Behaviour Research and Therapy最新文献_第2页

Attention mechanisms of social anxiety in daily life: Unique effects of negative self-focused attention on post-event processing 日常生活中社交焦虑的注意机制：负性自我关注对事件后加工的独特影响

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-29 DOI: 10.1016/j.brat.2025.104759

Alexandra M. Adamis, Savannah Walske, Bunmi O. Olatunji

{"title":"Attention mechanisms of social anxiety in daily life: Unique effects of negative self-focused attention on post-event processing","authors":"Alexandra M. Adamis, Savannah Walske, Bunmi O. Olatunji","doi":"10.1016/j.brat.2025.104759","DOIUrl":"10.1016/j.brat.2025.104759","url":null,"abstract":"<div><div>Social anxiety disorder (SAD) is characterized by biased patterns of attention that are theorized to play a key role in maintaining symptoms. SAD has been linked to externally oriented attentional biases (i.e., towards social-evaluative threats) and internally oriented attentional biases (i.e., towards anxiety-laden thoughts and sensations), both of which might increase proneness for post-event processing (PEP), a form of rumination about the negative aspects of past social events. However, prior research examining attentional biases in SAD has primarily been conducted in laboratory settings, leaving unanswered questions about the naturalistic patterns of attention and cognition that most strongly characterize and maintain social anxiety. The present study applied ecological momentary assessment (EMA) to examine attentional biases during real-world social interactions and their effects on subsequent PEP in a sample of adults with high (<em>n</em> = 108) and low (<em>n</em> = 94) levels of social anxiety. Three times per day for one week, participants reported their attention orientation (i.e., internal versus external), the valence of their attentional foci (i.e., negative versus positive), and their degree of PEP following salient social events. Results revealed that high (vs. low) levels of social anxiety were associated with relatively more internally oriented and negatively valenced attention during social interactions, which in turn predicted increases in subsequent PEP. Findings highlight the salience of negative self-focused attention and ruminative thinking as maintenance factors in social anxiety, and suggest that interventions targeting these mechanisms could show promise in future research.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"191 ","pages":"Article 104759"},"PeriodicalIF":4.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143896040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations between gender, parenthood, and family and career planning in United States doctoral students 美国博士生性别、为人父母、家庭与职业规划之间的关系

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-26 DOI: 10.1016/j.brat.2025.104756

Kayla Costello, Christina Sanzari, Anna Love, Julia M. Hormes

{"title":"Associations between gender, parenthood, and family and career planning in United States doctoral students","authors":"Kayla Costello, Christina Sanzari, Anna Love, Julia M. Hormes","doi":"10.1016/j.brat.2025.104756","DOIUrl":"10.1016/j.brat.2025.104756","url":null,"abstract":"<div><div>Academic culture is generally not conducive to parenthood and work-life balance, which may contribute to the disproportionate drop-out of women from academic careers. The extent to which doctoral students experience systemic biases (e.g., gender-based discrimination) and personal conflicts (e.g., geographic flexibility) related to their gender and parental status, factors that may impact their future career trajectories, remains understudied. Doctoral students (<em>n</em> = 330; 55.5 % women, 25.2 % current parents) completed an online questionnaire examining the associations of gender and parental status on choice of doctoral degree program, experiences while in graduate school, and future career and personal plans. Doctoral students without children were more likely to be enrolled in STEM programs. Men were significantly more likely to be partnered, have children, be enrolled in funded programs, and report higher household incomes. Parents and women were less flexible about relocating for graduate school or post-graduation. Women relied more on family for childcare and external funding (e.g., loans and loved ones). Fathers reported the highest perceived social support, while mothers reported the lowest. No differences were observed in second-shift work or satisfaction with second-shift responsibilities. Women anticipated significantly greater delays in childbearing compared to men. Results suggest that women experience significant conflicts between professional and personal aspirations as early as graduate school and highlight the need for institutional supports and resources to more successfully retain women and parents in academic careers.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"191 ","pages":"Article 104756"},"PeriodicalIF":4.2,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sudden gains in cognitive processing therapy with and without behavioral activation among service members with comorbid PTSD and MDD 在患有PTSD和重度抑郁症的军人中，有或没有行为激活的认知加工治疗的突然收益

