Behaviour Research and Therapy最新文献_第6页

Developing an extended process model of emotion regulation in PTSD 建立创伤后应激障碍情绪调节的扩展过程模型。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104668

Hope O'Brien , Kim Felmingham , Winnie Lau , Meaghan O'Donnell

引用次数: 0

Optimizing in vivo exposure using occasional reinforced extinction with aversive imagery in spider fearful individuals 在害怕蜘蛛的个体中，利用偶尔增强的厌恶图像来优化体内暴露。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104671

Dorothee Scheuermann , Christiane A. Melzig , Christoph Benke

{"title":"Optimizing in vivo exposure using occasional reinforced extinction with aversive imagery in spider fearful individuals","authors":"Dorothee Scheuermann , Christiane A. Melzig , Christoph Benke","doi":"10.1016/j.brat.2024.104671","DOIUrl":"10.1016/j.brat.2024.104671","url":null,"abstract":"<div><div>Although exposure-based therapy is widely recognized as effective for treating various anxiety disorders, a significant proportion of patients fail to benefit or experience a return of fear following successful treatment. One promising strategy involves occasional presentation of fear-evoking stimuli during extinction (occasional reinforced extinction, ORE). This study investigates a novel approach to translate ORE into clinical practice by incorporating occasional vivid imagery of individuals' worst-case fear scenarios during in-vivo exposure. Forty-seven spider-fearful individuals were randomly assigned to receive either a one-session in-vivo standard exposure treatment (Exp-Only) or an one-session in-vivo exposure treatment supplemented with occasional mental imagery of their worst-case spider scenario (Exp + ORE). Fear of spider questionnaires and a generalization behavioral approach test were administered prior to and one week after treatment. Both groups showed improvement from baseline to post-assessment, but the Exp + ORE group demonstrated significantly greater reductions in self-reported fear and avoidance of spiders compared to standard exposure training. During the generalization behavioral approach test, subjective distress and approach behavior toward the spider significantly improved from baseline to post-assessment in all participants, with no discernible group differences. Findings moreover indicate that occasional imagery during exposure lead to greater expectancy violation compared to standard exposure, providing insights into potential underlying mechanisms of the ORE approach. Incorporating mental imagery into the occasional reinforced extinction approach could hold promise for enhancing the efficacy of exposure-based treatments for anxiety disorders in clinical settings.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104671"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856031","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

Prosody-focused feedback enhances the efficacy of anti-depressive self-statements in depressed individuals – A randomized controlled trial 韵律集中的反馈增强了抑郁个体抗抑郁自我陈述的功效——一项随机对照试验。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104667

Jonathan F. Bauer , Lena Schindler-Gmelch , Maurice Gerczuk , Björn Schuller , Matthias Berking

{"title":"Prosody-focused feedback enhances the efficacy of anti-depressive self-statements in depressed individuals – A randomized controlled trial","authors":"Jonathan F. Bauer , Lena Schindler-Gmelch , Maurice Gerczuk , Björn Schuller , Matthias Berking","doi":"10.1016/j.brat.2024.104667","DOIUrl":"10.1016/j.brat.2024.104667","url":null,"abstract":"<div><div>This study was aimed to evaluate whether the efficacy of invoking anti-depressive self-statements to cope with depressed mood can be enhanced for depressed individuals by systematically guiding them to amplify the expression of conviction in their voice. Accordingly, we recruited <em>N</em> = 144 participants (48 clinically depressed individuals, 48 sub-clinically depressed individuals, and 48 non-depressed individuals). Participants were randomly assigned to an experimental or control condition. Across study conditions, participants completed a mood induction procedure, then read aloud scripted anti-depressive self-statements designed to reduce depressed mood. Participants in the experimental condition received instructions to heighten the prosodic expression of conviction in their voice; participants in the control condition received no prosodic expression instructions. Results showed that depressed participants achieved a more pronounced decrease of depressed mood in the experimental condition than in the control condition. Further, the results indicated no effects in sub-clinically depressed and non-depressed individuals. Finally, heightened conviction expressed by participants in the experimental condition was associated with lower depressed mood and diminished depressive symptom severity. Overall, our findings suggest that fostering the prosodic expression of conviction in depressed persons’ voices, while they vocalize anti-depressive self-statements, represents a promising method for augmenting the efficacy of cognitive interventions for depression.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104667"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865568","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

