Predictors of outcome in guided self-help cognitive behavioural therapy for common mental disorders in primary care.
n-Lagerlöf E Abstract Cognitive behavioural therapy (CBT) can effectively treat common mental disorders (CMDs), but access to treatment is insufficient. Guided self-help (GSH) CBT has shown effects comparable to face-to-face CBT and may be a resource-efficient treatment alternative. However, not all patients respond to GSH. Learning more about predictors of outcome may increase knowledge regarding which patients respond to GSH. The aim of this study was to investigate predictors of outcome for GSH CBT for patients with CMDs in primary care. Consecutive patients (N = 396) with a principal disorder of depressio...
Source: Cognitive Behaviour Therapy - October 22, 2019 Category: Psychiatry & Psychology Authors: Salomonsson S, Santoft F, Lindsäter E, Ejeby K, Ingvar M, Öst LG, Lekander M, Ljótsson B, Hedman-Lagerlöf E Tags: Cogn Behav Ther Source Type: research

A systematic review of internet-delivered cognitive behavior therapy for alcohol misuse: study characteristics, program content and outcomes.
m C Abstract Alcohol misuse is a common, disabling and costly issue worldwide. Internet-delivered cognitive behavior therapy (ICBT) has the potential to reduce the harms of alcohol misuse, particularly for individuals who are unable or unwilling to access face-to-face therapy. A systematic review was conducted using Medline, CINAHL, EMBASE and PsycINFO databases for all relevant articles published from 1980 to January 2019. Randomized controlled trials (RCTs) were included if (i) an ICBT intervention targeting alcohol misuse was delivered; (ii) participants were aged 18 years or older; and (iii) primary outco...
Source: Cognitive Behaviour Therapy - October 10, 2019 Category: Psychiatry & Psychology Authors: Hadjistavropoulos HD, Mehta S, Wilhelms A, Keough MT, Sundström C Tags: Cogn Behav Ther Source Type: research

Evaluation of The Practitioner Online Referral and Treatment Service (PORTS): the first 18 months of a state-wide digital service for adults with anxiety, depression, or substance use problems.
Abstract The Practitioner Online Referral and Treatment Service (PORTS) is a new digital mental health service (DMHS) providing assessment, treatment, and consultation across Western Australia, for adults with anxiety, depression, or substance use problems, and experiencing financial hardship or geographical disadvantage. From July 2017 to December 2018, a total of 2,527 individuals were referred to PORTS. Of these, 150 (6%) did not give consent for their results to be analysed. Of the remaining 2,377 patients, 615 (26%) could not be contacted to confirm the referral, 596 (25%) received assessment or information f...
Source: Cognitive Behaviour Therapy - September 25, 2019 Category: Psychiatry & Psychology Authors: Titov N, Rock D, Bezuidenhout G, Webb N, Kayrouz R, Nielssen O, Williams L, Purtell C, Dear BF, Staples LG Tags: Cogn Behav Ther Source Type: research

An expert consensus on the most effective components of cognitive behavioural therapy for adults with depression: a modified Delphi study.
This study aimed to establish an expert consensus on the effective components of CBT for depressed adults. An international panel of 120 CBT experts was invited to participate in a modified Delphi study. Thirty-two experts participated in round 1; 21 also provided data in round 2. In round 1, experts rated the effectiveness of 35 content and process components. A priori rules identified components carried forward to round 2, in which experts re-rated items and final consensus items were identified. Consensus was achieved for nine content components (ensuring understanding; developing and maintaining a good therapeutic alli...
Source: Cognitive Behaviour Therapy - August 20, 2019 Category: Psychiatry & Psychology Authors: Taylor A, Tallon D, Kessler D, Peters TJ, Shafran R, Williams C, Wiles N Tags: Cogn Behav Ther Source Type: research

Efficacy evaluation of exercise as an augmentation strategy to brief behavioral activation treatment for depression: a randomized pilot trial.
Abstract Exercise is an efficacious intervention for mental and physical health, but few studies have identified the additive benefits of exercise prescriptions for those undergoing empirically supported psychosocial treatment. Behavioral activation (BA) involves completing activities to improve mood, an ideal format for exercise augmentation. The purpose of this study was to examine the credibility and exploratory effect size estimates of augmenting BA with exercise. Thirty-one sedentary, depressed patients were randomized to receive nine sessions of BA+exercise or BA+stretching over 12 weeks. Monthly assessments...
Source: Cognitive Behaviour Therapy - July 30, 2019 Category: Psychiatry & Psychology Authors: Szuhany KL, Otto MW Tags: Cogn Behav Ther Source Type: research

Internet-delivered cognitive behavioral therapy for panic disorder with or without agoraphobia: a systematic review and meta-analysis.
Abstract The current systematic review and meta-analysis examined the efficacy and effectiveness of internet-delivered cognitive behavioral therapy (iCBT) on panic disorder and agoraphobia symptom severity. Twenty-seven studies were identified. Results from nine randomised controlled trials (RCTs) showed that iCBT outperformed waiting list and information controls for panic (g = 1.22) and agoraphobia (g = .91) symptoms, but the quality of RCTs varied and heterogeneity was high. Results from three RCTs suggested iCBT may have similar outcomes to face-to-face CBT in reducing panic and agoraphobia symptoms....
Source: Cognitive Behaviour Therapy - July 15, 2019 Category: Psychiatry & Psychology Authors: Stech EP, Lim J, Upton EL, Newby JM Tags: Cogn Behav Ther Source Type: research

