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Neural mechanisms underlying exposure and response prevention for obsessive compulsive disorder: A randomized controlled trial 强迫症暴露和反应预防的神经机制:一项随机对照试验
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-17 DOI: 10.1016/j.brat.2025.104858
Ryan J. Jacoby , Jennifer L. Greenberg , Aura Hurtado , Walker Pedersen , Kristen K. Ellard , Edward F. Pace-Schott , Katelyn I. Oliver , Mohammed R. Milad , Sabine Wilhelm , Joan A. Camprodon
{"title":"Neural mechanisms underlying exposure and response prevention for obsessive compulsive disorder: A randomized controlled trial","authors":"Ryan J. Jacoby ,&nbsp;Jennifer L. Greenberg ,&nbsp;Aura Hurtado ,&nbsp;Walker Pedersen ,&nbsp;Kristen K. Ellard ,&nbsp;Edward F. Pace-Schott ,&nbsp;Katelyn I. Oliver ,&nbsp;Mohammed R. Milad ,&nbsp;Sabine Wilhelm ,&nbsp;Joan A. Camprodon","doi":"10.1016/j.brat.2025.104858","DOIUrl":"10.1016/j.brat.2025.104858","url":null,"abstract":"<div><h3>Background</h3><div>Fear extinction is an important treatment target of obsessive-compulsive disorder (OCD). In the current randomized controlled trial, we examined the therapeutic modulation of exposure and response prevention (ERP) on neural activation during fear extinction in OCD to identify mechanisms of action and response biomarkers.</div></div><div><h3>Methods</h3><div>Thirty-four patients with OCD were randomized to either 12-weeks of ERP or a waitlist. Before, during, and 12-weeks after treatment, patients were assessed using functional magnetic resonance imaging (fMRI) during a 2-day fear extinction paradigm. Neural activation was examined in disease- and construct-relevant circuits and nodes (<em>n</em> = 18).</div></div><div><h3>Results</h3><div>The ERP group had a significant reduction in OCD severity compared to waitlist. A voxel-wise GLM analysis of fMRI data revealed clusters of ERP &gt; waitlist activation during fear conditioning (bilateral dorsal amygdala and right hippocampus) and extinction (right ventrolateral prefrontal cortex, located within the salience network). These changes in activation did not correlate with OCD severity changes, however. In contrast, we observed that a reduction in the activation of the left supramarginal gyrus (in the executive control network) during extinction recall correlated with OCD symptom improvement, suggesting a possible role as a response biomarker.</div></div><div><h3>Conclusions</h3><div>This study highlights the relevance of a dimensional approach (e.g., focused on fear extinction) for biomarker discovery in neuropsychiatry, provides insights into the mechanisms of action of ERP in OCD, and identifies a potential treatment target in the parietal cortex that could support the biomarker-driven development of novel therapies (e.g., brain stimulation protocols), including combination treatments with ERP.</div></div><div><h3>Clinicaltrials.gov identifier</h3><div>NCT02467374.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104858"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160225","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
The physiological signature of imagery rescripting: Associations between heart rate and session-level outcomes 图像描述的生理特征:心率与会话水平结果之间的关系。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-10-04 DOI: 10.1016/j.brat.2025.104879
Jessica Uhl , Wolfgang Lutz , Eshkol Rafaeli
{"title":"The physiological signature of imagery rescripting: Associations between heart rate and session-level outcomes","authors":"Jessica Uhl ,&nbsp;Wolfgang Lutz ,&nbsp;Eshkol Rafaeli","doi":"10.1016/j.brat.2025.104879","DOIUrl":"10.1016/j.brat.2025.104879","url":null,"abstract":"<div><h3>Objective</h3><div>Imagery rescripting (IR) as an emotion-focused technique involves an evoking as well as a rescripting phase, which incorporates cognitive restructuring. The different components of IR might be characterized by different physiological patterns. The main aim of this study is to test whether clients' physiological arousal during the evoking phase and clients’ physiological arousal during the rescripting phase follows specific patterns and predicts improvement on next-session outcomes.</div></div><div><h3>Methods</h3><div>The results are based on 108 therapy sessions from an imagery-based treatment with 64 clients with test anxiety. The treatment protocol involves two consecutive IR sessions of past events related to test anxiety. Clients’ heart rate (HR) was continuously monitored, next-session outcome was assessed with the State Test Anxiety Measure and Outcome Rating Scale.</div></div><div><h3>Results</h3><div>Clients showed on average an increase in HR during the evoking phase and a decrease during the rescripting phase in the first IR session. These effects reduced in the second IR session. In addition, no latent subgroups were identified. Furthermore, an increase in HR during the evoking phase was significantly associated with lower next-session test anxiety and marginally associated with higher next-session well-being.</div></div><div><h3>Conclusion</h3><div>The results provide initial evidence that clients’ physiological arousal during the evoking phase of IR might play a role in the effectiveness of IR.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104879"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259450","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
