Behavioural and Cognitive Psychotherapy最新文献

Pragmatic implementation of low-intensity psychological treatment for children and young people: the reality. 儿童和青少年低强度心理治疗的务实实施：现实。

IF 2 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-11-06 DOI: 10.1017/S1352465824000390

Anna Roach, Isabella Stokes, Katie McDonnell, Helen Griffiths, Vicki Curry, Isobel Heyman, Sonia Balakrishnan, Xhorxhina Ndoci, Sophie D Bennett, Roz Shafran

{"title":"Pragmatic implementation of low-intensity psychological treatment for children and young people: the reality.","authors":"Anna Roach, Isabella Stokes, Katie McDonnell, Helen Griffiths, Vicki Curry, Isobel Heyman, Sonia Balakrishnan, Xhorxhina Ndoci, Sophie D Bennett, Roz Shafran","doi":"10.1017/S1352465824000390","DOIUrl":"https://doi.org/10.1017/S1352465824000390","url":null,"abstract":"Background and aims: Low-intensity psychological interventions are effective for children and young people (CYP) with mental health difficulties and can help bridge the demand-capacity gap. Despite increasing awareness, training and use of low-intensity psychological interventions, it is not yet understood what is being implemented in clinical practice in the UK and the associated evidence base.Method: This paper presents two studies; first, a national survey (n=102) of practitioners to identify low-intensity psychological interventions currently delivered in practice and second, an exploration of the availability and the strength of empirical support (characterised as 'gold', 'silver' and 'bronze') of low-intensity CBT interventions for CYP.Results: The first study found a wide variety of interventions being used across different services; 101/102 respondents reported using routine outcome measures. The second study identified 44 different low-intensity interventions, 28 of which were rated as having gold empirical support. However, only 13 of the gold interventions were considered accessible for practitioners and only two were reported being used in routine practice.Conclusion: These findings highlight that these interventions have been developed and empirically tested, but many are not easily accessible, highlighting the 'research-practice' gap in the provision of low-intensity interventions. There is a need for an increase in standardisation of care and accessibility of gold interventions. This paper hopes to begin the process of creating a hub of low-intensity interventions that are accessible and empirically supported to improve equity of access and outcomes of low-intensity psychological interventions for CYP.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581184","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 development and validation of the Intolerance of Uncertainty in Social Interactions Scale. 社会交往中不确定性容忍度量表的开发与验证。

IF 2 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-11-04 DOI: 10.1017/S1352465824000353

Anne Eible, Brian Fisak

{"title":"The development and validation of the Intolerance of Uncertainty in Social Interactions Scale.","authors":"Anne Eible, Brian Fisak","doi":"10.1017/S1352465824000353","DOIUrl":"https://doi.org/10.1017/S1352465824000353","url":null,"abstract":"Intolerance of uncertainty (IU) is commonly defined as the tendency for one to interpret uncertainty as negative or threatening. Most general or non-specific measures of IU show a strong relationship with worry and generalized anxiety disorder symptoms; however, a specialized measure of intolerance of uncertainty in social situations could provide insight into the role of IU in social anxiety. The purpose of this study was the development and preliminary validation of the Intolerance of Uncertainty in Social Interactions Scale (IU-SIS), a comprehensive measure designed to assess intolerance of uncertainty in social situations. Participants consisted of a non-referred sample. Based on an exploratory factor analysis, a two-factor solution was retained, with factors labelled Social Ambiguity and Need to Reduce. Both subscales were found to have good reliability and validity. Both subscales of the IU-SIS predicted up variance on measures of social anxiety after controlling for variance explained by a well-established general/non-specific measure of IU. Overall, the IU-SIS shows promise as a tool to elucidate the association between intolerance of uncertainty and social anxiety.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568421","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 development of the Negative Mental Imagery Questionnaire (MIQ-N). 开发消极心理想象问卷（MIQ-N）。

IF 2 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-10-18 DOI: 10.1017/S1352465824000304

Florentina Ecaterina Oaie, Joanne L Bower, Craig Steel

{"title":"The development of the Negative Mental Imagery Questionnaire (MIQ-N).","authors":"Florentina Ecaterina Oaie, Joanne L Bower, Craig Steel","doi":"10.1017/S1352465824000304","DOIUrl":"https://doi.org/10.1017/S1352465824000304","url":null,"abstract":"Background: Mental imagery plays a key role in the onset and maintenance of psychological disorders, and has become the target of psychological interventions for the treatment of several anxiety-related conditions. However, there are currently no transdiagnostic measures designed to assess the varied dimensions of mental imagery relevant to psychopathology.Aim: To develop and validate a new measure assessing the experiences and appraisals of negative mental imagery.Method: The initial item pool was generated through a comprehensive literature review and interviews with subject-matter experts. An online community sample provided data for the exploratory (n=345) and confirmatory (n=325) factor analyses.Results: The new 16-item Negative Mental Imagery Questionnaire demonstrated four subscales (Intrusiveness, Controllability, Beliefs about Mental Imagery, and Realness). Reliability and validity were good to excellent for both the full- and sub-scales.Conclusions: Appraisals of mental imagery captured by the new measure are consistent with previous research on mental imagery and psychopathology.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477710","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 belief that being high is a natural part of your personality predicts an increase in manic symptoms over time in bipolar disorder. 认为亢奋是性格的自然组成部分这一信念预示着躁狂症患者的躁狂症状会随着时间的推移而增加。

