Behavior Therapy最新文献

{"title":"Family Accommodation in Children and Adolescents With Misophonia","authors":"Eric A. Storch,&nbsp;Andrew G. Guzick,&nbsp;Johann D'Souza,&nbsp;Jane Clinger,&nbsp;Daphne Ayton,&nbsp;Minjee Kook,&nbsp;Conor Rork,&nbsp;Eleanor E. Smith,&nbsp;Isabel A. Draper,&nbsp;Nasim Khalfe,&nbsp;Catherine E. Rast,&nbsp;Nicholas Murphy,&nbsp;Marijn Lijfijjt,&nbsp;Wayne K. Goodman,&nbsp;Matti Cervin","doi":"10.1016/j.beth.2023.09.001","DOIUrl":"10.1016/j.beth.2023.09.001","url":null,"abstract":"<div><p><span><span>Family accommodation (e.g., reassurance<span>, modifying routines, assisting avoidance) has not been explored among youth with misophonia but may have important clinical and intervention implications. We examined family accommodation in 102 children and adolescents with interview-confirmed misophonia and compared its frequency and content to family accommodation in 95 children and adolescents with anxiety disorders. Findings showed that family accommodation was ubiquitous in pediatric misophonia and may be even more frequent than in youth with anxiety disorders. Assisting the child, participating in misophonia-related behaviors, and modifying family routines were endorsed by more than 70% of parents of children with misophonia. Further, compared to parents of children with anxiety disorders, parents of children with misophonia more frequently reported child distress and anger when they did not accommodate. Family accommodation was moderately to strongly associated with misophonia severity even when accounting for co-occurring internalizing and externalizing </span></span>symptoms<span> and sociodemographic factors. This first study of family accommodation in pediatric misophonia suggests accommodation may be an important clinical feature. A notable study limitation is that the measure of misophonia did not delineate between adaptive versus maladaptive accommodations. Excessive and maladaptive accommodation may be one potential candidate to target in interventions when considered within a broader treatment plan. Importantly, adaptive accommodations should also be considered in day-to-day management if they improve functioning and </span></span>quality of life.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 595-604"},"PeriodicalIF":3.7,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134918415","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 Role of Aversive Appearance-Related Comparisons and Self-Discrepancy in Depression and Well-Being From a Longitudinal General Comparative-Processing Perspective","authors":"Pascal Schlechter,&nbsp;Nexhmedin Morina","doi":"10.1016/j.beth.2023.09.003","DOIUrl":"10.1016/j.beth.2023.09.003","url":null,"abstract":"<div><p>Research indicates that aversive appearance-related comparisons (i.e., perceived as threatening one’s own motives) are associated with depressive symptoms. However, central elements underlying the comparison process are poorly understood. Drawing on central propositions of comparison theory, we hypothesized that an increased aversive comparison frequency instigates high levels of perceived comparison discrepancy to the standard, resulting in an intensified negative affective impact. Consequently, this heightened affective impact is expected to elicit more depressive symptoms and lower psychological well-being. We additionally expected that these pathways are moderated by dispositional self-discrepancies. In a two-wave longitudinal study, participants with elevated depressive symptoms (<em>N</em> = 500) responded to measures of self-discrepancy, depressive symptoms, psychological well-being, and the Comparison Standards Scale for Appearance. The latter assesses aversive social, temporal, counterfactual, and criteria-based comparisons regarding their frequency, perceived discrepancy to the standard, and engendered affective impact. The affective impact after engaging in aversive appearance-related comparisons (partially) accounted for the relation between comparison discrepancy and subsequent depressive symptoms and psychological well-being. Perceived discrepancy to the aversive comparison standards was not a key variable in this process. Dispositional self-discrepancy emerged as moderator on different pathways. Clinical implications are discussed in light of central theoretical accounts from a general comparative-processing perspective.