Behavior Therapy最新文献

Acceptability and Feasibility of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in Brazil 巴西基于互联网的认知行为治疗强迫症的可接受性和可行性

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.08.001

Maria Alice de Mathis, Oskar Flygare, Daniel L.C. Costa, Ivanil Morais, Jamila Rocha, Sonia Borcato, Roseli G. Shavitt, Euripedes Constantino Miguel, Marcelo C. Batistuzzo, Christian Rück

This study describes the implementation of an Internet-based cognitive-behavior therapy program (ICBT) developed in Sweden for individuals seeking OCD treatment in Sao Paulo, Brazil. After translating and adapting the treatment manual (OCD-NET), we conducted an open-label trial including 35 adults with OCD. The ICBT treatment was conducted in 10 modules and was based on Exposure and Response Prevention (EPR). The RE-AIM implementation science framework was used to evaluate Reach, Effectiveness, Adoption, Implementation, and Maintenance. Our primary outcome was the reduction of the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) total score. The study enrolled 35 participants, with 30 completing all of the ICBT protocol (85.7%). OCD severity decreased significantly over time, with 60% of participants showing a treatment response, and 30% were in remission at the 6-month follow-up. At posttreatment, 54.5% of the participants (95% CI, 37.8–70.4) were classified as treatment responders, and 27.3% (95% CI, 14.8–44.7) were in remission. At the 6-month follow-up, 60% (95% CI, 41.9–75.7) were responders, and 30% (95% CI, 16.4–48.3) were in remission. Depressive symptoms measured by PHQ-9 (SE = 1.68, [95% CI 15.2 to 21.9], p < .001) also improved. Our results provide preliminary evidence that ICBT is effective and feasible to be implemented in an upper-middle-income country. Further research investigating the acceptability and feasibility of ICBT in marginalized populations living in underserved areas is necessary.

本研究描述了一项基于互联网的认知行为治疗计划（ICBT）的实施，该计划由瑞典开发，用于在巴西圣保罗寻求强迫症治疗的个人。在翻译和改编治疗手册（OCD- net）后，我们进行了一项开放标签试验，包括35名成年强迫症患者。ICBT处理以暴露和反应预防（EPR）为基础，分10个模块进行。RE-AIM实施科学框架用于评估Reach、有效性、采用、实施和维护。我们的主要结果是耶鲁-布朗强迫症量表（Y-BOCS）总分的降低。该研究招募了35名参与者，其中30人完成了所有ICBT方案（85.7%）。随着时间的推移，强迫症的严重程度显著下降，60%的参与者表现出治疗反应，30%的参与者在6个月的随访中缓解。在治疗后，54.5%的参与者（95% CI, 37.8-70.4）被归类为治疗应答者，27.3% （95% CI, 14.8-44.7）缓解。在6个月的随访中，60% （95% CI, 41.9-75.7）是应答者，30% （95% CI, 16.4-48.3）是缓解者。用PHQ-9测量抑郁症状（SE = 1.68,[95% CI 15.2 ~ 21.9], p <； ）。001)也有所改善。我们的研究结果为ICBT在中高收入国家实施的有效性和可行性提供了初步证据。有必要进一步研究ICBT在生活在服务不足地区的边缘人群中的可接受性和可行性。

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引用次数: 0

State of the Science: Alcohol Use and Acculturation-Related Factors Across Diverse Populations 科学现状：不同人群的酒精使用和文化适应相关因素

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.08.010

P. Priscilla Lui, Christine Y. Chang, Clara Rufo, Rosa C. Peterson, María Luján Bazzano, Miguel Ángel Cano

Alcohol consumption can pose health risks and cause social problems, hence harmful drinking is a global health concern. Acculturation has been theorized and examined as a key driver for drinking behaviors. In this State of the Science article, we define sociocultural and psychological acculturation, and describe three causal theories associated with socialization and learning, stress and coping, and accessibility and opportunity. Data have shown small-to-moderate associations linking acculturation factors to drinking outcomes. Many existing studies measure acculturation with demographic proxies and static cultural orientation indicators. Underlying causal mechanisms are typically inferred rather than tested directly, with limited focus on key proximal factors such as stress responses, drinking motives, and cultural norms. Furthermore, current alcohol interventions lack alignment with acculturation science and fail to target modifiable, drinking-related factors. To advance the field and bridge research-to-practice gaps, studies should move beyond broad demographic markers and examine systematically the psychological and social pathways linking acculturation to alcohol use. We advocate for the adoption of context-specific measures, daily life study methods to capture acculturation’s dynamic effects on drinking, and research across diverse global populations. We call for the field to integrate the acculturation framework into the broader alcohol research and mainstream interventions to address individual and cultural variations in drinking behaviors, incorporate sociocultural influences into existing models of alcohol use to bridge gaps in generalizability, and enhance intervention effectiveness.

