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Cognitive behavior therapy for treatment seeking: intervention development and empirical findings 认知行为治疗寻求:干预发展和实证研究结果
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-09-07 DOI: 10.1016/j.jbct.2025.100551
Morica Hutchison , Caitlin Titus , Aileen Aldalur , Tracy Stecker

Objective

Interventions have been developed to increase treatment engagement among individuals with behavioral health problems, yet over 50% of individuals do not receive treatment. New interventions are needed to address unmet treatment needs by promoting treatment-seeking behaviors.

Methods and Measures

This paper reviews the development, pilot testing, and empirical findings of Cognitive Behavioral Therapy for Treatment-Seeking (CBT-TS), a novel intervention designed to increase treatment-seeking behaviors. We discuss the findings of nine CBT-TS intervention trials among adults with a variety of behavioral health diagnoses (e.g., depression, alcohol use, suicidal ideation).

Results

CBT-TS was developed to focus on cognitive factors that predict treatment-seeking behaviors, implementation outside of existing treatment systems, flexible administration (in-person or phone), and applicability to diverse populations. CBT-TS has demonstrated efficacy in improving behavioral health treatment utilization. Populations studied include military service members, veterans and community adults presenting with alcohol use disorder, post-traumatic stress disorder, suicidal thoughts and behaviors, and comorbid diagnoses. Follow-up periods ranged from 1- to 12-months and examined the percentage of participants initiating and/or sustaining treatment engagement, qualitative findings of beliefs endorsed, and reductions in behavioral health symptoms.

Conclusions

CBT-TS shows tremendous promise as a brief, evidence-based intervention to improve treatment-seeking behaviors among diverse populations. Opportunities exist to expand CBT-TS across populations such as individuals in rural settings, and among other diagnostic groups such as individuals with chronic pain. Further study is warranted to identify reasons for the variability of treatment initiation rates and its potential to increase treatment engagement and completion.
目的:为了提高行为健康问题患者的治疗参与度,已经制定了干预措施,但超过50%的患者没有接受治疗。需要新的干预措施,通过促进寻求治疗的行为来解决未得到满足的治疗需求。认知行为疗法(CBT-TS)是一种旨在增加寻求治疗行为的新型干预手段,本文综述了CBT-TS的发展、试点试验和实证结果。我们讨论了九项CBT-TS干预试验的结果,这些试验在患有各种行为健康诊断(如抑郁症、酒精使用、自杀意念)的成年人中进行。结果开发scbt - ts着眼于预测寻求治疗行为的认知因素、在现有治疗系统之外的实施、灵活的给药(面对面或电话)以及对不同人群的适用性。CBT-TS在提高行为健康治疗的利用率方面已被证明有效。研究的人群包括军人、退伍军人和社区成年人,他们有酒精使用障碍、创伤后应激障碍、自杀念头和行为,以及共病诊断。随访时间从1个月到12个月不等,并检查了开始和/或维持治疗参与的参与者的百分比,信念认可的定性结果以及行为健康症状的减少。结论scbt - ts作为一种简短的、基于证据的干预措施,在改善不同人群的寻求治疗行为方面显示出巨大的希望。有机会将CBT-TS扩展到农村地区等人群以及慢性疼痛患者等其他诊断群体。有必要进行进一步研究,以确定治疗起始率变化的原因及其增加治疗参与和完成的潜力。
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引用次数: 0
Academic procrastination: A systematic review of causal factors and interventions 学业拖延:因果因素和干预措施的系统回顾
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-09-04 DOI: 10.1016/j.jbct.2025.100552
Erfan Ramadhani, Punaji Setiyosari, Henny Indreswari, Arbin Janu Setiyowati, Ramtia Darma Putri
Academic procrastination remains a significant barrier to student success, impacting both academic performance and mental health. This systematic review addresses the core factors contributing to academic procrastination, including fear of failure, perfectionism, and difficulties in emotional regulation, which lead to students delaying academic tasks. The study employs the PRISMA methodology, synthesizing findings from 27 empirical studies published between 2014 and 2024 to assess intervention efficacy. Cognitive-behavioral therapy (CBT) and motivational strategies emerged as effective approaches in reducing procrastination by addressing unrealistic thought patterns and enhancing self-regulation skills. Furthermore, technology-assisted interventions, such as digital planning tools, have shown promise in supporting students’ time management. In conclusion, this review underscores the importance of a personalized, multidimensional approach that integrates psychological, motivational, and technological strategies to optimize student outcomes and minimize procrastination.
学习拖延症仍然是学生成功的一个重要障碍,它既影响学习成绩,也影响心理健康。本文系统分析了导致学业拖延的核心因素,包括对失败的恐惧、完美主义和情绪调节困难,这些因素导致学生拖延学业任务。本研究采用PRISMA方法,综合了2014 - 2024年间发表的27项实证研究的结果,对干预效果进行了评估。认知行为疗法(CBT)和动机策略是通过解决不现实的思维模式和提高自我调节技能来减少拖延症的有效方法。此外,技术辅助干预措施,如数字规划工具,在支持学生的时间管理方面显示出了希望。总之,这篇综述强调了一种个性化的、多维的方法的重要性,这种方法整合了心理、动机和技术策略,以优化学生的成绩,最大限度地减少拖延。
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引用次数: 0
Implementation of Stimulus Control and Sleep Restriction Therapy for Insomnia: Standard Definitions and Best Practices. 失眠刺激控制和睡眠限制疗法的实施:标准定义和最佳实践。
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-07-30 DOI: 10.1016/j.jbct.2025.100542
Leisha J Cuddihy, Michael A Grandner, Sara Nowakowski
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引用次数: 0
The effect of mindfulness-based cognitive therapy counseling on sexual satisfaction and distress among married women with cyclical mastalgia 以正念为基础的认知治疗咨询对已婚周期性乳房痛女性性满足和性痛苦的影响
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-07-29 DOI: 10.1016/j.jbct.2025.100548
Elnaz Abedi , Nasim Bahrami , Mohammad Ebrahim Sarichloo , Mark D. Griffiths , Zainab Alimoradi

