Behavior Therapy最新文献_第6页

Therapist-Guided Internet-Delivered Acceptance-Enhanced Behavior Therapy for Skin-Picking Disorder: A Randomized Controlled Trial 治疗师指导下的网络接受强化行为疗法治疗抠皮症：随机对照试验

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.04.006

Mia Asplund, Fabian Lenhard, Christian Rück, Erik Andersson, Tova Grimlund, Maja Nilsson, Mika Sarachu-Nilsson, Linda Sundh, Volen Z. Ivanov

Despite its high prevalence, individuals suffering from skin-picking disorder (SPD) face limited access to treatment due to several factors, including geographical and economic barriers, as well as a shortage of properly trained therapists. Offering Internet-delivered therapy could be a solution to these barriers. This study aimed to evaluate the efficacy of therapist-guided Internet-delivered acceptance-enhanced behavior therapy (iBT) for SPD compared to a wait-list control condition. Participants randomized to the intervention group received 10 weeks of iBT (n = 35), while those in the control group were placed on a wait-list (n = 35). The primary outcome was the Skin Picking Scale—Revised (SPS-R). Mixed-model regression analyses demonstrated a significantly greater improvement in SPD symptoms in the iBT group compared to the control group at posttreatment (between-group difference −5.1 points, F = 9.69, p < .001). The between-group effect size was in the large range, with a bootstrapped d of 1.3 (95% CI [0.92, 1.69]). At posttreatment, 43% of the participants in the iBT group were classified as responders, and 31% were in remission, compared to 0% responders and 3% in remission in the control group. At the 6-month follow-up, the SPD symptoms had increased compared to posttreatment. However, the improvement from pretreatment remained significant. Participants reported a high level of satisfaction and credibility of the treatment, and a perceived good level of working alliance. Compared to wait-list control, iBT is an efficacious treatment for SPD at posttreatment and follow-up, with the potential to substantially increase the availability and access to evidence-based treatment for this disorder. Replication studies, particularly those comparing iBT to an active control, are warranted.

尽管其发病率很高，但由于地理和经济障碍以及缺乏受过适当训练的治疗师等几个因素，患有抠皮障碍（SPD）的个体获得治疗的机会有限。提供互联网治疗可能是解决这些障碍的一种方法。本研究旨在评估治疗师指导的网络接受增强行为疗法（iBT）对SPD的疗效，并与等候名单对照条件进行比较。随机分配到干预组的参与者接受10周的iBT治疗（n = 35），而对照组的参与者则被放置在等待名单上（n = 35）。主要结果是皮肤采摘量表-修订（SPS-R）。混合模型回归分析显示，与对照组相比，iBT组治疗后SPD症状的改善明显更大（组间差异- 5.1分，F = 9.69,p <； .001）。组间效应量在较大范围内，自举d为1.3 （95% CI[0.92, 1.69]）。在治疗后，iBT组中43%的参与者被归类为应答者，31%的参与者处于缓解期，而对照组中应答者为0%，缓解期为3%。在6个月的随访中，SPD症状与治疗后相比有所增加。然而，预处理后的改善仍然显著。参与者报告了高水平的满意度和治疗的可信度，并感知到良好的工作联盟水平。与等候名单对照相比，iBT在治疗后和随访中是一种有效的SPD治疗方法，有可能大大增加这种疾病的循证治疗的可用性和可及性。重复研究，特别是将iBT与主动对照进行比较的研究是有必要的。

{"title":"Therapist-Guided Internet-Delivered Acceptance-Enhanced Behavior Therapy for Skin-Picking Disorder: A Randomized Controlled Trial","authors":"Mia Asplund, Fabian Lenhard, Christian Rück, Erik Andersson, Tova Grimlund, Maja Nilsson, Mika Sarachu-Nilsson, Linda Sundh, Volen Z. Ivanov","doi":"10.1016/j.beth.2024.04.006","DOIUrl":"10.1016/j.beth.2024.04.006","url":null,"abstract":"<div><div>Despite its high prevalence, individuals suffering from skin-picking disorder (SPD) face limited access to treatment due to several factors, including geographical and economic barriers, as well as a shortage of properly trained therapists. Offering Internet-delivered therapy could be a solution to these barriers. This study aimed to evaluate the efficacy of therapist-guided Internet-delivered acceptance-enhanced behavior therapy (iBT) for SPD compared to a wait-list control condition. Participants randomized to the intervention group received 10 weeks of iBT (<em>n</em> = 35), while those in the control group were placed on a wait-list (<em>n</em> = 35). The primary outcome was the Skin Picking Scale—Revised (SPS-R). Mixed-model regression analyses demonstrated a significantly greater improvement in SPD symptoms in the iBT group compared to the control group at posttreatment (between-group difference −5.1 points, <em>F</em> = 9.69, <em>p</em> < .001). The between-group effect size was in the large range, with a bootstrapped <em>d</em> of 1.3 (95% CI [0.92, 1.69]). At posttreatment, 43% of the participants in the iBT group were classified as responders, and 31% were in remission, compared to 0% responders and 3% in remission in the control group. At the 6-month follow-up, the SPD symptoms had increased compared to posttreatment. However, the improvement from pretreatment remained significant. Participants reported a high level of satisfaction and credibility of the treatment, and a perceived good level of working alliance. Compared to wait-list control, iBT is an efficacious treatment for SPD at posttreatment and follow-up, with the potential to substantially increase the availability and access to evidence-based treatment for this disorder. Replication studies, particularly those comparing iBT to an active control, are warranted.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 70-82"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility, Acceptability, and Preliminary Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents in China: A Pilot Study 中国青少年情感障碍跨诊断治疗统一方案（UP-A）的可行性、可接受性和初步疗效：试点研究

