Pub Date : 2024-07-20DOI: 10.1016/j.cbpra.2024.05.003
Leila K. Capel, Mercedes G. Woolley, Michael P. Twohig
Trichotillomania can be an impactful disorder, yet compared to a multitude of diagnoses, intervention research on trichotillomania is notably underdeveloped. There have been a variety of treatments developed for trichotillomania, including habit reversal training (HRT), ACT-enhanced behavior therapy (A-EBT), dialectical behavior therapy (DBT), enhanced cognitive behavioral therapy, comprehensive behavioral treatment (ComB), metacognitive therapy (MCT), and decoupling. Papers synthesizing the data on psychosocial interventions for trichotillomania are needed to assist professionals in choosing the most supported options for their work. Articles were retrieved through EBSCOhost through engines like PsycInfo, PsycArticles, and PubMed. Articles were selected if they were testing a psychosocial treatment or intervention for trichotillomania. This review presents the empirical evidence for psychosocial interventions for trichotillomania including the level of detail and availability of the manualized intervention. We discuss the clinical utility and ease of application of each intervention based on the information provided.
{"title":"Psychosocial Treatment of Trichotillomania: A Review","authors":"Leila K. Capel, Mercedes G. Woolley, Michael P. Twohig","doi":"10.1016/j.cbpra.2024.05.003","DOIUrl":"10.1016/j.cbpra.2024.05.003","url":null,"abstract":"<div><div>Trichotillomania can be an impactful disorder, yet compared to a multitude of diagnoses, intervention research on trichotillomania<span> is notably underdeveloped. There have been a variety of treatments developed for trichotillomania, including habit reversal training (HRT), ACT-enhanced behavior therapy (A-EBT), dialectical behavior therapy (DBT), enhanced cognitive behavioral therapy, comprehensive behavioral treatment (ComB), metacognitive therapy (MCT), and decoupling. Papers synthesizing the data on psychosocial interventions for trichotillomania are needed to assist professionals in choosing the most supported options for their work. Articles were retrieved through EBSCOhost through engines like PsycInfo, PsycArticles, and PubMed. Articles were selected if they were testing a psychosocial treatment or intervention for trichotillomania. This review presents the empirical evidence for psychosocial interventions for trichotillomania including the level of detail and availability of the manualized intervention. We discuss the clinical utility and ease of application of each intervention based on the information provided.</span></div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 570-584"},"PeriodicalIF":2.9,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141785507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-09DOI: 10.1016/j.cbpra.2024.05.001
Edelyn Verona, Julia B. McDonald, Lauren F. Fournier, Meaghan E. Brown, E. Elisa Carsten
Over 12 million admissions into local jails are logged each year, for charges ranging from misdemeanor traffic violations to felony homicide. Compared to people incarcerated in prisons, those held in jails face quicker community reentry, elevated reincarceration rates, overcrowding, and few opportunities to participate in programming. People caught in this cycle often experience many contextual and personal barriers, which include difficulty regulating their emotions, refraining from aggressive and impulsive behaviors, and communicating effectively. Dialectical Behavior Therapy (DBT) has been put forth as a promising evidence-based approach that is particularly well-suited to address the risks and needs of jail populations. By helping incarcerated individuals balance the “dialectic” between acceptance of the present (e.g., coping with current incarceration) and preparation for future change (e.g., planning for community reentry), DBT can help individuals gain coping skills that are directly related to preventing reoffending. This paper describes our research team’s adaptation of a DBT skills group in a jail setting, feasibility and attrition data, and challenges and lessons learned. We highlight the value of adapting treatments in underserved settings, working closely with community partners to align goals and overcome logistical challenges, and ensuring flexibility of implementation. We believe that our experiences can provide practical insights and recommendations for both scholars and practitioners within the field.
