Behavior Therapy最新文献

{"title":"Between Urges and Actions: Unpacking Affective Dynamics in Nonsuicidal Self-Injury","authors":"Amanda N. Bianco,&nbsp;Sarah E. Victor,&nbsp;Sean M. Mitchell","doi":"10.1016/j.beth.2025.09.007","DOIUrl":"10.1016/j.beth.2025.09.007","url":null,"abstract":"<div><div>Engagement in nonsuicidal self-injury (NSSI) can be predicted by affective dynamics (e.g., variability, inertia, and intensity). However, little is known about affective dynamics in relation to NSSI urges that are not acted upon, a phenomenon worth further study given its high rate of occurrence. Such a phenomenon should be studied in real-time through ecological momentary assessment (EMA), given the varying durations and frequency of NSSI urges. The current study examined affective dynamics in relation to EMA-reported NSSI urges and compared affective dynamics among participants with only EMA-reported NSSI urges to those with both EMA-reported NSSI urges and any EMA-reported NSSI behaviors. The sample included 93 young adults (ages 18–34) with past-month NSSI urges or behaviors. Dynamic structural equation modeling (DSEM) was used to analyze between-person affective dynamics. Results showed that greater NSSI urges were associated with greater negative affect variability and intensity, and lower positive affect intensity. Further, individuals who engaged in any NSSI behavior had significantly higher negative affect variability and intensity than those who only reported NSSI urges (but not behaviors) during EMA, even when controlling for past month NSSI behaviors at baseline. This study has important implications for risk identification and later treatment of NSSI urges.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 400-413"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311296","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":"Identity-Related Stress and Obsessive-Compulsive Disorder in Sexual and Gender Minority Individuals: A Test of the Cognitive Behavioral-Minority Stress Model","authors":"Caitlin M. Pinciotti,&nbsp;Ace A. Castillo,&nbsp;Juliana E. Avery,&nbsp;Eric A. Storch,&nbsp;Brian A. Feinstein","doi":"10.1016/j.beth.2025.08.007","DOIUrl":"10.1016/j.beth.2025.08.007","url":null,"abstract":"<div><div>Pinciotti and Feinstein’s (2025) cognitive behavioral-minority stress model of obsessive-compulsive disorder (OCD) proposes to explain the development, presentation, and maintenance of OCD among sexual and gender minority (SGM) individuals. Extrapolating from extant theory and research about the development and maintenance of OCD and, separately, the influence of identity-based stressors on psychopathology among SGM individuals, this model proposes that a combination of early life experiences and identity-based stressors lead to a general predisposition of inflated responsibility to prevent harm, and these beliefs and identity-based stressors subsequently lead to the presence and content of OCD symptoms. Although the cognitive behavioral-minority stress model is grounded in existing theory and research, it has not yet been directly tested. Accordingly, the present study used structural equation models to evaluate this theory in 463 SGM individuals with OCD (Mage = 27.3, 89% female). Inflated responsibility was associated with all OCD symptom dimensions for sexual minority (SM), but only two symptom dimensions for gender minority (GM) individuals. Internalized stigma exhibited unique associations with OCD symptoms for both SM and GM individuals, highlighting its relevance to OCD. Among SM individuals, rejection sensitivity also evidenced associations with OCD symptoms, whereas among gender minority individuals, identity-based physical assault was most consistently associated with OCD symptoms. Findings support the influence of minority stress on OCD symptoms and provide preliminary support for the cognitive behavioral-minority stress model of OCD among SGM individuals. Implications and limitations are discussed, and guidance is offered regarding next steps for this research informed by findings from the present study.