Cognitive and Behavioral Practice最新文献

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Promoting Healthy Screen Media Use in Young Children With Externalizing Behavior Problems Through an Adapted Parenting Intervention: Results of an Open Trial 通过调整育儿干预措施促进有外化行为问题的幼儿健康使用屏幕媒体:公开试验结果
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-04-23 DOI: 10.1016/j.cbpra.2024.02.002
Shayl F. Griffith, Katie C. Hart, Samantha M. Casanova, Allison C. Goodman, Jenny S. Radesky, Rex Forehand, Daniel M. Bagner
{"title":"Promoting Healthy Screen Media Use in Young Children With Externalizing Behavior Problems Through an Adapted Parenting Intervention: Results of an Open Trial","authors":"Shayl F. Griffith,&nbsp;Katie C. Hart,&nbsp;Samantha M. Casanova,&nbsp;Allison C. Goodman,&nbsp;Jenny S. Radesky,&nbsp;Rex Forehand,&nbsp;Daniel M. Bagner","doi":"10.1016/j.cbpra.2024.02.002","DOIUrl":"10.1016/j.cbpra.2024.02.002","url":null,"abstract":"<div><div>In this article, we describe the development of an adapted parenting intervention for caregivers of preschoolers with externalizing behavior problems, which integrates content around screen media use into an existing evidence-based parenting intervention. We also present results of an open trial examining the feasibility, acceptability, and initial outcomes of the adapted intervention in a sample of 10 low-income caregivers of children with externalizing behavior problems who were attending a community-based therapeutic summer program. Caregivers attended a once weekly (1.5-hour) intervention group, which was embedded in an 8-week community-based therapeutic program for children with externalizing behavior, and completed questionnaires at pretest, posttest, and 1 month following the intervention, and completed interviews about their experiences. Caregiver satisfaction with the adapted intervention was high, and fidelity and attendance measures suggested the intervention was feasible. Preliminary results showed postintervention improvements in caregivers’ skills in managing screen media use, including increases in caregiver self-efficacy to manage and set limits around screen media use. Results suggest that leveraging existing parenting interventions to promote healthy media use habits may be a promising avenue to maximize reach to families with children with externalizing behavior.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 3","pages":"Pages 430-442"},"PeriodicalIF":2.9,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785906","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
Implementation and Adaptations of Written Exposure Therapy: Lessons Learned Across Settings 书面暴露疗法的实施与调整:不同环境下的经验教训
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-04-20 DOI: 10.1016/j.cbpra.2024.02.001
Sadie E. Larsen, Arthur R. Andrews III , Millie C. Astin , Kristen E. Lamp , Jenny Y. Lee , Stephen E. Melka, Samuel J. Shepard , Nancy A. Skopp
{"title":"Implementation and Adaptations of Written Exposure Therapy: Lessons Learned Across Settings","authors":"Sadie E. Larsen,&nbsp;Arthur R. Andrews III ,&nbsp;Millie C. Astin ,&nbsp;Kristen E. Lamp ,&nbsp;Jenny Y. Lee ,&nbsp;Stephen E. Melka,&nbsp;Samuel J. Shepard ,&nbsp;Nancy A. Skopp","doi":"10.1016/j.cbpra.2024.02.001","DOIUrl":"10.1016/j.cbpra.2024.02.001","url":null,"abstract":"<div><div>Written Exposure Therapy (WET) is a promising evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD), in part because it is less time-intensive (i.e., five sessions with no between-session assignments) and has lower dropout than other first-line PTSD psychotherapies. As such, WET has the potential to improve access to quality care and reduce attrition, particularly among difficult-to-reach populations (e.g., veterans, military service members, and minoritized groups). The process of effectively translating WET to diverse practice settings is likely to require the development of customized treatment-congruent adaptations to facilitate access to care and the uptake of the intervention.</div><div>This article outlines several recent efforts to implement WET in novel ways, while maintaining an emphasis on fidelity to the core mechanisms of the treatment. Implementation efforts include a cultural center with Spanish-speaking immigrants, active-duty military behavioral health, technology-based approaches, and group format in residential and outpatient Veterans Affairs (VA) settings. We will review lessons learned and program evaluation data from the included sites and will offer suggestions for clinic administrators and providers hoping to implement WET.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 3","pages":"Pages 415-429"},"PeriodicalIF":2.9,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767078","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
Using an App-Based Mindfulness Intervention: A Mixed Methods Approach 使用基于应用程序的正念干预:混合方法
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-04-09 DOI: 10.1016/j.cbpra.2024.03.001
Stephen L. Wright, Emily Bach, Stephen P. Bryson, Sarah Schaller, Dorothy Wright
