{"title":"Conceptualizing Pathways to Depression and Anxiety in Autistic Youth Using the Cognitive and Behavioral Model of Low Self-Esteem.","authors":"Matthew J Hollocks, Jessica M Schwartzman","doi":"10.1016/j.cbpra.2024.11.002","DOIUrl":"https://doi.org/10.1016/j.cbpra.2024.11.002","url":null,"abstract":"<p><p>Autistic youth are more likely to experience both anxiety and depression than their nonautistic peers, yet treatment options are extremely limited. Clinicians working with this population lack a robust evidence base of psychological models within which to formulate and treat these enduring internalizing disorders in autistic youth. Negative self-esteem is a robust risk factor-and treatment target-for internalizing disorders in nonautistic youth that remains largely understudied in autistic youth. The Cognitive and Behavioral Model of Low Self-Esteem (Fennell, 1997) was conceived to guide the development of cognitive-behavioral interventions targeting this construct in the general population. The model highlights how low-self-esteem develops from the interacting effects of temperament and negative experiences, leading to the formation of dysfunctional assumptions, and the subsequent development and maintenance of anxiety and depression. Autistic individuals are known to have specific vulnerabilities across the core elements of this model, making it potentially pertinent for this population. In this paper, we describe a theoretical extension of the model for autistic youth. We then use a blended case example to inform case conceptualization using the model to understand how low self-esteem may develop in an autistic youth and act to maintain anxiety and depression. Future directions for research into the use of the Low Self-Esteem Model in autistic youth are also discussed.</p>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977993","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":"Mapping Dialectical Behavior Therapy Skills to Clinical Domains Implicated in Contemporary Addiction Research: A Conceptual Synthesis and Promise for Precision Medicine","authors":"Jeremy W. Luk, Matthew F. Thompson","doi":"10.1016/j.cbpra.2024.07.002","DOIUrl":"https://doi.org/10.1016/j.cbpra.2024.07.002","url":null,"abstract":"","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"9 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249774","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":"TEAM-CBT for Adolescents and Young Adults With Depression and Anxiety: Testing Short-Term Impact and Within-Session Change","authors":"Elise Bourgeois-Munoz, Jacqueline Corcoran","doi":"10.1016/j.cbpra.2024.05.005","DOIUrl":"https://doi.org/10.1016/j.cbpra.2024.05.005","url":null,"abstract":"The prevalence of mental health disorders has shown a notable rise in adolescents and young adults (Parodi et al., 2022). These developmental stages, adolescence and young adulthood, are peak periods for emerging mental health disorders, affecting around 49.5% of young individuals. Anxiety and depression have significant adverse and long-term effects that interfere with developmental tasks if not successfully treated (Merikangas, 2010).","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"17 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249776","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}
Leslie Sim, Jocelyn Lebow, Afton Koball, Stephen P. Whiteside, Abigail Matthews
{"title":"Disorders in Disguise: Proposed Clinical Competencies in Eating Disorders for All Child and Adolescent Mental Health Providers","authors":"Leslie Sim, Jocelyn Lebow, Afton Koball, Stephen P. Whiteside, Abigail Matthews","doi":"10.1016/j.cbpra.2024.07.001","DOIUrl":"https://doi.org/10.1016/j.cbpra.2024.07.001","url":null,"abstract":"Early detection and treatment of child and adolescent eating disorders is strongly linked to positive outcomes and can be achieved by recognizing the diverse and often concealed ways in which these conditions commonly present within mental health care settings. In particular, eating disorders are frequently disguised by the appearance of more familiar presenting problems, such as symptoms of anxiety, depression, and emotion or behavioral dysregulation. As a primer for child and adolescent mental health therapists seeking to provide efficient and effective treatment to young patients who may be presenting for mental health care with an undetected eating disorder, we present six cases of patients from differing child and adolescent mental health settings who presented for the treatment of psychiatric symptoms that ultimately were related to an eating disorder. In each case, the detection and treatment of an underlying eating disorder was paramount to improving the presenting problems. Within this context, we discuss key concepts and basic clinical competencies in child and adolescent eating disorders that are essential for mental health providers, including those who do not consider eating disorder treatment as within their scope of practice.","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"4 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142190626","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}