{"title":"Adapting a Dialectical Behavior Therapy Skills Group Within a Jail Setting: Implementation Challenges and Considerations","authors":"Edelyn Verona, Julia B. McDonald, Lauren F. Fournier, Meaghan E. Brown, E. Elisa Carsten","doi":"10.1016/j.cbpra.2024.05.001","DOIUrl":"10.1016/j.cbpra.2024.05.001","url":null,"abstract":"<div><div>Over 12 million admissions into local jails are logged each year, for charges ranging from misdemeanor traffic violations to felony homicide. Compared to people incarcerated in prisons, those held in jails face quicker community reentry, elevated reincarceration rates, overcrowding, and few opportunities to participate in programming. People caught in this cycle often experience many contextual and personal barriers, which include difficulty regulating their emotions, refraining from aggressive and impulsive behaviors, and communicating effectively. Dialectical Behavior Therapy (DBT) has been put forth as a promising evidence-based approach that is particularly well-suited to address the risks and needs of jail populations. By helping incarcerated individuals balance the “dialectic” between acceptance of the present (e.g., coping with current incarceration) and preparation for future change (e.g., planning for community reentry), DBT can help individuals gain coping skills that are directly related to preventing reoffending. This paper describes our research team’s adaptation of a DBT skills group in a jail setting, feasibility and attrition data, and challenges and lessons learned. We highlight the value of adapting treatments in underserved settings, working closely with community partners to align goals and overcome logistical challenges, and ensuring flexibility of implementation. We believe that our experiences can provide practical insights and recommendations for both scholars and practitioners within the field.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 544-556"},"PeriodicalIF":2.9,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-03DOI: 10.1016/j.cbpra.2024.04.008
Austen McGuire, Jerry Glover, Daniel W. Smith
Web courses for evidence-based treatments (EBTs) are an important component of training models and broader treatment dissemination and implementation. However, there exists limited research on the efficacy of large-scale online training, as most studies exploring these trainings focus on web courses designed for a specific research project. This project explored participation and knowledge acquisition in two large-scale web courses for trauma-focused EBTs: TFCBTWeb2.0 and CPTWeb2.0. Data were extracted for 174,193 TFCBTWeb2.0 learners and 12,024 CPTWeb2.0 learners, including learner characteristics (e.g., degree, years of experience) and knowledge acquisition from course module pre- and posttest scores. Learners demonstrated significant increases in knowledge for all TFCBTWeb2.0 and CPTWeb2.0 modules. Examination of completion status (i.e., started vs. completed the course) indicated that learners who identified as trainees or early career professionals were more likely to complete a web course, compared to those with terminal degrees and 5+ years of experience. Learners who registered for TFCBTWeb2.0 prior to the COVID-19 pandemic also had slightly higher completion rates compared to peri-COVID-19 learners. Taken together, these findings suggest that web courses can be an effective tool for increasing EBT knowledge. Further, completion rates for both web courses suggest the potential importance of system-level factors (e.g., agency/supervisor support) to increase the likelihood of completing these types of trainings.
{"title":"Evaluation of Two Online Learning Courses for Evidence-Based Trauma Treatments: TFCBTWeb2.0 and CPTWeb2.0","authors":"Austen McGuire, Jerry Glover, Daniel W. Smith","doi":"10.1016/j.cbpra.2024.04.008","DOIUrl":"10.1016/j.cbpra.2024.04.008","url":null,"abstract":"<div><div>Web courses for evidence-based treatments (EBTs) are an important component of training models and broader treatment dissemination and implementation. However, there exists limited research on the efficacy of large-scale online training, as most studies exploring these trainings focus on web courses designed for a specific research project. This project explored participation and knowledge acquisition in two large-scale web courses for trauma-focused EBTs: TFCBT<em>Web</em><span>2.0 and CPT</span><em>Web</em>2.0<em>.</em> Data were extracted for 174,193 TFCBT<em>Web</em>2.0 learners and 12,024 CPTWeb2.0 learners<em>,</em> including learner characteristics (e.g., degree, years of experience) and knowledge acquisition from course module pre- and posttest scores. Learners demonstrated significant increases in knowledge for all TFCBT<em>Web</em>2.0 and CPT<em>Web</em>2.0 modules. Examination of completion status (i.e., started vs. completed the course) indicated that learners who identified as trainees or early career professionals were more likely to complete a web course, compared to those with terminal degrees and 5+ years of experience. Learners who registered for TFCBT<em>Web</em>2.0 prior to the COVID-19 pandemic also had slightly higher completion rates compared to peri-COVID-19 learners. Taken together, these findings suggest that web courses can be an effective tool for increasing EBT knowledge. Further, completion rates for both web courses suggest the potential importance of system-level factors (e.g., agency/supervisor support) to increase the likelihood of completing these types of trainings.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 526-543"},"PeriodicalIF":2.9,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.1016/j.cbpra.2024.04.007
Kimberley Johnson, Feea R. Leifker
In sharp contrast to societal narratives framing the birth of a new baby as a time of unequivocal joy, childbirth-related trauma is relatively common and can result in postpartum PTSD. Research indicates that postpartum PTSD can have serious psychosocial implications during the perinatal period, a known critical developmental window shaping child and maternal heath across the lifespan. However, empirical research on the effectiveness of specific treatment approaches for childbirth-related trauma remains limited. Given the extensive effects and prevalence of postpartum PTSD, determining effective treatment options is a high priority. Cognitive Processing Therapy (CPT) is a gold-standard evidence-based psychotherapy for PTSD that has not been evaluated in the context of postpartum PTSD, and may be particularly well-suited for treating birth trauma. In the current case study, we describe the assessment and treatment of childbirth-related PTSD using CPT. By the end of the 14-session therapy course, the patient experienced a reduction in symptoms (City Birth Trauma Scale score dropped from 38 to 14), associated distress, and functional impairment. This case study suggests that CPT is an effective treatment for postpartum PTSD. We conclude with considerations to guide future research and treatment efforts.
