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    The Efficacy and Acceptability of Third-Wave Behavioral and Cognitive eHealth Treatments: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    Behav Ther 2018 May 27;49(3):459-475. Epub 2017 Jul 27.
    University College Dublin.
    eHealth is an innovative method of delivering therapeutic content with the potential to improve access to third-wave behaviural and cognitive therapies. This systematic review and meta-analysis aimed to determine the efficacy and acceptability of third-wave eHealth treatments in improving mental health outcomes. A comprehensive search of electronic bibliographic databases including PubMed, PsycINFO, Web of Science, and CENTRAL was conducted to identify randomized controlled trials of third-wave treatments in which eHealth was the main component. Read More

    Safety Behavior After Extinction Triggers a Return of Threat Expectancy.
    Behav Ther 2018 May 18;49(3):450-458. Epub 2017 Aug 18.
    Utrecht University.
    Safety behavior is involved in the maintenance of anxiety disorders, presumably because it prevents the violation of negative expectancies. Recent research showed that safety behavior is resistant to fear extinction. This fear conditioning study investigated whether safety behavior after fear extinction triggers a return of fear in healthy participants. Read More

    Experiential Avoidance: An Examination of the Construct Validity of the AAQ-II and MEAQ.
    Behav Ther 2018 May 1;49(3):435-449. Epub 2017 Sep 1.
    Southern Methodist University. Electronic address:
    Experiential avoidance (also referred to as acceptance or psychological flexibility) is a core construct of third-wave behavior therapies. It is the tendency to avoid uncomfortable thoughts or feelings, even when doing so has negative long-term consequences. In order for developments in experiential avoidance and third-wave behavior therapies to continue, it is imperative to examine the construct validity of the most widely used measures of this construct, the Acceptance and Action Questionnaire-II (AAQ-II) and the Multidimensional Experiential Avoidance Questionnaire (MEAQ). Read More

    Working Memory and Motor Activity: A Comparison Across Attention-Deficit/Hyperactivity Disorder, Generalized Anxiety Disorder, and Healthy Control Groups.
    Behav Ther 2018 May 12;49(3):419-434. Epub 2017 Sep 12.
    Oklahoma State University.
    Converging findings from recent research suggest a functional relationship between attention-deficit/hyperactivity disorder (ADHD)-related hyperactivity and demands on working memory (WM) in both children and adults. Excessive motor activity such as restlessness and fidgeting are not pathognomonic symptoms of ADHD, however, and are often associated with other diagnoses such as generalized anxiety disorder (GAD). Further, previous research indicates that anticipatory processing associated with anxiety can directly interfere with storage and rehearsal processes of WM. Read More

    A Pilot Study of Emotion Regulation Therapy for Generalized Anxiety and Depression: Findings From a Diverse Sample of Young Adults.
    Behav Ther 2018 May 8;49(3):403-418. Epub 2017 Sep 8.
    Teacher's College, Columbia University. Electronic address:
    Emotion regulation therapy (ERT) for generalized anxiety disorder (GAD) and accompanying major depressive disorder (MDD) is a theoretically derived, evidence-based treatment that integrates principles from traditional and contemporary cognitive-behavioral and experiential approaches with basic and translational findings from affect science to offer a blueprint for improving intervention by focusing on the motivational responses and corresponding self-referential regulatory characteristics. Preliminary evidence supports the efficacy of a 20-session version of ERT. However, previous trials of ERT and other traditional and contemporary cognitive-behavioral therapies have often utilized relatively homogeneous samples. Read More

    Body Image-Acceptance and Action Questionnaire-5: An Abbreviation Using Genetic Algorithms.
    Behav Ther 2018 May 22;49(3):388-402. Epub 2017 Sep 22.
    Institute for Positive Psychology and Education, Australian Catholic University.
    Body image concerns are typically linked with negative outcomes such as disordered eating and diminished well-being, but some people can exhibit psychological flexibility and remain committed to their valued goals despite being dissatisfied about their bodies. Such flexibility is most frequently measured by the Body Image-Acceptance and Action Questionnaire (BI-AAQ). This study used a recently validated, fully automated method based on genetic algorithms (GAs) on data from an American community sample (N=538, 71. Read More

