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Depression-related moderators of treatment outcomes in a clinical trial for service members with comorbid PTSD and MDD 在一项对患有PTSD和重度抑郁症的军人进行的临床试验中,抑郁相关的调节因子对治疗结果起调节作用
IF 1.6 Q3 PSYCHIATRY Pub Date : 2026-01-30 DOI: 10.1016/j.jbct.2025.100567
Alexander C. Kline , Laura D. Crocker , Nicholas P. Otis , Lisa H. Glassman , W.Michael Hunt , Kristen H. Walter
Major depressive disorder (MDD) frequently co-occurs with posttraumatic stress disorder (PTSD), and this comorbidity is linked to reduced PTSD treatment response, yet moderators of outcomes for individuals with both conditions are unknown. This secondary analysis of a randomized clinical trial examined three depression-related moderators of treatment dropout and response among individuals with comorbid PTSD and MDD: single vs. multiple major depressive episodes (MDEs); current comorbid persistent depressive disorder (PDD); and relative diagnostic severity based on counts of clinically significant symptoms (PTSD vs. MDD). The sample consisted of active duty service members (N = 94) with comorbid PTSD and MDD randomized to cognitive processing therapy (CPT) or CPT enhanced with behavioral activation (BA + CPT). PTSD and MDD symptoms were assessed at pretreatment, posttreatment, and 3-month follow-up. Participants with multiple MDEs were more likely to drop out of CPT compared to those with a single MDE (p = 0.013); dropout did not differ between these groups in BA + CPT (p = 0.23). Intent-to-treat multilevel models indicated MDEs were also associated with response, such that in BA + CPT, participants with multiple MDEs demonstrated greater PTSD (p = 0.028) and depression (p = 0.034) symptom reduction compared to participants with a single MDE. Relative diagnostic severity and comorbid PDD were not associated with dropout or response in the full sample (ps > 0.079) or within treatments (ps > 0.073). These preliminary results suggest that among service members with comorbid PTSD and MDD, those with recurrent depression may benefit from trauma-focused care augmented with BA to address depression.
重度抑郁症(MDD)经常与创伤后应激障碍(PTSD)同时发生,这种共病与PTSD治疗反应降低有关,但两种情况下个体结果的调节因子尚不清楚。这项随机临床试验的二级分析检查了PTSD和MDD共病患者治疗退出和反应的三种抑郁相关调节因子:单次与多次重度抑郁发作(MDEs);当前共病持续性抑郁障碍(PDD);以及基于临床显著症状(PTSD vs. MDD)计数的相对诊断严重程度。样本包括患有PTSD和MDD的现役军人(N = 94),随机分为认知加工治疗组(CPT)和认知加工强化行为激活组(BA + CPT)。在治疗前、治疗后和3个月的随访中评估PTSD和MDD症状。与单次MDE患者相比,多次MDE患者更有可能退出CPT (p = 0.013);两组间BA + CPT的辍学率无显著差异(p = 0.23)。意向治疗多水平模型显示MDE也与反应相关,因此在BA + CPT中,与单一MDE的参与者相比,多个MDE的参与者表现出更大的PTSD (p = 0.028)和抑郁(p = 0.034)症状减轻。在整个样本中(ps > 0.079)或在治疗期间(ps > 0.073),相对诊断严重程度和共病性PDD与退出或应答无关。这些初步结果表明,在同时患有PTSD和MDD的服役人员中,那些复发性抑郁症患者可能会受益于创伤性护理,并辅以BA来解决抑郁症。
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引用次数: 0
A self-efficacy-based education intervention to promote physical activity and healthy eating in adolescents: A cluster-randomized study 以自我效能为基础的教育干预促进青少年身体活动和健康饮食:一项聚类随机研究
IF 1.6 Q3 PSYCHIATRY Pub Date : 2026-01-30 DOI: 10.1016/j.jbct.2025.100568
Atikah Rahayu

Background and objectives

Adolescents were require techniques to attain healthy behavior. The study aimed to evaluate a health behavior change-based intervention program to improve self-efficacy of physical activity and eating habits.

