Examining processes of change for acceptance and commitment therapy and cognitive behavioral therapy self-help books with depressed college students
Cogn Behav Ther. 2024 Apr 30:1-16. doi: 10.1080/16506073.2024.2346854. Online ahead of print.ABSTRACTGiven the prevalence of depression, it is worthwhile to consider a variety of treatment approaches to reach as many sufferers as possible, including highly accessible formats such as self-help books. Books based in acceptance and commitment therapy (ACT) and cognitive behavioral therapy (CBT) propose to treat depression through distinct processes of change, though the degree to which these treatments are distinguishable in this format is unclear. Furthermore, it is possible that some individuals may respond better to therap...
Source: Behavior Therapy - April 30, 2024 Category: Psychiatry & Psychology Authors: Carter H Davis Michael P Twohig Michael E Levin Source Type: research

Sexual Assault History May Moderate Posttraumatic Cognition and Posttraumatic Stress Among Trauma-Exposed Sexual Minority Women
Behav Ther. 2024 May;55(3):431-442. doi: 10.1016/j.beth.2023.07.001. Epub 2023 Jul 18.ABSTRACTSexual minority women (SMW) are highly vulnerable to trauma exposure and posttraumatic stress disorder (PTSD) symptoms following trauma exposure. Negative posttraumatic cognitions (i.e., negative cognitions about self, world, and self-blame following trauma exposure) are hypothesized to exacerbate and maintain the relationship between trauma exposure and PTSD symptoms. Posttraumatic cognitions are particularly important to examine in relation to PTSD symptoms among trauma-exposed SMW given their elevated risk for trauma exposure a...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Ava K Fergerson Nicole M Caulfield Emily R Dworkin Daniel W Capron Source Type: research

Profiles of Low-Income Help-Seeking Couples and Implications for Intervention Gains: A Couple-Centered Approach
Behav Ther. 2024 May;55(3):443-456. doi: 10.1016/j.beth.2023.08.002. Epub 2023 Aug 22.ABSTRACTUsing a couple-centered approach, the current study seeks to understand (a) the specific ways in which help-seeking couples vary in how their relationship satisfaction changes over time, (b) whether there are important differences in relationship characteristics at the beginning of the interventions, and (c) whether couples with distinct relationship characteristics benefit equally from effective online relationship programs. Mixed-gender low-income couples (Ncouple = 659) seeking help for their relationship were randomly assigned...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Yunying Le Mengya Xia McKenzie K Roddy S Gabe Hatch Brian D Doss Source Type: research

Clinical Judgments of Response Profiles: Do They Tell Us What Matters for Whom?
Behav Ther. 2024 May;55(3):457-468. doi: 10.1016/j.beth.2023.08.003. Epub 2023 Aug 22.ABSTRACTDeRubeis and colleagues (2014a) proposed that psychotherapy research has been limited by underappreciated variability in how patients respond to psychotherapy. They proposed that the relationship between the quality of therapy and outcome varies according to patient response profiles. In a study of cognitive-behavioral therapy (CBT) for depression, we tested clinician ratings of this construct as a moderator of the relationship between therapist adherence to cognitive or behavioral methods in predicting symptom change. Patients (N...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Megan L Whelen Iony D Ezawa Daniel R Strunk Source Type: research

A Comparison of Affective-Cognitive States in Daily Life Between Emerging Adults With and Without Past-Year Nonsuicidal Self-Injury
Behav Ther. 2024 May;55(3):469-484. doi: 10.1016/j.beth.2023.08.004. Epub 2023 Sep 4.ABSTRACTAlthough the literature suggests trait-like differences in affective and cognitive vulnerabilities between individuals with and without a history of nonsuicidal self-injury (NSSI), little is known about how these dispositional differences are experienced in the natural environment. The present study compares the intensity, inertia, interaction, and variability of affective (negative and positive affect) and cognitive states (rumination, self-criticism) in the everyday lives of individuals who do and do not engage in NSSI. Using exp...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Glenn Kiekens Penelope Hasking Matthew K Nock Evan Kleiman Olivia J Kirtley Marlies Houben Mark Boyes Ronny Bruffaerts Inez Myin-Germeys Laurence Claes Source Type: research

