For the Good of the Community: Considering the Impact of Evidence-Based Treatment Adaptation on Tribal Communities
Behav Ther (N Y N Y). 2021 Apr;44(4):161-170.ABSTRACTOngoing discussions among tribal communities, professionals, and mental health organizations have centered on the question of whether evidence-based interventions require adaptations to improve mental health outcomes among American Indian communities. Continued efforts to address these questions have resulted in the development of novel, culturally-grounded interventions, adapted interventions, use of original standard protocols, and/or limited use of evidence-based treatments. Consequently, mental health services in tribal communities may be highly variable from one com...
Source: Behavior Therapy - September 20, 2021 Category: Psychiatry & Psychology Authors: Ashleigh Coser Terrence K Kominsky Evan J White Source Type: research

Relaxation training with and without Comprehensive Behavioral Intervention for Tics for Tourette's disorder: A multiple baseline across participants consecutive case series
CONCLUSIONS: While relaxation training is effective when included in conjunction with CBIT, relaxation training alone is not effective in reducing tic severity in patients with Tourette's Disorder.PMID:34543803 | DOI:10.1016/j.jbtep.2021.101692 (Source: Behavior Therapy)
Source: Behavior Therapy - September 20, 2021 Category: Psychiatry & Psychology Authors: Alan L Peterson Tabatha H Blount Robert Villarreal Jeslina J Raj Joseph F McGuire Source Type: research

Recall, response bias and recognition are differentially impacted by social anxiety irrespective of feedback modality
This study replicates and extends Houle-Johnson et al.'s (2019) findings to better understand the role of feedback modality, ambiguity and social anxiety in the recognition and recall of self-relevant feedback.METHODS: Participants gave a speech and were provided with positive, negative, and ambiguous feedback via written text, (n = 33) or recorded sentences (n = 31) and later completed a recognition and recall task for the feedback.RESULTS: Recognition (p = .80, ηp2 = 0) and recall (p = .09, ηp2 = 0.08) did not differ between written or recorded feedback. All participants demonstrated a negative response bias (p
Source: Behavior Therapy - September 20, 2021 Category: Psychiatry & Psychology Authors: Bronwyn O'Brien Leanne Kane Stephanie A Houle Florence Aquilina Andrea R Ashbaugh Source Type: research

For the Good of the Community: Considering the Impact of Evidence-Based Treatment Adaptation on Tribal Communities
Behav Ther (N Y N Y). 2021 Apr;44(4):161-170.ABSTRACTOngoing discussions among tribal communities, professionals, and mental health organizations have centered on the question of whether evidence-based interventions require adaptations to improve mental health outcomes among American Indian communities. Continued efforts to address these questions have resulted in the development of novel, culturally-grounded interventions, adapted interventions, use of original standard protocols, and/or limited use of evidence-based treatments. Consequently, mental health services in tribal communities may be highly variable from one com...
Source: Behavior Therapy - September 20, 2021 Category: Psychiatry & Psychology Authors: Ashleigh Coser Terrence K Kominsky Evan J White Source Type: research

Relaxation training with and without Comprehensive Behavioral Intervention for Tics for Tourette's disorder: A multiple baseline across participants consecutive case series
CONCLUSIONS: While relaxation training is effective when included in conjunction with CBIT, relaxation training alone is not effective in reducing tic severity in patients with Tourette's Disorder.PMID:34543803 | DOI:10.1016/j.jbtep.2021.101692 (Source: Behavior Therapy)
Source: Behavior Therapy - September 20, 2021 Category: Psychiatry & Psychology Authors: Alan L Peterson Tabatha H Blount Robert Villarreal Jeslina J Raj Joseph F McGuire Source Type: research

Recall, response bias and recognition are differentially impacted by social anxiety irrespective of feedback modality
This study replicates and extends Houle-Johnson et al.'s (2019) findings to better understand the role of feedback modality, ambiguity and social anxiety in the recognition and recall of self-relevant feedback.METHODS: Participants gave a speech and were provided with positive, negative, and ambiguous feedback via written text, (n = 33) or recorded sentences (n = 31) and later completed a recognition and recall task for the feedback.RESULTS: Recognition (p = .80, ηp2 = 0) and recall (p = .09, ηp2 = 0.08) did not differ between written or recorded feedback. All participants demonstrated a negative response bias (p
Source: Behavior Therapy - September 20, 2021 Category: Psychiatry & Psychology Authors: Bronwyn O'Brien Leanne Kane Stephanie A Houle Florence Aquilina Andrea R Ashbaugh Source Type: research

For the Good of the Community: Considering the Impact of Evidence-Based Treatment Adaptation on Tribal Communities
Behav Ther (N Y N Y). 2021 Apr;44(4):161-170.ABSTRACTOngoing discussions among tribal communities, professionals, and mental health organizations have centered on the question of whether evidence-based interventions require adaptations to improve mental health outcomes among American Indian communities. Continued efforts to address these questions have resulted in the development of novel, culturally-grounded interventions, adapted interventions, use of original standard protocols, and/or limited use of evidence-based treatments. Consequently, mental health services in tribal communities may be highly variable from one com...
Source: Behavior Therapy - September 20, 2021 Category: Psychiatry & Psychology Authors: Ashleigh Coser Terrence K Kominsky Evan J White Source Type: research

