Behavior Therapy最新文献

{"title":"The Impact of Depressive Symptoms on Overidentification of Anger in Couples: A Daily Diary Study","authors":"Ramya Ramadurai,&nbsp;Ella S. Sudit,&nbsp;Kathleen C. Gunthert,&nbsp;Nathaniel R. Herr","doi":"10.1016/j.beth.2025.01.007","DOIUrl":"10.1016/j.beth.2025.01.007","url":null,"abstract":"<div><div>Anger is intricately linked to symptoms of depression and has implications for functioning outcomes in romantic couples. There is a lack of research on whether symptoms of depression influence empathic accuracy of anger in couples, as well as whether perceptions of anger impact relationship quality for both partners. Using daily diary data, we examined these outcomes among 79 cohabitating couples (<em>n</em> = 158). Participants completed a baseline survey assessing relationship satisfaction and depression, as well as daily surveys rating their mood, their perception of their partner’s mood, and relationship satisfaction and closeness. Results indicated that partners of individuals with higher depressive symptoms display empathic inaccuracy of anger. They evidenced a bias towards perceiving higher participant anger even when participants themselves report low levels of anger or low overall negative affect. Partner bias towards perceiving their partners as angry predicted poorer ratings of relationship satisfaction and closeness from both partner and participant perspectives. Findings suggest that for couples in which one individual struggles with symptoms of depression, empathic inaccuracy of anger or biased perception of anger may be a mechanism by which interpersonal dysfunction is maintained.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 866-877"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312827","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":"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":"2025-07-01","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 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":"2025-07-01","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":"Anxiety, Worry, and Difficulty Concentrating: A Longitudinal Examination of Concurrent and Prospective Symptom Relationships","authors":"Mary Blendermann,&nbsp;Rosanna Breaux,&nbsp;Eiko I. Fried,&nbsp;Kristin Naragon-Gainey,&nbsp;Lisa R. Starr,&nbsp;Jeremy Stewart,&nbsp;Bethany A. Teachman ,&nbsp;COVID-19 Mental Health Workgroup ,&nbsp;Lauren S. Hallion","doi":"10.1016/j.beth.2025.01.004","DOIUrl":"10.1016/j.beth.2025.01.004","url":null,"abstract":"<div><div>Difficulty concentrating is an understudied cognitive phenomenon, despite its status as a diagnostic criterion for generalized anxiety disorder and contributor to clinically significant distress and impairment. Worry may constitute a cognitive mechanism by which anxiety leads to difficulty concentrating. The present study examined concurrent and prospective associations between self-reported anxiety, worry, and subjective difficulty concentrating across three timepoints (T1 April/May, T2 July/August, T3 October/November 2020) in 198 adults (<em>M</em> age = 37.94, <em>SD</em> = 13.42; 81% women, 2% gender minority) drawn from a larger study of trajectories of psychopathology during the COVID-19 pandemic. In multilevel models, anxiety was associated with worry both between (<em>β</em> = 0.65, <em>SE</em> = 0.13) and within participants (<em>β</em> = 0.12, <em>SE</em> = 0.11). Difficulty concentrating was also associated with worry between (<em>β</em> = 0.38, <em>SE</em> = 0.03) and within participants (<em>β</em> = 0.09, <em>SE</em> = 0.02). In a structural equation model, worry partially mediated the longitudinal association between anxiety and difficulty concentrating, though this effect was nonsignificant after controlling for difficulty concentrating at T2 and worry, depression, sleep disturbance, and difficulty concentrating at T1. The unadjusted mediation and these other findings are in line with theoretical accounts of worry as a cognitive mechanism linking anxiety to subjective attentional problems.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 4","pages":"Pages 838-850"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312878","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":"Naturalistic Evaluation of HeadGear: A Smartphone App to Reduce Depressive Symptoms in Workers","authors":"Mark Deady,&nbsp;Daniel A.J. Collins,&nbsp;Nicholas Glozier,&nbsp;Evangeline Gardiner,&nbsp;Andrew Arena,&nbsp;Aimee Gayed,&nbsp;Richard Bryant,&nbsp;Rafael A. Calvo,&nbsp;Samuel B. Harvey","doi":"10.1016/j.beth.2024.01.001","DOIUrl":"10.1016/j.beth.2024.01.001","url":null,"abstract":"<div><div>Mobile health (mHealth) apps have the potential to expand access to evidence-based interventions for mental health conditions, including depression. <em>HeadGear</em> was developed to prevent depression and improve well-being among the working population and was associated with significant positive effects in an efficacy trial. This study presents the results from a naturalistic trial intended to evaluate real-world usage of the app. We examined the naturalistic use of HeadGear between March 2019 and March 2022, using app analytic data, in-app event data, and surveys assessing depressive symptoms, well-being, and work performance repeated at 30-day intervals over 5-month app usage. During the observation period, HeadGear was widely disseminated to the public, and downloaded 26,455 times. Of those who downloaded the app, 12,995 completed baseline. The mean age of users was 38.23 (<em>SD</em> = 12.39) and 60% were women. Approximately one in four met criteria for probable depression at baseline. Depressive symptoms showed consistent improvement at all time points (Cohen’s <em>d</em> ranging from 0.24 at 1 month to 0.13 at 5 months). A similar pattern emerged for well-being. Work performance showed improvement to 2-month follow-up only. The strongest change was found for those with greater symptom severity at baseline, and those with high app engagement. Attrition at follow-up points was high. Findings regarding the real-world use of HeadGear are promising and highlight the use of such apps among those with higher symptom severity (despite the intended use of the app as a prevention tool). Further work is required to tailor mHealth apps to reach their full potential through an enhanced understanding of the utility of individual features for effectiveness and engagement.