    Social Anxiety and the Quality of Everyday Social Interactions: The Moderating Influence of Alcohol Consumption.
    Behav Ther 2018 May 14;49(3):373-387. Epub 2017 Oct 14.
    George Mason University. Electronic address:
    Most research on the link between social anxiety and alcohol consumption has examined problematic outcomes without consideration of potential adaptive functions. Alcohol is an anxiolytic that has the short-term benefit of reducing anxiety; consumption may act as a social lubricant that facilitates higher quality social interactions. Using experience-sampling methodology, we examined how consuming alcohol attenuates the adverse effects of social anxiety in naturally occurring social interactions. Read More

    The Use of Acceptance and Commitment Therapy to Promote Mental Health and School Engagement in University Students: A Multisite Randomized Controlled Trial.
    Behav Ther 2018 May 2;49(3):360-372. Epub 2017 Nov 2.
    Université du Québec à Trois-Rivières.
    The aim of this multisite randomized controlled trial was to determine whether an intervention based on Acceptance and Commitment Therapy (ACT) was efficacious in improving university students' psychological flexibility, mental health, and school engagement. Students were recruited in four Canadian universities and randomly assigned to an intervention (n = 72) or a wait-list control group (n = 72). Students in the intervention group took part in four 2. Read More

    Changes in Problematic Anger, Shame, and Disgust in Anxious and Depressed Adults Undergoing Treatment for Emotion Dysregulation.
    Behav Ther 2018 May 27;49(3):344-359. Epub 2017 Oct 27.
    Duke University.
    Emotion dysregulation, the pervasive difficulty managing negative emotions, is a core problem across mood and anxiety disorders. Anger, shame, and disgust are particularly problematic emotions, impacting both disorder severity and treatment outcome. We previously found that a 16-week dialectical behavior therapy skills training group (DBT-ST) was superior to an activities-based support group (ASG) in decreasing emotion dysregulation in 44 adults with high emotion dysregulation who met diagnostic criteria for an anxiety or depressive disorder. Read More

    The Long-Term Effects of Group-Based Psychological Interventions for Children With Tourette Syndrome: A Randomized Controlled Trial.
    Behav Ther 2018 May 6;49(3):331-343. Epub 2017 Dec 6.
    Great Ormond Street Hospital for Children NHS Foundation Trust; UCL Great Ormond Street Institute of Child Health. Electronic address:
    This randomized controlled trial examined the long-term effects of group-based psychological interventions on measures of tic severity, self-reported quality of life (QOL), and school attendance. Children (n = 28) with Tourette syndrome (TS) were assessed 12 months after completing a course of either group-based Habit Reversal Training (HRT) or Education. Both groups demonstrated long-term improvement in tic severity and QOL, which included significant continued improvement during the follow-up (FU) period. Read More

    A Multimethod Examination of the Effect of Insomnia Symptoms on Anxious Responding to a Social Stressor.
    Behav Ther 2018 May 13;49(3):323-330. Epub 2017 Nov 13.
    Florida State University. Electronic address:
    A growing number of studies identify insomnia symptoms as a potential risk factor for the development of anxiety disorders. However, little research has examined potential mechanisms through which insomnia could confer increased risk for anxiety. A separate line of literature suggests sleep is necessary for adaptive emotional and behavioral responding to stressors, a potential mechanism linking insomnia symptoms to anxiety risk. Read More

    New Directions in the Cognitive-Behavioral Treatment of OCD: Theory, Research, and Practice.
    Behav Ther 2018 May 14;49(3):311-322. Epub 2017 Sep 14.
    University of North Carolina at Chapel Hill.
    The beneficial effects of cognitive-behavioral interventions (particularly exposure and response prevention) for OCD are among the most consistent research findings in the mental health literature. Nevertheless, even after an adequate trial, many individuals experience residual symptoms, and others never receive adequate treatment due to limited access. These and other issues have prompted clinicians and researchers to search for ways to improve the conceptual and practical aspects of existing treatment approaches, as well as look for augmentation strategies. Read More

