Cognitive Therapy and Research最新文献

{"title":"Sleep Quality and Suicide Ideation among Adolescents: Mediating Role of Rumination and Depressive Symptoms.","authors":"Sindy Kalauch, Lucy Liotta, Christina Rombola, Ana Ortin-Peralta, Regina Miranda","doi":"10.1007/s10608-026-10714-5","DOIUrl":"10.1007/s10608-026-10714-5","url":null,"abstract":"<p><strong>Objective: </strong>Prior studies have found associations between sleep disturbances and suicide ideation among adolescents. However, there is limited prospective research examining cognitive mechanisms that explain this relationship. This present longitudinal study aimed to examine the mediating role of rumination in the relationship between sleep quality and suicide ideation over time. We hypothesized that low sleep quality would be associated with increased suicide ideation severity over time and that rumination would mediate the relationship.</p><p><strong>Methods: </strong>Adolescents (<i>N</i> = 117), ages 12-19, who presented to hospitals or outpatient clinics with suicide ideation or attempt completed self-report measures of sleep quality and suicide ideation severity at baseline, rumination at 3-month follow-up, and depressive symptoms and suicide ideation at 12-month follow-up.</p><p><strong>Results: </strong>There was no statistically significant direct relation between sleep quality and suicide ideation. However, rumination and depressive symptoms serially mediated the relationship between sleep quality and suicide ideation, suggesting an indirect relationship. Interestingly, rumination did not predict later sleep quality.</p><p><strong>Conclusions: </strong>Improving sleep quality may reduce rumination, which, in turn, may reduce depressive symptoms and lower SI severity. Improving sleep quality may ameliorate the impact of cognitive mechanisms - like rumination - that may indirectly exacerbate suicide ideation severity through depressive symptoms.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do the Memory Support Intervention and Improving Memory for Treatment Facilitate Behavior Change in Cognitive Therapy?","authors":"Courtney Armstrong, Nicole Gumport, Allison Harvey","doi":"10.1007/s10608-025-10629-7","DOIUrl":"https://doi.org/10.1007/s10608-025-10629-7","url":null,"abstract":"<p><strong>Background: </strong>The memory support intervention (MSI) was developed to improve patient memory for treatment as poor memory for treatment is associated with poorer adherence and outcomes. This study aimed to (1) validate the Cognitive Behavior Change interview, which was developed for and used as a measure in this study, (2) assess differences in specific factors impacting behavior change (domains) described in the Theoretical Domains Framework (TDF) among participants who received the MSI alongside cognitive therapy (CT) compared to those who received CT-as-usual, and (3) assess whether memory for treatment facilitates behavior change.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 64) from a trial of adults with Major Depressive Disorder were randomly allocated to CT + Memory Support (MS) or CT-as-usual. To ascertain whether CT + MS better improves knowledge of domains of behavior change, the Cognitive Behavior Change Interview was administered at the 12-month follow-up (12FU) assessment. This qualitative and quantitative interview is grounded in the TDF and includes ratings of potential facilitators of behavior change. Regression was used to examine relations between memory support, these facilitators, and behavior change.</p><p><strong>Results: </strong>Internal consistency for the Cognitive Behavioral Change interview fell in the acceptable range, whereas interrater reliability ranged from unreliable to excellent. Participants who received CT + MS demonstrated better overall engagement with domains compared to participants who received CT-as-usual. Improved memory for treatment was positively associated with overall engagement and the number of domains engaged. Overall engagement and the number of domains engaged were associated with utilization of skills learned in CT and improved impairment and depression at 12FU.</p><p><strong>Conclusions: </strong>This study enhances our understanding of the potential role of memory for treatment improving long-term behavior change. Exploratory analyses highlight specific domains that may be factors driving changes in behavior due to CT resulting in improvements in depression.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s10608-025-10629-7.