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Titre : | Journal of Behavioral and Cognitive Therapy |
Type de document : | Périodique |
Editeur : | [S.l.] : Elsevier Masson |
ISBN/ISSN/EAN : | 2589-9791 |
Langues: | Anglais |
Résumé : | Journal of Behavioral and Cognitive Therapy est la revue officielle de l'Association Française de Thérapie Comportementale et Cognitive (AFTCC). Elle traite des thérapies comportementales et cognitives pour toute forme de trouble mental, ainsi que pour d'autres questions importantes de santé mentale telles que le bien-être psychologique et la qualité de vie. La revue met l'accent sur les études empiriques des techniques thérapeutiques, des mécanismes sous-jacents et de l'efficacité, mais avec un champ d'application large. Les soumissions portant sur l'application des nouvelles technologies (par exemple, la réalité virtuelle, l'échantillonnage et les interventions mobiles, les interventions sur Internet) sont vivement encouragées. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/produit/JBCT |
Liste des numéros ou bulletins :
Journal of Behavioral and Cognitive Therapy . Vol. 33 n°4Paru le : 01/12/2023 |
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Titre : Learning from other patients A feasibility study to establish an ecologically valid paradigm to modify negative expectations in depression through authentic psychotherapeutic treatment reports (2023) Auteurs : Edith Rapo ; Winfried Rief ; Tobias Kube Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33 n°4, Décembre 2023) Article en page(s) : p. 195-206 Note générale : Doi : 10.1016/j.jbct.2023.10.001 Langues: Anglais Descripteurs : HE Vinci
Cognition ; Dépression ; Psychologie expérimentale ; PsychothérapieRésumé : Patients expectations about psychotherapy are of great importance, since they can influence the outcome of psychotherapy. Thus, it is important to ensure that patients have positive expectations about the outcomes of psychotherapy. This is particularly relevant in patients with major depression, since they often hold (unrealistically) negative expectations and tend to maintain these expectations despite novel positive information. Here, we test the feasibility of a novel, ecologically valid experimental paradigm to investigate how depressed patients learn from other patients experiences with psychotherapy, and which cognitive mechanisms hinder the integration of novel positive information.
N = 17 outpatients diagnosed with a major depressive disorder watched videotaped experience reports of five acting patients. Each acting patient was shown twice: first, before receiving psychotherapeutic treatment, where they reported on feeling depressed and pessimistic about their future; second, at the end of psychotherapy, where they reported on feeling better and having overcome the challenges they used to struggle with. Before and after watching the videos, participants rated their expectations for positive and negative future life events.
Results indicate that the paradigm is well applicable and the videos were perceived as credible, interesting and helpful. Descriptive results show that the video reports led to a slight modification of expectations.
The results indicate that our new paradigm is a suitable tool to investigate expectation change in response to other patients experiences with psychotherapy. Furthermore, our paradigm is suitable to investigate potential cognitive mechanisms involved in expectation change in depression.Note de contenu :
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Titre : Implementation of cognitive reappraisal in subthreshold psychosis (2023) Auteurs : Jill R. Laquidara ; Taylor Johnson ; Elyssa M. Barrick ; Madeline Ward ; Sophia Saavedra ; Sarah Hope Lincoln Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33 n°4, Décembre 2023) Article en page(s) : p. 207-215 Note générale : Doi : 10.1016/j.jbct.2023.10.002 Langues: Anglais Descripteurs : HE Vinci
Détresse psychologique ; Évaluation et atténuation des risques ; Régulation émotionnelle ; Troubles psychotiquesRésumé : Cognitive reappraisal is an emotion regulation strategy based in cognitive behavioral therapy and can be associated with positive outcomes for individuals with and at risk for psychosis. However, the literature is mixed regarding whether this population uses cognitive reappraisal effectively. The current study examinedcognitive reappraisal effectiveness in individuals at clinical high risk for psychosis and healthy control participants (N = 66; 34 clinical high risk, 32 healthy controls). The experimental task instructed participants to engage in reappraisal in real-time to regulate distress. We hypothesized that control participants would be more effective at using cognitive reappraisal compared to psychosis-risk participants, resulting in greater distress reduction post-reappraisal. Results demonstrated the opposite: the psychosis-risk group reported a greater change in distress level than the healthy control group after reappraisal was employed (Cohens d = 0.52). Exploratory analyses revealed that the clinical high risk group reported higher pre-task distress, but reported post-reappraisal distress levels equivalent to the healthy control group. These results contribute to emerging evidence that suggests individuals on the psychosis spectrum can implement reappraisal effectively. Therefore, complex training to improve cognitive reappraisal may not be needed. Instead, future research should examine the potential clinical utility of using simple reminders and/or guided prompts to promote cognitive reappraisal in individuals on the psychosis spectrum. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1637982
Titre : From home practice to virtual reality: The subjective experience of mindfulness-based therapy of people with concomitant social anxiety and psychotic disorder (2023) Auteurs : Catherine Hache-Labelle ; Stéphanie Simard ; Marie Villeneuve ; Amal Abdel-Baki ; Martin Lepage ; Archibaldo Bravo ; Tania Lecomte Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33 n°4, Décembre 2023) Article en page(s) : p. 216-226 Note générale : Doi : 10.1016/j.jbct.2023.10.003 Langues: Anglais Descripteurs : HE Vinci
Phobie sociale ; Pleine conscience (Mindfulness) ; Réalité de synthèse ; Thérapie cognitivo-comportementale (TCC) ; Troubles psychotiquesRésumé : This paper aims at exploring the subjective experience, particularly in terms of acceptability and feasibility, of a mindfulness-based intervention for people with a psychotic disorder and social anxiety. Mindfulness interventions benefit from empirical support for decreasing anxiety in people with psychotic disorders, yet the effects on specific anxiety disorders, namely social anxiety, have scarcely been studied.
Three different studies were conducted in order to determine the feasibility and acceptability of the mindfulness intervention and of the use of homework and VR exposure for people with psychotic disorder and social anxiety: two single case studies (one with virtual reality) and a pilot study (n = 6).
The intervention proposed was generally well-accepted and appreciated by the participants, but the meditation homework stood out as rather difficult for some participants. The virtual reality addition appeared to have a positive impact on the therapy, being also well-accepted and appreciated by the participant, but also considered stressfull.
This paper shows that the mindfulness-based intervention presented is feasible, appreciated by the participants and has potential to be useful and therapeutic in the context of social anxiety in people with a psychotic disorder, even though efficacy cannot be established in these exploratory studies. The added value of encouraging at-home practice and of using VR exposure to the treatment merits further investigation. Future studies are needed to determine the efficacy of the treatment, especially with the virtual reality exposure and homework encouragements.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1637983
Titre : Gaze and avoidant patterns of visual attention to aversive stimuli during fear habituation trial : A pilot eye tracking study (2023) Auteurs : Minoru Takahashi ; Manabu Kikuchi ; Jun-Ichi Yamamoto ; Michiyo Hirai Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33 n°4, Décembre 2023) Article en page(s) : p. 227-235 Note générale : Doi : 10.1016/j.jbct.2023.10.004 Langues: Anglais Descripteurs : HE Vinci
Désensibilisation (Exposure therapy) ; Evaluation du regard ; Evitement relationnel ; Habituation ; Mouvement oculaireRésumé : Previous studies have revealed that attentional bias toward aversive stimuli may play a causal role in the development and maintenance of anxiety disorders. This pilot study designed an experiment, using eye tracking, to capture gaze patterns individuals may display during a fear habituation trial. Three trials were conducted with twenty-eight subjects who reported aversion to insects. Pictures of cockroaches were used as aversive stimuli. The time proportion of the total visit duration and average visit duration toward aversive stimuli were analyzed using a mixed ANOVA, with three habituation trials and four self-report on fear level scores as within-participants factors. Across trials, the time proportion of total visit duration was relatively low when fear levels were high, and increased when fear levels decreased. Across trials, the average visit duration was short when fear levels were relatively high, and the average visit duration became relatively long as fear levels decreased. The results indicated that higher fear levels during exposure are likely to lead to attentional avoidance which might be a strategic effortful coping process (Eysenck, et al. 2007). This study is an crucial first step toward understanding the gaze patterns that fearful individuals may display during exposure trials. Using eye tracking technology, we objectively identified these gaze patterns and opened avenues to enhance the efficacy of exposure-based interventions tailored to address phobias. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1637984
Journal of Behavioral and Cognitive Therapy . Vol. 33, n°3Paru le : 01/11/2023 |
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Titre : Intelligence quotient, combat experiences, psychosocial functioning, and depressive symptoms roles in PTSD symptom severity and treatment completion (2023) Auteurs : Gail D. Tillman ; Elizabeth Ellen Morris ; Tyler Rawlison ; Christina Bass ; Mary Turner ; Kelsey Watson ; Nyaz Didehbani ; Andrew Kozel ; Michael A. Kraut ; Michael A. Motes ; John Hart Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°3, Novembre 2023) Article en page(s) : p. 139-151 Note générale : Doi : 10.1016/j.jbct.2023.07.001 Langues: Anglais Descripteurs : HE Vinci
Combat ; Dépression ; Quotient intellectuel ; Troubles de stress post-traumatiqueRésumé : Pre-, peri-, and post-deployment factors, including demographic factor, psychological traits, and previous trauma experience, have been hypothesized to influence severity of combat-related posttraumatic stress disorder (PTSD) and whether an individual completes a treatment trial. Here we report on the roles of these factors on pretreatment PTSD symptom severity and how these factors affected treatment drop-out in 103 participants enrolled in a previously conducted treatment trial for PTSD for these individuals. We found that comorbid depression, IQ, breadth of combat experiences, and psychosocial functioning play significant roles in accounting for PTSD severity, with those five variables accounting for ∼51% of the variance, with depressive symptoms (∼38% of the variance in CAPS total score), extent of trauma exposure (∼5%), IQ (∼3%), the index trauma being related to witnessing a threat (∼3%), and psychosocial functioning (∼2%) contributing significantly. The same factors were investigated to assess their influence on completion of treatment protocols, where higher IQs and less diversity of trauma exposures were associated with a higher completion rate. Thus, the factors contributing to PTSD symptoms and treatment completion are diverse, encompass pre-, peri-, and post-trauma conditions, and span the breadth of neurobiological, combat, and psychosocial factors. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1627208
Titre : Online acceptance and commitment therapy for chronic pain in a sample of people with Chiari Malformation : A pilot study (2023) Auteurs : Monica A. Garcia ; Emily P. Rabinowitz ; Michael E. Levin ; Hayley Shasteen ; Philip A. Allen ; Douglas L. Delahanty Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°3, Novembre 2023) Article en page(s) : p. 152-168 Note générale : Doi : 10.1016/j.jbct.2023.09.001 Langues: Anglais Descripteurs : HE Vinci
Consultation à distance ; Douleur chronique ; Intervention sur Internet ; Malformation d'Arnold-Chiari ; Thérapie d'acceptation et d'engagement (ACT)Résumé : The current study examined the efficacy of an online Acceptance and Commitment Therapy (ACT) intervention at addressing chronic pain in individuals with Chiari Malformation (CM) with the hope of informing adjunctive treatment options.
52 adults (aged 1865) with CM were randomized into either the treatment or a waitlist control group. Both groups completed baseline assessments followed by 8 weekly assessments of pain interference, anxiety, depression, sleep dysfunction, chronic pain acceptance, and psychological flexibility; the treatment group also completed 8 weekly online self-guided intervention modules. All participants were assessed at 8 weeks and 1-month post-intervention.
Using hierarchical linear modeling, significant group differences were identified in the trajectories of psychological flexibility and chronic pain acceptance such that the treatment group improved at a faster rate. The curve in the trajectory of sleep dysfunction differed between groups but outcomes did not differ. There were no significant group differences in pain interference, depression, or anxiety symptoms, and psychological flexibility did not mediate any of the significant findings.