Introduction to the Special Issue on Interoception and Suicidality
Behav Ther. 2021 Sep;52(5):1031-1034. doi: 10.1016/j.beth.2021.06.003. Epub 2021 Jun 26.ABSTRACTEmpirically informed theories of suicide highlight the importance of identifying factors that lead from suicide ideation to suicidal behavior. Interoceptive dysfunction may be one such differentiating factor. Interoceptive dysfunction refers to a disconnection from the internal sensations of the body, which can cause difficulty in truly understanding and knowing one's own body. Specifically, interoceptive dysfunction may lead to such disconnection from the self that the body comes to be seen as "other" and potentially ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: April R Smith Mary E Duffy Thomas E Joiner Source Type: research

Interoceptive Abnormalities and Suicidality: A Systematic Review
Behav Ther. 2021 Sep;52(5):1035-1054. doi: 10.1016/j.beth.2021.02.012. Epub 2021 Mar 4.ABSTRACTDysfunction of interoception (i.e., difficulties sensing the physiological state of one's own body) is increasingly linked to different mental health disorders and suicidal outcomes. The aim of this study was to systematically review the literature on the association between suicidality and interoception, as well as identify potential confounders and mediators of the relationship. We conducted a systematic review of four databases, allowing for critical examination of the role of different measures of interoception (accuracy, sen...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Emily Hielscher Regine Zopf Source Type: research

Interoception, Pain Tolerance, and Self-Injurious Behaviors: A Multidimensional Assessment
Behav Ther. 2021 Sep;52(5):1055-1066. doi: 10.1016/j.beth.2021.02.011. Epub 2021 Mar 2.ABSTRACTImpairments in interoception have been linked to self-injurious behaviors, and capability for suicide may account for this relationship. However, past studies have relied primarily on self-report and unidimensional measures. The present study aimed to replicate and extend previous findings by examining the relationship between interoceptive dysfunction, pain tolerance, and self-injurious behaviors using a multidimensional and multi-method approach. A sample of 245 undergraduate students (Mage = 19.27 years, SD = 2.81; 73.7% femal...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Megan L Rogers Mary E Duffy Sean P Dougherty Thomas E Joiner Source Type: research

Clarifying the Relationship of Dissociative Experiences to Suicide Ideation and Attempts: A Multimethod Examination in Two Samples
This study examined whether dissociation differentiated individuals with a history of suicide attempts from those with a history of suicide ideation, and investigated whether other relevant constructs explain this relationship. Sample 1 included 754 undergraduates (Mage = 21, 79% female) who completed a battery of self-report measures. Sample 2 included 247 undergraduates (Mage = 19, 74% female) who completed a self-report measure of dissociation, a clinical interview regarding suicide history, and four counterbalanced behavioral pain tolerance tasks. In both samples, dissociation was elevated in lifetime attempters compar...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Mikayla C Pachkowski Megan L Rogers Boaz Y Saffer Nicole M Caulfield E David Klonsky Source Type: research

A Transdiagnostic Multilevel Examination of Interoceptive Processing in Individuals With a Remote History of Suicidal Behavior
Behav Ther. 2021 Sep;52(5):1080-1092. doi: 10.1016/j.beth.2021.01.006. Epub 2021 Feb 2.ABSTRACTA developing area of research suggests that there may be a relationship between interoception and suicidal behavior. For example, it was recently reported that individuals who made a suicide attempt within the previous 5 years exhibit behavioral and neural abnormalities across multiple domains of interoception relative to nonattempters. This included increased tolerance for aversive sensations of pain and dyspnea, reduced heartbeat-perception accuracy, and blunted insula activity during attention to cardiac sensations. However, t...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Danielle C DeVille Sahib S Khalsa Tulsa 1000 Investigators Rachel C Lapidus Evan White Martin P Paulus Robin L Aupperle Source Type: research

Suicidal Ideation and Eating Disorder Symptoms in Adolescents: The Role of Interoceptive Deficits
Behav Ther. 2021 Sep;52(5):1093-1104. doi: 10.1016/j.beth.2021.03.005. Epub 2021 Mar 17.ABSTRACTEating disorder symptoms and suicidal ideation are relatively common, and often begin to emerge in adolescence. Interoceptive deficits, or the inability to perceive and accurately identify the physiological condition of the body, is an established risk factor for both eating disorders and suicidal thoughts and behaviors. Despite this, longitudinal research examining the temporal dynamics between these variables is scarce, especially within adolescent samples. Using a three-wave longitudinal design, the present study tested bidir...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Natalie M Perkins Shelby N Ortiz April R Smith Amy M Brausch Source Type: research