饮酒会造成健康风险并引发社会问题，因此有害饮酒是一个全球性的健康问题。文化适应已被理论化并被检验为饮酒行为的关键驱动因素。在这篇科学文章中，我们定义了社会文化和心理文化适应，并描述了与社会化和学习、压力和应对、可及性和机会相关的三种因果理论。数据显示，文化适应因素与饮酒结果之间存在小到中等程度的关联。许多现有的研究用人口统计指标和静态文化取向指标来衡量文化适应。潜在的因果机制通常是推断的，而不是直接测试的，对压力反应、饮酒动机和文化规范等关键近端因素的关注有限。此外，目前的酒精干预措施缺乏与文化适应科学的一致性，未能针对可修改的饮酒相关因素。为了推进这一领域并弥合研究与实践之间的差距，研究应超越广泛的人口统计学标志，并系统地检查文化适应与饮酒之间的心理和社会途径。我们提倡采用特定情境的措施、日常生活研究方法来捕捉文化适应对饮酒的动态影响，并在全球不同人群中进行研究。我们呼吁该领域将文化适应框架纳入更广泛的酒精研究和主流干预措施中，以解决饮酒行为中的个人和文化差异，将社会文化影响纳入现有的酒精使用模型，以弥合普遍性方面的差距，并提高干预措施的有效性。

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引用次数: 0

What Makes Personalized Treatment Work? Mechanisms of Change in Personalized Treatment for Eating Disorders: A Proof-of-Concept Study 是什么使个性化治疗有效？饮食失调个体化治疗的改变机制：一项概念验证研究

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.04.003

Cheri A. Levinson, Lindley Slipetz, Teague Henry, Emma Crumby, Jamie Lee Pennesi

Eating disorders (EDs) are severe illnesses with high rates of mortality; however, evidence-based ED treatments only work for 50% of individuals. Part of the reason that treatments do not work is that EDs are highly heterogenous, signifying a need to personalize treatment. As such, idiographic (i.e., one-person) methods have been used to develop personalized treatment for EDs. Our team demonstrated that a new Transdiagnostic Network-Informed Personalized Treatment (T-NIPT-ED) that uses idiographic modeling to select evidence-based treatment modules for EDs was feasible, acceptable, and decreased ED and cooccurring symptoms (e.g., depression). However, it remains unknown how T-NIPT-ED works and if T-NIPT-ED intervenes effectively on the hypothesized mechanisms of change. The current study (N = 75 with an ED) tested if central symptoms (i.e., hypothesized mechanisms of change) assessed for 15 days (5 times a day; 75 timepoints at two times of day [150 timepoints]) pre- and posttreatment with ecological momentary assessment changed through treatment. We used mixed effects linear regression to test (a) if symptoms in broad categories of affect, cognitions, behavior, comorbid conditions, and physiology changed from pre- to posttreatment and (b) if specific symptoms matched to corresponding evidence-based treatment modules changed with treatment. We found that if a participant had a central symptom in an affective or behavioral category, overall affect and behaviors decreased respectively. We also found that participants with the following central symptoms targeted in treatment evidenced reductions in these mechanisms: shame, self-criticism, body checking, rumination, overvaluation of weight/shape, and guilt. Our results suggest that T-NIPT-ED is effective at reducing ED-related affect and behaviors. Furthermore, these data suggest that several modules targeted at specific mechanisms hypothesized to maintain EDs are effective in the context of personalized treatment.

