Pub Date : 2025-07-03DOI: 10.1016/j.jbct.2025.100535
Catherine Bortolon , Stéphane Raffard
How people regulate their positive affect has been found to be key for mental health, while being implicated in mental health disorders such as bipolar disorder and depression. The goal of this study was to validate a French version of the Responses to Positive Affect Scale (RPA, Feldman et al., 2008), which provides a measure of two emotion regulation strategies to up-regulate positive affect (rumination) and down-regulate it (dampening). This online study was comprised of different questionnaires designed to analyse the psychometric properties of the RPA in French non-clinical populations. The proposed three-factor model shows an adequate fit to the data, with all approximate fit indices showing acceptable model fit. One item had a lower loading on the dampening factor and was excluded from the analyses. The three subscales of the RPA showed satisfactory internal consistency. The scale also demonstrates good convergent validity and acceptable test–retest validity. This online study can be associated with common limits of self-reported measures. Moreover, our results should be replicated in future studies to validate its discriminant capacity and measurement invariance. In conclusion, the French version of the RPA can be considered reliable for assessing how people upregulate and downregulate positive emotions. Contrary to other measures of emotion regulation, the RPA focus specifically on positive affect and might be particularly relevant in the context of bipolar disorder, depression and other mental health disorders characterised by maladaptive regulation of positive emotions.
人们如何调节自己的积极情绪已被发现是心理健康的关键，同时与双相情感障碍和抑郁症等心理健康障碍有关。本研究的目的是验证法国版的积极情绪反应量表（RPA, Feldman et al., 2008），该量表提供了两种情绪调节策略的测量，以上调积极情绪（反刍）和下调积极情绪（抑制）。这项在线研究由不同的问卷组成，旨在分析法国非临床人群RPA的心理测量特性。所提出的三因素模型显示出对数据的充分拟合，所有近似拟合指标显示出可接受的模型拟合。其中一项对阻尼因子的负荷较低，因此被排除在分析之外。RPA的三个分量表具有良好的内部一致性。量表具有良好的收敛效度和可接受的重测效度。这项在线研究可以与自我报告措施的共同限制相关联。此外，我们的研究结果需要在未来的研究中得到验证，以验证其判别能力和测量不变性。总之，法语版的RPA可以被认为是可靠的，用于评估人们如何上调和下调积极情绪。与其他情绪调节措施相反，RPA特别关注积极情绪，可能在双相情感障碍、抑郁症和其他以积极情绪调节不良为特征的精神健康障碍的背景下特别相关。
{"title":"French validation of the responses to positive affect scale","authors":"Catherine Bortolon , Stéphane Raffard","doi":"10.1016/j.jbct.2025.100535","DOIUrl":"10.1016/j.jbct.2025.100535","url":null,"abstract":"<div><div>How people regulate their positive affect has been found to be key for mental health, while being implicated in mental health disorders such as bipolar disorder and depression. The goal of this study was to validate a French version of the Responses to Positive Affect Scale (RPA, Feldman et al., 2008), which provides a measure of two emotion regulation strategies to up-regulate positive affect (rumination) and down-regulate it (dampening). This online study was comprised of different questionnaires designed to analyse the psychometric properties of the RPA in French non-clinical populations. The proposed three-factor model shows an adequate fit to the data, with all approximate fit indices showing acceptable model fit. One item had a lower loading on the dampening factor and was excluded from the analyses. The three subscales of the RPA showed satisfactory internal consistency. The scale also demonstrates good convergent validity and acceptable test–retest validity. This online study can be associated with common limits of self-reported measures. Moreover, our results should be replicated in future studies to validate its discriminant capacity and measurement invariance. In conclusion, the French version of the RPA can be considered reliable for assessing how people upregulate and downregulate positive emotions. Contrary to other measures of emotion regulation, the RPA focus specifically on positive affect and might be particularly relevant in the context of bipolar disorder, depression and other mental health disorders characterised by maladaptive regulation of positive emotions.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100535"},"PeriodicalIF":1.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534226","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}
Pub Date : 2025-07-02DOI: 10.1016/j.jbct.2025.100536
Ayelet Gur , Gilat Bavly , Mooli Lahad
Post-traumatic stress disorder and childhood trauma are prevalent in prison populations, linking traumatic experiences to criminal behavior. This study aimed to examine the effectiveness of SEE FAR cognitive behavioral therapy in reducing post-traumatic stress disorder symptoms, depression, and subjective distress among male inmates, and to explore recidivism rates. SEE FAR cognitive behavioral therapy combines cognitive behavioral therapy, somatic experience, and imagery-based methods, incorporating therapeutic cards with artistic drawings to facilitate trauma processing across cultural barriers. A pre-post intervention design was employed with thirty-eight adult male inmates at an Israeli prison who completed the full treatment protocol alongside mandatory rehabilitation programs. Participants showed significant improvements across all clinical measures with large effect sizes. Post-traumatic stress disorder symptoms, depression scores, and subjective distress ratings demonstrated statistically significant reductions following treatment, with average symptom reduction exceeding thresholds for clinically significant change. Correlational analyses revealed that participants with higher baseline symptom severity experienced proportionally greater treatment gains. Preliminary recidivism analysis of thirty-five released inmates showed lower reoffending rates compared to the general prison population in the first two years post-release. The intervention succeeded despite frequent prison environment disruptions and demonstrated effectiveness across diverse offense types. These preliminary findings suggest the protocol’s potential as a mental health treatment in correctional settings, though controlled studies with larger samples are needed to establish effectiveness and confirm impacts on recidivism.
