Behavior Therapy最新文献_第3页

“Warning—This Content May Trigger Temporary Discomfort, Which Is Expected and Manageable”: The Effect of Modified Trigger-Warning Language on Reactions to Emotionally Provocative Content “警告-此内容可能会引发暂时的不适，这是预期和可控的”：修改触发警告语言对情绪挑衅内容反应的影响

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-11-14 DOI: 10.1016/j.beth.2024.11.001

Kathryn M. Bell, Rebeka Howardson, Diane Holmberg, Tara L. Cornelius

{"title":"“Warning—This Content May Trigger Temporary Discomfort, Which Is Expected and Manageable”: The Effect of Modified Trigger-Warning Language on Reactions to Emotionally Provocative Content","authors":"Kathryn M. Bell, Rebeka Howardson, Diane Holmberg, Tara L. Cornelius","doi":"10.1016/j.beth.2024.11.001","DOIUrl":"10.1016/j.beth.2024.11.001","url":null,"abstract":"<div><div>A growing body of research suggests that trigger warnings do not actually reduce distress in those viewing emotionally provocative stimuli and may at times even worsen it. However, little is known regarding the potential benefits of modifying trigger-warning language so that it employs therapeutically consistent messaging to encourage adaptive coping. The current study explored whether a modified trigger warning might be more effective than a traditional trigger warning in reducing participants’ negative affect (NA) when exposed to distressing content. University students (<em>N</em> = 606) participated in an online study and were randomly assigned to one of three conditions: traditional trigger warning, modified trigger warning, or a no-warning control group. NA was measured before and after display of two emotionally provocative stimuli (one article and one video). Anxiety sensitivity (AS) and posttraumatic stress symptoms (PTSS) were also measured to assess whether these preexisting individual vulnerabilities might moderate participants’ responses to the different messages. Although the carefully pilot-tested stimuli were successful in increasing NA, there was no significant effect of trigger-warning condition, despite ample statistical power. AS and PTSS were associated with higher overall levels of NA but did not interact with study condition. These results add to the growing body of literature suggesting trigger warnings (whether traditional or modified) do not succeed in their goal of reducing the distress elicited by emotionally provocative content, including among vulnerable individuals. Alternative approaches to traditional trigger warnings are considered that may help individuals cope adaptively with potentially distressing material.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 213-224"},"PeriodicalIF":3.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480606","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

Moderators and Mediators of Treatments for Suicidal Thoughts and Behaviors: A Review of More Than 50 Years of Randomized Controlled Trials 自杀念头和行为治疗的调节因子和中介因子：50多年的随机对照试验综述

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-10-22 DOI: 10.1016/j.beth.2024.10.003

Pauline Goger, Ruiyuan Guo, Soobin Jo, Christine B. Cha, Jessica Ribeiro, Xieyining Huang, Kathryn R. Fox

{"title":"Moderators and Mediators of Treatments for Suicidal Thoughts and Behaviors: A Review of More Than 50 Years of Randomized Controlled Trials","authors":"Pauline Goger, Ruiyuan Guo, Soobin Jo, Christine B. Cha, Jessica Ribeiro, Xieyining Huang, Kathryn R. Fox","doi":"10.1016/j.beth.2024.10.003","DOIUrl":"10.1016/j.beth.2024.10.003","url":null,"abstract":"<div><div>Psychosocial treatments for suicidal thoughts and behaviors (STBs) are in need of improvement, as suicide rates have substantially increased in the last 20 years and current interventions show limited efficacy. One way to potentially boost response rates is to personalize treatments by identifying what works how and for whom to maximize impact across different individuals. A scoping review of all suicide treatment randomized controlled trials was performed on PubMed, PsycInfo, and GoogleScholar through May 2024 to identify moderators and mediators of suicide treatment. Forty-six studies including moderators and 15 studies including mediators were identified and evaluated by at least two independent researchers. The most frequently tested moderators across both adults and adolescents include age, gender/sex, history of STBs, therapeutic alliance, comorbid depression, and comorbid borderline personality disorder diagnoses or symptoms, with the strongest support found for therapeutic alliance in adults. No mediator was tested in more than one trial or research group, but hopelessness, avoidance, mentalization, and number of treatment contacts in adolescents and resilience, anxiety sensitivity, acceptance, and therapeutic relationship in adults showed positive signals. Overall, additional work is needed as heterogeneity, lack of replication attempts, and concerns about moderator and mediator quality currently limit confidence in findings.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 241-260"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480608","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 Relevance of Perceived Barriers to Treatment in Adults With Body Dysmorphic Disorder Symptoms: Comparing Psychotherapy and Online Interventions 探索成人身体畸形障碍症状的感知障碍与治疗的相关性：比较心理治疗和在线干预

