Behavior Therapy最新文献_第7页

Reciprocal and Indirect Effects Among Intervention, Perceived Social Support, and Anxiety Sensitivity Within a Randomized Controlled Trial for Anxiety Disorders 焦虑症随机对照试验中干预措施、感知到的社会支持和焦虑敏感性之间的相互影响和间接影响

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.008

Allison V. Metts, Peter Roy-Byrne, Murray B. Stein, Cathy D. Sherbourne, Alexander Bystritsky, Michelle G. Craske

{"title":"Reciprocal and Indirect Effects Among Intervention, Perceived Social Support, and Anxiety Sensitivity Within a Randomized Controlled Trial for Anxiety Disorders","authors":"Allison V. Metts, Peter Roy-Byrne, Murray B. Stein, Cathy D. Sherbourne, Alexander Bystritsky, Michelle G. Craske","doi":"10.1016/j.beth.2023.05.008","DOIUrl":"10.1016/j.beth.2023.05.008","url":null,"abstract":"<div><p>Social support may facilitate adaptive reappraisal of stressors, including somatic symptoms. Anxiety sensitivity refers to negative beliefs about somatic symptoms of anxiety, which may influence one’s perception of social support. Evidence-based treatment may impact these associations. The current longitudinal study evaluated reciprocal relationships between perceived social support and anxiety sensitivity, and explored indirect intervention effects, in a randomized controlled trial for anxiety disorders that compared cognitive behavioral therapy with or without medications (CALM) to usual care. Data collected over 18 months from 940 primary care patients were examined in random intercept cross-lagged panel models. There were significant reciprocal associations between perceived social support increases and anxiety sensitivity decreases over time. There were significant indirect effects from intervention to perceived social support increases through anxiety sensitivity decreases and from intervention to anxiety sensitivity decreases through perceived social support increases. These data suggest that, relative to usual care, CALM predicted changes in one construct, which predicted subsequent changes in the other. Secondary analyses revealed an influence of anxiety and depressive symptoms on reciprocal associations and indirect effects. Findings suggest that future treatments could specifically address perceived social support to enhance reappraisal of somatic symptoms, and vice versa.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 80-92"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005789423000588/pdfft?md5=ffe432e2a6cb8012db4d3c14ab724993&pid=1-s2.0-S0005789423000588-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134903461","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

Time to Response in Therapy for Body Dysmorphic Disorder: A Comparison of Cognitive Behavioral Therapy and Supportive Psychotherapy 身体畸形障碍治疗的反应时间：认知行为疗法与支持性心理疗法的比较

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.006

Susanne S. Hoeppner, Margaret D. Hall, Marc Hiranandani, Jennifer L. Greenberg, Sabine Wilhelm, Katharine A. Phillips

{"title":"Time to Response in Therapy for Body Dysmorphic Disorder: A Comparison of Cognitive Behavioral Therapy and Supportive Psychotherapy","authors":"Susanne S. Hoeppner, Margaret D. Hall, Marc Hiranandani, Jennifer L. Greenberg, Sabine Wilhelm, Katharine A. Phillips","doi":"10.1016/j.beth.2023.05.006","DOIUrl":"10.1016/j.beth.2023.05.006","url":null,"abstract":"<div><p>Psychotherapy has been shown to be effective for individuals with body dysmorphic disorder (BDD); however, time to treatment response for different treatments have not yet been examined. We randomized 120 patients to either weekly cognitive behavioral therapy (CBT) or supportive psychotherapy (SPT) at two academic medical research centers. In this secondary data analysis, we aimed to determine the time to first response (30% or greater reduction in BDD symptom severity) in both treatment conditions among those who attended at least one post-baseline assessment (<em>n</em> = 109). As previously reported, CBT for BDD was associated with more consistent improvement in symptom severity and quality of life than SPT. In a pooled analysis combining both sites, the median time to first response was shorter for CBT (76 days [10.9 weeks], 95% CI: 76-107 days) than for SPT (88 days [12.6 weeks], 95% CI: 88–nonestimable days; Χ<sup>2</sup><sub>df=1</sub> = 3.85, <em>p</em> = .0498). For CBT, the estimated 75<sup>th</sup> percentile response times were 148 days [21.1 weeks] at site 1 and 134 days [19.1 weeks] at site 2. Response times were not estimable for SPT at either site because the response rate was too low. Thus, therapy clients seeking treatment for BDD and clinicians should be aware that an initial treatment response requires more than 11 therapy sessions for the majority of clients, and that 21 or even more sessions may be required. Treatment response is likely to occur earlier with CBT for BDD (the first-line therapy for BDD) than with supportive psychotherapy.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 68-79"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81701747","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

