The role of fear of COVID-19 in motivation to quit smoking and reductions in cigarette smoking: a preliminary investigation of at-risk cigarette smokers
Cogn Behav Ther. 2021 Feb 19:1-10. doi: 10.1080/16506073.2021.1877340. Online ahead of print.ABSTRACTPreliminary data suggest that cigarette smokers could have an increased mortality risk from the novel coronavirus (SARS-CoV-2), and that certain factors (e.g., increased age, medical comorbidities) can also increase risk of poor coronavirus disease (COVID-19) outcomes. Between April 30th, 2020 and May 28th, 2020, we evaluated self-reported changes in recent smoking patterns and motivation to quit smoking among current daily cigarette smokers (N = 103) on Amazon Mechanical Turk. We also assessed the relationship of these out...
Source: Cognitive Behaviour Therapy - February 19, 2021 Category: Psychiatry & Psychology Authors: Alexandra K Gold Danielle L Hoyt Megan Milligan Michele L Hiserodt Jake Samora Teresa M Leyro Michael J Zvolensky Michael W Otto Source Type: research

The role of fear of COVID-19 in motivation to quit smoking and reductions in cigarette smoking: a preliminary investigation of at-risk cigarette smokers
Cogn Behav Ther. 2021 Feb 19:1-10. doi: 10.1080/16506073.2021.1877340. Online ahead of print.ABSTRACTPreliminary data suggest that cigarette smokers could have an increased mortality risk from the novel coronavirus (SARS-CoV-2), and that certain factors (e.g., increased age, medical comorbidities) can also increase risk of poor coronavirus disease (COVID-19) outcomes. Between April 30th, 2020 and May 28th, 2020, we evaluated self-reported changes in recent smoking patterns and motivation to quit smoking among current daily cigarette smokers (N = 103) on Amazon Mechanical Turk. We also assessed the relationship of these out...
Source: Cognitive Behaviour Therapy - February 19, 2021 Category: Psychiatry & Psychology Authors: Alexandra K Gold Danielle L Hoyt Megan Milligan Michele L Hiserodt Jake Samora Teresa M Leyro Michael J Zvolensky Michael W Otto Source Type: research

The role of fear of COVID-19 in motivation to quit smoking and reductions in cigarette smoking: a preliminary investigation of at-risk cigarette smokers
Cogn Behav Ther. 2021 Feb 19:1-10. doi: 10.1080/16506073.2021.1877340. Online ahead of print.ABSTRACTPreliminary data suggest that cigarette smokers could have an increased mortality risk from the novel coronavirus (SARS-CoV-2), and that certain factors (e.g., increased age, medical comorbidities) can also increase risk of poor coronavirus disease (COVID-19) outcomes. Between April 30th, 2020 and May 28th, 2020, we evaluated self-reported changes in recent smoking patterns and motivation to quit smoking among current daily cigarette smokers (N = 103) on Amazon Mechanical Turk. We also assessed the relationship of these out...
Source: Cognitive Behaviour Therapy - February 19, 2021 Category: Psychiatry & Psychology Authors: Alexandra K Gold Danielle L Hoyt Megan Milligan Michele L Hiserodt Jake Samora Teresa M Leyro Michael J Zvolensky Michael W Otto Source Type: research

The role of fear of COVID-19 in motivation to quit smoking and reductions in cigarette smoking: a preliminary investigation of at-risk cigarette smokers.
Abstract Preliminary data suggest that cigarette smokers could have an increased mortality risk from the novel coronavirus (SARS-CoV-2), and that certain factors (e.g., increased age, medical comorbidities) can also increase risk of poor coronavirus disease (COVID-19) outcomes. Between April 30th, 2020 and May 28th, 2020, we evaluated self-reported changes in recent smoking patterns and motivation to quit smoking among current daily cigarette smokers (N = 103) on Amazon Mechanical Turk. We also assessed the relationship of these outcomes to age, medical comorbidity status, and fear of COVID-19. Most participa...
Source: Cognitive Behaviour Therapy - February 19, 2021 Category: Psychiatry & Psychology Authors: Gold AK, Hoyt DL, Milligan M, Hiserodt ML, Samora J, Leyro TM, Zvolensky MJ, Otto MW Tags: Cogn Behav Ther Source Type: research

Anxiety sensitivity, COVID-19 fear, and mental health: results from a United States population sample.
Abstract The COVID-19 pandemic has resulted in unprecedented consequences. Transdiagnostic factors, such as anxiety sensitivity, could be an important component to understand how individuals experience COVID-19 specific fear, depression and anxiety. A US representative sample (5,023) completed measures including the Anxiety Sensitivity Index-3, the Fear of COVID-19 Scale, the Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-8. Analyses controlled for age, sex, race, marital status, education level, working status, household income, and COVID-19 exposure. Results were consistent with prediction. ...
Source: Cognitive Behaviour Therapy - February 17, 2021 Category: Psychiatry & Psychology Authors: Warren AM, Zolfaghari K, Fresnedo M, Bennett M, Pogue J, Waddimba A, Zvolensky M, Carlbring P, Powers MB Tags: Cogn Behav Ther Source Type: research