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-10-18 DOI: 10.1016/j.beth.2024.10.001

Katharina Bosbach, Johanna Schulte, Alexandra Martin

{"title":"Exploring the Relevance of Perceived Barriers to Treatment in Adults With Body Dysmorphic Disorder Symptoms: Comparing Psychotherapy and Online Interventions","authors":"Katharina Bosbach, Johanna Schulte, Alexandra Martin","doi":"10.1016/j.beth.2024.10.001","DOIUrl":"10.1016/j.beth.2024.10.001","url":null,"abstract":"<div><div>Although individuals facing Body Dysmorphic Disorder (BDD) endure considerable levels of distress, they often do not engage in empirically effective cognitive-behavioral therapy. Identified barriers to seeking treatment include logistical challenges, shame and stigmatization, and pessimistic expectations of mental health interventions associated with a lack of insight into having a psychological issue. This study investigates the relevance of these perceived treatment barriers for face-to-face therapy and for online interventions as a potentially accessible alternative or entry to traditional psychotherapy. Through an online survey involving 321 participants (comprising 239 with elevated BDD symptoms and 82 with self-reported probable BDD), we utilize the Barriers to Treatment Questionnaire to assess different perceived barriers. A comparative analysis is conducted to contrast the perceived relevance of barriers to psychotherapy with those reported for online interventions. As a result, perceived barriers to psychotherapy are most prominent in feelings of shame and fear of stigmatization, followed by logistical challenges and negative treatment expectations, and again followed by format-related concerns. Overall perceived barriers to online interventions are lower, though concerns related to the intervention format, such as data security concerns, become more pronounced. Notably, shame and stigmatization remain central factors in both contexts. When offering psychological help to individuals with BDD, the aspects of shame and negative attitudes toward seeking psychological help should be primarily addressed. Considering all their advantages, online interventions should continue to be utilized for BDD, to improve the treatment situation, but it should be noted that this treatment format is not without challenges.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 618-633"},"PeriodicalIF":3.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869030","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

The Efficacy of Technology-Enhanced Behavioral Parent Training for Families With Low Income: Do Parent-Centered Profiles Moderate Treatment Outcomes? 技术增强的父母行为训练对低收入家庭的效果：以父母为中心的档案是否会影响治疗结果？

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-10-18 DOI: 10.1016/j.beth.2024.10.002

Yexinyu Yang, Justin Parent, Karen M. Gil, Deborah J. Jones

{"title":"The Efficacy of Technology-Enhanced Behavioral Parent Training for Families With Low Income: Do Parent-Centered Profiles Moderate Treatment Outcomes?","authors":"Yexinyu Yang, Justin Parent, Karen M. Gil, Deborah J. Jones","doi":"10.1016/j.beth.2024.10.002","DOIUrl":"10.1016/j.beth.2024.10.002","url":null,"abstract":"<div><div>Behavior disorders (BDs) in children are common and have long-term impacts. Financially disadvantaged families are at a greater risk of having a child with an early-onset BD but have more difficulty engaging in and therefore benefiting from behavior parent training (BPT). Building upon the potential of technology-enhanced (TE) treatment approaches in addressing barriers to treatment engagement and effectiveness, TE to one BPT program, Helping the Noncompliant Child (HNC), were tested in a randomized controlled trial (RCT) with 101 families with low income. The current study aimed to examine for whom TE-HNC versus standard HNC is optimal at posttreatment by exploring how pretreatment, parent-centered profiles may moderate parenting and child outcomes at posttreatment. Latent profile analyses yielded four distinct parent-centered profiles. The profile membership differentially predicted treatment outcomes by group for positive and negative parenting, as well as child behavior intensity, but not child problem behavior. The heterogeneity of responses to standard relative to TE treatment models among underserved families may provide clues regarding the future personalization of BPT toward improved treatment efficacy.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 261-275"},"PeriodicalIF":3.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479881","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

Examining the Reciprocal Association Between Worry and Sleep: Disaggregating Between- and Within-Person Effects 检查焦虑和睡眠之间的相互关系：分解人与人之间和人与人之间的影响

