Behavior Modification最新文献

{"title":"Adaptation Process of Social Cognition and Interaction Training (SCIT) in an Indian Context for Persons with Schizophrenia.","authors":"Upasana Ravinder, Poornima Bhola, Urvakhsh Meherwan Mehta, Jagadisha Thirthalli, David L Penn, David L Roberts","doi":"10.1177/01454455251369724","DOIUrl":"https://doi.org/10.1177/01454455251369724","url":null,"abstract":"<p><p>Interventions aimed at enhancing social cognition deficits in individuals with schizophrenia are globally supported by evidence demonstrating improvements in various functional outcomes. The Social Cognition and Interaction Training (SCIT) intervention was adapted for use in the Indian context for individuals with schizophrenia using the Reporting Cultural Adaptation in Psychological Trials (RECAPT) guidelines, informed by expert consultations. This included contextually relevant changes in the resource materials (print, photographs, and video) and the development of additional resources. Changes in the intervention delivery process included the use of individual sessions with adjunctive group sessions. Initial feasibility was assessed via a pilot tryout of the adapted SCIT on three persons diagnosed with schizophrenia. This informed additional changes for future applications of the adapted SCIT, such as structured involvement of family members as practice partners and modifications in the intervention delivery format. Content validation process for the final adapted intervention modules was carried out by four mental health practitioners. The experiences, challenges, and decision-making process involved in the adaptation are outlined, along with implications for future research and contextually tailored intervention strategies.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455251369724"},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aerobic Exercise Enhances the Impact of Cognitive Training on Positive Symptoms After a First Episode of Schizophrenia.","authors":"Kenneth L Subotnik, Joseph Ventura, Sarah C McEwen, Luana R Turner, Yurika R Sturdevant, Margaret G Distler, Laurie R Casaus, Michael F Zito, Gerhard S Hellemann, Catherine A Sugar, Fiona G Whelan, Trudy L Niess, Emily A McGraw, Keith H Nuechterlein","doi":"10.1177/01454455251371021","DOIUrl":"https://doi.org/10.1177/01454455251371021","url":null,"abstract":"<p><p>We examined the effects of combining cognitive training plus aerobic exercise versus cognitive training alone on positive symptoms in recent-onset schizophrenia patients. Sixty-eight participants were randomly assigned to Cognitive Training plus Exercise (CT&E, <i>N</i> = 37) or Cognitive Training alone (CT, <i>N</i> = 31). All participants were also randomly assigned to either oral risperidone or paliperidone palmitate (PP1M) in a concurrent antipsychotic medication study. All participants were provided four weekly sessions of internet-based cognitive training conducted in a group format for 6 months, during which half were randomized to receive a 150 min/week aerobic exercise program. Then participants received 6 additional months of treatment at half of the psychosocial intervention frequency. Reality Distortion, the mean of BPRS ratings of Unusual Thought Content and Hallucinations, was averaged over all available BPRSs during the 3-month pre-baseline period and over four 3-month time periods during the 12 months of intervention. The proportion of BPRS administrations wherein either Unusual Thought Content or Hallucinations was rated >4 was used as a measure of breakthrough psychotic symptoms. Reality Distortion significantly decreased over time for the CT&E group compared to the non-Exercise (CT) group, <i>F</i>(4, 208) = 2.9, <i>p</i> = .02. The proportion of BPRS ratings with breakthrough symptoms decreased over successive 3-month periods for the CT&E group compared to the CT group, <i>F</i>(4, 218) = 6.9, <i>p</i> < .0001. The two medication groups did not significantly differ on either positive symptom outcome, and there were no three-way interactions. Our findings suggest that the enhancing effect of adding aerobic exercise to cognitive training extends beyond cognitive gains and includes positive psychotic symptoms.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455251371021"},"PeriodicalIF":2.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to Special Issue: Recent Advances in Cognitive Remediation for Persons With Serious Mental Illness.","authors":"Susan R McGurk, Kim T Mueser","doi":"10.1177/01454455251371023","DOIUrl":"https://doi.org/10.1177/01454455251371023","url":null,"abstract":"<p><p>Impaired cognitive functioning is a common feature of serious mental illness that contributes to worse psychosocial functioning and attenuated response to psychiatric rehabilitation. To address these impairments, cognitive remediation (i.e., interventions aimed at enhancing cognitive abilities such as attention and memory based on learning principles with the goal of improving psychosocial adjustment) has emerged in recent decades as a dynamic, rapidly evolving evidence-based practice. In this introduction we provide a summary of controlled research on the effects