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Efficacy of Internet-based, Therapist-Assisted Treatment Programs for Hair Pulling and Skin Picking: Preliminary Results 基于网络的治疗师辅助治疗拔毛和抠皮的疗效:初步结果
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-14 DOI: 10.1007/s10608-023-10446-w
Reuven Dar, Maya Schonbach, Sofia Wenzler
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引用次数: 0
The Roles of Intrusive Visual Imagery and Verbal Thoughts in Pre-Sleep Arousal of Patients with Insomnia Disorder: A Path Model 侵入性视觉意象和言语思维在失眠患者睡眠前唤醒中的作用:一个路径模型
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-14 DOI: 10.1007/s10608-023-10442-0
Kutlu Kağan Türkarslan, Deniz Canel Çınarbaş, Lampros Perogamvros
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引用次数: 0
The Indirect Effect of Biased Judgment Processing of Bodies on Eating Disorder Symptomatology Through Eating Disorder-Specific Reflection 通过进食障碍特异性反射观察身体偏见判断加工对进食障碍症状的间接影响
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-14 DOI: 10.1007/s10608-023-10439-9
Rebecca Shao, Isabel Krug, Laura Dondzilo
Abstract Background The current study sought to empirically evaluate the relationships between biases involving judgment of bodies in terms of their shape and weight, ED-specific rumination subtypes (i.e., ED-specific reflection and ED-specific brooding) and eating disorder (ED) symptomatology. Methods Female undergraduates ( n = 344) aged 17–24 years completed self-report measures of ED-specific rumination and ED symptomatology and a novel task designed to assess biased judgement processing of bodies. Results Results revealed that a bias in judging bodies in terms of their shape and weight was indirectly but not directly associated with ED symptomatology. Specifically, biased judgement processing was indirectly associated with ED symptomatology via ED-specific ruminative reflection but not via ED-specific ruminative brooding. Conclusions The current findings suggest biased judgement processing of bodies may contribute to ED symptomatology via ED-specific ruminative reflection. It is important to note that the indirect effect was small suggesting the involvement of other potential variables in this relationship. Thus, further exploration of the cognitive factors involved in the relationship between biased judgement processing and ED symptomatology is warranted.
摘要背景本研究旨在实证评估体型和体重判断偏差、ED特异性反刍亚型(即ED特异性反射和ED特异性沉思)和饮食失调(ED)症状之间的关系。方法344名17-24岁的女大学生完成ED特异性反刍和ED症状自述测试,并设计了一项评估身体偏见判断加工的新任务。结果结果显示,根据体型和体重判断身体的偏见与ED症状有间接而非直接的关系。具体来说,有偏见的判断加工通过ED特异性反刍反射与ED症状间接相关,但不通过ED特异性反刍沉思。结论目前的研究结果表明,身体的偏见判断加工可能通过ED特异性反刍反射导致ED症状。值得注意的是,间接影响很小,这表明在这种关系中涉及其他潜在变量。因此,有必要进一步探索偏见判断加工与ED症状之间关系的认知因素。
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引用次数: 0
Negativity is Key for Understanding the Interplay Between Rumination’s Features, Attention Control, and Their Dynamic Nature: A Temporal Network Approach 消极性是理解反刍特征、注意控制及其动态性质之间相互作用的关键:一种时间网络方法
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-13 DOI: 10.1007/s10608-023-10432-2
Yorgo Hoebeke, M. Annelise Blanchard, Emily E. Bernstein, Richard J. McNally, Alexandre Heeren
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引用次数: 0
Competence Ratings in Psychotherapy Training – A Complex Matter 心理治疗训练中的能力评定——一个复杂的问题
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-11 DOI: 10.1007/s10608-023-10445-x
Tatjana Paunov, Florian Weck, Peter E. Heinze, Ulrike Maaß, Franziska Kühne
Abstract Background The reliable assessment of competence is crucial for promoting the professional development of therapists. However, competence assessments are rarely included in training and research as these procedures are resource-intensive and costly, commonly relying on independent raters with high levels of expertise and extensive training. This study aimed to compare the interrater reliability (IRR) of raters with different levels of expertise. We also examined the impact of different camera perspectives on IRR. Methods We examined the IRR of six independent raters based on competence assessments in a standardized setting. Two raters were experienced psychotherapists (experts), and four were psychology students (novices; with/without supervision). All raters evaluated N = 359 videos of students performing role plays with standardized patients who were simulating depressive symptoms and behavior. For each video, the raters independently assessed basic communication skills (Clinical Communication Skills Scale–Short Form; CCSS-S), psychotherapeutic competence (Cognitive Therapy Scale; CTS), empathy (Empathy Scale; ES) and therapeutic alliance (Helping Alliance Questionnaire; HAQ). Results IRR varied depending on rater expertise and assessment measures, with the lowest intraclass correlation coefficients (ICCs) for empathy (ES; ICCs = 0.39-0.67) and the highest ICCs for psychotherapeutic competence (CTS; ICCs = 0.66-0.78). The concordance between expert raters and supervised novice raters was good (ICCs = 0.71-0.86). The camera perspective did not influence the reliability of the ratings. Conclusions With appropriate training and regular supervision, the novices assessed therapeutic behavior in standardized role plays with reliability comparable to that of the experts. Further research is needed regarding the reliable assessment of more complex therapy situations.