Trajectory of change in anxiety sensitivity in relation to anxiety, depression, and quality of life among persons living with HIV/AIDS following transdiagnostic cognitive-behavioral therapy.
Abstract Persons living with HIV/AIDS (PLHIV) disproportionately suffer from anxiety and depressive symptoms and disorders. Although past work has examined the efficacy of cognitive-behavioral therapy (CBT) for depression, and to a lesser extent anxiety, among PLHIV, little is known regarding potential mechanisms underlying improvement in anxiety/depression among this group. Anxiety sensitivity is a well-established risk/maintenance factor for anxiety and depressive disorders and is hypothesized to play an important role in maintaining anxiety among PLHIV. Past work has identified anxiety sensitivity as a mechanis...
Source: Cognitive Behaviour Therapy - July 2, 2019 Category: Psychiatry & Psychology Authors: Paulus DJ, Brandt CP, Lemaire C, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

Assessing treatment integrity in personalized CBT: the inventory of therapeutic interventions and skills.
Abstract The third wave of cognitive behavioral therapy (CBT) has increased the heterogeneity of today's CBT practice, while developments in patient-focused research are paving the road to the empirical personalization of CBT. This paper presents the development and psychometric properties of a therapy video rating instrument, which was designed to adequately assess the treatment integrity (adherence and competence) of modern, personalized CBT. The Inventory of Therapeutic Interventions and Skills (ITIS) was developed based on two existing CBT adherence and competence scales and augmented with third wave content a...
Source: Cognitive Behaviour Therapy - July 2, 2019 Category: Psychiatry & Psychology Authors: Boyle K, Deisenhofer AK, Rubel JA, Bennemann B, Weinmann-Lutz B, Lutz W Tags: Cogn Behav Ther Source Type: research

Predictors of treatment outcome for youth receiving intensive residential treatment for obsessive-compulsive disorder (OCD).
This study aimed to examine age, gender, and baseline OCD severity, as well as measures of comorbid anxiety and depressive, internalizing/externalizing, and inattention symptoms, as predictors of treatment outcome in adolescents receiving intensive residential treatment for OCD. The sample comprised 314 adolescents aged 13-17 years with treatment-resistant OCD and a Children's Yale-Brown Obsessive-Compulsive Scale Self-Report (CY-BOCS-SR) total score ≥16. Bivariate and multiple regression models were used to evaluate the predictors of continuous OCD severity outcome and treatment response. Results of the bivariate regre...
Source: Cognitive Behaviour Therapy - June 17, 2019 Category: Psychiatry & Psychology Authors: Højgaard DRMA, Schneider SC, La Buissonnière-Ariza V, Kay B, Riemann BC, Jacobi D, Eken S, Lake P, Nadeau J, Goodman WK, McIngvale E, Storch EA Tags: Cogn Behav Ther Source Type: research

A systematic review and meta-analysis of dropout rates from dialectical behaviour therapy in randomized controlled trials.
Abstract Dropout is an important factor that may compromise the validity of findings from randomized controlled trials (RCTs) of dialectical behaviour therapy (DBT). We conducted a targeted meta-analytic review of dropout from RCTs of DBT, with the aims of (1) calculating average rates of dropout from DBT; (2) investigating factors that moderate dropout; (3) examining whether dropout rates from DBT differ to control interventions; (4) synthesising reasons for dropout. Forty RCTs of DBT met full inclusion criteria. The weighted mean dropout rate was 28.0% (95% CI = 23.6, 32.9). Dropout rates were not rela...
Source: Cognitive Behaviour Therapy - June 17, 2019 Category: Psychiatry & Psychology Authors: Dixon LJ, Linardon J Tags: Cogn Behav Ther Source Type: research

Experiential avoidance in adolescents with borderline personality disorder: comparison with a non-BPD psychiatric group and healthy controls.
Abstract Previous research has identified experiential avoidance (EA) as related to a host of adolescent internalizing and externalizing problems, as well as borderline personality disorder, suggesting that it is a crosscutting factor for adolescent psychopathology. It remains unclear whether EA differs among adolescents with BPD compared to adolescents with other psychiatric disorders and healthy adolescents. The aims of this study were to 1) examine EA in adolescents with BPD compared to non-BPD inpatient adolescents and healthy adolescents, and 2) to evaluate whether EA has a unique relationship to borderline p...
Source: Cognitive Behaviour Therapy - June 12, 2019 Category: Psychiatry & Psychology Authors: Jones J, Penner F, Schramm AT, Sharp C Tags: Cogn Behav Ther Source Type: research

The development and validation of the Beliefs About Losing Control Inventory (BALCI).
e; JP Abstract Cognitive theory of obsessive-compulsive disorder (OCD) proposes that maladaptive beliefs play a pivotal role in the development and maintenance of symptoms. Clinical reports as well as recent psychometric and experimental investigations suggest that control-related beliefs in OCD may benefit from expansion to include aspects of losing control. However, currently available measures either focus on other facets of control (e.g., sense of control) or do not put emphasis on beliefs about losing control (e.g., beliefs about control over thoughts). The current study aimed to develop and validate the Beli...
Source: Cognitive Behaviour Therapy - May 29, 2019 Category: Psychiatry & Psychology Authors: Radomsky AS, Gagné JP Tags: Cogn Behav Ther Source Type: research

