{"title":"Efficacy of Internet-based, Therapist-Assisted Treatment Programs for Hair Pulling and Skin Picking: Preliminary Results","authors":"Reuven Dar, Maya Schonbach, Sofia Wenzler","doi":"10.1007/s10608-023-10446-w","DOIUrl":"https://doi.org/10.1007/s10608-023-10446-w","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135766422","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}
Kutlu Kağan Türkarslan, Deniz Canel Çınarbaş, Lampros Perogamvros
{"title":"The Roles of Intrusive Visual Imagery and Verbal Thoughts in Pre-Sleep Arousal of Patients with Insomnia Disorder: A Path Model","authors":"Kutlu Kağan Türkarslan, Deniz Canel Çınarbaş, Lampros Perogamvros","doi":"10.1007/s10608-023-10442-0","DOIUrl":"https://doi.org/10.1007/s10608-023-10442-0","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135766428","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":"The Indirect Effect of Biased Judgment Processing of Bodies on Eating Disorder Symptomatology Through Eating Disorder-Specific Reflection","authors":"Rebecca Shao, Isabel Krug, Laura Dondzilo","doi":"10.1007/s10608-023-10439-9","DOIUrl":"https://doi.org/10.1007/s10608-023-10439-9","url":null,"abstract":"Abstract Background The current study sought to empirically evaluate the relationships between biases involving judgment of bodies in terms of their shape and weight, ED-specific rumination subtypes (i.e., ED-specific reflection and ED-specific brooding) and eating disorder (ED) symptomatology. Methods Female undergraduates ( n = 344) aged 17–24 years completed self-report measures of ED-specific rumination and ED symptomatology and a novel task designed to assess biased judgement processing of bodies. Results Results revealed that a bias in judging bodies in terms of their shape and weight was indirectly but not directly associated with ED symptomatology. Specifically, biased judgement processing was indirectly associated with ED symptomatology via ED-specific ruminative reflection but not via ED-specific ruminative brooding. Conclusions The current findings suggest biased judgement processing of bodies may contribute to ED symptomatology via ED-specific ruminative reflection. It is important to note that the indirect effect was small suggesting the involvement of other potential variables in this relationship. Thus, further exploration of the cognitive factors involved in the relationship between biased judgement processing and ED symptomatology is warranted.","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135766258","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}
Yorgo Hoebeke, M. Annelise Blanchard, Emily E. Bernstein, Richard J. McNally, Alexandre Heeren
{"title":"Negativity is Key for Understanding the Interplay Between Rumination’s Features, Attention Control, and Their Dynamic Nature: A Temporal Network Approach","authors":"Yorgo Hoebeke, M. Annelise Blanchard, Emily E. Bernstein, Richard J. McNally, Alexandre Heeren","doi":"10.1007/s10608-023-10432-2","DOIUrl":"https://doi.org/10.1007/s10608-023-10432-2","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135853780","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}
Tatjana Paunov, Florian Weck, Peter E. Heinze, Ulrike Maaß, Franziska Kühne
{"title":"Competence Ratings in Psychotherapy Training – A Complex Matter","authors":"Tatjana Paunov, Florian Weck, Peter E. Heinze, Ulrike Maaß, Franziska Kühne","doi":"10.1007/s10608-023-10445-x","DOIUrl":"https://doi.org/10.1007/s10608-023-10445-x","url":null,"abstract":"Abstract Background The reliable assessment of competence is crucial for promoting the professional development of therapists. However, competence assessments are rarely included in training and research as these procedures are resource-intensive and costly, commonly relying on independent raters with high levels of expertise and extensive training. This study aimed to compare the interrater reliability (IRR) of raters with different levels of expertise. We also examined the impact of different camera perspectives on IRR. Methods We examined the IRR of six independent raters based on competence assessments in a standardized setting. Two raters were experienced psychotherapists (experts), and four were psychology students (novices; with/without supervision). All raters evaluated N = 359 videos of students performing role plays with standardized patients who