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Impact of a Brief Parenting Intervention on Parent and Infant Imitation 简短育儿干预对父母和婴儿模仿的影响
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-08-20 DOI: 10.1016/j.beth.2024.08.007
Caroline J. Gillenson, Matthew J. Valente, Mary B. Hagan, Anastassia Cafatti Mac-Niven, Daniel M. Bagner
{"title":"Impact of a Brief Parenting Intervention on Parent and Infant Imitation","authors":"Caroline J. Gillenson,&nbsp;Matthew J. Valente,&nbsp;Mary B. Hagan,&nbsp;Anastassia Cafatti Mac-Niven,&nbsp;Daniel M. Bagner","doi":"10.1016/j.beth.2024.08.007","DOIUrl":"10.1016/j.beth.2024.08.007","url":null,"abstract":"<div><div>Research examining the effect of behavioral parenting interventions, such as parent–child interaction therapy (PCIT), on parent and child imitation is limited despite known benefits to early child development. We examined the effect of a brief, home-based adaptation of PCIT, the Infant Behavior Program (IBP), on changes in observed frequency of parent and infant imitation, moderating effects of parent language (English, Spanish), and mediational effects of parent and infant imitation on the effect of intervention on infant behavior problems. Participants were 60 12- to 15-month-olds with elevated behavior problems and their primary caregiver, all of which were mothers. Parent–infant dyads were randomly assigned to receive either the IBP or standard pediatric primary care. Parents receiving the IBP demonstrated significantly higher rates of observed imitation at postintervention and at the 3-month follow-up compared to those receiving standard care, and the effect at postintervention was stronger for English-speaking than for Spanish-speaking families. Although the IBP did not directly affect changes in infant imitation at postintervention or the 3-month follow-up, rates of infant imitation increased significantly for those who received the IBP at the 6-month follow-up. Additionally, moderation results suggested that the IBP led to improvements in infant imitation at post for Spanish-speaking families but not for English-speaking families. There were no significant mediational effects of parent or infant imitation. Future research is needed to examine the impact of increases in imitation on other aspects of child development, such as social–cognitive and language abilities, and to examine how cultural factors may play a role in individual differences in imitation.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 487-500"},"PeriodicalIF":3.4,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249472","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
Underlying Working Mechanisms of Virtual Reality Exposure: Exploring the Role of Fearful Expectancies and Habituation 虚拟现实暴露的基本工作机制:探索恐惧预期和习惯的作用
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-08-20 DOI: 10.1016/j.beth.2024.08.004
Sara Scheveneels, Naomi Carpentier
{"title":"Underlying Working Mechanisms of Virtual Reality Exposure: Exploring the Role of Fearful Expectancies and Habituation","authors":"Sara Scheveneels,&nbsp;Naomi Carpentier","doi":"10.1016/j.beth.2024.08.004","DOIUrl":"10.1016/j.beth.2024.08.004","url":null,"abstract":"<div><div>While research has primarily focused on establishing the efficacy of virtual reality (VR) exposure, relatively scant attention has been paid to the underlying working mechanisms that drive the effects. The present study examined the role of fearful expectancies and fear reduction (habituation) in VR exposure. Fearful expectancies were measured before, during (retrospectively), and after a VR exposure session in 121 participants with elevated fear of spiders. In addition, skin-conductance and heart rate were measured throughout the exposure session to examine fear reduction within the exercises and across the session. Fearful expectancies decreased after VR exposure. Larger decreases were associated with better outcomes 1 week (in the verbal and behavioral measures) and 3 months (in one of the verbal measures) after exposure. Levels of expectancies <em>during</em> exposure were not associated with the outcome. We did not find evidence that expectancies about own reactions were better testable in VR exposure than expectancies about the spider. Fear reduction within the exercises or across the session did generally not predict VR exposure outcome. It is recommended to focus on various operationalizations and experimental manipulations of the mechanisms, as well as to compare these mechanisms between VR and in vivo exposure in future research.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 555-565"},"PeriodicalIF":3.4,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203253","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
