936 results match your criteria Behavior Therapy[Journal]


Development and Open Trial of a Psychosocial Intervention for Young Children With Chronic Tics: The CBIT-JR Study.

Behav Ther 2020 Jul 27;51(4):659-669. Epub 2019 Nov 27.

UCLA Semel Institute for Neuroscience and Human Behavior.

The Comprehensive Behavioral Intervention for Tic Disorders (CBIT) has demonstrated efficacy in large randomized controlled trials for children (≥9 yrs), adolescents and adults with Tourette Syndrome and Chronic Tic Disorders. Given the early age of onset for tic disorders, a large portion of affected individuals with chronic tic disorders are less than 9 years of age and appropriate developmental adaptations of behavioral treatment have not yet been tested. The goal of this study was to adapt and evaluate the acceptability and utility of a family-based adaptation of CBIT for children under 9 years of age. Read More

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http://dx.doi.org/10.1016/j.beth.2019.10.004DOI Listing

Can Acceptance, Mindfulness, and Self-Compassion Be Learned by Smartphone Apps? A Systematic and Meta-Analytic Review of Randomized Controlled Trials.

Authors:
Jake Linardon

Behav Ther 2020 Jul 26;51(4):646-658. Epub 2019 Nov 26.

Deakin University. Electronic address:

The potential health benefits of acceptance, mindfulness, and self-compassion are well-documented. However, interventions that teach these principles typically rely on face-to-face delivery, which can limit their dissemination. Delivering these interventions through smartphone apps could help overcome this. Read More

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http://dx.doi.org/10.1016/j.beth.2019.10.002DOI Listing

Effects of "Dirty" Information on Disgust Responding to an Unknown Animal in Children: The Moderating Role of Maternal Disgust Proneness.

Behav Ther 2020 Jul 26;51(4):634-645. Epub 2019 Nov 26.

Vanderbilt University.

Although research has shown that disgust facilitates avoidance of small animals among adults, much less is known about disgust appraisals of small animals in children as well as the predictors of such appraisals. To address this gap, children (ages 5-13) were exposed to dirt-related and cleanliness-related information about unknown animals. The extent to which these types of information influenced children's feelings of fear, disgust, positivity, and avoidance behavior in relation to the animals was examined. Read More

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http://dx.doi.org/10.1016/j.beth.2019.10.001DOI Listing

Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Results From a Pilot Randomized Controlled Trial.

Behav Ther 2020 Jul 20;51(4):616-633. Epub 2019 Nov 20.

CINEICC - Center for Research in Neuropsychology and Cognitive-Behavioral Intervention, University of Coimbra.

Be a Mom is a self-guided web-based intervention, grounded in cognitive behavioral therapy, delivered to postpartum women to prevent persistent postpartum depression [PPD] symptoms. We aimed to evaluate Be a Mom in terms of its preliminary efficacy, feasibility, and acceptability. A pilot randomized, two-arm controlled trial was conducted. Read More

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http://dx.doi.org/10.1016/j.beth.2019.09.007DOI Listing

Group Intervention for Adolescent Anxiety and Depression: Outcomes of a Randomized Trial with Adolescents in Kenya.

Behav Ther 2020 Jul 26;51(4):601-615. Epub 2019 Nov 26.

Harvard University.

Youth mental health interventions in low-resource communities may benefit from including empirically supported elements, using stigma-free content, and using trained lay-providers. We developed and evaluated such an intervention, targeting adolescent depression and anxiety in Kenya, where mental health care is limited by social stigma and a paucity of providers. Kenyan adolescents (N = 51, ages 14-17, 60. Read More

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http://dx.doi.org/10.1016/j.beth.2019.09.005DOI Listing

The Role of Professional Training Experiences and Manualized Programs in ABA Providers' Use of Parent Training With Children With Autism.

Behav Ther 2020 Jul 12;51(4):588-600. Epub 2019 Sep 12.

Pontificia Universidad Católica de Puerto Rico.

