Cognitive Therapy and Research最新文献

{"title":"A Schema Conceptualisation of Psychosocial Functioning Among Transitioned Military Personnel","authors":"Megan A. Fry, Mark J. Boschen, Shirley A. Morrissey, Ozgur Yalcin, Nicola W. Burton","doi":"10.1007/s10608-023-10455-9","DOIUrl":"https://doi.org/10.1007/s10608-023-10455-9","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>The military to civilian transition process is often associated with a negative impact on psychosocial functioning. Contemporary approaches to understand this are moving away from focussing on posttraumatic stress disorder (PTSD), to examine the military cultural and environmental impacts of service. Schema theory can provide a useful conceptual framework for understanding these issues. The aim of this study was to explore Early Maladaptive Schemas (EMS) across three samples: transitioned military personnel, veterans and first responders with PTSD, and general adults.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>This cross-sectional research used a transitioned military sample recruited specifically for this study (<i>N</i> = 94) and two comparison samples of veterans and first responders diagnosed with PTSD (<i>N</i> = 218), and general adults (<i>N</i> = 264) from previous research. Participants completed a Young Schema Questionnaire (YSQ). Independent t-tests were conducted to compare the three samples.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Transitioned military personnel were significantly higher than the general adults on the EMS of Vulnerability to Harm, Entitlement, Emotional Inhibition, Punitiveness and Unrelenting Standards and lower on the schema of Enmeshment. Transitioned military personnel were significantly lower than the PTSD sample on 11 out of the 18 EMS.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The cluster of EMS evident in the transitioned military sample were conceptualised as ‘The Military Mode’. This conceptual framework can be used to understand the psycho-social issues experienced by transitioned military personnel and to inform interventions to promote successful transition.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139036283","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":"Ruminative Variability Predicts Increases in Depression and Social Anxiety","authors":"Christian A. L. Bean, Jeffrey A. Ciesla","doi":"10.1007/s10608-023-10451-z","DOIUrl":"https://doi.org/10.1007/s10608-023-10451-z","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Rumination is a well-established contributor to the severity of depression and anxiety. It is unknown, however, whether individual differences in the temporal dynamics of rumination over time predict longitudinal increases in depression or anxiety.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The current study examined whether the dynamic indices of ruminative inertia and variability assessed over 14 days via ecological momentary assessment predicted change in symptoms of depression, general anxiety, and social anxiety at a 90-day follow-up (<i>n</i> = 115).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Controlling for ruminative variability, baseline levels of the dependent variable, sex, and mean levels of momentary rumination, ruminative inertia did not predict change in symptoms of depression, general anxiety, or social anxiety at the 90-day follow-up. In contrast, greater ruminative variability predicted increases in symptoms of both depression and social anxiety but not general anxiety at follow-up. Individuals endorsing higher baseline levels of depressive symptoms demonstrated greater amounts of inertia and variability in their momentary rumination. Greater ruminative variability but not inertia was also associated with higher baseline levels of general anxiety and social anxiety.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>These results suggest that ruminative variability may be a risk factor for increases in symptoms of depression and social anxiety over time and a potentially useful target for clinical intervention.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138558354","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 Multi-Method Analysis of the Role of Social Safety Behavior in Loneliness","authors":"Tapan A. Patel, Lauren A. Stentz, Jesse R. Cougle","doi":"10.1007/s10608-023-10449-7","DOIUrl":"https://doi.org/10.1007/s10608-023-10449-7","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Recent research has found a strong link between loneliness and social anxiety above and beyond other psychological constructs. Given these strong relationships, the present study sought to determine if mechanisms that maintain social anxiety may also play a role in loneliness. Specifically, the present study used two samples to explore the role of social safety behavior (SBs; behaviors intended to avoid, prevent, or manage threat) in loneliness.