摘要背景可靠的能力评估是促进治疗师专业发展的关键。然而,能力评估很少包括在培训和研究中,因为这些程序是资源密集和昂贵的,通常依靠具有高水平专门知识和广泛培训的独立评估员。本研究旨在比较不同专业水平的评价者间信度(IRR)。我们还研究了不同相机视角对IRR的影响。方法在标准化环境下,根据能力评估对6位独立评价者进行IRR检查。2名评分者为经验丰富的心理治疗师(专家),4名心理专业学生(新手;有/无监督)。所有评分者评估了N = 359个学生与标准化患者一起扮演角色的视频,这些患者模拟抑郁症状和行为。对于每个视频,评分者独立评估基本沟通技巧(临床沟通技巧量表-简短形式;ccss)、心理治疗能力(认知治疗量表;CTS)、共情(共情量表;ES)和治疗联盟(帮助联盟问卷;哈克)。结果IRR因评分者的专业知识和评估方法而异,共情(ES)的类内相关系数(ICCs)最低;ICCs = 0.39-0.67)和心理治疗能力最高ICCs (CTS;icc = 0.66-0.78)。专家评分者与监督新手评分者的一致性较好(ICCs = 0.71 ~ 0.86)。摄像机视角对评分的可靠性没有影响。结论通过适当的培训和定期监督,新手在标准化角色扮演中评估治疗行为的信度与专家相当。关于更复杂的治疗情况的可靠评估,需要进一步的研究。
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引用次数: 0
Reliability, Validity and Factor Structure of the Polish Version of the Massachusetts General Hospital Hair Pulling Scale 马萨诸塞州总医院拔毛量表波兰版的信度、效度及因子结构
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-11 DOI: 10.1007/s10608-023-10428-y
Joanna Kłosowska, Dominika Sznajder, Rachela Antosz-Rekucka, Aleksandra Tuleja, Katarzyna Prochwicz
Abstract Purpose The Massachusetts General Hospital Hairpulling Scale (MGH-HPS) is a 7-item self-report tool that measures hair-pulling behaviors. The study aimed to assess the psychometric properties of the Polish version of the MGH-HPS in a sample of adults. Methods The online screening survey was completed by 1024 participants (777 women, 241 men, 6 non-binary), 92 of which (68 women, 24 men) were included in the study because they confirmed engaging in hair-pulling behaviors at least occasionally; 23 of those (2.25% of the initial sample) met the DSM-5 criteria for hair-pulling disorder. The participants were asked to complete the online version of the MGH-HPS, the Depression Anxiety Stress Scales-21-Item Version, the Obsessive Compulsive Inventory-Revised, and a scale containing the DSM-5 hair-pulling disorder criteria. The factor structure, reliability, validity, and diagnostic accuracy of the Polish version of the MGH-HPS were examined. Results The confirmatory factor analysis demonstrated that both a one-factor and a two-factor model fit the data well; however, given the high correlation between the factors, the unidimensional model may be superior. High internal consistency and convergent and divergent validity were obtained for the total score of the MGH-HPS and the Severity and Resistance and Control factors (Cronbach’s alphas: 0.89, 0.85 and 0.84 respectively). The ROC analysis indicated adequate prognostic ability of the total score to discriminate subjects with clinical and non-clinical hair-pulling. The optimal cut-off value was 13 points (sensitivity = 100%, specificity = 62.22%). Conclusions The Polish version of the MGH-HPS is a valid, reliable tool which may be used to measure hair-pulling behaviors in adult samples.