Exploring the impact of the COVID-19 pandemic on the mental health of first responders.
Abstract The present investigation evaluated the preliminary impact of COVID-19 exposure on first responder mental health. Data were collected between June and August 2020. The sample was comprised of 189 first responders (M age = 47.58, SD = 10.93; 21% female), recruited nationally, who completed an online survey. Results indicated that COVID-19-exposed first responders were more likely to be emergency medical services [EMS] personnel (vs. non-EMS) in career (vs. volunteer) roles. COVID-19-exposed first responders reported higher alcohol use severity; no other between-group differences were noted. COVID-19-relate...
Source: Cognitive Behaviour Therapy - February 17, 2021 Category: Psychiatry & Psychology Authors: Vujanovic AA, Lebeaut A, Leonard S Tags: Cogn Behav Ther Source Type: research

Psychosocial predictors of virus and social distancing fears in undergraduate students living in a US COVID-19 "hotspot".
Psychosocial predictors of virus and social distancing fears in undergraduate students living in a US COVID-19 "hotspot". Cogn Behav Ther. 2021 Feb 15;:1-17 Authors: Fedorenko EJ, Kibbey MM, Contrada RJ, Farris SG Abstract The COVID-19 pandemic is positioned to exact a substantial mental health toll on the global population. Heightened fears of viral contamination and fears of the negative consequences of social distancing (e.g., fears related to home confinement, fears of loneliness and isolation) might contribute to the distress caused by the pandemic. Cross-sectional data were collected f...
Source: Cognitive Behaviour Therapy - February 15, 2021 Category: Psychiatry & Psychology Authors: Fedorenko EJ, Kibbey MM, Contrada RJ, Farris SG Tags: Cogn Behav Ther Source Type: research

Effects of anxiety sensitivity, disgust, and intolerance of uncertainty on the COVID stress syndrome: a longitudinal assessment of transdiagnostic constructs and the behavioural immune system.
Abstract Excessive fear and worry in response to the COVID-19 pandemic (e.g., COVID stress syndrome) is prevalent and associated with various adverse outcomes. Research from the current and past pandemics supports the association between transdiagnostic constructs-anxiety sensitivity (AS), disgust, and intolerance of uncertainty (IU)-and pandemic-related distress. Recent research suggests a moderating effect of disgust on the relationship of AS-physical concerns and COVID-19-related distress, suggesting that transdiagnostic constructs underlie individual differences in activation of the behavioral immune system (B...
Source: Cognitive Behaviour Therapy - February 12, 2021 Category: Psychiatry & Psychology Authors: Paluszek MM, Asmundson AJN, Landry CA, McKay D, Taylor S, Asmundson GJG Tags: Cogn Behav Ther Source Type: research

COVID-19 psychological factors associated with pain status, pain intensity, and pain-related interference.
Abstract The 2019 novel SARS-CoV2 disease causing COVID-19 has had a devastating impact on the world, and those with pain conditions may be at heightened risk for these negative consequences. Given COVID-19 limitations, including social distancing and stay-at-home orders, pain is likely largely going untreated, leading to greater pain and associated consequences. Mental health symptoms, which have been found to be elevated due to COVID-19, may contribute to elevated pain experience, but little work has examined how COVID-19-specific mental health factors may be associated with pain. Therefore, the current study ex...
Source: Cognitive Behaviour Therapy - February 10, 2021 Category: Psychiatry & Psychology Authors: Rogers AH, Garey L, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

The explanatory role of fatigue severity in the relation between COVID-19 perceived stress and depression, anxiety, and panic severity.
Abstract The COVID-19 pandemic has had an adverse effect on anxiety and depression symptoms and disorders in the United States and worldwide. As such, there is considerable interest in better understanding the relationship between COVID-19 and anxiety and depressive disorders. Although individual differences in perceived stress have shown to be related to anxiety and depression in non-COVID-19 work, research has not examined potential factors underlying this relation in the context of COVID-19. Fatigue severity may be a promising mechanistic construct for perceived stress and anxiety and depression relations, as s...
Source: Cognitive Behaviour Therapy - February 10, 2021 Category: Psychiatry & Psychology Authors: Manning K, Zvolensky MJ, Garey L, Long LJ, Gallagher MW Tags: Cogn Behav Ther Source Type: research

Sex differences in mental disorder symptoms among Canadian police officers: the mediating role of social support, stress, and sleep quality.
Abstract Police officers, and specifically women officers, report elevated mental disorder rates relative to the general population, which may be impacted by sleep quality, policing-related stress, and social support. In a sample of Canadian police officers, sex was indirectly related to post traumatic stress, depression, generalized anxiety, panic, and social anxiety symptoms through its relationships with social support and sleep quality, but not through policing-related stress. Sex was indirectly related to problematic alcohol use symptoms through sleep quality only. Differences in clinical symptom severity bet...
Source: Cognitive Behaviour Therapy - February 8, 2021 Category: Psychiatry & Psychology Authors: Angehrn A, Vig KD, Mason JE, Stelnicki AM, Shields RE, Asmundson GJG, Carleton RN Tags: Cogn Behav Ther Source Type: research