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 529-542"},"PeriodicalIF":3.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139463548","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 Effects of Parent-Child Interaction Therapy on Parent Feeding Practices and Children’s Problematic Mealtime Behaviors","authors":"Shawna M. Campbell,&nbsp;Elia-Jade Edwards,&nbsp;Victoria Hambour,&nbsp;Nina Horan,&nbsp;Tanya Hawes,&nbsp;Kellie Swan,&nbsp;Melissa Wotton,&nbsp;Bethany Melloy,&nbsp;Melanie J. Zimmer-Gembeck","doi":"10.1016/j.beth.2024.08.005","DOIUrl":"10.1016/j.beth.2024.08.005","url":null,"abstract":"<div><div>Many children are fussy or demanding about food, and managing these behaviors can be difficult and distressing for parents. Yet, no previous study had examined whether Parent-Child Interaction Therapy (PCIT), an interactive parenting support program that coaches caregivers while they interact with their young children, improves problematic mealtime behaviors and food-related parenting practices. In this study, 178 parents in Australia (M<em>_age</em> = 35.1 years, <em>SD</em> = 7.5 years; 93% female) of young children (M<em>_age</em> = 4.5 years, <em>SD</em> = 1.3, 76% male) completed up to two baseline surveys (prior to a waitlist, pre-PCIT) and a third survey after PCIT. The surveys included measures of their parenting practices in general and related to feeding and mealtimes, beliefs about eating, and children’s mealtime behavior (e.g., food avoidance, mealtime aggression) and general externalizing symptoms. Using paired <em>t</em>-tests, no changes were found during baseline (pre-waitlist to pre-PCIT), but from pre- to post-PCIT, medium to large improvements were found in parent mealtime demandingness and responsiveness, aversion to mealtime, child eating behaviors, general parenting practices, and child externalizing behavior. However, positive mealtime environment did not improve and improvements in general parenting and behavior were larger than for eating-related parenting and child behavior. The findings suggest that PCIT can be effective for reducing most problematic mealtime behaviors and can improve multiple parental feeding practices.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 566-579"},"PeriodicalIF":3.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869036","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":"Misconceptions Among Mental Health Treatment Providers About OCD and PTSD","authors":"Caitlin M. Pinciotti,&nbsp;Gabriella T. Ponzini,&nbsp;Gianna M. Colombo,&nbsp;Carmen P. McLean,&nbsp;Terri L. Fletcher,&nbsp;Natalie E. Hundt,&nbsp;Lauren P. Wadsworth,&nbsp;Nathaniel Van Kirk,&nbsp;Stephanie Y. Wells,&nbsp;Jonathan S. Abramowitz,&nbsp;Wayne K. Goodman,&nbsp;Eric A. Storch","doi":"10.1016/j.beth.2024.09.003","DOIUrl":"10.1016/j.beth.2024.09.003","url":null,"abstract":"<div><div>Obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) share overlapping features for which similar cognitive behavioral treatment (CBT) strategies can be employed. However, the comorbid presence of these conditions poses unique clinical considerations, and a nuanced approach to assessment, conceptualization, and treatment is needed when working with individuals with co-occurring OCD and PTSD. Treatment providers may not be aware of these nuances and may hold misconceptions about co-occurring OCD and PTSD, impacting their approach to assessment, conceptualization, and treatment. The current study sought to examine possible misconceptions among mental health treatment providers of differing specializations. Among 146 primarily CBT-oriented treatment providers (20.3% generalist, 13.0% PTSD specialist, 32.6% OCD specialist, and 34.1% OCD/PTSD specialist), exploratory factor analysis categorized misconceptions relating to Trepidation, Differential Diagnosis, Flexibility, OCD is Trauma, Trauma Misconceptions, and Compartmentalization. Overall, OCD specialists endorsed misconceptions most frequently, including those of Trepidation and underestimating the prevalence of trauma and PTSD in individuals with OCD. In contrast, PTSD specialists were more likely to endorse providing patients reassurance for their OCD-related fears, and OCD/PTSD providers were more likely to apply rigid Differential Diagnosis criteria not supported by research or diagnostic criteria to intrusive thoughts and safety behaviors. Misconceptions are explained through the lens of differing conceptualization and treatment approaches between areas of specialization.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 470-486"},"PeriodicalIF":3.