Material and methods

This randomized controlled trial included 378 teenagers adolescents, assigned to control for 12 weeks, a self-efficacy Based education intervention to promotion physical activity and healthy eating. Independent t-test and Mann Whitney were used to compare baseline differences, paired sample T Test) is used to compare the pre- and post-intervention pairs in the control and treatment groups, and Cohen’s D analysis to quantify the effect size in both groups.

Results

All post-test variables demonstrated the effect of self-efficacy-based educational interventions on promoting physical activity and healthy eating patterns adolescents with higher body weight. The intervention’s effect was greater for physical activity self-efficacy.

Conclusion

This study highlight a self-efficacy based education intervention to promotion physical activity and healthy eating in adolescents with higher body weight.
背景和目的青少年需要技巧来达到健康的行为。该研究旨在评估以健康行为改变为基础的干预计划,以提高体育活动和饮食习惯的自我效能。材料和方法本随机对照试验包括378名青少年,分配为12 周的对照组,以自我效能为基础的教育干预促进体育活动和健康饮食。采用独立T检验和Mann Whitney比较基线差异,对照组和治疗组采用配对样本T检验比较干预前后对,采用Cohen’s D分析量化两组的效应量。结果所有后测变量均显示了自我效能感教育干预对促进高体重青少年体育活动和健康饮食模式的影响。干预对身体活动自我效能的影响更大。结论以自我效能感为基础的教育干预对促进高体重青少年体育活动和健康饮食具有重要作用。
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引用次数: 0
Using an app to promote emotional regulation and well-being in young adults. A pilot study 使用一个应用程序来促进年轻人的情绪调节和健康。一项初步研究
IF 1.6 Q3 PSYCHIATRY Pub Date : 2026-01-30 DOI: 10.1016/j.jbct.2026.100573
Barbara Colombo , Jordan Cohen , Riley Currier , Simona C. Caravita
This study investigates beneficial effects on emotional regulation and wellbeing of young adults from using an app designed to promote cognitive reappraisal. Seventy-eight first-year college students (aged 18–19) participated in the study: 36 (71% female) were assigned to the experimental group and used the app during 2 weeks; 42 students (73% female) were assigned to the control group and used an app prompting generic expressive writing during the same period. Self-reports assessed participant perceived stress, anxiety, and wellbeing pre and post, and physiological arousal (SCL) was assessed during the post- assessment. Participants’ answers to the app tasks were also analyzed linguistically. ANOVAs showed that using the cognitive reappraisal app was associated with lower levels of anxiety, perceived stress, and physiological arousal, and with greater wellbeing. In the linguistic tasks of the apps participants in the experimental group used more words linked to analytic thinking and cognitive processes, and showed to be more focused on the future. These results provide preliminary support for the potential of mobile technologies to promote emotional regulation and resilience among young adults.
本研究调查了使用一款旨在促进认知重新评估的应用程序对年轻人情绪调节和健康的有益影响。78名18-19岁的一年级大学生参与了这项研究:36名(71%为女性)被分配到实验组,在两周内使用该应用程序;42名学生(73%为女性)被分配到对照组,在同一时期使用一款提示通用表达性写作的应用程序。自我报告评估参与者感知压力、焦虑和幸福感前后,生理唤醒(SCL)在评估后进行评估。参与者对应用程序任务的回答也进行了语言分析。方差分析显示,使用认知重新评估应用程序与较低水平的焦虑、感知压力和生理唤醒有关,并且与更大的幸福感有关。在应用程序的语言任务中,实验组的参与者使用了更多与分析思维和认知过程相关的词汇,并表现出更关注未来。这些结果为移动技术促进年轻人情绪调节和恢复能力的潜力提供了初步支持。
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引用次数: 0
Examining reductions in thwarted belongingness, perceived burdensomeness, and rumination within group-based behavioral activation treatment for depression 研究抑郁症群体行为激活治疗中受挫的归属感、感知负担和反刍的减少
IF 1.6 Q3 PSYCHIATRY Pub Date : 2026-01-29 DOI: 10.1016/j.jbct.2025.100553
Mary O. Shapiro , Evan M. Threeton , Paige E. Morris , Amanda M. Raines
Rates of depressive disorders are especially high among the U.S. veteran population, and depressed patients are at greater risk for a number of negative social and health outcomes. Behavioral Activation (BA) is an efficacious treatment for depression, but little is known about its effect on well-established risk and maintenance factors for depression, including thwarted belongingness, perceived burdensomeness, and rumination. Thirty-two treatment-seeking veterans (Mage = 56.97; 87.5 % male; 68.8 % Black/African American) completed self-report measures before and after a 10-week group-based BA treatment for depression. Findings indicated thwarted belongingness and ruminative reflection subscale scores significantly decreased from pre- to post-treatment, whereas perceived burdensomeness and brooding subscale scores did not. These findings suggest that group-based BA may offer a cost-effective treatment option for depressed individuals, especially those with greater feelings of thwarted belongingness and more ruminative reflection. Future research would benefit from extending these findings, especially by incorporating a control group and utilizing a sample of younger non-veterans.
在美国退伍军人中,抑郁症的发病率尤其高,抑郁症患者在社会和健康方面的负面影响更大。行为激活(BA)是一种有效的抑郁症治疗方法,但它对抑郁症的既定风险和维持因素的影响知之甚少,包括挫败的归属感,感知负担和反刍。32名寻求治疗的退伍军人(性别= 56.97;87.5%为男性;68.8%为黑人/非裔美国人)在以小组为基础的10周BA治疗抑郁症前后完成了自我报告测量。研究结果表明,从治疗前到治疗后,受挫归属感和反刍反思分量表得分显著下降,而感知负担和沉思分量表得分则没有显著下降。这些发现表明,以群体为基础的BA可能为抑郁症患者提供了一种经济有效的治疗选择,尤其是那些归属感受挫感更强、反思更多的人。未来的研究将受益于扩展这些发现,特别是通过纳入一个对照组和利用年轻的非退伍军人样本。
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引用次数: 0
Assessing the psychometric properties of the 10-item version of the comprehensive assessment of ACT processes (CompACT) in a community-based adult sample 评估基于社区的成人样本中ACT过程综合评估(CompACT)的10项版本的心理测量特性
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-12-24 DOI: 10.1016/j.jbct.2025.100569
Michael Christopher , Marissa Ferry , Olivia Boyd , Xander Kahle , Salena Keys-Kukoricza , J. Morgan Penberthy , Kaylia Pham

