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Mediators of change in online mindfulness-based cognitive therapy: A secondary analysis of a randomized trial of mindful mood balance. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-08-01 Sona Dimidjian,Robert Gallop,Joseph Levy,Arne Beck,Zindel V Segal
OBJECTIVE Digital delivery of mindfulness-based cognitive therapy through the Mindful Mood Balance (MMB) program is clinically effective (Segal et al., 2020); however, the mechanisms through which this program delivers its benefits have not been established. METHOD This study investigates the differential impact of the MMB program paired with usual depression care (UDC) compared to UDC alone on the
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Dynamic processes in behavioral activation therapy for anhedonic adolescents: Modeling common and patient-specific relations. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-06-05 Christian A Webb,Laura Murray,Anna O Tierney,Kathleen M Gates
OBJECTIVE Behavioral activation (BA) is a brief intervention for depression encouraging gradual and systematic re-engagement with rewarding activities and behaviors. Given this treatment focus, BA may be particularly beneficial for adolescents with prominent anhedonia, a predictor of poor treatment response and common residual symptom. We applied group iterative multiple model estimation (GIMME) to
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Sexual identity and race/ethnicity as predictors of treatment outcome and retention in dialectical behavior therapy. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-06-01 Cindy J Chang,Max A Halvorson,Keren Lehavot,Tracy L Simpson,Melanie S Harned
OBJECTIVE There is inconclusive evidence regarding sexual identity and race/ethnicity differences in outcomes in evidence-based psychological treatments. Although dialectical behavior therapy (DBT) is well-studied, little is known about the extent to which its efficacy generalizes to sexual minority and racial/ethnic minority people. This study examined sexual identity, race/ethnicity, and their interaction
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Self-compassion and fear of compassion in the treatment of chronic depression: Mechanisms of change? Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-25 Linne Melsom,Pål G Ulvenes,Ole André Solbakken,Patrick J Curran,Mikkel Eielsen,Bruce E Wampold
OBJECTIVE The aim of this naturalistic process study was to investigate the relationship between self-compassion, fear of compassion from others, and depressive symptoms over the course of psychotherapy in patients with chronic depression. METHOD A sample of 226 patients with chronic depression who received inpatient short-term psychodynamic psychotherapy (STPP) provided weekly self-report measures
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Peers, play, and performance to build social salience in autistic youth: A multisite randomized clinical trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-18 Blythe A Corbett,Susan White,Matthew Lerner,Kristopher J Preacher,Mark E Klemencic,Grace Lee Simmons,Jennifer Pilkington,Philip Gable,Ayla Gioia,Alexandra P Key
OBJECTIVE Individuals with autism spectrum disorder (ASD) have significant impairment in social competence and reduced social salience. SENSE Theatre, a peer-mediated, theater-based intervention has demonstrated posttreatment gains in face memory and social communication. The multisite randomized clinical trial compared the Experimental (EXP; SENSE Theatre) to an Active Control Condition (ACC; Tackling
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Therapeutic alliance is calming and curing-The interplay between alliance and emotion regulation as predictors of outcome in Internet-based treatments for adolescent depression. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-11 Karin Lindqvist,Jakob Mechler,Fredrik Falkenström,Per Carlbring,Gerhard Andersson,Björn Philips
OBJECTIVE Therapeutic alliance is one of the most stable predictors of outcome in psychotherapy, regardless of theoretical orientation. The alliance-outcome relationship in internet-based treatments has been investigated with mixed results. There is preliminary evidence that emotion regulation can work as a mediator for the alliance-outcome relationship. The present study aimed to investigate whether
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Daily prediction of nonsuicidal self-injury among inpatients: The roles of suicidal thoughts, interpersonal difficulties, hopelessness, and affect. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-11 Michael J Kyron,Geoff R Hooke,Craig J Bryan,Glenn Kiekens,Wai Chen,Penelope Hasking,Andrew C Page
OBJECTIVE Nonsuicidal self-injury (NSSI) is a major public health issue. Despite increased research efforts in clinical samples, we still have little understanding of the short-term correlates, predictors, and targets of NSSI among treatment-seeking individuals. The present study was designed to (a) evaluate how suicidal thoughts, interpersonal difficulties, hopelessness, and affective states are associated
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Efficacy of personalized psychological interventions: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-11 Arthur Nye,Jaime Delgadillo,Michael Barkham
OBJECTIVE To evaluate the efficacy of different approaches to personalization in psychological therapy. METHOD This was a systematic review and meta-analysis of randomized controlled trials that compared the mental health outcomes of personalized treatment with standardized treatment and other control groups. Eligible studies were identified through three databases (Scopus, APA PsycInfo, and Web of
