Behavioural and Cognitive Psychotherapy最新文献

Loneliness in hoarding disorder: a systematic review and meta-analysis. 囤积症患者的孤独感：系统回顾和荟萃分析。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-09-29 DOI: 10.1017/S1352465826101398

Keong Yap, Isaac Sabel, David D J Cooper, Wenting Chen, Jessica R Grisham

{"title":"Loneliness in hoarding disorder: a systematic review and meta-analysis.","authors":"Keong Yap, Isaac Sabel, David D J Cooper, Wenting Chen, Jessica R Grisham","doi":"10.1017/S1352465826101398","DOIUrl":"https://doi.org/10.1017/S1352465826101398","url":null,"abstract":"Introduction: According to attachment theory, loneliness may be a cause of hoarding symptoms. However, due to mixed findings, it is unclear whether people with hoarding disorder (HD) are lonelier than healthy and clinical controls, whether there is a significant positive association between loneliness and hoarding, and whether loneliness causes more severe hoarding.Method: We conducted a systematic review and included peer-reviewed quantitative cross-sectional, longitudinal, experimental and intervention research that measured hoarding and loneliness. We excluded hoarding due to other conditions and qualitative, review, and case study research. The final search was conducted on 16 May 2025 on PsycINFO, Medline, and Web of Science. We used the Quality Assessment with Diverse Studies to evaluate study quality and conducted a random effects meta-analysis to examine loneliness-hoarding correlations.Results: Eleven papers with 13 studies (n = 2715) were included. Four studies compared loneliness in HD relative to controls. Ten studies examined the association between hoarding and loneliness. Only one experimental study examined the causal link. Results showed significantly higher loneliness in HD relative to healthy controls, but findings were mixed when compared with clinical controls. The meta-analysis showed a significant association between loneliness and hoarding, r = .38 [95% CI .33, .44].Discussion: Our findings confirm that loneliness is a significant issue in HD. Due to its wide-ranging effects, we recommend that clinicians should assess and address loneliness in HD. Although we are confident that loneliness is positively associated with hoarding, further research is required to establish a causal link.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076300","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

Group cognitive behavioural therapy for hoarding disorder: outcomes from ten closed groups. 囤积症的群体认知行为疗法：十个封闭群体的结果。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-09-21 DOI: 10.1017/S1352465826101428

Augusta Chandler, Robert John Fogg, Jared A Smith, Paulina White

{"title":"Group cognitive behavioural therapy for hoarding disorder: outcomes from ten closed groups.","authors":"Augusta Chandler, Robert John Fogg, Jared A Smith, Paulina White","doi":"10.1017/S1352465826101428","DOIUrl":"https://doi.org/10.1017/S1352465826101428","url":null,"abstract":"Background: A group cognitive behavioural therapy (GCBT) protocol was developed for people with hoarding disorder (HD) as part of routine clinical care in a tertiary mental health Obsessive Compulsive service in Southwest London in 2014; to date 10 groups have been facilitated, and 71 people have been treated.Aim: The aim of the report was to describe the GCBT programme and ascertain if it is effective in treating symptoms of HD.Method: Each group cycle consisted of 11 or 12 × 2-hour group sessions, run on a closed group basis. A home-based assessment and a follow-up home visit was conducted for each participating patient. This treatment and gathering of measures are part of routine clinical care in the delivery of GCBT for HD.Results: Patients evidenced highly significant benefits at post-treatment across all measured domains, with robust improvements observed on the Saving Inventory-revised (SI-R; Total d = 1.73; Clutter d = 1.58, Discarding d = 1.55, Acquisition d = 1.11) total and moderate-to-large effects for depression and disability within the Becks Depression Inventory (BDI; d = 0.80) and the Sheehan Disability Scale (SDS; d = 0.72).Conclusion: GCBT for HD is effective in treating symptoms of HD, pertaining to the subscales of excessive clutter, difficulty discarding and excessive acquisition. Additionally, symptoms of depression and daily levels of functioning are positively affected in treatment.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012412","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

