献综述。
IF 2 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-23 DOI: 10.1017/S1352465824000237
Aimee J J Cairns, Christopher D J Taylor, James A Kelly
{"title":"The outcomes of imagery-focused interventions in relation to distress in people with delusions: a systematic literature review.","authors":"Aimee J J Cairns, Christopher D J Taylor, James A Kelly","doi":"10.1017/S1352465824000237","DOIUrl":"https://doi.org/10.1017/S1352465824000237","url":null,"abstract":"<p><strong>Background: </strong>Imagery-focused therapies within cognitive behavioural therapy are growing in interest and use for people with delusions.</p><p><strong>Aims: </strong>This review aimed to examine the outcomes of imagery-focused interventions in people with delusions.</p><p><strong>Method: </strong>PsycINFO, PubMed, MEDLINE, Web of Science, EMBASE and CINAHL were systematically searched for studies that included a clinical population with psychosis and delusions who experienced mental imagery. The review was informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and quality appraisal of all included papers was completed using the Crowe Critical Appraisal Tool. Information from included texts was extracted and collated in Excel, which informed the narrative synthesis of results.</p><p><strong>Results: </strong>Of 2,736 studies identified, eight were eligible for inclusion and rated for quality with an average score of 70.63%. These studies largely supported their aims in reducing levels of distress and intrusiveness of imagery. Four of the eight studies used case series designs, two were randomised controlled trials, and two reported single case studies. It appears that interventions targeting mental imagery were acceptable and well tolerated within a population of people experiencing psychosis and delusions.</p><p><strong>Conclusions: </strong>Some therapeutic improvement was reported, although the studies consisted of mainly small sample sizes. Clinical implications include that people with a diagnosis of psychosis can engage with imagery-focused therapeutic interventions with limited adverse events. Future research is needed to tackle existing weaknesses of design and explore the outcomes of imagery interventions within this population in larger samples, under more rigorous methodologies.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298763","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 relationship between perfectionism and self-esteem in adults: a systematic review and meta-analysis 成人完美主义与自尊之间的关系:系统回顾与荟萃分析
IF 1.8 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-16 DOI: 10.1017/s1352465824000249
Viyona Khossousi, Danyelle Greene, Roz Shafran, Thomas Callaghan, Sheree Dickinson, Sarah J. Egan
{"title":"The relationship between perfectionism and self-esteem in adults: a systematic review and meta-analysis","authors":"Viyona Khossousi, Danyelle Greene, Roz Shafran, Thomas Callaghan, Sheree Dickinson, Sarah J. Egan","doi":"10.1017/s1352465824000249","DOIUrl":"https://doi.org/10.1017/s1352465824000249","url":null,"abstract":"<span>Background:</span><p>Perfectionism dimensions, including perfectionistic strivings and perfectionistic concerns, have a significant positive association with psychopathology. Clinical perfectionism is defined as when an individual’s self-esteem is excessively reliant on meeting high standards despite negative consequences. Numerous studies have found that higher perfectionistic concerns correlate with lower self-esteem; however, evidence for the association with perfectionistic strivings has been mixed.</p><span>Aims:</span><p>The focus of this systematic review and meta-analysis was to inform theoretical understanding of the relationships between perfectionism dimensions and self-esteem in adults.</p><span>Method:</span><p>A systematic literature search was conducted in Medline, PsycINFO, PsychARTICLES, ProQuest Central, and Scopus on 31 May 2023.</p><span>Results:</span><p>There were 83 articles included, with 32,304 participants (<span>M</span><span>age</span>=∼24.66 years). There was a significant negative moderate pooled association between self-esteem and perfectionistic concerns, <span>r</span>=–.42, 95% CI [–0.47 to –0.38]. A significant negligible positive pooled association was found between self-esteem and perfectionistic strivings, <span>r</span>=.06, 95% CI [0.01 to 0.11]. Results indicate higher perfectionistic concerns is associated with lower self-esteem, providing indirect support for the cognitive-behavioural model of clinical perfectionism.</p><span>Conclusions:</span><p>Future research should compare cognitive behaviour therapy for perfectionism to treatments for low self-esteem on outcomes of perfectionistic concerns and psychopathology.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267553","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
Changes in harm avoidance and incompleteness across group CBT for OCD and their relationship with symptom change 强迫症小组 CBT 治疗中伤害回避和不完整性的变化及其与症状变化的关系