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Long-term effects of an internalized weight stigma intervention: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-08 Rebecca L Pearl,Thomas A Wadden,Caroline Bach,Erica M LaFata,Shiva Gautam,Sharon Leonard,Robert I Berkowitz,Janet D Latner,John M Jakicic
OBJECTIVE To test the long-term effects of a group-based, psychological intervention designed to reduce internalized weight stigma (IWS, i.e., self-stigma), delivered in combination with behavioral weight loss (BWL) treatment, compared to BWL alone. METHOD Adults with obesity who had experienced and IWS (N = 105, Mage = 49 years, 90.5% women, 70.5% White, 24.8% Black, MBMI = 38 kg/m²) were randomized
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Do changes in dysfunctional posttraumatic cognitions differentially predict PTSD symptom clusters? Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-08 Hannah Schumm,Antje Krüger-Gottschalk,Thomas Ehring,Anne Dyer,Andre Pittig,Keisuke Takano,Georg W Alpers,Barbara Cludius
OBJECTIVE In recent years, it has been suggested that the modification of dysfunctional posttraumatic cognitions plays a central role as a mechanism of change in cognitive behavioral therapy (CBT) for posttraumatic stress disorder (PTSD). Indeed, several studies have shown that changes in dysfunctional posttraumatic cognitions precede and predict symptom change. However, these studies have investigated
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The role of health behavior theories in parents' initial engagement with parenting interventions. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-04 Carolina Gonzalez,Alina Morawska,Divna M Haslam
OBJECTIVE To examine the relationship between health belief model (HBM; i.e., perceived threat, benefits, costs, and self-efficacy) and theory of planned behavior (TPB; i.e., attitudes, social norms, and perceived behavioral control) constructs and parents' intention to participate and initial engagement (i.e., recruitment, enrollment, and first attendance) with a parenting intervention. METHOD Participants
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Biomedical and behavioral outcomes of 2GETHER: A randomized controlled trial of a telehealth HIV prevention program for young male couples. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-04 Michael E Newcomb,Gregory Swann,Kathryn Macapagal,Elissa L Sarno,Sarah W Whitton,Brian Mustanski
OBJECTIVE This study evaluated the efficacy of the 2GETHER relationship education and HIV prevention program for young male couples in reducing risk for HIV. METHOD We conducted a comparative effectiveness randomized controlled trial of 2GETHER, a five-session hybrid group- and couple-based intervention delivered via videoconference, relative to a single-session HIV testing and risk reduction counseling
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The efficacy and acceptability of psychological interventions for adult PTSD: A network and pairwise meta-analysis of randomized controlled trials. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-04 Thole H Hoppen,Marvin Jehn,Heinz Holling,Julian Mutz,Ahlke Kip,Nexhmedin Morina
OBJECTIVE A comprehensive quantitative summary of the efficacy and acceptability of psychological interventions (PIs) for adult posttraumatic stress disorder (PTSD) is lacking. METHOD We conducted a systematic literature search to identify randomized controlled trials (RCTs) examining the efficacy and acceptability (all-cause dropout) of psychological interventions (i.e., trauma-focused cognitive behavior
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Why some mental health professionals avoid self-care. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-05-01 Frank M Dattilio
This article briefly discusses reasons why some mental health professionals are resistant to self-care. These reasons include the savior complex, avoidance, and lack of collegial assiduity. Several proposed solutions are offered. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Clients' emotional experience as a dynamic context for client-therapist physiological synchrony. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-04-27 Eran Bar-Kalifa,Omer Goren,Eva Gilboa-Schechtman,Maya Wolff,Dana Rafael,Shir Heimann,Ido Yehezkel,Amit Scheniuk,Feldman Ruth,Dana Atzil-Slonim
OBJECTIVE Client-therapist physiological synchrony has recently attracted significant empirical attention. Recent theoretical accounts propose that physiological linkages should not be considered a stable dyadic virtue but rather a dynamic process that depends on the situational context in which they transpire. The present study adopted a "momentary" (vs. "global") approach that focuses on therapist-client
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Therapist perceptions of their own measurement-based, problem-specific effectiveness. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-04-27 Michael J Constantino,James F Boswell,Alice E Coyne,Heather J Muir,Averi N Gaines,David R Kraus
OBJECTIVE Patient-reported outcomes data reveal differences both in therapists' global effectiveness across their average patient (between-therapist effect) and in treating different problems within their caseload (within-therapist effects). Yet, it is unclear how accurately therapists perceive their own measurement-based, problem-specific effectiveness and whether such self-perceptions predict global
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Mediators of digital depression prevention in patients with chronic back pain: Findings from a multicenter randomized clinical trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-04-27 Matthias Domhardt,Arne Lutsch,Lasse B Sander,Sarah Paganini,Kerstin Spanhel,David D Ebert,Yannik Terhorst,Harald Baumeister
OBJECTIVE The mechanisms of change in digital interventions for the prevention of depression are largely unknown. Here, we explored whether five theoretically derived intervening variables (i.e., pain intensity, pain-related disability, pain self-efficacy, quality of life [QoL], and work capacity) were mediating the effectiveness of a digital intervention specifically designed to prevent depression
