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Effects of a responsive parenting intervention on Black mothers' depressive symptoms postpartum: Secondary analysis of a randomized clinical trial. 响应性育儿干预对黑人母亲产后抑郁症状的影响:一项随机临床试验的二次分析
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-01 DOI: 10.1037/ccp0000926
Olutosin Adesogan, Steven R H Beach, Sierra E Carter, Isha W Metzger, Justin A Lavner

Objective: This study examined whether a responsive parenting (RP) intervention for first-time Black mothers had secondary benefits for their mental health by reducing their postpartum depressive symptoms.

Method: In total, 212 first-time Black mothers participated in the Sleep Strong African American Families randomized control trial. Mothers were randomized to the RP condition or a safety control condition at 1-week postpartum. Participants reported their depressive symptoms at 1-, 8-, and 16-week postpartum. Data were analyzed using linear regression and moderation analyses.

Results: There was not a significant main effect of the intervention condition on mothers' depressive symptoms at 8- or 16-week postpartum. However, at 8-week postpartum, the main effect of the condition was significantly moderated by mothers' depressive symptoms at baseline: Mothers in the RP condition reported significantly lower levels of 8-week depressive symptoms than mothers in the safety control condition if they initially had clinically significant depressive symptoms but did not differ from controls if they did not initially have clinically significant depressive symptoms. This interaction effect was not significant at 16-week postpartum. Effects remained consistent, controlling for demographic variables, which did not significantly moderate condition effects at 8- or 16-week postpartum.

Conclusion: Participation in the Sleep Strong African American Families responsive parenting intervention led to a more rapid reduction in depressive symptoms among first-time Black mothers with clinically significant depressive symptoms at baseline relative to the control condition. Findings suggest that family-focused responsive parenting interventions may serve as forms of "constructed resilience" that promote positive mental health early in the postpartum period. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:本研究探讨了反应性育儿(RP)干预是否通过减少产后抑郁症状对黑人母亲的心理健康有二次益处。方法:共有212名首次成为黑人母亲的女性参加了“睡眠充足的非裔美国家庭”随机对照试验。在产后1周,母亲被随机分配到RP条件或安全对照条件。参与者在产后1周、8周和16周报告了他们的抑郁症状。数据分析采用线性回归和适度分析。结果:干预条件对产后8周和16周母亲抑郁症状无显著主影响。然而,在产后8周,这种情况的主要影响被母亲在基线时的抑郁症状显著缓解:RP条件下的母亲报告的8周抑郁症状水平显著低于安全对照条件下的母亲,如果她们最初有临床显著的抑郁症状,但如果她们最初没有临床显著的抑郁症状,则与对照组没有差异。这种交互作用在产后16周时不显著。在控制人口统计学变量后,效果保持一致,在产后8周或16周没有显著的缓和状况影响。结论:与对照组相比,参与睡眠充足的非裔美国人家庭响应性育儿干预可使具有临床显著抑郁症状的首次黑人母亲的抑郁症状在基线时更快地减轻。研究结果表明,以家庭为中心的响应性育儿干预措施可能作为“构建弹性”的形式,在产后早期促进积极的心理健康。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
The power of friends in reducing sexual assault risk in college women: A preliminary test of dyad-based motivational intervention approach. 朋友在降低大学女生性侵犯风险中的作用:基于二元动机干预方法的初步检验。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-01 DOI: 10.1037/ccp0000925
Jennifer P Read, Jennifer A Livingston, Rachael J Shaw, Aria F Wiseblatt, Tiffany Jenzer, Lauren R DiPaolo, Nadine R Mastroleo, Jennifer Katz, Maria Testa, Craig R Colder

Objective: Sexual assault (SA) is unfortunately common in U.S. college campuses. Friends are central to the social context of college women, and thus to the context of SA, and thus may play a key role in SA prevention. The objective of the present study was to provide a preliminary test of a novel friend-based motivational intervention (FMI) that encourages and prepares friends to work together to reduce SA risk.

Method: In a pilot trial, 51 friend dyads (N = 102) were randomized to either FMI or waitlist control (WLC) conditions and then followed over 3 months. Participant perceptions of the intervention and intervention-associated outcomes (engagement in friend-based assault protective behaviors [FAPB], readiness to change, barriers, sexual assault occurrences) were examined.

Results: Those in the FMI reported greater readiness to engage in efforts to protect their friend against SA and reported higher rates of FAPB across time points relative to the WLC. Though not statistically significant, women in the FMI also reported half as many incidences of SA at the 3-month follow-up. We did not observe decreases in perceived barriers to intervening that were targeted with the FMI. Participant feedback on their experiences with the FMI was positive; women reported that FMI was empowering, personally relevant, and useful.