Background

The Comprehensive Assessment of ACT Processes (CompACT) is a 23-item self-report measure of psychological flexibility with evidence of a three-factor structure, convergent and discriminant validity, and reliability. Several short-form CompACT versions, including 18-, 15-, and 10-item forms have been developed. The primary aim of this study was to compare the model fit of each short form and to further examine the convergent and discriminant validity and reliability of the best fitting model in an adult community-based sample in the United States.

Method

Participants were recruited for the study via a Qualtrics participant panel. A total of 601 participants completed the CompACT and other self-report measures.

Results

A series of confirmatory factor analyses indicated the 10-item version provided the best fit to the data. The 10-item CompACT demonstrated adequate reliability and evidence of convergent and discriminant validity with correlations in the expected direction with psychological distress, life satisfaction, mindfulness, and resilience, but not gender.

Discussion

Despite limitations, these results suggest the 10-item CompACT is a valid and reliable measure of psychological flexibility.
ACT过程综合评估(CompACT)是一个包含23个项目的心理灵活性自我报告测量,具有三因素结构、收敛效度和判别效度和信度的证据。几个简短的紧凑版本,包括18项、15项和10项的形式已经开发出来。本研究的主要目的是比较每种简短形式的模型拟合,并进一步检验在美国成人社区样本中最佳拟合模型的收敛和判别效度和可靠性。方法通过Qualtrics参与者小组招募参与者。共有601名参与者完成了契约和其他自我报告措施。结果一系列的验证性因子分析表明,10项版本最符合数据。10个项目的契约具有足够的信度,并具有收敛效度和判别效度的证据,与心理困扰、生活满意度、正念和弹性呈预期方向相关,但与性别无关。尽管存在局限性,但这些结果表明,10项契约是一种有效和可靠的心理灵活性测量方法。
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引用次数: 0
Feasibility of a novel virtual tic tool kit therapy group 一种新型虚拟抽动工具包治疗组的可行性
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-12-17 DOI: 10.1016/j.jbct.2025.100566
Tamsin Owen, Sara Sopena, Juliana Silva, Diane Adebayo, Pavan Jandu, Nicole French, A. Kowalczyk, Osman Malik, Tammy Hedderly

Background

Cognitive behavioural therapies, including Exposure and Response Prevention (ERP) and Habit Reversal Therapy (HRT) are the recommended interventions for tic management. There has been emerging evidence and anecdotal client feedback that externalised attention approaches are also effective in the management of tics. As such, a novel, virtually delivered group incorporating ERP, HRT, externalised attention and mindfulness/relaxation approaches was developed. The purpose of this study was to explore the effectiveness of this tic tool kit group in the managing of tics in young people.

Methods

Children and young people (CYP) with tic disorders, aged 9–17, under the care of a specialist tic and movement clinic, attended a 6-session virtual tic therapy group with one of their parents, each lasting one hour. The Yale Global Tic Severity Scale (YGTSS) was completed for 31 patients prior to and following the group, and qualitative feedback was also gathered regarding satisfaction and acceptability of the management techniques.

Results

Patients’ post-group YGTSS scores showed a statistically significant decrease in overall severity and impairment scores compared to pre-group scores, mostly driven by lowering in motor and phonic tic severity, rather than substantial lower functional impairment. Qualitative data illustrated that all patients reported better management of tics after having attended the virtual group. Moreover, 91.6% of attendees returned positive feedback for the virtual aspect, finding the group “more accessible” and valuing the availability of 1:1 practice with clinicians.