饮食失调（EDs）是死亡率很高的严重疾病；然而，循证ED治疗只对50%的个体有效。治疗不起作用的部分原因是急症是高度异质性的，这意味着需要个性化治疗。因此，个体化（即一人）方法已被用于开发ed的个性化治疗。我们的团队证明了一种新的跨诊断网络知情个性化治疗（t - npt -ED）是可行的，可以接受的，并且可以减少ED和并发症状（例如抑郁症）。然而，目前尚不清楚t - npt - ed是如何起作用的，以及t - npt - ed是否有效地干预了假设的变化机制。目前的研究（N = 75，带ED）测试了15天（每天5次；每天两次75个时间点[150个时间点]）的中心症状（即假设的变化机制）是否在治疗前后通过生态瞬时评估发生变化。我们使用混合效应线性回归来检验(a)情感、认知、行为、合并症和生理等大类的症状从治疗前到治疗后是否发生变化，以及(b)与相应循证治疗模块相匹配的特定症状是否随治疗而变化。我们发现，如果参与者在情感或行为类别中有中心症状，则整体情感和行为分别下降。我们还发现，有以下中心症状的参与者在治疗中证明了这些机制的减少：羞耻，自我批评，身体检查，反刍，体重/形状高估和内疚。我们的研究结果表明，t - npt - ed在减少ed相关的影响和行为方面是有效的。此外，这些数据表明，针对特定机制的几个模块在个性化治疗的背景下是有效的。

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引用次数: 0

What Do Adolescents Think About an App Designed to Reduce Cognitive Risk Factors for Eating Disorders? A Mixed Methods Study 青少年如何看待一款旨在降低饮食失调认知风险因素的应用程序？混合方法研究

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.07.005

Laura Carratalá-Ricart, Sandra Arnáez, Odalis Isabel Merchán, Marta Corberán, Yuliya Saman, Belén Pascual-Vera, Guy Doron, Gemma García-Soriano, María Roncero

In recent years, there has been a growing interest in eHealth interventions as a means of reducing risk factors related to eating disorders (EDs). However, these interventions are often faced with high dropout rates and low adherence. The objective of this study was to analyze the usability and acceptability of GGED-AD, a mobile app designed to reduce cognitive risk factors associated with EDs in adolescents. The study involved 42 adolescents (61.9% female) with a mean age of 13.98 years, and employed a convergent mixed-methods approach. The results indicate that GGED-AD has satisfactory usability and acceptability—it was considered easy to use, attractive, encouraging of positive behaviors, and was perceived as useful by the participants. However, certain difficulties were observed, such as in understanding some specific content. Consequently, this study offers valuable insights for improving the design of GGED-AD and of similar eHealth interventions, with the objective of enhancing their potential for adoption in “real world” settings.

近年来，人们对电子健康干预作为减少与饮食失调（EDs）相关的风险因素的一种手段越来越感兴趣。然而，这些干预措施往往面临着高辍学率和低依从性。本研究的目的是分析GGED-AD的可用性和可接受性，GGED-AD是一款旨在减少青少年ed相关认知风险因素的移动应用程序。本研究纳入42名平均年龄13.98岁的青少年，其中女性占61.9%，采用融合混合方法。结果表明，GGED-AD具有令人满意的可用性和可接受性，被认为易于使用，具有吸引力，鼓励积极行为，并且被参与者认为是有用的。但是，也注意到一些困难，例如在理解某些具体内容方面。因此，本研究为改进GGED-AD和类似电子卫生干预措施的设计提供了有价值的见解，目的是提高它们在“现实世界”环境中采用的潜力。

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引用次数: 0

Loneliness Predicts Symptom Outcomes Following a Digital Intervention for Appearance Concerns 孤独感预测数字干预后的症状结果

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.06.005

Tapan A. Patel, Matthew C. Sala, Jesse R. Cougle

Digital mental health interventions have proliferated in the past decade, though it is not clear whether social isolation or loneliness influences their efficacy. The present study sought to determine whether loneliness predicted symptom outcomes following a digital treatment for appearance concerns. Women elevated in appearance concerns (N = 203) were randomized to one of two interventions where participants were either instructed to reduce appearance-related safety behaviors (ARSB; i.e., actions people take to reduce appearance anxiety) or general unhealthy behaviors. Both treatments led to similar reductions in loneliness. However, we found that baseline loneliness moderated the effect of condition on social anxiety such that, at low levels of loneliness, ARSB reduction led to lower social anxiety than control, though these effects were absent at high levels of loneliness. We also found that, in the ARSB treatment condition (but not the control condition), pretreatment loneliness predicted symptoms of social anxiety at posttreatment and predicted social anxiety, eating disorder symptoms, and depression at follow-up. Taken together, loneliness appears to play an important role in the efficacy of this digital intervention, findings which may have implications for the broader digital treatment literature.