Conclusions: Findings point to the promise of this dyad-based motivational intervention that capitalizes on the natural resource of women's friendships to decrease risk for sexual assault. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:不幸的是,性侵犯在美国大学校园中很常见。朋友是大学女生的社会环境的中心,因此也是SA的环境的中心,因此可能在SA的预防中起关键作用。本研究的目的是为一种新的基于朋友的动机干预(FMI)提供初步测试,该干预鼓励并准备朋友一起工作以降低SA风险。方法:在一项先导试验中,51对朋友(N = 102)被随机分为FMI组或等候名单对照组(WLC),然后随访3个多月。参与者对干预和干预相关结果的感知(参与基于朋友的攻击保护行为[FAPB],改变的准备程度,障碍,性侵犯发生)进行了调查。结果:与WLC相比,FMI组的人更愿意努力保护他们的朋友免受SA的伤害,并且报告了更高的FAPB发生率。虽然没有统计学上的显著性,但在3个月的随访中,FMI组的女性也报告了一半的SA发生率。我们没有观察到FMI所针对的干预障碍的减少。参与者对FMI体验的反馈是积极的;妇女报告说,FMI赋予了她们权力,与她们个人息息相关,而且很有用。结论:研究结果表明,这种基于夫妻关系的动机干预有望利用女性友谊这一自然资源来降低性侵犯的风险。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
"Informed" consent? Ethical considerations for clinicians using therapy-matching platforms. “通知”同意吗?临床医生使用治疗匹配平台的伦理考虑。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-01 DOI: 10.1037/ccp0000927
Colette N Delawalla, Lorenzo Lorenzo-Luaces

Mental health care in the United States is prohibitively difficult to access. Barriers of entry include a shortage of providers, high cost of services, insufficient insurance coverage, and layers of bureaucracy. This problem of low supply and high demand created a unique environment for capitalist problem solvers to enter the therapeutic market, via "therapy-matching platforms." Several ethically related Federal Trade Commission (FTC) complaints and independent investigations into these platforms highlight that the forward progress is not without growing pains. This commentary focuses on ensuring proper informed consent when providing services on therapy-matching platforms (e.g., BetterHelp, TalkSpace). (PsycInfo Database Record (c) 2024 APA, all rights reserved).

在美国,获得精神卫生保健服务非常困难。进入壁垒包括提供者短缺、服务成本高、保险覆盖面不足和官僚主义层层层层。这种低供给和高需求的问题为资本主义问题解决者通过“治疗匹配平台”进入治疗市场创造了一个独特的环境。联邦贸易委员会(FTC)对这些平台的几起与道德相关的投诉和独立调查突显出,这些平台的进步并非没有成长的痛苦。本评论侧重于在治疗匹配平台(例如,BetterHelp, TalkSpace)上提供服务时确保适当的知情同意。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
The benefits of mindfulness training for momentary mindfulness and emotion regulation: A randomized controlled trial for adolescents exposed to chronic stressors. 正念训练对瞬间正念和情绪调节的益处:一项针对暴露于慢性压力源的青少年的随机对照试验。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-01 DOI: 10.1037/ccp0000910
Reagan L Miller-Chagnon, Lauren B Shomaker, Mark A Prince, Jill T Krause, Addie Rzonca, Shelley A Haddock, Toni S Zimmerman, Jason M Lavender, Erica Sibinga, Rachel G Lucas-Thompson

Objective: The goal of this study was to test if a mindfulness-based intervention (MBI) compared to an active control ameliorates the impacts of life stressors on momentary mindfulness and emotion regulation difficulties among adolescents exposed to chronic stressors.

Method: Adolescents exposed to chronic stressors (N = 81, Mage = 13.75 years; 56% boys; 24% Hispanic/Latino, 57% White) were randomized to receive MBI within the context of a community-based mentoring program (MBI + mentoring) or mentoring-alone. Participants completed ecological momentary assessments (EMAs) three times each day for 7 days at three intervals/bursts (preintervention, midintervention, and postintervention), contributing to a total of 3,178 EMA reports. EMA assessed momentary exposure to life stressors, mindfulness (vs. mindlessness), and emotion regulation difficulties.

Results: Linear mixed-effects models revealed that the interaction between intervention arm (MBI + mentoring vs. mentoring-alone) and burst was significantly associated with the random slopes of life stressor exposure predicting mindful attention (b = -.05, SE = .01, p < .001), mindful nonjudgment (b = -.03, SE = .01, p < .001), and emotion regulation difficulties (b = -.04, SE = .01, p < .001). Estimated marginal means revealed that MBI + mentoring, compared to mentoring-alone, produced small but significant attenuation in the association of life stressors with mindful attention, mindful nonjudgment, and emotion regulation difficulties at postintervention.