Beyond Jacobson and Truax: Estimation of Clinical Significance Trajectories in the Coping Power Intervention Using Measurement Error-Corrected Multilevel Modeling 超越Jacobson和Truax:使用测量误差校正的多层次模型估计应对能力干预的临床意义轨迹
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-08-20 DOI: 10.1016/j.beth.2024.08.003
Antonio A. Morgan-López, Lissette M. Saavedra, Heather L. McDaniel, Stephen G. West, Nicholas S. Ialongo, Catherine P. Bradshaw, Alexandra T. Tonigan, Barrett W. Montgomery, Nicole P. Powell, Lixin Qu, Anna C. Yaros, John E. Lochman
{"title":"Beyond Jacobson and Truax: Estimation of Clinical Significance Trajectories in the Coping Power Intervention Using Measurement Error-Corrected Multilevel Modeling","authors":"Antonio A. Morgan-López,&nbsp;Lissette M. Saavedra,&nbsp;Heather L. McDaniel,&nbsp;Stephen G. West,&nbsp;Nicholas S. Ialongo,&nbsp;Catherine P. Bradshaw,&nbsp;Alexandra T. Tonigan,&nbsp;Barrett W. Montgomery,&nbsp;Nicole P. Powell,&nbsp;Lixin Qu,&nbsp;Anna C. Yaros,&nbsp;John E. Lochman","doi":"10.1016/j.beth.2024.08.003","DOIUrl":"10.1016/j.beth.2024.08.003","url":null,"abstract":"<div><div>Coping Power (CP) is a preventive intervention that focuses on reducing child externalizing problems. Although it is typically delivered in a group format (GCP), individually delivered CP (ICP) has produced greater mean reductions in externalizing problems. However, standard analysis of randomized trials loses individual-level information regarding which youth improve, fail to improve, or get worse, whereas clinically significant change (CSC) metrics capture information on individual change. The present study is a secondary analysis of an ICP/GCP trial (<em>N</em> = 360) that examines differences in CSC-based individual-level inferences on externalizing. A novel method for assessing CSC under measurement error-corrected multilevel modeling was used, overcoming three limitations of traditional CSC methods: (a) restriction to two time points, (b) use of total scores, and (c) assumption of constant reliability across time and participants. Because of concerns about Type II errors with all CSC methods, an individual-level effect size metric for CSC was also developed. Based on individualized Cohen’s <em>d</em> estimates, individual-level improvements in externalizing from 4th through 11th grades of <em>d</em> ≥ 0.5 were significantly greater in ICP (73%) versus GCP (45%). Further, GCP saw significantly higher percentages of youth with worsening of externalizing, underscoring concerns about diminished effects for GCP. Half of the sample had improvement that was not statistically significant but exceeded <em>d</em> ≥ 0.5, highlighting the susceptibility to Type II errors of CSC’s results based on statistical significance. An examination of ICP/GCP differences under advanced CSC analysis gives more nuanced information than conventional randomized controlled trial analysis and greater precision in estimating individual-level outcomes than standard CSC methodologies.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 513-528"},"PeriodicalIF":3.4,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869074","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
Evaluating the Effectiveness of Safety Plans for Mitigating Suicide Risk in Two Samples of Psychiatrically Hospitalized Military Veterans 评估安全计划在两个住院精神病退伍军人样本中降低自杀风险的效果
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-08-12 DOI: 10.1016/j.beth.2024.08.001
Jaclyn C. Kearns, Dev Crasta, Elizabeth G. Spitzer, Kaitlyn R. Gorman, Jonathan D. Green, Matthew K. Nock, Terence M. Keane, Brian P. Marx, Peter C. Britton