Conclusions

These findings suggest that the cost-effective virtual group may be an effective intervention for CYP with tics disorder and provides a preliminary basis for delivering combined ERP and HRT alongside externalised attention and mindfulness/relaxation strategies. Future exploration of this novel treatment, especially with a control groups and longer follow up should be conducted to establish the degree of its effectiveness for clinical populations.
认知行为疗法,包括暴露和反应预防(ERP)和习惯逆转疗法(HRT)是抽搐治疗的推荐干预措施。有新出现的证据和轶事客户反馈表明,外化注意力方法在抽搐管理中也是有效的。因此,一个新颖的,虚拟交付组结合ERP, HRT,外化注意力和正念/放松方法被开发出来。本研究的目的是探讨抽动工具组在年轻人抽动管理中的有效性。方法9 ~ 17岁的抽动障碍儿童和青少年(CYP)在抽动与运动专科诊所接受6次虚拟抽动治疗,家长1名,每次1小时。31名患者在治疗前后完成了耶鲁抽动严重程度量表(YGTSS),并收集了关于管理技术满意度和可接受性的定性反馈。结果组后患者的YGTSS评分与组前评分相比,总体严重程度和功能障碍评分均有统计学意义上的降低,这主要是由于运动和语音抽搐严重程度的降低,而不是功能障碍的显著降低。定性数据表明,所有患者在参加虚拟组后报告抽搐更好的管理。此外,91.6%的与会者对虚拟方面给出了积极的反馈,认为该小组“更容易接近”,并重视与临床医生1:1实践的可用性。结论本研究结果表明,具有成本效益的虚拟组可能是CYP伴抽搐障碍的有效干预措施,并为将ERP和HRT结合外化注意和正念/放松策略提供初步基础。未来对这种新疗法的探索,特别是在对照组和更长时间的随访中,应该进行,以确定其对临床人群的有效性程度。
{"title":"Feasibility of a novel virtual tic tool kit therapy group","authors":"Tamsin Owen,&nbsp;Sara Sopena,&nbsp;Juliana Silva,&nbsp;Diane Adebayo,&nbsp;Pavan Jandu,&nbsp;Nicole French,&nbsp;A. Kowalczyk,&nbsp;Osman Malik,&nbsp;Tammy Hedderly","doi":"10.1016/j.jbct.2025.100566","DOIUrl":"10.1016/j.jbct.2025.100566","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive behavioural therapies, including Exposure and Response Prevention (ERP) and Habit Reversal Therapy (HRT) are the recommended interventions for tic management. There has been emerging evidence and anecdotal client feedback that externalised attention approaches are also effective in the management of tics. As such, a novel, virtually delivered group incorporating ERP, HRT, externalised attention and mindfulness/relaxation approaches was developed. The purpose of this study was to explore the effectiveness of this tic tool kit group in the managing of tics in young people.</div></div><div><h3>Methods</h3><div>Children and young people (CYP) with tic disorders, aged 9–17, under the care of a specialist tic and movement clinic, attended a 6-session virtual tic therapy group with one of their parents, each lasting one hour. The Yale Global Tic Severity Scale (YGTSS) was completed for 31 patients prior to and following the group, and qualitative feedback was also gathered regarding satisfaction and acceptability of the management techniques.</div></div><div><h3>Results</h3><div>Patients’ post-group YGTSS scores showed a statistically significant decrease in overall severity and impairment scores compared to pre-group scores, mostly driven by lowering in motor and phonic tic severity, rather than substantial lower functional impairment. Qualitative data illustrated that all patients reported better management of tics after having attended the virtual group. Moreover, 91.6% of attendees returned positive feedback for the virtual aspect, finding the group “more accessible” and valuing the availability of 1:1 practice with clinicians.