Conclusion: Mindfulness training may buffer adolescents exposed to chronic stressors against the negative impacts of life stressors on mindfulness and emotion regulation in daily life. Going forward, it will be important to investigate these relationships in the context of mental/physical health outcomes and to include longer periods of follow-up to determine the sustainable benefits of MBI for adolescent health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:本研究的目的是检验正念干预(MBI)与主动控制相比,是否能改善生活压力源对慢性压力源暴露青少年瞬间正念和情绪调节困难的影响。方法:慢性应激源暴露青少年(N = 81,年龄= 13.75;56%的男孩;24%的西班牙裔/拉丁裔,57%的白人)被随机分为在社区指导计划(MBI +指导)或单独指导的背景下接受MBI。参与者每天完成三次生态瞬时评估(EMA),持续7天,分三个间隔/爆发(干预前、干预中期和干预后),共完成3178份EMA报告。EMA评估了瞬间暴露于生活压力源、正念(vs.无意识)和情绪调节困难。结果:线性混合效应模型显示,干预组(MBI +辅导vs.单独辅导)和burst之间的交互作用与生活压力源暴露预测正念注意力的随机斜率显著相关(b = -)。0.05, SE = .01, p < .001),正念不判断(b = -。03, SE = .01, p < .001),情绪调节困难(b = -。04, SE = .01, p < .001)。估计的边际均值显示,干预后,与单独指导相比,MBI +指导对生活压力源与正念注意、正念不判断和情绪调节困难的关联产生了虽小但显著的衰减。结论:正念训练可以缓冲慢性应激源对青少年正念和情绪调节的负面影响。展望未来,重要的是在心理/身体健康结果的背景下调查这些关系,并包括更长时间的随访,以确定MBI对青少年健康的可持续益处。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
Cognitive behavioral digital therapeutic effects on distress and quality of life in patients with cancer: National randomized controlled trial. 认知行为数字治疗对癌症患者痛苦和生活质量的影响:国家随机对照试验。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 DOI: 10.1037/ccp0000911
Chloe J Taub, Sean R Zion, Molly Ream, Allison Ramiller, Lauren C Heathcote, Geoff Eich, Meridithe Mendelsohn, Justin Birckbichler, Patricia A Ganz, David Cella, Frank J Penedo, Michael Antoni, Dianne M Shumay

Objective: Cancer-specific psychological interventions like cognitive behavioral stress management (CBSM) demonstrate distress (e.g., anxiety/depression) and quality of life (QoL) benefits. Digital formats can expand access.

Method: Patients (80.6% female; 76.5% White; 25-80 years) with Stage I-III cancer and elevated anxiety within 6 months of treatment (surgery/chemotherapy/radiation/immunotherapy) receipt were randomized 1:1 to a 10-module CBSM or health education control digital app and completed questionnaires at Weeks 0, 4, 8, 12. Primary outcomes of greater group-level anxiety (PROMIS-A) and depression symptom (PROMIS-D) reductions for CBSM were met and published; this secondary report evaluates individual-level response results for these outcomes and outcomes beyond anxiety and depression. Chi-square tests compared responder proportions using PROMIS-A/PROMIS-D symptom categories and two levels (≥5/≥7.5) of T-score point reductions. Changes across conditions over time for stress (Perceived Stress Scale), cancer-specific distress (Impact of Event Scale-Intrusions), and QoL (Functional Assessment of Cancer Therapy-General) were analyzed using repeated measures linear mixed-effects modeling (N = 449). Patient Global Impression of Change-Well-being was also examined.

Results: At Week 12, a greater proportion of CBSM (vs. control) participants reported normal-to-mild (vs. moderate-to-severe) PROMIS-A and PROMIS-D, and a greater proportion of CBSM participants at Week 8 or 12 had a ≥7.5 T-score reduction in PROMIS-A and a ≥5 T-score reduction in PROMIS-D (ps < .05). CBSM participants (vs. control) showed significantly greater reductions in Perceived Stress Scale and Impact of Event Scale-Intrusions and increases in Patient Global Impression of Change-Well-being and Functional Assessment of Cancer Therapy emotional and physical well-being (ps < .05), but not functional or social/family well-being.