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 295-313"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311373","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":"Prolonged Grief, Depressive, and Posttraumatic Stress Symptoms: Random-Intercept Cross-Lagged Panel Analyses","authors":"Antje Janshen,&nbsp;Paul A. Boelen,&nbsp;Mark Huisman,&nbsp;Maarten C. Eisma","doi":"10.1016/j.beth.2025.09.004","DOIUrl":"10.1016/j.beth.2025.09.004","url":null,"abstract":"<div><div>Prolonged grief symptoms often co-occur with depressive and posttraumatic stress (PTS) symptoms, but the temporal relationships between prolonged grief symptoms and other postloss psychopathology symptoms are not well understood. Insights into the temporal relationships can inform treatment decisions for bereaved adults. Therefore, we aimed to clarify these temporal relationships. Three-hundred seven bereaved adults within their first bereavement year (78% female) completed questionnaires to assess prolonged grief, depressive, and PTS symptoms at five time points at 1.5-month intervals. Random-intercept cross-lagged panel modeling was utilized to inspect reciprocal relationships between these symptoms. Higher prolonged grief symptoms than usual predicted other psychopathology symptoms and vice versa across at least one interval in all bivariate models. In a model including prolonged grief, depressive, and PTS symptoms, within-person fluctuations in acute grief (i.e., grief occurring between 0 and 6 months after loss) levels predicted other postloss symptoms but not vice versa. Most variance could be attributed to stable differences between individuals. Future research should examine the clinical utility of targeting acute grief reactions to prevent the emergence of other postloss psychopathology.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 355-373"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310873","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":"Early Improvement Predicts Treatment Response in Depression: An Ecological Momentary Assessment Study in an Inpatient and Day Clinic Setting","authors":"Jeanette Tamm,&nbsp;Keisuke Takano,&nbsp;Leah Just,&nbsp;Thomas Ehring,&nbsp;Tabea Rosenkranz,&nbsp;OPTIMA Study Group,&nbsp;Johannes Kopf-Beck","doi":"10.1016/j.beth.2025.08.002","DOIUrl":"10.1016/j.beth.2025.08.002","url":null,"abstract":"<div><div>Predicting treatment response through early improvement can reduce patients’ time in ineffective treatments before considering alternatives. However, for psychological interventions, there is no consensus on what time window and improvement rate early in the treatment is the most informative for distinguishing treatment responders from nonresponders. This study investigated these aspects in an inpatient and day clinic setting among severe depressed patients who perceived intensive psychological treatment and compared Weekly Questionnaire Assessments (WQA) and Ecological Momentary Assessment (EMA) regarding their power to predict treatment response through early improvement. Fifty-two depressed patients were randomly assigned to one of three intensive 7-week psychological interventions (two individual and two group sessions per week) applied in an inpatient or day clinic setting. Early improvement was assessed three times daily using EMA and weekly using questionnaires (BDI-II). Linear Regression Models and Receiver Operating Characteristic Analyses were conducted to predict treatment response (BDI-II improvement from pre- to postintervention ≥50%) in patients who received a full course of treatment. Moreover, ratios of true negative/false negative predictions were calculated to explore the predictive value of different early improvement definitions: 10%, 20%, 30%, or 40% improvement after 1, 2, 3, or 4 treatment weeks. Both EMA and WQA significantly predicted treatment response after 3 weeks with AUC values of 73% (EMA) and 77% (WQA). A WQA-assessed 10% improvement after 4 weeks yielded the highest ratio of true negative/false negative predictions, with a true negative rate of 22% and a false negative rate of 0%. 10% improvement in depressive symptoms assessed with WQA after 3 to 4 weeks of treatment was the best predictor in our study. Further research is needed to validate the results. This trial design is registered with osf.io/9fuhn.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 234-249"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311301","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":"The Role of the Therapeutic Alliance in Dropout in Cognitive Processing Therapy for Posttraumatic Stress Disorder","authors":"Danielle R. Shayani,&nbsp;Caroline A. Canale,&nbsp;Stefanie T. LoSavio,&nbsp;Denise M. Sloan,&nbsp;Adele M. Hayes","doi":"10.1016/j.beth.2025.09.002","DOIUrl":"10.1016/j.beth.2025.09.002","url":null,"abstract":"<div><div>Dropout rates for treatments for adult posttraumatic stress disorder (PTSD) are high. To date, most investigations have focused primarily on patient factors to understand dropout, but it is also important to