Behavior Therapy最新文献

{"title":"A Network Control Theory of Dynamic Systems Approach to Personalize Therapy","authors":"Stefan G. Hofmann","doi":"10.1016/j.beth.2024.10.006","DOIUrl":"10.1016/j.beth.2024.10.006","url":null,"abstract":"<div><div>Contemporary latent disease models of psychopathology have shown limited clinical utility and the efficacy of conventional treatments have been disappointing. An alternative approach offers the network approach and a dynamic systems perspective to psychopathology and treatment change. To understand and modify dynamic systems, engineering and mathematics have been relying on principles of network control theory. This article will discuss the application of network control theory of dynamic systems approach to personalize therapy. Network control theory can be used as a guide for personalizing treatment by choosing the most promising intervention strategy targeting the change processes based on the network structure. A composit case illustration will demonstrate the principles and application of network control theory to therapy in practice within the framework of process-based therapy. In conclusion, a network control theory of dynamic systems approach is highly relevant and applicable to clinical science.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 199-212"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014028","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}

{"title":"A Pilot Randomized Controlled Trial of a Single-Session Intervention to Reduce Training Psychologists’ Burnout","authors":"Briana S. Last ,&nbsp;Laura K. Jans ,&nbsp;Jessica L. Schleider","doi":"10.1016/j.beth.2024.06.004","DOIUrl":"10.1016/j.beth.2024.06.004","url":null,"abstract":"<div><div>Professional psychology trainees often experience burnout during their clinical training. In a pilot randomized controlled trial, we tested the feasibility, acceptability, utility, and preliminary efficacy of a 10-minute, online single-session intervention (SSI), designed to address burnout, hopelessness, and perceived agency in psychology trainees. In March 2023, 151 doctoral students with symptoms of stress or burnout in accredited, U.S.-based professional psychology programs were randomized to either the SSI (<em>n</em> = 74) or an active control condition (<em>n</em> = 77). Immediately post-SSI, 98.5% of participants endorsed the SSI as likely helpful for their patients and 92.5% wanted more information on how to deliver it; at 2-week follow-up, 48.4% had used the SSI in their own life, and 16.1%, with a patient. On average, participants rated the SSI as <em>somewhat</em> helpful; feeling <em>somewhat</em> hopeful and <em>somewhat</em> motivated to use their SSI-driven action plan; and that they would <em>mostly</em> recommend the SSI to others. No significant cross-condition differences emerged in participants’ reported burnout, hopelessness, or perceived agency at post-intervention or at follow-up, though effect sizes for these primary outcomes were generally in expected directions (<em>d</em>s = 0.01–0.36). In response to secondary outcome measures, SSI participants (versus control participants) reported <em>perceiving</em> significantly larger immediate improvements in hopelessness (<em>d</em> = 0.87), their problem-solving ability (<em>d</em> = 0.85), and their ability to help patients solve problems (<em>d</em> = 0.71). Overall, findings were inconclusive regarding the SSI’s effects on overall burnout, hopelessness, and agency; however, the SSI appeared to support trainees’ interest in SSI delivery and real-world use, both with themselves and with their patients. Participant feedback provided helpful guidance to inform SSI refinement, and potential best-uses, before larger-scale evaluation.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 162-176"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411572","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":"Symptom Profiles and Intensive Treatment Outcomes in Sexual Minority and Heterosexual Patients With OCD","authors":"Caitlin M. Pinciotti,&nbsp;Brian A. Feinstein,&nbsp;Monnica T. Williams","doi":"10.1016/j.beth.2024.06.006","DOIUrl":"10.1016/j.beth.2024.06.006","url":null,"abstract":"<div><div>Sexual minority (SM) individuals appear to be at greater risk for obsessive-compulsive disorder (OCD). Despite this, little is known about OCD presentation and treatment outcomes among SM individuals. Although some research has suggested that SM individuals may be more likely to endorse intrusive thoughts related to violence/sex/religion compared to heterosexual individuals, extant literature has neglected to examine potential differences across different SM groups, a notable limitation given the apparent differences in the types of minority stress that each group experiences and the unique health disparities affecting each group. The current study sought to address these gaps by examining potential differences in OCD symptom severity, presentation, and treatment outcomes using analysis of variance and profile analysis in a clinical sample of 1,502 cisgender patients diagnosed with OCD enrolled in intensive OCD treatment (87.5% heterosexual, 6.6% bisexual, 4.7% lesbian or gay, and 1.1% questioning). Replicating previous research, neither OCD severity nor treatment outcomes differed by sexual