Parent training, in which providers teach parents intervention strategies to promote their children's skill acquisition and/or behavior management, is considered a best practice in the treatment for children with autism spectrum disorder (ASD) and yet is underutilized in community settings. The present study examined the role of training experiences and manual use in promoting the use of parent training by community providers who serve children with ASD. Applied behavior analysis (ABA) providers (N = 1,089) from across the United States completed self-report questionnaires online. Read More

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http://dx.doi.org/10.1016/j.beth.2019.09.004DOI Listing

An Integrated Sleep and Reward Processing Model of Major Depressive Disorder.

Behav Ther 2020 Jul 13;51(4):572-587. Epub 2020 Jan 13.

Perelman School of Medicine of the University of Pennsylvania.

Major depressive disorder with comorbid sleep disturbance has been associated with negative outcomes, including lower rates of treatment response and a greater likelihood of depressive relapse compared to those without sleep disturbance. However, little, if any, research has been conducted to understand why such negative treatment outcomes occur when sleep disturbance is present. In this conceptual review, we argue that the relationship of sleep disturbance and negative treatment outcomes may be mediated by alterations in neural reward processing in individuals with blunted trait-level reward responsivity. Read More

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http://dx.doi.org/10.1016/j.beth.2019.12.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321921PMC

Delayed Bedtimes Are Associated With More Severe Obsessive-Compulsive Symptoms in Intensive Residential Treatment.

Behav Ther 2020 Jul 21;51(4):559-571. Epub 2019 Dec 21.

McLean Hospital/Harvard Medical School.

Delays in behavioral and biological circadian rhythms (e.g., sleep timing, melatonin secretion) are found more frequently in individuals with severe and treatment-resistant obsessive-compulsive disorder (OCD). Read More

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http://dx.doi.org/10.1016/j.beth.2019.12.006DOI Listing

Effectiveness of an mHealth Intervention for Infant Sleep Disturbances.

Behav Ther 2020 Jul 7;51(4):548-558. Epub 2020 Jan 7.

Saint Joseph's University; Children's Hospital of Philadelphia.

Bedtime problems and night wakings are highly prevalent in infants. This study assessed the real-world effectiveness of an mHealth behavioral sleep intervention (Customized Sleep Profile; CSP). Caregivers (83. Read More

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http://dx.doi.org/10.1016/j.beth.2019.12.011DOI Listing

Brief Behavioral Treatment for Insomnia vs. Cognitive Behavioral Therapy for Insomnia: Results of a Randomized Noninferiority Clinical Trial Among Veterans.

Behav Ther 2020 Jul 20;51(4):535-547. Epub 2020 Feb 20.

VA Pittsburgh Healthcare System; RAND Corporation.

The goal of this study was to compare a brief behavioral treatment for insomnia (BBTI), which has fewer sessions (4), shorter duration (<30-45 minutes), and delivers treatment in-person plus phone calls to cognitive behavioral therapy for insomnia (CBTI), which has 5 in-person sessions. The hypothesis was BBTI would be noninferior to CBTI. The Reliable Change Index was used to establish a noninferiority margin (NIM) of 3. Read More

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http://dx.doi.org/10.1016/j.beth.2020.02.002DOI Listing

Predictors of Cognitive Behavioral Therapy for Insomnia (CBTi) Outcomes in Active-Duty U.S. Army Personnel.

Behav Ther 2020 Jul 14;51(4):522-534. Epub 2020 Feb 14.

University of Arizona.

Cognitive behavioral therapy for insomnia (CBTi) is well established as the first-line treatment for the management of chronic insomnia. Identifying predictors of response to CBTi should enable the field to efficiently utilize resources to treat those who are likely to respond and to personalize treatment approaches to optimize outcomes for those who are less likely to respond to traditional CBTi. Although a range of studies have been conducted, no clear pattern of predictors of response to CBTi has emerged. Read More

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http://dx.doi.org/10.1016/j.beth.2020.02.001DOI Listing

Introduction to the Special Issue: The Impact and Treatment of Sleep Disturbance.

Authors:
Carmen P McLean

Behav Ther 2020 Jul 6;51(4):519-521. Epub 2020 Mar 6.