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.05.003

Mei-Rong Pan , Xue-Ying Liu , Xue Gao, Zhong-Fang Fu, Lu Liu, Hai-Mei Li, Yu-Feng Wang, Qiu-Jin Qian

Currently, there is a lack of cost-effective and accessible intervention resources for Chinese adolescents with emotional disorders. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), which aims to apply transdiagnostic treatment principles to target core dysfunctions across a range of emotional disorders with a single protocol, could fill this gap. We first modified the UP-A for use in the Chinese cultural context and then assessed its feasibility, acceptability, and preliminary efficacy using a single-arm design. Twenty-four Chinese adolescents (14.1 ± 1.2 years old) with emotional disorders completed a 12-week group UP-A intervention along with their parents. Multiple outcomes were evaluated at five time points: pretreatment (T1), week 4 (T2), week 8 (T3), posttreatment (T4), and 3-month follow-up (T5). The results showed a low dropout rate (16.7%), high attendance (at 10.2 ± 1.6 sessions in adolescents and 10.7 ± 2.0 sessions in parents), and sufficient participant satisfaction. Adolescents exhibited significant decreases in emotional disorder severity (g = −1.298 to −1.341) and emotional symptoms (g = −0.440 to −1.988) and significant improvements in emotion regulation (ER) strategies, resilience, functional outcomes, and executive function. The efficacy of the intervention was significant starting at T2 and was maintained at T4 and T5. Exploratory analyses revealed that predictors of treatment outcomes included the presence of multiple comorbidities, the severity of emotional disorders, adaptive ER strategies, and resilience at T1. This study demonstrated the feasibility, acceptability, and preliminary efficacy of the Chinese version of the UP-A, and future randomized controlled trials are warranted.

目前，中国青少年情绪障碍缺乏具有成本效益和可及性的干预资源。《青少年情绪障碍跨诊断治疗统一方案》（UP-A）旨在通过单一方案将跨诊断治疗原则应用于一系列情绪障碍的核心功能障碍，可以填补这一空白。我们首先修改了upa以适应中国文化背景，然后使用单臂设计评估其可行性、可接受性和初步疗效。24名患有情绪障碍的中国青少年（14.1 ± 1.2岁）与父母一起完成了为期12周的UP-A组干预。在治疗前（T1）、第4周（T2）、第8周（T3）、治疗后（T4）和3个月随访（T5）五个时间点评估多项结果。结果显示，该项目辍学率低（16.7%），出勤率高（青少年为10.2 ± 1.6次，家长为10.7 ± 2.0次），参与者满意度高。青少年表现出情绪障碍严重程度（g = −1.298至−1.341）和情绪症状（g = −0.440至−1.988）的显著降低，情绪调节（ER）策略、弹性、功能结局和执行功能的显著改善。干预的效果从T2开始显著，并维持在T4和T5。探索性分析显示，治疗结果的预测因素包括多种合并症的存在、情绪障碍的严重程度、适应性ER策略和T1时的恢复能力。本研究证明了中国版本的UP-A的可行性、可接受性和初步疗效，未来的随机对照试验是必要的。

{"title":"Feasibility, Acceptability, and Preliminary Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents in China: A Pilot Study","authors":"Mei-Rong Pan , Xue-Ying Liu , Xue Gao, Zhong-Fang Fu, Lu Liu, Hai-Mei Li, Yu-Feng Wang, Qiu-Jin Qian","doi":"10.1016/j.beth.2024.05.003","DOIUrl":"10.1016/j.beth.2024.05.003","url":null,"abstract":"<div><div>Currently, there is a lack of cost-effective and accessible intervention resources for Chinese adolescents with emotional disorders. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), which aims to apply transdiagnostic treatment principles to target core dysfunctions across a range of emotional disorders with a single protocol, could fill this gap. We first modified the UP-A for use in the Chinese cultural context and then assessed its feasibility, acceptability, and preliminary efficacy using a single-arm design. Twenty-four Chinese adolescents (14.1 ± 1.2 years old) with emotional disorders completed a 12-week group UP-A intervention along with their parents. Multiple outcomes were evaluated at five time points: pretreatment (T1), week 4 (T2), week 8 (T3), posttreatment (T4), and 3-month follow-up (T5). The results showed a low dropout rate (16.7%), high attendance (at 10.2 ± 1.6 sessions in adolescents and 10.7 ± 2.0 sessions in parents), and sufficient participant satisfaction. Adolescents exhibited significant decreases in emotional disorder severity (<em>g</em> = −1.298 to −1.341) and emotional symptoms (<em>g</em> = −0.440 to −1.988) and significant improvements in emotion regulation (ER) strategies, resilience, functional outcomes, and executive function. The efficacy of the intervention was significant starting at T2 and was maintained at T4 and T5. Exploratory analyses revealed that predictors of treatment outcomes included the presence of multiple comorbidities, the severity of emotional disorders, adaptive ER strategies, and resilience at T1. This study demonstrated the feasibility, acceptability, and preliminary efficacy of the Chinese version of the UP-A, and future randomized controlled trials are warranted.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 145-161"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Targeted Sleep Enhancement Reduces Residual Anxiety Symptoms in Peri-Adolescents Previously Treated for Anxiety Disorders 有针对性地改善睡眠可减轻曾接受过焦虑症治疗的青少年的残余焦虑症状

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.05.002

Saima A. Akbar, Timothy Hayes, Matthew J. Valente, Melissa M. Milbert, Jennifer C. Cousins, Greg J. Siegle, Cecile D. Ladouceur, Jennifer S. Silk, Erika E. Forbes, Neal D. Ryan, Allison G. Harvey, Ronald E. Dahl, Dana L. McMakin