{"title":"A pilot study of SEE FAR CBT in prison settings: Effects on PTSD symptoms and recidivism rates","authors":"Ayelet Gur , Gilat Bavly , Mooli Lahad","doi":"10.1016/j.jbct.2025.100536","DOIUrl":"10.1016/j.jbct.2025.100536","url":null,"abstract":"<div><div>Post-traumatic stress disorder and childhood trauma are prevalent in prison populations, linking traumatic experiences to criminal behavior. This study aimed to examine the effectiveness of SEE FAR cognitive behavioral therapy in reducing post-traumatic stress disorder symptoms, depression, and subjective distress among male inmates, and to explore recidivism rates. SEE FAR cognitive behavioral therapy combines cognitive behavioral therapy, somatic experience, and imagery-based methods, incorporating therapeutic cards with artistic drawings to facilitate trauma processing across cultural barriers. A pre-post intervention design was employed with thirty-eight adult male inmates at an Israeli prison who completed the full treatment protocol alongside mandatory rehabilitation programs. Participants showed significant improvements across all clinical measures with large effect sizes. Post-traumatic stress disorder symptoms, depression scores, and subjective distress ratings demonstrated statistically significant reductions following treatment, with average symptom reduction exceeding thresholds for clinically significant change. Correlational analyses revealed that participants with higher baseline symptom severity experienced proportionally greater treatment gains. Preliminary recidivism analysis of thirty-five released inmates showed lower reoffending rates compared to the general prison population in the first two years post-release. The intervention succeeded despite frequent prison environment disruptions and demonstrated effectiveness across diverse offense types. These preliminary findings suggest the protocol’s potential as a mental health treatment in correctional settings, though controlled studies with larger samples are needed to establish effectiveness and confirm impacts on recidivism.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 4","pages":"Article 100536"},"PeriodicalIF":1.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522439","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}
Pub Date : 2025-06-13DOI: 10.1016/j.jbct.2025.100531
Simon Zuscak , Mark Whittington
Psychoeducation is an important therapeutic process that aims to empower individuals to manage their mental health challenges. This pilot study explored the efficacy of a single-session psychoeducational approach, comparing traditional Cognitive Behavioural Therapy (CBT) with a novel Metaphorical Therapy (MT). Participants (N = 35) underwent either a single psychoeducational session of CBT or MT. Results indicated that both CBT and MT groups demonstrated increased knowledge and agency following the intervention, with no significant differences between conditions. Participants expressed high satisfaction with the session and the single-session format facilitated the development of a therapeutic alliance. Overall, this study found that brief psychoeducational interventions exhibit positive outcomes, and that MT is comparable to CBT. Future research is needed with larger sample sizes and extended intervention durations to comprehensively assess treatment efficacy and changes in symptom burden, and to further the evidence base for MT.
{"title":"Efficacy of a single-session psychoeducational intervention delivered in CBT and metaphorical therapy format: A pilot study","authors":"Simon Zuscak , Mark Whittington","doi":"10.1016/j.jbct.2025.100531","DOIUrl":"10.1016/j.jbct.2025.100531","url":null,"abstract":"<div><div>Psychoeducation is an important therapeutic process that aims to empower individuals to manage their mental health challenges. This pilot study explored the efficacy of a single-session psychoeducational approach, comparing traditional Cognitive Behavioural Therapy (CBT) with a novel Metaphorical Therapy (MT). Participants (N = 35) underwent either a single psychoeducational session of CBT or MT. Results indicated that both CBT and MT groups demonstrated increased knowledge and agency following the intervention, with no significant differences between conditions. Participants expressed high satisfaction with the session and the single-session format facilitated the development of a therapeutic alliance. Overall, this study found that brief psychoeducational interventions exhibit positive outcomes, and that MT is comparable to CBT. Future research is needed with larger sample sizes and extended intervention durations to comprehensively assess treatment efficacy and changes in symptom burden, and to further the evidence base for MT.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100531"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280883","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}
Pub Date : 2025-06-13DOI: 10.1016/j.jbct.2025.100534
Edilaine Aparecida da Silva , Gislene Diniz Moraes , Eduardo de Moura Neto , Tarcísio Silva Coelho , Caio Margarido Moreira , Victor Cavallari Souza , Rodrigo Bazan , Jeffer Eidi Sasaki , Janser Moura Pereira , Gustavo José Luvizutto , Luciane Aparecida Pascucci Sande de Souza
Background
Preliminary studies have suggested that neuropsychological rehabilitation is a potentially useful tool for treating cognitive deficits associated with patients with long COVID.