investigate therapist–patient factors, such as the therapeutic alliance. The alliance is commonly measured as three components: the therapist–patient bond, agreement on tasks, and agreement on goals. The contributions of each of these components to dropout have not been examined but could highlight important points of intervention to increase engagement. An observational coding system, the Working Alliance Inventory—Observer Version—Short Form (WAI-O-S), was used to code these alliance components in audio-recorded early sessions of cognitive processing therapy (CPT), a gold-standard treatment for PTSD. The therapist–patient Bond, Tasks, and Goals subscales were examined as predictors of dropout in CPT. Participants were 63 treatment-seeking adults with PTSD who received CPT as part of a randomized noninferiority trial. Those who completed the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) at pretreatment and had at least one session available to code (<em>n</em> = 52) were included in analyses. Of those, 15 (28.8%) dropped out of CPT early (all dropped in ≤9 sessions) and 37 (71.2%) completed treatment. Scores on each of the alliance subscales were averaged across the first seven available session recordings. Logistic regression analyses showed that more disagreement on tasks predicted higher risk of dropout (<em>OR</em> = 0.26, 95% CI [0.08, 0.90], <em>p</em> = .034), whereas the bond and agreement on goals did not predict dropout. These findings highlight the importance of examining the specific components of the alliance and suggest that addressing patient reactions to therapeutic tasks may enhance collaboration and decrease the risk of dropout.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 327-340"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311165","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":"Intensive Exposure and Response Prevention for Anxious Youth With a History of Self-Harm and Suicidality","authors":"Abigail M. Stark,&nbsp;Esther S. Tung,&nbsp;Julianne G. Wilner,&nbsp;Jacqueline B. Sperling","doi":"10.1016/j.beth.2025.09.003","DOIUrl":"10.1016/j.beth.2025.09.003","url":null,"abstract":"<div><div>A growing body of research points to the increase in suicidal thoughts and behaviors, nonsuicidal self-injury (NSSI), and anxiety within adolescents. Given the increase in these behaviors for adolescents and young adults within the United States, it has become increasingly likely for clinicians who specialize in anxiety and obsessive-compulsive (OC) disorders to encounter adolescents and young adults with suicidal or self-harming behaviors. However, a paucity of research has examined how to best treat this population with exposure and response prevention (ERP), one of the gold-standard treatments for anxiety and obsessive-compulsive disorder (OCD). The current naturalistic study investigated the efficacy of ERP therapy at an intensive outpatient program in reducing anxiety severity, functional impairment of anxiety, and depression symptoms among adolescents with anxiety disorders and OCD, with a focus on differences in outcomes based on a history of NSSI or suicidal thoughts and behaviors (STBs). Results demonstrated significant improvements across the entire sample, including reductions in anxiety severity, anxiety impact, and depression symptoms. However, adolescents with a history of NSSI/STBs demonstrated higher symptom severity at both admission and discharge compared to those without such a history and showed less change in anxiety and depression scores over the course of treatment compared with the non-NSSI/STB group. The study underscores the effectiveness of ERP for youth with complex mental health presentations. These findings have critical implications for clinical practice, supporting the inclusion of ERP in treatment plans for youth with comorbid anxiety and NSSI/STBs, while emphasizing the need for adapted approaches as well as further research to improve outcomes for those with a history of NSSI/STBs.