首页 > 最新文献

Journal of Behavior Therapy and Experimental Psychiatry最新文献

英文 中文
Examining two of the ingredients of Cognitive therapy for adolescent social anxiety disorder: Back-translation from a treatment trial
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-02-15 DOI: 10.1016/j.jbtep.2025.102020
Eleanor Leigh , David Clark , Kenny Chiu

Background

Cognitive Therapy for Social Anxiety Disorder (CT-SAD) based on the Clark & Wells model is a complex intervention comprised of a series of therapeutic elements. Two of the key ingredients are the self-focused attention and safety behaviour experiment and video feedback. The present study examined the effects of these two therapeutic procedures in adolescents with SAD, as well as common themes of the young people's social fears and negative self-images.

Method

35 participants with a diagnosis of SAD completed internet-delivered CT-SAD as part of a randomised controlled trial. We conducted a series of paired samples t-tests to evaluate the effects of the self-focused attention and safety behaviour experiment and video feedback. We applied Latent Dirichlet Allocation to identify latent topics based on participants' description of their social fears and negative self-images that were elicited during the course of these therapy procedures.

Results

Participants reported lower anxiety and more positive self-appraisals when focusing externally and dropping safety behaviours, compared to when focusing internally and using safety behaviours (ps < 0.0025). After they watched the videos compared to before, they reported more positive appraisals of their appearance and performance (ps < 0.0025). The differences in these outcomes were significantly larger when they focused internally and used safety behaviours, compared to focusing externally and dropping safety behaviours (ps < 0.0025). Topic modelling identified six social fear topics and five negative self-image topics.

Conclusions

Self-focused attention, safety behaviours, and negative self-imagery are modifiable with the ‘self-focused attention and safety behaviour experiment’ and ‘video feedback’ as part of internet delivered CT-SAD.
{"title":"Examining two of the ingredients of Cognitive therapy for adolescent social anxiety disorder: Back-translation from a treatment trial","authors":"Eleanor Leigh ,&nbsp;David Clark ,&nbsp;Kenny Chiu","doi":"10.1016/j.jbtep.2025.102020","DOIUrl":"10.1016/j.jbtep.2025.102020","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive Therapy for Social Anxiety Disorder (CT-SAD) based on the Clark &amp; Wells model is a complex intervention comprised of a series of therapeutic elements. Two of the key ingredients are the <em>self-focused attention and safety behaviour experiment</em> and <em>video feedback</em>. The present study examined the effects of these two therapeutic procedures in adolescents with SAD, as well as common themes of the young people's social fears and negative self-images.</div></div><div><h3>Method</h3><div>35 participants with a diagnosis of SAD completed internet-delivered CT-SAD as part of a randomised controlled trial. We conducted a series of paired samples t-tests to evaluate the effects of the <em>self-focused attention and safety behaviour experiment</em> and <em>video feedback</em>. We applied Latent Dirichlet Allocation to identify latent topics based on participants' description of their social fears and negative self-images that were elicited during the course of these therapy procedures.</div></div><div><h3>Results</h3><div>Participants reported lower anxiety and more positive self-appraisals when focusing externally and dropping safety behaviours, compared to when focusing internally and using safety behaviours (<em>ps</em> &lt; 0.0025). After they watched the videos compared to before, they reported more positive appraisals of their appearance and performance (<em>ps</em> &lt; 0.0025). The differences in these outcomes were significantly larger when they focused internally and used safety behaviours, compared to focusing externally and dropping safety behaviours (<em>ps</em> &lt; 0.0025). Topic modelling identified six social fear topics and five negative self-image topics.</div></div><div><h3>Conclusions</h3><div>Self-focused attention, safety behaviours, and negative self-imagery are modifiable with the ‘self-focused attention and safety behaviour experiment’ and ‘video feedback’ as part of internet delivered CT-SAD.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"88 ","pages":"Article 102020"},"PeriodicalIF":1.7,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Counterfactual thinking is associated with impoverished attentional control in women prone to self-critical rumination
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-02-04 DOI: 10.1016/j.jbtep.2025.102017
Jens Allaert , Rudi De Raedt , Alvaro Sanchez-Lopez , Marie-Anne Vanderhasselt

Background and objectives

Excessive engagement in counterfactual thinking (CFT), where individuals imagine alternative outcomes to past events, is associated with rumination, a process characterized by repetitive negative self-referential thoughts. Attentional control difficulties are closely linked with rumination, and negative thoughts can negatively impact attentional control among rumination-prone individuals. This study aimed to investigate the relationship between CFT and emotional and non-emotional attentional control among individuals with varying levels of self-critical rumination.

Methods

A sample of 100 female participants, characterized by varying levels of self-critical rumination, completed a choice task resulting in goal failure, during which they reported their levels of CFT. Subsequently, participants performed an attentional control task involving eye-tracking measures to assess emotional attentional engagement, emotional attentional disengagement, and emotional and non-emotional attentional shifting.

Results

Among women with high (but not low) self-critical rumination tendencies, increased levels of CFT were associated with slower attentional shifting from emotional stimuli of opposing valence, as well as between non-emotional stimuli.

Limitations

The correlational design of the study prevents causal interpretations of the findings. Additionally, the exclusive inclusion of female participants may limit the generalizability of the results.

