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Behavior Therapy

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https://www.readbyqxmd.com/read/28390503/randomized-controlled-trial-of-a-computerized-interactive-media-based-problem-solving-treatment-for-depression
#1
Luis R Sandoval, Jay C Buckey, Ricardo Ainslie, Martin Tombari, William Stone, Mark T Hegel
This study evaluated the efficacy of an interactive media-based, computer-delivered depression treatment program (imbPST) compared to a no-treatment control condition (NTC) in a parallel-group, randomized, controlled trial conducted in an outpatient psychiatric research clinic. 45 adult participants with major depressive disorder or dysthymia were randomized to receive either 6 weekly sessions of imbPST or no treatment (No Treatment Control; NTC). The primary outcome measure was the Beck Depression Inventory II (BDI-II)...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390502/an-experimental-investigation-of-co-rumination-problem-solving-and-distraction
#2
Kate J Zelic, Jeffrey A Ciesla, Kelsey S Dickson, Laura C Hruska, Shannon N Ciesla
Co-rumination involves excessive dwelling on negative aspects of problems within a dyadic relationship (Rose, 2002). While research has focused on the tendency to co-ruminate within particular relationships, we were interested in examining the behavior of co-rumination outside the context of a preexisting relationship. Using an experimental manipulation of co-rumination, the primary goal of this study was to experimentally test the effects of co-rumination and examine its associations with negative and positive affectivity...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390501/internet-based-extinction-therapy-for-worry-a-randomized-controlled-trial
#3
Erik Andersson, Erik Hedman, Olle Wadström, Julia Boberg, Emil Yaroslav Andersson, Erland Axelsson, Johan Bjureberg, Timo Hursti, Brjánn Ljótsson
Worry is a common phenotype in both psychiatric patients and the normal population. Worry can be seen as a covert behavior with primary function to avoid aversive emotional experiences. Our research group has developed a treatment protocol based on an operant model of worry, where we use exposure-based strategies to extinguish the catastrophic worry thoughts. The aim of this study was to test this treatment delivered via the Internet in a large-scale randomized controlled trial. We randomized 140 high-worriers (defined as > 56 on the Penn State Worry Questionnaire [PSWQ]) to either Internet-based extinction therapy (IbET) or to a waiting-list condition (WL)...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390500/perfectionism-and-contingent-self-worth-in-relation-to-disordered-eating-and-anxiety
#4
Anna M Bardone-Cone, Stacy L Lin, Rachel M Butler
Perfectionism has been proposed as a transdiagnostic risk factor linked to eating disorders and anxiety. In the current study, we examine domains of contingent self-worth as potential moderators of the relationships between maladaptive perfectionism and disordered eating and anxiety using two waves of data collection. Undergraduate females (N = 237) completed online surveys of the study's core constructs at two points separated by about 14 months. At a bivariate level, maladaptive perfectionism was positively associated with disordered eating and anxiety...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390499/characterizing-interpersonal-difficulties-among-young-adults-who-engage-in-nonsuicidal-self-injury-using-a-daily-diary
#5
Brianna J Turner, Matthew A Wakefield, Kim L Gratz, Alexander L Chapman
Compared to people who have never engaged in nonsuicidal self-injury (NSSI), people with a history of NSSI report multiple interpersonal problems. Theories propose that these interpersonal difficulties play a role in prompting and maintaining NSSI. The cross-sectional nature of most studies in this area limits our understanding of how day-to-day interpersonal experiences relate to the global interpersonal impairments observed among individuals with NSSI, and vice versa. This study compared young adults with (n=60) and without (n=56) recent, repeated NSSI on baseline and daily measures of interpersonal functioning during a 14-day daily diary study...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390498/daily-stress-coping-and-negative-and-positive-affect-in-depression-complex-trigger-and-maintenance-patterns
#6
David M Dunkley, Maxim Lewkowski, Ihno A Lee, Kristopher J Preacher, David C Zuroff, Jody-Lynn Berg, J Elizabeth Foley, Gail Myhr, Ruta Westreich
Major depressive disorder is characterized by emotional dysfunction, but mood states in daily life are not well understood. This study examined complex explanatory models of daily stress and coping mechanisms that trigger and maintain daily negative affect and (lower) positive affect in depression. Sixty-three depressed patients completed perfectionism measures, and then completed daily questionnaires of stress appraisals, coping, and affect for 7 consecutive days. Multilevel structural equation modeling (MSEM) demonstrated that, across many stressors, when the typical individual with depression perceives more criticism than usual, he/she uses more avoidant coping and experiences higher event stress than usual, and this is connected to daily increases in negative affect as well as decreases in positive affect...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390497/social-anxiety-and-social-support-in-romantic-relationships