{"title":"Evaluating the Effectiveness of Safety Plans for Mitigating Suicide Risk in Two Samples of Psychiatrically Hospitalized Military Veterans","authors":"Jaclyn C. Kearns,&nbsp;Dev Crasta,&nbsp;Elizabeth G. Spitzer,&nbsp;Kaitlyn R. Gorman,&nbsp;Jonathan D. Green,&nbsp;Matthew K. Nock,&nbsp;Terence M. Keane,&nbsp;Brian P. Marx,&nbsp;Peter C. Britton","doi":"10.1016/j.beth.2024.08.001","DOIUrl":"10.1016/j.beth.2024.08.001","url":null,"abstract":"<div><div>Although safety plans (SPs), following the Stanley–Brown Safety Planning Intervention protocol, are required for suicidal veterans receiving treatment in the Veterans Health Administration (VHA), prior studies have shown that they are frequently incomplete or are not sufficiently personalized to the unique circumstances of each patient. In two studies, we examined SP completeness, SP quality (i.e., degree to which the SP was clear, actionable, and personalized), and SP fidelity (i.e., sum of completeness and quality). We also examined which SP steps were associated with a reduced likelihood of future psychiatric rehospitalizations (Study 1) and suicide attempts (Study 2) following hospital discharge. Participants were veterans admitted to two VHA acute inpatient psychiatric units for suicide risk (Study 1: <em>N</em> = 78; Study 2: <em>N</em> = 132). SPs were coded by independent raters on completeness, quality, and fidelity; step scores (e.g., Step 1 quality) were summed to create whole-plan scores (e.g., SP quality). In Study 1, 52.5% of participants had an SP and, in Study 2, 93.1% of participants had an SP. In Study 1, whole plan scores were not associated with subsequent psychiatric hospitalization status, but higher Step 2 (internal coping) fidelity scores were associated with decreased likelihood of rehospitalization (AHR = 0.05, 95% CI [0.30, 0.84], <em>p</em> = .008). In Study 2, higher whole-plan quality (AHR = 0.79, 95% CI [0.66, 0.95], <em>p</em> = .012) and fidelity (AHR = 0.84, 95% CI [0.71, 0.99], <em>p</em> = .040) scores were associated with a decreased likelihood of future suicide attempt. Step 1 (warning signs) quality (HR = 0.48, 95% CI [0.30, 0.76], <em>p</em> = .002) and fidelity scores (AHR = 0.57, 95% CI [0.37, 0.90], <em>p</em> = .016) were associated with a decreased likelihood of future suicide attempt. The association of SP characteristics differs by outcome of interest, and fidelity of internal coping strategies may contribute to preventing rehospitalizations, whereas quality and fidelity of warning signs may help prevent future suicide attempts. Overall, results suggest that mandating SPs without training and implementation strategies to ensure quality is not enough.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 438-451"},"PeriodicalIF":3.4,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249473","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
State of the Science in Behavior Therapy: Taking Stock and Looking Forward 行为疗法的科学现状:盘点与展望
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-08-02 DOI: 10.1016/j.beth.2024.07.007
Jonathan S. Comer
{"title":"State of the Science in Behavior Therapy: Taking Stock and Looking Forward","authors":"Jonathan S. Comer","doi":"10.1016/j.beth.2024.07.007","DOIUrl":"10.1016/j.beth.2024.07.007","url":null,"abstract":"<div><div>The scope and burdens of mental health challenges in today’s world are staggering. Among the available psychological treatment approaches, cognitive and behavioral therapies, and their combinations, have garnered the strongest evidence base. That said, progress has not always been linear and most of the work is still ahead of us. Against this backdrop, <em>Behavior Therapy</em> has launched its State of the Science series—an exciting new journal feature offering a curated set of authoritative reviews of research in major areas of relevance to applied cognitive-behavioral science, written by distinguished scientists in each area and peer-reviewed. The vision for the <em>Behavior Therapy</em> State of the Science series is to launch with an initial set of articles that make up this special journal issue, with continued publication of additional State of the Science articles in future journal issues. The current article launches the State of the Science series, providing a brief summary of progress in cognitive and behavioral practice and related areas, as well as various missteps and harmful legacies that remind us that the state of the science for research focused on mental health and the alleviation of human suffering is always in flux and evolving. The 16 inaugural reviews in this special issue are then introduced one by one. Collectively, these State of the Science reviews take stock of what has been learned across key areas in the field, highlight critical knowledge gaps in need of research, and provide expert guidance for improving the effectiveness and reach of care, particularly for marginalized and underserved populations.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1101-1113"},"PeriodicalIF":3.4,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203256","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
