Behaviour Research and Therapy最新文献

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Ecological momentary assessments of cognitive dysfunction and passive suicidal ideation among college students 大学生认知功能障碍和被动自杀意念的生态瞬间评估。
IF 4.2 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-25 DOI: 10.1016/j.brat.2024.104602
Abby Adler Mandel , Olga Revzina , Sarah Hunt , Megan L. Rogers
{"title":"Ecological momentary assessments of cognitive dysfunction and passive suicidal ideation among college students","authors":"Abby Adler Mandel ,&nbsp;Olga Revzina ,&nbsp;Sarah Hunt ,&nbsp;Megan L. Rogers","doi":"10.1016/j.brat.2024.104602","DOIUrl":"10.1016/j.brat.2024.104602","url":null,"abstract":"<div><p>Cognitive dysfunction (CD), inclusive of specific cognitive content (e.g., hopelessness, unbearability) or impaired cognitive processes (e.g., attentional fixation on suicide, rumination), is a key risk factor for suicidal ideation (SI). This study aimed to evaluate multiple forms of CD using ecological momentary assessment (EMA) to determine the unique contributions of CD to concurrent and prospective SI. Fifty-five college students with a history of SI or non-suicidal self-injury completed EMA surveys measuring momentary CD and passive SI (“Wish to Die” [WTD], “Wish to Stay Alive” [WTL]) four times a day for 14 days (2149 total observations). Passive SI and CD variables showed notable within-person variability. Multiple CD variables were significant predictors of concurrent ideation when examined simultaneously in multilevel models with random intercepts and fixed slopes, and associations were stronger when participants were around others. Controlling for concurrent passive SI, between-person rumination was a significant predictor of prospective WTD, and both within-person unbearability and between-person hopelessness were each predictive of prospective WTL. These findings provide evidence for the roles of specific types of CD in conferring risk for passive SI and highlight potentially malleable factors that can be changed through targeted interventions.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104602"},"PeriodicalIF":4.2,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471644","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
What we got wrong about depression and its treatment 我们对抑郁症及其治疗的误解。
IF 4.2 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-19 DOI: 10.1016/j.brat.2024.104599
Steven D. Hollon
{"title":"What we got wrong about depression and its treatment","authors":"Steven D. Hollon","doi":"10.1016/j.brat.2024.104599","DOIUrl":"10.1016/j.brat.2024.104599","url":null,"abstract":"<div><p>The paradigm is shifting with respect to how we think about depression and its treatment. Some of that shift can be attributed to new findings with respect to its epidemiology and genetics and the rest can be attributed to the incorporation of a new perspective derived from evolutionary theory. In brief, depression is far more prevalent than previously recognized with the bulk of additional cases involving individuals who do not go on to become recurrent. Nonpsychotic unipolar depression (but not bipolar mania which likely is a “true” disease) appears to be an adaptation that evolved to facilitate rumination in the service of resolving complex social problems in our ancestral past. Cognitive behavior therapy appears to structure that rumination so that patients at elevated risk for recurrence do not get “stuck” blaming themselves for their misfortunes, whereas antidepressant medications may suppress symptoms at the expense of prolonging the underlying episode such that patients remain at elevated risk for relapse whenever they try to discontinue. This means that patients not otherwise at risk for recurrence may be put on medications that they do not need and kept on them indefinitely whether they need to be or not.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104599"},"PeriodicalIF":4.2,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005796724001268/pdfft?md5=cbbcb9ad23301d216bb5c1f8ba203174&pid=1-s2.0-S0005796724001268-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459998","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}
引用次数: 0
Using electrodermal activity to estimate fear learning differences in anxiety: A multiverse analysis 利用皮电活动估计焦虑中的恐惧学习差异:多元宇宙分析
IF 4.2 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-19 DOI: 10.1016/j.brat.2024.104598
