International Journal of Cognitive Therapy最新文献

The principles of CBT emphasize the interactions among cognition, emotion, and behavior. CBT’s origins lie in Stoicism philosophy and share similarities with the ideas of Confucianism, Taoism, and Traditional Chinese Medicine (TCM) in China. The idea of mind–body regulation in traditional Chinese culture has laid a cultural foundation for the promotion of CBT in China. This paper analyzes the applicability and challenges of CBT in China based on the current development of CBT in mainland China and the learning and practice of CBT therapists. It also explores the potential further development of CBT in China and the integration of CBT with the Chinese culture.

Interventions targeting anhedonia in depression demonstrate encouraging results in adults but are lacking for adolescents. Here, we have adapted a brief imagery-based intervention (IMAGINE), which has shown promising results in reducing symptoms of depression in young people, to focus specifically on reducing symptoms of anhedonia (IMAGINE-Positive). We augment positive mental imagery generation with techniques to upregulate positive affect. Eight participants completed the four-session intervention. Data on feasibility and acceptability were collected. Questionnaires of symptomology and cognitive mechanisms (e.g. depression, anhedonia and future imagery vividness) were administered at pre-intervention, post-intervention and 3-month follow-up. The intervention was feasible to deliver and acceptable to participants. There was a large reduction in depression symptom scores from pre- to post-intervention (d = 1.12) and 63% of participants showed reliable improvement (RI), which was maintained at follow-up (d = 2.51, RI = 86%). Although there were only small reductions in anhedonia from pre to post (d = 0.38, RI = 0), there was a large reduction from pre to follow-up (d = 1.28, RI = 29%). There were also large increases in positive future imagery vividness (post, d = − 1.08, RI = 50%; follow-up, d = − 2.02, RI = 29%). Initial evidence suggests that IMAGINE-Positive is feasible and acceptable and may have clinical utility, but future randomised controlled trials are needed to further evaluate efficacy.

Early maladaptive schemas (EMSs) have scarcely been studied in adolescents. The present study investigates EMSs in two clinical samples of 12–22-year-olds recruited from patients entering a specialized adolescent psychiatry clinic [n = 190] or a pediatric clinic [n = 119] in Finland. The endorsement of EMSs was compared between these samples, and the association of EMSs with perceived parental bonding was assessed. EMSs were assessed with the Young Schema Questionnaire-Short Form 2-Extended and particularly affectionless control parenting style with the Parental Bonding Instrument. The main analyses were conducted using general linear modeling. Significant differences existed between the two samples, with most EMSs and EMS domains being stronger in the adolescent psychiatry sample. The Disconnection and Rejection domain was associated with maternal affectionless control in the adolescent psychiatry sample and paternal affectionless control in the pediatric sample. The results provide novel findings of EMSs in adolescents and their links to parenting.

Abstract

In this overview, I consider the gregariousness of human nature and use it as context for the five articles in this special issue on suicidality. I point out that these five papers represent the diversity in concepts and methods characteristic of a young science, decades away from maturity. Nevertheless, I contend that there are commonalities in suicidality specifically and human experience more generally, and that themes like human sociality may serve as a heuristic in understanding them and in preventing the deaths by suicide.

Understanding the factors that are associated with individual differences in emotion regulation (ER) difficulties, which is one of the common transdiagnostic factors underlying many psychological disorders, is crucial for understanding and treating psychological disorders. The aim of the two investigations was to examine the mediator role of looming cognitive style (LCS) in the relationship of harm avoidance (HA) with both state and trait forms of ER difficulty. A total of 362 adults participated in Study 1 and 236 adults in Study 2. They completed measurements of HA, LCS, and ER. In Study 2, participants were induced into an anxious mood state and filled out a scale measuring ER in that process. Path analysis demonstrated that social looming between HA and trait ER and physical looming between HA and state ER had mediator roles. Finally, the alternative models which included HA and ER as the outcomes yielded poor fit. The results revealed that LCS significantly mediated the relationship of HA with both trait and state forms of ER difficulty, providing support for the model that aimed to explain how LCS contributes to the development and maintenance of psychological disorders.

This study aimed to investigate the effectiveness of group emotional schema therapy (EST) on emotional schemas, quality of life, cognitive emotion regulation strategies, and symptoms of patients with bipolar disorder. The study participants consisted of 16 individuals aged 20 to 50, randomly assigned to the emotional schema therapy group or the waiting list control group. The therapy group attended 12 weekly sessions. The measures used were the Leahy Emotional Schema Scale (LESS), the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), the Cognitive Emotion Regulation Questionnaire (CERQ), the Beck Depression Inventory-II (BDI-II), and the Young Mania Rating Scale (YMRS). The study consisted of pre-test and post-test assessments. The results showed that participants in the intervention group significantly improved emotional schemas, quality of life, cognitive emotion regulation strategies, and symptoms. Overall, this study suggests that group emotional schema therapy may be a practical treatment approach for patients with bipolar disorder.

Worry can be productive when it concerns future events we have control over, but unproductive when those events cannot be controlled. We tested the novel hypothesis that to the extent people restrict their attention to threat cues signalling dangers they can potentially control, they may also be better at restricting their worrying to situations over which they have a high (rather than low) degree of control. In 67 participants, we measured the relative magnitude of attentional bias to threat cues signalling more versus less controllable dangers (i.e. alignment). Next, they underwent a speech-related worry induction task in which we assessed worry when the outcome of this task could be controlled (productive worry) and when such control was not possible (unproductive worry). As predicted, greatest attentional bias alignment was observed in those with high productive, low unproductive worry. This has implications for how to target attentional mechanisms in worry-related psychopathology.

Juvenile ankylosing spondylitis (JAS) is a systemic inflammatory arthritis that can negatively impact quality of life and mood. While psychological interventions, such as cognitive behavioral therapy (CBT), are recommended for addressing mood and adjustment in juvenile rheumatic diseases, there is currently no literature describing the application of CBT in adolescents with JAS. This case study presents the first use of a CBT framework in an adolescent with JAS. A 15-year-old male participated in 17 CBT sessions targeting pain management, anxiety, and functional impairments related to his JAS. Therapy focused on the acquisition of coping and self-regulation skills to improve functioning, reduce mood concerns, and manage pain. CBT led to significant improvements in depression, anxiety, and quality of life measures. The patient reported subjective enhancements in health behaviors, pain, and general functioning. This study discusses areas in which CBT may benefit adolescents with JAS and suggests avenues for future research.