Sleep-related problems (SRPs) are a common precursor to anxiety disorders, especially during peri-adolescence, and may be a predictor of treatment response. However, evidence-based anxiety treatments do not alleviate SRPs to a clinically significant degree. The current study examines whether improving sleep in a sample of young adolescents previously treated for anxiety disorders can further reduce anxiety severity. Participants include 46 adolescents (65% female, ages 9–14 years) previously treated for anxiety disorders who self-selected to participate in a 6-week open trial of targeted sleep enhancement (TIGERS). Measures of parent- and child report on SRPs, and clinician-rated anxiety severity, were collected at several time points of the study: pre-, and postanxiety treatment, pre- and post-TIGERS, and at four yearly follow-ups. Two hierarchical mediation models were run using either parent- or child report on sleep. On the between-subjects level, participants with higher overall average SRPs also had higher overall anxiety severity over all time points. On the within-subjects level, participation in TIGERS was not directly associated with change in anxiety severity—however, participation in TIGERS was associated with a drop in SRPs, which was associated with a drop in anxiety severity. Improving sleep in anxious peri-adolescents further improves anxiety above and beyond anxiety treatment. Further research is needed to confirm the effects of improving sleep on clinical anxiety in a randomized controlled trial.

睡眠相关问题（srp）是焦虑症的常见前兆，尤其是在青春期周围，并且可能是治疗反应的预测因子。然而，基于证据的焦虑治疗并没有在临床上显著程度上缓解srp。目前的研究考察的是，在之前接受过焦虑症治疗的青少年样本中，改善睡眠是否能进一步降低焦虑的严重程度。参与者包括46名曾接受焦虑症治疗的青少年（65%为女性，年龄9-14岁），他们自我选择参加为期6周的靶向睡眠增强（TIGERS）公开试验。在研究的几个时间点收集了父母和儿童关于srp的报告，以及临床医生评定的焦虑严重程度的测量：焦虑治疗前和治疗后，老虎治疗前和治疗后，以及四年随访。使用父母或孩子的睡眠报告运行两个分层中介模型。在受试者之间的水平上，总体平均srp较高的参与者在所有时间点上的总体焦虑严重程度也较高。在受试者内部水平上，参与tiger与焦虑严重程度的变化没有直接联系——然而，参与tiger与srp的下降有关，srp的下降与焦虑严重程度的下降有关。改善青少年期焦虑患者的睡眠可以进一步改善焦虑，而不仅仅是焦虑治疗。在一项随机对照试验中，需要进一步的研究来证实改善睡眠对临床焦虑的影响。

{"title":"Targeted Sleep Enhancement Reduces Residual Anxiety Symptoms in Peri-Adolescents Previously Treated for Anxiety Disorders","authors":"Saima A. Akbar, Timothy Hayes, Matthew J. Valente, Melissa M. Milbert, Jennifer C. Cousins, Greg J. Siegle, Cecile D. Ladouceur, Jennifer S. Silk, Erika E. Forbes, Neal D. Ryan, Allison G. Harvey, Ronald E. Dahl, Dana L. McMakin","doi":"10.1016/j.beth.2024.05.002","DOIUrl":"10.1016/j.beth.2024.05.002","url":null,"abstract":"<div><div>Sleep-related problems (SRPs) are a common precursor to anxiety disorders, especially during peri-adolescence, and may be a predictor of treatment response. However, evidence-based anxiety treatments do not alleviate SRPs to a clinically significant degree. The current study examines whether improving sleep in a sample of young adolescents previously treated for anxiety disorders can further reduce anxiety severity. Participants include 46 adolescents (65% female, ages 9–14 years) previously treated for anxiety disorders who self-selected to participate in a 6-week open trial of targeted sleep enhancement (TIGERS). Measures of parent- and child report on SRPs, and clinician-rated anxiety severity, were collected at several time points of the study: pre-, and postanxiety treatment, pre- and post-TIGERS, and at four yearly follow-ups. Two hierarchical mediation models were run using either parent- or child report on sleep. On the between-subjects level, participants with higher overall average SRPs also had higher overall anxiety severity over all time points. On the within-subjects level, participation in TIGERS was not directly associated with change in anxiety severity—however, participation in TIGERS was associated with a drop in SRPs, which was associated with a drop in anxiety severity. Improving sleep in anxious peri-adolescents further improves anxiety above and beyond anxiety treatment. Further research is needed to confirm the effects of improving sleep on clinical anxiety in a randomized controlled trial.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 133-144"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metacognition in Children and Adolescents With Obsessive-Compulsive Disorder Treated With Cognitive Behavioral Therapy 接受认知行为疗法治疗的儿童和青少年强迫症患者的元认知能力

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.04.011

Cecilie Schultz Isaksen, Katja Anna Hybel, Lidewij Wolters, Davíð R.M.A. Højgaard, Lara Farrell, Per Hove Thomsen

According to the metacognitive theory, maladaptive metacognition is associated with the development and maintenance of emotional disorders. This study is the first to explore maladaptive metacognition in a sample of children and adolescents (7–17 years) with obsessive-compulsive disorder (OCD) in the context of cognitive behavioral therapy (CBT). A total of 114 children and adolescents were included in the study. Of these 56 were OCD patients who were assessed on metacognition (Metacognitions Questionnaire–Child Version) and OCD symptom severity (Children’s Yale-Brown Obsessive Compulsive Scale) before and after 14 sessions of individual CBT. Fifty-eight children and adolescents without any psychiatric diagnoses constituted a control group and were assessed on metacognition temporally corresponding to the OCD group. Results showed that the OCD group had significantly elevated maladaptive metacognition relative to the control group, with the exception of positive beliefs about worry. The maladaptive metacognition in the OCD group was significantly reduced from pre- to posttreatment. Additionally, the reduction in the total level of maladaptive metacognition was significantly larger than that reported by the control group. However, it remained significantly elevated relative to controls at posttreatment. Furthermore, lower posttreatment OCD severity was associated with larger reductions in negative beliefs about worry, beliefs about the need to control thoughts, and cognitive self-consciousness, as well as with a higher pretreatment level of positive beliefs about worry. Overall, age group (children vs adolescents) did not moderate these results. Collectively, the results suggest that amending maladaptive metacognition in children and adolescents with OCD might be important considering the associations between reductions in maladaptive metacognition and favorable treatment outcome.

