{"title":"Supplemental Material for Dynamic and Dyadic Relationships Between Facial Behavior, Working Alliance, and Treatment Outcomes During Depression Therapy","authors":"","doi":"10.1037/ccp0000980.supp","DOIUrl":"https://doi.org/10.1037/ccp0000980.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"8 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397013","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}
{"title":"Supplemental Material for Dynamic Prediction of Inpatient Self-Harm and Suicide Attempts Using Machine Learning: Toward Data-Driven Clinical Monitoring","authors":"","doi":"10.1037/ccp0000971.supp","DOIUrl":"https://doi.org/10.1037/ccp0000971.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"40 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397012","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}
{"title":"Supplemental Material for Is There a Treatment for the Turker Blues? A Fully Remote Nationwide Randomized Controlled Trial of a Digital Intervention for Depression in Adult Online Workers","authors":"","doi":"10.1037/ccp0000982.supp","DOIUrl":"https://doi.org/10.1037/ccp0000982.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"81 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397014","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}
{"title":"Supplemental Material for The Impact of Routine Outcome Monitoring and Feedback Integration on Treatment Outcome: A Therapist-Specific Indicator of Belief Updating Processes?","authors":"","doi":"10.1037/ccp0000974.supp","DOIUrl":"https://doi.org/10.1037/ccp0000974.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"12 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397018","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}
{"title":"Supplemental Material for Between- and Within-Person Relations Between Treatment Modules and Symptom Improvements Across Six Randomized Controlled Trials","authors":"","doi":"10.1037/ccp0000972.supp","DOIUrl":"https://doi.org/10.1037/ccp0000972.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"28 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397016","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}
{"title":"Supplemental Material for Emotion Regulation as a Transdiagnostic Treatment Construct Across Group Cognitive Behavioral Therapies for Adult Anxiety and Depression","authors":"","doi":"10.1037/ccp0000967.supp","DOIUrl":"https://doi.org/10.1037/ccp0000967.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"62 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145396884","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}
Fredrik Falkenström, Rikard Fjällström, Dan Bengtsson
{"title":"The quasi-experimental multiple baseline panel design: A suitable design for psychotherapy outcome research in clinical practice.","authors":"Fredrik Falkenström, Rikard Fjällström, Dan Bengtsson","doi":"10.1037/ccp0000973","DOIUrl":"https://doi.org/10.1037/ccp0000973","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"98 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145397007","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}
Anton Käll,Ram P Sapkota,Alayna Gretton,Andrew Wilhelms,Marcie Nugent,Gerhard Andersson,Blake Dear,Nick Titov,Heather D Hadjistavropoulos
OBJECTIVEPast research shows that social factors play an important role in mental health outcomes, but there is limited research on how these factors influence Internet-delivered cognitive behavior therapy (ICBT). This study investigated the prevalence of subjective (i.e., feelings of loneliness) and objective social isolation among patients receiving transdiagnostic ICBT. We explored whether social factors change over treatment and moderate treatment effectiveness and engagement.METHODThis study used data collected in a routine ICBT clinic. Among clients with elevated depression and/or anxiety who started ICBT (n = 625), we analyzed measures of depression, anxiety, loneliness, and social engagement administered at pretreatment, various points during the treatment and 20 weeks follow-up.RESULTSPretreatment prevalence of frequent loneliness and social isolation was 75.7% and 54.6%, respectively. Depression and anxiety decreased over time, with large effect sizes from pretreatment to follow-up (depression d = 1.56; anxiety d = 1.63). Loneliness