Conclusions

This study underscores the association of CFT with subsequent attentional control among women prone to self-critical rumination, aligning with prior research suggesting a link between negative thoughts and attentional processes. Future research should explore these relationships in diverse populations and consider longitudinal designs to elucidate causal pathways.
{"title":"Counterfactual thinking is associated with impoverished attentional control in women prone to self-critical rumination","authors":"Jens Allaert ,&nbsp;Rudi De Raedt ,&nbsp;Alvaro Sanchez-Lopez ,&nbsp;Marie-Anne Vanderhasselt","doi":"10.1016/j.jbtep.2025.102017","DOIUrl":"10.1016/j.jbtep.2025.102017","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Excessive engagement in counterfactual thinking (CFT), where individuals imagine alternative outcomes to past events, is associated with rumination, a process characterized by repetitive negative self-referential thoughts. Attentional control difficulties are closely linked with rumination, and negative thoughts can negatively impact attentional control among rumination-prone individuals. This study aimed to investigate the relationship between CFT and emotional and non-emotional attentional control among individuals with varying levels of self-critical rumination.</div></div><div><h3>Methods</h3><div>A sample of 100 female participants, characterized by varying levels of self-critical rumination, completed a choice task resulting in goal failure, during which they reported their levels of CFT. Subsequently, participants performed an attentional control task involving eye-tracking measures to assess emotional attentional engagement, emotional attentional disengagement, and emotional and non-emotional attentional shifting.</div></div><div><h3>Results</h3><div>Among women with high (but not low) self-critical rumination tendencies, increased levels of CFT were associated with slower attentional shifting from emotional stimuli of opposing valence, as well as between non-emotional stimuli.</div></div><div><h3>Limitations</h3><div>The correlational design of the study prevents causal interpretations of the findings. Additionally, the exclusive inclusion of female participants may limit the generalizability of the results.</div></div><div><h3>Conclusions</h3><div>This study underscores the association of CFT with subsequent attentional control among women prone to self-critical rumination, aligning with prior research suggesting a link between negative thoughts and attentional processes. Future research should explore these relationships in diverse populations and consider longitudinal designs to elucidate causal pathways.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"87 ","pages":"Article 102017"},"PeriodicalIF":1.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143354865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Special Issue Registered Report: Intentional suppression as a method to boost fear extinction
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-02-04 DOI: 10.1016/j.jbtep.2025.102018
C.W.E.M. Quaedflieg , S.M. Ashton , T. Beckers , I. Timmers
Fear is a universal experience and fuels our response to cope with threat. Persistent fear, after the threat is no longer present, is a central symptom seen in a number of clinical conditions. Exposure therapy, the most common treatment to target fear, aims to reduce fear responses through repeated, controlled exposures to feared situations in the absence of the negative consequence, thus promoting extinction. However, this treatment is by no means effective for all people. This may be due to impaired extinction and the underlying mechanism of inhibitory retrieval. Intentional memory suppression has been shown to be a promising strategy to enhance this underlying inhibitory mechanism. We employed a newly developed paradigm combining aspects of the Think/No-Think procedure with fear extinction. Sixty-eight healthy participants learned 36 strong naturalistic reminder objects for aversive scenes. After learning, half of the objects were paired with an aversive scream (unconditioned stimulus/US). During the extinction phase, while viewing the objects, participants were instructed to repeatedly retrieve (Think instruction) or suppress (No-Think instruction) the corresponding scenes, or passively view the objects (View instruction). We hypothesised that intentional suppression would boost fear extinction, as shown by a reduced US expectancy to threat-conditioned objects that had been subject to memory suppression during extinction training compared to threat-conditioned objects that were passively viewed. Both intentional memory suppression and passive viewing reduced negative valence for upsetting scenes over time. Contrary to our hypothesis, the results indicated that intentional suppression (No-Think instruction) was not more effective in reducing US expectancy and fear than standard extinction (View instruction). Future research should address the limitation of self-reports by using physiological measures and examine whether intentional suppression may impact fear recovery and generalization following a longer extinction delay. The current findings show that, although intentional suppression can support inhibition of memories and reduce their valence, it may not be as effective as standard extinction methods in diminishing fear responses.
{"title":"Special Issue Registered Report: Intentional suppression as a method to boost fear extinction","authors":"C.W.E.M. Quaedflieg ,&nbsp;S.M. Ashton ,&nbsp;T. Beckers ,&nbsp;I. Timmers","doi":"10.1016/j.jbtep.2025.102018","DOIUrl":"10.1016/j.jbtep.2025.102018","url":null,"abstract":"<div><div>Fear is a universal experience and fuels our response to cope with threat. Persistent fear, after the threat is no longer present, is a central symptom seen in a number of clinical conditions. Exposure therapy, the most common treatment to target fear, aims to reduce fear responses through repeated, controlled exposures to feared situations in the absence of the negative consequence, thus promoting extinction. However, this treatment is by no means effective for all people. This may be due to impaired extinction and the underlying mechanism of inhibitory retrieval. Intentional memory suppression has been shown to be a promising strategy to enhance this underlying inhibitory mechanism. We employed a newly developed paradigm combining aspects of the Think/No-Think procedure with fear extinction. Sixty-eight healthy participants learned 36 strong naturalistic reminder objects for aversive scenes. After learning, half of the objects were paired with an aversive scream (unconditioned stimulus/US). During the extinction phase, while viewing the objects, participants were instructed to repeatedly retrieve (Think instruction) or suppress (No-Think instruction) the corresponding scenes, or passively view the objects (View instruction). We hypothesised that intentional suppression would boost fear extinction, as shown by a reduced US expectancy to threat-conditioned objects that had been subject to memory suppression during extinction training compared to threat-conditioned objects that were passively viewed. Both intentional memory suppression and passive viewing reduced negative valence for upsetting scenes over time. Contrary to our hypothesis, the results indicated that intentional suppression (No-Think instruction) was not more effective in reducing US expectancy and fear than standard extinction (View instruction). Future research should address the limitation of self-reports by using physiological measures and examine whether intentional suppression may impact fear recovery and generalization following a longer extinction delay. The current findings show that, although intentional suppression can support inhibition of memories and reduce their valence, it may not be as effective as standard extinction methods in diminishing fear responses.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"87 ","pages":"Article 102018"},"PeriodicalIF":1.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurocognitive performance in obsessive-compulsive disorder before and after treatment with cognitive behavioral therapy
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-01-20 DOI: 10.1016/j.jbtep.2025.102019
Michael G. Wheaton , Eyal Kalanthroff , Micha Mandel , Rachel Marsh , H. Blair Simpson

Background

Cross-sectional studies have reported neurocognitive performance deficits in obsessive-compulsive disorder (OCD), particularly on tasks assessing response inhibition and proactive control over stimulus-driven behaviors (task control). However, it is not clear whether these deficits represent trait-like markers of OCD or are state-dependent.

