Behaviour Research and Therapy最新文献_第7页

Smartphone-based approach-avoidance bias modification training for anorexia nervosa - A randomized clinical trial 基于智能手机的方法-避免偏见修正训练治疗神经性厌食症-一项随机临床试验。

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-24 DOI: 10.1016/j.brat.2025.104900

Maximilian Blomberg , Rachel Schaper , Anahita Bonabi , Johanna Sophie Oppermann , Hilmar Zech , Wally Wünsch-Leiteritz , Timo Brockmeyer

Background

Effective treatments for anorexia nervosa (AN) are available, yet many patients do not respond to treatment or experience relapse. Cognitive bias modification aims to ameliorate cognitive biases that are assumed to contribute to the development and maintenance of AN. This study examines the efficacy of a novel mobile approach-avoidance bias modification training (ABMT) with food cues for AN.

Method

In this RCT, 90 inpatients with AN received six sessions of active or sham ABMT with food cues or no training, alongside treatment-as-usual. Primary outcome was self-reported eating disorder psychopathology; secondary outcomes included food-related approach-avoidance bias, fear of food, and BMI. Outcomes were assessed at baseline, end-of-training and at 6-month follow-up.

Results

Active ABMT did not result in greater reductions in eating disorder psychopathology. Similarly, treatment conditions did not differ regarding in change in BMI, approach-avoidance bias or fear of food, neither in the short term nor in the long term. Changes in approach-avoidance bias did not mediate training effects on any outcomes.

Conclusions

This first RCT on ABMT for AN found no superiority of active ABMT over sham or no ABMT in reducing eating disorder psychopathology. ABMT also appeared insufficient to alter food-related approach bias. Mobile ABMT with food cues in its current form does not seem to be an efficacious adjunct treatment to inpatient TAU for patients with AN. Further research may explore whether modified training protocols and personalized approaches are more promising in this regard.

Trial registration

This study's design was registered at the German Clinical Trials Register [https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00022078]

背景：神经性厌食症（AN）有有效的治疗方法，但许多患者对治疗没有反应或复发。认知偏差修正旨在改善认知偏差，认知偏差被认为有助于神经网络的发展和维持。本研究探讨了一种新的移动方法-带有食物线索的回避偏见修正训练（ABMT）对AN的有效性。方法：在这项随机对照试验中，90名AN住院患者在常规治疗的同时，接受了6次有食物提示或无训练的主动或假ABMT治疗。主要结局是自我报告的饮食失调精神病理；次要结局包括与食物相关的方法避免偏差、对食物的恐惧和体重指数。在基线、训练结束和6个月随访时评估结果。结果：主动ABMT并没有导致进食障碍精神病理的更大减少。同样，无论是短期还是长期，治疗条件在BMI、方法回避偏见或对食物的恐惧方面都没有差异。方法回避偏差的改变并没有调节训练对任何结果的影响。结论：这是第一项针对AN的ABMT的随机对照试验，在减少饮食障碍精神病理方面，活性ABMT没有比假ABMT或不ABMT有优势。ABMT似乎也不足以改变与食物相关的方法偏差。目前形式的带有食物线索的移动ABMT似乎不是an患者住院TAU的有效辅助治疗。进一步的研究可能会探索改进的训练方案和个性化的方法是否在这方面更有希望。试验注册：本研究的设计已在德国临床试验注册网站[https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00022078]]注册。

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引用次数: 0

Differential effectiveness of dialectical behavioural therapy and schema therapy in patients with borderline personality disorder: a secondary analysis of a randomised clinical trial 辩证行为疗法和图式疗法在边缘型人格障碍患者中的差异疗效：一项随机临床试验的二次分析

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-23 DOI: 10.1016/j.brat.2025.104899

Nele Assmann , Tim Kaiser , Philipp Herzog , Arnoud Arntz , Jan Philipp Klein , Eva Fassbinder , Anja Schaich

Background

Borderline personality disorder (BPD) can be treated successfully with specific psychological treatments, but there is no clear evidence of superiority of one specific treatment at the group level. Due to high heterogeneity in BPD, individual patients might benefit differently from specific treatments.

Methods

Based on a randomised trial comparing 18 months of dialectical behaviour therapy (DBT) and schema therapy (ST) for BPD, differential effectiveness was examined using causal forest analyses. Baseline variables on BPD criteria, general psychopathology, traumatic childhood experiences, rejection sensitivity, level of functioning, coping skills, schemas and medication were included to predict the Borderline Personality Disorder Severity Index (BPDSI-IV) during treatment and follow-up (24 and 30 months after start of treatment).