Matthew D. Greaves , Kim L. Felmingham , Luke J. Ney , Emma L. Nicholson , Stella Li , Bram Vervliet , Ben J. Harrison , Bronwyn M. Graham , Trevor Steward
{"title":"Using electrodermal activity to estimate fear learning differences in anxiety: A multiverse analysis","authors":"Matthew D. Greaves ,&nbsp;Kim L. Felmingham ,&nbsp;Luke J. Ney ,&nbsp;Emma L. Nicholson ,&nbsp;Stella Li ,&nbsp;Bram Vervliet ,&nbsp;Ben J. Harrison ,&nbsp;Bronwyn M. Graham ,&nbsp;Trevor Steward","doi":"10.1016/j.brat.2024.104598","DOIUrl":"10.1016/j.brat.2024.104598","url":null,"abstract":"<div><p>Meta-analyses indicate differences in Pavlovian fear responses between anxious and non-anxious individuals using electrodermal activity (EDA). Recent research, however, has cast doubt on whether these effects are robust to different analytic choices. Using the multiverse approach conceived by Steegen et al. (2016), we surveyed analytic choices typically implemented in clinical fear conditioning research by conducting 1240 analyses reflecting different choice permutations. Only 1.45% of our analyses produced theoretically congruent statistically significant effects, and the strength and direction of the estimated effects varied substantially across EDA processing methods. We conclude that EDA-estimated fear learning differences are vulnerable to researcher degrees of freedom and make recommendations regarding which analytical choices should be approached with a high degree of caution.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"181 ","pages":"Article 104598"},"PeriodicalIF":4.2,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005796724001256/pdfft?md5=394f943609a66eb95952ab3508539d36&pid=1-s2.0-S0005796724001256-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141979709","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}
引用次数: 0
The role of emotion dysregulation and interpersonal dysfunction in nonsuicidal self-injury during dialectical behavior therapy for borderline personality disorder 在针对边缘型人格障碍的辩证行为疗法中,情绪失调和人际交往障碍在非自杀性自伤中的作用。
IF 4.2 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-18 DOI: 10.1016/j.brat.2024.104594
Jennifer W.Y. Ip , Shelley F. McMain , Alexander L. Chapman , Janice R. Kuo
{"title":"The role of emotion dysregulation and interpersonal dysfunction in nonsuicidal self-injury during dialectical behavior therapy for borderline personality disorder","authors":"Jennifer W.Y. Ip ,&nbsp;Shelley F. McMain ,&nbsp;Alexander L. Chapman ,&nbsp;Janice R. Kuo","doi":"10.1016/j.brat.2024.104594","DOIUrl":"10.1016/j.brat.2024.104594","url":null,"abstract":"<div><p>Dialectical Behaviour Therapy (DBT) is an evidence-based treatment for borderline personality disorder (BPD), with findings demonstrating improvements in various BPD features and related behaviours, such as nonsuicidal self-injury (NSSI). Theory and research suggest that reductions in emotion dysregulation and interpersonal dysfunction could account for at least some of the reduction in NSSI observed during the course of DBT. The current research investigated: 1) the trajectory of changes in emotion dysregulation, interpersonal dysfunction, and NSSI over the course of DBT, and 2) whether changes in emotion dysregulation mediate the relationship between changes in interpersonal dysfunction and changes in NSSI over treatment. One hundred and twenty individuals with BPD enrolled in a multi-site randomized-clinical trial were assessed at five timepoints over 12 months of standard DBT. Results indicated that interpersonal dysfunction and NSSI decreased over the course of DBT. Emotion dysregulation decreased in a quadratic manner such that most of the gains in emotion dysregulation occurred in earlier phases of DBT. Although changes in interpersonal dysfunction predicted changes in emotion dysregulation, changes in emotion dysregulation did not mediate the relationship between changes in interpersonal dysfunction and changes in NSSI.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104594"},"PeriodicalIF":4.2,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471646","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
Receiving self-compassion in the virtual world: Testing the potential value of biofeedback 在虚拟世界中接受自我同情:测试生物反馈的潜在价值
IF 4.1 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-15 DOI: 10.1016/j.brat.2024.104596
Lachlan Greig , Sarah P. Coundouris , Swaraj Randhir , Julie D. Henry , Nilufar Baghaei