Explaining anxiety prediction in psychotherapy transcripts: The role of patient linguistic features and theoretical constructs 解释心理治疗记录中的焦虑预测:患者语言特征和理论结构的作用。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-09 DOI: 10.1016/j.brat.2025.104857
Tobias Steinbrenner , Christopher Lalk , Kim Targan , Jana Schaffrath , Steffen Eberhardt , Anke Haberkamp , Wolfgang Lutz , Julian Rubel
{"title":"Explaining anxiety prediction in psychotherapy transcripts: The role of patient linguistic features and theoretical constructs","authors":"Tobias Steinbrenner ,&nbsp;Christopher Lalk ,&nbsp;Kim Targan ,&nbsp;Jana Schaffrath ,&nbsp;Steffen Eberhardt ,&nbsp;Anke Haberkamp ,&nbsp;Wolfgang Lutz ,&nbsp;Julian Rubel","doi":"10.1016/j.brat.2025.104857","DOIUrl":"10.1016/j.brat.2025.104857","url":null,"abstract":"<div><h3>Objective</h3><div>Linguistics can be a helpful tool when researching psychological processes and symptoms. This study aimed to predict anxiety severity from patient language in psychotherapy transcripts. In contrast to prior work focusing on isolated feature types, we combine theory-driven psychological constructs with state-of-the-art NLP and machine learning techniques to enhance both performance and interpretability. Specifically, we asked (1) how well anxiety can be predicted, (2) which models perform best, (3) which features are most important.</div></div><div><h3>Method</h3><div>We extracted LIWC features, unigrams and bigrams, Transformer emotions, and topics from 529 psychotherapy transcripts from 118 patients. In addition, we constructed theory-driven features to measure negative self-focused attention, self-insight, future focus of perceived threat, and uncertainty avoidance. Each feature set was modeled using multiple machine learning algorithms. To gain insights into the most informative predictors of anxiety, eXplainable Artificial Intelligence was applied.</div></div><div><h3>Results</h3><div>The Unigram-Bigram Model achieved the best predictive performance (<em>r</em> = .77; <em>95 %-CI</em> = .75–0.80). However, the Anxiety Process Model achieved notable predictive accuracy despite having only four interpretable, theory-based features. Features related to leisure, social relationships, and insecurity were associated with lower anxiety severity, health-related features and “certainty words” (e.g., totally) with higher severity.</div></div><div><h3>Conclusions</h3><div>Our findings highlight a trade-off between performance and interpretability. Unigram-bigram models maximized predictive accuracy, whereas theory-driven constructs provided clinically meaningful insights into core psychological processes. Identifying predictive linguistic features, especially those linked to psychological theory, may guide future research on feedback systems and clinical applications by providing interpretable and theory-aligned insights.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104857"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103064","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
The update of interpersonal beliefs in everyday life situations in relation to depressive symptoms and state affect – An ecological momentary assessment proof-of-principle study 日常生活情境中人际信念与抑郁症状和状态影响的更新——一项生态瞬时评估原理证明研究。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-13 DOI: 10.1016/j.brat.2025.104860
Saskia Scholten , Lea Gegner , Maja Stoverock , Tobias Kube
{"title":"The update of interpersonal beliefs in everyday life situations in relation to depressive symptoms and state affect – An ecological momentary assessment proof-of-principle study","authors":"Saskia Scholten ,&nbsp;Lea Gegner ,&nbsp;Maja Stoverock ,&nbsp;Tobias Kube","doi":"10.1016/j.brat.2025.104860","DOIUrl":"10.1016/j.brat.2025.104860","url":null,"abstract":"<div><div>Previous research has provided valuable insights into associations of belief updating with aspects of psychopathology. However, prior work was mostly based on laboratory studies or scenario-based tasks. Thus, applications to everyday life situations are unclear. To address this limitation, the present study employed an Ecological Momentary Assessment (EMA) design to examine change in interpersonal expectations following interpersonal experiences and its relationship with depressive symptoms, assessed once at baseline. After a baseline assessment, a non-clinical sample (<em>N</em> = 43, age 18–66, 67 % female) indicated their interpersonal expectations in the morning and actual interpersonal experiences as well as updated expectations in the evening