A Randomized Controlled Trial of Two Parenting Interventions on Enhancing Parental Resilience Resources and Reducing Children's Problem Behaviors in Chinese Cross-Boundary Families: Positive Benefits and Moderation Effects
Behav Ther. 2024 May;55(3):485-498. doi: 10.1016/j.beth.2023.08.007. Epub 2023 Sep 4.ABSTRACTDaily cross-boundary schooling between Shenzhen and Hong Kong constitutes a constant challenge for Chinese cross-boundary families in terms of parenting burden. To address their most urgent parenting needs, we adapted and evaluated two intervention approaches-improving emotional regulation and providing knowledge about Hong Kong. A cluster randomized controlled trial with repeated assessments (pre-, post-intervention, and one-month follow-up) was adopted to evaluate the intervention effects on the increases of parental resilience r...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: He Bu Iris Kam-Fung Liu Nancy Xiaonan Yu Source Type: research

Parent-Led Cognitive Behavioral Teletherapy for Anxiety in Autistic Youth: A Randomized Trial Comparing Two Levels of Therapist Support
In this study, 87 autistic youth (7 to 13 years old) with anxiety disorders and their parents were randomized to two forms of parent-led CBT in which parents led their child through a guided CBT workbook across 12 weeks: one with low therapist contact (four 30-minute telehealth calls), and one with standard therapist contact (ten 60-minute telehealth calls). Anxiety, functional impairment, and autism features significantly declined across therapy, without differences between groups. High satisfaction was reported in both groups, though significantly higher satisfaction ratings were reported in standard-contact CBT. Respond...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Andrew G Guzick Sophie C Schneider Minjee Kook Julia Rose Iacono Saira A Weinzimmer Troy Quast Sean M Olsen Killian Rainey Hughes Emily Jellinek-Russo Amanda Perozo Garcia Abigail Candelari Leandra N Berry Robin P Goin-Kochel Wayne K Goodman Eric A Storch Source Type: research

A Test of the Behavioral Model of Tic Disorders Using a Dynamical Systems Framework
Behav Ther. 2024 May;55(3):513-527. doi: 10.1016/j.beth.2023.08.010. Epub 2023 Sep 4.ABSTRACTTic disorders are a class of neurodevelopmental disorders characterized by involuntary motor and/or vocal tics. It has been hypothesized that tics function to reduce aversive premonitory urges (i.e., negative reinforcement) and that suppression-based behavioral interventions such as habit reversal training (HRT) and exposure and response prevention (ERP) disrupt this process and facilitate urge reduction through habituation. However, previous findings regarding the negative reinforcement hypothesis and the effect of suppression on ...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Brianna C M Wellen Krishnapriya Ramanujam Mark Lavelle Matthew R Capriotti Jonathan Butner Matthew J Euler Michael B Himle Source Type: research

Internet-Based Versus Face-to-Face Cognitive-Behavioral Therapy for Social Anxiety Disorder: A Randomized Control Trial
Behav Ther. 2024 May;55(3):528-542. doi: 10.1016/j.beth.2023.08.005. Epub 2023 Sep 4.ABSTRACTDuring the COVID-19 epidemic, face-to-face mental health services faced obstacles. Using Internet-based interventions was a good solution and had the potential to overcome these treatment barriers. However, there is no strong research evidence about the effectiveness of these methods for social anxiety disorder in different cultures and developing countries. Therefore, the present study aimed to investigate the effectiveness and application of Internet-based cognitive-behavioral therapy for social anxiety disorder in Iran. The curr...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Hassan Soleimani Rad Hanieh Goodarzi Leili Bahrami Abbas Abolghasemi Source Type: research

Implementation and Preliminary Outcomes of an Exposure-Based Summer Camp for Pediatric OCD and Anxiety
This study describes the design and implementation of Fear Facers, a semistructured, 5-day, daytime exposure-therapy-based summer camp designed for youth with a primary diagnosis of obsessive-compulsive disorder (OCD), social anxiety, separation anxiety, or a specific phobia. Preliminary data regarding feasibility and patient outcomes is also reported. Among 52 children and adolescents aged 7 to 16 who attended one of six camp sessions between 2018 and 2021, significant reductions in anxiety (d = 0.54) and OCD symptoms (d = 0.57) were observed from pre-camp to immediately post-camp. A subset of campers who were followed fo...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Ryan J McCarty Seth T Downing Andrea D Guastello Lacie M Lazaroe Ashley R Ordway Tannaz MirHosseini Megan A Barthle-Herrera Danielle L Cooke Carol A Mathews Joseph P H McNamara Source Type: research