National Center for PTSD, VA Palo Alto Health Care System; Stanford University. Electronic address:

There is now widespread recognition that sleep disturbance is more than an epiphenomenon of psychopathology. Research on established evidence-based treatments for sleep disturbance have matured to focus on predictors and more flexible implementation modalities. Sleep disturbance overlaps and interacts with comorbid psychological disorders though a complex transdiagnostic process that impacts the development, maintenance, and treatment of psychological disorders. Read More

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http://dx.doi.org/10.1016/j.beth.2020.02.004DOI Listing

A Neuropsychological Investigation of Perfectionism.

Behav Ther 2020 May 12;51(3):488-502. Epub 2019 Sep 12.

Texas State University. Electronic address:

Perfectionism entails a burdensome preoccupation with one's self-evaluation in the context of performance outcomes. Although perfectionism has been subject to extensive research, scant literature on its effect on cognitive functioning is available, let alone in nonclinical populations. The aim of the present study is to utilize a comprehensive neuropsychological battery to assess cognitive functions among college students with high and low levels of perfectionism. Read More

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http://dx.doi.org/10.1016/j.beth.2019.09.002DOI Listing

A Test of the Habit-Goal Framework of Depressive Rumination and Its Relevance to Cognitive Reactivity.

Behav Ther 2020 May 17;51(3):474-487. Epub 2019 Aug 17.

McLean Hospital/Harvard Medical School.

The aim of the present study was to test predictions derived from the habit-goal framework of depressive rumination and investigate its relevance to cognitive reactivity-another well-known vulnerability factor to depression. Formerly depressed (FD; n=20) and never depressed (ND; n=22) participants completed self-report measures of rumination, cognitive reactivity, and habitual characteristics of rumination (e.g. Read More

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http://dx.doi.org/10.1016/j.beth.2019.08.005DOI Listing

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) Adapted as a School-Based Anxiety and Depression Prevention Program: An Initial Cluster Randomized Wait-List-Controlled Trial.

Behav Ther 2020 May 14;51(3):461-473. Epub 2019 Aug 14.

Universidad Nacional de Educación a Distancia.

Anxiety and depression are common debilitating conditions that show high comorbidity rates in adolescence. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A; Ehrenreich-May et al., 2018) is one of the few existing resources aimed at applying transdiagnostic treatment principles across the core dysfunctions implicated in the development of both anxiety and depression using a single protocol. Read More

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http://dx.doi.org/10.1016/j.beth.2019.08.003DOI Listing

Bidirectional Relationships Between Posttraumatic Stress Disorder and Social Functioning During Cognitive Processing Therapy.

Behav Ther 2020 May 8;51(3):447-460. Epub 2019 Aug 8.

Ryerson University.

This study investigated temporal relationships between posttraumatic stress symptoms and two indicators of social functioning during cognitive processing therapy. Participants were 176 patients (51.5% female, M age = 39. Read More

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http://dx.doi.org/10.1016/j.beth.2019.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232057PMC

Beyond the Constraints of an RCT: Naturalistic Treatment Outcomes for Anxiety-Related Disorders.

Behav Ther 2020 May 1;51(3):434-446. Epub 2019 Aug 1.

University of Pennsylvania.

Despite considerable data from randomized controlled trials supporting use of behavioral therapies for anxiety disorders and anxiety-related disorders, there is a relative scarcity of data demonstrating that such findings are generalizable to patients in nonresearch settings, and a lack of standardized repeated outcome measurement in such settings. Using one of the largest examinations of naturalistic outcomes of behavioral therapies in treatment-seeking patients (N = 489), we examined the clinical characteristics and treatment outcomes of patients seeking treatment for anxiety and anxiety-related disorders in the past 3 years. Patients seeking treatment at a clinic specializing in cognitive-behavioral therapy (CBT) completed self-report questionnaires via an electronic data capture system and diagnostic interview at baseline, and were reassessed at mid- and posttreatment. Read More

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http://dx.doi.org/10.1016/j.beth.2019.07.007DOI Listing

Congruence of Patient Takeaways and Homework Assignment Content Predicts Homework Compliance in Psychotherapy.

Behav Ther 2020 May 26;51(3):424-433. Epub 2019 Jul 26.

Cognitive Behavior Therapy and Science Center and University of California, Berkeley.