根据元认知理论，适应不良的元认知与情绪障碍的发展和维持有关。本研究首次在认知行为治疗（CBT）的背景下，对患有强迫症（OCD）的儿童和青少年（7-17岁）的元认知不良进行了研究。共有114名儿童和青少年参与了这项研究。其中56名强迫症患者在接受14次个体CBT治疗前后分别接受元认知（元认知问卷-儿童版）和强迫症症状严重程度（儿童耶鲁-布朗强迫症量表）评估。58名没有任何精神病诊断的儿童和青少年作为对照组，在时间上与强迫症组相对应。结果显示，强迫症组除对担忧的积极信念外，适应不良元认知显著高于对照组。治疗前后，OCD组元认知不良显著减少。此外，适应不良元认知总水平的下降幅度明显大于对照组。然而，在治疗后，相对于对照组，它仍然显著升高。此外，治疗后较低的强迫症严重程度与有关担忧的负面信念、控制思想的需要的信念和认知自我意识的较大减少以及有关担忧的积极信念的较高预处理水平有关。总的来说，年龄组（儿童与青少年）没有调节这些结果。总的来说，这些结果表明，考虑到适应不良元认知的减少与良好的治疗结果之间的联系，改善儿童和青少年强迫症患者的适应不良元认知可能是重要的。

{"title":"Metacognition in Children and Adolescents With Obsessive-Compulsive Disorder Treated With Cognitive Behavioral Therapy","authors":"Cecilie Schultz Isaksen, Katja Anna Hybel, Lidewij Wolters, Davíð R.M.A. Højgaard, Lara Farrell, Per Hove Thomsen","doi":"10.1016/j.beth.2024.04.011","DOIUrl":"10.1016/j.beth.2024.04.011","url":null,"abstract":"<div><div>According to the metacognitive theory, maladaptive metacognition is associated with the development and maintenance of emotional disorders. This study is the first to explore maladaptive metacognition in a sample of children and adolescents (7–17 years) with obsessive-compulsive disorder (OCD) in the context of cognitive behavioral therapy (CBT). A total of 114 children and adolescents were included in the study. Of these 56 were OCD patients who were assessed on metacognition (<em>Metacognitions Questionnaire–Child Version</em>) and OCD symptom severity (<em>Children’s Yale-Brown Obsessive Compulsive Scale</em>) before and after 14 sessions of individual CBT. Fifty-eight children and adolescents without any psychiatric diagnoses constituted a control group and were assessed on metacognition temporally corresponding to the OCD group. Results showed that the OCD group had significantly elevated maladaptive metacognition relative to the control group, with the exception of positive beliefs about worry. The maladaptive metacognition in the OCD group was significantly reduced from pre- to posttreatment. Additionally, the reduction in the total level of maladaptive metacognition was significantly larger than that reported by the control group. However, it remained significantly elevated relative to controls at posttreatment. Furthermore, lower posttreatment OCD severity was associated with larger reductions in negative beliefs about worry, beliefs about the need to control thoughts, and cognitive self-consciousness, as well as with a higher pretreatment level of positive beliefs about worry. Overall, age group (children vs adolescents) did not moderate these results. Collectively, the results suggest that amending maladaptive metacognition in children and adolescents with OCD might be important considering the associations between reductions in maladaptive metacognition and favorable treatment outcome.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 95-109"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seeking Care for Obsessive-Compulsive Symptoms Among African Americans: Findings From the National Survey of American Life 寻求治疗非裔美国人的强迫症症状：来自美国生活全国调查的结果。

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.08.002

Jamilah R. George, Robert Joseph Taylor, Traleena M. Rouleau, Emma D. Turner, Monnica T. Williams

Although obsessive-compulsive disorder (OCD) is associated with clinically significant distress, many OCD patients do not seek treatment. Studies show that Black Americans with OCD are even less likely to obtain treatment due to differences in access. This study explored demographic and symptom outcomes associated with mental health service use for obsessions and compulsions among a nationally representative sample of African American adults (n = 3,570). The analytic sample for this analysis is African Americans who endorsed either obsessions (n = 435) or compulsions (n = 543). Few respondents sought care from their doctor for obsessions (14.25%, n = 62) and even fewer sought care for compulsions (7.55%, n = 36). Respondents were significantly more likely to seek care for obsessions if they had poorer self-rated mental health and perceived impairment due to obsessions—however, they were significantly less likely to seek care for obsessions if they had a high school education or less. Additionally, respondents were more likely to seek care for compulsions if they had poorer self-rated mental health. Our findings suggest that demographic factors, such as level of education, can impact care-seeking behaviors and, therefore, treatment outcomes for African Americans with obsessive-compulsive symptoms. Knowledge of factors associated with OCD care-seeking behavior can help inform potential barriers to treatment and strategies to ensure equity in access to mental health care for this population. Clinical implications and future directions are discussed.