Anxiety sensitivity and daily cigarette smoking in relation to sleep disturbances in treatment-seeking smokers.
This study evaluated the main and interactive effects of AS and cigarettes/day on sleep quality among smokers. Participants (n = 190) were adult treatment-seeking daily smokers who completed a baseline assessment as part of a larger smoking cessation trial. Sleep quality was self-reported. Results indicated that AS was significantly correlated with greater disturbance in sleep duration, subjective sleep quality, sleep onset latency, sleep disturbance, daytime dysfunction, and sleep medication use. There was a significant interaction between AS and cigarettes/day in terms of sleep onset latency, but not other slee...
Source: Cognitive Behaviour Therapy - April 5, 2019 Category: Psychiatry & Psychology Authors: Farris SG, Matsko SV, Uebelacker LA, Brown RA, Price LH, Abrantes AM Tags: Cogn Behav Ther Source Type: research

Psychometric properties of the Insomnia Catastrophizing Scale (ICS) in a large community sample.
IK Abstract The purpose was to investigate the psychometric properties of the Insomnia Catastrophizing Scale (ICS) including factorial validity and internal consistency as well as discriminative and convergent validity. Associations with sleep parameters and daytime impairment are also examined. Drawn from a randomly selected sample of the general population, 1615 participants completed a survey on insomnia-related nighttime and daytime symptoms, health outcomes and psychological processes, including the ICS. A one-factor solution was supported for both the nighttime catastrophizing (11 items) and daytime catastr...
Source: Cognitive Behaviour Therapy - March 21, 2019 Category: Psychiatry & Psychology Authors: Jansson-Fröjmark M, Harvey AG, Flink IK Tags: Cogn Behav Ther Source Type: research

Predictors of treatment attendance and adherence to treatment recommendations among individuals receiving Cognitive Behavioral Therapy for Insomnia.
Abstract Insomnia disorders affect up to 10% of adults and are associated with other health problems and poor quality of life. Cognitive Behavioral Therapy for Insomnia (CBT-I) is an effective treatment; however, its effectiveness is hindered by poor attendance and adherence to treatment recommendations. The present study sought to identify predictors of attendance and adherence in CBT-I. Participants were 108 adults with insomnia disorder. Participants were primarily female (71.3%), middle aged (mean age = 50.5), and Caucasian (92.6%). Demographic variables, physical health problems, Beck Anxiety Invent...
Source: Cognitive Behaviour Therapy - March 14, 2019 Category: Psychiatry & Psychology Authors: Cui R, Fiske A Tags: Cogn Behav Ther Source Type: research

Clinicians' perspectives of interfering behaviors in the treatment of anxiety and obsessive-compulsive disorders in adults and children.
ch EA Abstract Patient behaviors that may interfere with the process and outcome of therapy have been examined in the context of dialectical behavior therapy, but no measures exist to systematically characterize patient (or caregiver) treatment interfering behaviors (TIBs) in cognitive behavioral therapy (CBT) for anxiety disorders and obsessive-compulsive disorder (OCD). Accordingly, the primary aims of this study were to develop preliminary measures of TIBs, asking clinicians who provide CBT for anxiety disorders and/or OCD to adults and/or children to retrospectively reflect on the presence of TIBs in a recent ...
Source: Cognitive Behaviour Therapy - March 12, 2019 Category: Psychiatry & Psychology Authors: Davis ML, Fletcher T, McIngvale E, Cepeda SL, Schneider SC, La Buissonnière Ariza V, Egberts J, Goodman W, Storch EA Tags: Cogn Behav Ther Source Type: research

Mental health training, attitudes toward support, and screening positive for mental disorders.
Abstract Public Safety Personnel (PSP; e.g. correctional workers, dispatchers, firefighters, paramedics, police) are frequently exposed to potentially traumatic events (PTEs). Several mental health training program categories (e.g. critical incident stress management (CISM), debriefing, peer support, psychoeducation, mental health first aid, Road to Mental Readiness [R2MR]) exist as efforts to minimize the impact of exposures, often using cognitive behavioral therapy model content, but with limited effectiveness research. The current study assessed PSP perceptions of access to professional (i.e. physicians, psycho...
Source: Cognitive Behaviour Therapy - February 22, 2019 Category: Psychiatry & Psychology Authors: Carleton RN, Afifi TO, Turner S, Taillieu T, Vaughan AD, Anderson GS, Ricciardelli R, MacPhee RS, Cramm HA, Czarnuch S, Hozempa K, Camp RD Tags: Cogn Behav Ther Source Type: research

The effects of safety behavior availability versus utilization on inhibitory learning during exposure.
This study re-analyzes data from Sy and colleagues (2011; Behaviour Research and Therapy, 49, 305-314) comparing safety behavior availability (SBA) to safety behavior utilization (SBU) during exposure therapy for claustrophobic concerns. The present investigation assessed differential rates of inhibitory learning (i.e. change in danger expectancy and coping self-efficacy) between SBA and SBU before, during, and after a single-session treatment. Thirty-nine participants with marked claustrophobic fear completed six consecutive 5-minute exposure trials in a claustrophobia chamber. Participants in the SBA condition exhibited ...
Source: Cognitive Behaviour Therapy - February 14, 2019 Category: Psychiatry & Psychology Authors: Kemp JJ, Blakey SM, Wolitzky-Taylor KB, Sy JT, Deacon BJ Tags: Cogn Behav Ther Source Type: research