Homework is generally considered an essential part of psychotherapy. The present study tested the hypothesis that patients were more likely to complete homework assignments when the content of the assignments was more congruent with content the patient reported wanting to remember from the session (patient takeaways). The study relied on data collected in 541 sessions of individual naturalistic cognitive-behavioral therapy provided to 41 patients in a private practice setting and who completed a feedback form in each session that recorded the content of the homework assignments for the session, patient takeaways from the session, and homework completion. Read More

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http://dx.doi.org/10.1016/j.beth.2019.07.005DOI Listing

Exposing Worry's Deceit: Percentage of Untrue Worries in Generalized Anxiety Disorder Treatment.

Behav Ther 2020 May 17;51(3):413-423. Epub 2019 Jul 17.

The Pennsylvania State University.

Theories of cognitive therapy have long proposed that those with generalized anxiety disorder (GAD) have inaccurate expectations. By challenging them with objective evidence, symptoms are thought to decrease. To test these premises, this study used ecological momentary assessment (EMA) during the Worry Outcome Journal (WOJ) treatment to determine the percentage of GAD worries that did not come true. Read More

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http://dx.doi.org/10.1016/j.beth.2019.07.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233480PMC

Emotion Regulation Difficulties During and After Partial Hospitalization Treatment Across Eating Disorders.

Behav Ther 2020 May 11;51(3):401-412. Epub 2019 Jul 11.

Eating Disorder Center for Treatment and Research, UC San Diego Health.

Emotion regulation deficits are associated with eating disorder (ED) symptoms, regardless of eating disorder diagnosis. Thus, recent treatment approaches for EDs, such as dialectical behavior therapy (DBT), have focused on teaching patients skills to better regulate emotions. The present study examined changes in emotion regulation among adult patients with EDs during DBT-oriented partial hospital treatment, and at follow-up (M[SD] = 309. Read More

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http://dx.doi.org/10.1016/j.beth.2019.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225176PMC

Weekly Changes in Blame and PTSD Among Active-Duty Military Personnel Receiving Cognitive Processing Therapy.

Behav Ther 2020 May 28;51(3):386-400. Epub 2019 Jun 28.

Duke University Medical Center.

Both negative posttraumatic cognitions and posttraumatic stress disorder (PTSD) symptoms decrease over the course of cognitive-behavior therapy for PTSD; however, further research is needed to determine whether cognitive change precedes and predicts symptom change. The present study examined whether weekly changes in blame predicted subsequent changes in PTSD symptoms over the course of cognitive processing therapy (CPT). Participants consisted of 321 active duty U. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233479PMC

Affective Styles in Panic Disorder and Specific Phobia: Changes Through Cognitive Behavior Therapy and Prediction of Remission.

Behav Ther 2020 May 24;51(3):375-385. Epub 2019 Jun 24.

Ruhr University Bochum.

Affective styles appear to be relevant to the development of psychopathology, especially anxiety disorders. The aim of the current study was to investigate changes in affective styles in patients with panic disorder and specific phobia, as a result of undergoing cognitive-behavioral therapy, and to identify a possible link between certain affective styles and remission. The sample consisted of outpatients (N = 101) suffering from panic disorder, specific phobia, or agoraphobia who completed the Affective Style Questionnaire (ASQ) before and after therapy, as well as at a 6-month follow-up assessment. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.006DOI Listing

Associations Between Social Anxiety and Affective and Empathic Forecasts: A Replication and Extension in a Mechanical Turk Sample.

Behav Ther 2020 May 14;51(3):365-374. Epub 2019 Jun 14.

University of Miami.

People often overestimate the intensity and duration of their future emotions, referred to as an impact bias. Impact biases have been documented in predictions people make about their own emotions, as well as the others' emotions (i.e. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.004DOI Listing

Irritability as a Transdiagnostic Vulnerability Trait:Current Issues and Future Directions.

Behav Ther 2020 03 27;51(2):350-364. Epub 2019 Nov 27.

Northwestern University.