Corrigendum to “The Initial Efficacy of Stand-Alone DBT Skills Training for Treating Impulsivity Among Individuals With Alcohol and Other Substance Use Disorders” [Behav. Therapy 54(5) (2023) 809–822] 独立 DBT 技能培训治疗酒精和其他物质使用障碍患者冲动行为的初步疗效》[行为疗法 54(5) (2023) 809-822] 更正

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.10.001

Marco Cavicchioli, Mariagrazia Movalli, Aurora Bruni, Rachele Terragni, Maria Elena Goldoni, Elisabetta Borgia, Marco Begarani, Anna Ogliari

引用次数: 0

New Therapy for a New Normal: Comparing Telehealth and in-Person Time-Limited Parent-Child Interaction Therapy 新常态下的新疗法：远程医疗与面对面限时亲子互动疗法的比较

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.002

Abigail Peskin, Alexandra Barth, W. Andrew Rothenberg, Amanda Turzi, Diana Formoso, Dainelys Garcia , Jason Jent

{"title":"New Therapy for a New Normal: Comparing Telehealth and in-Person Time-Limited Parent-Child Interaction Therapy","authors":"Abigail Peskin, Alexandra Barth, W. Andrew Rothenberg, Amanda Turzi, Diana Formoso, Dainelys Garcia , Jason Jent","doi":"10.1016/j.beth.2023.05.002","DOIUrl":"10.1016/j.beth.2023.05.002","url":null,"abstract":"<div><p>Telehealth treatment for child disruptive behavior has the potential to overcome multiple barriers to access (e.g., transportation, therapist availability). Traditional Parent-Child Interaction Therapy (PCIT) has demonstrated efficacy via telehealth in randomized controlled trials. The current study extends this research by examining community-based effectiveness of time-limited (i.e., 18 week) telehealth PCIT, comparing intake and posttreatment child behavior and caregiver skills for both telehealth and in-person PCIT. Participants included predominantly racially, ethnically, linguistically, and socioeconomically diverse children aged 2 to 8 years, and their caregivers. Dyads (<em>N</em> = 380) received either telehealth (IPCIT) or in-person PCIT.Propensity score analyses were conducted to address potential selection bias due to the nonrandomized sample. Regression analyses revealed no difference between IPCIT and in-person treatment for child disruptive behaviors or compliance outcomes. However, caregivers who received IPCIT demonstrated fewer positive statements and greater corrective/directive statements at posttreatment than caregivers who received in-person treatment.This research demonstrated that time-limited IPCIT can effectively improve child disruptive behavior among a socioeconomically, linguistically, and culturally diverse population, and represents the largest sample to date demonstrating the effectiveness of PCIT via telehealth. Future research is warranted to document intervention sustainability on a more system-wide level, and balance prioritizing caregiver skill acquisition over family-derived treatment goals.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 106-121"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79192857","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

Venciendo la Depresión: A Pilot Study of Telehealth-Delivered Behavioral Activation for Depressed Spanish-Speaking Latinxs Venciendo la Depresión：针对讲西班牙语的拉美裔抑郁症患者的远程医疗行为激活试点研究

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.011

Francisco A. Reinosa Segovia, Lorraine T. Benuto

{"title":"Venciendo la Depresión: A Pilot Study of Telehealth-Delivered Behavioral Activation for Depressed Spanish-Speaking Latinxs","authors":"Francisco A. Reinosa Segovia, Lorraine T. Benuto","doi":"10.1016/j.beth.2023.05.011","DOIUrl":"10.1016/j.beth.2023.05.011","url":null,"abstract":"<div><p>Latinxs are substantially impacted by depression. The research literature has documented barriers (e.g., stigma, limited English proficiency, and lack of transportation) contributing to the underutilization of behavioral health services among Spanish-speaking Latinxs (SSLs). Telehealth can be broadly defined as the provision of healthcare information and services through the use of telecommunications technology. Behavioral Activation (BA) has well established empirical support for reducing symptoms of depression among ethnic minority groups. The unprecedent challenges associated with accessing in-person behavioral health services during the COVID-19 pandemic have underscored the need to examine alternate methods for treatment delivery. Thus, the proposed study aimed to conduct a feasibility study to determine the viability of telehealth-delivered BA for SSLs. Twenty-five SSL participants met eligibility criteria and were enrolled in the intervention and 17 participants completed treatment. The majority of participants experienced significant improvements in depressive symptoms and positive affect. These treatment gains were sustained at one-month follow-up. The present study offers promising preliminary data to support the acceptability and feasibility of telehealth-delivered BA, with the potential to lessen barriers to care by offering readily accessible behavioral health services for depressed individuals in underserved communities.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 164-176"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77112112","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 High Impact of Low Intensity: Effectiveness of the BounceBack Program for Depression and Anxiety in Ontario 低强度的高影响：安大略省抑郁和焦虑症反弹计划的效果