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-10-18 DOI: 10.1016/j.beth.2024.09.005

Clara Law, Alexander W. Sokolovsky, David L. Yap, Joel Erblich, Kathleen Gunthert, Evelyn Behar

{"title":"Examining the Reciprocal Association Between Worry and Sleep: Disaggregating Between- and Within-Person Effects","authors":"Clara Law, Alexander W. Sokolovsky, David L. Yap, Joel Erblich, Kathleen Gunthert, Evelyn Behar","doi":"10.1016/j.beth.2024.09.005","DOIUrl":"10.1016/j.beth.2024.09.005","url":null,"abstract":"<div><div>Studies investigating the reciprocal association between worry and sleep have yielded mixed findings and suffered from methodological limitations. The purpose of this study was to assess the reciprocal association between worry and various indices of sleep (i.e., sleep onset latency [SOL], total sleep duration [TSD], sleep quality [SQ], and morning lingering [ML]). In a longitudinal daily assessment study, participants (<em>N</em> = 182) completed a sleep diary and a measure of worrisome thinking three times per day for 7 days. We used linear mixed effects models to examine worry predicting sleep, and Tobit regression models to examine sleep predicting worry, and controlled for previous day report of the outcome variable and person- and day-level effects. Results indicate that greater person-level worry, but not day-level worry, was significantly associated with longer SOL, worse SQ, and longer ML. Furthermore, greater person-level SOL, TSD, and ML was associated with greater worry, and greater person-level SQ was associated with less worry. Finally, we found that shorter day-level TSD and lower day-level SQ was associated with greater next-day worry. These findings support a reciprocal person-level association between worry and sleep (except for TSD), and a unidirectional day-level association between TSD and SQ as predictors of worry.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 634-647"},"PeriodicalIF":3.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869031","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

Enhancing Understanding of Eating Psychopathology: A Network Analysis Study 增进对饮食精神病理学的了解：一项网络分析研究

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-10-02 DOI: 10.1016/j.beth.2024.09.004

Cristiana C. Marques, Paula Castilho, Miguel Castelo-Branco, Ana T. Pereira, Kenneth Goss

{"title":"Enhancing Understanding of Eating Psychopathology: A Network Analysis Study","authors":"Cristiana C. Marques, Paula Castilho, Miguel Castelo-Branco, Ana T. Pereira, Kenneth Goss","doi":"10.1016/j.beth.2024.09.004","DOIUrl":"10.1016/j.beth.2024.09.004","url":null,"abstract":"<div><div>Compassion Focused Therapy for eating disorders (CFT-E) has been shown to be effective in treating eating psychopathology. Exploring which processes identified by the CFT-E model are most linked with eating disorder symptoms could help develop targeted treatments. However, the relationship between these variables requires further investigation. This study explores the interconnections between eating disorder symptoms and processes identified by the CFT-E using a network analysis approach. Participants were 497 individuals (77.3% female) from a community sample who completed measures to assess body dissatisfaction, shape and weight overvaluation, cognitive restraint, bingeing, emotional eating, purging, self-compassion, social comparison through appearance, self-criticism, appearance-related shame, guilt and pride, and positive and negative affect. A regularized partial correlation network was estimated. Appearance-related shame, inadequate self and body dissatisfaction emerged as the central nodes in the network. These findings support the use of interventions targeting shame and self-criticism for the treatment of eating disorder symptoms. Studies with diverse samples are needed to further examine the interconnections between eating psychopathology and the key processes identified by the CFT-E theoretical model.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 605-617"},"PeriodicalIF":3.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869029","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

Misconceptions Among Mental Health Treatment Providers About OCD and PTSD 心理健康治疗提供者对强迫症和创伤后应激障碍的误解

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-09-28 DOI: 10.1016/j.beth.2024.09.003

Caitlin M. Pinciotti, Gabriella T. Ponzini, Gianna M. Colombo, Carmen P. McLean, Terri L. Fletcher, Natalie E. Hundt, Lauren P. Wadsworth, Nathaniel Van Kirk, Stephanie Y. Wells, Jonathan S. Abramowitz, Wayne K. Goodman, Eric A. Storch

