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  Subjects -> SOCIAL SCIENCES (Total: 1423 journals)
    - BIRTH CONTROL (20 journals)
    - CHILDREN AND YOUTH (252 journals)
    - FOLKLORE (30 journals)
    - MATRIMONY (16 journals)
    - MEN'S INTERESTS (18 journals)
    - MEN'S STUDIES (89 journals)
    - SEXUALITY (51 journals)
    - SOCIAL SCIENCES (742 journals)
    - WOMEN'S INTERESTS (43 journals)
    - WOMEN'S STUDIES (162 journals)

SOCIAL SCIENCES (742 journals)                  1 2 3 4     

Showing 1 - 136 of 136 Journals sorted alphabetically
3C Empresa     Open Access   (Followers: 3)
A contrario     Full-text available via subscription   (Followers: 3)
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 9)
Abant İzzet Baysal Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access   (Followers: 1)
Abordajes : Revista de Ciencias Sociales y Humanas     Open Access   (Followers: 1)
Aboriginal and Islander Health Worker Journal     Full-text available via subscription   (Followers: 14)
About Performance     Full-text available via subscription   (Followers: 11)
Academicus International Scientific Journal     Open Access   (Followers: 4)
Access     Full-text available via subscription   (Followers: 25)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 9)
ACCORD Occasional Paper     Open Access   (Followers: 5)
Accountability in Research: Policies and Quality Assurance     Hybrid Journal   (Followers: 18)
Acta Academica     Full-text available via subscription   (Followers: 6)
Acta Scientiarum. Human and Social Sciences     Open Access   (Followers: 8)
Acta Universitatis Sapientiae, Philologica     Open Access   (Followers: 1)
Adelphi series     Hybrid Journal   (Followers: 14)
Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Administrative Science Quarterly     Full-text available via subscription   (Followers: 168)
Administrative Theory & Praxis     Full-text available via subscription   (Followers: 4)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Appreciative Inquiry     Hybrid Journal  
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 1)
África     Open Access   (Followers: 1)
Africa Spectrum     Open Access   (Followers: 12)
African Affairs     Hybrid Journal   (Followers: 64)
African Renaissance     Full-text available via subscription   (Followers: 3)
African Research Review     Open Access   (Followers: 6)
African Social Science Review     Open Access   (Followers: 10)
Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi     Open Access  
Ágora : revista de divulgação científica     Open Access  
Akademik İncelemeler Dergisi     Open Access   (Followers: 1)
Akademika : Journal of Southeast Asia Social Sciences and Humanities     Open Access   (Followers: 7)
Al-Mabsut : Jurnal Studi Islam dan Sosial     Open Access   (Followers: 1)
Alliage     Free  
Alteridade     Open Access  
American Communist History     Hybrid Journal   (Followers: 17)
ANALES de la Universidad Central del Ecuador     Open Access   (Followers: 3)
Anales de la Universidad de Chile     Open Access  
Análisis     Open Access  
Analysis     Full-text available via subscription   (Followers: 3)
Andamios. Revista de Investigacion Social     Open Access  
Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi     Open Access  
Annals of Humanities and Development Studies     Open Access   (Followers: 6)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 42)
Annuaire de l’EHESS     Open Access  
Anthropocene Review     Hybrid Journal   (Followers: 6)
Anthurium : A Caribbean Studies Journal     Open Access   (Followers: 7)
Approches inductives : Travail intellectuel et construction des connaissances     Full-text available via subscription  
Apuntes : Revista de Ciencias Sociales     Open Access   (Followers: 1)
Apuntes de Investigación del CECYP     Open Access  
Arbor     Open Access  
Argomenti. Rivista di economia, cultura e ricerca sociale     Open Access   (Followers: 4)
Argumentos. Revista de crítica social     Open Access  
Around the Globe     Full-text available via subscription   (Followers: 1)
Arquivos do CMD : Cultura, Memória e Desenvolvimento     Open Access  
Articulo - Journal of Urban Research     Open Access   (Followers: 5)
Asia Pacific Journal of Sport and Social Science     Hybrid Journal   (Followers: 6)
Asian Journal of Quality of Life     Open Access  
Asian Journal of Social Science     Hybrid Journal   (Followers: 13)
Asian Journal of Social Sciences and Management Studies     Open Access   (Followers: 7)
Asian Social Science     Open Access   (Followers: 8)
Astrolabio     Open Access  
Atatürk Dergisi     Open Access  
Australasian Review of African Studies, The     Full-text available via subscription   (Followers: 2)
Australian Aboriginal Studies     Full-text available via subscription   (Followers: 10)
Australian and Aotearoa New Zealand Psychodrama Association Journal     Full-text available via subscription  
Australian Journal of Emergency Management     Full-text available via subscription   (Followers: 10)
Australian Journal on Volunteering     Full-text available via subscription   (Followers: 2)
Austrian Journal of South-East Asian Studies     Open Access   (Followers: 1)
Balkan Journal of Social Sciences     Open Access   (Followers: 4)
Bandung : Journal of the Global South     Open Access   (Followers: 1)
BARATARIA. Revista Castellano-Manchega de Ciencias sociales     Open Access  
Basic and Applied Social Psychology     Hybrid Journal   (Followers: 41)
Basic Income Studies     Hybrid Journal   (Followers: 7)
Bayero Journal of Pure and Applied Sciences     Open Access   (Followers: 3)
Berkeley Undergraduate Journal     Full-text available via subscription   (Followers: 1)
Bhakti Persada : Jurnal Aplikasi IPTEKS     Open Access  
Big Data & Society     Open Access   (Followers: 40)
Bildhaan : An International Journal of Somali Studies     Open Access   (Followers: 4)
BMC Medical Ethics     Open Access   (Followers: 21)
Bodhi : An Interdisciplinary Journal     Open Access   (Followers: 3)
Body Image     Hybrid Journal   (Followers: 14)
BOGA : Basque Studies Consortium Journal     Open Access   (Followers: 3)
Boletín Cultural y Bibliográfico     Open Access   (Followers: 3)
Border Crossing : Transnational Working Papers     Open Access   (Followers: 4)
BOSAPARIS : Pendidikan Kesejahteraan Keluarga     Open Access  
Brain and Cognition     Hybrid Journal   (Followers: 36)
Brasiliana - Journal for Brazilian Studies     Open Access   (Followers: 1)
British Review of New Zealand Studies     Full-text available via subscription   (Followers: 4)
Bulletin de l’Institut Français d’Études Andines     Open Access   (Followers: 3)
Caderno CRH     Open Access   (Followers: 3)
California Italian Studies Journal     Full-text available via subscription   (Followers: 6)
Caminho Aberto : Revista de Extensão do IFSC     Open Access  
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Caribbean Studies     Full-text available via subscription   (Followers: 11)
Carl Beck Papers in Russian and East European Studies     Full-text available via subscription   (Followers: 5)
Castalia : Revista de Psicología de la Academia     Open Access  
Catalan Social Sciences Review     Open Access   (Followers: 1)
Catalyst : A Social Justice Forum     Open Access   (Followers: 9)
Catholic Social Science Review     Open Access   (Followers: 5)
CBU International Conference Proceedings     Open Access   (Followers: 3)
Cemoti, Cahiers d'études sur la méditerranée orientale et le monde turco-iranien     Open Access   (Followers: 3)
Challenges     Open Access   (Followers: 3)
China Journal of Social Work     Hybrid Journal   (Followers: 2)
Chinese Studies     Open Access   (Followers: 8)
Ciencia e Interculturalidad     Open Access   (Followers: 3)
Ciencia y Sociedad     Open Access   (Followers: 3)
Ciencia, Cultura y Sociedad     Open Access   (Followers: 1)
Ciencias Holguin     Open Access   (Followers: 3)
Ciências Sociais Unisinos     Open Access   (Followers: 3)
Ciencias Sociales y Educación     Open Access   (Followers: 4)
Ciencias Sociales y Humanidades     Open Access   (Followers: 3)
CienciaUAT     Open Access   (Followers: 1)
Citizen Science : Theory and Practice     Open Access   (Followers: 1)
Citizenship Teaching & Learning     Hybrid Journal   (Followers: 7)
Ciudad Paz-ando     Open Access   (Followers: 1)
Civilizar Ciencias Sociales y Humanas     Open Access   (Followers: 3)
Civitas - Revista de Ciências Sociais     Open Access   (Followers: 3)
Claroscuro     Open Access   (Followers: 1)
CLIO América     Open Access   (Followers: 1)
Cogent Social Sciences     Open Access   (Followers: 4)
Cognitive and Behavioral Practice     Hybrid Journal   (Followers: 11)
Colección Académica de Ciencias Sociales     Open Access  
Colonial Academic Alliance Undergraduate Research Journal     Open Access   (Followers: 4)
Communication, Politics & Culture     Open Access   (Followers: 13)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 2)
Compendium     Open Access   (Followers: 1)
Comprehensive Therapy     Hybrid Journal   (Followers: 3)
Comuni@cción     Open Access  
Comunitania : Revista Internacional de Trabajo Social y Ciencias Sociales     Open Access   (Followers: 1)
Confluenze Rivista di Studi Iberoamericani     Open Access  
Contemporary Journal of African Studies     Full-text available via subscription   (Followers: 4)
Contemporary Social Science     Hybrid Journal   (Followers: 13)
Contribuciones desde Coatepec     Open Access   (Followers: 1)
Convergencia     Open Access   (Followers: 3)
Cooperativismo y Desarrollo     Open Access   (Followers: 1)
Corporate Reputation Review     Hybrid Journal   (Followers: 5)
CRDCN Research Highlight / RCCDR en évidence     Open Access   (Followers: 1)
Creative and Knowledge Society     Open Access   (Followers: 9)
Creative Approaches to Research     Full-text available via subscription   (Followers: 13)
Critical Psychology     Hybrid Journal   (Followers: 8)
Critical Studies     Full-text available via subscription   (Followers: 8)
Critical Studies on Terrorism     Hybrid Journal   (Followers: 24)
Crossing the Border : International Journal of Interdisciplinary Studies     Open Access   (Followers: 5)
CTheory     Open Access  
Cuadernos de la Facultad de Humanidades y Ciencias Sociales - Universidad Nacional de Jujuy     Open Access   (Followers: 1)
Cuadernos Interculturales     Open Access  
Cultural Studies Review     Full-text available via subscription   (Followers: 15)
Cultural Trends     Hybrid Journal   (Followers: 18)
Culturales     Open Access   (Followers: 3)
Culturas. Revista de Gestión Cultural     Open Access   (Followers: 1)
Culture Mandala : The Bulletin of the Centre for East-West Cultural and Economic Studies     Open Access   (Followers: 1)
Culture Scope     Full-text available via subscription   (Followers: 4)
Dalat University Journal of Science     Open Access  
De Prácticas y Discursos. Cuadernos de Ciencias Sociales     Open Access   (Followers: 1)
Debats. Revista de cultura, poder i societat     Open Access   (Followers: 1)
Demographic Research     Open Access   (Followers: 11)
Derecho y Ciencias Sociales     Open Access   (Followers: 3)
Desacatos     Open Access   (Followers: 1)
Desafios     Open Access  
Desenvolvimento em Questão     Open Access  
Developing Practice : The Child, Youth and Family Work Journal     Full-text available via subscription   (Followers: 19)
Development     Hybrid Journal   (Followers: 14)
Didáctica de las Ciencias Experimentales y Sociales     Open Access  
DIFI Family Research and Proceedings     Open Access   (Followers: 1)
Discourse & Society     Hybrid Journal   (Followers: 63)
Distinktion : Scandinavian Journal of Social Theory     Hybrid Journal   (Followers: 8)
Doct-Us Journal     Open Access  
Drustvena istrazivanja     Open Access   (Followers: 3)
Du Bois Review: Social Science Research on Race     Full-text available via subscription   (Followers: 8)
Dynamics of Asymmetric Conflict: Pathways toward terrorism and genocide     Hybrid Journal   (Followers: 16)
E-Dimas : Jurnal Pengabdian Kepada Masyarakat     Open Access   (Followers: 1)
e-Gnosis     Open Access   (Followers: 1)
e-Hum : Revista das Áreas de Humanidade do Centro Universitário de Belo Horizonte     Open Access   (Followers: 2)
E-Journal of Cultural Studies     Open Access   (Followers: 2)
Eastern Africa Social Science Research Review     Full-text available via subscription   (Followers: 5)
Eat, Sleep, Work     Open Access   (Followers: 2)
Économie et Solidarités     Full-text available via subscription   (Followers: 1)
Educación, Lenguaje y Sociedad     Open Access  
Education, Business and Society : Contemporary Middle Eastern Issues     Hybrid Journal   (Followers: 1)
Égypte - Monde arabe     Open Access   (Followers: 6)
Éire-Ireland     Full-text available via subscription   (Followers: 7)
El Ágora USB     Open Access  
Electoral Studies     Hybrid Journal   (Followers: 34)
Electronic Journal of Radical Organisation Theory     Full-text available via subscription   (Followers: 3)
Empiria. Revista de metodología de ciencias sociales     Open Access   (Followers: 1)
Encuentros Multidisciplinares     Open Access  
Enfoques     Open Access  
Enseñanza de las Ciencias Sociales     Open Access  
Entramado     Open Access  
Equality, Diversity and Inclusion : An International Journal     Hybrid Journal   (Followers: 13)
Equidad y Desarrollo     Open Access  
Espace populations sociétés     Open Access   (Followers: 1)
EspacesTemps.net     Open Access  
Estudios Avanzados     Open Access  
Estudios Fronterizos     Open Access   (Followers: 1)
Estudios Sociales     Open Access   (Followers: 2)
Estudios Sociales     Open Access  
Ethics and Social Welfare     Hybrid Journal   (Followers: 19)
Ethiopian Journal of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 8)