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104753

Nicholas P. Otis , Alexander C. Kline , Lisa H. Glassman , W. Michael Hunt , Kristen H. Walter

{"title":"Sudden gains in cognitive processing therapy with and without behavioral activation among service members with comorbid PTSD and MDD","authors":"Nicholas P. Otis , Alexander C. Kline , Lisa H. Glassman , W. Michael Hunt , Kristen H. Walter","doi":"10.1016/j.brat.2025.104753","DOIUrl":"10.1016/j.brat.2025.104753","url":null,"abstract":"<div><div>Sudden gains—large, rapid, and stable symptom reductions during treatment—are associated with better patient outcomes. Little is known about sudden gains among patients with co-occurring posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), yet better understanding of sudden gains in this population may improve treatment of this comorbidity. This study evaluated sudden gains in PTSD and depression symptoms and their association with treatment outcomes among active duty service members with comorbid PTSD and MDD (<em>N</em> = 94) who were randomized to behavioral activation-enhanced cognitive processing therapy (BA + CPT) or CPT alone. Outcomes were interviewer-rated PTSD and depression severity at posttreatment and 3-month follow-up. PTSD and depression sudden gains occurred in 19 % and 27 % of the sample, respectively. Multilevel modeling showed sudden gains in depression symptoms were associated with clinically and statistically significant improvements in PTSD (<em>p</em> < .001) and depression severity (<em>p</em> < .001) outcomes. PTSD sudden gains were not associated with PTSD (<em>p</em> = .137) or depression (<em>p</em> = .187) outcomes. Improvements in both PTSD and depression outcomes following sudden depression gains may highlight the importance of depression symptom change during treatment as a prognostic marker of outcomes in this comorbid population.</div></div><div><h3>Clinicaltrials gov identifier</h3><div>NCT02874131.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104753"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indicators of early change in cognitive behaviour therapy that predict eating disorder remission 预测饮食失调缓解的认知行为疗法早期改变指标

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104754

Tracey D. Wade , Neophytos Georgiou , Ella Keegan , Mia L. Pellizzer , Glenn Waller

{"title":"Indicators of early change in cognitive behaviour therapy that predict eating disorder remission","authors":"Tracey D. Wade , Neophytos Georgiou , Ella Keegan , Mia L. Pellizzer , Glenn Waller","doi":"10.1016/j.brat.2025.104754","DOIUrl":"10.1016/j.brat.2025.104754","url":null,"abstract":"<div><div>We examined the utility of three definitions of rapid response to treatment for predicting remission in a transdiagnostic sample receiving 10-session cognitive behaviour therapy (CBT) for an eating disorder. Both efficiency (categorising the greatest number of people as rapid responders) and predictiveness (performs best in predicting outcomes) were compared. The participants (<em>N</em> = 176, 93 % female, 89 % white, mean age 26.65 years) completed measures at baseline and before session 4 of CBT which was used to calculate rapid response. Remission was achieved by 64 participants (36 %) at the end of therapy. A multivariable logistic regression analysis was used to examine the contribution of rapid response, as well as baseline disordered eating, impairment, general negative emotion, to remission status. Two of the rapid response definitions were associated with participants being 2.5 times more likely to achieve remission at end of treatment. In both cases, remission was also associated with a lower level of baseline eating disorder psychopathology. The preferred definition (a reduction of ≥1.13 points on the Eating Disorder Examination Questionnaire) categorised 58 % of participants as rapid responders. These findings can be used to inform clinicians of meaningful early change that predicts positive outcomes in brief CBT for eating disorders. Early change indicators can inform collaborative consideration of barriers to progress and approaches to tackle these, making CBT more effective for more people. The conclusions should be interpreted with caution given remission was only examined at end of treatment and not over longer-term follow-up.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104754"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing three neural networks to predict depression treatment outcomes in psychological therapies 比较三种神经网络在心理治疗中预测抑郁症治疗结果