decreased significantly (d = 0.69), while social engagement improved moderately (d = 0.37). Higher pretreatment loneliness was associated with higher average levels of depression across the treatment period and with fewer completed treatment lessons.CONCLUSIONSOverall, results indicate that loneliness and social isolation are prevalent among clients seeking ICBT and both decrease during transdiagnostic ICBT. More frequent loneliness during the treatment was associated with lower engagement and smaller treatment gains, while social isolation was not. These findings suggest that further research is warranted on how to address loneliness within ICBT. It also suggests that social isolation can be reduced by means of transdiagnostic ICBT. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Exploring the influence of loneliness and social isolation in transdiagnostic internet-delivered cognitive behavioral therapy for depression and anxiety.","authors":"Anton Käll,Ram P Sapkota,Alayna Gretton,Andrew Wilhelms,Marcie Nugent,Gerhard Andersson,Blake Dear,Nick Titov,Heather D Hadjistavropoulos","doi":"10.1037/ccp0000975","DOIUrl":"https://doi.org/10.1037/ccp0000975","url":null,"abstract":"OBJECTIVEPast research shows that social factors play an important role in mental health outcomes, but there is limited research on how these factors influence Internet-delivered cognitive behavior therapy (ICBT). This study investigated the prevalence of subjective (i.e., feelings of loneliness) and objective social isolation among patients receiving transdiagnostic ICBT. We explored whether social factors change over treatment and moderate treatment effectiveness and engagement.METHODThis study used data collected in a routine ICBT clinic. Among clients with elevated depression and/or anxiety who started ICBT (n = 625), we analyzed measures of depression, anxiety, loneliness, and social engagement administered at pretreatment, various points during the treatment and 20 weeks follow-up.RESULTSPretreatment prevalence of frequent loneliness and social isolation was 75.7% and 54.6%, respectively. Depression and anxiety decreased over time, with large effect sizes from pretreatment to follow-up (depression d = 1.56; anxiety d = 1.63). Loneliness decreased significantly (d = 0.69), while social engagement improved moderately (d = 0.37). Higher pretreatment loneliness was associated with higher average levels of depression across the treatment period and with fewer completed treatment lessons.CONCLUSIONSOverall, results indicate that loneliness and social isolation are prevalent among clients seeking ICBT and both decrease during transdiagnostic ICBT. More frequent loneliness during the treatment was associated with lower engagement and smaller treatment gains, while social isolation was not. These findings suggest that further research is warranted on how to address loneliness within ICBT. It also suggests that social isolation can be reduced by means of transdiagnostic ICBT. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"42 1","pages":"663-676"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351543","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}
Michael Treanor,Tomislav D Zbozinek,Benjamin M Rosenberg,Amy Sewart,Christina F Sandman,Julian Ruiz,Michelle G Craske
OBJECTIVETo investigate the role of extinction learning and habituation by comparing inhibitory retrieval to habituation-focused exposure for social anxiety and panic disorder.METHODIn this assessor-blinded, parallel-group, two-arm randomized controlled clinical superiority trial, 89 treatment-seeking adults with social anxiety (n = 77) or panic disorder (n = 12) received nine weekly therapy sessions of inhibitory retrieval or habituation-focused exposure therapy. Outcomes were client-reported symptoms, interviewer-rated client distress and impairment, and a behavioral approach task.RESULTSModified intent-to-treat analyses were conducted using multilevel modeling. There were no group differences on principal outcomes of interviewer-rated distress and impairment, nor significant pairwise differences on symptom scores at posttreatment or follow-up (ps > .11). However, secondary and exploratory analyses revealed that relative to the habituation condition, participants in the inhibitory retrieval condition