Cognitive and Behavioral Practice最新文献_第8页

Compatibility of Components in Cognitive Behavioral Therapies: A Call for Combinatory Congruency 认知行为疗法中各组成部分的兼容性：对组合一致性的呼吁

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-01-18 DOI: 10.1016/j.cbpra.2023.12.006

Mia S. O'Toole, Mai B. Mikkelsen, Joanna J. Arch, Nina M. Tauber, Emma Elkjær, Johannes Michalak

{"title":"Compatibility of Components in Cognitive Behavioral Therapies: A Call for Combinatory Congruency","authors":"Mia S. O'Toole, Mai B. Mikkelsen, Joanna J. Arch, Nina M. Tauber, Emma Elkjær, Johannes Michalak","doi":"10.1016/j.cbpra.2023.12.006","DOIUrl":"10.1016/j.cbpra.2023.12.006","url":null,"abstract":"<div><div><span>A large minority of psychotherapists endorse practicing integrative therapy, drawing from different schools of therapy, and an increasing number of contemporary therapies are designed by combining elements or components from different treatment models (e.g., modular treatments, process-based therapy). As a result, clients are likely to be the recipients of a number of different techniques or strategies, based on different theoretical models, emphasizing different change principles. This paper sets out to explore the potential challenges introduced by integrative treatments, exemplified with the diverse therapies found under the umbrella of cognitive behavioral therapies (CBTs). Although several scholars have proposed a unifying agenda for CBTs by underscoring commonalities and shared change principles, which is an important perspective, the extent to which compatibility exists between CBTs remains an underexplored scientific question. In this paper, we argue that integrative therapy can risk detracting from a positive outcome when the compatibility between distinct strategies or components is not ensured. We call for practitioners and researchers to ensure </span><em>combinatory congruency</em>, that is, compatibility between components manifested as their efficient and effective delivery together. We conclude by suggesting ways in which combinatory congruency can be established in the design phase of an integrative treatment or as an important step in additive and dismantling studies of existing integrative treatment packages.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 194-205"},"PeriodicalIF":2.9,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139498623","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

Intensive Exposure Therapy for an Individual With History of Self-Harm and Suicidality 为有自残和自杀史的人提供强化暴露疗法

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-01-04 DOI: 10.1016/j.cbpra.2023.12.005

Abigail M. Stark, Julianne W. Tirpak, Esther S. Tung, Victoria Sheppard, R. Meredith Elkins

{"title":"Intensive Exposure Therapy for an Individual With History of Self-Harm and Suicidality","authors":"Abigail M. Stark, Julianne W. Tirpak, Esther S. Tung, Victoria Sheppard, R. Meredith Elkins","doi":"10.1016/j.cbpra.2023.12.005","DOIUrl":"10.1016/j.cbpra.2023.12.005","url":null,"abstract":"<div><div>Practitioners may hesitate to treat patients with a history of nonsuicidal self-injury (NSSI) and suicidal thoughts and behaviors (STBs) using exposure therapy due to concerns that exposures will increase these risk-related behaviors. However, when NSSI/STBs are exacerbated by distress associated with anxiety disorders or obsessive-compulsive disorder (OCD), lack of treatment can worsen disability. This case report describes the treatment of a 14-year-old gender-fluid individual with symptoms of multiple anxiety disorders, OCD<span>, and borderline personality disorder (including emotion dysregulation, chronic suicidality, and NSSI). Treatment involved dialectical behavioral therapy (DBT) for “stage one” of treatment, including maintaining behavioral control over self-harm and suicidal behaviors, followed by intensive exposure and response prevention (ERP) during “stage two” of treatment. Upon discharge, the client had maintained an absence of NSSI/STBs, demonstrated reductions in anxiety and OC symptoms, observed further decreased familial accommodation, and improved daily functioning. In addition, the client’s parents exhibited an improved capacity to regulate their own emotions (before responding to the client), more validating responses, and reduction in familial accommodation. This case report supports the feasibility, efficacy, and safety of exposure therapy for individuals in “stage two” of DBT and highlights the role of exposure as an important emotion regulation strategy to reduce OCD and anxiety symptoms in patients with a history of self-harm and suicidality. Challenges, successes, and future directions are discussed.</span></div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 270-284"},"PeriodicalIF":2.9,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139104698","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 Persistent Post-Concussive Symptoms in Youth: Adaptations, Treatment Recommendations, and Implementation in Medical Settings 针对青少年持续性撞击后症状的认知行为疗法：医疗环境中的适应性、治疗建议和实施