Introduction

More than half of the female population suffers from cyclical mastalgia, which can interfere with sexual functioning and impact sexual satisfaction and cause sexual distress. The present study evaluated the efficacy of mindfulness-based cognitive therapy (MBCT) counseling on sexual satisfaction and sexual distress among married women with cyclical mastalgia.

Methods

A randomized controlled clinical trial was conducted in 2024 with 72 married women presenting with cyclical breast pain at comprehensive health centers in Qazvin, Iran. Participants were randomly allocated via quadruple block randomization with allocation concealment using sealed opaque envelopes, into an intervention group (n = 36) receiving eight 90-min MBCT sessions and a control group (n = 36) receiving no intervention. Demographic-obstetric questionnaires, the Visual Analogue Scale (VAS) for pain, the Cardiff Breast Pain Chart, the Female Sexual Satisfaction and Distress Scale, and the Five-Facet Mindfulness Questionnaire were completed by all participants at baseline and at one- and three-month follow-ups. Data were analyzed using repeated-measures analysis of covariance (ANCOVA) in SPSS-27, with statistical significance set at p < 0.05.

Results

The intervention group demonstrated significant improvements across all measured outcomes compared to controls. For sexual satisfaction, mean score differences between groups (baseline, first, and second follow-ups, respectively) were as follows: sexual satisfaction subscale (0.08, 4.49, 6.72; p < 0.001), relationship subscale (0.56, 4.17, 6.56; p < 0.001), and compatibility subscale (−0.33, 4.15, 7.61; p < 0.001). Similarly, sexual distress scores showed marked reductions in relational concern (−0.22, 5.24, 8.33; p < 0.001) and personal concern subscales (−0.97, 3.41, 7.74; p < 0.001). Mindfulness scores increased substantially among those in the intervention group (0.11, 10.02, 15.31; p < 0.001), while pain intensity scores decreased (−0.07, −1.67, −1.69; p < 0.001), indicating both psychological and symptomatic benefits. All changes were statistically significant at one- and three-month follow-ups, confirming the sustained efficacy of MBCT counseling.