Global precedence effect in fear generalization and the role of trait anxiety and intolerance of uncertainty 恐惧泛化中的全局先例效应以及特质焦虑和不确定性不容忍的作用。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104669

Biao Feng , Ling Zeng , Zhihao Hu , Xinyue Fan , Xin Ai , Fuwei Huang , Xifu Zheng

{"title":"Global precedence effect in fear generalization and the role of trait anxiety and intolerance of uncertainty","authors":"Biao Feng , Ling Zeng , Zhihao Hu , Xinyue Fan , Xin Ai , Fuwei Huang , Xifu Zheng","doi":"10.1016/j.brat.2024.104669","DOIUrl":"10.1016/j.brat.2024.104669","url":null,"abstract":"<div><div>Fear overgeneralization is widely considered to be a core feature of pathological anxiety, and the excessive spread of fear can be a great burden on patients. Although perceptual processing is a basic process of human cognition, the impact of visual perception recognition on fear generalization has not yet been fully explored. In this study, 69 subjects were recruited to explore the effects of the hierarchical features of stimuli on fear generalization and examine the roles of trait anxiety (TA) and intolerance of uncertainty (IU) in this process. The results reveal that compared with the local features, the subjects showed stronger fear responses to global features of the stimuli, and the weakest fear response was to the reversed features. Furthermore, the results preliminarily suggest that in generalization dominated by global features, TA intensifies the fear response; while in generalization dominated by local features, along with TA, IU makes a unique contribution to increasing the magnitude of fear generalization. These results confirm new potential pathways for fear generalization, specifically the configurational hierarchical features of stimuli. This is explained through object recognition and cognitive bias, implying that cognitive processes and personality traits have interacting effects on fear generalization.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104669"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819862","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

“It's safer to believe that others don't like me” – A qualitative study on the paradoxical value of negative core beliefs in depression “相信别人不喜欢我更安全”——对抑郁症中消极核心信念的矛盾价值的定性研究。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104665

Tobias Kube , Lisa Rauch

{"title":"“It's safer to believe that others don't like me” – A qualitative study on the paradoxical value of negative core beliefs in depression","authors":"Tobias Kube , Lisa Rauch","doi":"10.1016/j.brat.2024.104665","DOIUrl":"10.1016/j.brat.2024.104665","url":null,"abstract":"<div><div>Depression is related to difficulty revising established negative self-beliefs in response to novel positive experiences. This propensity is in some way paradoxical because negative beliefs usually have many obvious negative consequences for the individual (e.g., feeling upset). Using a qualitative approach, the present study sought to explore what makes such negative self-beliefs valuable from the patients’ perspectives. In 14 patients with major depression, we conducted semi-structured interviews that explored the perceived benefits of retaining an individually specified negative core belief as well as the perceived costs of changing it. In a deductive-inductive approach based on a recent theoretical model of the value of beliefs, we found eight themes that may explain why people with depression uphold negative beliefs (intercoder agreement: κ = .81): expectation management, certainty and control, avoiding cognitive dissonance, adaptivity in the past, protection of higher values, attachment and belonging, saving resources, short-term counterevidence. The two most frequently mentioned themes were that retaining negative beliefs helps patients sustain certainty and keep expectations low to prevent future disappointments. While previous research has advanced the understanding of <em>how</em> (i.e., through which mechanisms) people with depression maintain negative self-beliefs, the present study provides novel insights into <em>why</em> they do so.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104665"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792619","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

Predictors of trauma-related diagnostic overshadowing bias 创伤相关诊断阴影偏差的预测因子。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104651