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869072","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":"Exploring the Relevance of Perceived Barriers to Treatment in Adults With Body Dysmorphic Disorder Symptoms: Comparing Psychotherapy and Online Interventions","authors":"Katharina Bosbach,&nbsp;Johanna Schulte,&nbsp;Alexandra Martin","doi":"10.1016/j.beth.2024.10.001","DOIUrl":"10.1016/j.beth.2024.10.001","url":null,"abstract":"<div><div>Although individuals facing Body Dysmorphic Disorder (BDD) endure considerable levels of distress, they often do not engage in empirically effective cognitive-behavioral therapy. Identified barriers to seeking treatment include logistical challenges, shame and stigmatization, and pessimistic expectations of mental health interventions associated with a lack of insight into having a psychological issue. This study investigates the relevance of these perceived treatment barriers for face-to-face therapy and for online interventions as a potentially accessible alternative or entry to traditional psychotherapy. Through an online survey involving 321 participants (comprising 239 with elevated BDD symptoms and 82 with self-reported probable BDD), we utilize the Barriers to Treatment Questionnaire to assess different perceived barriers. A comparative analysis is conducted to contrast the perceived relevance of barriers to psychotherapy with those reported for online interventions. As a result, perceived barriers to psychotherapy are most prominent in feelings of shame and fear of stigmatization, followed by logistical challenges and negative treatment expectations, and again followed by format-related concerns. Overall perceived barriers to online interventions are lower, though concerns related to the intervention format, such as data security concerns, become more pronounced. Notably, shame and stigmatization remain central factors in both contexts. When offering psychological help to individuals with BDD, the aspects of shame and negative attitudes toward seeking psychological help should be primarily addressed. Considering all their advantages, online interventions should continue to be utilized for BDD, to improve the treatment situation, but it should be noted that this treatment format is not without challenges.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 618-633"},"PeriodicalIF":3.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869030","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":"Self-Guided Behavioral Activation Using an Online Single-Session Intervention: Content and Lexical Analyses of Activity Scheduling","authors":"Allison Peipert,&nbsp;Lauren A. Rutter,&nbsp;Jacqueline Howard,&nbsp;Lorenzo Lorenzo-Luaces","doi":"10.1016/j.beth.2024.09.001","DOIUrl":"10.1016/j.beth.2024.09.001","url":null,"abstract":"<div><div>The Common Elements Toolbox (COMET) is a self-guided online single-session intervention (SSI) containing cognitive-behavioral elements, including behavioral activation (BA). Little is known about the process of activity scheduling in BA. Using data from an 8-week randomized controlled trial of COMET with 409 online workers with a history of psychopathology, two raters coded the types of activities individuals scheduled during the intervention. Additionally, we compared the activities to a BA dictionary developed from therapist-led psychotherapy. We explored baseline clinical and demographic variables that were predictive of the activity category scheduled and explored the scheduled activity category as a predictor of depression, anxiety, and well-being post-intervention. Results yielded 9 different activity types, most commonly sedentary hobbies (41%), physical activity (29%), and active hobbies (18%). We found a small overlap (17%) between the self-guided BA activities in our COMET sample and those in the existing BA dictionary. Demographic variables were predictive of activity category, but clinical variables were not. The type of activity scheduled was not predictive of post-intervention outcomes. In self-guided BA, individuals, particularly men, less educated participants, and racial-ethnic minorities, tend to pick sedentary activities. Findings underscore the need for adaptive and personalized interventions.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 501-512"},"PeriodicalIF":3.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869073","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":"How Can Sexual and Gender Minority Latter-day Saints Resolve Identity Conflict and Improve Their Mental Health? Results From a 2- to 4-Year Longitudinal Study","authors":"G. Tyler Lefevor,&nbsp;Samuel J. Skidmore","doi":"10.1016/j.beth.2024.08.006","DOIUrl":"10.1016/j.beth.2024.08.006","url":null,"abstract":"<div><div>Sexual and gender minority (SGM) clients who are raised in conservative religious traditions often find themselves caught between competing narratives about how to best improve mental health and resolve conflict between their sexual/gender and religious identities. In an effort to guide these individuals and the therapists who serve them, we present longitudinal data from 359 sexual and gender minority individuals raised in the Church of Jesus Christ of Latter-day Saints (i.e., SGM Latter-day Saints). These data, gathered at baseline in 2020 or 2022 and then again 2 and/or 4 years later in 2022 and/or 2024, answer the question “What can I do today that is most likely to yield positive mental health and conflict resolution in the future?” All analyses were preregistered prior to data collection of the most recent longitudinal wave. Bivariate analyses between baseline variables and depression/conflict resolution in 2024 suggest that (a) self-compassion, (b) social support, (c) authentic religious engagement, (d) reduced internalized homonegativity, (e) outness, and (f) seeing masturbation as more acceptable were all related to subsequent alleviated depression or enhanced conflict resolution. Regression analyses conducted separately for conflict resolution and depression suggest that only self-compassion, internalized homonegativity, and authentic religious engagement emerged as indicators of subsequent depression or conflict resolution. These findings suggest that the most important actions SGM individuals can take today to have better mental health and less conflict in 2 or 4 years include developing compassionate stances toward themselves, reducing stigmatizing views of themselves, and engaging authentically with their faith (if applicable).</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 3","pages":"Pages 580-593"},"PeriodicalIF":3.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869203","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}