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 636-648"},"PeriodicalIF":3.7,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005789423001193/pdfft?md5=1befdf998c206b0b9f1182d9b92c7d3f&pid=1-s2.0-S0005789423001193-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134918417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Adherence and Competence Measures Based on Practice Elements to Evaluate Treatment Fidelity for Two CBT Programs for Youth Anxiety","authors":"Stephanie Violante,&nbsp;Bryce D. McLeod,&nbsp;Michael A. Southam-Gerow,&nbsp;Bruce F. Chorpita,&nbsp;John R. Weisz","doi":"10.1016/j.beth.2023.09.002","DOIUrl":"10.1016/j.beth.2023.09.002","url":null,"abstract":"<div><p>Measures designed to assess the quantity and quality of practices found across treatment programs for specific youth emotional or behavioral problems may be a good fit for evaluating treatment fidelity in effectiveness and implementation research. Treatment fidelity measures must demonstrate certain reliability and validity characteristics to realize this potential. This study examines the extent to which two observational measures, the Cognitive-Behavioral Treatment for Anxiety in Youth Adherence Scale (CBAY-A) and the CBAY Competence Scale (CBAY-C), can assess the quantity (the degree to which prescribed therapeutic techniques are delivered as intended) or quality (the competence with which prescribed techniques are delivered) of practices found in two distinct treatment programs for youth anxiety. Treatment sessions (<em>N</em> = 796) from 55 youth participants (<em>M</em> age = 9.89 years, <em>SD</em> = 1.71; 46% female; 55% White) with primary anxiety problems who participated in an effectiveness study were independently coded by raters who coded quantity, quality, and the youth–clinician alliance. Youth received one of three treatments: (a) standard (i.e., cognitive-behavioral therapy program), (b) modular (i.e., a cognitive-behavioral and parent-training program), and (c) usual clinical care. Interrater reliability for the CBAY-A items was good across the standard and modular conditions but mixed for the CBAY-C items. Across the standard and modular conditions, the CBAY-A Model subscale scores demonstrated evidence of construct validity, but the CBAY-C Model subscale scores showed mixed evidence. The results provide preliminary evidence that the CBAY-A can be used across different treatment programs but raise concerns about the generalizability of the CBAY-C.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 605-620"},"PeriodicalIF":3.7,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134918414","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":"Effect of Reliable Recovery on Health Care Costs and Productivity Losses in Emotional Disorders","authors":"Sara Barrio-Martínez,&nbsp;Paloma Ruiz-Rodríguez,&nbsp;Leonardo Adrián Medrano,&nbsp;Amador Priede,&nbsp;Roger Muñoz-Navarro,&nbsp;Juan Antonio Moriana,&nbsp;María Carpallo-González,&nbsp;Maider Prieto-Vila,&nbsp;Antonio Cano-Vindel,&nbsp;César González-Blanch","doi":"10.1016/j.beth.2023.08.012","DOIUrl":"10.1016/j.beth.2023.08.012","url":null,"abstract":"<div><p>Despite the high economic costs associated with emotional disorders, relatively few studies have examined the variation in costs according to whether the patient has achieved a reliable recovery. The aim of this study was to explore differences in health care costs and productivity losses between primary care patients from a previous randomized controlled trial (RCT)—PsicAP—with emotional symptoms who achieved a reliable recovery and those who did not after transdiagnostic cognitive-behavioral therapy (TD-CBT) plus treatment as usual (TAU) or TAU alone. Sociodemographic and cost data were obtained for 134 participants treated at five primary care centers in Madrid for the 12-month posttreatment period. Reliable recovery rates were higher in the patients who received TD-CBT + TAU versus TAU alone (66% vs. 34%, respectively; chi-square = 13.78, <em>df</em> = 1, <em>p</em> &lt; .001). Patients who did not achieve reliable recovery incurred more costs, especially associated with general practitioner consultations (<em>t</em> = 3.01, <em>df</em> = 132, <em>p</em> = .003), use of emergency departments (<em>t</em> = 2.20, <em>df</em> = 132, <em>p</em> = .030), total health care costs (<em>t</em> = 2.01, <em>df</em> = 132, <em>p</em> = .040), and sick leaves (<em>t</em> = 1.97, <em>df</em> = 132, <em>p</em> = .048). These findings underscore the societal importance of achieving a reliable recovery in patients with emotional disorders, and further support the value of adding TD-CBT to TAU in the primary care setting.