Behavior Therapy最新文献

{"title":"Naïve Observers’ Perceptions of Hospitalized and Community Adolescents’ Depressive Symptoms","authors":"Marta Tironi,&nbsp;Abby Rozenberg,&nbsp;Morgan McLoughlin,&nbsp;Jane Shkel,&nbsp;Breana R. Cervantes,&nbsp;Andres De Los Reyes,&nbsp;Carla Sharp,&nbsp;Jessica L. Borelli","doi":"10.1016/j.beth.2024.12.002","DOIUrl":"10.1016/j.beth.2024.12.002","url":null,"abstract":"<div><div>Adolescent depression significantly impacts long-term functioning and well-being, often going undetected and untreated, highlighting the need for innovative detection methods. This study examined whether unfamiliar, naïve observers could detect depressive symptoms in adolescents, relying solely on behavioral residue (language transcribed from a clinical interview). Identifying whether naïve observers, untrained in detecting psychological symptoms, can utilize verbal output to accurately detect depressive symptoms yields scientific insight that could be expanded upon to support prevention efforts. The study involved 200 adolescent participants (100 hospitalized, 100 community; M_age = 15.31, henceforth referred to as targets). They reported on their depressive symptoms and completed the Child Attachment Interview (CAI; Shmueli-Goetz et al., 2008). Naïve observers (N = 52 college students split in two rounds), unaware of all other information about targets, read transcripts of targets’ CAI interviews; using solely that information, they rated targets’ depressive symptoms. Observers also assessed their confidence in their evaluation of targets’ symptoms. Results showed a positive association between observers’ ratings and targets’ self-reported depressive symptoms (Round 1 Cohen’s d = 1.25, Round 2 Cohen’s d = 1.42) and this association remained significant controlling for linguistic categories connected to depression detected by computer analysis. Observers’ ratings discriminated between hospitalized and community adolescents (Round 1 Cohen’s d = 1.43, Round 2 Cohen’s d = 1.37), though confidence in their ratings was not associated with targets’ ratings or group (community or hospitalized). Observers can reliably and accurately identify depressive symptoms in adolescents using attachment interviews, over and above computer analysis alone. This work suggests that naïve observers contribute unique insight into the detection of adolescent depressive symptoms.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 768-784"},"PeriodicalIF":3.4,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312828","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 Comparison of Pragmatic and Scalable Strategies to Assess Fidelity to Cognitive Processing Therapy in Routine Care Settings","authors":"Shannon Wiltsey Stirman,&nbsp;Nicole B. Gumport,&nbsp;Amber Calloway,&nbsp;Cassidy Gunter,&nbsp;Luana Marques,&nbsp;Samantha Hernandez,&nbsp;Jiyoung Song,&nbsp;Clara Johnson,&nbsp;Soo Jeong Youn,&nbsp;Sohayla Elhusseini,&nbsp;Regine M. Deguzman-Lucero,&nbsp;Taylor Loskot,&nbsp;Heidi La Bash,&nbsp;Yesenia Aguilar Silvan,&nbsp;Caroline Canale,&nbsp;Alayna L. Park,&nbsp;Jansey Lagdamen,&nbsp;Anna D. Bartuska,&nbsp;Booil Jo,&nbsp;Paul Barnett,&nbsp;Torrey A. Creed","doi":"10.1016/j.beth.2024.12.003","DOIUrl":"10.1016/j.beth.2024.12.003","url":null,"abstract":"<div><div>Fidelity monitoring is crucial for successful implementation of evidence-based practices, but traditional methods such as observation and video recording are impractical for routine mental health care due to their high resource demands. A reliable, low-burden fidelity (adherence and competence) assessment can support the implementation of cognitive behavioral therapies (CBTs). This study evaluated two pragmatic alternatives to the time and cost-intensive “gold standard” observer ratings based on session recordings to assess fidelity in Cognitive Processing Therapy (CPT). We assessed the feasibility of clinician-completed adherence checklists and ratings of worksheets that were completed during sessions in public and private mental healthcare settings by a diverse sample of patients with significant trauma histories and their therapists. We also examined whether fidelity ratings using these approaches were associated with observer ratings of fidelity and with subsequent PTSD symptom change. Results indicated high overall rater agreement for adherence and competence on CPT worksheets and session recordings. We found significant associations among traditional observer ratings of adherence and our two low-burden alternatives for assessing adherence. Clinician-completed adherence checklists were also associated with subsequent symptom change. Checklists and worksheets required substantially less time to rate than session recordings. Overall, checklists and worksheets emerged as reliable and feasible methods for fidelity assessment, potentially diminishing the necessity for time- and labor-intensive fidelity ratings based on session recordings. Our findings suggest a scalable approach for integrating fidelity monitoring and support into policies aimed at enhancing the accessibility and effectiveness of evidence-based care.