Behavior Therapy最新文献

{"title":"Examining the Role of Homework Compliance in Acceptance-Enhanced Behavior Therapy for Trichotillomania","authors":"Kathryn E. Barber,&nbsp;Douglas W. Woods,&nbsp;Michael P. Twohig,&nbsp;Stephen M. Saunders,&nbsp;Scott N. Compton,&nbsp;Martin E. Franklin","doi":"10.1016/j.beth.2025.01.003","DOIUrl":"10.1016/j.beth.2025.01.003","url":null,"abstract":"<div><div>Between-session therapy homework is a key component of cognitive-behavioral therapies, yet its role in trichotillomania treatment remains understudied. The present study examined the associations between homework compliance and treatment outcomes in acceptance and commitment therapy (ACT) enhanced behavior therapy (AEBT) for trichotillomania. Participants included 35 adults with trichotillomania who participated in a 12-week randomized controlled trial of AEBT. Therapists documented patient homework assignment completion and rated homework adherence after each session. Trichotillomania symptom severity was assessed posttreatment and at 6-month follow-up. Higher overall homework completion rate and therapist-rated homework adherence predicted lower trichotillomania symptom severity at posttreatment and follow-up. These findings were consistent for homework compliance during early and late treatment phases and for both ACT and behavior therapy–based homework assignments. A stronger therapeutic relationship strengthened the positive effects of homework compliance on symptom reduction. Higher automatic pulling moderated the association between overall homework completion and better outcomes. Predictors of higher homework compliance included higher therapeutic relationship quality, younger age, and lower anxiety. These findings underscore the importance of between-session homework in trichotillomania treatment and support the inclusion of both ACT and behavior therapy assignments. Interventions to promote homework compliance could enhance the efficacy of AEBT and lead to greater symptom improvements.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 823-837"},"PeriodicalIF":3.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312877","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":"Concentrated Cognitive-Behavior Therapy for Unmedicated Children and Adolescents With Obsessive-Compulsive Disorder in Routine Clinical Care: A Randomized Controlled Trial With a 6-Month Naturalistic Follow-up","authors":"Laura Hermida-Barros,&nbsp;Blanca García-Delgar,&nbsp;Sara Lera-Miguel,&nbsp;Eduard Forcadell,&nbsp;Elena Moreno,&nbsp;Mireia Primé-Tous,&nbsp;Núria Jaurrieta,&nbsp;Xavier Segú,&nbsp;Enric Vilajosana,&nbsp;Carles Soriano-Mas,&nbsp;Lorena Fernández de la Cruz,&nbsp;Eduard Vieta,&nbsp;Joaquim Radua,&nbsp;Luisa Lázaro,&nbsp;Miquel A. Fullana","doi":"10.1016/j.beth.2025.01.001","DOIUrl":"10.1016/j.beth.2025.01.001","url":null,"abstract":"<div><div>Cognitive-behavior therapy (CBT) is effective for obsessive-compulsive disorder (OCD). Because CBT requires significant time and resources, there is an increased interest in developing shorter formats of CBT for OCD (i.e., fewer sessions or in less time). We conducted a randomized single-blind controlled trial to investigate the effectiveness of concentrated CBT (co-CBT; 20 hours of therapist time across one month) compared to a waiting list (WL) in 30 unmedicated children and adolescents with OCD aged 7–17 in routine clinical care. Co-CBT was superior to the WL in reducing OCD symptom severity at posttreatment (primary endpoint; Cohen’s <em>d</em> = 1.76) and these results were maintained through the end of a naturalistic 6-month follow-up. Participants initially randomized to the WL were offered co-CBT at the end of the trial and post-hoc analyses showed that they had similar improvements to those initially randomized to co-CBT. In post-hoc predictor analyses, participants aged 7–12, compared to those aged 13–17, and those with higher baseline OCD severity showed better posttreatment outcomes. Co-CBT is an effective intervention for unmedicated children and adolescents with OCD in routine clinical care. Studies including more robust control groups and larger samples are needed to replicate and expand these findings. Trial registration number: NCT04042038.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 799-811"},"PeriodicalIF":3.