Behavior Therapy最新文献_第2页

What CBT Modules Work Best for Whom? Identifying Subgroups of Depressed Youths by Their Differential Response to Specific Modules 哪些 CBT 模块对谁最有效？根据抑郁青少年对特定模块的不同反应确定抑郁青少年亚群

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2024.01.004

Jennifer Frederick, Mei Yi Ng, Matthew J. Valente, Katherine Venturo-Conerly, John R. Weisz

{"title":"What CBT Modules Work Best for Whom? Identifying Subgroups of Depressed Youths by Their Differential Response to Specific Modules","authors":"Jennifer Frederick, Mei Yi Ng, Matthew J. Valente, Katherine Venturo-Conerly, John R. Weisz","doi":"10.1016/j.beth.2024.01.004","DOIUrl":"10.1016/j.beth.2024.01.004","url":null,"abstract":"<div><p>Prior research suggests that the effects of specific cognitive-behavioral therapy (CBT) modules on symptom outcomes can be estimated. We conducted a study utilizing idiographic and nomothetic methods to clarify which CBT modules are most effective for youth depression, and for whom they are most effective. Thirty-five youths received modular CBT for depression. Interrupted time series models estimated whether the introduction of each module was associated with changes in internalizing symptoms, whereby significant symptom reduction would suggest a therapeutic response to the module. Regression models were used to explore whether participant characteristics predicted subgroups of youths based on their estimated response to certain types (e.g., cognitive) of modules, and whether group membership was associated with posttreatment outcomes. Thirty youths (86%) had at least one module associated with a significant change in internalizing symptoms from premodule delivery to postmodule delivery. The specific modules associated with these changes varied across youths. Behavioral activation was most frequently associated with symptom decreases (34% of youths). No participant characteristics predicted estimated response to module type, and group membership was not significantly associated with posttreatment outcomes. Youths display highly heterogeneous responses to treatment modules, indicating multiple pathways to symptom improvement for depressed youths.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139879342","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}

引用次数: 0

Exploring the effectiveness and acceptability of a self-help acceptance-based behavior intervention for anxiety in Black adults: An uncontrolled pilot study 探索以接受为基础的自助行为干预对黑人成年人焦虑症的有效性和可接受性：非对照试点研究

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2024.07.001

Alexandria N. Miller, Jessica R Graham-LoPresti, Gabrielle Liverant, L. Roemer, S. Orsillo

引用次数: 0

Psychometric Properties of the Modified Scale for Suicidal Ideation-Self-Report Revised with High-Risk Adolescents 高风险青少年自杀意念自我报告修订量表的心理计量特性

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2024.07.004

Roberto López, Christianne Esposito-Smythers, Philseok Lee, Richard N. Leichtweis, Ivan W. Miller

引用次数: 0

Rethinking Unacceptable Thoughts: Validation of an Expanded Version of the Dimensional Obsessive-Compulsive Scale 反思不可接受的想法：维度强迫症量表（DOCS）扩展版的验证

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2023.11.003

Eric B. Lee, Chad T. Wetterneck, Elizabeth McIngvale, Monnica T. Williams, Thröstur Björgvinsson