</div></div><div><h3>Conclusions</h3><div>These findings suggest that the cost-effective virtual group may be an effective intervention for CYP with tics disorder and provides a preliminary basis for delivering combined ERP and HRT alongside externalised attention and mindfulness/relaxation strategies. Future exploration of this novel treatment, especially with a control groups and longer follow up should be conducted to establish the degree of its effectiveness for clinical populations.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"36 2","pages":"Article 100566"},"PeriodicalIF":1.6,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The influence of cognitive resource availability on evaluative conditioning consolidation 认知资源可得性对评价条件巩固的影响
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-12-03 DOI: 10.1016/j.jbct.2025.100565
Pierre Lyon, Thierry Kosinski, Stephane Rusinek
Recent evidence suggests that engaging visuospatial cognitive resources during the memory consolidation window can reduce the frequency of involuntary memories, without affecting voluntary recall. This study aimed to investigate the potential mechanisms underlying this effect. Through evaluative conditioning (EC) paradigm, we investigated whether such an intervention disrupts the consolidation of emotional valence acquired. Seventy-three participants were randomly assigned to one of three conditions (visuospatial, verbal, control) and completed a visual EC procedure in which neutral faces (CS) were paired with emotionally valenced images (US). Between CS-US pairings, participants completed one of the three tasks. Valence ratings were collected immediately after conditioning (short-term memory, STM) and again 24 h later (long-term memory, LTM), followed by a recognition task. Results showed robust EC effects in STM across all conditions. In LTM, EC effects persisted in control and verbal conditions but were eliminated in the visuospatial condition. Recognition performance did not differ across conditions, suggesting that associative memory was preserved. These findings support the hypothesis that mobilizing visuospatial resources during the consolidation window selectively disrupts the emotional aspect of memory without impairing associative memory content. Implications are discussed.
最近的证据表明,在记忆巩固窗口期间使用视觉空间认知资源可以减少非自愿记忆的频率,而不会影响自愿回忆。本研究旨在探讨这种效应的潜在机制。通过评价条件反射(EC)范式,我们研究了这种干预是否会破坏获得性情绪效价的巩固。73名参与者被随机分配到三种条件(视觉空间,语言,控制)中的一种,并完成了视觉EC程序,其中中性面孔(CS)与情感价值图像(US)配对。在CS-US配对之间,参与者完成三个任务中的一个。在条件反射后立即收集效价评分(短期记忆),24小时后再次收集效价评分(长期记忆),然后进行识别任务。结果显示,在所有条件下,STM都具有强大的EC效应。在LTM中,EC效应在对照和语言条件下持续存在,但在视觉空间条件下被消除。识别表现在不同条件下没有差异,这表明联想记忆得到了保留。这些发现支持了一种假设,即在巩固期调动视觉空间资源会选择性地破坏记忆的情感方面,但不会损害联想记忆的内容。讨论了影响。
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引用次数: 0
Optimizing evidence-based CBT-I: what the future should look like 优化循证CBT-I:未来应该是什么样子
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-12-01 DOI: 10.1016/j.jbct.2025.100564
Michael Perlis , Ellemarije Altena
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引用次数: 0
Cognitive rehabilitation benefits cancer survivors: Single-case design randomised case series 认知康复对癌症幸存者有益:单例设计随机病例系列
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-11-28 DOI: 10.1016/j.jbct.2025.100563
Chantelle C. Pin, Heather J. Green

