Clinical psychological science must move beyond documenting disparities in LGBTQ health toward eliminating them.
Journal of Consulting and Clinical Psychology, Vol 91(2), Feb 2023, 57-59; doi:10.1037/ccp0000800Psychology and other disciplines have exceptionally documented sexual orientation and gender identity disparities in mental and physical health outcomes with psychological antecedents. Research on sexual and gender minority (SGM) health has seen impressive growth, including the launch of dedicated conferences, journals, and designation as a disparity population for U.S. federal research purposes. From 2015 to 2020, the number of SGM-focused research projects funded by the U.S. National Institutes of Health (NIH) increased by 66...
Source: Journal of Consulting and Clinical Psychology - March 13, 2023 Category: Psychiatry & Psychology Source Type: research

Positive affect treatment targets reward sensitivity: A randomized controlled trial.
Conclusions: Targeting positive affect results in superior improvements in clinical status and reward sensitivity than targeting negative affect. This is the first demonstration of differential target engagement across two psychological interventions for anxious or depressed individuals with low positive affect. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - March 9, 2023 Category: Psychiatry & Psychology Source Type: research

An experimental test of increasing implementation support for college peer educators delivering an evidence-based prevention program.
Conclusions: Results suggest that the Body Project can be effectively implemented at colleges using peer educators and a TTT approach and that adding TA and QA resulted in significantly larger improvements in outcomes for group participants, and marginally higher adherence and competence. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - March 9, 2023 Category: Psychiatry & Psychology Source Type: research

Changes in neural activity following a randomized trial of cognitive behavioral therapy for hoarding disorder.
Conclusions: Therapeutic benefits of CBT for HD do not appear to be mediated by changes in dACC activation. However, pretreatment dACC activation predicts outcome. Findings suggest the need to re-evaluate emerging neurobiological models of HD and our understanding of how CBT affects the brain in HD, and perhaps shift focuses to new neural target discovery and target engagement trials. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - March 6, 2023 Category: Psychiatry & Psychology Source Type: research

Randomized controlled trial evaluating feedback to community-based therapists based on patient reports of trust and respect.
Conclusions: In this trial, trust/respect feedback to therapists was associated with significantly greater improvements in treatment outcomes. Evaluation of the mechanisms of such improvements is needed. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - March 2, 2023 Category: Psychiatry & Psychology Source Type: research

Cognitive therapy, mindfulness-based stress reduction, and behavior therapy for people with chronic low back pain: A comparative mechanisms study.
Conclusions: Findings support the operation of shared mechanisms over specific ones. Given significant lagged and cross-lagged effects, unidirectional conceptualizations—mechanism to outcome—need to be expanded to include reciprocal effects. Thus, prior week changes in pain-related cognitions could predict next week changes in pain interference which in turn could predict next week changes in pain-related cognitions, in what may be an upward spiral of improvement. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - February 27, 2023 Category: Psychiatry & Psychology Source Type: research

Twelve-month follow-up: Comparative efficacy of cognitive therapy, behavior therapy, and cognitive behavior therapy for patients with insomnia.
Journal of Consulting and Clinical Psychology, Vol 91(10), Oct 2023, 606-613; doi:10.1037/ccp0000802Objective: Treatments that alleviate insomnia over the long term are critical. We evaluated the relative long-term efficacy of cognitive therapy (CT), behavior therapy (BT), and cognitive behavior therapy (CBT) for insomnia. Method: Patients (N = 188, 62.2% female, 81.1% White, 6.5% Hispanic or Latinx, Mage = 47.4 years) with insomnia were randomized to eight sessions of CT, BT, or CBT for insomnia. Assessments at pretreatment and 12-month follow-up measured insomnia severity, insomnia response/remission, sleep diary paramet...
Source: Journal of Consulting and Clinical Psychology - February 23, 2023 Category: Psychiatry & Psychology Source Type: research

Implementation factors that predict larger effects from a peer educator delivered eating disorder prevention program at universities.
Conclusions: Results suggest that if the goal is to optimize the effects of the Body Project, peer educator programs at universities should implement the full four-session version of the prevention program that contains all of the dissonance-inducing activities and home exercises, implement this prevention program virtually, and provide supervision to facilitators implementing this prevention program. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - February 23, 2023 Category: Psychiatry & Psychology Source Type: research