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 585-594"},"PeriodicalIF":3.7,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249340","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 Randomized Controlled Pilot Trial of Primary Care Treatment Integrating Motivation and Exposure Treatment (PC-TIME) in Veterans With PTSD and Harmful Alcohol Use","authors":"Kyle Possemato,&nbsp;Nadine R. Mastroleo,&nbsp;Christina Balderrama-Durbin,&nbsp;Paul King,&nbsp;Ariella Davis,&nbsp;Brian Borsari,&nbsp;Sheila A.M. Rauch","doi":"10.1016/j.beth.2023.08.011","DOIUrl":"10.1016/j.beth.2023.08.011","url":null,"abstract":"<div><p>Individuals with posttraumatic stress disorder (PTSD) often engage in harmful alcohol use. These co-occurring conditions are associated with negative health consequences and disability. PTSD and harmful drinking are typically experienced as closely related—thus treatments that target both simultaneously are preferred by patients. Many individuals with PTSD and harmful alcohol use receive primary care services but encounter treatment barriers in engaging in specialty mental health and substance use services. A pilot randomized controlled trial of a brief integrated treatment for PTSD and harmful drinking versus primary care treatment as usual (PC-TAU) took place in three U.S. Department of Veterans Affairs (VA) primary care clinics. The intervention (primary care treatment integrating motivation and exposure [PC-TIME]) combines motivational interviewing to reduce alcohol use and brief prolonged exposure for PTSD delivered over five brief sessions. Participants (<em>N</em> = 63) were veterans with PTSD and harmful drinking. Multilevel growth curve modeling examined changes in drinking (average number of drinks per drinking day and percentage of heavy drinking days) and self-reported PTSD severity at baseline, 8, 14, and 20 weeks. Participants reported high satisfaction with PC-TIME and 70% (<em>n</em> = 23) completed treatment. As hypothesized, a significantly steeper decrease in self-reported PTSD severity and heavy drinking was evident for participants randomized to PC-TIME compared with PC-TAU. Contrary to expectations, no significant posttreatment differences in PTSD diagnoses were observed. PC-TIME participants were less likely to exceed National Institute for Alcoholism and Alcohol Abuse (NIAAA) guidelines for harmful alcohol use posttreatment compared with PC-TAU participants. PC-TIME is a promising brief, primary care-based treatment for individuals with co-occurring PTSD and harmful alcohol use. A full-scale randomized clinical trial is needed to fully test its effectiveness.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 570-584"},"PeriodicalIF":3.7,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249348","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":"Validation of a Novel Perceptual Body Image Assessment Method Using Mobile Digital Imaging Analysis: A Cross-Sectional Multicenter Evaluation in a Multiethnic Sample","authors":"Robyn Braun-Trocchio,&nbsp;Ashley Ray,&nbsp;Ryan Graham,&nbsp;Caleb F. Brandner,&nbsp;Elizabeth Warfield,&nbsp;Jessica Renteria,&nbsp;Austin J. Graybeal","doi":"10.1016/j.beth.2023.08.009","DOIUrl":"10.1016/j.beth.2023.08.009","url":null,"abstract":"<div><p>Given that mobile digital imaging analyses (DIA) are equipped to automate body composition and subsequently alter one’s appearance at a given objective body fat percent (BF%), the purpose of this study was to validate the use of this tool for assessments of body image. Participants (f = 134, m = 89) from two separate centers underwent body composition scans using a mobile DIA and completed the Multidimensional Body Self-Relations Questionnaire–Appearance Scale (MBSRQ-AS). Using a DIA-generated avatar, participants altered their figure so that it represented their perceived body, ideal body, and what a partner would find attractive. Distortion was calculated as perceived minus actual BF% and dissatisfaction was calculated as either ideal or partner minus perceived BF%. The total sample and females (<em>p</em> &lt; 0.050), but not males, had significantly lower perceived BF% compared to their actual. Ideal and partner BF% was significantly lower than the perceived BF% for all groups (all <em>p</em> &lt; 0.050). Ideal and partner BF% mean differences (MD) from perceived were positively associated with appearance evaluation (AE) and body area satisfaction (BAS) and negatively associated with overweight preoccupation and self-classified weight for the total sample (all <em>p</em> &lt; 0.050). Perceived_MD demonstrated negative associations with AE and BAS (<em>p</em> &lt; 0.050), but only for females when separated by sex. Perceptual body image measured by DIA is significantly associated with attitudinal body image and may allow practitioners to better quantify this growing issue.