Cognitive and Behavioral Practice最新文献

{"title":"Written Exposure Therapy Integrated With Cognitive Behavioral Skills for Alcohol Misuse: A Proof-of-Concept Study With Recent Sexual Assault Survivors","authors":"Christine K. Hahn,&nbsp;Emily L. Tilstra-Ferrell,&nbsp;Selime R. Salim,&nbsp;Brian P. Marx,&nbsp;Naomi Ennis,&nbsp;Kathleen T. Brady,&nbsp;Barbara O. Rothbaum,&nbsp;Michael E. Saladin,&nbsp;Amanda K. Gilmore,&nbsp;Angela D. Moreland,&nbsp;Sudie E. Back","doi":"10.1016/j.cbpra.2024.12.005","DOIUrl":"10.1016/j.cbpra.2024.12.005","url":null,"abstract":"<div><div><span>Sexual assault is common and often leads to co-occurring symptoms of posttraumatic stress disorder (PTSD) and alcohol misuse. Early intervention may help prevent development of severe, chronic comorbidities, but evidence-based interventions tailored for this population do not currently exist. This study evaluated a novel, integrated, early intervention called Skills Training and Exposure for PTSD and Substance Misuse (STEPS) following recent sexual assault. STEPS includes five sessions integrating Written Exposure Therapy for PTSD with cognitive behavioral skills for alcohol misuse. STEPS was administered to 11 individuals (63.6% White, average of 28.8 years old) who experienced sexual assault in the past 3 months and demonstrated current symptoms of PTSD and alcohol misuse. Outcomes included satisfaction and retention, PTSD symptom severity as measured by the PTSD Checklist (PCL-5) for the </span><em>Diagnostic and Statistical Manual of Mental Disorders</em> (5^th edition; DSM-5), the Clinician-Administered PTSD Scale for DSM-5, and change in frequency and amount of alcohol use, as measured by the Timeline Follow Back. Assessments were completed at baseline, posttreatment, and 1-month follow-up. Ten of 11 participants (90.9%) completed the STEPS intervention. Large within-person effects were observed for self-report and interview PTSD symptoms from baseline to follow-up (Cohen’s <em>d</em> = 3.22–3.50; average decrease in PCL-5 = 40.44 and CAPS-5 severity scores = 27). Medium to large effect sizes were observed for decreases in percent days drinking, percent days heavy drinking, and number of drinks per drinking day from baseline to follow-up (Cohen’s <em>d</em> = .55–1.39). Participants reported high satisfaction and acceptability with the STEPS intervention. Although preliminary, the findings demonstrate that STEPS is safe, feasible and may help reduce severity of PTSD symptoms and alcohol misuse following recent sexual assault.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 231-245"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807848","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}

{"title":"Increasing Treatment Engagement by Combining Cognitive Processing Therapy for PTSD With Simultaneous Care Management Services: A Case Study","authors":"Daniel Szoke,&nbsp;Anabelen Diaz,&nbsp;John Rich,&nbsp;Theodore Corbin,&nbsp;Yanina Purim-Shem-Tov,&nbsp;Eve Escalante,&nbsp;Philip Held","doi":"10.1016/j.cbpra.2024.12.001","DOIUrl":"10.1016/j.cbpra.2024.12.001","url":null,"abstract":"<div><div>This case study explored the use of Cognitive Processing Therapy (CPT) combined with care management in treating a 35-year-old African American woman who was diagnosed with posttraumatic stress disorder (PTSD). The treatment aimed to address both PTSD symptoms and social determinants of health (SDoH) concerns. Maya completed a full course of 10 CPT sessions and as-needed care management, resulting in a clinically significant reduction in PTSD and depression symptoms, which were maintained at follow-up intervals. The study illustrates that integrating care management with evidence-based PTSD therapy not only efficiently reduces PTSD symptoms but also connects patients to essential resources. The inclusion of care management allowed the therapist to maintain high fidelity to trauma-focused content while the care manager addressed SDoH-related needs. The case underscores the potential benefits of combining care management with CPT, particularly in challenging stuck points related to accessing community resources. These findings suggest that this integrated approach may lead to better overall outcomes, including symptom reduction and improved access to necessary services. Future research is recommended to systematically investigate the cost-effectiveness and broader applicability of this combined treatment approach.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 351-362"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807839","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}