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2024-01-03 DOI: 10.1016/j.cbpra.2023.12.004

Corinne Catarozoli, Eliana Butler, Karishma Parikh, Barry Kosofsky

引用次数: 0

Treatment Goals of Sexual Minority Men in LGBTQ-Affirmative CBT 性少数群体男性在 LGBTQ 平权 CBT 中的治疗目标

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-12-27 DOI: 10.1016/j.cbpra.2023.12.002

Cal D. Brisbin, Zachary A. Soulliard, Marc Puccinelli, Audrey Harkness, Benjamin K. Fetzner, Steven A. Safren, John E. Pachankis

{"title":"Treatment Goals of Sexual Minority Men in LGBTQ-Affirmative CBT","authors":"Cal D. Brisbin, Zachary A. Soulliard, Marc Puccinelli, Audrey Harkness, Benjamin K. Fetzner, Steven A. Safren, John E. Pachankis","doi":"10.1016/j.cbpra.2023.12.002","DOIUrl":"10.1016/j.cbpra.2023.12.002","url":null,"abstract":"<div><div>Sexual minority men seek out mental health treatment at approximately twice the rate of the general population, with minority stress being the most likely explanation for this population’s heightened mental and behavioral health concerns and associated treatment seeking. However, little research identifies sexual minority men’s mental health treatment goals, thereby potentially hindering tailored treatment development and clinicians’ preparation. The present study qualitatively identifies treatment goals among 94 ethnically diverse, majority cisgender sexual minority men who participated in a trial of LGBTQ-affirmative CBT. Analyses identified 44 unique treatment goals across 10 themes (e.g., Increase Affirmation and Acceptance of Sexual Minority Identity, Address Instant Gratification as a Form of Coping). Results highlight the relevance of this population’s sexual minority identities and associated stressors to their treatment goals, prepare clinicians to expect to address these goals when working with sexual minority men, extend existing goal taxonomies to consider this population’s distinct treatment needs, and highlight the importance of goal-driven evidence-based practice for this population.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 181-193"},"PeriodicalIF":2.9,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139056924","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

Expanding Access to Cognitive Behavioral Therapy: A Purposeful and Effective Model for Integration 扩大认知行为疗法的使用范围：有目的、有效的整合模式

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-12-26 DOI: 10.1016/j.cbpra.2023.09.005

Jessica M. McClure, F. Lynne Merk, Jeffrey Anderson, Avneesh Aggarwal, Lori J. Stark

{"title":"Expanding Access to Cognitive Behavioral Therapy: A Purposeful and Effective Model for Integration","authors":"Jessica M. McClure, F. Lynne Merk, Jeffrey Anderson, Avneesh Aggarwal, Lori J. Stark","doi":"10.1016/j.cbpra.2023.09.005","DOIUrl":"10.1016/j.cbpra.2023.09.005","url":null,"abstract":"<div><p>Integrated behavioral health (IBH) in primary care is growing as an approach to decrease barriers and provide earlier intervention for youth experiencing behavioral and mental health symptoms. However, increasing access to mental health providers alone without ensuring evidence-based treatment (EBT) is provided will not sufficiently address the current mental health crisis. To spread to scale, IBH needs to be implemented and tested in community-based practices with integrity to EBT. This paper provides a model for implementing cognitive behavioral therapy (CBT) in community pediatric primary care via master’s prepared therapists through an academic-community partnership. This paper describes the hiring practices, training in CBT, ongoing supervision and consultation, and use of data to inform the evolution of the model. Using a retrospective review of the rate of emergency department (ED) admissions per 1,000 patients with a diagnosis of depression, we compared practices enrolled in our academic-community partnership IBH model to practices who implemented their own IBH and practices with no IBH. Across a four-year period, we found that practices enrolled in the academic-community partnership IBH model had a lower number of patients per 1,000 patients with a diagnosis of depression admitted to the ED with behavioral health concerns compared to practices that did not incorporate an IBH therapist. There was no difference in ED admission rates per 1,000 between practices that hired their own IBH and those without IBH. Analysis of costs of the program against generated revenue from billed services demonstrated that the academic-community partnership model shows promise of sustainability.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 286-298"},"PeriodicalIF":2.9,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139056165","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 Pilot Study of a Cognitive-Behavioral Sleep Intervention Specifically for Adolescents With ADHD and Sleep Problems: A Qualitative and Quantitative Evaluation 专门针对多动症和睡眠问题青少年的认知行为睡眠干预试点研究：定性和定量评估

