Cognitive and Behavioral Practice最新文献_第4页

A Case Study Applying Cognitive Processing Therapy to Childbirth-Related PTSD: Treatment Considerations for the Postpartum Period 分娩相关创伤后应激障碍的认知处理疗法：病例研究与治疗注意事项

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-07-02 DOI: 10.1016/j.cbpra.2024.04.007

Kimberley Johnson, Feea R. Leifker

{"title":"A Case Study Applying Cognitive Processing Therapy to Childbirth-Related PTSD: Treatment Considerations for the Postpartum Period","authors":"Kimberley Johnson, Feea R. Leifker","doi":"10.1016/j.cbpra.2024.04.007","DOIUrl":"10.1016/j.cbpra.2024.04.007","url":null,"abstract":"<div><div>In sharp contrast to societal narratives framing the birth of a new baby as a time of unequivocal joy, childbirth-related trauma is relatively common and can result in postpartum PTSD. Research indicates that postpartum PTSD can have serious psychosocial implications during the perinatal period, a known critical developmental window shaping child and maternal heath across the lifespan. However, empirical research on the effectiveness of specific treatment approaches for childbirth-related trauma remains limited. Given the extensive effects and prevalence of postpartum PTSD, determining effective treatment options is a high priority. Cognitive Processing Therapy (CPT) is a gold-standard evidence-based psychotherapy for PTSD that has not been evaluated in the context of postpartum PTSD, and may be particularly well-suited for treating birth trauma. In the current case study, we describe the assessment and treatment of childbirth-related PTSD using CPT. By the end of the 14-session therapy course, the patient experienced a reduction in symptoms (City Birth Trauma Scale score dropped from 38 to 14), associated distress, and functional impairment. This case study suggests that CPT is an effective treatment for postpartum PTSD. We conclude with considerations to guide future research and treatment efforts.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 585-597"},"PeriodicalIF":2.9,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141567661","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

Views on a Culturally Safe Psychotherapeutic Treatment by Inuit in Quebec: Co-Design of Cognitive Behavioral Therapy Manual and Virtual Exposure Environments 魁北克因纽特人对文化安全心理治疗的看法：共同设计认知行为疗法手册和虚拟暴露环境

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-07-02 DOI: 10.1016/j.cbpra.2024.04.006

Outi Linnaranta , Liliana Gomez Cardona , Quinta Seon, Alisha Tukkiapik, Joy Outerbridge, Stéphane Bouchard

{"title":"Views on a Culturally Safe Psychotherapeutic Treatment by Inuit in Quebec: Co-Design of Cognitive Behavioral Therapy Manual and Virtual Exposure Environments","authors":"Outi Linnaranta , Liliana Gomez Cardona , Quinta Seon, Alisha Tukkiapik, Joy Outerbridge, Stéphane Bouchard","doi":"10.1016/j.cbpra.2024.04.006","DOIUrl":"10.1016/j.cbpra.2024.04.006","url":null,"abstract":"<div><div>Cognitive-behavioral psychotherapy (CBT) can be combined with virtual reality (VR) to provide culturally safe and remotely delivered emotion regulation interventions. We conducted a co-design process of a CBT treatment manual and complementary VR environments for the Inuit populations from Nunavik. Here, we describe the knowledge gained during the adaptation process on the approach to mental well-being and psychotherapy. We followed qualitative, participatory, and research co-design methods. After an initial concept of VR-CBT, an advisory group made up of 7 adults identifying as or working with Inuit participated in 4 focus group meetings. A thematic analysis of the discussions was carried out. A non-symptom-focused approach with the therapist guiding the individual in empowerment and emotion management was accepted in the advisory group, replacing a symptom-focus. Several CBT in- and between-session techniques were seen critically or rejected, and time for working on a certain theme was increased. Some elements in the proposed landscape were rejected as unsafe, other elements added as culture-specific to increase safety. Future work should confirm broader acceptance and utility. Culturally specific factors play an essential role in acceptance of concepts and approaches used in psychotherapy. Accordingly, they can have an impact on acceptance and attendance in therapy.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 513-525"},"PeriodicalIF":2.9,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141567660","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

