Behavior TherapyPub Date : 2024-05-22DOI: 10.1016/j.beth.2024.05.004
Pouyan Alizadeh, Ali Zadeh Mohammadi, Mahmood Heidari, Shaghayegh Alidoust, Ali Khatibi
{"title":"Partner-Caregivers’ Interpretation Bias and Sexual Satisfaction: Gender and Congruency in Pain-Related Beliefs","authors":"Pouyan Alizadeh, Ali Zadeh Mohammadi, Mahmood Heidari, Shaghayegh Alidoust, Ali Khatibi","doi":"10.1016/j.beth.2024.05.004","DOIUrl":"10.1016/j.beth.2024.05.004","url":null,"abstract":"<div><div>It has been suggested that family caregivers of chronic pain patients may develop cognitive biases similar to those observed among patients in previous studies. However, there is a gap in knowledge regarding the effect of such biases on patients’ adaptation to pain. In this study, we examined the relationship between partner-caregivers’ interpretation bias and sexual satisfaction among married heterosexual couples. We further examined the relationship between caregivers’ interpretation bias and congruency in the beliefs that patients and caregivers hold about the experience of pain. The sample comprised 32 married couples in a caregiving relationship and 28 married individuals who were neither patients nor caregivers, serving as control participants. Caregivers and controls completed a modified version of the interpretation bias task. Patients and caregivers filled out the Sexual Satisfaction Index and a Patient’s Pain-Related Disabilities Checklist. Results confirmed that a biased negative interpretation exists among caregivers when compared to partners of pain-free individuals. A noticeable gender effect was observed in the effect of interpretation bias on patients’ sexual satisfaction. Female partner-caregivers’ negative interpretation bias was associated with a lower level of sexual satisfaction among male patients. In contrast, the same bias was associated with higher levels of sexual satisfaction among female patients when observed among male partner-caregivers. Furthermore, a moderate but not symmetrical positive interpretation was associated with higher levels of congruence on the level of patients’ disability within couples. The findings are another step toward incorporating the social circuit of individuals with chronic pain conditions into intervention protocols.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 317-333"},"PeriodicalIF":3.4,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134073","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}
Behavior TherapyPub Date : 2024-05-21DOI: 10.1016/j.beth.2024.05.005
{"title":"State of the Science on Racial Microaggressions","authors":"","doi":"10.1016/j.beth.2024.05.005","DOIUrl":"10.1016/j.beth.2024.05.005","url":null,"abstract":"<div><div>Despite racism being widespread and research evidence of racial disparities growing, those who lack the lived experience of racial oppression often find it difficult to acknowledge this specific phenomena due to in-group bias and social learning, among other reasons. The devaluing of this research topic within psychology and greater scientific skepticism around the construct continues to undermine research on racism and microaggressions. The science of microaggressions has advanced significantly in conceptual and theoretical clarity over the last 15 years. Many initial assumptions about the nature of microaggressions have since been found to be incorrect. This state of the science review addresses these concerns by reviewing the concept, validated measures, physical and mental health impacts, critiques and misinformation, recommended strategies and interventions, and clinical implications. We propose future research directions to help advance the scientific study of racial microaggressions.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1172-1188"},"PeriodicalIF":3.4,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137761","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}
Behavior TherapyPub Date : 2024-05-08DOI: 10.1016/j.beth.2024.05.001
{"title":"State of the Science: The Hierarchical Taxonomy of Psychopathology (HiTOP)","authors":"","doi":"10.1016/j.beth.2024.05.001","DOIUrl":"10.1016/j.beth.2024.05.001","url":null,"abstract":"<div><div>The Hierarchical Taxonomy of Psychopathology (HiTOP) is a dimensional framework for psychopathology advanced by a consortium of nosologists. In the HiTOP system, psychopathology is grouped hierarchically from super-spectra, spectra, and subfactors at the upper levels to homogeneous symptom components and maladaptive traits and their constituent symptoms, and maladaptive behaviors at the lower levels. HiTOP has the potential to improve clinical outcomes by planning treatment based on symptom severity rather than heterogeneous diagnoses, targeting treatment across different levels of the hierarchy, and assessing distress and impairment separately from the observed symptom profile. Assessments can be performed according to this framework with the recently developed HiTOP-Self-Report (HiTOP-SR). Examples of how to use HiTOP in clinical practice are provided for the internalizing spectrum, including the use of the Unified Protocol and other modularized treatments, measurement-based care, psychopharmacology, and in traditionally underserved populations. Future directions are discussed in this State of the Science review including HiTOP’s use in further developing transdiagnostic treatments, extending the model to include other information such as environmental factors, establishing the treatment utility of clinical assessment for the HiTOP-SR, developing new treatments, and disseminating the model.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1114-1129"},"PeriodicalIF":3.4,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032160","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}
Behavior TherapyPub Date : 2024-05-01DOI: 10.1016/j.beth.2024.04.012
Tom J. Barry, Michael Treanor, Richard T. LeBeau, Julian Ruiz, Joseph A. Himle, Michelle G. Craske
