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    697 results match your criteria Behavior Therapy[Journal]

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    From Efficacy to Global Impact: Lessons Learned About What Not to Do in Translating Our Research to Reach.
    Behav Ther 2017 Sep 12;48(5):718-730. Epub 2017 Jan 12.
    Trinity University. Electronic address:
    Although members of the Association for Behavioral and Cognitive Therapies have made significant strides toward the collective goals outlined in our mission statement, we routinely acknowledge that our ability to develop empirically supported treatments exceeds our success in improving dissemination and implementation of said interventions. Further, as noted by Kazdin and Blase (2011), even if we succeeded in having every clinician worldwide administer our best treatments with excellent competency, we still would be unsuccessful in markedly impacting the worldwide burden of mental illness because most treatments require intensive labor by expensive providers. To this end, Kazdin and Blase and others call for increased use of alternative strategies. Read More

    Effects of Bias Modification Training in Binge Eating Disorder.
    Behav Ther 2017 Sep 26;48(5):707-717. Epub 2017 Apr 26.
    University of Tübingen. Electronic address:
    Food-related attentional biases have been identified as maintaining factors in binge eating disorder (BED) as they can trigger a binge episode. Bias modification training may reduce symptoms, as it has been shown to be successful in other appetitive disorders. The aim of this study was to assess and modify food-related biases in BED. Read More

    Mental Imagery Training Increases Wanting of Rewards and Reward Sensitivity and Reduces Depressive Symptoms.
    Behav Ther 2017 Sep 18;48(5):695-706. Epub 2017 Apr 18.
    Johannes-Gutenberg University of Mainz.
    High reward sensitivity and wanting of rewarding stimuli help to identify and motivate repetition of pleasant activities. This behavioral activation is thought to increase positive emotions. Therefore, both mechanisms are highly relevant for resilience against depressive symptoms. Read More

    Mechanisms of Change During Attention Training and Mindfulness in High Trait-Anxious Individuals: A Randomized Controlled Study.
    Behav Ther 2017 Sep 13;48(5):678-694. Epub 2017 Apr 13.
    Curtin University.
    The first aim of this study was to compare attention manipulation techniques deriving from metacognitive therapy (the Attention Training Technique; ATT) and mindfulness-based approaches (Mindfulness-Based Progressive Muscle Relaxation, MB-PMR) to a thought wandering control (TWC) condition, in terms of their impact on anxiety and four mechanisms: distancing, present-focused attention, uncontrollability and dangerousness, metacognitive beliefs, and cognitive flexibility (Stroop task). The second aim was to test indirect effects of the techniques on anxiety via the mechanism measures. High trait anxious participants (N = 81, Mage = 23. Read More

    Results of a Pilot Study to Ameliorate Psychological and Behavioral Outcomes of Minority Stress Among Young Gay and Bisexual Men.
    Behav Ther 2017 Sep 4;48(5):664-677. Epub 2017 Apr 4.
    University of Windsor.
    Project PRIDE (Promoting Resilience In Discriminatory Environments) is an 8-session small group intervention aimed at reducing negative mental and behavioral health outcomes resulting from minority stress. This study reports the results of a one-armed pilot test of Project PRIDE, which aimed to examine the feasibility and potential for efficacy of the intervention in a sample of 33 gay and bisexual men aged 18 to 25. The intervention appeared feasible to administer in two different sites and all participants who completed posttreatment (n = 22) or follow-up (n = 19) assessments reported high satisfaction with the intervention. Read More

    Anticipatory Processing, Maladaptive Attentional Focus, and Postevent Processing for Interactional and Performance Situations: Treatment Response and Relationships With Symptom Change for Individuals With Social Anxiety Disorder.
    Behav Ther 2017 Sep 4;48(5):651-663. Epub 2017 Apr 4.
    Macquarie University.
    Anticipatory processing, maladaptive attentional focus, and postevent processing are key cognitive constructs implicated in the maintenance of social anxiety disorder (SAD). The current study examined how treatment for SAD concurrently affects these three cognitive maintaining processes and how these processes are associated with each other as well as with symptom change from pre- to posttreatment. The sample consisted of 116 participants with SAD receiving group cognitive behavioral therapy. Read More