of cognitive remediation on cognitive and psychosocial functioning in people with serious mental illness, highlighting the results of three meta-analyses using similar methods conducted over 14 years. We next review different methods employed in cognitive remediation and summarize the recommendations of a consensus expert panel on the critical component of effective programs. We then highlight four papers in this special issue that illustrate the broad range of applications and research questions addressed in contemporary research on cognitive remediation. One paper examines the intriguing effects of combining cognitive remediation with aerobic exercise to improve psychotic symptoms in first episode psychosis, while a second one explores the feasibility of using cognitive remediation to enhance independent living skills training in people living in locked supervised residential settings awaiting discharge into the community. A third paper describes the processes involved in the cultural adaptation of a widely researched program for improving social cognition. The fourth paper considers what has been learned about the effects of cognitive remediation and tackles questions related to increasing its implementation and dissemination.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455251371023"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Instructive Feedback as a Strategy for Generalizing Tacts Across Primary and Secondary Languages.","authors":"Patricio Erhard, Terry S Falcomata, Ross Nesselrode, Fabiola Vargas Londoño, Andrea Ramirez-Cristoforo","doi":"10.1177/01454455251364284","DOIUrl":"https://doi.org/10.1177/01454455251364284","url":null,"abstract":"<p><p>Research has shown that instructive feedback (IF) facilitates the generalization of tacts in individuals with autism spectrum disorder (ASD). However, no study to date has examined the effects of IF on the emergence of tacts across primary and secondary languages with both trained and non-trained exemplars. This study evaluated the efficacy of IF in promoting the generalization of tacts across languages using a nonconcurrent multiple baseline design with four participants with ASD from Spanish-speaking families. The results demonstrated that IF was effective at producing generalization across novel stimuli exemplars in primary and secondary targets for two of the four participants. Additional training components (i.e., rehearsals and <i>no-no</i> prompts) were effective in producing the same generalization outcomes with the remaining two participants.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455251364284"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Praise by Staff Members in Juvenile Facility: A Group Contingency Approach.","authors":"Ashley N Anderson, Daniel J Sheridan, Anna Kate Edgemon, John T Rapp","doi":"10.1177/01454455251369507","DOIUrl":"https://doi.org/10.1177/01454455251369507","url":null,"abstract":"<p><p>Research suggests that praise serves as a key component of behavioral interventions. However, residential facilities may lack systems to teach their staff members to provide praise to residents. As a structured approach to behavior management, an applied behavior analysis (ABA) team in a secure juvenile justice facility utilized group contingencies to increase written praise, termed \"kudos,\" by staff members across five dormitories. While implementing the Kudos program, the ABA team measured the frequency of (a) verbal and gestural forms of praise to evaluate generalization from written Kudos and (b) residents' problem behavior. Results of statistical analyses indicated increased written praise by staff members was associated with decreased problem behavior by residents; however, the written behavior of staff did not generalize to verbal and gestural forms of praise toward residents. Practice implications, including strategies for implementing praise consistently in juvenile justice settings, are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455251369507"},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monitoring Clinically Relevant Behaviors and Experiential Avoidance Throughout the Course of Acceptance and Commitment Therapy: A Single-Case Quasi-Experimental Study.","authors":"Samuel D Spencer, Duckhyun Jo, Mary L Hill, Monet S Meyer, Arleen Firoozan, Akihiko Masuda","doi":"10.1177/01454455251343301","DOIUrl":"10.1177/01454455251343301","url":null,"abstract":"<p><p>The present single-case quasi-experimental study monitored changes in target behavior and experiential avoidance (EA) in an individually delivered, 10-session weekly acceptance and commitment therapy intervention. Participants were three university students with elevated EA who endorsed varying mental health concerns. Primary outcome and process variables were <i>daily</i> measures of clinically relevant behavioral excesses (CRB-E) and <i>daily</i> participant-rated EA, respectively. Additionally, we collected weekly measures of EA, along with pre-, mid-, post-treatment, and 3-month follow-up clinical outcome measures. Overall, synchrony across daily, weekly, and pre/post nomothetic measures was largely observed across