Behavior Therapy最新文献_第8页

State of the Science: LGBTQ-Affirmative Psychotherapy 科学现状：支持 LGBTQ 的心理疗法

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-03-06 DOI: 10.1016/j.beth.2024.02.011

{"title":"State of the Science: LGBTQ-Affirmative Psychotherapy","authors":"","doi":"10.1016/j.beth.2024.02.011","DOIUrl":"10.1016/j.beth.2024.02.011","url":null,"abstract":"<div><div>Sexual and gender minority (SGM) individuals experience significantly higher levels of depression, anxiety, and behavioral comorbidities (i.e., substance use, suicide) compared to heterosexual and cisgender individuals. LGBTQ-affirmative psychotherapy aims to ameliorate the adverse psychosocial processes, ultimately caused by stigma, that underlie this disparity. Over the past two decades, the mental health field has introduced professional guidelines and treatment protocols for LGBTQ-affirmative psychotherapy, and established their efficacy across distinct SGM populations, delivery modalities, and settings. This state of the science review outlines the history, current evidence, and future directions of LGBTQ-affirmative psychotherapy. It provides an historical account of clinically relevant research for SGM populations and outlines the factors that moved the field from pathologizing perspectives to affirmative approaches. It then discusses the current evidence for LGBTQ-affirmative psychotherapy, as well as studies identifying treatment moderators, including race/ethnicity and stigma exposure, as well as potential treatment mechanisms, including hypervigilance, shame, negative self-schemas, unassertiveness, and emotion dysregulation. SGM individuals can only benefit from LGBTQ-affirmative psychotherapy if protocols are widely available and used by therapists. To this end, the article presents current findings on implementation and dissemination, such as therapist training, and different treatment delivery modalities. Finally, the article outlines an agenda for future research to advance the field of LGBTQ-affirmative psychotherapy, including identifying treatment mechanisms, successfully implementing and disseminating treatment protocols, determining which contexts and client characteristics warrant adaptations to current protocols, and understanding how LGBTQ-affirmative psychotherapy can interact with structural and systemic conditions to exert the strongest possible impact on SGM mental health.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1318-1334"},"PeriodicalIF":3.4,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140056249","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

Emotion Regulation Frequency and Self-Efficacy: Differential Associations with Affective Symptoms 情绪调节频率和自我效能感：情绪症状的差异关联

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-03-06 DOI: 10.1016/j.beth.2024.02.009

{"title":"Emotion Regulation Frequency and Self-Efficacy: Differential Associations with Affective Symptoms","authors":"","doi":"10.1016/j.beth.2024.02.009","DOIUrl":"10.1016/j.beth.2024.02.009","url":null,"abstract":"<div><p>Successful emotion regulation is a critical component of mental health, and difficulties with emotion regulation have been associated with a wide range of disorders, including anxiety and depressive disorders. However, although much is known about commonly used forms of emotion regulation such as cognitive reappraisal and expressive suppression, the relative contribution of two important facets of emotion regulation—frequency and self-efficacy—is not yet clearly established. To address this issue, we conducted two studies. Study 1 employed a community sample (cross-sectional <em>N</em> = 431; 4- to 5-month longitudinal <em>N</em> = 182). Study 2 employed a clinical sample (cross-sectional <em>N</em> = 132). Both assessed emotion regulation frequency and self-efficacy, as well as affective outcomes (anxiety and depressive symptoms). Findings indicated cognitive reappraisal self-efficacy appears to be a relevant variable understanding negative affect outcomes, cross-sectionally, longitudinally and in the clinical sample. Our findings support the process model of emotion regulation in affective symptomatology. Implications for theory and treatment are discussed.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 5","pages":"Pages 1004-1014"},"PeriodicalIF":3.4,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140056244","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: Gender-Affirming Care for Transgender and Gender Diverse Youth 科学现状：为变性和性别多元化青少年提供性别确认护理

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-03-06 DOI: 10.1016/j.beth.2024.02.010

引用次数: 0

State of the Science: The Transdiagnostic Intervention for Sleep and Circadian Dysfunction 科学现状：睡眠和昼夜节律失调的跨诊断干预（TranS-C）

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-03-04 DOI: 10.1016/j.beth.2024.02.007