Objective
This study aimed to evaluate the effects of physical training (PT) alone or in combination with cognitive training (PCT) on the cognitive abilities of individuals with long COVID.
Methods
This multicenter, pilot, randomized, single-blind, parallel-group study included 81 individuals with long COVID. The individuals were randomized into two groups: 1) PT: n = 37 and 2) PCT: n = 44. Cognitive abilities (decision time, decision quality, reaction time, reaction quality, attention, and impulsivity control [analyzed through a three-level cognitive test]) were evaluated using the mobile application. In the PCT group, physical exercise was associated with the performance of cognitive tasks (reaction time, Stroop, memory, go/no-go, and Simon tasks) using a mobile application. The PT group was presented with a recorded video of the physical activities streamed on YouTube. Individuals performed seven exercises at home, with tasks involving the most frequent activities of daily living. Fifteen sessions of 50 min, three times a week, for five weeks with a moderate challenge, were performed.
Results
There was an increase in decision quality in the PCT group compared to the PT group at the end of the intervention (p = 0.008). Participants in both groups showed improved after training in reaction quality, attention, and impulsivity control.
Conclusion
Smartphone-based physical training combined with cognitive training increase decision quality. Both training (PCT and PT) increased the reaction quality, attention, and impulsivity control.
初步研究表明，神经心理康复是治疗长冠状病毒患者相关认知缺陷的潜在有用工具。目的探讨单纯体能训练（PT）或联合认知训练（PCT）对长冠肺炎患者认知能力的影响。方法本研究采用多中心、先导、随机、单盲、平行组研究，纳入81例长冠状病毒感染者。这些个体被随机分为两组：1)PT: n = 37和2)PCT: n = 44。认知能力（决策时间、决策质量、反应时间、反应质量、注意力和冲动控制[通过三级认知测试分析]）使用移动应用程序进行评估。在PCT组中，体育锻炼与使用移动应用程序的认知任务（反应时间、Stroop、记忆、go/no-go和Simon任务）的表现有关。PT组观看了一段在YouTube上播放的体育活动录像。这些人在家里进行了七项锻炼，其中包括日常生活中最常见的活动。每周三次，每次50分钟，持续五周。结果干预结束时，PCT组的决策质量较PT组有所提高（p = 0.008）。训练后，两组参与者在反应质量、注意力和冲动控制方面都有所改善。结论智能手机体能训练与认知训练相结合可提高决策质量。两种训练（PCT和PT）都提高了反应质量、注意力和冲动控制。
{"title":"Effect of smartphone-based physical training combined with cognitive training on cognitive abilities in individuals with long COVID: A multicenter pilot randomized clinical trial","authors":"Edilaine Aparecida da Silva , Gislene Diniz Moraes , Eduardo de Moura Neto , Tarcísio Silva Coelho , Caio Margarido Moreira , Victor Cavallari Souza , Rodrigo Bazan , Jeffer Eidi Sasaki , Janser Moura Pereira , Gustavo José Luvizutto , Luciane Aparecida Pascucci Sande de Souza","doi":"10.1016/j.jbct.2025.100534","DOIUrl":"10.1016/j.jbct.2025.100534","url":null,"abstract":"<div><h3>Background</h3><div>Preliminary studies have suggested that neuropsychological rehabilitation is a potentially useful tool for treating cognitive deficits associated with patients with long COVID.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the effects of physical training (PT) alone or in combination with cognitive training (PCT) on the cognitive abilities of individuals with long COVID.</div></div><div><h3>Methods</h3><div>This multicenter, pilot, randomized, single-blind, parallel-group study included 81 individuals with long COVID. The individuals were randomized into two groups: 1) PT: <em>n</em> = 37 and 2) PCT: <em>n</em> = 44. Cognitive abilities (decision time, decision quality, reaction time, reaction quality, attention, and impulsivity control [analyzed through a three-level cognitive test]) were evaluated using the mobile application. In the PCT group, physical exercise was associated with the performance of cognitive tasks (reaction time, Stroop, memory, go/no-go, and Simon tasks) using a mobile application. The PT group was presented with a recorded video of the physical activities streamed on YouTube. Individuals performed seven exercises at home, with tasks involving the most frequent activities of daily living. Fifteen sessions of 50 min, three times a week, for five weeks with a moderate challenge, were performed.</div></div><div><h3>Results</h3><div>There was an increase in decision quality in the PCT group compared to the PT group at the end of the intervention (<em>p</em> = 0.008). Participants in both groups showed improved after training in reaction quality, attention, and impulsivity control.</div></div><div><h3>Conclusion</h3><div>Smartphone-based physical training combined with cognitive training increase decision quality. Both training (PCT and PT) increased the reaction quality, attention, and impulsivity control.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100534"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271287","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}
Pub Date : 2025-06-13DOI: 10.1016/j.jbct.2025.100533
Mélinée Chapoutot , Francesca Meloni , Laure Peter-Derex , Hélène Bastuji , Wendy Leslie , Benjamin Schoendorff , Raphaël Heinzer , Alain Nicolas , Susan Higgins , Alexia Bourgeois , Guillaume T. Vallet , Royce Anders , Marc Ounnoughene , Francesca Siclari , Yasser Khazaal , Benjamin Putois