Transcending: A Pragmatic, Open-Label Feasibility Study of a Minority-Stress-Based CBT Group Intervention for Transgender and Gender-Diverse Emerging Adults 超越：基于少数群体压力的 CBT 小组干预的实用性、开放标签可行性研究，针对变性和性别多元化的新成人

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-06-15 DOI: 10.1016/j.cbpra.2024.04.005

Taylor Hatchard, Emily E. Levitt, Christina Mutschler, Bethany Easterbrook, Andrew A. Nicholson, Jenna E. Boyd, Jennifer Hewitt, Natania Marcus, Talia Tissera, Mackenzie Mawson, Sophia L. Roth, Maiko A. Schneider, Randi E. McCabe

引用次数: 0

Adapting Cognitive Behavioral Therapy for Depression After Traumatic Brain Injury: A Case Study 对创伤性脑损伤后抑郁症的认知行为疗法进行调整：案例研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-06-07 DOI: 10.1016/j.cbpra.2024.04.003

Lauren B. Fisher, Andrew J. Curreri, Sunday Hull, Sylvie Tuchman, Doga Cetinkaya, Maren B. Nyer, Rose Luehrs, Ross Zafonte, Paola Pedrelli

{"title":"Adapting Cognitive Behavioral Therapy for Depression After Traumatic Brain Injury: A Case Study","authors":"Lauren B. Fisher, Andrew J. Curreri, Sunday Hull, Sylvie Tuchman, Doga Cetinkaya, Maren B. Nyer, Rose Luehrs, Ross Zafonte, Paola Pedrelli","doi":"10.1016/j.cbpra.2024.04.003","DOIUrl":"10.1016/j.cbpra.2024.04.003","url":null,"abstract":"<div><div>This case study describes a cognitive-behavioral treatment for depression adapted for individuals with traumatic brain injury<span> (CBT-TBI) and provides a case description of a patient who experienced meaningful symptom reduction. CBT-TBI includes several adaptations to traditional CBT for depression structure, content and process aimed at meeting the unique needs of individuals with TBI sequelae. The patient, a single, White, college-educated, cisgender female in her late 30s who sustained a complicated mild TBI and endorsed symptoms of depression, anxiety, and persistent post-concussive symptoms, completed 12 individual, in-person sessions of CBT-TBI in the context of a randomized, waitlist-controlled trial. Clinician and self-rated measures, as well as neuropsychological assessments, were completed at baseline and posttreatment, and depressive symptoms were assessed weekly by self-report (Beck Depression Inventory-II). Symptom improvement was analyzed using the Reliable Change Index (RCI) and demonstrated a clinically significant reduction in depression and anxiety symptoms, as well as improvement in coping abilities and adaptive thinking. In addition to the adapted content of the intervention, this case example highlights the importance of therapist flexibility, continual assessment, collaboration, and elicitation of feedback in the delivery of CBT for depression for individuals with TBI.</span></div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 598-612"},"PeriodicalIF":2.9,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398432","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

A Brief Parent Training Program Using Cognitive-Behavioral Techniques for Pediatric Avoidant/Restrictive Food Intake Disorder: A Pilot Study 使用认知行为技术治疗小儿回避型/限制型食物摄入障碍的简短家长培训计划：试点研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-06-06 DOI: 10.1016/j.cbpra.2024.04.004