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 341-354"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311322","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":"Validation of the Valued Living Questionnaire–Comprehension Support Version (VLQ-CS) in a Neurotypical Adult Cohort","authors":"Jessica Skaliotis,&nbsp;Hannah Miller,&nbsp;Dana Wong","doi":"10.1016/j.beth.2025.09.006","DOIUrl":"10.1016/j.beth.2025.09.006","url":null,"abstract":"<div><div>The Valued Living Questionnaire–Comprehension Support version (VLQ-CS) was previously adapted from the original VLQ to measure value-consistent actions in individuals with cognitive and communication difficulties following acquired brain injury (ABI). In this study, we aimed to determine if the VLQ-CS is also a valid and reliable measure of valued living in neurotypical adults, and to compare the psychometric properties of the original and adapted VLQ across ABI and neurotypical cohorts. The VLQ-CS was completed by adults without neurological or neurodevelopmental diagnoses with an assessor via Zoom, with an average completion time of 2 minutes. To measure test-retest reliability, participants completed the VLQ-CS again after 2–3 weeks, and the association was analyzed with Intraclass Correlation Coefficients. Convergent validity was assessed with related measures administered at Time 1, including the Valuing Questionnaire and measures of general health, well-being, depression, anxiety, and experiential avoidance. Discriminant validity was assessed with an everyday memory questionnaire. Participants completed measures independently, with the assessor providing support as required. Construct validity was analyzed using the multitrait multimethod (at least 75% of Pearson’s correlation coefficients in the hypothesized direction). Seventy-four participants completed the initial assessment, and 70 completed the second. Test-retest reliability ranged from excellent (.91) to good (.78) across VLQ-CS scales. Construct validity was supported. As the VLQ-CS performed comparably to the VLQ and was previously found to have superior psychometrics for individuals with ABI, it may offer a more accessible and inclusive measure for use in research and clinical practice across clinical and nonclinical populations.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 388-399"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311097","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":"The Impact of Caregiver Trauma on Youth TF-CBT Attrition: Moderation by Youth Emotion Regulation","authors":"Michelle P. Brown,&nbsp;Brian Allen,&nbsp;Anna Leah Davis,&nbsp;Ashley Bucher,&nbsp;Curtisha Shacklewood,&nbsp;Rachel Brettler","doi":"10.1016/j.beth.2025.08.012","DOIUrl":"10.1016/j.beth.2025.08.012","url":null,"abstract":"<div><div>The existing awareness of the intergenerational impacts of trauma highlights the importance of understanding how caregivers’ past trauma may affect their child’s ability to succeed in trauma-focused treatment, such as trauma-focused cognitive behavioral therapy (TF-CBT). However, research in this area is minimal, and work focusing specifically on TF-CBT attrition is even more limited. This study investigates the predictive power of caregiver trauma on TF-CBT completion and total number of sessions attended. We additionally tested the moderating effects of caregiver depression and youth emotion regulation (ER). Caregivers of participants (<em>N</em> = 108, M_age = 11.10, 62.96% female, 53.7% White, 14.8% Hispanic/Latino/a) receiving TF-CBT at a clinic within an academic medical center reported on their own trauma experiences as well as their child’s ER skills. Analyses found that youth emotion regulation moderated the association between caregiver trauma history and number of sessions attended in that youth whose caregivers had experienced a greater number of maltreatment subtypes and whose children had weaker emotion regulation skills completed a greater number of TF-CBT sessions (β = −.31, <em>p</em> = .021). These findings suggest a complex interaction between caregiver trauma, youth ER, and TF-CBT outcome and further emphasize the importance of considering both caregiver and youth factors in treatment outcome.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 314-326"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310934","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":"Low-Burden Detection of Clinical Worsening in Body Dysmorphic Disorder Using Smartphone Sensor and Demographic Data","authors":"Hilary Weingarden,&nbsp;Vincent Holstein,&nbsp;Geneva K. Jonathan,&nbsp;Michael Armey,&nbsp;Jukka-Pekka Onnela,&nbsp;Sabine Wilhelm","doi":"10.1016/j.beth.2025.09.001","DOIUrl":"10.1016/j.beth.2025.09.001","url":null,"abstract":"<div><div>Body dysmorphic disorder (BDD) is characterized by distressing preoccupations with perceived appearance flaws, leading to functional impairment and suicidal ideation (SI). Traditional approaches for monitoring clinical deterioration in BDD include self-reports and clinician assessments, which can miss acute changes in risk due to infrequent administration and recall