Cognitive and Behavioral Practice最新文献_第4页

Preliminary Feasibility, Acceptability and Referral Efficacy of a Drop-In Dialectical Behavior Therapy (DBT) Skills Group to Promote Enrollment in Standard DBT Skills Group 以 "随到随学 "的辩证行为疗法 (DBT) 技能小组促进标准 DBT 技能小组注册的初步可行性、可接受性和转介效果

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-27 DOI: 10.1016/j.cbpra.2024.01.003

Frances M. Aunon, Rachel F. Carretta, Joshua Lovell, Noah R. Wolkowicz, Suzanne E. Decker

{"title":"Preliminary Feasibility, Acceptability and Referral Efficacy of a Drop-In Dialectical Behavior Therapy (DBT) Skills Group to Promote Enrollment in Standard DBT Skills Group","authors":"Frances M. Aunon, Rachel F. Carretta, Joshua Lovell, Noah R. Wolkowicz, Suzanne E. Decker","doi":"10.1016/j.cbpra.2024.01.003","DOIUrl":"10.1016/j.cbpra.2024.01.003","url":null,"abstract":"<div><div>Pretreatment interventions have been shown to increase treatment readiness, initiation, and participation in evidence-based treatments. To promote enrollment in an evidence-based Dialectical Behavior Therapy Skills Group (DBT; <span><span>Linehan, 2015</span></span>, <span><span>Linehan et al., 2015</span></span>), we developed a pretreatment Drop-In DBT Skills Group and evaluated the group’s feasibility, acceptability, and referral efficacy. Each session included a mindfulness practice and one of four introductory DBT skills. We assessed the Drop-In DBT Skill Group’s feasibility (clients attending ≥1 session), acceptability (clients attending ≥2 sessions), and referral efficacy (clients who sought referrals to the standard DBT Skills Group). In 8 months, 44 clients were referred to the Drop-In DBT Skills Group; 37 clients completed the screening process (84%). Of the 37 clients who responded to outreach, 32 attended ≥1 group or had already started the DBT Skills Group (86.5%; feasibility). Of the 32 clients who attended at least one group, 29 clients attended ≥2 Drop-In DBT Skills Groups or started the DBT Sills Group (90.6%; acceptability). Ultimately, 17 clients, including 13 DBT-ambivalent clients and 4 waitlisted clients, requested a referral to the standard DBT Skills Group. The Drop-In DBT Skills Group shows strong feasibility, acceptability, and referral efficacy in helping more ambivalent clients enroll in DBT Skills Group.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 244-257"},"PeriodicalIF":2.9,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140025360","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

Cognitive Behavioral Therapy for Trauma and Self-Care to Treat Posttraumatic Stress Symptoms and Support HIV Care Engagement Among Men With HIV Who Have Sex With Men: A Case Series 创伤认知行为疗法和自我护理治疗创伤后应激症状并支持男男性行为者参与 HIV 护理：病例系列

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-13 DOI: 10.1016/j.cbpra.2023.12.013

Emily Braunewell, Amelia M. Stanton, Calvin Fitch, Samantha M. McKetchnie, Laura Westphal, Trevor A. Hart, Conall O'Cleirigh

{"title":"Cognitive Behavioral Therapy for Trauma and Self-Care to Treat Posttraumatic Stress Symptoms and Support HIV Care Engagement Among Men With HIV Who Have Sex With Men: A Case Series","authors":"Emily Braunewell, Amelia M. Stanton, Calvin Fitch, Samantha M. McKetchnie, Laura Westphal, Trevor A. Hart, Conall O'Cleirigh","doi":"10.1016/j.cbpra.2023.12.013","DOIUrl":"10.1016/j.cbpra.2023.12.013","url":null,"abstract":"<div><div>There is a strong need for clinical interventions that improve engagement in HIV care among men who have sex with men (MSM) with HIV who have histories of trauma. Cognitive behavioral therapy (CBT) has substantial support for treating posttraumatic stress among people with HIV and among HIV-negative MSM. In this population, posttraumatic responses can include both general avoidance of distress related to the trauma but also specific avoidance of HIV-related stimuli that can reduce engagement in HIV care. The present paper introduces an application of Cognitive Behavioral Therapy for Trauma and Self-Care (CBT-TSC), which integrates CBT strategies to address posttraumatic stress symptoms with the Life-Steps framework, an evidence-based, single-session problem-solving intervention that increases adherence to antiretroviral therapies. Other CBT components include psychoeducation and the reduction of specific trauma symptoms, including avoidance and negative self-beliefs that can act as barriers to care engagement. The intervention is presented via four individual case studies. These cases demonstrate the ways in which CBT-TSC can be used to support mental health and self-care among MSM with HIV who have histories of trauma and are facing barriers to full participation in HIV care.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 285-300"},"PeriodicalIF":2.9,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139821224","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