{"title":"An Open-Phase Pilot Trial of an Integration of Prolonged Exposure Therapy and the Coping Long-Term With Active Suicide Program","authors":"Lily A. Brown,&nbsp;Marin Kautz,&nbsp;Wendy Muzzy,&nbsp;Stephanie Hart,&nbsp;Jonna Vaughn,&nbsp;Sally Murphy,&nbsp;Edna Foa,&nbsp;Ivan Miller,&nbsp;Adam Kahn,&nbsp;Ron Acierno","doi":"10.1016/j.cbpra.2025.06.002","DOIUrl":"10.1016/j.cbpra.2025.06.002","url":null,"abstract":"<div><div>Posttraumatic stress disorder (PTSD) is associated with an increased risk for suicidal ideation and behavior, yet clinical practice guidelines for addressing suicide risk in the context of PTSD are not yet available. This open trial evaluated the safety and preliminary efficacy of an integration of a trauma-focused treatment, prolonged exposure therapy (PE), with the coping long-term with an active suicide program (CLASP). CLASP-PE was delivered to patients with PTSD who reported suicidal ideation with intent, a plan, or a past-month attempt. Veterans or active-duty military personnel with a confirmed PTSD diagnosis and suicide risk (<em>N</em> = 14; 86% male) began the CLASP-PE protocol, which was delivered via telemedicine in 10–16 sessions, including a session with a support person as feasible. Two participants only provided baseline data; of the remaining 12, 8 participants (<em>n</em> = 66.7%) completed their treatment sessions. Participants reported significant reductions in PTSD symptoms (<em>p</em> &lt; .05), suicidal ideation (<em>p</em> &lt; .05), and depression symptoms (<em>p</em> &lt; .001). The degree of reduction in PTSD symptoms and depression symptoms in treatment predicted the degree of reduction in suicidal ideation in treatment. No suicide attempts or serious adverse events occurred in treatment. A case vignette is shared. CLASP-PE was safe, with preliminary evidence supporting its efficacy. Additional randomized controlled trial research is needed to evaluate its impact compared to a control group. If replicated, the CLASP-PE protocol would be a useful and safe clinical tool for individuals with PTSD who are experiencing significant suicide risk.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 283-298"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807792","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}

{"title":"Trauma-Informed Cognitive Behavioral Therapy for Insomnia in Women Veterans: An Intervention Development Study","authors":"Gwendolyn C. Carlson,&nbsp;Monica R. Kelly,&nbsp;Alexander J. Erickson,&nbsp;Kathryn Saldaña,&nbsp;Giselle Gomez,&nbsp;Katie J. Carlson,&nbsp;Diane Lee,&nbsp;Wilfred R. Pigeon,&nbsp;Elissa McCarthy,&nbsp;Jason C. DeViva,&nbsp;Sarah Kate McGowan,&nbsp;Karen R. Josephson,&nbsp;Cathy A. Alessi,&nbsp;Elizabeth M. Yano,&nbsp;Jennifer L. Martin,&nbsp;Alison B. Hamilton","doi":"10.1016/j.cbpra.2025.03.002","DOIUrl":"10.1016/j.cbpra.2025.03.002","url":null,"abstract":"<div><div>This paper describes the methodology and outcomes of the development of a trauma-informed protocol for cognitive behavioral therapy for insomnia (CBT-I). Methods included (a) convening an expert panel of U.S. Department of Veterans Affairs providers (<em>n</em> = 4) to identify trauma-related symptoms that may interfere with standard CBT-I delivery and to assess trauma-informed adaptations to an existing CBT-I protocol, (b) presenting adapted protocol materials to veteran engagement groups for feedback, and (c) sequentially delivering the trauma-informed CBT-I protocol to women veterans (<em>n</em> = 5) with iterative refinement of the intervention materials and evaluation of clinical improvement (Insomnia Severity Index and Pittsburgh Sleep Quality Index total scores and sleep diaries). Trauma-informed adaptations to CBT-I included posttraumatic stress disorder (PTSD) diagnosis psychoeducation, nighttime hyperarousal reduction strategies, nightmare/sleep avoidance psychoeducation, behavior tracking to challenge avoidance, psychoeducation about trauma-related thoughts, and orientation to PTSD treatments. Veteran engagement group consensus supported expert feedback. Women who completed trauma-informed CBT-I reported improved sleep outcomes from baseline to 3-month follow-up and high perceived acceptability and clarity regarding trauma-informed adaptations. This efficient, multistep approach resulted in an acceptable, efficacious protocol for use in a randomized clinical trial. These methods can be applied to other protocols to systematically adapt other psychotherapies for patients with PTSD.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 417-430"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807845","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}