Emotion regulation and motives for illicit drug use in opioid-dependent patients.
Abstract Refining the mechanisms behind illicit drug use is an important factor for improving the quality of clinical care. Research in alcohol, marijuana, and nicotine use disorders have linked coping motives (e.g. using substances to ameliorate negative emotional states) to problematic substance use. We evaluated the link between emotion regulation difficulties (as assessed via the difficulties in emotion regulation scale [DERS]) and motives for drug use (as assessed via the Drug Use Motives Questionnaire) among individuals (n = 68) with opioid use disorders who were in methadone maintenance treatment. We f...
Source: Cognitive Behaviour Therapy - February 14, 2019 Category: Psychiatry & Psychology Authors: Gold AK, Stathopoulou G, Otto MW Tags: Cogn Behav Ther Source Type: research

Psychological and pharmacological treatments for generalized anxiety disorder (GAD): a meta-analysis of randomized controlled trials.
Abstract The purpose of this meta-analysis was to provide updated pooled effect sizes of evidence-based psychotherapies and medications for generalized anxiety disorder (GAD) and to investigate potential moderators of outcomes. Seventy-nine randomized controlled trials (RCT) including 11,002 participants with a diagnosis of GAD were included in a meta-analysis that tested the efficacy of psychotherapies or medications for GAD. Psychotherapy showed a medium to large effect size (g = 0.76) and medication showed a small effect size (g = 0.38) on GAD outcomes. Psychotherapy also showed a medium eff...
Source: Cognitive Behaviour Therapy - February 14, 2019 Category: Psychiatry & Psychology Authors: Carl E, Witcraft SM, Kauffman BY, Gillespie EM, Becker ES, Cuijpers P, Van Ameringen M, Smits JAJ, Powers MB Tags: Cogn Behav Ther Source Type: research

Mindfulness-based cognitive therapy for the treatment of current depressive symptoms: a meta-analysis.
Abstract Mindfulness-based cognitive therapy (MBCT) appears to be a promising intervention for the prevention of relapse in major depressive disorder, but its efficacy in patients with current depressive symptoms is less clear. Randomized clinical trials of MBCT for adult patients with current depressive symptoms were included (k = 13, N = 1046). Comparison conditions were coded based on whether they were intended to be therapeutic (specific active controls) or not (non-specific controls). MBCT was superior to non-specific controls at post-treatment (k = 10, d = 0.71, 95% confidence interval [C...
Source: Cognitive Behaviour Therapy - February 8, 2019 Category: Psychiatry & Psychology Authors: Goldberg SB, Tucker RP, Greene PA, Davidson RJ, Kearney DJ, Simpson TL Tags: Cogn Behav Ther Source Type: research

Identifying change-dropout patterns during an Internet-based intervention for depression by applying the Muthen-Roy model.
oritz S Abstract To date, only few studies have attempted to investigate non-ignorable dropout during Internet-based interventions by applying an NMAR model, which includes missing data indicators in its equations. Here, the Muthen-Roy model was used to investigate change and dropout patterns in a sample of patients with mild-to-moderate depression symptoms (N = 483) who were randomized to a 12-week Internet-based intervention (deprexis, identifier: NCT01636752). Participants completed the PHQ-9 biweekly during the treatment. We identified four change-dropout patterns: Participants showing high impairment, im...
Source: Cognitive Behaviour Therapy - February 5, 2019 Category: Psychiatry & Psychology Authors: Arndt A, Lutz W, Rubel J, Berger T, Meyer B, Schröder J, Späth C, Hautzinger M, Fuhr K, Rose M, Hohagen F, Klein JP, Moritz S Tags: Cogn Behav Ther Source Type: research

Web-based CBT for the prevention of anxiety symptoms among medical and health science graduate students.
Abstract Medical and health science graduate students report greater anxiety problems than the general population, but they are less likely to seek treatment due to cultural and logistical barriers. One preventative approach that overcomes these barriers is web-based cognitive behavioral therapy (webCBT). It is unknown whether webCBT is effective for preventing anxiety escalation within this population. A randomized controlled trial was conducted, comparing the effects of webCBT versus a control group (CG). Medical university students (n=594; Mage=27; 67% female; 80% Caucasian) completed online baseline measures a...
Source: Cognitive Behaviour Therapy - December 11, 2018 Category: Psychiatry & Psychology Authors: Howell AN, Rheingold AA, Uhde TW, Guille C Tags: Cogn Behav Ther Source Type: research

Dose response effects of cognitive-behavioral therapy in a school mental health program.
Abstract School mental health (SMH) programs have been shown to be effective in providing evidence-based interventions to underserved youth. However, limitations of SMH programs are that they can entail holiday breaks, typically do not operate through summer, and often require pulling students from class to receive therapy. These limitations suggest that treatment must be expeditious and potent. Although researchers have investigated dose response to treatment, no studies were located that addressed dose response to treatment in SMH programs. The present study addressed this gap by evaluating the dose response to ...
Source: Cognitive Behaviour Therapy - December 10, 2018 Category: Psychiatry & Psychology Authors: Kirk A, Michael K, Bergman S, Schorr M, Jameson JP Tags: Cogn Behav Ther Source Type: research