    The Effects of Training Contingency Awareness During Attention Bias Modification on Learning and Stress Reactivity.
    Behav Ther 2017 Sep 11;48(5):638-650. Epub 2017 Mar 11.
    Tel Aviv University.
    Current attention bias modification (ABM) procedures are designed to implicitly train attention away from threatening stimuli with the hope of reducing stress reactivity and anxiety symptoms. However, the mechanisms underlying effective ABM delivery are not well understood, with awareness of the training contingency suggested as one possible factor contributing to ABM efficacy. Here, 45 high-anxious participants were trained to divert attention away from threat in two ABM sessions. Read More

    Effects of Tailored and ACT-Influenced Internet-Based CBT for Eating Disorders and the Relation Between Knowledge Acquisition and Outcome: A Randomized Controlled Trial.
    Behav Ther 2017 Sep 2;48(5):624-637. Epub 2017 Mar 2.
    Linköping University.
    This is the first trial to investigate the outcome of tailored and ACT-influenced, cognitive behavioral Internet treatment for eating disorder psychopathology, and the relation between knowledge acquisition and outcome. This study utilized a randomized controlled design, with computer-based allocation to treatment or waiting list control group. Participants were recruited via advertisements in social media and newspapers in Sweden. Read More

    Mobile Phone-Based Mood Ratings Prospectively Predict Psychotherapy Attendance.
    Behav Ther 2017 Sep 9;48(5):614-623. Epub 2017 Jan 9.
    Northwestern University, Feinberg School of Medicine.
    Psychotherapy nonattendance is a costly and pervasive problem. While prior research has identified stable patient-level predictors of attendance, far less is known about dynamic (i.e. Read More

    To Do or Not to Do? Task Control Deficit in Obsessive-Compulsive Disorder.
    Behav Ther 2017 Sep 23;48(5):603-613. Epub 2017 Jan 23.
    Department of Psychology and Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, Beer Sheva, Israel.
    Task control is an executive control mechanism that facilitates goal-directed task selection by suppressing irrelevant automatic "stimulus-driven" behaviors. In the current study, we test the hypothesis that less efficient task control in individuals diagnosed with obsessive-compulsive disorder (OCD) is associated with OCD symptoms, and specifically, with the inability to inhibit unwanted behaviors in OCD. Thirty-five healthy controls, 30 participants with OCD, and 26 participants with generalized anxiety disorder (GAD) completed the object-interference (OI) task to measure task control, the stop-signal task to measure response inhibition, and the arrow-flanker task to evaluate executive abilities not contingent upon task control. Read More

    Psychometric Properties of the French Adaptation of the Basic Documentation for Psycho-Oncology (Po-Bado): A Distress Screening Tool.
    Behav Ther 2017 Sep 13;48(5):596-602. Epub 2016 Dec 13.
    University of Bordeaux.
    We translated and adapted the French version of the Basic Documentation for Psycho-Oncology (Po-Bado standard version) and we report its psychometric properties. The Po-Bado is a 12-item documentation instrument that measures psychosocial burden in cancer patients (all types and stages). The intensity of a patient's psychological suffering is evaluated by a health care professional (e. Read More

    Moderation of the Alliance-Outcome Association by Prior Depressive Episodes: Differential Effects in Cognitive-Behavioral Therapy and Short-Term Psychodynamic Supportive Psychotherapy.
    Behav Ther 2017 Sep 23;48(5):581-595. Epub 2016 Nov 23.
    VU University Amsterdam, Arkin Mental Health Care, Amsterdam.
    Prior studies have suggested that the association between the alliance and depression improvement varies as a function of prior history of depression. We sought to replicate these findings and extend them to short-term psychodynamic supportive psychotherapy (SPSP) in a sample of patients who were randomized to one of these treatments and were administered the Helping Alliance Questionnaire (N=282) at Week 5 of treatment. Overall, the alliance was a predictor of symptom change (d=0. Read More

    Implementing Clinical Research Using Factorial Designs: A Primer.
    Behav Ther 2017 Jul 7;48(4):567-580. Epub 2017 Jan 7.
    Methodology Center and Department of Human Development & Family Studies; The Pennsylvania State University.
    Factorial experiments have rarely been used in the development or evaluation of clinical interventions. However, factorial designs offer advantages over randomized controlled trial designs, the latter being much more frequently used in such research. Factorial designs are highly efficient (permitting evaluation of multiple intervention components with good statistical power) and present the opportunity to detect interactions amongst intervention components. Read More