Methods

This study examined performance on two neurocognitive tasks in OCD patients (N = 26) before and after cognitive behavioral therapy (CBT) and matched healthy controls (HCs, N = 19). Tasks included the stop-signal task (assessing response inhibition) and the Object Interference (OI) task (assessing a specific form of task control). OCD patients completed these tasks and clinical ratings before and after 17 sessions of CBT delivered by expert therapists over two months. HCs completed tasks before and after 2-months. This design used CBT as a tool to reduce OCD symptoms to determine whether neurocognitive performance similarly improves.

Results

Results showed that OCD patients and HCs did not significantly differ in their stop-signal performance at either time point. In contrast, OCD patients exhibited impaired performance on the OI task at baseline and their OI performance improved after treatment, resolving the deficit relative to HC.

Limitations

The sample size was small, particularly for the healthy control group. We also tested only two neurocognitive tasks. Future study with larger sample sizes and more tasks is warranted.

Conclusions

These results suggest that task control deficits in OCD may be sensitive to symptom state. The possibility that improving task control represents a neurocognitive mechanism of successful CBT represents an important direction for future research.
{"title":"Neurocognitive performance in obsessive-compulsive disorder before and after treatment with cognitive behavioral therapy","authors":"Michael G. Wheaton ,&nbsp;Eyal Kalanthroff ,&nbsp;Micha Mandel ,&nbsp;Rachel Marsh ,&nbsp;H. Blair Simpson","doi":"10.1016/j.jbtep.2025.102019","DOIUrl":"10.1016/j.jbtep.2025.102019","url":null,"abstract":"<div><h3>Background</h3><div>Cross-sectional studies have reported neurocognitive performance deficits in obsessive-compulsive disorder (OCD), particularly on tasks assessing response inhibition and proactive control over stimulus-driven behaviors (task control). However, it is not clear whether these deficits represent trait-like markers of OCD or are state-dependent.</div></div><div><h3>Methods</h3><div>This study examined performance on two neurocognitive tasks in OCD patients (N = 26) before and after cognitive behavioral therapy (CBT) and matched healthy controls (HCs, N = 19). Tasks included the stop-signal task (assessing response inhibition) and the Object Interference (OI) task (assessing a specific form of task control). OCD patients completed these tasks and clinical ratings before and after 17 sessions of CBT delivered by expert therapists over two months. HCs completed tasks before and after 2-months. This design used CBT as a tool to reduce OCD symptoms to determine whether neurocognitive performance similarly improves.</div></div><div><h3>Results</h3><div>Results showed that OCD patients and HCs did not significantly differ in their stop-signal performance at either time point. In contrast, OCD patients exhibited impaired performance on the OI task at baseline and their OI performance improved after treatment, resolving the deficit relative to HC.</div></div><div><h3>Limitations</h3><div>The sample size was small, particularly for the healthy control group. We also tested only two neurocognitive tasks. Future study with larger sample sizes and more tasks is warranted.</div></div><div><h3>Conclusions</h3><div>These results suggest that task control deficits in OCD may be sensitive to symptom state. The possibility that improving task control represents a neurocognitive mechanism of successful CBT represents an important direction for future research.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"87 ","pages":"Article 102019"},"PeriodicalIF":1.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can an app designed to reduce repetitive negative thinking decrease depression and anxiety in young people? Results from a randomized controlled prevention trial 一款旨在减少重复消极思维的应用程序能减少年轻人的抑郁和焦虑吗?结果来自一项随机对照预防试验。
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-01-15 DOI: 10.1016/j.jbtep.2024.102014
Julia Funk , Johannes Kopf-Beck , Keisuke Takano , Edward Watkins , Thomas Ehring

Background and objectives

Rates of mental health disorders are rising among adolescents and young adults. Therefore, scalable methods for preventing psychopathology in these age groups are needed. As repetitive negative thinking (RNT) is a risk factor for depression and anxiety disorders, targeting RNT via smartphone app promises to be an effective, scalable strategy. The current three-arm, parallel group, randomized controlled trial tested whether a self-help app designed to reduce RNT decreased psychopathological symptoms and RNT in adolescents and young adults at risk for mental disorders.

Method

A sample of 16–22-year-olds with elevated levels of RNT (N = 365) were randomly allocated to either use a one of two self-help apps designed to reduce RNT for 6 weeks or to a waitlist. The full RNT-focused intervention app encompassed a variety of RNT-reducing strategies, whereas the concreteness training app focused on one of these strategies, namely, concrete thinking.

Results

The apps did not decrease depressive symptoms, anxiety symptoms and RNT relative to the waitlist. However, exploratory analyses using a minimum dose criterion showed that participants who used the full-RNT-focused intervention app more often, reported greater baseline to follow-up decreases in depressive symptoms compared to waitlist.

Limitations

Include decreased power due to slightly more dropout than expected and limited generalizability due to the mostly female and highly educated sample.