Benzodiazepines (BZs) are psychotropic medications mainly prescribed for insomnia and anxiety. They can cause dependence, leading to decades of use. As such, there is debate grounded in confusion between substance abuse and fear of dependence in some patients. Clinical practice and evidence-based reviews agree that BZ dependence is difficult to treat: without support, only 7% of misusers manage to stop taking them. Analyzing randomized control trials (RCTs), this review examines three main interventions for BZ withdrawal: brief intervention (BI), substitution medication (SM) and cognitive-behavioral therapy (CBT). Post-intervention abstinence rates suggest that BIs can be compared to a simple taper program (TP), requiring low patient involvement, and may enable one in three patients to discontinue BZ use. However, this strategy should be considered with caution: outcomes could be adversely affected by the presence of a psychiatric disorder, a factor not controlled in these studies, nor are long-term results evaluated. Furthermore, can we consider that treating one in three patients is sufficient? CBT proved highly effective, enabling three in four patients attempting to abstain to successfully discontinue use, including patients with insomnia or anxiety. The SM approach showed no superiority over placebo effects. Moreover, abstinence rates being only measured over the very short term, no recommendations can be made regarding their use. This review concludes that there is a major methodological discrepancy between these approaches, BI and SM studies presenting substantially lower methodological quality in comparison to CBT studies. The present article proposes methodological recommendations for the study of BZ withdrawal methods.
{"title":"A narrative review of strategies for discontinuing long-term benzodiazepine use and methodological recommendations: Is a success rate of only one in three patients sufficient?","authors":"Mélinée Chapoutot , Francesca Meloni , Laure Peter-Derex , Hélène Bastuji , Wendy Leslie , Benjamin Schoendorff , Raphaël Heinzer , Alain Nicolas , Susan Higgins , Alexia Bourgeois , Guillaume T. Vallet , Royce Anders , Marc Ounnoughene , Francesca Siclari , Yasser Khazaal , Benjamin Putois","doi":"10.1016/j.jbct.2025.100533","DOIUrl":"10.1016/j.jbct.2025.100533","url":null,"abstract":"<div><div>Benzodiazepines (BZs) are psychotropic medications mainly prescribed for insomnia and anxiety. They can cause dependence, leading to decades of use. As such, there is debate grounded in confusion between substance abuse and fear of dependence in some patients. Clinical practice and evidence-based reviews agree that BZ dependence is difficult to treat: without support, only 7% of misusers manage to stop taking them. Analyzing randomized control trials (RCTs), this review examines three main interventions for BZ withdrawal: brief intervention (BI), substitution medication (SM) and cognitive-behavioral therapy (CBT). Post-intervention abstinence rates suggest that BIs can be compared to a simple taper program (TP), requiring low patient involvement, and may enable one in three patients to discontinue BZ use. However, this strategy should be considered with caution: outcomes could be adversely affected by the presence of a psychiatric disorder, a factor not controlled in these studies, nor are long-term results evaluated. Furthermore, can we consider that treating one in three patients is sufficient? CBT proved highly effective, enabling three in four patients attempting to abstain to successfully discontinue use, including patients with insomnia or anxiety. The SM approach showed no superiority over placebo effects. Moreover, abstinence rates being only measured over the very short term, no recommendations can be made regarding their use. This review concludes that there is a major methodological discrepancy between these approaches, BI and SM studies presenting substantially lower methodological quality in comparison to CBT studies. The present article proposes methodological recommendations for the study of BZ withdrawal methods.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100533"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280884","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}
Pub Date : 2025-05-16DOI: 10.1016/j.jbct.2025.100532
Jessica Spencer , Marie-Paule Gustin , Royce Anders , Mélinée Chapoutot , Wendy Leslie , Benjamin Schoendorff , Nima Golijani-Moghaddam , David L. Dawson , Laure Peter-Derex , Benjamin Putois
Context
Prior research has identified that Acceptance and Commitment Therapy (ACT) may notably improve psychological flexibility. Despite its recognized effectiveness, French therapists and clinical researchers still lack the appropriate instruments to assess important parameters of ACT. For example, a previous standard in French, the AAQ-II, omits crucial variables that would fully represent ACT processes. In contrast, the CompACT scale, which encompasses the ensemble of ACT processes, through three dyadic processes (Openness to Experience, Behavioral Awareness, Valuation of Action), exhibits better suitability but lacks an empirically-validated adaptation in French. Therefore, this study aimed to translate, adapt, and validate the CompACT scale in French, focusing on both the general population and benzodiazepine users, the latter’s long-term use illustrates experiential avoidance, making them a highly relevant, alternative population for studying ACT processes. Statistical comparisons of these populations may be used to bring valuable insights and assess the scale’s construct validity.