ACT processes of change were effectively engaged, as demonstrated by significant improvements in psychological flexibility and chronic pain acceptance within the treatment group. Possible modifications to the intervention may be necessary to improve treatment of non-responsive symptoms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1627209
Titre : Twelve-month trajectories of depression after group-based psychotherapy led by nonspecialists at primary health centers: A case study from Vietnam (2023) Auteurs : Mai Tuyet Do ; Tam Than Nguyen ; Huong Thi Than Tran Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°3, Novembre 2023) Article en page(s) : p. 169-178 Note générale : Doi : 10.1016/j.jbct.2023.09.002 Langues: Anglais Descripteurs : HE Vinci
Dépression ; Psychothérapie de groupe ; Soins de santé primairesAutres descripteurs
Strategie comportementaleRésumé : Depression is a top prevalent mental illness but has low care access globally. Community-based interventions were considered to be effective for depression with scarce resources.
This study evaluated depression after group psychotherapy in primary settings in Vietnam for up to 12 months.
A quasiexperimental study including a single-arm, pre- and post intervention assessment was conducted among 359 people aged 1865 (PHQ-9 score ≥ 10) from August 2020 to January 2022 in 10 communes of Thai Nguyen Province, Vietnam. The PHQ-9 scores were collected at baseline and after 3, 6, and 12 months. The trained nonspecialists delivered 8 sessions of group therapy under supervision.
Three hundred fifty-nine eligible people participated in the intervention, and three and two people dropped out after three months and six months, respectively. The mean PHQ-9 score decreased from 13.29 preintervention to 2.83 after 12 months. The difference in depression severity between the three points of follow-up was statistically significant (p
Community-based psychotherapy can be a promising approach to depression management in limited settings in the long term, which needs further study to evaluate its acceptance and feasibility in a specific context.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1627210
Titre : Exploration of the preliminary effectiveness and acceptability of a self-help digital intervention to support benzodiazepine cessation and improve mental health and wellbeing: A one-group pilot trial (2023) Auteurs : Britt Klein ; Erin Oldenhof ; Huy Nguyen ; Peter Schattner ; Kerrie Shandley Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°3, Novembre 2023) Article en page(s) : p. 179-193 Note générale : Doi : 10.1016/j.jbct.2023.09.003 Langues: Anglais Descripteurs : HE Vinci
Benzodiazépines ; Bien-être ; Dépendance ; Self Help ; SevrageRésumé : Benzodiazepines (BDZs) are often inappropriately prescribed to manage anxiety and insomnia for longer-term use, despite guidelines recommending short-term use (i.e.,
This was a one-group pilot trial of a 6-week fully automated self-help BDZ digital intervention (BDZ digital health), providing guidance on how to safely taper BDZs as well as psychological support. The trial was undertaken with Australian adults considering a reduction and/or withdrawal from their BDZ (N = 43). Participants were assessed at pre-intervention (Week 0), during intervention (Week 3), post-intervention (Week 6), and at a 3- and 6-month follow-up (Week 18 and 30 respectively).
Reductions in BDZ use and self-reported dependency were observed over the course of the intervention. Significant symptom reductions in anxiety, insomnia, depression, psychological distress, and emotional dysregulation, as well as improvements in mental wellbeing and quality of life were observed when looking across all timepoints. However, the specific assessment timepoint changes for depression and psychological distress did not reach significance from the pre- to post-intervention timepoint. The intervention acceptability ratings were in the moderately high to high range.
The preliminary results of the pilot trial suggest that BDZ digital health is an acceptable and promising self-help digital intervention to assist adults reducing and withdrawing from their BDZs, and to improve their mental health and wellbeing.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1627211
Journal of Behavioral and Cognitive Therapy . Vol. 33, n°2Paru le : 01/06/2023 |
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Titre : A qualitative examination of the impact of suicidal thoughts and behavior on help-seeking among university students in Colombia and Mexico (2023) Auteurs : Franchesca Castro-Ramirez, Auteur ; Maria Abigail Paz-Pérez, Auteur ; Taylor C. McGuire, Auteur ; Osiris Rankin, Auteur ; Maria Carolina Garcia Alfaro, Auteur ; Andres Melchor Audirac, Auteur ; Martha Luz Gomez Campuzano, Auteur ; Parker Coady, Auteur ; Mauricio Nunez-Delgado, Auteur ; Jhovelis Manana, Auteur ; Cristiny Hernandez-de la Rosa, Auteur ; Tida Tambedou, Auteur ; Genesis A. Vergara, Auteur ; Libia Alvis Barranco, Auteur ; Lorena Cudris-Torres, Auteur ; Matthew K. Nock, Auteur ; John A. Naslund, Auteur ; Corina Benjet, Auteur Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°2, Juin 2023) Article en page(s) : p. 67-80 Note générale : Doi : 10.1016/j.jbct.2023.04.001 Langues: Anglais Descripteurs : HE Vinci
Colombie ; Demande d'aide ou assistance ou soutien (psychologie) ; Étudiants ; Mexique ; SuicideAutres descripteurs
Methode qualitativeRésumé : This study examined descriptions of suicidal thoughts and behavior (STB) to identify risk and protective factors that may present in clinical settings among university students from Latin America. Our focus was on answering the following key questions: How are suicidal thoughts and behavior described? What are reasons for wanting to die and for living? What impact do STBs have on motivations to seek or avoid psychological treatment? To this end, 55 qualitative interviews were completed with university students from Colombia and Mexico who recently endorsed emotional difficulties in the World Mental Health International College Student (WMH-ICS) surveys. Interviews were coded to identify themes specific to STBs. Findings revealed insight on symptom presentations and consequences of STBs. Participants described uncontrollable somatic symptoms during periods of high suicide risk, which serves as a relevant clinical marker for health providers. An important reason for living was to avoid suffering for family, which was protective against suicide and motivates familial involvement in treatment planning. Participants sought solutions to emotional problems after experiencing STBs, including psychological treatment. Cultural stigma of mental illness induced feelings of shame and burden, which led to avolition, avoidance, and nondisclosure of symptom severity. This study provides insight into the utility of evaluating cultural context in (a) detecting antecedents to STBs frequently reported as somatic symptoms, (b) identifying protective factors against suicide, and (c) recognizing how stigma of mental illness and suicide, shame avoidance, and familism might influence personal motivations to seek or avoid help for emotional distress Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1597184
Titre : Using social influence strategies to improve rates of online mental health survey participation: Results from two experiments (2023) Auteurs : Gavin N. Rackoff, Auteur ; Lawrence T. Monocello, Auteur ; Lauren A. Fowler, Auteur ; Melissa M. Vazquez, Auteur ; Jillian Shah, Auteur ; Ellen E. Fitzsimmons-Craft, Auteur ; C. Barr Taylor, Auteur ; Daniel Eisenberg, Auteur ; Denise E. Wilfley, Auteur ; Michelle G. Newman, Auteur Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°2, Juin 2023) Article en page(s) : p. 81-89 Note générale : Doi : 10.1016/j.jbct.2023.05.001 Langues: Anglais Descripteurs : HE Vinci
Enquête ; Études par échantillonnage ; Influenceur (réseaux sociaux) ; Médias sociaux ; MéthodologieAutres descripteurs
Recrutement en ligneRésumé : BACKGROUND: Online surveys are routinely used in mental health screening and treatment follow-up assessment, though they can yield low response rates. We tested the effects of social psychology-informed influence strategies for increasing rates of participation in an online mental health screening survey (Experiment 1) and a treatment follow-up survey (Experiment 2). METHODS and RESULTS: In Experiment 1 (N = 45,569), embedding one or any combination of three motivational appeals (personal gain, community gain, and inclusivity) in screening survey invitation and reminder emails unexpectedly led to lower rates of survey participation compared to when the appeals were not included (overall participation rate = 12.02%, ORs = 0.75 to 0.97, p s Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1597187
Titre : Risk scores in digital psychiatry: Expanding the reach of complex smartphone data by condensing it into simple results (2023) Auteurs : Carsten Langholm, Auteur ; Noy Alon, Auteur ; Sarah Perret, Auteur ; John Torous, Auteur Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°2, Juin 2023) Article en page(s) : p. 90-96 Note générale : Doi : 10.1016/j.jbct.2023.05.004 Langues: Anglais Descripteurs : HE Vinci
Approche comportementale ; Étudiants ; Santé mentale ; SmartphoneAutres descripteurs
Phenotype comportementalRésumé : As college counseling centers struggle to meet the growing demands of behavioral health services, digital mental health tools like smartphone apps offer a scalable solution to increase access to care. However, clinicians report greater time demands and uncertainty over how to act upon digital data. In this paper, by using established statistical techniques, we condense complex smartphone data into results that are quickly understood and clinically meaningful. Specifically, we show how smartphone digital phenotyping data collected by college students can be used to predict an individuals anxiety and depression level on a daily or weekly basis with an error of less than 10%. These predictions are then condensed into a 1 to 5 scale with a 1 representing patients with the lowest risk of presenting high anxiety or depression, and a 5 representing the patients with the highest risk. If used in a clinical setting, these risk scores have the potential to help college counseling centers monitor symptom severity in real-time via students own smartphones, allocate resources more efficiently, and ensure that students are receiving the appropriate level of treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1597188
Titre : Reach and uptake of digital mental health interventions based on cognitive-behavioral therapy for college students: A systematic review (2023) Auteurs : Laura D'Adamo, Auteur ; Layna Paraboschi, Auteur ; Anne Claire Grammer, Auteur ; Molly Fennig, Auteur ; Andrea K. Graham, Auteur ; Lauren H. Yaeger, Auteur ; Michelle G. Newman, Auteur ; Denise E. Wilfley, Auteur ; C. Barr Taylor, Auteur ; Daniel Eisenberg, Auteur ; Ellen E. Fitzsimmons-Craft, Auteur Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°2, Juin 2023) Article en page(s) : p. 97-117 Note générale : Doi : 10.1016/j.jbct.2023.05.002 Langues: Anglais Descripteurs : HE Vinci
Étudiants ; Santé mentale ; Science de la mise en oeuvre ; Thérapie cognitivo-comportementale (TCC)Mots-clés: Interventions numériques Résumé : Background
Mental health problems are increasing in prevalence among college students, yet few students receive treatment due to barriers such as insufficient resources in college counseling centers. Digital mental health interventions (DMHIs) have potential to overcome barriers and offer accessible, evidence-based care to college students. However, to evaluate the true public health impact of evidence-based DMHIs, it is important to assess the reach and uptake rates of DMHIs on college campuses.
Objectives
We conducted a systematic review to examine the reach (i.e., % of invited students who express interest) and uptake (i.e., % of enrolled participants who initiate an intervention) of DMHIs based on cognitive-behavioral therapy (CBT) for college students.
Methods
Eight databases were searched. Inclusion criteria included: (1) college population; (2) experimental design; (3) CBT-based intervention; (4) intervention targeting specific mental health conditions; and (5) digital intervention. Reach and uptake rates were calculated from data reported. A systematic narrative review framework was used to synthesize results.
Results
Of 10,315 articles screened, 90 were included. Seventeen studies (19%) reported sufficient data to calculate reach; 35 studies (39%) reported uptake rates. Of studies that reported reach or uptake, most evaluated unguided (n = 20) or guided (n = 16) self-help programs. Measurement methods varied widely. Overall reach was low, whereas uptake was high among enrolled participants.
Discussion
Despite evidence that improving reach and uptake can increase the public health impact of DMHIs, most studies did not report on either outcome. Suggested practices to improve these outcomes, and their reporting, are discussed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1597192
Titre : The association between coping behaviors and the interpersonal theory of suicide in college students (2023) Auteurs : Zain Hussain, Auteur ; Ryan Michael Hill, Auteur Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°2, Juin 2023) Article en page(s) : p. 118-126 Note générale : Doi : 10.1016/j.jbct.2023.05.005 Langues: Anglais Descripteurs : HE Vinci
Adaptation psychologique ; Étudiants ; Stress ; SuicideMots-clés: Théorie interpersonnelle du suicide (IST) Résumé : Objectives
High levels of stress are associated with suicide ideation among college students. The interpersonal theory of suicide provides a framework for conceptualizing the association between stress and suicide. This study will examine the associations between multiple types of stress (daily life hassles vs. negative life events) on suicidal ideation and the role of adaptive/maladaptive coping skills as potential moderators of the relationship between stress, thwarted belongingness, perceived burdensomeness, and suicidal ideation.
Design
The current study is a secondary analysis of data gathered from South-eastern university students in the U.S.