Results

A subgroup was identified that benefited significantly more from DBT compared to ST. This group showed a significantly greater reduction in symptoms post treatment (post-treatment difference of 5.79 BPDSI points, SMD = 0.65, p = .028), but no longer at follow-up (p = .771). The group that showed better results with DBT displayed a pattern of specific baseline characteristics: higher levels of functioning, less frequent emotional neglect and sexual abuse, more severe anxiety symptoms and more pronounced schema ’failure to achieve’. No pattern of variables was identified associated with a superiority of ST.

Conclusion

Moderators of the short-term effect of DBT versus ST were found. However, this moderator effect was no longer significant at follow-up. Identifying patient characteristics associated with differential treatment effect might be a promising way to improve BPD treatment outcomes faster.

Retrospectively registered (German Clinical Trials Register: DRKS00011534) without protocol changes.

边缘型人格障碍（BPD）可以通过特定的心理治疗成功治疗，但没有明确的证据表明一种特定的治疗方法在群体水平上具有优势。由于BPD的高度异质性，个体患者可能从特定治疗中获益不同。方法基于一项比较18个月辩证行为疗法（DBT）和图式疗法（ST）治疗BPD的随机试验，使用因果森林分析来检验差异效果。在治疗和随访期间（治疗开始后24个月和30个月），包括BPD标准、一般精神病理学、创伤性童年经历、排斥敏感性、功能水平、应对技能、图式和药物治疗等基线变量来预测边缘型人格障碍严重程度指数（BPDSI-IV）。结果发现有一个亚组从DBT中获益明显多于st，该组治疗后症状的减轻明显更大（治疗后BPDSI点差异为5.79,SMD = 0.65, p = 0.028），但在随访时不再如此（p = 0.771）。在DBT中表现出较好结果的那一组表现出特定的基线特征模式：更高的功能水平，更少的情感忽视和性虐待，更严重的焦虑症状和更明显的“失败”模式。没有发现与ST的优势相关的变量模式。结论：发现了DBT与ST的短期效果的调节因子。然而，这种调节效应在随访中不再显著。识别与不同治疗效果相关的患者特征可能是更快改善BPD治疗结果的有希望的方法。回顾性注册（德国临床试验注册：DRKS00011534），未更改方案。

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引用次数: 0

Context-dependent memory in social anxiety: Effects of social and non-social information 社交焦虑中的情境依赖记忆：社会和非社会信息的影响

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-22 DOI: 10.1016/j.brat.2025.104901

Liav Sommerfeld , Tom Zalmenson , Amit Lazarov , Yair Bar-Haim

Social anxiety is characterized by persistent fear of social situations and has been associated with information processing biases, including aberrant memory for social information. Although social situations are rich in contextual cues, little is known about context-dependent memory processes in social anxiety. Here, context-dependent memory was studied in participants with high vs. low social anxiety. We tested whether contextual congruency between encoding and retrieval influences memory for social (faces) versus non-social (houses) stimuli. Participants (N = 231; high social anxiety n = 118, low social anxiety n = 113) completed a recognition memory task of either faces or houses presented against colored backgrounds. During a recognition test, old stimuli were presented with either encoding-congruent or incongruent background colors, along with new stimuli. Participants were asked to make old/new judgments. Memory performance was measured using sensitivity (d') scores. A significant three-way interaction between group, task, and congruency indicated that individuals with high social anxiety showed enhanced context-dependent memory specifically for faces, but not for houses. No such effect was observed in individuals with low social anxiety. These findings indicate that individuals with high social anxiety demonstrate an enhanced and specific context-dependent memory effect for social stimuli. This domain-specific memory enhancement suggests that memory biases in social anxiety manifest, at least in part, through differential processing of contextual information.