Conclusions

RNT-focused prevention via a self-help app did not decrease depression and anxiety, presumably due to too little engagement with the app content provided.
背景和目的:青少年和青壮年中精神健康障碍的发病率正在上升。因此,需要可扩展的方法来预防这些年龄组的精神病理。由于重复性消极思维(RNT)是抑郁症和焦虑症的一个风险因素,通过智能手机应用程序瞄准RNT有望成为一种有效的、可扩展的策略。目前的三组平行随机对照试验测试了旨在减少RNT的自助应用程序是否可以减少精神障碍风险的青少年和年轻人的精神病理症状和RNT。方法:一组16-22岁的RNT水平升高的年轻人(N = 365)被随机分配使用两款旨在减少RNT的自助应用程序中的一款,持续6周,或者进入等待名单。完整的以rnt为重点的干预应用程序包含各种减少rnt的策略,而具体训练应用程序侧重于其中一种策略,即具体思维。结果:相对于等待列表,应用程序没有减少抑郁症状、焦虑症状和RNT。然而,使用最小剂量标准的探索性分析显示,与等候名单相比,更经常使用全rnt干预应用程序的参与者报告的抑郁症状基线到随访的减少幅度更大。局限性:由于退学人数略高于预期而导致的能力下降,以及由于大多数是女性和受过高等教育的样本而导致的泛化性有限。结论:通过自助应用程序以rnt为重点的预防并没有减少抑郁和焦虑,可能是由于对应用程序提供的内容的参与太少。
{"title":"Can an app designed to reduce repetitive negative thinking decrease depression and anxiety in young people? Results from a randomized controlled prevention trial","authors":"Julia Funk ,&nbsp;Johannes Kopf-Beck ,&nbsp;Keisuke Takano ,&nbsp;Edward Watkins ,&nbsp;Thomas Ehring","doi":"10.1016/j.jbtep.2024.102014","DOIUrl":"10.1016/j.jbtep.2024.102014","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Rates of mental health disorders are rising among adolescents and young adults. Therefore, scalable methods for preventing psychopathology in these age groups are needed. As repetitive negative thinking (RNT) is a risk factor for depression and anxiety disorders, targeting RNT via smartphone app promises to be an effective, scalable strategy. The current three-arm, parallel group, randomized controlled trial tested whether a self-help app designed to reduce RNT decreased psychopathological symptoms and RNT in adolescents and young adults at risk for mental disorders.</div></div><div><h3>Method</h3><div>A sample of 16–22-year-olds with elevated levels of RNT (<em>N</em> = 365) were randomly allocated to either use a one of two self-help apps designed to reduce RNT for 6 weeks or to a waitlist. The full RNT-focused intervention app encompassed a variety of RNT-reducing strategies, whereas the concreteness training app focused on one of these strategies, namely, concrete thinking.</div></div><div><h3>Results</h3><div>The apps did not decrease depressive symptoms, anxiety symptoms and RNT relative to the waitlist. However, exploratory analyses using a minimum dose criterion showed that participants who used the full-RNT-focused intervention app more often, reported greater baseline to follow-up decreases in depressive symptoms compared to waitlist.</div></div><div><h3>Limitations</h3><div>Include decreased power due to slightly more dropout than expected and limited generalizability due to the mostly female and highly educated sample.</div></div><div><h3>Conclusions</h3><div>RNT-focused prevention via a self-help app did not decrease depression and anxiety, presumably due to too little engagement with the app content provided.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"87 ","pages":"Article 102014"},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Verification report: A critical reanalysis of Vahey et al. (2015) "A meta-analysis of criterion effects for the Implicit Relational Assessment Procedure (IRAP) in the clinical domain". 验证报告:Vahey et al.(2015)的关键再分析“临床领域内隐关系评估程序(IRAP)标准效果的荟萃分析”。
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-01-15 DOI: 10.1016/j.jbtep.2024.102015
Ian Hussey

The meta-analysis reported in Vahey et al. (2015) concluded that the Implicit Relational Assessment Procedure (IRAP) has high clinical criterion validity (meta-analytic r‾ = .45) and therefore "the potential of the IRAP as a tool for clinical assessment" (p. 64). Vahey et al. (2015) also reported power analyses, and the article is frequently cited for sample size determination in IRAP studies, especially their heuristic of N > 37. This article attempts to verify those results. Results were found to have very poor reproducibility at almost every stage of the data extraction and analysis with errors generally biased towards inflating the effect size. The reported meta-analysis results were found to be mathematically implausible and could not be reproduced despite numerous attempts. Multiple internal discrepancies were found in the effect sizes such as between the forest plot and funnel plot, and between the forest plot and the supplementary data. 23 of the 56 (41.1%) individual effect sizes were not actually criterion effects and did not meet the original inclusion criteria. The original results were also undermined by combining effect sizes with different estimands. Reextraction of effect sizes from the original articles revealed 360 additional effect sizes that met inclusion criteria that should have been included in the original analysis. Examples of selection bias in the inclusion of larger effect sizes were observed. A new meta-analysis was calculated to understand the compound impact of these errors (i.e., without endorsing its results as a valid estimate of the IRAP's criterion validity). The effect size was half the size of the original (r‾ = .22), and the power analyses recommended sample sizes nearly 10 times larger than the original (N > 346), which no published original study using the IRAP has met. In aggregate, this seriously undermines the credibility and utility of the original article's conclusions and recommendations. Vahey et al. (2015) appears to need substantial correction at minimum. In particular, researchers should not rely on its results for sample size justification. A list of suggestions for error detection in meta-analyses is provided.