虽然强迫症（OCD）与临床显著的痛苦有关，但许多强迫症患者不寻求治疗。研究表明，由于获得治疗的途径不同，患有强迫症的美国黑人更不可能得到治疗。本研究在全国代表性的非裔美国成年人样本（ = 3,570）中探讨了与强迫和强迫心理健康服务使用相关的人口统计学和症状结果。该分析的分析样本是非裔美国人，他们支持强迫（n = 435）或强迫（n = 543）。很少有被调查者因强迫行为就诊（14.25%,n = 62），而因强迫行为就诊的人数更少（7.55%,n = 36）。如果受访者自我评估的心理健康状况较差，并且认为自己受到了强迫症的损害，那么他们更有可能寻求强迫症的治疗——然而，如果他们只有高中或更低的学历，那么他们寻求强迫症治疗的可能性就会显著降低。此外，如果受访者自我评价的心理健康状况较差，他们更有可能寻求强迫症治疗。我们的研究结果表明，人口因素，如教育水平，可以影响寻求护理的行为，因此，治疗结果对非裔美国人的强迫症症状。了解与强迫症求医行为相关的因素可以帮助了解治疗的潜在障碍和策略，以确保这一人群公平获得精神卫生保健。讨论了临床意义和未来发展方向。

{"title":"Seeking Care for Obsessive-Compulsive Symptoms Among African Americans: Findings From the National Survey of American Life","authors":"Jamilah R. George, Robert Joseph Taylor, Traleena M. Rouleau, Emma D. Turner, Monnica T. Williams","doi":"10.1016/j.beth.2024.08.002","DOIUrl":"10.1016/j.beth.2024.08.002","url":null,"abstract":"<div><div>Although obsessive-compulsive disorder (OCD) is associated with clinically significant distress, many OCD patients do not seek treatment. Studies show that Black Americans with OCD are even less likely to obtain treatment due to differences in access. This study explored demographic and symptom outcomes associated with mental health service use for obsessions and compulsions among a nationally representative sample of African American adults (<em>n</em> = 3,570). The analytic sample for this analysis is African Americans who endorsed either obsessions (<em>n</em> = 435) or compulsions (<em>n</em> = 543). Few respondents sought care from their doctor for obsessions (14.25%, <em>n</em> = 62) and even fewer sought care for compulsions (7.55%, <em>n</em> = 36). Respondents were significantly more likely to seek care for obsessions if they had poorer self-rated mental health and perceived impairment due to obsessions—however, they were significantly less likely to seek care for obsessions if they had a high school education or less. Additionally, respondents were more likely to seek care for compulsions if they had poorer self-rated mental health. Our findings suggest that demographic factors, such as level of education, can impact care-seeking behaviors and, therefore, treatment outcomes for African Americans with obsessive-compulsive symptoms. Knowledge of factors associated with OCD care-seeking behavior can help inform potential barriers to treatment and strategies to ensure equity in access to mental health care for this population. Clinical implications and future directions are discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 1-15"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prolonged Grief Symptoms Predict Social and Emotional Loneliness and Depression Symptoms 长期悲伤症状可预测社交和情感孤独感及抑郁症状

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.04.014

Maarten C. Eisma, Asuman Buyukcan-Tetik

A minority of bereaved individuals develops severe, persistent, and disabling grief, termed “prolonged grief.” The International Classification of Diseases, eleventh edition (ICD-11) and the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, text revision (DSM-5-TR) include such grief reactions as prolonged grief disorder (PGD). Loneliness is often experienced by bereaved persons and can have severe health consequences. Preliminary research suggests that loneliness may perpetuate grief, but prolonged grief may also aggravate loneliness. Since existing empirical research provides limited information on temporal relationships between both constructs, we aimed to fill this gap in knowledge. Bereaved adults (88% female, mean age 54 years) filled in questionnaires assessing general, social, and emotional loneliness and prolonged grief and depression symptoms across two time points, 6 months apart. Cross-lagged panel model analyses showed that prolonged grief symptoms predicted more severe general, social, and emotional loneliness, as well as more depression symptoms. Loneliness did not predict prolonged grief symptoms and depression symptoms. Depression symptoms did not predict prolonged grief symptoms and loneliness. Additionally, latent change score analyses demonstrated that within person changes in prolonged grief symptoms and loneliness were related. Findings are inconsistent with the notion that loneliness causes prolonged grief and depression. Possibly, severe grief could lead to stigmatization, reduced social support, and feeling socially disconnected, perpetuating loneliness and depression symptoms.

少数失去亲人的人会出现严重的、持续的、致残的悲伤，称为“长期性悲伤”。《国际疾病分类》第11版（ICD-11）和《精神疾病诊断与统计手册》第5版，文本修订（DSM-5-TR）将这种悲伤反应包括为延长悲伤障碍（PGD）。失去亲人的人往往会感到孤独，并可能对健康造成严重后果。初步研究表明，孤独可能会使悲伤持续下去，但长期的悲伤也可能加剧孤独。由于现有的实证研究对这两个构式之间的时间关系提供了有限的信息，我们的目标是填补这一知识空白。失去亲人的成年人（88%为女性，平均年龄54岁）填写问卷，评估一般、社会和情感上的孤独，以及间隔6个月的两个时间点的长期悲伤和抑郁症状。交叉滞后面板模型分析显示，延长的悲伤症状预示着更严重的一般、社会和情感孤独，以及更多的抑郁症状。孤独并不能预测长期的悲伤症状和抑郁症状。抑郁症状不能预测长期的悲伤症状和孤独。此外，潜在变化得分分析表明，在个人内部的变化，延长悲伤症状和孤独是相关的。研究结果与孤独导致长期悲伤和抑郁的观点不一致。严重的悲伤可能会导致污名化，减少社会支持，感觉与社会脱节，长期存在孤独和抑郁症状。