A model of engagement in psychological therapy. 参与心理治疗的典范。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-09-21 DOI: 10.1017/S135246582610143X

Graham R Thew

{"title":"A model of engagement in psychological therapy.","authors":"Graham R Thew","doi":"10.1017/S135246582610143X","DOIUrl":"https://doi.org/10.1017/S135246582610143X","url":null,"abstract":"'Engaging' well in psychological therapy is generally associated with more positive clinical outcomes. However, the literature shows little agreement on how to define, conceptualise and measure engagement. Few studies focus primarily on engagement, and those that include engagement measures within other designs rely mainly on single behavioural indicators, such as whether between-session tasks (e.g. 'homework' in cognitive behavioural therapy) were completed, or the number of sessions attended. Although pragmatic, I suggest these indicators do not capture the full sense of what engagement means and that taking a broader perspective is likely to be helpful in advancing research and clinical practice. I present a conceptual model of engagement in psychological therapy that aims to draw together relevant theoretical ideas and combine them with observations from clinical practice. This proposes that engagement can be understood as three distinct facets: engagement with the therapist, engagement with the therapy approach, and the practical, behavioural indicators of engagement. I suggest this offers a comprehensive way to conceptualise and understand engagement that may prove helpful for clinicians and researchers. I aim to advocate for further research in this area and for applying the 'empirically grounded clinical interventions' approach to therapy processes, not just therapy content. This could help further our understanding of the engagement process, which may play a critical role in driving successful therapy outcomes.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"1-8"},"PeriodicalIF":2.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013198","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 Vancouver Obsessional Compulsive Inventory-2 (VOCI-2). 温哥华强迫症量表-2 （VOCI-2）。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-07-06 DOI: 10.1017/S1352465826101325

Adam S Radomsky, Martha Giraldo-O'Meara, Sandra Krause, Stefanie L Lavoie, Hannah Levy, Shiu Fung Wong, Dana Thordarson, Stanley J Rachman

{"title":"The Vancouver Obsessional Compulsive Inventory-2 (VOCI-2).","authors":"Adam S Radomsky, Martha Giraldo-O'Meara, Sandra Krause, Stefanie L Lavoie, Hannah Levy, Shiu Fung Wong, Dana Thordarson, Stanley J Rachman","doi":"10.1017/S1352465826101325","DOIUrl":"https://doi.org/10.1017/S1352465826101325","url":null,"abstract":"Since the publication of the original Vancouver Obsessional Compulsive Inventory (VOCI), a large body of evidence demonstrating the prevalence and importance of newer symptom domains in obsessive-compulsive disorder (OCD) (e.g. mental contamination, reassurance seeking, and symmetry, ordering, and arranging) has emerged. Although the VOCI has excellent psychometric properties, these developments point to the need for a revision. The present study aimed to revise the VOCI to provide a brief and up-to-date measure to assess OCD symptomatology. The development of the VOCI-2 is discussed, along with information about its reliability, validity and factor structure. An exploratory factor analysis was conducted on data obtained from 1108 non-clinical participants who completed the VOCI, the Vancouver Obsessional Compulsive Inventory - Mental Contamination Scale (VOCI-MC), the Symmetry Ordering and Arranging Questionnaire (SOAQ), and the Covert and Overt Reassurance Seeking Inventory (CORSI) to arrive at an updated measure, and clinical samples (primary diagnosis of OCD, n=59; anxious controls, n=42; depressed controls, n=18) completed the VOCI-2 to assess known-groups validity. The VOCI-2 consists of six distinctive factors reflecting symptom categories: Symmetry, Ordering and Arranging; Reassurance Seeking; Checking; Mental Contamination; Obsessions; and Contact Contamination. The updated questionnaire is characterized by strong reliability and validity, face valid items and subscales, is easy to administer and reflects a current understanding of the heterogeneous presentations of OCD. Future directions include additional validation in larger clinical samples and in other (e.g. treatment) contexts.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392132","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