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"50 1","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subtypes of Severe OCD and Treatment Outcome: A Latent Profile Analysis of the Yale-Brown Obsessive-Compulsive Severity Scale.","authors":"Allen J Bailey, Meghan Schreck, Jacob A Nota, Jennie M Kuckertz, Martha J Falkenstein","doi":"10.1007/s10608-025-10658-2","DOIUrl":"10.1007/s10608-025-10658-2","url":null,"abstract":"<p><strong>Background: </strong>The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) is the gold standard measure of OCD and the most common tool to assess OCD severity and treatment outcome. Relying on Y-BOCS total scores likely to capture overall severity well, but may obscure important <i>qualitatively</i> different OCD profiles. The current study aimed to identify profiles of OCD and their association to obsession/compulsion content domains (e.g., contamination), and treatment outcomes.</p><p><strong>Methods: </strong>Participants were adults 759 (49% women) seeking partial/residential treatment for severe OCD. The sample was on average 29.81(<i>SD=</i>11.95) years old and predominantly White (85%). Latent profile analysis was used to identify patterns of OCD symptoms using the self-reported Y-BOCS severity scale (Y-BOCS-SS). Profiles were validated using generalized linear models to capture the association between profiles and obsession/compulsion content and changes in OCD severity, depression, and quality-of-life.</p><p><strong>Results: </strong>Three profiles were identified: a \"Severe with Lower Resistance\" Profile (69% of sample) characterized by high severity with the greatest relative effort to resist symptoms, a \"Moderate\" profile (25%) characterized by uniform endorsement of items in the moderate range, a \"Low Compulsion\" (6%) profile characterized by high mean endorsement of obsession items and low endorsement of compulsion items. The profiles varied significantly in terms of endorsement of different obsession/compulsion domains but did not vary significantly in terms of treatment outcomes as measured by changes in OCD, depression, and quality-of-life.</p><p><strong>Conclusions: </strong>Relying on Y-BOCS total score may fail to capture qualitatively different, albeit rare, presentations of OCD. However, these profiles were not predictive of treatment response.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Veterans' Perceived Improvement in PTSD Treatment: Examining its Association with Clinical Predictors and Clinically Meaningful Improvement Thresholds.","authors":"Emily E Patton, Rhea Mundle, Sarah Pridgen, Philip Held","doi":"10.1007/s10608-025-10637-7","DOIUrl":"10.1007/s10608-025-10637-7","url":null,"abstract":"<p><strong>Background: </strong>Patients' perceived improvement has utility in contextualizing markers of treatment success, often measured through PTSD severity, other clinical factors, and clinically meaningful improvement (CMI). This study investigated the relationship between perceived improvement, self-reported PTSD symptom changes, and changes in other clinical factors in veterans undergoing PTSD treatment.</p><p><strong>Methods: </strong>Data were collected from 259 veterans who completed a two-week Cognitive Processing Therapy-based intensive PTSD treatment program. Self-report measures, including the Patient Global Impression of Improvement (PGI-I) and PTSD Checklist for DSM-5 (PCL-5), assessed symptom severity and perceived improvement. Ordinal logistic regression analyses examined associations between PTSD symptom changes, other clinical factors (e.g., depression, self-efficacy, emotion regulation), and perceived improvement.</p><p><strong>Results: </strong>The average PCL-5 improvement was 20.93 points, with 87.65% of veterans reporting feeling at least a little better post-treatment. All CMI thresholds were related to perceived improvement. Reductions in PTSD severity significantly predicted higher perceived improvement while self-efficacy and emotion regulation also emerged as significant predictors. In contrast, changes in depression symptoms, negative posttraumatic cognitions, and resilience were not significant.</p><p><strong>Conclusions: </strong>Perceived improvement in PTSD treatment aligns closely with reductions in PTSD severity and self-regulatory capacities, emphasizing their importance in subjective recovery. While the PGI-I may not fully replace other measures, its alignment with key outcomes and brevity make it a valuable patient-centered tool for assessing treatment effectiveness. Future research should assess the PGI-I's potential to complement or replace existing measures, and evaluate long-term outcomes across diverse treatment settings.