{"title":"A Case Study Applying Cognitive Processing Therapy to Childbirth-Related PTSD: Treatment Considerations for the Postpartum Period","authors":"Kimberley Johnson, Feea R. Leifker","doi":"10.1016/j.cbpra.2024.04.007","DOIUrl":"10.1016/j.cbpra.2024.04.007","url":null,"abstract":"<div><div>In sharp contrast to societal narratives framing the birth of a new baby as a time of unequivocal joy, childbirth-related trauma is relatively common and can result in postpartum PTSD. Research indicates that postpartum PTSD can have serious psychosocial implications during the perinatal period, a known critical developmental window shaping child and maternal heath across the lifespan. However, empirical research on the effectiveness of specific treatment approaches for childbirth-related trauma remains limited. Given the extensive effects and prevalence of postpartum PTSD, determining effective treatment options is a high priority. Cognitive Processing Therapy (CPT) is a gold-standard evidence-based psychotherapy for PTSD that has not been evaluated in the context of postpartum PTSD, and may be particularly well-suited for treating birth trauma. In the current case study, we describe the assessment and treatment of childbirth-related PTSD using CPT. By the end of the 14-session therapy course, the patient experienced a reduction in symptoms (City Birth Trauma Scale score dropped from 38 to 14), associated distress, and functional impairment. This case study suggests that CPT is an effective treatment for postpartum PTSD. We conclude with considerations to guide future research and treatment efforts.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 585-597"},"PeriodicalIF":2.9,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141567661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cognitive-behavioral psychotherapy (CBT) can be combined with virtual reality (VR) to provide culturally safe and remotely delivered emotion regulation interventions. We conducted a co-design process of a CBT treatment manual and complementary VR environments for the Inuit populations from Nunavik. Here, we describe the knowledge gained during the adaptation process on the approach to mental well-being and psychotherapy. We followed qualitative, participatory, and research co-design methods. After an initial concept of VR-CBT, an advisory group made up of 7 adults identifying as or working with Inuit participated in 4 focus group meetings. A thematic analysis of the discussions was carried out. A non-symptom-focused approach with the therapist guiding the individual in empowerment and emotion management was accepted in the advisory group, replacing a symptom-focus. Several CBT in- and between-session techniques were seen critically or rejected, and time for working on a certain theme was increased. Some elements in the proposed landscape were rejected as unsafe, other elements added as culture-specific to increase safety. Future work should confirm broader acceptance and utility. Culturally specific factors play an essential role in acceptance of concepts and approaches used in psychotherapy. Accordingly, they can have an impact on acceptance and attendance in therapy.