Conclusion: Digitized CBSM benefits distress and QoL. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:认知行为压力管理(CBSM)等癌症特异性心理干预显示了痛苦(如焦虑/抑郁)和生活质量(QoL)的益处。数字格式可以扩大访问范围。方法:患者中女性占80.6%;76.5%的白人;25-80岁)的I-III期癌症患者在治疗(手术/化疗/放疗/免疫治疗)6个月内焦虑升高,接受1:1的随机分配到10个模块的CBSM或健康教育控制数字应用程序,并在第0,4,8,12周完成问卷调查。主要结局是CBSM患者群体水平焦虑(promise - a)和抑郁症状(promise - d)的减少得到满足并发表;该次要报告评估了这些结果和焦虑和抑郁之外的结果的个体水平反应结果。卡方检验使用promise - a / promise - d症状类别和两个水平(≥5/≥7.5)的t评分降低来比较应答者比例。使用重复测量线性混合效应模型(N = 449)分析了压力(感知压力量表)、癌症特异性痛苦(事件影响量表-入侵)和QoL(癌症治疗功能评估)随时间的变化。患者对改变-幸福的整体印象也被检查。结果:在第12周,更大比例的CBSM参与者(与对照组相比)报告了正常到轻度(相对于中度到重度)promise - a和promise - d,并且更大比例的CBSM参与者在第8周或第12周的promise - at评分降低≥7.5,promise - d t评分降低≥5 (ps < 0.05)。CBSM参与者(与对照组相比)在感知压力量表和事件量表-入侵的影响方面显著降低,在患者对变化-幸福感的整体印象和癌症治疗的情绪和身体健康的功能评估方面显著增加(ps < 0.05),但在功能或社会/家庭幸福感方面没有显著增加。结论:数字化CBSM有利于患者的痛苦和生活质量。(PsycInfo Database Record (c) 2024 APA,版权所有)。
{"title":"Cognitive behavioral digital therapeutic effects on distress and quality of life in patients with cancer: National randomized controlled trial.","authors":"Chloe J Taub, Sean R Zion, Molly Ream, Allison Ramiller, Lauren C Heathcote, Geoff Eich, Meridithe Mendelsohn, Justin Birckbichler, Patricia A Ganz, David Cella, Frank J Penedo, Michael Antoni, Dianne M Shumay","doi":"10.1037/ccp0000911","DOIUrl":"10.1037/ccp0000911","url":null,"abstract":"<p><strong>Objective: </strong>Cancer-specific psychological interventions like cognitive behavioral stress management (CBSM) demonstrate distress (e.g., anxiety/depression) and quality of life (QoL) benefits. Digital formats can expand access.</p><p><strong>Method: </strong>Patients (80.6% female; 76.5% White; 25-80 years) with Stage I-III cancer and elevated anxiety within 6 months of treatment (surgery/chemotherapy/radiation/immunotherapy) receipt were randomized 1:1 to a 10-module CBSM or health education control digital app and completed questionnaires at Weeks 0, 4, 8, 12. Primary outcomes of greater group-level anxiety (PROMIS-A) and depression symptom (PROMIS-D) reductions for CBSM were met and published; this secondary report evaluates individual-level response results for these outcomes and outcomes beyond anxiety and depression. Chi-square tests compared responder proportions using PROMIS-A/PROMIS-D symptom categories and two levels (≥5/≥7.5) of T-score point reductions. Changes across conditions over time for stress (Perceived Stress Scale), cancer-specific distress (Impact of Event Scale-Intrusions), and QoL (Functional Assessment of Cancer Therapy-General) were analyzed using repeated measures linear mixed-effects modeling (N = 449). Patient Global Impression of Change-Well-being was also examined.</p><p><strong>Results: </strong>At Week 12, a greater proportion of CBSM (vs. control) participants reported normal-to-mild (vs. moderate-to-severe) PROMIS-A and PROMIS-D, and a greater proportion of CBSM participants at Week 8 or 12 had a ≥7.5 T-score reduction in PROMIS-A and a ≥5 T-score reduction in PROMIS-D (ps < .05). CBSM participants (vs. control) showed significantly greater reductions in Perceived Stress Scale and Impact of Event Scale-Intrusions and increases in Patient Global Impression of Change-Well-being and Functional Assessment of Cancer Therapy emotional and physical well-being (ps < .05), but not functional or social/family well-being.</p><p><strong>Conclusion: </strong>Digitized CBSM benefits distress and QoL. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"92 11","pages":"727-741"},"PeriodicalIF":4.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the editor: Methodological flaws on the conduct and reporting in "Psychotherapies for the treatment of borderline personality disorder: A systematic review". 致编辑的信:《边缘型人格障碍的心理治疗:系统回顾》中行为和报告的方法论缺陷。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 DOI: 10.1037/ccp0000883
Bernardo Paim de Mattos, Eric Pascher, Ramiro Figueiredo Catelan, Igor Eckert

This brief commentary critically examines the study "Psychotherapies for the Treatment of Borderline Personality Disorder: A Systematic Review" by Crotty et al. (2023) It highlights several methodological and reporting concerns that impact the study's credibility and conclusions. Key issues include the retrospective registration of the study protocol, discrepancies in authorship and protocol content, lack of clarity in inclusion and exclusion criteria, and limitations in geographical scope without clear justification. Furthermore, the letter discusses inconsistencies in the risk of bias and quality of evidence assessments, particularly in the application of the Grading of Recommendations Assessment, Development, and Evaluation system. These methodological shortcomings question the study's findings, contrasting with other comprehensive reviews in the field. The critique emphasizes the importance of methodological rigor and transparency in systematic reviews, especially those influencing clinical practice and policy decisions in mental health care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

这篇简短的评论批判性地审视了Crotty等人(2023)的研究“治疗边缘型人格障碍的心理疗法:系统回顾”。它强调了影响研究可信度和结论的几个方法和报告问题。关键问题包括研究方案的回顾性注册,作者和方案内容的差异,纳入和排除标准缺乏明确性,以及地理范围的限制而没有明确的理由。此外,该信还讨论了证据评估的偏倚风险和质量方面的不一致,特别是在建议分级评估、开发和评估系统的应用方面。与该领域的其他综合综述相比,这些方法上的缺陷对该研究的结果提出了质疑。该评论强调了系统评价中方法严谨性和透明度的重要性,特别是那些影响临床实践和精神卫生保健政策决策的评价。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
Response to commentary by Mattos et al. (2024). 对Mattos et al.(2024)评论的回应。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 DOI: 10.1037/ccp0000888
Karen Crotty, Gerald Gartlehner, Meera Viswanathan