were simulating depressive symptoms and behavior. For each video, the raters independently assessed basic communication skills (Clinical Communication Skills Scale–Short Form; CCSS-S), psychotherapeutic competence (Cognitive Therapy Scale; CTS), empathy (Empathy Scale; ES) and therapeutic alliance (Helping Alliance Questionnaire; HAQ). Results IRR varied depending on rater expertise and assessment measures, with the lowest intraclass correlation coefficients (ICCs) for empathy (ES; ICCs = 0.39-0.67) and the highest ICCs for psychotherapeutic competence (CTS; ICCs = 0.66-0.78). The concordance between expert raters and supervised novice raters was good (ICCs = 0.71-0.86). The camera perspective did not influence the reliability of the ratings. Conclusions With appropriate training and regular supervision, the novices assessed therapeutic behavior in standardized role plays with reliability comparable to that of the experts. Further research is needed regarding the reliable assessment of more complex therapy situations.","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136210336","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}
Joanna Kłosowska, Dominika Sznajder, Rachela Antosz-Rekucka, Aleksandra Tuleja, Katarzyna Prochwicz
{"title":"Reliability, Validity and Factor Structure of the Polish Version of the Massachusetts General Hospital Hair Pulling Scale","authors":"Joanna Kłosowska, Dominika Sznajder, Rachela Antosz-Rekucka, Aleksandra Tuleja, Katarzyna Prochwicz","doi":"10.1007/s10608-023-10428-y","DOIUrl":"https://doi.org/10.1007/s10608-023-10428-y","url":null,"abstract":"Abstract Purpose The Massachusetts General Hospital Hairpulling Scale (MGH-HPS) is a 7-item self-report tool that measures hair-pulling behaviors. The study aimed to assess the psychometric properties of the Polish version of the MGH-HPS in a sample of adults. Methods The online screening survey was completed by 1024 participants (777 women, 241 men, 6 non-binary), 92 of which (68 women, 24 men) were included in the study because they confirmed engaging in hair-pulling behaviors at least occasionally; 23 of those (2.25% of the initial sample) met the DSM-5 criteria for hair-pulling disorder. The participants were asked to complete the online version of the MGH-HPS, the Depression Anxiety Stress Scales-21-Item Version, the Obsessive Compulsive Inventory-Revised, and a scale containing the DSM-5 hair-pulling disorder criteria. The factor structure, reliability, validity, and diagnostic accuracy of the Polish version of the MGH-HPS were examined. Results The confirmatory factor analysis demonstrated that both a one-factor and a two-factor model fit the data well; however, given the high correlation between the factors, the unidimensional model may be superior. High internal consistency and convergent and divergent validity were obtained for the total score of the MGH-HPS and the Severity and Resistance and Control factors (Cronbach’s alphas: 0.89, 0.85 and 0.84 respectively). The ROC analysis indicated adequate prognostic ability of the total score to discriminate subjects with clinical and non-clinical hair-pulling. The optimal cut-off value was 13 points (sensitivity = 100%, specificity = 62.22%). Conclusions The Polish version of the MGH-HPS is a valid, reliable tool which may be used to measure hair-pulling behaviors in adult samples.","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136209045","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":"Two-year Follow-up of Habit Reversal Training and Decoupling in a Sample with Body-Focused Repetitive Behaviors","authors":"Steffen Moritz, Luca Hoyer, Stella Schmotz","doi":"10.1007/s10608-023-10434-0","DOIUrl":"https://doi.org/10.1007/s10608-023-10434-0","url":null,"abstract":"Abstract Background Self-help habit reversal training and decoupling are effective in improving body-focused repetitive behaviors (BFRBs). However, most studies to date on self-help techniques have assessed short-term effects only. The present study aimed to elucidate whether treatment effects would be sustained over a longer period of time. Methods We conducted a 2-year follow-up study of a cohort of 391 participants with mixed BFRBs who were initially randomized to four conditions (wait list control, habit reversal training, decoupling, decoupling in sensu). At post assessment, participants were allowed to