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-12-19 DOI: 10.1016/j.cbpra.2023.12.001

Lena Keuppens, Finja Marten, Dieter Baeyens, Bianca E. Boyer, Marina Danckaerts, Saskia van der Oord

{"title":"A Pilot Study of a Cognitive-Behavioral Sleep Intervention Specifically for Adolescents With ADHD and Sleep Problems: A Qualitative and Quantitative Evaluation","authors":"Lena Keuppens, Finja Marten, Dieter Baeyens, Bianca E. Boyer, Marina Danckaerts, Saskia van der Oord","doi":"10.1016/j.cbpra.2023.12.001","DOIUrl":"10.1016/j.cbpra.2023.12.001","url":null,"abstract":"<div><p>The current pilot study evaluates a cognitive behavioral (CBT) sleep intervention specifically developed for adolescents with ADHD – Sleep IntervEntion as Symptom Treatment for ADHD (SIESTA). Based on a qualitative and quantitative evaluation, the final aim is to fine-tune SIESTA and the assessment protocol to the target population. Eight adolescents (13–17 years old) with ADHD and sleep problems completed SIESTA. Separate focus groups with adolescents and parents were conducted to evaluate their experience with SIESTA and the assessment protocol. These were analyzed using thematic analysis. Additionally, individual reliable change indices were computed from pretest to posttest for sleep hygiene practices. Thematic analysis showed that adolescents and parents reported both positive aspects and points of improvement of SIESTA and the assessment protocol during the focus groups. Reliable change indices showed that all adolescents significantly improved on at least one of the subscales of the revised Adolescent Sleep Hygiene Scale. Preliminary qualitative findings indicate satisfaction with SIESTA and the assessment protocol, with some suggestions for further improvements, and quantitative findings indicate significant improvement in sleep hygiene. The next step is to test the effectiveness of SIESTA in a randomized controlled trial, based on the adaptations after this pilot study.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"31 3","pages":"Pages 367-382"},"PeriodicalIF":2.9,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138818449","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

Preliminary Investigation of the Influence of Treatment Regimen on Outcomes in Behavioral Parent Training 行为父母培训中治疗方案对结果影响的初步调查

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-12-01 DOI: 10.1016/j.cbpra.2023.09.003

Matthew L. Edelstein, Joshua A. Mellott

{"title":"Preliminary Investigation of the Influence of Treatment Regimen on Outcomes in Behavioral Parent Training","authors":"Matthew L. Edelstein, Joshua A. Mellott","doi":"10.1016/j.cbpra.2023.09.003","DOIUrl":"10.1016/j.cbpra.2023.09.003","url":null,"abstract":"<div><div>Caregiver engagement and implementation of behavioral strategies are essential to effective interventions targeting childhood behavior problems. The aim of this preliminary investigation was to better understand caregiver decision-making when selecting different treatment regimens in an open trial format. Treatment packages included: (1) an intensive treatment program (ITP), involving a compressed 20-hour intervention occurring 2 hours per day for 10 days; and (2) a standard dosage treatment as usual (TAU) behavioral treatment program, involving weekly 50-minute appointments. Sixty-seven families with a child between 4–11 years old (<em>M</em> age = 5.82) with clinically significant problem behaviors self-referred to a hospital-based outpatient behavior therapy program. Results suggest that while caregivers chose a standard treatment regimen at a ratio of 2:1, compressed treatment (ITP) was associated with increased caregiver engagement and more significant reductions in child target behavior using both direct and indirect measures. Findings provide preliminary support for the use of high dosage treatment regimens as a means of increasing caregiver engagement and in the reduction of problem behavior in young children.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 166-180"},"PeriodicalIF":2.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138556384","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