Replies to comments made by Mattos et al. (see record 2025-49982-003) on the original article (see record 2024-19816-001). Mattos et al. critiqued our assessments of the certainty of evidence as being overly permissive and not adhering to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group's guidelines. GRADE has become an international standard to describe the level of confidence that investigators have in estimates of effects. Like the risk of bias evaluations, determining the certainty of evidence involves subjective judgment. The true value of GRADE is not in yielding a definitive evidence certainty rating but in its emphasis on transparency. While we acknowledge and respect the differing viewpoints of Mattos et al. regarding our ratings, we caution against the rigid and formulaic use of the GRADE methodology. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

对Mattos等人(见记录2025-49982-003)对原文(见记录2024-19816-001)所作评论的回复。Mattos等人批评我们对证据确定性的评估过于宽松,没有遵守建议评估、发展和评估分级(GRADE)工作组的指导方针。GRADE已经成为一种国际标准,用来描述研究人员对效果估计的信心程度。与偏见评估的风险一样,确定证据的确定性也涉及主观判断。GRADE的真正价值不在于提供明确的证据确定性评级,而在于强调透明度。虽然我们承认并尊重Mattos等人对我们评级的不同观点,但我们警告不要严格和公式化地使用GRADE方法。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
Examining racial and ethnic differences in youth psychotherapy treatment engagement and outcomes. 考察青少年心理治疗参与和结果的种族和民族差异。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 DOI: 10.1037/ccp0000919
Kara Johansen, Indrani Saran, Evelyn Cho, John R Weisz, Maggi A Price

Objective: Research has identified racial/ethnic disparities in mental health treatment engagement, and there have been recent calls to examine effects of mental health treatment engagement on clinical outcomes among youth of color. This study aimed to examine racial/ethnic differences in (a) behavioral and attitudinal engagement, (b) treatment effectiveness, and (c) the associations between engagement and treatment effectiveness.

Method: N = 200 youth (ages 7-15; 33% White, 28% Black, 25% Hispanic/Latinx, and 14% multiracial; 52% male) and their N = 200 parents participated in a randomized controlled trial testing the effectiveness of a transdiagnostic psychotherapy for common youth emotional and behavioral problems. Youth and parents reported internalizing and externalizing symptoms and treatment engagement (e.g., behavioral and attitudinal). Multilevel regression models examined variations in youth symptom trajectories by racial/ethnic group.

Results: While all racial/ethnic groups showed comparable attitudinal engagement scores, Black and Latinx youth attended significantly fewer sessions than White and multiracial youth (8-9 vs. 13). However, youth in all racial/ethnic groups showed significant and similar improvements in treatment outcomes.

Conclusions: Black and Latinx youth attended fewer sessions than White youth, but their clinical outcomes were similar to those of White youth. Future research should examine the meaning and implications of session attendance in relation to outcomes in youth of color. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:研究已经确定了心理健康治疗参与的种族/民族差异,并且最近有呼吁检查心理健康治疗参与对有色人种青年临床结果的影响。本研究旨在探讨种族/民族在以下方面的差异:(a)行为和态度参与;(b)治疗效果;(c)参与与治疗效果之间的关系。方法:青年200人(7 ~ 15岁);33%为白人,28%为黑人,25%为西班牙裔/拉丁裔,14%为多种族;(52%男性)和他们的N = 200名父母参加了一项随机对照试验,测试了跨诊断心理治疗对常见青少年情绪和行为问题的有效性。青年和家长报告了内化和外化症状和治疗参与(例如,行为和态度)。多水平回归模型检验了种族/民族群体中青少年症状轨迹的变化。结果:虽然所有种族/民族群体都表现出相当的态度参与得分,但黑人和拉丁裔青年参加的会议明显少于白人和多种族青年(8-9比13)。然而,所有种族/民族群体的年轻人在治疗结果方面都表现出显著和相似的改善。结论:黑人和拉丁裔青年参加的会议比白人青年少,但他们的临床结果与白人青年相似。未来的研究应该检查参加会议的意义和影响与有色人种青年的结果有关。(PsycInfo Database Record (c) 2024 APA,版权所有)。
{"title":"Examining racial and ethnic differences in youth psychotherapy treatment engagement and outcomes.","authors":"Kara Johansen, Indrani Saran, Evelyn Cho, John R Weisz, Maggi A Price","doi":"10.1037/ccp0000919","DOIUrl":"https://doi.org/10.1037/ccp0000919","url":null,"abstract":"<p><strong>Objective: </strong>Research has identified racial/ethnic disparities in mental health treatment engagement, and there have been recent calls to examine effects of mental health treatment engagement on clinical outcomes among youth of color. This study aimed to examine racial/ethnic differences in (a) behavioral and attitudinal engagement, (b) treatment effectiveness, and (c) the associations between engagement and treatment effectiveness.</p><p><strong>Method: </strong><i>N</i> = 200 youth (ages 7-15; 33% White, 28% Black, 25% Hispanic/Latinx, and 14% multiracial; 52% male) and their <i>N</i> = 200 parents participated in a randomized controlled trial testing the effectiveness of a transdiagnostic psychotherapy for common youth emotional and behavioral problems. Youth and parents reported internalizing and externalizing symptoms and treatment engagement (e.g., behavioral and attitudinal). Multilevel regression models examined variations in youth symptom trajectories by racial/ethnic group.</p><p><strong>Results: </strong>While all racial/ethnic groups showed comparable attitudinal engagement scores, Black and Latinx youth attended significantly fewer sessions than White and multiracial youth (8-9 vs. 13). However, youth in all racial/ethnic groups showed significant and similar improvements in treatment outcomes.</p><p><strong>Conclusions: </strong>Black and Latinx youth attended fewer sessions than White youth, but their clinical outcomes were similar to those of White youth. Future research should examine the meaning and implications of session attendance in relation to outcomes in youth of color. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"92 11","pages":"769-778"},"PeriodicalIF":4.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing intrusive suicidal mental images in patients with depressive symptoms through a dual-task add-on module: Results of a multicenter randomized clinical trial. 通过双任务附加模块减少抑郁症状患者的侵入性自杀心理图像:多中心随机临床试验结果。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-01 Epub Date: 2024-07-18 DOI: 10.1037/ccp0000874
Jaël S van Bentum, Marit Sijbrandij, Ad J F M Kerkhof, Emily A Holmes, Arnoud Arntz, Nathan Bachrach, Chloë S C Bollen, Daan Creemers, Maarten K van Dijk, Pieter Dingemanse, Monique van Haaren, Marieke Hesseling, Annemiek Huisman, Fleur L Kraanen, Yvonne Stikkelbroek, Jos Twisk, Henricus L Van, Janna Vrijsen, Remco F P de Winter, Marcus J H Huibers