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 453-469"},"PeriodicalIF":3.4,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869071","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":"Preferences for Justice-Based Exposure and Response Prevention Among Individuals With Identity-Related Obsessive-Compulsive Disorder","authors":"Caitlin M. Pinciotti,&nbsp;Blake M. Upshaw,&nbsp;Samuel D. Spencer,&nbsp;Jennifer M. Park,&nbsp;Martin E. Franklin,&nbsp;Lauren P. Wadsworth,&nbsp;Bradley C. Riemann,&nbsp;Wayne K. Goodman,&nbsp;Eric A. Storch","doi":"10.1016/j.beth.2024.12.001","DOIUrl":"10.1016/j.beth.2024.12.001","url":null,"abstract":"<div><div>Justice-based exposure and response prevention (ERP) has been touted as an alternative approach to (mis)uses and “Fear Factor” overcorrection applications of ERP for obsessive-compulsive disorder (OCD) with identity-related themes (i.e., sexual orientation, gender identity, racism, age, disability/diagnostic status, and economic-themed). Justice-based exposure maintains fidelity to the theoretical and evidence-based mechanisms of ERP while avoiding inadvertent stigmatization of marginalized communities. Justice-based ERP also avoids contributing to societal stigma while potentially increasing buy-in among patients. Despite its widespread support across the OCD field, empirical evidence regarding preferences for justice-based ERP is currently lacking. The present study sought to compare perspectives on justice-based and overcorrection ERP approaches to identity-related OCD themes among 450 individuals with current or past identity-related obsessions (85.6% female, <em>M</em> age = 32.0). Participants reviewed idiographic, symptom-specific justice-based and overcorrection ERP hierarchies for each endorsed symptom theme and were asked a series of questions regarding their perspectives on each hierarchy. Participants reported a considerable preference for justice-based exposures over overcorrection exposures for these themes. Specifically, while overcorrection exposures were associated with higher anxiety expectancy, participants were much more likely to report a willingness to engage in justice-based exposures, perceived them to be more relevant and effective, and found them to be less derogatory and offensive than overcorrection exposures. Findings support the notion that (mis)uses and overcorrection exposures for identity-related OCD themes represent a “Fear Factor” approach that prioritizes anxiety increase at the expense of functionality, and that a justice-based approach may be better aligned with participants’ values and treatment expectancies.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 753-767"},"PeriodicalIF":3.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312874","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":"Using Alma to Alleviate Tristeza Maternal: Preliminary Outcomes of a Peer-Led Behavioral Activation Program Among Latina Mothers","authors":"Anahí Collado,&nbsp;Laurel Hicks,&nbsp;Samuel Hubley,&nbsp;Joseph Levy,&nbsp;Caitlin McKimmy,&nbsp;Marta Genovez,&nbsp;Robert Gallop,&nbsp;Desiree Bauer,&nbsp;Elena Aranda,&nbsp;Sona Dimidjian","doi":"10.1016/j.beth.2024.11.003","DOIUrl":"10.1016/j.beth.2024.11.003","url":null,"abstract":"<div><div>Spanish-speaking Latinas in the United States encounter significant barriers when seeking culturally responsive treatment for perinatal mental health disorders, resulting in treatment disparities and elevated rates of mental health symptoms. To address these challenges, peer-delivered support may be one promising strategy. This study examined the efficacy of Alma, a peer-delivered behavioral activation (BA) program comprising 6–8 sessions. Participants (<em>N</em> = 126) were Spanish-speaking Latina mothers experiencing elevated depression symptoms during the perinatal and early parenthood period. Participants were recruited through three community partner sites across rural and urban settings. Participants reported high satisfaction with the program and experienced decreases in depression symptoms, anxiety symptoms, and perceived stress. Importantly, significant clinical improvements occurred early in the program, indicating a rapid relief of symptoms. This symptom reduction was associated with improvements in putative mechanisms of BA, including activity level and environmental reward. Limitations of this study include participant attrition and the absence of a control group. Together, the findings indicate that Alma is a promising program to address depressed mood, anxiety, and stress among Spanish-speaking Latina mothers during the perinatal/early parenthood period, offering accessible and culturally responsive mental health support. Moreover, by meeting the mental health needs of Spanish-speaking Latina mothers, Alma holds promise for mitigating mental health disparities in underserved communities.