over 18 days. Multi-level modelling shows that, consistent with associative learning models, participants updated their beliefs the more, the greater the expectation-outcome discrepancy was – irrespective of the valence of the discrepancy. When considering the valence of the expectation-outcome discrepancy, participants updated their beliefs more towards better-than-expected than towards worse-than-expected experiences, in line with the optimistic update bias. Depressive symptoms were associated with increased updating in a negative direction after worse-than-expected experiences, but not with reduced updating in a positive direction after better-than-expected experiences. These findings provide proof-of-principle evidence for investigating biased belief updating using EMA.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104860"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151417","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
Better to keep a negative self-perception than ask for feedback? - How depressive symptoms are associated with the desire for social feedback 保持消极的自我认知比寻求反馈更好吗?-抑郁症状与渴望社会反馈之间的关系
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-21 DOI: 10.1016/j.brat.2025.104872
Edith Rapo , Christopher Milde , Julia Anna Glombiewski , Tobias Kube
{"title":"Better to keep a negative self-perception than ask for feedback? - How depressive symptoms are associated with the desire for social feedback","authors":"Edith Rapo ,&nbsp;Christopher Milde ,&nbsp;Julia Anna Glombiewski ,&nbsp;Tobias Kube","doi":"10.1016/j.brat.2025.104872","DOIUrl":"10.1016/j.brat.2025.104872","url":null,"abstract":"<div><h3>Background</h3><div>We investigated whether depressive symptom severity is associated with incongruence between how people perceive themselves (self-perception) and how they expect others to perceive them (meta-perception). We also examined whether these discrepancies explain feedback-seeking. We hypothesized that elevated depressive symptoms are related to low preference for positive and self-incongruent feedback and high preference for negative and self-congruent feedback.</div></div><div><h3>Method</h3><div>In study 1 (<em>N</em> = 149), we presented 20 positive and 20 negative traits. For each trait, participants rated their self- and meta-perception. In study 2 (<em>N</em> = 212), we presented the same traits. In addition to their self- and meta-perception, participants indicated their desire to receive other people's feedback for each trait.</div></div><div><h3>Results</h3><div>In study 1, depressive symptom severity was related to a higher incongruence between self- and meta-perception, as participants’ self-perception was more negative than their meta-perception. Study 2 indicated that depressive symptom severity was related to less feedback-seeking. Incongruence between self-and meta-perception and valence did not moderate the relationship between depressive symptoms and feedback-seeking.</div></div><div><h3>Conclusion</h3><div>Depressive symptoms are associated with incongruence between self- and meta-perception and reduced feedback-seeking. However, incongruence between self- and meta-perception and valence did not explain reduced feedback-seeking in depression, emphasizing the importance to further investigate the causes for feedback avoidance in depression.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104872"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201830","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
Awareness as a key component of mindfulness reduces psychological stress in adolescents: Evidence from multi-method studies 意识是正念的一个关键组成部分,可以减少青少年的心理压力:来自多方法研究的证据。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-30 DOI: 10.1016/j.brat.2025.104877
Yaoyao Zhang , Xin Liu , Huimin Wu , Mingxin Shi , Cheng Guo
{"title":"Awareness as a key component of mindfulness reduces psychological stress in adolescents: Evidence from multi-method studies","authors":"Yaoyao Zhang ,&nbsp;Xin Liu ,&nbsp;Huimin Wu ,&nbsp;Mingxin Shi ,&nbsp;Cheng Guo","doi":"10.1016/j.brat.2025.104877","DOIUrl":"10.1016/j.brat.2025.104877","url":null,"abstract":"<div><h3>Objective</h3><div>The components of mindfulness include awareness and acceptance. However, the effects of awareness and acceptance on psychological stress in adolescents remain controversial, and the underlying cognitive processes less attention. Therefore, this study aimed to examine their independent effects, and the relevant cognitive processes.</div></div><div><h3>Methods</h3><div>A cross-sectional survey study (Study 1, N = 3304, M<sub>age</sub> = 15.53 years) employed regression models to examine the relationships between awareness, acceptance, and psychological stress. A randomized controlled trial (Study 2, N = 304, M<sub>age</sub> = 15.07 years) was conducted by randomly assigning participants to four groups: an awareness group (MA), an awareness and acceptance group (MA + A), an active control group (AC), and a blank control group (BL). Study 2 aimed to examine the effects of awareness and acceptance on adolescents’ psychological stress. A cross-sectional observational study (Study 3, N = 111, M<sub>age</sub> = 16.77 years) was conducted to examine the non-temporal mediating role of attention control.