Validation of a Novel Perceptual Body Image Assessment Method Using Mobile Digital Imaging Analysis: A Cross-Sectional Multicenter Evaluation in a Multiethnic Sample
Behav Ther. 2024 May;55(3):558-569. doi: 10.1016/j.beth.2023.08.009. Epub 2023 Sep 9.ABSTRACTGiven that mobile digital imaging analyses (DIA) are equipped to automate body composition and subsequently alter one's appearance at a given objective body fat percent (BF%), the purpose of this study was to validate the use of this tool for assessments of body image. Participants (f = 134, m = 89) from two separate centers underwent body composition scans using a mobile DIA and completed the Multidimensional Body Self-Relations Questionnaire-Appearance Scale (MBSRQ-AS). Using a DIA-generated avatar, participants altered their fig...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Robyn Braun-Trocchio Ashley Ray Ryan Graham Caleb F Brandner Elizabeth Warfield Jessica Renteria Austin J Graybeal Source Type: research

A Randomized Controlled Pilot Trial of Primary Care Treatment Integrating Motivation and Exposure Treatment (PC-TIME) in Veterans With PTSD and Harmful Alcohol Use
Behav Ther. 2024 May;55(3):570-584. doi: 10.1016/j.beth.2023.08.011. Epub 2023 Sep 10.ABSTRACTIndividuals with posttraumatic stress disorder (PTSD) often engage in harmful alcohol use. These co-occurring conditions are associated with negative health consequences and disability. PTSD and harmful drinking are typically experienced as closely related-thus treatments that target both simultaneously are preferred by patients. Many individuals with PTSD and harmful alcohol use receive primary care services but encounter treatment barriers in engaging in specialty mental health and substance use services. A pilot randomized cont...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Kyle Possemato Nadine R Mastroleo Christina Balderrama-Durbin Paul King Ariella Davis Brian Borsari Sheila A M Rauch Source Type: research

Effect of Reliable Recovery on Health Care Costs and Productivity Losses in Emotional Disorders
Behav Ther. 2024 May;55(3):585-594. doi: 10.1016/j.beth.2023.08.012. Epub 2023 Sep 10.ABSTRACTDespite the high economic costs associated with emotional disorders, relatively few studies have examined the variation in costs according to whether the patient has achieved a reliable recovery. The aim of this study was to explore differences in health care costs and productivity losses between primary care patients from a previous randomized controlled trial (RCT)-PsicAP-with emotional symptoms who achieved a reliable recovery and those who did not after transdiagnostic cognitive-behavioral therapy (TD-CBT) plus treatment as us...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Sara Barrio-Mart ínez Paloma Ruiz-Rodr íguez Leonardo Adri án Medrano Amador Priede Roger Mu ñoz-Navarro Juan Antonio Moriana Mar ía Carpallo-González Maider Prieto-Vila Antonio Cano-Vindel C ésar González-Blanch Source Type: research

Family Accommodation in Children and Adolescents With Misophonia
We examined family accommodation in 102 children and adolescents with interview-confirmed misophonia and compared its frequency and content to family accommodation in 95 children and adolescents with anxiety disorders. Findings showed that family accommodation was ubiquitous in pediatric misophonia and may be even more frequent than in youth with anxiety disorders. Assisting the child, participating in misophonia-related behaviors, and modifying family routines were endorsed by more than 70% of parents of children with misophonia. Further, compared to parents of children with anxiety disorders, parents of children with mis...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Eric A Storch Andrew G Guzick Johann D'Souza Jane Clinger Daphne Ayton Minjee Kook Conor Rork Eleanor E Smith Isabel A Draper Nasim Khalfe Catherine E Rast Nicholas Murphy Marijn Lijfijjt Wayne K Goodman Matti Cervin Source Type: research

Using Adherence and Competence Measures Based on Practice Elements to Evaluate Treatment Fidelity for Two CBT Programs for Youth Anxiety
This study examines the extent to which two observational measures, the Cognitive-Behavioral Treatment for Anxiety in Youth Adherence Scale (CBAY-A) and the CBAY Competence Scale (CBAY-C), can assess the quantity (the degree to which prescribed therapeutic techniques are delivered as intended) or quality (the competence with which prescribed techniques are delivered) of practices found in two distinct treatment programs for youth anxiety. Treatment sessions (N = 796) from 55 youth participants (M age = 9.89 years, SD = 1.71; 46% female; 55% White) with primary anxiety problems who participated in an effectiveness study wer...
Source: Behavior Therapy - April 26, 2024 Category: Psychiatry & Psychology Authors: Stephanie Violante Bryce D McLeod Michael A Southam-Gerow Bruce F Chorpita John R Weisz Source Type: research