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 558-569"},"PeriodicalIF":3.7,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135889554","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":"Parent-Led Cognitive Behavioral Teletherapy for Anxiety in Autistic Youth: A Randomized Trial Comparing Two Levels of Therapist Support","authors":"Andrew G. Guzick,&nbsp;Sophie C. Schneider,&nbsp;Minjee Kook,&nbsp;Julia Rose Iacono,&nbsp;Saira A. Weinzimmer,&nbsp;Troy Quast,&nbsp;Sean M. Olsen,&nbsp;Killian Rainey Hughes,&nbsp;Emily Jellinek-Russo,&nbsp;Amanda Perozo Garcia,&nbsp;Abigail Candelari,&nbsp;Leandra N. Berry,&nbsp;Robin P. Goin-Kochel,&nbsp;Wayne K. Goodman,&nbsp;Eric A. Storch","doi":"10.1016/j.beth.2023.08.008","DOIUrl":"10.1016/j.beth.2023.08.008","url":null,"abstract":"<div><p>Parent-led cognitive behavioral therapy (CBT) is an efficient, promising form of therapy that may be well suited for autistic youth with anxiety disorders, though to date it has been minimally tested. In this study, 87 autistic youth (7 to 13 years old) with anxiety disorders and their parents were randomized to two forms of parent-led CBT in which parents led their child through a guided CBT workbook across 12 weeks: one with low therapist contact (four 30-minute telehealth calls), and one with standard therapist contact (ten 60-minute telehealth calls). Anxiety, functional impairment, and autism features significantly declined across therapy, without differences between groups. High satisfaction was reported in both groups, though significantly higher satisfaction ratings were reported in standard-contact CBT. Responder rates were 69% of completers at posttreatment (70% in standard contact, 68% in low contact) and 86% at 3-month follow-up (86% in standard contact, 87% in low contact). Low-contact CBT was estimated to incur an average cost of $755.70 per family compared with $1,978.34 in standard-contact CBT. Parent-led CBT with minimal or standard therapist contact both appear to be effective CBT delivery formats for autistic youth with anxiety disorders, with significant cost savings for low-contact CBT.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 499-512"},"PeriodicalIF":3.7,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79478503","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":"Internet-Based Versus Face-to-Face Cognitive-Behavioral Therapy for Social Anxiety Disorder: A Randomized Control Trial","authors":"Hassan Soleimani Rad,&nbsp;Hanieh Goodarzi,&nbsp;Leili Bahrami,&nbsp;Abbas Abolghasemi","doi":"10.1016/j.beth.2023.08.005","DOIUrl":"10.1016/j.beth.2023.08.005","url":null,"abstract":"<div><p>During the COVID-19 epidemic, face-to-face mental health services faced obstacles. Using Internet-based interventions was a good solution and had the potential to overcome these treatment barriers. However, there is no strong research evidence about the effectiveness of these methods for social anxiety disorder in different cultures and developing countries. Therefore, the present study aimed to investigate the effectiveness and application of Internet-based cognitive-behavioral therapy for social anxiety disorder in Iran. The current study was a pretest-posttest follow-up experimental design. Fifty-four adolescents with social anxiety disorder were selected from Lorestan province (Iran) by cluster sampling method and randomly assigned to three groups: face-to-face, internet-based, and wait-list control. At the beginning and end of the study and 3-month follow-up, three groups were interviewed and answered questionnaires related to the primary and secondary symptoms of social anxiety disorder. Two experimental groups were treated with the same therapeutic intervention during 10 weekly sessions. ANCOVA analysis showed that both forms of intervention effectively reduced social phobia, fear of negative evaluation and social interaction anxiety and increased emotion regulation. Also, a significant decrease in secondary outcomes, including physical symptoms, insomnia, social dysfunction, and depression symptoms, was observed in both groups. The treatment effects were stable during a 3-month follow-up. Our findings showed that although Internet-based cognitive-behavioral therapy for adolescents with social anxiety disorder can be effective, several clinical, cultural, and implementation weaknesses should be considered.