Promoting Validation and Acceptance: Clinical Applications of Dialectical Behavior Therapy With Pediatric Populations and Systems 促进验证和接受：辩证行为疗法在儿科人群和系统中的临床应用

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-13 DOI: 10.1016/j.cbpra.2023.12.014

Despina Petsagourakis, Colleen Driscoll, Katya Viswanadhan, Becky H. Lois

{"title":"Promoting Validation and Acceptance: Clinical Applications of Dialectical Behavior Therapy With Pediatric Populations and Systems","authors":"Despina Petsagourakis, Colleen Driscoll, Katya Viswanadhan, Becky H. Lois","doi":"10.1016/j.cbpra.2023.12.014","DOIUrl":"10.1016/j.cbpra.2023.12.014","url":null,"abstract":"<div><p>Youth living with chronic medical conditions and their families face several challenges (e.g., adjustment to a new diagnosis, ongoing daily condition management, coping with potential long-term consequences of illness). Traditional CBT approaches emphasize collaborative problem-solving with a core focus on change. At times, these approaches may feel inaccessible or unhelpful for pediatric patients and their families who are facing illness-related challenges that they cannot change or control. Dialectical behavior therapy integrates CBT-based change interventions with acceptance-based strategies to normalize challenging thoughts and emotions and help individuals feel validated. Medical providers working with pediatric patients and families can also benefit from a DBT-based conceptualization and approach to improve patient/family-provider relationships. This article summarizes the current evidence base for and justifies the use of adaptations of DBT for patients with medical illness. Further, through clinical case examples, it illustrates the use of DBT skills and concepts in improving outcomes for pediatric patients and their families.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 299-312"},"PeriodicalIF":2.9,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139880587","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

CBT Applications for Youth With Type 1 Diabetes 针对 1 型糖尿病青少年的 CBT 应用

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-08 DOI: 10.1016/j.cbpra.2023.12.011

Jennifer Paternostro, Megan Neelley, Joee Zucker, Isabella Xie, Callie Goodman, Andrea Noble, Robert D. Friedberg

{"title":"CBT Applications for Youth With Type 1 Diabetes","authors":"Jennifer Paternostro, Megan Neelley, Joee Zucker, Isabella Xie, Callie Goodman, Andrea Noble, Robert D. Friedberg","doi":"10.1016/j.cbpra.2023.12.011","DOIUrl":"10.1016/j.cbpra.2023.12.011","url":null,"abstract":"<div><p>Youth diagnosed with Type 1 Diabetes are at higher risk for psychological comorbidities such as anxiety and depression than the general population. Disease-related psychological distress including fear of hypoglycemia contributes to poor adherence to youths' medical regimes and glycemic control. Poorly managed Type 1 Diabetes often leads to adverse health outcomes such as ketoacidosis, vision impairment, and sometimes death. Cognitive-behavioral therapy is a promising method to improve health outcomes and psychological functioning in youth with Type 1 Diabetes. Accordingly, this article offers a brief overview of Type 1 Diabetes as well as examining the role of fear of hypoglycemia and disease-related anxieties in pediatric patients. Additionally, various obstacles to medical adherence and the impact of family conflict are discussed. The clinical sequelae of Type 1 Diabetes in diverse populations and the research supporting cognitive behavioral therapy are delineated. Next, the case description illustrates the challenges for youth with Type 1 Diabetes and their families. This bench-to-bedside translation presents evidence of clinically meaningful improvements from implementing CBT with a Latino male child. Psychoeducation, relaxation training, cognitive restructuring, and behavioral experiments were deployed. Last, additional considerations for treatment were presented.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 322-334"},"PeriodicalIF":2.9,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139821123","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