        1 2 3 4     

Journal Cover Cognitive and Behavioral Practice
  [SJR: 0.859]   [H-I: 41]   [11 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1077-7229
   Published by Elsevier Homepage  [3177 journals]
  • Implementation in a Changing Landscape: Provider Experiences During Rapid
           Scaling of Use of Evidence-Based Treatments
    • Authors: Michael E.J. Reding; Karen Guan; Jennifer Regan; Lawrence A. Palinkas; Anna S. Lau; Bruce F. Chorpita
      Pages: 185 - 198
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Michael E.J. Reding, Karen Guan, Jennifer Regan, Lawrence A. Palinkas, Anna S. Lau, Bruce F. Chorpita
      This study examined 133 service providers’ perspectives on a rapid shift to mandated evidence-based treatment delivery, utilizing an inductive coding process to capture themes present in their qualitative feedback. The majority of provider comments were negatively valenced, but attitudes varied considerably across response categories: comments regarding practice context and support were nearly uniformly negative, while comments regarding treatment fit and therapeutic consequences were more balanced. Treatment fit was the most commonly cited category; the fit to therapist (e.g., ease of use) subcategory was predominantly positive in contrast with the fit to client (e.g., flexibility) subcategory, which was predominantly negative. Results illustrate the intended and unintended consequences of large-scale implementation efforts on community providers, and may aid implementation researchers and system decision makers optimize the conditions under which community providers are asked to implement evidence-based treatment.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.05.005
       
  • Development and Preliminary Feasibility Testing of a Decision Support Tool
           for Childhood Anxiety Treatment
    • Authors: Oliver Lindhiem; Charles B. Bennett; Rinad S. Beidas; Damion J. Grasso; Dara J. Sakolsky; Marek J. Druzdzel
      Pages: 199 - 207
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Oliver Lindhiem, Charles B. Bennett, Rinad S. Beidas, Damion J. Grasso, Dara J. Sakolsky, Marek J. Druzdzel
      In this practical application, we describe the steps to build a decision-support tool using GeNIe 2.1 software. The method incorporates principles of decision analyses and allows for a systematic strategy to balance treatment efficacy data with patient preferences. We illustrate the utility for helping clinicians and patients choose between two or more efficacious treatment options (CBT, medication, or their combination). Preliminary pilot data from families (n = 5) seeking services at a specialty clinic for childhood anxiety disorders support the usability of the tool and high patient satisfaction. We use case examples and sample graphical output to illustrate how the decision-support system can be used to integrate data on (a) baseline symptom severity, (b) the relative effectiveness of two or more treatment options, and (c) patient preferences and values, to arrive at a personalized treatment recommendation. The decision-support tool enabled child and parent preferences to be explicitly stated and facilitated discussions about how best to incorporate their preferences into an evidence-based treatment strategy.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.07.002
       
  • Brief Behavioral Activation Treatment for Depressed Adolescents Delivered
           by Nonspecialist Clinicians: A Case Illustration
    • Authors: Laura Pass; Elizabeth Hodgson; Hannah Whitney; Shirley Reynolds
      Pages: 208 - 224
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Laura Pass, Elizabeth Hodgson, Hannah Whitney, Shirley Reynolds
      Behavioral activation (BA) can be as effective as cognitive-behavioral therapy for the treatment of depression in adults, but to date there is little research with adolescents. This is problematic given the recognized need to increase access to evidence-based interventions for depression in young people. We have developed a new adaptation of brief Behavioral Activation (Lejuez, Hopko, Acierno, Daughters, & Pagoto, 2011) specifically for young people: Brief BA for depressed adolescents. In this paper, we use a case example with session-by-session measurement to show how a nonspecialist clinician can deliver this intervention successfully. We discuss the key themes arising from this training case, challenges the clinician faced, and how these were managed through training and supervision.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.05.003
       