社交焦虑的特征是对社交情境的持续恐惧，并与信息处理偏见有关，包括对社交信息的异常记忆。尽管社交情境具有丰富的情境线索，但人们对社交焦虑中的情境依赖记忆过程知之甚少。在这里，情境依赖记忆在高和低社交焦虑的参与者中进行了研究。我们测试了编码和检索之间的上下文一致性是否影响社会（面孔）和非社会（房屋）刺激的记忆。参与者（N = 231，高社交焦虑者N = 118，低社交焦虑者N = 113）完成了在有色背景下的面孔或房屋的识别记忆任务。在识别测试中，将旧刺激与编码一致或不一致的背景颜色以及新刺激一起呈现。参与者被要求做出新旧判断。记忆表现用灵敏度（d'）评分来衡量。群体、任务和一致性之间显著的三向交互作用表明，高社交焦虑个体对面孔的情境依赖记忆增强，而对房屋的情境依赖记忆没有增强。在低社交焦虑的个体中没有观察到这种影响。这些发现表明，高社交焦虑个体对社会刺激表现出增强的特定情境依赖记忆效应。这种特定领域的记忆增强表明，社交焦虑中的记忆偏差至少在一定程度上是通过对上下文信息的不同处理而表现出来的。

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引用次数: 0

Does the structure of dynamic symptom networks depend on baseline psychopathology in students? 动态症状网络的结构是否依赖于学生的基线精神病理？

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-16 DOI: 10.1016/j.brat.2025.104888

A. Jover Martínez , Lotte H.J.M. Lemmens , Eiko I. Fried , Jonas M.B. Haslbeck , Anne Roefs

Network theory conceptualizes mental disorders as systems of dynamic interactions among symptoms and other variables, and proposes that people with psychopathology have distinct networks as compared to healthy people. However, this idea is rarely investigated, and networks are mostly estimated on cross-sectional data. Importantly, as network theory is specified on the within-person level, it is necessary to estimate networks based on intensive time-series data. This study estimated contemporaneous and temporal transdiagnostic networks on time-series data of participants with different levels of psychopathology. 192 university students completed an Ecological Momentary Assessment (EMA) protocol. A newly developed bootstrap method was used to compare the multi-level Vector Autoregressive (mlVAR) effects between groups. Network connectivity did not differ between groups. Only a few edges differed significantly between groups, with small effect sizes. These results suggest that networks of groups of people with different levels of psychopathology might not differ. Explanations and implications for these results, such as the impact of focusing on heterogeneous groups instead of homogeneous groups or individuals, the relevance of node levels, and methodological and analytical decisions, are discussed.

网络理论将精神障碍概念化为症状和其他变量之间动态相互作用的系统，并提出精神病理患者与健康人相比具有不同的网络。然而，这种想法很少被调查，网络大多是根据横截面数据估计的。重要的是，由于网络理论是在个人层面上规定的，因此有必要基于密集的时间序列数据来估计网络。本研究估计了不同精神病理水平的参与者在时间序列数据上的同期和时间跨诊断网络。192名大学生完成了生态瞬时评估（EMA）协议。采用一种新开发的自举方法比较了组间多级向量自回归（mlVAR）效应。两组之间的网络连接没有差异。两组之间只有少数边缘有显著差异，效应量很小。这些结果表明，不同精神病理水平的人群之间的网络可能没有差异。讨论了这些结果的解释和含义，例如关注异质群体而不是同质群体或个人的影响，节点级别的相关性以及方法和分析决策。

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引用次数: 0

Does treating emotional memories come at a price? Effects of single-session EMDR, imaginal exposure, and imagery rescripting on forced-choice recognition of event details in healthy adults – a laboratory study 治疗情感记忆是有代价的吗？一项实验室研究：单次EMDR、图像暴露和图像描述对健康成人事件细节强制选择识别的影响

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-15 DOI: 10.1016/j.brat.2025.104884

Milena Aleksic, Thomas Ehring, Anna Kunze, Larissa Wolkenstein

Eye Movement Desensitization and Reprocessing (EMDR), Imaginal Exposure (IE), and Imagery Rescripting (ImRs) are effective trauma-focused interventions. However, concerns persist that they may impair the accuracy of memories addressed in treatment. This laboratory study tested whether a single session of EMDR, IE, or ImRs affects forced-choice recognition in healthy adults.

Two hundred sixty-five participants underwent the Trier Social Stress Test (TSST) and received EMDR, IE, ImRs, or no intervention (NIC) the following day. One week later, memory for the TSST was assessed using a forced-choice recognition task (one target; three plausible foils).

Contrary to expectations, the interventions did not differentially affect recognition performance; the number of correct answers was comparable to NIC across intervention groups. For ImRs and IE, this aligns with recent findings suggesting that they do not impair recognition memory. For EMDR, prior experimental studies linked eye movements to poorer delayed free recall, stimulus discrimination, and yes/no recognition. Here, we observed no impairment in delayed forced-choice recognition, suggesting that previously reported negative effects may not generalize across memory outcomes or task formats.