    Dialectical Behavior Therapy Group Skills Training for Bipolar Disorder.
    Behav Ther 2017 Jul 6;48(4):557-566. Epub 2017 Jan 6.
    Massachusetts General Hospital.
    There is growing evidence that the capacity for emotion regulation is compromised in individuals with bipolar disorder. Dialectical behavior therapy (DBT), an empirically supported treatment that specifically targets emotion dysregulation, may be an effective adjunct treatment for improving emotion regulation and residual mood symptoms in patients with bipolar disorder. In this open, proof-of-concept pilot study, 37 participants engaged in a 12-week DBT group skills training program, learning mindfulness, emotion regulation, and distress tolerance skills. Read More

    Prospective Investigation of the Contrast Avoidance Model of Generalized Anxiety and Worry.
    Behav Ther 2017 Jul 29;48(4):544-556. Epub 2016 Oct 29.
    The Pennsylvania State University.
    The factors that maintain generalized anxiety disorder (GAD) symptoms and worry over time are not entirely clear. The Contrast Avoidance Model (CAM) postulates that individuals at risk for pathological worry and GAD symptoms uniquely fear emotional shifts from neutral or positive emotions into negative emotional states, and consequently use worry to maintain negative emotion in order to avoid shifts or blunt the effect of negative contrasts. This model has received support in laboratory experiments, but has not been investigated prospectively in the naturalistic context of daily life. Read More

    Social Anxiety and Biased Recall of Positive Information: It's Not the Content, It's the Valence.
    Behav Ther 2017 Jul 24;48(4):533-543. Epub 2016 Aug 24.
    University of British Columbia.
    Cognitive theorists hypothesize that individuals with social anxiety are prone to memory biases such that event recall becomes more negative over time. With few exceptions, studies have focused primarily on changes in negative self-judgments. The current study examined whether memory for positive social events is also subject to recall bias. Read More

    Criticism in the Romantic Relationships of Individuals With Social Anxiety.
    Behav Ther 2017 Jul 11;48(4):517-532. Epub 2016 Nov 11.
    University of Pennsylvania.
    Social anxiety is associated with difficulties in intimate relationships. Because fear of negative evaluation is a cardinal feature of social anxiety disorder, perceived criticism and upset due to criticism from partners may play a significant role in socially anxious individuals' intimate relationships. In the present study, we examine associations between social anxiety and perceived, observed, and expressed criticism in interactions with romantic partners. Read More

    Does the Delivery of CBT for Youth Anxiety Differ Across Research and Practice Settings?
    Behav Ther 2017 Jul 6;48(4):501-516. Epub 2016 Aug 6.
    Harvard University.
    Does delivery of the same manual-based individual cognitive-behavioral treatment (ICBT) program for youth anxiety differ across research and practice settings? We examined this question in a sample of 89 youths (M age = 10.56, SD = 1.99; 63. Read More

    Advancing Personalized Medicine: Application of a Novel Statistical Method to Identify Treatment Moderators in the Coordinated Anxiety Learning and Management Study.
    Behav Ther 2017 Jul 23;48(4):490-500. Epub 2017 Feb 23.
    University of California, Los Angeles.
    There has been increasing recognition of the value of personalized medicine where the most effective treatment is selected based on individual characteristics. This study used a new method to identify a composite moderator of response to evidence-based anxiety treatment (CALM) compared to Usual Care. Eight hundred seventy-six patients diagnosed with one or multiple anxiety disorders were assigned to CALM or Usual Care. Read More

    Long-Term Outcomes of Cognitive-Behavioral Therapy for Adolescent Body Dysmorphic Disorder.
    Behav Ther 2017 Jul 10;48(4):462-473. Epub 2017 Jan 10.
    Institute of Psychiatry, Psychology and Neuroscience, King's College London; Karolinska Institutet and Stockholm Health Care Services.
    Emerging evidence suggests that cognitive-behavioral therapy (CBT) is an efficacious treatment for adolescent body dysmorphic disorder (BDD) in the short term, but longer-term outcomes remain unknown. The current study aimed to follow up a group of adolescents who had originally participated in a randomized controlled trial of CBT for BDD to determine whether treatment gains were maintained. Twenty-six adolescents (mean age = 16. Read More

