Behavior Therapy最新文献_第6页

Latent Trajectories of Depressive Symptoms During a Transdiagnostic Partial Hospitalization Program 跨诊断部分住院治疗项目中抑郁症状的潜伏轨迹

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-06-06 DOI: 10.1016/j.beth.2024.05.008

Emma H. Moscardini, Chloe C. Hudson, Divya Kumar, Rivian Lewin, Timothy J. McDermott, Evan J. Giangrande, Lynne-Marie Shea, Valeria Tretyak, Courtney Beard, Thröstur Björgvinsson

{"title":"Latent Trajectories of Depressive Symptoms During a Transdiagnostic Partial Hospitalization Program","authors":"Emma H. Moscardini, Chloe C. Hudson, Divya Kumar, Rivian Lewin, Timothy J. McDermott, Evan J. Giangrande, Lynne-Marie Shea, Valeria Tretyak, Courtney Beard, Thröstur Björgvinsson","doi":"10.1016/j.beth.2024.05.008","DOIUrl":"10.1016/j.beth.2024.05.008","url":null,"abstract":"<div><div>Partial hospitalization programs (PHPs) offer a critical level of care that bridges the gap between outpatient and inpatient treatment. Many PHPs implement transdiagnostic approaches, treating patients with a wide range of presenting problems. Despite research suggesting that transdiagnostic PHPs are associated with favorable treatment outcomes, research has yet to examine possible heterogeneity in symptom trajectories as well as factors which may be related to said heterogeneity. We analyzed daily depression symptoms (both cognitive/affective and somatic) of 2,640 patients receiving treatment in a transdiagnostic PHP and identified latent subgroups characterized by heterogeneous trajectories. We then sought to determine if certain patient demographic factors or diagnostic factors were related to trajectories of depression symptoms throughout treatment. Results indicated three classes of trajectories for both cognitive/affective and somatic symptoms of depression: (1) low initial symptoms with steady improvement, (2) consistently high symptoms, and (3) initial worsening then rapid improvement. Female sex and greater psychiatric comorbidity were significantly associated with the consistently high symptom trajectory. Implications and future directions are discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 334-351"},"PeriodicalIF":3.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408978","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

A Pilot Open Trial of a Text Message Safety Behavior Fading Intervention for Appearance Concerns Among Women 针对女性外貌问题的短信安全行为消退干预试点公开试验

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-06-05 DOI: 10.1016/j.beth.2024.05.010

Tapan A. Patel, Jesse R. Cougle

{"title":"A Pilot Open Trial of a Text Message Safety Behavior Fading Intervention for Appearance Concerns Among Women","authors":"Tapan A. Patel, Jesse R. Cougle","doi":"10.1016/j.beth.2024.05.010","DOIUrl":"10.1016/j.beth.2024.05.010","url":null,"abstract":"<div><div>Appearance concerns are a key feature in body dysmorphic disorder and eating disorders, and they have been found to be a common feature of social anxiety disorder. Given the lack of transdiagnostic treatments for appearance concerns, we developed a preliminary text-based intervention targeting appearance-related safety behaviors (ARSBs; i.e., maladaptive behavioral strategies that seek to mitigate the feared consequences of the evaluation of appearance). The intervention utilized a daily text-message protocol where individuals are asked to fade their behaviors, provided encouragement, and log ARSB use in the past day. We evaluated the efficacy of ARSB fading in two successive cohorts of women with elevated appearance concerns (Study 1 <em>N</em> = 38, Study 2 <em>N</em> = 39). We found that across both studies participants experienced large reductions in appearance concerns (<em>d =</em> .93–1.36) and eating disorder symptoms (<em>d</em> = 1.06–1.20) that were maintained 1 month after treatment. Further, participants experienced small-to-medium reductions in social anxiety (<em>d</em> = 0.38–0.58) and depression (<em>d</em> = 0.52–0.96) from pre- to posttreatment. Notably, there were missing data in both studies (31%–50%), but multiple imputation was used to observe stability of effects. We also collected and incorporated feedback on the treatment to optimize the treatment before conducting the second trial. While these changes did not lead to significant differences in study outcomes, the second cohort demonstrated greater adherence to treatment and found the treatment to be more credible than the first cohort. Further, we found that greater baseline ARSBs predicted greater pre- to follow-up changes in appearance concerns. Taken together, text-based ARSB fading appears to be a promising treatment, and further research on the treatment appears warranted.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 352-365"},"PeriodicalIF":3.4,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409211","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 Cultural Formulation Interview in Case Formulations: A State-of-the-Science Review 案例研究中的文化表述访谈：科学现状综述

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-06-05 DOI: 10.1016/j.beth.2024.05.009

引用次数: 0

Partner-Caregivers’ Interpretation Bias and Sexual Satisfaction: Gender and Congruency in Pain-Related Beliefs 伴侣照顾者的解释偏差与性满意度：疼痛相关信念的性别与一致性

