Behavior Therapy最新文献

{"title":"Temporal Precedence of Distress Tolerance in Predicting Anxiety and Depression: A Daily Diary Approach During Mindfulness-Based Intervention","authors":"Yanjuan Li,&nbsp;Amy Hu,&nbsp;Yiran Ding,&nbsp;Xinyi Tang,&nbsp;Xin Jiang,&nbsp;Yu Leng,&nbsp;Mo Chen,&nbsp;Stefan G. Hofmann,&nbsp;Xinghua Liu","doi":"10.1016/j.beth.2025.11.006","DOIUrl":"10.1016/j.beth.2025.11.006","url":null,"abstract":"<div><div>This study used a daily diary method to examine the temporal relationship between distress tolerance (DT), anxiety, and depression during a mindfulness-based intervention (MBI). A total of 83 participants with high emotional distress completed daily diaries of mindfulness, DT, anxiety and depression over one week before, during, and after the intervention. Linear mixed models showed significant improvements in all measured variables (<em>p</em> &lt; 0.001) one week after the intervention. Dynamic structural equation modeling found that daily DT at time <em>t</em> significantly predicted daily anxiety (β = −0.06, <em>p</em> = 0.006), but not daily depression (β = −0.03, <em>p</em> = 0.076) at time <em>t</em> + 1. In the first three weeks, no significant time-lagged relationships were observed. However, in the last four weeks, daily DT at time <em>t</em> significantly predicted both daily anxiety (β = −0.11, <em>p</em> &lt; 0.001) and daily depression (β = −0.08, <em>p</em> = 0.002) at time <em>t</em> + 1. Reverse relationships were not significant. These findings support the temporal precedence of DT over anxiety and depression, especially when interventions target DT enhancement.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 427-438"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “The Relationship Between the Therapeutic Alliance and Social Anxiety Symptoms Along the Course of Internet-Delivered Cognitive Behavioral Treatment” [Behav. Therapy 56(4) (2025) 812–822]","authors":"Jonathan G. Shalom,&nbsp;Adi Prihar,&nbsp;Asher Y. Strauss,&nbsp;Jonathan D. Huppert,&nbsp;Gerhard Andersson,&nbsp;Idan M. Aderka","doi":"10.1016/j.beth.2025.09.010","DOIUrl":"10.1016/j.beth.2025.09.010","url":null,"abstract":"","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Page 624"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Flexibility, Adaptive Emotion Regulation, Self-Compassion, and Autonomy as Mechanisms of Change in Acceptance and Commitment Therapy for Transitional-Age Youth","authors":"Janna Keulen,&nbsp;Maja Deković,&nbsp;Denise Matthijssen,&nbsp;Jacquelijne Schraven,&nbsp;Denise Bodden","doi":"10.1016/j.beth.2025.10.004","DOIUrl":"10.1016/j.beth.2025.10.004","url":null,"abstract":"<div><div>Acceptance and Commitment Therapy (ACT) is a promising transdiagnostic intervention for transitional-age youth (15–25 years) with psychological problems. This study aimed to investigate whether psychological flexibility, adaptive emotion regulation, self-compassion, and autonomy are possible transdiagnostic mechanisms through which ACT reduces psychological problems in transitional-age youth. Data were derived from a randomized controlled trial (RCT) comparing ACT with treatment as usual (TAU). A total of 123 transitional-age youth (<em>M</em> = 17.68, 68.3% female) with various psychological problems participated in the study. Univariate latent growth models were used to assess changes over time in all mechanisms and psychological problems and bivariate latent growth models examined the relationships between changes in each mechanism and changes in psychological problems. Also, we examined whether changes in the four mechanisms served as a potential mediating link between ACT and psychological problems. Results indicated that both ACT and TAU were equally effective in increasing psychological flexibility, adaptive emotion regulation, self-compassion, and autonomy, as well as in reducing psychological problems. In both conditions, increases in psychological flexibility and adaptive emotion regulation were significantly associated with decreases in psychological problems. However, increases in self-compassion and autonomy were unrelated to decreases in psychological problems. These findings emphasize the relevance of psychological flexibility and adaptive emotion regulation as important transdiagnostic intervention targets for psychological problems.