IF 1.8 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-11 DOI: 10.1017/s1352465824000274
Christina Puccinelli, Karen Rowa, Laura J. Summerfeldt, Randi E. McCabe
{"title":"Changes in harm avoidance and incompleteness across group CBT for OCD and their relationship with symptom change","authors":"Christina Puccinelli, Karen Rowa, Laura J. Summerfeldt, Randi E. McCabe","doi":"10.1017/s1352465824000274","DOIUrl":"https://doi.org/10.1017/s1352465824000274","url":null,"abstract":"Background: Obsessive-compulsive disorder (OCD) symptoms are hypothesized to be driven by two core motivations: harm avoidance and incompleteness. While cognitive-behavioural therapy (CBT) is an effective treatment for OCD, many posit that OCD presentations characterized by high incompleteness may be harder to treat. The relationship between the core motivations and treatment outcomes remains to be further explored. Aims: To investigate if harm avoidance and incompleteness decrease across group CBT and to examine the relationship between treatment outcomes and both baseline and changes in harm avoidance and incompleteness throughout treatment. Method: A naturalistic sample of 65 adult out-patients with OCD completed self-report questionnaires measuring OCD symptom severity and the core motivations before, during, and after 12 weeks of group CBT for OCD. Results: Harm avoidance and incompleteness scores significantly decreased from pre- to post-treatment. Pre-treatment harm avoidance and incompleteness levels did not predict post-treatment symptom severity, but changes in the core motivations throughout treatment were significant predictors of treatment outcome. Specifically, reductions in harm avoidance across treatment and reductions in incompleteness early in treatment, were associated with better treatment outcomes. Conclusions: Participants who completed group CBT for OCD experienced modest reductions in the core motivations thought to maintain OCD symptoms and these changes predicted better outcomes. However, pre-treatment levels of harm avoidance and incompleteness do not appear to moderate treatment outcome.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142182327","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
Telehealth-delivered recovery-orientated well-being plan group program for bipolar disorder: a pilot randomised feasibility and acceptability study 针对双相情感障碍的远程医疗康复导向型幸福计划小组项目:试点随机可行性和可接受性研究
IF 1.8 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-11 DOI: 10.1017/s1352465824000316
Tania Perich, Kelly Kakakios, Isabel Fraser
{"title":"Telehealth-delivered recovery-orientated well-being plan group program for bipolar disorder: a pilot randomised feasibility and acceptability study","authors":"Tania Perich, Kelly Kakakios, Isabel Fraser","doi":"10.1017/s1352465824000316","DOIUrl":"https://doi.org/10.1017/s1352465824000316","url":null,"abstract":"Background: Psychological interventions may assist in the management of bipolar disorder, but few studies have assessed the use of group therapy programs using telehealth. Aims: The present study aimed to assess the feasibility and acceptability of a well-being group program for people living with bipolar disorder designed to be delivered via telehealth (Zoom platform) using a randomised controlled pilot design. Method: Participants were randomly assigned to either the 8-week well-being plan treatment condition or the wait-list control condition. They were administered a structured diagnostic instrument to confirm bipolar disorder diagnosis followed by a set of self-report questionnaires relating to mood, quality of life, personal recovery, and stigma. Results: A total of 32 participants (16 treatment; 16 control) were randomised with 12 participants completing the intervention, and 13 the control condition. The program appeared acceptable and feasible (75% retention rate) with a mean attendance being reported of 7.25 sessions attended out of a possible 8 sessions. Participants reported high levels of satisfaction overall with the intervention, with a mean score of 9.18 out of 10. Discussion: Preliminary evidence suggests that delivery of the group program online is feasible and acceptable for participants living with bipolar disorder. As the program was designed to prevent relapse over time, further research is needed to determine if the program may be helpful in improving symptom outcomes over a longer follow-up period.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142182175","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
Evaluating the acceptability of remote cognitive remediation from the perspective of psychosis service users. 从精神病服务使用者的角度评估远程认知矫正的可接受性。
IF 2 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-01 Epub Date: 2024-02-13 DOI: 10.1017/S1352465824000109
Lois Ann Parri, Katherine Barret, Rosie Hill, Arif Hoque, Iris Isok, Alex Kenny, Sarah Markham, Nike Oyeleye, Roisin Quinn, Angela Sweeney, Til Wykes, Matteo Cella