IF 2 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-10-11 DOI: 10.1017/S1352465824000389

Thomas Richardson, Warren Mansell

{"title":"The belief that being high is a natural part of your personality predicts an increase in manic symptoms over time in bipolar disorder.","authors":"Thomas Richardson, Warren Mansell","doi":"10.1017/S1352465824000389","DOIUrl":"https://doi.org/10.1017/S1352465824000389","url":null,"abstract":"Background: Several psychological models of bipolar disorder propose that certain types of appraisals can lead to increases in manic symptoms.Aims: We tested whether the belief that being 'high' is a natural part of one's personality and correlates with manic symptoms 4 months later when controlling for manic symptoms at baseline.Method: This was a prospective 4-month follow-up design using self-report measures. Forty people with a diagnosis of bipolar disorder completed a measure of manic symptoms, a measure of appraisals associated with bipolar disorder, and a single-item measure, 'To what extent do you feel like being \"high\" is a natural part of your personality?', at baseline and follow-up.Results: The single-item measure showed modest stability over time and construct validity in its correlation with a standardised measure of appraisals in bipolar disorder. As predicted, the single-item measure correlated with manic symptoms at follow-up when controlling for manic symptoms at baseline.Conclusions: The belief that being 'high' is a natural part of one's personality is a potential predictor of manic symptoms. Further research needs to study the potential mediating mechanisms such as activating behaviours, and control for indicators of the bipolar endophenotype.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401619","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

'Living in the Present' mindfulness for parents of children with skin conditions: a single group case series. 为患皮肤病儿童的父母提供 "活在当下 "的正念：单个小组案例系列。

IF 2 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2024-09-30 DOI: 10.1017/S1352465824000341

Olivia Hughes, Katherine H Shelton, Helen Penny, Andrew R Thompson

{"title":"'Living in the Present' mindfulness for parents of children with skin conditions: a single group case series.","authors":"Olivia Hughes, Katherine H Shelton, Helen Penny, Andrew R Thompson","doi":"10.1017/S1352465824000341","DOIUrl":"https://doi.org/10.1017/S1352465824000341","url":null,"abstract":"Background: Parents of children with skin conditions can experience stress from the additional responsibilities of care. However, there is a lack of psychological interventions for families affected by a dermatological diagnosis.Aims: To investigate (1) whether delivering the 'Living in the Present' mindfulness curriculum to parents of children with skin conditions reduced stress and increased both parental/child quality of life (QoL), and (2) determine intervention acceptability.Method: Ten parents of children with eczema, ectodermal dysplasia, ichthyosis, and alopecia took part in a mindfulness-based intervention. Using mixed methods, a single-group experimental case design (SCED) was conducted and supplemented by thematic analysis of exit interviews. Parents completed idiographic measures of parenting stress, standardised measures of QoL, stress, mindfulness, and took part in exit interviews. Children also completed QoL measures.Results: Tau-U analysis of idiographic measures revealed three parents showed some significant improvements in positive targets, and five parents showed some significant improvements in negative targets. Assessment of reliable change demonstrated that: one parent showed improvement in mindful parenting, three parents showed improvement in parenting stress, seven parents showed improvement in anxiety, three parents showed improvements in depression, six parents showed improvement in QoL, and four children showed improvement in QoL. However, two parents showed increased anxiety. Thematic analysis revealed positive changes to mood following mindfulness, although challenges were highlighted, including sustaining home practice.Conclusion: Findings suggest this specific form of mindfulness intervention could be effective for parents of children with skin conditions; however, further robust studies are needed.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337070","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

'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":"Background: 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).Aims: 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.Method: A survey including measures of flashforward imagery and mental health was completed by a group of adolescents (n=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.Results: 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.Conclusions: 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.","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":"Background: 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.Aims: 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.Method: 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.Results: 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.Conclusions: The results support the reliability and validity of the abbreviated version of the IRQ.","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":"Background: Imagery-focused therapies within cognitive behavioural therapy are growing in interest and use for people with delusions.Aims: This review aimed to examine the outcomes of imagery-focused interventions in people with delusions.Method: 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.Results: 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.Conclusions: 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.","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":"Background: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.Aims: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.Method:A systematic literature search was conducted in Medline, PsycINFO, PsychARTICLES, ProQuest Central, and Scopus on 31 May 2023.Results:There were 83 articles included, with 32,304 participants (Mage=∼24.66 years). There was a significant negative moderate pooled association between self-esteem and perfectionistic concerns, r=–.42, 95% CI [–0.47 to –0.38]. A significant negligible positive pooled association was found between self-esteem and perfectionistic strivings, r=.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.Conclusions:Future research should compare cognitive behaviour therapy for perfectionism to treatments for low self-esteem on outcomes of perfectionistic concerns and psychopathology.","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