School-based cognitive-behavioural group intervention for reducing rumination in adolescents. 以学校为基础的认知行为团体干预减少青少年反刍行为。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-07-13 DOI: 10.1017/S1352465826101362

Gamze Tekin, Ayşe Bengisoy

引用次数: 0

Examining the associations between beliefs about losing control and eating disorder symptomatology. 研究失去控制的信念与饮食失调症状之间的联系。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-07-13 DOI: 10.1017/S1352465826101313

Cailyn P E A Fridgen, Kaitlyn Zozula, Adam S Radomsky

{"title":"Examining the associations between beliefs about losing control and eating disorder symptomatology.","authors":"Cailyn P E A Fridgen, Kaitlyn Zozula, Adam S Radomsky","doi":"10.1017/S1352465826101313","DOIUrl":"10.1017/S1352465826101313","url":null,"abstract":"Background: Cognitive behavioural therapy (CBT) for eating disorders (EDs) does not yield consistent long-term recovery for all patients, highlighting the need to better understand underlying cognitive mechanisms. Recent work suggests that beliefs about losing control - particularly anticipated catastrophic consequences - may serve as key etiological and maintenance factors.Aim: This study examined whether negative beliefs about losing control predict general ED symptomatology in an undergraduate sample.Method: Data were drawn from a larger psychometric study on control-related constructs and obsessive-compulsive symptoms. A total of 262 undergraduate participants completed the Beliefs About Losing Control Inventory - Second Edition (BALCI-II), Eating Disorder Examination Questionnaire (EDE-Q 6.0), and Depression, Anxiety and Stress Scale (DASS-21).Results: Simple linear regression indicated that BALCI-II total scores significantly predicted EDE-Q total scores (adj. R2=.08, F1,260=23.61, p<.001). However, in a hierarchical regression, BALCI-II scores did not account for additional variance in ED symptoms beyond depression (ΔR2=.18, ΔF1,259=.624, p=.43). Subscale analyses showed that fears of losing control leading to overwhelming emotions significantly predicted ED symptoms (β=.22, t259=3.03, p=.006), whereas fears related to madness and dangerous behaviours were not significant predictors.Conclusion: Beliefs about losing control - especially fears of overwhelming emotions - appear to contribute to ED symptom maintenance. These findings provide initial psychometric support for prior qualitative research and suggest such beliefs may represent a meaningful treatment target within CBT. Future research should investigate causal relationships between these beliefs and ED psychopathology.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"123-133"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431321","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

Attachment-based CBT for psychosis: a single case experimental design. 基于依恋的CBT治疗精神病：单例实验设计。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-06-01 DOI: 10.1017/S1352465826101404

Katherine Newman-Taylor, Nicola Abba, Amity Hurley, Blue Pike, Rachael Wood, Genevieve Wordsworth-Hughes, Tania Correia, Tess Maguire