{"title":"Evaluating the acceptability of remote cognitive remediation from the perspective of psychosis service users.","authors":"Lois Ann Parri, Katherine Barret, Rosie Hill, Arif Hoque, Iris Isok, Alex Kenny, Sarah Markham, Nike Oyeleye, Roisin Quinn, Angela Sweeney, Til Wykes, Matteo Cella","doi":"10.1017/S1352465824000109","DOIUrl":"10.1017/S1352465824000109","url":null,"abstract":"<p><strong>Objectives: </strong>Cognitive remediation (CR) can reduce the cognitive difficulties experienced by people with psychosis. Adapting CR to be delivered remotely provides new opportunities for extending its use. However, doing so requires further evaluation of its acceptability from service users' views. We evaluate the acceptability of therapist-supported remote CR from the perspectives of service users using participatory service user-centred methods.</p><p><strong>Method: </strong>After receiving 12 weeks of therapist-supported remote CR, service users were interviewed by a service user researcher following a semi-structured 18-question interview guide. Transcripts were analysed using reflexive thematic analysis with themes and codes further validated by a Lived Experience Advisory Panel and member checking.</p><p><strong>Results: </strong>The study recruited 26 participants, almost all of whom reported high acceptability of remote CR, and some suggested improvements. Four themes emerged: (1) perceived treatment benefits, (2) remote versus in-person therapy, (3) the therapist's role, and (4) how it could be better.</p><p><strong>Conclusions: </strong>This study used comprehensive service user involvement methods. For some participants, technology use remained a challenge and addressing these difficulties detracted from the therapy experience. These outcomes align with existing research on remote therapy, suggesting that remote CR can expand choice and improve access to treatment for psychosis service users once barriers are addressed. Future use of remote CR should consider technology training and equipment provision to facilitate therapy for service users and therapists.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724540","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
Acceptability and feasibility of recovery-oriented group acceptance and commitment therapy for psychosis in routine practice: an uncontrolled pilot study. 以康复为导向的接受与承诺治疗小组在日常实践中的可接受性和可行性:一项非对照试点研究。
IF 2 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-01 Epub Date: 2024-01-12 DOI: 10.1017/S1352465823000589
John Farhall, Marilyn L Cugnetto, Eliot Goldstone, Jesse Gates, Jacinta Clemente, Eric M J Morris
{"title":"Acceptability and feasibility of recovery-oriented group acceptance and commitment therapy for psychosis in routine practice: an uncontrolled pilot study.","authors":"John Farhall, Marilyn L Cugnetto, Eliot Goldstone, Jesse Gates, Jacinta Clemente, Eric M J Morris","doi":"10.1017/S1352465823000589","DOIUrl":"10.1017/S1352465823000589","url":null,"abstract":"<p><strong>Background: </strong>Personal recovery is a persisting concern for people with psychotic disorders. Accordingly, mental health services have adopted frameworks of personal recovery, prioritizing adaptation to psychosis alongside symptom remission. Group acceptance and commitment therapy (ACT) for psychosis aims to promote personal recovery alongside improved mood and quality of life.</p><p><strong>Aims: </strong>The objectives of this uncontrolled, prospective pilot study were to determine whether 'Recovery ACT' groups for adults are a feasible, acceptable and safe program within public mental health services, and assess effectiveness through measuring changes in personal recovery, wellbeing, and psychological flexibility.</p><p><strong>Method: </strong>Program feasibility, acceptability and safety indicators were collected from referred consumers (<i>n</i>=105). Adults (<i>n</i>=80) diagnosed with psychotic disorders participated in an evaluation of 'Recovery ACT' groups in Australian community public mental health services. Participants completed pre- and post-group measures assessing personal recovery, wellbeing, and psychological flexibility.</p><p><strong>Results: </strong>Of 101 group enrollees, 78.2% attended at least one group session (<i>n</i>=79); 73.8% attended three or more, suggesting feasibility. Eighty of 91 first-time attendees participated in the evaluation. Based on completer analyses (<i>n</i>=39), participants' personal recovery and wellbeing increased post-group. Outcome changes correlated with the linear combination of psychological flexibility measures.</p><p><strong>Conclusions: </strong>'Recovery ACT' groups are feasible, acceptable and safe in Australian public mental health services. 'Recovery ACT' may improve personal recovery, wellbeing, and psychological flexibility. Uncontrolled study design, completer analyses, and program discontinuation rates limit conclusions.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425747","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
Partner symptom accommodation in generalized anxiety disorder: a preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome. 广泛性焦虑症的伴侣症状调适:症状与认知行为疗法结果相关性的初步研究。