Method
College students (N = 218) with elevated depressive symptoms completed cross-sectional surveys. Participants were predominantly (78%) women and (72.8%) Hispanic, with a mean age of 20.81 years (SD = 3.96).
Results
Daily life hassles and negative life events were indirectly associated with suicidal ideation via perceived burdensomeness and thwarted belongingness. Only maladaptive coping behaviors significantly moderated the indirect effect of daily life hassles and negative life events on suicide ideation via perceived burdensomeness, but not thwarted belongingness. Thus, reliance on maladaptive coping behaviors increased the strength of the association between daily life hassles/negative life events and suicidal ideation.
Limitations
This study utilized cross-sectional data from a sample of college students with elevated depressive symptoms and may not generalize to other college student populations. Additionally, the use of cross-sectional data precludes causal interpretations of the findings.
Conclusion
An improved understanding of potential buffers against the effects of stress can help identify opportunities for targeted prevention efforts to reduce rates of suicide-related behaviors in college students. Findings suggest that efforts to reduce student use of maladaptive coping behaviors may help to negate the negative impacts of stress on suicidal ideationDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1597178
Titre : A cognitive behavioral model for dissociation: Conceptualization, empirical evidence and clinical implications (2023) Auteurs : A. Vancappel, Auteur ; Wissam El-Hage, Auteur Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°2, Juin 2023) Article en page(s) : p. 127-137 Note générale : Doi : 10.1016/j.jbct.2023.05.003 Langues: Anglais Descripteurs : HE Vinci
Croyance ; Pleine conscience (Mindfulness) ; Régulation émotionnelle ; Thérapie cognitivo-comportementale (TCC) ; Troubles dissociatifsAutres descripteurs
ConditionnementRésumé : There is a lack of evidence-based models and treatment for dissociation. This article aims to fill this gap by providing a comprehensive evidence-based model for dissociation using a cognitive behavioral conceptualization. We postulate that, following an initial experience of dissociation, associative conditioning will increase the frequency and intensity of dissociative symptoms. Various mechanisms could facilitate dissociation: negative beliefs about emotion, beliefs about dissociation, emotional dysregulation, low attentional control and poor mindfulness skills. Based on this model, a range of clinical interventions can be proposed to reduce dissociation, including cognitive restructuring through reality testing, decisional balance and Socratic questioning, emotion regulation and attentional training, and mindfulness-based programs. The impact of these interventions on dissociation needs to be appraised using experimental methodologies (randomized controlled trials and intervention studies with outcome measures). Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1597181
Journal of Behavioral and Cognitive Therapy . Vol. 33, n°1Paru le : 01/03/2023 |
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Titre : Pilot study of an undergraduate college course to support student mental health: Wellness and resilience for college and beyond (2023) Auteurs : Carla D. Chugani ; James J. Mazza ; Barbara J. Fuhrman ; Janine Talis ; Courtney Murphy ; Elizabeth Miller ; Robert W.S. Coulter Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°1, Mars 2023) Article en page(s) : p. 1-9 Note générale : Doi : 10.1016/j.jbct.2022.09.001 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Bien-être psychologique ; Psychoéducation ; Résilience psychologiqueRésumé : The purpose of this study was to investigate preliminary outcomes associated with an undergraduate course titled, Wellness and Resilience for College and Beyond (WRC), which teaches students evidence-based skills for emotional health. Three campuses in Southwestern Pennsylvania with no previous experience delivering this course implemented the one-semester WRC during the Fall 2019 semester; 24 students completed a baseline survey and at least 1 follow-up survey. Participants completed electronic surveys at baseline, post-semester, and 3-month follow-up. Paired t-tests were used to compare baseline scores to scores at post-semester and 3-month follow-up. At post-semester, students reported significant improvements in psychological inflexibility, resilience, mindfulness, emotion dysregulation, distress tolerance, life satisfaction, dysfunctional coping, and adaptive skills use. With the exceptions of life satisfaction and emotion dysregulation, significant gains were maintained at 3-month follow-up. Notably, the follow-up assessment occurred at the beginning of the COVID-19 lockdown in the U.S. (March 2020), which may have affected life satisfaction and emotion dysregulation for participants. There was a nonsignificant decline in anxiety at post-semester which became statistically significant at 3-month follow-up. These preliminary data show proof of concept that WRC can be implemented successfully on new campuses with no previous expertise in this course and can achieve meaningful improvements on several emotional health outcomes with high relevance to collegiate mental health. In addition to these data, barriers to implementation and scale-up are discussed at length with lessons learned that may have broad relevance to the implementation of emotional wellbeing coursework in higher education and support such efforts to address student mental health at the population level. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1580163
Titre : Barriers and strategies to improve digital mental health intervention uptake among college students of color: A modified Delphi study (2023) Auteurs : Tamar Kodish ; Stephen M. Schueller ; Anna S. Lau Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°1, Mars 2023) Article en page(s) : p. 10-23 Note générale : Doi : 10.1016/j.jbct.2022.12.002 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Discrimination raciale ; Santé mentaleRésumé : Digital mental health interventions (DMHI) may enhance equity in college student mental health, but engagement with them is poor. Little is known about barriers and strategies to enhance DMHI uptake among college students of color. The goal of this study was to attain expert consensus on important barriers to DMHI uptake and important and feasible engagement strategies to enhance DMHI uptake among college students of color.
The study utilized a modified, three-round Delphi survey. Researcher and industry stakeholders with relevant expertise participated (n = 35). Across rounds, experts generated and rated the importance and feasibility of barriers and strategies to promote DMHI uptake for students of color. Experts viewed group consensus and importance ratings between rounds and were provided the opportunity to re-rate items. Barriers and strategies were coded into frameworks using rapid qualitative analysis and grounded theory techniques.
A total of n = 63 barriers and n = 64 strategies were derived, and consensus on level of importance was met for 98% of barriers and strategies. Key barriers included mistrust of mental health services and lack of culturally responsive care. Strategies spanned levels of implementation and emphasized codesign, diverse representation, reducing user burden, addressing privacy issues, and embedding DMHI within existing infrastructure.
This study identified barriers and strategies for improving DMHI uptake for college students of color. The subset of highly feasible and important engagement strategies derived in this study provides direction for the design of scalable engagement interventions with the potential to improve DMHI implementation and reduce disparities in care receipt.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1580165
Titre : Improving uptake of mental health crisis resources: Randomized test of a single-session intervention embedded in social media (2023) Auteurs : Katherine Cohen ; Mallory Dobias ; Robert Morris ; Jessica Schleider Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°1, Mars 2023) Article en page(s) : p. 24-34 Note générale : Doi : 10.1016/j.jbct.2022.12.001 Langues: Anglais Descripteurs : HE Vinci
Aide psycho-médico-sociale ; Capacité de gestion de crise ; Comportement de recherche d'aide ; Intervention de crise ; Médias sociaux ; Traitement d'urgenceMots-clés: Single-session intervention Résumé : Young people often experience difficulties accessing mental health support. In moments of crisis, many young people search for mental health-related information or support on social media platforms. When users search or post crisis-related content (e.g., suicide) on these platforms, many are programmed to automatically provide the user with crisis hotlines. Little research has examined whether young people use crisis hotlines when they are automatically shared, or whether other resource-provision strategies may better support hope and help-seeking.
Methods
Users flagged as being potentially in-crisis by social media platforms were referred to Kokoa nonprofit that partners with online platforms to provide crisis support. Users were randomized to receive either a typical crisis response (988 crisis hotline provision) or a one-minute, enhanced crisis response Single-Session Intervention (SSI).
Results
Users who received the enhanced crisis response SSI reported greater decreases in hopelessness ten minutes later, compared to users who received the typical crisis response (t (153) = -2.16, p = 0.03, d = -0.35; 95 % CI, −0.67, −0.03). Users who received the SSI were more than twice as likely to report using the resources provided to them, compared to users who received the typical crisis response (78.02 % vs 38.64 %; χ 2(1) = 27.02, p Conclusion
An enhanced crisis response SSI embedded within social media platforms can reduce users hopelessness and dramatically increase young peoples odds of accessing mental health resources in moments of crisis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1580168
Titre : Co-developing tools to support student mental health and substance use: Minder app development from conceptualization to realization (2023) Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°1, Mars 2023) Article en page(s) : p. 35-49 Note générale : 10.1016/j.jbct.2023.02.002 Langues: Anglais Descripteurs : HE Vinci
Applications mobiles ; Étudiants ; Santé mentale ; Troubles liés à une substanceMots-clés: Co-Design ; Minder Résumé : University students experience a high prevalence of mental health and substance use concerns; however, few students access support for these challenges. Although digital mental health interventions have been promoted as a means of addressing this need, engagement with these tools is often poor. A lack of user-centric design is frequently cited as a reason for low engagement. The goal of this study is to describe the co-development processes and associated feedback used to develop the Minder app, a tool designed to support a non-clinical population of university students to maintain mental wellbeing and manage substance use. This process can be organized into three main phases: conceptualization and initial app design, iterative user testing, and final app design. As a result of meaningful engagement with end-users throughout the design and testing process, key changes were made to the design (e.g., graphical interface), content (e.g., language used, addition of components related to general wellbeing), and support (e.g., peer coaching) provided within the app. In addition to describing these changes, we also discuss considerations related to the broader implementation and scale-up of the Minder app within existing university systems. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1580169
Titre : Predicting cognitive-behavioral therapy outcomes for bulimia nervosa patients based on skill use during treatment (2023) Auteurs : Olivia M. Clancy ; Adrienne S. Juarascio ; Stéphanie M. Manasse ; Paakhi Srivastava Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°1, Mars 2023) Article en page(s) : p. 50-56 Note générale : Doi : 10.1016/j.jbct.2023.02.003 Langues: Anglais Descripteurs : HE Vinci
Boulimie nerveuse ; Hyperphagie ; Thérapie cognitivo-comportementale (TCC) ; Utilisations thérapeutiquesRésumé : Cognitive-behavioral therapy (CBT-E) is the most widely researched and effective treatment for bulimia nervosa (BN). CBT-E for BN emphasizes the importance of therapeutic skills utilization as consistent skill utilization is proposed to drive treatment outcomes. Despite its theoretical importance, there is limited research on skill use during BN treatment and its impact on BN symptoms. The current study was an exploratory analysis of whether skills utilization during CBT for BN were associated with improvements in BN at post-treatment. Participants (N = 54) with BN-spectrum eating disorders received 16 weekly sessions of individual CBT-E, in which they were taught six core skills designed to reduce BN symptoms. After each session, clinicians rated the degree of skills utilization by participants during the past week. Linear regressions were used to examine whether within-person averages of utilization of each of the six skills were related to treatment outcomes (measured as reduction in binge eating and EDE global scores assessed via the Eating Disorders Examination Global Scale) at post treatment and follow up. Higher average use of all six skills during treatment predicted improvements in global eating pathology at post treatment and follow up. There was no relationship found between skill use and improvements in binge eating at post treatment, however, all six skills except regular eating skill predicted improvements in binge eating at follow up. These findings suggest that greater utilization of skills is crucial in maximizing treatment gains for BN patients. Future studies should explore ways to increase the acceptability and utilization of these skills. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1580170