{"title":"Generalization Between Perceptually Similar Stimuli Is Associated With Improvement in Social Anxiety Following Cognitive-Behavioral Therapy","authors":"Tom J. Barry, Michael Treanor, Richard T. LeBeau, Julian Ruiz, Joseph A. Himle, Michelle G. Craske","doi":"10.1016/j.beth.2024.04.012","DOIUrl":"10.1016/j.beth.2024.04.012","url":null,"abstract":"<div><div>Cognitive-behavioral therapy (CBT) for anxiety disorders requires that people learn to inhibit their fear during exposure to stimuli that no longer pose a threat. We investigate whether individual differences in this inhibitory learning ability, measured prior to treatment, can predict responsiveness to CBT for social anxiety disorder. Participants (<em>N</em> = 128) were randomized to CBT or a wait-list control and completed tests of fear generalization and extinction prior to and following the intervention period. Contrary to expectations, individual differences in extinction, measured at pretreatment, were not associated with treatment responses but there was evidence that these abilities changed over time due to treatment. Individual differences in fear generalization at pretreatment were associated with treatment responses. Weaker generalization between dangerous and perceptually similar but novel safe stimuli was associated with enhanced responding to CBT. These findings contribute to the development of a mechanistic approach to patient stratification where participants who are least likely to respond to CBT can be identified prior to treatment.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 302-316"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029569","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}
Behavior TherapyPub Date : 2024-04-29DOI: 10.1016/j.beth.2024.04.007
{"title":"State of the Science: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders","authors":"","doi":"10.1016/j.beth.2024.04.007","DOIUrl":"10.1016/j.beth.2024.04.007","url":null,"abstract":"<div><div>Before the development of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP), evidence-based treatment options for commonly co-occurring anxiety, mood, and related disorders consisted of numerous single-disorder protocols that shared many similarities, reflecting the overlap among these disorders themselves. The UP distilled common elements of cognitive behavioral protocols into a unified intervention directly targeting core temperamental features underlying these disorders of emotion, namely neuroticism and associated emotion dysregulation. The UP has since become a leading “transdiagnostic” treatment for emotional disorders, which is now available in several formats (e.g., individual, group, digital) and has accumulated a strong evidence base, leading to international implementation. There is now also research evidence that the UP can be flexibly applied to a range of clinical presentations, including borderline personality disorder, trauma- and stressor-related disorders, eating disorders, alcohol use disorder, and comorbid chronic physical health conditions. Yet additional research is needed to evaluate the UP in routine clinical settings, with more heterogeneous patient populations, and under circumstances that mirror actual clinical practice. Thus, we must also continue to explore the benefits of large-scale UP training initiatives and implementation in major healthcare systems.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1189-1204"},"PeriodicalIF":3.4,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141548891","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}
Behavior TherapyPub Date : 2024-04-29DOI: 10.1016/j.beth.2024.04.010
Asher Y. Strauss , Snir Barzilay , Jonathan D. Huppert
{"title":"It Is Clean, But It Still Seems Dirty to Me: Implicit and Explicit Truth of Imagined Contamination as an Explanation of Ego-Dystonic Experience of Obsessions","authors":"Asher Y. Strauss , Snir Barzilay , Jonathan D. Huppert","doi":"10.1016/j.beth.2024.04.010","DOIUrl":"10.1016/j.beth.2024.04.010","url":null,"abstract":"<div><div>Individuals suffering from obsessive-compulsive disorder often experience obsessions as ego-dystonic, knowing that a mental event does not reflect reality but acting as if it does. Imagination has been suggested as an important process involved in this mismatch about the actual truth value of obsessions. Imagining false events has been found to impact spontaneous truth evaluations (implicit truth value; ITV), even when people explicitly acknowledged the imagined event as false (explicit truth value; ETV; Shidlovski et al., 2014). The current study examined discrepancies between ITV and ETV along with effects of imagination and their relationship to obsessive-compulsive contamination symptoms. Sixty-two students, recruited across the range of contamination symptoms, participated in this study. First, a table, at which participants were seated, was cleaned in their presence. Next, in a double-categorization autobiographical implicit association test (aIAT), participants classified true or false autobiographical statements together with “clean” or “contaminated” statements regarding the table. Then, they imagined that the table was contaminated prior to the second aIAT administration. ETV was measured by classifying the statements explicitly as true or false. Imagination was associated with reduced ITV, this association did not depend on symptoms, contrary to our predictions. However, symptoms were associated with elevated ETV evaluations of the contaminated statements. Finally, ETV correlated with ITV only for low symptom participants. This correlation was no longer significant following the imagination induction. In conclusion, individuals with contamination symptoms may be more likely to overweigh their explicit evaluations in the presence of contradictory implicit evaluations, creating a discrepancy. This process may account for ego-dystonic experiences reported by OCD patients.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 2","pages":"Pages 290-301"},"PeriodicalIF":3.4,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141529281","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}
Behavior TherapyPub Date : 2024-04-24DOI: 10.1016/j.beth.2024.04.008