Vahey等人(2015)报告的荟萃分析得出结论,隐性关系评估程序(IRAP)具有很高的临床标准效度(荟萃分析r = .45),因此“IRAP作为临床评估工具的潜力”(第64页)。Vahey等人(2015)也报道了功率分析,该文章经常被引用用于IRAP研究的样本量确定,特别是他们的启发式N > 37。本文试图验证这些结果。在数据提取和分析的几乎每个阶段,结果的可重复性都很差,误差通常倾向于夸大效应大小。报告的荟萃分析结果被发现在数学上是不可信的,尽管多次尝试也无法复制。在森林图与漏斗图之间、森林图与补充数据之间的效应大小存在多重内部差异。56个个体效应量中有23个(41.1%)实际上不是标准效应,不符合最初的纳入标准。将效应大小与不同的估计相结合,也削弱了最初的结果。从原始文章中重新提取效应量,发现了360个符合纳入标准的额外效应量,这些效应量本应包括在原始分析中。在纳入较大效应量时观察到选择偏差的例子。计算了一项新的荟萃分析,以了解这些错误的复合影响(即,不认可其结果作为IRAP标准效度的有效估计)。效果大小是原来的一半(r = .22),功率分析建议的样本量比原来(N > 346)大近10倍,没有发表的原始研究使用IRAP达到。总的来说,这严重破坏了原文章的结论和建议的可信性和实用性。Vahey等人(2015)似乎至少需要实质性的修正。特别是,研究人员不应该依靠它的结果来证明样本量。提供了一份在荟萃分析中错误检测的建议清单。
{"title":"Verification report: A critical reanalysis of Vahey et al. (2015) \"A meta-analysis of criterion effects for the Implicit Relational Assessment Procedure (IRAP) in the clinical domain\".","authors":"Ian Hussey","doi":"10.1016/j.jbtep.2024.102015","DOIUrl":"https://doi.org/10.1016/j.jbtep.2024.102015","url":null,"abstract":"<p><p>The meta-analysis reported in Vahey et al. (2015) concluded that the Implicit Relational Assessment Procedure (IRAP) has high clinical criterion validity (meta-analytic r‾ = .45) and therefore \"the potential of the IRAP as a tool for clinical assessment\" (p. 64). Vahey et al. (2015) also reported power analyses, and the article is frequently cited for sample size determination in IRAP studies, especially their heuristic of N > 37. This article attempts to verify those results. Results were found to have very poor reproducibility at almost every stage of the data extraction and analysis with errors generally biased towards inflating the effect size. The reported meta-analysis results were found to be mathematically implausible and could not be reproduced despite numerous attempts. Multiple internal discrepancies were found in the effect sizes such as between the forest plot and funnel plot, and between the forest plot and the supplementary data. 23 of the 56 (41.1%) individual effect sizes were not actually criterion effects and did not meet the original inclusion criteria. The original results were also undermined by combining effect sizes with different estimands. Reextraction of effect sizes from the original articles revealed 360 additional effect sizes that met inclusion criteria that should have been included in the original analysis. Examples of selection bias in the inclusion of larger effect sizes were observed. A new meta-analysis was calculated to understand the compound impact of these errors (i.e., without endorsing its results as a valid estimate of the IRAP's criterion validity). The effect size was half the size of the original (r‾ = .22), and the power analyses recommended sample sizes nearly 10 times larger than the original (N > 346), which no published original study using the IRAP has met. In aggregate, this seriously undermines the credibility and utility of the original article's conclusions and recommendations. Vahey et al. (2015) appears to need substantial correction at minimum. In particular, researchers should not rely on its results for sample size justification. A list of suggestions for error detection in meta-analyses is provided.</p>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":" ","pages":"102015"},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reappraising beliefs about losing control: An experimental investigation 重新评估失去控制的信念:一项实验调查。
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-01-15 DOI: 10.1016/j.jbtep.2024.102004
Cailyn P.E.A. Fridgen, Adam S. Radomsky

Background and objectives

Beliefs about losing control over one's thoughts, emotions, behaviours, and/or bodily functions have been shown to cause obsessive-compulsive symptoms. The cognitive model of obsessive-compulsive disorder (OCD) suggests that catastrophic misappraisals of intrusions will lessen if underlying maladaptive beliefs are effectively reduced. The primary aim of this study was to experimentally investigate whether preexisting negative appraisals about losing control could be reduced by reappraising a previous perceived loss of control.

Methods

A sample of (n = 52) undergraduate participants underwent either a brief cognitive intervention or a control memory task. Negative appraisals about losing control and anxiety were measured before and after the manipulation.

Results

In comparison to participants in the control condition, participants in the experimental condition reported a significantly greater reduction in negative appraisals about having lost control (F(1, 50) = 10.79, p = .002, ηp2 = .18) and about losing control in the future (F(1, 50) = 7.82, p = .007, ηp2 = .14) but not anxiety F(1, 50) = .81, p = .37, ηp2 = .02). Limitations: The absence of an impact on anxiety may be attributed to an underpowered sample size or the lack of a more robust intervention.