Courtney E. Breiner, McKenzie L. Miller, Julia M. Hormes

{"title":"A Brief Parent Training Program Using Cognitive-Behavioral Techniques for Pediatric Avoidant/Restrictive Food Intake Disorder: A Pilot Study","authors":"Courtney E. Breiner, McKenzie L. Miller, Julia M. Hormes","doi":"10.1016/j.cbpra.2024.04.004","DOIUrl":"10.1016/j.cbpra.2024.04.004","url":null,"abstract":"<div><div><span>Eating disorder (ED) treatment is notoriously inaccessible due to geographic, financial, and/or time barriers. The current study proposes a novel treatment for avoidant/restrictive food intake disorder (ARFID) to increase access to care for this novel ED. ARFID Parent Training Program (ARFID-PTP) is a two-session, virtual treatment utilizing evidence-based components for pediatric ARFID. Participants (</span><em>n</em> = 7) ages 5–12 and their parents completed an intake session, two sessions of treatment, end-of-treatment measures, and 4-week follow-up measures. Acceptability was assessed via the CEQ-C and satisfaction questions provided at end-of-treatment. Feasibility was assessed via recruitment and retention rates, treatment adherence, and need for a booster session (e.g., problem-solving session) at 4-week follow-up. Overall, ARFID-PTP was considered an acceptable treatment approach; however, markers of feasibility, such as treatment nonadherence (low completion of daily food exposures), indicate further testing should implement modifications to treatment. We propose modifications to address feasibility concerns with the goal of continuing to assess ARFID-PTP in a randomized controlled trial.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 487-498"},"PeriodicalIF":2.9,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403491","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

Integrating Dialectical Behavior Therapy Skills and Parent Training for Dually Dysregulated Parents and Children: An Idiographic Case Study 将辩证行为疗法技能和家长培训结合起来，治疗父母和子女的双重失调：一个图像案例研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-05-14 DOI: 10.1016/j.cbpra.2024.04.002

Yoel Everett, April Lightcap, Jacqueline R. O’Brien, Netanel Y. Weinstein, Maureen Zalewski

{"title":"Integrating Dialectical Behavior Therapy Skills and Parent Training for Dually Dysregulated Parents and Children: An Idiographic Case Study","authors":"Yoel Everett, April Lightcap, Jacqueline R. O’Brien, Netanel Y. Weinstein, Maureen Zalewski","doi":"10.1016/j.cbpra.2024.04.002","DOIUrl":"10.1016/j.cbpra.2024.04.002","url":null,"abstract":"<div><div>Despite high rates of co-occurrence of psychopathology among parents and children, few interventions simultaneously address clinically elevated symptoms in parent and child as well as parenting. Emotion dysregulation (ED) is a promising transdiagnostic target for such dual-generation interventions. Dialectical Behavior Therapy (DBT) Skills target ED, and there is growing interest in integrating DBT Skills with Parent Training (PT) to improve the mental health of parents and children. In this case study, a 24-week DBT Skills + PT intervention for emotionally dysregulated parent-preschooler dyads was delivered to three parents. We evaluated the process of change in parental ED, parent-reported child ED, and parenting using idiographic statistical analyses of weekly repeated measures (26 timepoints). Feasibility and acceptability of the intervention were also assessed. Results from person-specific linear regression analyses showed large improvements over the course of treatment, and the temporal cascade of changes in parent ED, child ED and parenting varied, suggesting a different process of change for each parent. Feasibility and acceptability were high and parents’ feedback during exit interviews are used to extend the interpretation of the quantitative results. DBT Skills + PT may be a promising transdiagnostic approach to address the needs of parent-child dyads with ED.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 613-630"},"PeriodicalIF":2.9,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053587","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

Psychometric Evaluation of a Measure of Posttraumatic Safety Behaviors 创伤后安全行为测量的心理计量学评估

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-05-07 DOI: 10.1016/j.cbpra.2024.03.003