{"title":"State of the Science: The Transdiagnostic Intervention for Sleep and Circadian Dysfunction","authors":"","doi":"10.1016/j.beth.2024.02.007","DOIUrl":"10.1016/j.beth.2024.02.007","url":null,"abstract":"<div><div>The transdiagnostic intervention for sleep and circadian dysfunction (TranS-C) was developed to provide <em>one</em> protocol that treats a range of sleep and circadian problems across a range of mental disorders. The focus of TranS-C includes, and goes beyond, categorically defined sleep and circadian disorders to facilitate healthy sleep along empirically derived “sleep health” dimensions. In this State of the Science review, we highlight key advantages of a transdiagnostic approach to sleep and circadian problems, including (a) the potential to better understand and treat comorbidity between various sleep and circadian problems and mental disorders, as well as the potential to better understand and treat the heterogeneous sleep and circadian problems that are present within a specific mental disorder; (b) the opportunity to explore the hypothesis that sleep and circadian problems are an important transdiagnostic mechanism in the multifactorial maintenance of mental disorders; (c) the potential to transfer breakthroughs made across siloed areas of research and practice; (d) its suitability for dissemination into a broad range of settings, particularly lower resource settings; and (e) the opportunity to improve a range of important outcomes. We also explain the theoretical underpinnings of TranS-C, including the two-process model of sleep regulation and the Sleep Health Framework. TranS-C includes cognitive-behavioral therapy for insomnia (CBT-I) and we offer recommendations for when to use CBT-I versus TranS-C. The process for developing TranS-C is discussed along with outcome data, applications to underserved communities, and future directions for research.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1289-1302"},"PeriodicalIF":3.4,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140056241","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 State of the Science: Dialectical Behavior Therapy 科学现状：辩证行为疗法

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-03-01 DOI: 10.1016/j.beth.2024.02.006

引用次数: 0

Self-Critical Perfectionism and Anxious and Depressive Symptoms Over 2 Years: Moderated Mediation Models of Anxiety Sensitivity and Experiential Avoidance 自我批评完美主义与两年内的焦虑和抑郁症状：焦虑敏感性和经验回避的调节中介模型

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-02-29 DOI: 10.1016/j.beth.2024.02.001

{"title":"Self-Critical Perfectionism and Anxious and Depressive Symptoms Over 2 Years: Moderated Mediation Models of Anxiety Sensitivity and Experiential Avoidance","authors":"","doi":"10.1016/j.beth.2024.02.001","DOIUrl":"10.1016/j.beth.2024.02.001","url":null,"abstract":"<div><p>This three-wave longitudinal study of 297 community adults (mean age = 38.66 years, 67% female) examined how anxiety sensitivity and experiential avoidance work together to explain the relation between perfectionism and anxious and depressive symptoms over 2 years. Participants completed measures of self-critical (SC) and personal standards (PS) higher-order dimensions of perfectionism, anxiety sensitivity, experiential avoidance, and anxious and depressive symptoms at Time 1. Participants completed measures of anxiety sensitivity, experiential avoidance, and symptoms again at Time 2 one year later, and symptoms measures again at Time 3 two years after baseline. Moderated mediation analyses showed that for those with higher Time 1 experiential avoidance, Time 1 SC perfectionism was indirectly related to Time 3 anxious arousal symptoms through Time 2 anxiety sensitivity. For those with moderate to higher Time 1 anxiety sensitivity, Time 1 SC perfectionism was indirectly associated with Time 3 general distress and anxious arousal symptoms through Time 2 experiential avoidance. These moderated mediation effects were not found for PS perfectionism. These results support anxiety sensitivity and experiential avoidance as moderating and mediating processes that may be important treatment targets for reducing vulnerability to anxious and depressive symptoms over the longer-term in SC perfectionistic individuals.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 5","pages":"Pages 974-989"},"PeriodicalIF":3.4,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468332","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: Written Exposure Therapy for the Treatment of Posttraumatic Stress Disorder 科学现状：治疗创伤后应激障碍的书面暴露疗法

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-02-29 DOI: 10.1016/j.beth.2024.02.004

引用次数: 0

State of the Science: Disgust and the Anxiety Disorders 科学现状：厌恶与焦虑症

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-02-29 DOI: 10.1016/j.beth.2024.02.005

{"title":"State of the Science: Disgust and the Anxiety Disorders","authors":"","doi":"10.1016/j.beth.2024.02.005","DOIUrl":"10.1016/j.beth.2024.02.005","url":null,"abstract":"<div><div>Anxiety disorders have long been conceptualized as disorders of fear, while other emotions have largely been overlooked. However, an emerging literature has increasingly implicated disgust in certain anxiety-related disorders, including obsessive–compulsive disorder, specific phobias (e.g., spider phobia), health anxiety, and posttraumatic stress disorder. Roughly two decades of research has accumulated evidence identifying various mechanisms linking disgust-related phenomena to these disorders. In the present “State of the Science” review, we sought to summarize the current state of the literature with respect to disgust-related mechanisms in anxiety disorders, including trait-level vulnerabilities (e.g., disgust proneness), cognitive processes (e.g., biases of attention and memory), and associated learning mechanisms (e.g., evaluative conditioning). Research in these areas has revealed important ways in which disgust differs from fear-related phenomena, which have important treatment implications. From there, we sought to summarize research on laboratory interventions that attempt to target and attenuate disgust, as well as the early research on formal cognitive-behavioral treatments that integrate disgust-related interventions for anxiety disorders. Although the past two decades of research have revealed important insights related to the role of disgust in psychopathology, much remains to be learned in this area. We propose some future directions, emphasizing the importance of a guiding framework that highlights studying disgust-related mechanisms across different levels of analysis.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1144-1157"},"PeriodicalIF":3.4,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140322119","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 Evaluation of the Insomnia Severity Index in U.S. College Students 美国大学生失眠严重程度指数的心理计量学评估