{"title":"Using an App-Based Mindfulness Intervention: A Mixed Methods Approach","authors":"Stephen L. Wright,&nbsp;Emily Bach,&nbsp;Stephen P. Bryson,&nbsp;Sarah Schaller,&nbsp;Dorothy Wright","doi":"10.1016/j.cbpra.2024.03.001","DOIUrl":"10.1016/j.cbpra.2024.03.001","url":null,"abstract":"<div><div>Mindfulness-based practices are often utilized and substantial research supports the continued use of these practices as effective interventions. Mindfulness interventions that utilize focused breathing, app-based guidance, and brief duration may present mental health benefits. However, examining individuals’ unique experiences from continued engagement in brief app-based mindfulness interventions over time, as well as identifying potential barriers preventing the use, is understudied. The current study utilized a longitudinal mixed method design to understand the experiences of individuals using a widely available app-based (i.e., Apple Watch) mindfulness breathing intervention over a 2-week period by identifying the thematic patterns common among the individuals and how this affected their levels of depression, anxiety, and coping skills over time. Qualitative analysis revealed a general positive experience among the participants, as well as the importance of personalization related to mindfulness interventions. Quantitative findings indicated a significant increase in coping skills, but no substantial change in their levels of depression or anxiety after 2 weeks. Researchers should continue examining interventions that include the core aspects of mindfulness, while exploring variations of mindfulness duration, frequency, total length, and breath rate to determine maximum efficacy. Practice-based interventions should focus on the effective ways to implement app-based self-guided mindfulness interventions, such as being short in duration, personalized for daily use, and aligning the practice with key components of mindfulness.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 258-269"},"PeriodicalIF":2.9,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140569544","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
Applications of Cognitive Processing Therapy to Post-Injury PTSD: A Case Study 认知加工疗法在受伤后创伤后应激障碍中的应用:案例研究
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-04-09 DOI: 10.1016/j.cbpra.2024.01.006
Sacha McBain, Rhea Mundle, Philip Held
{"title":"Applications of Cognitive Processing Therapy to Post-Injury PTSD: A Case Study","authors":"Sacha McBain,&nbsp;Rhea Mundle,&nbsp;Philip Held","doi":"10.1016/j.cbpra.2024.01.006","DOIUrl":"10.1016/j.cbpra.2024.01.006","url":null,"abstract":"<div><div>Approximately one in three traumatically injured patients will go on to experience post-injury posttraumatic stress disorder (PTSD) and/or depression within a year of injury. In many cases, the nature of a traumatic injury itself constitutes a traumatic event. Traumatic injuries are often followed by subsequent potentially traumatic medical events (i.e., medical trauma) that may characterize post-injury recovery. Adequately addressing the complex biopsychosocial needs of traumatically injured patients in a traditional mental health setting can be challenging. The goal of this case study is to provide mental health professionals additional guidance to meet the needs of traumatically injured patients, including strategies to concurrently treat trauma-related symptoms and aspects of physical recovery that can elicit trauma cues. Specifically, this case study provides guidance to clinicians on the conceptualization and treatment of post-injury PTSD, with a specific focus on medical traumatic stress reactions (i.e., distress related to hospitalization, recovery, and adjustment to injury/disability). To demonstrate clinical considerations and applications of Cognitive Processing Therapy to post-injury PTSD, we focus on the experiences and treatment considerations of a fictional patient who represents an amalgamation of patients the authors have encountered in their clinical practice. Future directions for clinical practice and research to address medical traumatic stress are also discussed.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 301-313"},"PeriodicalIF":2.9,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140569537","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 Special Issue on Applications of Cognitive Behavioral Therapy to Psychological Disorders and Comorbid Medical Conditions in Pediatric Patients 认知行为疗法在儿科患者心理障碍和合并症中的应用特刊
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-04-05 DOI: 10.1016/j.cbpra.2024.04.001
Laura A. Payne, Robert D. Friedberg
{"title":"A Special Issue on Applications of Cognitive Behavioral Therapy to Psychological Disorders and Comorbid Medical Conditions in Pediatric Patients","authors":"Laura A. Payne,&nbsp;Robert D. Friedberg","doi":"10.1016/j.cbpra.2024.04.001","DOIUrl":"10.1016/j.cbpra.2024.04.001","url":null,"abstract":"","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 283-285"},"PeriodicalIF":2.9,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140569793","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
The Application of Cognitive Behavioral Therapy for Adolescent Patients With Endometriosis: A Topical Review 认知行为疗法在青少年子宫内膜异位症患者中的应用:专题综述
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-03-06 DOI: 10.1016/j.cbpra.2024.01.005
Claire E. Lunde, Ziyan Wu, Andrea Reinecke, Christine B. Sieberg
{"title":"The Application of Cognitive Behavioral Therapy for Adolescent Patients With Endometriosis: A Topical Review","authors":"Claire E. Lunde,&nbsp;Ziyan Wu,&nbsp;Andrea Reinecke,&nbsp;Christine B. Sieberg","doi":"10.1016/j.cbpra.2024.01.005","DOIUrl":"10.1016/j.cbpra.2024.01.005","url":null,"abstract":"<div><p>Recent advances and interest in nonpharmacological treatment approaches for various chronic pain conditions in adolescent patients have increased. Cognitive behavioral therapy (CBT) is widely regarded as the leading nonpharmacological treatment for chronic pain, encompassing gynecological conditions associated with chronic pelvic pain, such as endometriosis. Adolescents with endometriosis often present with different symptoms than adults and frequently report more comorbid psychiatric disorders than the general public. This review aims to (1) justify the application of CBT interventions in the context