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104752

Brian Schwartz , Julia Giesemann , Jaime Delgadillo , Jana Schaffrath , Miriam I. Hehlmann , Danilo Moggia , Christopher Baumann , Wolfgang Lutz

{"title":"Comparing three neural networks to predict depression treatment outcomes in psychological therapies","authors":"Brian Schwartz , Julia Giesemann , Jaime Delgadillo , Jana Schaffrath , Miriam I. Hehlmann , Danilo Moggia , Christopher Baumann , Wolfgang Lutz","doi":"10.1016/j.brat.2025.104752","DOIUrl":"10.1016/j.brat.2025.104752","url":null,"abstract":"<div><h3>Objective</h3><div>Artificial neural networks have been used in various fields to solve classification and prediction tasks. However, it is unclear if these may be adequate methods to predict psychological treatment outcomes. This study aimed to evaluate the prognostic accuracy of neural networks using psychological treatment outcomes data.</div></div><div><h3>Method</h3><div>Three neural network models (TensorFlow, nnet, and monmlp) and a generalised linear regression model were compared in their ability to predict post-treatment remission of depression symptoms in a large naturalistic sample (<em>n</em> = 69,489) of patients accessing low intensity cognitive behavioural therapy. Prognostic accuracy was evaluated using the area under the curve (AUC) in an external cross-validation design.</div></div><div><h3>Results</h3><div>The AUC of the neural networks in an external test sample ranged from 0.64 to 0.65 and the AUC of the linear regression model was 0.63.</div></div><div><h3>Conclusion</h3><div>Neural networks can help predict symptom remission in new samples with moderate accuracy, although these models were no more accurate than a simpler inferential statistical linear regression model.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104752"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting responsiveness to a dialectical behaviour therapy skills training app for recurrent binge eating: A machine learning approach 预测对反复暴食的辩证行为治疗技能训练应用程序的反应：一种机器学习方法

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-22 DOI: 10.1016/j.brat.2025.104755

Zoe McClure , Christopher J. Greenwood , Matthew Fuller-Tyszkiewicz , Mariel Messer , Jake Linardon

{"title":"Predicting responsiveness to a dialectical behaviour therapy skills training app for recurrent binge eating: A machine learning approach","authors":"Zoe McClure , Christopher J. Greenwood , Matthew Fuller-Tyszkiewicz , Mariel Messer , Jake Linardon","doi":"10.1016/j.brat.2025.104755","DOIUrl":"10.1016/j.brat.2025.104755","url":null,"abstract":"<div><h3>Objective</h3><div>Smartphone applications (apps) show promise as an effective and scalable intervention modality for disordered eating, yet responsiveness varies considerably. The ability to predict user responses to app-based interventions is currently limited. Machine learning (ML) techniques have shown potential to improve prediction of complex clinical outcomes. We applied ML techniques to predict responsiveness to a dialectical behaviour therapy-based smartphone app for recurrent binge eating.</div></div><div><h3>Method</h3><div>Data were collected as part of a randomised controlled trial (RCT). The present sample was based on data from 576 participants with recurrent binge eating. 10 common classification and regression approaches were used to predict outcomes that represent key stages of the user experience, including initial intervention uptake, app adherence, study drop-out, and symptom change. Models were developed using 69 self-reported baseline variables (i.e., demographic, clinical, psychological) and several app usage variables (i.e., number of modules completed) as predictors.</div></div><div><h3>Results</h3><div>All models, using only baseline predictors, performed sub-optimally at predicting engagement (AUCs = 0.48–0.61; R<sup>2</sup> = 0.00–0.04) and symptom level change (R<sup>2</sup> = 0.00–0.07). Incorporating usage data improved prediction of study dropout (AUC = 0.69–0.76).</div></div><div><h3>Conclusion</h3><div>ML models were unable to accurately predict responsiveness using self-reported baseline predictors alone. Predicting outcomes with greater precision may require consideration of how predictors change over time and interact with a user's context. Modelling usage pattern data appears to improve prediction of dropout, highlighting the potential value of tracking intervention usage to identify individuals at risk of disengagement.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104755"},"PeriodicalIF":4.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generalization of exposure therapy: Systematic review and recommendations for future research 暴露疗法的推广：系统回顾和对未来研究的建议