    Efficacy of Guided iCBT for Depression and Mediation of Change by Cognitive Skill Acquisition.
    Behav Ther 2018 03 1;49(2):295-307. Epub 2017 May 1.
    University of Pennsylvania.
    Guided internet CBT (iCBT) is a promising treatment for depression; however, it is less well known through what mechanisms iCBT works. Two possible mediators of change are the acquisition of cognitive skills and increases in behavioral activation. We report results of an 8-week waitlist controlled trial of guided iCBT, and test whether early change in cognitive skills or behavioral activation mediated subsequent change in depression. Read More

    Profile Analysis of Psychological Symptoms Associated With Misophonia: A Community Sample.
    Behav Ther 2018 03 12;49(2):286-294. Epub 2017 Jul 12.
    University of Mississippi Medical Center.
    Misophonia is characterized by extreme aversive reactions to certain classes of sounds. It has recently been recognized as a condition associated with significant disability. Research has begun to evaluate psychopathological correlates of misophonia. Read More

    Racial Differences in Attributions, Perceived Criticism, and Upset: A Study With Black and White Community Participants.
    Behav Ther 2018 03 23;49(2):273-285. Epub 2017 Jul 23.
    University of Pennsylvania.
    The primary aims of the current investigation were (a) to examine the relationships among attributions, perceived constructive and destructive criticism, and upset due to criticism and (b) to explore racial differences in mean levels of attributions, perceived criticism, upset due to criticism, and warmth in a community sample of Blacks and Whites (N = 272). The Attributions of Criticism Scale (ACS) was used to measure participants' attributions regarding criticism from their relatives. No racial differences were found in mean levels of attributions or type of perceived criticism. Read More

    Visual Attention to Pictorial Food Stimuli in Individuals With Night Eating Syndrome: An Eye-Tracking Study.
    Behav Ther 2018 03 23;49(2):262-272. Epub 2017 Jul 23.
    University of Leipzig Medical Center.
    Night eating syndrome (NES) is characterized by excessive evening and/or nocturnal eating episodes. Studies indicate an attentional bias towards food in other eating disorders. For NES, however, evidence of attentional food processing is lacking. Read More

    Consumer Smartphone Apps Marketed for Child and Adolescent Anxiety: A Systematic Review and Content Analysis.
    Behav Ther 2018 03 29;49(2):249-261. Epub 2017 Jul 29.
    Mental Health Interventions and Technology (MINT) Program, Florida International University. Electronic address:
    Anxiety disorders are collectively the most prevalent mental health problems affecting youth. To increase the reach of mental health care, recent years have seen increasing enthusiasm surrounding mobile platforms for expanding treatment delivery options. Apps developed in academia and supported in clinical trials are slow to reach the consumer marketplace. Read More

    Predicting Response to an Internet-Delivered Parenting Program for Anxiety in Early Childhood.
    Behav Ther 2018 03 3;49(2):237-248. Epub 2017 Aug 3.
    La Trobe University and University of Melbourne.
    Previous research has identified factors related to outcome in child anxiety treatment and parent training programs for child behavior problems. However, it is unclear what factors predict outcomes in interventions delivered online to parents of young children at risk of anxiety. This study investigated predictors of child anxiety outcomes among 433 families with young children (3-6 years) who participated in a randomized controlled trial of Cool Little Kids Online, an eight-module early intervention program for child anxiety based on cognitive-behavioral therapy (CBT). Read More

    Modification of Hostile Interpretation Bias in Depression: A Randomized Controlled Trial.
    Behav Ther 2018 03 9;49(2):198-211. Epub 2017 Aug 9.
    Florida State University. Electronic address:
    Interpretation Bias Modification (IBM) is gaining attention in the literature as an intervention that alters cognitive biases and reduces associated symptoms. Forty, primarily college-aged, non-treatment-seeking adults with major depressive disorder (MDD) were randomly assigned to receive either IBM targeting hostile interpretation bias (IBM-H) or a healthy video control (HVC) condition. Compared to those in HVC, participants in IBM-H reported more benign interpretations and fewer hostile interpretations at posttreatment. Read More