{"title":"Misconceptions Among Mental Health Treatment Providers About OCD and PTSD","authors":"Caitlin M. Pinciotti, Gabriella T. Ponzini, Gianna M. Colombo, Carmen P. McLean, Terri L. Fletcher, Natalie E. Hundt, Lauren P. Wadsworth, Nathaniel Van Kirk, Stephanie Y. Wells, Jonathan S. Abramowitz, Wayne K. Goodman, Eric A. Storch","doi":"10.1016/j.beth.2024.09.003","DOIUrl":"10.1016/j.beth.2024.09.003","url":null,"abstract":"<div><div>Obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) share overlapping features for which similar cognitive behavioral treatment (CBT) strategies can be employed. However, the comorbid presence of these conditions poses unique clinical considerations, and a nuanced approach to assessment, conceptualization, and treatment is needed when working with individuals with co-occurring OCD and PTSD. Treatment providers may not be aware of these nuances and may hold misconceptions about co-occurring OCD and PTSD, impacting their approach to assessment, conceptualization, and treatment. The current study sought to examine possible misconceptions among mental health treatment providers of differing specializations. Among 146 primarily CBT-oriented treatment providers (20.3% generalist, 13.0% PTSD specialist, 32.6% OCD specialist, and 34.1% OCD/PTSD specialist), exploratory factor analysis categorized misconceptions relating to Trepidation, Differential Diagnosis, Flexibility, OCD is Trauma, Trauma Misconceptions, and Compartmentalization. Overall, OCD specialists endorsed misconceptions most frequently, including those of Trepidation and underestimating the prevalence of trauma and PTSD in individuals with OCD. In contrast, PTSD specialists were more likely to endorse providing patients reassurance for their OCD-related fears, and OCD/PTSD providers were more likely to apply rigid Differential Diagnosis criteria not supported by research or diagnostic criteria to intrusive thoughts and safety behaviors. Misconceptions are explained through the lens of differing conceptualization and treatment approaches between areas of specialization.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 470-486"},"PeriodicalIF":3.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869072","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

Self-Guided Behavioral Activation Using an Online Single-Session Intervention: Content and Lexical Analyses of Activity Scheduling 使用在线单次干预进行自我指导行为激活：活动安排的内容和词汇分析

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-09-08 DOI: 10.1016/j.beth.2024.09.001

Allison Peipert, Lauren A. Rutter, Jacqueline Howard, Lorenzo Lorenzo-Luaces

{"title":"Self-Guided Behavioral Activation Using an Online Single-Session Intervention: Content and Lexical Analyses of Activity Scheduling","authors":"Allison Peipert, Lauren A. Rutter, Jacqueline Howard, Lorenzo Lorenzo-Luaces","doi":"10.1016/j.beth.2024.09.001","DOIUrl":"10.1016/j.beth.2024.09.001","url":null,"abstract":"<div><div>The Common Elements Toolbox (COMET) is a self-guided online single-session intervention (SSI) containing cognitive-behavioral elements, including behavioral activation (BA). Little is known about the process of activity scheduling in BA. Using data from an 8-week randomized controlled trial of COMET with 409 online workers with a history of psychopathology, two raters coded the types of activities individuals scheduled during the intervention. Additionally, we compared the activities to a BA dictionary developed from therapist-led psychotherapy. We explored baseline clinical and demographic variables that were predictive of the activity category scheduled and explored the scheduled activity category as a predictor of depression, anxiety, and well-being post-intervention. Results yielded 9 different activity types, most commonly sedentary hobbies (41%), physical activity (29%), and active hobbies (18%). We found a small overlap (17%) between the self-guided BA activities in our COMET sample and those in the existing BA dictionary. Demographic variables were predictive of activity category, but clinical variables were not. The type of activity scheduled was not predictive of post-intervention outcomes. In self-guided BA, individuals, particularly men, less educated participants, and racial-ethnic minorities, tend to pick sedentary activities. Findings underscore the need for adaptive and personalized interventions.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 501-512"},"PeriodicalIF":3.4,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869073","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

Impact of an 8-Week, Intensive Summer Treatment Program on Improving Coercive Caregiver-Child Interactions Among Children With and Without Callous Unemotional Traits 一项为期8周的夏季强化治疗计划对改善具有或不具有冷酷无情特征的儿童的强制性照顾者与儿童互动的影响

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-09-07 DOI: 10.1016/j.beth.2024.08.008

Jennifer Piscitello, Emily L. Robertson, Maya Renaud, Diandra Leon, Timothy Hayes, William E. Pelham Jr.