Conclusions

Results suggest that pre-existing beliefs about losing control can be reduced via a brief cognitive reappraisal-based intervention. Findings are discussed with respect to clinical and phenomenological implications.
背景和目的:关于失去对一个人的思想、情绪、行为和/或身体功能的控制的信念已被证明是导致强迫症状的原因。强迫症(OCD)的认知模型表明,如果潜在的适应不良信念被有效地减少,对入侵的灾难性错误评价将会减少。本研究的主要目的是通过实验研究是否可以通过重新评估先前感知到的失控来减少先前存在的关于失控的负面评价。方法:一组(n = 52)本科生参与者接受了一个简短的认知干预或一个对照记忆任务。在操纵前后测量失控和焦虑的负面评价。结果:与对照组相比,实验组受试者对失去控制的负面评价(F(1,50) = 10.79, p = 0.002, ηp2 = 0.18)和对未来失去控制的负面评价(F(1,50) = 7.82, p = 0.007, ηp2 = 0.14)显著降低,但对焦虑的负面评价F(1,50) = 0.81, p = 0.37, ηp2 = 0.02)没有显著降低。局限性:对焦虑没有影响可能是由于样本量不足或缺乏更有力的干预措施。结论:结果表明,预先存在的失控信念可以通过短暂的基于认知重评价的干预来减少。研究结果讨论了有关临床和现象学意义。
{"title":"Reappraising beliefs about losing control: An experimental investigation","authors":"Cailyn P.E.A. Fridgen,&nbsp;Adam S. Radomsky","doi":"10.1016/j.jbtep.2024.102004","DOIUrl":"10.1016/j.jbtep.2024.102004","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Beliefs about losing control over one's thoughts, emotions, behaviours, and/or bodily functions have been shown to cause obsessive-compulsive symptoms. The cognitive model of obsessive-compulsive disorder (OCD) suggests that catastrophic misappraisals of intrusions will lessen if underlying maladaptive beliefs are effectively reduced. The primary aim of this study was to experimentally investigate whether preexisting negative appraisals about losing control could be reduced by reappraising a previous perceived loss of control.</div></div><div><h3>Methods</h3><div>A sample of (<em>n</em> = 52) undergraduate participants underwent either a brief cognitive intervention or a control memory task. Negative appraisals about losing control and anxiety were measured before and after the manipulation.</div></div><div><h3>Results</h3><div>In comparison to participants in the control condition, participants in the experimental condition reported a significantly greater reduction in negative appraisals about having lost control (<em>F</em>(1, 50) = 10.79, <em>p</em> = .002, <em>η</em><sub><em>p</em></sub><sup><em>2</em></sup> = .18) and about losing control in the future (<em>F</em>(1, 50) = 7.82, <em>p</em> = .007, <em>η</em><sub><em>p</em></sub><sup><em>2</em></sup> = .14) but not anxiety <em>F</em>(1, 50) = .81, <em>p</em> = .37, <em>η</em><sub><em>p</em></sub><sup><em>2</em></sup> = .02). <em>Limitations</em>: The absence of an impact on anxiety may be attributed to an underpowered sample size or the lack of a more robust intervention.</div></div><div><h3>Conclusions</h3><div>Results suggest that pre-existing beliefs about losing control can be reduced via a brief cognitive reappraisal-based intervention. Findings are discussed with respect to clinical and phenomenological implications.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"87 ","pages":"Article 102004"},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of a brief self-compassion intervention on state emotion dysregulation in self-reported generalized anxiety disorder 短暂自我同情干预对自我报告广泛性焦虑障碍状态情绪失调的影响。
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-01-15 DOI: 10.1016/j.jbtep.2024.102012
Jordan M. De Herrera, Cynthia L. Turk

Background and objectives

The current study examined emotion dysregulation and self-compassion as an intervention in individuals with generalized anxiety disorder (GAD) symptoms.

Methods

College students who met criteria for GAD according to questionnaires and non-anxious controls participated in an anxious mood induction. Subsequently, participants were randomized to a self-compassion or control intervention.

Results

Following the mood induction, the GAD group reported less self-compassion, more emotion dysregulation, more state anxiety, and more negative affect than the control group. In the intervention phase, for the self-compassion condition, all participants, irrespective of the presence or absence of GAD symptomatology, experienced a significant increase in state self-compassion and a significant decrease in state anxiety from pre-to post-intervention. Additionally, participants in the GAD group in the self-compassion condition also endorsed significantly less state emotion dysregulation and less negative affect. Participants in both groups assigned to the control intervention reported little change. Within the GAD group, the self-compassion manipulation produced more state self-compassion than the control intervention.

Limitations

Participants were undergraduate students; as a result, the findings might not generalize to individuals presenting for treatment of GAD. The demonstrated effects were on state measures following a brief writing intervention; additional research is needed to assess the impact of more extensive self-compassion interventions over a longer time frame.