use other treatment techniques, enabling us to explore treatment effects in those who continued to use the initial method only versus those who used additional techniques. The Generic Body-Focused Repetitive Behavior Scale (GBS-36) served as the primary outcome. Results Improvements achieved at post assessment were maintained at follow-up for all experimental conditions, with decoupling showing significantly greater treatment gains at follow-up relative to the wait list control group (last observation carried forward: p = .004, complete cases: p = .015). Depression at follow-up slightly improved compared to baseline and post assessment similarly across all conditions, arguing against “symptom displacement” to other psychopathological syndromes. Retention rates were similarly low across the four conditions (48.5–54.6%), making bias unlikely (but not firmly excluding it). Participants who adhered to the initial protocol until follow-up showed a pattern of improvement similar to those using additional techniques. Discussion Our study speaks for the long-term effectiveness of behavioral self-help techniques to reduce BFRBs, particularly decoupling. Of note, participants were allowed to use other self-help manuals after completing the post assessment; thus, randomization was removed. However, a minority of the participants chose this option.","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136209282","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":"Defining Compulsive Skin Picking Subgroups Based on Emotional Response Patterns and Data-Driven Methodology","authors":"Alessandro De Nadai","doi":"10.1007/s10608-023-10431-3","DOIUrl":"https://doi.org/10.1007/s10608-023-10431-3","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135253602","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}
Kyler R Lehrbach, Margaret E Crane, Thomas M Olino, Philip C Kendall
{"title":"Anxiety sensitivity and experiential avoidance: Relations with anxiety severity and treatment outcomes in anxious youth.","authors":"Kyler R Lehrbach, Margaret E Crane, Thomas M Olino, Philip C Kendall","doi":"10.1007/s10608-023-10408-2","DOIUrl":"10.1007/s10608-023-10408-2","url":null,"abstract":"<p><strong>Purpose: </strong>Anxiety sensitivity (AS) and experiential avoidance (EA) are associated with anxiety in both adults and youths. This study examined the separate contributions of AS and EA in predicting (a) anxiety (symptom severity) and (b) differential treatment outcomes in anxious youth receiving cognitive behavioral therapy (CBT).</p><p><strong>Methods: </strong>Participants (<i>N</i> = 89; age 10-17 years; 37% male; 78% white) met diagnostic criteria for an anxiety disorder and received CBT (<i>Coping Cat</i>). AS and EA were child-report measures collected at baseline. The outcome variables were anxiety symptom severity (Multidimensional Anxiety Scale for Children; child- and parent-reported) and Independent Evaluator-rated anxiety severity (Child Global Impression-Severity) collected at baseline and posttreatment. Multilevel models (MLM) examined independent and relative contributions of AS and EA to the outcome variables as a secondary analysis.</p><p><strong>Results: </strong>Both AS and EA were associated with levels of anxiety symptom severity at pretreatment and at posttreatment, varying by reporter. Neither AS nor EA predicted differential treatment outcomes: youth at varying levels had comparably favorable outcomes.</p><p><strong>Conclusions: </strong>Findings suggest similarity in AS and EA, and that both constructs may be adequately and equally addressed in CBT. Future research could consider examining change in AS and EA and anxiety across treatment in diverse populations.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"47 1","pages":"841-850"},"PeriodicalIF":2.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11410366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49180815","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":"Shift in Valence Bias Associated with Decrease in Trait Anxiety and Depression Symptoms","authors":"Nicholas R. Harp, R. James R. Blair, Maital Neta","doi":"10.1007/s10608-023-10437-x","DOIUrl":"https://doi.org/10.1007/s10608-023-10437-x","url":null,"abstract":"","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136342113","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}