participants, and findings suggested improvement in clinical outcomes for two of three participants. Daily measurements of CRB-E and EA fluctuated considerably within both baseline and intervention phases. Cross-lagged correlation analyses revealed no evidence of temporal precedence of change in daily measured EA over change in daily measured CRB-E (or vice versa). Implications of these findings and directions for future research are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"377-419"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Meta-Visual-Analysis of Single-Case Experimental Design Research.","authors":"Chad E L Kinney, Art Dowdy, Katie Wolfe","doi":"10.1177/01454455251320686","DOIUrl":"10.1177/01454455251320686","url":null,"abstract":"<p><p>Visual analysis is the primary method to detect functional relations in single-case experimental design (SCED) research. Meta-Visual-Analysis (MVA) is a novel approach used to synthesize SCED data where the estimated effect size measures are principally anchored to primary aspects of visual analysis: change in the magnitude of level, trend, variability, and trend-adjusted level of projected trends. For each of these aspects, percentage point differences between baseline and intervention conditions are estimated and quantified for every participant across studies. MVA effect sizes are standardized, and their aggregates are graphically displayed in a manner similar to individual SCED graphs. MVA graphs are compared and visually analyzed with the aim of better understanding the effectiveness and generality of interventions across SCED studies. In this discussion paper we provide general steps to conduct an MVA and describe MVA's utility in reviewing, organizing, and directing future SCED research syntheses.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"343-376"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction notice - Behavioral Activation and Acceptance and Commitment Therapy in the Treatment of Anxiety and Depression in Cancer Survivors: A Randomized Clinical Trial.","authors":"","doi":"10.1177/01454455251338100","DOIUrl":"10.1177/01454455251338100","url":null,"abstract":"","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"420"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Remediation Is an Evidence-Based Psychological Therapy: Isn't It Time It Was Treated Like One?","authors":"Rumina Taylor, Matteo Cella, Til Wykes","doi":"10.1177/01454455251343303","DOIUrl":"https://doi.org/10.1177/01454455251343303","url":null,"abstract":"<p><p>Cognitive remediation (CR) is an evidenced-based intervention, but is not consistently included in clinical guidelines, nor implemented widely in mental health services, and is still not fully accepted as a psychological therapy. This is despite demonstrating a boost to recovery, and reductions in health care costs. We describe potential issues as CR matures into a widely accepted and used psychological therapy by drawing on high-quality evidence from reviews and meta-analyses and specifically highlight how CR uses therapeutic formulation, similar to other psychological therapies, to address specific client needs. Most evidence is for those with a diagnosis of schizophrenia, but we also consider CR benefits for other mental health conditions. Data emerging from different health systems are, at last, providing information on how CR is used, disseminated and practice standards maintained. This may be the information needed to support further implementation, expansion, and consolidation of CR use globally.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455251343303"},"PeriodicalIF":2.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Does Sleep Deprivation Functionally Impact the Challenging Behavior of People With Intellectual Disabilities? A Systematic Review.","authors":"Craig H Kennedy","doi":"10.1177/01454455251319729","DOIUrl":"10.1177/01454455251319729","url":null,"abstract":"<p><p>Sleep deprivation is a common health condition among people with intellectual disabilities. Studies have linked sleep problems with challenging behaviors. However, it is unclear if there is a consistent effect on challenging behavior and what reinforcement mechanism(s) might be involved. A systematic review of PsychINFO, PubMed, and Scopus identified seven studies meeting the inclusion criteria that had been published over the past 50 years. Data were extracted regarding participant characteristics, specific aim, sleep deprivation, functional behavioral assessments, results, and key findings. Studies consistently reported increased rates of challenging behavior following bouts of sleep deprivation. Five of the seven studies demonstrated negative reinforcement as the mechanism associated with increased challenging behavior. Results were unclear or lacking for other reinforcer mechanisms. Current evidence shows that sleep deprivation can increase negatively reinforced challenging behavior, but automatic and positive reinforcement mechanisms may be unaffected. Theoretical and practice implications are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"317-337"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}