Overall, these findings indicate that trauma-focused interventions do not carry a general risk of memory impairment. However, conclusions are limited by the laboratory analogue design, exclusive reliance on a recognition task, and the absence of treatment-integrity checks, which raises the possibility that null effects reflect limited intervention effectiveness. Future research should specify conditions under which these interventions may pose risks, clarify mechanisms underlying task- and memory-specific effects, and examine how findings generalize to clinical populations.

眼动脱敏和再处理（EMDR）、图像暴露（IE）和图像处方（ImRs）是有效的创伤聚焦干预措施。然而，人们仍然担心它们可能会损害治疗中记忆的准确性。本实验室研究测试了单次EMDR、IE或ImRs是否会影响健康成人的强迫选择认知。265名参与者接受了特里尔社会压力测试（TSST），并在第二天接受了EMDR、IE、ImRs或无干预（NIC）。一周后，使用强迫选择识别任务（一个目标；三个似是而非的目标）评估TSST的记忆。与预期相反，干预措施对认知表现没有显著影响；各干预组的正确答案数量与NIC相当。对于imr和IE，这与最近的研究结果一致，表明它们不会损害识别记忆。对于EMDR，先前的实验研究将眼球运动与较差的延迟自由回忆、刺激辨别和是/否识别联系起来。在这里，我们没有观察到延迟强迫选择识别的损害，这表明先前报道的负面影响可能不会在记忆结果或任务格式中普遍存在。总的来说，这些发现表明，以创伤为重点的干预并不会带来记忆障碍的一般风险。然而，结论受到实验室模拟设计，完全依赖于识别任务以及缺乏治疗完整性检查的限制，这增加了无效效应反映有限干预有效性的可能性。未来的研究应该明确这些干预措施可能带来风险的条件，阐明任务和记忆特定效应的潜在机制，并检查研究结果如何推广到临床人群。

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引用次数: 0

Mobile intervention to address cannabis use disorder among black adults: A proof-of-concept randomized controlled trial 移动干预解决黑人成人大麻使用障碍：一项概念验证随机对照试验。

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-14 DOI: 10.1016/j.brat.2025.104889

Lorra Garey , Ava A. Jones , Pamella Nizio , Tzuan A. Chen , Julia D. Buckner , Brooke Y. Redmond , Michael S. Businelle , Marshall K. Cheney , Ezemenari M. Obasi , Michael J. Zvolensky

Background

African American or Black adults who use cannabis face significant cannabis-related health disparities, including more frequent cannabis use and higher rates of Cannabis Use Disorder (CUD) relative to non-Hispanic/Latinx White adults who use cannabis. This highlights the need for accessible, culturally tailored interventions that address the unique needs of Black adults with CUD. This study evaluated the feasibility, utilization, acceptability, and initial efficacy of a culturally tailored mobile intervention (Culturally Tailored-Mobile Integrated Cannabis and Anxiety Reduction Treatment [CT-MICART]), integrating false safety behavior (FSB) reduction or elimination skills with use reduction or cessation skills.

Methods

Participants (N = 50, 50.0% female, M_age = 42.9 years, SD = 10.7) were randomized to: 1) CT-MICART + ecological momentary assessments (EMAs) or 2) EMAs-only for a period of 6-weeks. Feasibility outcomes included enrollment, retention, and EMA completion rates, and utilization was assessed via app feature engagement. Acceptability was evaluated via self-reported app satisfaction, and preliminary efficacy was examined by testing changes in cannabis use outcomes.

Results

Results indicated strong feasibility, high utilization, and positive acceptability. Participants in the CT-MICART + EMA group demonstrated statistically significantly lower cannabis use frequency rates and less time spent intoxicated from cannabis compared to the EMA-only group. No significant effects were observed for cannabis-related problems, CUD severity, or FSB use at the 6-week follow-up.

Conclusion

This study provides initial evidence for the feasibility, acceptability, and efficacy of CT-MICART + EMA for certain cannabis use processes among Black adults with probable CUD. Larger trials are necessary to test whether CT-MICART holds potential as a scalable solution to support use reduction or cessation goals for this population.