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Early intervention for families experiencing homelessness: A pilot randomized trial comparing two parenting programs. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-04-01 Paulo A Graziano,Jamie A Spiegel,Timothy Hayes,Emily Arcia,
OBJECTIVE As part of a larger community-based, service-driven research project, the primary purpose of this pilot randomized study was to examine the feasibility and acceptability of delivering time-limited adaptations of parent-child interaction therapy (PCIT) and child-parent psychotherapy (CPP) within a sample of children experiencing homelessness. The secondary goal was to examine the promise of
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An experimental test of increasing implementation support for college peer educators delivering an evidence-based prevention program. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-03-09 Eric Stice,Paul Rohde,Jeff M Gau,Sarah Kate Bearman,Heather Shaw
OBJECTIVE College students are at particularly high risk for mental health problems, such as eating disorders, which are associated with functional impairment, distress, and morbidity, but barriers limit implementation of evidence-based interventions at colleges. We evaluated the effectiveness and implementation quality of a peer educator (PE) delivered eating disorder prevention program (the Body
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Positive affect treatment targets reward sensitivity: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-03-09 Michelle G Craske,Alicia E Meuret,Aileen Echiverri-Cohen,David Rosenfield,Thomas Ritz
OBJECTIVE Determine whether a novel psychosocial treatment for positive affect improves clinical status and reward sensitivity more than a form of cognitive behavioral therapy that targets negative affect and whether improvements in reward sensitivity correlate with improvements in clinical status. METHOD In this assessor-blinded, parallel-group, multisite, two-arm randomized controlled clinical superiority
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Changes in neural activity following a randomized trial of cognitive behavioral therapy for hoarding disorder. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-03-06 David F Tolin,Hannah C Levy,Lauren S Hallion,Bethany M Wootton,James Jaccard,Gretchen J Diefenbach,Michael C Stevens
OBJECTIVE Cognitive behavioral therapy (CBT) is efficacious for hoarding disorder (HD), though results are modest. HD patients show an increase in activity in the dorsal anterior cingulate cortex (dACC) when making decisions. The aim of this study is to determine whether CBT's benefits follow improvements in dACC dysfunction or abnormalities previously identified in other brain regions. METHOD In this
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Randomized controlled trial evaluating feedback to community-based therapists based on patient reports of trust and respect. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-03-02 Mary Beth Connolly Gibbons,Lang Duong,Eirini Zoupou,Jody Kashden,Jena Fisher,Paul Crits-Christoph
OBJECTIVE Patient trust/respect toward their therapists may be an important component of patient-therapist relationships. This randomized controlled trial evaluated the impact of providing weekly feedback to therapists regarding patient ratings of trust/respect toward their therapist. METHOD Adult patients seeking mental health treatment at four community clinics (two community mental health centers
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Cognitive therapy, mindfulness-based stress reduction, and behavior therapy for people with chronic low back pain: A comparative mechanisms study. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-27 John W Burns,Mark P Jensen,James Gerhart,Beverly E Thorn,Teresa A Lillis,James Carmody,Francis Keefe
OBJECTIVE Cognitive therapy (CT), mindfulness-based stress reduction (MBSR), and behavior therapy (BT) for chronic pain treatment produce outcome improvements. Evidence also suggests that changes in putative therapeutic mechanisms are associated with changes in outcomes. Nonetheless, methodological limitations preclude clear understanding of how psychosocial chronic pain treatments work. In this comparative
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Implementation factors that predict larger effects from a peer educator delivered eating disorder prevention program at universities. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-23 Eric Stice,Paul Rohde,Jeff M Gau,Heather Shaw
OBJECTIVE Identify implementation factors, including intervention, facilitator, participant, and college factors, that were associated with larger reductions in eating disorder symptoms for undergraduates who completed a dissonance-based eating disorder prevention program delivered by peer educators in an implementation support trial. The goal was to determine how to maximize the effects of this prevention
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Twelve-month follow-up: Comparative efficacy of cognitive therapy, behavior therapy, and cognitive behavior therapy for patients with insomnia. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-23 Laurel D Sarfan,Charles M Morin,Allison G Harvey
OBJECTIVE Treatments that alleviate insomnia over the long term are critical. We evaluated the relative long-term efficacy of cognitive therapy (CT), behavior therapy (BT), and cognitive behavior therapy (CBT) for insomnia. METHOD Patients (N = 188, 62.2% female, 81.1% White, 6.5% Hispanic or Latinx, Mage = 47.4 years) with insomnia were randomized to eight sessions of CT, BT, or CBT for insomnia.
