826 results match your criteria Behavior Therapy[Journal]


A Direct Observational Measure of Family Functioning for a Low-Resource Setting: Adaptation and Feasibility in a Kenyan Sample.

Behav Ther 2019 03 20;50(2):459-473. Epub 2018 Aug 20.

Duke University; Duke Global Health Institute.

Family interactions are recognized as highly influential for youth development of psychopathology. Key challenges for assessing family functioning include cross-cultural variability in functioning and self-report measurement challenges. Observational measures-adapted to cultural context-provide an approach to addressing challenges. Read More

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http://dx.doi.org/10.1016/j.beth.2018.08.004DOI Listing

Dissemination and Implementation of Cognitive Behavioral Therapy for Depression in the Kaiser Permanente Health Care System: Evaluation of Initial Training and Clinical Outcomes.

Behav Ther 2019 03 16;50(2):446-458. Epub 2018 Aug 16.

Kaiser Permanente Care Management Institute.

Notwithstanding its empirical status and strong recommendation in clinical practice guidelines, cognitive behavioral therapy (CBT) continues to be delivered infrequently and with low fidelity on the clinical front lines. Recently, organized efforts and policies within the public sector to disseminate and implement CBT and other evidence-based psychotherapies have yielded encouraging results and provided optimism for bridging the research-to-practice-gap. Following from these efforts, the current article examines the initial impact and experience of the implementation of an individualized approach to CBT training and treatment within the Kaiser Permanente health care system. Read More

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http://dx.doi.org/10.1016/j.beth.2018.08.002DOI Listing
March 2019
1 Read

An Internet-Based Compassion-Focused Intervention for Increased Self-Criticism: A Randomized Controlled Trial.

Behav Ther 2019 03 17;50(2):430-445. Epub 2018 Aug 17.

University of Bern.

Increased levels of self-criticism and a lack of self-compassion have been associated with the development and maintenance of a range of psychological disorders. In the current study, we tested the efficacy of an online version of a compassion-focused intervention, mindfulness-based compassionate living (MBCL), with guidance on request. A total of 122 self-referred participants with increased levels of self-criticism were randomly assigned to care as usual (CAU) or the intervention group (CAU + online intervention). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183010
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http://dx.doi.org/10.1016/j.beth.2018.08.003DOI Listing
March 2019
6 Reads

Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia.

Behav Ther 2019 03 27;50(2):395-409. Epub 2018 Jul 27.

Duke University School of Medicine; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center; Durham Veterans Affairs Health Care System.

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Read More

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http://dx.doi.org/10.1016/j.beth.2018.07.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400295PMC
March 2019
2 Reads

Different Disgust Domains Specifically Relate to Mental and Contact Contamination Fear in Obsessive-Compulsive Disorder: Evidence From a Path Analytic Model in an Italian Clinical Sample.

Behav Ther 2019 03 29;50(2):380-394. Epub 2018 Jul 29.

Concordia University.

Both contact contamination (CC) and mental contamination (MC) fears-which combined represent the most common manifestation of obsessive-compulsive disorder (OCD)-have been widely associated with disgust propensity. However, extant research explored this relationship using measures assessing only pathogen-related disgust, not taking into account the potential role played by sexual and moral disgust, despite literature about MC suggesting that this might be particularly relevant. In Study 1, the psychometric properties of the Italian version of the Three Domains of Disgust Scale (TDDS) were assessed in a large Italian community sample. Read More

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http://dx.doi.org/10.1016/j.beth.2018.07.006DOI Listing
March 2019
1 Read

Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment.

Behav Ther 2019 03 27;50(2):367-379. Epub 2018 Jul 27.

Medical University of South Carolina.

Mental health systems need scalable solutions that can reduce the efficacy-effectiveness gap and improve mental health outcomes in community mental health service settings. Two major challenges to delivery of high-quality care are providers' fidelity to evidence-based treatment models and children's and caregivers' engagement in the treatment process. We developed a novel, tablet-based application designed to enhance via technology the quality of delivery of trauma-focused cognitive-behavioral therapy (TF-CBT). Read More

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http://dx.doi.org/10.1016/j.beth.2018.07.005DOI Listing

The Struggle of Behavioral Therapists With Exposure: Self-Reported Practicability, Negative Beliefs, and Therapist Distress About Exposure-Based Interventions.

Behav Ther 2019 03 3;50(2):353-366. Epub 2018 Aug 3.

Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany.