Psychometric Properties of the Modified Scale for Suicidal Ideation-Self-Report–Revised With High-Risk Adolescents 高风险青少年自杀意念自我报告修订量表的心理计量特性
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-07-25 DOI: 10.1016/j.beth.2024.07.004
Roberto López Jr., Christianne Esposito-Smythers, Philseok Lee, Richard N. Leichtweis, Ivan W. Miller
{"title":"Psychometric Properties of the Modified Scale for Suicidal Ideation-Self-Report–Revised With High-Risk Adolescents","authors":"Roberto López Jr.,&nbsp;Christianne Esposito-Smythers,&nbsp;Philseok Lee,&nbsp;Richard N. Leichtweis,&nbsp;Ivan W. Miller","doi":"10.1016/j.beth.2024.07.004","DOIUrl":"10.1016/j.beth.2024.07.004","url":null,"abstract":"<div><div>In treatment-seeking samples, approximately 40% of adolescents with suicidal ideation transition to engaging in suicidal behavior. Thus, assessment of the severity of suicidal ideation during care is critically important. However, few free, self-report, evidence-based measures that assess for severity of suicidal ideation exist. To address this need, the present study examined several psychometric properties of a revised version of the Modified Scale for Suicidal Ideation–Self Report (MSSI-SR-R) with adolescents. A sample of 284 adolescents (<em>M</em><sub>age</sub> = 15.30; <em>SD</em> = 1.42; range = 12–18; 62.7% White; 75.7% Non-Hispanic/Latinx) enrolled in a partial hospital program (PHP) completed the MSSI-SR-R at the beginning of treatment. The factor structure of the MSSI-SR-R was assessed using bifactor exploratory structural equation modeling. Measurement invariance across sexual identity was also examined. Internal consistency was calculated using omega. Validity was assessed by comparing scores on the MSSI-SR-R to well-validated self-report measures of suicidal thought and behaviors as well as depressive symptoms. Results supported a bifactor model with a general factor and two specific factors (i.e., Desire/Ideation and Plans/Preparation), which was invariant across sexual identity. The MSSI-SR-R total score demonstrated good reliability and was positively associated with measures of suicidal ideation and behaviors as well as depressive symptom severity. Though additional psychometric work is needed, the MSSI-SR-R demonstrated good psychometric properties. It may offer utility in clinical settings as a brief, free, and validated assessment of severity of suicidal ideation.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 409-421"},"PeriodicalIF":3.4,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839659","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
Affective and Behavioral Responses to Time-Out in Preschool Children With Conduct Problems and Varying Levels of Callous-Unemotional Traits 行为问题学龄前儿童对超时的情感和行为反应以及不同程度的冷漠-不情感特征
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-07-25 DOI: 10.1016/j.beth.2024.07.005
Eva R. Kimonis, Friyana Cooper, Bryan Neo, Georgette E. Fleming, Mei E. Chan, Campbell McDonogh, Philip Jean-Richard Dit Bressel
{"title":"Affective and Behavioral Responses to Time-Out in Preschool Children With Conduct Problems and Varying Levels of Callous-Unemotional Traits","authors":"Eva R. Kimonis,&nbsp;Friyana Cooper,&nbsp;Bryan Neo,&nbsp;Georgette E. Fleming,&nbsp;Mei E. Chan,&nbsp;Campbell McDonogh,&nbsp;Philip Jean-Richard Dit Bressel","doi":"10.1016/j.beth.2024.07.005","DOIUrl":"10.1016/j.beth.2024.07.005","url":null,"abstract":"<div><div>Punishment insensitivity characterizes individuals with callous-unemotional (CU) traits. This has been put forward as an explanation for their persistent conduct problems despite intervention. The purpose of the current study was to compare the emotional and behavioral responses to parent-implemented