Katherine E. Wislocki, Alyson K. Zalta

{"title":"Predictors of trauma-related diagnostic overshadowing bias","authors":"Katherine E. Wislocki, Alyson K. Zalta","doi":"10.1016/j.brat.2024.104651","DOIUrl":"10.1016/j.brat.2024.104651","url":null,"abstract":"<div><div>Diagnostic overshadowing occurs when healthcare professionals misattribute an individual's presenting symptoms to other features of an individual's clinical presentation. Mental health providers may incorrectly diagnose and treat trauma-exposed individuals due to trauma-related diagnostic overshadowing bias. No research has investigated provider factors associated with this bias. Mental health provider background and training characteristics were examined as predictors of trauma-related diagnostic overshadowing in a sample of mental health providers (<em>N</em> = 210). Hierarchical regression modeling was used to evaluate predictors related to trauma-related diagnostic overshadowing in diagnostic and treatment decision-making. Providers with diagnostic responsibilities in their professional role were significantly less likely to demonstrate bias in some diagnostic and treatment decisions. Older mental health providers and providers with more clients experiencing traumatic stress demonstrated greater bias in some diagnostic responses. Providers with doctoral degrees, compared to all other degree types, demonstrated less bias through some diagnostic and treatment responses. Bias in diagnostic decisions strongly predicted bias in treatment decision-making. Findings suggest that factors related to clinical experience may be important in predicting trauma-related diagnostic overshadowing. Future work should extend this research to understand which factors affect trauma-related diagnostic overshadowing in real-world settings.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104651"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865772","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 among PTSD symptoms, fear of emotion, and couple communication difficulties: A between-person dyadic analysis 创伤后应激障碍症状、对情绪的恐惧和夫妻沟通困难之间的关联：人际关系分析。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104666

Steffany J. Fredman , Jeesun Lee , Yunying Le , Emily Taverna , Amy D. Marshall

{"title":"Associations among PTSD symptoms, fear of emotion, and couple communication difficulties: A between-person dyadic analysis","authors":"Steffany J. Fredman , Jeesun Lee , Yunying Le , Emily Taverna , Amy D. Marshall","doi":"10.1016/j.brat.2024.104666","DOIUrl":"10.1016/j.brat.2024.104666","url":null,"abstract":"<div><div>This study investigated between-person associations among PTSD symptoms, fear of emotion, and perceived couple communication difficulties in a dyadic context among 64 trauma-exposed, mixed gender community couples (<em>N</em> = 128 individuals) using the Actor-Partner Interdependence Mediation Model. Individuals with higher PTSD symptoms endorsed greater fear of their emotions (β<sub>Men</sub> = .72; β<sub>Women</sub> = .49), and those with greater fear of their emotions reported lower levels of constructive couple communication (β<sub>Men</sub> = −.19; β<sub>Women</sub> = −.21) and higher levels of self-demand/partner-withdraw communication (β<sub>Men</sub> = .20; β<sub>Women</sub> = .25) and partner-demand/self-withdraw communication (β<sub>Men</sub> = .26; β<sub>Women</sub> = .33) with their partners. Additionally, women whose partners had higher PTSD symptoms endorsed greater fear of their emotions (β = .30). The most robust indirect PTSD-communication links were between (a) individuals' PTSD symptoms and their perceptions of partner-demand/self-withdraw communication when accounting for associations with fear of their emotions and (b) men's PTSD symptoms and women's perceived partner-demand/self-withdraw communication accounting for associations with women's fear of their emotions. Men with higher PTSD symptoms also reported greater self-demand/partner-withdraw communication (β = .28), independent of their fear of emotion. Couple-based treatments for PTSD that promote emotional tolerance and are sensitive to gender differences in how PTSD symptoms relate to each partner's perception of the man-demand/woman-withdraw communication pattern may improve trauma survivors' relationship functioning and increase the potential for relationships to serve as a conduit for recovery from PTSD.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104666"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824661","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