Exposure-based interventions are a core ingredient of evidence-based cognitive-behavioral treatment (CBT) for anxiety disorders, posttraumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD). However, previous research has documented that exposure is rarely utilized in routine care, highlighting an ongoing lack of dissemination. The present study examined barriers for the dissemination of exposure from the perspective of behavioral psychotherapists working in outpatient routine care (N = 684). Read More

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http://dx.doi.org/10.1016/j.beth.2018.07.003DOI Listing
March 2019
1 Read

Improved Perceptions of Emotion Regulation and Reflective Functioning in Parents: Two Additional Positive Outcomes of Parent-Child Interaction Therapy.

Behav Ther 2019 03 12;50(2):340-352. Epub 2018 Jul 12.

CAARE Diagnostic and Treatment Center; University of California-Davis Children's Hospital.

The purpose of this study was to test whether Parent-Child Interaction Therapy (PCIT), a widely used effective therapy for children's externalizing behaviors and parenting problems, was associated with improvements in parents' emotion regulation and reflective functioning. We also investigated whether these improvements had unique associations with children's improvements in externalizing and internalizing symptoms. Participants were 139 Australian children aged 29 to 83 months and their caregivers; all were referred for child externalizing behavior problems coupled with parenting skill deficits or high parent stress. Read More

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http://dx.doi.org/10.1016/j.beth.2018.07.002DOI Listing

The Relative Effects of Abstract Versus Concrete Processing on Proactivity in Depression.

Behav Ther 2019 03 11;50(2):325-339. Epub 2018 Jul 11.

The University of New South Wales. Electronic address:

Low levels of proactivity are characteristic of individuals with depression. Two studies were conducted to compare the relative effects of abstract versus concrete processing on proactivity in high dysphoric individuals. In Study 1, participants read information about an upcoming research study and were then randomly allocated to a writing task that induced them to think about participating in that study in either an abstract (e. Read More

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http://dx.doi.org/10.1016/j.beth.2018.07.001DOI Listing

Defining Treatment Outcomes in Pediatric Obsessive-Compulsive Disorder Using a Self-Report Scale.

Behav Ther 2019 03 22;50(2):314-324. Epub 2018 Jun 22.

Baylor College of Medicine.

This study examined benchmarks of treatment response and clinical remission on the Obsessive Compulsive Inventory-Child Version (OCI-CV) for youth with obsessive-compulsive disorder (OCD). Participants were 91 youth who enrolled in a randomized controlled trial that examined the benefit of augmenting cognitive behavior therapy (CBT) with either d-cycloserine or placebo. Youth completed the OCI-CV at baseline, Week 4 (prior to initiating exposure therapy), and posttreatment. Read More

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http://dx.doi.org/10.1016/j.beth.2018.06.003DOI Listing
March 2019
5 Reads

Does Motivation Impact OCD Symptom Severity? An Exploration of Longitudinal Effects.

Behav Ther 2019 03 19;50(2):300-313. Epub 2018 Jun 19.

McLean Hospital/Harvard Medical School.

Understanding the role of patient motivation in OCD treatment is of clinical importance given the requisite autonomous role of patients in Exposure and Response Prevention. The present study investigated state- and trait-like relations between three variables: two previously established motivational constructs, readiness to change (RTC) and committed action (CA), derived from the University of Rhode Island Change Assessment, and OCD symptom severity as measured by the self-report Yale-Brown Obsessive Compulsive Scale (Y-BOCS-SR). Utilizing a random-intercept cross-lagged panel model (RI-CLPM) design, we assessed autoregressive, within-time correlations, and cross-lagged effects of RTC, CA, and Y-BOCS-SR scores at admission, month 1 of treatment, and discharge from an intensive/residential treatment program for OCD. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183008
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http://dx.doi.org/10.1016/j.beth.2018.06.001DOI Listing
March 2019
10 Reads

A Propensity Score Analysis of Homework Adherence-Outcome Relations in Cognitive Behavioral Therapy for Depression.

Behav Ther 2019 03 5;50(2):285-299. Epub 2018 Jun 5.

University of Pittsburgh.