Titre : Fears and challenges of dialectical behavior therapists using telehealth Khrystyna Stetsiv ⁎ , Kevin Rebmann , Chelsey R. Wilks (2023) Auteurs : Khrystyna Stetsiv ; Kevin Rebmann Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 33, n°1, Mars 2023) Article en page(s) : p. 57-64 Note générale : Doi : 10.1016/j.jbct.2023.02.001 Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; Idéation suicidaire ; Télémédecine ; Thérapie comportementale dialectiqueRésumé : Despite the effectiveness and safety of telehealth, many clinicians are hesitant to deliver Dialectical Behavior Therapy (DBT) remotely to high-risk clients. However, the COVID-19 pandemic resulted in a rapid shift to telehealth services, pushing patients and providers to adapt to therapy in an online format. Only a few studies have assessed providers attitudes about the transition of DBT to telemedicine during COVID-19, identifying both challenges and advantages. Using an online self-report survey, the current study assessed DBT therapists experiences with telehealth use for DBT implementation, with an emphasis on clinicians fear of treating suicidal patients (N = 99). Despite endorsing some challenges with telehealth, almost all therapists reported they will continue implementing some DBT via telehealth post-COVID, highlighting both clinicians perceived benefits and challenges of telehealth. Fear of treating suicidal patients was associated with higher perceived telehealth challenges and higher reported future telehealth use. Several other descriptive patterns are discussed. This study provides important preliminary findings about DBT therapists telehealth practices and experiences, suggesting future directions for research and practice. The transition to telehealth offers a long-term opportunity for clinicians to leverage technology in the delivery of DBT to increase access and improve mental health. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1580171
Journal of Behavioral and Cognitive Therapy . Vol. 32 n°4Paru le : 12/12/2022 |
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Titre : Quetiapine as an adjunct to enhance engagement in prolonged exposure therapy for PTSD in veterans : A randomized, pilot trial (2022) Auteurs : Muhammad R. Baig ; Jennifer L. Wilson ; Robert D. Beck ; Jennifer A. Lemmer ; Anna L. Hernandez ; Adeel Meraj ; Rebecca Tapia ; Eric Meyer ; Jim Mintz Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°4, Décembre 2022) Article en page(s) : p. 243-253 Note générale : Doi : 10.1016/j.jbct.2022.04.001 Langues: Anglais Descripteurs : HE Vinci
Désensibilisation (Exposure therapy) ; Exposition (effet de l' ) ; Troubles de stress post-traumatiqueAutres descripteurs
Vetéran de guerreRésumé : Despite established efficacy, there is low engagement in prolonged exposure (PE) therapy for PTSD among combat veterans. In preparation for a full-scale randomized trial, we sought to evaluate the feasibility, safety, and preliminary efficacy of quetiapine to enhance patient engagement in PE therapy. Open-label, randomized pilot trial of quetiapine monotherapy vs. Treatment as Usual (TAU) medications in 20 military veterans with combat related PTSD who were seeking care from the San Antonio Polytrauma Rehabilitation Center at the South Texas Veterans Healthcare System (STVHCS). Participants were randomized to receive either Quetiapine (n =10) monotherapy or pharmacological TAU (n =10) in patients who were receiving PE as a standard of care therapy. We collected information on (1) the number of potentially eligible veterans approached, the number screened, and the number randomized, (2) adverse events reported, (3) number of participants continuing PE treatment at least until session #4 (i.e., after first exposure session) and the total number of sessions of PE completed by the participants, and (4) change in PTSD severity and sleep quality measured by the PTSD Checklist for DSM-5 (PCL-5) and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed for 18 intent-to-treat participants with mean (SD) age, 53.5 (13.4) years; and baseline PCL-5 score, 57.6 (7.6). More veterans in the quetiapine group (n =9; 100%) received at least the first exposure session of PE therapy compared to TAU ((n =3; (37.5%), p =.006] and completed PE therapy (n =8; (88.9%) vs (n =3; (37.5%), p =.03). Both PCL-5 (p =.03) and PSQI (p =.02) scores decreased significantly more for participants in the quetiapine than the TAU group. Preliminary findings support the feasibility, safety, and possible efficacy of quetiapine as an adjunct to enhancing engagement in PE therapy. A full-scale randomized trial is required to determine the true efficacy of quetiapine to enhance engagement in PE treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1561063
Titre : Exposurepedia : A pilot study of a web-tool to support the implementation of exposure therapy for anxiety-related disorders (2022) Auteurs : Rachel A. Schwartz ; Lsa D. Yankowitz ; Lily A. Brown Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°4, Décembre 2022) Article en page(s) : p. 254-261 Note générale : Doi : 10.1016/j.jbct.2022.06.001 Langues: Anglais Descripteurs : HE Vinci
Adhésion et observance thérapeutiques ; Anxiété ; Barrières de communication ; Désensibilisation (Exposure therapy) ; Télémédecine ; Thérapie assistée par ordinateur ; Thérapie cognitivo-comportementale (TCC)Résumé : Despite robust empirical support, exposure therapy is severely underutilized in routine clinical care. Clinicians perception of exposure therapy as too difficult is a key but largely unaddressed barrier to implementation. This pilot study sought to evaluate the acceptability and feasibility of a novel clinical web-toolExposurepedia designed to support the implementation of exposure therapy for anxiety-related disorders by alleviating its perceived difficulty. Clinicians in an anxiety specialty clinic were given access to Exposurepedia . Of 20 eligible clinicians, 16 (80%) voluntarily registered for the website. Of those who registered, 13 (81%) used the website at least once and 10 (77% of users) became repeat users. Over the 6-week pilot, Exposurepedia was accessed 46 times (M =7.7 times per week; SD =2.8). Clinicians reported in majority that Exposurepedia made exposure therapy easier, saved them time, was easy to use, and increased their confidence in doing exposures. Clinicians are interested in using Exposurepedia and found the tool to be both acceptable and feasible in alleviating the intellectual, logistical, and emotional demands of exposure therapy. This pilot provides the basis for future research seeking to further develop and evaluate this novel digital implementation support tool. Note de contenu :
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Titre : Emotional clarity and awareness predict obsessivecompulsive disorder symptoms during exposure and response prevention in a naturalistic treatment sample (2022) Auteurs : Keith Bredemeier ; Wenting Mu ; Lindiwe Mayinja ; Lily A. Brown Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°4, Décembre 2022) Article en page(s) : p. 262-270 Note générale : Doi : 10.1016/j.jbct.2022.07.001 Langues: Anglais Descripteurs : HE Vinci
Emotion Sentiment ; Exposition et prévention de la réponse (ERP) ; Pronostic ; Sensibilité ; Trouble obsessionnel compulsif (TOC)Résumé : Obsessive-compulsive disorder (OCD) is associated with emotional disconnections (e.g., difficulty understanding your emotions), but very limited work has examined these links prospectively or in the context of OCD treatment. This study tested the hypotheses that emotional clarity and emotional awareness would predict improvement in OCD symptoms during Exposure and Response Prevention (ExRP) in a naturalistic treatment sample, based on the putative impact of these factors on emotional processing. We tested the effect of baseline levels of emotional clarity and awareness (measured using the Difficulties in Emotion Regulation Scale) on OCD symptoms at baseline, mid- and post-treatment (Obsessive-Compulsive Inventory, Revised) in a study of adults diagnosed with OCD and receiving ExRP in an open treatment clinic (N = 131) using multilevel modeling. Both lack of emotional clarity and lack of emotional awareness predicted OCD symptom severity at post-treatment. Lack of awareness also predicted greater improvement in OCD symptoms during treatment, while clarity did not. Consistent with previous research, individuals who reported being less clear about their emotions had more severe OCD symptoms at post-treatment. Extending previous findings, those who reported being more aware of their emotions before treatment showed less symptom improvement during treatment. Clinical and theoretical implications of these findings are discussed. Note de contenu :
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Titre : Mindfulness-informed (ACT) and Mindfulness-based Programs (MBSR/MBCT) applied for college students to reduce symptoms of depression and anxiety (2022) Auteurs : Liang Ma ; Yanjie Wang ; Pan Le ; Zeshi Cui ; Philip J. Schluter Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°4, Décembre 2022) Article en page(s) : p. 271-289 Note générale : Doi : 10.1016/j.jbct.2022.05.002
Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Dépression ; Étudiants ; Pleine conscience (Mindfulness) ; Thérapie d'acceptation et d'engagement (ACT)Résumé : This meta-analysis examines the effects of mindfulness-informed and mindfulness-based interventions including acceptance and commitment therapy (ACT), mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT) on depressive and anxiety symptoms among college students. Three electronic databases (PubMed, PsycINFO, and Cochrane Central) were utilized and systematically searched. Effect estimates were reported as standardized mean differences (SMDs) and data were pooled using random-effects models. Twenty-two comparisons derived from 19 studies (2716 participants) were included in the meta-analysis. For studies employing passive control conditions (n =17), post-intervention effect sizes were significant for depressive (0.47 [95% CI: 0. 320.63]) and anxiety symptoms (0.58 [95% CI: 0.340.82]). Effect sizes were significant at post-intervention among MBCT (0.76 [95% CI: 0.481.03] for depressive symptoms and 1.37 [95% CI: 0.702.04] for anxiety symptoms) and MBSR (0.58 [95% CI: 0.310.86] for depressive symptoms and 0.49 [95% CI: 0.240.73] for anxiety symptoms). The effect size of ACT for depressive symptoms at post-intervention was significant (0.28 [95% CI: 0.090.48]), but the post-intervention effect size of ACT for anxiety symptoms was not significant (0.23 [95% CI: −0.01 −0.47]). Our analyses showed no superiority for ACT, MBSR, and MBCT to active control conditions, either when they were combined or considered separately. This meta-analysis provides empirical evidence in support of ACT, MBSR, and MBCT for reducing depressive and anxiety symptoms among college students. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1561066
Titre : A single-group pilot feasibility and acceptability study of the Broad Minded Affective Coping technique for suicidal adults in crisis (2022) Auteurs : Daniel Pratt ; H. Mitchell ; L. Fitzpatrick ; J. Lea Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°4, Décembre 2022) Article en page(s) : p. 290-296 Note générale : Doi : 10.1016/j.jbct.2022.07.002 Langues: Anglais Descripteurs : HE Vinci
Acceptation des soins par les patients ; Adaptation psychologique ; Broad-Minded affective coping (BMAC) ; Idéation suicidaire ; Représentation mentale ; SuicideRésumé : The evidence base for psychological interventions for suicidal individuals is limited and the delivery of longer-term therapy within mental health crisis services is confronted by several barriers. For these reasons, identifying briefer techniques that can be delivered to at-risk groups is pertinent. This study provides a preliminary evaluation of the Broad Minded Affective Coping (BMAC) technique, a brief positive mental imagery intervention, for suicidal adults. Of 32 individuals referred by mental health crisis services, 14 adults with experience of suicidal ideation in the past three months took part. All participants received a one-session BMAC brief intervention, and invited to practice the BMAC independently for the next seven days and provide logbook ratings of pre-post BMAC mood states. Suicidal ideation and depression were assessed at baseline and at the end of the week of imagery practice. Nine participants (64%) completed the study by providing baseline and follow-up assessments of depression and suicidal ideation, completing a logbook and participating in a feedback interview. The BMAC appeared acceptable to participants and showed promise in improving mood and suicidal thoughts. We discuss the implications of these findings for future investigations of a one-session BMAC brief intervention. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1561067
Journal of Behavioral and Cognitive Therapy . vol. 32, n°3Paru le : 07/10/2022 |
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Titre : Emotion regulation as a mediator between early maladaptive schemas and non-suicidal self-injury in youth (2022) Auteurs : Annemarie Nicol ; Phillip S. Kavanagh ; Kristen Murray ; Anita S. Mak Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 161-170 Note générale : Doi : 10.1016/j.jbct.2022.05.001 Langues: Anglais Descripteurs : HE Vinci
Automutilation ; Jeune adulte (19-24 ans) ; Régulation émotionnelle ; Santé mentaleAutres descripteurs
Schemas précoces inadaptésRésumé : Non-suicidal self-injury is commonly explained using an emotion regulation framework. Increasingly, early maladaptive schemas (EMS) are also used to conceptualise self-injury. However, there is an absence of research examining the relationship between EMS, emotion regulation, and self-injury. The current study attempted to address this gap by comparing youth with and without a history of self-injury on measures of emotion regulation difficulties and EMS, specifically Abandonment/Instability and Defectiveness/Shame. Specifically, we were interested in assessing whether difficulties in emotion regulation mediated the relationship between EMS and self-injury. Four hundred and three Australian secondary and university students aged between 16 and 25 years, completed measures of self-injury, EMS, and difficulties in emotion regulation. We found significant and positive relationships between Abandonment/Instability, Defectiveness/Shame and six emotion regulation difficulties. Young people with a self-injury history reported more difficulties in emotion regulation compared to those who had never self-injured. For each of the EMS, there was a direct effect on self-injury status, as well as an indirect effect via total emotion regulation difficulties. There was a significant indirect effect of Abandonment/Instability on self-injury via limited access to emotion regulation strategies. Results contribute to our understanding of mechanisms underlying the association between EMS and self-injury, that is, through emotion regulation difficulties. Results are discussed with reference to clinical implications, suggesting that targeting both EMS and emotion regulation difficulties may be appropriate when working with young self-injurers. Note de contenu : Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538873