    Treating Procrastination Using Cognitive Behavior Therapy: A Pragmatic Randomized Controlled Trial Comparing Treatment Delivered via the Internet or in Groups.
    Behav Ther 2018 03 5;49(2):180-197. Epub 2017 Aug 5.
    Stockholm University.
    Procrastination is a common problem among university students, with at least half of the population reporting great difficulties initiating or completing tasks and assignments. Procrastination can have a negative impact on course grades and the ability to achieve a university degree, but can also lead to psychological distress. Cognitive behavior therapy (CBT) is believed to reduce procrastination, but few studies have investigated its effectiveness in a regular clinical setting. Read More

    Combined Audience and Video Feedback With Cognitive Review Improves State Anxiety and Self-Perceptions During Speech Tasks in Socially Anxious Individuals.
    Behav Ther 2018 03 5;49(2):165-179. Epub 2017 Dec 5.
    Flinders University, South Australia.
    This study investigated the effects of combined audience feedback with video feedback plus cognitive preparation, and cognitive review (enabling deeper processing of feedback) on state anxiety and self-perceptions including perception of performance and perceived probability of negative evaluation in socially anxious individuals during a speech performance. One hundred and forty socially anxious students were randomly assigned to four conditions: Cognitive Preparation + Video Feedback + Audience Feedback + Cognitive Review (CP+VF+AF+CR), Cognitive Preparation + Video Feedback + Cognitive Review (CP+VF+CR), Cognitive Preparation + Video Feedback only (CP+VF), and Control. They were asked to deliver two impromptu speeches that were evaluated by confederates. Read More

    Honoring the Past, Envisioning the Future: ABCT's 50th Anniversary Presidential Address.
    Behav Ther 2018 03 18;49(2):151-164. Epub 2017 May 18.
    UCLA. Electronic address:
    The theme of the Association for Behavioral and Cognitive Therapies (ABCT) 50 Anniversary was to honor the past and envision the future. From the wisdom, foresight, and determination of the pioneers of our organization, and the continuous upholding of the scientific method over the last 50 years, cognitive behavioral therapy (CBT) has become the most empirically supported psychological treatment for a wide array of mental health problems. Yet, we still have a long way to go. Read More

    Parameters of Time-out: Research Update and Comparison to Parenting Programs, Books, and Online Recommendations.
    Behav Ther 2018 01 14;49(1):99-112. Epub 2017 Sep 14.
    University of the Pacific.
    In reviews published more than 30 years ago, eight parameters important to the use of time-out were identified and available research was summarized. The purpose of the current paper is to provide an updated summary of existing research for each parameter of time-out. Within each parameter, we conducted a thorough review of the published literature and identified all peer-reviewed articles addressing each parameter. Read More

    Multi-Informant Assessments of Adolescent Social Anxiety: Adding Clarity by Leveraging Reports from Unfamiliar Peer Confederates.
    Behav Ther 2018 01 16;49(1):84-98. Epub 2017 May 16.
    University of Maryland at College Park. Electronic address:
    Adolescent social anxiety (SA) assessments often include adolescent and parent reports, and low reporting correspondence results in uncertainties in clinical decision-making. Adolescents display SA within non-home contexts such as peer interactions. Yet, current methods for collecting peer reports raise confidentiality concerns, though adolescent SA assessments nonetheless would benefit from context-specific reports relevant to adolescent SA (i. Read More

    Effectiveness of Web- and Mobile-Based Treatment of Subthreshold Depression With Adherence-Focused Guidance: A Single-Blind Randomized Controlled Trial.
    Behav Ther 2018 01 25;49(1):71-83. Epub 2017 May 25.
    Friedrich-Alexander University Erlangen-Nuremberg; Leuphana University Lueneburg.
    Evidence for the impact of psychological Interventions for subthreshold depression (sD) is conflicting. Moreover, human resources to deliver such treatments are limited. This study aimed to evaluate the effectiveness of a web-based intervention with adherence-focused guidance in the treatment of sD. Read More