{"title":"Therapist-Client Agreement: Verbal Behaviors and Interaction Patterns that Facilitate or Hinder the Therapeutic Alliance","authors":"M. Cristina Guerrero-Escagedo,&nbsp;Ana Calero-Elvira,&nbsp;Diego Fernández-Regueras","doi":"10.1016/j.cbpra.2025.06.003","DOIUrl":"10.1016/j.cbpra.2025.06.003","url":null,"abstract":"<div><div>The therapeutic alliance is a critical predictor of psychotherapy outcome, yet treatment guidelines often lack evidence-based recommendations for its development. To address this gap, the American Psychological Association (APA) has emphasized the need for observational methods that allow for moment-by-moment analysis of the components of the therapeutic relationship to identify behaviors that facilitate or hinder the alliance. Given the importance of therapist-client agreement in the development of a strong alliance, this study aimed to identify verbal behaviors and interaction patterns associated with its development. Video recordings of 95 psychotherapy sessions involving 20 clinical cases treated by 16 cognitive-behavioral therapists were analyzed using a reliable coding system (<em>κ =</em> 0.67–0.80; observer accuracy <em>=</em> 82–90%). These cases were selected from a total sample of 72, including the 10 cases with the highest and 10 with the lowest scores on the <em>Working Alliance Inventory</em>. Results showed significant differences in the frequency of several behaviors, including expressing optimism or suggesting a task / technique without justification, as well as in therapist-client interaction patterns involving suggesting a therapeutic goal, suggesting a task / technique, explaining behavior, requesting feedback, and expressing optimism. These findings provide valuable insights for the development of practical, evidence-based guidelines for improving the quality of the therapeutic relationship and, in turn, psychotherapy outcomes.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 299-316"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807793","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}

{"title":"iPositive: Using Mental Simulation for Goal Achievement and Values Pursuit; A Transdiagnostic Protocol of Intervention","authors":"Micaela Di Consiglio,&nbsp;Federica Satriano,&nbsp;Alessandro Couyoumdjian","doi":"10.1016/j.cbpra.2025.06.004","DOIUrl":"10.1016/j.cbpra.2025.06.004","url":null,"abstract":"<div><div>Mental simulation is a specific form of mental imagery in which the individual simulates and rehearses a scenario. In CBT, outcome mental simulation is often used to simulate reaching a desired goal, whereas a process mental simulation, in which the individual imagines planning and acting on the necessary steps to achieve a goal, is less frequent. This is surprising considering that this form of mental stimulation, compared with the one that only focuses on the outcome, is more effective in improving problem-solving, emotional regulation, and goal-directed behaviors. This manuscript introduces iPositive, a transdiagnostic clinical intervention based on process mental simulation designed to help individuals face challenging situations by promoting functional and goal-directed behaviors. Rooted in CBT and ACT theories, iPositive guides individuals imagine acting on the necessary steps to achieve a goal or condition, evaluating possible obstacles and solutions, and imagining the consequences of reaching the desired outcomes. Structured into five phases, it emphasizes goal setting and value-driven behavior through step-by-step mental simulations. By targeting underlying cognitive and emotional processes rather than disorder-specific symptoms, iPositive can address a wide range of psychological disorders. Overall, iPositive has the potential to be a valuable addition to mental health interventions, offering an innovative way to promote positive change and improve wellbeing. The next steps in this research will involve empirical validation of the protocol through clinical studies, including single-case analyses and randomized controlled trials.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 317-329"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807794","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}

{"title":"PTSD Following an Acute Cardiac Event: A Case Treated With Prolonged Exposure","authors":"Daniella Spencer-Laitt,&nbsp;Christopher Magoon,&nbsp;Andra M Preda,&nbsp;Rachel Zack Ishikawa,&nbsp;Amanda W Baker","doi":"10.1016/j.cbpra.2024.12.003","DOIUrl":"10.1016/j.cbpra.2024.12.003","url":null,"abstract":"<div><div>Posttraumatic stress disorder (PTSD) is common among individuals suffering from cardiac illness, and especially in those fitted with implantable cardioverter-defibrillators (ICDs; Princip et al., 2023; Sears et al., 2011). This case study draws on Edmondson’s (2014) Enduring Somatic Threat model of PTSD to conceptualize a case of ICD shock storm-related PTSD. We describe “John,” who was successfully treated with Prolonged Exposure therapy, demonstrated by a significant reduction in his score on the PTSD Checklist for DSM-5 (PCL-5; Weathers et al., 2013). We provide insights on treating medical-event-related PTSD, as well as distinguishing PTSD from panic disorder in medically traumatized populations when somatic symptoms overlap. We suggest greater attention be given to interoceptive sensitivity during case conceptualization and treatment in medically traumatized patients.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 342-350"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807796","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}