</div></div><div><h3>Results</h3><div>Study 1 indicated that both awareness and acceptance were negatively associated with psychological stress, with awareness showing a stronger negative relationship. Study 2 showed that adolescents’ psychological stress improved in both the MA and MA + A groups, with the MA group showing a more significant reduction than both the MA + A (<em>d</em> = −0.23) and BL groups (<em>d</em> = −0.56). Study 3 showed that conflict monitoring of attention control played a non-temporal mediating role in the relationship between awareness and psychological stress in adolescents. <strong><em>Conclusions</em></strong>: This study emphasizes the importance of awareness and conflict monitoring in developing mindfulness-based stress reduction programs for adolescents.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104877"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253283","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
Understanding factors related to treatment retention in an online mental health support service: Analysis of a service database 了解在线心理健康支持服务中与治疗保留相关的因素:服务数据库的分析
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-24 DOI: 10.1016/j.brat.2025.104875
Breanne Hobden , Lauren Pollock , Vincent Lau , Sarah Leask , Kristy Fakes
{"title":"Understanding factors related to treatment retention in an online mental health support service: Analysis of a service database","authors":"Breanne Hobden ,&nbsp;Lauren Pollock ,&nbsp;Vincent Lau ,&nbsp;Sarah Leask ,&nbsp;Kristy Fakes","doi":"10.1016/j.brat.2025.104875","DOIUrl":"10.1016/j.brat.2025.104875","url":null,"abstract":"<div><h3>Background</h3><div>Engagement with and retention in mental health treatment remains a significant barrier to accessing effective mental health care. Early discontinuation of mental health treatments negatively impacts recovery, as well as other aspects of life such as education, employment and overall mental wellbeing. This study examined, among adults aged ≥18 years, the factors associated with mental health treatment retention via an online service in Australia.</div></div><div><h3>Methods</h3><div>A secondary analysis of 2021–2025 data from <em>Talked</em>, an Australian online therapy platform. Attendance of 1–2 therapy sessions was classed as lower retention; attendance of 3+ sessions was classed as higher retention. The association between treatment retention and sociodemographic, health and treatment-related variables were explored via multivariable logistic regression.</div></div><div><h3>Results</h3><div>Data for 7424 individuals were analysed. Among the sample, 52.7 % (n = 3911) engaged in 1–2 treatment sessions, and 47.3 % (n = 3513) engaged in 3+ treatment sessions. Those who had previously undertaken therapy, those reporting consuming alcohol more frequently and those who had selected three or more mental health-related issues at time of therapy booking, had greater odds of engaging with treatment. Those with dependents had lower odds of engaging with treatment.</div></div><div><h3>Conclusions</h3><div>The factors found to be associated with treatment retention can be used to identify targeted strategies to enhance treatment retention. These findings support the role of early identification and prioritisation of at-risk clients at the time of booking, such as those with dependants, and those who had not undertaken previous therapy, as they may require increased flexibility and accessibility considerations for psychological support.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104875"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160226","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
Remembering and forgetting: A dynamic social retrieval theory of posttraumatic stress 记忆与遗忘:创伤后应激的动态社会检索理论
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-24 DOI: 10.1016/j.brat.2025.104873
Lori A. Zoellner , Andrea Stocco , Gabrielle Gauthier , Elizabeth Lehinger , Shivani Pandey , Emma PeConga , Michele A. Bedard-Gilligan