Little is known about whether or not a consistently high level of homework adherence over the course of therapy benefits patients. This question was examined in two samples of patients who were receiving individual Cognitive Behavioral Therapy (CBT) for depression (Ns = 128 [Sequenced Treatment Alternatives to Relieve Depression: STAR-D] and 183 [Continuation Phase Cognitive Therapy Relapse Prevention: C-CT-RP]). Logistic and linear regression and propensity score models were used to identify whether or not clinician assessments of homework adherence differentiated symptom reduction and remission, as assessed by the Hamilton Depression Rating Scale-17 (HDRS-17), the Quick Inventory of Depressive Symptomatology-Self-Reported Scale (QIDS-SR), and the QIDS-Clinician Scale (QIDS-C). Read More

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http://dx.doi.org/10.1016/j.beth.2018.05.010DOI Listing

The "Brightening" Effect: Reactions to Positive Events in the Daily Lives of Individuals With Major Depressive Disorder and Generalized Anxiety Disorder.

Behav Ther 2019 03 5;50(2):270-284. Epub 2018 Jun 5.

University of Bordeaux; La Sorbonne.

Depressed individuals are less reactive than healthy individuals to positive stimuli in the laboratory, but accumulating evidence suggests that they are more emotionally reactive to positive events in their daily lives. The present study probed the boundaries of this curious "mood brightening" effect and investigated its specificity to major depressive disorder (MDD) vis-à-vis generalized anxiety disorder (GAD), its closest boundary condition. We used ecological momentary assessment to measure reactions to positive events over one week in individuals with MDD (n = 38), GAD (n = 36), comorbid MDD-GAD (n = 38), and no psychopathology (n = 33). Read More

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http://dx.doi.org/10.1016/j.beth.2018.05.008DOI Listing
March 2019
1 Read

Recent Developments in the Treatment of Depression.

Behav Ther 2019 03 17;50(2):257-269. Epub 2019 Jan 17.

McMaster University.

The cognitive and behavioral interventions can be as efficacious as antidepressant medications and more enduring, but some patients will be more likely to respond to one than the other. Recent work has focused on developing sophisticated selection algorithms using machine-learning approaches that answer the question, "What works best for whom?" Moreover, the vast majority of people suffering from depression reside in low- and middle-income countries where access to either psychotherapy or medications is virtually nonexistent. Great strides have been made in training nonspecialist providers (known as task sharing) to overcome this gap. Read More

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http://dx.doi.org/10.1016/j.beth.2019.01.002DOI Listing

What Drives OCD Symptom Change During CBT Treatment? Temporal Relationships Among Obsessions and Compulsions.

Behav Ther 2019 01 6;50(1):87-100. Epub 2018 Apr 6.

Frederick W. Thompson Anxiety Disorders Centre, Sunnybrook Health Sciences Centre, Toronto; University of Toronto.

Cognitive behavior therapy (CBT) is an effective treatment for obsessive-compulsive disorder (OCD). However, less is known about how obsessions and compulsions change during treatment, either in tandem, sequentially, or independently. The current study used latent difference score analysis to show path-analytic dynamic modeling of OCD symptom change during CBT. Read More

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http://dx.doi.org/10.1016/j.beth.2018.03.012DOI Listing
January 2019
10 Reads

Maintenance of Gains in Relationship and Individual Functioning Following the Online OurRelationship Program.

Behav Ther 2019 01 28;50(1):73-86. Epub 2018 Mar 28.

University of California, Los Angeles.

In the United States, more than 40% of marriages end in divorce and more than one third of intact marriages are distressed. Unfortunately, only a minority of couples seek couple therapy to improve their relationships. Online interventions, with their increased reach and reduced costs, offer the potential to improve relationships nationwide. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183005
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http://dx.doi.org/10.1016/j.beth.2018.03.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347396PMC
January 2019
10 Reads

The Links Between Social Anxiety Disorder, Insomnia Symptoms, and Alcohol Use Disorders: Findings From a Large Sample of Adolescents in the United States.

Behav Ther 2019 01 26;50(1):50-59. Epub 2018 Mar 26.

University of North Texas.

Social anxiety disorder (SAD) is associated with increased risk of developing an alcohol use disorder (AUD). Most of the current literature has focused on the role of acute stress responding in this relation; however, both SAD and AUDs also are linked to insomnia symptoms (i.e. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183005
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http://dx.doi.org/10.1016/j.beth.2018.03.010DOI Listing
January 2019
11 Reads

Using a Learning Collaborative Model to Disseminate Cognitive Processing Therapy to Community-Based Agencies.

Behav Ther 2019 01 20;50(1):36-49. Epub 2018 Mar 20.

Duke University Medical Center.