    The Role of Patient Characteristics in the Concordance of Daily and Retrospective Reports of PTSD.
    Behav Ther 2017 Jul 14;48(4):448-461. Epub 2017 Jan 14.
    VA Puget Sound Health Care System, Seattle Division; Mental Illness Research, Education, and Clinical Center, VA Puget Sound Health Care System; Center of Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health Care System; University of Washington, Seattle.
    Research has documented discrepancies between daily and retrospective reports of psychological symptoms in a variety of conditions. A limited number of studies have assessed these discrepancies in samples of individuals with posttraumatic stress disorder (PTSD), with even less research addressing potential covariates that may influence such discrepancies. In the current study, 65 individuals with co-occurring PTSD and alcohol use disorder (AUD) completed daily assessments of their PTSD symptoms for 1 month, followed by a standard retrospective report of PTSD over the same month. Read More

    Trait Affect, Emotion Regulation, and the Generation of Negative and Positive Interpersonal Events.
    Behav Ther 2017 Jul 8;48(4):435-447. Epub 2017 Feb 8.
    Temple University. Electronic address:
    Positive and negative trait affect and emotion regulatory strategies have received considerable attention in the literature as predictors of psychopathology. However, it remains unclear whether individuals' trait affect is associated with responses to state positive affect (positive rumination and dampening) or negative affect (ruminative brooding), or whether these affective experiences contribute to negative or positive interpersonal event generation. Among 304 late adolescents, path analyses indicated that individuals with higher trait negative affect utilized dampening and brooding rumination responses, whereas those with higher trait positive affect engaged in rumination on positive affect. Read More

    The Role of Threat Level and Intolerance of Uncertainty (IU) in Anxiety: An Experimental Test of IU Theory.
    Behav Ther 2017 Jul 22;48(4):427-434. Epub 2017 Jan 22.
    Florida State University. Electronic address:
    Intolerance of uncertainty (IU) has been proposed as an important transdiagnostic variable within mood- and anxiety-related disorders. The extant literature has suggested that individuals high in IU interpret uncertainty more negatively. Furthermore, theoretical models of IU posit that those elevated in IU may experience an uncertain threat as more anxiety provoking than a certain threat. Read More

    Randomized Controlled Trial of a Computerized Interactive Media-Based Problem Solving Treatment for Depression.
    Behav Ther 2017 May 3;48(3):413-425. Epub 2016 May 3.
    Dartmouth-Hitchcock Medical Center.
    This study evaluated the efficacy of an interactive media-based, computer-delivered depression treatment program (imbPST) compared to a no-treatment control condition (NTC) in a parallel-group, randomized, controlled trial conducted in an outpatient psychiatric research clinic. 45 adult participants with major depressive disorder or dysthymia were randomized to receive either 6 weekly sessions of imbPST or no treatment (No Treatment Control; NTC). The primary outcome measure was the Beck Depression Inventory II (BDI-II). Read More

    An Experimental Investigation of Co-rumination, Problem Solving, and Distraction.
    Behav Ther 2017 May 1;48(3):403-412. Epub 2016 Dec 1.
    Kent State University.
    Co-rumination involves excessive dwelling on negative aspects of problems within a dyadic relationship (Rose, 2002). While research has focused on the tendency to co-ruminate within particular relationships, we were interested in examining the behavior of co-rumination outside the context of a preexisting relationship. Using an experimental manipulation of co-rumination, the primary goal of this study was to experimentally test the effects of co-rumination and examine its associations with negative and positive affectivity. Read More

    Internet-Based Extinction Therapy for Worry: A Randomized Controlled Trial.
    Behav Ther 2017 May 25;48(3):391-402. Epub 2016 Jul 25.
    Karolinska Institutet.
    Worry is a common phenotype in both psychiatric patients and the normal population. Worry can be seen as a covert behavior with primary function to avoid aversive emotional experiences. Our research group has developed a treatment protocol based on an operant model of worry, where we use exposure-based strategies to extinguish the catastrophic worry thoughts. Read More

    Perfectionism and Contingent Self-Worth in Relation to Disordered Eating and Anxiety.
    Behav Ther 2017 May 7;48(3):380-390. Epub 2016 Jun 7.
    University of North Carolina at Chapel Hill.
    Perfectionism has been proposed as a transdiagnostic risk factor linked to eating disorders and anxiety. In the current study, we examine domains of contingent self-worth as potential moderators of the relationships between maladaptive perfectionism and disordered eating and anxiety using two waves of data collection. Undergraduate females (N = 237) completed online surveys of the study's core constructs at two points separated by about 14 months. Read More