Interoceptive Awareness and Suicidal Ideation in a Clinical Eating Disorder Sample: The Role of Body Trust
Behav Ther. 2021 Sep;52(5):1105-1113. doi: 10.1016/j.beth.2020.12.001. Epub 2020 Dec 17.ABSTRACTPrevious research has demonstrated that both suicidal ideation (SI) and eating disorders (EDs) are associated with poor interoceptive awareness (IA). Suicidality research has demonstrated that the IA dimension of lower body trust is associated with SI, suicide plans, and suicide attempts. Similarly, in ED samples, recent research supports that low body trust has been the most robust dimension of IA associated with eating pathology. However, to date, research is lacking in how dimensions of IA may be associated with SI in an ED s...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Taylor R Perry Christina E Wierenga Walter H Kaye Tiffany A Brown Source Type: research

Body Investment as a Protective Factor in the Relationship Between Acquired Capability for Suicide and Suicide Attempts
Behav Ther. 2021 Sep;52(5):1114-1122. doi: 10.1016/j.beth.2021.02.008. Epub 2021 Mar 2.ABSTRACTAcquired capability for suicide is associated with increased suicide risk and behaviors, but little research has examined factors that may qualify this relationship. Body investment is proposed as one such factor, as it may engage self-preservation instincts and serve as a buffer to capability for suicide. It was expected that facets of body investment (body feelings, body care, comfort with touch, and body protection) would moderate the relationship between acquired capability for suicide and suicide attempts. The current study ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Amy M Brausch Paige M Nichols Eliza H Laves Rebekah B Clapham Source Type: research

Nonsuicidal Self-Injury Is Associated With Attenuated Interoceptive Responses to Self-Critical Rumination
Behav Ther. 2021 Sep;52(5):1123-1136. doi: 10.1016/j.beth.2021.02.010. Epub 2021 Mar 2.ABSTRACTNonsuicidal self-injury (NSSI) is a prevalent and dangerous behavior. Those with a history of NSSI often report high levels of self-critical rumination (SCR), a form of negatively valenced introspective self-referential processing. It is plausible that this overly analytical style of relating to the self might hinder the ability to process interoceptive signals, thereby increasing the capacity to engage in behaviors that cause bodily harm. Two studies investigated whether trait or state SCR influenced aspects of interoception in ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Hayley A Young Jason Davies Gary Freegard David Benton Source Type: research

Self-Reported Interoceptive Sensibility Does Not Moderate the Relationship Between Eating Disorder Symptoms and Suicidal Thoughts and Behaviors
Behav Ther. 2021 Sep;52(5):1137-1144. doi: 10.1016/j.beth.2021.03.002. Epub 2021 Mar 11.ABSTRACTPast research has demonstrated a strong relationship between eating disorders (EDs) and suicidality (i.e., suicidal thoughts, plans, and attempts), and preliminary work within the framework of the interpersonal psychological theory of suicide (Joiner, 2007) suggests that potentially painful ED behaviors (binge eating, purging, fasting, excessive exercise) may contribute to increased risk of suicide through heightened pain tolerance and increased capability of suicide. However, additional explanations are needed for why only some...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Rowan A Hunt Cheri A Levinson Source Type: research

Reconnecting to Internal Sensation and Experiences: A Pilot Feasibility Study of an Online Intervention to Improve Interoception and Reduce Suicidal Ideation
Behav Ther. 2021 Sep;52(5):1145-1157. doi: 10.1016/j.beth.2021.02.001. Epub 2021 Feb 20.ABSTRACTRisk factors that are strongly associated with suicide and are amenable to intervention are in need of discovery. This three-study investigation demonstrates that an intervention designed to improve interoception-one potential suicide risk factor-may reduce suicide-related outcomes. Study 1 included 136 undergraduate participants and found that relative to a control condition, participating in a progressive muscle relaxation exercise was associated with reduced implicit identification with suicide through greater body trust, whi...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: April R Smith Lauren N Forrest Natalie M Perkins Shruti Kinkel-Ram Michael J Bernstein Tracy K Witte Source Type: research

Prospective and Concurrent Affective Dynamics in Self-Injurious Thoughts and Behaviors: An Examination in Young Adult Women
Behav Ther. 2021 Sep;52(5):1158-1170. doi: 10.1016/j.beth.2021.01.003. Epub 2021 Jan 23.ABSTRACTAffective dynamics, assessed using ecological momentary assessment (EMA), provide a nuanced understanding of within-person fluctuations of negative affect (NA) and positive affect (PA) in daily life. NA and PA dynamics have been associated with psychopathology and response to psychological treatments. NA and PA dynamics have been rarely studied concurrently in association with self-injurious thoughts and behaviors (SITB), transdiagnostic difficulties encountered regularly in clinical and community settings. Here we present EMA d...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Sarah E Victor Sarah L Brown Lori N Scott Source Type: research