  • Development and Open Trial of a Depression Preventive Intervention for
           Adolescents With Attention-Deficit/Hyperactivity Disorder
    • Authors: Michael C. Meinzer; Chelsey M. Hartley; Katherine Hoogesteyn; Jeremy W. Pettit
      Pages: 225 - 239
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Michael C. Meinzer, Chelsey M. Hartley, Katherine Hoogesteyn, Jeremy W. Pettit
      Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at elevated risk for experiencing unipolar depressive symptoms and disorders. The current study describes the development of a behaviorally oriented depression preventive intervention tailored for adolescents with ADHD targeting variables empirically shown to mediate ADHD and depression (i.e., reward responsivity, emotion regulation, and family support). Eight adolescents with a history of ADHD and currently elevated depressive symptoms and their parents participated in an open trial of the Behaviorally Enhancing Adolescents’ Mood (BEAM) program. Adolescents and their parents reported high satisfaction with BEAM. Staff reported BEAM was easy to implement with high adherence. Following BEAM, there were significant reductions in parent-report of adolescents’ depressive symptoms and emotion regulation at posttreatment and the 6-week follow-up and adolescent-report of reward responsivity at posttreatment. Case vignettes are also provided to illustrate implementation of the BEAM program. In spite of the small sample, lack of a control group, and some discrepancies across informants, results overall support the feasibility and acceptability of the BEAM program, and suggest it has promise in reducing depressive symptoms in adolescents with ADHD.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.05.006
       
  • Implementing Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) With
           Preteen Children Displaying Problematic Sexual Behavior
    • Authors: Brian Allen
      Pages: 240 - 249
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Brian Allen
      Problematic sexual behavior (PSB) is a fairly common presenting concern among preteen children with histories of trauma. Unfortunately, relatively little information about these concerns are provided in training programs and clinicians often report lacking the skills and confidence to intervene when PSB is present. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), on the other hand, is a well-known and well-validated intervention for children who experienced maltreatment and trauma. Current evidence-based treatment techniques for PSB are primarily cognitive-behavioral in nature and easily delivered within the standard TF-CBT protocol. This paper reviews the empirical and theoretical premises of evidence-based treatment techniques for PSB and discusses how the clinician can implement them within the context of TF-CBT, while maintaining fidelity to the TF-CBT protocol. Conducting an assessment to determine the appropriateness of this form of treatment is examined as well as recommendations on addressing safety issues that may be identified during assessment.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.07.001
       
  • Adapting Cognitive Processing Therapy to Treat Co-Occurring Posttraumatic
           Stress Disorder and Mild Traumatic Brain Injury: A Case Study
    • Authors: K. Amber Turner; Andrew J. Smith; Russell T. Jones; David W. Harrison
      Pages: 261 - 274
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): K. Amber Turner, Andrew J. Smith, Russell T. Jones, David W. Harrison
      This case study aims to provide evidence for the effectiveness of adapting a particular manualized cognitive behavioral therapy intervention to treat co-occurring posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). This study presents the treatment of a woman who experienced co-occurring mTBI and PTSD following a motor vehicle accident, a dual diagnosis that was established through a flexible assessment approach involving interviews as well as standardized psychological, neuropsychological, and neurobehavioral testing. Treatment planning led to a-priori adaptation of Cognitive Processing Therapy (CPT) to treat both her PTSD symptoms and the sequelae associated with her mTBI. The therapist maintained fidelity to the manualized structure and content of CPT protocol, adapting portions of the treatment to add specific emphasis on issues of identity confusion and role loss in service of addressing these common functional impairments that can accompany mTBI. Discussion focuses on application of CPT for future treatment of comorbid PTSD and TBI amidst complicating factors, including role losses and medical and safety issues. This case study is especially relevant due to the prevalence of co-occurring PTSD and TBI across a variety of populations.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.06.003
       
  • Development and Feasibility of a Group Cognitive-Behavioral Therapy for
           Fear of Cancer Recurrence
    • Authors: Josée Savard; Marie-Hélène Savard; Aude Caplette-Gingras; Lucie Casault; Caroline Camateros
      Pages: 275 - 285
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Josée Savard, Marie-Hélène Savard, Aude Caplette-Gingras, Lucie Casault, Caroline Camateros
      This paper describes the development, content, and preliminary results of a group cognitive-behavioral therapy (CBT) for fear of cancer recurrence (FCR). A manualized CBT intervention was developed and offered to 38 patients with various cancer types and stages in two hospitals. Four weekly group CBT sessions were administered by two licensed psychologists as part of routine care. Patients completed self-report scales before the first treatment session and, a second time, 1 month after the last session. Overall, 33 patients had clinical levels of FCR at baseline. The participants’ satisfaction toward the group CBT for FCR was high. Significant reductions on the total score and most subscales of the Fear of Cancer Recurrence Inventory (FCRI) were observed, as well as significant improvements on most of the other psychological variables measured (i.e., insomnia, anxiety, depression, dysfunctional beliefs about cancer, and intolerance of uncertainty). In addition, 52% of the patients with clinical levels of FCR (FCRI-severity subscale score ≥ 13) at baseline no longer reached this clinical threshold at posttreatment. These preliminary results suggest that our group CBT for FCR is well accepted and feasible, and shows promising efficacy for decreasing FCR and improving other psychological variables among cancer patients. The next step is to investigate the efficacy of this minimal intervention in larger and controlled clinical trials, as well as its usefulness as part of a stepped care approach. This low-cost intervention is easy to implement in various clinical settings and has a strong potential to help large numbers of patients with FCR.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.08.001
       
  • Guided Recovery: An Interpretative Phenomenological Analysis of Service
           Users’ Experiences of Guided Self-Help for Bulimic and Binge Eating
           Disorders
    • Authors: Carolyn R. Plateau; Faye A. Brookes; Matthew Pugh
      Pages: 310 - 318
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Carolyn R. Plateau, Faye A. Brookes, Matthew Pugh
      The efficacy of Cognitive Behavioral Therapy–based Guided Self-Help for mild to moderate bulimia and binge eating disorders has been well supported. However, limited research has explored in-depth individual experiences of this treatment approach. In-depth semi-structured interviews were conducted with 4 individuals who had completed Cognitive Behavioral Therapy–based Guided Self-Help (CBT-GSH) for bulimic or binge eating disorders. The interviews were transcribed verbatim and subsequently analyzed using Interpretative Phenomenological Analysis (IPA). Three superordinate themes emerged: Autonomy and volition; A dynamic relationship: the guided and the guide; and The unwanted friend. The reciprocal nature of the guide/guided relationship was identified as integral to the success of the therapeutic approach. However, participants expressed initial uncertainty towards the therapeutic process, and experienced an uncomfortable dissonance between a lack of volition in therapy seeking and the need to continually self-prescribe CBT-GSH. The findings affirm the central role of the guide in promoting motivation to engage with therapy and highlight the potential benefits of in-session weighing. However, it may be necessary to provide additional support on commencing CBT-GSH to address concerns about the therapeutic approach in this group.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.08.004
       
  • Adaptation of CBT for Traumatized South African Indigenous Groups:
           Examples from Multiplex CBT for PTSD
    • Authors: Baland Jalal; Qunessa Kruger; Devon E. Hinton
      Pages: 335 - 349
      Abstract: Publication date: May 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 2
      Author(s): Baland Jalal, Qunessa Kruger, Devon E. Hinton
      This article describes how Culturally Adapted Multiplex CBT, a treatment that emphasizes somatic processing and emotion regulation, was adapted for a traumatized South African indigenous group, the Sepedi. A model of psychopathology is presented, the Multiplex Model of Trauma-Related Disorder, which depicts the processes that generate multiple comorbidities and prominent somatization in minority, refugee, and other non-Western populations. The nine dimensions of Culturally Adapted Multiplex CBT are discussed, and so too the “cultural adaptation diamond.” Concepts such as “explanatory model bridging” are presented. A culturally sensitive assessment measure of local somatic complaints and cultural syndromes (the Sepedi Symptom and Syndrome Addendum, or Sepedi SSA) is detailed, as well as how CBT techniques were implemented with this group—for example, modification of culturally specific catastrophic cognitions, doing exposure (e.g., interoceptive exposure), teaching attentional control and mindfulness techniques, and teaching “loving kindness.” Case examples with clinical outcomes are provided to further illustrate how Multiplex CBT was adapted for the South African indigenous group.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2017.07.003
       
  • Adapting Parent–Child Interaction Therapy for Deaf Families That
           Communicate via American Sign Language: A Formal Adaptation Approach
    • Authors: Lori A. Day; Elizabeth Adams Costa; Danielle Previ; Colleen Caverly
      Pages: 7 - 21
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Lori A. Day, Elizabeth Adams Costa, Danielle Previ, Colleen Caverly
      While our field has made positive strides in adapting psychotherapeutic interventions for diverse groups of people, considerable work is still needed in this area. We present our formal adaptation procedure for parent–child interaction therapy (PCIT) with Deaf persons. This includes a review of the cultural adaptation process for psychological interventions, including PCIT, as well as an introduction to Deaf culture. Details regarding the specific adaptation of PCIT for Deaf persons are outlined. We found that the utilization of a clear framework to guide the cultural adaptation process facilitated careful consideration of the numerous linguistic and cultural variables involved, while maintaining integrity of the treatment model. While the current focus was on adapting PCIT for Deaf families who communicate via American Sign Language, this framework can also be applied to other populations and/or interventions.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.01.008
       
