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  Subjects -> SOCIAL SCIENCES (Total: 1508 journals)
    - BIRTH CONTROL (20 journals)
    - CHILDREN AND YOUTH (254 journals)
    - FOLKLORE (30 journals)
    - MATRIMONY (16 journals)
    - MEN'S INTERESTS (18 journals)
    - MEN'S STUDIES (90 journals)
    - SEXUALITY (51 journals)
    - SOCIAL SCIENCES (818 journals)
    - WOMEN'S INTERESTS (43 journals)
    - WOMEN'S STUDIES (168 journals)

SOCIAL SCIENCES (818 journals)                  1 2 3 4 5     

Showing 1 - 136 of 136 Journals sorted alphabetically
3C Empresa     Open Access   (Followers: 4)
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)
Abant Kültürel Araştırmalar Dergisi     Open Access  
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)
Academic Journal of Interdisciplinary Studies     Open Access  
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: 10)
ACCORD Occasional Paper     Open Access   (Followers: 4)
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: 13)
Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi / Adiyaman University Journal of Social Sciences     Open Access  
Administrative Science Quarterly     Full-text available via subscription   (Followers: 178)
Administrative Theory & Praxis     Full-text available via subscription   (Followers: 4)
Adnan Menderes Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Appreciative Inquiry     Hybrid Journal   (Followers: 1)
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: 65)
African Renaissance     Full-text available via subscription   (Followers: 3)
African Research Review     Open Access   (Followers: 6)
African Social Science Review     Open Access   (Followers: 9)
Afrika Focus     Open Access  
Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi     Open Access  
Ágora : revista de divulgação científica     Open Access  
Ágora de Heterodoxias     Open Access  
Ağrı İbrahim Çeçen Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Ahi Evran Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Akademik Bakış Uluslararası Hakemli Sosyal Bilimler Dergisi     Open Access  
Akademik Hassasiyetler     Open Access  
Akademik İncelemeler Dergisi     Open Access   (Followers: 1)
Akademika : Journal of Southeast Asia Social Sciences and Humanities     Open Access   (Followers: 7)
Al Farabi Uluslararası Sosyal Bilimler Dergisi     Open Access  
Al-Mabsut : Jurnal Studi Islam dan Sosial     Open Access   (Followers: 1)
Alliage     Free  
Alteridade     Open Access  
American Communist History     Hybrid Journal   (Followers: 18)
Anais do Congresso de Pesquisa e Extensão e da Semana de Ciências Sociais da UEMG/Barbacena     Open Access  
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  
Anduli : Revista Andaluza de Ciencias Sociales     Open Access  
Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi     Open Access  
Anka E-Dergi     Open Access  
Ankara University SBF Journal     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: 44)
Annuaire de l’EHESS     Open Access  
Anthropocene Review     Hybrid Journal   (Followers: 7)
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: 2)
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)
Artvin Coruh University International Journal of Social Sciences     Open Access  
Asia Pacific Journal of Sport and Social Science     Hybrid Journal   (Followers: 6)
Asian Journal of German and European Studies     Open Access  
Asian Journal of Quality of Life     Open Access  
Asian Journal of Social Science     Hybrid Journal   (Followers: 12)
Asian Journal of Social Sciences and Management Studies     Open Access   (Followers: 7)
Asian Social Science     Open Access   (Followers: 8)
Astrolabio     Open Access  
Asya Araştırmaları Uluslararasi Sosyal Bilimler Dergisi / Journal of Asian Studies     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: 15)
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: 8)
Bayero Journal of Pure and Applied Sciences     Open Access   (Followers: 3)
Berkeley Undergraduate Journal     Full-text available via subscription   (Followers: 1)
Beykent Üniversitesi Sosyal Bilimler Dergisi     Open Access  
Bhakti Persada : Jurnal Aplikasi IPTEKS     Open Access  
Big Data & Society     Open Access   (Followers: 42)
Bildhaan : An International Journal of Somali Studies     Open Access   (Followers: 4)
Bilecik Şeyh Edebali University Journal of Social Science Institute     Open Access  
Bingöl Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Black Women, Gender & Families     Full-text available via subscription   (Followers: 15)
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)
Brain and Cognition     Hybrid Journal   (Followers: 37)
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: 4)
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)
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)
Ciência ET Praxis     Open Access  
Ciencia Sociales y Económicas     Open Access  
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: 4)
CienciaUAT     Open Access   (Followers: 1)
Científic@ : Multidisciplinary Journal     Open Access  
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: 14)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 2)
Community Empowerment     Open Access  
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)
ConCiencia     Open Access  
Confluenze Rivista di Studi Iberoamericani     Open Access  
Connections     Open Access  
Contemporary Journal of African Studies     Full-text available via subscription   (Followers: 4)
Contemporary Social Science     Hybrid Journal   (Followers: 14)
CONTRA : RELATOS desde el Sur     Open Access  
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: 9)
Critical Studies on Terrorism     Hybrid Journal   (Followers: 26)
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  
Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     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)
Cumhuriyet Üniversitesi Edebiyat Fakültesi Sosyal Bilimler Dergisi     Open Access  
Current Research in Social Sciences     Open Access  
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)
Decyzje     Open Access  
Demographic Research     Open Access   (Followers: 12)
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: 15)
Didáctica de las Ciencias Experimentales y Sociales     Open Access  
DIFI Family Research and Proceedings     Open Access   (Followers: 1)
Discourse & Society     Hybrid Journal   (Followers: 65)
Dissertare : Revista de Investigación en Ciencias Sociales     Open Access  
Distinktion : Scandinavian Journal of Social Theory     Hybrid Journal   (Followers: 10)
Divulgatio : Perfiles Académicos de Posgrado     Open Access  
Doct-Us Journal     Open Access  