Context

Some cancer survivors experience post-treatment mental and/or physical health symptoms impacting quality of life, such as cognitive decline. There is limited access to evidence-based individualised interventions for cognitive concerns of cancer survivors.

Objectives

This study aimed to assess the feasibility and acceptability of an individually delivered Responding to Cognitive Concerns − Individual (ReCogI) program, adapted from manualised cognitive behavioural group program Responding to Cognitive Concerns (ReCog), and to assess whether ReCogI influenced perceived cognitive function and health following cancer treatment.

Methods

A single-case experimental intervention design was used within a case series, with random allocation to a 3- or 4-week baseline period. Five cancer survivors completed ReCogI and questionnaires regarding program satisfaction, cognitive function, depression, anxiety, fatigue, and sleep.

Results

Four of five participants showed statistically reliable individual improvement in at least one of two measures of self-reported cognitive functioning using the Reliable Change Index. However, neither cognitive measure was reliably higher during intervention than baseline when participant results were combined together to estimate between-case standardised mean difference. A participant satisfaction measure demonstrated high satisfaction with ReCogI (M = 4.6/5, SD = 0.55).

Conclusion

ReCogI showed preliminary indications of feasibility and acceptability for assisting adult cancer survivors who report cognitive problems.
一些癌症幸存者在治疗后会出现影响生活质量的精神和/或身体健康症状,如认知能力下降。针对癌症幸存者的认知问题,基于证据的个体化干预手段有限。本研究旨在评估个体交付的认知问题响应-个体(ReCogI)计划的可行性和可接受性,该计划改编自手动认知行为小组计划响应认知问题(ReCog),并评估ReCogI是否影响癌症治疗后的感知认知功能和健康。方法在一个病例系列中采用单病例实验干预设计,随机分配到3或4周的基线期。5名癌症幸存者完成了regi和关于项目满意度、认知功能、抑郁、焦虑、疲劳和睡眠的问卷调查。结果五分之四的参与者在使用可靠变化指数的两项自我报告的认知功能测量中至少有一项显示出统计上可靠的个人改善。然而,当参与者的结果合并在一起来估计病例间标准化平均差时,干预期间的认知测量都没有可靠地高于基线。参与者满意度测量显示对ReCogI有很高的满意度(M = 4.6/5, SD = 0.55)。结论recgi在帮助报告认知问题的成年癌症幸存者方面显示了初步的可行性和可接受性。
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引用次数: 0
The effectiveness of transcranial direct current stimulation, acceptance and commitment therapy, and their combination in reducing impulsivity among women living with migraine headaches: a randomized controlled trial 经颅直流电刺激、接受和承诺治疗及其联合治疗在减少女性偏头痛患者冲动中的有效性:一项随机对照试验
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-11-05 DOI: 10.1016/j.jbct.2025.100554
Yasaman Damirchi , Sheida Sodagar , Mohammad Reza Seirafi , Afshin Salahian , Behnam Safarpour Lima