{"title":"Views on a Culturally Safe Psychotherapeutic Treatment by Inuit in Quebec: Co-Design of Cognitive Behavioral Therapy Manual and Virtual Exposure Environments","authors":"Outi Linnaranta , Liliana Gomez Cardona , Quinta Seon, Alisha Tukkiapik, Joy Outerbridge, Stéphane Bouchard","doi":"10.1016/j.cbpra.2024.04.006","DOIUrl":"10.1016/j.cbpra.2024.04.006","url":null,"abstract":"<div><div>Cognitive-behavioral psychotherapy (CBT) can be combined with virtual reality (VR) to provide culturally safe and remotely delivered emotion regulation interventions. We conducted a co-design process of a CBT treatment manual and complementary VR environments for the Inuit populations from Nunavik. Here, we describe the knowledge gained during the adaptation process on the approach to mental well-being and psychotherapy. We followed qualitative, participatory, and research co-design methods. After an initial concept of VR-CBT, an advisory group made up of 7 adults identifying as or working with Inuit participated in 4 focus group meetings. A thematic analysis of the discussions was carried out. A non-symptom-focused approach with the therapist guiding the individual in empowerment and emotion management was accepted in the advisory group, replacing a symptom-focus. Several CBT in- and between-session techniques were seen critically or rejected, and time for working on a certain theme was increased. Some elements in the proposed landscape were rejected as unsafe, other elements added as culture-specific to increase safety. Future work should confirm broader acceptance and utility. Culturally specific factors play an essential role in acceptance of concepts and approaches used in psychotherapy. Accordingly, they can have an impact on acceptance and attendance in therapy.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 513-525"},"PeriodicalIF":2.9,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141567660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-15DOI: 10.1016/j.cbpra.2024.04.005
Taylor Hatchard, Emily E. Levitt, Christina Mutschler, Bethany Easterbrook, Andrew A. Nicholson, Jenna E. Boyd, Jennifer Hewitt, Natania Marcus, Talia Tissera, Mackenzie Mawson, Sophia L. Roth, Maiko A. Schneider, Randi E. McCabe
{"title":"Transcending: A Pragmatic, Open-Label Feasibility Study of a Minority-Stress-Based CBT Group Intervention for Transgender and Gender-Diverse Emerging Adults","authors":"Taylor Hatchard, Emily E. Levitt, Christina Mutschler, Bethany Easterbrook, Andrew A. Nicholson, Jenna E. Boyd, Jennifer Hewitt, Natania Marcus, Talia Tissera, Mackenzie Mawson, Sophia L. Roth, Maiko A. Schneider, Randi E. McCabe","doi":"10.1016/j.cbpra.2024.04.005","DOIUrl":"10.1016/j.cbpra.2024.04.005","url":null,"abstract":"","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 499-512"},"PeriodicalIF":2.9,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.1016/j.cbpra.2024.04.003
Lauren B. Fisher, Andrew J. Curreri, Sunday Hull, Sylvie Tuchman, Doga Cetinkaya, Maren B. Nyer, Rose Luehrs, Ross Zafonte, Paola Pedrelli
This case study describes a cognitive-behavioral treatment for depression adapted for individuals with traumatic brain injury (CBT-TBI) and provides a case description of a patient who experienced meaningful symptom reduction. CBT-TBI includes several adaptations to traditional CBT for depression structure, content and process aimed at meeting the unique needs of individuals with TBI sequelae. The patient, a single, White, college-educated, cisgender female in her late 30s who sustained a complicated mild TBI and endorsed symptoms of depression, anxiety, and persistent post-concussive symptoms, completed 12 individual, in-person sessions of CBT-TBI in the context of a randomized, waitlist-controlled trial. Clinician and self-rated measures, as well as neuropsychological assessments, were completed at baseline and posttreatment, and depressive symptoms were assessed weekly by self-report (Beck Depression Inventory-II). Symptom improvement was analyzed using the Reliable Change Index (RCI) and demonstrated a clinically significant reduction in depression and anxiety symptoms, as well as improvement in coping abilities and adaptive thinking. In addition to the adapted content of the intervention, this case example highlights the importance of therapist flexibility, continual assessment, collaboration, and elicitation of feedback in the delivery of CBT for depression for individuals with TBI.
{"title":"Adapting Cognitive Behavioral Therapy for Depression After Traumatic Brain Injury: A Case Study","authors":"Lauren B. Fisher, Andrew J. Curreri, Sunday Hull, Sylvie Tuchman, Doga Cetinkaya, Maren B. Nyer, Rose Luehrs, Ross Zafonte, Paola Pedrelli","doi":"10.1016/j.cbpra.2024.04.003","DOIUrl":"10.1016/j.cbpra.2024.04.003","url":null,"abstract":"<div><div>This case study describes a cognitive-behavioral treatment for depression adapted for individuals with traumatic brain injury<span> (CBT-TBI) and provides a case description of a patient who experienced meaningful symptom reduction. CBT-TBI includes several adaptations to traditional CBT for depression structure, content and process aimed at meeting the unique needs of individuals with TBI sequelae. The patient, a single, White, college-educated, cisgender female in her late 30s who sustained a complicated mild TBI and endorsed symptoms of depression, anxiety, and persistent post-concussive symptoms, completed 12 individual, in-person sessions of CBT-TBI in the context of a randomized, waitlist-controlled trial. Clinician and self-rated measures, as well as neuropsychological assessments, were completed at baseline and posttreatment, and depressive symptoms were assessed weekly by self-report (Beck Depression Inventory-II). Symptom improvement was analyzed using the Reliable Change Index (RCI) and demonstrated a clinically significant reduction in depression and anxiety symptoms, as well as improvement in coping abilities and adaptive thinking. In addition to the adapted content of the intervention, this case example highlights the importance of therapist flexibility, continual assessment, collaboration, and elicitation of feedback in the delivery of CBT for depression for individuals with TBI.