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312875","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 Relationship Between the Therapeutic Alliance and Social Anxiety Symptoms Along the Course of Internet-Delivered Cognitive Behavioral Treatment","authors":"Jonathan G. Shalom,&nbsp;Adi Prihar,&nbsp;Asher Y. Strauss,&nbsp;Jonathan D. Huppert,&nbsp;Gerhard Andersson,&nbsp;Idan M. Aderka","doi":"10.1016/j.beth.2025.01.002","DOIUrl":"10.1016/j.beth.2025.01.002","url":null,"abstract":"<div><div>The therapeutic alliance is a consistent predictor of treatment outcome. In the present study, we examined whether the therapeutic alliance is associated with symptoms of social anxiety along the course of internet-delivered cognitive behavior therapy (ICBT) for social anxiety disorder (SAD). We examined data from a large treatment trial (<em>n</em> = 182) in which individuals with SAD reported on their social anxiety and alliance with the therapist each week during the treatment (for 11 weeks). We examined the total variance in alliance as well as within- and between-individual variances separately. Consistent with our hypotheses, we found that the total variance in alliance predicted the total variance in social anxiety in the following week. In addition, we found that within-individual variance in alliance was negatively associated with within-individual variance in social anxiety (in the following week). Thus, weekly increases in alliances were associated with weekly reductions in social anxiety in the following week. Finally, we found that between-individual variance in alliance was positively associated with between-individual variance in social anxiety such that individuals who were more socially anxious created stronger alliances with their therapists over the course of treatment. Our findings suggest that the therapeutic alliance is important in ICBT for SAD, that separating variance into within and between components may help identify different psychological processes, and that improving within-individual alliance may lead to reductions in symptoms of social anxiety.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 812-822"},"PeriodicalIF":3.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312876","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":"An Internet-Delivered Rumination-Focused CBT Intervention for Adults With Depression and Anxiety: A Randomized Controlled Trial","authors":"Bogdan Tudor Tulbure,&nbsp;Diana Paula Dudău,&nbsp;Ștefan Marian,&nbsp;Edward Watkins","doi":"10.1016/j.beth.2024.12.004","DOIUrl":"10.1016/j.beth.2024.12.004","url":null,"abstract":"<div><div>Targeting transdiagnostic psychopathological mechanisms like repetitive negative thinking (RNT; worry, rumination) could improve interventions for depression and anxiety. The goal of the current study was to test whether therapist-supported internet-based RNT-targeting cognitive behavioral therapy reduces RNT, anxiety, and depression in adults with elevated RNT and anxiety and/or depression. To this end, a single-blind, two-arm parallel-group superiority randomized controlled trial (RCT) was conducted with 118 adults across Romania with elevated levels of worry and/or rumination and at least a subclinical/clinical diagnosis of major depressive disorder (MDD), dysthymia, generalized anxiety disorder (GAD), social anxiety disorder (SAD), or panic disorder. Eligible participants were randomized to internet rumination-focused CBT (i-RF-CBT; <em>n</em> = 59) or a waitlist control group (i-RF-CBT delayed 7 weeks; <em>n</em> = 59). Primary outcome was changes in perseverative thinking, anxiety, and depression 7 weeks after randomization. Secondary outcomes included changes on all measures after 6 months in the i-RF-CBT condition only. Participants in the i-RF-CBT arm showed significantly lower levels of perseverative thought [PTQ] (<em>d</em> = 0.44, 95% CI [0.23, 0.64], <em>p</em>&lt;.001), brooding (<em>d</em> = 0.56, 95% CI [0.35, 0.77], <em>p</em> &lt; .001), worry [PSWQ] (<em>d</em> = 0.62; 95% CI [0.40, 0.84], <em>p</em> &lt; .001), anxiety [GAD7] (<em>d</em> = 0.41; 95% CI [0.21, 0.62], <em>p</em> &lt; .001), and depression [PHQ9] (<em>d</em> = 0.38; 95% CI [0.18, 0.58], <em>p</em> &lt; .001) after 7 weeks, relative to waitlist control. Improvements were maintained at the 6-month follow-up. The results showed that i-RF-CBT significantly reduced RNT, worry, rumination, anxiety, and depression in adults with anxiety and/or major depressive disorders, providing proof of principle that this approach can target RNT and that targeting RNT has transdiagnostic benefits on anxiety and depression symptoms.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 785-798"},"PeriodicalIF":3.