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 225-240"},"PeriodicalIF":3.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480607","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 Exposure Guide: A Practical Measure of Exposure Quality","authors":"Kristen M. Benito,&nbsp;Jennifer A. Herren,&nbsp;Lesley A. Norris,&nbsp;Kristen M. Gardiner,&nbsp;Molly Choate,&nbsp;Jennifer B. Freeman","doi":"10.1016/j.beth.2024.11.002","DOIUrl":"10.1016/j.beth.2024.11.002","url":null,"abstract":"<div><div>Quality monitoring is essential for the use of evidence-based interventions (EBIs) in both practice and research settings, yet few quality measures have been developed or validated for any treatment. This study examined the initial psychometric properties of a brief, practical measure of quality for exposure therapy (Exposure Guide; EG) in a sample of youth from three randomized clinical trials for pediatric OCD (<em>N</em> = 103 patients and 368 sessions). The EG was initially developed based on the behavioral principles underlying exposure, delivery factors linked to clinical outcomes in prior literature, and with input from both exposure therapy researchers and partners in community mental health settings. Results indicated good to excellent inter-rater reliability (item ICCs = .64 to 1.00). When compared against a validated, time-intensive coding system, each EG item exhibited large correlations with parallel coding system variables; these were significantly larger than correlations with other variables. Variance components analysis demonstrated EG subscale variability at the level of therapists, patients, and time. The EG demonstrates strong initial reliability and construct validity in a clinical trial context; future studies will be needed to establish psychometric properties in practice settings and to elucidate therapist, patient, and treatment course factors that may influence quality.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 594-604"},"PeriodicalIF":3.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869028","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":"“Warning—This Content May Trigger Temporary Discomfort, Which Is Expected and Manageable”: The Effect of Modified Trigger-Warning Language on Reactions to Emotionally Provocative Content","authors":"Kathryn M. Bell,&nbsp;Rebeka Howardson,&nbsp;Diane Holmberg,&nbsp;Tara L. Cornelius","doi":"10.1016/j.beth.2024.11.001","DOIUrl":"10.1016/j.beth.2024.11.001","url":null,"abstract":"<div><div>A growing body of research suggests that trigger warnings do not actually reduce distress in those viewing emotionally provocative stimuli and may at times even worsen it. However, little is known regarding the potential benefits of modifying trigger-warning language so that it employs therapeutically consistent messaging to encourage adaptive coping. The current study explored whether a modified trigger warning might be more effective than a traditional trigger warning in reducing participants’ negative affect (NA) when exposed to distressing content. University students (<em>N</em> = 606) participated in an online study and were randomly assigned to one of three conditions: traditional trigger warning, modified trigger warning, or a no-warning control group. NA was measured before and after display of two emotionally provocative stimuli (one article and one video). Anxiety sensitivity (AS) and posttraumatic stress symptoms (PTSS) were also measured to assess whether these preexisting individual vulnerabilities might moderate participants’ responses to the different messages. Although the carefully pilot-tested stimuli were successful in increasing NA, there was no significant effect of trigger-warning condition, despite ample statistical power. AS and PTSS were associated with higher overall levels of NA but did not interact with study condition. These results add to the growing body of literature suggesting trigger warnings (whether traditional or modified) do not succeed in their goal of reducing the distress elicited by emotionally provocative content, including among vulnerable individuals. Alternative approaches to traditional trigger warnings are considered that may help individuals cope adaptively with potentially distressing material.