Is personalized treatment selection a promising avenue in bpd research? A meta-regression estimating treatment effect heterogeneity in RCTs of BPD.
Conclusions: The results suggest that, while there might be sufficient heterogeneity in treatment effects, the estimates are uncertain, and future research is needed to gain more accurate boundaries for HTE. Personalizing psychological treatments for BPD by using treatment selection approaches could have positive effects, but the current evidence does not allow for a precise estimate of potential outcome improvement. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - February 16, 2023 Category: Psychiatry & Psychology Source Type: research

The fundamental need for lived experience perspectives in developing and evaluating psychotherapies.
This article discusses the fundamental need for lived experience perspectives in developing and evaluating psychotherapies. The primary professional goal of clinical psychology is to serve individuals and communities living with or at risk of mental illness. To date, the field has fallen persistently short of this goal, despite decades of research on evidence-based treatments and myriad innovations in psychotherapy research. Brief and low-intensity programs, transdiagnostic approaches, and digital mental health tools have all challenged long-held assumptions of what “psychotherapy” can be, pointing toward novel pathway...
Source: Journal of Consulting and Clinical Psychology - February 16, 2023 Category: Psychiatry & Psychology Source Type: research

Testing psychosocial interventions in the contexts they are meant to be delivered.
This article discusses psychosocial interventions in the contexts they are meant to be delivered. Prevention and intervention science often follow the linear pathway of preclinical or pre-intervention research—efficacy trials, effectiveness trials, and implementation studies—with the assessment of translation into public and population health impact occurring at the end. This linear translational pathway follows stages developed for ascertaining safe, efficacious, and effective dosages for biological compounds. This approach has created limitations in the need to rapidly deploy complex, multi-component, multilevel appr...
Source: Journal of Consulting and Clinical Psychology - February 13, 2023 Category: Psychiatry & Psychology Source Type: research

Moderators of LGBQ-affirmative cognitive behavioral therapy: ESTEEM is especially effective among Black and Latino sexual minority men.
Journal of Consulting and Clinical Psychology, Vol 91(3), Mar 2023, 150-164; doi:10.1037/ccp0000799Objective: Lesbian, gay, bisexual, and queer (LGBQ)-affirmative cognitive behavioral therapy (CBT) focused on minority stress processes can address gay and bisexual men’s transdiagnostic mental and behavioral health concerns. Identifying moderators of treatment outcomes may inform the mechanisms of LGBQ-affirmative CBT and subpopulations who may derive particular benefit. Method: Data were from a clinical trial in which gay and bisexual men with mental and behavioral health concerns were randomized to receive Effective Skil...
Source: Journal of Consulting and Clinical Psychology - February 13, 2023 Category: Psychiatry & Psychology Source Type: research

Efficacy of virtual delivery of a dissonance-based eating disorder prevention program and evaluation of a donation model to support sustained implementation.
Conclusions: The evidence that the Body Project produced large reductions in eating disorder risk factors and symptoms when implemented virtually and that the effects were larger than for in-person Body Project groups suggests it would be useful to implement this prevention program virtually, which could expand the reach of this intervention. Future studies should evaluate alternative methods for supporting sustained implementation of this prevention program. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - February 6, 2023 Category: Psychiatry & Psychology Source Type: research

Aspects of positive identity buffer the longitudinal associations between discrimination and suicidal ideation among bi+ young adults.
Conclusions: Results suggest that promoting positive aspects of bi + identity (community, authenticity, and intimacy), but not general resilience, may help attenuate the effects of antibisexual discrimination on suicidal ideation over time. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - February 2, 2023 Category: Psychiatry & Psychology Source Type: research

Enhancing fathers’ parenting through strengthening couple functioning: A randomized controlled trial of low-income couples.
Conclusions: Intervention-derived improvements in the couple relationship led to improvements in father engagement, supporting a causal association between these variables. Couple-focused interventions may be a viable option to enhance couple functioning and (indirectly) fathers’ parenting among families living with low incomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)
Source: Journal of Consulting and Clinical Psychology - February 2, 2023 Category: Psychiatry & Psychology Source Type: research