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-05-22 DOI: 10.1016/j.beth.2024.05.004

Pouyan Alizadeh, Ali Zadeh Mohammadi, Mahmood Heidari, Shaghayegh Alidoust, Ali Khatibi

{"title":"Partner-Caregivers’ Interpretation Bias and Sexual Satisfaction: Gender and Congruency in Pain-Related Beliefs","authors":"Pouyan Alizadeh, Ali Zadeh Mohammadi, Mahmood Heidari, Shaghayegh Alidoust, Ali Khatibi","doi":"10.1016/j.beth.2024.05.004","DOIUrl":"10.1016/j.beth.2024.05.004","url":null,"abstract":"<div><div>It has been suggested that family caregivers of chronic pain patients may develop cognitive biases similar to those observed among patients in previous studies. However, there is a gap in knowledge regarding the effect of such biases on patients’ adaptation to pain. In this study, we examined the relationship between partner-caregivers’ interpretation bias and sexual satisfaction among married heterosexual couples. We further examined the relationship between caregivers’ interpretation bias and congruency in the beliefs that patients and caregivers hold about the experience of pain. The sample comprised 32 married couples in a caregiving relationship and 28 married individuals who were neither patients nor caregivers, serving as control participants. Caregivers and controls completed a modified version of the interpretation bias task. Patients and caregivers filled out the Sexual Satisfaction Index and a Patient’s Pain-Related Disabilities Checklist. Results confirmed that a biased negative interpretation exists among caregivers when compared to partners of pain-free individuals. A noticeable gender effect was observed in the effect of interpretation bias on patients’ sexual satisfaction. Female partner-caregivers’ negative interpretation bias was associated with a lower level of sexual satisfaction among male patients. In contrast, the same bias was associated with higher levels of sexual satisfaction among female patients when observed among male partner-caregivers. Furthermore, a moderate but not symmetrical positive interpretation was associated with higher levels of congruence on the level of patients’ disability within couples. The findings are another step toward incorporating the social circuit of individuals with chronic pain conditions into intervention protocols.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 317-333"},"PeriodicalIF":3.4,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134073","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

State of the Science on Racial Microaggressions 关于种族微词的科学现状

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-05-21 DOI: 10.1016/j.beth.2024.05.005

引用次数: 0

State of the Science: The Hierarchical Taxonomy of Psychopathology (HiTOP) 科学现状：精神病理学层次分类法（HiTOP）

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-05-08 DOI: 10.1016/j.beth.2024.05.001

{"title":"State of the Science: The Hierarchical Taxonomy of Psychopathology (HiTOP)","authors":"","doi":"10.1016/j.beth.2024.05.001","DOIUrl":"10.1016/j.beth.2024.05.001","url":null,"abstract":"<div><div>The Hierarchical Taxonomy of Psychopathology (HiTOP) is a dimensional framework for psychopathology advanced by a consortium of nosologists. In the HiTOP system, psychopathology is grouped hierarchically from super-spectra, spectra, and subfactors at the upper levels to homogeneous symptom components and maladaptive traits and their constituent symptoms, and maladaptive behaviors at the lower levels. HiTOP has the potential to improve clinical outcomes by planning treatment based on symptom severity rather than heterogeneous diagnoses, targeting treatment across different levels of the hierarchy, and assessing distress and impairment separately from the observed symptom profile. Assessments can be performed according to this framework with the recently developed HiTOP-Self-Report (HiTOP-SR). Examples of how to use HiTOP in clinical practice are provided for the internalizing spectrum, including the use of the Unified Protocol and other modularized treatments, measurement-based care, psychopharmacology, and in traditionally underserved populations. Future directions are discussed in this State of the Science review including HiTOP’s use in further developing transdiagnostic treatments, extending the model to include other information such as environmental factors, establishing the treatment utility of clinical assessment for the HiTOP-SR, developing new treatments, and disseminating the model.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1114-1129"},"PeriodicalIF":3.4,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032160","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

Generalization Between Perceptually Similar Stimuli Is Associated With Improvement in Social Anxiety Following Cognitive-Behavioral Therapy 认知行为疗法后，感知相似刺激之间的泛化与社交焦虑的改善有关

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-05-01 DOI: 10.1016/j.beth.2024.04.012

Tom J. Barry, Michael Treanor, Richard T. LeBeau, Julian Ruiz, Joseph A. Himle, Michelle G. Craske