Examining the longitudinal effects and potential mechanisms of hope on COVID-19 stress, anxiety, and well-being.
Abstract ABSTRACTSBEH_A_1877341 Hope is a cognitive trait that predicts both resilience to and recovery from anxiety and stress-related disorders. The present study examines the prospective associations of hope with subsequent anxiety, stress, and well-being during the COVID-19 pandemic. Perceived emotional control, a transdiagnostic vulnerability factor, was also examined as a potential mediator of these relationships. American adults (N = 822) were recruited during the COVID-19 pandemic using Amazon mTURK and structural equation modeling was used to examine how trait hope predicted outcomes approximately on...
Source: Cognitive Behaviour Therapy - February 5, 2021 Category: Psychiatry & Psychology Authors: Gallagher MW, Smith LJ, Richardson AL, D'Souza JM, Long LJ Tags: Cogn Behav Ther Source Type: research

Getting down to business: an examination of occupational outcomes in cognitive behavioral therapy for depression.
Abstract Depression is associated with unemployment and poor occupational functioning. Although cognitive behavioral therapy (CBT) has been shown to reduce depressive symptoms, the degree to which it improves occupational outcomes has received little attention. We investigated change in job status and presenteeism (i.e., the inability to focus on and accomplish work) over the course of CBT. We assessed employment status, presenteeism, depressive symptoms, cognitive style, and CBT skills at intake and posttreatment in a sample of 126 participants enrolled in a 16-week course of CBT for depression. Employment status...
Source: Cognitive Behaviour Therapy - February 5, 2021 Category: Psychiatry & Psychology Authors: Ezawa ID, Bartels GC, Strunk DR Tags: Cogn Behav Ther Source Type: research

Difficulties with emotion regulation and drinking during the COVID-19 pandemic among undergraduates: the serial mediation of COVID-related distress and drinking to cope with the pandemic.
Abstract The coronavirus disease 2019 (COVID-19) pandemic has contributed to thousands of hospitalizations and deaths worldwide. Although alcohol use has increased in response to the pandemic, no known studies have identified transdiagnostic risk factors for greater drinking in response to COVID-related distress. Individuals with more difficulty with emotion regulation may drink more during the pandemic to manage pandemic-related distress. The current study tested whether difficulty with emotion regulation was related to greater estimated blood alcohol content (eBAC) during a typical week in the past month and if ...
Source: Cognitive Behaviour Therapy - February 1, 2021 Category: Psychiatry & Psychology Authors: Buckner JD, Lewis EM, Abarno CN, Morris PE, Glover NI, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

Worry about COVID-19 in relation to cognitive-affective smoking processes among daily adult combustible cigarette smokers.
Abstract Cigarette smoking is a known risk factor for severe disease and death from respiratory infection. Initial data suggest that smoking is a risk factor for COVID-19 symptom severity. Exposure to increased pandemic-related stress and subsequent worry about COVID-19 may amplify the desire to smoke to down-regulate distress. The present investigation sought to test this conceptual model by evaluating worry about COVID-19 in relation to COVID-19 coping motives for smoking, perceived barriers for smoking cessation, and smoking abstinence expectancies. Participants were 219 daily combustible cigarette smokers (55....
Source: Cognitive Behaviour Therapy - January 29, 2021 Category: Psychiatry & Psychology Authors: Shepherd JM, Fogle B, Garey L, Viana AG, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

Disgust sensitivity mediates the link between homophobia and sexual orientation obsessive-compulsive symptoms.
Abstract Previous research has shown that intrusive thoughts in obsessive-compulsive disorder (OCD) often focus on emotionally significant aspects of individuals' lives (e.g., values and beliefs). The current study sought to expand our understanding of OC symptoms related to sexual orientation (SO-OC symptoms) by investigating the roles of homophobia (i.e., negative attitudes, affect, and behaviors toward individuals with a same-gender orientation) and disgust propensity and sensitivity. A total of 592 self-identified heterosexual college students were recruited to complete measures of homophobia, disgust propensi...
Source: Cognitive Behaviour Therapy - January 21, 2021 Category: Psychiatry & Psychology Authors: Ching THW, Rouleau TM, Turner E, Williams MT Tags: Cogn Behav Ther Source Type: research

Are we on the same page? A comparison of patients' and clinicians' opinions about the importance of CBT techniques.
In conclusion, clinicians are encouraged to plan therapy in collaboration with the patient, as well as to discuss the rationale for the implemented techniques. PMID: 33475024 [PubMed - as supplied by publisher] (Source: Cognitive Behaviour Therapy)
Source: Cognitive Behaviour Therapy - January 21, 2021 Category: Psychiatry & Psychology Authors: Hernandez Hernandez ME, Waller G Tags: Cogn Behav Ther Source Type: research