Although effective treatments for posttraumatic stress disorder exist, their use in community settings is disappointingly low. Training alone does not necessarily lead to adoption. To address this problem, we trained community clinicians in cognitive processing therapy, an evidence-based treatment for posttraumatic stress disorder, using a Learning Collaborative, an intensive training methodology focused on both clinical training and developing sustainability. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183004
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http://dx.doi.org/10.1016/j.beth.2018.03.007DOI Listing
January 2019
9 Reads

Alcohol-Induced Amnesia and Personalized Drinking Feedback: Blackouts Predict Intervention Response.

Behav Ther 2019 01 21;50(1):25-35. Epub 2018 Mar 21.

Oklahoma State University.

Alcohol-induced amnesia ("blackout") is a reliable predictor of alcohol-related harm. Given its association with other negative consequences, experience of alcohol-induced amnesia may serve as a teachable moment, after which individuals are more likely to respond to intervention. To test this hypothesis, alcohol-induced amnesia was evaluated as a moderator of brief intervention effect on (a) alcohol-related consequences and (b) the proposed intervention mediators, protective behavioral strategies and peak blood alcohol concentration (BAC). Read More

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http://dx.doi.org/10.1016/j.beth.2018.03.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347408PMC
January 2019
1 Read

Social Anxiety Disorder and Perceived Criticism in Intimate Relationships: Comparisons With Normal and Clinical Control Groups.

Behav Ther 2019 01 1;50(1):241-253. Epub 2018 Jun 1.

University of Pennsylvania.

Individuals with social anxiety disorder (SAD) have difficulties in their romantic relationships, including decreased satisfaction and intimacy, but the reasons for these difficulties are poorly understood. Because fear of negative evaluation is a cardinal feature of SAD, perceived criticism from a romantic partner may play a central role in socially anxious individuals' relationships. In the present study, we compared levels of perceived, expressed, and observed criticism and reactions to criticism among individuals with SAD and their partners (n = 21), individuals with other anxiety disorders and their partners (n = 35), and couples free of psychopathology (n = 30). Read More

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http://dx.doi.org/10.1016/j.beth.2018.05.005DOI Listing
January 2019
2 Reads

Durability of Cognitive Behavioral Therapy Effects for Youth and Adolescents With Anxiety, Depression, or Traumatic Stress:A Meta-Analysis on Long-Term Follow-Ups.

Behav Ther 2019 01 1;50(1):225-240. Epub 2018 Jun 1.

University of California, Los Angeles.

Cognitive behavioral therapies (CBT) for youth with anxiety, traumatic stress, and depression have demonstrated strong effects in individual studies and meta-analyses. Relatively more attention has been given to posttreatment effects, though, and assessment of follow-up effects has been limited at the meta-analytic level. The current meta-analysis aimed to (a) examine the effects of youth CBT at posttreatment, 1-month, 3-month, 6-month, 1-year, and long-term (2+ years) follow-up as well as (b) identify research-related variables (e. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183006
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http://dx.doi.org/10.1016/j.beth.2018.05.006DOI Listing
January 2019
4 Reads

Does Exposure and Response Prevention Behaviorally Activate Patients With Obsessive-Compulsive Disorder? A Preliminary Test.

Behav Ther 2019 01 1;50(1):214-224. Epub 2018 Jun 1.

Rogers Memorial Hospital.

Exposure and response prevention (ERP) and behavioral activation (BA) are effective treatments for obsessive-compulsive disorder (OCD) and depression, respectively. Patients with OCD often exhibit depression; furthermore, ERP for OCD is associated with reduced depressive symptoms. To our knowledge, no study has examined whether ERP itself functions to behaviorally activate patients with concurrent OCD and depressive symptoms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183006
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http://dx.doi.org/10.1016/j.beth.2018.05.007DOI Listing
January 2019
15 Reads

Long-Term Outcome of a Cluster-Randomized Universal Prevention Trial Targeting Anxiety and Depression in School Children.

Behav Ther 2019 01 19;50(1):200-213. Epub 2018 May 19.

Karolinska Institutet.

The present study concerns a 3-year follow-up of a universal prevention trial targeting anxiety and depressive symptoms in school children. In addition to evaluating the long-term effect of the prevention program, we also examined attrition and its effect on the outcome. High rates of attrition have commonly been observed in studies in the field. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183006
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http://dx.doi.org/10.1016/j.beth.2018.05.003DOI Listing
January 2019
6 Reads

The Relationship Between Dropout and Outcome in Naturalistic Cognitive Behavior Therapy.