Individual Video-Based Case Formulation for Participants With Persistent Physical Symptoms Associated With Indoor Environment or Chronic Fatigue 为患有与室内环境或慢性疲劳有关的持续性身体症状的参与者提供基于视频的个人案例分析

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-08 DOI: 10.1016/j.cbpra.2023.12.012

Katariina Keinonen, Päivi Lappalainen, Raimo Lappalainen, Sanna Selinheimo, Aki Vuokko, Sanna Liesto, Markku Sainio, Tiina Paunio

{"title":"Individual Video-Based Case Formulation for Participants With Persistent Physical Symptoms Associated With Indoor Environment or Chronic Fatigue","authors":"Katariina Keinonen, Päivi Lappalainen, Raimo Lappalainen, Sanna Selinheimo, Aki Vuokko, Sanna Liesto, Markku Sainio, Tiina Paunio","doi":"10.1016/j.cbpra.2023.12.012","DOIUrl":"10.1016/j.cbpra.2023.12.012","url":null,"abstract":"<div><div>Persistent physical symptoms (PPS) refer to a wide range of symptoms that cannot be fully explained by traditional medical assessment of bodily pathology or environmental factors. The aim of the current study was to illustrate the application of an online interview and Functional Analytic Clinical Conceptualization to describe psychological and life problems perceived by participants with PPS and to give examples of how a functional analysis approach to case formulation could assist in their treatment. We applied the Functional Analytic Clinical Case Model (FACCM) in the assessment of participants with PPS (<em>n</em> = 50), including three focus groups: those with PPS related to the indoor environment (<em>n</em> = 11), those with PPS related to prolonged fatigue (<em>n</em> = 28), and those with both symptoms (<em>n</em> = 11). Among the 50 participants with PPS, a typical amount of concurrent psychological and life problems was 9. In addition to PPS, the most typical problems reported were symptoms of stress and burnout (74%), low mood (68%), narrowing of daily life (58%), and worrying (52%). The results highlight the complexity of the participants’ life situations. We found that the FACCM was acceptable and useful in identifying potential individual treatment targets.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 228-243"},"PeriodicalIF":2.9,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139824977","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

Pilot Trial of a Four-Session Parent Training Tele-Group for Adolescent ADHD 针对青少年多动症的四节课家长培训远程小组试点试验

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-03 DOI: 10.1016/j.cbpra.2023.12.010

Erin Schoenfelder Gonzalez, Tess Gabert, Jessica Jenness, Fiona MacPhee, Mark Stein, Margaret Sibley

{"title":"Pilot Trial of a Four-Session Parent Training Tele-Group for Adolescent ADHD","authors":"Erin Schoenfelder Gonzalez, Tess Gabert, Jessica Jenness, Fiona MacPhee, Mark Stein, Margaret Sibley","doi":"10.1016/j.cbpra.2023.12.010","DOIUrl":"10.1016/j.cbpra.2023.12.010","url":null,"abstract":"<div><div><span>Adolescents with ADHD are at increased risk for myriad functional impairments and comorbidities and need accessible, acceptable, and effective treatment options. Stepped care treatment models employ a “light touch” initial intervention dose to meet lower needs and to reserve mental healthcare system capacity for more severe concerns. The current study employed a mixed methods approach to evaluate the First Approach Skills Training–Parenting Teens (FAST-P) program, a modular 4-session caregiver intervention implemented via telemedicine “tele-group.” The program workbook and 2-hour training video are available free online at </span><span><span>www.seattlechildrens.org/FAST</span><svg><path></path></svg></span><span>. Twenty-two adolescents ages 13–17 with ADHD plus a caregiver enrolled in the study and completed the idiographic Top Problems interview and ratings at baseline and posttest. Caregivers attended the 4-session program and completed acceptability measures and a semistructured qualitative interview.</span></div><div>Group fidelity, attendance, and participant satisfaction were high. After the group, there was significant improvement in caregivers’ top problems. Themes from interviews included nearly all caregivers perceiving benefit from the program, especially to their parenting perspective, understanding of their teen, and communication. Most would have appreciated more sessions and additional topics, but the majority did not plan to seek additional treatments. Program delivery cost to the clinic was $76 per participating family.</div><div>FAST-P is a feasible, acceptable, and affordable program for a first step in a “stepped care” model for adolescents with ADHD, with the goal of reducing the need for higher-intensity services. While the program supported caregivers and they perceived benefits, many families indicated they may need more intensive services.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 214-227"},"PeriodicalIF":2.9,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139668721","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