Therapist-Led, Internet-Delivered Treatment for Early Child Social Anxiety: A Waitlist-Controlled Evaluation of the iCALM Telehealth Program
Behav Ther. 2021 Sep;52(5):1171-1187. doi: 10.1016/j.beth.2021.01.004. Epub 2021 Feb 18.ABSTRACTDespite recent advances in the treatment of early child social anxiety, the broad accessibility of brick-and-mortar services has been limited by traditional barriers to care, and more recently by new obstacles related to efforts to slow the spread of COVID-19. The present waitlist-controlled trial examined the preliminary efficacy of a family-based behavioral parenting intervention (i.e., the iCALM Telehealth Program) that draws on Parent-Child Interaction Therapy and videoconferencing to remotely deliver clinician-led care for ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Jonathan S Comer Jami M Furr Cristina Del Busto Karina Silva Natalie Hong Bridget Poznanski Amanda Sanchez Danielle Cornacchio Aileen Herrera Stefany Coxe Elizabeth Miguel Christopher Georgiadis Kristina Conroy Anthony Puliafico Source Type: research

Old Fears Die Hard: Return of Public Speaking Fear in a Virtual Reality Procedure
Behav Ther. 2021 Sep;52(5):1188-1197. doi: 10.1016/j.beth.2021.01.005. Epub 2021 Feb 2.ABSTRACTExposure-based therapy is an effective treatment for social anxiety, but some patients relapse. We used a novel virtual reality procedure to examine spontaneous recovery (i.e., a return of fear over time) and fear renewal (i.e., the return of fear after a context switch) in individuals with fear of public speaking. On Day 1, 32 participants received exposure training before a virtual audience. On Day 8, participants completed a spontaneous recovery phase, followed by a fear renewal test, in which they gave a presentation in front...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Eva A M van Dis Elze Landkroon Muriel A Hagenaars Florentine H S van der Does Iris M Engelhard Source Type: research

Enhanced Brief Motivational Intervention for College Student Drinkers With ADHD: Goal-Directed Activation as a Mechanism of Change
Behav Ther. 2021 Sep;52(5):1198-1212. doi: 10.1016/j.beth.2021.01.007. Epub 2021 Feb 3.ABSTRACTCollege students with attention-deficit/hyperactivity disorder (ADHD) are at risk for alcohol-related problems and disorders relative to their typically developing peers. Despite risk, the optimal therapeutic approach for reducing problem alcohol use in students with ADHD, and mechanisms of change underlying treatment effects in this population, are largely unknown. The current study evaluated putative mechanisms of change in a randomized controlled trial of two harm reduction interventions for college student drinkers with ADHD ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Lauren E Oddo Michael C Meinzer Alva Tang James G Murphy John M Vasko Carl W Lejuez Andrea Chronis-Tuscano Source Type: research

Future Well-Being Among People Who Attempt Suicide and Survive: Research Recommendations
Behav Ther. 2021 Sep;52(5):1213-1225. doi: 10.1016/j.beth.2021.01.008. Epub 2021 Feb 11.ABSTRACTOver 48,000 people died by suicide in 2018 in the United States, and more than 25 times that number attempted suicide. Research on suicide has focused much more on risk factors and adverse outcomes than on protective factors and more healthy functioning. Consequently, little is known regarding relatively positive long-term psychological adaptation among people who attempt suicide and survive. We recommend inquiry into the phenomenon of long-term well-being after nonfatal suicide attempts, and we explain how this inquiry compleme...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Bingjie Tong Todd B Kashdan Thomas Joiner Jonathan Rottenberg Source Type: research

Excessive Object Attachment in Hoarding Disorder: Examining the Role of Interpersonal Functioning
Behav Ther. 2021 Sep;52(5):1226-1236. doi: 10.1016/j.beth.2021.02.003. Epub 2021 Feb 20.ABSTRACTExcessive attachment towards possessions can be maladaptive because it can lead individuals to excessively acquire and save objects. Little is known about how attachment to objects develops and changes over time; however, interpersonal factors have been theorized to play a role. The current study examined whether interpersonal factors, specifically interpersonal attachment style and empathy, moderate changes in object attachment over time. A total of 145 participants with excessive acquiring and discarding difficulties rated the...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Jonathan David Deborah O Aluh Marika Blonner Melissa M Norberg Source Type: research

The Importance of Assessing Impairment Associated With Limited Prosocial Emotions
Behav Ther. 2021 Sep;52(5):1237-1250. doi: 10.1016/j.beth.2021.02.002. Epub 2021 Feb 23.ABSTRACTLimited prosocial emotions (LPE) are characterized by a lack of remorse or guilt, callousness/lack of empathy, being unconcerned about performance, and shallow/deficient affect. While previous research has largely focused on the presence or absence of LPE in youth, there is considerable evidence that symptom presence/absence and symptom impairment are separable dimensions, where impairment often is found to play a significant, unique role in assessing child psychopathology. The current study utilized a newly developed questionna...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Peter J Castagna Daniel A Waschbusch Source Type: research