of adolescent patients with endometriosis; (2) integrate and analyze existing empirical evidence and reviews; (3) highlight the advantages, constraints, and future research directions in CBT for this demographic; and (4) introduce a novel biopsychosocial conceptual model. This model intricately considers the interplay of thoughts, emotions, behaviors, and physical symptoms specific to adolescents with endometriosis, providing a foundation for targeted CBT interventions. This holistic approach recognizes the multifaceted nature of their experience, paving the way for comprehensive and effective nonpharmacological therapeutic strategies. Given the nuanced and intricate nature of endometriosis in adolescents, there is a pressing need for innovative conceptual models and clinical trials of behavioral interventions explicitly designed for this demographic.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 383-398"},"PeriodicalIF":2.9,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1077722924000300/pdfft?md5=eb9274f02a1db69ce0a02e81afc1a038&pid=1-s2.0-S1077722924000300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140073132","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
Applying Principles of Cognitive Behavioral Therapy to Support Caregivers of Children With Cancer 运用认知行为疗法的原则为癌症儿童护理者提供支持
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-02-29 DOI: 10.1016/j.cbpra.2024.01.004
Christina G. Salley, Glynnis A. McDonnell, Kendra R. Parris
{"title":"Applying Principles of Cognitive Behavioral Therapy to Support Caregivers of Children With Cancer","authors":"Christina G. Salley,&nbsp;Glynnis A. McDonnell,&nbsp;Kendra R. Parris","doi":"10.1016/j.cbpra.2024.01.004","DOIUrl":"10.1016/j.cbpra.2024.01.004","url":null,"abstract":"<div><p>Caregivers of children with cancer face a myriad of stressors related to caring for their child that can place them at risk for mental health concerns above and beyond that of the average adult. Additionally, they grapple with the existential distress caused by the possibility that they may outlive their child. Caregiver distress is not only problematic for their own emotional, spiritual, social, and physical well-being, but also affects the family unit and can interfere with aspects of the child’s treatment. Clinicians trained in cognitive behavioral therapy (CBT) are well suited to support caregivers. Moreover, there is a strong evidence base for using interventions that incorporate cognitive and behavioral approaches with caregivers of children with cancer. We describe CBT’s application to this population through several case examples and also highlight important special considerations.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 413-422"},"PeriodicalIF":2.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140018000","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
Exploring Family Care Journeys to Inform Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder and Somatic Symptom Disorders 探索家庭护理历程,为回避型/限制型食物摄入障碍和躯体症状障碍的认知行为疗法提供依据
IF 2.9 3区 心理学
Cognitive and Behavioral Practice Pub Date : 2024-02-27 DOI: 10.1016/j.cbpra.2024.01.002
Megan A. Young, Katelynn E. Boerner, Sheila Marshall, Amrit Dhariwal, Jennifer S. Coelho
{"title":"Exploring Family Care Journeys to Inform Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder and Somatic Symptom Disorders","authors":"Megan A. Young,&nbsp;Katelynn E. Boerner,&nbsp;Sheila Marshall,&nbsp;Amrit Dhariwal,&nbsp;Jennifer S. Coelho","doi":"10.1016/j.cbpra.2024.01.002","DOIUrl":"10.1016/j.cbpra.2024.01.002","url":null,"abstract":"<div><p>Avoidant/restrictive food intake disorder (ARFID) and gastrointestinal (GI)-related somatic symptom and related disorders (SSRDs) commonly co-occur, and both are associated with confusion in the process of accessing treatment. Furthermore, health professionals report low confidence in providing care for these conditions. Using a life history methodology, we explored the journeys of children and their parents with the diagnosis and treatment of ARFID and/or SSRDs and examined themes in barriers and facilitators to care. Six families with children (4 boys and 2 girls; 8–14 years old) with a diagnosis of ARFID and/or GI-related SSRD were recruited from a pediatric tertiary-level hospital. Interviews were conducted with four parents alone, and two parent-child dyads. Participants provided rich histories of the child’s health journeys with variation in the development of ARFID and GI-related SSRDs and subsequent management. Diagnostic uncertainty, the emotional impact of this journey on families, and systemic barriers to accessing treatment were themes of the healthcare narratives. Validating the emotional impacts of the healthcare journey and building trust may be helpful to address the diagnostic uncertainty that families experience. Strategies to support adaptation of cognitive-behavioral approaches for with children with complex ARFID and/or SSRDs are discussed.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 356-366"},"PeriodicalIF":2.9,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1077722924000270/pdfft?md5=43b0fa729986ee6b3ef872bc3cc8de85&pid=1-s2.0-S1077722924000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140073053","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
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,&nbsp;Rachel F. Carretta,&nbsp;Joshua Lovell,&nbsp;Noah R. Wolkowicz,&nbsp;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,&nbsp;Amelia M. Stanton,&nbsp;Calvin Fitch,&nbsp;Samantha M. McKetchnie,&nbsp;Laura Westphal,&nbsp;Trevor A. Hart,&nbsp;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
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