Conclusions

The results align with theory and previous studies, revealing heightened emotion dysregulation among those with GAD symptoms. A self-compassion intervention led to significant improvements for both participants with GAD symptoms and those without.
背景和目的:本研究考察了情绪失调和自我同情对广泛性焦虑障碍(GAD)患者的干预作用。方法:根据问卷调查,符合广泛性焦虑症标准的大学生和非焦虑对照组参与焦虑情绪诱导。随后,参与者被随机分配到自我同情或控制干预组。结果:在情绪诱导后,广泛性焦虑症组比对照组表现出更少的自我同情、更多的情绪失调、更多的状态焦虑和更多的负面情绪。在干预阶段,对于自我同情条件,从干预前到干预后,所有参与者,无论是否存在广广性焦虑症症状,都经历了状态自我同情的显著增加和状态焦虑的显著减少。此外,广泛性焦虑症组在自我同情条件下也显著减少了状态情绪失调和负面情绪。被分配到控制干预组的两组参与者报告几乎没有变化。在广泛性焦虑症组中,自我同情操作比控制干预产生了更多的状态自我同情。局限性:参与者为本科生;因此,研究结果可能不适用于治疗广泛性焦虑症的个体。所展示的效果是在简短的书面干预后对国家措施的影响;需要更多的研究来评估更广泛的自我同情干预在更长的时间框架内的影响。结论:结果与理论和先前的研究一致,揭示了广泛性焦虑症患者情绪失调加剧。自我同情干预对有广泛性焦虑症和无广泛性焦虑症的参与者都有显著的改善。
{"title":"Impact of a brief self-compassion intervention on state emotion dysregulation in self-reported generalized anxiety disorder","authors":"Jordan M. De Herrera,&nbsp;Cynthia L. Turk","doi":"10.1016/j.jbtep.2024.102012","DOIUrl":"10.1016/j.jbtep.2024.102012","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The current study examined emotion dysregulation and self-compassion as an intervention in individuals with generalized anxiety disorder (GAD) symptoms.</div></div><div><h3>Methods</h3><div>College students who met criteria for GAD according to questionnaires and non-anxious controls participated in an anxious mood induction. Subsequently, participants were randomized to a self-compassion or control intervention.</div></div><div><h3>Results</h3><div>Following the mood induction, the GAD group reported less self-compassion, more emotion dysregulation, more state anxiety, and more negative affect than the control group. In the intervention phase, for the self-compassion condition, all participants, irrespective of the presence or absence of GAD symptomatology, experienced a significant increase in state self-compassion and a significant decrease in state anxiety from pre-to post-intervention. Additionally, participants in the GAD group in the self-compassion condition also endorsed significantly less state emotion dysregulation and less negative affect. Participants in both groups assigned to the control intervention reported little change. Within the GAD group, the self-compassion manipulation produced more state self-compassion than the control intervention.</div></div><div><h3>Limitations</h3><div>Participants were undergraduate students; as a result, the findings might not generalize to individuals presenting for treatment of GAD. The demonstrated effects were on state measures following a brief writing intervention; additional research is needed to assess the impact of more extensive self-compassion interventions over a longer time frame.</div></div><div><h3>Conclusions</h3><div>The results align with theory and previous studies, revealing heightened emotion dysregulation among those with GAD symptoms. A self-compassion intervention led to significant improvements for both participants with GAD symptoms and those without.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"87 ","pages":"Article 102012"},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A decade on: Reflecting on the limitations of the first meta-analysis of the Implicit Relational Assessment Procedure's (IRAP) criterion validity in the clinical domain.
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-01-15 DOI: 10.1016/j.jbtep.2024.102016
Nigel Vahey, Emma Nicholson, Dermot Barnes-Holmes

Hussey (in press) recently conducted a detailed critical reanalysis of Vahey, Nicholson and Barnes-Holmes' (2015) meta-analysis. Its stated purpose was to (a) examine the extent to which Vahey et al.'s (2015) meta-analysis contains errors; and (b) to test how computationally reproducible it is by current standards of best practice. Hussey identified a small number of minor numerical errors, but crucially was unable to exactly replicate the original meta-effect of r‾ = .45. Six different variations of the meta-analysis reported by Vahey et al. were used and obtained meta-effects that deviated from the original by Δr‾ = .01-.02. Hussey also reported corresponding 95% credibility intervals that were all of zero width. These discrepancies prompted the present authors to conduct a detailed audit of the original meta-analysis. This revealed one minor transposing error in addition to three identified by Hussey. Once corrected this resulted in a marginally increased Hunter and Schmidt meta-analytic effect of r‾ = .46 without a credibility interval, and a Hedges-Vevea meta-effect of r‾ = .47 with 95% confidence interval (.40, .54). This correction was too small to have any bearing on Vahey et al.'s supplementary analyses regarding publication bias or statistical power. Vahey et al. contained a much lower proportion of transposing errors than is typical of meta-analyses even still (cf. Kadlec, Sainani, & Nimphius, 2023; Lakens et al., 2016; Lakens et al., 2017). Nonetheless, Hussey highlighted important ambiguities about the theoretical and practical meaning of the meta-effect reported by Vahey et al. We clarify our position on these matters in summary, and in so doing explain why we believe that the wider IRAP literature would undoubtedly benefit from increased adoption of contemporary open science standards.

{"title":"A decade on: Reflecting on the limitations of the first meta-analysis of the Implicit Relational Assessment Procedure's (IRAP) criterion validity in the clinical domain.","authors":"Nigel Vahey, Emma Nicholson, Dermot Barnes-Holmes","doi":"10.1016/j.jbtep.2024.102016","DOIUrl":"https://doi.org/10.1016/j.jbtep.2024.102016","url":null,"abstract":"<p><p>Hussey (in press) recently conducted a detailed critical reanalysis of Vahey, Nicholson and Barnes-Holmes' (2015) meta-analysis. Its stated purpose was to (a) examine the extent to which Vahey et al.'s (2015) meta-analysis contains errors; and (b) to test how computationally reproducible it is by current standards of best practice. Hussey identified a small number of minor numerical errors, but crucially was unable to exactly replicate the original meta-effect of r‾ = .45. Six different variations of the meta-analysis reported by Vahey et al. were used and obtained meta-effects that deviated from the original by Δr‾ = .01-.02. Hussey also reported corresponding 95% credibility intervals that were all of zero width. These discrepancies prompted the present authors to conduct a detailed audit of the original meta-analysis. This revealed one minor transposing error in addition to three identified by Hussey. Once corrected this resulted in a marginally increased Hunter and Schmidt meta-analytic effect of r‾ = .46 without a credibility interval, and a Hedges-Vevea meta-effect of r‾ = .47 with 95% confidence interval (.40, .54). This correction was too small to have any bearing on Vahey et al.'s supplementary analyses regarding publication bias or statistical power. Vahey et al. contained a much lower proportion of transposing errors than is typical of meta-analyses even still (cf. Kadlec, Sainani, & Nimphius, 2023; Lakens et al., 2016; Lakens et al., 2017). Nonetheless, Hussey highlighted important ambiguities about the theoretical and practical meaning of the meta-effect reported by Vahey et al. We clarify our position on these matters in summary, and in so doing explain why we believe that the wider IRAP literature would undoubtedly benefit from increased adoption of contemporary open science standards.</p>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":" ","pages":"102016"},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An online group behavioral activation therapy for major depressive disorder: Adaptation, effectiveness, and trajectories of change in a lower-middle income country 在线团体行为激活疗法治疗重度抑郁症:中低收入国家的适应性、有效性和变化轨迹。
IF 1.7 4区 医学 Q3 PSYCHIATRY Pub Date : 2025-01-15 DOI: 10.1016/j.jbtep.2024.102013
Sara Sardashti , Maryam Farhadian , Ali Ghaleiha , Fritz Renner , Sara Ahsani-Nasab , Latif Moradveisi

Background and objective

Depressive disorders are common mental illnesses associated with high burden of disease. In this study, the effects of an online group behavioral activation on depressive symptoms and rumination were evaluated, and trajectories of change in patients with major depressive disorder adapted for a lower-middle income context investigated.