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The fundamental need for lived experience perspectives in developing and evaluating psychotherapies. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-16 Jessica L Schleider
This article discusses the fundamental need for lived experience perspectives in developing and evaluating psychotherapies. The primary professional goal of clinical psychology is to serve individuals and communities living with or at risk of mental illness. To date, the field has fallen persistently short of this goal, despite decades of research on evidence-based treatments and myriad innovations
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Is personalized treatment selection a promising avenue in bpd research? A meta-regression estimating treatment effect heterogeneity in RCTs of BPD. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-16 Tim Kaiser,Philipp Herzog
OBJECTIVE Psychotherapy is the first-line treatment for borderline personality disorder (BPD) in evidence-based care. The effects are, on average, medium; however, nonresponse rates point to differential treatment effects. Personalized treatment selection has the potential to improve outcomes, but they depend on the heterogeneity of treatment effects (HTEs), which this article seeks to establish. METHOD
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Testing psychosocial interventions in the contexts they are meant to be delivered. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-13 Rinad S Beidas,Lisa Saldana,Rachel C Shelton
This article discusses psychosocial interventions in the contexts they are meant to be delivered. Prevention and intervention science often follow the linear pathway of preclinical or pre-intervention research-efficacy trials, effectiveness trials, and implementation studies-with the assessment of translation into public and population health impact occurring at the end. This linear translational pathway
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Moderators of LGBQ-affirmative cognitive behavioral therapy: ESTEEM is especially effective among Black and Latino sexual minority men. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-13 John R Keefe,Craig Rodriguez-Seijas,Skyler D Jackson,Richard Bränström,Audrey Harkness,Steven A Safren,Mark L Hatzenbuehler,John E Pachankis
OBJECTIVE Lesbian, gay, bisexual, and queer (LGBQ)-affirmative cognitive behavioral therapy (CBT) focused on minority stress processes can address gay and bisexual men's transdiagnostic mental and behavioral health concerns. Identifying moderators of treatment outcomes may inform the mechanisms of LGBQ-affirmative CBT and subpopulations who may derive particular benefit. METHOD Data were from a clinical
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Efficacy of virtual delivery of a dissonance-based eating disorder prevention program and evaluation of a donation model to support sustained implementation. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-06 Eric Stice,Cara Bohon,Heather Shaw,Christopher David Desjardins
OBJECTIVE Evaluate whether the Body Project prevention program reduces eating disorder risk factors and symptoms when implemented via synchronous video telepsychiatry, which could markedly increase the reach of this intervention and test whether a pay-it-forward donation model could support sustained implementation of this intervention. METHOD Young women at high risk for eating disorders because of
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Aspects of positive identity buffer the longitudinal associations between discrimination and suicidal ideation among bi+ young adults. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-02 Benjamin W Katz,Cindy J Chang,Kate D Dorrell,Edward A Selby,Brian A Feinstein
OBJECTIVE Prior research has demonstrated that discrimination is associated with suicidal ideation among bi + individuals, but little is known about resilience factors (both general and bi + specific) that may buffer these associations. This prospective study examined the main and interactive effects of antibisexual discrimination and resilience factors, including general resilience and positive bi
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The role of socioeconomic deprivation in explaining neighborhood and clinic effects in the effectiveness of psychological interventions. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-01 Nick Firth,Michael Barkham,Jaime Delgadillo,Andrew Bell,Alicia O'Cathain
OBJECTIVE Treatment outcomes are known to vary according to therapist and clinic/organization (therapist effect, clinic effect). Outcomes may also vary according to the neighborhood where a person lives (neighborhood effect), but this has not previously been formally quantified. Evidence suggests that deprivation may contribute to explaining such cluster effects. This study aimed to (a) simultaneously