Titre : Therapist- and therapy-related predictors of outcomes in a randomized controlled trial of school-based treatments for pediatric anxiety (2022) Auteurs : Carissa M. Orlando ; E.B. Caron ; Isaac C. Smith ; Thomas J. Harrison ; Jeffrey E. Pella ; Golda S. Ginsburg Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 171-182 Note générale : Doi : 10.1016/j.jbct.2022.03.001 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Diagnostic précoce ; Pratique factuelle (EBP) ; Thérapie cognitivo-comportementale (TCC)Autres descripteurs
Sante mentale de l'enfantRésumé : The current study examined predictors of outcomes across two school clinician-delivered treatments (i.e., treatment as usual [TAU] or modular cognitive-behavioral therapy [M-CBT]) for youth with anxiety disorders. Predictors reflected two broad domainstherapist factors (i.e., education, years of experience, therapeutic orientation, work related stressors/barriers, self-efficacy, and attitudes towards evidence-based practices) and treatment-related factors (i.e., dosage, child compliance with treatment, therapeutic alliance, therapeutic nonspecifics, and proportion and quality of evidence-based structure elements). One hundred and ninety-five youth (mean age 10.98; 50.3% female, 53.5% non-Hispanic Caucasian) and 54 therapists (90.7% female, 72.2% non-Hispanic Caucasian) that were enrolled and randomized in a previous study (Ginsburg et al., 2020) participated. Results showed that incorporation of more evidence-based structure elements (e.g., agenda setting, assigning homework) and higher child compliance with treatment significantly increased odds of response to treatment. These findings provide important information about key ingredients to successful treatments, regardless of treatment condition/modality, and can be used to inform future training and implementation of school-based treatments for youth with anxiety disorders. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538874
Titre : Use of mental health services and perceived barriers to access services among college students with suicidal ideation (2022) Auteurs : Mathilde Janota ; Viviane Kovess-Masféty ; Clara Gobin-Bourdet ; Mathilde M. Husky Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 183-196 Note générale : Doi : 10.1016/j.jbct.2022.02.003 Langues: Anglais Descripteurs : HE Vinci
Accessibilité des services de santé ; Adolescent ; Idéation suicidaire ; Services de santé pour étudiantsRésumé : Suicide is an important public health issue in France, where the suicide rate is among the highest in Europe. While suicidal thoughts and behaviors are prevalent among young adults including college students, an important gap exists between the presence of psychological difficulties and the use of mental health services. Using data drawn from the French portion of the World Mental Health International College Student survey initiative (WMH-ICS), the current study investigates the use of mental health services among college students with 12-month suicidal ideation and examines the barriers identified by students who did not receive care, and include cohorts enrolled pre-pandemic and during the pandemic. Only one quarter received services and among those who did not, one half reported a perceived need. Prior services use, any anxiety disorder, depressive disorder, and suicide attempt were associated with the use of services in the past 12 months. The most frequently reported barriers were wanting to handle the problem on their own, being unsure of where to go or who to see, and being too embarrassed. The pandemic context was associated neither with services use nor with greater reported barriers. These findings underline the gap in mental health services use among college students despite the accessibility of mental health services in France. Identifying the barriers which restrict the use of mental health services among students could contribute to identifying specific targets for prevention, and facilitate access to appropriate services. Disponible en ligne : Non En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538875
Titre : Factors influencing the efficacy of an online behavioural intervention for children and young people with tics : Process evaluation of a randomised controlled trial (2022) Auteurs : Kareem khan ; Chris Hollis ; Charlotte L. Hall ; E. Bethan Davies ; Elizabeth Murray ; Per Andrén ; David Mataix-Cols ; Tara Murphy Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 197-206 Note générale : Doi : 10.1016/j.jbct.2022.02.005 Langues: Anglais Descripteurs : HE Vinci
Exposition et prévention de la réponse (ERP) ; Recherche comparative sur l'efficacité ; Syndrome de Tourette ; Téléassistance ; Télémédecine ; Troubles des ticsRésumé : The Online Remote Behavioural Intervention for Tics (ORBIT) trial found that an internet-delivered, therapist-supported, and parent-assisted Exposure and Response Prevention (ERP) intervention reduced tic severity and improved clinical outcomes. This process evaluation aimed to explore mechanisms of impact and factors influencing efficacy. Participants were 112 children with a tic disorder and their parents randomised to the active intervention arm of the ORBIT trial. Child engagement was assessed by usage metrics and parent engagement by chapter completion. Experiences of the digital intervention were explored by semi-structured interviews. Outcomes (3-months post randomisation) were change in tic severity and overall clinical improvement. Tic severity reduced from baseline to 3-month follow-up and 36% were rated as much improved clinically. Greater tic severity at baseline predicted reduction in tic severity. Parental engagement was the only independent predictor of clinical improvement. There were no statistically significant mediators or moderators of the relationship between level of child engagement and outcome. From the qualitative findings, child participants appreciated working together with parents on the intervention and participants found the intervention engaging. ORBIT may be an effective and acceptable intervention for children and young people with tic disorders, with parental engagement being a key factor in successful outcomes. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538876#
Titre : Individual differences in depression are reflected in negative self-evaluations when imagining future events (2022) Auteurs : Kayla Williams ; Jamie Snytte ; Signy Sheldon Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 207-221 Note générale : Doi : 10.1016/j.jbct.2022.02.002 Langues: Anglais Descripteurs : HE Vinci
Autobiographie ; Avenir ; Dépression ; Image de soiRésumé : Emotional disorders, including depression, are associated with deficits in retrieving past and imagining future autobiographical events. Imagining future events requires accessing different types of information, from general conceptual knowledge to specific event details. Here, we tested the hypothesis that depression levels within a community sample are most strongly reflected in how conceptual information about the self (i.e., self-schemas) are accessed. In an online experiment, we collected ratings of depression as well as anxiety, which often presents alongside depression, in a group of participants who then completed a trait judgment task in which they judged whether positive and negative traits reflected the self or another person, followed by an event imagination task in which participants generated specific future events for the self or another person. A second experiment was run on a separate group of participants who performed these same tasks in reversed order. Across experiments, we found that depression but not anxiety levels were associated with greater endorsement of negative traits only for the self, was not related to the ability to imagine specific future events but did alter how these events were evaluated. An exploratory analysis revealed greater endorsement of negative traits for the self when the trait judgement task came before imagining events. These results provide new insights into how depression levels in a subclinical sample are associated with changes in autobiographical knowledge, enhancing negative self-schemas, when imagining future events. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538877
Titre : Exploring skill utilization as a mechanism of dialectical behavioral therapy among adults with eating disorders in a partial hospitalization program (2022) Auteurs : Anna M. Karam ; Brittany K. Bohrer ; Christina E. Wieranga ; Leslie K. Anderson ; Walter H. Kaye ; Tiffany A. Brown Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 223-229 Note générale : Doi : 10.1016/j.jbct.2022.04.002 Langues: Anglais Descripteurs : HE Vinci
Régulation émotionnelle ; Thérapie comportementale dialectique ; Troubles de l'alimentationAutres descripteurs
Mecanisme psychiqueRésumé : Research supports the use of dialectical behavior therapy (DBT) for patients with eating disorders (EDs). The DBT skills deficit model suggests that individuals engage in maladaptive behaviors to reduce or avoid strong emotions due to lack of knowledge or mastery of more effective methods to regulate distress. A primary component of DBT is teaching patients skills to cope with emotional dysregulation. Building upon previous research, this study examined whether change in DBT skills use frequency mediated the relationship between emotion dysregulation and ED symptoms across ED diagnoses, in a sample of treatment-seeking adults with EDs (N =454). Variables were measured at treatment admit, one-month post-admission, and discharge. Bootstrapped mediation analyses were used and biased-corrected 95% confidence intervals (CIs) were computed. Increases in DBT skills use mediated the association between emotion dysregulation and ED psychopathology (95% CI [−.0022, −.0002]), but not change in binge eating (95% CI [−.0034, .0001]) or self-induced vomiting (95% CI [−.0032, .0006]). The index of moderated mediation for all outcomes indicated the simple mediation model did not significantly differ as a function of diagnosis type. Results provide support for the DBT skills deficit model in an ED sample and suggest that DBT improves ED psychopathology by increasing frequency of using effective coping skills. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538878#
Titre : Perspectives on the course of major depression: Trajectories of remission and relapse with CBT or no treatment (2022) Auteurs : Gregory V. Chauvin ; Danielle L. Hoyt ; Michael W. Otto Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 231-237 Note générale : Doi : 10.1016/j.jbct.2022.04.003 Langues: Anglais Descripteurs : HE Vinci
Récidive ; Survie sans rechute ; Thérapie cognitivo-comportementale (TCC) ; Trouble dépressif majeurRésumé : To provide a normative backdrop by which clinical-researchers and clinicians can consider the benefits of cognitive behavioral therapy (CBT) for major depressive disorder (MDD), we consider what is known and what can be extrapolated about the average patterns of remission and relapse for CBT-treated versus untreated individuals with MDD. To achieve this, a detailed analysis of the average monthly trajectories experienced by CBT-treated patients is performed: remission during the duration of acute-phase (three months) and continuation-phase CBT (nine months thereafter) as well as relapse during the year following remission are examined utilizing published clinical trial data. We contextualize these mean treatment trajectories with comparative trajectories of untreated individuals and provide both graphical (primary outcome) and textual information on the patterns of remission and relapse as judged by the current literature. Finally, through investigating these trajectories, we also present where the current literature is and is not well-informed on the longitudinal course of CBT-treated and untreated MDD. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538879
Titre : Emotion regulation difficulties in a non-clinical sample with symmetry, ordering and arranging symptoms (2022) Auteurs : Maedeh Vahidpour Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32, n°3, Septembre 2022) Article en page(s) : p. 239-242 Note générale : Doi : 10.1016/j.jbct.2022.03.002 Langues: Anglais Descripteurs : HE Vinci
Ordre ; Régulation émotionnelle ; Symétrie ; Trouble obsessionnel compulsif (TOC) ; Troubles du contrôle des impulsionsRésumé : Difficulty in regulating emotions is implicated in the severity and persistence of obsessive-compulsive disorder (OCD). While emotional regulation has recently been examined relative to certain clinical manifestations of this disorder, its association with symmetry, ordering, and arranging symptoms (SOAS) remains poorly understood. However, the heterogeneity of both OCD and emotional regulation difficulties has hindered the identification of specific associations that may permit the refinement of treatment strategies. The present study examines this issue in a sample of 237 participants who completed online questionnaires of OCD symptoms and difficulties in emotional regulation. Initial analyses demonstrated positive and significant correlations between SOAS and several forms of emotional difficulties when considered individually. However, multivariate analyses demonstrated the preponderant role of impulse control difficulties (β=0.279, t=4.363, p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www-em-premium.com/article/1538880
Journal of Behavioral and Cognitive Therapy . vol. 32 n°2Paru le : 02/06/2022 |
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Titre : Validation of a virtual environment for sexual aversion (2022) Auteurs : David Lafortune ; Valérie A. Lapointe ; Cloé Canivet ; Natacha Godbout ; Marie-Aude Boislard Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32 n°2, Juin 2022) Article en page(s) : p. 85-98 Note générale : Doi : 10.1016/j.jbct.2021.11.001 Langues: Anglais Descripteurs : HE Vinci
Dégoût ; Dysfonctionnements sexuels psychogènes ; Emotion Sentiment ; Réalité de synthèse ; SexualitéAutres descripteurs