Method
The CompACT scale was translated and counter-translated by experts. An intermediate version was pre-tested by 34 participants, leading to the final version for psychometric validation with 423 French speakers (269 benzodiazepine users, 154 general population). The study evaluated structure, reliability, and various validities.
Results
The French CompACT showed strong psychometric properties.
Conclusion
Validating the French CompACT provides a reliable ACT process measure. This is crucial as psychological inflexibility contributes to numerous psychopathologies, making CompACT valuable for therapists.
{"title":"Psychometric properties of the Comprehensive Assessment of Acceptance and Commitment Therapy processes (CompACT) scale: Extending validity research to a French population","authors":"Jessica Spencer , Marie-Paule Gustin , Royce Anders , Mélinée Chapoutot , Wendy Leslie , Benjamin Schoendorff , Nima Golijani-Moghaddam , David L. Dawson , Laure Peter-Derex , Benjamin Putois","doi":"10.1016/j.jbct.2025.100532","DOIUrl":"10.1016/j.jbct.2025.100532","url":null,"abstract":"<div><h3>Context</h3><div>Prior research has identified that Acceptance and Commitment Therapy (ACT) may notably improve psychological flexibility. Despite its recognized effectiveness, French therapists and clinical researchers still lack the appropriate instruments to assess important parameters of ACT. For example, a previous standard in French, the AAQ-II, omits crucial variables that would fully represent ACT processes. In contrast, the CompACT scale, which encompasses the ensemble of ACT processes, through three dyadic processes (Openness to Experience, Behavioral Awareness, Valuation of Action), exhibits better suitability but lacks an empirically-validated adaptation in French. Therefore, this study aimed to translate, adapt, and validate the CompACT scale in French, focusing on both the general population and benzodiazepine users, the latter’s long-term use illustrates experiential avoidance, making them a highly relevant, alternative population for studying ACT processes. Statistical comparisons of these populations may be used to bring valuable insights and assess the scale’s construct validity.</div></div><div><h3>Method</h3><div>The CompACT scale was translated and counter-translated by experts. An intermediate version was pre-tested by 34 participants, leading to the final version for psychometric validation with 423 French speakers (269 benzodiazepine users, 154 general population). The study evaluated structure, reliability, and various validities.</div></div><div><h3>Results</h3><div>The French CompACT showed strong psychometric properties.</div></div><div><h3>Conclusion</h3><div>Validating the French CompACT provides a reliable ACT process measure. This is crucial as psychological inflexibility contributes to numerous psychopathologies, making CompACT valuable for therapists.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100532"},"PeriodicalIF":1.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071198","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}
Pub Date : 2025-05-08DOI: 10.1016/j.jbct.2025.100530
Kseniia Kondratenko, Weng-Tink Chooi
Social Networking Service/Site (SNS) use is deemed a double-edged sword: despite being a source of unlimited communication, networking possibilities, and entertainment, SNS can foster addiction symptoms and worsen mental health. The unprecedented growth of SNS use globally raised discussions about the need to manage SNS use and the possible tools and methods to do so. This study attempted to conduct and test an intervention which incorporated a cognitive-behavioral technique of self-reflection journaling to help participants manage and reduce their SNS use. A total of 68 participants aged 18–25 years monitored their daily SNS use by submitting their screen time from their smartphones during a period of seven days, and again, during another five days of follow-up after a 14-day break. During the seven-day period, participants (n1 = 34) in the experimental group applied a cognitive-behavioral technique of self-reflection and submitted daily journal entries, while participants in the control group (n2 = 34) only monitored and submitted their screen time. The findings suggest that the daily self-reflection and journaling did not significantly reduce SNS use of participants in the experimental group, as the SNS use of both groups did not significantly decrease over the 7-day period. Additionally, no significant differences were observed in the SNS use duration between the two groups during the follow-up stage. The study findings suggested that screen time monitoring and self-reflection did not lead to significant behavioral changes in this short intervention period, and more research is needed to shed light on effective tools for intervention.
