Behavior Therapy最新文献

{"title":"State of the Science: Alcohol Use and Acculturation-Related Factors Across Diverse Populations","authors":"P. Priscilla Lui,&nbsp;Christine Y. Chang,&nbsp;Clara Rufo,&nbsp;Rosa C. Peterson,&nbsp;María Luján Bazzano,&nbsp;Miguel Ángel Cano","doi":"10.1016/j.beth.2025.08.010","DOIUrl":"10.1016/j.beth.2025.08.010","url":null,"abstract":"<div><div>Alcohol consumption can pose health risks and cause social problems, hence harmful drinking is a global health concern. Acculturation has been theorized and examined as a key driver for drinking behaviors. In this State of the Science article, we define sociocultural and psychological acculturation, and describe three causal theories associated with socialization and learning, stress and coping, and accessibility and opportunity. Data have shown small-to-moderate associations linking acculturation factors to drinking outcomes. Many existing studies measure acculturation with demographic proxies and static cultural orientation indicators. Underlying causal mechanisms are typically inferred rather than tested directly, with limited focus on key proximal factors such as stress responses, drinking motives, and cultural norms. Furthermore, current alcohol interventions lack alignment with acculturation science and fail to target modifiable, drinking-related factors. To advance the field and bridge research-to-practice gaps, studies should move beyond broad demographic markers and examine systematically the psychological and social pathways linking acculturation to alcohol use. We advocate for the adoption of context-specific measures, daily life study methods to capture acculturation’s dynamic effects on drinking, and research across diverse global populations. We call for the field to integrate the acculturation framework into the broader alcohol research and mainstream interventions to address individual and cultural variations in drinking behaviors, incorporate sociocultural influences into existing models of alcohol use to bridge gaps in generalizability, and enhance intervention effectiveness.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 37-49"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071064","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":"What Makes Personalized Treatment Work? Mechanisms of Change in Personalized Treatment for Eating Disorders: A Proof-of-Concept Study","authors":"Cheri A. Levinson,&nbsp;Lindley Slipetz,&nbsp;Teague Henry,&nbsp;Emma Crumby,&nbsp;Jamie Lee Pennesi","doi":"10.1016/j.beth.2025.04.003","DOIUrl":"10.1016/j.beth.2025.04.003","url":null,"abstract":"<div><div>Eating disorders (EDs) are severe illnesses with high rates of mortality; however, evidence-based ED treatments only work for 50% of individuals. Part of the reason that treatments do not work is that EDs are highly heterogenous, signifying a need to personalize treatment. As such, idiographic (i.e., one-person) methods have been used to develop personalized treatment for EDs. Our team demonstrated that a new Transdiagnostic Network-Informed Personalized Treatment (T-NIPT-ED) that uses idiographic modeling to select evidence-based treatment modules for EDs was feasible, acceptable, and decreased ED and cooccurring symptoms (e.g., depression). However, it remains unknown how T-NIPT-ED works and if T-NIPT-ED intervenes effectively on the hypothesized mechanisms of change. The current study (<em>N</em> = 75 with an ED) tested if central symptoms (i.e., hypothesized mechanisms of change) assessed for 15 days (5 times a day; 75 timepoints at two times of day [150 timepoints]) pre- and posttreatment with ecological momentary assessment changed through treatment. We used mixed effects linear regression to test (a) if symptoms in broad categories of affect, cognitions, behavior, comorbid conditions, and physiology changed from pre- to posttreatment and (b) if specific symptoms matched to corresponding evidence-based treatment modules changed with treatment. We found that if a participant had a central symptom in an affective or behavioral category, overall affect and behaviors decreased respectively. We also found that participants with the following central symptoms targeted in treatment evidenced reductions in these mechanisms: shame, self-criticism, body checking, rumination, overvaluation of weight/shape, and guilt. Our results suggest that T-NIPT-ED is effective at reducing ED-related affect and behaviors. Furthermore, these data suggest that several modules targeted at specific mechanisms hypothesized to maintain EDs are effective in the context of personalized treatment.