        1 2 3 4 5     

Journal Cover
Cognitive and Behavioral Practice
Journal Prestige (SJR): 1.245
Citation Impact (citeScore): 2
Number of Followers: 11  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1077-7229
Published by Elsevier Homepage  [3162 journals]
  • Multimedia Field Test: Digitalizing Better Sleep Using the Sleepio Program
    • Abstract: Publication date: August 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 3Author(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.
       
  • Treatment of Maternal Depression With In-Home Cognitive Behavioral Therapy
           Augmented by a Parenting Enhancement: A Case Report
    • Abstract: Publication date: August 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 3Author(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.
       
  • Addressing Weight Suppression to Improve Treatment Outcome for Bulimia
           Nervosa
    • Abstract: Publication date: August 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 3Author(s): Adrienne Juarascio, Elin L. Lantz, Alexandra F. Muratore, Michael R. Lowe Cognitive behavioral therapy (CBT) is regarded as the gold-standard treatment for bulimia nervosa (BN), yet despite impressive empirical support for its effectiveness, over 50% of patients fail to achieve abstinence from binge eating and purging by the end of treatment. One factor that may contribute to reduced efficacy rates in CBT is weight suppression (WS; the difference between a person's highest weight ever at their adult height and current weight). A growing body of research indicates that WS in patients with BN may have a clinically significant effect on symptomatology and prognosis. However, the current cognitive behavioral framework for BN does not explicitly acknowledge the role of WS in the onset or maintenance of BN symptoms and does not provide guidance for clinicians on how to address WS during treatment. The relationship between WS, biological pressure to regain lost weight, and the maintenance of BN symptoms suggest that current cognitive behavioral models of BN may be improved by considering the role of WS and exploring needed treatment modifications. Indeed, a reconceptualization of existing models may offer insight into potential strategies that can be used to reduce the susceptibility to treatment dropout, nonresponse, and relapse. It is therefore necessary to consider whether, and how, clinicians' consideration of WS during case conceptualization and treatment planning could serve to improve CBT outcomes. The current review explores ways in which high WS could contribute to poor CBT outcomes, provides preliminary clinical recommendations for incorporating WS into existing cognitive behavioral treatments based on extant data and clinical wisdom, and proposes suggestions for future research needed in this domain.
       