{"title":"Effectiveness of daily self-reflection and monitoring SNS use screen time in reducing SNS use","authors":"Kseniia Kondratenko, Weng-Tink Chooi","doi":"10.1016/j.jbct.2025.100530","DOIUrl":"10.1016/j.jbct.2025.100530","url":null,"abstract":"<div><div>Social Networking Service/Site (SNS) use is deemed a double-edged sword: despite being a source of unlimited communication, networking possibilities, and entertainment, SNS can foster addiction symptoms and worsen mental health. The unprecedented growth of SNS use globally raised discussions about the need to manage SNS use and the possible tools and methods to do so. This study attempted to conduct and test an intervention which incorporated a cognitive-behavioral technique of self-reflection journaling to help participants manage and reduce their SNS use. A total of 68 participants aged 18–25 years monitored their daily SNS use by submitting their screen time from their smartphones during a period of seven days, and again, during another five days of follow-up after a 14-day break. During the seven-day period, participants (n<sub>1</sub> = 34) in the experimental group applied a cognitive-behavioral technique of self-reflection and submitted daily journal entries, while participants in the control group (n<sub>2</sub> = 34) only monitored and submitted their screen time. The findings suggest that the daily self-reflection and journaling did not significantly reduce SNS use of participants in the experimental group, as the SNS use of both groups did not significantly decrease over the 7-day period. Additionally, no significant differences were observed in the SNS use duration between the two groups during the follow-up stage. The study findings suggested that screen time monitoring and self-reflection did not lead to significant behavioral changes in this short intervention period, and more research is needed to shed light on effective tools for intervention.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 3","pages":"Article 100530"},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922538","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}
Pub Date : 2025-03-10DOI: 10.1016/j.jbct.2025.100524
Damla Kuleli , Philip Tyson , Nyle H. Davies , Biao Zeng
Background
Virtual Reality Exposure Therapy (VRET) is the most widely used Virtual Reality psychotherapeutic intervention. There is empirical evidence supporting the effectiveness of VRET on Specific Phobia and Social Anxiety Disorder. Since it has an advantage over in-vivo Exposure Therapy (IVET) in being cost-effective, adaptable and controllable, previous studies suggest it is a suitable alternative psychotherapeutic intervention for IVET. However, there is a need for a meta-analysis to compare the effectiveness of VRET and IVET.
Aim
The present meta-analysis aimed to examine the effectiveness of VRET and IVET in the treatment of social anxiety disorder and specific phobia.
Methods
Eligible studies needed to be randomised controlled trials which included adults diagnosed with social anxiety or specific phobia according to the DSM-4 and DSM-5 or ICD 10. Studies needed to include two treatment conditions, VRET (using a head-mounted display) and IVET, and these should be accompanied by an additional control condition. Studies also needed to include pre-and post-assessment measures to allow for the calculation of effect size estimates. The electronic databases, PubMed, PsycNet, ProQuest and ScienceDirect were systematically searched for the relevant randomised controlled studies.
Data collection and results
A random effects meta-analysis was conducted to examine the comparable effectiveness of VRET and IVET on symptomology. The analysis suggested that both are equally effective at reducing social phobia and anxiety symptoms with both approaches reporting moderate effect sizes.
Conclusions
Results of the meta-analysis demonstrate that VRET generates positive outcomes in the treatment of Specific Phobia and Social Anxiety Disorders which are comparable to IVET. However, due to the limited nature of the literature examined it is not possible to identify which approach is optimal.