#7
Eliora Porter, Dianne L Chambless
Little is known about the quality of socially anxious individuals' romantic relationships. In the present study, we examine associations between social anxiety and social support in such relationships. In Study 1, we collected self-report data on social anxiety symptoms and received, provided, and perceived social support from 343 undergraduates and their romantic partners. One year later couples were contacted to determine whether they were still in this relationship. Results indicated that men's social anxiety at Time 1 predicted higher rates of breakup at Time 2...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390496/kindling-of-life-stress-in-bipolar-disorder-effects-of-early-adversity
#8
Benjamin G Shapero, Rachel B Weiss, Taylor A Burke, Elaine M Boland, Lyn Y Abramson, Lauren B Alloy
Most theoretical frameworks regarding the role of life stress in bipolar disorders (BD) do not incorporate the possibility of a changing relationship between psychosocial context and episode initiation across the course of the disorder. The kindling hypothesis theorizes that over the longitudinal course of recurrent affective disorders, the relationship between major life stressors and episode initiation declines (Post, 1992). The present study aimed to test an extension of the kindling hypothesis in BD by examining the effect of early life adversity on the relationship between proximal life events and prospectively assessed mood episodes...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390495/aggression-protects-against-the-onset-of-major-depressive-episodes-in-individuals-with-bipolar-spectrum-disorder
#9
Tommy H Ng, Rachel D Freed, Madison K Titone, Jonathan P Stange, Rachel B Weiss, Lyn Y Abramson, Lauren B Alloy
A growing body of research suggests that bipolar spectrum disorders (BSDs) are associated with high aggression. However, little research has prospectively examined how aggression may affect time to onset of hypomanic/manic versus major depressive episodes. In a longitudinal study, we tested the hypothesis that aggression would prospectively predict a shorter time to the onset of hypomanic/manic episodes and a longer time to the onset of major depressive episodes, based on the behavioral approach system theory of BSDs...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390494/generalization-of-pain-related-fear-based-on-conceptual-knowledge
#10
Ann Meulders, Kristof Vandael, Johan W S Vlaeyen
Increasing evidence suggests that pain-related fear is key to the transition from acute to chronic pain. Previous research has shown that perceptual similarity with a pain-associated movement fosters the generalization of fear to novel movements. Perceptual generalization of pain-related fear is adaptive as it enables individuals to extrapolate the threat value of one movement to another without the necessity to learn anew. However, excessive spreading of fear to safe movements may become maladaptive and may lead to sustained anxiety, dysfunctional avoidance behaviors, and severe disability...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390493/the-role-of-social-support-in-cognitive-behavioral-conjoint-therapy-for-posttraumatic-stress-disorder
#11
Philippe Shnaider, Iris Sijercic, Sonya G Wanklyn, Michael K Suvak, Candice M Monson
The current study examined the effect of total, as well as different sources (i.e., family, friends, significant other) of, pretreatment/baseline social support on posttraumatic stress disorder (PTSD) severity and treatment response to cognitive-behavioral conjoint therapy (CBCT) for PTSD. Thirty-six patients were randomized to receive treatment immediately or to a waitlist condition. Those in the treatment condition were offered CBCT for PTSD, a couple-based therapy aimed at reducing PTSD symptoms and improving relationship functioning...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28390492/gender-difference-in-attentional-bias-toward-negative-and-positive-stimuli-in-generalized-anxiety-disorder
#12
Kerry L Kinney, Joseph W Boffa, Nader Amir
Females are two times as likely as males to develop generalized anxiety disorder (GAD; Steiner et al., 2005; Vesga-López et al., 2008). Moreover, the clinical presentation of GAD is different across genders. One explanation for these differences may be the role of cognitive biases involved in GAD between genders. In the present study, we used an exogenous spatial cueing task to examine gender differences in attentional bias for negative and positive information in 118 individuals with a primary diagnosis of GAD...