  • Stopping the Nonadherence Cycle: The Clinical and Theoretical Basis for
           Dialectical Behavior Therapy Adapted for Adolescents With Chronic Medical
           Illness (DBT-CMI)
    • Authors: Becky H. Lois; Alec L. Miller
      Pages: 32 - 43
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Becky H. Lois, Alec L. Miller
      Most adolescents with chronic illness do not adhere to their regimen. A novel transdiagnostic adaptation of dialectical behavior therapy (dialectical behavior therapy for chronic medical conditions; DBT-CMI) is presented to improve medical adherence in adolescents. The authors describe the approach of DBT-CMI and the model’s conceptualization of nonadherence, with specific focus on the core concepts of non-adherence across illness in adolescence. DBT-CMI has been piloted in two disease groups with preliminary benefit. DBT-CMI lends itself theoretically as a transdiagnostic approach due to specific skills that target core concepts of nonadherence in adolescence. Future research is warranted on the applicability of DBT-CMI across other pediatric medical conditions to replicate findings and examine long-term outcomes.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.01.006
       
  • Activating Veterans Toward Sources of Reward: A Pilot Report on
           Development, Feasibility, and Clinical Outcomes of a 12-Week Behavioral
           Activation Group Treatment
    • Authors: Rachel Hershenberg; Rachel Vickers Smith; Jason T. Goodson; Michael E. Thase
      Pages: 57 - 69
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Rachel Hershenberg, Rachel Vickers Smith, Jason T. Goodson, Michael E. Thase
      This pilot study evaluates a 12-week group Behavioral Activation protocol adapted to meet the needs of a Veteran population seeking treatment in an outpatient mental health clinic at a Veteran Affairs Medical Center. In a detailed Method we describe the treatment structure. Acceptability and feasibility are addressed by providing data on referral sources, treatment retention, attendance, and patient satisfaction. Initial clinical outcomes are presented, focusing on symptom reduction, improved quality of life, and changes in the hypothesized mechanism of treatment: improving motivated behavior to pursue rewards (decisional anhedonia). Finally, feedback from individual exit interviews is presented. We conclude with implementation tips and challenges in the service of continuing to improve our evidence-based interventions in Veteran Affairs facilities.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.04.001
       
  • Use of Internet Resources to Support Prolonged Exposure for Combat-Related
           PTSD
    • Authors: Peter D. Yeomans
      Pages: 70 - 74
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Peter D. Yeomans
      In vivo exposure as part of Prolonged Exposure (PE) requires the patient and therapist to generate a list of cues that are reminiscent of the trauma and generative of distress. In contrast to civilian trauma, it can be more challenging to build a robust in vivo hierarchy for a combat-related index trauma. Internet resources such as databases that list casualties from different wars, memorial pages of those who died in theater, and lists of unit association memberships and reunions are useful sources for in vivo hierarchies. These materials can provide opportunities for exposure to additional cues reminiscent of the traumatic event, provide information about the traumatic event that the veteran had been unable to recall, and create opportunities for veterans to reestablish relationships with veteran peers. Case illustrations are provided and reasons for caution are discussed.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.01.005
       
  • Delivering Acceptance and Commitment Therapy for Weight Self-Stigma
           Through Guided Self-Help: Results From an Open Pilot Trial
    • Authors: Michael E. Levin; Sarah Potts; Jack Haeger; Jason Lillis
      Pages: 87 - 104
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Michael E. Levin, Sarah Potts, Jack Haeger, Jason Lillis
      Weight self-stigma is a promising target for innovative interventions seeking to improve outcomes among overweight/obese individuals. Preliminary research suggests acceptance and commitment therapy (ACT) may be an effective approach for reducing weight self-stigma, but a guided self-help version of this intervention may improve broad dissemination. This pilot open trial sought to evaluate the potential acceptability and efficacy of a guided self-help ACT intervention, included coaching and a self-help book, with a sample of 13 overweight/obese individuals high in weight self-stigma. Results indicated a high degree of program engagement (77% completed the intervention) and satisfaction. Participants improved on outcomes over time including weight self-stigma, emotional eating, weight management behaviors, health-related quality of life, and depression. Although not a directly targeted outcome, participants improved on objectively measured weight, with an average of 4.18 pounds lost over 7 weeks, but did not improve on self-reported weight at 3-month follow-up. Processes of change improved over time, including psychological inflexibility, valued action and reasons to lose weight. Coaching effects indicated greater retention and improvements over time with one coach vs. the other, suggesting characteristics of coaching can affect outcomes. Overall, these results provide preliminary support for the acceptability and efficacy of a guided self-help ACT program for weight self-stigma. Implications of these results and how to address clinical challenges with guided self-help are discussed.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.02.002
       
  • A Novel Integrated Cognitive-Behavioral Therapy for Anxiety and Medication
           Adherence Among Persons Living With HIV/AIDS
    • Authors: Charles P. Brandt; Daniel J. Paulus; Monica Garza; Chad Lemaire; Peter J. Norton; Michael J. Zvolensky
      Pages: 105 - 118
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Charles P. Brandt, Daniel J. Paulus, Monica Garza, Chad Lemaire, Peter J. Norton, Michael J. Zvolensky
      Persons living with HIV/AIDS (PLHIV) are able to live full lifespans after infection, however, rates of anxiety disorders among this population are elevated compared to national samples. Importantly, these anxiety symptoms and disorders have a negative effect on medication adherence, quality of life and other psychological disorders, such as depression. In order to reduce the impact of anxiety among PLHIV, a six-session transdiagnostic CBT-based treatment manual for anxiety among PLHIV named the HIV/Anxiety Management-Reduction Treatment (HAMRT) was developed and implemented. The current manuscript discusses the content of this manual as well as results from three cases examining the impact of HAMRT. Results indicated that HAMRT was effective in reducing symptoms of anxiety, anxiety sensitivity, depression, and negative affect among our sample. Additionally, results indicated that HAMRT was effective in increasing HIV medication adherence as well as quality of life. Results are discussed in terms of the potential utility of an anxiety-reduction therapy program aimed at increasing medication adherence among PLHIV.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.01.007
       
  • A Couple-Based Psychological Treatment for Chronic Pain and Relationship
           Distress
    • Authors: Annmarie Cano; Angelia M. Corley; Shannon M. Clark; Sarah C. Martinez
      Pages: 119 - 134
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Annmarie Cano, Angelia M. Corley, Shannon M. Clark, Sarah C. Martinez
      Chronic pain impacts individuals with pain as well as their loved ones. Yet, there has been little attention to the social context in individual psychological treatment approaches to chronic pain management. With this need in mind, we developed a couple-based treatment, “Mindful Living and Relating,” aimed at alleviating pain and suffering by promoting couples’ psychological and relational flexibility skills. Currently, there is no integrative treatment that fully harnesses the power of the couple, treating both the individual with chronic pain and the spouse as two individuals who are each in need of developing greater psychological and relational flexibility to improve their own and their partners’ health. Mindfulness, acceptance, and values-based action exercises were used to promote psychological flexibility. The intervention also targets relational flexibility, which we define as the ability to interact with one’s partner, fully attending to the present moment, and responding empathically in a way that serves one’s own and one’s partner’s values. To this end, the intervention also included exercises aimed at applying psychological flexibility skills to social interactions as well as emotional disclosure and empathic responding exercises to enhance relational flexibility. The case presented demonstrates that healthy coping with pain and stress may be most successful and sustainable when one is involved in a supportive relationship with someone who also practices psychological flexibility skills and when both partners use relational flexibility skills during their interactions.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.02.003
       
  • Implementing Group CBT for Depression Among Latinos in a Primary Care
           Clinic
    • Authors: Adrian Aguilera; Emma Bruehlman-Senecal; Nancy Liu; Julia Bravin
      Pages: 135 - 144
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Adrian Aguilera, Emma Bruehlman-Senecal, Nancy Liu, Julia Bravin
      Depression in low-income Latino populations can be treated using group cognitive behavioral therapy (GCBT). However, effective delivery of GCBT for depression in primary care settings is often impeded by high dropout rates and poor homework adherence. In this study, we describe the structure, processes, and outcomes (including attendance, homework completion, and symptom measures) of GCBT for Spanish-speaking Latino patients with depression in an urban public sector primary care setting. For this study, 96 Latino patients in a primary care clinic participated in at least 1 session of GCBT. Although depressive symptoms among these patients, as measured by the PHQ-9, significantly decreased during treatment, attendance and homework completion were limited. Even with a strategy in place to allow patients to continue in treatment after missing several sessions, 23% of patients dropped out of therapy following their initial session, and approximately half of all patients completed less than 50% (or 8) therapy sessions. Homework was only completed 23% of the time it was checked. Greater session attendance prospectively predicted lower depressive symptoms over time. We discuss potential strategies to increase engagement, treatment effects, and symptom reduction for depression in primary care settings.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.03.002
       