Conclusion

The findings suggest that MBCT could be considered as a complementary therapy in managing cyclical mastalgia, particularly for women experiencing sexual dysfunction. Future research to assess long-term effects and compare MBCT with other therapeutic approaches are recommended.
超过一半的女性患有周期性乳房痛,这可能会干扰性功能,影响性满意度并导致性痛苦。本研究评估了正念认知疗法(MBCT)对已婚周期性乳房痛妇女性满足和性痛苦的治疗效果。方法于2024年在伊朗加兹温综合保健中心对72名出现周期性乳房疼痛的已婚妇女进行随机对照临床试验。参与者通过四组随机分组随机分配,使用密封的不透明信封进行分配隐藏,干预组(n = 36)接受8次90分钟的MBCT治疗,对照组(n = 36)不接受干预。所有参与者在基线和1个月和3个月的随访中完成了人口统计学-产科问卷、疼痛视觉模拟量表(VAS)、卡迪夫乳房疼痛表、女性性满意度和痛苦量表以及五方面正念问卷。数据采用SPSS-27的重复测量协方差分析(ANCOVA)进行分析,p <为统计学显著性;0.05.结果与对照组相比,干预组的所有测量结果均有显著改善。在性满意度方面,各组(基线、第一次和第二次随访)的平均得分差异如下:性满意度分量表(0.08,4.49,6.72;p & lt;0.001),关系子量表(0.56,4.17,6.56;p & lt;0.001),兼容性子量表(- 0.33,4.15,7.61;p & lt;0.001)。同样,性困扰得分也显示出关系关注的显著降低(- 0.22,5.24,8.33;p & lt;0.001)和个人关注分量表(- 0.97,3.41,7.74;p & lt;0.001)。干预组正念得分显著提高(0.11,10.02,15.31;p & lt;0.001),疼痛强度评分下降(- 0.07,- 1.67,- 1.69;p & lt;0.001),表明心理和症状上都有益处。在1个月和3个月的随访中,所有的变化都有统计学意义,证实了MBCT咨询的持续疗效。结论MBCT可作为治疗周期性乳房痛的一种辅助疗法,尤其是对有性功能障碍的女性。建议未来研究评估MBCT的长期效果,并将其与其他治疗方法进行比较。
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引用次数: 0
Assessment and computation of sleep efficiency – Is close enough good enough? 睡眠效率的评估和计算——足够接近足够好吗?
IF 1.6 Q3 PSYCHIATRY Pub Date : 2025-07-29 DOI: 10.1016/j.jbct.2025.100538
Donn Posner , Natalie Rolle
Sleep efficiency (SE) is a central variable in both the delivery and titration of Cognitive Behavioral Therapy for Insomnia (CBT-I). Despite its critical role, there remains a surprising lack of consensus on how SE should be calculated. This paper examines the conceptual and operational inconsistencies surrounding SE, particularly the widespread use of "Time in Bed" (TIB) as the denominator in its computation. We argue that literal interpretations of TIB—often including pre-sleep or post-sleep activities—introduce clinically significant distortions in SE values. These distortions can lead to erroneous treatment decisions during CBT-I, such as inappropriate titration of the sleep window. We review the standard sleep diary variables, examine previously proposed alternatives like Reed and Sacco’s “Duration of the Sleep Episode” (DSE), and identify their limitations. Building on these insights, we propose a new formula for SE that more accurately reflects the patient’s intended sleep window, using “Sleep Opportunity” (SO) as a more valid denominator. We demonstrate through clinical examples how our proposed approach offers more accurate and actionable SE metrics, aligning with both patient experience and clinical judgment. Ultimately, we argue that close enough is not good enough, and a consensus definition is essential for clinical precision and research standardization in CBT-I.
睡眠效率(SE)是失眠认知行为疗法(CBT-I)的交付和滴定的中心变量。尽管它起着至关重要的作用,但令人惊讶的是,对于如何计算东南偏航,人们仍然缺乏共识。本文研究了围绕SE的概念和操作上的不一致,特别是在其计算中广泛使用“床上时间”(TIB)作为分母。我们认为,对tib的字面解释——通常包括睡眠前或睡眠后的活动——会导致临床显著的SE值扭曲。这些扭曲可能导致CBT-I期间错误的治疗决策,例如不适当的睡眠窗口滴定。我们回顾了标准的睡眠日记变量,检查了之前提出的替代方案,如Reed和Sacco的“睡眠发作持续时间”(DSE),并确定了它们的局限性。在这些见解的基础上,我们提出了一个更准确地反映患者预期睡眠窗口的新公式,使用“睡眠机会”(SO)作为更有效的分母。我们通过临床实例证明,我们提出的方法如何提供更准确和可操作的SE指标,与患者经验和临床判断保持一致。最后,我们认为足够接近并不足够好,共识定义对于CBT-I的临床精确性和研究标准化至关重要。
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引用次数: 0
Managing the trajectory of insomnia: from public health to relapse prevention 管理失眠的轨迹:从公共卫生到复发预防
IF 1.7 Q3 PSYCHIATRY Pub Date : 2025-07-25 DOI: 10.1016/j.jbct.2025.100540
Jason G. Ellis , Pamela Alfonso-Miller , Philip Cheng , Celyne H. Bastien , Ellemarije Altena , Michael A. Grandner
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引用次数: 0
Psychiatry in the context of changing cultural norms: Mental disorders among migrants and refugees 文化规范变化背景下的精神病学:移民和难民的精神障碍
IF 1.7 Q3 PSYCHIATRY Pub Date : 2025-07-19 DOI: 10.1016/j.jbct.2025.100544
Andrei Efremov