    Daily Stress, Coping, and Negative and Positive Affect in Depression: Complex Trigger and Maintenance Patterns.
    Behav Ther 2017 May 9;48(3):349-365. Epub 2016 Jun 9.
    Lady Davis Institute - Jewish General Hospital, Montreal; McGill University.
    Major depressive disorder is characterized by emotional dysfunction, but mood states in daily life are not well understood. This study examined complex explanatory models of daily stress and coping mechanisms that trigger and maintain daily negative affect and (lower) positive affect in depression. Sixty-three depressed patients completed perfectionism measures, and then completed daily questionnaires of stress appraisals, coping, and affect for 7 consecutive days. Read More

    Social Anxiety and Social Support in Romantic Relationships.
    Behav Ther 2017 May 13;48(3):335-348. Epub 2016 Dec 13.
    University of Pennsylvania.
    Little is known about the quality of socially anxious individuals' romantic relationships. In the present study, we examine associations between social anxiety and social support in such relationships. In Study 1, we collected self-report data on social anxiety symptoms and received, provided, and perceived social support from 343 undergraduates and their romantic partners. Read More

    Kindling of Life Stress in Bipolar Disorder: Effects of Early Adversity.
    Behav Ther 2017 May 26;48(3):322-334. Epub 2016 Dec 26.
    Temple University.
    Most theoretical frameworks regarding the role of life stress in bipolar disorders (BD) do not incorporate the possibility of a changing relationship between psychosocial context and episode initiation across the course of the disorder. The kindling hypothesis theorizes that over the longitudinal course of recurrent affective disorders, the relationship between major life stressors and episode initiation declines (Post, 1992). The present study aimed to test an extension of the kindling hypothesis in BD by examining the effect of early life adversity on the relationship between proximal life events and prospectively assessed mood episodes. Read More

    Aggression Protects Against the Onset of Major Depressive Episodes in Individuals With Bipolar Spectrum Disorder.
    Behav Ther 2017 May 31;48(3):311-321. Epub 2016 Aug 31.
    Temple University. Electronic address:
    A growing body of research suggests that bipolar spectrum disorders (BSDs) are associated with high aggression. However, little research has prospectively examined how aggression may affect time to onset of hypomanic/manic versus major depressive episodes. In a longitudinal study, we tested the hypothesis that aggression would prospectively predict a shorter time to the onset of hypomanic/manic episodes and a longer time to the onset of major depressive episodes, based on the behavioral approach system theory of BSDs. Read More

    Generalization of Pain-Related Fear Based on Conceptual Knowledge.
    Behav Ther 2017 May 5;48(3):295-310. Epub 2016 Dec 5.
    University of Leuven; Maastricht University.
    Increasing evidence suggests that pain-related fear is key to the transition from acute to chronic pain. Previous research has shown that perceptual similarity with a pain-associated movement fosters the generalization of fear to novel movements. Perceptual generalization of pain-related fear is adaptive as it enables individuals to extrapolate the threat value of one movement to another without the necessity to learn anew. Read More

    The Role of Social Support in Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder.
    Behav Ther 2017 May 21;48(3):285-294. Epub 2016 May 21.
    Ryerson University.
    The current study examined the effect of total, as well as different sources (i.e., family, friends, significant other) of, pretreatment/baseline social support on posttraumatic stress disorder (PTSD) severity and treatment response to cognitive-behavioral conjoint therapy (CBCT) for PTSD. Read More

    Gender Difference in Attentional Bias Toward Negative and Positive Stimuli in Generalized Anxiety Disorder.
    Behav Ther 2017 May 11;48(3):277-284. Epub 2016 Jun 11.
    San Diego State University; University of California San Diego. Electronic address:
    Females are two times as likely as males to develop generalized anxiety disorder (GAD; Steiner et al., 2005; Vesga-López et al., 2008). Read More