  • Using Prolonged Exposure and Cognitive Processing Therapy to Treat
           Veterans With Moral Injury-Based PTSD: Two Case Examples
    • Abstract: Publication date: August 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 3Author(s): Philip Held, Brian J. Klassen, Michael B. Brennan, Alyson K. Zalta Moral injury refers to acts of commission or omission that violate individuals’ moral or ethical standards. Morally injurious events are often synonymous with psychological trauma, especially in combat situations—thus, morally injurious events are often implicated in the development of posttraumatic stress disorder (PTSD) for military service members and veterans. Although prolonged exposure (PE) and cognitive processing therapy (CPT) have been well established as effective treatments for veterans who are struggling with PTSD, it has been suggested that these two evidence-based therapies may not be sufficient for treating veterans whose PTSD resulted from morally injurious events. The purpose of this paper is to detail how the underlying theories of PE and CPT can account for moral injury-based PTSD and to describe two case examples of veterans with PTSD stemming from morally injurious events who were successfully treated with PE and CPT. The paper concludes with a summary of challenges that clinicians may face when treating veterans with PTSD resulting from moral injury using either PE or CPT.
       
  • Striving Towards Empowerment and Medication Adherence (STEP-AD): A
           Tailored Cognitive Behavioral Treatment Approach for Black Women Living
           With HIV
    • Abstract: Publication date: August 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 3Author(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.
       
  • Cross-Cultural Supervision in Cognitive-Behavioral Therapy: A Case Study
    • Abstract: Publication date: August 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 3Author(s): Fa-Hui Yang, Keith Dobson, Xiao-Miao Li, Adam Hennebury, Ying Gao, Xin-Feng Tang, Le Qi 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.
       
  • An Emotion Regulation Treatment for Young People With Complex Substance
           Use and Mental Health Issues: A Case-Series Analysis
    • Abstract: Publication date: August 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 3Author(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 post intervention 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.
       
  • Developing an Acceptance-Based Behavioral Weight Loss Treatment for
           Individuals With Binge Eating Pathology: A Preliminary Proof of Concept
           Study and Clinical Case Series
    • Abstract: Publication date: Available online 6 July 2018Source: Cognitive and Behavioral PracticeAuthor(s): Brittney C. Evans, Helen B. Murray, Alexandra F. Muratore, Elin L. Lantz, Adrienne S. Juarascio Binge eating (BE; i.e., the consumption of a large amount of food in a discrete time period, accompanied by a sense of loss of control) is highly comorbid with overweight or obesity and is the primary symptom of binge eating disorder (BED). Current gold-standard treatment for BED (i.e., CBT) does not produce meaningful weight loss, thus failing to address a critical treatment target. This article describes the development of a novel acceptance-based behavioral treatment (ABBT) for individuals with clinically significant BE desiring to reduce BE symptoms and achieve concurrent weight loss. We discuss the development and structure of the novel treatment approach, and describe the test of a proof of concept version of the treatment in a clinical case series of four individuals. In the context of each clinical case description, we present initial acceptability of the treatment and challenges faced in treatment development and delivery. Finally, we discuss future research directions for the treatment, which could improve BE symptoms and weight loss outcomes for individuals with BE pathology.
       
  • Using Multiple Contexts and Retrieval Cues in Exposure-Based Therapy to
           Prevent Relapse in Anxiety Disorders
    • Abstract: Publication date: Available online 28 June 2018Source: Cognitive and Behavioral PracticeAuthor(s): Rachel de Jong, Miriam J.J. Lommen, Peter J. de Jong, Maaike H. Nauta The benefits of exposure-based interventions for anxiety disorders are substantial but not stable for everyone, given that these interventions are often followed by relapse of symptoms. A body of research provides a background on how to add certain strategies in exposure-based therapy to prevent relapse in anxiety disorders. This review summarizes some of these strategies and provides clear-cut clinical implications. Studies that provide support for two types of strategies to prevent relapse have been reviewed—the use of multiple contexts and the use of retrieval cues. The use of multiple contexts reduces context and stimulus specificity of extinction learning during exposure, while the use of retrieval cues enhances memory (re)consolidation and retrieval after exposure. The described strategies to enhance the accessibility and therefore the retrievability of exposure-based learning to prevent relapse in anxiety disorders can be summarized as advice to conduct exposure under variable conditions. This way, the generalizability of what is learned during exposure to the patients’ daily life after treatment improves. Therefore, adding these strategies in the course of exposure-based treatment of anxiety disorders seems beneficial. However, future replications and translational studies are needed to verify ecological validity.
       