{"title":"Attachment-based CBT for psychosis: a single case experimental design.","authors":"Katherine Newman-Taylor, Nicola Abba, Amity Hurley, Blue Pike, Rachael Wood, Genevieve Wordsworth-Hughes, Tania Correia, Tess Maguire","doi":"10.1017/S1352465826101404","DOIUrl":"10.1017/S1352465826101404","url":null,"abstract":"Background: Best practice guidelines recommend CBT for everyone with psychosis, yet high rates of non-engagement and early drop-out result in many not receiving 'full dose' therapy. For those who do engage, effect sizes are typically modest. Most people with psychosis have an insecure attachment style, characterised by predictable and problematic patterns of beliefs, emotion regulation and interpersonal behaviours, including help-seeking. Attachment-congruent adaptations to CBT could improve retention and recovery outcomes for people who are also insecurely attached.Aims: This is the first evaluation of attachment-congruent adaptations to CBT for psychosis. We assessed impact of therapy for the first five people (aged 30-50) to complete therapy and measures.Method: We used a single case ABC design and measured paranoia, voices, help-seeking, coping, and personal goals over baseline, intervention, and follow-up phases. We predicted that adapted CBT would lead to improved outcomes which would be maintained at follow-up. Trait measures of voices, paranoia, attachment, and recovery are used to describe the sample.Results: Participants presented with complex needs, including paranoia, voices, and attachment insecurity. Baseline phases showed high and variable levels of psychosis. All showed improvements in paranoia, voices, willingness to seek help, ability to cope, and/or personal recovery goals over the intervention phase. Gains were largely maintained or improved further at follow-up.Conclusions: Attachment-congruent adaptations to CBT are likely to benefit people with psychosis who present with the additional cognitive, affective and behavioural complexities characteristic of insecure attachment, which threaten access and impact of recommended treatments if not addressed.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"211-222"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867329","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

Modularised CBT for children with anxiety disorders: client feedback and therapeutic alliance as predictors of treatment outcome. 焦虑障碍儿童的模块化CBT：客户反馈和治疗联盟作为治疗结果的预测因子。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-09-14 DOI: 10.1017/S1352465826101416

Liesbeth G E de Paauw-Telman, Marija Maric, Susan M Bögels, Francisca J A van Steensel

{"title":"Modularised CBT for children with anxiety disorders: client feedback and therapeutic alliance as predictors of treatment outcome.","authors":"Liesbeth G E de Paauw-Telman, Marija Maric, Susan M Bögels, Francisca J A van Steensel","doi":"10.1017/S1352465826101416","DOIUrl":"10.1017/S1352465826101416","url":null,"abstract":"Background: Modularised CBT is a promising intervention for childhood anxiety disorders (ADs).Aims: The purpose of this study was to examine whether client feedback informed treatment (FIT) predicts treatment outcome of children with ADs. In addition, the predictive role of therapeutic alliance on treatment outcome was investigated.Method: Participants were children aged 7-17 years who all received individual modular CBT for their ADs and who were randomly allocated to either feedback informed treatment (FI-mCBT) (n=38) or modular treatment without feedback (mCBT) (n=58). Therapists in FI-mCBT received feedback regarding the child's anxiety symptoms and treatment satisfaction after each session. Anxiety symptoms were measured with the SCARED-71 at pre-treatment, after five sessions (mid-evaluation), post-treatment, and at 10 weeks follow-up. Alliance was measured with the Working Alliance Inventory and reported by child, therapist and observer.Results: No differences were found in decreases of anxiety symptoms between FI-mCBT and mCBT over time. Overall, therapeutic alliance did not predict decreases of anxiety symptoms over time. However, child reported therapeutic alliance was positively associated with anxiety symptoms in general. No effects were found for therapist and observer reported alliance.Conclusions: Our results suggest that providing therapists with feedback does not seem to improve treatment outcome for modular CBT in children with ADs. Therapeutic alliance did not predict treatment outcome in the context of modular CBT.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":"54 2","pages":"170-182"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963963","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

What happens after group CBT for anxiety and related disorders? Preliminary investigation of treatment outcomes over time in a naturalistic sample. 团体CBT治疗焦虑及相关障碍后会发生什么？在自然样本中对治疗结果的初步调查。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-07-17 DOI: 10.1017/S1352465826101374