在过去十年中，数字心理健康干预措施激增，尽管尚不清楚社会隔离或孤独是否会影响其效果。目前的研究试图确定孤独感是否能预测数字治疗后的症状结果。对外表担忧程度较高的女性（N = 203）被随机分配到两种干预措施中的一种，在这两种干预措施中，参与者要么被指示减少与外表相关的安全行为（即人们为减少外表焦虑而采取的行动），要么被指示减少一般的不健康行为。两种治疗方法对孤独感的减少效果相似。然而，我们发现基线孤独调节了条件对社交焦虑的影响，因此，在低孤独感水平下，ARSB减少导致的社交焦虑低于对照组，尽管这些影响在高孤独感水平下不存在。我们还发现，在ARSB治疗条件下（而不是对照组），预处理孤独感预测治疗后的社交焦虑症状，并预测随访时的社交焦虑、饮食失调症状和抑郁。综上所述，孤独感似乎在这种数字干预的有效性中起着重要作用，这些发现可能对更广泛的数字治疗文献产生影响。

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引用次数: 0

State of the Science: Intolerance of Uncertainty 科学现状：对不确定性的不容忍

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.08.009

Michel J. Dugas, Naomi Koerner, Mark H. Freeston

Over 30 years ago, a group of researchers at Laval University, Canada, conceptualized the construct of intolerance of uncertainty (IU) and proposed a self-report measure of IU, the Intolerance of Uncertainty Scale (IUS; Freeston et al., 1994). At the time, we were interested in identifying a cognitive vulnerability factor for the development and maintenance of worry and GAD. Initial nonclinical and clinical research by the Laval group suggested that IU, as measured by the IUS, was a sensitive and relatively specific marker of worry and GAD. Subsequent studies by countless other research groups indicate that although IU does show some evidence of specificity to worry and GAD, it is also a transdiagnostic and trans-situational construct. In the current State of the Science paper, we review the research on IU, with a focus on (1) initial studies on the specificity of IU to worry and GAD, (2) the construct and measurement of IU, (3) the transdiagnostic and trans-situational nature of IU, (4) cultural and related considerations, (5) IU and cognitive processing, (6) the neural and psychophysiological correlates of IU, (7) treatment and IU, and (8) future directions. Overall, it can be concluded that the construct of intolerance of uncertainty, despite the fact that its definition and measurement remain actively debated, has established itself as a central construct in the field of mental health and psychopathology. Indeed, research on IU over the past three decades has led to significant improvements in both theory and clinical practice, and to a better understanding of what people think, feel, and do when experiencing uncertainty.

30多年前，加拿大拉瓦尔大学的一组研究人员概念化了不确定性不耐受（IU）的概念，并提出了一种IU的自我报告测量方法，即不确定性不耐受量表（IUS; Freeston et al., 1994）。当时，我们感兴趣的是确定焦虑和广泛性焦虑症发展和维持的认知脆弱性因素。Laval小组最初的非临床和临床研究表明，IU（由IU测量）是焦虑和广泛性焦虑症的敏感和相对特定的标志物。无数其他研究小组的后续研究表明，尽管IU确实显示出焦虑和广泛性焦虑症的一些特异性证据，但它也是一种跨诊断和跨情境的构建。在本文中，我们回顾了关于IU的研究，重点是：(1)IU对焦虑和广泛性焦虑症的特异性的初步研究，(2)IU的构建和测量，(3)IU的跨诊断和跨情境性质，(4)文化和相关考虑，(5)IU与认知加工，(6)IU的神经和心理生理相关性，(7)治疗和IU，以及(8)未来方向。总的来说，可以得出的结论是，尽管对不确定性不容忍的定义和衡量仍在积极辩论，但它已成为心理健康和精神病理学领域的一个核心概念。事实上，在过去的三十年里，对IU的研究已经在理论和临床实践方面取得了重大进展，并且更好地理解了人们在经历不确定性时的想法、感受和行为。

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引用次数: 0

Longitudinal Association Between Depressive Symptoms and Sleep Problems in Adolescents Following a Natural Disaster: Understanding the Role of Psychological Inflexibility 自然灾害后青少年抑郁症状与睡眠问题的纵向关联：了解心理不灵活性的作用