    Web-Delivered CBT Reduces Heavy Drinking in OEF-OIF Veterans in Primary Care With Symptomatic Substance Use and PTSD.
    Behav Ther 2017 Mar 20;48(2):262-276. Epub 2016 Sep 20.
    National Development and Research Institutes, Inc., New York.
    Veterans from conflicts such as the wars in Iraq and Afghanistan commonly return with behavioral health problems, including posttraumatic stress disorder (PTSD) and hazardous or harmful substance use. Unfortunately, many veterans experience significant barriers to receiving evidence-based treatment, including poor treatment motivation, concerns about stigma, and lack of access to appropriate care. To address this need, the current study developed and evaluated a web-based self-management intervention based on cognitive behavioral therapy (CBT), targeting PTSD symptoms and hazardous substance use in a group of symptomatic combat veterans enrolled in VA primary care. Read More

    Battling on the Home Front: Posttraumatic Stress Disorder and Conflict Behavior Among Military Couples.
    Behav Ther 2017 Mar 31;48(2):247-261. Epub 2016 Aug 31.
    George Mason University.
    This study evaluated interpersonal behavior differences among male military service members with and without PTSD and their female partners. Couples (N = 64) completed a 17-minute videotaped conflict discussion, and their interaction behavior was coded using the circumplex-based Structural Analysis of Social Behavior model (SASB; Benjamin, 1979, 1987, 2000). Within couples, the behavior of partners was very similar. Read More

    Longitudinal Associations Between PTSD Symptoms and Dyadic Conflict Communication Following a Severe Motor Vehicle Accident.
    Behav Ther 2017 Mar 9;48(2):235-246. Epub 2016 May 9.
    Massachusetts General Hospital and Harvard Medical School.
    There are well-documented associations between posttraumatic stress disorder (PTSD) symptoms and intimate relationship impairments, including dysfunctional communication at times of relationship conflict. To date, the extant research on the associations between PTSD symptom severity and conflict communication has been cross-sectional and focused on military and veteran couples. No published work has evaluated the extent to which PTSD symptom severity and communication at times of relationship conflict influence each other over time or in civilian samples. Read More

    A Daily Diary Study of Posttraumatic Stress Symptoms and Romantic Partner Accommodation.
    Behav Ther 2017 Mar 3;48(2):222-234. Epub 2016 May 3.
    George Mason University.
    Little is known about the role of romantic partner symptom accommodation in PTSD symptom maintenance. To explore the bidirectional associations of posttraumatic stress disorder (PTSD) symptoms and romantic partner symptom accommodation over time, military servicemen (n=64) with symptoms of PTSD and their cohabiting heterosexual civilian romantic partners (n=64) completed a 2-week daily diary study. Cross-lagged, autoregressive models assessed the stability of men's PTSD symptoms and partners' accommodation, as well as the prospective associations of earlier PTSD symptoms with later accommodation and vice versa. Read More

    Compassion-Based Therapy for Trauma-Related Shame and Posttraumatic Stress: Initial Evaluation Using a Multiple Baseline Design.
    Behav Ther 2017 Mar 29;48(2):207-221. Epub 2016 Nov 29.
    VA Boston Healthcare System Boston University School of Medicine Massachusetts Veterans Epidemiological Research and Information Center.
    Accumulating research suggests that shame can strongly contribute to the development and maintenance of posttraumatic stress disorder (PTSD). Interventions that promote self-compassion have shown promise for reducing shame related to various clinical problems, but this approach has not been systematically evaluated for traumatized individuals. The aim of this study was to develop a brief compassion-based therapy and assess its efficacy for reducing trauma-related shame and PTSD symptoms. Read More

    Fidelity to the Cognitive Processing Therapy Protocol: Evaluation of Critical Elements.
    Behav Ther 2017 Mar 2;48(2):195-206. Epub 2016 Mar 2.
    University of Missouri-St. Louis, Center for Trauma Recovery.
    The contributions of individual therapy elements to the overall efficacy of evidence-based practices for the treatment of posttraumatic stress disorder (PTSD) are not well-understood. This study first examined the extent to which theoretically important treatment components of Cognitive Processing Therapy (CPT; i.e. Read More

    Homework "Dose," Type, and Helpfulness as Predictors of Clinical Outcomes in Prolonged Exposure for PTSD.
    Behav Ther 2017 Mar 7;48(2):182-194. Epub 2016 Mar 7.
    Center for Anxiety and Traumatic Stress, University of Washington.
    Homework is often viewed as central to prolonged exposure (PE) for posttraumatic stress disorder (PTSD), but its relationship with treatment outcome is not well understood. We evaluated homework type, dose, and patients' perceptions of helpfulness as predictors of symptom change and posttreatment outcomes in PE. Patients with chronic PTSD received PE in a randomized clinical trial. Read More