{"title":"Receiving self-compassion in the virtual world: Testing the potential value of biofeedback","authors":"Lachlan Greig ,&nbsp;Sarah P. Coundouris ,&nbsp;Swaraj Randhir ,&nbsp;Julie D. Henry ,&nbsp;Nilufar Baghaei","doi":"10.1016/j.brat.2024.104596","DOIUrl":"10.1016/j.brat.2024.104596","url":null,"abstract":"<div><p>Self-compassion training has been shown to deliver mental health benefits and preliminary evidence suggests it might also be possible to deliver these benefits effectively via virtual reality (VR) technology. However, which features of the VR training environment influence these training benefits remains poorly understood. This study was designed to provide the first empirical test of the potential value of visual biofeedback during self-compassion training. It was theorised that the provision of biofeedback may increase the benefits of training by increasing mindfulness, a core component of self-compassion. Sixty participants were randomly allocated to one of two experimental conditions, both of which comprised VR-based self-compassion training, but only one of which included visual biofeedback (a red pulsating light representing heart rate). Relative to scores at baseline, participants reported greater self-compassion, and lower self-criticism, anxiety, and stress after VR self-compassion training. However, the provision of biofeedback did not influence the strength of these training effects. These data provide further evidence that VR administered self-compassion training may deliver potentially important mental health benefits, but also meaningfully extends this literature by proving the first evidence that visual biofeedback does not influence the strength of these benefits.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104596"},"PeriodicalIF":4.1,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005796724001232/pdfft?md5=3272c51f1f482acd8adf15f63c61ad68&pid=1-s2.0-S0005796724001232-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141413071","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}
引用次数: 0
Suicide-specific rumination as a predictor of suicide planning and intent 针对自杀的遐想是自杀计划和自杀意图的预测因素
IF 4.2 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-14 DOI: 10.1016/j.brat.2024.104597
Lena Marie Hensel , Thomas Forkmann , Tobias Teismann
{"title":"Suicide-specific rumination as a predictor of suicide planning and intent","authors":"Lena Marie Hensel ,&nbsp;Thomas Forkmann ,&nbsp;Tobias Teismann","doi":"10.1016/j.brat.2024.104597","DOIUrl":"10.1016/j.brat.2024.104597","url":null,"abstract":"<div><h3>Background</h3><p>Suicide-specific rumination (SSR), that is repetitive negative thinking about suicide, has been proposed as a risk factor for suicidal behavior. Yet, few studies have investigated associations between SSR and suicide intent and planning in a longitudinal study design. The purpose of the present study was to investigate the association between SSR, suicide intent, suicide planning and suicide attempts in a sample of adult outpatients undergoing psychotherapy.</p></div><div><h3>Method</h3><p>Data from <em>N</em> = 637 patients (58.4% female, 41.6% male; <em>M</em><sub>age</sub> = 35.81, <em>SD</em><sub>age</sub> = 13.50, range: 18–79 years) who started therapy at an outpatient clinic were collected. A subsample of <em>n</em> = 335 patients (<em>n</em> = 335; 56,4% female, 43,6% male; <em>M</em><sub>age</sub> = 35.4, <em>SD</em><sub>age</sub> = 13.1, range: 18–73 years) also took part in a post-treatment assessment after twelve therapy sessions.</p></div><div><h3>Results</h3><p>SSR differentiated lifetime suicide attempters from suicide ideators. Furthermore, SSR was associated with lifetime suicide attempt status above age, sex, suicide ideation, depression, anxiety, and stress. Finally, SSR served as a prospective predictor of both suicide planning and suicide intent.</p></div><div><h3>Conclusion</h3><p>The results emphasize the key role of SSR in understanding the suicidal process.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104597"},"PeriodicalIF":4.2,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005796724001244/pdfft?md5=76c7744f9b92d15054a3dca5c97f8233&pid=1-s2.0-S0005796724001244-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393758","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}
引用次数: 0
Internet-based acceptance and commitment therapy for obsessive-compulsive symptoms: A randomized controlled trial 基于互联网的强迫症状接受与承诺疗法:随机对照试验
IF 4.1 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-12 DOI: 10.1016/j.brat.2024.104595
Emma M. Thompson , Lucy Albertella , Shelley Viskovich , Kenneth I. Pakenham , Leonardo F. Fontenelle