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312756","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":"Preventing Postpartum Anxiety and Obsessive-Compulsive Disorder Over the Internet: An Open-Trial Pilot Study","authors":"Shari A. Steinman,&nbsp;Cierra B. Edwards,&nbsp;Mira D.H. Snider,&nbsp;Amber L. Billingsley,&nbsp;Gabriella T. Ponzini,&nbsp;Kelsey J. Evey,&nbsp;Brian Doss,&nbsp;Kiara R. Timpano","doi":"10.1016/j.beth.2024.05.007","DOIUrl":"10.1016/j.beth.2024.05.007","url":null,"abstract":"<div><div>Anxiety disorders are the most common postpartum psychiatric conditions, yet limited research exists on the prevention of postpartum anxiety and obsessive-compulsive disorder (OCD). Postpartum anxiety leads to significant problems in both mother and child, such as maternal depression, difficulty breastfeeding, interference with parent-infant bonding, and childhood anxiety. In the current study, we tested the feasibility, acceptability, and initial efficacy of an Internet-delivered postpartum anxiety and OCD prevention program, “Preventing Postpartum Onset Distress” (P-POD), in a sample of 15 pregnant women in their third trimester. Geared toward at-risk pregnant people, P-POD includes seven 30-minute educational, interactive modules that teach skills derived from cognitive-behavioral treatment for anxiety and OCD. P-POD also includes three additional modules for partners, with strategies for supporting their partners. Findings suggest that P-POD is acceptable and feasible. Participants experienced reductions in postpartum anxiety risk factors. However, this was a small, open-trial pilot study with a relatively homogeneous sample. Future research should compare P-POD to an active control condition, use more diverse samples, include qualitative interviews, and assess symptoms postpartum.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 192-198"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398442","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":"Therapist-Guided Internet-Delivered Acceptance-Enhanced Behavior Therapy for Skin-Picking Disorder: A Randomized Controlled Trial","authors":"Mia Asplund,&nbsp;Fabian Lenhard,&nbsp;Christian Rück,&nbsp;Erik Andersson,&nbsp;Tova Grimlund,&nbsp;Maja Nilsson,&nbsp;Mika Sarachu-Nilsson,&nbsp;Linda Sundh,&nbsp;Volen Z. Ivanov","doi":"10.1016/j.beth.2024.04.006","DOIUrl":"10.1016/j.beth.2024.04.006","url":null,"abstract":"<div><div>Despite its high prevalence, individuals suffering from skin-picking disorder (SPD) face limited access to treatment due to several factors, including geographical and economic barriers, as well as a shortage of properly trained therapists. Offering Internet-delivered therapy could be a solution to these barriers. This study aimed to evaluate the efficacy of therapist-guided Internet-delivered acceptance-enhanced behavior therapy (iBT) for SPD compared to a wait-list control condition. Participants randomized to the intervention group received 10 weeks of iBT (<em>n</em> = 35), while those in the control group were placed on a wait-list (<em>n</em> = 35). The primary outcome was the Skin Picking Scale—Revised (SPS-R). Mixed-model regression analyses demonstrated a significantly greater improvement in SPD symptoms in the iBT group compared to the control group at posttreatment (between-group difference −5.1 points, <em>F</em> = 9.69, <em>p</em> &lt; .001). The between-group effect size was in the large range, with a bootstrapped <em>d</em> of 1.3 (95% CI [0.92, 1.69]). At posttreatment, 43% of the participants in the iBT group were classified as responders, and 31% were in remission, compared to 0% responders and 3% in remission in the control group. At the 6-month follow-up, the SPD symptoms had increased compared to posttreatment. However, the improvement from pretreatment remained significant. Participants reported a high level of satisfaction and credibility of the treatment, and a perceived good level of working alliance. Compared to wait-list control, iBT is an efficacious treatment for SPD at posttreatment and follow-up, with the potential to substantially increase the availability and access to evidence-based treatment for this disorder. Replication studies, particularly those comparing iBT to an active control, are warranted.