Sihan Liu , Lin-Xin Wang , Mark Shuquan Chen , Huiting Cao , Tony J. Cunningham , Jutta Joormann
{"title":"Sleep bad, feel bad: Unpacking the role of exercise and socializing","authors":"Sihan Liu , Lin-Xin Wang , Mark Shuquan Chen , Huiting Cao , Tony J. Cunningham , Jutta Joormann","doi":"10.1016/j.brat.2024.104652","DOIUrl":"10.1016/j.brat.2024.104652","url":null,"abstract":"<div><div>This study investigates the daily associations between sleep disturbances and emotional well-being, focusing on exercise and social interaction as potential moderating factors. Using a longitudinal daily diary approach, we analyzed data from 455 participants (mean age = 41.98 years, 382 females) who reported daily diaries over 20 days. Multilevel modeling was employed to analyze both within- and between-person relations between sleep variables (duration, efficiency, difficulty falling asleep) and next day positive/negative affect. The analysis also explored the moderating roles of exercise and socializing, adjusting for age, sex, and COVID-related variables. Our findings indicate that at both within- and between-person levels, higher sleep efficiency predicted increased positive affect and reduced negative affect; conversely, difficulty falling asleep predicted diminished positive affect and heightened negative affect. Sleep duration had a nonlinear relationship with positive and negative affect, with both longer and shorter than usual sleep duration predicting less positive and more negative affect. Exercise and socializing showed different moderating roles in the relationship between sleep and negative affect. Exercise was found to mitigate the negative impact of poor sleep on negative affect, whereas extended socializing amplified the salutary impact of good sleep on reducing negative affect. Our findings underscore the importance of sleep health in daily emotional well-being, suggesting associations between sleep efficiency, difficulty falling asleep, and next-day affect at both within- and between-person levels. Furthermore, the distinct moderation patterns of exercise and socializing provide unique insights into the interplay of sleep, exercise, and social interaction, allowing more targeted interventions.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104652"},"PeriodicalIF":4.2,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645002","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}
Marta A. Marciniak , Stephanie Homan , Matthias Zerban , Gesine Schrade , Kenneth S.L. Yuen , Dorota Kobylińska , Matthias J. Wieser , Henrik Walter , Erno J. Hermans , Lilly Shanahan , Raffael Kalisch , Birgit Kleim
{"title":"Positive cognitive reappraisal flexibility is associated with lower levels of perceived stress","authors":"Marta A. Marciniak , Stephanie Homan , Matthias Zerban , Gesine Schrade , Kenneth S.L. Yuen , Dorota Kobylińska , Matthias J. Wieser , Henrik Walter , Erno J. Hermans , Lilly Shanahan , Raffael Kalisch , Birgit Kleim","doi":"10.1016/j.brat.2024.104653","DOIUrl":"10.1016/j.brat.2024.104653","url":null,"abstract":"<div><div>This study investigates the role of positive cognitive reappraisal (PCR) flexibility and variability in mental health in response to real-life stressors among college students. We employed ecological momentary assessment and intervention through ReApp, a mobile app designed to train and promote PCR. We analyzed data from the intervention group of a randomized controlled trial with a total of 100 participants who used ReApp for three weeks. Stressors due to health problems, uncomfortable environment (e.g., rainy weather, crowded buses, etc.), and lack of time were reported most frequently. Stressors related to the war in Ukraine, fear of the future, exams, and COVID-19 were reported as the most severe. To reappraise these stressors, the participants used mostly acceptance and problem-solving tactics. A key finding is the role of emotional demand–dependent PCR flexibility in mental health. Specifically, the flexible adaptation of PCR tactics in response to stressor severity was associated with a more substantial decline in perceived stress over the study period among participants reporting low tendency to use PCR at the study's baseline (<em>β</em> = <span><math><mrow><mo>−</mo></mrow></math></span> 0.963, <em>p</em> = .016, Cohen's <em>f</em> = 0.26). In contrast, stressor domain–dependent flexibility and contextually independent between-tactic variability had no moderating effect on stress, depression, and anxiety symptoms. This study contributes to the field of emotion regulation flexibility by highlighting the adaptive role of emotional demand–dependent PCR flexibility in mental well-being among young adults navigating real-life stressors and underscores the importance of tailoring interventions based on the emotional demands of stressors.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104653"},"PeriodicalIF":4.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630779","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}