Materials used to support cognitive behavioural therapy for depression: a survey of therapists' clinical practice and views.
Abstract Use of supporting materials in cognitive behavioural therapy (CBT) is widely advocated, and homework increases effectiveness. The study aimed to identify materials most frequently used by CBT therapists to support CBT for depression, and those perceived clinically most effective. Questionnaires were sent to 3665 accredited CBT therapists asking about their use of resources commonly described in CBT manuals, and their views on effectiveness. Of 3665 approached by post/email, 994 (27%) responded. Another 33 completed the questionnaire via the study website. 818/1027 (80%) of respondents were accredited prac...
Source: Cognitive Behaviour Therapy - December 3, 2018 Category: Psychiatry & Psychology Authors: Tallon D, McClay CA, Kessler D, Lewis G, Peters TJ, Shafran R, Williams C, Wiles N Tags: Cogn Behav Ther Source Type: research

Examining experiential avoidance as a mediator of the relation between anxiety sensitivity and depressive symptoms.
We examined the AS-EA-depression pathway, examining both concurrent, and prospective (cross-lag), mediation models. Utilizing data from a study that examined the effects of exercise on AS (N = 60), we modeled depressive symptoms, EA, and AS over four time points. Time-varying predictors were disaggregated into between-subjects (each person's mean level of the predictor) and within-subjects change (each person's deviations, at each time point, from their mean level on the predictor) components. Tests of the concurrent relations were partially consistent with predictions, with mean EA levels, but not within-subjects cha...
Source: Cognitive Behaviour Therapy - December 3, 2018 Category: Psychiatry & Psychology Authors: Stein AT, Medina JL, Rosenfield D, Otto MW, Smits JAJ Tags: Cogn Behav Ther Source Type: research

Task-shifting to improve the reach of mental health interventions for trauma patients: findings from a pilot study of trauma nurse training in patient-centered activity scheduling for PTSD and depression.
Abstract Despite high rates of posttraumatic stress disorder (PTSD) and depression among traumatically injured patients, engagement in session-based psychotherapy early after trauma is limited due to various service utilization and readiness barriers. Task-shifting brief mental health interventions to routine trauma center providers is an understudied but potentially critical part of the continuum of care. This pilot study assessed the feasibility of training trauma nurses to engage patients in patient-centered activity scheduling based on a Behavioral Activation paradigm, which is designed to counteract dysfuncti...
Source: Cognitive Behaviour Therapy - November 30, 2018 Category: Psychiatry & Psychology Authors: Darnell DA, Parker LE, Wagner AW, Dunn CW, Atkins DC, Dorsey S, Zatzick DF Tags: Cogn Behav Ther Source Type: research

The development and initial validation of the Fatigue Sensitivity Questionnaire.
Abstract Currently, there is poor understanding of fatigue and the possible psychological conditions that may underlie chronic fatigue. Although substantial work has been directed to better clinically address fatigue, no work has explored individual differences in expectations or perceptions of the negative consequences associated with fatigue-related symptoms. The goals of this study were to (a) develop and (b) validate a measure of expectations or perceptions of the negative consequences associated with fatigue-related symptoms (e.g. fatigue sensitivity) across two independent samples (N = 1,827; 73.1%...
Source: Cognitive Behaviour Therapy - November 20, 2018 Category: Psychiatry & Psychology Authors: Kauffman BY, Garey L, Nordan A, Jardin C, Mayorga NA, Robles Z, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

The relationship between emotional clarity and suicidal ideation among trauma-exposed adolescents in inpatient psychiatric care: does distress tolerance matter?
Abstract The present investigation examined associations between low emotional clarity (the extent to which individuals are confused about the specific emotions they are experiencing) and suicidal ideation in a diverse sample of trauma-exposed inpatient adolescents, as well as the moderating role of distress tolerance (DT) in this association. Participants (N = 50; 52.0% female; M = 15.1 years, SD = .51; 44% White) completed measures of emotion dysregulation, posttraumatic stress disorder (PTSD), and suicidal ideation/attempts, as well as a behavioral measure of DT. Controlling f...
Source: Cognitive Behaviour Therapy - November 20, 2018 Category: Psychiatry & Psychology Authors: Viana AG, Raines EM, Woodward EC, Hanna AE, Walker R, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

Better with age? A comparison of geriatric and non-geriatric trauma patients' psychological outcomes 6 months post-injury.
Abstract This is the first study to compare both physical and psychological outcomes in geriatric and non-geriatric patients (n = 268) at baseline and 6 months post-trauma. Demographic, clinical, and psychological data, including screens for alcohol use, depressive symptoms, and post-traumatic stress symptoms (PTSS) were collected from 67 geriatric patients (70.7 ± 8.0 years) and 201 non-geriatric patients (40.2 ± 12.8 years) admitted to a Level I trauma center for ≥ 24 h. Geriatric patients were significantly less likely to screen positive fo...
Source: Cognitive Behaviour Therapy - November 5, 2018 Category: Psychiatry & Psychology Authors: Culp BL, Roden-Foreman JW, Thomas EV, McShan EE, Bennett MM, Martin KR, Powers MB, Foreman ML, Petrey LB, Warren AM Tags: Cogn Behav Ther Source Type: research

Working alliance as a predictor of change in depression during blended cognitive behaviour therapy.
Abstract Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliances are predictors of change in depression during treatment. Depression and alliance ratings from 73 participants in a treatment study on bCBT (part of the E-COMPARED project) were analysed using growth curve models. Alliance, as rated by both patients and therapists, was high. The therapist-rated working allianc...
Source: Cognitive Behaviour Therapy - October 29, 2018 Category: Psychiatry & Psychology Authors: Vernmark K, Hesser H, Topooco N, Berger T, Riper H, Luuk L, Backlund L, Carlbring P, Andersson G, E-COMPARED consortium Tags: Cogn Behav Ther Source Type: research