Acknowledgment to 2023 Reviewers 鸣谢 2023 年审稿人

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-01 DOI: 10.1016/j.cbpra.2024.01.001

引用次数: 0

Applying Cognitive Behavioral Principles to Promote Health in Transgender and Gender Diverse Individuals 应用认知行为原则促进跨性别和性别多样化个体的健康

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-01 DOI: 10.1016/j.cbpra.2022.05.002

Danielle S. Berke, Madalyn M. Liautaud, Diane Chen, Colleen A. Sloan

引用次数: 0

A Pilot Clinical Case Series of Functionality-Focused Mirror Exposure in Women With Clinically Elevated Body Dissatisfaction 一个以功能为中心的镜子暴露在临床对身体不满升高的妇女中的试点临床病例系列

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-01 DOI: 10.1016/j.cbpra.2022.05.001

D. Catherine Walker, Kristen Murray

{"title":"A Pilot Clinical Case Series of Functionality-Focused Mirror Exposure in Women With Clinically Elevated Body Dissatisfaction","authors":"D. Catherine Walker, Kristen Murray","doi":"10.1016/j.cbpra.2022.05.001","DOIUrl":"10.1016/j.cbpra.2022.05.001","url":null,"abstract":"<div><p>Body dissatisfaction is a robust risk factor for eating disorders (EDs) and body dysmorphic disorder (BDD) and is associated with decreased quality of life. Current gold-standard ED treatments often do not fully address body dissatisfaction, which may leave patients vulnerable to relapse following treatment. Mirror exposure (ME) is one evidence-based strategy shown to reduce body dissatisfaction in EDs and BDD. However, the potential of integrating this strategy with other interventions demonstrated to reduce body dissatisfaction, such as focusing on the body’s functionality, remains unexplored in ED samples. This article describes the development of a novel body functionality-focused ME (FME). We describe the development and structure of the novel ME, and a pilot test for its benefits in treatment through a clinical case series of four individuals with clinically elevated body dissatisfaction and/or EDs who were receiving concurrent cognitive behavioral therapy. All four patients demonstrated clinically meaningful improvements in state body satisfaction, body checking, and body image avoidance from pretreatment to posttreatment, with nonsignificant improvements evident at longer follow-up durations (which varied across patients). Additional randomized controlled treatment research is needed to determine whether FME may improve efficacy or reduce relapse rates compared to traditional cognitive behavior therapy for body dissatisfaction and EDs.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 1","pages":"Pages 90-108"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47178987","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

An Individual Mindfulness-Based Intervention for Residents of Long-Term Care Facilities: A Case Study 长期照护机构居民个体正念干预之个案研究

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-02-01 DOI: 10.1016/j.cbpra.2022.07.002

Christian Terry, Alissa Dark-Freudeman, Meghan McIver, Sally MacKain

{"title":"An Individual Mindfulness-Based Intervention for Residents of Long-Term Care Facilities: A Case Study","authors":"Christian Terry, Alissa Dark-Freudeman, Meghan McIver, Sally MacKain","doi":"10.1016/j.cbpra.2022.07.002","DOIUrl":"10.1016/j.cbpra.2022.07.002","url":null,"abstract":"<div><p>Mindfulness-based interventions (MBIs) have been adapted for use with a variety of populations, but empirical research on their use with residents of long-term care facilities (LTCFs) is lacking. This case report demonstrates successful implementation of an individual MBI with a Native American male who participated in an 8-week study at a LTCF. Measures of mindfulness, depression, rumination, and pain were administered at pre- and posttreatment. The participant showed improvements on all measures, particularly depression. Follow-up interviews indicated that the participant was still engaging in the mindfulness techniques and found them to be helpful 1 month and 1 year following completion of the program. Recommendations for implementing the program in LTCFs are provided. Despite the limitations of an individual MBI (I-MBI) approach in LTCF populations (e.g., understaffing), several positive implications exist, including greater access for LTCF residents with physical and other limitations, as well as flexibility in tailoring the I-MBI to meet each resident’s unique needs.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 1","pages":"Pages 109-118"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43789053","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