{"title":"Rethinking Unacceptable Thoughts: Validation of an Expanded Version of the Dimensional Obsessive-Compulsive Scale","authors":"Eric B. Lee, Chad T. Wetterneck, Elizabeth McIngvale, Monnica T. Williams, Thröstur Björgvinsson","doi":"10.1016/j.beth.2023.11.003","DOIUrl":"10.1016/j.beth.2023.11.003","url":null,"abstract":"<div><p>The Dimensional Obsessive-Compulsive Scale (DOCS) is widely used to measure obsessive-compulsive disorder (OCD) severity across four broad symptom dimensions (i.e., contamination, responsibility for harm, unacceptable thoughts, symmetry). Despite its proven utility, there is reason to suspect that the unacceptable thoughts subscale conflates different types of unacceptable thoughts that are meaningfully distinct from one another. In the current study, we first evaluated the psychometric<span><span> properties of a newly developed DOCS violent and/or aggressive thoughts subscale. We then examined the factor structure, psychometric properties, and diagnostic sensitivity of a seven-factor version of the DOCS that includes the four original DOCS subscales and three more-specific versions of the unacceptable thoughts scale (i.e., sexually intrusive thoughts, violent and/or aggressive thoughts, and scrupulous or religious thoughts). The sample included 329 residential and intensive outpatients, the majority of which had a </span>diagnosis of OCD<span> (75.2%). The new unacceptable thoughts subscales demonstrated convergent and discriminant validity with unique associations between the subscales and depression, suicide, and perceived threat from emotions that were not present in the broader unacceptable thoughts subscale. The seven-factor version of the DOCS demonstrated slightly lower levels of diagnostic sensitivity than the original DOCS. Thus, the four-factor version of the DOCS is recommended for screening purposes. A score of 40 or higher on the seven-factor version of the DOCS best predicted a diagnosis of OCD. Overall, the three additional unacceptable thoughts subscales appear to be distinct factors that have potential value in research and clinical settings.</span></span></p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138555773","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}

引用次数: 0

Emotion Regulation Training as an Add-on in the Treatment of Obesity in Young Adolescents: A Randomized Controlled Superiority Trial 情绪调节训练作为青少年肥胖症治疗的附加疗法：随机对照优越性试验

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2023.12.005

Taaike Debeuf, Sandra Verbeken, Elisa Boelens, Brenda Volkaert, Ann Tanghe, Nathalie Michels, Caroline Braet

{"title":"Emotion Regulation Training as an Add-on in the Treatment of Obesity in Young Adolescents: A Randomized Controlled Superiority Trial","authors":"Taaike Debeuf, Sandra Verbeken, Elisa Boelens, Brenda Volkaert, Ann Tanghe, Nathalie Michels, Caroline Braet","doi":"10.1016/j.beth.2023.12.005","DOIUrl":"10.1016/j.beth.2023.12.005","url":null,"abstract":"<div><p>In an inpatient treatment center for pediatric obesity, the effectiveness of an emotion regulation (ER) training on top of the multidisciplinary obesity treatment (MOT) was tested by means of an RCT. The ER training was evaluated on primary outcomes: ER and emotional eating, and secondary outcomes: well-being and weight loss, taking into account pre, post, and follow-up measurements.</p><p>Of the 115 10- to-14-year old adolescents with obesity (52.2% girls), 65 were allocated to the ER training. Physicians measured their height and weight objectively (4 times). Participants also filled out questionnaires on ER competencies (ER abilities and ER strategies), emotional eating and well-being (3 times).</p><p>Significant pre-post interactions were found for “emotional awareness,” “problem solving,” and “evoking a positive mood.” Moreover, the positive effects of the ER training on emotion regulation strategies were maintained at follow-up. Concerning well-being, no significant pre-post interaction effects were found but a significant interaction effect was found when comparing pre with follow-up. Analyses show a significant main effect of time on weight loss, but this was not qualified by a Time × Condition interaction effect.</p><p>The current RCT study shows limited but promising effects of adding an ER training to the MOT. Further research should investigate whether the positive short-term effects will be maintained.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139056215","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}

引用次数: 0

Increased Generalization, Stronger Acquisition, or Reduced Extinction? Investigation of the Mechanisms Underlying the Acquisition-in-Multiple-Contexts Effect 增强泛化、强化习得还是减少消退？多情境习得效应的机制研究