Context

The study aimed to determine the impact of cultural change on the mental health of migrants and refugees in the United States, including an analysis of mental disorders (depression, anxiety disorders, post-traumatic stress disorder (PTSD), social isolation, stress, and adjustment difficulties) associated with adaptation to new cultural norms and living conditions.

Method

The methodology included an examination of regulatory documents, clinical case studies, comparative analysis, and both theoretical and content analysis. The impact of migration on the mental health of migrants and refugees in the United States was addressed, focusing on legal, social and medical aspects. Real-world cases from refugee clinics in New York (2014–2016) were analysed based on data from U.S. mental health agencies. Committee for Refugees and Immigrants, American Psychological Association, National Immigrant Justice Centre. Unique data were the quantitative and qualitative indicators indicating a high proportion of PTSD, depression and anxiety among refugees (up to 70% of patients).

Results

The study determined that the key barriers to improving mental health are language and culture, uncertain legal status, and lack of access to social support. The results confirmed that a comprehensive approach, including the integration of psychotherapy, medication and social adaptation, is effective for the rehabilitation of this population. The study also emphasised the need to expand health insurance programmes, introduce culturally sensitive approaches to treatment, and develop digital tools for psychological care.

Conclusions

These findings can be used as a basis for further research and the development of new strategies to support the mental health of these groups.
本研究旨在确定文化变化对美国移民和难民心理健康的影响,包括分析与适应新文化规范和生活条件相关的精神障碍(抑郁症、焦虑症、创伤后应激障碍(PTSD)、社会隔离、压力和适应困难)。方法研究方法包括查阅规范性文件、临床病例研究、比较分析、理论分析和内容分析。讨论了移民对美国境内移民和难民心理健康的影响,重点是法律、社会和医疗方面。根据美国精神卫生机构的数据,分析了纽约难民诊所(2014-2016年)的真实案例。难民和移民委员会,美国心理协会,国家移民司法中心。独特的数据是定量和定性指标,表明难民中创伤后应激障碍、抑郁和焦虑的比例很高(高达70%的患者)。结果研究发现,影响心理健康的主要障碍是语言和文化、不确定的法律地位以及缺乏社会支持。结果证实,包括心理治疗、药物治疗和社会适应相结合的综合方法对这一人群的康复是有效的。该研究还强调,有必要扩大医疗保险计划,引入对文化敏感的治疗方法,并开发用于心理护理的数字工具。结论本研究结果可作为进一步研究的基础和制定新的策略来支持这些群体的心理健康。
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引用次数: 0
How many sessions of CBT-I are needed? 需要多少次CBT-I治疗?
IF 1.7 Q3 PSYCHIATRY Pub Date : 2025-07-19 DOI: 10.1016/j.jbct.2025.100543
Susanna Jernelöv
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引用次数: 0
Mindful path to psychological wellbeing: a comprehensive review 通往心理健康的正念之路:全面回顾
IF 1.7 Q3 PSYCHIATRY Pub Date : 2025-07-19 DOI: 10.1016/j.jbct.2025.100537
Shubhangi Attrey , Shilpa Joshi , Vimal Bhatt