Interpersonal Functioning and Trauma: The Role of Empathy in Moderating the Association of PTSD and Interpersonal Functioning
Behav Ther. 2021 Sep;52(5):1251-1264. doi: 10.1016/j.beth.2021.02.004. Epub 2021 Feb 23.ABSTRACTResearch demonstrates consistent associations between symptoms of posttraumatic stress disorder (PTSD) and reductions in interpersonal functioning. Moderators of this association, however, remain relatively unexplored. The current study aimed to examine the extent to which aspects of empathic responding may influence the relation between PTSD symptom dimensions and interpersonal functioning in students exposed to significant trauma. Participants (N = 94, 85.1% female, 86.2% White/Non-Hispanic) completed an initial screening to a...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Layla M Elmi Joshua D Clapp Source Type: research

Mixture Modeling of Nonsuicidal Self-Injury and Binge Eating: Behaviors and Motives
Behav Ther. 2021 Sep;52(5):1265-1276. doi: 10.1016/j.beth.2021.02.005. Epub 2021 Feb 23.ABSTRACTNonsuicidal self-injury (NSSI) and binge eating frequently co-occur. These behaviors are often used to alleviate distress. Previous studies examining this co-occurrence have used a variable-centered approach. The current study used a person-centered approach (mixture modeling) to examine how individuals cluster in groups based on their past-month NSSI, past-month objective and subjective binge episodes (OBEs and SBEs, respectively), and endorsement of coping motives for NSSI and eating in two large samples of emerging adults. Va...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: K Naomi Pak Jillian Nelson Leah M Adams Sarah Fischer Source Type: research

Delayed Sleep Timing in Obsessive-Compulsive Disorder Is Associated With Diminished Response to Exposure and Ritual Prevention
Behav Ther. 2021 Sep;52(5):1277-1285. doi: 10.1016/j.beth.2021.02.006. Epub 2021 Feb 25.ABSTRACTExposure and ritual prevention (ERP) and pharmacotherapy are typically associated with significant symptom reductions for individuals with obsessive-compulsive disorder (OCD). However, many patients are left with residual symptoms and other patients do not respond. There is increasing evidence that delays in sleep timing/circadian rhythms are associated with OCD but the potential effects of delays in sleep timing on ERP warrant attention. This paper presents data from 31 outpatients with OCD who participated in ERP. Results show...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Meredith E Coles Jessica Schubert Jacob A Nota Source Type: research

What Do People Really Think of Me? Evaluating Bias in Interpersonal Predictions Over the Course of Cognitive-Behavioral Therapy of Depression
Behav Ther. 2021 Sep;52(5):1286-1295. doi: 10.1016/j.beth.2021.02.007. Epub 2021 Mar 2.ABSTRACTCognitive behavioral therapy (CBT) of depression is hypothesized to achieve its effects by correcting negative biases. However, little research has tested how biases change over the course of CBT. We focus on biases in interpersonal judgments and examine whether changes in biases occur in CBT and are associated with symptom improvements. A sample of 126 adults (60% women, mean age 31.7, 83% White) participated in CBT of depression. Observers provided ratings of patients participating in two interpersonal tasks on three occasions....
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Iony D Ezawa Andre J Plate Daniel R Strunk Source Type: research

Behavioral Therapy Teams for Obsessive-Compulsive Disorder: Lessons Learned From a Pilot Randomized Trial in a Community Mental Health Center
This study aimed to establish the acceptability and feasibility of testing a behavioral therapy team (BTT) intervention to deliver ERP in CMHCs. BTT consisted of individual information-gathering sessions followed by 12 weeks of group ERP and concurrent home-based coaching sessions. The sample consisted of 47 low-income individuals with OCD who were randomized to receive BTT or treatment as usual (TAU). Symptom severity and quality-of-life measures were assessed at pretreatment, posttreatment, and 3- and 6-month posttreatment. Feasibility of training CMHC staff was partially successful. CMHC therapists successfully complete...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Maria C Mancebo Agustin G Yip Christina L Boisseau Steven A Rasmussen Caron Zlotnick Source Type: research

Introduction to the Special Issue on Interoception and Suicidality
Behav Ther. 2021 Sep;52(5):1031-1034. doi: 10.1016/j.beth.2021.06.003. Epub 2021 Jun 26.ABSTRACTEmpirically informed theories of suicide highlight the importance of identifying factors that lead from suicide ideation to suicidal behavior. Interoceptive dysfunction may be one such differentiating factor. Interoceptive dysfunction refers to a disconnection from the internal sensations of the body, which can cause difficulty in truly understanding and knowing one's own body. Specifically, interoceptive dysfunction may lead to such disconnection from the self that the body comes to be seen as "other" and potentially ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: April R Smith Mary E Duffy Thomas E Joiner Source Type: research

Interoceptive Abnormalities and Suicidality: A Systematic Review
Behav Ther. 2021 Sep;52(5):1035-1054. doi: 10.1016/j.beth.2021.02.012. Epub 2021 Mar 4.ABSTRACTDysfunction of interoception (i.e., difficulties sensing the physiological state of one's own body) is increasingly linked to different mental health disorders and suicidal outcomes. The aim of this study was to systematically review the literature on the association between suicidality and interoception, as well as identify potential confounders and mediators of the relationship. We conducted a systematic review of four databases, allowing for critical examination of the role of different measures of interoception (accuracy, sen...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Emily Hielscher Regine Zopf Source Type: research