PsychophysiologieRésumé : This study focused on sexual aversion (SA) namely the experience of fear, disgust, and avoidance when exposed to sexual contexts or cues and aimed to validate a virtual environment's ability to progressively trigger the typical emotional responses of SA. Thirty-nine participants (16 low-SA and 23 high-SA individuals) were immersed in a virtual room and then successively exposed to six scenarios in which a synthetic character showed erotic behaviors of increasing sexual intensity. Throughout immersion, subjective measures of anxiety and disgust (Subjective Units of Discomfort Scale; SUDS), skin conductance, heart rate, cardiac output, and eye movements were recorded. The changes in SUDS and physiological variables were examined through repeated measures analyses of variance. SUDS scores significantly increased as the levels of exposure progressed among the high-SA participants, who also reported significantly more anxiety and disgust than the low-SA group. Significant large time effects were found for cardiac output and eye fixation (on face, chest, and genitals), but no significant group*time interactions were found for physiological variables. Results show that this virtual environment may be a promising tool for research and practice, and its efficacy as part of a virtual reality exposure-based treatment for SA should be tested. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1521377
Titre : Treatment focus diffusion predicts poorer clinical progress in children's public mental health care (2022) Auteurs : Kalyn L. Holmes ; Charles W. Mueller Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32 n°2, Juin 2022) Article en page(s) : p. 99-110 Note générale : Doi : 10.1016/j.jbct.2021.09.002 Langues: Anglais Descripteurs : HE Vinci
Santé mentale ; Santé publiqueAutres descripteurs
Efficacite therapeutique ; Therapie multisystemiqueMots-clés: Treatment focus diffusion ; Treatment targets Résumé : Recent evidence from well-controlled efficacy studies suggests that diffusing treatment focus across multiple concerns is associated with poorer clinical outcomes. However, research regarding treatment focus diffusion (TFD) in public mental health care (PMHC) settings, broadly or in implemented evidence-based treatments (EBT), is scarce, despite therapists in such settings often reporting more complex cases. Using multilevel modeling, this study examined TFD differences between two in-home PMHC services: (a) Multisystemic Therapy (MST; n =911 youths, 109 therapists), an implemented EBT, and (b) a less structured service more characteristic of treatment as usual (n =2362 youth, 457 therapists). The relationship between TFD and monthly therapeutic progress within and across these two service formats was also examined. Treatment focus diffusion occurred less in the implemented EBT. Overall, receiving services through the less structured service format and more diffused treatment focus predicted less and slower progress over the course of treatment. The relationship between TFD and less clinical progress was stronger in the MST format. These findings held when accounting for indicators of case complexity including initial level of impairment and number of diagnoses. EBTs appear to maintain a narrower treatment focus even when implemented in a public mental health system. However, even in EBTs, TFD predicts poorer clinical progress. Maintaining a narrow treatment focus, even in complex cases typical of PMHC, might improve clinical outcomes. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1521382
Titre : Effect of a group prevention program based on the unified protocol for college students in Colombia: A quasi-experimental study (2022) Auteurs : Leonidas Castro-Camacho ; Margarita Maria Diaz ; Sergio Barbosa Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32 n°2, Juin 2022) Article en page(s) : p. 111-123 Note générale : 10.1016/j.jbct.2021.04.001 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Dépression ; Étudiants ; Régulation émotionnelleRésumé : Given the high prevalence of emotional disorders among college students, its high social, emotional and economic costs, and a large treatment gap, we designed and evaluated a preventive group intervention based on the Unified Protocol for the transdiagnostic treatment of emotional disorders (UP; Barlow et al., 2011). A total sample of 128 college students in a state university in Bogotá (Colombia) was recruited for this quasi-experimental study with three assessment points: pre-treatment, post-treatment, and three-month follow-up. Participants were included in the control or intervention conditions based on non-random assignement. At the end of the intervention, group analysis suggested significant declines in transdiagnostic risk factors and neurotic temperament and gains in mindfulness, perceived control, and emotional dysregulation. Significant declines were found also for emotional variables such as stress, anxiety, and depression. These results suggest that a preventive intervention based on the Unified Protocol may have a significant impact on several transdiagnostic risk factors and emotional variables making it a promising prevention and mental health promotion program for college students. Since this is the first Colombian study on the matter, its replication and the use of larger and more diverse samples are recommended for future research. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1521358#AFF0005
Titre : thinkSMART®: A pilot study of a transdiagnostic cognitive-behavioral treatment for adolescents with executive functioning weaknesses : , Alexandra Sturm a, b, Michelle Rozenman c, Emma Smith a, Ibukun Olabinjo a (2022) Auteurs : Alissa J. Ellis ; Alexandra Sturm ; Michelle Rozenman ; Emma Smith ; Olabinjo Ibukun Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32 n°2, Juin 2022) Article en page(s) : p. 124-135 Note générale : 10.1016/j.jbct.2022.01.002 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Fonctions exécutives ; Thérapie comportementale ; Troubles des fonctions exécutivesRésumé : Executive functions are a broad term used to describe the cognitive functions necessary to help individuals complete tasks and achieve goals. Executive functioning weaknesses are a hallmark feature of psychopathology, particularly in youth. These weaknesses are associated with chronic impairment across academic, social and family domains and do not typically improve into adulthood. Despite these negative outcomes, few behavioral interventions have been successfully developed to target executive functioning outside of ADHD, particularly in adolescents with various types of psychopathology. The thinkSMART® program was created to target the broad heterogeneity of adolescents with executive function weakness. We discuss the rationale for the development of the program, as well as outline the primary skill areas addressed. We also present an open-trial pilot study using the program in adolescents ages 1217 who identify as having executive functioning weaknesses. Preliminary findings highlight the acceptability and feasibility of the program, as well as the initial efficacy in improving adolescents day-to-day executive functioning. We discuss the limitations and benefits of providing broad skills and compensatory strategies to improve adolescent executive functioning. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1521362
Titre : Open trial of a personalized feedback intervention and substance-free activity supplement for veterans with PTSD and hazardous drinking (2022) Auteurs : Matthew T. Luciano ; Megan E. McDevitt-Murphy ; James J. Murphy ; Rebecca J. Zakarian ; Cecilia Olin Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32 n°2, Juin 2022) Article en page(s) : p. 136-144 Note générale : 10.1016/j.jbct.2022.02.004 Langues: Anglais Descripteurs : HE Vinci
Comportement du consommateur ; Consommation d'alcool ; Psychothérapie brève ; Troubles de stress post-traumatiqueMots-clés: Personalized drinking feedback Résumé : his study reports findings from an open trial of a two-session intervention for veterans with symptoms of PTSD and hazardous drinking. Rooted behavioral economic theory, this intervention aimed to decrease alcohol use and increase alcohol-free activities through personalized and normative feedback. This trial assessed the feasibility and acceptability of the intervention in a sample of 15 veterans. Participants completed assessments at baseline and post-intervention (1-month and 3-months). Thirteen participants (86.6%) were retained between the baseline assessment and second intervention session. Acceptability data indicated that veterans overwhelmingly viewed the intervention positively with little dropout between the two sessions. Further, participants in our study reduced alcohol consumption from 37.30 (SD=17.30) drinks per week at baseline to 22.50 (SD =27.75) drinks per week at the 1-month assessment and then to 14.60 (SD =18.64) at the 3-months assessment, representing medium to large effects. PTSD severity also decreased from 57.20 (SD =16.72) at baseline to 48.90 (SD =18.99) at the 1-month assessment, representing a small effect. Though effect sizes from pilot trials should be interpreted with caution, findings suggest that this intervention was well-received, feasible to deliver, and may have resulted in improvements in intervention targets. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1521366
Titre : Sex differences in blushing and eye contact in mixed versus same-sex dyads (2022) Auteurs : Peter D. Drummond Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32 n°2, Juin 2022) Article en page(s) : p. 145-150 Note générale : 10.1016/j.jbct.2021.10.001 Langues: Anglais Descripteurs : HE Vinci
Communication visuelle ; Différence homme femme ; Embarras ; PeurAutres descripteurs
Jugement socialMots-clés: rougissement Résumé : It is commonly assumed that women blush more strongly than men, but sex differences in blushing have been identified in only a few studies and what underlies these differences has not been explored. Hence, the aim of this study was to investigate factors that might underlie sex differences in blushing. To monitor blushing, changes in pulse amplitude in the forehead skin were measured in 40 male and 40 female participants during stressful laboratory tasks (serial subtractions and singing). A male or female experimenter interacted with participants during these tasks in a critical or friendly manner. In addition to blushing, the effect of these manipulations on gaze aversion (a nonverbal cue of embarrassment) was explored. Blushing was greater in women than men and was greater in participants tested by a male than female experimenter. However, neither the sex-composition of experimenter-participant dyads nor the interpersonal style of the experimenter modified blushing intensity, despite effects on eye contact. These findings suggest that sex-linked influences on autonomic reactivity rather than embarrassment moderate blushing during social interactions. These sex-linked influences may be important during cognitive-behavioural treatments for social anxiety associated with fear of blushing. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1521368
Titre : Implicit approach and avoidance motivational changes in GAD patients treated with emotion regulation therapy (2022) Auteurs : Jean M. Quintero ; Elena W. Mayville ; Richard G. Heimberg ; David M. Fresco ; Douglas S. Mennin Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (vol. 32 n°2, Juin 2022) Article en page(s) : p. 151-156 Note générale : 10.1016/j.jbct.2021.05.005 Langues: Anglais Descripteurs : HE Vinci
Evitement relationnel ; Motivation ; Régulation émotionnelleAutres descripteurs
Stress socialRésumé : Approach and avoidance motivational changes over the course of Emotion Regulation Therapy (ERT) were assessed at pre-, mid-, and post-treatment using an Approach-Avoidance variant of the Implicit Association Test (AAIAT) that specifically targeted implicitly-held action tendencies about approach/avoidance in the context of positively and negatively valenced word stimuli. We expected implicit associations would be demonstrated by reduced AAIAT Total scores from mid- to post-treatment potentially reflecting increased approaching of contexts regardless of valence. We hypothesized that: (1) AAIAT performance would be responsive to ERT during the second half of treatment when the intervention is specifically focused on exposure to approach-avoidance conflict; (2) changes in AAIAT performance during this period would be associated with changes in clinical outcomes; (3) changes in clinical outcomes during the first half of treatment would not be associated with changes in AAIAT performance occurring in the second half. As expected, AAIAT performance significantly changed from mid- to post-treatment, reflecting an increased likelihood of approaching contexts regardless of valence. These changes were related to improvements in quality of life, functional impairment, and negative emotional intensity. ERT shows promise in changing maladaptive approach/avoidance motivational tendencies for individuals with distress disorders, particularly during the second half, when treatment is focused on approach-avoidance content. This study underscores the value of implementing behavioral tasks as complementary tools to self-report measures in furthering our understanding of core mechanisms (e.g., motivation) implicated in the psychopathology and treatment of distress disorders. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1521372
Journal of Behavioral and Cognitive Therapy . Vol. 32 n°1Paru le : 01/03/2022 |
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Titre : Barriers to remission from child and adolescent anxiety disorders following extensive treatment : An exploratory study (2022) Auteurs : Sarah Farraway ; Viviana M. Wutrich ; Heidi Lyneham ; Jennifer Hudson ; Maria Kengas ; Mary-Lou Chatteron ; Catherine Mihalopoulos ; Ronald M. Rapee Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 3-11 Note générale : DOI 10.1016/j.jbct.2021.12.002 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Anxiété ; Evaluation prédictive ; Soins échelonnésRésumé : Although treatments for child and adolescent (hereafter, children) anxiety show good efficacy, a significant proportion of children do not remit, even 12months after receiving treatment. Barriers to treatment responsiveness among chronically anxious children is not well studied. The current study evaluated barriers and predictors of poor treatment response among a small sample of children who reached the third step in a three-stage stepped-care intervention. Stepped-care involved low-intensity CBT, followed by standard CBT if required, and subsequently high intensity CBT if still warranted. Children moved to the next step of stepped-care if requested by their caregiver following feedback of clinical status and symptom change by their therapist. From the initial sample of 139 children entering step 1, 26 (18.7%) children provided data in the third step and were assessed approximately 12months following their baseline assessment. Several baseline constructs and treatment engagement measures were completed both quantitatively and qualitatively. At the end of Step 3, 14 of 26 (54%) participants had not remitted from their primary disorder and 19 (77%) were not remitted from all anxiety disorders. Non-remission was associated with baseline measures of higher primary disorder severity, fewer anxiety disorders, higher child self-reported social anxiety and total difficulties, and poorer mood. Therapy factors associated with non-remission included greater avoidance, less engagement with exposure tasks, and poorer homework completion. Identifying factors that predict poor response to treatment can help to tailor intervention and improve outcomes for this very complex group of young people. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502961