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 528-542"},"PeriodicalIF":3.7,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88888288","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 Randomized Controlled Trial of Two Parenting Interventions on Enhancing Parental Resilience Resources and Reducing Children’s Problem Behaviors in Chinese Cross-Boundary Families: Positive Benefits and Moderation Effects","authors":"He Bu,&nbsp;Iris Kam-fung Liu,&nbsp;Nancy Xiaonan Yu","doi":"10.1016/j.beth.2023.08.007","DOIUrl":"10.1016/j.beth.2023.08.007","url":null,"abstract":"<div><p>Daily cross-boundary schooling between Shenzhen and Hong Kong constitutes a constant challenge for Chinese cross-boundary families in terms of parenting burden. To address their most urgent parenting needs, we adapted and evaluated two intervention approaches—improving emotional regulation and providing knowledge about Hong Kong. A cluster randomized controlled trial with repeated assessments (pre-, post-intervention, and one-month follow-up) was adopted to evaluate the intervention effects on the increases of parental resilience resources and reduction of children’s problem behaviors. We further conducted moderation analyses to investigate whether parents with more increases in parental resilience resources would report a greater reduction in children’s problem behaviors. A total of 214 mothers of cross-boundary families were randomly assigned to the emotional regulation arm (ER, <em>n</em> = 120) or the information provision arm (IP, <em>n</em> = 94). Both intervention arms showed positive effects on emotional regulation strategies, and the IP arm outperformed the ER arm in knowledge acquisition. Both arms showed significant and comparable improvements in parental self-efficacy and children’s problem behaviors. Moreover, participants in the IP arm who reported more improvements in parental resilience resources showed a greater reduction in children’s problem behaviors. By adapting two interventions to a new population of cross-boundary families, this trial extended the benefits from parents to children and demonstrated that the improvement of parental resilience resources makes a difference in reducing children’s problem behaviors in the IP arm. Future studies are suggested to focus on parental resilience resources and maximize the benefits on children’s outcomes.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 485-498"},"PeriodicalIF":3.7,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75491621","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":"Implementation and Preliminary Outcomes of an Exposure-Based Summer Camp for Pediatric OCD and Anxiety","authors":"Ryan J. McCarty,&nbsp;Seth T. Downing,&nbsp;Andrea D. Guastello,&nbsp;Lacie M. Lazaroe ,&nbsp;Ashley R. Ordway ,&nbsp;Tannaz MirHosseini,&nbsp;Megan A. Barthle-Herrera,&nbsp;Danielle L. Cooke ,&nbsp;Carol A. Mathews,&nbsp;Joseph P.H. McNamara","doi":"10.1016/j.beth.2023.08.006","DOIUrl":"10.1016/j.beth.2023.08.006","url":null,"abstract":"<div><p>Despite the high prevalence of anxiety disorders in children and adolescents and the existence of effective evidence-based treatments for them, access to psychological care remains a major public health concern. Summer camps may provide an effective treatment avenue for youth who might not otherwise have access to care. This study describes the design and implementation of Fear Facers, a semistructured, 5-day, daytime exposure-therapy-based summer camp designed for youth with a primary diagnosis of obsessive-compulsive disorder (OCD), social anxiety, separation anxiety, or a specific phobia. Preliminary data regarding feasibility and patient outcomes is also reported. Among 52 children and adolescents aged 7 to 16 who attended one of six camp sessions between 2018 and 2021, significant reductions in anxiety (<em>d</em> = 0.54) and OCD symptoms (<em>d</em> = 0.57) were observed from pre-camp to immediately post-camp. A subset of campers who were followed for an additional 3 months post-camp (<em>n</em> = 22) showed maintenance of treatment gains. Retention rates for the intervention were high. Our investigation provides further support for the use of a camp-based design for cognitive-behavioral approaches, and may provide a unique setting to maximize elements of inhibitory learning in exposures. We also discuss a number of elements regarding feasibility that need consideration for those hoping to develop similar interventions.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 3","pages":"Pages 543-557"},"PeriodicalIF":3.7,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005789423000989/pdfft?md5=8e136557233e369579074fb237edc84b&pid=1-s2.0-S0005789423000989-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79680160","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}