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-18 DOI: 10.1016/j.brat.2025.104751

Iris Kodzaga, Jan Heistermann, Armin Zlomuzica

{"title":"Generalization of exposure therapy: Systematic review and recommendations for future research","authors":"Iris Kodzaga, Jan Heistermann, Armin Zlomuzica","doi":"10.1016/j.brat.2025.104751","DOIUrl":"10.1016/j.brat.2025.104751","url":null,"abstract":"<div><div>Limited generalization of exposure therapy effects from treatment-related to treatment-unrelated contexts and/or stimuli is a potential factor contributing to relapse after successful exposure treatment. Investigating the processes underlying exposure therapy generalization (ETG) and developing strategies to promote ETG has become a significant research area. This systematic review provides an overview of the current state of ETG research, outlining its operationalization and the methodological diversity used to detect changes in ETG. We also summarize and discuss findings from studies aimed at enhancing ETG through pharmacological and behavioral interventions.</div><div>A total of 34 studies were identified, investigating ETG across therapy-related and unrelated contexts and fear stimuli. These studies primarily used physical and/or social context/stimuli manipulations to investigate ETG. Multiple response systems (subjective, psychophysiological, behavioral) were used as indices of diminished ETG, but most studies found increased subjective fear in treatment-unrelated contexts/stimuli compared to treatment-related ones.</div><div>We conclude that clear definitions and criteria for assessing ETG are urgently needed. Behavioral interventions, such as multiple context exposure or sleep after exposure, seem effective in promoting ETG across different contexts/stimuli. In contrast, findings from pharmacological approaches are less encouraging, but more research is needed. We identify research gaps that require further investigation to better understand the mechanisms governing and promoting ETG. Experimental paradigms offer a clear advantage for this purpose and for screening novel strategies to maximize ETG.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104751"},"PeriodicalIF":4.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recognition of dynamic angry expressions in socially anxious individuals: An ERP study 社交焦虑个体动态愤怒表达的识别：一项ERP研究

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-17 DOI: 10.1016/j.brat.2025.104750

Jing Yuan , Yuchen Zhang , Chenwei Zhao , Zejun Liu , Xiaoping Yin

{"title":"Recognition of dynamic angry expressions in socially anxious individuals: An ERP study","authors":"Jing Yuan , Yuchen Zhang , Chenwei Zhao , Zejun Liu , Xiaoping Yin","doi":"10.1016/j.brat.2025.104750","DOIUrl":"10.1016/j.brat.2025.104750","url":null,"abstract":"<div><div>Dynamic facial expressions provide temporal information and ecological validity. In this study, participants with high and low social anxiety were instructed to recognise dynamic expressions of anger at different intensities (15 %, 21 %, 27 %, 33 %, 39 %, 45 %). At the same time, their brain electrical activity was recorded. In terms of behavioural results, the high socially anxious (HSA) group had higher accuracy in recognising dynamic angry facial expressions than the low socially anxious (LSA) group. Compared to the lower anger intensities, participants identified the higher anger intensities with increased accuracy and decreased reaction time (RT). In the electrophysiological results, the HSA group showed increased P3 and LPP amplitudes at intensities of 15 %, 21 %, 27 %, 33 % compared to the LSA group. However, there were no significant differences between the two groups at 39 % and 45 % intensity. The differences between the groups in P1 and P2 amplitudes were not significant. Our findings suggest that when dynamic angry expressions are ambiguous, high socially anxious individuals are more deeply encoded than low socially anxious individuals, which has important implications for the development of interventions.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"189 ","pages":"Article 104750"},"PeriodicalIF":4.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visualizing one's Best Possible Self increases positive future expectancies, but does not boost selective learning in fibromyalgia 想象一个人最好的自我可能会增加对未来的积极期望，但并不能促进纤维肌痛症患者的选择性学习