Objective: To examine the safety and efficacy of a brief cognitive dual-task (using eye movements) add-on module to treatment as usual (TAU) in reducing the severity and frequency of intrusive suicidal mental images and suicidal ideation.

Method: We conducted a single-blind, parallel multicenter randomized trial (No. NTR7563) among adult psychiatric outpatients (N = 91; Mage = 34.4, SD = 13.54; 68% female) with elevated depressive symptoms and experiencing distressing suicidal intrusions in the Netherlands. Primary outcome was the severity (Suicidal Intrusions Attributes Scale) and frequency (Clinical Interview for Suicidal Intrusions) of suicidal mental imagery intrusions at 1-week posttreatment and 3-month follow-up. Primary analysis was intention-to-treat.

Results: Between November 27, 2018 and September 13, 2021, 91 patients were included and randomly assigned to intervention group (Cognitive Dual Task Add-on + TAU) (n = 46) or TAU-only (n = 45). Cognitive Dual Task Add-on + TAU had greater reductions in severity (mean difference, -15.50, 95% CI [23.81, -7.19]; p < .001, d = 0.60), and frequency (geometric mean difference, 0.47, 95% CI [0.29, 0.79]; p = .004) of suicidal intrusions over time than TAU-alone. Cognitive Dual Task Add-on + TAU patients also showed lower suicidal ideation over time (p = .008, d = 0.42). There were no significant group differences in reductions in depressive symptoms, rumination, or hopelessness. Four serious adverse events occurred (three Cognitive Dual Task Add-on + TAU; one TAU-only); all unlikely attributable to intervention/trial.