Reduction in Feeding Problems and Impact on Family Following a 12-Week Interdisciplinary Group Feeding Intervention for Children With Feeding Problems and Their Caregivers 对有喂养问题的儿童及其照顾者进行为期12周的跨学科小组喂养干预后，喂养问题的减少及其对家庭的影响

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-11-13 DOI: 10.1016/j.cbpra.2023.07.002

Olivia Hsin , Haven Qualman, Ayala Ben-Tall, James A. Proudfoot, Adam Khan

{"title":"Reduction in Feeding Problems and Impact on Family Following a 12-Week Interdisciplinary Group Feeding Intervention for Children With Feeding Problems and Their Caregivers","authors":"Olivia Hsin , Haven Qualman, Ayala Ben-Tall, James A. Proudfoot, Adam Khan","doi":"10.1016/j.cbpra.2023.07.002","DOIUrl":"10.1016/j.cbpra.2023.07.002","url":null,"abstract":"<div><div>Caregivers and their children with clinical levels of feeding problems participated in Picnic Group, an outpatient interdisciplinary family group treatment program for children with feeding disorders and their caregivers at a large regional pediatric hospital. The manualized treatment is based on an interdisciplinary systematic approach that draws from sensory integration, communication, and cognitive behavioral strategies (e.g., classical conditioning, systematic desensitization, communication of automatic thoughts) to increase pleasurable interactions with food over a 12-week period and includes caregiver and child intervention components. Escape extinction techniques such as nonremoval of the spoon were not used in treatment. Caregivers completed measures focused on their children’s feeding behaviors and family strain at baseline and at the end of the 12-week intervention. Wilcoxon signed-rank tests compared measures between baseline and the end of treatment. Results indicated that at the 12th week, caregivers generally reported one less feeding problem, fewer specific types of eating and mealtime problematic behaviors, and decreased impact of feeding problems on the family. Children were able to work up a hierarchy of food interactions with more foods per group session than at the first session. Caregivers of children with a developmental diagnosis showed the most decrease in caregiver strain. Outpatient interdisciplinary group treatment can decrease feeding problems and caregiver strain in families with children with feeding disorders.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 2","pages":"Pages 147-165"},"PeriodicalIF":2.9,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135715356","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

Cover 2: Editorial Board 封面2:编辑部

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-10-12 DOI: 10.1016/S1077-7229(23)00067-6

引用次数: 0

Clinical Effectiveness of an Intensive Outpatient Program for Integrated Treatment of Comorbid Substance Abuse and Mental Health Disorders 强化门诊综合治疗合并药物滥用和精神健康障碍的临床疗效

IF 2.9 3区心理学

Cognitive and Behavioral Practice Pub Date : 2023-08-01 DOI: 10.1016/j.cbpra.2022.05.005

Laura E. Watkins, Samantha C. Patton, Karen Drexler, Sheila A.M. Rauch, Barbara O. Rothbaum

{"title":"Clinical Effectiveness of an Intensive Outpatient Program for Integrated Treatment of Comorbid Substance Abuse and Mental Health Disorders","authors":"Laura E. Watkins, Samantha C. Patton, Karen Drexler, Sheila A.M. Rauch, Barbara O. Rothbaum","doi":"10.1016/j.cbpra.2022.05.005","DOIUrl":"10.1016/j.cbpra.2022.05.005","url":null,"abstract":"<div><p>Comorbid substance use disorders (SUDs) and mental health disorders are a pervasive problem among post-9/11 veterans and service members. Treatment of SUD and comorbid disorders has historically occurred separately and sequentially, and when treated concurrently has been primarily done in a weekly outpatient setting, which has high rates of dropout. The current study describes an integrated 2-week intensive outpatient treatment (IOP) using cognitive-behavioral therapy, including prolonged exposure for posttraumatic stress disorder (PTSD), unified protocol for anxiety and mood disorders, and relapse prevention for SUD. Forty-two patients completed the comorbid treatment program. Results indicated that self-reported substance use, PTSD, and depression symptoms significantly decreased following treatment, while satisfaction with participation in social roles increased. These preliminary effectiveness data indicate that comorbid SUD and mental health disorders can be effectively treated in a 2-week intensive outpatient program.</p></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"30 3","pages":"Pages 354-366"},"PeriodicalIF":2.9,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44144094","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: 2