Behav Ther 2019 01 20;50(1):189-199. Epub 2018 May 20.

Oakland Cognitive Behavior Therapy Center.

Dropout from psychotherapy is frequent and limits the benefits patients can receive from treatment. The study of factors associated with dropout has the potential to yield strategies to reduce it. This study analyzed data from a large sample of adults (N = 1,092) receiving naturalistic cognitive behavioral therapy (CBT) to test the hypotheses that dropouts, as compared to completers, had (1) higher symptom severity at treatment termination, (2) a slower rate of symptom change during treatment, and (3) a higher odds that the therapist rated treatment as ending for reasons related to poor outcome. Read More

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http://dx.doi.org/10.1016/j.beth.2018.05.004DOI Listing
January 2019
1 Read

Internet-Delivered Exposure-Based Cognitive-Behavioral Therapy for Adolescents With Functional Abdominal Pain or Functional Dyspepsia: A Feasibility Study.

Behav Ther 2019 01 19;50(1):177-188. Epub 2018 May 19.

Karolinska Institutet.

Functional abdominal pain (FAP) and functional dyspepsia (FD) are common in adolescents and associated with low quality of life. Exposure-based cognitive-behavioral therapy (CBT) is efficient for adult and adolescent irritable bowel syndrome (IBS), but has never been evaluated for adolescent FAP/FD. The aim of this study was to evaluate the feasibility and potential efficacy of a novel disorder-specific Internet-delivered CBT (Internet-CBT) for adolescents with FAP or FD, using an uncontrolled open pilot including 31 adolescents. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183006
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http://dx.doi.org/10.1016/j.beth.2018.05.002DOI Listing
January 2019
9 Reads

Predictors and Moderators of Cognitive and Behavioral Therapy Outcomes for OCD: A Patient-Level Mega-Analysis of Eight Sites.

Behav Ther 2019 01 18;50(1):165-176. Epub 2018 Apr 18.

Massachusetts General Hospital and Harvard University Medical School.

Cognitive (CT) and behavioral treatments (BT) for OCD are efficacious separately and in combination. Tailoring treatment to patient-level predictors and moderators of outcome has the potential to improve outcomes. The present study combined data from eight treatment clinics to examine the benefits of BT (n = 125), CT (n = 108), and CBT (n = 126), and study predictors across all treatments and moderators of outcome by treatment type. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183005
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http://dx.doi.org/10.1016/j.beth.2018.04.004DOI Listing
January 2019
6 Reads

Using Explicit Case Formulation to Improve Cognitive Processing Therapy for PTSD.

Behav Ther 2019 01 18;50(1):155-164. Epub 2018 Apr 18.

Flinders University.

We investigated the utility of explicit case formulation (CF) within Cognitive Processing Therapy (CPT) for individuals with posttraumatic stress disorder (PTSD). An uncontrolled pre-posttreatment design was used. Participants attended 12-16 weekly sessions of CPT with explicit CF, where CF guided treatment length and treatment components. Read More

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http://dx.doi.org/10.1016/j.beth.2018.04.003DOI Listing
January 2019
2 Reads

Mental Contamination in Obsessive-Compulsive Disorder: Associations With Contamination Symptoms and Treatment Response.

Behav Ther 2019 01 16;50(1):15-24. Epub 2018 Mar 16.

Florida State University. Electronic address:

The most common symptom of obsessive-compulsive disorder (OCD) is contamination fear. Feelings of contamination can be provoked through contact with a physical contaminant, referred to as contact contamination (CC), as well as in the absence of one, referred to as mental contamination (MC). Prior research indicates that CC and MC are distinct, and MC may interfere with treatment for CC. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183004
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http://dx.doi.org/10.1016/j.beth.2018.03.005DOI Listing
January 2019
12 Reads

Predictors and Trajectories of Response to the Homework, Organization, and Planning Skills (HOPS) Intervention for Adolescents With ADHD.

Behav Ther 2019 01 10;50(1):140-154. Epub 2018 Apr 10.

Virginia Commonwealth University.

The goal of the present study was to evaluate the relative importance of adolescent and parent skills acquired during participation in the Homework, Organization, and Planning Skills (HOPS) intervention in predicting intervention response. A sample of 111 middle school students with attention-deficit/hyperactivity disorder (66% male; M = 11.99, SD = 1. Read More

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http://dx.doi.org/10.1016/j.beth.2018.04.001DOI Listing
January 2019
3 Reads

Attention Bias Modification Treatment for Adolescents With Social Anxiety Disorder.