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 439-455"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Analysis of Parent-Reported Treatment Acceptability in Collaborative and Proactive Solutions and Parent Management Training for Oppositional Youth","authors":"Rachael C. Murrihy,&nbsp;Sophia A.O. Drysdale,&nbsp;Anna Dedousis-Wallace,&nbsp;John McAloon,&nbsp;Thomas H. Ollendick","doi":"10.1016/j.beth.2025.10.001","DOIUrl":"10.1016/j.beth.2025.10.001","url":null,"abstract":"<div><div>Evaluating treatment acceptability is crucial, as higher acceptability is associated with better adherence and lower dropout rates, a particular concern in treating youth with disruptive behavior disorders. This study built upon previous randomized controlled trials that demonstrated the efficacy of treatment for youth with oppositional defiant disorder (ODD) by comparing the acceptability of Collaborative and Proactive Solutions (CPS), an innovative approach, with Parent Management Training (PMT), a well-established intervention. This exploratory study aimed to determine whether families in the CPS group found the treatment acceptable and whether there were differences in parent-reported treatment acceptability between CPS and PMT. This comparison may assist clinicians in distinguishing the suitability of treatments. One hundred and sixty youth aged 7–14 years diagnosed with ODD were randomized to CPS (<em>n</em> = 81) or PMT (<em>n</em> = 79) for up to 16 weekly sessions at a community clinic in Australia. Treatment adherence, acceptability, satisfaction, and barriers to participation (relevance, therapeutic alliance, treatment demands) were assessed using parent and therapist-rated questionnaires. An intent-to-treat approach was employed, and analysis of variance tests were conducted. CPS demonstrated very high acceptability ratings, comparable to PMT. While both treatments were highly acceptable, PMT showed a small but statistically significant advantage in satisfaction, adherence, perceived relevance, and treatment demands. These results provide reassurance to clinicians that both CPS and PMT interventions, alongside their similar efficacy, are highly acceptable interventions for youth with ODD. Future research should replicate these findings and explore why PMT may hold slight advantages, potentially related to child engagement.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 546-562"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 Trial Comparing Transdiagnostic Behavior Therapy and Disorder-Specific Psychotherapies in Veterans With Emotional Disorders","authors":"Daniel F. Gros,&nbsp;Nicholas P. Allan","doi":"10.1016/j.beth.2025.09.012","DOIUrl":"10.1016/j.beth.2025.09.012","url":null,"abstract":"<div><div>Transdiagnostic psychotherapies have been gaining in popularity due in part to their hypothesized ability to address multiple emotional disorders via a single protocol. However, to date, most randomized clinical trials of these treatments have focused on patients with anxiety disorders, or in mixed samples, limiting their use in other diagnoses. The present study compared Transdiagnostic Behavior Therapy (TBT) to disorder-specific therapies (DSTs) in 304 veterans with principal diagnoses of major depressive disorder (MDD), posttraumatic stress disorder (PTSD), or panic disorder. Disorder-specific symptom outcomes and overall impairment were assessed at baseline, mid-treatment, and posttreatment. Structural equation modeling was used to evaluate changes in outcomes over time via latent growth curve models. Support for noninferiority between TBT and the matching DSTs was found in participants with PTSD and panic disorder for the disorder-specific symptom scales and for overall impairment scores across diagnoses. Similar effect sizes were obtained for MDD, although noninferiority could not be concluded because confidence intervals were wide. Similar scores for patient satisfaction and treatment completion also were observed across TBT and the comparison DSTs. Together, these findings suggest that TBT demonstrates comparable efficacy to the established DSTs in addressing symptoms of depressive disorders (MDD), trauma and stressor-related disorders (PTSD), and the anxiety disorders (panic disorder). Thus, ongoing dissemination and implementation efforts for TBT should be considered for a wider range of diagnoses, easing provider training burden and expanding treatment coverage in clinical settings.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 531-545"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Massed Brief Cognitive Behavioral Therapy (mBCBT) for Suicide Prevention: Results of a Pragmatic Clinical Trial","authors":"Craig J. Bryan,&nbsp;AnnaBelle O. Bryan,&nbsp;Lauren R. Khazem,&nbsp;Justin C. Baker,&nbsp;Emily A. Rooney,&nbsp;James S. McGraw,&nbsp;Samantha E. Daruwala,&nbsp;Ennio Ammendola,&nbsp;Jaryd Hiser","doi":"10.1016/j.beth.2025.10.003","DOIUrl":"10.1016/j.beth.2025.10.003","url":null,"abstract":"<div><div>Brief cognitive behavioral therapy (BCBT) for suicide prevention has been shown to significantly reduce suicide attempts in multiple clinical settings and populations. Despite its efficacy, some patients will nonetheless engage in suicidal behaviors, typically within months of starting treatment, before they have received all treatment components. Accelerating the pace of