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.010

Lyndall Schumann, Katey Park, Jennifer Rouse, Helen Chagigiorgis

{"title":"The High Impact of Low Intensity: Effectiveness of the BounceBack Program for Depression and Anxiety in Ontario","authors":"Lyndall Schumann, Katey Park, Jennifer Rouse, Helen Chagigiorgis","doi":"10.1016/j.beth.2023.05.010","DOIUrl":"10.1016/j.beth.2023.05.010","url":null,"abstract":"<div><p>High costs, long wait times, and lack of access to mental health supports in Ontario are leaving millions with unmet treatment needs. To address this need, Ontario launched BounceBack, a large-scale coach-supported intervention grounded in cognitive behavioral therapy (CBT) to target symptoms of anxiety, depression, and functional impairment. The objective of this program evaluation was to examine the effectiveness of the BounceBack program in Ontario by exploring (a) changes in participants’ depression and anxiety symptoms and functional impairment (as measured by the PHQ-9, GAD-7, and WSAS, respectively); and (b) rates for recovery and reliable improvement. Multilevel modelling (MLM) results indicated that participants reported significant improvements in their depression, anxiety, and functioning symptoms over time, which are not better accounted for by other demographic factors. Higher baseline severity of symptoms were associated with greater decreases in these symptoms. The strong recovery and reliable improvement rates identified further support the effectiveness of BounceBack as a potent intervention that leads to improvements in symptoms of anxiety and/or depression for the majority of its participants.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 150-163"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75013660","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 Unique and Moderating Role of Social and Self-Evaluative Factors on Perinatal Eating Disorder and Depression Symptoms 社会和自我评价因素对围产期进食障碍和抑郁症状的独特调节作用

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.009

Caroline Christian, Stephanie C. Zerwas, Cheri A. Levinson

{"title":"The Unique and Moderating Role of Social and Self-Evaluative Factors on Perinatal Eating Disorder and Depression Symptoms","authors":"Caroline Christian, Stephanie C. Zerwas, Cheri A. Levinson","doi":"10.1016/j.beth.2023.05.009","DOIUrl":"10.1016/j.beth.2023.05.009","url":null,"abstract":"<div><p>Pregnancy and postpartum represent a critical transition period for changes in eating disorder (ED) symptoms and depression. Past research has established a relationship between ED and depressive symptoms during pregnancy. However, changes in depression and ED symptom across stages of pregnancy and postpartum, and factors that influence this relationship, remain understudied. Social factors and self-evaluative factors may be important given rapidly changing social pressures and expectations during this transitional time. The current study (<em>N</em> = 454 pregnant women) examined (1) differences in ED and depressive symptoms across pregnancy and postpartum and (2) whether social factors (social appearance anxiety; social support) and self-evaluative factors (maladaptive perfectionism; self-compassion) moderate the relationship between depression and ED symptoms cross-sectionally and prospectively. Study aims, hypotheses, and data analysis were preregistered on the Open Science Foundation (osf.io). This study did not identify differences in ED or depression symptoms across women at different stages of pregnancy; however, depression symptoms significantly improved within individuals from pregnancy to postpartum. ED symptoms and all social and self-evaluative factors were uniquely associated with depression during pregnancy. ED symptoms, maladaptive perfectionism, social appearance anxiety, and self-compassion during pregnancy significantly predicted postpartum depression, when accounting for prenatal depression. During pregnancy, but not postpartum, when social support and self-compassion were low, and when maladaptive perfectionism was high, there was a stronger relationship between ED and depression symptoms. ED symptoms and social and self-evaluative factors could be targeted in routine medical care and stepped-care interventions to improve maternal mental healthcare and prevent postpartum depression.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 122-135"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74561638","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