  • Interoceptive Exposure: An Overlooked Modality in the Cognitive-Behavioral
           Treatment of OCD
    • Authors: Shannon M. Blakey; Jonathan S. Abramowitz
      Pages: 145 - 155
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Shannon M. Blakey, Jonathan S. Abramowitz
      Accumulated research implicates anxiety sensitivity (AS) as a transdiagnostic construct important to the maintenance of OCD. Yet despite the clinical implications of targeting fears of body-related sensations during treatment, interoceptive exposure (IE) is an often-overlooked therapeutic procedure in the cognitive-behavioral treatment of OCD. In this article, we discuss the rationale for—and procedures of—addressing AS during treatment for OCD. We provide two case examples, illustrating how a clinician might approach clinical assessment, case formulation, and treatment planning with each of these patients. We conclude by discussing future research directions to better understand if (and how) targeting AS during therapy might enhance OCD treatment outcome.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.01.002
       
  • Intensive Outpatient Comprehensive Behavioral Intervention for Tics: A
           Clinical Replication Series
    • Authors: Tabatha H. Blount; Jeslina J. Raj; Alan L. Peterson
      Pages: 156 - 167
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Tabatha H. Blount, Jeslina J. Raj, Alan L. Peterson
      Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious behavioral treatment for Tourette’s disorder. In its standard format, CBIT is completed in 8 sessions over a 10-week period. Unfortunately, significant obstacles (e.g., not having a provider nearby; inability to attend weekly sessions) prevent many individuals from participating in standard outpatient CBIT. An intensive outpatient program that compresses CBIT into a week may help overcome many of these barriers. The present clinical replication series examines treatment outcomes in 5 individuals with Tourette’s disorder. Importantly, 4 out of the 5 participants reported clinically meaningful tic reductions on the Yale Global Tic Severity Scale (YGTSS) at the posttreatment assessment, with an average decrease of 11.5 points across those 4 participants. This represents a 28% decrease in the average posttreatment YGTSS score from the average baseline YGTSS score. Of the 3 participants who completed the 1-month follow-up assessment, 2 participants continued to endorse reductions in their baseline tic severity on the YGTSS and were rated as having a positive response on the Clinician Global Impressions–Improvement subscale. Clinical implications are discussed.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.02.001
       
  • A Single-Subject Evaluation of the Treatment of Morphing Fear
    • Authors: Eva Zysk; Roz Shafran; Tim I. Williams
      Pages: 168 - 181
      Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1
      Author(s): Eva Zysk, Roz Shafran, Tim I. Williams
      We present a single-subject prospective outcome study of a man with severe morphing fear and long history of OCD who was not helped by previous interventions, and who received an adapted form of cognitive behavior therapy (CBT) as part of this study. Treatment consisted of a cognitively focused approach tailored to address his fear of morphing and included developing a stronger sense of self-stability. We describe the details of the case, the treatment protocol, and the therapeutic outcomes as assessed over 36 weeks by questionnaires, rating scales, and semistructured interviews. The intervention was effective in eradicating the patient’s morphing fears and reducing other symptoms of OCD, anxiety, and depression. The presented case illustrates the need to appropriately conceptualize, assess, and address the specific nature of morphing fear symptoms in treatment.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.03.003
       
  • An Interdisciplinary Model for Meeting the Mental Health Needs of
           Transgender Adolescents and Young Adults: The Mount Sinai Adolescent
           Health Center Approach
    • Authors: Elizabeth Zacher Burke; John Steever; Matthew Oransky
      Abstract: Publication date: Available online 14 April 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Elizabeth Zacher Burke, John Steever, Matthew Oransky
      Transgender and gender nonconforming (TGNC) adolescents and young adults face significant mental health disparities, including increased rates of suicidality, depression, and self-harm. These disparities are multidetermined and stem, in part, from the emotional consequences of family rejection, peer and community victimization, social isolation, and discrimination and transphobia in both daily settings (e.g., school) and society as a whole. In order to meet the mental health needs of TGNC youth, we must intervene in multiple levels of youths' lives and provide gender-affirming evidence-based therapies. In this paper, we describe an integrated model of meeting the mental health needs of TGNC youth, with the ultimate goal of reducing mental health disparities. We provide guidance for macro-level interventions, including efforts to implement social change; mezzo-level interventions, including structuring a health care setting to be gender-affirming; and micro-level interventions, including gender-affirming dialectical behavior therapy, cognitive behavioral therapy, family therapy and support group interventions. Throughout, we highlight our descriptions of interventions with case examples in order to provide additional practical guidance.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2018.03.002
       
  • Dropping Safety Aids and Maximizing Retrieval Cues: Two Keys to Optimizing
           Inhibitory Learning During Exposure Therapy
    • Authors: Shannon M. Blakey; Jonathan S. Abramowitz
      Abstract: Publication date: Available online 7 April 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Shannon M. Blakey, Jonathan S. Abramowitz
      The inhibitory learning model of exposure therapy posits that clinical anxiety is most effectively treated when clinicians employ strategies that maximize the (a) violation of negative expectancies and (b) generalization of nonthreat associations. Translation of basic learning research to exposure therapy via this explanatory model underscores two keys to optimizing inhibitory learning during exposure: dropping safety aids and maximizing retrieval cues. Although topographically similar, safety aids and retrieval cues are functionally distinct as well as therapeutically incompatible. In the present article, we delineate safety aids and retrieval cues in the context of exposure therapy from an inhibitory learning perspective, providing illustrative case examples of how clinicians may address the two when treating patients with clinical anxiety.

      PubDate: 2018-04-16T00:58:29Z
      DOI: 10.1016/j.cbpra.2018.03.001
       
  • Be a Mom: Formative Evaluation of a Web-Based Psychological Intervention
           to Prevent Postpartum Depression
    • Authors: Ana Fonseca; Marco Pereira; Anabela Araújo-Pedrosa; Ricardo Gorayeb; Mariana Moura Ramos; Maria Cristina Canavarro
      Abstract: Publication date: Available online 8 March 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Ana Fonseca, Marco Pereira, Anabela Araújo-Pedrosa, Ricardo Gorayeb, Mariana Moura Ramos, Maria Cristina Canavarro
      A formative evaluation (consisting of two phases: a scoping literature review and a focus group with mental health professionals) was conducted to inform the design of a web-based intervention to prevent postpartum depression, in terms of its characteristics and content: the Be a Mom program. The results showed that the web-based intervention should be short-term, delivered postnatally, and grounded in cognitive-behavior therapy principles. Moreover, the intervention should include weekly sessions targeting basic contents: motherhood changes, reorganizations and emotional experience; cognitions, self-criticism, and self-compassion; parenting values, social support, and assertive communication skills; couple relationship, negotiation and conflict resolution skills; and postpartum depression signs and professional help-seeking. These results may improve the Be a Mom's adequacy, implementation success, and effectiveness.

      PubDate: 2018-03-18T00:01:47Z
      DOI: 10.1016/j.cbpra.2018.02.002
       
  • State of the Field of Mental Health Apps
    • Authors: Martha Neary; Stephen M. Schueller
      Abstract: Publication date: Available online 5 March 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Martha Neary, Stephen M. Schueller
      Mental health apps offer unique opportunities for self-management of mental health and well-being in mobile, cost-effective ways. There is an abundance of apps available to consumers, but selecting a useful one presents a challenge. Most available apps are not supported by empirical evidence and thus consumers have access to a range of unreviewed apps, the benefits of which are not known or supported. While user ratings exist, and are likely to be considered by consumers when selecting an app, they do not actually yield information on app suitability. A possible alternative way for consumers to choose an app would be to use an app review platform. A number of attempts have been made to construct such a platform, and this paper introduces PsyberGuide, which offers a step towards providing objective and actionable information for publicly available mental health apps.

