Cognitive and Behavioral Practice最新文献

Reconnecting Hope: The Treatment of Eating Disorders in Rural America 重新连接希望:美国农村饮食失调的治疗

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2023.08.001

Jenny E. Copeland, Jacob Hefner, Sarah E. Estep, Carolyn Black Becker

{"title":"Reconnecting Hope: The Treatment of Eating Disorders in Rural America","authors":"Jenny E. Copeland, Jacob Hefner, Sarah E. Estep, Carolyn Black Becker","doi":"10.1016/j.cbpra.2023.08.001","DOIUrl":"10.1016/j.cbpra.2023.08.001","url":null,"abstract":"<div><div>Eating disorders (EDs), a significant public health concern, impact millions of Americans every year. Many people with EDs are often overlooked for multiple reasons, including the stereotype that EDs predominantly affect thin, White, affluent young women and girls. One historically overlooked group is impoverished individuals in rural areas of the United States (U.S.), who may, in fact, be at an increased risk for EDs. The Reconnect Eating Disorders treatment program (REDTP) at Ozark Center is the first comprehensive, evidence-based, multidisciplinary ED treatment program to be developed in a Certified Community Behavioral Health Organization (CCBHO) in the U.S. CCBHOs are a unique model of financially sustainable integrated care well-suited to the treatment of biopsychosocial illnesses such as EDs because CCBHOs offer a full range of services to treat both physical and mental health. This paper details the development of REDTP, including its team, barriers, and successes. The role of Community Support Specialists/Reconnect Coaches and Healthcare Home/Medical Support is reviewed, which includes providing outpatient care and intensifying treatment for the most acute clients. Key domains of growth for REDTP included selecting core evidence-based treatments, building a team and defining team roles, and intensive training to develop evidence-based ED expertise. Persistent barriers included staffing limitations for providing intensive treatment to a small number of clients. Adult case studies of REDTP clients are presented. Recommendations for future ED and other specialized treatment programs in low resource agencies are provided.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 1","pages":"Pages 78-90"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Acceptability of Men’s Externalizing Depression Constructs Among Black American Men and Middle-Aged and Older White Men 美国黑人男性和中老年白人男性外化抑郁结构的可接受性

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2023.08.004

Douglas Gazarian , Michael E. Addis

{"title":"Acceptability of Men’s Externalizing Depression Constructs Among Black American Men and Middle-Aged and Older White Men","authors":"Douglas Gazarian , Michael E. Addis","doi":"10.1016/j.cbpra.2023.08.004","DOIUrl":"10.1016/j.cbpra.2023.08.004","url":null,"abstract":"<div><div>Research on the dissemination and implementation of gender-based care for men has rarely considered diversity within the male-identifying population. The present study evaluated the acceptability of men’s externalizing depression (MED) constructs across purposive samples of men understudied in the MED literature and at higher risk for MED-related outcomes (Black American men and middle-aged and older White men). Following brief psychoeducation, participants rated MED constructs for comprehensibility and perceived clinical value. Using a convergent mixed-methods design, we examined how attitudes varied by sample and experimentally-manipulated psychoeducational variables pertaining to different MED conceptual models. Across samples and psychoeducation conditions, we observed similarly strong levels of acceptability for MED as a gender-based conceptualization of mixed internalizing-externalizing symptoms. Small differences emerged as a function of sample-psychoeducation interactions. Quantitative and qualitative data converged to suggest race-gender intersections influence men’s construal of psychological symptoms. Overall, results supported MED as an acceptable formulation of symptoms across multiple subpopulations of men in the context of an international, online community sample.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 1","pages":"Pages 134-146"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135410617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Exploring Differences in Presentation and Treatment Outcomes Between Black and White American Adults With Prolonged Grief Disorder 探索患有长期悲伤障碍的美国黑人和白人成年人在表现和治疗结果上的差异

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2024.05.004

Margaret Gacheru, Christine Mauro, Natalia Skritskaya, Nicole Alston, Charles F. Reynolds III, Naomi Simon, Sidney Zisook, Barry Lebowitz, M. Katherine Shear