背景：使用大麻的非裔美国人或黑人成年人面临着与大麻相关的重大健康差异，包括与使用大麻的非西班牙裔/拉丁裔白人成年人相比，更频繁地使用大麻和更高的大麻使用障碍（CUD）率。这突出了需要采取可获得的、适合文化的干预措施，以解决患有CUD的黑人成年人的独特需求。本研究评估了一种文化定制的移动干预（文化定制-移动大麻和焦虑减少综合治疗[CT-MICART]）的可行性、利用、可接受性和初步疗效，该干预将减少或消除虚假安全行为（FSB）的技能与减少或停止使用的技能相结合。方法：参与者（N = 50，女性50.0%，年龄42.9岁，SD = 10.7）随机分为：1)CT-MICART +生态瞬时评估（EMAs）或2)仅EMAs，为期6周。可行性结果包括注册、保留和EMA完成率，并通过应用功能参与评估使用率。通过自我报告的应用程序满意度来评估可接受性，通过测试大麻使用结果的变化来检查初步疗效。结果：结果可行性强，利用率高，可接受性好。与仅使用EMA的组相比，CT-MICART + EMA组的参与者表现出统计学上显著降低的大麻使用频率和更少的大麻中毒时间。在6周的随访中，没有观察到大麻相关问题、CUD严重程度或FSB使用的显著影响。结论：本研究为CT-MICART + EMA在可能患有CUD的黑人成人中某些大麻使用过程的可行性、可接受性和有效性提供了初步证据。需要更大规模的试验来检验CT-MICART是否有潜力作为一种可扩展的解决方案来支持这一人群的减少使用或戒烟目标。

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引用次数: 0

Enhancing parenting skills for pregnant women with depressive symptoms: a randomised controlled trial of triple P for baby in Kenya 提高有抑郁症状孕妇的育儿技能：肯尼亚婴儿3p随机对照试验

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-09 DOI: 10.1016/j.brat.2025.104886

Japheth Adina , Alina Morawska , Amy E. Mitchell , Divna Haslam , David Ayuku

Despite the evidence in favour of Triple P for Baby (TPB), a parenting intervention to support parents at the transition to parenthood in high-income countries, little is known about whether the program would be efficacious in enhancing parenting skills and alleviating psychological distress among women in low-and middle-income countries. This randomised controlled trial evaluated the efficacy of TPB in Kenya with an urban-based sample of 82 pregnant women with depressive symptoms randomly assigned to the intervention (TPB) or standard care as usual (CAU) conditions. The intervention was delivered prenatally in four group sessions, and postnatally through four individually tailored telephone sessions. Participants were assessed at three-time points, and 90 % of participants were retained at follow-up. We applied intention-to-treat analysis and found improvements in maternal responsiveness and parental confidence and reductions in depressive and anxiety symptoms for mothers in the TPB group relative to the CAU group. There were no between-group differences in maternal self-efficacy. Infants of mothers in the TPB group had better outcomes for attaining fine motor and receptive language milestones compared to infants of mothers allocated to CAU. The findings of this trial indicate that Triple P for Baby is an efficacious early parenting intervention for women with depressive symptoms in low-resource settings.

尽管有证据支持“婴儿三重P”（Triple P for Baby， TPB），这是一种在高收入国家支持父母向为人父母过渡的育儿干预措施，但人们对该计划是否能有效提高低收入和中等收入国家妇女的育儿技能和减轻心理困扰知之甚少。这项随机对照试验评估了TPB在肯尼亚的疗效，以城市为基础的82名有抑郁症状的孕妇为样本，随机分配到干预组（TPB）或常规标准治疗组（CAU）。干预在产前通过四组会议进行，在产后通过四次单独定制的电话会议进行。参与者在三个时间点进行评估，90%的参与者在随访中被保留。我们应用意向治疗分析发现，与CAU组相比，TPB组母亲的反应性和父母信心有所改善，抑郁和焦虑症状有所减轻。母亲自我效能感组间无差异。与母亲被分配到CAU组的婴儿相比，母亲被分配到TPB组的婴儿在达到精细运动和接受性语言里程碑方面有更好的结果。本试验的结果表明，婴儿三重P是一个有效的早期育儿干预妇女抑郁症状在低资源环境。

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引用次数: 0

When emotions persist: Emotional inertia predicts adolescent depression amid COVID-19 stress 当情绪持续时：情绪惯性预测青少年在COVID-19压力下的抑郁

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-08 DOI: 10.1016/j.brat.2025.104885

Sihan Liu , Jianjie Xu , Wisteria Deng , Anan Feng , Jutta Joormann , Reuma Gadassi-Polack