Xiao Zhou , Lihui Huang , Benjamin Becker , Haoran Dou , Jinxia Wang , Xukai Zhang , Ying Mei , Hong Li , Yi Lei
{"title":"Intolerance of uncertainty enhances adolescent fear generalization in both perceptual-based and category-based tasks: fNIRS studies","authors":"Xiao Zhou , Lihui Huang , Benjamin Becker , Haoran Dou , Jinxia Wang , Xukai Zhang , Ying Mei , Hong Li , Yi Lei","doi":"10.1016/j.brat.2024.104650","DOIUrl":"10.1016/j.brat.2024.104650","url":null,"abstract":"<div><div>Fear generalization undergoes marked changes during adolescence, which may relate to the high prevalence of anxiety disorders. While intolerance of uncertainty (IU) is a key factor that amplifies fear generalization, its impact and neural basis in adolescence remain unclear. Here, we investigated the effects of IU on perceptual-based (n = 72) and category-based (n = 68) fear generalization in adolescents aged 12–15 years. Specifically, Experiment 1 utilized two different size rings as conditioned stimuli, with middle-sized rings serving as the generalized stimuli; Experiment 2 employed pictures of sparrows and refrigerators as conditioned stimuli, with other animals categorically related to the sparrow as generalized stimuli. We collected self-reported threat expectancy, response times, and fear ratings in both experiments, and conducted functional near-infrared spectroscopy in Experiment 2. Results showed that high IU adolescents had higher threat expectancy in both experiments compare to low IU. Moreover, in category-based generalization, high IU adolescents had higher fear ratings, shorter response times and reduced engagement of the left dorsolateral prefrontal cortex (DLPFC). Results indicated that IU may enhance fear generalization by deficient left DLPFC recruitment. Together the present findings point to a behavioral and neural mechanism that can render adolescents vulnerable for mental disorders.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104650"},"PeriodicalIF":4.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630777","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}
Cheri A. Levinson , Claire Cusack , Rowan A. Hunt , Hannah F. Fitterman-Harris , Christina Ralph-Nearman , Savannah Hooper
{"title":"The future of the eating disorder field: Inclusive, aware of systems, and personalized","authors":"Cheri A. Levinson , Claire Cusack , Rowan A. Hunt , Hannah F. Fitterman-Harris , Christina Ralph-Nearman , Savannah Hooper","doi":"10.1016/j.brat.2024.104648","DOIUrl":"10.1016/j.brat.2024.104648","url":null,"abstract":"<div><div>Eating disorders are serious psychiatric illnesses associated with large amounts of suffering, high morbidity, and high mortality rates, signifying a clear need for rapid advancements in the underlying science. Relative to other fields of clinical psychological science, the eating disorder field is new. However, despite the fields’ late beginnings, there is growing science in several important areas. The current paper discusses the current literature in three primary areas of importance: (a) diversity and inclusion, (b) systemic and social factors, and (c) treatment personalization. We discuss how these areas have huge potential to push both eating disorder and clinical psychological science in general forward, to improve our underlying understanding of psychological illness, and to enhance treatment access and effectiveness. We call for more research in these areas and end with our vision for the field for the next decade, including areas in need of significant future research.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104648"},"PeriodicalIF":4.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560977","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}
James Carson , Kalliopi Demetriou , Gemma Barlow , Kim Wright , Maria Loades , Barnaby D. Dunn