      PubDate: 2018-03-05T23:38:03Z
      DOI: 10.1016/j.cbpra.2018.01.002
       
  • Using the Linehan Risk Assessment and Management Protocol With a
           Chronically Suicidal Patient: A Case Report
    • Authors: Adam Carmel; Elizabeth Templeton; Shannon M. Sorenson; Elena Logvinenko
      Abstract: Publication date: Available online 5 March 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Adam Carmel, Elizabeth Templeton, Shannon M. Sorenson, Elena Logvinenko
      The Linehan Risk Assessment and Management Protocol (LRAMP) is an empirically supported, comprehensive framework used to assess suicide risk and protective factors, and provide a guide for the therapist to consider reasonable options for intervening on suicidal behavior. This protocol includes a structured checklist for assessing, managing, and documenting suicide risk. It also structures the documentation to clearly describe the presentation, assessment, in-session interventions, decision-making process, and follow-up to other members of the treatment team. This paper describes a case in which the LRAMP was used to guide the assessment, intervention, and documentation of the suicidal behavior of a patient, “Ann,” being treated with outpatient Dialectical Behavioral Therapy in a community mental health clinic. Each section of the LRAMP is discussed as it was used with this complex patient, who had history of high utilization of acute psychiatric services. Application of the LRAMP included the assessment of risk and protective factors, and the use of an individualized crisis plan that engaged the patient, her family, the therapist, and the clinical team, to decrease acute risk, continue outpatient treatment, and avoid inpatient hospitalization. The considerations for documenting clinical decision-making with chronically suicidal patients are discussed.

      PubDate: 2018-03-05T23:38:03Z
      DOI: 10.1016/j.cbpra.2018.02.001
       
  • An Emotion Regulation Treatment for Young People With Complex Substance
           Use and Mental Health Issues: A Case-Series Analysis
    • Authors: Elise Sloan; Kate Hall; Angela Simpson; George J. Youssef; Richard Moulding; Helen Mildred; Petra K. Staiger
      Abstract: Publication date: Available online 16 February 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Elise Sloan, Kate Hall, Angela Simpson, George J. Youssef, Richard Moulding, Helen Mildred, Petra K. Staiger
      Individuals accessing treatment within the youth alcohol and other drug (AoD) sector represent a highly vulnerable population who present with complex patterns of substance use and mental health comorbidity. Current treatments often fail to address this complexity. Emotion regulation (ER) has been identified as a promising transdiagnostic treatment target for this population of young people. The current study aimed to investigate the acceptability and feasibility of an adjunct ER intervention, ERIC (Emotion Regulation and Impulse Control) in young people receiving AoD treatment at a residential rehabilitation service. A mixed methods case series design was utilized. Ten participants aged between 16–20 years old completed 4–6 sessions of ERIC as an adjunct to their existing residential treatment. Participants undertook a postintervention feedback session and completed a number of self-report measures of ER, depression and anxiety at baseline and 2 weeks after receiving ERIC. Qualitative feedback from young people following the delivery of ERIC was positive, and suggested that ERIC was a viable and useful intervention. Participants reported that the components of ERIC, which involved metaphors and experiential exercises, were particularly beneficial and memorable. Pre-post measures indicated that 60% of the young people had both reliable and clinically significant reductions in overall emotion dysregulation, while reliable and clinically significant reductions in depression and anxiety were observed in 50% and 60% of participants respectively. Results support the acceptability of ERIC for this cohort of young people with complex substance use and mental health needs. Furthermore, these findings support the viability of delivering flexible and adjunctive ER treatments to young people seeking AoD treatment.

      PubDate: 2018-02-25T18:47:26Z
      DOI: 10.1016/j.cbpra.2017.12.006
       
  • Cross-Cultural Supervision in Cognitive-Behavioral Therapy: A Case Study
    • Authors: Fa-Hui Yang; Keith Dobson; Xiao-Miao Li; Adam Hennebury; Ying Gao; Xin-Feng Tang; Le Qi
      Abstract: Publication date: Available online 9 February 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Yang Fahui, Keith Dobson, Li Xiaomiao, Adam Hennebury, Gao Ying, Tang Xinfeng, Qi Le
      This article provides a thorough description of a representative case of online cross-cultural supervision by interviewing all parties involved in the supervision (the supervisor, the supervisee, and the translator). This study provides evidence about the benefits and challenges of online cross-cultural supervision and the feasibility of such a training modality. A cross-cultural supervision competence model and culturally adapted treatment stage model are proposed, and the article provides suggestions for future supervisors, supervisees, and translators.

      PubDate: 2018-02-14T17:55:24Z
      DOI: 10.1016/j.cbpra.2017.12.004
       
  • Acknowledgment to 2017 Reviewers
    • Abstract: Publication date: February 2018
      Source:Cognitive and Behavioral Practice, Volume 25, Issue 1


      PubDate: 2018-02-05T17:27:42Z
       
  • An Inhibitory Learning Approach to Cognitive-Behavioral Therapy for
           Children and Adolescents
    • Authors: Joseph F. McGuire; Eric A. Storch
      Abstract: Publication date: Available online 1 February 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Joseph F. McGuire, Eric A. Storch
      Although exposure-based cognitive-behavioral therapy (CBT) is efficacious for childhood anxiety and obsessive–compulsive disorder (OCD), many youth do not adequately respond to treatment. Extinction learning is an important process in exposure-based CBT. However, youth with anxiety disorders and OCD exhibit impairments in extinction processes that are best characterized by deficits in inhibitory learning. Therefore, the utilization of strategies to optimize inhibitory learning during exposures may compensate for these deficits, thereby maximizing extinction processes and producing more robust treatment outcomes for exposure-based CBT. This paper reviews several strategies to optimize inhibitory learning in youth with anxiety disorders and OCD, and presents practical examples for each strategy. This paper also highlights the difference between inhibitory learning-based exposures and prior conceptual approaches to exposure therapy in clinical practice. It concludes with a discussion of future directions for clinical research on inhibitory learning and exposure-based CBT in youth.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.12.003
       
  • Hope for the Worst: Occasional Reinforced Extinction and Expectancy
           Violation in the Treatment of OCD
    • Authors: Jason W. Krompinger; Nathaniel P. Van Kirk; Lauryn E. Garner; Sriramya I. Potluri; Jason A. Elias
      Abstract: Publication date: Available online 31 January 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Jason W. Krompinger, Nathaniel P. Van Kirk, Lauryn E. Garner, Sriramya I. Potluri, Jason A. Elias
      An inhibitory learning conceptualization of treatment mechanisms in exposure-based therapy appears to better account for durability of symptom reduction and index overall learning. Presented here is an overview of two core elements of inhibitory learning, expectancy violation and occasional reinforced extinction, as they are thought to function in exposure and response prevention (ERP) for OCD. The overview is then followed by case examples illustrating these processes at work in a naturalistic clinical setting. Implications for treatment are broadly discussed.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.12.002
       
  • Enhancing Inhibitory Learning: The Utility of Variability in Exposure
    • Authors: Kelly A. Knowles; Bunmi O. Olatunji
      Abstract: Publication date: Available online 31 January 2018
      Source:Cognitive and Behavioral Practice
      Author(s): Kelly A. Knowles, Bunmi O. Olatunji
      Exposure therapy has strong empirical support as a treatment for anxiety and related disorders, yet not all participants see clinically meaningful reduction in symptoms, and some experience return of fear. In this review, we examine the theoretical models of exposure therapy, from early precursors to the contemporary inhibitory learning model. The inhibitory learning model is applied to examine one potential method of improving outcomes in exposure therapy: increasing variability in the progression of the exposure hierarchy. We explore mechanisms that support the use of variability in exposure, including the violation of expectancies to enhance learning. In addition, the role of intolerance of uncertainty in anxiety is examined; variable exposure therapy could target this transdiagnostic mechanism in anxiety and related disorders. Suggestions for future research are then offered.

      PubDate: 2018-02-05T17:27:42Z
      DOI: 10.1016/j.cbpra.2017.12.001
       
  • When Self-Blame Is Rational and Appropriate: The Limited Utility of
           Socratic Questioning in the Context of Moral Injury: Commentary on Wachen
           et al. (2016)
    • Authors: Matt J. Gray; William P. Nash; Brett T. Litz
      Pages: 383 - 387
      Abstract: Publication date: Available online 18 April 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Matt J. Gray, William P. Nash, Brett T. Litz
      In this commentary, we argue that a generally sound therapeutic technique—Socratic questioning—is ill-suited to address a common variant of combat-related emotional and psychological distress. Specifically, moral injury is a term used to describe a syndrome of shame, self-handicapping, anger, and demoralization that occurs when deeply held beliefs and expectations about moral and ethical conduct are transgressed. Importantly, moral injury can and often does result from instances of intentional perpetration. We contend that challenging the accuracy of self-blame in such cases is conceptually problematic and potentially harmful. Such an approach is based on a questionable premise—i.e., that self-blame and resulting guilt are inherently illogical or inaccurate. Though this is often the case, it is not invariably so. We briefly describe an alternate approach—Adaptive Disclosure—that allows for accurate and legitimate self-blame when warranted but also promotes the possibilities of self-forgiveness, compassion, and moral reparation.