Emotional inertia—the extent to which emotional states persist over time—has been identified as a risk factor for depression. However, longitudinal evidence from real-world chronic stress remains limited. Leveraging the COVID-19 pandemic as a naturalistic stressor, this study examined: (a) how emotional inertia changed across distinct phases of the pandemic, and (b) how changes in positive versus negative emotional inertia related to depression risk. A total of 140 adolescents (M_age = 11.91, 47.9 % girls) completed ecological momentary assessments across three stress phases: pre-pandemic (one year before pandemic onset), acute pandemic, and chronic pandemic (one year after pandemic onset), yielding 7465 observations. Hypotheses and data analyses were preregistered. Latent change score modeling showed that both positive and negative emotional inertia increased from pre-pandemic to acute pandemic, then decreased from acute to chronic pandemic. However, positive and negative emotional inertia showed distinct associations with depressive symptoms. Increases in positive emotional inertia associated with fewer depressive symptoms at Wave 3, whereas increases in negative emotional inertia associated with more depressive symptoms at Wave 3. These associations remained significant even after controlling for baseline (Wave 1) depressive symptoms. These findings suggest that persistent negative emotions may amplify vulnerability, while stable positive emotions confer resilience in the face of stress. Emotional inertia may thus serve as a key marker of stress reactivity and an early intervention target for youth mental health.

情绪惯性——情绪状态持续一段时间的程度——已被确定为抑郁症的一个风险因素。然而，来自现实世界慢性压力的纵向证据仍然有限。本研究利用COVID-19大流行作为自然压力源，研究了：(a)情绪惯性在大流行的不同阶段如何变化，以及(b)积极和消极情绪惯性的变化如何与抑郁风险相关。共有140名青少年（年龄为11.91，其中47.9%为女孩）完成了三个应激阶段的生态瞬时评估：大流行前（大流行发病前一年）、急性大流行和慢性大流行（大流行发病后一年），得出7465项观察结果。假设和数据分析是预先登记的。潜在变化评分模型显示，从大流行前到急性大流行，积极和消极情绪惯性均呈上升趋势，从急性大流行到慢性大流行均呈下降趋势。然而，积极和消极的情绪惯性与抑郁症状有明显的联系。在第三波中，积极情绪惯性的增加与抑郁症状的减少有关，而在第三波中，消极情绪惯性的增加与抑郁症状的增加有关。即使在控制了基线（第一波）抑郁症状后，这些关联仍然显著。这些发现表明，持续的负面情绪可能会放大脆弱性，而稳定的积极情绪会在面对压力时赋予弹性。因此，情绪惯性可能是应激反应的关键标志，也是青少年心理健康的早期干预目标。

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引用次数: 0

Results from a randomized controlled trial testing theory-driven enhancements – Growth mindsets and message framing -- to a brief CBT text-message invention for co-occurring PTSD symptoms and alcohol misuse 一项随机对照试验的结果测试了理论驱动的增强——成长心态和信息框架——到一项简短的CBT短信发明，用于同时发生的PTSD症状和酒精滥用

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-06 DOI: 10.1016/j.brat.2025.104883

Kristen P. Lindgren , Emily R. Dworkin , Ty T. Tristao , Brian H. Calhoun , Mai L. Pham , Debra L. Kaysen , Isaac C. Rhew , Michele A. Bedard-Gilligan

This paper describes the primary outcomes from a registered randomized clinical trial (RCT; NCT05372042) evaluating a brief, self-directed cognitive behavioral therapy-based (CBT) text message intervention for individuals with PTSD symptoms and co-occurring alcohol misuse (PTSD + AM). The trial aimed to refine the intervention by testing whether evidence-based techniques from cognitive psychology (message framing) and social psychology (growth mindsets) increased intervention efficacy. A combination of messages that highlighted using skills to avoid future losses (vs. for future gains vs. no framing) and that sought to facilitate a mindset that challenges setbacks and encourages growth opportunities (vs. a simple reminder to use skills) was predicted to increase efficacy. The trial had a three (framing: loss vs. gain vs. no framing) x two (mindset: growth vs. simple reminder) factorial design. A series of a priori decision rules was created to identify the most efficacious and simplest condition. A sample of 505 adults from Washington State was recruited (71 % female, 20 % male, 9 % identified as another gender). Trauma exposure, PTSD symptoms, AM, and other mental health concerns were assessed. The 4-week intervention had follow-ups at post-intervention, 1-month, and 3-months, with excellent retention (89+%). Participants’ PTSD symptoms and AM improved across all conditions with large effect sizes. Decision rule implementation indicated the selection of the loss framing and growth mindset condition. This condition will be tested in a subsequent RCT with longer-term follow-up. It is expected to yield an additional, effective brief treatment option for individuals with PTSD + AM—a high risk population facing multiple treatment barriers.