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-02-29 DOI: 10.1016/j.beth.2024.02.003

{"title":"Psychometric Evaluation of the Insomnia Severity Index in U.S. College Students","authors":"","doi":"10.1016/j.beth.2024.02.003","DOIUrl":"10.1016/j.beth.2024.02.003","url":null,"abstract":"<div><p><span>Psychometric properties of the Insomnia Severity Index (ISI) were analyzed in U.S. college samples. ISI items and total score with sleep and psychosocial questionnaires were examined in Experiment I. ISI diagnostic accuracy in a clinical sample with and without insomnia was assessed in Experiment II. ISI test–retest validity, confirmatory factor analysis (CFA), and item response theory via graded response model (GRM) were assessed in Experiment III. Results indicated analogous ISI and sleep diary items showed moderate correlations (</span><em>r</em><sub>1</sub> <em>=</em> .40; <em>r</em><sub>2</sub> = .45). The ISI total had weak to strong correlations with other indicators of sleep-related disturbance (<em>r</em>s = .25–.62). The ISI had weak to moderate correlations with psychosocial measures commonly associated with insomnia (<em>r</em>s = .10–.57). The diagnostic accuracy of the ISI was very high (area under the curve [AUC] = .999). Sensitivity and specificity were maximized at a cutoff score ≥ 8. The ISI demonstrated good test–retest reliability (ICC = .87). CFA revealed a three-factor model for two study samples and GRM indicated better ability of the ISI to assess moderate (Sample III) and moderate to high (Sample I) levels of insomnia severity. The ISI demonstrated good psychometric properties and appears generally valid for screening insomnia disorder and assessing insomnia severity in college students. Overlap with psychological symptoms suggests caution while interpreting these constructs independently.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 5","pages":"Pages 990-1003"},"PeriodicalIF":3.4,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140322114","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

An In-Depth Exploration of the Relationship Between Suicidal Ideation and Emotion Processes in Adolescents 深入探讨青少年自杀意念与情感过程之间的关系

IF 3.4 2区心理学

Behavior Therapy Pub Date : 2024-02-28 DOI: 10.1016/j.beth.2024.02.002

{"title":"An In-Depth Exploration of the Relationship Between Suicidal Ideation and Emotion Processes in Adolescents","authors":"","doi":"10.1016/j.beth.2024.02.002","DOIUrl":"10.1016/j.beth.2024.02.002","url":null,"abstract":"<div><p>Previous research has shown a relationship between proximal (i.e., close-in-time) emotion experiences and suicidal ideation (SI). Yet, it remains unclear which emotion processes (i.e., the level of the emotion [intensity], how much emotions vary [variability], emotional consistency [inertia], how specific emotions are [differentiation]) and which emotions (i.e., sadness, hopelessness, anger, nervousness, happiness) are most potent predictors of SI. Seventy-seven adolescents (67.5% assigned female at birth) completed daily diaries for 4 weeks after psychiatric hospitalization. Levels of the above-mentioned emotions and frequency of SI were recorded. For each week and each emotion, mean (intensity), standard deviation (variability), autocorrelation (inertia), and intraclass correlation coefficients (ICCs; negative emotion differentiation) were calculated (i.e., four observations/person). Multilevel models examined whether (a) mean intensity, variability, and their interaction; and (b) mean intensity, inertia, and their interaction, were related to mean weekly SI frequency. A separate model examined whether negative emotion differentiation was related to mean weekly SI frequency after adjusting for mean intensity. A significant interaction between mean intensity of anger and variability of anger emerged (<em>B</em> = 0.54, <em>SE</em> = 0.24, <em>p</em> = .023); a positive relationship between mean anger and mean SI frequency was present at moderate or high levels of anger variability but not at its low levels. Mean intensity of most emotions was related to SI frequency in the expected directions. No other statistically significant findings emerged. Results revealed the importance of considering multiple emotion features, their dynamic nature, and their combined effect. Future research should explore mechanisms accounting for anger being related to heightened proximal SI, along with an examination of effective intervention strategies to reduce anger intensity and variability.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 5","pages":"Pages 961-973"},"PeriodicalIF":3.4,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140196583","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