IF 2 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-01 Epub Date: 2024-05-07 DOI: 10.1017/S1352465824000213
B L Malivoire, K Rowa, I Milosevic, R E McCabe
{"title":"Partner symptom accommodation in generalized anxiety disorder: a preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome.","authors":"B L Malivoire, K Rowa, I Milosevic, R E McCabe","doi":"10.1017/S1352465824000213","DOIUrl":"10.1017/S1352465824000213","url":null,"abstract":"<p><strong>Background: </strong>Symptom accommodation is suggested to maintain anxiety pathology and interfere with treatment effectiveness for anxiety and related disorders. However, little is known about symptom accommodation in generalized anxiety disorder (GAD).</p><p><strong>Aim: </strong>This study investigated the associations between romantic partner symptom accommodation, GAD symptoms, intolerance of uncertainty (IU), relationship satisfaction, and cognitive behavioural therapy (CBT) outcomes from the perspective of the person with GAD.</p><p><strong>Method: </strong>One hundred and twelve people with GAD participated in group CBT and completed measures at pre- and post-treatment.</p><p><strong>Results: </strong>All participants endorsed that their partner engaged in symptom accommodation to some extent, and the most commonly endorsed type was providing reassurance. Greater self-reported partner symptom accommodation was associated with greater GAD symptoms, chronic worry severity, IU, and relationship satisfaction at baseline. Partner symptom accommodation was found to significantly decrease over treatment; however, less improvement in symptom accommodation from pre- to post-treatment was associated with worse treatment outcomes.</p><p><strong>Discussion: </strong>This study is the first to show that partner symptom accommodation is prevalent in adults with GAD and to elucidate the presentation and frequency of behaviours. The findings provide preliminary evidence that targeting partner symptom accommodation in treatment may improve CBT outcomes.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870251","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
Exploring stigma, shame, and safety behaviours in social anxiety and paranoia amongst people diagnosed with schizophrenia. 探索被诊断为精神分裂症患者的社交焦虑和偏执中的耻辱感、羞耻感和安全行为。
IF 2 4区 心理学
Behavioural and Cognitive Psychotherapy Pub Date : 2024-08-29 DOI: 10.1017/S1352465824000225
Warut Aunjitsakul, Kreuwan Jongbowonwiwat, Sinead Lambe, Daniel Freeman, Hamish J McLeod, Andrew Gumley
{"title":"Exploring stigma, shame, and safety behaviours in social anxiety and paranoia amongst people diagnosed with schizophrenia.","authors":"Warut Aunjitsakul, Kreuwan Jongbowonwiwat, Sinead Lambe, Daniel Freeman, Hamish J McLeod, Andrew Gumley","doi":"10.1017/S1352465824000225","DOIUrl":"https://doi.org/10.1017/S1352465824000225","url":null,"abstract":"<p><strong>Background: </strong>Social anxiety and paranoia are connected by a shared suspicion framework. Based on cognitive-behavioural approaches, there is evidence for treating social anxiety and psychosis. However, mechanisms underlying the relationship between social anxiety and paranoia remain unclear.</p><p><strong>Aims: </strong>To investigate mediators between social anxiety and paranoia in schizophrenia such as negative social appraisals (i.e. stigma or shame; Hypothesis 1), and safety behaviours (i.e. anxious avoidance or <i>in situ</i> safety behaviours; Hypothesis 2).</p><p><strong>Method: </strong>A cross-sectional study was conducted among Asian out-patients with schizophrenia (January-April 2020). Data on social anxiety, paranoia, depression, shame, stigma, anxious avoidance, and <i>in situ</i> behaviours were collected. Associations between social anxiety and paranoia were investigated using linear regressions. Mediation analysis via 10,000 bias-corrected bootstrap samples with 95% confidence intervals (CI) was used to test the indirect effects (<i>ab</i>) of mediators.</p><p><strong>Results: </strong>Participants (<i>n</i>=113, 59.3% male) with a mean age of 44.2 years were recruited. A linear relationship between social anxiety and paranoia was found. In multiple mediation analyses (co-varying for depression), stigma and shame (Hypothesis 1) did not show any significant indirect effects with <i>ab</i>=.004 (95%CI=-.013, .031) and -.003 (-.023, .017), respectively, whereas <i>in situ</i> behaviours (Hypothesis 2) showed a significant effect with <i>ab</i>=.110 (.038, .201) through the social anxiety-paranoia relationship.</p><p><strong>Conclusions: </strong>Social anxiety and paranoia are positively correlated. <i>In situ</i> safety behaviours fully mediated the social anxiety and paranoia relationship. Targeted interventions focusing on safety behaviours could help reduce paranoia in psychosis. Symptom severity should be measured to help characterise the participants' characteristics.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113486","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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