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 70-82"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787528","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":"Feasibility, Acceptability, and Preliminary Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents in China: A Pilot Study","authors":"Mei-Rong Pan ,&nbsp;Xue-Ying Liu ,&nbsp;Xue Gao,&nbsp;Zhong-Fang Fu,&nbsp;Lu Liu,&nbsp;Hai-Mei Li,&nbsp;Yu-Feng Wang,&nbsp;Qiu-Jin Qian","doi":"10.1016/j.beth.2024.05.003","DOIUrl":"10.1016/j.beth.2024.05.003","url":null,"abstract":"<div><div>Currently, there is a lack of cost-effective and accessible intervention resources for Chinese adolescents with emotional disorders. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), which aims to apply transdiagnostic treatment principles to target core dysfunctions across a range of emotional disorders with a single protocol, could fill this gap. We first modified the UP-A for use in the Chinese cultural context and then assessed its feasibility, acceptability, and preliminary efficacy using a single-arm design. Twenty-four Chinese adolescents (14.1 ± 1.2 years old) with emotional disorders completed a 12-week group UP-A intervention along with their parents. Multiple outcomes were evaluated at five time points: pretreatment (T1), week 4 (T2), week 8 (T3), posttreatment (T4), and 3-month follow-up (T5). The results showed a low dropout rate (16.7%), high attendance (at 10.2 ± 1.6 sessions in adolescents and 10.7 ± 2.0 sessions in parents), and sufficient participant satisfaction. Adolescents exhibited significant decreases in emotional disorder severity (<em>g</em> = −1.298 to −1.341) and emotional symptoms (<em>g</em> = −0.440 to −1.988) and significant improvements in emotion regulation (ER) strategies, resilience, functional outcomes, and executive function. The efficacy of the intervention was significant starting at T2 and was maintained at T4 and T5. Exploratory analyses revealed that predictors of treatment outcomes included the presence of multiple comorbidities, the severity of emotional disorders, adaptive ER strategies, and resilience at T1. This study demonstrated the feasibility, acceptability, and preliminary efficacy of the Chinese version of the UP-A, and future randomized controlled trials are warranted.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 145-161"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142918","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":"Targeted Sleep Enhancement Reduces Residual Anxiety Symptoms in Peri-Adolescents Previously Treated for Anxiety Disorders","authors":"Saima A. Akbar,&nbsp;Timothy Hayes,&nbsp;Matthew J. Valente,&nbsp;Melissa M. Milbert,&nbsp;Jennifer C. Cousins,&nbsp;Greg J. Siegle,&nbsp;Cecile D. Ladouceur,&nbsp;Jennifer S. Silk,&nbsp;Erika E. Forbes,&nbsp;Neal D. Ryan,&nbsp;Allison G. Harvey,&nbsp;Ronald E. Dahl,&nbsp;Dana L. McMakin","doi":"10.1016/j.beth.2024.05.002","DOIUrl":"10.1016/j.beth.2024.05.002","url":null,"abstract":"<div><div>Sleep-related problems (SRPs) are a common precursor to anxiety disorders, especially during peri-adolescence, and may be a predictor of treatment response. However, evidence-based anxiety treatments do not alleviate SRPs to a clinically significant degree. The current study examines whether improving sleep in a sample of young adolescents previously treated for anxiety disorders can further reduce anxiety severity. Participants include 46 adolescents (65% female, ages 9–14 years) previously treated for anxiety disorders who self-selected to participate in a 6-week open trial of targeted sleep enhancement (TIGERS). Measures of parent- and child report on SRPs, and clinician-rated anxiety severity, were collected at several time points of the study: pre-, and postanxiety treatment, pre- and post-TIGERS, and at four yearly follow-ups. Two hierarchical mediation models were run using either parent- or child report on sleep. On the between-subjects level, participants with higher overall average SRPs also had higher overall anxiety severity over all time points. On the within-subjects level, participation in TIGERS was not directly associated with change in anxiety severity—however, participation in TIGERS was associated with a drop in SRPs, which was associated with a drop in anxiety severity. Improving sleep in anxious peri-adolescents further improves anxiety above and beyond anxiety treatment. Further research is needed to confirm the effects of improving sleep on clinical anxiety in a randomized controlled trial.