Titre : Expectancy violation during exposure therapy : A pilot randomized controlled trial (2022) Auteurs : Jennifer L. Buchholz ; Shannon M. Blakey ; Samantha N. Hellberg ; Maya Massing-Schaffer ; Lillian Reuman ; Heidi Ojalehto ; Joe Friedman ; Jonathan Abramowitz Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 13-24 Note générale : 10.1016/j.jbct.2021.12.004 Langues: Anglais Descripteurs : HE Vinci
Désensibilisation (Exposure therapy) ; PsychothérapieAutres descripteurs
Phobie specifique ; Troubles de l'inhibitionMots-clés: Inhibitory learning theory Résumé : Despite empirical support for the efficacy of exposure-based therapy for anxiety-related disorders, many individuals do not respond to this intervention or else experience a return of fear after treatment. Inhibitory learning theory has informed novel approaches to exposure therapy delivery that aim to improve both short- and long-term outcomes. One exposure optimization strategy is to maximize expectancy violation (i.e., the difference between expected and actual outcomes), which is thought to strengthen inhibitory (i.e., non-threat) associations and enhance long-term fear extinction. In practice, exposure therapy is traditionally preceded by cognitive restructuring to lessen the magnitude of harm expectancies. Yet this technique may restrict the discrepancy between expected and actual outcomes, thus reducing the potency of exposure and limiting the durability of treatment gains. The present study examined the effects of manipulating the timing of cognitive techniques during exposure-based therapy by randomly assigning 45 participants with spider phobia to one of three conditions: (a) cognitive restructuring before exposure (CR-EXP; n =15), (b) exposure before cognitive restructuring (EXP-CR; n =15), and (c) stress management control (SM; n =15). Although both CR-EXP and EXP-CR were more effective than SM, there were no significant differences between CR-EXP and EXP-CR on measures of fear, avoidance, spider-related cognitions, or change in harm expectancy. Clinical implications, study limitations, and future directions are discussed. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502959
Titre : Associations between improvements in aversive reactions to negative emotions and increased quality of life in the unified protocol (2022) Auteurs : Sohayla A. Elhusseini ; Lauren E. Cravens ; Matthew W. Southward ; Shannon Sauer-Zavala Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 25-32 Note générale : 10.1016/j.jbct.2021.12.001 Langues: Anglais Descripteurs : HE Vinci
Négativisme ; Qualité de vieAutres descripteurs
Aversion ; Symptomes psychoaffectifsRésumé : Emotional disorders are thought to be maintained by the transaction between frequent experiences of strong, negative emotions (i.e., neuroticism) and aversive reactions to those emotions. The Unified Protocol (UP) is an efficacious treatment for transdiagnostic emotional disorders designed to target specific forms of aversive reactivity to negative emotions. In addition to symptom change, the UP has also been shown to lead to increases in quality of life. However, it remains unclear which specific mechanisms targeted in the UP are related to improvements in quality of life. We explored the relations between changes in five aspects of aversive reactivity included in the UP (i.e., non-acceptance of emotions, [lack of] mindfulness, cognitive rigidity, behavioral avoidance, and anxiety sensitivity) and overall quality of life during treatment. Person-specific regression slopes revealed that improvements in emotional non-acceptance, behavioral avoidance, and mindfulness were each significantly associated with increases in quality of life over the six sessions of treatment. Although in the expected direction, improvements in anxiety sensitivity and cognitive flexibility were not significantly associated with increases in quality of life. These findings generally suggest a model of equifinality in which improvements in most aspects of aversive reactivity are similarly related to changes in quality of life. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502960
Titre : Avoidance of negative emotional contrast from worry and rumination : An application of the Contrast Avoidance Model (2022) Auteurs : Hanjoo Kim ; Michelle G. Newman Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 33-43 Note générale : 10.1016/j.jbct.2021.12.007 Langues: Anglais Descripteurs : HE Vinci
Effet de répétition ; Evitement relationnel ; Négativisme ; Régulation émotionnelle ; Relaxation ; Rumination cognitiveRésumé : According to the Contrast Avoidance model (CAM), worry causes increased and sustained negative affect and such negative affect enables avoidance of a future sharp increase in negative emotion. However, only pathological worriers (vs. controls) view worry as a positive coping strategy to avoid a negative emotional contrast (NEC). We examined if rumination, which is another type of repetitive negative thought, would function similarly. Individuals with self-reported symptoms of pure generalized anxiety disorder (GAD; n =90), pure depression (MDD; n =85), and non-anxious/non-depressed controls (HC; n =93) were randomly assigned to conditions where they were asked to worry, ruminate, or relax. Emotional and physiological changes were measured during worry and subsequent exposure to fearful and sad videos. We also assessed participant group differences in preference for worry or rumination as a strategy to cope with negative affect during the negative emotional video exposures. Consistent with CAM, regardless of the group, both worry and rumination enabled avoidance of NEC. Whereas worry led to greater avoidance of a fear contrast, rumination led to greater avoidance of a sadness contrast. On the other hand, relaxation enhanced NEC. Skin conductance also indicated patterns in line with CAM. In the subjectively perceived preference, the GAD group reported a greater preference for worry in coping with a fear contrast than HC. However, such a salient pattern was not found for the MDD group. Treatment implications of these findings are discussed. Note de contenu : Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502962
Titre : Changes in affect, physical activity, physical health, and sleep in cognitive behavioral therapy for anxiety : A pilot study (2022) Auteurs : Lily A. Brown ; Kevin Narine ; Anu Asnaani ; Keith Bredemeier ; Wenting Mu Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 45-56 Note générale : 10.1016/j.jbct.2021.12.006 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Dispositifs électroniques portables ; Évaluation écologique instantanée (EMA) ; Thérapie cognitivo-comportementale (TCC)Résumé : Anxiety disorders are associated with poorer physical activity and sleep. While associated with significant reductions in anxiety, it is not clear whether CBT for anxiety also improves physical health, sleep and physical activity. We evaluated changes in psychological and physical health outcomes using technology-based assessments in a naturalistic sample of adult patients receiving CBT for anxiety disorders (N= 40). Participants were provided with a wearable device (Fitbit) and ecological momentary assessments (EMA) throughout the duration of their CBT, or up to 20 weeks. We observed significant improvements in anxiety, depression, social isolation, and self-efficacy in emotion management. Self-reported sleep disorder symptoms, global physical health, or physical functioning and objectively measured sleep efficiency or physical activity (steps) did not significantly change. Steeper reductions in EMA-assessed anxiety were associated with steeper improvements in depression, social isolation, self-efficacy in emotion management, and physical function. These findings highlight the utility of EMA assessments during CBT in a naturalistic clinic. Whereas CBT for anxiety-related disorders is associated with significant improvements in affect, it may not be associated with improvements in sleep or physical activity. CBT for anxiety may require augmentation for patients who have goals of improving sleep, physical health, or physical activity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502963
Titre : Concurrent and prospective links between sleep disturbance and repetitive negative thinking: Specificity and effects of cognitive behavior therapy for insomnia (2022) Auteurs : Rebecca C. Cox ; O. Olatunji Bunmi Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 57-66 Note générale : 10.1016/j.jbct.2021.12.003 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Négativisme ; Thérapie cognitivo-comportementale (TCC) ; Troubles de l'endormissement et du maintien du sommeilMots-clés: Chronotype Résumé : Sleep and circadian rhythm disturbance are increasingly recognized in anxiety-related disorders; however, the links between sleep and circadian rhythms and specific transdiagnostic processes evident in these disorders and their treatment have not been delineated. The present study examined the associations between chronotype, insomnia symptoms, and repetitive negative thinking (RNT) using a two-study approach. Study 1 examined concurrent and prospective associations between chronotype, insomnia symptoms, and RNT in a community sample. Study 2 then examined change in RNT following cognitive behavior therapy for insomnia (CBTI). The findings of Study 1 showed that evening chronotype and higher insomnia symptoms were concurrently associated with higher RNT in the community sample; however, only eveningness prospectively predicted increased RNT over 5 months, controlling for depression symptoms. Study 2 found that RNT decreased following CBTI, and decreased eveningness and insomnia symptoms were associated with decreased RNT, controlling for change in depression symptoms. Together these findings highlight the role of sleep and circadian rhythms in RNT. The implications for conceptualizing the etiology and treatment of anxiety-related disorders characterized by RNT are discussed. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502964
Titre : Acceptability of telehealth CBT during the time of COVID-19: Evidence from patient treatment initiation and attendance records (2022) Auteurs : Kristy Cuthbert ; E. Marie Parsons ; Lisa Smith ; Michael W. Otto Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 67-72 Note générale : 10.1016/j.jbct.2022.01.001 Langues: Anglais Descripteurs : HE Vinci
Acceptation des soins par les patients ; Participation des patients ; Télémédecine ; Thérapie cognitivo-comportementale (TCC)Résumé : The COVID-19 pandemic provided unique conditions for examining outpatient psychotherapy clinics rapid transition to telehealth. The current study utilized data from a large, specialty CBT clinic to investigate attendance and treatment engagement changes when services were provided via telehealth versus in-person. Results indicate that, following a complete transition to telehealth services, clinic referrals were maintained. Further, telehealth treatment appeared to be entirely acceptable as assessed by a decreased missed visit rate of telehealth appointments compared to in-person appointments. Given the elimination of commuting times, telehealth has the potential to address disparities in care linked to physical distance from the clinic and/or differential ability to take time off work for appointments. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502965
Titre : Internet delivered guided cognitive behavioral self-help for panic disorder : An open trial and benchmarking study (2022) Auteurs : Asher Y. Strauss ; Asala Halaj ; Dina Zalaznik ; Isaac Fradkin ; Benjamin A. Katz ; Elad Zlotnick ; Snir Barzilay ; Gerhard Andersson ; David Daniel Ebert ; Jonathan D. Huppert Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol. 32 n°1, Mars 2022) Article en page(s) : p. 73-83 Note générale : DOI 10.1016/j.jbct.2021.12.005 Langues: Anglais Descripteurs : HE Vinci
Auto-examen ; Etude comparative ; Thérapie assistée par ordinateur ; Thérapie cognitivo-comportementale (TCC) ; Trouble paniqueRésumé : An open trial of a therapist-guided internet cognitive-behavioral therapy (ICBT) for panic disorder with and without agoraphobia (PD/A) was conducted. Ninety adults diagnosed with PD/A were treated using ICBT adapted from a face to face (FTF) protocol. Results were benchmarked against two FTF samples, one at the same research site using the same protocol and another from a large cognitive-behavioral therapy (CBT) study. In addition, effects were compared to mean aggregated estimates from four meta-analyses. Attrition rates and therapist time were also examined to facilitate cost-effectiveness analyses and inform policy makers. Both full intent-to-treat and completer samples were used when analyzing data. Overall, results suggest that within-group effects for ICBT (0.88 to 1.7) are similar to the effects found in the benchmarking samples and to effects across meta-analytic studies. Effects were larger for symptoms assessed by an independent evaluator compared to self-report measures. Treatment gains continued to increase 3 months after post treatment and were maintained at 6 month and 1 year follow-up. However, attrition rates in ICBT were twice as large (46%) compared to the FTF sample, possibly due to a more conservative definition of attrition used here compared to previous reports. Therapist time in ICBT was reduced by a factor of three (14min/week) compared to FTF, suggesting that treatment effects can be maintained even when reducing therapist time. Taken together, these findings suggest good short and long-term efficacy and time efficiency along with greater attrition for ICBT, allowing for dissemination and enhancing accessibility to quality, evidence-based treatment in the community. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1502966
Journal of Behavioral and Cognitive Therapy . Vol 31 n°4Paru le : 01/12/2021 |
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Titre : Dissociating compulsive washing and hoarding tendencies through differences in comorbidities and the content of concerns (2021) Auteurs : Tingting Liu ; Joshua M. Ackerman ; Stephanie D. Preston Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol 31 n°4, Décembre 2021) Article en page(s) : p. 291-308 Note générale : DOI : 10.1016/j.jbct.2021.05.003 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; COVID-19 ; Peur pathologique ; Trouble de la personnalité de type compulsifAutres descripteurs