Allison Peipert, Marissa J. Ward, Michelle L. Miller
{"title":"Narrative Exposure Therapy for a Traumatic Birth Experience With the Non-Birthing Parent: A Single Case Study","authors":"Allison Peipert, Marissa J. Ward, Michelle L. Miller","doi":"10.1016/j.cbpra.2024.05.006","DOIUrl":"https://doi.org/10.1016/j.cbpra.2024.05.006","url":null,"abstract":"","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"8 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142190625","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":"Feasibility, Safety, and Acceptability of Cognitive Processing Therapy for PTSD Following a Recent Suicide Attempt: A Case Study","authors":"Deidre A. Marsh","doi":"10.1016/j.cbpra.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.cbpra.2024.06.001","url":null,"abstract":"","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 2 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142190628","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}
Ramya Ramadurai, Jacob Gustaveson, Jeane Bosch, Mauli T. Shah
{"title":"Augmenting Virtual Mindfulness Group With a Mindfulness App in Integrated Primary Care: Development, Feasibility, and Acceptability","authors":"Ramya Ramadurai, Jacob Gustaveson, Jeane Bosch, Mauli T. Shah","doi":"10.1016/j.cbpra.2024.05.002","DOIUrl":"10.1016/j.cbpra.2024.05.002","url":null,"abstract":"<div><div>As the body of support for the usefulness of mindfulness-based practices within therapeutic intervention has grown, so has demand. To increase access to this evidence-based care, skill-building groups as well as mobile apps that deliver mindfulness training have been developed. However, evaluations of app-augmented group mindfulness interventions are lacking. This pilot study developed and implemented a protocol augmenting a virtual Veterans Affairs–Compassionate Awareness Learning Module (VA-CALM) group with the Mindfulness Coach app in a Mid-Atlantic VA health system. The 6-week app-augmented group was implemented across four cycles (<em>n</em> = 18) within the system’s Integrated Primary Care setting. Qualitative feedback was collected and used to improve the integrative protocol iteratively across group cycles. Feedback indicated participants found the app supported skill growth and that the group context enhanced app engagement, while others found it difficult to navigate the app and build new habits. Quantitative outcomes indicated improvements in stress, health-related quality of life, and the mindfulness skill of nonreactivity. App usage among group members ranged from none to frequent. Groups in combination with apps may be a feasible and acceptable way to support mindfulness skill growth and application to daily life for some veterans. Further study should focus on patient-level factors that are relevant to engagement and efficacy of app-augmented protocols, as well as whether engagement predicts clinical improvement.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 557-569"},"PeriodicalIF":2.9,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141777114","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}
Leila K. Capel, Mercedes G. Woolley, Michael P. Twohig
{"title":"Psychosocial Treatment of Trichotillomania: A Review","authors":"Leila K. Capel, Mercedes G. Woolley, Michael P. Twohig","doi":"10.1016/j.cbpra.2024.05.003","DOIUrl":"10.1016/j.cbpra.2024.05.003","url":null,"abstract":"<div><div>Trichotillomania can be an impactful disorder, yet compared to a multitude of diagnoses, intervention research on trichotillomania<span> is notably underdeveloped. There have been a variety of treatments developed for trichotillomania, including habit reversal training (HRT), ACT-enhanced behavior therapy (A-EBT), dialectical behavior therapy (DBT), enhanced cognitive behavioral therapy, comprehensive behavioral treatment (ComB), metacognitive therapy (MCT), and decoupling. Papers synthesizing the data on psychosocial interventions for trichotillomania are needed to assist professionals in choosing the most supported options for their work. Articles were retrieved through EBSCOhost through engines like PsycInfo, PsycArticles, and PubMed. Articles were selected if they were testing a psychosocial treatment or intervention for trichotillomania. This review presents the empirical evidence for psychosocial interventions for trichotillomania including the level of detail and availability of the manualized intervention. We discuss the clinical utility and ease of application of each intervention based on the information provided.</span></div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 570-584"},"PeriodicalIF":2.9,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141785507","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}