    Constructive and Unproductive Processing of Traumatic Experiences in Trauma-Focused Cognitive-Behavioral Therapy for Youth.
    Behav Ther 2017 Mar 25;48(2):166-181. Epub 2016 Jun 25.
    Rowan University.
    Although there is substantial evidence to support the efficacy of cognitive-behavioral treatments (CBT) for posttraumatic stress disorder (PTSD), there is some debate about how these treatments have their effects. Modern learning theory and cognitive and emotional processing theories highlight the importance of reducing avoidance, facilitating the constructive processing of feared experiences, and strengthening new inhibitory learning. We examined variables thought to be associated with unproductive and constructive processing of traumatic experiences in a sample of 81 youth with elevated PTSD symptoms, who received Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for abuse or traumatic interpersonal loss. Read More

    Temporal Sequencing of Change in Posttraumatic Cognitions and PTSD Symptom Reduction During Prolonged Exposure Therapy.
    Behav Ther 2017 Mar 3;48(2):156-165. Epub 2016 Mar 3.
    VA Ann Arbor Healthcare System; University of Michigan. Electronic address:
    Prolonged exposure (PE) effectively reduces negative cognitions about self, world, and self-blame associated with posttraumatic stress disorder (PTSD), with changes in posttraumatic cognitions being associated with reductions in PTSD symptoms (Foa & Rauch, 2004). Further, recent research has demonstrated that cognitive change is a likely mechanism for PTSD symptom reduction in PE (Zalta et al., 2014). Read More

    Investigating Relationships Between PTSD Symptom Clusters Within Virtual Reality Exposure Therapy for OEF/OIF Veterans.
    Behav Ther 2017 Mar 4;48(2):147-155. Epub 2016 Mar 4.
    Emory University School of Medicine.
    Several cognitive behavioral therapeutic approaches have been demonstrated to be effective in reducing post-traumatic stress disorder (PTSD) symptoms (Foa, Keane, Friedman, & Cohen, 2008). The bulk of PTSD treatment research has relied on pre-post designs, which are limited in their ability to investigate the therapeutic process over time. The present study investigated the relations between PTSD symptom clusters using symptom assessment at pretreatment, midtreatment, and posttreatment using cross-lagged panel design over the course of Virtual Reality Exposure (VRE) treatment. Read More

    Recommendations for Choosing Single-Case Data Analytical Techniques.
    Behav Ther 2017 Jan 16;48(1):97-114. Epub 2016 May 16.
    State University of New York.
    The current paper responds to the need to provide guidance to applied single-case researchers regarding the possibilities of data analysis. The amount of available single-case data analytical techniques has been growing during recent years and a general overview, comparing the possibilities of these techniques, is missing. Such an overview is provided that refers to techniques that yield results in terms of a raw or standardized difference and procedures related to regression analysis, as well as nonoverlap and percentage change indices. Read More

    An Exploratory Randomized Controlled Trial of Personalized Lifestyle Advice and Tandem Skydives as a Means to Reduce Anhedonia.
    Behav Ther 2017 Jan 8;48(1):76-96. Epub 2016 Oct 8.
    University of Groningen, University Medical Center Groningen.
    Anhedonia is a major public health concern and has proven particularly difficult to counteract. It has been hypothesized that anhedonia can be deterred by engagement in rewarding social and physical events. The aims of the present study were to examine (1) the effects of personalized lifestyle advice based on observed individual patterns of lifestyle factors and experienced pleasure in anhedonic young adults; and (2) whether a tandem skydive can enhance the motivation to carry out the recommended lifestyle changes. Read More

    Prediction of Relapse After Cognitive-Behavioral Treatment of Gambling Disorder in Individuals With Chronic Schizophrenia: A Survival Analysis.
    Behav Ther 2017 Jan 8;48(1):69-75. Epub 2016 Oct 8.
    University of Barcelona.
    Gambling disorder (GD) in individuals with chronic schizophrenia is relevant because there are higher rates of GD in schizophrenic populations (10%) than in the nonschizophrenic population (1%-5%). In addition, these patients have more severe alcohol use disorder (i.e. Read More

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