Evaluating the effects of guided coaching calls on engagement and outcomes for online acceptance and commitment therapy.
Abstract Previous research indicates mixed results for guided support with online interventions. The current secondary analysis evaluated the effects of phone coaching from a dismantling trial of online acceptance and commitment therapy (ACT) in a sample of 136 distressed college students randomized to one of three versions of an ACT website. Participants were randomized to receive email prompts alone (non-coaching condition) or email plus phone coaching (coaching condition). Results indicated no differences between the coaching and non-coaching conditions on program engagement, program satisfaction, mental health...
Source: Cognitive Behaviour Therapy - January 12, 2021 Category: Psychiatry & Psychology Authors: Levin ME, Krafft J, Davis CH, Twohig MP Tags: Cogn Behav Ther Source Type: research

Anxiety, depression, and health anxiety in undergraduate students living in initial US outbreak "hotspot" during COVID-19 pandemic.
Anxiety, depression, and health anxiety in undergraduate students living in initial US outbreak "hotspot" during COVID-19 pandemic. Cogn Behav Ther. 2021 Jan 12;:1-13 Authors: Kibbey MM, Fedorenko EJ, Farris SG Abstract Evidence of the psychological distress associated with the COVID-19 pandemic, including depression, anxiety, and health anxiety, has been documented globally. College students are a unique sub-set of the population with consistently elevated psychological distress associated with the pandemic, and well-informed intervention is urgently needed. The current study is the first, ...
Source: Cognitive Behaviour Therapy - January 12, 2021 Category: Psychiatry & Psychology Authors: Kibbey MM, Fedorenko EJ, Farris SG Tags: Cogn Behav Ther Source Type: research

Correction.
Authors: PMID: 33416448 [PubMed - as supplied by publisher] (Source: Cognitive Behaviour Therapy)
Source: Cognitive Behaviour Therapy - January 1, 2021 Category: Psychiatry & Psychology Tags: Cogn Behav Ther Source Type: research

Personal practice in counselling and CBT trainees: the self-perceived impact of personal therapy and self-practice/self-reflection on personal and professional development.
Abstract With growing evidence for the potential value of personal practices (PPs) in therapist training, it is important to determine which PPs may be most valuable for which therapists under what conditions. This is the first study to compare the impact of two different PPs selected by accredited therapy training programs as the most appropriate PP for their trainees. Using the same validated outcome measure, the Self-focused Practice Questionnaire, the impact of personal therapy for counselling psychology trainees was compared with the impact of self-practice/self-reflection (SP/SR) training for CBT trainees. T...
Source: Cognitive Behaviour Therapy - December 16, 2020 Category: Psychiatry & Psychology Authors: Chigwedere C, Bennett-Levy J, Fitzmaurice B, Donohoe G Tags: Cogn Behav Ther Source Type: research

Understanding hazardous drinking and suicidal ideation and suicide risk among college students: anxiety sensitivity as an explanatory factor.
Abstract Suicide is a leading cause of death among college students. Although previous work indicates that the (hazardous) use of alcohol contributes to suicidal ideation/risk, little work has examined potential underlying explanatory factors. One example is anxiety sensitivity (AS). The current study evaluated whether AS explains associations between hazardous drinking and suicidal ideation and risk among college students. Data from racially/ethnically diverse students (N = 1,206; 76.7% non-White; Mage = 22.13) were analyzed. Hazardous drinking was a significant predictor of suicidal ideation (p
Source: Cognitive Behaviour Therapy - November 18, 2020 Category: Psychiatry & Psychology Authors: Paulus DJ, Capron DW, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

Learning gains from a one-day training in acceptance-based behavior therapy.
Abstract The primary method of training for individual licensed mental health professionals is continuing education (CE). Despite the promise of CE as a vehicle for training clinicians in evidence-based practices, only a handful of studies have examined the efficacy of trainings delivered in the CE context. Moreover, these studies have focused on a few very specific therapeutic approaches. There is a growing body of evidence supporting Acceptance-based Behavior Therapy (ABBT) as a treatment for generalized anxiety disorder (GAD) and related disorders. Training workshops aimed at disseminating ABBT are regularly co...
Source: Cognitive Behaviour Therapy - November 2, 2020 Category: Psychiatry & Psychology Authors: Gu G, Roemer L, Suvak M, Liverant G, Orsillo SM Tags: Cogn Behav Ther Source Type: research

Efficacy of cognitive-behavioural therapy interventions on reducing burden for caregivers of older adults with a neurocognitive disorder: a systematic review and meta-analysis.
Abstract By 2025, 34 million people worldwide will be living with Alzheimer's disease or another form of dementia (i.e., neurocognitive disorders). Symptoms of neurocognitive disorders have functional repercussions on daily activities. People with neurocognitive disorders often rely on a caregiver to alleviate the impact of their symptoms, but this help has consequences for the caregiver. Indeed, caregivers report subjective burden, depressive symptoms, stress, anxiety and a lower quality of life than non-caregivers. Multiple cognitive-behavioral therapy (CBT) trials have been conducted to reduce these symptoms fo...
Source: Cognitive Behaviour Therapy - October 30, 2020 Category: Psychiatry & Psychology Authors: Verreault P, Turcotte V, Ouellet MC, Robichaud LA, Hudon C Tags: Cogn Behav Ther Source Type: research