</span></div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 598-612"},"PeriodicalIF":2.9,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-06DOI: 10.1016/j.cbpra.2024.04.004
Courtney E. Breiner, McKenzie L. Miller, Julia M. Hormes
Eating disorder (ED) treatment is notoriously inaccessible due to geographic, financial, and/or time barriers. The current study proposes a novel treatment for avoidant/restrictive food intake disorder (ARFID) to increase access to care for this novel ED. ARFID Parent Training Program (ARFID-PTP) is a two-session, virtual treatment utilizing evidence-based components for pediatric ARFID. Participants (n = 7) ages 5–12 and their parents completed an intake session, two sessions of treatment, end-of-treatment measures, and 4-week follow-up measures. Acceptability was assessed via the CEQ-C and satisfaction questions provided at end-of-treatment. Feasibility was assessed via recruitment and retention rates, treatment adherence, and need for a booster session (e.g., problem-solving session) at 4-week follow-up. Overall, ARFID-PTP was considered an acceptable treatment approach; however, markers of feasibility, such as treatment nonadherence (low completion of daily food exposures), indicate further testing should implement modifications to treatment. We propose modifications to address feasibility concerns with the goal of continuing to assess ARFID-PTP in a randomized controlled trial.
{"title":"A Brief Parent Training Program Using Cognitive-Behavioral Techniques for Pediatric Avoidant/Restrictive Food Intake Disorder: A Pilot Study","authors":"Courtney E. Breiner, McKenzie L. Miller, Julia M. Hormes","doi":"10.1016/j.cbpra.2024.04.004","DOIUrl":"10.1016/j.cbpra.2024.04.004","url":null,"abstract":"<div><div><span>Eating disorder (ED) treatment is notoriously inaccessible due to geographic, financial, and/or time barriers. The current study proposes a novel treatment for avoidant/restrictive food intake disorder (ARFID) to increase access to care for this novel ED. ARFID Parent Training Program (ARFID-PTP) is a two-session, virtual treatment utilizing evidence-based components for pediatric ARFID. Participants (</span><em>n</em> = 7) ages 5–12 and their parents completed an intake session, two sessions of treatment, end-of-treatment measures, and 4-week follow-up measures. Acceptability was assessed via the CEQ-C and satisfaction questions provided at end-of-treatment. Feasibility was assessed via recruitment and retention rates, treatment adherence, and need for a booster session (e.g., problem-solving session) at 4-week follow-up. Overall, ARFID-PTP was considered an acceptable treatment approach; however, markers of feasibility, such as treatment nonadherence (low completion of daily food exposures), indicate further testing should implement modifications to treatment. We propose modifications to address feasibility concerns with the goal of continuing to assess ARFID-PTP in a randomized controlled trial.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 487-498"},"PeriodicalIF":2.9,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-14DOI: 10.1016/j.cbpra.2024.04.002
Yoel Everett, April Lightcap, Jacqueline R. O’Brien, Netanel Y. Weinstein, Maureen Zalewski
Despite high rates of co-occurrence of psychopathology among parents and children, few interventions simultaneously address clinically elevated symptoms in parent and child as well as parenting. Emotion dysregulation (ED) is a promising transdiagnostic target for such dual-generation interventions. Dialectical Behavior Therapy (DBT) Skills target ED, and there is growing interest in integrating DBT Skills with Parent Training (PT) to improve the mental health of parents and children. In this case study, a 24-week DBT Skills + PT intervention for emotionally dysregulated parent-preschooler dyads was delivered to three parents. We evaluated the process of change in parental ED, parent-reported child ED, and parenting using idiographic statistical analyses of weekly repeated measures (26 timepoints). Feasibility and acceptability of the intervention were also assessed. Results from person-specific linear regression analyses showed large improvements over the course of treatment, and the temporal cascade of changes in parent ED, child ED and parenting varied, suggesting a different process of change for each parent. Feasibility and acceptability were high and parents’ feedback during exit interviews are used to extend the interpretation of the quantitative results. DBT Skills + PT may be a promising transdiagnostic approach to address the needs of parent-child dyads with ED.