BCBT with daily sessions during a compressed timeframe (e.g., 1–3 weeks) could lead to faster reductions in suicide risk. To date, no studies have examined the potential benefits of intensive or “massed” suicide prevention therapies. In this nonrandomized observational study, we examined change in multiple clinical outcomes (suicidal cognitions, suicidal ideation, depression, anxiety, and social-occupational functioning) during and after BCBT among treatment-seeking adult patients with recent suicidal ideation and/or suicidal behaviors. Of 55 patients, 30 chose to attend daily sessions of BCBT over 2 weeks (massed BCBT, or mBCBT) and 25 chose to attend weekly sessions (standard BCBT). Patients in both formats reported improvements in suicidal cognitions, suicidal ideation, depression, and social-occupational functioning by treatment end (week 3 in mBCBT and week 10 in standard BCBT). Anxiety symptoms improved more in standard BCBT than mBCBT. Relative to baseline, clinical gains at the end of mBCBT were maintained at the 3-month follow-up (week 15) but were smaller in magnitude than the gains reported 3 months after standard BCBT (week 22). Results suggest clinical outcomes improved in the short term during mBCBT. Additional research is warranted to evaluate change trajectories over longer follow-up periods.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 456-467"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotion Regulation Treatment for Irritability and Disruptive Behavior: A Preliminary Investigation","authors":"K. Amber Turner,&nbsp;Bradley A. White,&nbsp;Thomas H. Ollendick","doi":"10.1016/j.beth.2025.09.009","DOIUrl":"10.1016/j.beth.2025.09.009","url":null,"abstract":"<div><div>Children with oppositional-defiant disorder (ODD) represent a heterogeneous group. Within this group, a subtype of ODD has been identified for children with primarily angry/irritable mood symptoms who are at risk for developing mood and anxiety disorders. Despite the prevalence of anger and mood difficulties in children with ODD, evidence-based treatments for disruptive behavior disorders have primarily emphasized providing caregivers more effective parenting strategies to address oppositional and defiant behaviors, rather than directly targeting children’s difficulties with emotions. To address the dearth of emotion-focused treatments for ODD, a novel emotion regulation intervention was developed and piloted. Using a nonconcurrent multiple baseline design, 7 children ages 8–11 (3 male, 4 female; all non-Hispanic White) were enrolled in a 13-week intervention with their caregivers. Tantrum behavior, mood, and emotion regulation measures were administered throughout treatment. Treatment feasibility was supported by participant satisfaction ratings as well as high levels of treatment fidelity. Multiple measures support the preliminary efficacy of the intervention in reducing symptoms of ODD as well as initial efficacy in improving child emotion regulation difficulties. Overall, results support further research into emotion regulation-focused interventions for ODD.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 493-507"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attentional Control Moderates the Association Between Combat Trauma Exposure and Fear Conditioning Among Combat-Exposed Veterans","authors":"Alexandra M. Adamis,&nbsp;Bunmi O. Olatunji","doi":"10.1016/j.beth.2025.11.001","DOIUrl":"10.1016/j.beth.2025.11.001","url":null,"abstract":"<div><div>Traumatic events are common, yet only a small subset of trauma-exposed individuals go on to develop posttraumatic stress disorder (PTSD). This raises important questions about the psychological consequences of trauma and the individual differences that confer risk for maladaptive threat responding. Excessive acquisition and attenuated extinction of conditioned fear are implicated in the etiology of PTSD. However, the direct relation between trauma exposure and altered fear conditioning processes remains unclear. Further, attentional control (AC), or the executive capacity to regulate one’s attention, might influence fear learning processes by modulating the extent to which one’s attention is drawn to threats. The present study investigated if AC moderated the link between combat trauma exposure and maladaptive fear learning in a combat-exposed sample of veterans (<em>n</em> = 114). We found that AC significantly moderated the link between combat trauma exposure and fear acquisition, but not extinction. Specifically, for veterans low in AC, there was a stronger association between combat trauma exposure and expectancies of the unconditioned stimulus (i.e., a scream) in response to the reinforced conditioned stimulus (CS+). Further, strong AC was found to buffer against excessively fearful emotional responding, with high levels of AC corresponding to a negative relation between combat trauma exposure and anxiety experienced in response to the CS+. This pattern of results was observed even when controlling for responses to the CS− and symptoms of PTSD. The present findings point to AC as an important determinant of maladaptive threat responding in the wake of combat trauma.