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Pub Date : 2025-03-06DOI: 10.1016/j.jbct.2025.100527
Emily R. Weiss , Victoria R. Hart-Derrick , Tara Ramsay-Patel , Sarah E. Barnes , Holley Anderson , Carolyn Gatti , Margaret T. Davis
Borderline personality disorder (BPD) is often comorbid with disordered eating behaviors. Effective treatments are critically needed for this complex population. Mindful movement interventions may represent a promising, adjunctive treatment option for individuals with BPD symptoms, especially those with co-occurring disordered eating. Previous work has demonstrated that Taekwondo, a Korean martial art emphasizing mind–body connections, is an acceptable and feasible candidate intervention. This pilot study (N = 24, 79.2% female, Mage = 31.2; 75.0% white) examined acceptability and feasibility of a Taekwondo and Mindfulness intervention in a Dialectical Behavior Therapy (DBT) intensive outpatient program (IOP) using a within-subjects design. Patients consistently rated Taekwondo groups highly regarding average satisfaction and effectiveness (3.6–4.7/5), and showed significant state-level improvements in anxiety (p = 0.001. d = 0.76), sadness (p = 0.002, d = 0.74), happiness (p < 0.001, d = −0.86), and relaxation (p < 0.001, d = −0.96) following group participation. Conversely, significant changes in sadness (p = 0.082, d = 0.40) and happiness (p = 0.078, d = −0.41) were not observed following Comparison Groups (Traditional Mindfulness). Binge-eating frequency was correlated with greater reductions in sadness (r = 0.43, p = 0.041) following Taekwondo groups, but not Comparison Groups (r = 0.01, p = 0.977). Compared to non-purging individuals, patients reporting purging showed greater increases in happiness following Taekwondo groups (p = 0.024, d = 1.23), but smaller increases following Comparison Groups (p = 0.037, d = −1.24). Together, preliminary findings suggest an additive benefit of Taekwondo as a mindful movement adjunct to treatment.
边缘型人格障碍（BPD）通常与饮食行为紊乱并存。这一复杂人群迫切需要有效的治疗方法。正念运动干预可能是一种有希望的辅助性治疗选择，对于有BPD症状的个体，特别是那些同时发生饮食失调的个体。先前的研究表明，跆拳道是一种强调身心联系的韩国武术，是一种可接受且可行的候选干预手段。本初步研究(N = 24，女性79.2%,Mage = 31.2；75.0%白人)使用受试者内设计检验了跆拳道和正念干预在辩证行为治疗（DBT）强化门诊项目（IOP）中的可接受性和可行性。患者对跆拳道组的平均满意度和有效性均给予较高评价（3.6-4.7/5），焦虑水平也有显著改善（p = 0.001）。d = 0.76),悲伤(p = 0.002, d = 0.74),幸福(p & lt;0.001, d = - 0.86)，松弛(p <；0.001, d = - 0.96)。相反，在对照组（传统正念）中，悲伤（p = 0.082, d = 0.40）和快乐（p = 0.078, d = - 0.41）没有显著变化。在跆拳道组之后，暴食频率与悲伤程度的显著降低相关（r = 0.43, p = 0.041），但与对照组无关（r = 0.01, p = 0.977）。与未排毒的患者相比，排毒患者在跆拳道组后的幸福感增加更大（p = 0.024, d = 1.23），但在对照组后的幸福感增加较小（p = 0.037, d = - 1.24）。总之，初步的研究结果表明，跆拳道作为一种辅助治疗的正念运动有附加的好处。
{"title":"Acceptability and feasibility of a Taekwondo mindful movement intervention in Dialectical Behavior Therapy","authors":"Emily R. Weiss , Victoria R. Hart-Derrick , Tara Ramsay-Patel , Sarah E. Barnes , Holley Anderson , Carolyn Gatti , Margaret T. Davis","doi":"10.1016/j.jbct.2025.100527","DOIUrl":"10.1016/j.jbct.2025.100527","url":null,"abstract":"<div><div>Borderline personality disorder (BPD) is often comorbid with disordered eating behaviors. Effective treatments are critically needed for this complex population. Mindful movement interventions may represent a promising, adjunctive treatment option for individuals with BPD symptoms, especially those with co-occurring disordered eating. Previous work has demonstrated that Taekwondo, a Korean martial art emphasizing mind–body connections, is an acceptable and feasible candidate intervention. This pilot study (<em>N</em> = 24, 79.2% female, <em>M</em>age = 31.2; 75.0% white) examined acceptability and feasibility of a Taekwondo and Mindfulness intervention in a Dialectical Behavior Therapy (DBT) intensive outpatient program (IOP) using a within-subjects design. Patients consistently rated Taekwondo groups highly regarding average satisfaction and effectiveness (3.6–4.7/5), and showed significant state-level improvements in anxiety (<em>p</em> = 0.001. <em>d</em> = 0.76), sadness (<em>p</em> = 0.002, <em>d</em> = 0.74), happiness (<em>p</em> < 0.001, <em>d</em> = −0.86), and relaxation (<em>p</em> < 0.001, <em>d</em> = −0.96) following group participation. Conversely, significant changes in sadness (<em>p</em> = 0.082, <em>d</em> = 0.40) and happiness (<em>p</em> = 0.078, <em>d</em> = −0.41) were not observed following Comparison Groups (Traditional Mindfulness). Binge-eating frequency was correlated with greater reductions in sadness (<em>r</em> = 0.43, <em>p</em> = 0.041) following Taekwondo groups, but not Comparison Groups (<em>r</em> = 0.01, <em>p</em> = 0.977). Compared to non-purging individuals, patients reporting purging showed greater increases in happiness following Taekwondo groups (<em>p</em> = 0.024, <em>d</em> = 1.23), but smaller increases following Comparison Groups (<em>p</em> = 0.037, <em>d</em> = −1.24). Together, preliminary findings suggest an additive benefit of Taekwondo as a mindful movement adjunct to treatment.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 2","pages":"Article 100527"},"PeriodicalIF":1.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549815","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}
