Cognitive and Behavioral Practice最新文献_第10页

Exploring the Effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders With Latinxs: A Record-Review Study at a Culturally Specific Clinic for Latinxs 探索拉丁裔情绪障碍跨诊断治疗统一方案的有效性:一项针对拉丁裔文化特异性诊所的记录回顾研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-07-28 DOI: 10.1016/j.cbpra.2023.06.001

{"title":"Exploring the Effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders With Latinxs: A Record-Review Study at a Culturally Specific Clinic for Latinxs","authors":"","doi":"10.1016/j.cbpra.2023.06.001","DOIUrl":"10.1016/j.cbpra.2023.06.001","url":null,"abstract":"<div><div><span>The Unified Protocol (UP) is a transdiagnostic cognitive behavioral therapy that targets the core affective processes underlying anxiety, depression, and other emotional disorders. Given the high rates of anxiety and depression and comorbidity among Latinxs, transdiagnostic treatments are a potentially effective intervention for this group. This record review study examined treatment outcomes for 20 Spanish-speaking Latinxs with an anxiety disorder receiving the UP at a community clinic. Six participants dropped out of treatment (30%) and 14 (70%) completed and responded to treatment. An intent-to treat analysis revealed a statistically significant improvement between pre- and posttreatment scores on the PHQ-9 (95% CI, 5.26, 11.04, t [19] = 5.894, </span><em>p</em> < .001) and the GAD-7 (95% CI, 4.49, 9.11, t [19] = 6.17, <em>p</em> < .001). We also included an in-depth case study, illustrating how the UP can be used with Spanish-speaking Latinxs. Our results provide preliminary support for the UP for use with a subset of Latinx adults with anxiety (with or without comorbid depression).</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43608995","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

Novel Application of Skills for Psychological Recovery as an Early Intervention for Posttraumatic Stress Disorder, Depression, and Alcohol Misuse in Survivors of Recent Sexual Assault: A Case Series 心理康复技能在近期性侵幸存者创伤后应激障碍、抑郁和酗酒早期干预中的新应用：一系列案例

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-07-11 DOI: 10.1016/j.cbpra.2023.05.003

{"title":"Novel Application of Skills for Psychological Recovery as an Early Intervention for Posttraumatic Stress Disorder, Depression, and Alcohol Misuse in Survivors of Recent Sexual Assault: A Case Series","authors":"","doi":"10.1016/j.cbpra.2023.05.003","DOIUrl":"10.1016/j.cbpra.2023.05.003","url":null,"abstract":"<div><div>Skills for Psychological Recovery (SPR) is an evidence-informed, early intervention for teaching survivors coping skills in the aftermath of recent disasters. Although SPR has not been tested following recent sexual assault, there is theoretical support for applying SPR to the needs of recent sexual assault survivors. The current study is the first to describe the application of SPR among survivors of recent sexual assault. SPR was administered by two master-level clinicians over the telephone to five people who experienced a sexual assault in the last month. Clients completed up to five SPR sessions. Mean scores of measures of Posttraumatic Stress Disorder (PTSD; PTSD Primary Care Screen), depression (Patient Health Questionnaire–2), and alcohol misuse (Alcohol Use Disorders Identification Test–Concise) were calculated pre- and post-intervention. Clients reported a reduction in PTSD symptoms (pre-intervention mean = 4.4; post-intervention mean = 2.8), depression (pre-intervention mean = 3.6; post-intervention mean = 2.2), and alcohol misuse (pre-intervention mean = 4.5; post-intervention mean = 3.2) at post-intervention. Results are presented using a case series approach. Findings suggest that SPR may be an effective strategy for reducing early trauma-related symptoms among recent survivors of sexual assault. Future investigations should explore the feasibility, acceptability, and efficacy of delivering SPR with larger, multiculturally diverse samples of recent sexual assault survivors.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45685803","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

Acceptance and Commitment Therapy Approach for Problematic Chemsex Among Men Who Have Sex With Men 男男性性行为问题的接受与承诺治疗方法

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-06-24 DOI: 10.1016/j.cbpra.2023.05.002

{"title":"Acceptance and Commitment Therapy Approach for Problematic Chemsex Among Men Who Have Sex With Men","authors":"","doi":"10.1016/j.cbpra.2023.05.002","DOIUrl":"10.1016/j.cbpra.2023.05.002","url":null,"abstract":"<div><div><span><span>Chemsex, a phenomenon involving the use of psychoactive substances in sexual contexts to facilitate or enhance sexual experiences, is substantially increasing among men who have sex with men (MSM), and has been described as a significant risk factor for mental and physical illness<span>. However, no specialized treatment approach has yet been established. Acceptance and commitment therapy (ACT) could potentially be an appropriate psychotherapeutic framework, especially considering the MSM and sexual minority unique challenges and the role of psychological flexibility in this context. The present paper describes the assessment and ACT interventions, reports and discusses the results, of 10 adult MSM who self-referred to an outpatient psychiatry and addiction department in France for self-reported problematic chemsex that interfered with their </span></span>quality of life. They completed symptom- and process-based measures at three different timepoints. Results were quantitatively analyzed, and the clinician’s session notes and patients’ experiences/accounts, recorded verbatim, served as a support for evaluating the global effects of ACT interventions. Results on outcome measures showed clinically notable and statistically significative improvements in psychological flexibility, anxiety and depression symptoms, as well as sexual addiction intensity between pre- and posttreatment, which were all persistent at 3- to 4-month follow-up. Process measure results indicated a high and consistent </span>therapeutic alliance throughout therapy. This exploratory study, directly derived from clinical practice, suggests promising preliminary results. It can provide clinicians with a useful resource for using ACT as a potentially effective approach for problematic chemsex and comorbidities, and may guide future investigation to inform treatment development efforts, especially for MSM and sexual minority communities.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44207588","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