    PTSD Symptom Severity and Emotion Regulation Strategy Use During Trauma Cue Exposure Among Patients With Substance Use Disorders: Associations With Negative Affect, Craving, and Cortisol Reactivity.
    Behav Ther 2018 01 25;49(1):57-70. Epub 2017 May 25.
    University of Toledo.
    The co-occurrence of posttraumatic stress disorder (PTSD) pathology with a substance use disorder (SUD) is associated with emotion regulation deficits. However, studies in this area generally rely on trait-based emotion regulation measures, and there is limited information on the relation of PTSD pathology to the use of specific emotion regulation strategies in response to trauma-related distress among SUD patients or the consequences of these strategies for trauma cue reactivity. This study examined the relation of PTSD symptom severity to the use of specific emotion regulation strategies during trauma cue exposure among trauma-exposed SUD patients, as well as the indirect relations of PTSD symptom severity to changes in negative affect, cravings, and cortisol levels pre- to posttrauma cue exposure through different emotion regulation strategies. Read More

    Benchmarking Treatment Response in Tourette's Disorder: A Psychometric Evaluation and Signal Detection Analysis of the Parent Tic Questionnaire.
    Behav Ther 2018 01 25;49(1):46-56. Epub 2017 May 25.
    University of California, Los Angeles.
    This study assessed the psychometric properties of a parent-reported tic severity measure, the Parent Tic Questionnaire (PTQ), and used the scale to establish guidelines for delineating clinically significant tic treatment response. Participants were 126 children ages 9 to 17 who participated in a randomized controlled trial of Comprehensive Behavioral Intervention for Tics (CBIT). Tic severity was assessed using the Yale Global Tic Severity Scale (YGTSS), Hopkins Motor/Vocal Tic Scale (HMVTS) and PTQ; positive treatment response was defined by a score of 1 (very much improved) or 2 (much improved) on the Clinical Global Impressions - Improvement (CGI-I) scale. Read More

    Comparing Children's Memories for Negative Versus Positive Events in the Context of Posttraumatic Stress Symptoms.
    Behav Ther 2018 01 26;49(1):32-45. Epub 2017 Jun 26.
    Flinders University. Electronic address:
    How well children remember negative events is not fully understood. Previous research has failed to simultaneously test memory and perceptions of memory for both negative and positive events. Children (n = 38, 7-17 years) recruited from a hospital following accidental injury were tested for their memory of an injury-producing accident (negative event) and a positive event (unexpectedly receiving a $50 gift voucher). Read More

    Prospective Associations Between Sleep Disturbance and Repetitive Negative Thinking: The Mediating Roles of Focusing and Shifting Attentional Control.
    Behav Ther 2018 01 17;49(1):21-31. Epub 2017 Aug 17.
    Vanderbilt University.
    Although considerable evidence has linked sleep disturbance to symptoms of psychopathology, including repetitive negative thinking, few studies have examined how sleep disturbance may predict repetitive negative thinking over time. Further, no study to date has examined specific mechanisms that may account for this relationship. The present study sought to address these gaps in the literature by testing focusing and shifting attentional control as two potential mediators of the relationship between sleep disturbance and repetitive negative thinking over a 6-month period. Read More

    Economic Impact of Third-Wave Cognitive Behavioral Therapies: A Systematic Review and Quality Assessment of Economic Evaluations in Randomized Controlled Trials.
    Behav Ther 2018 01 8;49(1):124-147. Epub 2017 Jul 8.
    Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat; Primary Care Prevention and Health Promotion Research Network, Madrid. Electronic address:
    The term third-wave cognitive behavioral therapy (CBT) encompasses new forms of CBT that both extend and innovate within CBT. Most third-wave therapies have been subject to randomized controlled trials (RCTs) focused on clinical effectiveness; however, the number and quality of economic evaluations in these RCTs has been unknown and may be few. Evidence about efficiency of these therapies may help support decisions on efficient allocation of resources in health policies. Read More

    Can a Mediator Moderate? Considering the Role of Time and Change in the Mediator-Moderator Distinction.
    Behav Ther 2018 01 12;49(1):12-20. Epub 2017 Oct 12.
    The University of Memphis.
    The concepts of mediation and moderation are important for specifying ways in which psychological treatments work and for whom they are most beneficial. Historically, the terms were confused and used interchangeably, so a rich body of scholarly literature makes clear their distinction. Researchers are also becoming increasingly aware that mediation and moderation can be integrated and that such integration can advance theory development and testing. Read More