demonstrated significantly steeper decreases in self-reported anxiety from baseline to posttreatment, b = 0.05, 95% CI [0.01, 0.08], χ2(1) = 6.67, p = .010; session-by-session self-reported anxiety, b = 0.01, 95% CI [0.004, 0.02], χ2(1) = 12.33, p = .001; and distress during a behavioral approach task, f = .134, χ2(1) = 4.75, p = .029. Additionally, a higher percentage of participants in the inhibitory condition achieved clinically significant change on self-reported anxiety at posttreatment (43% vs. 13%), although there were no group differences on interviewer-rated indices of clinically significant change (ps > .42).CONCLUSIONBoth methods of exposure therapy were effective. Exposure therapy targeting extinction learning modestly improved outcomes on secondary and exploratory measures although, aside from reliable and clinically significant change, group differences at posttreatment and follow-up were not significant. Habituation-focused exposure therapy was not superior on any measure. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的探讨消退学习和习惯化对社交焦虑和恐慌障碍的影响。方法在这项评估盲、平行组、两组随机对照临床优势试验中，89名患有社交焦虑（n = 77）或惊恐障碍（n = 12）的寻求治疗的成年人接受了每周9次的抑制检索或习惯聚焦暴露治疗。结果是客户报告的症状，访谈者评定的客户痛苦和损害，以及行为方法任务。结果采用多级模型进行改进的意向治疗分析。在访谈者评定的痛苦和损害的主要结局上没有组间差异，在治疗后或随访的症状评分上也没有显著的两两差异（ps >.11）。然而，二次分析和探索性分析显示，相对于习惯化条件，抑制检索条件的参与者自报告焦虑从基线到治疗后的下降幅度明显更大，b = 0.05, 95% CI [0.01, 0.08], χ2(1) = 6.67, p = 0.010；逐次自我报告焦虑，b = 0.01, 95% CI [0.004, 0.02], χ2(1) = 12.33, p = .001；行为接近任务中的痛苦程度，f = .134, χ2(1) = 4.75, p = .029。此外，更高比例的抑制条件下的参与者在治疗后自我报告的焦虑方面取得了临床显着变化（43%对13%），尽管在访谈者评定的临床显着变化指数上没有组间差异（ps >.42）。结论两种暴露治疗方法均有效。针对消退学习的暴露疗法适度改善了次要和探索性措施的结果，尽管除了可靠和临床显著的变化外，治疗后和随访的组间差异并不显著。以习惯为中心的暴露疗法在任何方面都没有优势。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"A randomized controlled trial comparing two processes of exposure therapy: Extinction learning and habituation.","authors":"Michael Treanor,Tomislav D Zbozinek,Benjamin M Rosenberg,Amy Sewart,Christina F Sandman,Julian Ruiz,Michelle G Craske","doi":"10.1037/ccp0000970","DOIUrl":"https://doi.org/10.1037/ccp0000970","url":null,"abstract":"OBJECTIVETo investigate the role of extinction learning and habituation by comparing inhibitory retrieval to habituation-focused exposure for social anxiety and panic disorder.METHODIn this assessor-blinded, parallel-group, two-arm randomized controlled clinical superiority trial, 89 treatment-seeking adults with social anxiety (n = 77) or panic disorder (n = 12) received nine weekly therapy sessions of inhibitory retrieval or habituation-focused exposure therapy. Outcomes were client-reported symptoms, interviewer-rated client distress and impairment, and a behavioral approach task.RESULTSModified intent-to-treat analyses were conducted using multilevel modeling. There were no group differences on principal outcomes of interviewer-rated distress and impairment, nor significant pairwise differences on symptom scores at posttreatment or follow-up (ps > .11). However, secondary and exploratory analyses revealed that relative to the habituation condition, participants in the inhibitory retrieval condition demonstrated significantly steeper decreases in self-reported anxiety from baseline to posttreatment, b = 0.05, 95% CI [0.01, 0.08], χ2(1) = 6.67, p = .010; session-by-session self-reported anxiety, b = 0.01, 95% CI [0.004, 0.02], χ2(1) = 12.33, p = .001; and distress during a behavioral approach task, f = .134, χ2(1) = 4.75, p = .029. Additionally, a higher percentage of participants in the inhibitory condition achieved clinically significant change on self-reported anxiety at posttreatment (43% vs. 13%), although there were no group differences on interviewer-rated indices of clinically significant change (ps > .42).CONCLUSIONBoth methods of exposure therapy were effective. Exposure therapy targeting extinction learning modestly improved outcomes on secondary and exploratory measures although, aside from reliable and clinically significant change, group differences at posttreatment and follow-up were not significant. Habituation-focused exposure therapy was not superior on any measure. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"69 1","pages":"705-717"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351513","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}