The benefits of a longer course of cognitive behavioral therapy for some patients with social anxiety disorder.
Abstract Historically, cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) has been evaluated in randomized-controlled trials as a 12-16 session treatment and has demonstrated response rates ranging from 58% to 75%. Despite these promising results, some patients do not improve substantially after this short course of CBT. It is unclear whether non-responding patients would make substantial improvements in social anxiety with further treatment. In a university outpatient clinic specializing in CBT for SAD, we compared outcomes for patients who ended treatment after approximately 20 sessions of CBT ...
Source: Cognitive Behaviour Therapy - October 21, 2020 Category: Psychiatry & Psychology Authors: Butler RM, O'Day EB, Heimberg RG Tags: Cogn Behav Ther Source Type: research

The moderating effect of age on the associations of cognitive and metacognitive beliefs with pediatric OCD symptoms.
In conclusion, cognitive and metacognitive beliefs appear clinically relevant to pediatric OCD cases, and we recommend clinicians assess these beliefs and incorporate cognitive components to corresponding evidence-based treatment. PMID: 33073722 [PubMed - as supplied by publisher] (Source: Cognitive Behaviour Therapy)
Source: Cognitive Behaviour Therapy - October 19, 2020 Category: Psychiatry & Psychology Authors: Rizvi M, Smilansky H, Porth R, Myers N, Geller D, Small BJ, McGuire JF, Wilhelm S, Storch EA Tags: Cogn Behav Ther Source Type: research

Objective analysis of language use in cognitive-behavioral therapy: associations with symptom change in adults with co-occurring substance use disorders and posttraumatic stress.
Abstract Substance use disorders (SUD) commonly co-occur with posttraumatic stress disorder (PTSD) symptoms, and the comorbidity is prevalent and difficult-to-treat. Few studies have objectively analyzed language use in psychotherapy as a predictor of treatment outcomes. We conducted a secondary analysis of patient language use during cognitive-behavioral therapy (CBT) in a randomized clinical trial, comparing a novel, integrated CBT for PTSD/SUD with standard CBT for SUD. Participants included 37 treatment-seeking, predominantly African-American adults with SUD and at least four symptoms of PTSD. We analyzed tran...
Source: Cognitive Behaviour Therapy - October 6, 2020 Category: Psychiatry & Psychology Authors: Jennings AN, Soder HE, Wardle MC, Schmitz JM, Vujanovic AA Tags: Cogn Behav Ther Source Type: research

Working memory moderates the predictive influence of distress intolerance on health-related goal attainment.
Abstract High distress intolerance (DI: often assessed as anxiety sensitivity) and low working memory capacity (WMC) have each been identified as risk factors for negative health behaviors. To our knowledge, these risk factors have only been studied independently. The current study investigated both the independent and interactive effects of DI and WMC in predicting health-related goal attainment in 118 undergraduates who self-selected a health-related goal. Participants received one of three interventions: values clarification, action planning, or a combination of the two. Across these interventions, we found tha...
Source: Cognitive Behaviour Therapy - October 6, 2020 Category: Psychiatry & Psychology Authors: Fitzgerald HE, Gorlin EI, Otto MW Tags: Cogn Behav Ther Source Type: research

Emotion dysregulation, fatigue, and electronic cigarette expectancies.
Abstract Emotion dysregulation and the experience of fatigue have both been linked to the maintenance of substance use. However, limited empirical data has evaluated individual differences in these constructs in terms of e-cigarette use expectancies. The present study examined a theoretically relevant model focused on whether the experience of more severe fatigue explains, in part, the relation between individual differences in emotion dysregulation and positive and negative e-cigarette expectancies among 525 adult e-cigarette users (50.9% female, Mage = 35.25 years, SD = 10.10). It was hy...
Source: Cognitive Behaviour Therapy - October 1, 2020 Category: Psychiatry & Psychology Authors: Zvolensky MJ, Manning K, Garey L, Alfano CA, Mayorga NA, Peraza N Tags: Cogn Behav Ther Source Type: research

Predictors of relapse and recurrence following cognitive behavioural therapy for anxiety-related disorders: a systematic review.
This study aimed to identify predictors of relapse of anxiety after CBT for adult (18+) patients to enable the identification of "at-risk" patients who could potentially benefit from relapse prevention interventions. A systematic review and meta-analysis were conducted, including studies found in PsycINFO, PubMed, Scopus, and Web of Science, and through hand-searches of references lists and reverse citations. Nine studies met eligibility criteria (N = 532 patients). On average, 23.8% of patients experienced relapse following completion of CBT. A total of 21 predictors were identified and grouped into seven catego...
Source: Cognitive Behaviour Therapy - September 20, 2020 Category: Psychiatry & Psychology Authors: Lorimer B, Kellett S, Nye A, Delgadillo J Tags: Cogn Behav Ther Source Type: research