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 577-588"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Give Me a Sine: Can Sinusoidal Patterns of Nonverbal Synchrony Differentiate Between Individuals With Social Anxiety Disorder and Panic Disorder?","authors":"Hallel Shatz,&nbsp;Roni Oren-Yagoda,&nbsp;Idan M. Aderka","doi":"10.1016/j.beth.2025.11.004","DOIUrl":"10.1016/j.beth.2025.11.004","url":null,"abstract":"<div><div>Individuals with social anxiety disorder (SAD) have been found to have distinct patterns of nonverbal synchrony with others. In the present study, we examined whether patterns of nonverbal synchrony differ between individuals with SAD and individuals with panic disorder (PD). We examined diagnostic interviews of 29 individuals with SAD and 22 individuals with PD, and assessed nonverbal synchrony using motion energy analysis (MEA). We divided interviews into 10 segments and derived nonverbal synchrony indices for each segment to capture changes in nonverbal synchrony over the course of the interview. According to our first hypothesis, we found that nonverbal synchrony was best modelled by a sinusoidal model (<em>r</em>² = .59) which explained significantly more variance than linear, quadratic and logarithmic models. This suggests that nonverbal synchrony is best characterized by a repeating pattern of increases and decreases. According to our second hypothesis, we found that sine wave amplitudes were greater among individuals with SAD compared to those with PD. Thus, individuals with SAD experienced greater fluctuations in nonverbal synchrony during the interview, compared to individuals with PD. We discuss these findings in the context of models of SAD and models of synchrony, as well as suggest implications for research and clinical practice.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 520-530"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fear of Food in Eating Disorders: Its Role in Eating Disorder Symptomatology, Psychopathology, and Early Outpatient Treatment","authors":"Elena Tomba,&nbsp;Lucia Tecuta,&nbsp;Valentina Gardini,&nbsp;Elena Lo Dato,&nbsp;Chiara Mazzoni,&nbsp;Romana Schumann,&nbsp;Donatella Ballardini","doi":"10.1016/j.beth.2025.11.003","DOIUrl":"10.1016/j.beth.2025.11.003","url":null,"abstract":"<div><div>Anxiety is known to be correlated with eating disorder (ED) symptoms, but less is known about anxiety in terms of fear of food in EDs. The study aims to compare different ED groups, investigate early changes in fear of food following cognitive-behavioral-based treatment (CBT) with integrated nutritional rehabilitation and counseling and test whether changes in fear of food are associated with changes in eating symptomatology and general psychopatology. ED outpatients (<em>n</em> = 282) and controls (<em>n</em> = 68) were assessed with the Fear of Food Measure (FOFM), Eating Attitude Test-40 (EAT-40), and Eating Disorder</div><div>Inventory-3 (EDI-3 risk and General Psychological Maladjustment, GPM). MANOVA with post hoc comparisons was run to compare controls and ED subgroups in FOFM. Paired sample <em>t</em>-test evaluated FOFM changes between baseline and mid-treatment. Multiple regression analyses were conducted to test whether changes in FOFM were associated with changes in EAT-40, EDI-3 risk, and EDI-3 GPM. Results demonstrated all EDs exhibited significantly higher FOFM scores compared to controls. In EDs, AN and BN showed significantly greater scores in FOFM-anxiety about eating (AE) and FOFM-food avoidance behaviors (FAB) compared to BED and OSFED. Significant changes in all FOFM subscale scores were observed in patients who completed mid-treatment (<em>n</em> = 79). FOFM-AE emerged as the most significant predictor of early improvements not only in EAT-40 total and EDI-3 risk scores but also in EDI-3-GPM scores. Results indicate that fear of food is a transdiagnostic construct characterizing all EDs, in particular AN and BN. Outpatient interventions assessing and targeting early fear of food, in particular in anxiety about eating, may help improve prognosis and support recovery in EDs. The role of fear of food in general psychopathology, beyond EDspecific symptoms, represents a valuable addition to the field and highlights the interplay between fear-related and ED symptoms, providing new directions for future ED research and treatment.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 3","pages":"Pages 608-623"},"PeriodicalIF":3.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}