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Processes of change in a randomized clinical trial of radically open dialectical behavior therapy (RO DBT) for adults with treatment-refractory depression. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-01 Kirsten Gilbert,R Trent Codd,Caroline Hoyniak,Rebecca Tillman,Julian Baudinet,Pedro P Pires,Roelie Hempel,Ian Russell,Thomas R Lynch
OBJECTIVE Radically open dialectical behavior therapy (RO DBT) is an empirically supported psychotherapy for treatment-refractory depression (TRD) that targets psychological inflexibility and interpersonal functioning within the context of maladaptive overcontrol. However, it is unknown whether change in these mechanistic processes is associated with decreased symptoms. This study tested whether change
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Clinical psychological science must move beyond documenting disparities in LGBTQ health toward eliminating them. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-02-01 Brian Mustanski,Kathryn Macapagal
Psychology and other disciplines have exceptionally documented sexual orientation and gender identity disparities in mental and physical health outcomes with psychological antecedents. Research on sexual and gender minority (SGM) health has seen impressive growth, including the launch of dedicated conferences, journals, and designation as a disparity population for U.S. federal research purposes. From
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Sequencing effects of behavioral activation and cognitive restructuring in an Internet-based intervention for depressed adults are negligible: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-30 Annette Brose,Manuel Heinrich,Johannes Bohn,Christina Kampisiou,Pavle Zagorscak,Christine Knaevelsrud
OBJECTIVE Applying elements of cognitive behavioral therapy (CBT) in internet-based interventions (IBIs) is effective in treating depression. However, CBT-based IBIs differ in which kind of components are applied and the order of their application. Furthermore, it is as yet unknown whether such sequencing matters. Using an IBI for depression, we examined whether the sequence of two major CBT components
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Upregulating positive emotion in generalized anxiety disorder: A randomized controlled trial of the SkillJoy ecological momentary intervention. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-30 Lucas S LaFreniere,Michelle G Newman
OBJECTIVE This study sought to determine if upregulating positive emotion both reduces symptoms and increases well-being for those with generalized anxiety disorder (GAD). METHOD Eighty-five participants were diagnosed with GAD by both questionnaire and clinical interview. They were then randomly assigned to one of two seven-day smartphone-delivered ecological momentary interventions (EMIs). SkillJoy
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Processes of change in preventing alcohol-exposed pregnancy: Replication of a mediation analysis. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-19 Kirk von Sternberg,Danielle Parrish,Yessenia Castro,Mary M Velasquez
OBJECTIVE Further test mechanisms of the CHOICES intervention by replicating analyses of the experiential and behavioral processes of change (POC) for alcohol and for contraception as mediators of the intervention for reducing risk of alcohol-exposed pregnancy (AEP) using data from a more recent trial, CHOICES Plus (CP). METHOD As in the prior study, replication models examined indirect paths from
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A randomized trial of telehealth mindfulness-based cognitive therapy and cognitive behavioral therapy groups for adolescents with mood or attenuated psychosis symptoms. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-16 Marc J Weintraub,Danielle Denenny,Megan C Ichinose,Jamie Zinberg,Georga Morgan-Fleming,Monica Done,Robin D Brown,Carrie E Bearden,David J Miklowitz
OBJECTIVES There is substantial evidence that cognitive behavioral therapy (CBT) and mindfulness-based cognitive therapy (MBCT) improve symptoms and functioning in adults with mood and psychotic disorders. There has been little work directly comparing these treatments among adolescents with early-onset mood or psychosis symptoms. METHOD We conducted a randomized controlled trial comparing remotely
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Mindfulness meditation and self-monitoring reduced maladaptive daydreaming symptoms: A randomized controlled trial of a brief self-guided web-based program. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-12 Oren Herscu,Eli Somer,Asaf Federman,Nirit Soffer-Dudek
OBJECTIVE Maladaptive daydreaming (MD) is a compulsive form of daydreaming that causes distress and functional impairment. We present the first treatment trial for MD. METHOD We tested the effectiveness of an eight-session internet-based self-help training for mindfulness and self-monitoring and compared three groups across three measurement points in time. A sample of 557 people was randomly assigned