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-16 DOI: 10.1016/j.brat.2025.104748

Tabea Kloos , Fernando Blanco , Winfried Rief , Ann Meulders , Jenny Riecke

{"title":"Visualizing one's Best Possible Self increases positive future expectancies, but does not boost selective learning in fibromyalgia","authors":"Tabea Kloos , Fernando Blanco , Winfried Rief , Ann Meulders , Jenny Riecke","doi":"10.1016/j.brat.2025.104748","DOIUrl":"10.1016/j.brat.2025.104748","url":null,"abstract":"<div><div>Compromised learning is considered to contribute importantly to the development and maintenance of chronic pain disability. More specifically, predictive learning is impaired in people with chronic pain. Therefore, learning mechanisms have been identified as treatment targets. A widely neglected, but relevant question is whether resilience factors can enhance selective learning. This online study combined a selective learning task with a positive psychology intervention in participants with fibromyalgia (FM). The Best Possible Self group (BPS) described and visualized a future in which everything had gone well, which is shown to increase optimism and positive affect, while the active control group described and visualized their Typical Day (TD). Subsequently, selective learning was tested within a contingency learning scenario task using a blocking procedure and pain expectancies as main outcome. We successfully manipulated positive future expectancies (a proxy for state optimism), but not positive affect within a single-session intervention. In contrast with our expectations, the positive psychology intervention did not increase selective learning in the BPS group compared to the TD group, but a small blocking effect was observed in the merged sample. However, because no healthy control group was included, no conclusions can be drawn as to whether the selective learning effect is reduced compared to a non-clinical population. To conclude, there was partial evidence for selective learning in people with fibromyalgia, but manipulated resilience factors did not modulate the selective learning effect.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104748"},"PeriodicalIF":4.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Which one impacts the other?: The relationship between change in borderline personality disorder severity and change in posttraumatic stress disorder severity among individuals in dialectical behavior therapy 哪一个会影响另一个？：辩证行为治疗中个体边缘型人格障碍严重程度变化与创伤后应激障碍严重程度变化的关系

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-04-15 DOI: 10.1016/j.brat.2025.104747

Janice R. Kuo , Katherine E. Christensen , Rachel Liebman , Skye Fitzpatrick , Alexander Chapman , Shelley McMain

{"title":"Which one impacts the other?: The relationship between change in borderline personality disorder severity and change in posttraumatic stress disorder severity among individuals in dialectical behavior therapy","authors":"Janice R. Kuo , Katherine E. Christensen , Rachel Liebman , Skye Fitzpatrick , Alexander Chapman , Shelley McMain","doi":"10.1016/j.brat.2025.104747","DOIUrl":"10.1016/j.brat.2025.104747","url":null,"abstract":"<div><div>Borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD) commonly co-occur. Limited research, however, has examined the association between fluctuations in the severity of one disorder with fluctuations in the severity of the other disorder. In a sample of N = 240 self-harming individuals with BPD undergoing 6 or 12 months of Dialectical Behavior Therapy (DBT), we used a cross-lagged panel model with 3-month intervals to evaluate the temporal relationship between BPD severity and PTSD severity during DBT and throughout follow-up. We similarly examined the relationship in the sub-sample meeting criteria for both disorders (BPD + PTSD; N = 81). Results indicated that decreases in PTSD severity at one timepoint corresponded with decreases in BPD severity at the subsequent timepoint, and that there was minimal evidence for the reverse relationship. Findings were consistent across our analyses in both the full BPD sample and the BPD + PTSD subsample. In the context of DBT, addressing PTSD might help reduce subsequent BPD severity, but addressing BPD features might not have similar effects on PTSD severity.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"190 ","pages":"Article 104747"},"PeriodicalIF":4.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0