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 50-62"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071065","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":"Acceptability and Feasibility of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in Brazil","authors":"Maria Alice de Mathis,&nbsp;Oskar Flygare,&nbsp;Daniel L.C. Costa,&nbsp;Ivanil Morais,&nbsp;Jamila Rocha,&nbsp;Sonia Borcato,&nbsp;Roseli G. Shavitt,&nbsp;Euripedes Constantino Miguel,&nbsp;Marcelo C. Batistuzzo,&nbsp;Christian Rück","doi":"10.1016/j.beth.2025.08.001","DOIUrl":"10.1016/j.beth.2025.08.001","url":null,"abstract":"<div><div>This study describes the implementation of an Internet-based cognitive-behavior therapy program (ICBT) developed in Sweden for individuals seeking OCD treatment in Sao Paulo, Brazil. After translating and adapting the treatment manual (OCD-NET), we conducted an open-label trial including 35 adults with OCD. The ICBT treatment was conducted in 10 modules and was based on Exposure and Response Prevention (EPR). The RE-AIM implementation science framework was used to evaluate Reach, Effectiveness, Adoption, Implementation, and Maintenance. Our primary outcome was the reduction of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) total score. The study enrolled 35 participants, with 30 completing all of the ICBT protocol (85.7%). OCD severity decreased significantly over time, with 60% of participants showing a treatment response, and 30% were in remission at the 6-month follow-up. At posttreatment, 54.5% of the participants (95% CI, 37.8–70.4) were classified as treatment responders, and 27.3% (95% CI, 14.8–44.7) were in remission. At the 6-month follow-up, 60% (95% CI, 41.9–75.7) were responders, and 30% (95% CI, 16.4–48.3) were in remission. Depressive symptoms measured by PHQ-9 (SE = 1.68, [95% CI 15.2 to 21.9], <em>p</em> &lt; .001) also improved. Our results provide preliminary evidence that ICBT is effective and feasible to be implemented in an upper-middle-income country. Further research investigating the acceptability and feasibility of ICBT in marginalized populations living in underserved areas is necessary.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 176-187"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071058","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":"What Do Adolescents Think About an App Designed to Reduce Cognitive Risk Factors for Eating Disorders? A Mixed Methods Study","authors":"Laura Carratalá-Ricart,&nbsp;Sandra Arnáez,&nbsp;Odalis Isabel Merchán,&nbsp;Marta Corberán,&nbsp;Yuliya Saman,&nbsp;Belén Pascual-Vera,&nbsp;Guy Doron,&nbsp;Gemma García-Soriano,&nbsp;María Roncero","doi":"10.1016/j.beth.2025.07.005","DOIUrl":"10.1016/j.beth.2025.07.005","url":null,"abstract":"<div><div>In recent years, there has been a growing interest in eHealth interventions as a means of reducing risk factors related to eating disorders (EDs). However, these interventions are often faced with high dropout rates and low adherence. The objective of this study was to analyze the usability and acceptability of GGED-AD, a mobile app designed to reduce cognitive risk factors associated with EDs in adolescents. The study involved 42 adolescents (61.9% female) with a mean age of 13.98 years, and employed a convergent mixed-methods approach. The results indicate that GGED-AD has satisfactory usability and acceptability—it was considered easy to use, attractive, encouraging of positive behaviors, and was perceived as useful by the participants. However, certain difficulties were observed, such as in understanding some specific content. Consequently, this study offers valuable insights for improving the design of GGED-AD and of similar eHealth interventions, with the objective of enhancing their potential for adoption in “real world” settings.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 147-161"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071126","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":"Loneliness Predicts Symptom Outcomes Following a Digital Intervention for Appearance Concerns","authors":"Tapan A. Patel,&nbsp;Matthew C. Sala,&nbsp;Jesse R. Cougle","doi":"10.1016/j.beth.2025.06.005","DOIUrl":"10.1016/j.beth.2025.06.005","url":null,"abstract":"<div><div>Digital mental health interventions have proliferated in the past decade, though it is not clear whether social isolation or loneliness influences their efficacy. The present study sought to determine whether loneliness predicted symptom outcomes following a digital treatment for appearance concerns. Women elevated in appearance concerns (<em>N</em> = 203) were randomized to one of two interventions where participants were either instructed to reduce appearance-related safety behaviors (ARSB; i.e., actions people take to reduce appearance anxiety) or general unhealthy behaviors. Both treatments led to similar reductions in loneliness. However, we found that baseline loneliness moderated the effect of condition on social anxiety such that, at low levels of loneliness, ARSB reduction led to lower social anxiety than control, though these effects were absent at high levels of loneliness. We also found that, in the ARSB treatment condition (but not the control condition), pretreatment loneliness predicted symptoms of social anxiety at posttreatment and predicted social anxiety, eating disorder symptoms, and depression at follow-up. Taken together, loneliness appears to play an important role in the efficacy of this digital intervention, findings which may have implications for the broader digital treatment literature.