Clarifying the Core Problem Concept in DBT: A Case Illustration 明确DBT的核心问题概念:一个案例说明

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-06-08 DOI: 10.1016/j.cbpra.2023.04.003

引用次数: 0

Low-Cost Virtual Reality to Support Imaginal Exposure Within PTSD Treatment: A Case Report Study Within a Community Mental Healthcare Setting 低成本虚拟现实支持创伤后应激障碍治疗中的图像暴露:社区精神卫生保健环境中的案例报告研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-05-24 DOI: 10.1016/j.cbpra.2023.03.003

{"title":"Low-Cost Virtual Reality to Support Imaginal Exposure Within PTSD Treatment: A Case Report Study Within a Community Mental Healthcare Setting","authors":"","doi":"10.1016/j.cbpra.2023.03.003","DOIUrl":"10.1016/j.cbpra.2023.03.003","url":null,"abstract":"<div><div>Revisiting what happened during (or after) a traumatic event is an important part of the treatment process in trauma-focused cognitive therapy (TF-CT). However, clinicians may have difficulty helping patients to intentionally retrieve these memories in order to engage with their content. As such, clinical tools to support the access and delivery of imaginal exposure content within treatment may prove to be particularly useful for therapists. This case report introduces work undertaken with Mr. A, a 38-year-old male, who 2 years prior had experienced a city centre assault. Initial assessment revealed a PCL-5 score of 64 and he met DSM-5 criteria for posttraumatic stress disorder (PTSD). Mr. A received 10 sessions of TF-CT wherein the traditional imaginal exposure components were implemented via a newly developed virtual reality (VR) development workflow called “VR Photoscan.” After 10 sessions, results showed PCL-5 scores decreased from 64 to 19 and Mr. A no longer met DSM-5 PTSD criteria. VR Photoscan was used during 4/10 sessions and included (1) reliving, (2) memory updating, and (3) stimulus discrimination activities. Mr. A also reported VR Photoscan as helpful regarding preparation for site visits. In conclusion, VR Photoscan technology provided a more visceral exposure experience which supported Mr. A to revisit the trauma memory. He reported high levels of satisfaction with the quality of the virtual environment and no issues using the VR technology. Produced with lower costs and shorter development times than typical computer-generated environments, VR Photoscan may be more easily implemented within routine care, although further research is required.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42823140","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

A Transdiagnostic Treatment to Improve Biomedical and Syndemic Outcomes in People Living With HIV 一种改善HIV感染者生物医学和综合征结果的转诊治疗

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-05-09 DOI: 10.1016/j.cbpra.2023.04.002

引用次数: 0

We’re in This Together: A Case Study of the Concurrent Delivery of Prolonged Exposure Therapy to Intimate Partners With PTSD 我们在一起：对患有创伤后应激障碍的亲密伴侣同时进行长期暴露治疗的案例研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-05-04 DOI: 10.1016/j.cbpra.2023.03.002

{"title":"We’re in This Together: A Case Study of the Concurrent Delivery of Prolonged Exposure Therapy to Intimate Partners With PTSD","authors":"","doi":"10.1016/j.cbpra.2023.03.002","DOIUrl":"10.1016/j.cbpra.2023.03.002","url":null,"abstract":"<div><div>Research on the links between intimate relationships and PTSD and the treatments for PTSD tend to be limited to couples in which only one partner within the dyad has PTSD. No investigations, to our knowledge, have empirically examined the simultaneous provision of evidence-based PTSD treatment to both partners in an intimate relationship diagnosed with PTSD. The current case study describes two partners in a different-sex relationship, both diagnosed with current PTSD, who received individual Prolonged Exposure (PE) therapy at the same time as part of a larger randomized clinical trial. Each partner received ten, 90-minute individual sessions of PE therapy by two separate clinicians trained in PE followed by a 1-month follow-up. The findings demonstrated significant pre- to posttreatment reductions in PTSD symptoms as measured by the Clinician Administered PTSD Scale-5 (CAPS-5) for the male partner (Δ = 18) and the female partner (Δ = 24). Both partners achieved diagnostic remission of PTSD by end of treatment. In addition, both partners expressed enhancements in relationship functioning that they experienced while receiving PE therapy concurrently. Clinical considerations for the provision of concurrent PE to partners in an intimate relationship are discussed. The positive findings from this case study may inform future research in this much-needed area of treatment for couples where both partners are suffering from PTSD.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47497276","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