{"title":"Prolonged Grief Symptoms Predict Social and Emotional Loneliness and Depression Symptoms","authors":"Maarten C. Eisma, Asuman Buyukcan-Tetik","doi":"10.1016/j.beth.2024.04.014","DOIUrl":"10.1016/j.beth.2024.04.014","url":null,"abstract":"<div><div>A minority of bereaved individuals develops severe, persistent, and disabling grief, termed “prolonged grief.” The <em>International Classification of Diseases</em>, eleventh edition (ICD-11) and the <em>Diagnostic and Statistical Manual of Mental Disorders</em>, fifth edition, text revision (DSM-5-TR) include such grief reactions as prolonged grief disorder (PGD). Loneliness is often experienced by bereaved persons and can have severe health consequences. Preliminary research suggests that loneliness may perpetuate grief, but prolonged grief may also aggravate loneliness. Since existing empirical research provides limited information on temporal relationships between both constructs, we aimed to fill this gap in knowledge. Bereaved adults (88% female, mean age 54 years) filled in questionnaires assessing general, social, and emotional loneliness and prolonged grief and depression symptoms across two time points, 6 months apart. Cross-lagged panel model analyses showed that prolonged grief symptoms predicted more severe general, social, and emotional loneliness, as well as more depression symptoms. Loneliness did not predict prolonged grief symptoms and depression symptoms. Depression symptoms did not predict prolonged grief symptoms and loneliness. Additionally, latent change score analyses demonstrated that within person changes in prolonged grief symptoms and loneliness were related. Findings are inconsistent with the notion that loneliness causes prolonged grief and depression. Possibly, severe grief could lead to stigmatization, reduced social support, and feeling socially disconnected, perpetuating loneliness and depression symptoms.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 121-132"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stress in Caregivers of Youth Hospitalized for Suicide Ideation or Attempt 因有自杀意念或企图自杀而住院的青少年的照顾者所承受的压力

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.04.013

Valerie J. Micol, Alejandra Arango, Cheryl A. King, Ewa K. Czyz

Youth hospitalizations for suicide risk-related concerns are increasing. The postdischarge time is a high-risk period for repeated suicide attempts and represents a vulnerable time for youth and their caregivers. However, little is known about caregiving stress during this time and what factors influence its levels. This study characterizes caregiving stress across 3 months following discharge among caregivers (74% biological mothers) of psychiatrically hospitalized adolescents (N = 80; ages 13–17 years) and explores its baseline and time-varying predictors. Participants completed measures at baseline and 1- and 3-month follow-ups. Caregivers completed measures of caregiving stress, caregiver self-efficacy, and depression/anxiety symptoms. Youth completed measures of depression along with a measure of parent–family connection. Youth suicidal ideation (SI) severity was assessed at all time points. Results: Caregiver-reported stress was high at hospitalization and decreased linearly after discharge. Regarding baseline factors, greater youth depression symptoms were associated with higher levels of caregiving stress over time. Regarding time-varying predictors, greater increases in caregiver depression/anxiety symptoms and greater SI severity in the first month after discharge were associated with greater caregiving stress over the follow-up period. This study adds to the growing literature focused on caregiving experiences in a high-risk population. Although caregiving stress tended to decrease posthospitalization, on average, certain caregiver and adolescent characteristics, particularly those related to internalizing symptoms, emerged as important markers of greater caregiving stress during this high-risk period.

青少年因与自杀风险有关的问题而住院治疗的人数正在增加。出院后是反复自杀企图的高风险时期，对青少年及其照顾者来说是一个脆弱的时期。然而，人们对这段时间的照顾压力以及影响其水平的因素知之甚少。本研究分析了精神病住院青少年的照顾者（74%的生母）出院后3个月的照顾压力(N = 80；年龄13-17岁)，并探讨其基线和时变预测因素。参与者完成了基线测量和1个月和3个月的随访。照顾者完成了照顾压力、照顾者自我效能和抑郁/焦虑症状的测量。青少年在完成抑郁测试的同时，还完成了亲子关系的测试。在所有时间点评估青少年自杀意念（SI）的严重程度。结果：护理人员报告的压力在住院时较高，出院后呈线性下降。关于基线因素，随着时间的推移，更大的青少年抑郁症状与更高水平的照顾压力有关。关于时变预测因子，出院后第一个月护理者抑郁/焦虑症状的增加和SI严重程度的增加与随访期间护理压力的增加有关。这项研究增加了对高危人群护理经验的关注。虽然住院后照顾压力趋于减少，但平均而言，某些照顾者和青少年的特征，特别是那些与内化症状有关的特征，在这一高风险时期成为照顾压力更大的重要标志。

{"title":"Stress in Caregivers of Youth Hospitalized for Suicide Ideation or Attempt","authors":"Valerie J. Micol, Alejandra Arango, Cheryl A. King, Ewa K. Czyz","doi":"10.1016/j.beth.2024.04.013","DOIUrl":"10.1016/j.beth.2024.04.013","url":null,"abstract":"<div><div>Youth hospitalizations for suicide risk-related concerns are increasing. The postdischarge time is a high-risk period for repeated suicide attempts and represents a vulnerable time for youth and their caregivers. However, little is known about caregiving stress during this time and what factors influence its levels. This study characterizes caregiving stress across 3 months following discharge among caregivers (74% biological mothers) of psychiatrically hospitalized adolescents (<em>N</em> = 80; ages 13–17 years) and explores its baseline and time-varying predictors. Participants completed measures at baseline and 1- and 3-month follow-ups. Caregivers completed measures of caregiving stress, caregiver self-efficacy, and depression/anxiety symptoms. Youth completed measures of depression along with a measure of parent–family connection. Youth suicidal ideation (SI) severity was assessed at all time points. Results: Caregiver-reported stress was high at hospitalization and decreased linearly after discharge. Regarding baseline factors, greater youth depression symptoms were associated with higher levels of caregiving stress over time. Regarding time-varying predictors, greater increases in caregiver depression/anxiety symptoms and greater SI severity in the first month after discharge were associated with greater caregiving stress over the follow-up period. This study adds to the growing literature focused on caregiving experiences in a high-risk population. Although caregiving stress tended to decrease posthospitalization, on average, certain caregiver and adolescent characteristics, particularly those related to internalizing symptoms, emerged as important markers of greater caregiving stress during this high-risk period.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 110-120"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141052398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring Psychological Response to Pandemics: Further Psychometric Investigation of the COVID Stress Scales 测量对流行病的心理反应：COVID 压力量表的进一步心理测量学研究