Worry and anxiety account for unique variance in the relationship between intolerance of uncertainty and depression.
Abstract The evidence supporting the relationship between intolerance of uncertainty (IU), a cognitive construct well established in the anxiety literature, and depression is mixed. Some research has demonstrated a direct association between IU and depression, whereas other studies suggest that IU is either unrelated or indirectly related to depression through other pathways, including anxiety. The present study aimed to further elucidate the relationship between IU and depression in an undergraduate sample (N = 221). We posited a model in which worry and anxiety account for unique variance in the associ...
Source: Cognitive Behaviour Therapy - October 25, 2018 Category: Psychiatry & Psychology Authors: Swee MB, Olino TM, Heimberg RG Tags: Cogn Behav Ther Source Type: research

A meta-analytic review of cognitive processing therapy for adults with posttraumatic stress disorder.
Abstract Numerous studies have demonstrated the efficacy of cognitive processing therapy (CPT) for treating posttraumatic stress disorder (PTSD). Two prior meta-analyses of studies are available but used approaches that limit conclusions that can be drawn regarding the impact of CPT on PTSD outcomes. The current meta-analysis reviewed outcomes of trials that tested the efficacy of CPT for PTSD in adults and evaluated potential moderators of outcomes. All published trials comparing CPT against an inactive control condition (i.e. psychological placebo or wait-list) or other active treatment for PTSD in adults were i...
Source: Cognitive Behaviour Therapy - October 18, 2018 Category: Psychiatry & Psychology Authors: Asmundson GJG, Thorisdottir AS, Roden-Foreman JW, Baird SO, Witcraft SM, Stein AT, Smits JAJ, Powers MB Tags: Cogn Behav Ther Source Type: research

Mediation analyses of Internet-facilitated cognitive behavioral intervention for maternal depression.
This study evaluated the putative mediating mechanisms of an Internet-facilitated cognitive-behavioral therapy (CBT) intervention for depression tailored to economically disadvantaged mothers of preschool-age children. The CBT mediators were tested across two previously published randomized controlled trials which included the same measures of behavioral activation, negative thinking, and savoring of positive events. Trial 1 included 70 mothers with elevated depressive symptoms who were randomized to either the eight-session, Internet-facilitated intervention (Mom-Net) or to treatment as usual. Trial 2 included 266 mothers...
Source: Cognitive Behaviour Therapy - October 12, 2018 Category: Psychiatry & Psychology Authors: Seeley JR, Sheeber LB, Feil EG, Leve C, Davis B, Sorensen E, Allan S Tags: Cogn Behav Ther Source Type: research

Meta-analysis of the effects of third-wave behavioural interventions on disordered eating and body image concerns: implications for eating disorder prevention.
Abstract Third-wave behavioural interventions are increasingly popular for treating and preventing mental health conditions. Recently, researchers have begun testing whether these interventions can effectively targeting eating disorder risk factors (disordered eating, body image concerns). This meta-analysis examined whether third-wave behavioural interventions (acceptance and commitment therapy; dialectical behaviour therapy; mindfulness-based interventions; compassion-focused therapy) show potential for being effective eating disorder prevention programs, by testing their effects on eating disorder risk factors ...
Source: Cognitive Behaviour Therapy - October 11, 2018 Category: Psychiatry & Psychology Authors: Linardon J, Gleeson J, Yap K, Murphy K, Brennan L Tags: Cogn Behav Ther Source Type: research

The predictive capacity of self-reported motivation vs. early observed motivational language in cognitive behavioural therapy for generalized anxiety disorder.
Abstract Client motivation to change is often considered a key factor in psychotherapy. To date, research on this client construct has largely relied on self-report, which is prone to response bias and ceiling effects. Moreover, self-reported motivation has been inconsistently related to treatment outcome. Early observed client in-session language may be a more valid measure of initial motivation and thus a promising predictor of outcome. The predictive ability of motivational factors has been examined in addiction treatment but has been limited in other populations. Addressing this lack, the present study investi...
Source: Cognitive Behaviour Therapy - September 21, 2018 Category: Psychiatry & Psychology Authors: Poulin LE, Button ML, Westra HA, Constantino MJ, Antony MM Tags: Cogn Behav Ther Source Type: research

Predictors of improvement in an open-trial multisite evaluation of emotion regulation group therapy.
acute;tsson B Abstract Emotion regulation group therapy (ERGT) is a novel treatment specifically targeting deliberate non-suicidal self-harm (DSH) in individuals with borderline personality disorder (BPD). Identifying robust predictors of positive response to ERGT could aid clinicians in treatment selection; however, to date, only one such study has been conducted. Thus, we aimed to replicate previously identified predictors of treatment response to ERGT by investigating demographic, clinical, and diagnostic predictors in 95 women with BPD or subclinical BPD who had participated in an open-trial evaluation of ERGT...
Source: Cognitive Behaviour Therapy - September 19, 2018 Category: Psychiatry & Psychology Authors: Sahlin H, Bjureberg J, Gratz KL, Tull MT, Hedman-Lagerlöf E, Bjärehed J, Jokinen J, Lundh LG, Hellner C, Ljótsson B Tags: Cogn Behav Ther Source Type: research