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.08.003

Zhengyi Liu, Yunyi Xiao, Yingying Ye, Yifan Li, Zijian He, Xiao Zhou

Previous studies have investigated the temporal associations between depressive symptoms and sleep problems in traumatized adolescents. However, controversy remains regarding the directionality and underlying mechanisms of these associations, because within- and between-individual effects have not been differentiated. To examine this issue, the current study used the random-intercept cross lagged panel model (RI-CLPM) to assess the temporal associations between depressive symptoms, sleep problems and psychological inflexibility in adolescents following Typhoon Lekima. A sample of 1,341 adolescents completed self-report questionnaires at three time points (November 2019, November 2020, and November 2021). RI-CLPM analysis was used to examine the autoregressive and cross-lagged effects among variables. The results indicated stable and direct predictive within-individual effects from depressive symptoms to psychological inflexibility, and from psychological inflexibility to sleep problems, as well as potential mediation effects from depressive symptoms to sleep problems via psychological inflexibility. Meanwhile, between-individual effect analyses revealed positive relationships among depressive symptoms, sleep problems and psychological inflexibility. These findings indicate that higher levels of depressive symptoms predict subsequent worse sleep problems via possible moderation effects of psychological inflexibility, suggesting that prior intervention should focus more on alleviating symptoms of depressive symptoms and improving psychological flexibility after natural disasters.

先前的研究已经调查了受创伤青少年抑郁症状和睡眠问题之间的时间关联。然而，关于这些关联的方向性和潜在机制仍然存在争议，因为个体内部和个体之间的影响尚未区分。为了研究这一问题，本研究使用随机截距交叉滞后面板模型（RI-CLPM）来评估台风利基玛后青少年抑郁症状、睡眠问题和心理不灵活性之间的时间关联。1341名青少年在2019年11月、2020年11月和2021年11月三个时间点完成自我报告问卷。采用RI-CLPM分析检验变量间的自回归和交叉滞后效应。结果表明，从抑郁症状到心理不灵活性、从心理不灵活性到睡眠问题的个体内效应稳定、直接预测，以及抑郁症状通过心理不灵活性到睡眠问题的潜在中介效应。与此同时，个体间效应分析显示，抑郁症状、睡眠问题和心理僵化之间存在正相关。这些发现表明，高水平的抑郁症状预示着随后更严重的睡眠问题，可能通过心理不灵活性的调节作用，这表明先前的干预应更多地关注减轻抑郁症状和提高自然灾害后的心理灵活性。

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引用次数: 0

Negative Cognitions After the Death of a Close Person: Time-Varying and Time-Invariant Components and Their Associations with Prolonged Grief 亲密之人死亡后的消极认知：时变和时不变成分及其与长期悲伤的关联

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.07.003

Marjolein A. Missler, Gerwin van der Laan, Paul A. Boelen

The loss of a significant other may shatter positive or neutral cognitions about the self, life, and the future, confirm preexisting negative cognitions in these areas, or lead to threatening misinterpretations about one’s own grieving. Negative cognitions are a risk factor for the development of prolonged grief disorder (PGD). Using latent trait-state occasion (TSO) modeling, the aim of this study was to examine the longitudinal structure of negative loss-related cognitions over time, and to examine the associations between time-invariant (TI; trait) and time-variant (TV; occasional) components of four types of negative cognitions with symptoms of prolonged grief (PG). Data from the Utrecht Longitudinal Study on Adjustment to Loss were used, in which bereaved people’s grief responses were measured every 6 weeks over the course of 1 year (11 waves). We included 223 participants who experienced their loss in the year before. Using TSO modeling, we could distinguish between the degree of variance in negative cognitions explained by the stable trait factor (TI component) and by temporary, situation-dependent circumstances (TV component). Descriptive results indicated a decrease in both negative cognitions and PG scores over time. While the TSO model for negative cognitions about the self showed inadequate fit to the data, the other models showed that negative cognitions about life, the future, and threatening misinterpretations largely consisted of a TI component, which was more strongly associated with PG severity compared to the TV components. Thus, negative views on life, pessimism over the future, and negative interpretations of one’s grief reactions seem to be relatively stable over time and less sensitive to changing circumstances. This supports the potential usefulness of cognitive restructuring, behavioral experiments, and exposure in the treatment of PG. Overall, this study confirms the role of negative cognitions in the development and maintenance of symptoms of PG.