    Do Self-Incentives and Self-Rewards Change Behavior? A Systematic Review and Meta-Analysis.
    Behav Ther 2018 01 15;49(1):113-123. Epub 2017 Sep 15.
    University of Manchester and NIHR Manchester Biomedical Research Centre. Electronic address:
    Encouraging people to self-incentivize (i.e., to reward themselves in the future if they are successful in changing their behavior) or self-reward (i. Read More

    Presidential Address: Are the Obsessive-Compulsive Related Disorders Related to Obsessive-Compulsive Disorder? A Critical Look at DSM-5's New Category.
    Behav Ther 2018 01 15;49(1):1-11. Epub 2017 Jun 15.
    University of North Carolina at Chapel Hill. Electronic address:
    The 5 edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) includes a new class of obsessive-compulsive and related disorders (OCRDs) that includes obsessive-compulsive disorder (OCD) and a handful of other putatively related conditions. Although this new category promises to raise awareness of underrecognized and understudied problems, the empirical validity and practical utility of this new DSM category is questionable. This article critically examines the arguments underlying the new OCRD class, illuminates a number of problems with this class, and then discusses implications for clinicians and researchers. Read More

    A Comparison of Veterans Who Repeat Versus Who Do Not Repeat a Course of Manualized, Cognitive-Behavioral Therapy for Posttraumatic Stress Disorder.
    Behav Ther 2017 Nov 13;48(6):870-882. Epub 2017 Jul 13.
    Cincinnati VA Medical Center.
    Despite evidence that cognitive-behavioral therapy (CBT) for posttraumatic stress disorder (PTSD) is effective, some individuals do not experience clinically significant reduction or remission of their PTSD symptoms. These individuals may return for additional PTSD-focused psychotherapy. However, there is no research to know whether PTSD treatment repeaters have worse symptoms prior to the initial treatment episode or display differences in other pretreatment characteristics versus nonrepeaters. Read More

    Long-Term Effectiveness of Treatment-as-Usual Couple Therapy for Military Veterans.
    Behav Ther 2017 Nov 1;48(6):847-859. Epub 2017 Jun 1.
    University of Miami. Electronic address:
    Despite the fact that veterans face increased psychological and relationship distress as a result of their service-related experiences, no study to date has explored the long-term effectiveness of couple therapy for veterans. In the present investigation, 238 individuals (113 couples and 12 additional individuals) completed assessments 18 months after termination of treatment-as-usual couple therapy at two Veteran Administration Medical Centers. From pretreatment to 18-month follow-up, couples experienced significant increases in relationship satisfaction (d = 0. Read More

    Investigating Habituation to Premonitory Urges in Behavior Therapy for Tic Disorders.
    Behav Ther 2017 Nov 10;48(6):834-846. Epub 2017 Aug 10.
    Marquette University.
    Behavior therapy is effective for Persistent Tic Disorders (PTDs), but behavioral processes facilitating tic reduction are not well understood. One process, habituation, is thought to create tic reduction through decreases in premonitory urge severity. The current study tested whether premonitory urges decreased in youth with PTDs (N = 126) and adults with PTDs (N = 122) who participated in parallel randomized clinical trials comparing behavior therapy to psychoeducation and supportive therapy (PST). Read More

    Positive and Negative Affect as Links Between Social Anxiety and Depression: Predicting Concurrent and Prospective Mood Symptoms in Unipolar and Bipolar Mood Disorders.
    Behav Ther 2017 Nov 16;48(6):820-833. Epub 2017 Jul 16.
    University of Colorado Boulder.
    The co-occurrence of social anxiety and depression is associated with increased functional impairment and a more severe course of illness. Social anxiety disorder is unique among the anxiety disorders in sharing an affective profile with depression, characterized by low levels of positive affect (PA) and high levels of negative affect (NA). Yet it remains unclear how this shared affective profile contributes to the covariation of social anxiety and depressive symptoms. Read More