      PubDate: 2017-05-06T13:54:02Z
      DOI: 10.1016/j.cbpra.2017.03.001
       
  • Evaluating Triple P Online: A Digital Parent Training Program for Child
           Behavior Problems
    • Authors: Amit Baumel; Keren Faber
      Abstract: Publication date: Available online 6 December 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Amit Baumel, Keren Faber
      Triple P Online (i.e., TPOL; www2.tripleponline.net) is an online self-help parent training program aimed at reducing child behavior problems through “positive parenting practices”—available at time of review for $79.95. TPOL is comprised of 8 video-based modules that also incorporate in-session activities and homework. Randomized control trials have shown that TPOL effectively reduces child behavior problems. The program’s main strengths include very high-quality content with an abundance of relevant and easily locatable resources, an easy-to-use interface, and a professional look and feel. The program’s main weakness lies in its lack of monitoring and adaptation to the user’s state (e.g., child’s and parent’s behaviors), and real-time reminders for desired actions. Altogether, TPOL is an extremely valuable and important resource for families seeking evidence-based treatment for child behavior problems.

      PubDate: 2017-12-13T01:04:08Z
      DOI: 10.1016/j.cbpra.2017.10.001
       
  • Striving Towards Empowerment and Medication Adherence (STEP-AD): A
           Tailored Cognitive Behavioral Treatment Approach for Black Women Living
           With HIV
    • Authors: Sannisha K. Dale; Steven A. Safren
      Abstract: Publication date: Available online 5 December 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Sannisha K. Dale, Steven A. Safren
      In the U.S. Black women with HIV face numerous psychosocial challenges, particularly trauma, racism, HIV-related discrimination, and gender role expectations, that are associated with negative HIV health outcomes and low medical treatment adherence. Yet many of these factors are unaddressed in traditional cognitive behavioral approaches. This study presents a case series of a tailored cognitive behavioral treatment approach for Black women living with HIV. Striving Towards EmPowerment and Medication Adherence (STEP-AD) is a 10-session treatment aimed at improving medication adherence for Black women with HIV by combining established cognitive behavioral strategies for trauma symptom reduction, strategies for coping with race- and HIV-related discrimination, gender empowerment, problem-solving techniques for medication adherence, and resilient coping. A case series study of five Black women with HIV was conducted to evaluate the preliminary acceptability and feasibility of the treatment and illustrate the approach. Findings support the potential promise of this treatment in helping to improve HIV medication adherence and decrease trauma symptoms. Areas for refinement in the treatment as well as structural barriers (e.g., housing) in the lives of the women that impacted their ability to fully benefit from the treatment are also noted.

      PubDate: 2017-12-13T01:04:08Z
      DOI: 10.1016/j.cbpra.2017.10.004
       
  • A Multilevel Approach for Reducing Mental Health and Substance Use
           Disparities Affecting Bisexual Individuals
    • Authors: Brian A. Feinstein; Christina Dyar; John E. Pachankis
      Abstract: Publication date: Available online 24 November 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Brian A. Feinstein, Christina Dyar, John E. Pachankis
      Despite bisexual individuals being at increased risk for mental health and substance use problems, clinicians’ ability to provide affirmative and competent care to bisexual clients is limited by their lack of bisexual-specific training. To address this common gap in training, this article provides a brief review of bisexual health disparities and the factors that influence them. Then, we describe a multi-level approach for improving the health and well-being of bisexual individuals. This approach addresses factors that influence health at the micro-level (e.g., strategies that clinicians can use to help bisexual clients cope with stigma-related stressors), mezzo-level (e.g., adaptations to clinical environments and training programs that promote bisexual-affirmative care), and macro-level (e.g., advocating for political change and implementing strategies to reduce prejudice against bisexual individuals at the population-level). Specifically, we describe how clinicians can adapt evidence-based interventions to tailor them to the needs of their bisexual clients. Additionally, we discuss the need for bisexual-affirmative clinical training and provide recommendations for how clinical training can be adapted to prepare clinicians to work effectively with bisexual clients. Finally, we describe how population-level interventions can be used to reduce prejudice against bisexual individuals in order to reduce bisexual health disparities. Given the striking health disparities affecting bisexual individuals, there is a critical need to develop, test, and disseminate interventions to improve the health of this population and to prepare clinicians to provide bisexual-affirmative care.

      PubDate: 2017-12-13T01:04:08Z
      DOI: 10.1016/j.cbpra.2017.10.003
       
  • Treatment of Maternal Depression With In-Home Cognitive Behavioral Therapy
           Augmented by a Parenting Enhancement: A Case Report
    • Authors: Erica Pearl Messer; Robert T. Ammerman; Angelique R. Teeters; Amy L. Bodley; Jessica Howard; Judith B. Van Ginkel; Frank W. Putnam
      Abstract: Publication date: Available online 21 November 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Erica Pearl Messer, Robert T. Ammerman, Angelique R. Teeters, Amy L. Bodley, Jessica Howard, Judith B. Van Ginkel, Frank W. Putnam
      Depression is prevalent among mothers who participate in home visitation programs. This case study describes In-Home Cognitive Behavioral Therapy (IH-CBT), an empirically based treatment for depressed mothers that is strongly integrated with ongoing home visitation. The use of a Parenting Enhancement for Maternal Depression (PEMD) module was added to address parenting difficulties in a depressed mother. This case describes issues and challenges encountered in delivering treatment in the home with low-income, depressed mothers. Issues involving engagement, adaptation to the setting, responding to the unique needs of low-income mothers, and partnership with concurrent home visiting to optimize outcomes are considered. Long-term follow-up (18 months after the end of treatment) permits examination of sustainability of gains. Implications for treating this high-risk population are discussed.

      PubDate: 2017-12-13T01:04:08Z
      DOI: 10.1016/j.cbpra.2017.10.002
       
  • Treating Transgender Individuals in Inpatient and Residential Mental
           Health Settings
    • Authors: Heather M. Walton; Sharon L. Baker
      Abstract: Publication date: Available online 10 November 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Heather M. Walton, Sharon L. Baker
      This article describes the need for specific guidelines regarding how to manage inpatient and residential mental health programming with respect to transgender individuals. The article discusses what is known about transgender mental health and how it is related to sociopolitical factors, how inpatient and residential programs can address the impact of sociopolitical factors on transgender individuals and send a welcoming message to prospective consumers, how programs can attend to policies and procedures in ways that create the best milieu for an inpatient or residential unit that provides care for one or more transgender individuals, and how providers and interdisciplinary teams can meet the unique clinical needs of transgender individuals. These guidelines are designed to assist providers in creating a safe environment that affords quality inpatient and residential mental health care to transgender individuals.

      PubDate: 2017-11-15T19:18:56Z
      DOI: 10.1016/j.cbpra.2017.09.006
       
  • Multimedia Field Test: Digitalizing Better Sleep Using the Sleepio Program
    • Authors: Jennifer Cowie; Joanne L. Bower; Rogelio Gonzalez; Candice A. Alfano
      Abstract: Publication date: Available online 8 November 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Jennifer Cowie, Joanne L. Bower, Rogelio Gonzalez, Candice A. Alfano
      The promise of online cognitive behavioral therapy for insomnia (CBT-I) and other sleep-related problems as an alternative to traditional face-to-face treatment rests upon the accessibility, ease-of-use, and effectiveness of these approaches. Here we provide a review of Sleepio, a digitalized, state-of-the-art CBT-I program for adults, informed by our personal experience with the program, available research, and information provided at the Sleepio website. The 6-week treatment program can be completed flexibly via web-based or mobile platform. Initial assessment of individual goals and baseline sleep patterns is used to build a personalized account comprised of four sections: Sleep Diary, Case File, Library, and Community. Sleepio uses evidence-based principles and practices, engaging content, and an easy-to-follow format. Unique features of the program including synchronization with compatible sleep tracking devices, multiple built-in user supports, and a 14-day money-back guarantee. Both statistical and clinically meaningful sleep improvements have been found in a large randomized controlled trial. Overall, Sleepio represents a model program for online CBT-I delivery.

      PubDate: 2017-11-15T19:18:56Z
      DOI: 10.1016/j.cbpra.2017.09.005
       
  • Virtual Reality and Cognitive-Behavioral Therapy for Driving Anxiety and
           Aggression in Veterans: A Pilot Study
    • Authors: Heidi M. Zinzow; Johnell O. Brooks; Patrick J. Rosopa; Stephanie Jeffirs; Casey Jenkins; Julia Seeanner; Alyssa McKeeman; Larry F. Hodges
      Abstract: Publication date: Available online 29 September 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Heidi M. Zinzow, Johnell O. Brooks, Patrick Rosopa, Stephanie Jeffirs, Casey Jenkins, Julia Seeanner, Alyssa McKeeman, Larry F. Hodges
      Within the U.S. military, motor vehicle accidents (MVAs) are the leading cause of preventable morbidity and mortality. Prior combat exposure and anxiety symptoms are associated with risky and aggressive driving, which is responsible for over half of MVA fatalities. Therefore, interventions are needed to reduce driving anxiety and aggression in veterans in order to mitigate the public health impact of MVAs. Virtual reality exposure therapy (VRET) offers safe, controlled exposure to distressing stimuli. The current study piloted a novel virtual reality and cognitive behavioral intervention (VRET + CBT) for veterans that integrated both anxiety and anger management components. Virtual reality driving scenarios were delivered in a driving simulator and tailored for the military population. Six previously deployed veterans completed eight intervention sessions, as well as pre/post, one month follow-up and six to nine month follow-up assessments. Repeated measures ANOVAs demonstrated significant decline and large effect sizes for PTSD symptoms, driving phobia, hyperarousal in driving situations, anxiety/anger-related thoughts and behaviors, and risky driving. Hyperarousal in driving situations declined by 69%, aggressive driving declined by 29%, and risky driving declined by 21%. Treatment gains were maintained at follow-up. Recruitment, retention, immersion, simulator sickness scores, and qualitative feedback demonstrated feasibility of the intervention. Implications for future research and adaptation are discussed.