摘要目的麻省总医院拔毛量表(MGH-HPS)是一套包含7个条目的自报告工具,用于测量拔毛行为。该研究旨在评估波兰版MGH-HPS在成人样本中的心理测量特性。方法对1024名参与者(女性777人,男性241人,非二元性6人)进行在线筛查调查,其中92人(女性68人,男性24人)因确认至少偶尔有拔头发行为而被纳入研究;其中23人(占初始样本的2.25%)符合DSM-5拔毛障碍的标准。参与者被要求完成MGH-HPS的在线版本,抑郁焦虑压力量表-21项版本,强迫症清单-修订,以及包含DSM-5拔毛障碍标准的量表。对波兰版MGH-HPS量表的因子结构、信度、效度和诊断准确性进行检验。结果验证性因子分析表明,单因素模型和双因素模型均能较好地拟合数据;然而,考虑到各因素之间的高度相关性,单维模型可能更优。MGH-HPS总分与严重度因子、抗性因子和控制性因子具有较高的内部一致性、收敛效度和发散效度(Cronbach’s alpha分别为0.89、0.85和0.84)。ROC分析显示总分有足够的预后能力来区分临床和非临床拔毛受试者。最佳临界值为13分(灵敏度为100%,特异性为62.22%)。结论波兰版MGH-HPS是一种有效、可靠的成人拔毛行为测量工具。
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引用次数: 0
Two-year Follow-up of Habit Reversal Training and Decoupling in a Sample with Body-Focused Repetitive Behaviors 习惯逆转训练与身体聚焦重复行为解耦的两年追踪研究
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-11 DOI: 10.1007/s10608-023-10434-0
Steffen Moritz, Luca Hoyer, Stella Schmotz
Abstract Background Self-help habit reversal training and decoupling are effective in improving body-focused repetitive behaviors (BFRBs). However, most studies to date on self-help techniques have assessed short-term effects only. The present study aimed to elucidate whether treatment effects would be sustained over a longer period of time. Methods We conducted a 2-year follow-up study of a cohort of 391 participants with mixed BFRBs who were initially randomized to four conditions (wait list control, habit reversal training, decoupling, decoupling in sensu). At post assessment, participants were allowed to use other treatment techniques, enabling us to explore treatment effects in those who continued to use the initial method only versus those who used additional techniques. The Generic Body-Focused Repetitive Behavior Scale (GBS-36) served as the primary outcome. Results Improvements achieved at post assessment were maintained at follow-up for all experimental conditions, with decoupling showing significantly greater treatment gains at follow-up relative to the wait list control group (last observation carried forward: p = .004, complete cases: p = .015). Depression at follow-up slightly improved compared to baseline and post assessment similarly across all conditions, arguing against “symptom displacement” to other psychopathological syndromes. Retention rates were similarly low across the four conditions (48.5–54.6%), making bias unlikely (but not firmly excluding it). Participants who adhered to the initial protocol until follow-up showed a pattern of improvement similar to those using additional techniques. Discussion Our study speaks for the long-term effectiveness of behavioral self-help techniques to reduce BFRBs, particularly decoupling. Of note, participants were allowed to use other self-help manuals after completing the post assessment; thus, randomization was removed. However, a minority of the participants chose this option.