Conclusions: Findings provide support for the effectiveness of adding a cognitive dual-task module to the treatment of psychiatric outpatients with elevated depressive symptoms in reducing suicidal intrusions and ideation and can be executed safely. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的研究在常规治疗(TAU)的基础上添加简短的认知双任务(使用眼动)模块,以降低侵入性自杀心理图像和自杀意念的严重程度和频率的安全性和有效性:方法:我们在荷兰对抑郁症状加重并有自杀倾向的成年精神病门诊患者(N = 91;年龄 = 34.4,SD = 13.54;68% 为女性)进行了一项单盲平行多中心随机试验(编号:NTR7563)。主要结果是治疗后一周和随访三个月时自杀意象的严重程度(自杀意象属性量表)和频率(自杀意象临床访谈)。主要分析为意向治疗。结果:2018年11月27日至2021年9月13日期间,91名患者被纳入并随机分配到干预组(认知双重任务插件+TAU)(n = 46)或纯TAU(n = 45)。随着时间的推移,认知双重任务附加装置+TAU比单纯TAU更能降低自杀倾向的严重程度(平均差异为-15.50,95% CI [23.81,-7.19];p < .001,d = 0.60)和频率(几何平均差异为0.47,95% CI [0.29,0.79];p = .004)。随着时间的推移,认知双重任务附加疗法+TAU患者的自杀意念也有所降低(p = .008,d = 0.42)。在抑郁症状、反刍或绝望情绪的减少方面,没有明显的组间差异。发生了四例严重不良事件(三例认知双重任务附加+TAU;一例仅TAU);所有不良事件都不太可能与干预/试验有关:研究结果支持在治疗抑郁症状加重的精神科门诊患者时增加认知双任务模块,以减少自杀念头和意念的有效性,并且可以安全实施。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
{"title":"Reducing intrusive suicidal mental images in patients with depressive symptoms through a dual-task add-on module: Results of a multicenter randomized clinical trial.","authors":"Jaël S van Bentum, Marit Sijbrandij, Ad J F M Kerkhof, Emily A Holmes, Arnoud Arntz, Nathan Bachrach, Chloë S C Bollen, Daan Creemers, Maarten K van Dijk, Pieter Dingemanse, Monique van Haaren, Marieke Hesseling, Annemiek Huisman, Fleur L Kraanen, Yvonne Stikkelbroek, Jos Twisk, Henricus L Van, Janna Vrijsen, Remco F P de Winter, Marcus J H Huibers","doi":"10.1037/ccp0000874","DOIUrl":"10.1037/ccp0000874","url":null,"abstract":"<p><strong>Objective: </strong>To examine the safety and efficacy of a brief cognitive dual-task (using eye movements) add-on module to treatment as usual (TAU) in reducing the severity and frequency of intrusive suicidal mental images and suicidal ideation.</p><p><strong>Method: </strong>We conducted a single-blind, parallel multicenter randomized trial (No. NTR7563) among adult psychiatric outpatients (<i>N</i> = 91; <i>M</i><sub>age</sub> = 34.4, <i>SD</i> = 13.54; 68% female) with elevated depressive symptoms and experiencing distressing suicidal intrusions in the Netherlands. Primary outcome was the severity (Suicidal Intrusions Attributes Scale) and frequency (Clinical Interview for Suicidal Intrusions) of suicidal mental imagery intrusions at 1-week posttreatment and 3-month follow-up. Primary analysis was intention-to-treat.</p><p><strong>Results: </strong>Between November 27, 2018 and September 13, 2021, 91 patients were included and randomly assigned to intervention group (Cognitive Dual Task Add-on + TAU) (<i>n</i> = 46) or TAU-only (<i>n</i> = 45). Cognitive Dual Task Add-on + TAU had greater reductions in severity (mean difference, -15.50, 95% CI [23.81, -7.19]; <i>p</i> < .001, d = 0.60), and frequency (geometric mean difference, 0.47, 95% CI [0.29, 0.79]; <i>p</i> = .004) of suicidal intrusions over time than TAU-alone. Cognitive Dual Task Add-on + TAU patients also showed lower suicidal ideation over time (<i>p</i> = .008, <i>d</i> = 0.42). There were no significant group differences in reductions in depressive symptoms, rumination, or hopelessness. Four serious adverse events occurred (three Cognitive Dual Task Add-on + TAU; one TAU-only); all unlikely attributable to intervention/trial.</p><p><strong>Conclusions: </strong>Findings provide support for the effectiveness of adding a cognitive dual-task module to the treatment of psychiatric outpatients with elevated depressive symptoms in reducing suicidal intrusions and ideation and can be executed safely. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"756-768"},"PeriodicalIF":4.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telehealth-delivered depression prevention: Short-term outcomes from a school-based randomized controlled trial. 远程医疗预防抑郁症:基于学校的随机对照试验的短期结果。
IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-31 DOI: 10.1037/ccp0000913
Jami F Young, Jason D Jones, Karen T G Schwartz, Amy So, Gillian C Dysart, Rebecca M Kanine, Jane E Gillham, Robert Gallop, Molly Davis

Objective: To examine short-term (i.e., postintervention) outcomes from a randomized controlled trial comparing a school-based telehealth-delivered depression prevention program, Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), to services as usual (SAU). We expected IPT-AST would be acceptable and feasible and that IPT-AST adolescents would experience greater reductions in depression symptoms, anxiety symptoms, and impairment compared with SAU.

Method: Adolescents (N = 242; Mage = 14.80 years, SD = 0.70; 65% female; 21% Black; 13% Hispanic/Latinx) with elevated scores on the Center for Epidemiologic Studies Depression Scale (Radloff, 1977) at screening provided data at baseline, 2-month (midpoint of IPT-AST), and 3-month (postintervention) assessments. They reported depression symptoms on the Center for Epidemiologic Studies Depression Scale, anxiety symptoms on the Screen for Child Anxiety Related Emotional Disorders (Birmaher et al., 1997), and impairment on the Columbia Impairment Scale (Bird et al., 1993). Baseline depression diagnosis was examined as a moderator.