Look before you leap: the role of negative urgency in appraisals of ambiguous and unambiguous scenarios in individuals high in generalized anxiety disorder symptoms.
Abstract Negative interpretation bias, the propensity to make threatening interpretations of ambiguous information, is associated with symptoms of generalized anxiety disorder (GAD). Apart from its relationship with intolerance of uncertainty (IU), little is known about what explains the presence of this cognitive bias in GAD. One factor may be negative urgency (NU), the tendency to take rash action when distressed, which is related to GAD symptoms and to cognitive biases in nonclinical populations. The aim of the present study was to examine the relationship between NU and interpretation bias in individuals high ...
Source: Cognitive Behaviour Therapy - September 19, 2018 Category: Psychiatry & Psychology Authors: Malivoire BL, Marcos M, Pawluk EJ, Tallon K, Kusec A, Koerner N Tags: Cogn Behav Ther Source Type: research

Comparing cognitive fusion and cognitive reappraisal as predictors of college student mental health.
Abstract Transdiagnostic cognitive behavioral interventions target different cognitive processes to promote mental health, including cognitive fusion and cognitive reappraisal. Determining the relative impact of cognitive fusion and reappraisal on a range of student mental health concerns could help interventions target psychopathological cognitive processes more effectively. Therefore, this study examined the longitudinal impact of cognitive fusion and reappraisal on mental health and functioning outcomes. A series of hierarchical regression models tested the effects of cognitive fusion and reappraisal in a sampl...
Source: Cognitive Behaviour Therapy - September 19, 2018 Category: Psychiatry & Psychology Authors: Krafft J, Haeger JA, Levin ME Tags: Cogn Behav Ther Source Type: research

Moderators and predictors of outcomes in telephone delivered compared to face-to-face cognitive behaviour therapy for paediatric obsessive-compulsive disorder: preliminary evidence from a non-inferiority RCT.
This study provides a preliminary exploration of factors which differentially predict treatment response to telephone-delivered cognitive behavioural therapy (TCBT) compared to face-to-face CBT (CBT) in a randomised non-inferiority controlled trial of 72 children (aged 11-18 years) with obsessive-compulsive disorder (OCD). Potential moderator variables, their interaction with treatment group (CBT, TCBT) and baseline levels of OCD severity were entered into separate regression models where the primary outcome measure was the post-intervention Children's Yale-Brown Obsessive-Compulsive Scale total score (CYBOCS). Separa...
Source: Cognitive Behaviour Therapy - September 17, 2018 Category: Psychiatry & Psychology Authors: Nair A, Turner C, Heyman I, Mataix-Cols D, Lovell K, Krebs G, Lang K, Byford S, O'Kearney R Tags: Cogn Behav Ther Source Type: research

Predictors and consequences of sudden gains in transdiagnostic cognitive-behavioural therapy for anxiety disorders.
This study investigated the association between sudden gains and cognitive change, therapeutic alliance, and/or client engagement in transdiagnostic group cognitive-behavioural therapy for anxiety disorders. Of 58 treatment initiators, 21% (n = 12) exhibited a sudden gain. Consistent with previous research, sudden gainers demonstrated significantly greater pre- to post-treatment symptom improvement than non-sudden gainers. Observational coding of therapy sessions found that sudden gains were associated with elevated levels of cognitive change and client engagement in the pre-gain session, and elevated levels of c...
Source: Cognitive Behaviour Therapy - September 13, 2018 Category: Psychiatry & Psychology Authors: Vincent L, Norton PJ Tags: Cogn Behav Ther Source Type: research

Exposure-based cognitive behavior therapy for atopic dermatitis: an open trial.
y M Abstract Atopic dermatitis (AD) is a common and debilitating inflammatory dermatological disorder and is marked by itch and inflamed skin. Scratching, sleep loss, and avoidance of situations associated with more AD symptoms are central hypothesized mechanisms that perpetuate the disorder and cause reduced quality of life. We developed an exposure-based cognitive behavioral treatment (CBT) that entailed mindfulness practice as a means to increase tolerance for aversive experiences during exposure. The aim of the present study was to test the treatment's acceptability and preliminary efficacy in adults with AD. ...
Source: Cognitive Behaviour Therapy - September 7, 2018 Category: Psychiatry & Psychology Authors: Hedman-Lagerlöf E, Bergman A, Lindefors N, Bradley M Tags: Cogn Behav Ther Source Type: research

Executive attention moderates the effect of trait anxiety on hyperarousal symptoms.
Abstract The majority of individuals exposed to trauma do not go on to develop posttraumatic stress disorder (PTSD); thus, researchers have sought to identify individual difference variables that make one particularly susceptible to posttraumatic stress symptoms. Trait anxiety is one individual difference variable implicated in the pathogenesis of posttraumatic stress symptoms. Following from cognitive theories of anxiety and extant data, the purpose of the present study was to examine executive attention as a moderator of the relation between trait anxiety and posttraumatic stress symptoms, particularly hyperarou...
Source: Cognitive Behaviour Therapy - August 17, 2018 Category: Psychiatry & Psychology Authors: Clayson KA, Bardeen JR, Dolan SL, Fergus TA Tags: Cogn Behav Ther Source Type: research