{"title":"Augmented Depression Therapy for young adults: A mixed methods randomised multiple baseline case series evaluation","authors":"James Carson , Kalliopi Demetriou , Gemma Barlow , Kim Wright , Maria Loades , Barnaby D. Dunn","doi":"10.1016/j.brat.2024.104646","DOIUrl":"10.1016/j.brat.2024.104646","url":null,"abstract":"<div><div>Augmented Depression Therapy (ADepT) is an individual psychotherapy for depression, which has been shown to be effective in the general adult population. A randomised multiple baseline case series evaluated the feasibility, acceptability, and effectiveness of ADepT in young adults (aged 20–24). Eleven depressed young adults were recruited from a UK university wellbeing service to receive ADepT during the COVID-19 pandemic, with outcomes evaluated relative to pre-specified continuation targets. All participants received a minimum adequate treatment dose (>60% target); 89% judged ADepT as acceptable and satisfactory and would recommend it to others (>60% target); only 9% showed reliable deterioration for depression or wellbeing (meeting <30% target); and there were no trial- or treatment-related serious adverse events. Qualitative interviews revealed most participants were satisfied with and experienced benefits from ADepT. At post-treatment, reliable improvement was shown by 33% of participants for depression and 67% of participants for wellbeing (not meeting target of both >60%), with medium effect size improvements for depression (g = 0.78) and large effect size improvement for wellbeing (g = 0.93; not meeting target of both >0.80). ADepT is feasible, acceptable, and safe in young adults but may require modification to maximise effectiveness. Further research outside of the COVID-19 pandemic is warranted.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104646"},"PeriodicalIF":4.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548397","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":"Active contextualization reduces traumatic memory intrusions via memory integration","authors":"Zhenjie Xu, Kairui Yu, Yingying Wang","doi":"10.1016/j.brat.2024.104644","DOIUrl":"10.1016/j.brat.2024.104644","url":null,"abstract":"<div><div>Traumatic memory intrusions, the involuntary retrieval of unwanted memories, significantly impact mental health. The dual representation theory proposes that the origin of intrusion lies in the overactivated sensory memory not being integrated with the corresponding contextual memory, highlighting the crucial associations between memory contextualization and intrusion. To test this, our study investigated whether enhancing memory contextualization could effectively reduce intrusion. After experiencing analogue trauma with the trauma film paradigm, 96 healthy participants were randomly allocated to three intervention groups: active contextualization (AC) in which participants actively retrieve and restructure film content, passive contextualization (PC) in which participants passively restudy content-matched pre-contextualized information, and working memory taxation (WM) in which participants performed a working memory dual-task. Diary recordings over the subsequent week revealed a significant reduction in intrusion frequency in the AC group compared to both the PC group and a no-intervention control group. Furthermore, comparing AC with WM, a well-established laboratory intervention on intrusion, established a superior efficacy of the AC intervention in reducing intrusions. Finally, analyses of the explicitly recollected film memories identified the critical element of active contextualization to be memory integration induced by active memory retrieval. Together, our findings suggest that active contextualization causally diminishes intrusions, providing novel insights into the regulation of the contextual memory system in intrusion intervention.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104644"},"PeriodicalIF":4.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510598","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}
Jun Hu , Yiqun Gan , Zhenyu Li , Xianrui Li , Tianwei Xu , Jiang Qiu , Xiaoqin Wang , Dongtao Wei
{"title":"Examining the moderating role of depressive symptoms on the dynamic interplay between cognitive reappraisal and rumination: Evidence from experience sampling","authors":"Jun Hu , Yiqun Gan , Zhenyu Li , Xianrui Li , Tianwei Xu , Jiang Qiu , Xiaoqin Wang , Dongtao Wei","doi":"10.1016/j.brat.2024.104645","DOIUrl":"10.1016/j.brat.2024.104645","url":null,"abstract":"<div><div>The dynamic view of emotion regulation (ER) posits that ER is a temporally dynamic process unfolding over time. Cognitive reappraisal and rumination, two extensively investigated ER strategies, are implicated in depression. However, it remains unclear whether these two strategies exhibit reciprocal relations in real-world contexts, and whether such relations vary across baseline depressive symptoms. To address this, we conducted two experience sampling studies and applied residual dynamic structural equation modeling (RDSEM). Results of the RDSEM revealed significant bidirectional associations between cognitive reappraisal and rumination in the Chinese sample, whereas in the Belgian sample, only a unidirectional relationship was found where rumination predicts subsequent cognitive reappraisal. Additionally, both strategies demonstrated stable autoregressive effects. Interestingly, higher depressive symptoms predicted a lower autoregressive effect of cognitive reappraisal within the Chinese sample, while this was not the case in the Belgian sample. These findings highlight the importance of targeting factors such as dynamics in ER and its relationship with depression symptoms.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104645"},"PeriodicalIF":4.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478038","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}