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 79-89"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071067","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: Intolerance of Uncertainty","authors":"Michel J. Dugas,&nbsp;Naomi Koerner,&nbsp;Mark H. Freeston","doi":"10.1016/j.beth.2025.08.009","DOIUrl":"10.1016/j.beth.2025.08.009","url":null,"abstract":"<div><div>Over 30 years ago, a group of researchers at Laval University, Canada, conceptualized the construct of intolerance of uncertainty (IU) and proposed a self-report measure of IU, the Intolerance of Uncertainty Scale (IUS; Freeston et al., 1994). At the time, we were interested in identifying a cognitive vulnerability factor for the development and maintenance of worry and GAD. Initial nonclinical and clinical research by the Laval group suggested that IU, as measured by the IUS, was a sensitive and relatively specific marker of worry and GAD. Subsequent studies by countless other research groups indicate that although IU does show some evidence of specificity to worry and GAD, it is also a transdiagnostic and trans-situational construct. In the current State of the Science paper, we review the research on IU, with a focus on (1) initial studies on the specificity of IU to worry and GAD, (2) the construct and measurement of IU, (3) the transdiagnostic and trans-situational nature of IU, (4) cultural and related considerations, (5) IU and cognitive processing, (6) the neural and psychophysiological correlates of IU, (7) treatment and IU, and (8) future directions. Overall, it can be concluded that the construct of intolerance of uncertainty, despite the fact that its definition and measurement remain actively debated, has established itself as a central construct in the field of mental health and psychopathology. Indeed, research on IU over the past three decades has led to significant improvements in both theory and clinical practice, and to a better understanding of what people think, feel, and do when experiencing uncertainty.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 17-36"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071063","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":"Longitudinal Association Between Depressive Symptoms and Sleep Problems in Adolescents Following a Natural Disaster: Understanding the Role of Psychological Inflexibility","authors":"Zhengyi Liu,&nbsp;Yunyi Xiao,&nbsp;Yingying Ye,&nbsp;Yifan Li,&nbsp;Zijian He,&nbsp;Xiao Zhou","doi":"10.1016/j.beth.2025.08.003","DOIUrl":"10.1016/j.beth.2025.08.003","url":null,"abstract":"<div><div>Previous studies have investigated the temporal associations between depressive symptoms and sleep problems in traumatized adolescents. However, controversy remains regarding the directionality and underlying mechanisms of these associations, because within- and between-individual effects have not been differentiated. To examine this issue, the current study used the random-intercept cross lagged panel model (RI-CLPM) to assess the temporal associations between depressive symptoms, sleep problems and psychological inflexibility in adolescents following Typhoon Lekima. A sample of 1,341 adolescents completed self-report questionnaires at three time points (November 2019, November 2020, and November 2021). RI-CLPM analysis was used to examine the autoregressive and cross-lagged effects among variables. The results indicated stable and direct predictive within-individual effects from depressive symptoms to psychological inflexibility, and from psychological inflexibility to sleep problems, as well as potential mediation effects from depressive symptoms to sleep problems via psychological inflexibility. Meanwhile, between-individual effect analyses revealed positive relationships among depressive symptoms, sleep problems and psychological inflexibility. These findings indicate that higher levels of depressive symptoms predict subsequent worse sleep problems via possible moderation effects of psychological inflexibility, suggesting that prior intervention should focus more on alleviating symptoms of depressive symptoms and improving psychological flexibility after natural disasters.