Edelyn Verona, Julia B. McDonald, Lauren F. Fournier, Meaghan E. Brown, E. Elisa Carsten
{"title":"Adapting a Dialectical Behavior Therapy Skills Group Within a Jail Setting: Implementation Challenges and Considerations","authors":"Edelyn Verona, Julia B. McDonald, Lauren F. Fournier, Meaghan E. Brown, E. Elisa Carsten","doi":"10.1016/j.cbpra.2024.05.001","DOIUrl":"10.1016/j.cbpra.2024.05.001","url":null,"abstract":"<div><div>Over 12 million admissions into local jails are logged each year, for charges ranging from misdemeanor traffic violations to felony homicide. Compared to people incarcerated in prisons, those held in jails face quicker community reentry, elevated reincarceration rates, overcrowding, and few opportunities to participate in programming. People caught in this cycle often experience many contextual and personal barriers, which include difficulty regulating their emotions, refraining from aggressive and impulsive behaviors, and communicating effectively. Dialectical Behavior Therapy (DBT) has been put forth as a promising evidence-based approach that is particularly well-suited to address the risks and needs of jail populations. By helping incarcerated individuals balance the “dialectic” between acceptance of the present (e.g., coping with current incarceration) and preparation for future change (e.g., planning for community reentry), DBT can help individuals gain coping skills that are directly related to preventing reoffending. This paper describes our research team’s adaptation of a DBT skills group in a jail setting, feasibility and attrition data, and challenges and lessons learned. We highlight the value of adapting treatments in underserved settings, working closely with community partners to align goals and overcome logistical challenges, and ensuring flexibility of implementation. We believe that our experiences can provide practical insights and recommendations for both scholars and practitioners within the field.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 544-556"},"PeriodicalIF":2.9,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701890","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":"Evaluation of Two Online Learning Courses for Evidence-Based Trauma Treatments: TFCBTWeb2.0 and CPTWeb2.0","authors":"Austen McGuire, Jerry Glover, Daniel W. Smith","doi":"10.1016/j.cbpra.2024.04.008","DOIUrl":"10.1016/j.cbpra.2024.04.008","url":null,"abstract":"<div><div>Web courses for evidence-based treatments (EBTs) are an important component of training models and broader treatment dissemination and implementation. However, there exists limited research on the efficacy of large-scale online training, as most studies exploring these trainings focus on web courses designed for a specific research project. This project explored participation and knowledge acquisition in two large-scale web courses for trauma-focused EBTs: TFCBT<em>Web</em><span>2.0 and CPT</span><em>Web</em>2.0<em>.</em> Data were extracted for 174,193 TFCBT<em>Web</em>2.0 learners and 12,024 CPTWeb2.0 learners<em>,</em> including learner characteristics (e.g., degree, years of experience) and knowledge acquisition from course module pre- and posttest scores. Learners demonstrated significant increases in knowledge for all TFCBT<em>Web</em>2.0 and CPT<em>Web</em>2.0 modules. Examination of completion status (i.e., started vs. completed the course) indicated that learners who identified as trainees or early career professionals were more likely to complete a web course, compared to those with terminal degrees and 5+ years of experience. Learners who registered for TFCBT<em>Web</em>2.0 prior to the COVID-19 pandemic also had slightly higher completion rates compared to peri-COVID-19 learners. Taken together, these findings suggest that web courses can be an effective tool for increasing EBT knowledge. Further, completion rates for both web courses suggest the potential importance of system-level factors (e.g., agency/supervisor support) to increase the likelihood of completing these types of trainings.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 526-543"},"PeriodicalIF":2.9,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696647","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}