biases. Alternatively, real-time monitoring via smartphones and wearable devices can enable low-burden early detection of deterioration, identifying intervention opportunities <em>before</em> someone’s condition critically worsens. This study tests the feasibility of using smartphone sensor and demographic data to predict daily clinical acuity. Eighty-two participants with BDD completed ecological momentary assessments (EMA) over 28 days, reporting levels of SI, BDD-related avoidance, and time spent on BDD-related concerns. Smartphone sensor data were collected for 3 months that overlapped with EMA. Machine learning models were trained to predict same-day levels of SI, avoidance, and time spent on BDD using the Global Positioning System (GPS), accelerometer, and demographic data. We evaluated model performance using mean absolute error, Pearson and Spearman correlations, and permutation tests. Random forest <strong>(</strong>RF) models using time and random split validation outperformed dummy regressor models across outcomes (maximum SI, mean SI, maximum avoidance, mean avoidance, time spent on BDD-related behaviors). Pearson correlations for RF models showed strong predictive performance for BDD-related time (<em>r</em> = .74–.75) and mean and max SI (<em>r</em> = .70–.73). Mean and max avoidance was moderately well predicted (<em>r</em> = .56–.62). Step count and demographic factors (e.g., education, living situation) were the most consistent and important features. This study provides initial evidence that smartphone sensor and demographic data can be used to monitor real-time clinical worsening in BDD, without burdening the patient. This work has potential for building just-in-time interventions that are delivered <em>as deterioration onsets</em>, to prevent its escalation. Future research should test these models in real-world datasets collected over longer periods and subsequently explore integration into interventions and clinical decision making.</div><div><strong>Trial Registration:</strong> ClinicalTrials.gov Identifier: NCT04254575.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 220-233"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311309","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 Feasibility and Acceptability Trial of Narrative Exposure Therapy During Pregnancy","authors":"Avelina C. Padin,&nbsp;Michelle L. Miller,&nbsp;Marisa J. Perera,&nbsp;Samantha Addante,&nbsp;Adela Scharff,&nbsp;Danie J. Meyer,&nbsp;Madeleine U. Shalowitz,&nbsp;Natalie R. Stevens","doi":"10.1016/j.beth.2025.08.005","DOIUrl":"10.1016/j.beth.2025.08.005","url":null,"abstract":"<div><div>Perinatal posttraumatic stress disorder (PTSD) poses a significant risk to maternal and infant mental and physical health. Addressing PTSD during pregnancy is crucial to improving perinatal health; however, evidence-based trauma-focused psychotherapy tailored to this population remains understudied. The current study examined the feasibility, acceptability, and potential treatment effects of Narrative Exposure Therapy (NET) in a diverse sample that includes Black/African American and Hispanic/Latina pregnant women. Pregnant participants (<em>N</em> = 29) in this nonrandomized, open-label trial received a course of NET and completed assessment measures before treatment, one-week and one-month posttreatment, and at one-month postpartum. Measures of feasibility (treatment engagement and retention) and acceptability (participant pretreatment expectations and posttreatment feedback) were examined. Exploratory analyses examined within-subjects changes in PTSD and depression symptoms to investigate potential treatment effects. The majority of participants reported positive pretreatment expectations of NET (91.3%), and a high degree of satisfaction (69.6%) and perceived benefit (100%) from NET posttreatment. Linear mixed models showed significant decreases in PTSD and depressive symptoms over time, with sustained symptom improvement extending into the postpartum period. Within-subjects effect size calculations revealed large treatment effects from pretreatment to one-week posttreatment and from pretreatment to postpartum for both PTSD and depression symptoms. Findings suggest that NET is feasible, acceptable, and beneficial during pregnancy, including among minoritized populations, and suggest it is an appropriate approach to treating perinatal PTSD.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 2","pages":"Pages 269-283"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311338","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}