Interoception, Pain Tolerance, and Self-Injurious Behaviors: A Multidimensional Assessment
Behav Ther. 2021 Sep;52(5):1055-1066. doi: 10.1016/j.beth.2021.02.011. Epub 2021 Mar 2.ABSTRACTImpairments in interoception have been linked to self-injurious behaviors, and capability for suicide may account for this relationship. However, past studies have relied primarily on self-report and unidimensional measures. The present study aimed to replicate and extend previous findings by examining the relationship between interoceptive dysfunction, pain tolerance, and self-injurious behaviors using a multidimensional and multi-method approach. A sample of 245 undergraduate students (Mage = 19.27 years, SD = 2.81; 73.7% femal...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Megan L Rogers Mary E Duffy Sean P Dougherty Thomas E Joiner Source Type: research

Clarifying the Relationship of Dissociative Experiences to Suicide Ideation and Attempts: A Multimethod Examination in Two Samples
This study examined whether dissociation differentiated individuals with a history of suicide attempts from those with a history of suicide ideation, and investigated whether other relevant constructs explain this relationship. Sample 1 included 754 undergraduates (Mage = 21, 79% female) who completed a battery of self-report measures. Sample 2 included 247 undergraduates (Mage = 19, 74% female) who completed a self-report measure of dissociation, a clinical interview regarding suicide history, and four counterbalanced behavioral pain tolerance tasks. In both samples, dissociation was elevated in lifetime attempters compar...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Mikayla C Pachkowski Megan L Rogers Boaz Y Saffer Nicole M Caulfield E David Klonsky Source Type: research

A Transdiagnostic Multilevel Examination of Interoceptive Processing in Individuals With a Remote History of Suicidal Behavior
Behav Ther. 2021 Sep;52(5):1080-1092. doi: 10.1016/j.beth.2021.01.006. Epub 2021 Feb 2.ABSTRACTA developing area of research suggests that there may be a relationship between interoception and suicidal behavior. For example, it was recently reported that individuals who made a suicide attempt within the previous 5 years exhibit behavioral and neural abnormalities across multiple domains of interoception relative to nonattempters. This included increased tolerance for aversive sensations of pain and dyspnea, reduced heartbeat-perception accuracy, and blunted insula activity during attention to cardiac sensations. However, t...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Danielle C DeVille Sahib S Khalsa Tulsa 1000 Investigators Rachel C Lapidus Evan White Martin P Paulus Robin L Aupperle Source Type: research

Suicidal Ideation and Eating Disorder Symptoms in Adolescents: The Role of Interoceptive Deficits
Behav Ther. 2021 Sep;52(5):1093-1104. doi: 10.1016/j.beth.2021.03.005. Epub 2021 Mar 17.ABSTRACTEating disorder symptoms and suicidal ideation are relatively common, and often begin to emerge in adolescence. Interoceptive deficits, or the inability to perceive and accurately identify the physiological condition of the body, is an established risk factor for both eating disorders and suicidal thoughts and behaviors. Despite this, longitudinal research examining the temporal dynamics between these variables is scarce, especially within adolescent samples. Using a three-wave longitudinal design, the present study tested bidir...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Natalie M Perkins Shelby N Ortiz April R Smith Amy M Brausch Source Type: research

Interoceptive Awareness and Suicidal Ideation in a Clinical Eating Disorder Sample: The Role of Body Trust
Behav Ther. 2021 Sep;52(5):1105-1113. doi: 10.1016/j.beth.2020.12.001. Epub 2020 Dec 17.ABSTRACTPrevious research has demonstrated that both suicidal ideation (SI) and eating disorders (EDs) are associated with poor interoceptive awareness (IA). Suicidality research has demonstrated that the IA dimension of lower body trust is associated with SI, suicide plans, and suicide attempts. Similarly, in ED samples, recent research supports that low body trust has been the most robust dimension of IA associated with eating pathology. However, to date, research is lacking in how dimensions of IA may be associated with SI in an ED s...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Taylor R Perry Christina E Wierenga Walter H Kaye Tiffany A Brown Source Type: research

Body Investment as a Protective Factor in the Relationship Between Acquired Capability for Suicide and Suicide Attempts
Behav Ther. 2021 Sep;52(5):1114-1122. doi: 10.1016/j.beth.2021.02.008. Epub 2021 Mar 2.ABSTRACTAcquired capability for suicide is associated with increased suicide risk and behaviors, but little research has examined factors that may qualify this relationship. Body investment is proposed as one such factor, as it may engage self-preservation instincts and serve as a buffer to capability for suicide. It was expected that facets of body investment (body feelings, body care, comfort with touch, and body protection) would moderate the relationship between acquired capability for suicide and suicide attempts. The current study ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Amy M Brausch Paige M Nichols Eliza H Laves Rebekah B Clapham Source Type: research