May 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270335/web-delivered-cbt-reduces-heavy-drinking-in-oef-oif-veterans-in-primary-care-with-symptomatic-substance-use-and-ptsd
#13
Michelle C Acosta, Kyle Possemato, Stephen A Maisto, Lisa A Marsch, Kimberly Barrie, Larry Lantinga, Chunki Fong, Haiyi Xie, Michael Grabinski, Andrew Rosenblum
Veterans from conflicts such as the wars in Iraq and Afghanistan commonly return with behavioral health problems, including posttraumatic stress disorder (PTSD) and hazardous or harmful substance use. Unfortunately, many veterans experience significant barriers to receiving evidence-based treatment, including poor treatment motivation, concerns about stigma, and lack of access to appropriate care. To address this need, the current study developed and evaluated a web-based self-management intervention based on cognitive behavioral therapy (CBT), targeting PTSD symptoms and hazardous substance use in a group of symptomatic combat veterans enrolled in VA primary care...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270334/battling-on-the-home-front-posttraumatic-stress-disorder-and-conflict-behavior-among-military-couples
#14
Lynne M Knobloch-Fedders, Catherine Caska-Wallace, Timothy W Smith, Keith Renshaw
This study evaluated interpersonal behavior differences among male military service members with and without PTSD and their female partners. Couples (N = 64) completed a 17-minute videotaped conflict discussion, and their interaction behavior was coded using the circumplex-based Structural Analysis of Social Behavior model (SASB; Benjamin, 1979, 1987, 2000). Within couples, the behavior of partners was very similar. Compared to military couples without PTSD, couples with PTSD displayed more interpersonal hostility and control...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270333/longitudinal-associations-between-ptsd-symptoms-and-dyadic-conflict-communication-following-a-severe-motor-vehicle-accident
#15
Steffany J Fredman, J Gayle Beck, Philippe Shnaider, Yunying Le, Nicole D Pukay-Martin, Kimberly Z Pentel, Candice M Monson, Naomi M Simon, Luana Marques
There are well-documented associations between posttraumatic stress disorder (PTSD) symptoms and intimate relationship impairments, including dysfunctional communication at times of relationship conflict. To date, the extant research on the associations between PTSD symptom severity and conflict communication has been cross-sectional and focused on military and veteran couples. No published work has evaluated the extent to which PTSD symptom severity and communication at times of relationship conflict influence each other over time or in civilian samples...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270332/a-daily-diary-study-of-posttraumatic-stress-symptoms-and-romantic-partner-accommodation
#16
Sarah B Campbell, Keith D Renshaw, Todd B Kashdan, Timothy W Curby, Sarah P Carter
Little is known about the role of romantic partner symptom accommodation in PTSD symptom maintenance. To explore the bidirectional associations of posttraumatic stress disorder (PTSD) symptoms and romantic partner symptom accommodation over time, military servicemen (n=64) with symptoms of PTSD and their cohabiting heterosexual civilian romantic partners (n=64) completed a 2-week daily diary study. Cross-lagged, autoregressive models assessed the stability of men's PTSD symptoms and partners' accommodation, as well as the prospective associations of earlier PTSD symptoms with later accommodation and vice versa...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270331/compassion-based-therapy-for-trauma-related-shame-and-posttraumatic-stress-initial-evaluation-using-a-multiple-baseline-design
#17
Teresa M Au, Shannon Sauer-Zavala, Matthew W King, Nicola Petrocchi, David H Barlow, Brett T Litz
Accumulating research suggests that shame can strongly contribute to the development and maintenance of posttraumatic stress disorder (PTSD). Interventions that promote self-compassion have shown promise for reducing shame related to various clinical problems, but this approach has not been systematically evaluated for traumatized individuals. The aim of this study was to develop a brief compassion-based therapy and assess its efficacy for reducing trauma-related shame and PTSD symptoms. Using a multiple baseline experimental design, the intervention was evaluated in a community sample of trauma-exposed adults (N=10) with elevated trauma-related shame and PTSD symptoms...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270330/fidelity-to-the-cognitive-processing-therapy-protocol-evaluation-of-critical-elements
#18
Courtney C Farmer, Karen S Mitchell, Kelly Parker-Guilbert, Tara E Galovski
The contributions of individual therapy elements to the overall efficacy of evidence-based practices for the treatment of posttraumatic stress disorder (PTSD) are not well-understood. This study first examined the extent to which theoretically important treatment components of Cognitive Processing Therapy (CPT; i.e., skill in Socratic questioning; prioritizing assimilation; attention to practice assignments; emphasis on expression of natural affect) were successfully administered across the course of therapy for 68 PTSD-positive survivors of interpersonal trauma...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270329/homework-dose-type-and-helpfulness-as-predictors-of-clinical-outcomes-in-prolonged-exposure-for-ptsd
#19
Andrew A Cooper, Alexander C Kline, Belinda Graham, Michele Bedard-Gilligan, Patricia G Mello, Norah C Feeny, Lori A Zoellner
Homework is often viewed as central to prolonged exposure (PE) for posttraumatic stress disorder (PTSD), but its relationship with treatment outcome is not well understood. We evaluated homework type, dose, and patients' perceptions of helpfulness as predictors of symptom change and posttreatment outcomes in PE. Patients with chronic PTSD received PE in a randomized clinical trial. Independent evaluators assessed PTSD severity at pre- and posttreatment. Patients reported homework adherence and perceived helpfulness at the beginning of each session, separately for in vivo and imaginal exposure assignments...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28270328/constructive-and-unproductive-processing-of-traumatic-experiences-in-trauma-focused-cognitive-behavioral-therapy-for-youth
#20
Adele M Hayes, Carly Yasinski, Damion Grasso, C Beth Ready, Elizabeth Alpert, Thomas McCauley, Charles Webb, Esther Deblinger
Although there is substantial evidence to support the efficacy of cognitive-behavioral treatments (CBT) for posttraumatic stress disorder (PTSD), there is some debate about how these treatments have their effects. Modern learning theory and cognitive and emotional processing theories highlight the importance of reducing avoidance, facilitating the constructive processing of feared experiences, and strengthening new inhibitory learning. We examined variables thought to be associated with unproductive and constructive processing of traumatic experiences in a sample of 81 youth with elevated PTSD symptoms, who received Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for abuse or traumatic interpersonal loss...
March 2017: Behavior Therapy
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