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Moderators and mediators of a digital cognitive behavior therapy-guided self-help intervention for eating disorders: Informing future design efforts. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-12 Andrea K Graham,Ellen E Fitzsimmons-Craft,Shiri Sadeh-Sharvit,Katherine N Balantekin,Dawn M Eichen,Marie-Laure Firebaugh,Neha J Goel,Grace E Monterubio,Anna M Karam,Rachael E Flatt,Booil Jo,Corinna Jacobi,Denise E Wilfley,C Barr Taylor,Mickey Trockel
OBJECTIVE The Student Bodies-Eating Disorders intervention (SB-ED), a digital cognitive behavior therapy-guided self-help intervention for college women with an eating disorder, is effective for reducing eating disorder psychopathology. The purpose of this study was to evaluate moderators and mediators of the SB-ED intervention. To our knowledge, this is the first evaluation of clinical mediators of
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The efficacy of group psychotherapy for adults with perfectionism: A randomized controlled trial of dynamic-relational therapy versus psychodynamic supportive therapy. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-01 Paul L Hewitt,David Kealy,Samuel F Mikail,Martin M Smith,Sabrina Ge,Chang Chen,Ingrid Sochting,Giorgio A Tasca,Gordon L Flett,Ariel Ko
OBJECTIVE This randomized controlled trial investigated the efficacy of group dynamic-relational therapy (DRT) relative to group psychodynamic supportive therapy (PST) in treating perfectionism and improving psychological functioning. HYPOTHESIS Psychodynamically informed therapies, particularly DRT, will be efficacious in treating perfectionism and functioning outcomes. METHOD Based on a comprehensive
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Personalizing eating disorder treatment using idiographic models: An open series trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-01 Cheri A Levinson,Brenna M Williams,Caroline Christian,Rowan A Hunt,Ani C Keshishian,Leigh C Brosof,Irina A Vanzhula,Gabrielle G Davis,Mackenzie L Brown,Zoe Bridges-Curry,Luis E Sandoval-Araujo,Christina Ralph-Nearman
OBJECTIVE Treatments for adults with eating disorders (EDs) only work in about 50% of individuals, and for some diagnoses (e.g., anorexia nervosa; atypical anorexia nervosa), there are no existing evidence-based treatments. Part of the reason that treatments may only work in a subset of individuals is because of the high heterogeneity present in the EDs, even within diagnoses. Manualized treatments
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Enhancing fathers' parenting through strengthening couple functioning: A randomized controlled trial of low-income couples. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-01 Hannah C Williamson,Po-Heng Chen,Justin A Lavner
OBJECTIVE High levels of father engagement are associated with better outcomes for children across a number of domains. Correlational evidence suggests that the quality of the romantic relationship between parents plays a strong role in the extent to which fathers are meaningfully involved with their children, but existing literature cannot address whether this link is causal. To address this gap,
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Psychological flexibility in South Sudanese female refugees in Uganda as a mechanism for change within a guided self-help intervention. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-01 Daniel P Lakin,Samuel E Cooper,Lena Andersen,Felicity L Brown,Jura L S Augustinavicius,Kenneth Carswell,Marx Leku,Alex Adaku,Teresa Au,Richard Bryant,Claudia Garcia-Moreno,Ross G White,Wietse A Tol
OBJECTIVE To examine the role of psychological flexibility as a potential mediator in the relationship between involvement in a guided self-help intervention, Self-Help Plus, and psychological distress in a sample of South Sudanese refugee women living in northern Uganda. METHOD We conducted secondary analysis of data from a cluster randomized controlled trial conducted in 2018. We used multilevel
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Addressing the treatment gap: Expanding the scalability and reach of treatment. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2023-01-01 Alan E Kazdin
What is the public health significance of this article? The focus is on the treatment gap, namely, the large discrepancy between the prevalence of mental disorders and the proportion of individuals who receive care. The vast majority of individuals in need of services receive no care at all. This article underscores the importance of developing treatments that can be scaled as well as reach those individuals
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Efficacy of a randomized controlled trial of integrative couple treatment for pathological gambling (ICT-PG): 10-month follow-up. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-12-15 Joël Tremblay,Magali Dufour,Karine Bertrand,Marianne Saint-Jacques,Francine Ferland,Nadine Blanchette-Martin,Annie-Claude Savard,Mélissa Côté,Djamal Berbiche,Myriam Beaulieu