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety and Depression are Associated with More Distorted Thinking on Social Media: A Longitudinal Multi-Method Study.","authors":"Lauren A Rutter, Andy Edinger, Lorenzo Lorenzo-Luaces, Marijn Ten Thij, Danny Valdez, Johan Bollen","doi":"10.1007/s10608-025-10580-7","DOIUrl":"10.1007/s10608-025-10580-7","url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety are associated with patterns of negative thinking that can be targeted through cognitive restructuring as a part of cognitive therapy (CT) or cognitive behavioral therapy (CBT). Our team has created a set of cognitive distortion schemata (CDS) n-grams based on theories underlying CT to measure the linguistic markers that indicate cognitive vulnerability to depression. These CDS were specifically designed to examine online language. Our prior work supports a relationship between CDS and a diagnosis of depression, but less is known about the relationship between online language, CDS, and anxiety. The current study measures if CDS can be detected in people who report anxiety symptoms, and whether CDS increase with symptom severity.</p><p><strong>Methods: </strong>1,377 participants were recruited from a study assessing social media use and mental health symptoms, the Studies of Online Cohorts of Internalizing Symptoms and Language (SOCIAL). From this, 804 timelines were harvested, and after removing missing data and bots, our final sample was 537 respondents who posted 999,859 tweets. This is a longitudinal, multi-method design, using surveys and text-based analysis of social media timelines. We used bootstrap resampling to compare differences in CDS prevalence in anxious and depressed participants.</p><p><strong>Results: </strong>CDS can be observed in anxiety disorders, significantly increase as a function of anxiety symptom severity, and are related to depression and anxiety comorbidity.</p><p><strong>Conclusions: </strong>Using behavioral, affective, and cognitive indicators of distorted thinking from social media may yield new insight into the trajectories of depression and anxiety. This work has implications for the future of CT/CBT and other online interventions that target distorted thinking styles.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"49 4","pages":"712-720"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harm Avoidance and Incompleteness as Motivational Dimensions of OCD: Associations with Clinical and Demographic Traits.","authors":"Heather S Martin, Martha J Falkenstein, Jacob A Nota, Jennie M Kuckertz","doi":"10.1007/s10608-024-10561-2","DOIUrl":"10.1007/s10608-024-10561-2","url":null,"abstract":"<p><strong>Purpose: </strong>Content-based models, which focus on observable symptom content, have dominated much of the literature on heterogeneity in OCD. However, alternate models emphasize the motivations underlying different symptom presentations, including harm avoidance (HA) and incompleteness (INC). To promote understanding of these motivations, we examined their associations with various content-based symptom dimensions, obsessive belief patterns, and other clinical characteristics.</p><p><strong>Methods: </strong>We examined a large set of demographic and clinical characteristics and their associations with HA and/or INC among individuals (<i>N</i> = 218) receiving treatment for OCD and related disorders in a partial hospital/residential program. We also examined the extent to which HA and INC mapped onto dimensions in prevailing symptom content and obsessive belief models.</p><p><strong>Results: </strong>Results showed that women reported more HA than men, and INC was associated with an earlier age of onset. HA and INC were not differentially associated with sexual orientation, self-view, quality of life, depression, or suicidality. HA and INC mapped onto symptom content and obsessive belief models in some, but not all the ways we expected. Notably, contamination/washing in our sample was associated with INC, but not HA.</p><p><strong>Conclusions: </strong>Understanding motivations underlying OCD symptoms may lead to personalized care and improvement in treatment outcomes. We suggest that future research should continue to examine the motivational model, as well as ways in which presentations of each motivation may differ.