Virtual Reality exposure therapy for public speaking anxiety in routine care: a single-subject effectiveness trial.
bring P Abstract Virtual Reality (VR) can be used as a therapeutic tool to conduct efficacious in-session exposure therapy by presenting virtual equivalents of phobic stimuli, yet past hardware restrictions hindered implementation in routine care and effectiveness studies. The current study examines the effectiveness of a VR-assisted treatment protocol for public speaking anxiety with demonstrated efficacy, this time in routine care, using affordable VR hardware. Participants (n = 23) were recruited via a private clinic and treated by one of four psychologists with only minimal VR-training. Using a singl...
Source: Cognitive Behaviour Therapy - August 31, 2020 Category: Psychiatry & Psychology Authors: Lindner P, Dagöö J, Hamilton W, Miloff A, Andersson G, Schill A, Carlbring P Tags: Cogn Behav Ther Source Type: research

Breaking the cycle of smoking and pain: do pain-related anxiety and pain reduction expectancies sabotage attempts to quit smoking and can smoking cessation improve pain and pain-related disability outcomes?
Abstract Contemporary models of smoking and pain suggest a reciprocal and self-perpetuating cycle, wherein smoking reduces pain in the short term but indirectly exacerbates pain in the long term. In a sample of participants engaged in an active smoking-cessation attempt, this investigation assessed a) whether specific smoking risk factors (i.e., smoking expectancies for pain reduction, pain-related anxiety) acted as barriers to cessation, and b) whether breaking the smoking-pain cycle through successful smoking abstinence impacted pain and pain-related disability outcomes for participants with pain. Participants c...
Source: Cognitive Behaviour Therapy - August 26, 2020 Category: Psychiatry & Psychology Authors: Parkerson HA, Sareen J, Asmundson GJG Tags: Cogn Behav Ther Source Type: research

The unique contribution of perfectionistic cognitions to anxiety disorder symptoms in a treatment-seeking sample.
Abstract Perfectionistic cognitions are thinking patterns that reflect excessive striving and are associated with emotional disorders in nonclinical samples. Despite literature connecting trait perfectionism with psychological disorders, much remains unknown about how perfectionistic cognitions relate to anxiety disorder symptoms in clinical populations. This is the first study to our knowledge that investigates how symptoms of anxiety and related symptoms are influenced by the frequency of perfectionistic cognitions when controlling for well documented correlates of anxiety. Perfectionistic cognitions, depressive...
Source: Cognitive Behaviour Therapy - August 23, 2020 Category: Psychiatry & Psychology Authors: Tyler J, Mu W, McCann J, Belli G, Asnaani A Tags: Cogn Behav Ther Source Type: research

One factor? Two factor? Bi-factor? A psychometric evaluation of the Frost Multidimensional Scale and the Clinical Perfectionism Questionnaire.
Abstract The construct of perfectionism has been argued to consist of two factors, perfectionistic concerns and perfectionistic strivings. Though perfectionistic concerns are consistently associated with adverse outcomes, the evidence for perfectionistic strivings is mixed. Item cross-loadings of the two-factor model of perfectionism raise questions about whether the two factors assess both common and distinct aspects of perfectionism. The present study aimed to clarify the structure of the Frost Multidimensional Perfectionism Scale and the Clinical Perfectionism Scale, by comparing single-factor, two-factor, and ...
Source: Cognitive Behaviour Therapy - July 27, 2020 Category: Psychiatry & Psychology Authors: Howell J, Anderson R, Egan S, McEvoy P Tags: Cogn Behav Ther Source Type: research

The explanatory role of anxiety sensitivity in the association between effortful control and child anxiety and depressive symptoms.
Abstract The present study examined the underlying role of anxiety sensitivity in the association between effortful control and anxiety and depressive symptoms in a sample of clinically anxious children. It was hypothesized that effortful control would exert an indirect effect through anxiety sensitivity in relation to child anxiety and depressive symptoms. Clinically anxious children (N= 105; M age = 10.09 years, SD = 1.22; 56.7% female; 61% ethnic minority) and their mothers completed a diagnostic interview and a battery of questionnaires that included self- and mother-ratings of ch...
Source: Cognitive Behaviour Therapy - July 20, 2020 Category: Psychiatry & Psychology Authors: Raines EM, Viana AG, Trent ES, Conroy HE, Woodward EC, Zvolensky MJ, Storch EA Tags: Cogn Behav Ther Source Type: research

Exploring positive expectancies and quit status among adult electronic cigarette users.
Abstract Initial research on electronic cigarette (e-cigarette) use suggests differences exist in levels of use, beliefs, and cessation difficulties among users. However, little research has explored how these factors interact to confer worse e-cigarette outcomes. The current study examined the association between positive expectancies of e-cigarette use and e-cigarette processes among 544 (51.1% female; Mage = 35.4 years, SD = 10.12) adult e-cigarette users who had and had not attempted to quit e-cigarettes, a defining characteristic believed to distinguish those with and without greater ...
Source: Cognitive Behaviour Therapy - July 12, 2020 Category: Psychiatry & Psychology Authors: Peraza N, Mayorga NA, Garey L, Nizio P, Smit T, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