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In Study 1, we explored this relationship in an unselected sample (<i>N</i> = 98). In Study 2, participants (<i>N</i> = 132) with elevated social anxiety were randomized to a two-week SB fading manipulation or a no-instruction control.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>SBs were positively associated with loneliness, independent of co-occurring social anxiety. Further, changes in SBs were associated with changes in loneliness one-month later, and social anxiety was no longer significantly associated with loneliness once SBs were entered in these models. SB fading led to significantly lower loneliness at post-manipulation, relative to the control condition, though this effect was only found in individuals high in baseline loneliness. Additionally, a moderated mediation model found that for individuals high in pre-manipulation loneliness, change in loneliness was accounted for by change in negative interpretation bias, a key mechanism in both loneliness and social anxiety.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Taken together, these findings indicate that targeting SB may be a viable method of addressing loneliness, though further research is needed.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138524906","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 Randomized Controlled Pilot Study Exploring the Additive Clinical Effect of Cognitive Bias Modification-Memory in Depressed Inpatients","authors":"Janna N. Vrijsen, Hanah Windbergs, Eni S. Becker, Norbert Scherbaum, Bernhard W. Müller, Indira Tendolkar","doi":"10.1007/s10608-023-10452-y","DOIUrl":"https://doi.org/10.1007/s10608-023-10452-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Depression often leads to clinical admission. Stimulating positive memory bias through repeated retrieval can counteract a ruminative depressotypic processing style. Cognitive Bias Modification (CBM)-Memory is a psychological intervention, which was evaluated as possible adjunct treatment for depressed inpatients.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A randomized controlled pilot study with a one-week follow-up was implemented to compare the effect of a four-session positive CBM-Memory intervention to a neutral CBM-Memory version. Training-congruent retrieval (as manipulation check), and transfer to rumination (as mechanistic target) and depressive symptoms (self-rated and clinician-rated; indication of clinical relevance) were assessed.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>In the intention-to-treat sample (N = 81, <i>M</i>_<i>age</i>=35.6/<i>SD</i> = 11.9, 60% female), condition-congruent memory retrieval of previously presented target words was found after the training and at follow-up (large effect-sizes). Positive CBM-Memory intervention resulted in sustained recall bias and largest rumination reduction with a small-medium effect size. Additionally, the conditions did not differ significantly on the reduction in depressive symptoms.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Positive CBM-Memory intervention yielded positive recall bias, which was still present one week later. Additionally, the positive condition did yield more decrease in trait (but not state) rumination, providing some support for rumination as mechanistic target of positive CBM-Memory. However, there was no evidence for transfer of the training effect to depressive symptoms, indicating no superiority on clinical recovery of the positive over the neutral condition. Future research should examine a higher dosage, integration of CBM in the treatment provision, and its long-term effects in a well-powered trial.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138524876","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":"Self-Report Measures of Sensory Phenomena in Body-Focused Repetitive Behaviors: A Comparison to Healthy Controls","authors":"Sydney Biscarri Clark, Suzanne Mouton-Odum, Christopher A. Flessner, Emily J. Ricketts, Tara S. Peris, Darin D. Dougherty, Douglas W. Woods, Dan J. Stein, Christine Lochner, Jon E. Grant, Nancy J. Keuthen, John Piacentini","doi":"10.1007/s10608-023-10448-8","DOIUrl":"https://doi.org/10.1007/s10608-023-10448-8","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134902349","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":"Tolerance of Uncontrollability Questionnaire: Turkish Adaptation and Psychometric Evaluation in Clinical and Non-Clinical Samples","authors":"Şengül Tosun Altınöz, Uğur Doğan, Ali Ercan Altınöz, Halil Üzmez","doi":"10.1007/s10608-023-10450-0","DOIUrl":"https://doi.org/10.1007/s10608-023-10450-0","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134902347","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":"Emphasizing Controllability over Biological Processes Underlying Depression: Effects on the Perceived Credibility of Psychotherapy","authors":"Annalise M. Perricone, Woo-kyoung