Behav Ther 2019 01 17;50(1):126-139. Epub 2018 Apr 17.

Virginia Tech.

Social anxiety disorder (SAD) tends to emerge during the early teenage years and is particularly refractory to change even when standard evidence-based CBT treatments are delivered. Efforts have been made to develop novel, mechanistic-driven interventions for this disorder. In the present study, we examined Attention Bias Modification Treatment (ABMT) for youth with SAD. Read More

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http://dx.doi.org/10.1016/j.beth.2018.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347411PMC
January 2019
5 Reads

Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder.

Behav Ther 2019 01 5;50(1):115-125. Epub 2018 Apr 5.

Hannover Medical School.

Rapid response is considered the most well-established outcome predictor across treatments of binge-eating disorder (BED), including cognitive-behavioral therapy (CBT). This study sought to identify latent trajectories of early change in CBT and compare them to common rapid response classifications. In a multicenter randomized trial, 86 adults with BED (DSM-IV) or subsyndromal BED provided weekly self-reports of binge eating over the first 4 weeks of CBT, which were analyzed to predict binge eating, depression, and body mass index at posttreatment, 6-, and 18-month follow-up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183005
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http://dx.doi.org/10.1016/j.beth.2018.03.013DOI Listing
January 2019
15 Reads

"Teaching Moments" in Psychotherapy: Addressing Emergent Life Events Using Strategies From a Modular Evidence-Based Treatment.

Behav Ther 2019 01 5;50(1):101-114. Epub 2018 Apr 5.

University of California, Los Angeles.

Emergent life events (ELEs) are unexpected, acute client stressors reported in psychotherapy sessions that are associated with reduced evidence-based treatment (EBT) integrity and client progress. As a potential solution, this study examined the extent to which ELEs could be appropriately addressed using existing EBT strategies. Participants were 34 low-income youth (ages 5-15, 50% male, 85% Latino) seen by 18 therapy providers in the modular EBT condition (MATCH) of a community effectiveness trial. Read More

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http://dx.doi.org/10.1016/j.beth.2018.03.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343500PMC
January 2019
2 Reads

Effects of Intensive Behavioral Treatment for Children With Varying Levels of Conduct Problems and Callous-Unemotional Traits.

Behav Ther 2019 01 8;50(1):1-14. Epub 2018 Mar 8.

RTI International.

The purpose of this study was to examine whether callous-unemotional (CU) traits moderated the effects of intensive behavior therapy in elementary school-age children with varying levels of conduct problems (CP). Both treatment response (magnitude of change between pre- and posttreatment) and treatment outcomes (likelihood of normalization from treatment) were examined. Participants were 67 children (n = 49 boys, M = 9. Read More

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http://dx.doi.org/10.1016/j.beth.2018.03.003DOI Listing
January 2019
1 Read

Enhancing the Efficacy of Cognitive Bias Modification for Social Anxiety.

Behav Ther 2018 11 18;49(6):995-1007. Epub 2018 Feb 18.

University of Illinois at Chicago.

Cognitive bias modification for interpretation (CBM-I) is a promising treatment modality for social anxiety disorder, but effect sizes are relatively small across investigations (Hallion & Ruscio, 2011). Additionally, the extent to which CBM-I impacts other cognitive, emotional, and behavioral outcomes is unclear. This study investigated whether two empirically supported treatment components for anxiety disorders, imaginal exposure (IE) and relaxation, augment the effects of CBM-I and increase the extent to which the effects of CBM-I generalize to behavioral and affective outcomes. Read More

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http://dx.doi.org/10.1016/j.beth.2018.02.004DOI Listing
November 2018
17 Reads

Development of a Distance-Based Effect Size Metric for Single-Case Research: Ratio of Distances.

Behav Ther 2018 11 21;49(6):981-994. Epub 2018 Feb 21.

Rider University.

This article describes the development of an effect size measure called Ratio of Distances (RD). The goal was to develop a measure of level change for single case experimental research that met several practical requirements: (a) the measure is adaptable to designs with varying numbers of observations per, and across, phases; (b) the measure is adaptable to situations in which slope does and does not exist; (c) the measure has no ceiling, as is the limitation with commonly used overlap-based measures of effect size; and (d) the measure is computationally transparent and easily computed using widely available analysis tools (e.g. Read More

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http://dx.doi.org/10.1016/j.beth.2018.02.005DOI Listing
November 2018
1 Read

A Two-Session Hierarchy for Shaping Successive Approximations of Speech in Selective Mutism: Pilot Study of Mobile Apps and Mechanisms of Behavior Change.