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"49 4","pages":"795-806"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining State Affective and Cognitive Outcomes Following Brief Mobile Phone-Based Training Sessions to Reduce Anxious Interpretations.","authors":"Kaitlyn Petz, Emma Toner, Mark Rucker, Emily Leventhal, Sarah Livermon, Benjamin Davidson, Mehdi Boukhechba, Laura Barnes, Bethany Teachman","doi":"10.1007/s10608-025-10623-z","DOIUrl":"10.1007/s10608-025-10623-z","url":null,"abstract":"<p><strong>Background: </strong>Rates of stress and anxiety are alarmingly high in university communities, but most people do not receive treatment. Mobile health (mHealth) interventions show promise to improve psychological symptoms and increase access to interventions, but little is known about their effects in the moment. The present study evaluated the short-term impact of brief mHealth sessions to determine which intervention features are associated with the greatest momentary self-reported improvements.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 100 undergraduate students, graduate students, and university staff members) completed brief training sessions 1-2 times daily of Hoos Think Calmly, a new mobile application for the university community that uses Cognitive Bias Modification for Interpretations (CBM-I) to shift anxious thinking patterns. Training sessions varied based on stressor domain/topic selected and writing requirements, among other features. Linear mixed effects models were used to test whether stressor domain or writing requirements predict post-training: (1) momentary affect, (2) reappraisal self-efficacy, and (3) emotion regulation self-efficacy.</p><p><strong>Results: </strong>Self-reported improvement in state affect, reappraisal self-efficacy, and emotion regulation self-efficacy occurred for six out of eight stressor domains. Additionally, training sessions requiring less (vs. more) writing were associated with greater positive changes in affect, but not reappraisal or emotion regulation self-efficacy.</p><p><strong>Conclusion: </strong>Stressor domain and writing requirements are associated with different in-the-moment cognitive and affective outcomes, pointing to the need to tailor mHealth programs to users' specific needs and current stressors.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Pilot Testing of the Mobile Application to Prevent Suicide (MAPS).","authors":"Heather T Schatten, Christopher D Hughes, Sara K Kimble, Gemma Wallace, Madeline B Benz, Morganne A Kraines, Elizabeth Germain, Leslie Brick, Michael F Armey, A Rani Elwy, Lauren M Weinstock, Ivan W Miller, Jennifer Primack","doi":"10.1007/s10608-024-10568-9","DOIUrl":"10.1007/s10608-024-10568-9","url":null,"abstract":"<p><strong>Purpose: </strong>Although there are empirically supported interventions for suicidal ideation and behavior, suicide rates in the United States continue to increase. Suicide risk is particularly elevated during transitions from acute care. One potential reason for this is that existing suicide interventions do not match the dynamic and contextualized nature of suicide risk. The goal of this study was to examine feasibility, acceptability, and pilot testing of the Mobile Application to Prevent Suicide (MAPS), a novel ecological momentary intervention designed to reduce suicidal ideation and behavior.</p><p><strong>Methods: </strong>We conducted two open trials in which participants used MAPS for 28 days during transitions from acute care: 10 adult psychiatric inpatients (Study 1) and 10 young adults in a partial hospitalization program (Study 2).</p><p><strong>Results: </strong>Results demonstrated that MAPS was feasible to implement and acceptable to psychiatric patients with high risk for suicide. Descriptive analyses suggested that during their use of MAPS, most participants experienced either decreases or no change in suicidal ideation severity, and there was an upward observable trend in outpatient treatment utilization.</p><p><strong>Conclusions: </strong>Results of these open trials support further evaluation of MAPS as an adjunctive intervention for suicide prevention during transitions in care.</p><p><strong>Clinical trials registration: </strong>ClinicalTrials.Gov identifiers NCT05180383 and NCT05180331.