The provision of unsupported, proven ineffective, and potentially harmful therapies is a persistent problem in mental health care. Multiple reasons at the provider, system/policy, and public levels can help explain why practitioners are drawn to use poorly supported and pseudoscientific treatments. The example of posttraumatic stress disorder demonstrates how past attempts to implement evidence-based practice have failed, underlining the limits of an overly strong focus on traditional implementation strategies. This continuing science-practice gap comes at a cost not only for the individual but also for society, thereby wasting valuable resources and reducing their public health impact. Proceeding in parallel with implementation efforts to increase access to well-supported treatment, implementation science must also develop and deploy deimplementation strategies to tackle this challenge. Deimplementation science studies methods to systematically remove non-evidence-based practices from routine clinical care. The longitudinal prescription practice trend for posttraumatic stress disorder medication showed the benefits of targeted deimplementation efforts (e.g., reducing medication overprescription), but there is less evidence for successfully deimplementing psychological therapies. To fill this research gap, we propose a potential deimplementation framework targeting low-value and inappropriate care. Prioritizing deimplementation (e.g., removing ineffective and harmful treatments) may prevent wasting resources in research and health care, thereby exerting a public health impact equally large as the uptake of evidence-based innovations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在精神卫生保健中，提供未经支持的、被证明无效的和潜在有害的治疗是一个长期存在的问题。提供者、系统/政策和公众层面的多种原因可以帮助解释为什么从业者被吸引使用缺乏支持和伪科学的治疗方法。创伤后应激障碍的例子说明了过去实施循证实践的尝试是如何失败的，强调了过分关注传统实施策略的局限性。这种持续的科学与实践差距不仅给个人带来了代价，也给社会带来了代价，从而浪费了宝贵的资源，降低了它们对公共卫生的影响。在努力增加获得支持良好的治疗的同时，实施科学还必须制定和部署非实施战略，以应对这一挑战。去实施科学研究系统地从常规临床护理中去除非循证实践的方法。创伤后应激障碍药物治疗的纵向处方实践趋势显示了有针对性的去实施努力的好处（例如，减少药物过度处方），但成功的去实施心理治疗的证据较少。为了填补这一研究空白，我们提出了一个针对低价值和不适当护理的潜在去实施框架。优先取消实施（例如，取消无效和有害的治疗）可防止在研究和保健方面浪费资源，从而产生与采用循证创新同样大的公共卫生影响。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Why we need effective deimplementation strategies to reduce the costs by ineffective and potentially harmful therapies.","authors":"Philipp Herzog,Carmen P McLean","doi":"10.1037/ccp0000981","DOIUrl":"https://doi.org/10.1037/ccp0000981","url":null,"abstract":"The provision of unsupported, proven ineffective, and potentially harmful therapies is a persistent problem in mental health care. Multiple reasons at the provider, system/policy, and public levels can help explain why practitioners are drawn to use poorly supported and pseudoscientific treatments. The example of posttraumatic stress disorder demonstrates how past attempts to implement evidence-based practice have failed, underlining the limits of an overly strong focus on traditional implementation strategies. This continuing science-practice gap comes at a cost not only for the individual but also for society, thereby wasting valuable resources and reducing their public health impact. Proceeding in parallel with implementation efforts to increase access to well-supported treatment, implementation science must also develop and deploy deimplementation strategies to tackle this challenge. Deimplementation science studies methods to systematically remove non-evidence-based practices from routine clinical care. The longitudinal prescription practice trend for posttraumatic stress disorder medication showed the benefits of targeted deimplementation efforts (e.g., reducing medication overprescription), but there is less evidence for successfully deimplementing psychological therapies. To fill this research gap, we propose a potential deimplementation framework targeting low-value and inappropriate care. Prioritizing deimplementation (e.g., removing ineffective and harmful treatments) may prevent wasting resources in research and health care, thereby exerting a public health impact equally large as the uptake of evidence-based innovations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"23 1","pages":"653-662"},"PeriodicalIF":5.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351545","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}
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