本文描述了一项注册的随机临床试验（RCT; NCT05372042）的主要结果，该试验评估了一种简短的、基于自我导向的认知行为疗法（CBT）的短信干预，用于治疗PTSD症状并伴有酒精滥用（PTSD + AM）的个体。该试验旨在通过测试认知心理学（信息框架）和社会心理学（成长心态）的循证技术是否能提高干预效果，从而改进干预措施。强调使用技能来避免未来损失（vs.为了未来的收益vs.没有框架）和寻求促进挑战挫折和鼓励增长机会的心态（vs.简单提醒使用技能）的信息组合预计会提高效率。该试验采用三因子设计（框架：损失vs.收益vs.无框架）x二因子设计（心态：成长vs.简单提醒）。建立了一系列先验决策规则，以确定最有效和最简单的条件。从华盛顿州招募了505名成年人（71%为女性，20%为男性，9%为其他性别）。评估了创伤暴露、PTSD症状、AM和其他心理健康问题。干预4周后分别随访干预后、1个月和3个月，保留率89%以上。在所有条件下，参与者的创伤后应激障碍症状和AM都得到了改善，效果显著。决策规则的实施表现为损失框架和成长心态条件的选择。这种情况将在随后的长期随访的随机对照试验中进行测试。它有望为PTSD + am患者提供一种额外的、有效的短期治疗选择——这是一种面临多重治疗障碍的高风险人群。

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引用次数: 0

Taxonomic and thematic generalization of safety behaviors 安全行为的分类和专题概括

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-10-04 DOI: 10.1016/j.brat.2025.104881

Alex H.K. Wong , Jonas Zaman , Steven Verheyen

Fear generalization refers to the spread of fear to novel stimuli. Recent evidence suggests that fear generalization is linked with inductive reasoning. In the inductive reasoning literature, inferences are stronger to taxonomically related stimuli that share conceptual features with the target stimulus (e.g., duck and swan), compared to thematically related stimuli that often co-occur with the target stimulus (e.g., duck and pond). Preliminary evidence also shows greater fear generalization to taxonomically related stimuli compared to thematically related stimuli in a fear conditioning framework. The current study aimed to extend this pattern to safety behavior, a behavioral response that minimizes the onset of an expected threat. In a fear and avoidance conditioning framework, participants (N = 74) first acquired stronger safety behaviors to a threat predicting conditioned stimulus (CS+) than to a safety predicting conditioned stimulus (CS-). In a following generalization test, participants showed stronger generalized safety behaviors to novel generalization stimuli (GSs) that were taxonomically related to the CS + compared to those thematically related to the CS+. Low distress tolerance, a risk factor for clinical anxiety, was associated with less differentiated generalized safety behaviors to the GSs. The findings suggest that taxonomic generalization of safety behaviors is stronger than thematic generalization of safety behaviors.

恐惧泛化是指恐惧对新刺激的扩散。最近的证据表明，恐惧泛化与归纳推理有关。在归纳推理文献中，与目标刺激具有相同概念特征的分类相关刺激（如鸭子和天鹅）相比，通常与目标刺激共同出现的主题相关刺激（如鸭子和池塘）的推理更强。初步证据还表明，在恐惧条件反射框架中，与主题相关的刺激相比，分类相关刺激的恐惧泛化程度更高。目前的研究旨在将这种模式扩展到安全行为，一种将预期威胁最小化的行为反应。在恐惧和回避条件反射框架下，74名被试首先对威胁预测条件刺激（CS+）获得了比对安全预测条件刺激（CS-）更强的安全行为。在随后的概化测试中，受试者对分类上与CS+相关的新概化刺激表现出更强的概化安全行为，而与主题上与CS+相关的新概化刺激表现出更强的概化安全行为。低痛苦耐受性是临床焦虑的一个危险因素，与GSs的一般安全行为差异较小有关。研究结果表明，安全行为的分类概括强于安全行为的主题概括。

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引用次数: 0