Background

Migraine headaches are associated with increased impulsivity, which can exacerbate headache frequency.

Methods

This randomized controlled trial investigated the effectiveness of transcranial direct current stimulation (tDCS), acceptance and commitment therapy (ACT), and their combination in reducing impulsivity among 96 women (mean age = 36.15, SD = 6.14) with migraines, recruited from private neurology clinics in Tehran, Iran. Participants were assigned to tDCS (10 sessions), ACT (8 online group sessions), tDCS + ACT (18 sessions), or a control group with no intervention. Impulsivity was measured using the Barratt Impulsivity Scale at baseline, post-intervention, and three-month follow-up.

Results

All interventions significantly reduced impulsivity scores. The combined tDCS + ACT intervention showed the largest effect sizes across overall impulsivity (OI: η2 = 0.528, P = 0.001) and subscales: AI: η2 = 0.432, P = 0.001, NI: η2 = 0.381, P = 0.001), and MI: η2 = 0.429, P = 0.001. The combined intervention outperformed tDCS alone in reducing AI (P = 0.001), NI (P = 0.002), MI (P = 0.006), and OI (P = 0.001). ACT alone was more effective than tDCS in reducing AI, NI, and OI (P < 0.005). The combined therapy resulted in an average 23-point reduction in OI scores from baseline to follow-up.

Conclusion

Limitations include a small sample size, short follow-up period, and reliance on self-reported measures. The findings suggest that ACT, tDCS, and their combination effectively reduce impulsivity in women with migraines, with the combined approach offering superior benefits. This reduction may improve emotional regulation and potentially decrease migraine frequency and severity. Larger studies with extended follow-up are needed to confirm these preliminary results.
背景:偏头痛与冲动增加有关,这会加剧头痛的频率。方法本随机对照试验研究了经颅直流电刺激(tDCS)、接受和承诺疗法(ACT)及其联合治疗对减少冲动的效果,研究对象为来自伊朗德黑兰私人神经病学诊所的96名偏头痛女性(平均年龄36.15岁,SD = 6.14)。参与者被分配到tDCS(10个疗程)、ACT(8个在线小组疗程)、tDCS + ACT(18个疗程)或不进行干预的对照组。冲动性在基线、干预后和三个月随访时使用Barratt冲动性量表进行测量。结果所有干预措施均显著降低冲动性得分。tDCS + ACT联合干预在总体冲动性(OI: η2 = 0.528, P = 0.001)和子量表(AI: η2 = 0.432, P = 0.001, NI: η2 = 0.381, P = 0.001)和MI: η2 = 0.429, P = 0.001)上显示出最大的效应量。联合干预在降低AI (P = 0.001)、NI (P = 0.002)、MI (P = 0.006)和OI (P = 0.001)方面优于单独tDCS。ACT单独治疗在降低AI、NI和OI方面比tDCS更有效(P < 0.005)。联合治疗导致OI评分从基线到随访平均降低23分。局限性包括样本量小,随访时间短,依赖于自我报告的测量方法。研究结果表明,ACT、tDCS及其联合使用可有效降低偏头痛女性的冲动性,联合使用效果更好。这种减少可能会改善情绪调节,并可能降低偏头痛的频率和严重程度。需要更大规模的长期随访研究来证实这些初步结果。
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引用次数: 0
期刊
Journal of Behavioral and Cognitive Therapy
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