time-out within a behavioral parent training intervention between children with conduct problems who are high versus low on CU traits. Children (<em>N</em> = 87; <em>M</em> age = 4.88 years, <em>SD</em> = 1.32; 78% male) referred to a specialty clinic for the treatment of conduct problems were observed and coded during time-out, and their parents rated their conduct problem severity and CU traits using psychometrically robust measures. Children with conduct problems and high CU traits showed significantly more calm/neutral emotion and less negative emotion upon initial placement in time-out by parents, but did not engage in more negative behaviors or spend longer in time-out relative to children with conduct problems alone. After a minimum of 3 weeks of exposure to this form of parental discipline, most children complied with effective parental commands in that they did not require time-out for noncompliance during the fourth discipline-focused treatment session. Findings have implications for understanding why children with CU traits continue showing high levels of conduct problems post behavioral interventions, and they lend further support for the need to personalize treatment to their distinct needs.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 422-437"},"PeriodicalIF":3.4,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840734","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
Body Dissatisfaction Is Central to Military Eating Disorder Pathology: A Multi-Time-Point Network Analysis 身体不满意是军人进食障碍病理学的核心:多时点网络分析
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-07-20 DOI: 10.1016/j.beth.2024.07.003
Shruti S. Kinkel-Ram, William Grunewald, Lt. Col. S. David Tubman, Maj. Aaron Esche, Cheri A. Levinson, April R. Smith
{"title":"Body Dissatisfaction Is Central to Military Eating Disorder Pathology: A Multi-Time-Point Network Analysis","authors":"Shruti S. Kinkel-Ram,&nbsp;William Grunewald,&nbsp;Lt. Col. S. David Tubman,&nbsp;Maj. Aaron Esche,&nbsp;Cheri A. Levinson,&nbsp;April R. Smith","doi":"10.1016/j.beth.2024.07.003","DOIUrl":"10.1016/j.beth.2024.07.003","url":null,"abstract":"<div><div>Military membership may put individuals at risk for eating disorders (EDs) due to military specific risk factors such as strict physical fitness requirements, increased salience of weight, and exposure to trauma. Current ED assessments and treatments do not account for these military-specific risk factors. Empirically identifying maintaining factors for EDs can clarify which specific ED symptoms may be efficacious treatment targets for service members and veterans. Thus, we employed network analysis within a military sample to identify central ED symptoms and compare if these symptoms changed across three time-points. We hypothesized that body dissatisfaction and overexercise would be identified as central symptoms across all three time-points. Individuals in the military (73.7% male, 84.8% active duty, M<sub>age</sub> = 30.74) completed the Eating Pathology Symptom Inventory (EPSI; Forbush et al., 2013) at baseline (<em>n</em> = 216), and at 1-month (<em>n</em> = 191) and 3-month follow-up (<em>n</em> = 176). We computed cross-sectional graphical LASSO networks and found that the most central symptoms were related to body dissatisfaction, overexercise, binge eating and diet pill/diuretics; these symptoms were largely stable across multiple time-points. Body dissatisfaction was identified as central across all three time-points and overexercise, binge eating, and diet pill/diuretics were identified as central across two timepoints. These findings are in line with network studies among men and clinical patients that find weight/shape concerns consistently emerge as central ED symptoms. Given that overexercise and diuretics are both central symptoms and frequently employed by military populations, providers should assess these symptoms and work to treat them in a culturally responsive way when they arise.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 395-408"},"PeriodicalIF":3.4,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846345","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
Exploring the Effectiveness and Acceptability of a Self-Help Acceptance-Based Behavior Intervention for Anxiety in Black Adults: An Uncontrolled Pilot Study 探索以接受为基础的自助行为干预对黑人成年人焦虑症的有效性和可接受性:非对照试点研究