Results: Hierarchical linear models showed that adolescents reported significant reductions in depression symptoms and impairment across conditions. IPT-AST adolescents reported significantly greater reductions in anxiety symptoms than SAU adolescents, d = .39, 95% CI [.05, .72], p = .003. Depression diagnosis moderated outcomes (ds = .33-.34, ps ≤ .05), such that IPT-AST adolescents without a diagnosis at baseline showed greater improvements in depression and anxiety symptoms than SAU adolescents. Adolescents in SAU with a depression diagnosis at baseline showed greater improvements in impairment compared with IPT-AST. Attendance and satisfaction data demonstrated the feasibility and acceptability of telehealth-delivered IPT-AST.

Conclusions: Results support telehealth-delivered IPT-AST as a promising intervention for improving short-term outcomes among adolescents with depression symptoms but without a depression diagnosis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的研究一项随机对照试验的短期(即干预后)结果,该试验比较了基于学校的远程医疗抑郁症预防项目--人际心理治疗-青少年技能培训(IPT-AST)和常规服务(SAU)。我们希望IPT-AST是可接受的、可行的,而且与SAU相比,IPT-AST能更有效地减少青少年的抑郁症状、焦虑症状和障碍:筛查时在流行病学研究中心抑郁量表(Radloff,1977 年)上得分较高的青少年(N = 242;年龄 = 14.80 岁,SD = 0.70;65% 为女性;21% 为黑人;13% 为西班牙裔/拉丁裔)提供了基线、2 个月(IPT-AST 中点)和 3 个月(干预后)的评估数据。他们根据流行病学研究中心抑郁量表报告了抑郁症状,根据儿童焦虑相关情绪障碍筛查(Birmaher 等人,1997 年)报告了焦虑症状,并根据哥伦比亚障碍量表(Bird 等人,1993 年)报告了障碍情况。基线抑郁症诊断作为调节因素进行了研究:分层线性模型显示,青少年在不同条件下的抑郁症状和障碍均有显著减少。与 SAU 青少年相比,IPT-AST 青少年的焦虑症状明显减轻,d = .39,95% CI [.05, .72],p = .003。抑郁诊断对结果有调节作用(ds = .33-.34,Ps ≤ .05),因此,与 SAU 青少年相比,基线时未确诊抑郁的 IPT-AST 青少年在抑郁和焦虑症状方面有更大的改善。与 IPT-AST 相比,基线诊断为抑郁症的 SAU 青少年在障碍方面的改善更大。出勤率和满意度数据证明了远程医疗提供的 IPT-AST 的可行性和可接受性:研究结果表明,远程医疗提供的 IPT-AST 是一种很有前景的干预措施,可改善有抑郁症状但未确诊为抑郁症的青少年的短期疗效。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
{"title":"Telehealth-delivered depression prevention: Short-term outcomes from a school-based randomized controlled trial.","authors":"Jami F Young, Jason D Jones, Karen T G Schwartz, Amy So, Gillian C Dysart, Rebecca M Kanine, Jane E Gillham, Robert Gallop, Molly Davis","doi":"10.1037/ccp0000913","DOIUrl":"https://doi.org/10.1037/ccp0000913","url":null,"abstract":"<p><strong>Objective: </strong>To examine short-term (i.e., postintervention) outcomes from a randomized controlled trial comparing a school-based telehealth-delivered depression prevention program, Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), to services as usual (SAU). We expected IPT-AST would be acceptable and feasible and that IPT-AST adolescents would experience greater reductions in depression symptoms, anxiety symptoms, and impairment compared with SAU.</p><p><strong>Method: </strong>Adolescents (<i>N</i> = 242; <i>M</i><sub>age</sub> = 14.80 years, <i>SD</i> = 0.70; 65% female; 21% Black; 13% Hispanic/Latinx) with elevated scores on the Center for Epidemiologic Studies Depression Scale (Radloff, 1977) at screening provided data at baseline, 2-month (midpoint of IPT-AST), and 3-month (postintervention) assessments. They reported depression symptoms on the Center for Epidemiologic Studies Depression Scale, anxiety symptoms on the Screen for Child Anxiety Related Emotional Disorders (Birmaher et al., 1997), and impairment on the Columbia Impairment Scale (Bird et al., 1993). Baseline depression diagnosis was examined as a moderator.</p><p><strong>Results: </strong>Hierarchical linear models showed that adolescents reported significant reductions in depression symptoms and impairment across conditions. IPT-AST adolescents reported significantly greater reductions in anxiety symptoms than SAU adolescents, <i>d</i> = .39, 95% CI [.05, .72], <i>p</i> = .003. Depression diagnosis moderated outcomes (<i>d</i>s = .33-.34, <i>p</i>s ≤ .05), such that IPT-AST adolescents without a diagnosis at baseline showed greater improvements in depression and anxiety symptoms than SAU adolescents. Adolescents in SAU with a depression diagnosis at baseline showed greater improvements in impairment compared with IPT-AST. Attendance and satisfaction data demonstrated the feasibility and acceptability of telehealth-delivered IPT-AST.</p><p><strong>Conclusions: </strong>Results support telehealth-delivered IPT-AST as a promising intervention for improving short-term outcomes among adolescents with depression symptoms but without a depression diagnosis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of consulting and clinical psychology
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