A. Alban Foulser, Mikael Rubin, Michael J. Telch

{"title":"Psychometric Evaluation of a Measure of Posttraumatic Safety Behaviors","authors":"A. Alban Foulser, Mikael Rubin, Michael J. Telch","doi":"10.1016/j.cbpra.2024.03.003","DOIUrl":"10.1016/j.cbpra.2024.03.003","url":null,"abstract":"<div><div>Despite evidence that safety behaviors function as transdiagnostic causal maintenance factors for anxiety pathology, there has been relatively less empirical investigation of trauma-related safety behaviors in the development and maintenance of posttraumatic stress disorder. This paper introduces the development and preliminary psychometric evaluation of the Posttraumatic Safety Behaviors Inventory (PSBI), a 10-item self-report assessment of trauma-relevant safety behaviors. Two samples totaling 597 trauma survivors (61.8% female; <em>M</em><sub>age</sub> = 40.0; 76.2% White/Caucasian) recruited through Amazon Mechanical Turk completed the PSBI. Exploratory and confirmatory factor analyses identified a three-factor structure consisting of <em>Avoidance</em>, <em>Coping with Negative Thoughts and Emotions</em>, and <em>Coping with Threats to Physical Safety</em>. The PSBI also demonstrated favorable measurement invariance, construct validity, internal consistency, and test-retest reliability. Taken together, our preliminary findings suggest that the PSBI is an efficient, psychometrically sound assessment tool for posttraumatic safety behaviors. With further psychometric validation, the PSBI promises to aid researchers and clinicians in the identification and monitoring of trauma-relevant safety behaviors.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 474-486"},"PeriodicalIF":2.9,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140940737","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

Harm Reduction Behavioral Activation Teletherapy for People Who Inject Drugs: Development, Feasibility, and Acceptability 针对注射毒品者的减低伤害行为激活远程疗法：开发、可行性和可接受性

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-05-07 DOI: 10.1016/j.cbpra.2024.03.002

Catherine E. Paquette, Alexander Vierling, Louisa Kane, Zachary Stewart, Loftin Wilson, Flavio Frohlich, Donald Baucom, Stacey B. Daughters

{"title":"Harm Reduction Behavioral Activation Teletherapy for People Who Inject Drugs: Development, Feasibility, and Acceptability","authors":"Catherine E. Paquette, Alexander Vierling, Louisa Kane, Zachary Stewart, Loftin Wilson, Flavio Frohlich, Donald Baucom, Stacey B. Daughters","doi":"10.1016/j.cbpra.2024.03.002","DOIUrl":"10.1016/j.cbpra.2024.03.002","url":null,"abstract":"<div><div>People who inject drugs (PWID) experience severe substance-related harms and yet have low rates of engagement in substance use disorder treatment. Low-barrier and telepsychology interventions represent promising strategies for engaging PWID in treatment, but few studies have tested the feasibility of these approaches among non-treatment-seeking PWID. A behavioral activation (BA) treatment for substance use was adapted through a harm reduction lens to assist PWID in working toward healthy, meaningful lives and achieving their goals. This study aims to: (a) describe the development and harm reduction–focused adaptation of the BA intervention, and (b) examine the feasibility and acceptability of administering a telepsychology BA treatment for substance use among non-treatment-seeking PWID. We recruited <em>N</em> = 23 PWID (65.2% White; 52.2% women; mean age 35.4 ± 7.8 years) from syringe services programs into an open trial and <em>n</em> = 19 received up to eight sessions of BA over 4 weeks. Qualitative treatment feedback interviews occurred at posttreatment. Among those who attended ≥1 session of treatment, 84% attended a second assessment, and 58% attended ≥7 intervention sessions. Feasibility challenges were primarily related to participant vulnerabilities (e.g., hospitalization, incarceration, loss of access to technology). Participants indicated high acceptance of the intervention and its telepsychology format. In conclusion, while PWID face significant barriers to engaging in treatment, some also demonstrate a desire, willingness, and capacity for psychological intervention. Remote interventions may help increase feasibility of treatment participation. Future studies should examine longer harm reduction-focused treatments for PWID that balance barriers to initial engagement with the need to reinforce treatment gains and improve long-term outcomes.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 457-473"},"PeriodicalIF":2.9,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037694","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