{"title":"Generalization Between Perceptually Similar Stimuli Is Associated With Improvement in Social Anxiety Following Cognitive-Behavioral Therapy","authors":"Tom J. Barry, Michael Treanor, Richard T. LeBeau, Julian Ruiz, Joseph A. Himle, Michelle G. Craske","doi":"10.1016/j.beth.2024.04.012","DOIUrl":"10.1016/j.beth.2024.04.012","url":null,"abstract":"<div><div>Cognitive-behavioral therapy (CBT) for anxiety disorders requires that people learn to inhibit their fear during exposure to stimuli that no longer pose a threat. We investigate whether individual differences in this inhibitory learning ability, measured prior to treatment, can predict responsiveness to CBT for social anxiety disorder. Participants (<em>N</em> = 128) were randomized to CBT or a wait-list control and completed tests of fear generalization and extinction prior to and following the intervention period. Contrary to expectations, individual differences in extinction, measured at pretreatment, were not associated with treatment responses but there was evidence that these abilities changed over time due to treatment. Individual differences in fear generalization at pretreatment were associated with treatment responses. Weaker generalization between dangerous and perceptually similar but novel safe stimuli was associated with enhanced responding to CBT. These findings contribute to the development of a mechanistic approach to patient stratification where participants who are least likely to respond to CBT can be identified prior to treatment.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 302-316"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029569","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

State of the Science: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders 科学现状：情绪障碍跨诊断治疗统一方案

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-04-29 DOI: 10.1016/j.beth.2024.04.007

{"title":"State of the Science: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders","authors":"","doi":"10.1016/j.beth.2024.04.007","DOIUrl":"10.1016/j.beth.2024.04.007","url":null,"abstract":"<div><div>Before the development of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP), evidence-based treatment options for commonly co-occurring anxiety, mood, and related disorders consisted of numerous single-disorder protocols that shared many similarities, reflecting the overlap among these disorders themselves. The UP distilled common elements of cognitive behavioral protocols into a unified intervention directly targeting core temperamental features underlying these disorders of emotion, namely neuroticism and associated emotion dysregulation. The UP has since become a leading “transdiagnostic” treatment for emotional disorders, which is now available in several formats (e.g., individual, group, digital) and has accumulated a strong evidence base, leading to international implementation. There is now also research evidence that the UP can be flexibly applied to a range of clinical presentations, including borderline personality disorder, trauma- and stressor-related disorders, eating disorders, alcohol use disorder, and comorbid chronic physical health conditions. Yet additional research is needed to evaluate the UP in routine clinical settings, with more heterogeneous patient populations, and under circumstances that mirror actual clinical practice. Thus, we must also continue to explore the benefits of large-scale UP training initiatives and implementation in major healthcare systems.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1189-1204"},"PeriodicalIF":3.4,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141548891","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

It Is Clean, But It Still Seems Dirty to Me: Implicit and Explicit Truth of Imagined Contamination as an Explanation of Ego-Dystonic Experience of Obsessions 它是干净的，但在我看来仍是肮脏的：想象污染的隐性和显性真相是对自我强迫症体验的解释

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-04-29 DOI: 10.1016/j.beth.2024.04.010

Asher Y. Strauss , Snir Barzilay , Jonathan D. Huppert

{"title":"It Is Clean, But It Still Seems Dirty to Me: Implicit and Explicit Truth of Imagined Contamination as an Explanation of Ego-Dystonic Experience of Obsessions","authors":"Asher Y. Strauss , Snir Barzilay , Jonathan D. Huppert","doi":"10.1016/j.beth.2024.04.010","DOIUrl":"10.1016/j.beth.2024.04.010","url":null,"abstract":"<div><div>Individuals suffering from obsessive-compulsive disorder often experience obsessions as ego-dystonic, knowing that a mental event does not reflect reality but acting as if it does. Imagination has been suggested as an important process involved in this mismatch about the actual truth value of obsessions. Imagining false events has been found to impact spontaneous truth evaluations (implicit truth value; ITV), even when people explicitly acknowledged the imagined event as false (explicit truth value; ETV; Shidlovski et al., 2014). The current study examined discrepancies between ITV and ETV along with effects of imagination and their relationship to obsessive-compulsive contamination symptoms. Sixty-two students, recruited across the range of contamination symptoms, participated in this study. First, a table, at which participants were seated, was cleaned in their presence. Next, in a double-categorization autobiographical implicit association test (aIAT), participants classified true or false autobiographical statements together with “clean” or “contaminated” statements regarding the table. Then, they imagined that the table was contaminated prior to the second aIAT administration. ETV was measured by classifying the statements explicitly as true or false. Imagination was associated with reduced ITV, this association did not depend on symptoms, contrary to our predictions. However, symptoms were associated with elevated ETV evaluations of the contaminated statements. Finally, ETV correlated with ITV only for low symptom participants. This correlation was no longer significant following the imagination induction. In conclusion, individuals with contamination symptoms may be more likely to overweigh their explicit evaluations in the presence of contradictory implicit evaluations, creating a discrepancy. This process may account for ego-dystonic experiences reported by OCD patients.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 290-301"},"PeriodicalIF":3.4,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141529281","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 Interpersonal Theory of Suicide: State of the Science 自杀的人际关系理论：科学现状

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-04-24 DOI: 10.1016/j.beth.2024.04.008

引用次数: 0