{"title":"Impact of an 8-Week, Intensive Summer Treatment Program on Improving Coercive Caregiver-Child Interactions Among Children With and Without Callous Unemotional Traits","authors":"Jennifer Piscitello, Emily L. Robertson, Maya Renaud, Diandra Leon, Timothy Hayes, William E. Pelham Jr.","doi":"10.1016/j.beth.2024.08.008","DOIUrl":"10.1016/j.beth.2024.08.008","url":null,"abstract":"<div><div>The coercive process is the primary explanatory mechanism implicated in the maintenance of disruptive behavior disorders (DBDs), and understanding the coercive cycle may be especially important for caregivers with children with elevated callous-unemotional (CU) traits. The purpose of the current pilot study is twofold. First, we assessed whether the Summer Treatment Program (STP), an established intensive behavioral intervention for children with DBDs, reduced coercive caregiver-child interactions using a novel parent-report measure of coercive interactions. We then sought to assess whether the STP improved coercive caregiver-child interactions among children with elevated CU traits (i.e., moderated the effect). Thirty-three caregivers and their children who had been diagnosed with DBDs participated in the STP, which involved the children receiving behavior modification for 9 hours per day and caregivers attending a weekly behavioral parent training group session over the course of 8 weeks. Children (M<sub>age</sub> = 8.51 years old, SD = 1.70, range 6–12) were primarily male (78.5%) and Hispanic/Latine (84.8%). A linear multilevel model revealed a statistically significant improvement in caregiver-child coercive interactions from pre- to posttreatment. However, child pretreatment CU traits moderated this effect such that families with children with elevated CU traits <em>did not</em> show improvement in caregiver-child coercive cycles following treatment. Results suggest the benefits of intensive behavioral treatment on the caregiver-child coercive cycle for many families, but the need to modify the intensity or dose of treatments for those with children with DBDs and elevated CU traits.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 276-289"},"PeriodicalIF":3.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479882","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

The Effects of Parent-Child Interaction Therapy on Parent Feeding Practices and Children’s Problematic Mealtime Behaviors 亲子互动治疗对父母喂养行为和儿童问题用餐行为的影响

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-08-20 DOI: 10.1016/j.beth.2024.08.005

Shawna M. Campbell, Elia-Jade Edwards, Victoria Hambour, Nina Horan, Tanya Hawes, Kellie Swan, Melissa Wotton, Bethany Melloy, Melanie J. Zimmer-Gembeck

{"title":"The Effects of Parent-Child Interaction Therapy on Parent Feeding Practices and Children’s Problematic Mealtime Behaviors","authors":"Shawna M. Campbell, Elia-Jade Edwards, Victoria Hambour, Nina Horan, Tanya Hawes, Kellie Swan, Melissa Wotton, Bethany Melloy, Melanie J. Zimmer-Gembeck","doi":"10.1016/j.beth.2024.08.005","DOIUrl":"10.1016/j.beth.2024.08.005","url":null,"abstract":"<div><div>Many children are fussy or demanding about food, and managing these behaviors can be difficult and distressing for parents. Yet, no previous study had examined whether Parent-Child Interaction Therapy (PCIT), an interactive parenting support program that coaches caregivers while they interact with their young children, improves problematic mealtime behaviors and food-related parenting practices. In this study, 178 parents in Australia (M<em><sub>age</sub></em> = 35.1 years, <em>SD</em> = 7.5 years; 93% female) of young children (M<em><sub>age</sub></em> = 4.5 years, <em>SD</em> = 1.3, 76% male) completed up to two baseline surveys (prior to a waitlist, pre-PCIT) and a third survey after PCIT. The surveys included measures of their parenting practices in general and related to feeding and mealtimes, beliefs about eating, and children’s mealtime behavior (e.g., food avoidance, mealtime aggression) and general externalizing symptoms. Using paired <em>t</em>-tests, no changes were found during baseline (pre-waitlist to pre-PCIT), but from pre- to post-PCIT, medium to large improvements were found in parent mealtime demandingness and responsiveness, aversion to mealtime, child eating behaviors, general parenting practices, and child externalizing behavior. However, positive mealtime environment did not improve and improvements in general parenting and behavior were larger than for eating-related parenting and child behavior. The findings suggest that PCIT can be effective for reducing most problematic mealtime behaviors and can improve multiple parental feeding practices.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 566-579"},"PeriodicalIF":3.4,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869036","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