Nonsuicidal Self-Injury Is Associated With Attenuated Interoceptive Responses to Self-Critical Rumination
Behav Ther. 2021 Sep;52(5):1123-1136. doi: 10.1016/j.beth.2021.02.010. Epub 2021 Mar 2.ABSTRACTNonsuicidal self-injury (NSSI) is a prevalent and dangerous behavior. Those with a history of NSSI often report high levels of self-critical rumination (SCR), a form of negatively valenced introspective self-referential processing. It is plausible that this overly analytical style of relating to the self might hinder the ability to process interoceptive signals, thereby increasing the capacity to engage in behaviors that cause bodily harm. Two studies investigated whether trait or state SCR influenced aspects of interoception in ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Hayley A Young Jason Davies Gary Freegard David Benton Source Type: research

Self-Reported Interoceptive Sensibility Does Not Moderate the Relationship Between Eating Disorder Symptoms and Suicidal Thoughts and Behaviors
Behav Ther. 2021 Sep;52(5):1137-1144. doi: 10.1016/j.beth.2021.03.002. Epub 2021 Mar 11.ABSTRACTPast research has demonstrated a strong relationship between eating disorders (EDs) and suicidality (i.e., suicidal thoughts, plans, and attempts), and preliminary work within the framework of the interpersonal psychological theory of suicide (Joiner, 2007) suggests that potentially painful ED behaviors (binge eating, purging, fasting, excessive exercise) may contribute to increased risk of suicide through heightened pain tolerance and increased capability of suicide. However, additional explanations are needed for why only some...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Rowan A Hunt Cheri A Levinson Source Type: research

Reconnecting to Internal Sensation and Experiences: A Pilot Feasibility Study of an Online Intervention to Improve Interoception and Reduce Suicidal Ideation
Behav Ther. 2021 Sep;52(5):1145-1157. doi: 10.1016/j.beth.2021.02.001. Epub 2021 Feb 20.ABSTRACTRisk factors that are strongly associated with suicide and are amenable to intervention are in need of discovery. This three-study investigation demonstrates that an intervention designed to improve interoception-one potential suicide risk factor-may reduce suicide-related outcomes. Study 1 included 136 undergraduate participants and found that relative to a control condition, participating in a progressive muscle relaxation exercise was associated with reduced implicit identification with suicide through greater body trust, whi...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: April R Smith Lauren N Forrest Natalie M Perkins Shruti Kinkel-Ram Michael J Bernstein Tracy K Witte Source Type: research

Prospective and Concurrent Affective Dynamics in Self-Injurious Thoughts and Behaviors: An Examination in Young Adult Women
Behav Ther. 2021 Sep;52(5):1158-1170. doi: 10.1016/j.beth.2021.01.003. Epub 2021 Jan 23.ABSTRACTAffective dynamics, assessed using ecological momentary assessment (EMA), provide a nuanced understanding of within-person fluctuations of negative affect (NA) and positive affect (PA) in daily life. NA and PA dynamics have been associated with psychopathology and response to psychological treatments. NA and PA dynamics have been rarely studied concurrently in association with self-injurious thoughts and behaviors (SITB), transdiagnostic difficulties encountered regularly in clinical and community settings. Here we present EMA d...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Sarah E Victor Sarah L Brown Lori N Scott Source Type: research

Therapist-Led, Internet-Delivered Treatment for Early Child Social Anxiety: A Waitlist-Controlled Evaluation of the iCALM Telehealth Program
Behav Ther. 2021 Sep;52(5):1171-1187. doi: 10.1016/j.beth.2021.01.004. Epub 2021 Feb 18.ABSTRACTDespite recent advances in the treatment of early child social anxiety, the broad accessibility of brick-and-mortar services has been limited by traditional barriers to care, and more recently by new obstacles related to efforts to slow the spread of COVID-19. The present waitlist-controlled trial examined the preliminary efficacy of a family-based behavioral parenting intervention (i.e., the iCALM Telehealth Program) that draws on Parent-Child Interaction Therapy and videoconferencing to remotely deliver clinician-led care for ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Jonathan S Comer Jami M Furr Cristina Del Busto Karina Silva Natalie Hong Bridget Poznanski Amanda Sanchez Danielle Cornacchio Aileen Herrera Stefany Coxe Elizabeth Miguel Christopher Georgiadis Kristina Conroy Anthony Puliafico Source Type: research

Old Fears Die Hard: Return of Public Speaking Fear in a Virtual Reality Procedure
Behav Ther. 2021 Sep;52(5):1188-1197. doi: 10.1016/j.beth.2021.01.005. Epub 2021 Feb 2.ABSTRACTExposure-based therapy is an effective treatment for social anxiety, but some patients relapse. We used a novel virtual reality procedure to examine spontaneous recovery (i.e., a return of fear over time) and fear renewal (i.e., the return of fear after a context switch) in individuals with fear of public speaking. On Day 1, 32 participants received exposure training before a virtual audience. On Day 8, participants completed a spontaneous recovery phase, followed by a fear renewal test, in which they gave a presentation in front...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Eva A M van Dis Elze Landkroon Muriel A Hagenaars Florentine H S van der Does Iris M Engelhard Source Type: research

