Cognitive and Behavioral Practice最新文献

{"title":"Cognitive-Behavioral Treatment of Tomophobia (Fear of Medical Procedures) Using an Innovative, Virtual-Reality-Augmented Approach: A Case Study in a Patient With Breast Cancer","authors":"Tamara M. Williamson,&nbsp;Pamela Hebbard,&nbsp;Renée El-Gabalawy","doi":"10.1016/j.cbpra.2025.12.002","DOIUrl":"10.1016/j.cbpra.2025.12.002","url":null,"abstract":"<div><div>Most patients experience elevated anxiety prior to surgery; however, a subset of these individuals will present with clinically significant preoperative anxiety and meet criteria for tomophobia. Tomophobia is a subtype of Specific Phobia characterized by an intense fear of medical procedures, which can lead to avoidance of necessary, even lifesaving, interventions. Despite its clinical significance, research on tomophobia remains limited, and best-practice interventions are not well established. This case study illustrates a promising Cognitive Behavioral Therapy (CBT) approach that incorporates interdisciplinary care and innovative exposure methods using virtual reality (VR). The patient was a treatment-naïve middle-aged woman who was refusing necessary surgical care for breast cancer due to a fear of surgery (i.e., Specific Phobia, Blood-Injection-Injury Type). Assessment and treatment were delivered over 12 preoperative sessions with one postoperative follow-up session. Engagement in treatment resulted in functional improvements, including willingness to undergo surgery, and clinically significant reductions in the validated Severity Measure for Specific Phobia (intake score = 25; final preoperative session score = 7; postoperative session score = 5). This case study highlights how interdisciplinary care and VR can be integrated to systematically expose patients to typically inaccessible yet triggering environments, such as the operating room, providing useful guidance for clinicians treating tomophobia and significant preoperative anxiety.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 578-590"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647478","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}

{"title":"Evaluating a Virtual Adult ADHD Group in a Primary Care Setting: Feasibility and Clinical Outcomes Pilot Study","authors":"Phillip S. Ferguson,&nbsp;Juliana I. Tobon","doi":"10.1016/j.cbpra.2025.09.002","DOIUrl":"10.1016/j.cbpra.2025.09.002","url":null,"abstract":"<div><div>A treatment effectiveness study was conducted on a 9-week CBT-based group intervention for adults with ADHD. The intervention, based on the Jeavons et al. (2018) Adult ADHD Treatment Handbook, was delivered virtually by a multidisciplinary team at St. Michael’s Hospital Family Health Team in Toronto, Canada. Treatment topics included understanding the impacts of ADHD and its common comorbidities, coping skills for managing impulsivity, mood, organization, time, money, and interpersonal relationships. Quantitative data (N = 46) was analyzed in a pre-/posttreatment design using symptom measures of ADHD (ASRS), ADHD-related functional impairment (WFIRS), anxiety (GAD-7) and depression (PHQ-9). Results indicated that ADHD symptoms significantly decreased, with a small effect size, t(45) = –2.852, p = 0.003, d = 0.421. Five subscales of the WFIRS demonstrated significant improvements with medium effect sizes. The greatest functional improvements were seen in self-concept, t(44) = –3.858, p &lt; 0.001, d = 0.575, and life skills, t(44) = –3.382, p &lt; 0.001, d = 0.504. Significant improvements with small to medium effect sizes were also demonstrated in depression, t(43) = –2.494, p = 0.008, d = 0.376, and anxiety symptoms, t(43) = –2.851, p = 0.003, d = 0.430. Thematic analysis of anonymous group satisfaction survey responses indicated that participants experienced positive changes in self-concept through normalization and validation of ADHD life impacts. This pilot study provides valuable information about the feasibility and promising initial outcomes of a virtual group-based adult ADHD intervention in a real-world setting. A follow-up study will examine outcomes in a more rigorous randomized controlled trial design.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 505-520"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647426","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}

{"title":"Integration of a Pedometer-Based Physical Activity Intervention with Cognitive Behavioral Therapy for Adults with Chronic Obstructive Lung Disease","authors":"Patricia M. Bamonti,&nbsp;Marilyn L. Moy,&nbsp;Grace A. Rose,&nbsp;Amy K. Silberbogen,&nbsp;Jeffrey A. Cully,&nbsp;Erica R. Checko,&nbsp;David Coultas,&nbsp;Brent R. Schell,&nbsp;Jennifer Moye","doi":"10.1016/j.cbpra.2025.07.001","DOIUrl":"10.1016/j.cbpra.2025.07.001","url":null,"abstract":"<div><div>Physical activity interventions effectively improve physical activity (i.e., daily step count) and reduce the risk of adverse health outcomes in persons with chronic obstructive pulmonary disease (COPD), but effects on depression and anxiety are poorly understood. Behavioral interventions concurrently targeting both physical activity and mood symptoms are needed in this