Written Exposure Therapy and Dialectical Behavior Therapy Skills Training as a Novel Integrated Intervention for Women With Co-Occurring PTSD and Eating Disorders: Two Case Studies 将书面暴露疗法和辩证行为疗法技能培训作为一种新型综合干预措施，用于治疗同时患有创伤后应激障碍和进食障碍的女性：两个案例研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-05-01 DOI: 10.1016/j.cbpra.2024.02.004

Emily L, Tilstra-Ferrell, Selime R. Salim, Cristina López, Anna Foster, Christine K. Hahn

{"title":"Written Exposure Therapy and Dialectical Behavior Therapy Skills Training as a Novel Integrated Intervention for Women With Co-Occurring PTSD and Eating Disorders: Two Case Studies","authors":"Emily L, Tilstra-Ferrell, Selime R. Salim, Cristina López, Anna Foster, Christine K. Hahn","doi":"10.1016/j.cbpra.2024.02.004","DOIUrl":"10.1016/j.cbpra.2024.02.004","url":null,"abstract":"<div><div>Approximately one quarter of people with posttraumatic stress disorder (PTSD) also have an eating disorder (ED). Yet, there is very limited research on interventions addressing PTSD and EDs (PTSD-ED) simultaneously. Two case studies illustrate the treatment of two women with PTSD-ED using Written Exposure Therapy (WET) for PTSD combined with targeted skills from Dialectical Behavior Therapy (DBT) for Eating Disorders (i.e., dialectical abstinence, self-soothing, pro/cons, mindful urge-surfing, coping ahead). Data include pre-, posttreatment, and 6- to 8-week follow-up scores of PTSD and ED symptoms. Client One completed five sessions. At intake, she met criteria for PTSD and Other Specified Feeding and Eating Disorder based on information gathered in a clinical interview and self-report measures. She reported reductions in both PTSD and ED symptoms at posttreatment and at a 6- to 8-week follow-up. Client Two completed seven sessions. At intake, she met criteria for PTSD and Binge Eating Disorder (BED) based on information gathered in a clinical interview and self-report measures. She reported reductions in symptoms of PTSD and BED at her final session and at a 6- to 8-week follow-up. Results from the presented case studies suggest WET for PTSD combined with DBT skills for EDs holds strong promise for reducing co-occurring PTSD and ED symptoms. Future studies should formally assess the feasibility, acceptability, and effectiveness of integrated WET and DBT skills for the treatment of PTSD-ED.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 3","pages":"Pages 397-414"},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140940476","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

Use of an Augmented Exposure and Response Prevention Procedure in the Treatment of Obsessive-Compulsive Disorder: A Case Report 在强迫症治疗中使用增强暴露和反应预防程序：病例报告

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-05-01 DOI: 10.1016/j.cbpra.2024.02.003

Emily D. Pogue, Matthew L. Edelstein

{"title":"Use of an Augmented Exposure and Response Prevention Procedure in the Treatment of Obsessive-Compulsive Disorder: A Case Report","authors":"Emily D. Pogue, Matthew L. Edelstein","doi":"10.1016/j.cbpra.2024.02.003","DOIUrl":"10.1016/j.cbpra.2024.02.003","url":null,"abstract":"<div><div>This case report describes the assessment and treatment of a 21-year-old male with obsessive-compulsive disorder (OCD) using an intensive exposure and response prevention (ERP) treatment program. The patient and his father received daily 2-hour ERP sessions delivered across 10 consecutive weekdays, and monthly follow-up appointments. In addition to the condensed treatment schedule, ERP procedures were augmented to address ongoing family conflict and depressive symptoms. To the best of the our knowledge, this is the first study to include such treatment adaptations within the context of intensive ERP for an adult with OCD. Results indicated target behaviors decreased over the 2-week intensive treatment phase and were maintained during 4 months of follow-up. Ancillary outcomes reported by the patient and his father included more frequent engagement in activities of daily living and improved family communication. Outcomes of this study provide an important step toward establishing recommendations regarding ERP session frequency, especially among patients with comorbid disorders.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 3","pages":"Pages 443-455"},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140940630","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