Behav Ther 2018 11 16;49(6):966-980. Epub 2018 Feb 16.

University of Central Florida.

Selective mutism (SM) is an anxiety disorder marked by withdrawal of speech in particular social situations. Treatment is often difficult, requiring attention to several characteristics particular to the disorder. Therapeutic tools and activities such as games and mobile applications (apps) may be particularly advantageous to behavioral therapy for SM. Read More

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http://dx.doi.org/10.1016/j.beth.2018.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6190610PMC
November 2018
1 Read

Behavioral Versus Nonbehavioral Guided Self-Help for Parents of Children With Externalizing Disorders in a Randomized Controlled Trial.

Behav Ther 2018 11 13;49(6):951-965. Epub 2018 Feb 13.

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Medical Faculty at the University of Cologne; School of Child and Adolescent Cognitive Behavioral Therapy, University Hospital of Cologne.

Self-help interventions for parents, which have a behavioral basis, are considered to be an effective treatment option for children with externalizing disorders. Nonbehavioral approaches are widely used but have little empirical evidence. The main objective of this trial was to compare the efficacy of a behavioral and a nonbehavioral guided self-help program for parents. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183001
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http://dx.doi.org/10.1016/j.beth.2018.02.002DOI Listing
November 2018
21 Reads

Development and Preliminary Evaluation of a Positive Emotion Regulation Augmentation Module for Anxiety and Depression.

Behav Ther 2018 11 5;49(6):939-950. Epub 2017 Dec 5.

Center for Anxiety and Related Disorders at Boston University.

Research has shown that positive emotions are important to optimal health, functioning, and well-being, and contribute to resilience against psychological dysfunction. Many clinical disorders, particularly anxiety and mood disorders, are associated with deficits in positive emotion that may contribute to disorder severity and prevent full recovery, and these deficits have received insufficient attention in treatment. The present study represents a preliminary evaluation of the feasibility and utility of adding a novel brief intervention module for enhancing positive emotion in anxiety and depressive disorders to existing evidence-based treatment. Read More

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http://dx.doi.org/10.1016/j.beth.2017.11.008DOI Listing
November 2018
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Working From Home: An Initial Pilot Examination of Videoconferencing-Based Cognitive Behavioral Therapy for Anxious Youth Delivered to the Home Setting.

Behav Ther 2018 11 5;49(6):917-930. Epub 2018 Mar 5.

Center for Children and Families, Florida International University.

Progress in evidence-based treatments for child anxiety has been hampered by limited accessibility of quality care. This study utilized a multiple baseline design to evaluate the pilot feasibility, acceptability, and preliminary efficacy of real-time, Internet-delivered, family-based cognitive-behavioral therapy for child anxiety delivered to the home setting via videoconferencing. Participants included 13 anxious youth (mean age = 9. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183003
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http://dx.doi.org/10.1016/j.beth.2018.01.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6190606PMC
November 2018
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Audio and Computer Cognitive Behavioral Therapy for Depressive Symptoms in Older Adults: A Pilot Randomized Controlled Trial.

Behav Ther 2018 11 21;49(6):904-916. Epub 2018 Jun 21.

Institute of Business Analytics, The University of Alabama.

The purpose of this study was to develop and explore the feasibility of audio-based (ACBT) and computer-based (CCBT) cognitive behavioral therapies for older adults with depressive symptoms. The audio program consisted of 8 compact discs and a workbook while the computer program consisted of 11 modules of similar duration provided on a tablet PC. Both interventions consisted of the following topics: identifying and changing unhelpful thoughts, addressing feelings, relaxation, engaging in pleasant events, assertiveness, and problem-solving. Read More

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http://dx.doi.org/10.1016/j.beth.2018.06.002DOI Listing
November 2018
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Surviving and Thriving During Stress: A Randomized Clinical Trial Comparing a Brief Web-Based Therapist-Assisted Acceptance-Based Behavioral Intervention Versus Waitlist Control for College Students.

Behav Ther 2018 11 5;49(6):889-903. Epub 2018 Jun 5.

University of Massachusetts Boston.