    Exposure-Based Therapy for Symptom Preoccupation in Atrial Fibrillation: An Uncontrolled Pilot Study.
    Behav Ther 2017 Nov 8;48(6):808-819. Epub 2017 Jun 8.
    Karolinska Institutet.
    Atrial fibrillation (AF) is the most common cardiac arrhythmia. Patients often experience a range of symptoms resulting in a markedly reduced quality of life, and commonly show symptom preoccupation in terms of avoidance and control behaviors. Cognitive behavior therapy (CBT) has been shown to improve symptom burden and quality of life in other somatic disorders, but has never been evaluated in patients with AF. Read More

    Childhood ADHD and Negative Self-Statements: Important Differences Associated With Subtype and Anxiety Symptoms.
    Behav Ther 2017 Nov 16;48(6):793-807. Epub 2017 May 16.
    Louisiana State University.
    The current study examined the role negative self-statements have on the comorbidity between anxious symptomatology and ADHD-combined presentation (ADHD-C) and ADHD-predominantly inattentive (ADHD-I). A total of 114 children and adolescents with ADHD (M age = 10.15; SD = 2. Read More

    A Meta-Analysis of Compassion-Based Interventions: Current State of Knowledge and Future Directions.
    Behav Ther 2017 Nov 21;48(6):778-792. Epub 2017 Jun 21.
    The University of Queensland.
    Objective: Scientific research into compassion has burgeoned over the past 20 years and interventions aiming to cultivate compassion towards self and others have been developed. This meta-analysis examined the effects of compassion-based interventions on a range of outcome measures.

    Method: Twenty-one randomized controlled trials (RCTs) from the last 12 years were included in the meta-analysis, with data from 1,285 participants analyzed. Read More

    Patterns of Anxious Arousal During a Speech Task Between Nonanxious Controls and Individuals With Social Anxiety Disorder Pre- and Posttreatment.
    Behav Ther 2017 Nov 26;48(6):765-777. Epub 2017 Jul 26.
    University of Massachusetts Boston.
    Although research indicates that anxious arousal in response to feared stimuli is related to treatment outcome (Heimberg et al., 1990), less is known about the patterns of anxious arousal. We identified patterns of anxious arousal in individuals with social anxiety disorder (SAD) at pre- (n= 61) and posttreatment (n= 40; 12-session CBGT, Heimberg & Becker, 2002), and in non-anxious controls (NACs; n= 31) using an assessment speech task administered at pretreatment (SAD) or the pretreatment equivalent (NACs), as well as at posttreatment (SAD only). Read More

    Emotion Regulation in Borderline Personality Disorder: An Experimental Investigation of the Effects of Instructed Acceptance and Suppression.
    Behav Ther 2017 Nov 11;48(6):750-764. Epub 2017 Mar 11.
    Simon Fraser University.
    Difficulties with emotion regulation are central to borderline personality disorder (BPD). Recent research suggests that avoidance of emotions in general, and emotion suppression specifically, may be commonly used among those who meet criteria for the disorder. Contemporary behavioral interventions for BPD incorporate cognitive and behavioral skills to increase emotional experiencing and acceptance while decreasing behaviors that function to escape or avoid from emotions. Read More

    Emotion Regulation Protects Against Recurrence of Depressive Symptoms Following Inpatient Care for Major Depressive Disorder.
    Behav Ther 2017 Nov 11;48(6):739-749. Epub 2017 Mar 11.
    Friedrich-Alexander-University Erlangen-Nuremberg.
    Relapse following response in psychotherapy for major depressive disorder (MDD) is a major concern. Emotion regulation (ER) has been discussed as a putative emerging and maintaining factor for depression. The purpose of the present study was to examine whether ER protects against recurrence of depression over and above residual symptoms of depression following inpatient care for MDD. Read More

    Presidential Address: Embracing the Repulsive: The Case for Disgust as a Functionally Central Emotional State in the Theory, Practice, and Dissemination of Cognitive-Behavior Therapy.
    Behav Ther 2017 Nov 19;48(6):731-738. Epub 2017 Aug 19.
    Fordham University. Electronic address:
    Disgust is a primary emotion, but it is also understudied in general, and in psychopathology in particular. Disgust plays a potential role in the reluctance of many non-scientifically minded practitioners from adopting evidence-based methods of treatment. This article summarizes findings from psychopathology research and treatment, and highlights basic science that potentially accounts for the hesitancy for some therapists to adopt evidence-based methods. Read More

    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

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