  • Application of Problem Solving Therapy for Late-Life Anxiety
    • Abstract: Publication date: Available online 28 June 2018Source: Cognitive and Behavioral PracticeAuthor(s): Sherry A. Beaudreau, Christine E. Gould, Nehjla M. Mashal, J.W. Terri Huh, J. Kaci Fairchild Cognitive behavioral therapy for anxiety has demonstrated lower efficacy in older compared with younger adults. Yet, few other evidence-based options for late-life anxiety have been examined. This case series aimed to demonstrate the application of Problem Solving Therapy (PST) to older adults with anxiety disorders building on PST's strong empirical support for treating late-life depression. PST was implemented to treat three older primary-care patients diagnosed with anxiety disorders. We present treatment outcomes and discuss the feasibility and acceptability of using PST to treat these patients. Implications and lessons learned from these patients are discussed to inform further development of PST to better meet the needs of older patients suffering from late-life anxiety.
       
  • The Suitability of an Inhibitory Learning Approach in Exposure When
           Habituation Fails: A Clinical Application to Misophonia
    • Abstract: Publication date: Available online 12 June 2018Source: Cognitive and Behavioral PracticeAuthor(s): Brandon Frank, Dean McKay Recent findings have led to a reconceptualization of the mechanisms that account for the efficacy of exposure-based treatments. Termed the “inhibitory learning model,” this approach emphasizes new learning when confronted with previously avoided stimuli rather than merely the cessation of fear or aversive emotional responding. In this paper, we propose the applicability of the inhibitory learning model for conditions and contexts in which simple exposure does not produce habituation. We illustrate this application from an in-progress randomized controlled treatment trial for adults with misophonia. Misophonia is a condition marked by strong aversive reactions to specific sounds. It is a difficult to treat and understudied syndrome. All participants in the trial received exposure, either before or after a stress management module of treatment. Exposure treatment emphasized altered expectancies for the target sounds as well as deliberate practice in hearing sounds on the individually developed hierarchy. Inhibitory learning strategies were employed to increase treatment adherence and commitment, shape patient behavior during exposures, manufacture negative prediction errors, increase perceived control over reactions, and promote learning that generalized to functional improvements. The findings are discussed in the context of future applications of the inhibitory learning model for psychopathology associated with avoidance.
       
  • Affect Labeling to Facilitate Inhibitory Learning: Clinical Considerations
    • Abstract: Publication date: Available online 8 June 2018Source: Cognitive and Behavioral PracticeAuthor(s): Elizabeth H. Marks, Rosemary S.W. Walker, Heidi Ojalehto, Michele A. Bedard-Gilligan, Lori A. Zoellner, Libby H. Marks Exposure-based treatments known to be effective for a wide range of psychopathology are thought to work via inhibitory learning, where new learning acquired during exposure exercises inhibits previously learned fear and avoidance responses. One way in which this inhibitory learning may be enhanced is through affect labeling, during which clients verbalize their internal emotional experiences. Theoretically, affect labeling may be a subtle, implicit form of emotion regulation and may facilitate more explicit forms of extinction learning. Experimental research suggests that affect labeling may lead to attenuated fear responses to emotionally evocative stimuli in healthy samples and may be a helpful strategy in reducing physiological arousal experienced during exposure tasks, particularly for clients with inhibitory deficits. Research with clinical samples is limited and mixed, at best. Case examples illustrate how affective labeling may help get a client “unstuck” from unproductive processing loops, can contribute to shifts in perspective and meaning making, and may modulate distress and promote distress tolerance. We argue that routine use of affect labeling in clinical care is premature. When used, it should be employed strategically within a broader case conceptualization and may be of a limited benefit beyond what is already employed in quality exposure therapy.
       