      PubDate: 2017-10-05T03:57:09Z
      DOI: 10.1016/j.cbpra.2017.09.002
       
  • Optimizing Exposure Therapy for Pathological Health Anxiety:
           Considerations From the Inhibitory Learning Approach
    • Authors: Maria Gropalis; Michael Witthöft; Josef Bailer; Florian Weck
      Abstract: Publication date: Available online 29 September 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Maria Gropalis, Michael Witthöft, Josef Bailer, Florian Weck
      Exposure therapy has demonstrated its efficacy in the treatment of pathological health anxiety—however, psychotherapy research reveals that many patients do not show a clinically significant change. Therefore, improvements are necessary to optimize psychotherapy for pathological health anxiety. Most treatment rationales refer to habituation during exposure as the central mechanism of change. However, there is evidence that extinction learning is mediated by inhibitory learning processes. Targeting these processes may help to improve treatment outcomes in pathological health anxiety. The aim of this review was to adapt, from the inhibitory learning approach and empirical findings, the most promising strategies for the exposure-based treatment of pathological health anxiety. The exposure-optimizing strategies adapted are expectancy violation, combination, variability in contexts and stimuli, affect labeling, and removal of safety signals. A case example illustrates how to implement these methods for patients with pathological health anxiety.

      PubDate: 2017-10-05T03:57:09Z
      DOI: 10.1016/j.cbpra.2017.09.001
       
  • The Development of a Brief Distress Reduction Intervention for Individuals
           Recently Diagnosed With HIV in China
    • Authors: Joyce P. Yang; Jane M. Simoni; Sapna Cheryan; Cheng-shi Shiu; Weiti Chen; Hongxin Zhao; Hongzhou Lu
      Abstract: Publication date: Available online 17 September 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Joyce P. Yang, Jane M. Simoni, Sapna Cheryan, Cheng-shi Shiu, Weiti Chen, Hongxin Zhao, Hongzhou Lu
      In China, where there are few mental health resources, the majority of HIV-related efforts have focused on medical treatment and transmission prevention rather than psychosocial support. Yet people living with HIV/AIDS (PLWHA) report high levels of psychological distress, especially upon first receiving their HIV diagnosis. We conducted mixed methods research of a qualitative study with (N = 31) individual interviews and 3 focus groups (n = 6 in each group) of HIV-affected participants, and a quantitative survey (N = 200) with individuals living with HIV in Shanghai and Beijing, China. Our qualitative data revealed major themes of forms of distress experienced and types of psychosocial support that our participants wished they could have accessed upon diagnosis as well as suggestions for intervention structure that would be most feasible and acceptable. Our quantitative surveys provided further evidence of the high degree of psychosocial distress among recently diagnosed PLWHA. Our findings informed the development of the Psychology Toolbox intervention, a brief CBT skills-based intervention comprising cognitive restructuring, behavioral activation, and paced breathing, designed to be integrated into primary care for recently diagnosed PLWHA. This study describes the intervention development process and contents of each session. Future research should evaluate the intervention for efficacy as well as examine best strategies for eventual implementation and dissemination.

      PubDate: 2017-09-22T11:10:10Z
      DOI: 10.1016/j.cbpra.2017.08.002
       
  • Development and Preliminary Feasibility Study of a Brief Behavioral
           Activation Mobile Application (Behavioral Apptivation) to be used in
           Conjunction with Ongoing Therapy
    • Authors: Jennifer Dahne; Jacob Kustanowitz C.W. Lejuez
      Abstract: Publication date: Available online 6 June 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Jennifer Dahne, Jacob Kustanowitz, C.W. Lejuez
      Depressive symptoms are the most frequently treated psychiatric condition in the United States. Brief behavioral activation treatment for depression (BATD) is a popular, evidence-based psychotherapy with strong research support for the treatment of depression. In this paper, we describe the development and initial pilot feasibility testing of a BATD mobile application (Behavioral Apptivation) to be used by patients and therapists in conjunction with BATD therapy. We present information regarding the app development process as well as results from a small open-label feasibility trial of the app utilized in conjunction with individual BATD. We include a case series from the open-label trial highlighting how Behavioral Apptivation can be utilized in clinical practice.

      PubDate: 2017-06-26T15:07:04Z
       
  • Self-Acceptance Group Therapy: A Transdiagnostic, Cognitive-Behavioral
           Treatment for Shame
    • Authors: Michelle Schoenleber; Kim Gratz
      Abstract: Publication date: Available online 2 June 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Michelle Schoenleber, Kim L. Gratz
      Shame has broad importance to psychological problems. However, few interventions specifically address shame, and most of these have been designed to target shame in the context of particular disorders. Self-Acceptance Group Therapy (SAGT) was developed as a transdiagnostic shame-focused treatment, based on a cognitive-behavioral framework. SAGT is an 8-week treatment that involves psychoeducation and training in the use of cognitive and behavioral shame regulation and support-building skills in order to promote self-acceptance. After describing SAGT, the study presented used an open trial design to examine the utility of SAGT for addressing shame, self-acceptance, quality of life, and relevant psychological problems (e.g., depression, social anxiety). Twenty-four outpatients with elevated shame were assessed at pretreatment, posttreatment, and 1-month follow-up. By post-treatment, results revealed significant improvements in self-acceptance, shame, and borderline personality disorder (BPD) symptoms among treatment completers (n = 18), with all of these improvements maintained at follow-up. Additionally, significant improvements in quality of life, emotion dysregulation, depression, loneliness, and stress were observed at follow-up. Results provide preliminary support for SAGT’s utility in the treatment of shame and related pathology among diverse outpatients.

      PubDate: 2017-06-04T16:49:33Z
       
  • Updating the Textbook: A Novel Approach to Training Graduate Students in
           Evidence-Based Youth Practices
    • Authors: Ziv Bell; Ilana Seager Tiffany Shader Mary Fristad
      Abstract: Publication date: Available online 11 May 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Ziv Bell, Ilana Seager, Tiffany Shader, Mary A. Fristad
      Despite the ever-improving base of evidence-based practices (EBPs) for the treatment of childhood disorders, a gap between EBP research and their use in community settings continues to exist. An exciting opportunity to close this gap exists in the form of graduate student training; however, at present, several roadblocks exist. In this paper, we review the current state of graduate training in delivering EBPs and obstacles involved in training future community clinicians (i.e., graduate students) in EBPs. Next, we describe in detail our initiative to develop a curriculum that addresses these challenges. This innovative course empowered graduate students to receive training in the delivery of youth EBPs in community settings through reviews of the research literature, active learning techniques (e.g., discussions of case conceptualizations, role-playing case studies), and a written, publication-quality review of EBPs. Finally, we offer recommendations for other educators of mental health professionals (e.g., psychologists, social workers, counselors) to improve upon this curriculum in their training of graduate students in the theory and application of EBPs for treating childhood disorders.

      PubDate: 2017-05-15T14:46:11Z
       
  • A Brief Alcohol Intervention During Inpatient Psychiatric Hospitalization
           for Suicidal Adolescents
    • Authors: Kimberly McManama; Laika Aguinaldo Erina White Christina Sellers Anthony Spirito
      Abstract: Publication date: Available online 11 May 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Kimberly H. McManama O’Brien, Laika D. Aguinaldo, Erina White, Christina M. Sellers, Anthony Spirito
      Alcohol use and suicide-related thoughts and behaviors are common in psychiatrically hospitalized adolescents and each problem can exacerbate the other. Despite knowledge about the functional relationship between alcohol use and suicide-related thoughts and behaviors, inpatient psychiatric units only cursorily address alcohol use because suicide risk is considered primary. In this paper we provide theoretical and empirical rationale for the inclusion of brief motivational interventions for alcohol use in inpatient treatment settings for suicidal adolescents. We give a case example of the brief intervention in practice, including when and how to use specific techniques. Following the case example, we discuss the flexibility of this intervention and how it can be adapted for adolescents with varying risk profiles. We conclude with recommendations for future research, including the development and testing of technology-based boosters following hospital discharge.

      PubDate: 2017-05-15T14:46:11Z
       
 
 
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