The dose-response curve in cognitive-behavioral therapy for anxiety disorders.
Abstract Previous studies examining the dose-response curve in psychotherapy have suggested that 11-19 sessions may be necessary for at least 50% of individuals to show clinically significant improvement. However, this curve has not been examined specifically for cognitive-behavioral therapy (CBT) for anxiety disorders, for which a more rapid recovery curve may be expected. Survival analysis was used to assess the dose-response curve for 201 patients with anxiety disorders who received weekly CBT at an anxiety specialty clinic. The primary outcome measure was the Outcome Questionnaire-45.2, which patients complete...
Source: Cognitive Behaviour Therapy - July 6, 2020 Category: Psychiatry & Psychology Authors: Levy HC, Worden BL, Davies CD, Stevens K, Katz BW, Mammo L, Diefenbach GJ, Tolin DF Tags: Cogn Behav Ther Source Type: research

Internet-based cognitive behavioural therapy for depression and anxiety among Arabic-speaking individuals in Sweden: a pilot randomized controlled trial.
Abstract Arabic-speaking immigrants and refugees constitute one of the largest immigrant groups in Sweden. Previous research on Arabic-speaking immigrants indicates elevated levels of psychological disorders, including depression and anxiety. The aim of the present pilot study was to examine the efficacy of an internet-delivered cognitive behavioural treatment (ICBT) in an Arabic-speaking immigrant population. The intervention was individually tailored based on self-described problems and consisted of nine modules targeting areas such as depression, anxiety and insomnia. In total, 59 individuals were included and ...
Source: Cognitive Behaviour Therapy - June 29, 2020 Category: Psychiatry & Psychology Authors: Lindegaard T, Seaton F, Halaj A, Berg M, Kashoush F, Barchini R, Ludvigsson M, Sarkohi A, Andersson G Tags: Cogn Behav Ther Source Type: research

Emotional response to autobiographical memories in depression: less happiness to positive and more sadness to negative memories.
We examined whether the intensity of emotions experienced from recalling the happiest, saddest, and most anxious autobiographical memories differed between individuals with MDD (n = 30) and healthy controls (n = 46). Participants retrieved their happiest, saddest, and most anxious autobiographical memories and rated the emotional intensity experienced at the time of the event and at the time of recall. For all memory types, emotional intensity at the time of the event did not differ between MDD and CTL groups. However, the MDD (vs. CTL) group experienced less happiness recalling their happiest memories, more sadn...
Source: Cognitive Behaviour Therapy - June 8, 2020 Category: Psychiatry & Psychology Authors: Kim D, Yoon KL Tags: Cogn Behav Ther Source Type: research

A randomized controlled pilot study evaluating Worry Less, Live More: The Mindful Way Through Anxiety Workbook.
This study compared self-reported change in generalized anxiety symptomology and associated problems between community members with excessive worry who were randomly assigned to receive the Worry Less, Live More: The Mindful Way through Anxiety Workbook (n = 35) and those in a delayed condition (n = 29). Participants in the workbook condition reported significantly greater reductions between baseline and 11-week follow-up in self-reported worry (η 2 =.15), general anxiety/tension (η 2 =.13), and anxiety (η 2 =.24) than those in the delayed condition, although no statistically significant differences across cond...
Source: Cognitive Behaviour Therapy - June 7, 2020 Category: Psychiatry & Psychology Authors: Serowik KL, Roemer L, Suvak M, Liverant G, Orsillo SM Tags: Cogn Behav Ther Source Type: research

A multiple mediation model of trait worry and hazardous drinking among treatment-seeking smokers: the roles of coping and conformity drinking motives.
Abstract Alcohol use is associated with poorer smoking cessation-related outcomes, and smokers with elevated levels of worry experience greater smoking cessation problems. Yet, little is known about the explanatory mechanisms that may underlie the relationship between trait worry and hazardous drinking among smokers. Therefore, this study explored the explanatory roles of coping and conformity drinking motives in the relationship between trait worry and hazardous drinking outcomes including alcohol consumption, alcohol problems, maximum number of drinks, and the number of prior alcohol quit attempts among treatmen...
Source: Cognitive Behaviour Therapy - April 29, 2020 Category: Psychiatry & Psychology Authors: Hallford G, Bakhshaie J, Rodriguez-Cano R, Shepherd JM, Schmidt NB, Zvolensky MJ Tags: Cogn Behav Ther Source Type: research

Age and pre quit-day attrition during smoking cessation treatment.
Abstract The present study aimed to replicate the finding that younger age predicts higher pre quit-day attrition. Our second aim was to explain this relation by examining empirically and theoretically informed age-related risk factors for low smoking cessation treatment engagement. 136 participants (Mage = 44.2 years, SD = 11.3 years; age = 22-64 years) were randomized to 15-weeks of either 1) an exercise intervention (n = 72) or 2) a wellness education control condition (n = 64). First, a logistic regression analysis was employed to test whether younger adul...
Source: Cognitive Behaviour Therapy - April 27, 2020 Category: Psychiatry & Psychology Authors: Conroy HE, Jacquart J, Baird SO, Rosenfield D, Davis ML, Powers MB, Frierson GM, Marcus BH, Otto MW, Zvolensky MJ, Smits JAJ Tags: Cogn Behav Ther Source Type: research