{"title":"Exploring Differences in Presentation and Treatment Outcomes Between Black and White American Adults With Prolonged Grief Disorder","authors":"Margaret Gacheru, Christine Mauro, Natalia Skritskaya, Nicole Alston, Charles F. Reynolds III, Naomi Simon, Sidney Zisook, Barry Lebowitz, M. Katherine Shear","doi":"10.1016/j.cbpra.2024.05.004","DOIUrl":"10.1016/j.cbpra.2024.05.004","url":null,"abstract":"<div><div>Prolonged grief disorder (PGD) is a condition of persistent, intense grief and PGD-targeted psychotherapy (PGDT) is an efficacious treatment. This study aimed to compare participants with PGD who self-identified as Black versus White, with respect to baseline features and response to PGDT. We performed a secondary data analysis of 55 Black and 455 White adults from two randomized clinical trials. Racial differences in baseline features were examined using Chi-squared and T-tests. We compared assessment completion and treatment response rates (PGDT vs. no PGDT) by race and evaluated posttreatment self-reported measures using linear models. There were racial differences in the cause of death, relation to the deceased, and taking comfort in religion. Black participants had similar ratings to their counterparts on impairment and grief severity at baseline. However, they had higher scores on a baseline measure of typical grief-related beliefs. Both racial groups had significantly greater response rates to PGDT than the comparison treatment. Similarly, PGDT resulted in lower posttreatment impairment than the comparison treatment for both racial groups. However, only the White participants had a difference in posttreatment grief severity between the treatment groups. This study supports the idea that PGD characteristics are similar in Black and White treatment seeking individuals, and that Black and White participants display improvement in response to PGDT.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 1","pages":"Pages 44-55"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141943633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Development and Pilot Test of a Therapist-Assisted Self-Management Program for Completers of Trauma-Focused Therapy for Posttraumatic Stress Disorder 创伤后应激障碍创伤集中治疗完成者治疗师辅助自我管理计划的开发和试点测试

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2023.08.002

Shannon M. Kehle-Forbes, Tara Galovski, Melissa A. Polusny, Kyle Possemato, Sean Nugent, Eliza McManus, Allison L. Baier

{"title":"Development and Pilot Test of a Therapist-Assisted Self-Management Program for Completers of Trauma-Focused Therapy for Posttraumatic Stress Disorder","authors":"Shannon M. Kehle-Forbes, Tara Galovski, Melissa A. Polusny, Kyle Possemato, Sean Nugent, Eliza McManus, Allison L. Baier","doi":"10.1016/j.cbpra.2023.08.002","DOIUrl":"10.1016/j.cbpra.2023.08.002","url":null,"abstract":"<div><div>Veterans who complete an evidence-based trauma-focused therapy (TFT) for posttraumatic stress disorder (PTSD) report continued treatment needs to build self-efficacy, promote continued skill application, and bolster engagement in valued activities. This paper describes the rationale, development, and treatment structure of a novel 4-session therapist-assisted self-management program, named EMPOWER, for TFT completers. A mixed methods approach was used to evaluate the acceptability and feasibility of the intervention in an open pilot trial with 12 veterans. Therapists delivered the treatment with fidelity and participants reported high acceptability and satisfaction with EMPOWER. Quantitatively, participants reported meaningful improvements in quality of life and small improvements in community engagement; however, there were no clinically meaningful changes in self-efficacy, PTSD symptoms, depression, or functioning pre- to postintervention. Qualitatively, participants noted EMPOWER met their post TFT needs and that the structure of treatment was helpful in continuing to practice TFT skills. They also noted improvements in self-efficacy for self-managing PTSD symptoms and an increase in valued activities. Findings suggest EMPOWER is feasible, acceptable, and meets veterans’ post-TFT treatment needs. A larger-scale, randomized trial of EMPOWER is warranted to evaluate the impact of EMPOWER on self-efficacy, clinical symptoms, functioning, and quality of life.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 1","pages":"Pages 91-105"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47540332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Impact of Exposure Therapy on Cancer-Related Future Cognitions in Severe Health Anxiety 暴露疗法对严重健康焦虑患者癌症相关未来认知的影响

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2023.07.001

Nora Brier, Lily A. Brown

引用次数: 0

Older Bereaved Individuals’ Experiences of Cognitive-Behavioral Therapy for Complicated Grief Reactions: A Qualitative Multistage Focus Group Approach 老年丧亲者对认知行为疗法治疗复杂悲伤反应的体验：多阶段焦点小组定性方法

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2024.06.002

Christina Buur , Thomas Mackrill, Lisbeth Hybholt , Eva Rames Nissen, Maja O’Connor

{"title":"Older Bereaved Individuals’ Experiences of Cognitive-Behavioral Therapy for Complicated Grief Reactions: A Qualitative Multistage Focus Group Approach","authors":"Christina Buur , Thomas Mackrill, Lisbeth Hybholt , Eva Rames Nissen, Maja O’Connor","doi":"10.1016/j.cbpra.2024.06.002","DOIUrl":"10.1016/j.cbpra.2024.06.002","url":null,"abstract":"<div><div>Bereavement is particularly common in old age. A small proportion of bereaved people develop complicated grief reactions (CGR) characterized by elevated symptoms of depression, prolonged grief disorder, anxiety, and/or posttraumatic stress. Cognitive-behavioral therapy for CGR (CBTgrief) is found to be an effective treatment. Detailed knowledge about older adults’ experiences of CBTgrief is needed to optimize treatment and to give recommendations to practice. To explore older adults’ experience of CBTgrief to gain insight into elements that were helpful or less helpful. Four multistage focus group interviews were conducted with nine older adults who lost a partner and received CBTgrief and three researchers. Five participants received group therapy and four individual therapy (mean age = 69.67 years, 89% women). The participants found exposure exercises, psychoeducation in grief, and letter writing particularly helpful. The participants requested options for family sessions, a combined individual/group format, and follow-up sessions. Awareness of potential memory problems and adapting to new practical tasks should receive greater focus in therapy. This study gives important insights into older adults’ experiences of CBTgrief and evaluates the helpful and less helpful elements in grief therapy. This may guide improvements in the treatment of bereaved older adults with CGR.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 1","pages":"Pages 56-69"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142190627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Cognitive Behavioral Treatments for Prolonged Grief: Introduction to the Special Feature 长期悲伤的认知行为疗法：专题介绍