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.04.005

David L. Yap, Evelyn Behar

The COVID Stress Scales (CSS; Taylor et al., 2020b) were developed as a measure of stress related to any pandemic, making it a valuable self-report measure for potential future large-scale infectious disease outbreaks. Although the initial validation study of the CSS indicated evidence of its psychometric strength, further assessment is warranted of the measure’s retest reliability, the long-term stability of its five-factor structure, discriminant validity, and its relationship with pandemic-related risk and precautionary behaviors. We examined these psychometric elements of the CSS using longitudinal data collected from a nationally representative sample of adults (N = 205) during the COVID-19 pandemic. Results indicate moderate retest reliability that is consistent with changing rates of morbidity. Results also support the five-factor structure and demonstrate convergent validity, discriminant validity, and the ability to predict relevant behavioral responses to an active pandemic. Use of the CSS for future pandemics is discussed.

COVID压力量表（CSS）；Taylor等人，2020b)被开发为与任何大流行相关的压力测量，使其成为未来潜在的大规模传染病暴发的有价值的自我报告测量。虽然CSS的初步验证研究显示了其心理测量强度的证据，但需要进一步评估该测量的重测信度、五因素结构的长期稳定性、判别效度及其与大流行相关风险和预防行为的关系。我们使用在COVID-19大流行期间从全国代表性成人样本（N = 205）收集的纵向数据来检查CSS的这些心理测量元素。结果显示中等的重测信度与发病率的变化是一致的。结果还支持五因素结构，并证明了收敛效度、判别效度以及预测活跃流行病相关行为反应的能力。讨论了CSS在未来流行病中的应用。

引用次数: 0

Preliminary Examination of Sympathetic Magic as a Psychological Endophenotype for Obsessive-Compulsive Disorder 交感神经魔力作为强迫症心理内表型的初步研究

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.04.009

Sarah C. Jessup, Alexandra M. Adamis, Bunmi O. Olatunji

Although sympathetic magic (SM) beliefs (i.e., irrational understanding of contagion transmission) are observed in obsessive-compulsive disorder (OCD), it is unclear if such beliefs are psychological endophenotypes. Furthermore, predictors of SM beliefs in OCD remain unknown. Accordingly, the present study examined whether SM beliefs function as an endophenotype for OCD and whether perceived vulnerability to disease (PVD) contributes to SM beliefs. A sample of 30 individuals with OCD, 26 first-degree relatives, and 25 age-matched healthy controls completed self-report questionnaires and a SM task where we touched a clean pencil to a “contaminated” toilet, and rated the degree to which the pencil was contaminated. A second pencil was touched to the first pencil and was then rated. This process was continued for 12 pencils (12 degrees of removal from contagion). Results revealed no significant differences in the extent to which the three groups perceived a “chain of contagion” (i.e., contamination slopes) for the successive degrees of removal from the original contagion. However, the OCD group reported significantly less contamination reduction on the task, a group difference that was mediated by PVD. These findings suggest that although SM beliefs may not be an OCD endophenotype, such beliefs may derive from a PVD.

虽然在强迫症（OCD）中观察到交感魔法（SM）信念（即对传染传播的非理性理解），但尚不清楚这种信念是否是心理内表型。此外，强迫症中SM信仰的预测因素仍然未知。因此，本研究考察了SM信念是否作为强迫症的一种内表型，以及感知疾病易感性（PVD）是否有助于SM信念。30名强迫症患者、26名一级亲属和25名年龄匹配的健康对照者完成了自我报告问卷和SM任务。在SM任务中，我们将一支干净的铅笔触摸“被污染”的马桶，并对铅笔的污染程度进行评级。第二支铅笔与第一支铅笔接触，然后进行评级。这个过程持续了12支铅笔（12度远离传染）。结果显示，在多大程度上，这三组感知到的“传染链”（即污染斜坡）的程度上没有显著差异，从原始传染去除的连续程度。然而，强迫症组在任务中报告的污染减少明显较少，这是由PVD介导的组间差异。这些发现表明，虽然SM信念可能不是强迫症的内表型，但这种信念可能源于PVD。

{"title":"Preliminary Examination of Sympathetic Magic as a Psychological Endophenotype for Obsessive-Compulsive Disorder","authors":"Sarah C. Jessup, Alexandra M. Adamis, Bunmi O. Olatunji","doi":"10.1016/j.beth.2024.04.009","DOIUrl":"10.1016/j.beth.2024.04.009","url":null,"abstract":"<div><div>Although sympathetic magic (SM) beliefs (i.e., irrational understanding of contagion transmission) are observed in obsessive-compulsive disorder (OCD), it is unclear if such beliefs are psychological endophenotypes. Furthermore, predictors of SM beliefs in OCD remain unknown. Accordingly, the present study examined whether SM beliefs function as an endophenotype for OCD and whether perceived vulnerability to disease (PVD) contributes to SM beliefs. A sample of 30 individuals with OCD, 26 first-degree relatives, and 25 age-matched healthy controls completed self-report questionnaires and a SM task where we touched a clean pencil to a “contaminated” toilet, and rated the degree to which the pencil was contaminated. A second pencil was touched to the first pencil and was then rated. This process was continued for 12 pencils (12 degrees of removal from contagion). Results revealed no significant differences in the extent to which the three groups perceived a “chain of contagion” (i.e., contamination slopes) for the successive degrees of removal from the original contagion. However, the OCD group reported significantly less contamination reduction on the task, a group difference that was mediated by PVD. These findings suggest that although SM beliefs may not be an OCD endophenotype, such beliefs may derive from a PVD.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 83-94"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Pilot Randomized Controlled Trial of a Single-Session Intervention to Reduce Training Psychologists’ Burnout 减少培训心理学家职业倦怠的单节课干预试点随机对照试验