Ahn","doi":"10.1007/s10608-023-10444-y","DOIUrl":"https://doi.org/10.1007/s10608-023-10444-y","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135820263","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":"Believing in Change Matters! The Role of Emotion Malleability Beliefs in Emotion Regulation and Paranoid Ideation","authors":"Katrin Bahlinger, Annika Clamor, Tania M. Lincoln","doi":"10.1007/s10608-023-10443-z","DOIUrl":"https://doi.org/10.1007/s10608-023-10443-z","url":null,"abstract":"Abstract Purpose Beliefs that emotions can be changed (i.e., malleability beliefs) are relevant to emotion regulation. Emotion regulation plays a crucial role in severe mental health symptoms, such as paranoid delusions, but it remains unknown to which extent malleability beliefs contribute to a dysfunctional pattern of emotion regulation in individuals experiencing paranoid ideation. Therefore, we investigated whether malleability beliefs are associated with paranoid ideation and whether emotion regulation accounts for this association. Methods We conducted a cross-sectional assessment in a sample of individuals with psychotic disorders ( n = 50) and a community sample ( n = 218) and collected self-report data on malleability beliefs, the use of emotion regulation strategies (reappraisal, acceptance, rumination, expressive suppression, experience suppression), and paranoid ideation. Results Multivariate regressions showed that greater beliefs that emotions are malleable predicted more reappraisal and acceptance in both samples and less rumination in the community sample. Malleability beliefs did not predict the strategies of suppressing an emotion or its expression. In the community sample, but not in the clinical sample, greater beliefs that emotions are malleable were associated with less frequent paranoid ideation and emotion regulation accounted for significant variance in the relationship. Conclusions The findings indicate that malleability beliefs do not contribute to paranoid delusions in individuals with psychotic disorders. However, in individuals with subclinical paranoid ideation, a failure to perceive emotions as malleable could hinder adaptive attempts to regulate emotions leading to increased negative affect and thereby pave the way for paranoid ideation. Malleability beliefs may thus represent a promising target for prevention.","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934909","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":"Efficacy of a Virtual Reality Intervention for Reducing Anxiety, Depression, and Increasing Disease Coping in Patients with Breast Cancer Before Their First Chemotherapy Dose","authors":"Ariadna Torres García, César Morcillo Serra, Marta Argilés Huguet, Laura González Gardó, Albert Abad Esteve, Josep Antoni Ramos Quiroga","doi":"10.1007/s10608-023-10440-2","DOIUrl":"https://doi.org/10.1007/s10608-023-10440-2","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136234128","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":"Body, Breath, and Mind: Feasibility of an Internet Intervention for Depressive Symptoms Combining Qi Gong and Behavioral Activation","authors":"Johannes Michalak, Tobias Puntke, Leonie Trimpop, Annette Bohn, Estelle Schell, Hannah Reichert, Kerstin Senker, Thomas Heidenreich","doi":"10.1007/s10608-023-10441-1","DOIUrl":"https://doi.org/10.1007/s10608-023-10441-1","url":null,"abstract":"Abstract Background Research has consistently shown that the motor system and emotional processes are interrelated in non-clinical as well as in clinical populations. Therefore, the body might be a promising target for the treatment of depression. Based on these notions, we developed Body, Breath and Mind (BBM) a minimally monitored online intervention combining body orientated Qi Gong practice with elements of behavioral activation (BA). This study aims to assess the feasibility of BBM. Methods One hundred and ten adults showing at least moderate levels of depression were recruited and a single group pre-/post-test design was used. BBM consists of eight modules including Qi Gong as well as BA homework practice. Instructions for Qi Gong practice were given via video. Feasibility outcome measures included treatment adherence, preliminary effectiveness, satisfaction and practice time. Primary outcome measure was the Patient Health Questionnaire-9 (PHQ-9) assessing depressive symptoms. Results We found significant reduction of depressive symptoms with a large effect size ( d AV = – 1.82) and participants were satisfied with Qi Gong and BA elements as well as with the entire program. Thirty-four participants (31%) completed all eight modules. Conclusions The findings suggest that it would be feasible to proceed to a randomized controlled trial to evaluate the potential of BBM, a program combining body-oriented and BA elements.","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908705","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}