orientation, and findings extended previous research that no differences across SM groups were observed, either. However, contrary to previous research, there was also no evidence for unique profiles of OCD symptoms across sexual orientation groups, and questioning individuals reported significantly less severe symmetry symptoms compared to heterosexual and bisexual individuals. Findings are encouraging in that they suggest that cisgender bisexual, lesbian or gay, and questioning individuals with OCD can still benefit significantly and to the same degree as their cisgender heterosexual peers in intensive OCD treatment. Potential explanations for conflicting findings regarding symptom profiles are discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 16-31"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203260","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":"Improvement in Distress Tolerance as a Mechanism of Symptom Reduction During Intensive Exposure and Response Prevention–Based Treatment for OCD","authors":"Donald A. Godfrey,&nbsp;Allison Heinrich,&nbsp;Elizabeth McIngvale,&nbsp;Jennifer Sy,&nbsp;Michael G. Wheaton,&nbsp;Thröstur Björgvinsson","doi":"10.1016/j.beth.2023.12.006","DOIUrl":"10.1016/j.beth.2023.12.006","url":null,"abstract":"<div><div>Exposure and Response Prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD), yet the specific underlying mechanisms by which ERP improves symptoms remain unclear. Initial theories suggested that habituation to triggering events and stimuli was the key therapeutic factor in ERP, while other theories highlight the role of developing the ability to tolerate distress, rather than reduction of distress. The current study examined improvements in distress tolerance as a mechanism of OCD, anxiety, and depressive symptom reductions during an ERP-based intensive program. Participants (<em>N</em> = 180) completed weekly measures of distress intolerance, and symptom severity of OCD, anxiety, and depression. Using Multi-Level Structural Equation Modeling, we found that participants experienced significant weekly decreases in OCD, anxiety, and depressive symptom severity across the course of their ERP-based treatment. Weekly reductions in OCD symptom severity were partially accounted for by weekly improvements in participants’ ability to tolerate distress, particularly for obsession symptoms. This effect was also significant for anxiety and depressive symptom severity, above and beyond the effects of weekly reductions in OCD symptom severity. The current study suggests improving the ability to tolerate distress represents a transdiagnostic mechanism of symptom severity reduction in OCD, anxiety, and depressive psychopathology via intensive ERP-based psychotherapy programming. Limitations and future directions for improving treatments for OCD, anxiety, and depressive symptoms are discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 43-56"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139084391","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":"Prospective Relationships Among Depression and Perceived Opportunity in Juvenile Offenders","authors":"Michael F. Sandella,&nbsp;Gavin N. Rackoff,&nbsp;Michelle G. Newman","doi":"10.1016/j.beth.2024.07.006","DOIUrl":"10.1016/j.beth.2024.07.006","url":null,"abstract":"<div><div>Among juveniles in the justice system, depression and perceived opportunity have implications for long-term adjustment. The prospective associations between these two constructs have not yet been examined in this population. We studied the longitudinal association between depression and perceived opportunity in a sample of recently adjudicated juvenile offenders. Juvenile offenders (<em>n</em> = 1,354) completed measures of depression and perceived opportunity shortly after adjudication and then every 6 months thereafter for 3 years (7 time points total). Relative to White juvenile offenders, lower average levels of perceived opportunity were observed among Black, Hispanic, and juveniles of other races/ethnicities. A random-intercept cross-lagged panel model revealed that greater depression was associated with lower subsequent perceived opportunity (<em>d</em> = -0.22, <em>p</em> &lt; .001). Higher perceived opportunity did not predict subsequent depression (<em>d</em> = -0.07, <em>p</em> = .208). The nonexperimental design prevented inferences about causal links between depression and perceived opportunity. Results should also be replicated in a recently collected dataset. Findings suggested a scar-like effect, such that depression was unidirectionally and negatively associated with lower future perceived opportunity among juveniles. Future research should investigate if treatment for depression improves juvenile offenders’ perceived opportunity.