Single-Session Telehealth Booster for Youth Experiencing a Return of Anxiety After CBT: A Case Series 青少年经历CBT后焦虑回归的单次远程医疗助推器:一个案例系列

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-05-02 DOI: 10.1016/j.cbpra.2023.04.001

{"title":"Single-Session Telehealth Booster for Youth Experiencing a Return of Anxiety After CBT: A Case Series","authors":"","doi":"10.1016/j.cbpra.2023.04.001","DOIUrl":"10.1016/j.cbpra.2023.04.001","url":null,"abstract":"<div><div>There is a subset of youth who, despite responding well to CBT, experience a return of anxiety in the years after treatment ends. Although empirical research and clinical recommendations have described approaches to <em>prevent</em> a return of anxiety following CBT, to our knowledge, no empirical or clinical articles have evaluated approaches to help youth who have experienced such a return. In this article, we take an initial step toward providing clinical guidance on addressing recurrence in youth with anxiety disorders by describing the development of an approach, a booster session delivered remotely using telehealth, and by presenting promising preliminary data in a case series among three youths who experienced a return of anxiety following CBT. Participants were <em>N</em> = 3 youths ages 10 to 15 years (<em>M</em> = 12 years; 33% male, 33% female, 33% nonbinary) who previously completed a full CBT protocol for anxiety disorders as part of outpatient clinical services in an urban area of the southeastern United States. Parent- and youth-report on youth anxiety severity were assessed pretreatment and posttreatment. Clinical response to the booster among these three families was mixed and varied by informant source, with an overall positive response according to parent ratings and a smaller response according to youth ratings. This case series represents an important first step toward addressing the return of anxiety in youth following CBT, and findings provide the impetus for further development and evaluation work of single session boosters. Limitations and implications of the findings are discussed.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48986572","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

How to Conduct Research in Your Private Practice 如何在私人执业中进行研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-05-01 DOI: 10.1016/j.cbpra.2021.11.004

Jacqueline B. Persons

{"title":"How to Conduct Research in Your Private Practice","authors":"Jacqueline B. Persons","doi":"10.1016/j.cbpra.2021.11.004","DOIUrl":"10.1016/j.cbpra.2021.11.004","url":null,"abstract":"<div><p>Mental health professionals who work in private practice and other clinical settings have huge opportunities to contribute to the science of our field. But they rarely do so. This article describes ways that practitioners who have research training can capitalize on recent developments in practice, science, and technology to conduct research in their private practice. I describe a model for conducting research as a practitioner that entails tightly integrating the research into clinical practice, and I point out why conducting research in your private practice is worth doing. The remainder of the paper provides a primer, describing strategies for implementing in a clinical setting all the elements of the research enterprise: addressing ethical and legal issues, keeping up to date with the scientific literature, selecting a good research question, conducting a single-case experimental design, finding collaborators and assistants, collecting the data, analyzing the data, writing the paper and getting it published, and handling time and money. Although this paper focuses on research in a solo or group private practice setting, many of the strategies described here can also prove useful in the conduct of research in hospital or community settings.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48616720","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

iCOPE With COVID-19: A Brief Telemental Health Intervention for Children and Adolescents During the COVID-19 Pandemic iCOPE与COVID-19: COVID-19大流行期间儿童和青少年的简短远程心理健康干预

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-05-01 DOI: 10.1016/j.cbpra.2021.10.001

Michelle S. Zepeda, Stephanie Deighton, Veronika Markova, Joshua W. Madsen, Nicole Racine

{"title":"iCOPE With COVID-19: A Brief Telemental Health Intervention for Children and Adolescents During the COVID-19 Pandemic","authors":"Michelle S. Zepeda, Stephanie Deighton, Veronika Markova, Joshua W. Madsen, Nicole Racine","doi":"10.1016/j.cbpra.2021.10.001","DOIUrl":"10.1016/j.cbpra.2021.10.001","url":null,"abstract":"<div><p>The COVID-19 pandemic has prompted extensive disruptions to the daily lives of children and adolescents worldwide, which has been associated with an increase in anxiety and depressive symptoms in youth. However, due to public health measures, in-person psychosocial care was initially reduced, causing barriers to mental health care access. This study investigated the feasibility, acceptability and preliminary effectiveness of iCOPE with COVID-19, a brief telemental health intervention for children and adolescents to address anxiety symptoms. Sessions were provided exclusively using videoconferencing technology. Feasibility and acceptability were measured with client satisfaction data. The main outcome measure for effectiveness was anxiety symptom severity measured using the Screen for Child Anxiety and Related Disorders (SCARED). Results indicated that the treatment was well accepted by participants. Significant reductions in anxiety were noted for social anxiety, and were observed to be trending towards a mean decrease for total anxiety. The findings suggest that this brief telemental health intervention focused on reducing anxiety related to COVID-19 is acceptable and feasible to children and adolescents. Future research using a large sample and with a longer follow-up period could inform whether symptom decreases are sustained over time.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8532498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9675912","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: 3