Methods

This study was an online single-group non-randomized trial. Patients were recruited from various parts of the country through social media and medical university clinics. In total, 79 women with major depressive disorder were included. We measured Beck Depressive Inventory-II (BDI-II) scores, depressive rumination and behavioral activation scores, sudden gains, depression spikes, early response, and clinical change. Patients attended an online weekly ten-session behavioral activation therapy. K-nearest neighbor was used to impute missing data and estimate the importance of candidate predictors of clinical change. However, due to a high attrition rate, paired tests were performed using per-protocol analysis without data imputation.

Results

The mean difference (SD) of the BDI-II score from the beginning to the end of the study was 21.10 (10.21), P < 0.001. Improvement was observed for depressive rumination (P < 0.001), and for behavioral activation (P < 0.001). Clinical change and early response were significantly related to BDI-II change (both P < 0.001). Favorable changes in behavioral activation, depressive symptoms, or rumination showed linear patterns. Clinical change (P = 0.453) and BDI-II (P = 0.050) were not statistically different between patients with moderate versus severe symptoms.

Limitations

Participants were solely women. Some patients did not attend all sessions, and participants were not followed in the post-treatment period.

Conclusion

online group behavioral activation therapy is suggested as an appropriate and accessible front-line treatment for moderate to severe major depressive disorder in lower-middle income countries.
背景与目的:抑郁症是一种常见的高疾病负担精神疾病。在这项研究中,评估了在线群体行为激活对抑郁症状和反刍的影响,并调查了适应中低收入背景的重度抑郁症患者的变化轨迹。方法:本研究为在线单组非随机试验。患者是通过社交媒体和医科大学诊所从全国各地招募的。总共包括79名患有重度抑郁症的女性。我们测量了贝克抑郁量表- ii (BDI-II)得分、抑郁反刍和行为激活得分、突然收益、抑郁峰值、早期反应和临床变化。患者参加了每周一次的在线行为激活疗法。使用k近邻来估算缺失数据并估计临床变化候选预测因子的重要性。然而,由于高损耗率,配对测试是使用无数据输入的协议分析进行的。结果:BDI-II评分从研究开始到结束的平均差值(SD)为21.10 (10.21),P限制:参与者仅为女性。一些患者没有参加所有的疗程,并且参与者在治疗后没有被随访。结论:在线群体行为激活疗法可作为中低收入国家中重度抑郁症的一种适宜且可及的一线治疗方法。
{"title":"An online group behavioral activation therapy for major depressive disorder: Adaptation, effectiveness, and trajectories of change in a lower-middle income country","authors":"Sara Sardashti ,&nbsp;Maryam Farhadian ,&nbsp;Ali Ghaleiha ,&nbsp;Fritz Renner ,&nbsp;Sara Ahsani-Nasab ,&nbsp;Latif Moradveisi","doi":"10.1016/j.jbtep.2024.102013","DOIUrl":"10.1016/j.jbtep.2024.102013","url":null,"abstract":"<div><h3>Background and objective</h3><div>Depressive disorders are common mental illnesses associated with high burden of disease. In this study, the effects of an online group behavioral activation on depressive symptoms and rumination were evaluated, and trajectories of change in patients with major depressive disorder adapted for a lower-middle income context investigated.</div></div><div><h3>Methods</h3><div>This study was an online single-group non-randomized trial. Patients were recruited from various parts of the country through social media and medical university clinics. In total, 79 women with major depressive disorder were included. We measured Beck Depressive Inventory-II (BDI-II) scores, depressive rumination and behavioral activation scores, sudden gains, depression spikes, early response, and clinical change. Patients attended an online weekly ten-session behavioral activation therapy. K-nearest neighbor was used to impute missing data and estimate the importance of candidate predictors of clinical change. However, due to a high attrition rate, paired tests were performed using per-protocol analysis without data imputation.</div></div><div><h3>Results</h3><div>The mean difference (SD) of the BDI-II score from the beginning to the end of the study was 21.10 (10.21), <em>P</em> &lt; 0.001. Improvement was observed for depressive rumination (<em>P</em> &lt; 0.001), and for behavioral activation (<em>P</em> &lt; 0.001). Clinical change and early response were significantly related to BDI-II change (both <em>P</em> &lt; 0.001). Favorable changes in behavioral activation, depressive symptoms, or rumination showed linear patterns. Clinical change (<em>P</em> = 0.453) and BDI-II (<em>P</em> = 0.050) were not statistically different between patients with moderate versus severe symptoms.</div></div><div><h3>Limitations</h3><div>Participants were solely women. Some patients did not attend all sessions, and participants were not followed in the post-treatment period.</div></div><div><h3>Conclusion</h3><div>online group behavioral activation therapy is suggested as an appropriate and accessible front-line treatment for moderate to severe major depressive disorder in lower-middle income countries.</div></div>","PeriodicalId":48198,"journal":{"name":"Journal of Behavior Therapy and Experimental Psychiatry","volume":"87 ","pages":"Article 102013"},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Behavior Therapy and Experimental Psychiatry
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1