CompulsionRésumé : Clinical compulsive washing and hoarding are intercorrelated and share comorbidities even though they are distinct and appear to manifest through opposing extremes of cleanliness and disorder (respectively). We attempted to resolve this paradox by testing five hypotheses in online, non-clinical samples (N study 1 =123, N study 2 =177, N study 3 =217). We replicated the intercorrelation of washing and hoarding tendencies in all studies, despite observing non-clinical individual differences. Both washing and hoarding were associated with anxiety, depression, and fears of social rejection and failure, but they were also distinguishable. Compulsive washing was associated with greater anxiety, disgust, perceptions of infection vulnerability, and the desire to organize a cluttered space, whereas hoarding was associated with reduced concerns about germs and full or cluttered spaces and higher concerns about assault, threats to safety, and insects. A third study tested and confirmed the hypothesis that washing and hoarding may be related because they are adaptive in combination during stressful conditions, like a global pandemic. During COVID-19, washing and hoarding tendencies were even more strongly interrelated, and disease-avoidant behaviors like wearing a mask and avoiding people increased with washing tendencies but decreased with hoarding tendencies. Overlapping psychopathological states can be distinguished even in non-clinical samples through psychopathological profiles and the content of concernsthat shift with one's context. Treatment may benefit from not only working to cease undesirable behaviors but also from ameliorating root fears and anxieties that are dissociable by condition and individual but not always linked to the behavioral expression. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1488895
Titre : Comorbid depression and substance use prospectively predict eating disorder persistence among women with anorexia nervosa and bulimia nervosa (2021) Auteurs : Ani C. Keshishian ; Nassim Tabri ; Kendra R. Becker ; Debra L. Franco ; David B. Herzog ; Jennifer Thomas ; Kamryn T. Eddy Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol 31 n°4, Décembre 2021) Article en page(s) : p. 309-315 Note générale : Doi : 10.1016/j.jbct.2021.09.003 Langues: Anglais Descripteurs : HE Vinci
Anorexie ; Comorbidité ; Trouble dépressif majeur ; Troubles liés à une substanceRésumé : Longitudinal associations between eating disorders (EDs) and comorbid psychiatric disorders are poorly understood but important to examine as comorbidities are common and can impede ED recovery. We examined two common comorbidities, major depressive disorder (MDD) and substance use disorder (SUD), in adult women with intake diagnoses of anorexia nervosa (AN) and bulimia nervosa (BN) who participated in a longitudinal study. To test the longitudinal reciprocal relations among ED, MDD, and SUD, we conducted a multi-group autoregressive cross-lagged path analysis. We tested whether ED, MDD, and SUD in a given three-month period (t 1) each predicted ED, MDD, and SUD during the subsequent three-month period (t ) over 5years. We examined the moderating effect of intake diagnosis (AN vs. BN). Among AN (but not BN) participants, having MDD at t 1 predicted having an ED at time t , OR=1.98, B =.68, z =2.49, p =.01. Among BN (but not AN) participants, having a SUD at t 1 predicted having an ED at time t , OR=5.16, B =1.64, z =2.34, p =.01. In contrast, having an ED at t 1 did not predict MDD or SUD at time t for AN or BN participants. These results suggest for individuals with AN and MDD, treating MDD may facilitate ED recovery. For individuals with BN and SUD, treating SUD may facilitate ED recovery. These identified temporal associations between ED and comorbid disorders may guide cognitive behavioral researchers and therapists in prioritizing treatment targets given the high rate of comorbidity in EDs. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1488899
Titre : Susceptibility to eating disorders is associated with cognitive inflexibility in female university students (2021) Auteurs : Corrado Caudek ; Claudio Sica ; Silvia Cerea ; Ilaria Colpizzi ; Debora Stendardi Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol 31 n°4, Décembre 2021) Article en page(s) : p. 317-328 Note générale : DOI 10.1016/j.jbct.2021.05.002 Langues: Anglais Descripteurs : HE Vinci
Apprentissage inversé ; Différences individuelles ; Fille ; Flexibilité cognitive ; Troubles des conduites alimentairesAutres descripteurs
Modele computationnelRésumé : The inability to learn from and adapt to changing feedback in our environment may be etiologically linked to eating disorders (EDs). However, previous investigations on this issue have shown conflicting results. In the current study with a non-clinical sample of female students, we investigated the relation between cognitive inflexibility (CI) and vulnerability to EDs by using a modified version of the probabilistic reversal learning (PRL) task, which requires participants to adapt their response strategy according to changes in stimulus-reward contingencies. We found that females vulnerable to EDs in the general population showed an impaired PRL performance, also after controlling for comorbidity. However, our results also show that the ED construct comprises separate dimensions, which affect contingency learning in opposite manners: some individuals vulnerable to EDs showed impaired contingency learning; others used unimpaired contingency learning skills to pursue self-harming goals. Such results point to the necessity of an appropriate assessment of CI in order to better apply individualized treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1488900
Titre : Learning to be emotionally competent: Preliminary results of a pilot intervention program focusing on affect processing and emotion regulation (2021) Auteurs : Stéphanie Haymoz ; Michaël Reicherts ; Chantal Martin-Soelch Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol 31 n°4, Décembre 2021) Article en page(s) : p. 329-335 Note générale : DOI 10.1016/j.jbct.2021.09.001 Langues: Anglais Descripteurs : HE Vinci
Medecine manuelle ; Régulation émotionnelleAutres descripteurs
Intervention medico-psychologiqueRésumé : Emotional experience and emotion regulation (ER) are associated with mental and physical health. Although different psychological interventions focusing directly or indirectly on ER have been developed in this domain, a manual-based intervention relying on an empirical emotional processing (EP) model that refers to an integration of cognitive, behavioral, and experiential approaches and techniques is still needed. This study aims to investigate the effects of an intervention working on several dimensions of EP based on the Openness to Emotions (OE) model, examined with 102 healthy participants assigned to treatment or control conditions. The participants in the treatment condition, compared with those in the control group (CG), significantly increased their abilities to cognitively represent and regulate their affective states and achieved greater functional equilibrium of the EP components. Furthermore, in a subgroup of 35 participants, those in the treatment condition learned to use the strategies acceptation of the situation and mental relaxation to regulate negative affect more frequently. They also perceived mental relaxation to be more effective compared to the waiting list participants. They also reported significantly less difficulty in controlling their impulses and accessing strategies to regulate emotional states. Further research is necessary to evaluate the efficacy of this intervention program in larger samples with diverse mental and physical health characteristics. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1488902
Titre : A possible shared dysregulation of sleep and eating in bipolar disorders? (2021) Auteurs : Elaine Tian ; Clément Bourguignon ; Serge Beaulieu ; Kai-Florian Storch ; Outi Linnaranta Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol 31 n°4, Décembre 2021) Article en page(s) : p. 337-347 Note générale : Doi : 10.1016/j.jbct.2021.08.001 Langues: Anglais Descripteurs : HE Vinci
Actigraphie ; Régime alimentaire ; Repos ; Rythme circadien ; Sommeil ; Trouble bipolaireRésumé : Problems with sleep and eating are common among patients with a bipolar disorder (BD). While learning to control rhythms is a common and evidence based aim of psychotherapy, no naturalistic study has explored correlations between sleep and eating rhythms. Consenting BD patients (n =75) completed hourly charts of mood and eating occasions for two weeks. Sleep was calculated based on periods of inactivity derived from actigraphy recordings (≥10 days). In addition to conventional sleep onset/offset, we calculated center of daily inactivity [CenDI] as a measure of sleep phasing, and consolidation of inactivity [ConDI] as a measure of sleep fragmentation. The regularity of eating patterns was assessed by quantifying the stability of eating events with regard to timing [ITIM] and intervals [IINT]. Sleep timing variability and fragmentation was robustly associated with eating irregularity, despite several other factors thought to mask this chronobiological association in humans with a psychiatric illness. Future work should confirm whether this relationship is causal, bidirectional and/or consequence of a shared dysregulation. The finding provides a theoretical framework for therapeutic interventions in improving outcome in BD. Our novel dimensional measures for sleep and eating patterns could serve as helpful tools for biofeedback and diagnostic and intervention assessment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1488903
Titre : Non-pharmacological interventions for depression among survivors of adverse childhood experiences: A meta-analysis (2021) Auteurs : Shaimaa Mosad Elrefaay ; Susan Wang ; Mijung Park Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol 31 n°4, Décembre 2021) Article en page(s) : p. 349-362 Note générale : DOI 10.1016/j.jbct.2021.05.001 Langues: Anglais Descripteurs : HE Vinci
Adultes victimes d'événements traumatiques dans l'enfance ; Dépression ; Psychothérapie ; Traitement médicamenteuxRésumé : Adverse childhood experiences (ACEs) are associated with various mental health problems such as depression, anxiety, drug abuse, and suicide-related behaviors. Yet, it is largely unknown if non-pharmacological interventions are beneficial in improving mental health among ACEs survivors. The purposes of the current meta-analysis were to: (1) evaluate the efficacy of non-pharmacological interventions in reducing depressive symptom severity among those exposed to ACEs, and, (2) estimate the pooled effect size of these interventions. We searched PubMed, CINAHL, and PsycINFO for randomized controlled trials of psychological interventions for depression among ACEs survivors. Two reviewers independently extracted article data and evaluated the quality of studies using the Cochrane risk-of-bias criteria. We estimated the pooled effect sizes using a random-effects model. We also performed sensitivity tests using a meta-regression and sub-group analyses. Using the pooled data of 1624 individuals from 20 unique RCTs, we found that non-pharmacological intervention had a medium to large effect size in reducing depressive symptom severity compared to control conditions (Hedges g=0.714, 95% CI [0.46, 0.97]). Such efficacy was sustained over the shorter-term follow-up (0 to 6 months; Hedges g=0.23, 95% CI [0.04, 0.49]). Although there was an indication that the efficacy may be sustained in the longer term (12 months or more; Hedges g=0.53, 95% CI: [−0.17, 1.22]), this finding was not statistically significant. Cognitive approaches had a larger effect size than noncognitive interventions. In conclusion, non-pharmacological interventions are efficacious options for treating depression among individuals with a history of adverse childhood experiences. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1488905
Titre : Lost in translation? Cultural adaptation of treatment content for Japanese internet-based cognitive therapy for social anxiety disorder (2021) Auteurs : Naoki Yoshinaga ; Graham R. Thew ; Osamu Kobori ; Yuta Hayashi Type de document : Article Dans : Journal of Behavioral and Cognitive Therapy (Vol 31 n°4, Décembre 2021) Article en page(s) : p. 363-368 Note générale : DOI 10.1016/j.jbct.2021.05.004 Langues: Anglais Descripteurs : HE Vinci
Adaptation sociale ; Approche transculturelle ; Internet ; Phobie sociale ; Thérapie cognitivo-comportementale (TCC)Résumé : Studies that look to disseminate psychological therapies in different countries often discuss whether and how much cultural adaptation may be required. However, most do not provide sufficient descriptions of how language translation and cultural adaptations were performed, and rarely give examples of specific changes. This makes it hard to understand how much the adapted treatment differs from the original, causing difficulty when comparing studies. This study aimed to describe the translation and cultural adaptation process used to generate a Japanese version of a UK-developed online psychological therapy for social anxiety. It aimed to evaluate the translated and adapted content with a case series of Japanese patients. Following translation and back-translation, incorporating cultural adaptations where appropriate, the new Japanese content was reviewed and a list of adaptations collated and categorised. The Japanese treatment material was then evaluated using a guided self-study approach with six Japanese patients with social anxiety. Four categories of adaptation were identified: Linguistics and Metaphors, Social Systems, Social Behaviours, and Familiarity. Assigning instances of adaptation into these categories showed good interrater reliability (0.78). The Japanese materials showed excellent treatment efficacy (pre-post Hedges g=2.31). Patient feedback highlighted areas of strength, and further suggestions to improve suitability for Japanese settings. The clinical outcomes observed suggest that the translation and adaptation procedures were effective. Ways of further improving the adaptation based on patient feedback were identified. It is hoped that the translation procedure and adaptation categories described in this study may help other clinicians/researchers working to disseminate both online or in-person psychological therapies cross-culturally. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1488909