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2024.11.003

Donald J. Robinaugh, Naomi M. Simon

引用次数: 0

Prolonged Grief Therapy

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2024.12.002

M. Katherine Shear, Naomi M. Simon

{"title":"Prolonged Grief Therapy","authors":"M. Katherine Shear, Naomi M. Simon","doi":"10.1016/j.cbpra.2024.12.002","DOIUrl":"10.1016/j.cbpra.2024.12.002","url":null,"abstract":"<div><div>This paper provides a concise introduction to Prolonged Grief Therapy (PGT), an evidence-based treatment for the new PGD diagnosis in DSM-5 and ICD-11. PGD differs from nonclinical grief as well as major depression and PTSD. PGD symptoms show little response to treatments for depression. PGD comorbidity predicts worse treatment outcome for PTSD. Our group began describing PGD in the mid-1990s, using the terms “traumatic” or “complicated” grief, and to develop and test a treatment for this condition. The publication in 2005 of our randomized trial became the first empirically validated treatment for this condition. It is based upon the premise that grief is the natural response to loss that continues for an indefinite period of time after someone close dies. It is based upon the premise that grief is the natural response to loss that evolves and subsides as a bereaved person learns to live in a world of absence. PGD is the result of impediments to this learning process and the treatment aims to facilitate learning to live with a loss and to address impediments to this process. The recency of its inclusion in DSM-5 leaves many clinicians unfamiliar with PGD, the treatment that we validated, the studies in which the treatment was tested and the ways available to learn and use this approach. This paper provides a brief summary of each of these topics.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 1","pages":"Pages 6-17"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Visual Displays in a Manualized Cognitive-Behavioral Treatment for Adults With ADHD and Comorbid Mood or Anxiety Disorders: A Pilot Study 视觉显示在成人多动症和共病情绪或焦虑障碍的人工认知行为治疗中的应用：一项初步研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2023.08.003

Antonio F. Pagán, Gregory H. Mumma, Andrew K. Littlefield

{"title":"Using Visual Displays in a Manualized Cognitive-Behavioral Treatment for Adults With ADHD and Comorbid Mood or Anxiety Disorders: A Pilot Study","authors":"Antonio F. Pagán, Gregory H. Mumma, Andrew K. Littlefield","doi":"10.1016/j.cbpra.2023.08.003","DOIUrl":"10.1016/j.cbpra.2023.08.003","url":null,"abstract":"<div><div><span><span>Attention-deficit/hyperactivity disorder (ADHD) in adults is a major health concern, often occurring with other disorders and functional, occupational, and relational deficits. Unfortunately, many treatment studies for adults with ADHD exclude comorbid mood or anxiety disorders. The present two-part study sought to identify the feasibility, acceptability, and preliminary effectiveness of a treatment for adults with ADHD and comorbid mood or anxiety disorders that used modules from evidence-based cognitive-behavioral (CB) and mindfulness interventions for </span>adult ADHD and mood or anxiety disorders. Selection of modules for each participant’s treatment was guided by participant input (e.g., top problems) and personalized visual displays. Visual displays included a CB case formulation and intraindividual network analyses, using pretreatment ecological momentary assessment (EMA) data completed two or three times a day to assess ADHD and comorbid symptoms. All 9 (6 women) participants completed the pretreatment standardized measures—however, completion of EMA data by 6 participants provides mixed support for the feasibility of utilizing EMA with ADHD adults. Nevertheless, the results indicate feasibility for using this </span>CB treatment combining manualized interventions with treatment personalization using complex visual displays from available EMA data. Seven of 9 (77.8%) participants achieved a reliable change and 5 (55.6%) achieved a clinically significant change in total ADHD symptoms (Barkley Adult ADHD-IV Rating Scale) at posttreatment and/or 3-month follow-up. Inattention symptoms reliably decreased in all participants.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 1","pages":"Pages 106-122"},"PeriodicalIF":2.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48373638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Challenges in Grief-Focused Cognitive Behavior Therapy for Prolonged Grief Disorder 针对长期悲伤障碍的悲伤焦点认知行为疗法所面临的挑战

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2025-02-01 DOI: 10.1016/j.cbpra.2023.10.002

Fiona Maccallum, Katie Dawson, Suzanna Azevedo, Richard A. Bryant

引用次数: 0