Purpose

Mindfulness has recently emerged as a topic of significant interest and discussion. A key element of psychological well-being is mindfulness, which promotes improved self-awareness, emotional control, focus, stress management, self-regulation, and reduces stress and anxiety, which leads to greater well-being and life satisfaction.
The current research aims to explore the conceptualization of mindfulness, its dimensions, and its integration with psychological wellbeing dimensions, contributing to the achievement of greater overall wellbeing.

Methodology

This is a general review paper using PRISMA, which includes data from sources, including research papers, review articles from Scopus database with a year ranging from 2010 to 2024.

Findings

The majority of measures showed a positive correlation between mindfulness and successful outcomes. The present study also suggests that mindfulness has the potential to enhance wellbeing outcomes (e.g., autonomy, self-acceptance, environmental mastery, personal growth, and interpersonal relationships) by reducing mental health issues such as stress, anxiety, and depression.

Limitations/implications

The study’s insights from a particular region are limited due to its focus only on mindfulness with psychological well-being components to reduce the impact of post psychological outcomes, which may have an impact on the findings’ generalizability. For the results to be more applicable and relevant in a variety of academic contexts, future research should aim in understanding the long-term sustainability of mindfulness benefits in all walks of life. Additionally, examining the impact of mindfulness on specific organizational outcomes, such as turnover rates, employee engagement, and team dynamics, could provide deeper insights into its benefits.

Originality

This study examines the integration of mindfulness with various components of psychological well-being and indicates that mindfulness is positively correlated with a number of well-being outcomes. It is recommended that both individuals and organizations incorporate mindfulness practices into their daily routines in order to promote a culture of well-being that not only strengthens individual resilience but also improves personal health.
最近,正念已经成为一个非常有趣和讨论的话题。心理健康的一个关键要素是正念,它能提高自我意识、情绪控制、注意力、压力管理、自我调节,减少压力和焦虑,从而带来更大的幸福感和生活满意度。本研究旨在探索正念的概念化、维度及其与心理健康维度的整合,为实现更大的整体健康做出贡献。这是一篇使用PRISMA的一般性综述论文,数据来源包括Scopus数据库中的研究论文、综述文章,年份从2010年到2024年。研究结果表明,大多数研究都表明,正念与成功之间存在正相关关系。本研究还表明,正念有可能通过减少压力、焦虑和抑郁等心理健康问题来提高幸福感(例如,自主性、自我接纳、环境掌控、个人成长和人际关系)。局限性/启示:由于该研究仅关注具有心理健康成分的正念,以减少心理后结果的影响,因此该研究对特定区域的见解是有限的,这可能会影响研究结果的普遍性。为了使研究结果更适用于各种学术背景,未来的研究应着眼于了解正念在各行各业的长期可持续性。此外,研究正念对特定组织结果的影响,如流动率、员工敬业度和团队动态,可以更深入地了解它的好处。本研究考察了正念与心理健康的各个组成部分的整合,并表明正念与许多健康结果呈正相关。建议个人和组织将正念练习纳入日常生活,以促进一种幸福的文化,这种文化不仅可以增强个人的适应力,还可以改善个人健康。
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引用次数: 0
No variable left behind: The necessity for multi-variable assessments of insomnia 不留变量:对失眠进行多变量评估的必要性
IF 1.7 Q3 PSYCHIATRY Pub Date : 2025-07-18 DOI: 10.1016/j.jbct.2025.100541
Alexandria Muench , Hannah Scott , Janet M.Y. Cheung
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引用次数: 0
期刊
Journal of Behavioral and Cognitive Therapy
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