{"title":"Internet-based acceptance and commitment therapy for obsessive-compulsive symptoms: A randomized controlled trial","authors":"Emma M. Thompson ,&nbsp;Lucy Albertella ,&nbsp;Shelley Viskovich ,&nbsp;Kenneth I. Pakenham ,&nbsp;Leonardo F. Fontenelle","doi":"10.1016/j.brat.2024.104595","DOIUrl":"https://doi.org/10.1016/j.brat.2024.104595","url":null,"abstract":"<div><p>Subthreshold obsessive-compulsive symptoms (OCS) are associated with increased distress, help seeking behaviours, and functional problems, and may predict progression into further mental health problems. This study investigated the effectiveness of a four-module internet-based acceptance and commitment therapy (iACT) for adults with OCS compared to internet-based progressive relaxation training (iPRT). Eighty-nine adults with OCS participated in a single-blinded randomised controlled trial of iACT or iPRT. Self-report assessments of OCS, psychological flexibility, and quality of life, among others, were measured at baseline, post-treatment, and at three-month follow-up. Both iACT and iPRT showed large pre-post improvements in OCS (<em>b</em> = 6.32, <em>p</em> &lt; 0.001, <em>d</em> = 0.8) and medium improvements in psychological flexibility (<em>b</em> = −0.38, <em>p</em> = 0.011, <em>d</em> = 0.47) and quality of life (<em>b</em> = −5.26, <em>p</em> = 0.008, <em>d</em> = 0.58), with no significant differences in effects between groups. All improvements were maintained at follow-up. There were no differences in attrition or adherence between groups. iACT was rated more favourably by participants at post-treatment, and there were some differences in qualitative feedback across groups. These findings suggest both iPRT and iACT may be helpful in improving mental health in adults with OCS, but that iACT may be more acceptable.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104595"},"PeriodicalIF":4.1,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005796724001220/pdfft?md5=13eda8b371abf7083f4f2f18e6880da1&pid=1-s2.0-S0005796724001220-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141333290","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}
引用次数: 0
Are autistic traits associated with a social-emotional memory bias? 自闭症特征与社会情感记忆偏差有关吗?
IF 4.1 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-04 DOI: 10.1016/j.brat.2024.104578
Victoria Wardell, Charlotte I. Stewardson, Michelle C. Hunsche, Frances S. Chen, Jason D. Rights, Daniela J. Palombo, Connor M. Kerns
{"title":"Are autistic traits associated with a social-emotional memory bias?","authors":"Victoria Wardell,&nbsp;Charlotte I. Stewardson,&nbsp;Michelle C. Hunsche,&nbsp;Frances S. Chen,&nbsp;Jason D. Rights,&nbsp;Daniela J. Palombo,&nbsp;Connor M. Kerns","doi":"10.1016/j.brat.2024.104578","DOIUrl":"10.1016/j.brat.2024.104578","url":null,"abstract":"<div><p>Autistic traits are associated with differential processing of emotional and social cues. By contrast little is known about the relationship of autistic traits to socio-emotional memory, though research suggests an integral relationship between episodic memory processes and psychosocial well-being. Using an experimental paradigm, we tested if autistic traits moderate the effects of negative emotion and social cues on episodic memory (i.e. memory for past events). Young adults (<em>N</em> = 706) with varied levels of self-reported autistic traits (24% in clinical range) encoded images stratified by emotion (negative, neutral) and social cues (social, non-social) alongside a neutral object. After 24 h, item memory for images and associative memory for objects was tested. For item memory, after controlling for anxiety, a small effect emerged whereby a memory-enhancing effect of social cues was reduced as autistic traits increased. For associative memory, memory for pairings between neutral, but not negative, images reduced as autistic traits increased. Results suggest autistic traits are associated with reduced ability to bind neutral items together in memory, potentially impeding nuanced appraisals of past experience. This bias toward more negative, less nuanced memories of past experience may represent a cognitive vulnerability to social and mental health challenges commonly associated with autistic traits and a potential intervention target.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104578"},"PeriodicalIF":4.1,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321822","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