Acknowledgment to 2023 Reviewers 鸣谢 2023 年审稿人

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.12.001

引用次数: 0

Investigating the Theory of Clinical Perfectionism in a Transdiagnostic Eating Disorder Sample Using Network Analysis 利用网络分析法研究跨诊断饮食失调样本中的临床完美主义理论

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.001

Christina Ralph-Nearman, Brenna M. Williams, Anna Marie L. Ortiz, Cheri A. Levinson

{"title":"Investigating the Theory of Clinical Perfectionism in a Transdiagnostic Eating Disorder Sample Using Network Analysis","authors":"Christina Ralph-Nearman, Brenna M. Williams, Anna Marie L. Ortiz, Cheri A. Levinson","doi":"10.1016/j.beth.2023.05.001","DOIUrl":"10.1016/j.beth.2023.05.001","url":null,"abstract":"<div><p>Eating disorders are deadly psychiatric illnesses, with treatments working for less than half of individuals who seek treatment. The transdiagnostic theory of eating disorders proposes that eating disorders share similar maintaining symptoms, such as what this theory calls <em>clinical perfectionism</em> (i.e., high levels of <em>concern over mistakes</em> and <em>personal standards</em>). However, it has been difficult to examine the interrelationship of specific aspects of perfectionism, beyond assessing moderation effects, which have generally not found support for the theory of clinical perfectionism in eating disorders. Thus, we used network analysis to test the theory of perfectionism by testing the interrelationships between maladaptive perfectionism facets (<em>concern over mistakes</em>, <em>personal standards, parental criticism</em>, <em>parental expectations</em>, and <em>personal standards</em>) and eating disorder symptoms in 397 individuals diagnosed with an eating disorder. <em>Concern over mistakes</em> was a central symptom and demonstrated the strongest interrelationships with eating disorder symptoms compared to the other aspects of perfectionism, connecting to eating concerns and cognitive restraint. Objective binge eating had a strong negative connection to <em>personal standards</em>. We identified specific central symptoms and illness pathways of perfectionism, which partially supports the theory of clinical perfectionism. Results, if replicated, may suggest that <em>concern over mistakes</em> might be best reconceptualized as part of eating disorder pathology and be targeted to improve treatment outcomes for eating disorders.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 14-25"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84734661","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 Trial of a Home-Based Parenting Intervention for High-Risk Infants: Effects on and Moderating Role of Effortful Control 针对高风险婴儿的家庭育儿干预试点试验：努力控制的影响和调节作用

IF 3.7 2区心理学

Behavior Therapy Pub Date : 2024-01-01 DOI: 10.1016/j.beth.2023.05.003

Keara J. Neuman, Daniel M. Bagner

{"title":"A Pilot Trial of a Home-Based Parenting Intervention for High-Risk Infants: Effects on and Moderating Role of Effortful Control","authors":"Keara J. Neuman, Daniel M. Bagner","doi":"10.1016/j.beth.2023.05.003","DOIUrl":"10.1016/j.beth.2023.05.003","url":null,"abstract":"<div><p>Despite the important developmental outcomes associated with effortful control (EC), there is limited research demonstrating the efficacy of early interventions for improving EC and assessing the extent to which a child’s level of baseline EC impacts the outcome of intervention on externalizing problems. This study aims to fill these gaps in the literature by assessing the efficacy of the Infant Behavior Program (IBP), a parenting intervention for infants with elevated levels of behavior problems, in improving infant EC and the moderating effect of baseline infant EC on intervention outcomes. Participants included 60 high-risk 12- to 15-month-old infants and their mothers. Families were randomized to receive the IBP or standard pediatric<span> primary care. Parent-report measures of infant behavior and compliance were examined at baseline, post-intervention, and 3- and 6-month follow-up assessments. Results showed infants who received the IBP displayed significantly higher levels of EC at the post-intervention assessment compared to infants in the control group. Additionally, moderation analyses showed initial levels of EC moderated the effect of the IBP on externalizing problems and compliance, such that infants with higher levels of baseline EC displayed greater decreases in externalizing problems at post-intervention and greater increases in compliance at the 6-month follow-up. While these findings did not survive a false discovery rate correction, they offer preliminary support for the efficacy of the IBP in improving infants’ EC and highlight the importance of considering EC as a factor associated with early intervention outcomes for externalizing problems.</span></p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 1","pages":"Pages 42-54"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81852998","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