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-01-01 DOI: 10.1016/j.beth.2024.06.004

Briana S. Last , Laura K. Jans , Jessica L. Schleider

Professional psychology trainees often experience burnout during their clinical training. In a pilot randomized controlled trial, we tested the feasibility, acceptability, utility, and preliminary efficacy of a 10-minute, online single-session intervention (SSI), designed to address burnout, hopelessness, and perceived agency in psychology trainees. In March 2023, 151 doctoral students with symptoms of stress or burnout in accredited, U.S.-based professional psychology programs were randomized to either the SSI (n = 74) or an active control condition (n = 77). Immediately post-SSI, 98.5% of participants endorsed the SSI as likely helpful for their patients and 92.5% wanted more information on how to deliver it; at 2-week follow-up, 48.4% had used the SSI in their own life, and 16.1%, with a patient. On average, participants rated the SSI as somewhat helpful; feeling somewhat hopeful and somewhat motivated to use their SSI-driven action plan; and that they would mostly recommend the SSI to others. No significant cross-condition differences emerged in participants’ reported burnout, hopelessness, or perceived agency at post-intervention or at follow-up, though effect sizes for these primary outcomes were generally in expected directions (ds = 0.01–0.36). In response to secondary outcome measures, SSI participants (versus control participants) reported perceiving significantly larger immediate improvements in hopelessness (d = 0.87), their problem-solving ability (d = 0.85), and their ability to help patients solve problems (d = 0.71). Overall, findings were inconclusive regarding the SSI’s effects on overall burnout, hopelessness, and agency; however, the SSI appeared to support trainees’ interest in SSI delivery and real-world use, both with themselves and with their patients. Participant feedback provided helpful guidance to inform SSI refinement, and potential best-uses, before larger-scale evaluation.

专业心理学学员在临床培训中经常出现职业倦怠。在一项随机对照试验中，我们测试了10分钟在线单次干预（SSI）的可行性、可接受性、效用和初步效果，旨在解决心理学受训人员的倦怠、绝望和感知代理。在2023年3月，151名来自美国专业心理学专业的有压力或倦怠症状的博士生被随机分配到SSI组（n = 74）或积极对照组（n = 77）。在SSI之后，98.5%的参与者认为SSI可能对他们的病人有帮助，92.5%的参与者希望获得更多关于如何实施SSI的信息；在2周的随访中，48.4%的人在自己的生活中使用过SSI， 16.1%的人在患者身上使用过SSI。平均而言，参与者认为SSI有一定的帮助；感到有希望并有动力使用他们的ssid驱动的行动计划；他们通常会向其他人推荐SSI。在干预后或随访中，参与者报告的倦怠、绝望或感知代理没有显著的跨条件差异，尽管这些主要结果的效应量通常在预期的方向上（ds = 0.01-0.36）。在次要结果测量中，SSI参与者（与对照组相比）报告在绝望（d = 0.87）、解决问题的能力（d = 0.85）和帮助患者解决问题的能力（d = 0.71）方面有明显更大的即时改善。总体而言，关于SSI对整体倦怠、绝望和能动性的影响，研究结果尚无定论；然而，SSI似乎支持受训人员对SSI的传递和实际应用的兴趣，无论是对自己还是对患者。在大规模评估之前，参与者的反馈为SSI的改进和潜在的最佳用途提供了有益的指导。

{"title":"A Pilot Randomized Controlled Trial of a Single-Session Intervention to Reduce Training Psychologists’ Burnout","authors":"Briana S. Last , Laura K. Jans , Jessica L. Schleider","doi":"10.1016/j.beth.2024.06.004","DOIUrl":"10.1016/j.beth.2024.06.004","url":null,"abstract":"<div><div>Professional psychology trainees often experience burnout during their clinical training. In a pilot randomized controlled trial, we tested the feasibility, acceptability, utility, and preliminary efficacy of a 10-minute, online single-session intervention (SSI), designed to address burnout, hopelessness, and perceived agency in psychology trainees. In March 2023, 151 doctoral students with symptoms of stress or burnout in accredited, U.S.-based professional psychology programs were randomized to either the SSI (<em>n</em> = 74) or an active control condition (<em>n</em> = 77). Immediately post-SSI, 98.5% of participants endorsed the SSI as likely helpful for their patients and 92.5% wanted more information on how to deliver it; at 2-week follow-up, 48.4% had used the SSI in their own life, and 16.1%, with a patient. On average, participants rated the SSI as <em>somewhat</em> helpful; feeling <em>somewhat</em> hopeful and <em>somewhat</em> motivated to use their SSI-driven action plan; and that they would <em>mostly</em> recommend the SSI to others. No significant cross-condition differences emerged in participants’ reported burnout, hopelessness, or perceived agency at post-intervention or at follow-up, though effect sizes for these primary outcomes were generally in expected directions (<em>d</em>s = 0.01–0.36). In response to secondary outcome measures, SSI participants (versus control participants) reported <em>perceiving</em> significantly larger immediate improvements in hopelessness (<em>d</em> = 0.87), their problem-solving ability (<em>d</em> = 0.85), and their ability to help patients solve problems (<em>d</em> = 0.71). Overall, findings were inconclusive regarding the SSI’s effects on overall burnout, hopelessness, and agency; however, the SSI appeared to support trainees’ interest in SSI delivery and real-world use, both with themselves and with their patients. Participant feedback provided helpful guidance to inform SSI refinement, and potential best-uses, before larger-scale evaluation.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 1","pages":"Pages 162-176"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0