Transdiagnostic and transtherapeutic strategies for optimising autobiographical memory 优化自传体记忆的跨诊断和跨治疗策略
IF 4.1 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-04 DOI: 10.1016/j.brat.2024.104575
T.J. Barry , D.J. Hallford
{"title":"Transdiagnostic and transtherapeutic strategies for optimising autobiographical memory","authors":"T.J. Barry ,&nbsp;D.J. Hallford","doi":"10.1016/j.brat.2024.104575","DOIUrl":"10.1016/j.brat.2024.104575","url":null,"abstract":"<div><p>Our memories for past personally experienced autobiographical events play an important role in therapy, irrespective of presenting issue, diagnoses or therapeutic modality. Here, we summarise evidence for how autobiographical memory abilities can influence our mental health and the relevance of this for the treatment of mental health problems. We then guide the reader through principles and strategies for optimising autobiographical memory within treatment. We ground these recommendations within research for stand-alone interventions for improving autobiographical memory and from studies of how to support the formation and retrieval of therapeutic memories. Options are given for clinicians to guide clients in improving retrieval of autobiographical memories within treatment, for improving autobiographical memory for the therapeutic experience itself, and for creating improvements in autobiographical memory that endure post-treatment. We also provide worksheets for clinicians to use within treatment.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104575"},"PeriodicalIF":4.1,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0005796724001025/pdfft?md5=49b1cca1d6bf7fbc92af55a8052bec27&pid=1-s2.0-S0005796724001025-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274752","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}
引用次数: 0
Are within- and between-session changes in distress associated with treatment outcomes? Findings from two clinical trials of exposure for eating disorders 焦虑在疗程内和疗程间的变化与治疗结果有关吗?暴露治疗进食障碍的两项临床试验结果
IF 4.1 2区 心理学
Behaviour Research and Therapy Pub Date : 2024-06-01 DOI: 10.1016/j.brat.2024.104577
Rachel M. Butler , Caroline Christian , Jeffrey M. Girard , Irina A. Vanzhula , Cheri A. Levinson
{"title":"Are within- and between-session changes in distress associated with treatment outcomes? Findings from two clinical trials of exposure for eating disorders","authors":"Rachel M. Butler ,&nbsp;Caroline Christian ,&nbsp;Jeffrey M. Girard ,&nbsp;Irina A. Vanzhula ,&nbsp;Cheri A. Levinson","doi":"10.1016/j.brat.2024.104577","DOIUrl":"10.1016/j.brat.2024.104577","url":null,"abstract":"<div><h3>Objective</h3><p>Imaginal exposure is a novel intervention for eating disorders (EDs) that has been investigated as a method for targeting ED symptoms and fears. Research is needed to understand mechanisms of change during imaginal exposure for EDs, including whether within- and between-session distress reduction is related to treatment outcomes.</p></div><div><h3>Method</h3><p>Study 1 tested four sessions of online imaginal exposure (<em>N</em> = 143). Study 2 examined combined imaginal and in vivo exposure, comprising six imaginal exposure sessions (<em>N</em> = 26). ED symptoms and fears were assessed pre- and posttreatment, and subjective distress and state anxiety were collected during sessions.</p></div><div><h3>Results</h3><p>Subjective distress tended to increase within-session in both studies, and within-session reduction was not associated with change in ED symptoms or fears. In Study 1, between-session reduction of distress and state anxiety was associated with greater decreases in ED symptoms and fears pre-to posttreatment. In Study 2, between-session distress reduction occurred but was not related to outcomes.</p></div><div><h3>Conclusions</h3><p>Within-session distress reduction may not promote change during exposure for EDs, whereas between-session distress reduction may be associated with better treatment outcomes. These findings corroborate research on distress reduction during exposure for anxiety disorders. Clinicians might consider approaches to exposure-based treatment that focus on distress tolerance and promote between-session distress reduction.</p></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"180 ","pages":"Article 104577"},"PeriodicalIF":4.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141282024","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
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