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 188-201"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071059","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":"Acknowledgment to 2025 Reviewers","authors":"","doi":"10.1016/j.beth.2025.12.004","DOIUrl":"10.1016/j.beth.2025.12.004","url":null,"abstract":"","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 202-203"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071060","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":"Negative Cognitions After the Death of a Close Person: Time-Varying and Time-Invariant Components and Their Associations with Prolonged Grief","authors":"Marjolein A. Missler,&nbsp;Gerwin van der Laan,&nbsp;Paul A. Boelen","doi":"10.1016/j.beth.2025.07.003","DOIUrl":"10.1016/j.beth.2025.07.003","url":null,"abstract":"<div><div>The loss of a significant other may shatter positive or neutral cognitions about the self, life, and the future, confirm preexisting negative cognitions in these areas, or lead to threatening misinterpretations about one’s own grieving. Negative cognitions are a risk factor for the development of prolonged grief disorder (PGD). Using latent trait-state occasion (TSO) modeling, the aim of this study was to examine the longitudinal structure of negative loss-related cognitions over time, and to examine the associations between time-invariant (TI; trait) and time-variant (TV; occasional) components of four types of negative cognitions with symptoms of prolonged grief (PG). Data from the Utrecht Longitudinal Study on Adjustment to Loss were used, in which bereaved people’s grief responses were measured every 6 weeks over the course of 1 year (11 waves). We included 223 participants who experienced their loss in the year before. Using TSO modeling, we could distinguish between the degree of variance in negative cognitions explained by the stable trait factor (TI component) and by temporary, situation-dependent circumstances (TV component). Descriptive results indicated a decrease in both negative cognitions and PG scores over time. While the TSO model for negative cognitions about the self showed inadequate fit to the data, the other models showed that negative cognitions about life, the future, and threatening misinterpretations largely consisted of a TI component, which was more strongly associated with PG severity compared to the TV components. Thus, negative views on life, pessimism over the future, and negative interpretations of one’s grief reactions seem to be relatively stable over time and less sensitive to changing circumstances. This supports the potential usefulness of cognitive restructuring, behavioral experiments, and exposure in the treatment of PG. Overall, this study confirms the role of negative cognitions in the development and maintenance of symptoms of PG.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 118-132"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071083","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":"Family Accommodation of Pediatric Irritability: Development and Psychometric Properties of the Family Accommodation Scale for Irritability","authors":"Claire Whiting,&nbsp;Kenneth Fling,&nbsp;Jennifer M. Meigs,&nbsp;Reut Naim,&nbsp;Simone P. Haller,&nbsp;Lauren M. Henry,&nbsp;Wendy K. Silverman,&nbsp;Eli R. Lebowitz,&nbsp;Melissa A. Brotman,&nbsp;Wan-Ling Tseng","doi":"10.1016/j.beth.2025.07.006","DOIUrl":"10.1016/j.beth.2025.07.006","url":null,"abstract":"<div><div>Irritability in children and adolescents is an important mental health concern that presents across a range of disorders. Family accommodation refers to the way families alter their behavior to prevent or reduce child distress. Despite its clinical relevance, the role of family accommodation in pediatric irritability remains underexplored. This study developed and validated a novel parent- and child-report form of the Family Accommodation Scale for Irritability (FASI). We recruited 131 youths (61.83% male, 36.64% female, 1.53% unknown sex; 63.36% White, 12.21% multiracial, 9.92% Black or African American, 3.05% American Indian/Alaska Native, 2.29% Asian, 9.16% unknown race) ages 8–17 years (<em>M</em> = 12.23, <em>SD</em> = 2.49) with varying irritability symptom severity. Both parents and their children completed the FASI and measures of child irritability, anxiety, and depression. Irritability was also assessed by clinician report. Confirmatory factor analyses (CFAs) were used to test factor structures. Internal consistency, convergent and divergent validity, and cross-informant agreement on the FASI were also assessed. CFA supported a two-factor model of family accommodation, representing “participation in behaviors” and “modification of family routines.” Internal consistency and convergent and divergent validity supported the reliability and validity of the scale. Child age showed a significant negative correlation with parent-reported, but not child-reported, family accommodation. Accommodation did not vary with child sex. These results show that family accommodation of irritability can be reliably and validly assessed using the parent- and child-reported FASI scales. Future studies may use this measure to advance understanding of the role that family accommodation plays in pediatric irritability, and its potential as an intervention target.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 162-175"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071127","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}