{"title":"Remembering and forgetting: A dynamic social retrieval theory of posttraumatic stress","authors":"Lori A. Zoellner ,&nbsp;Andrea Stocco ,&nbsp;Gabrielle Gauthier ,&nbsp;Elizabeth Lehinger ,&nbsp;Shivani Pandey ,&nbsp;Emma PeConga ,&nbsp;Michele A. Bedard-Gilligan","doi":"10.1016/j.brat.2025.104873","DOIUrl":"10.1016/j.brat.2025.104873","url":null,"abstract":"<div><div>Posttraumatic stress is about memory; distressing and intrusive memories of a traumatic event. Although considerable focus has been on initial encoding, memory processes after the traumatic event are likely as important if not more important for facilitating resilience, natural recovery, and therapeutic recovery. In this proposed dynamic social retrieval theory (DSRT) of posttraumatic stress, ongoing retrieval and related forgetting processes shape the changing nature of the trauma memory. Retrieval events number in the hundreds, thousands, or even more, strengthening some memory traces and associations and weakening others. These retrieval events take many forms from conversations with friends and loved ones, social media interactions, intentional recall, spontaneous thoughts, cued- and un-cued reexperiencing, and avoidance of trauma reminders. We argue that the initial days, weeks, and months are important; through systems consolidation, the memory shifts to a more general, gist-like representation, incorporating social/cultural schemas and one's view of self. Better orthogonalized, separation from other related memories can further result in the reduction of trauma-related psychopathology. Clinical implications highlight the importance of adaptive retrieval in daily life, in social interactions and cultural messaging, and within the therapeutic relationship to shape the long-term nature of the traumatic memory and help the trauma survivor flourish.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104873"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268743","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
Using the death/suicide implicit association task to prospectively predict near-term suicidal behavior in high-risk veterans 使用死亡/自杀内隐关联任务前瞻性预测高风险退伍军人近期自杀行为。
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-25 DOI: 10.1016/j.brat.2025.104874
Megan S. Chesin , Alejandro Interian , Vibha Reddy , Arlene King , Kayla Maloney , Rachael Miller , Rokas Perskaudas , Kailyn Rodriguez , Lauren St Hill , John Keilp , Catherine E. Myers
{"title":"Using the death/suicide implicit association task to prospectively predict near-term suicidal behavior in high-risk veterans","authors":"Megan S. Chesin ,&nbsp;Alejandro Interian ,&nbsp;Vibha Reddy ,&nbsp;Arlene King ,&nbsp;Kayla Maloney ,&nbsp;Rachael Miller ,&nbsp;Rokas Perskaudas ,&nbsp;Kailyn Rodriguez ,&nbsp;Lauren St Hill ,&nbsp;John Keilp ,&nbsp;Catherine E. Myers","doi":"10.1016/j.brat.2025.104874","DOIUrl":"10.1016/j.brat.2025.104874","url":null,"abstract":"<div><div>The 90-day period after a suicide attempt or hospitalization for suicidal behavior is a period of increased risk for psychiatric patients. However, predicting who among patients at suicide risk will engage in suicidal behavior in this window remains an elusive task. Neurocognitive task performance, such as performance on the Death/Suicide Implicit Association Task (D/S IAT), shows some promise for aiding in the prediction of suicidal behavior beyond risk factors routinely assessed in clinical practice, such as self-reported suicidal ideation. This study considered whether performance on the D/S IAT could prospectively predict suicidal behavior within a 90-day window. Sixty Veterans at high risk for suicide completed the D/S IAT at multiple timepoints over a one-year period. Each testing session was then coded according to whether the participant displayed suicidal behavior within 90 days following that testing session. As a secondary aim, drift diffusion modeling (DDM) was used to estimate latent cognitive processes mediating D/S IAT performance, including decisional efficiency. Two applications of the Generalized Estimating Equations (GEE) method were used to evaluate the incremental utility of (1) D/S IAT performance and (2) DDM-derived latent variables on predicting 90-day suicidal behavior over standard suicide risk factors including suicide attempt history, major depressive or bipolar disorder, and suicidal ideation at the time of testing. Age was also included in the models given the impact of age on reaction times and thus D/S IAT performance. The odds of 90-day suicidal behavior were significantly increased as implicit bias linking the self-concept to the concept of life as opposed to death weakened. The latent cognitive process of reduced decisional efficiency towards categorizing the concept of life relative to death as “like me” predicted 90-day suicidal behavior. D/S IAT performance may add to near-term suicidal behavior prediction. Reduced decisional efficiency is emerging as a general cognitive factor implicated in suicidal behavior.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"194 ","pages":"Article 104874"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208045","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
The effect of state anxiety on jumping-to-conclusions bias in social anxiety: An experimental and computational modelling study 状态焦虑对社交焦虑中跳脱结论偏见的影响:一项实验和计算模型研究
IF 4.5 2区 心理学
Behaviour Research and Therapy Pub Date : 2025-11-01 Epub Date: 2025-09-19 DOI: 10.1016/j.brat.2025.104859
Nicole Tan , Yiyun Shou , Junwen Chen , Bruce K. Christensen
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