OBJECTIVE Assess the efficacy of integrative couple treatment for pathological gambling (ICT-PG) in comparison to treatment provided in an individual approach. METHOD Eighty couples were assigned randomly to ICT-PG (n = 44, Mage = 42.2, SD [13.4], n male gamblers = 29) or individual treatment (n = 36, Mage = 39.9 SD [13.0], n male gamblers = 31) with follow-ups at 4- and 10-months postadmission regarding
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Leveraging available metadata in VA PTSD clinics and generating benchmarks for clinically significant change. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-12-15 Natasha Benfer,Luke Rusowicz-Orazem,Elliot M Fielstein,Benjamin C Darnell,Sheila B Frankfurt,Joseph Mignogna,Brett T Litz
OBJECTIVE Measurement-based care is designed to track symptom levels during treatment and leverage clinically significant change benchmarks to improve quality and outcomes. Though the Veterans Health Administration promotes monitoring progress within posttraumatic stress disorder (PTSD) clinical teams, actionability of data is diminished by a lack of population-based benchmarks for clinically significant
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Modeling in psychotherapy training: A randomized controlled proof-of-concept trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-12-15 Franziska Kühne,Peter Eric Heinze,Ulrike Maaß,Florian Weck
OBJECTIVE Despite the importance of modeling for learning, it has only so far been investigated in a few controlled studies in psychotherapy training. We, therefore, investigated, across several study outcomes, whether modeling outperformed a control group. METHOD Sixty-nine trainees (i.e., psychology students; mean age 25.58 years, 81.2% women and 81.2% Caucasian) were randomly assigned to the intervention
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Stability, growth, and inclusiveness: An editorial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-12-01 Joanne Davila
In this editorial, Davila reflects on the principles and goals that guided her as an editor and how they have shaped the direction of the journal these past 6 years. She discusses in detail the topics of stability, growth, and inclusiveness. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Mindful yoga intervention as add-on to treatment as usual for young women with major depressive disorder: Results from a randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-12-01 Nina K Vollbehr,H J Rogier Hoenders,Agna A Bartels-Velthuis,Maaike H Nauta,Stynke Castelein,Maya J Schroevers,A Dennis Stant,Casper J Albers,Peter J de Jong,Brian D Ostafin
OBJECTIVE To examine the added value of a 9-week mindful yoga intervention (MYI) as add-on to treatment as usual (TAU) in reducing depression for young women (18-34 years) with major depressive disorder (MDD). METHOD Randomized controlled trial (RCT; n = 171) comparing TAU + MYI with TAU-only. Assessments were at baseline, postintervention, and at 6- and 12-month follow-up. Primary outcome measures
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Examining the efficacy of prenatal intervention in reducing IPV revictimization and improving maternal mental health: A quasirandomized controlled trial of the Pregnant Moms' Empowerment Program (PMEP). Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-28 Laura E Miller-Graff,Julia L Paulson,Amanda J Hasselle,E Mark Cummings,Kathryn H Howell
OBJECTIVE The present study was a quasirandomized trial of the Pregnant Moms' Empowerment Program (PMEP) that examined the effects of the program on women's intimate partner violence (IPV) revictimization, depression, posttraumatic stress, and resilience. It was hypothesized that treatment would be associated with improvements across all of the indicated dimensions and that those women completing the
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Long-term effects of a prenatal mindfulness intervention on depressive symptoms in a diverse sample of women. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-28 Danielle S Roubinov,Elissa S Epel,Michael Coccia,Kimberly Coleman-Phox,Cassandra Vieten,Nancy E Adler,Barbara Laraia,Nicole R Bush
OBJECTIVE Depression is a public health crisis, and scalable, affordable interventions are needed. Although many psychosocial interventions are effective, there is little research investigating their sustained, long-term influence on well-being. The purpose of this study was to examine whether a prenatal mindfulness intervention with demonstrated benefit for women's depressive symptoms during the early
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Targeting maladaptive anger with brief therapist-supported internet-delivered emotion regulation treatments: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-21 Johan Bjureberg,Olivia Ojala,Anton Berg,Elin Edvardsson,Örn Kolbeinsson,Olof Molander,Evelina Morin,Line Nordgren,Kristin Palme,Josefin Särnholm,Leif Wedin,Christian Rück,James J Gross,Hugo Hesser
OBJECTIVE To evaluate the relative impact of three brief therapist-supported internet-delivered emotion regulation treatments for maladaptive anger (mindful emotion awareness [MEA], cognitive reappraisal [CR], and mindful emotion awareness + cognitive reappraisal [MEA + CR]) and to test whether baseline levels of anger pathology moderate treatment outcome. METHOD Treatments were evaluated in a randomized