In recent years, irritability has received increasing attention among mental health professionals given its transdiagnostic associations with diverse forms of psychopathology. In contrast to other emotional states and traits, however, literature addressing associations between irritability and related temperament and personality constructs is limited. In addition, those who study irritability have diverse perspectives on its neurobiological substrates. Read More

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http://dx.doi.org/10.1016/j.beth.2019.10.009DOI Listing

Development and Application of an Innovative Transdiagnostic Treatment Approach for Pediatric Irritability.

Behav Ther 2020 03 23;51(2):334-349. Epub 2019 Jul 23.

University of Miami.

Recent work has drawn attention to the previously underrecognized role that irritability plays in childhood psychopathology. Despite increased recognition of the clinical importance of pediatric irritability as a transdiagnostic symptom dimension, there is a lack of evidence-based treatments for this population that simultaneously and equitably addresses both child and contextual (e.g. Read More

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http://dx.doi.org/10.1016/j.beth.2019.07.004DOI Listing

Exposure-Based Cognitive-Behavioral Therapy for Disruptive Mood Dysregulation Disorder: An Evidence-Based Case Study.

Behav Ther 2020 03 21;51(2):320-333. Epub 2019 May 21.

Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health.

Severe, chronic irritability is one of the most frequently reported problems in youth referred for psychiatric care. Irritability predicts adult depressive and anxiety disorders, and long-term impairment. Reflecting this pressing public health need, severe, chronic, and impairing irritability is now codified by the DSM-5 diagnosis of disruptive mood dysregulation disorder (DMDD). Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.007DOI Listing

The Internal Structure of the Aberrant Behavior Checklist Irritability Subscale: Implications for Studies of Irritability in Treatment-Seeking Youth With Autism Spectrum Disorders.

Behav Ther 2020 03 26;51(2):310-319. Epub 2019 Nov 26.

University of Colorado.

Given the prominence of the Aberrant Behavior Checklist (ABC), Irritability Subscale (ABC-I), in treatment outcome studies, we conducted a critical examination of its internal consistency and relationship to other measures of irritability in 758 psychiatrically hospitalized youth with autism spectrum disorder. In exploratory and confirmation samples, we conducted factor and bifactor analyses to describe the internal structure of the ABC-I. Our results suggest that the ABC-I roughly represents a unidimensional construct of irritability, as indicated by a general factor in bifactor analysis. Read More

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http://dx.doi.org/10.1016/j.beth.2019.09.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080324PMC

The Early Childhood Irritability-Related Impairment Interview (E-CRI): A Novel Method for Assessing Young Children's Developmentally Impairing Irritability.

Behav Ther 2020 03 10;51(2):294-309. Epub 2019 Sep 10.

Washington University School of Medicine.

Irritability is a substrate of more than one dozen clinical syndromes. Thus, identifying when it is atypical and interfering with functioning is crucial to the prevention of mental disorder in the earliest phase of the clinical sequence. Advances in developmentally based measurement of irritability have enabled differentiation of normative irritable mood and tantrums from indicators of concern, beginning in infancy. Read More

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http://dx.doi.org/10.1016/j.beth.2019.07.008DOI Listing

The Clinician Affective Reactivity Index: Validity and Reliability of a Clinician-Rated Assessment of Irritability.

Behav Ther 2020 03 27;51(2):283-293. Epub 2019 Nov 27.

Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health.

Irritability is impairing in youth and is the core feature of disruptive mood dysregulation disorder (DMDD). Currently, there are no established clinician-rated instruments to assess irritability in pediatric research and clinical settings. Clinician-rated measures ensure consistency of assessment across patients and are important specifically for treatment research. Read More

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http://dx.doi.org/10.1016/j.beth.2019.10.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060970PMC

The Validity of a Frustration Paradigm to Assess the Effect of Frustration on Cognitive Control in School-Age Children.

Behav Ther 2020 03 5;51(2):268-282. Epub 2019 Jul 5.

Johns Hopkins University School of Medicine; Kennedy Krieger Institute.

Irritability refers to a proneness for anger, and is a symptom of internalizing and externalizing psychopathology. Since irritability is associated with significant cross-sectional and longitudinal impairments, research on the behavioral and neural correlates of pediatric irritability in populations at risk for significant irritability is of paramount importance. Irritability can be assessed in the laboratory using behavioral paradigms that elicit frustration. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.009DOI Listing

Children's Facial Muscular Movements and Risk for Early Psychopathology: Assessing Clinical Utility.