{"title":"Integrating Dialectical Behavior Therapy Skills and Parent Training for Dually Dysregulated Parents and Children: An Idiographic Case Study","authors":"Yoel Everett, April Lightcap, Jacqueline R. O’Brien, Netanel Y. Weinstein, Maureen Zalewski","doi":"10.1016/j.cbpra.2024.04.002","DOIUrl":"10.1016/j.cbpra.2024.04.002","url":null,"abstract":"<div><div>Despite high rates of co-occurrence of psychopathology among parents and children, few interventions simultaneously address clinically elevated symptoms in parent and child as well as parenting. Emotion dysregulation (ED) is a promising transdiagnostic target for such dual-generation interventions. Dialectical Behavior Therapy (DBT) Skills target ED, and there is growing interest in integrating DBT Skills with Parent Training (PT) to improve the mental health of parents and children. In this case study, a 24-week DBT Skills + PT intervention for emotionally dysregulated parent-preschooler dyads was delivered to three parents. We evaluated the process of change in parental ED, parent-reported child ED, and parenting using idiographic statistical analyses of weekly repeated measures (26 timepoints). Feasibility and acceptability of the intervention were also assessed. Results from person-specific linear regression analyses showed large improvements over the course of treatment, and the temporal cascade of changes in parent ED, child ED and parenting varied, suggesting a different process of change for each parent. Feasibility and acceptability were high and parents’ feedback during exit interviews are used to extend the interpretation of the quantitative results. DBT Skills + PT may be a promising transdiagnostic approach to address the needs of parent-child dyads with ED.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 613-630"},"PeriodicalIF":2.9,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.1016/j.cbpra.2024.03.003
A. Alban Foulser, Mikael Rubin, Michael J. Telch
Despite evidence that safety behaviors function as transdiagnostic causal maintenance factors for anxiety pathology, there has been relatively less empirical investigation of trauma-related safety behaviors in the development and maintenance of posttraumatic stress disorder. This paper introduces the development and preliminary psychometric evaluation of the Posttraumatic Safety Behaviors Inventory (PSBI), a 10-item self-report assessment of trauma-relevant safety behaviors. Two samples totaling 597 trauma survivors (61.8% female; Mage = 40.0; 76.2% White/Caucasian) recruited through Amazon Mechanical Turk completed the PSBI. Exploratory and confirmatory factor analyses identified a three-factor structure consisting of Avoidance, Coping with Negative Thoughts and Emotions, and Coping with Threats to Physical Safety. The PSBI also demonstrated favorable measurement invariance, construct validity, internal consistency, and test-retest reliability. Taken together, our preliminary findings suggest that the PSBI is an efficient, psychometrically sound assessment tool for posttraumatic safety behaviors. With further psychometric validation, the PSBI promises to aid researchers and clinicians in the identification and monitoring of trauma-relevant safety behaviors.
{"title":"Psychometric Evaluation of a Measure of Posttraumatic Safety Behaviors","authors":"A. Alban Foulser, Mikael Rubin, Michael J. Telch","doi":"10.1016/j.cbpra.2024.03.003","DOIUrl":"10.1016/j.cbpra.2024.03.003","url":null,"abstract":"<div><div>Despite evidence that safety behaviors function as transdiagnostic causal maintenance factors for anxiety pathology, there has been relatively less empirical investigation of trauma-related safety behaviors in the development and maintenance of posttraumatic stress disorder. This paper introduces the development and preliminary psychometric evaluation of the Posttraumatic Safety Behaviors Inventory (PSBI), a 10-item self-report assessment of trauma-relevant safety behaviors. Two samples totaling 597 trauma survivors (61.8% female; <em>M</em><sub>age</sub> = 40.0; 76.2% White/Caucasian) recruited through Amazon Mechanical Turk completed the PSBI. Exploratory and confirmatory factor analyses identified a three-factor structure consisting of <em>Avoidance</em>, <em>Coping with Negative Thoughts and Emotions</em>, and <em>Coping with Threats to Physical Safety</em>. The PSBI also demonstrated favorable measurement invariance, construct validity, internal consistency, and test-retest reliability. Taken together, our preliminary findings suggest that the PSBI is an efficient, psychometrically sound assessment tool for posttraumatic safety behaviors. With further psychometric validation, the PSBI promises to aid researchers and clinicians in the identification and monitoring of trauma-relevant safety behaviors.</div></div>","PeriodicalId":51511,"journal":{"name":"Cognitive and Behavioral Practice","volume":"32 4","pages":"Pages 474-486"},"PeriodicalIF":2.9,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140940737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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