population. This paper describes acceptability testing and refinement of Step-CBT, a synchronous, video-delivered, pedometer-based physical activity intervention integrated with cognitive behavioral therapy (CBT) to improve step count in individuals with COPD; physical disability and depression and anxiety symptoms are secondary outcomes. Adults (N = 5) with COPD and clinically significant depression and/or anxiety symptoms were enrolled; three completed Step-CBT. During the run-in period (i.e., after consent, before intervention), one participant did not meet eligibility criteria, and one withdrew due to disliking the Fitbit Inspire and preferring to attend to other health conditions. Completers rated high satisfaction with the intervention and virtual modality, and high adherence, with improvements in physical activity and/or depression and/or anxiety. Findings illuminate the complexities, barriers, and facilitators that emerged for each participant suggesting additional testing of the intervention is warranted.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 605-619"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145806409","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":"Delivery of a Virtual, Group-Based Unified Protocol for Prolonged Grief Disorder","authors":"Daniella Spencer-Laitt,&nbsp;Julián D. Moreno-Villamizar,&nbsp;Gil Grunfeld,&nbsp;Courtney Guida,&nbsp;Daniel A. Teplow,&nbsp;Andra M. Preda,&nbsp;Lisa Smith,&nbsp;Kristy Cuthbert,&nbsp;Todd J. Farchione","doi":"10.1016/j.cbpra.2026.01.003","DOIUrl":"10.1016/j.cbpra.2026.01.003","url":null,"abstract":"<div><div>Prolonged Grief Disorder (PGD) is marked by persistent and intense grief, including yearning, preoccupation with the deceased, and difficulty moving forward after a loss, lasting beyond cultural expectations for bereavement. Despite PGD’s high prevalence, access to evidence‑based treatment remains limited, and attrition in existing interventions is common. Difficulties in emotion regulation are thought to play a central role in the persistence of PGD, making emotion regulation-focused treatment approaches particularly relevant. This paper describes a telehealth, PGD-focused group-based application of the Unified Protocol, a transdiagnostic cognitive-behavioral therapy with established efficacy in reducing symptoms of emotional disorders such as anxiety or depression. The intervention was first implemented with a small pilot group to gather qualitative feedback, followed by delivery of a refined protocol to a second group. We present two illustrative case examples from this second cohort, detailing changes in PGD severity, depression, anxiety, and emotion regulation. Both participants demonstrated improvement in PGD severity and emotion regulation. Overall, these case studies provide insight into the acceptability of a virtual delivery of the UP to this clinical population and underscore the need for further evaluation in larger controlled trials.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 635-647"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647483","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":"Qualitative Examination of the Feasibility, Acceptability, and Considerations for Implementation of Massed Evidence-Based Psychotherapies for PTSD Into Outpatient Clinics","authors":"Erika M. Roberge,&nbsp;Diana C. Bennett,&nbsp;Harrison R. Weinstein","doi":"10.1016/j.cbpra.2025.09.004","DOIUrl":"10.1016/j.cbpra.2025.09.004","url":null,"abstract":"<div><div>Massed evidence-based psychotherapies (mEBPs) for posttraumatic stress disorder (PTSD) allow patients to receive effective PTSD treatment in a fraction of the time as weekly EBPs. To date, mEBPs have generally been provided in intensive outpatient or residential clinical settings with additional treatment components and demands. New research suggests that standalone outpatient mEBPs without additional components have several benefits over these programs. To facilitate the expansion of mEBPs into outpatient clinics, barriers and facilitators of implementation must be understood. The current study surveyed and interviewed providers from a VA outpatient clinic that has provided standalone mEBPs for PTSD since 2018. Providers without experience with mEBPs that create treatment plans through shared decision making (<em>n</em> = 8) were surveyed about their beliefs of patient, logistical, and competency factors, as well as buy-into the rationale and preferences regarding mEBPs. Experienced mEBP providers (<em>n</em> = 3) were interviewed about the acceptability, implementation, and practicality of mEBPs in their outpatient clinic. Systematic thematic analysis was used to identify patterns and craft recommendations. Insights from this mixed-methods study were integrated to identify barriers and facilitators to mEBP implementation in an outpatient setting. Recommendations and considerations for new mEBP for PTSD outpatient programs are presented.