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 177-191"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851959","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":"State and Trait Disgust Uniquely Predict Avoidance in Contamination Fear: Specificity of Disease-Specific and Nonspecific Individual Differences","authors":"Bunmi O. Olatunji,&nbsp;Qimin Liu,&nbsp;Kelly A. Knowles,&nbsp;Sarah C. Jessup","doi":"10.1016/j.beth.2024.06.005","DOIUrl":"10.1016/j.beth.2024.06.005","url":null,"abstract":"<div><div>Although behavioral avoidance is observed among those with heightened contamination concerns, the extent to which such avoidance is best predicted by state and/or trait characteristics is unclear. Furthermore, while disgust proneness is a disease-specific trait that has been shown to predict avoidance among those with symptoms of contamination-based obsessive-compulsive disorder (OCD), it is unclear if other disease-specific traits may also serve a similar function. In the present study, contamination-fearful participants (<em>N</em> = 89) first completed self-report measures of disease-specific (disgust proneness, health anxiety, perceived vulnerability to disease) and disease-nonspecific (intolerance of uncertainty, trait anxiety) traits. They then completed a 16-step behavioral approach task (BAT) with increasing likelihood of contagion in a public restroom and provided ratings of state disgust and state anxiety at each step. Bayesian hierarchical logistic regression showed that state disgust, but not state anxiety, at a given step was associated with avoidance on the next step. Furthermore, disgust proneness was the only trait associated with avoidance on the BAT. A significant interaction between disgust proneness and BAT step completed in the public restroom was also found. Examination of this interaction suggests that intermediary, but not initial and latter, steps of the BAT differentiate those high and low in disgust proneness. These findings suggest that state and trait disgust uniquely drive behavioral avoidance among those with contamination concerns commonly observed in OCD.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 32-42"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141944389","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":"Impact of a Brief Parenting Intervention on Parent and Infant Imitation","authors":"Caroline J. Gillenson, Matthew J. Valente, Mary B. Hagan, Anastassia Cafatti Mac-Niven, Daniel M. Bagner","doi":"10.1016/j.beth.2024.08.007","DOIUrl":"https://doi.org/10.1016/j.beth.2024.08.007","url":null,"abstract":"","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"40 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249472","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":"Underlying Working Mechanisms of Virtual Reality Exposure: Exploring the Role of Fearful Expectancies and Habituation","authors":"Sara Scheveneels, Naomi Carpentier","doi":"10.1016/j.beth.2024.08.004","DOIUrl":"https://doi.org/10.1016/j.beth.2024.08.004","url":null,"abstract":"","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"24 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203253","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":"Evaluating the Effectiveness of Safety Plans for Mitigating Suicide Risk in Two Samples of Psychiatrically Hospitalized Military Veterans","authors":"Jaclyn C. Kearns, Dev Crasta, Elizabeth G. Spitzer, Kaitlyn R. Gorman, Jonathan D. Green, Matthew K. Nock, Terence M. Keane, Brian P. Marx, Peter C. Britton","doi":"10.1016/j.beth.2024.08.001","DOIUrl":"https://doi.org/10.1016/j.beth.2024.08.001","url":null,"abstract":"","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"108 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249473","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":"State of the Science in Behavior Therapy: Taking Stock and Looking Forward","authors":"Jonathan S. Comer","doi":"10.1016/j.beth.2024.07.007","DOIUrl":"10.1016/j.beth.2024.07.007","url":null,"abstract":"<div><div>The scope and burdens of mental health challenges in today’s world are staggering. Among the available psychological treatment approaches, cognitive and behavioral therapies, and their combinations, have garnered the strongest evidence base. That said, progress has not always been linear and most of the work is still ahead of us. Against this backdrop, <em>Behavior Therapy</em> has launched its State of the Science series—an exciting new journal feature offering a curated set of authoritative reviews of research in major areas of relevance to applied cognitive-behavioral science, written by distinguished scientists in each area and peer-reviewed. The vision for the <em>Behavior Therapy</em> State of the Science series is to launch with an initial set of articles that make up this special journal issue, with continued publication of additional State of the Science articles in future journal issues. The current article launches the State of the Science series, providing a brief summary of progress in cognitive and behavioral practice and related areas, as well as various missteps and harmful legacies that remind us that the state of the science for research focused on mental health and the alleviation of human suffering is always in flux and evolving. The 16 inaugural reviews in this special issue are then introduced one by one. Collectively, these State of the Science reviews take stock of what has been learned across key areas in the field, highlight critical knowledge gaps in need of research, and provide expert guidance for improving the effectiveness and reach of care, particularly for marginalized and underserved populations.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1101-1113"},"PeriodicalIF":3.4,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203256","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}