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"49 3","pages":"497-511"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12920003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Experimental Investigation of the Relationship Between Emotion Regulation Flexibility, Negative Affect and Posttraumatic Stress Disorder.","authors":"Madeleine Lim, Angela Nickerson, Philippa Specker","doi":"10.1007/s10608-024-10536-3","DOIUrl":"10.1007/s10608-024-10536-3","url":null,"abstract":"<p><strong>Purpose: </strong>Emerging research investigating mechanisms underpinning PTSD has identified emotion regulation (ER) flexibility - the ability to flexibly use ER strategies according to contextual demands - as one promising mechanism. To date, however, no study has investigated whether brief training in ER flexibility can minimise negative affect elicited from evocative stimuli. This study investigated the impact of instructed ER flexibility on emotional responding in probable PTSD.</p><p><strong>Methods: </strong>Participants (<i>N =</i> 148) viewed images that differed in negative emotional intensity (high or low). For each image, participants followed instructions to adopt either a flexible or inflexible ER approach through randomisation to either an <i>ER flexible</i> condition or one of three control conditions (<i>Inflexible Reappraisal</i>, <i>Inflexible Distraction</i>, <i>Context Insensitive</i>). In the <i>ER Flexible</i> condition, participants were instructed to switch between distraction and reappraisal according to the emotional intensity of the image. The control conditions required participants to either employ a single ER strategy (<i>Inflexible Distraction</i> and <i>Inflexible Reappraisal</i>) or switch between strategies in a way that did not align with image intensity (<i>Context Insensitive</i>). Negative affect was rated after each image.</p><p><strong>Results: </strong>Participants with probable PTSD in the <i>ER Flexible</i> condition demonstrated the lowest levels of negative affect. For participants without probable PTSD, negative affect did not differ between the ER conditions.</p><p><strong>Conclusions: </strong>Findings suggest that individuals with probable PTSD benefitted from being instructed in ER flexibility. This finding supports the adaptiveness of ER flexibility and provides a preliminary temporal link between instructed ER flexibility and improved emotional responding for those with PTSD.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s10608-024-10536-3.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"49 2","pages":"249-261"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Predictors of Internalizing Symptoms in Clinically Anxious Youth.","authors":"Dania Y Amarneh, Michael J Zvolensky, Eric A Storch, Andres G Viana","doi":"10.1007/s10608-025-10612-2","DOIUrl":"10.1007/s10608-025-10612-2","url":null,"abstract":"<p><strong>Background: </strong>Internalizing disorders are the most common psychiatric disorders in youth and are associated with a host of deleterious outcomes (e.g., self-harm, substance use, interpersonal difficulties), highlighting the critical need for identifying risk factors that confer risk for these disorders. The present study investigated the unique and shared roles of two prominent cognitive biases-anxiety sensitivity and interpretation biases-as predictors of internalizing symptom severity in clinically anxious youth, above and beyond the effects of negative emotionality and after accounting for sociodemographic covariates.</p><p><strong>Method: </strong>A diverse sample of clinically anxious youth (<i>N</i> = 105; M_age = 10.09 years, SD = 1.22; 56.7% female; 49% ethnic minority) completed a diagnostic interview and self-report measures of interpretation biases, anxiety sensitivity, and internalizing symptom severity.</p><p><strong>Results: </strong>Hierarchical regression analyses revealed that both anxiety sensitivity (<i>b</i> = 0.77, 95% CI [0.53, 1.00], <i>sr</i> ^<i>2</i>  = 0.11) and interpretation biases (<i>b</i> = 0.21, 95% CI [0.11, 0.30], <i>sr</i> ^<i>2</i>  = 0.05) accounted for an additional 22% of unique variance in internalizing symptom severity (<i>p</i> <.001), above and beyond the effects of negative emotionality. Post hoc exploratory analyses identified the disease and social concerns facets of anxiety sensitivity, and the overgeneralization facet of interpretation biases, as predictors of internalizing symptoms.</p><p><strong>Conclusion: </strong>Future research should examine whether targeting cognitive biases would be beneficial among temperamentally labile youth.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"49 6","pages":"1322-1336"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}