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2023.10.004

Wei Jun Marc Chao, Bridget L. McConnell

{"title":"Increased Generalization, Stronger Acquisition, or Reduced Extinction? Investigation of the Mechanisms Underlying the Acquisition-in-Multiple-Contexts Effect","authors":"Wei Jun Marc Chao, Bridget L. McConnell","doi":"10.1016/j.beth.2023.10.004","DOIUrl":"10.1016/j.beth.2023.10.004","url":null,"abstract":"<div><p>Prior research has demonstrated that conducting acquisition in multiple contexts results in more responding to the point that it can even nullify the benefit of subsequent extinction in multiple contexts on reducing renewal of excitatory responding. The underlying mechanism to explain why this happens has not been systematically examined. Using self-reported expectancy of the outcome, the current study investigates three mechanisms that potentially explain why acquisition in multiple contexts results in more responding—greater generalization, stronger acquisition learning, or slower extinction learning. Participants (<em>N</em> = 180) received discriminative training with a conditioned stimulus (CS+) and outcome pairing and a CS− → noOutcome pairing in either one or three contexts. This was followed by either extinction treatment in a novel context or no extinction. Finally, testing occurred in the acquisition context, the extinction context, or a novel context. Stronger renewal of extinguished conditioned expectation was observed for participants who received CS+ → Outcome pairings in three contexts relative to one context. There was no effect of the number of contexts on the strength of the excitatory CS+ → Outcome association or degree of inhibitory learning that occurred during extinction. This suggests that generalization is the mechanism responsible for the adverse impact to extinction learning when acquisition is conducted in multiple contexts.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005789423001247/pdfft?md5=9945739453f87a76da8a1bc5643b0835&pid=1-s2.0-S0005789423001247-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135454924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Affective and Behavioral Responses to Time Out in Preschool Children with Conduct Problems and Varying Levels of Callous-Unemotional Traits 行为问题学龄前儿童对超时的情感和行为反应以及不同程度的冷漠-不情感特征

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2024.07.005

E. Kimonis, Friyana Cooper, Bryan Neo, Georgette E. Fleming, Mei E. Chan, Campbell McDonogh, Philip Jean-Richard Dit Bressel

引用次数: 0

Risk Factors That Predict Future Onset of Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, and Purging Disorder in Adolescent Girls 预测少女厌食症、贪食症、暴食症和呕吐症未来发病的风险因素

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2023.10.002

Yuko Yamamiya, Eric Stice

{"title":"Risk Factors That Predict Future Onset of Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, and Purging Disorder in Adolescent Girls","authors":"Yuko Yamamiya, Eric Stice","doi":"10.1016/j.beth.2023.10.002","DOIUrl":"10.1016/j.beth.2023.10.002","url":null,"abstract":"<div><p>Because very few prospective studies have identified risk factors that predicted future onset of threshold/subthreshold anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD), we analyzed prospective data collected from a large cohort of adolescent girls followed over an 8-year period to advance knowledge about risk factor specificity. Adolescent girls recruited from middle schools in Texas (<em>N</em> = 492; <em>M</em> age = 13.02 [<em>SD</em><span> = 0.73], age range = 11–15) completed questionnaires assessing risk factors at baseline and diagnostic interviews assessing eating disorders annually over 8 years. Only low BMI predicted future AN onset. Pressure to be thin, thin-ideal internalization, body dissatisfaction, negative emotionality, low parent support, and modeling of eating pathology predicted future BN<span> onset. Pressure to be thin, thin-ideal internalization, negative emotionality, low parent support, and modeling of eating pathology predicted future BED onset. Pressure to be thin, body dissatisfaction, dietary restraint, low parent support, modeling of eating pathology, and high BMI predicted future PD onset. Predictive effects were medium-to-large. Results support etiological theories of eating disorders that postulate the pursuit of the thin ideal, body dissatisfaction, negative affect, dietary restraint, and interpersonal issues increase risk for most eating disorders. The evidence that girls with low body weight are at risk for AN, whereas girls with high body weight are at risk for PD are novel. Although several risk factors predicted future onset of BN, BED, and PD, results suggest that risk factors for AN are qualitatively distinct and should be investigated further.</span></span></p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136128416","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}