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 213-224"},"PeriodicalIF":3.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting Higher-Order Dimensions of Personality in Treatment as a Parsimonious Means to Address Co-Occurring Psychopathology","authors":"Shannon Sauer-Zavala,&nbsp;Madeline Kushner,&nbsp;Martina Fruhbauerova,&nbsp;Hannah Croom,&nbsp;Matthew W. Southward","doi":"10.1016/j.beth.2024.10.007","DOIUrl":"10.1016/j.beth.2024.10.007","url":null,"abstract":"<div><div>People with borderline personality disorder (BPD) commonly have co-occurring mental health conditions that may be accounted for by higher-order factors in dimensional models of psychopathology. BPD Compass is a cognitive-behavioral treatment developed to target broad personality domains (i.e., negative affectivity, antagonism, disinhibition) associated with BPD and related conditions. The purpose of the present study was to explore the extent to which BPD Compass can serve as a transdiagnostic intervention for these comorbid conditions. Participants (<em>N =</em> 100; <em>M</em>_age <em>=</em> 28.13, 73.7% female, 79.6% White, 66% sexual minority) were assigned to either immediately begin treatment (randomized and naturalistic) or receive treatment after an 18-week waiting period. At baseline, participants met criteria for an average of 3.28 (<em>SD =</em> 2.02, range: 0–8) comorbid diagnoses ranging in clinical severity from 3.30 (for substance use disorder) to 4.91 (for persistent depressive disorder). Posttreatment clinical severity ratings (CSRs) for those randomized to receive BPD Compass were below clinical thresholds for all assessed conditions except premenstrual dysphoric disorder, whereas post-waitlist CSRs remained above clinical thresholds for all disorders except bipolar II, agoraphobia, and major depressive disorder. Collapsed across all patients who received BPD Compass, pre- to posttreatment improvements were significant and large in magnitude for most disorders assessed. These results suggest that BPD Compass may be an efficacious transdiagnostic intervention, though our small sample and high rate of dropout warrant further study.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 738-752"},"PeriodicalIF":3.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312873","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 Pilot Trial of an LGBTQ-Affirmative Cognitive-Behavioral Therapy for Transgender and Gender Expansive Individuals’ Mental, Behavioral, and Sexual Health","authors":"Corina Lelutiu-Weinberger,&nbsp;Mircea L. Filimon,&nbsp;Danielle Chiaramonte,&nbsp;Sarah I. Leonard,&nbsp;Bogdan Dogaru,&nbsp;Elena Pana,&nbsp;Cristiana Pruneanu,&nbsp;John E. Pachankis","doi":"10.1016/j.beth.2024.10.005","DOIUrl":"10.1016/j.beth.2024.10.005","url":null,"abstract":"<div><div>Transgender and gender expansive (TGE) individuals face minority stress and associated health risks, especially in high-stigma contexts. Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)-affirmative cognitive-behavioral therapy (CBT) is one of the only evidence-based interventions developed to address minority stress to improve psychosocial health. Yet, trials of this treatment have mostly enrolled cisgender sexual minorities, TGE youth, and those living in North American contexts. This study tested the feasibility, acceptability, and preliminary efficacy of LGBTQ-affirmative CBT for TGE adults living in the high-stigma context of Romania. Twenty-five TGE individuals (<em>M</em>_age = 25.16, <em>SD</em>_age = 6.39; 44% transgender women, 40% transgender men, 16% nonbinary) reporting depression and/or anxiety symptoms received 16 virtual sessions of LGBTQ-affirmative CBT from trained psychologists. Assessments of mental (e.g., depression), behavioral (e.g., hazardous drinking), and sexual (e.g., HIV-transmission risk behavior) health outcomes, and minority stress and universal risk mechanisms were administered at baseline and 5-month follow-up. Results showed reductions in depression and anxiety symptoms and certain minority stress (e.g., anticipated stigma, identity concealment) and universal risk (e.g., unassertiveness) mechanisms from baseline to follow-up. The intervention was highly feasible (e.g., timely recruitment, high session attendance), and exit interviews revealed high acceptability in terms of the treatment’s relevance, goals, imparting minority stress knowledge and identity-related hope and acceptance, format, and therapeutic alliance. LGBTQ-affirmative CBT shows feasibility, acceptability, and preliminary efficacy among TGE individuals living in Romania, with promise for other high-stigma contexts. Future randomized controlled trials and reductions in structural determinants remain priorities.