The high rates of anxiety in college students and the many barriers to accessing evidence-based care in communities and on campuses indicate a clear need to explore ways to increase access to evidence-based treatments. Web-based interventions and preventions are one way to bridge this gap; they hold the potential to decrease mental health disparities and enhance student functioning. The current RCT examined the acceptability and efficacy of a 3-session web-based therapist-assisted acceptance-based behavioral intervention targeting anxiety (Surviving and Thriving During Stress) for college students versus a waitlist (WL) control condition, in a sample of racially and ethnically diverse college students. Read More

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http://dx.doi.org/10.1016/j.beth.2018.05.009DOI Listing
November 2018
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Feasibility of Automated Training for Facial Emotion Expression and Recognition in Autism.

Behav Ther 2018 11 28;49(6):881-888. Epub 2017 Dec 28.

Virginia Tech.

Impairment in facial emotion recognition (FER) and facial emotion expression (FEE), often documented in autism spectrum disorder (ASD), are believed to contribute to the observed core social-communication disability that characterizes this disorder. Moreover, impaired FER and FEE are frequently seen in other disorders and problem behaviors. We describe the development of a novel system to detect and give real-time feedback on these processes, termed facial emotion expression training (FEET), an automated, gamelike system that is based on 3-dimensional sensing (Kinect) technology. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894173014
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http://dx.doi.org/10.1016/j.beth.2017.12.010DOI Listing
November 2018
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I Did OK, but Did I Like It? Using Ecological Momentary Assessment to Examine Perceptions of Social Interactions Associated With Severity of Social Anxiety and Depression.

Behav Ther 2018 11 3;49(6):866-880. Epub 2018 Aug 3.

University of Virginia.

Socially anxious and depressed individuals tend to evaluate their social interactions negatively, but little is known about the specific real-time contributors to these negative perceptions. The current study examined how affect ratings during social interactions predict later perceptions of those interactions, and whether this differs by social anxiety and depression severity. Undergraduate participants (N = 60) responded to a smartphone application that prompted participants to answer short questions about their current affect and social context up to 6 times a day for 2 weeks. Read More

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http://dx.doi.org/10.1016/j.beth.2018.07.009DOI Listing
November 2018
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Using Motion Tracking to Measure Avoidance in Children and Adults: Psychometric Properties, Associations With Clinical Characteristics, and Treatment-Related Change.

Behav Ther 2018 11 1;49(6):853-865. Epub 2018 May 1.

PreviewLabs, Inc., New Haven, CT.

Avoidance is implicated in many areas of psychopathology, particularly anxiety and its disorders. Accurate, reliable, valid, and objective measurement of avoidance behavior poses methodological challenges. Two key technological advances, increased computing power and the advent of motion-tracking technology, offer novel solutions to these challenges. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00057894183005
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http://dx.doi.org/10.1016/j.beth.2018.04.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394864PMC
November 2018
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Introduction to the Special Issue: Integration of Technological Advances in Cognitive-Behavior Therapy.

Authors:
Dean McKay

Behav Ther 2018 11 9;49(6):851-852. Epub 2018 Aug 9.

Fordham University. Electronic address:

A wide range of technological approaches has been adopted in assessment and intervention using cognitive-behavior therapy (CBT). The articles that comprise this special issue cover a diversity of areas, including motion-tracking devices, ecological momentary assessment, facial recognition software to provide rapid feedback, audio and tablet-based CBT-administered procedures, web-based acceptance program for stress reduction, and videoconferencing for delivery of anxiety treatment in youth. It is expected that technological advances will continue to lead to additional advances in CBT delivery. Read More

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http://dx.doi.org/10.1016/j.beth.2018.08.001DOI Listing
November 2018
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Assessing Social Affiliative Behavior: A Comparison of in Vivo and Video Tasks.

Behav Ther 2018 11 19;49(6):1039-1047. Epub 2018 Mar 19.

University of Maryland, College Park.

Social affiliation, or engagement in positive social interactions, is often profoundly impaired in individuals with schizophrenia. Valid measures of social affiliation are needed to understand these impairments and their symptom and functional correlates; however, such measures are limited and have not been validated. This pilot study evaluated one such measure-the video-based Social Affiliation Interaction Task (SAIT)-and a novel in vivo behavioral measure, the Affiliative Conversation Task (ACT). Read More

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http://dx.doi.org/10.1016/j.beth.2018.03.006DOI Listing
November 2018
5 Reads