Behav Ther 2020 03 17;51(2):253-267. Epub 2019 Aug 17.

Washington University School of Medicine in St. Louis.

Standardized developmentally based assessment systems have transformed the capacity to identify transdiagnostic behavioral markers of mental disorder risk in early childhood, notably, clinically significant irritability and externalizing behaviors. However, behavior-based instruments that both differentiate risk for persistent psychopathology from normative misbehavior, and are feasible for community clinicians to implement, are in nascent phases of development. Young children's facial expressions during frustration challenges may form the basis for novel assessments tools that are flexible, quick, and easy to implement as markers of psychopathology to complement validated questionnaires. Read More

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http://dx.doi.org/10.1016/j.beth.2019.08.004DOI Listing

Exploring Longitudinal Mechanisms of Irritability in Children: Implications for Cognitive-Behavioral Intervention.

Behav Ther 2020 03 18;51(2):238-252. Epub 2019 May 18.

University of Kansas.

Severe irritability is a common and clinically important problem longitudinally associated with internalizing and externalizing problems in children. To better understand these mechanisms and to inform treatment research, we tested cognitive-behavioral processes as candidate mediators in the paths from irritability to later problems. Methods: A school sample (N = 238, 48% female, ages 8-10) was assessed at ~6-month intervals in fall (T1) and spring (T2) of third to fourth grade, and again the following fall (T3). Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.006DOI Listing

Irritability and Limited Prosocial Emotions/Callous-Unemotional Traits in Elementary-School-Age Children.

Behav Ther 2020 03 24;51(2):223-237. Epub 2019 Jun 24.

Penn State College of Medicine and Penn State Milton S. Hershey Medical Center.

Affective traits, including irritability and limited prosocial emotions/callous-unemotional traits (LPE/CU), each explain significant variance in youth conduct problems but few studies have examined these constructs simultaneously. This study examined whether irritability, LPE/CU, or their combination explained significant variance in measures of internalizing or externalizing psychopathology, aggression, peer problems, impairment, or parenting. Participants were 219 elementary-school-age children, including 178 with attention-deficit/hyperactivity disorder, oppositional defiant disorder, and/or conduct disorder and 41 typically developing children. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.007DOI Listing

Anxious-Irritable Children: A Distinct Subtype of Childhood Anxiety?

Behav Ther 2020 03 20;51(2):211-222. Epub 2019 Jun 20.

Yale University Child Study Center.

Children with anxiety disorders often present with other co-occurring symptom clusters, of which irritability is among the most highly co-occurring. Despite compelling clinical and pathophysiological evidence linking anxiety and irritability, little is known regarding the clinical presentation and associated impairment of children with both anxiety and irritability. In this study, our aims were to confirm the preponderance of irritability in clinically anxious children and compare clinically anxious children with irritability to those without irritability across sociodemographic, clinical, psychosocial, and family domains. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080292PMC

Advances in the Conceptualization, Assessment, and Treatment of Pediatric Irritability.

Behav Ther 2020 03 26;51(2):207-210. Epub 2019 Nov 26.

Florida International University.

Pediatric irritability is a functionally impairing transdiagnostic symptom underlying a substantial proportion of child mental health referrals. The past 20 years have witnessed a striking uptick in empirical work focused on pediatric irritability, with increasing recognition of its role across multiple internalizing and externalizing disorders. That said, it has only been in recent years that research has begun to make advances in understanding the natural course and neurobiological underpinnings of irritability across development; research directly informing effective clinical management of pediatric irritability has been limited. Read More

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http://dx.doi.org/10.1016/j.beth.2019.10.010DOI Listing

Interpretation Bias Modification Versus Progressive Muscle Relaxation for Social Anxiety Disorder: A Web-Based Controlled Trial.

Behav Ther 2020 01 24;51(1):99-112. Epub 2019 May 24.

Virginia Polytechnic Institute.