Obsessive-compulsive symptoms and cigarette smoking: an initial cross-sectional test of mechanisms of co-occurrence.
Abstract Tobacco addiction and obsessive-compulsive symptoms (OCS; intrusive thoughts or impulses that cause distress and rituals) are both mediated by compulsivity and negative reinforcement. Little evidence exists to guide theory, research, treatment, and population-based prevention of this co-occurrence. We propose a conceptual model of OCS-smoking co-occurrence in which smokers with elevated OCS capitalize on smoking to assuage OCS. This secondary analysis examined associations between OCS levels and self-reported smoking motives that are model-concordant: i) negative reinforcement-smoking for relief; ii) sens...
Source: Cognitive Behaviour Therapy - April 22, 2020 Category: Psychiatry & Psychology Authors: S Chasson G, R Guillot C, J Zvolensky M, M Liautaud M, B Schmidt N, M Leventhal A Tags: Cogn Behav Ther Source Type: research

Clinical supervision in cognitive behavior therapy improves therapists' competence: a single-case experimental pilot study.
Abstract Clinical supervision is a cornerstone in psychotherapists' training but there are few empirical evaluations on the effects of supervision on therapists' competencies. The aim of this study was therefore to evaluate the effects of standardized supervision on rater-assessed competency in Cognitive Behavior Therapy (CBT). Six therapists with basic training in CBT were provided with protocol-based clinical supervision in CBT in a single-case experimental multiple baseline design. The supervision focused on specific CBT competencies and used experiential learning methods such as role-play. Each therapist recor...
Source: Cognitive Behaviour Therapy - March 25, 2020 Category: Psychiatry & Psychology Authors: Alfonsson S, Lundgren T, Andersson G Tags: Cogn Behav Ther Source Type: research

A pragmatic approach to measuring adherence in treatment delivery in psychotherapy.
In conclusion the TCC provides a quick and cost effective way of evaluating the components of therapy delivered. This approach could be applied to other psychological treatments and may help with linking therapeutic interventions with outcome. PMID: 32114905 [PubMed - as supplied by publisher] (Source: Cognitive Behaviour Therapy)
Source: Cognitive Behaviour Therapy - March 1, 2020 Category: Psychiatry & Psychology Authors: Serfaty M, Shafran R, Vickerstaff V, Aspden T Tags: Cogn Behav Ther Source Type: research

Eye movement desensitization and reprocessing for mental health problems: a systematic review and meta-analysis.
Abstract There is no comprehensive meta-analysis of randomised trials examining the effects of Eye Movement Desensitization and Reprocessing (EMDR) on post-traumatic stress disorder (PTSD) and no systematic review at all of the effects of EMDR on other mental health problems. We conducted a systematic review and meta-analysis of 76 trials. Most trials examined the effects on PTSD (62%). The effect size of EMDR compared to control conditions was g = 0.93 (95% CI: 0.67-.18), with high heterogeneity (I2= 72%). Only four of 27 studies had low risk of bias, and there were indications for publication bias. EMDR was more...
Source: Cognitive Behaviour Therapy - February 10, 2020 Category: Psychiatry & Psychology Authors: Cuijpers P, Veen SCV, Sijbrandij M, Yoder W, Cristea IA Tags: Cogn Behav Ther Source Type: research

Evaluating approaches to marketing cognitive behavioral therapy: does evidence matter to consumers?
Abstract Direct-to-consumer marketing initiatives may improve utilization of evidence-based therapy.  An important decision in such marketing efforts is how to effectively present scientific evidence supporting these treatments to potential consumers (if at all). This OSF preregistered study experimentally tested whether the language used to describe research evidence supporting cognitive behavioral therapy (CBT) for anxiety disorders affected consumer treatment attitudes and intentions. Adult participants (N = 303) recruited via mTurk were first assessed for their understanding of the term "evidence-bas...
Source: Cognitive Behaviour Therapy - January 9, 2020 Category: Psychiatry & Psychology Authors: Schofield CA, Ponzini GT, Becker SJ Tags: Cogn Behav Ther Source Type: research

Smoking and social anxiety: the role of false safety behaviors.
Abstract Despite the negative health consequences associated with smoking, most smokers find it difficult to quit. This is especially true for smokers with elevated social anxiety. One factor that may play a role in maintaining smoking with elevated anxiety is false safety behavior (FSB), behaviors geared toward decreasing anxiety short-term but that maintain or increase anxiety long-term. The present study tested whether FSB explained the relation of social anxiety severity with smoking among 71 current smokers. Avoidance-related FSB was the only type of FSB related to cigarettes smoked per day (CPD) and it was r...
Source: Cognitive Behaviour Therapy - December 16, 2019 Category: Psychiatry & Psychology Authors: Buckner JD, Zvolensky MJ, Lewis EM Tags: Cogn Behav Ther Source Type: research

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 21, 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 9, 2019 Category: Psychiatry & Psychology Authors: Hadjistavropoulos HD, Mehta S, Wilhelms A, Keough MT, Sundström C Tags: Cogn Behav Ther Source Type: research