Eating and insomnia disorders (E&IDs) are prevalent and often comorbid among adolescents. A possible explanation for their co-existence is that they share some common maintaining mechanisms, such as increased negative affect, functional impairment, and reactivity to disease-related stimuli. This longitudinal study will identify common and specific risk factors for E&IDs and will employ virtual reality to test whether increased reactivity to disease-related stimuli discriminates between individuals at risk or with clinical symptoms and healthy peers. An additional aim is to test the feasibility of virtual reality exposure to target anxiety towards disease-related stimuli.
Methods
At least 850 adolescents (14–17 years) will complete a baseline assessment and two follow-ups (at 3 and 6–9 months), along with a 4-day ecological momentary assessment via a mobile app. Individuals at high-risk or with clinical symptoms of E&IDs and healthy peers will be exposed to a virtual reality (VR) environment including sleep or eating-related stimuli in a laboratory setting. Individuals at risk or with clinical symptoms will also be invited to use a self-directed, automatised exposure intervention for a week through VR.
Results
Variables predicting the transition from prodromal to clinical stages of E&IDs will be identified. Virtual reality exposure to disease-related stimuli will be tested as a potential tool to identify and remediate eating and sleep-related difficulties.
Conclusion
This project addresses the need for earlier, better, and more accessible interventions for young people with mental health issues. The implications include the advancement of scientific and clinical knowledge, benefits for patients and families, and the promotion of technological innovation.
{"title":"Healthier and earlier through digital technology: Towards a transdiagnostic staging model of eating and sleep disorders in adolescence (S.A.N.A.): A study protocol","authors":"Silvia Cerolini , Debora Meneo , Valentina Meregalli , Chiara Tosi , Elisabetta Baldi , Chiara Baglioni , Valentina Cardi","doi":"10.1016/j.jbct.2025.100525","DOIUrl":"10.1016/j.jbct.2025.100525","url":null,"abstract":"<div><h3>Background</h3><div>Eating and insomnia disorders (E&IDs) are prevalent and often comorbid among adolescents. A possible explanation for their co-existence is that they share some common maintaining mechanisms, such as increased negative affect, functional impairment, and reactivity to disease-related stimuli. This longitudinal study will identify common and specific risk factors for E&IDs and will employ virtual reality to test whether increased reactivity to disease-related stimuli discriminates between individuals at risk or with clinical symptoms and healthy peers. An additional aim is to test the feasibility of virtual reality exposure to target anxiety towards disease-related stimuli.</div></div><div><h3>Methods</h3><div>At least 850 adolescents (14–17 years) will complete a baseline assessment and two follow-ups (at 3 and 6–9 months), along with a 4-day ecological momentary assessment via a mobile app. Individuals at high-risk or with clinical symptoms of E&IDs and healthy peers will be exposed to a virtual reality (VR) environment including sleep or eating-related stimuli in a laboratory setting. Individuals at risk or with clinical symptoms will also be invited to use a self-directed, automatised exposure intervention for a week through VR.</div></div><div><h3>Results</h3><div>Variables predicting the transition from prodromal to clinical stages of E&IDs will be identified. Virtual reality exposure to disease-related stimuli will be tested as a potential tool to identify and remediate eating and sleep-related difficulties.</div></div><div><h3>Conclusion</h3><div>This project addresses the need for earlier, better, and more accessible interventions for young people with mental health issues. The implications include the advancement of scientific and clinical knowledge, benefits for patients and families, and the promotion of technological innovation.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"35 2","pages":"Article 100525"},"PeriodicalIF":1.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549816","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}
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