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-07-10 DOI: 10.1016/j.beth.2024.07.001
Alexandria N. Miller, Jessica Graham-LoPresti, Gabrielle Liverant, Lizabeth Roemer, Susan M. Orsillo
{"title":"Exploring the Effectiveness and Acceptability of a Self-Help Acceptance-Based Behavior Intervention for Anxiety in Black Adults: An Uncontrolled Pilot Study","authors":"Alexandria N. Miller,&nbsp;Jessica Graham-LoPresti,&nbsp;Gabrielle Liverant,&nbsp;Lizabeth Roemer,&nbsp;Susan M. Orsillo","doi":"10.1016/j.beth.2024.07.001","DOIUrl":"10.1016/j.beth.2024.07.001","url":null,"abstract":"<div><div>An estimated one in five Black Americans meet criteria for an anxiety disorder in their lifetimes (Alvarez et al., 2019), but only about 20% of these receive mental health services. Self-help materials that have been shown to be effective in reducing anxiety and worry could be one method of increasing access to evidence-informed treatments for Black Americans. The current study explored the acceptability and effectiveness of the <em>Worry Less, Live More: The Mindful Way Through Anxiety Workbook</em> (WLLM), a self-help workbook based on acceptance-based behavioral therapy, for reducing anxiety in a sample of Black individuals. Sixty-five Black individuals residing in the United States received the WLLM workbook and were asked to read it over 16 weeks at their own pace without intervention from researchers: 40 of those participants completed the follow-up survey. A majority of the participants agreed that the approach was a good match for them (70%) that it aligned with their personal and cultural views (60%), and that the strategies from the workbook were helpful for them when dealing with the stress related to encountering racial stressors (71%). There were significant improvements over time on self-reported general anxiety (<em>d</em> = .50, anxious arousal (<em>d</em> = .41), cognitive fusion (<em>d</em> = .45), and acceptance (<em>d</em> = .76), but no significant changes in engagement in values-based action over time. This study provided preliminary support for the acceptability of WLLM’s acceptance-based approach for Black adults.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 381-394"},"PeriodicalIF":3.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709131","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
State of the Science: Psychotherapeutic Interventions for Prolonged Grief Disorder 科学现状:对长期悲伤障碍的心理治疗干预
IF 3.4 2区 心理学
Behavior Therapy Pub Date : 2024-07-09 DOI: 10.1016/j.beth.2024.07.002
Charlotte D. LaPlante, Madeleine M. Hardt, Paul K. Maciejewski, Holly G. Prigerson
{"title":"State of the Science: Psychotherapeutic Interventions for Prolonged Grief Disorder","authors":"Charlotte D. LaPlante,&nbsp;Madeleine M. Hardt,&nbsp;Paul K. Maciejewski,&nbsp;Holly G. Prigerson","doi":"10.1016/j.beth.2024.07.002","DOIUrl":"10.1016/j.beth.2024.07.002","url":null,"abstract":"<div><div>Prolonged grief disorder (PGD) is a distinct diagnostic entity that has recently garnered considerable attention as it describes an intense, enduring, distressing and disabling bereavement reaction experienced by a small minority of community-based mourners. In recent decades, research has exploded to address how best to treat PGD with different psychotherapeutic interventions. In this state-of-the-science review, the strength of the evidence will be discussed regarding common psychotherapeutic interventions used to treat grief. Specifically, we focus on the most commonly used interventions, cognitive behavioral (CB)-based therapies, bereavement and support groups, and brief contact interventions (BCIs), in an effort to summarize the relevant clinical takeaways of the current available research. A discussion of the use of these therapies in specific clinical populations is also included, with a focus on those traumatically bereaved, pediatric populations, communities of color, and underserved communities. Important foci and directions for future research are also discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1303-1317"},"PeriodicalIF":3.4,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141705578","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
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