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 521-532"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647484","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":"Young Black and Latino Sexual Minority Men’s Responses to the Minority Stress Model in the Context of LGBTQ-Affirmative CBT","authors":"Jahn Jaramillo,&nbsp;Nonie Kalra,&nbsp;Nequiel Reyes,&nbsp;Craig Rodriguez-Seijas,&nbsp;Brooke G. Rogers,&nbsp;Faithlynn Morris,&nbsp;Skyler D. Jackson,&nbsp;Steven A. Safren,&nbsp;John Pachankis,&nbsp;Audrey Harkness","doi":"10.1016/j.cbpra.2025.09.001","DOIUrl":"10.1016/j.cbpra.2025.09.001","url":null,"abstract":"<div><div>In the United States, young Black and Latino sexual minority men (YBLSMM) face mental health challenges resulting from minority stress. LGBTQ-affirmative cognitive-behavioral therapy (CBT) is an evidence-based treatment that has been shown to improve mental health among several LGBTQ+ populations, including YBLSMM in particular. One component of this treatment involves a discussion of the sexual minority stress model, providing insight into how YBLSMM experience sexual minority stress as part of their other intersectional identity-based stressors. This information is important to guide case conceptualization with diverse LGBTQ populations that face minority stress both due to their sexual identities and their racial or ethnic identities and therefore facilitate effective treatment outcomes and the development and improvement of existing interventions. Participants included 20 YBLSMM from a trial of LGBTQ-affirmative CBT. We transcribed sessions in which therapists and clients discussed the minority stress model underlying the treatment. Qualitative analysis suggested the following themes related to YBLSMM minority stress: (1) experiences of racism, racial/ethnic minority stress, or cultural stereotypes; (2) pressures to be masculine arising both from within and outside the SMM community; (3) conflict between religious upbringing and LGBTQ+ identity; (4) fears and anxieties related to aging within the LGBTQ community; (5) financial and socioeconomic stressors; and (6) stressors exclusive to sexual orientation. Findings revealed that YBLSMM often drew upon aspects of their identities, other than or in conjunction with their sexual minority identity, in terms of how the minority stress model applies to their lives. Findings suggest that LGBTQ-affirmative CBT may be beneficial to YBLSMM not just through addressing sexual minority stress but also through addressing stress linked to other aspects of YBLSMM’s identities, emphasizing the importance of practitioners comprehensively addressing these multifaceted stressors and incorporating them into case conceptualization when providing cognitive and behavioral therapy.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 488-504"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647422","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":"CBT-AR Teletherapy for ARFID in a Gastroenterology Clinic Specializing in Celiac Disease: A Proof of Concept and Feasibility Case Series","authors":"Madison A. Hooper,&nbsp;Hana F. Zickgraf,&nbsp;Katrina S. Rbeiz,&nbsp;Joanna Perl,&nbsp;Dawn W. Adams","doi":"10.1016/j.cbpra.2025.08.002","DOIUrl":"10.1016/j.cbpra.2025.08.002","url":null,"abstract":"<div><div>Patients with gastrointestinal (GI) tract diseases are at high risk for developing avoidant/restrictive food intake disorder (ARFID). Patients with Celiac Disease (CD) may be particularly susceptible given their need to adhere to lifelong dietary restrictions. The current article presents the proof-of-concept stage of a planned clinical research program evaluating cognitive behavioral therapy (CBT) for ARFID (CBT-AR) delivered in a 10-session teletherapy format to adult patients in a CD clinic. We present data on the program feasibility and preliminary evidence for acceptability and proof of concept, i.e., that CBT-AR is associated with improvement in ARFID symptoms and engagement of targeted mechanisms of change. Over a 12-month period, 293 patients were screened for ARFID, and 18% screened as high-risk on a validated screener. Of these, approximately half agreed to be contacted by the study team, 8 completed an assessment, 6 entered, and 4 completed treatments. Three patients showed improvement on validated measures of symptom severity and clinical impairment, and both patients with clinically relevant fear ARFID symptoms showed improvement in cognitive/behavioral mechanisms hypothesized to maintain fear-ARFID symptoms. All 4 reported high acceptability and met some or all treatment goals. Implications of these preliminary findings and lessons learned for the design of the next phase of the research are discussed.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 549-565"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647424","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}