Computerized interpretation bias modification (IBM) programs show promise for the treatment of anxiety disorders, though they have rarely been compared to active treatments. The goal of the present study was to compare the efficacy of IBM to progressive muscle relaxation (PMR) for the treatment of social anxiety disorder (SAD). Sixty-four participants with SAD were recruited from across the United States and randomly assigned to 8 internet-delivered twice-weekly sessions of IBM or PMR. Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.009DOI Listing
January 2020

When to Change the Treatment Plan: An Analysis of Diminishing Returns in VA Patients Undergoing Prolonged Exposure and Cognitive Processing Therapy.

Behav Ther 2020 01 18;51(1):85-98. Epub 2019 May 18.

Emory University; Atlanta VA Medical Center.

Evidence-based treatments for posttraumatic stress disorder (PTSD) often produce significant symptom reduction within eight sessions. However, some patients take longer to respond and a better understanding of predictors of later response can help guide treatment. In the current study, the cohort consisted of all VA patients with a PTSD diagnosis who received at least eight sessions of documented evidence-based treatment within a 6-month period in FY16-FY17 and had at least two PTSD symptom assessments. Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.003DOI Listing
January 2020

Using a Smartphone App and Clinician Portal to Enhance Brief Cognitive Behavioral Therapy for Childhood Anxiety Disorders.

Behav Ther 2020 01 14;51(1):69-84. Epub 2019 May 14.

University of Pittsburgh.

Cognitive behavioral therapy (CBT) is an efficacious treatment for child anxiety disorders, but 40%-50% of youth do not respond fully to treatment, and time commitments for standard CBT can be prohibitive for some families and lead to long waiting lists for trained CBT therapists in the community. SmartCAT 2.0 is an adjunctive mobile health program designed to improve and shorten CBT treatment for anxiety disorders in youth by providing them with the opportunity to practice CBT skills outside of session using an interactive and gamified interface. Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995786PMC
January 2020

Internet-Based Cognitive Behavior Therapy for Loneliness: A Pilot Randomized Controlled Trial.

Behav Ther 2020 01 11;51(1):54-68. Epub 2019 May 11.

Linköping University; Karolinska Institute. Electronic address:

Loneliness has been described as a common source of discomfort based on a subjective discrepancy between the actual and desired social situation. For some people this feeling may become a sustained state that is associated with a wide range of psychiatric and psychosocial problems. While there are few existing treatment protocols, interventions based on cognitive behavioral therapy (CBT) have shown positive effects. Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.001DOI Listing
January 2020

The Role of Intrusive Imagery in Hoarding Disorder.

Behav Ther 2020 01 2;51(1):42-53. Epub 2019 May 2.

University of Bath. Electronic address:

Despite the incidence of trauma in the histories of people with Hoarding Disorder (HD), reexperiencing symptoms, namely intrusive images, have not been investigated in the condition. To address this, 27 individuals who met DSM-5 criteria for HD and 28 community controls (CCs) were interviewed about (a) their everyday experiences of intrusive imagery, and (b) the unexpected images they experience when discarding high- and low-value possessions. Compared to CCs, everyday images described by the HD group were more frequent, had a greater negative valence, and were associated with greater interference in everyday life and attempts to avoid the imagery. Read More

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http://dx.doi.org/10.1016/j.beth.2019.04.005DOI Listing
January 2020

A Review of Pediatric Nonpharmacological Sleep Interventions: Effects on Sleep, Secondary Outcomes, and Populations With Co-occurring Mental Health Conditions.

Behav Ther 2020 01 3;51(1):27-41. Epub 2019 May 3.

University of Iowa.

Sleep problems are common in school-age children and linked to numerous negative outcomes. Sleep disturbances are particularly common in children with mental health disorders, such as attention-deficit/hyperactivity disorder, depression, and anxiety. Despite frequent use of nonpharmacological pediatric sleep interventions to treat common sleep problems, there is a paucity of research on whether these interventions are effective. Read More

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http://dx.doi.org/10.1016/j.beth.2019.04.006DOI Listing
January 2020

Examining Hope as a Transdiagnostic Mechanism of Change Across Anxiety Disorders and CBT Treatment Protocols.

Behav Ther 2020 01 12;51(1):190-202. Epub 2019 Jun 12.