失去重要的另一半可能会粉碎对自我、生活和未来的积极或中性认知，确认这些领域先前存在的消极认知，或者导致对自己悲伤的威胁性误解。消极认知是长期悲伤障碍（PGD）发展的一个危险因素。本研究采用潜在特质-状态场合（TSO）模型，旨在研究消极损失相关认知随时间的纵向结构，并研究四种消极认知的时不变（TI；特质）和时变（TV；偶发）成分与长期悲伤症状（PG）之间的关系。研究人员使用了乌得勒支纵向研究的数据，在1年的时间里，每6周对失去亲人的人的悲伤反应进行测量（11波）。我们纳入了223名在前一年经历过丧亲之痛的参与者。利用TSO模型，我们可以区分由稳定的特质因素（TI成分）和由临时的、情境依赖的情况（TV成分）解释的负面认知的变异程度。描述性结果表明，随着时间的推移，消极认知和PG分数都有所下降。虽然关于自我消极认知的TSO模型与数据的拟合不足，但其他模型显示，关于生活、未来和威胁性误解的消极认知主要由TI成分组成，与TV成分相比，TI成分与PG严重程度的相关性更强。因此，对生活的消极看法，对未来的悲观态度，以及对悲伤反应的消极解释，似乎随着时间的推移相对稳定，对变化的环境不那么敏感。这支持了认知重构、行为实验和暴露在PG治疗中的潜在作用。总体而言，本研究证实了消极认知在PG症状的发展和维持中的作用。

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引用次数: 0

Family Accommodation of Pediatric Irritability: Development and Psychometric Properties of the Family Accommodation Scale for Irritability 儿童易怒的家庭适应：易怒家庭适应量表的编制和心理测量学特征

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.07.006

Claire Whiting, Kenneth Fling, Jennifer M. Meigs, Reut Naim, Simone P. Haller, Lauren M. Henry, Wendy K. Silverman, Eli R. Lebowitz, Melissa A. Brotman, Wan-Ling Tseng

Irritability in children and adolescents is an important mental health concern that presents across a range of disorders. Family accommodation refers to the way families alter their behavior to prevent or reduce child distress. Despite its clinical relevance, the role of family accommodation in pediatric irritability remains underexplored. This study developed and validated a novel parent- and child-report form of the Family Accommodation Scale for Irritability (FASI). We recruited 131 youths (61.83% male, 36.64% female, 1.53% unknown sex; 63.36% White, 12.21% multiracial, 9.92% Black or African American, 3.05% American Indian/Alaska Native, 2.29% Asian, 9.16% unknown race) ages 8–17 years (M = 12.23, SD = 2.49) with varying irritability symptom severity. Both parents and their children completed the FASI and measures of child irritability, anxiety, and depression. Irritability was also assessed by clinician report. Confirmatory factor analyses (CFAs) were used to test factor structures. Internal consistency, convergent and divergent validity, and cross-informant agreement on the FASI were also assessed. CFA supported a two-factor model of family accommodation, representing “participation in behaviors” and “modification of family routines.” Internal consistency and convergent and divergent validity supported the reliability and validity of the scale. Child age showed a significant negative correlation with parent-reported, but not child-reported, family accommodation. Accommodation did not vary with child sex. These results show that family accommodation of irritability can be reliably and validly assessed using the parent- and child-reported FASI scales. Future studies may use this measure to advance understanding of the role that family accommodation plays in pediatric irritability, and its potential as an intervention target.

儿童和青少年易怒是一个重要的心理健康问题，存在于一系列疾病中。家庭调节是指家庭改变其行为以防止或减少儿童痛苦的方式。尽管其临床相关性，家庭住宿在儿童易怒的作用仍未得到充分探讨。本研究开发并验证了一种新的家长和孩子报告形式的家庭易怒适应量表（FASI）。我们招募了年龄在8-17岁（M = 12.23,SD = 2.49）不同易怒症状严重程度的131名青少年（男性61.83%，女性36.64%，性别未知1.53%，白人63.36%，多种族12.21%，黑人或非裔美国人9.92%，美洲印第安人/阿拉斯加原住民3.05%，亚洲人2.29%，种族未知9.16%），其中男性61.83%，女性36.64%，性别未知1.53%。父母和他们的孩子都完成了FASI和孩子易怒、焦虑和抑郁的测量。易怒程度也由临床医师报告评估。验证性因子分析（CFAs）用于检验因子结构。对FASI的内部一致性、收敛效度和发散效度以及交叉举报人的一致性也进行了评估。CFA支持家庭适应的双因素模型，代表“参与行为”和“修改家庭惯例”。内部一致性、收敛度和发散度支持量表的信度和效度。儿童年龄与父母报告的家庭住宿呈显著负相关，但与儿童报告的家庭住宿无显著负相关。儿童性别不同，住宿条件也不一样。这些结果表明，使用父母和儿童报告的FASI量表可以可靠和有效地评估家庭对易怒的适应。未来的研究可能会使用这一措施来促进对家庭住宿在儿童易怒中所起作用的理解，以及它作为干预目标的潜力。

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引用次数: 0

Acknowledgment to 2025 Reviewers 感谢2025位审稿人

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.12.004

引用次数: 0