Immunity for counterproductive attentional capture by reward signals among individuals with depressive symptoms 有抑郁症状的人对奖励信号的反作用注意捕捉的免疫力。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104664

Xiaoning Zhao, Jinsheng Hu, Meng Liu, Qi Li, Qingshuo Yang

{"title":"Immunity for counterproductive attentional capture by reward signals among individuals with depressive symptoms","authors":"Xiaoning Zhao, Jinsheng Hu, Meng Liu, Qi Li, Qingshuo Yang","doi":"10.1016/j.brat.2024.104664","DOIUrl":"10.1016/j.brat.2024.104664","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the characteristics of attentional capture by reward signals in individuals with depression during classical conditioning.</div></div><div><h3>Methods</h3><div>A variant of the additional singleton paradigm was adopted with a high- or low-reward signal as the prominent distracting stimulus. In Experiment 1, 46 participants with depressive symptoms and 46 healthy controls were asked to conduct a keypress response to the visual target. In Experiment 2, 58 participants with depressive symptoms and 58 healthy controls were asked to conduct a fixation response to the visual target.</div></div><div><h3>Results</h3><div>In the keypress response task, the presence of high-reward signals slowed down the responses of participants in the control group, whereas the response times of individuals with depression were not significantly affected. In the fixation response task, when the high-reward signal was presented, individuals with depression were more likely to choose the target location as the first saccade destination, compared with healthy controls. In addition, individuals with depression exhibited fewer oculomotor capture by high-reward signals than healthy controls, a trait which was closely linked to the enhanced saccadic inhibition.</div></div><div><h3>Conclusion</h3><div>The results of our study indicated that individuals with depression exhibited an abnormality in attentional capture by reward-related conditioned stimuli during classical conditioning.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104664"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819863","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

Fear generalization in individuals with subclinical symptoms of panic disorder 惊恐障碍亚临床症状个体的恐惧泛化。

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2025-01-01 DOI: 10.1016/j.brat.2024.104649

Angelos-Miltiadis Krypotos , Gaëtan Mertens , Despoina Matziarli , Irene Klugkist , Iris M. Engelhard

{"title":"Fear generalization in individuals with subclinical symptoms of panic disorder","authors":"Angelos-Miltiadis Krypotos , Gaëtan Mertens , Despoina Matziarli , Irene Klugkist , Iris M. Engelhard","doi":"10.1016/j.brat.2024.104649","DOIUrl":"10.1016/j.brat.2024.104649","url":null,"abstract":"<div><div>Panic disorder (PD) is a debilitating mental health condition, characterized by a preoccupation with the occurrence of panic attacks. Previous research has found that PD patients display increased fear generalization, which entails inflated fear responses to ambiguous stimuli (e.g., intermediate size circles) following fear conditioning wherein a neutral stimulus (e.g., large circle) gets paired with an aversive stimulus (e.g., electric shocks), whereas another neutral stimulus (e.g., small circle) is not paired with this aversive stimulus. The overgeneralization of fear to ambiguous stimuli may be a causal mechanism in the development of panic symptoms. However, this finding requires replication, particularly among subclinical groups to establish temporal priority of fear overgeneralization prior to the development of PD symptoms. This study examines whether fear generalization levels differ between individuals with high and low levels of some PD symptoms. Participants (N = 110) underwent fear conditioning and generalization, measuring physiological and self-report fear responses. Successful fear acquisition and generalization were observed. However, fear generalization did not significantly differ between groups with high and low PD symptomatology. These findings suggest that generalization observed in clinical populations <em>might</em> result from psychopathology rather than causing it. Using both clinical and subclinical samples in experimental psychopathology research is therefore important.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"184 ","pages":"Article 104649"},"PeriodicalIF":4.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792620","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

Happy 100th anniversary, behavior therapy! 行为疗法 100 周年快乐！

IF 4.2 2区心理学

Behaviour Research and Therapy Pub Date : 2024-12-01 DOI: 10.1016/j.brat.2024.104642

Georg W. Alpers

引用次数: 0