背景自助习惯逆转训练和解耦训练是改善身体聚焦重复行为(BFRBs)的有效方法。然而,到目前为止,大多数关于自助技术的研究只评估了短期效果。目前的研究旨在阐明治疗效果是否会持续更长一段时间。方法对391名混合bfrb患者进行了为期2年的随访研究,这些患者最初被随机分为四组(等待名单控制、习惯逆转训练、脱钩、感知脱钩)。在评估后,参与者被允许使用其他治疗技术,使我们能够探索那些只继续使用初始方法的人与使用其他技术的人的治疗效果。通用身体聚焦重复行为量表(GBS-36)作为主要观察指标。结果:在所有实验条件下,后评估时取得的改善在随访中都保持不变,与等待名单对照组相比,解耦显示随访时的治疗收益显著增加(最后一次观察:p = 0.004,完整病例:p = 0.015)。与基线和评估后相比,随访期间抑郁症略有改善,所有情况都类似,反对“症状转移”到其他精神病理综合征。在四种情况下,保留率同样很低(48.5-54.6%),这使得偏见不太可能(但不能完全排除)。坚持最初方案直到随访的参与者表现出与使用其他技术的参与者相似的改善模式。我们的研究证明了行为自助技术在减少bfrb,特别是脱钩方面的长期有效性。值得注意的是,参与者在完成后评估后被允许使用其他自助手册;因此,取消了随机化。然而,少数参与者选择了这个选项。
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引用次数: 0
Defining Compulsive Skin Picking Subgroups Based on Emotional Response Patterns and Data-Driven Methodology 基于情绪反应模式和数据驱动方法定义强迫性抠皮亚组
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-07 DOI: 10.1007/s10608-023-10431-3
Alessandro De Nadai
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引用次数: 0
Anxiety sensitivity and experiential avoidance: Relations with anxiety severity and treatment outcomes in anxious youth. 焦虑敏感性与经验回避:与焦虑严重程度及治疗结果的关系
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-10-01 Epub Date: 2023-07-04 DOI: 10.1007/s10608-023-10408-2
Kyler R Lehrbach, Margaret E Crane, Thomas M Olino, Philip C Kendall

Purpose: Anxiety sensitivity (AS) and experiential avoidance (EA) are associated with anxiety in both adults and youths. This study examined the separate contributions of AS and EA in predicting (a) anxiety (symptom severity) and (b) differential treatment outcomes in anxious youth receiving cognitive behavioral therapy (CBT).

Methods: Participants (N = 89; age 10-17 years; 37% male; 78% white) met diagnostic criteria for an anxiety disorder and received CBT (Coping Cat). AS and EA were child-report measures collected at baseline. The outcome variables were anxiety symptom severity (Multidimensional Anxiety Scale for Children; child- and parent-reported) and Independent Evaluator-rated anxiety severity (Child Global Impression-Severity) collected at baseline and posttreatment. Multilevel models (MLM) examined independent and relative contributions of AS and EA to the outcome variables as a secondary analysis.

Results: Both AS and EA were associated with levels of anxiety symptom severity at pretreatment and at posttreatment, varying by reporter. Neither AS nor EA predicted differential treatment outcomes: youth at varying levels had comparably favorable outcomes.

Conclusions: Findings suggest similarity in AS and EA, and that both constructs may be adequately and equally addressed in CBT. Future research could consider examining change in AS and EA and anxiety across treatment in diverse populations.

目的:焦虑敏感性(AS)和体验性回避(EA)与成人和青少年的焦虑有关。本研究探讨了焦虑敏感和体验回避在预测(a)焦虑(症状严重程度)和(b)接受认知行为疗法(CBT)的焦虑青少年的不同治疗结果方面的不同作用:参与者(89 人;年龄 10-17 岁;37% 为男性;78% 为白人)符合焦虑症诊断标准,并接受了 CBT(应对猫)治疗。AS和EA是在基线时收集的儿童报告量表。结果变量是在基线和治疗后收集的焦虑症状严重程度(儿童多维焦虑量表;儿童和家长报告)和独立评估人评定的焦虑严重程度(儿童整体印象-严重程度)。作为辅助分析,多层次模型(MLM)检验了AS和EA对结果变量的独立和相对贡献:AS和EA都与治疗前和治疗后的焦虑症状严重程度有关,但因报告人而异。AS和EA都不能预测不同的治疗结果:处于不同水平的青少年的治疗结果相当好:结论:研究结果表明,AS 和 EA 具有相似性,在 CBT 中可以充分、平等地解决这两个问题。未来的研究可以考虑在不同的人群中研究AS和EA以及焦虑在不同治疗中的变化。
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引用次数: 0
Shift in Valence Bias Associated with Decrease in Trait Anxiety and Depression Symptoms 效价偏差的改变与特质焦虑和抑郁症状的减少相关
3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-09-30 DOI: 10.1007/s10608-023-10437-x
Nicholas R. Harp, R. James R. Blair, Maital Neta
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引用次数: 0
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Cognitive Therapy and Research
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