Comparing in-the-moment skill coaching effects from tailored versus non-tailored acceptance and commitment therapy mobile apps in a non-clinical sample.
This study analyzed the mobile app data in a non-clinical sample of 39 adults participating in a larger randomized controlled trial, with participants randomized to an acceptance and commitment therapy (ACT) mobile app that tailors skill coaching based on in-the-moment variables (n = 17) or an app that provides randomly selected skill coaching (n = 22). Data were collected before and after each ACT skill coaching session on proximal outcome (depression, anxiety, and engagement in meaningful activity) and ACT process variables. Multilevel models indicated significant immediate improvements on average fol...
Source: Cognitive Behaviour Therapy - August 17, 2018 Category: Psychiatry & Psychology Authors: Levin ME, Navarro C, Cruz RA, Haeger J Tags: Cogn Behav Ther Source Type: research

A placebo-controlled randomized trial of D-cycloserine augmentation of cue exposure therapy for smoking cessation.
Abstract Recent studies underscore the importance of studying d-cycloserine (DCS) augmentation under conditions of adequate cue exposure treatment (CET) and protection from reconditioning experiences. In this randomized trial, we evaluated the efficacy of DCS for augmenting CET for smoking cessation under these conditions. Sixty-two smokers attained at least 18 hours abstinence following 4 weeks of smoking cessation treatment and were randomly assigned to receive a single dose of DCS (n=30) or placebo (n=32) prior to each of two sessions of CET. Mechanistic outcomes were self-reported cravings and physiologic reac...
Source: Cognitive Behaviour Therapy - August 16, 2018 Category: Psychiatry & Psychology Authors: Otto MW, Pachas GN, Cather C, Hoeppner SS, Moshier SJ, Hearon BA, Ward HB, Laffer AB, Smits JAJ, Evins AE Tags: Cogn Behav Ther Source Type: research

The Bergen 4-day treatment for OCD: four years follow-up of concentrated ERP in a clinical mental health setting.
LG Abstract There are few long-term follow-up studies on psychological treatment of anxiety disorders carried out in clinical mental health settings, so called effectiveness studies. The present paper presents a four year follow-up of patients with obsessive-compulsive disorder treated by the Bergen 4-day treatment (B4DT), a concentrated form of exposure and response prevention (ERP). A total of 77 obsessive-compulsive disorder (OCD) patients received treatment during four consecutive days and were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) pre, post, and at follow-ups after 3 and 6 mon...
Source: Cognitive Behaviour Therapy - August 8, 2018 Category: Psychiatry & Psychology Authors: Hansen B, Kvale G, Hagen K, Havnen A, Öst LG Tags: Cogn Behav Ther Source Type: research

Relationships between health behaviors, posttraumatic stress disorder, and comorbid general anxiety and depression.
Abstract Poor health outcomes associated with posttraumatic stress disorder (PTSD) may reflect engagement in unhealthy behaviors that increase morbidity risk and disengagement in healthy behaviors that decrease morbidity risk. Although research supports this pattern, findings are not definitive, particularly for healthy behaviors. Many studies have not controlled for effects of concurrent generalized anxiety and depression, which might explain conflicting findings. To address this limitation, we used an online cross-sectional research design and multivariate multilevel modelling to evaluate associations between a ...
Source: Cognitive Behaviour Therapy - August 7, 2018 Category: Psychiatry & Psychology Authors: Mason JE, LeBouthillier DM, Asmundson GJG Tags: Cogn Behav Ther Source Type: research

"Phobie à deux" and other reasons why clinicians do not apply exposure with response prevention in patients with obsessive-compulsive disorder.
"Phobie à deux" and other reasons why clinicians do not apply exposure with response prevention in patients with obsessive-compulsive disorder. Cogn Behav Ther. 2018 Jul 31;:1-15 Authors: Moritz S, Külz A, Voderholzer U, Hillebrand T, McKay D, Jelinek L Abstract Meta-analyses suggest that exposure with response prevention (ERP) is the most efficacious treatment for obsessive-compulsive disorder (OCD) and treatment guidelines for the disorder accordingly recommend ERP. Despite this, many therapists, including those with a cognitive-behavioral therapeutic background, do not perform...
Source: Cognitive Behaviour Therapy - July 31, 2018 Category: Psychiatry & Psychology Authors: Moritz S, Külz A, Voderholzer U, Hillebrand T, McKay D, Jelinek L Tags: Cogn Behav Ther Source Type: research

Emotional distress and tobacco demand during the menstrual cycle in female smokers.
We examined between-group differences in emotional distress (negative affectivity, emotion dysregulation, distress intolerance) and hypothetical cigarette purchasing (i.e. tobacco demand) among female smokers at three different menstrual stages. Women (n = 32) were non-treatment seeking daily smokers not on hormonal contraceptive, and were currently in their follicular (estradiol-dominant; n = 10), early-mid luteal (progesterone-dominant; n = 15), and late-luteal phase (decreasing progesterone/estradiol; n = 7). Effect sizes are reported given the small sample. Women in the late...
Source: Cognitive Behaviour Therapy - July 31, 2018 Category: Psychiatry & Psychology Authors: Farris SG, Abrantes AM, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

Corrigendum.
Authors: PMID: 30032702 [PubMed - as supplied by publisher] (Source: Cognitive Behaviour Therapy)
Source: Cognitive Behaviour Therapy - July 23, 2018 Category: Psychiatry & Psychology Tags: Cogn Behav Ther Source Type: research