International Journal of Cognitive Therapy最新文献

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.

The aim of this study was to assess the effect of cognitive behavioural therapy intervention on sleep and health improvement in patients with cardiometabolic syndrome and sleep problems. This study also aimed to assess the effect of different study designs to explain the overall intervention effect through subgroup analysis. Relevant randomized controlled trial studies were searched through six online databases. The PEDro scale was used to assess the quality of the included studies. The random effects model was used to assess the mean difference, effect size, and standard deviation of the outcome variables. The heterogeneity of the included studies was assessed using I² and Q tests. Publication bias was assessed by the Egger test. Cognitive behavioural therapy intervention provided a significant effect in improving the Pittsburgh Sleep Quality Index, Insomnia Severity Index, total sleep time, sleep efficiency, depression, fatigue, and HbA1c. The effect of cognitive behavioural therapy is more significant when relaxation training and education components are included. Cognitive behavioural therapy is suitable for the treatment of sleep problems in patients with cardiometabolic syndrome. Cognitive behavioural therapy is also effective on depression and fatigue but has a limited effect on blood pressure and biomedical indicators related to cardiometabolic syndrome.