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Engagement with homework in an Internet-delivered therapy predicts reduced anxiety and depression symptoms: A latent growth curve analysis. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-17 Ram P Sapkota,Vanessa Peynenburg,Blake F Dear,Nickolai Titov,Heather D Hadjistavropoulos
OBJECTIVE Assigning homework to patients to facilitate skill development is an essential part of internet-delivered cognitive behavior therapy (ICBT). This study examined if patients' self-ratings of homework engagement, including conceptual (e.g., understandability, difficulty, perceived usefulness) and practical (e.g., effort put into reviewing the lessons, practicing skills, continuity in use of
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Sudden gains in therapist-guided versus self-guided online treatments for anxiety or depression. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-17 Madelyne A Bisby,Amelia J Scott,Taylor Hathway,Joanne Dudeney,Alana Fisher,Milena Gandy,Andreea I Heriseanu,Eyal Karin,Nickolai Titov,Blake F Dear
OBJECTIVE Sudden gains are large, rapid, and sustained symptom improvements, and are associated with improved treatment outcomes across a range of mental health problems. Current theories suggest that therapists are required for sudden gains to be sustained, and to result in improved treatment outcomes. We compared the prevalence and consequences of sudden gains in therapist-guided versus self-guided
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Two eating disorder preventive interventions reduce attentional biases in body-dissatisfied university women: A cluster randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-17 Leah N Tobin,Christopher R Sears,Kristin M von Ranson
OBJECTIVE This cluster randomized controlled trial evaluated the efficacy of participation in the Body Project-a cognitive-dissonance-based preventive intervention that reduces self-reported body dissatisfaction-for reducing body-dissatisfaction-related attentional biases. We hypothesized that women in a Body Project condition would show a greater reduction in attentional biases to weight-related images
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Clients' current presentation yields best prediction of criminal recidivism: Jointly modeling repeated assessments of risk and recidivism outcomes in a community sample of paroled New Zealanders. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-10 Ariel G Stone,Benjamin L Spivak,Caleb D Lloyd,Nina L Papalia,Ralph C Serin
OBJECTIVE Clinicians often rely on readily observable intermediate outcomes (e.g., symptoms) to assess the likelihood of events that occur outside of treatment (e.g., relapse). Similarly, those monitoring clients with histories of criminal involvement attempt to prevent adverse outcomes considered likely and intervene when symptoms/risk factors fluctuate. Our aim was to develop a stronger understanding
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Criminal offense charges in women: A 10-year follow-up of an RCT of treatment foster care Oregon. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-03 Leslie D Leve,Maria Schweer-Collins,Elizabeth Bates
OBJECTIVE The prevention of delinquency can have long-term benefits for both the individual and society. Previous work has demonstrated positive effects of Treatment Foster Care Oregon (TFCO) on reducing delinquency across a 2-year period for adolescent females involved in the juvenile justice system. The present study examined whether the effects of TFCO are present across a 10-year period, and whether
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Teaching empathy to mental health practitioners and trainees: Pairwise and network meta-analyses. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-11-01 Hazel Ngo,Nina Sokolovic,Astrid Coleman,Jennifer M Jenkins
OBJECTIVE Empathy is a foundational therapeutic skill and a key contributor to client outcome, yet the best combination of instructional components for its training is unclear. We sought to address this by investigating the most effective instructional components (didactic, rehearsal, reflection, observation, feedback, mindfulness) and their combinations for teaching empathy to practitioners. METHOD
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Culturally adapted digital mental health interventions for ethnic/racial minorities: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-10-13 Donovan M Ellis,Amanda A Draheim,Page L Anderson
OBJECTIVE Digital mental health interventions (DMHIs) are typically designed as "one-size fits all" which may perpetuate health disparities for racialized minorities. This systematic review identified culturally adapted DMHIs and examined their efficacy and acceptability among racial and ethnic minorities. METHOD PsycINFO, Web of Science, and Pubmed databases were searched between 2000 and 2021. Studies