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 133-144"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036848","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":"Metacognition in Children and Adolescents With Obsessive-Compulsive Disorder Treated With Cognitive Behavioral Therapy","authors":"Cecilie Schultz Isaksen,&nbsp;Katja Anna Hybel,&nbsp;Lidewij Wolters,&nbsp;Davíð R.M.A. Højgaard,&nbsp;Lara Farrell,&nbsp;Per Hove Thomsen","doi":"10.1016/j.beth.2024.04.011","DOIUrl":"10.1016/j.beth.2024.04.011","url":null,"abstract":"<div><div>According to the metacognitive theory, maladaptive metacognition is associated with the development and maintenance of emotional disorders. This study is the first to explore maladaptive metacognition in a sample of children and adolescents (7–17 years) with obsessive-compulsive disorder (OCD) in the context of cognitive behavioral therapy (CBT). A total of 114 children and adolescents were included in the study. Of these 56 were OCD patients who were assessed on metacognition (<em>Metacognitions Questionnaire–Child Version</em>) and OCD symptom severity (<em>Children’s Yale-Brown Obsessive Compulsive Scale</em>) before and after 14 sessions of individual CBT. Fifty-eight children and adolescents without any psychiatric diagnoses constituted a control group and were assessed on metacognition temporally corresponding to the OCD group. Results showed that the OCD group had significantly elevated maladaptive metacognition relative to the control group, with the exception of positive beliefs about worry. The maladaptive metacognition in the OCD group was significantly reduced from pre- to posttreatment. Additionally, the reduction in the total level of maladaptive metacognition was significantly larger than that reported by the control group. However, it remained significantly elevated relative to controls at posttreatment. Furthermore, lower posttreatment OCD severity was associated with larger reductions in negative beliefs about worry, beliefs about the need to control thoughts, and cognitive self-consciousness, as well as with a higher pretreatment level of positive beliefs about worry. Overall, age group (children vs adolescents) did not moderate these results. Collectively, the results suggest that amending maladaptive metacognition in children and adolescents with OCD might be important considering the associations between reductions in maladaptive metacognition and favorable treatment outcome.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 95-109"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046957","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":"Seeking Care for Obsessive-Compulsive Symptoms Among African Americans: Findings From the National Survey of American Life","authors":"Jamilah R. George,&nbsp;Robert Joseph Taylor,&nbsp;Traleena M. Rouleau,&nbsp;Emma D. Turner,&nbsp;Monnica T. Williams","doi":"10.1016/j.beth.2024.08.002","DOIUrl":"10.1016/j.beth.2024.08.002","url":null,"abstract":"<div><div>Although obsessive-compulsive disorder (OCD) is associated with clinically significant distress, many OCD patients do not seek treatment. Studies show that Black Americans with OCD are even less likely to obtain treatment due to differences in access. This study explored demographic and symptom outcomes associated with mental health service use for obsessions and compulsions among a nationally representative sample of African American adults (<em>n</em> = 3,570). The analytic sample for this analysis is African Americans who endorsed either obsessions (<em>n</em> = 435) or compulsions (<em>n</em> = 543). Few respondents sought care from their doctor for obsessions (14.25%, <em>n</em> = 62) and even fewer sought care for compulsions (7.55%, <em>n</em> = 36). Respondents were significantly more likely to seek care for obsessions if they had poorer self-rated mental health and perceived impairment due to obsessions—however, they were significantly less likely to seek care for obsessions if they had a high school education or less. Additionally, respondents were more likely to seek care for compulsions if they had poorer self-rated mental health. Our findings suggest that demographic factors, such as level of education, can impact care-seeking behaviors and, therefore, treatment outcomes for African Americans with obsessive-compulsive symptoms. Knowledge of factors associated with OCD care-seeking behavior can help inform potential barriers to treatment and strategies to ensure equity in access to mental health care for this population. Clinical implications and future directions are discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 1-15"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014196","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}