{"title":"The Interpersonal Theory of Suicide: State of the Science","authors":"","doi":"10.1016/j.beth.2024.04.008","DOIUrl":"10.1016/j.beth.2024.04.008","url":null,"abstract":"<div><div>In this state-of-the-science review, we summarize the key constructs and concepts within the interpersonal theory of suicide. The state of the scientific evidence regarding the theory is equivocal, and we explore the reasons for and some consequences of that equivocal state. Our particular philosophy of science includes criteria such as explanatory reach and pragmatic utility, among others, in addition to the important criterion of predictive validity. Across criteria, the interpersonal theory fares reasonably well, but it is also true that it struggles somewhat—as does every other theory of suicidality—with stringent versions of predictive validity. We explore in some depth the implications of the theory and its status regarding people who are minoritized. Some implications and future directions for research are also presented.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1158-1171"},"PeriodicalIF":3.4,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789212","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}
Behavior TherapyPub Date : 2024-04-10DOI: 10.1016/j.beth.2024.04.001
{"title":"Experiential Avoidance During Mealtimes Among Individuals With Eating Disorders","authors":"","doi":"10.1016/j.beth.2024.04.001","DOIUrl":"10.1016/j.beth.2024.04.001","url":null,"abstract":"<div><p>The relationship between negative emotions and avoidance is widely theorized as a bidirectional cycle implicated in a range of psychopathology. Historically, research on this cycle has examined one type of negative emotion: anxiety. Yet, a broader range of internal experiences may be implicated in the maintenance of unhealthy avoidance cycles in psychopathology. This study examines prospective relationships among anxiety, guilt, physical discomfort, and experiential avoidance during mealtimes for individuals with eating disorders (EDs). Participants (<em>N</em> = 108) completed ecological momentary assessments four times a day for 25 days. We computed multilevel models to examine between- and within-person effects of negative emotions and physical discomfort on experiential avoidance. When including guilt and anxiety in one model, guilt, but not anxiety, explained the significant variance in experiential avoidance at the next meal. Mealtime physical discomfort and experiential avoidance evidenced reciprocal prospective relationships. Future research should test whether interventions targeting experiential avoidance and physical discomfort at mealtimes disrupt guilt.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 5","pages":"Pages 1084-1097"},"PeriodicalIF":3.4,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762675","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}
Behavior TherapyPub Date : 2024-04-10DOI: 10.1016/j.beth.2024.04.002
{"title":"Advancing Psychosocial Treatment for Body Dysmorphic Disorder: A State-of-the-Science Review","authors":"","doi":"10.1016/j.beth.2024.04.002","DOIUrl":"10.1016/j.beth.2024.04.002","url":null,"abstract":"<div><div>Body dysmorphic disorder (BDD) is an underrecognized, challenging illness with severe comorbidities, demanding urgent advancements in treatment strategies. This state-of-the-science review describes current research on existing BDD treatments, beginning with a detailed discussion of cognitive-behavioral therapy (CBT), the primary psychosocial intervention for BDD, and its foundational theories. We emphasize the significant progress in the field, including the efficacy of face-to-face CBT, the promising outcomes of digital interventions for broadening access to care, and emerging treatments that warrant further exploration. The review also addresses the critical gap of targeted interventions for youth, considering the diseases’ typical onset during adolescence. Our review also sheds light on the significant gap in research dedicated to testing these treatments in underserved communities, stressing the importance of including these populations in research and culturally informed and adapted, if necessary, care. The review concludes with recommendations for future directions, outlining areas for ongoing treatment development and research to expand the scope and efficacy of interventions for BDD.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 6","pages":"Pages 1249-1288"},"PeriodicalIF":3.4,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772469","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}
Behavior TherapyPub Date : 2024-04-10DOI: 10.1016/j.beth.2024.03.005
{"title":"Meaning-Centered Psychotherapy Versus Cognitive Behavioral Therapy for Cancer Survivors: A Randomized Controlled Trial☆","authors":"","doi":"10.1016/j.beth.2024.03.005","DOIUrl":"10.1016/j.beth.2024.03.005","url":null,"abstract":"<div><p>Meaning-centered psychotherapy (MCP) has been found to be effective in improving meaning in life and increasing fulfillment in participants with cancer. However, to date, no previous studies have compared MCP with evidence-based treatments such as cognitive behavioral therapy (CBT). The aim of this study was to analyze the differential efficacy of MCP, compared to CBT, in participants with cancer. The study is a randomized controlled trial with 76 participants, <em>n</em> = 41 (MCP) and <em>n</em> = 35 (CBT). At posttreatment, the MCP intervention for cancer survivors was more effective than CBT in increasing the presence of meaning in life, purpose and meaning in life, and life goals. Moreover, our results showed that, at posttreatment and the 6-month follow-up, MCP and CBT were similarly effective in improving depression and developing posttraumatic growth. This study suggests that MCP could be more effective than CBT in improving meaning in life, purpose, and life goals, and equally effective as CBT in improving depression and posttraumatic growth, in cancer survivors.</p></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"55 5","pages":"Pages 1071-1083"},"PeriodicalIF":3.4,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005789424000418/pdfft?md5=6f51939341746faa4c15497108683a5a&pid=1-s2.0-S0005789424000418-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774216","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}