Dorothee Scheuermann , Christiane A. Melzig , Christoph Benke
{"title":"Leveraging occasional reinforced extinction via mental imagery of the unconditioned stimulus to optimize extinction learning","authors":"Dorothee Scheuermann , Christiane A. Melzig , Christoph Benke","doi":"10.1016/j.brat.2024.104647","DOIUrl":"10.1016/j.brat.2024.104647","url":null,"abstract":"<div><div>Occasionally presenting the unconditioned stimulus (US) during extinction training (occasional reinforced extinction, ORE) either unpaired or paired with the conditioned stimulus (CS) provides initial evidence for a less pronounced return of fear. However, translating this approach into clinical practice is challenging due to ethical and practical concerns of exposing patients to the original USs. The present study investigated extinction of fear responses in a novel approach employing ORE using vivid fear imagery of the US instead of actually exposing to it. Three experimental groups underwent differential fear conditioning. Subsequently, participants either received a non-reinforced (standard extinction, <em>N</em> = 25), occasional paired (<em>N</em> = 26), or occasional unpaired (<em>N</em> = 25) reinforced extinction training, followed by assessments for spontaneous recovery, reinstatement, and reacquisition of fear responses. Response patterns during spontaneous recovery, reinstatement and reacquisition showed no benefit from either paired or unpaired imaginative ORE. The current findings suggest that incorporating fear imagery of the US in ORE so far does not result in reducing the return of fear. Further investigation is needed to determine whether imaginal ORE with adjustments could still be a readily applicable strategy for translating the ORE approach into clinical practice.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104647"},"PeriodicalIF":4.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446664","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}
Bethany M. Wootton , Eyal Karin , Maral Melkonian , Sarah McDonald , Nickolai Titov , Blake F. Dear
{"title":"Moderators of outcome in self-guided internet-delivered cognitive-behavior therapy for obsessive-compulsive disorder","authors":"Bethany M. Wootton , Eyal Karin , Maral Melkonian , Sarah McDonald , Nickolai Titov , Blake F. Dear","doi":"10.1016/j.brat.2024.104643","DOIUrl":"10.1016/j.brat.2024.104643","url":null,"abstract":"<div><div>Internet-delivered cognitive behavioural therapy (ICBT) is an effective treatment for obsessive-compulsive disorder (OCD). Currently there is limited research examining the predictors and moderators of outcome in ICBT for OCD. This study examined moderators of treatment outcome in a sample of 216 individuals who commenced a self-guided ICBT intervention for OCD (<em>M</em>age = 34.00; <em>SD</em> = 12.57; 72.7% female). The results indicated that those with higher baseline OCD severity, depression severity, and neuroticism had less improvement at post-treatment and follow up (resulting in 40%, 24% and 12% higher symptom severity for every standard deviation increase on the measure at post-treatment and 33%, 17% and 20% higher symptoms at follow up respectively). However, participants with higher baseline treatment expectancy and readiness to reduce rituals and compulsions had better outcomes at post-treatment and three-month follow up (resulting in a 5% and 7% lower symptom severity for every standard deviation increase on the measure at post-treatment and 12% and 12% lower symptoms at follow up respectively). The results have important implications for who may respond best to self-guided ICBT.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"183 ","pages":"Article 104643"},"PeriodicalIF":4.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510599","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":"Happy 100th anniversary, behavior therapy!","authors":"Georg W Alpers","doi":"10.1016/j.brat.2024.104642","DOIUrl":"https://doi.org/10.1016/j.brat.2024.104642","url":null,"abstract":"","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":" ","pages":"104642"},"PeriodicalIF":4.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478039","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}