引用次数: 0

A Systematic Quality Review of Single-Case Experimental Designs Using Acceptance and Commitment Therapy in Adult Clinical Populations 在成人临床人群中使用接纳与承诺疗法的单例实验设计的系统性质量回顾

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2024.01.008

Safia A.M. Luck, Nima Golijani-Moghaddam, David L. Dawson

{"title":"A Systematic Quality Review of Single-Case Experimental Designs Using Acceptance and Commitment Therapy in Adult Clinical Populations","authors":"Safia A.M. Luck, Nima Golijani-Moghaddam, David L. Dawson","doi":"10.1016/j.beth.2024.01.008","DOIUrl":"10.1016/j.beth.2024.01.008","url":null,"abstract":"<div><p>Recent publications within <em>Contextual Behavioral Science</em> provided a rationale for the expansion of intervention efficacy research using methods that capture idiographic factors and processes. We conducted a systematic review of the use and quality of single-case experimental designs (SCED) within the Acceptance and Commitment Therapy (ACT) literature in adult clinical populations. The systematic review was conducted according to PRISMA guidelines and the databases CINAHL, MEDLINE, PsycINFO, PsycArticles and OpenGrey were searched for peer-reviewed articles. Further studies were sought through review of reference lists of all full text studies. Studies were assessed against What Works Clearinghouse (WWC) single-case design standards. Twenty-six studies met eligibility criteria and were conducted within research teams all implementing multiple-baseline designs. Twenty-four studies did not meet WWC standards with most failing to ensure a degree of concurrence across participants. The extent of randomisation methods was also captured. The review highlights the sparsity of SCEDs within ACT literature in clinical populations and current methodological practices. Limitations of the review and implications for future research are discussed.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005789424000194/pdfft?md5=75b4a4099e8f3b1a8eb458e758785522&pid=1-s2.0-S0005789424000194-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139878262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using a Randomized Clinical Trial to Test the Efficacy of a Culturally Responsive Mobile Health Application in African Americans 在非裔美国人中使用随机临床试验来测试具有文化敏感性的移动医疗（mHealth）应用的功效

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-07-01 DOI: 10.1016/j.beth.2023.12.002

Natalie N. Watson-Singleton, Jordan Pennefather

{"title":"Using a Randomized Clinical Trial to Test the Efficacy of a Culturally Responsive Mobile Health Application in African Americans","authors":"Natalie N. Watson-Singleton, Jordan Pennefather","doi":"10.1016/j.beth.2023.12.002","DOIUrl":"10.1016/j.beth.2023.12.002","url":null,"abstract":"<div><p>Mindfulness is a promising health promotion strategy for African Americans, and it is imperative that culturally responsive mindfulness approaches be accessible to this population. One way to address this need is to develop and test if culturally responsive mobile health (mhealth) applications are efficacious in reducing stress-related outcomes in this population. With this goal in mind, we employed a repeated-measures randomized control trial (RCT) across a 12-week intervention period to evaluate if participants in the intervention group outperformed a wait-list control group in reductions in stress, depressive symptoms, anxiety, emotional regulation difficulties as well as in increases in self-compassion, resilience, and mindfulness attitudes and behaviors. Our sample included 170 Black/African American participants who were randomly assigned to either the intervention condition (<em>n</em> = 84) or the wait-list control group (<em>n</em> = 86). Participants in the intervention condition reported more self-compassion, used more mindfulness, and had greater self-efficacy using mindfulness; yet, no other differences were evident. Participants expressed high levels of satisfaction with the app and gave it a positive rating for its relevance to their lives. These findings support the efficacy of a culturally responsive mindfulness mHealth app to enhance self-compassion and increase the use of health-promoting behaviors, like mindfulness, among African Americans. Implications for future research are discussed.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138683296","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}

引用次数: 0