Boston University.

Hope is a trait that represents the capacity to identify strategies or pathways to achieve goals and the motivation or agency to effectively pursue those pathways. Hope has been demonstrated to be a robust source of resilience to anxiety and stress and there is limited evidence that, as has been suggested for decades, hope may function as a core process or transdiagnostic mechanism of change in psychotherapy. The current study examined the role of hope in predicting recovery in a clinical trial in which 223 individuals with 1 of 4 anxiety disorders were randomized to transdiagnostic cognitive behavior therapy (CBT), disorder-specific CBT, or a waitlist controlled condition. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000132PMC
January 2020

Linking Pavlovian Disgust Conditioning and Eating Disorder Symptoms: An Analogue Study.

Authors:
Bunmi O Olatunji

Behav Ther 2020 01 13;51(1):178-189. Epub 2019 Jun 13.

Vanderbilt University. Electronic address:

Although the experience of disgust is commonly endorsed among women with eating disorders, it remains unclear how to best model this emotion in relation to disordered eating. The present study sought to identify potential disgust conditioning abnormalities that may underlie the development of eating disorder symptoms. Individuals high and low in eating disorder symptoms (HED, n = 19; LED, n = 18) completed a Pavlovian conditioning procedure in which one neutral food item (conditioned stimulus; CS+) was followed by disgusting videos of individuals vomiting (unconditioned stimulus; US) and another neutral food item (CS-) was not reinforced with the disgusting video. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.002DOI Listing
January 2020

Randomized Controlled Trial of a Smartphone Application as an Adjunct to Acceptance and Commitment Therapy for Smoking Cessation.

Behav Ther 2020 01 12;51(1):162-177. Epub 2019 Jun 12.

University College Dublin.

There is a major public health need for innovative and efficacious behavioral and cognitive interventions for smoking cessation. This randomized controlled trial evaluated the efficacy of an acceptance and commitment therapy (ACT) smartphone application in augmenting ACT group treatment for smoking cessation. One hundred fifty adults smoking 10 or more cigarettes per day were randomly assigned to 6 weekly group sessions of behavioral support, ACT, or ACT combined with the smartphone application. Read More

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http://dx.doi.org/10.1016/j.beth.2019.06.003DOI Listing
January 2020

Development and Pilot Testing of a Cognitive-Behavioral Therapy Digital Service for Body Dysmorphic Disorder.

Behav Ther 2020 01 7;51(1):15-26. Epub 2019 Aug 7.

Telefónica Innovación Alpha, S.L.

Body dysmorphic disorder (BDD) has a severe presentation and chronic course when untreated. Although effective BDD treatments exist, most individuals do not have access to them. We therefore developed and pilot tested the first smartphone-delivered individual cognitive-behavioral therapy (CBT) treatment for adults with BDD. Read More

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http://dx.doi.org/10.1016/j.beth.2019.03.007DOI Listing
January 2020

Developing and Testing a Novel, Computerized Insomnia and Anxiety Intervention to Reduce Safety Aids Among an at-Risk Student Sample: A Randomized Controlled Trial.

Behav Ther 2020 01 3;51(1):149-161. Epub 2019 Jun 3.

Florida State University. Electronic address:

Anxiety and insomnia disorders are two of the most common and costly mental health conditions. They are frequently comorbid, but current treatments do not target both. To streamline treatment, we developed a computerized intervention targeting a transdiagnostic factor, safety aids (cognitive or behavioral strategies used to cope with distress that paradoxically exacerbate symptoms). Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.012DOI Listing
January 2020

Emotion Differentiation as a Protective Factor Against the Behavioral Consequences of Rumination: A Conceptual Replication and Extension in the Context of Social Anxiety.

Behav Ther 2020 01 31;51(1):135-148. Epub 2019 May 31.

Kent State University.

Rumination is thought to play a central role in affective disorders such as social anxiety disorder (SAD). Past research indicates that rumination tends to exacerbate negative emotions and increase the risk of engaging in maladaptive coping behaviors (e.g. Read More

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http://dx.doi.org/10.1016/j.beth.2019.05.011DOI Listing
January 2020