{"title":"Sequential Treatment of Borderline Personality Disorder and PTSD Utilizing Dialectical Behavior Therapy and Cognitive Processing Therapy in a Veteran Sample","authors":"Sarah C. Voss Horrell,&nbsp;Tayler J. Vebares","doi":"10.1016/j.cbpra.2026.01.002","DOIUrl":"10.1016/j.cbpra.2026.01.002","url":null,"abstract":"<div><div>Borderline personality disorder (BPD) often co-occurs with posttraumatic stress disorder (PTSD), with elevated rates of PTSD found in BPD samples (Shah &amp; Zanarini, 2018). Positive outcomes after Dialectical Behavior Therapy (DBT) are less pronounced in individuals with PTSD (Barnicot &amp; Crawford, 2018), and PTSD significantly increases the risk for future suicide attempts in patients with BPD (Wedig et al., 2012). Research examining a combined approach for treating BPD and PTSD has shown promise (Harned et al., 2012, 2014, and 2018). However, most studies have focused on prolonged exposure therapy (PE) as a treatment option. Cognitive processing therapy (CPT), another highly effective treatment for PTSD, has seldom been researched in this population. The authors retrospectively analyzed nonrandomized clinical data from a sample of 21 Veterans with BPD and PTSD who underwent CPT after DBT in a Veterans Affairs (VA) outpatient clinic. Changes in PTSD symptoms, depressive symptoms, suicidal behavior, and the number of psychiatric hospitalizations were assessed before and after treatment. The authors detail the sequential treatment of BPD and PTSD and provide a detailed case example. Findings suggest that CPT following DBT may enhance PTSD and depressive symptoms and decrease the frequency of suicidal behavior.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 474-487"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647425","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":"Clinician as Bicultural Coach: Integrating Bicultural Identity and Bicultural Competence Into Psychotherapy","authors":"Nancy H. Liu,&nbsp;Marlen Diaz","doi":"10.1016/j.cbpra.2025.12.003","DOIUrl":"10.1016/j.cbpra.2025.12.003","url":null,"abstract":"<div><div>Clinicians rarely receive training in integrating acculturation into cognitive-behavioral therapy (CBT); however, shifting demographics in the U.S. make this increasingly important. Most evidence-based psychotherapies (EBPs) assume a monocultural, and especially dominant culture, frame of reference which goes against findings from the acculturation literature. Few EBPs integrate sources of acculturative resilience—namely, bicultural identity and bicultural competence. In the clinician as “bicultural coach” approach, we demonstrate how clinicians can incorporate this additional acculturative lens for clients who have experienced acculturation-related stress and build bicultural skills. Through clinical illustrations across a range of CBT assessment, case formulation, and intervention skills that address intrapersonal, interpersonal, and societal domains, we show how this clinician as “bicultural coach” approach adds depth and dimension, thereby enhancing the cultural sensitivity and ultimate relevance of CBT for diverse clients.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 664-683"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647480","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":"Treatment Development Report of an Intensive Group Treatment for Posttraumatic Stress, Insomnia, and Nightmares Adapted to Firefighter Culture","authors":"Kristi E. Pruiksma,&nbsp;Daniel J. Taylor,&nbsp;Denise M. Sloan,&nbsp;Steffany J. Fredman,&nbsp;Samantha Nagy,&nbsp;Sara A. Jahnke,&nbsp;Christopher K. Haddock,&nbsp;Kristin Koetting O’Byrne,&nbsp;Heather Rasmussen,&nbsp;Carrie Sutherland,&nbsp;Maria D.H. Koeppel,&nbsp;Diane Morgan,&nbsp;Jessica R. Dietch,&nbsp;Julia Russell,&nbsp;Garrett Baber,&nbsp;Alan L. Peterson,&nbsp;Carmen P. McLean","doi":"10.1016/j.cbpra.2025.10.003","DOIUrl":"10.1016/j.cbpra.2025.10.003","url":null,"abstract":"<div><div>Insomnia, nightmares, and posttraumatic stress disorder (PTSD) are prevalent co-occurring problems among fire service members and associated with significant distress and dysfunction. This report describes an accelerated treatment program targeting symptoms of PTSD, insomnia, and nightmares by combining Written Exposure Therapy (WET) for PTSD, Cognitive Behavioral Therapy for Insomnia (CBTi), and Cognitive Behavioral Therapy for Nightmares (CBTn) and the iterative procedures used to develop the intervention.</div><div>In Phase 1, we developed a treatment program outline and solicited feedback from stakeholders (firefighters, fire service leaders, and behavioral health specialists; <em>N</em> = 45). After integrating feedback, we conducted open pilot testing of the treatment protocol with two groups of fire service members with PTSD symptoms, insomnia, and nightmares (<em>N</em> = 5).</div><div>The intervention includes an individual virtual preparatory session, a group workshop conducted over 4 consecutive days, and an individual virtual booster session. Open pilot evaluation suggests that participants experienced reductions in PTSD symptoms, insomnia, and nightmares, and were satisfied with the treatment program.</div><div>WET, CBTi, and CBTn are compatible interventions that can be integrated into an accelerated group treatment format. Initial evaluation supports the feasibility and helpfulness of this model with firefighters. Additional controlled evaluation of the program is warranted.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"33 3","pages":"Pages 591-604"},"PeriodicalIF":3.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647546","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}