Enhanced Brief Motivational Intervention for College Student Drinkers With ADHD: Goal-Directed Activation as a Mechanism of Change
Behav Ther. 2021 Sep;52(5):1198-1212. doi: 10.1016/j.beth.2021.01.007. Epub 2021 Feb 3.ABSTRACTCollege students with attention-deficit/hyperactivity disorder (ADHD) are at risk for alcohol-related problems and disorders relative to their typically developing peers. Despite risk, the optimal therapeutic approach for reducing problem alcohol use in students with ADHD, and mechanisms of change underlying treatment effects in this population, are largely unknown. The current study evaluated putative mechanisms of change in a randomized controlled trial of two harm reduction interventions for college student drinkers with ADHD ...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Lauren E Oddo Michael C Meinzer Alva Tang James G Murphy John M Vasko Carl W Lejuez Andrea Chronis-Tuscano Source Type: research

Future Well-Being Among People Who Attempt Suicide and Survive: Research Recommendations
Behav Ther. 2021 Sep;52(5):1213-1225. doi: 10.1016/j.beth.2021.01.008. Epub 2021 Feb 11.ABSTRACTOver 48,000 people died by suicide in 2018 in the United States, and more than 25 times that number attempted suicide. Research on suicide has focused much more on risk factors and adverse outcomes than on protective factors and more healthy functioning. Consequently, little is known regarding relatively positive long-term psychological adaptation among people who attempt suicide and survive. We recommend inquiry into the phenomenon of long-term well-being after nonfatal suicide attempts, and we explain how this inquiry compleme...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Bingjie Tong Todd B Kashdan Thomas Joiner Jonathan Rottenberg Source Type: research

Excessive Object Attachment in Hoarding Disorder: Examining the Role of Interpersonal Functioning
Behav Ther. 2021 Sep;52(5):1226-1236. doi: 10.1016/j.beth.2021.02.003. Epub 2021 Feb 20.ABSTRACTExcessive attachment towards possessions can be maladaptive because it can lead individuals to excessively acquire and save objects. Little is known about how attachment to objects develops and changes over time; however, interpersonal factors have been theorized to play a role. The current study examined whether interpersonal factors, specifically interpersonal attachment style and empathy, moderate changes in object attachment over time. A total of 145 participants with excessive acquiring and discarding difficulties rated the...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Jonathan David Deborah O Aluh Marika Blonner Melissa M Norberg Source Type: research

The Importance of Assessing Impairment Associated With Limited Prosocial Emotions
Behav Ther. 2021 Sep;52(5):1237-1250. doi: 10.1016/j.beth.2021.02.002. Epub 2021 Feb 23.ABSTRACTLimited prosocial emotions (LPE) are characterized by a lack of remorse or guilt, callousness/lack of empathy, being unconcerned about performance, and shallow/deficient affect. While previous research has largely focused on the presence or absence of LPE in youth, there is considerable evidence that symptom presence/absence and symptom impairment are separable dimensions, where impairment often is found to play a significant, unique role in assessing child psychopathology. The current study utilized a newly developed questionna...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Peter J Castagna Daniel A Waschbusch Source Type: research

Interpersonal Functioning and Trauma: The Role of Empathy in Moderating the Association of PTSD and Interpersonal Functioning
Behav Ther. 2021 Sep;52(5):1251-1264. doi: 10.1016/j.beth.2021.02.004. Epub 2021 Feb 23.ABSTRACTResearch demonstrates consistent associations between symptoms of posttraumatic stress disorder (PTSD) and reductions in interpersonal functioning. Moderators of this association, however, remain relatively unexplored. The current study aimed to examine the extent to which aspects of empathic responding may influence the relation between PTSD symptom dimensions and interpersonal functioning in students exposed to significant trauma. Participants (N = 94, 85.1% female, 86.2% White/Non-Hispanic) completed an initial screening to a...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: Layla M Elmi Joshua D Clapp Source Type: research

Mixture Modeling of Nonsuicidal Self-Injury and Binge Eating: Behaviors and Motives
Behav Ther. 2021 Sep;52(5):1265-1276. doi: 10.1016/j.beth.2021.02.005. Epub 2021 Feb 23.ABSTRACTNonsuicidal self-injury (NSSI) and binge eating frequently co-occur. These behaviors are often used to alleviate distress. Previous studies examining this co-occurrence have used a variable-centered approach. The current study used a person-centered approach (mixture modeling) to examine how individuals cluster in groups based on their past-month NSSI, past-month objective and subjective binge episodes (OBEs and SBEs, respectively), and endorsement of coping motives for NSSI and eating in two large samples of emerging adults. Va...
Source: Behavior Therapy - August 28, 2021 Category: Psychiatry & Psychology Authors: K Naomi Pak Jillian Nelson Leah M Adams Sarah Fischer Source Type: research