Sydney A Parkinson, Andrew M Scott, Karen Rowa, Randi E McCabe

{"title":"What happens after group CBT for anxiety and related disorders? Preliminary investigation of treatment outcomes over time in a naturalistic sample.","authors":"Sydney A Parkinson, Andrew M Scott, Karen Rowa, Randi E McCabe","doi":"10.1017/S1352465826101374","DOIUrl":"10.1017/S1352465826101374","url":null,"abstract":"Background: Cognitive behavioural therapy (CBT) is the first-line treatment for anxiety and related disorders. Limited research has explored long-term outcomes following CBT for anxiety-related disorders in naturalistic settings, particularly for generalized anxiety disorder (GAD), social anxiety disorder (SAD), and post-traumatic stress disorder (PTSD).Aims: This study examined long-term outcomes and attrition after group CBT for GAD, SAD, and PTSD in a naturalistic sample. Across disorders, it was hypothesized that gains would be maintained long-term, with a gradual return of clinically relevant symptoms observed at later follow-up points.Method: Data were collected from individuals completing CBT at a tertiary anxiety treatment clinic. Symptom changes pre- to post-treatment and over a 2-year follow-up were examined, as well as the influence of baseline depressive symptoms on change over time. Worry, social anxiety, and post-traumatic stress symptoms were assessed at pre- and post-treatment and 3, 6, 9, 12, and 24 months.Results: On average, symptom improvements were maintained over the 2-year follow-up for all disorders. Higher pre-treatment depression was associated with greater symptom severity throughout the study but generally did not affect the magnitude of symptom change. The exception was PTSD, where baseline depression was also associated with changes in symptom severity across the whole study period. This effect was not observed for those with SAD and GAD. Attrition was high across the follow-up period.Conclusion: This study provides preliminary evidence for the long-term efficacy of CBT in a naturalistic setting. It also highlights challenges with retaining clients in long-term follow-up in naturalistic settings.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"183-197"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473346","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

Brief, early, and effective: evaluating CBT-T outcomes and change trajectories in a no-minimum threshold to access an eating disorder service. 简短、早期和有效：评估CBT-T的结果和改变轨迹，在没有最低门槛的情况下获得饮食失调服务。

IF 2.3 4区心理学

Behavioural and Cognitive Psychotherapy Pub Date : 2026-06-01 Epub Date: 2026-07-24 DOI: 10.1017/S1352465826101350

See Heng Yim, Eve Dore, Emily King, Ronelle Bloomfield, Zuzanna Malecka, Laura Fialko

{"title":"Brief, early, and effective: evaluating CBT-T outcomes and change trajectories in a no-minimum threshold to access an eating disorder service.","authors":"See Heng Yim, Eve Dore, Emily King, Ronelle Bloomfield, Zuzanna Malecka, Laura Fialko","doi":"10.1017/S1352465826101350","DOIUrl":"10.1017/S1352465826101350","url":null,"abstract":"Objective: Cognitive Behavioural Therapy-Ten (CBT-T) offers a briefer manualised approach to treatment of non-underweight eating disorders (EDs) compared with traditional therapy models, and has the potential to help services deliver timely access to care. This study evaluated CBT-T outcomes in a naturalistic setting, with a focus on session-by-session change patterns.Method: A total of 151 young adults received CBT-T in a no-threshold-to-access community ED service. Symptom trajectories were assessed using the ED-15 global scale and subscales (eating concern, weight/shape concern). Using intent-to-treat principle, linear mixed-effect models evaluated treatment effectiveness, and chi-squared and receiver operating characteristic (ROC) analyses explored associations between early symptom change and end-of-treatment remission.Results: Treatment led to significant reductions in ED symptoms and psychosocial impairment, with large effect sizes. Reliable improvement in Weight/Shape Concern - but not Eating Concern - on ED-15 at session 4 significantly predicted ED symptom scores below the clinical cut-off at the last session.Conclusions: CBT-T is effective in reducing ED symptoms in young adults with non-underweight EDs. While engagement and progress prior to session 4 have been used to guide treatment planning, as stated in the treatment manual, only the change in weight/shape concern at session 4 appeared to be strongly predictive of outcome in this sample, whereas change in eating concern did not. Early changes in weight and shape concerns at initial sessions may be informative in predicting treatment outcome. The findings can support the future development of CBT-T and other brief ED interventions.","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"134-146"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580101","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