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 723-737"},"PeriodicalIF":3.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312872","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":"Moderators and Mediators of Treatments for Suicidal Thoughts and Behaviors: A Review of More Than 50 Years of Randomized Controlled Trials","authors":"Pauline Goger,&nbsp;Ruiyuan Guo,&nbsp;Soobin Jo,&nbsp;Christine B. Cha,&nbsp;Jessica Ribeiro,&nbsp;Xieyining Huang,&nbsp;Kathryn R. Fox","doi":"10.1016/j.beth.2024.10.003","DOIUrl":"10.1016/j.beth.2024.10.003","url":null,"abstract":"<div><div>Psychosocial treatments for suicidal thoughts and behaviors (STBs) are in need of improvement, as suicide rates have substantially increased in the last 20 years and current interventions show limited efficacy. One way to potentially boost response rates is to personalize treatments by identifying what works how and for whom to maximize impact across different individuals. A scoping review of all suicide treatment randomized controlled trials was performed on PubMed, PsycInfo, and GoogleScholar through May 2024 to identify moderators and mediators of suicide treatment. Forty-six studies including moderators and 15 studies including mediators were identified and evaluated by at least two independent researchers. The most frequently tested moderators across both adults and adolescents include age, gender/sex, history of STBs, therapeutic alliance, comorbid depression, and comorbid borderline personality disorder diagnoses or symptoms, with the strongest support found for therapeutic alliance in adults. No mediator was tested in more than one trial or research group, but hopelessness, avoidance, mentalization, and number of treatment contacts in adolescents and resilience, anxiety sensitivity, acceptance, and therapeutic relationship in adults showed positive signals. Overall, additional work is needed as heterogeneity, lack of replication attempts, and concerns about moderator and mediator quality currently limit confidence in findings.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 241-260"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Parent–Adolescent Conversation to Promote Adolescent Sleep Health Behavior Change: An Open Trial of the Parent Behavior Change Intervention","authors":"Lu Dong,&nbsp;Nicole B. Gumport,&nbsp;Eve R. Fine,&nbsp;Susan Michie,&nbsp;Qing Zhou,&nbsp;Alice Mullin,&nbsp;Cynthia G. Alvarado-Martinez,&nbsp;Heather E. Hilmoe Yates,&nbsp;Melanie Tran,&nbsp;Vera Portnova,&nbsp;Allison G. Harvey","doi":"10.1016/j.beth.2024.10.004","DOIUrl":"10.1016/j.beth.2024.10.004","url":null,"abstract":"<div><div>The Parent Behavior Change Intervention (PBC-I) was developed to target parent–adolescent conversations that promote adolescent health behavior change. We report on an open trial of the PBC-I. Participants were 36 parent–adolescent dyads. Adolescents received the Transdiagnostic Sleep and Circadian Intervention (TranS-C) as parents received the PBC-I. Dyads were assessed at pre- and postintervention for parent use of behavior change techniques (BCT) and positive and negative conversational behaviors, parent–adolescent conflict, adolescent motivation for change, and adolescent sleep outcomes. From pre to post, parents used fewer total and types of BCTs, more positive communication behaviors, and less negative communication behaviors when discussing a sleep-related hot topic. From pre to post, parents reported decreased coercion and less anger intensity, while adolescents reported fewer parental conflict behaviors and less quantity and anger intensity during parent–adolescent disagreement. There was a pre-to-post increase in interest/enjoyment of sleep and a decrease in effort/importance to participate in TranS-C. More positive and less negative communication was associated with select adolescent sleep outcomes. Parents rated the PBC-I as highly acceptable and perceived it as useful. These results provide preliminary evidence that supports the PBC-I in improving the parent–adolescent interpersonal process, which is linked to improved adolescent sleep. The results may be relevant to conversations parents have with adolescents about a range of health behavior changes.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 708-722"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312871","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}