{"title":"Dialectical Behavior Therapy Prolonged Exposure (DBT PE) Adapted via Telehealth for Diverse Patient Populations: A Case Report","authors":"Brittany Barnett,&nbsp;Chelsi N. Nurse,&nbsp;Emily Wakschal,&nbsp;C. Virginia O’Hayer","doi":"10.1016/j.cbpra.2025.02.003","DOIUrl":"10.1016/j.cbpra.2025.02.003","url":null,"abstract":"<div><div>This case report describes treatment of a nonbinary, queer, autistic 28-year-old with hearing differences, diagnosed with posttraumatic stress disorder (PTSD). The patient completed telehealth-delivered Dialectical Behavior Therapy Prolonged Exposure (DBT PE), an evidence-based treatment for individuals with histories of trauma, emotion dysregulation, and high-risk or life-threatening behaviors. Adaptations were made to address the individualized needs of the patient, including incorporating a minority stress perspective, adaptations to focus on traumatic invalidation of their gender diverse and queer identities, and telehealth-related adaptations centering their hearing differences and neurodivergence. DBT PE allowed the patient to tolerate painful thoughts and emotions and approach previously avoided situations, resulting in a 37-point reduction in symptoms on the PTSD Checklist for DSM-5 (PCL-5), such that they no longer met criteria for PTSD after a full course of DBT PE. At the end of treatment, they reported greatly improved quality of life and ability to engage in a life worth living. DBT PE may be a feasible telehealth-delivered intervention, easily adaptable for diverse patient populations. This patient’s response to treatment highlights the benefit of approaching evidence-based protocols from a minority stress–informed perspective. Telehealth delivery may be particularly effective in reducing barriers for patients with minoritized identities.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 363-375"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807840","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}

{"title":"One Size Does Not Fit All: Special Considerations for Behavioral Health Providers Treating Patients Using GLP-1RA Medications for Obesity","authors":"Noreen A. Reilly-Harrington,&nbsp;Susan M. Himes,&nbsp;Jennifer Lauretti-Robbins,&nbsp;Stephanie Sogg","doi":"10.1016/j.cbpra.2025.02.004","DOIUrl":"10.1016/j.cbpra.2025.02.004","url":null,"abstract":"<div><div>Obesity is a significant global health concern, with projections that 50% of U.S. adults will meet criteria for obesity by 2035. Six percent of U.S. adults (an estimated 15.5 million people) are using a class of medications known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs). Robust weight loss may be achieved with these medications; however, little guidance exists for behavioral providers in managing the care of these patients. Moreover, a myriad of myths and misconceptions surround their use, some of which are rooted in historic stigma about obesity. We identify these common distortions and provide rational responses to address biases held by patients and providers alike. We discuss the critical roles that behavioral health clinicians can play in treating these patients, ranging from comprehensive assessment to the provision of tools such as psychoeducation, behavioral problem solving, cognitive restructuring, and relaxation. However, as outlined in this article, one approach does not fit all. Patients with comorbid mental health diagnoses may need specialized consideration and support in achieving their goals. We discuss the challenges of treating patients with comorbid eating disorders, mood disorders, anxiety disorders, and attention-deficit/hyperactivity disorder and provide case vignettes to illustrate these approaches.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 253-266"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807841","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}

{"title":"Integrating a Neuro-Affirmative Approach in the Cognitive-Behavioral Treatment of Anxiety in a Neurodivergent Child: A Case Study","authors":"Brian Gutiérrez,&nbsp;Bradley O. Hudson,&nbsp;Felix Ka Kai So,&nbsp;Bridgid Mariko Conn","doi":"10.1016/j.cbpra.2025.05.003","DOIUrl":"10.1016/j.cbpra.2025.05.003","url":null,"abstract":"<div><div>Autism spectrum disorder (ASD) affects approximately 1.7% of children in the U.S., with a high prevalence of anxiety disorders. This article explores integrating the SCERTS Model—a strengths-based, neuro-affirmative framework emphasizing Social Communication, Emotional Regulation, and Transactional Support—with the Coping Cat program, a cognitive-behavioral therapy (CBT) intervention for managing anxiety in children. The SCERTS Model supports an individualized, developmentally sensitive approach to complement the adaptable nature of the Coping Cat program, offering a comprehensive strategy for addressing anxiety disorders in children with ASD and intellectual/developmental disabilities (IDD). A case example of a 15-year-old Latina female with ASD, Borderline Intellectual Functioning, and Generalized Anxiety Disorder illustrates this integrated approach, involving behavioral interventions, CBT adaptations, and the use of visual aids, puppets, and social stories to enhance engagement. Assessment tools, such as the Screen for Child Anxiety Related Emotional Disorders and the Pediatric Symptom Checklist-35, were used to monitor progress, showing significant improvements in emotional regulation and anxiety reduction. This integration highlights the potential of combining the SCERTS Model and Coping Cat for effective anxiety management in this population. The article also discusses the importance of interdisciplinary collaboration, family involvement, and the need for further research on neuro-affirmative intervention adaptations across diverse settings and age groups.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 2","pages":"Pages 376-391"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807842","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}