  • Managing Frustration for Children (MFC) Group Intervention for ADHD: An
           
    • Abstract: Publication date: Available online 8 June 2018Source: Cognitive and Behavioral PracticeAuthor(s): Paul J. Rosen, Kirsten D. Leaberry, Kelly Slaughter, Nicholas D. Fogleman, Danielle M. Walerius, Richard E.A. Loren, Jeffery N. Epstein Deficient emotion regulation is a common and impairing area of difficulty among children with ADHD. Few interventions specifically address deficient emotion regulation. The Managing Frustration for Children With ADHD (MFC) group treatment was developed to specifically target deficient emotion regulation deficits common to children with ADHD. The MFC was developed as a 12-week multisystemic intervention for emotion regulation deficits among children with ADHD. An open trial assessed the effectiveness of the MFC as an adjunctive treatment for deficient emotion regulation among children with ADHD. Fifty-two children with ADHD ages 9–11 (42 boys, 10 girls) were enrolled in the MFC, with 44 completing treatment. The majority (71.2%) of participants had at least one comorbid internalizing, externalizing, or learning disorder. Intent-to-treat repeated-measures ANCOVA suggested significant decreases in emotion regulation deficits, mood difficulties, and externalizing difficulties following completion of treatment. More than half (53%) of children who completed treatment experienced reliable and clinically significant improvement in at least one area of functioning. The MFC demonstrated promising initial effectiveness in addressing the emotion regulation deficits of children with ADHD.
       
  • Assessment and Management of Suicide Risk in Children and Adolescents
    • Abstract: Publication date: Available online 5 June 2018Source: Cognitive and Behavioral PracticeAuthor(s): Jeremy W. Pettit, Victor Buitron, Kelly L. Green This article presents a pragmatic approach to assessing and managing suicide risk in children and adolescents. We first present general recommendations for conducting risk assessments with children and adolescents, followed by an algorithm for designating risk. Risk assessment and designation should be based on both distal (i.e., a prior history of self-harm behaviors) and proximal (i.e., suicide ideation, plans, intent, and preparations) predictors of suicide attempt. We then discuss safety planning as an easy-to-implement approach for intervening and managing suicide risk when working with children and adolescents. We end with a case example illustrating the implementation of risk assessment, risk designation, and safety planning with an adolescent client and her mother.
       
  • Differentiation Between School Attendance Problems: Why and How'
    • Abstract: Publication date: Available online 2 June 2018Source: Cognitive and Behavioral PracticeAuthor(s): David Heyne, Malin Gren-Landell, Glenn Melvin, Carolyn Gentle-Genitty School attendance problems (SAPs) are heterogeneous with respect to etiology and presentation. The long history of conceptualizing SAPs has led to a vast array of terms and definitions as well as different perspectives on the most helpful approach to classification. For educators, practitioners, researchers, and policymakers, this presents a challenge in understanding, assessing, and intervening with SAPs. This paper outlines evolution in the conceptualization of SAPs, focusing on two contemporary approaches to differentiating between them. One approach draws on the longstanding differentiation between SAP types labeled school refusal, truancy, and school withdrawal. A fourth type of SAP, labeled school exclusion, is also considered. The other approach focuses on the function of absenteeism, measured via the School Refusal Assessment Scale (SRAS). Anecdotal and scientific support for the SAP typology is presented, along with the benefits and shortcomings of the SRAS approach to differentiation. The paper offers suggestions for how to differentiate between SAPs and introduces the SNACK, a brief screening measure that permits differentiation by SAP type.
       
  • Emerging School Refusal: A School-Based Framework for Identifying Early
           Signs and Risk Factors
    • Abstract: Publication date: Available online 4 May 2018Source: Cognitive and Behavioral PracticeAuthor(s): Jo Magne Ingul, Trude Havik, David Heyne A student’s academic and social-emotional development is increasingly jeopardized with mounting absence from school. School refusal (SR) is one type of school attendance problem (SAP) that is often associated with absence from school. Once established, it can sometimes be difficult to treat. To prevent established SR and associated problems, indicators of emerging SR and risk for SR should be efficiently identified and acted upon. Risk factors are often discussed in relation to SAPs generally rather than considering risk for specific types of attendance problems. Based on literature review, this paper provides an account of the likely signs and risks for emerging SR. A school-based framework is provided to support school personnel and parents in working together to identify these signs and risks. Several challenges associated with the implementation of the framework are discussed.
       
  • Development and Open Trial of a Depression Preventive Intervention for
           Adolescents With Attention-Deficit/Hyperactivity Disorder
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Brief Behavioral Activation Treatment for Depressed Adolescents Delivered
           by Nonspecialist Clinicians: A Case Illustration
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Development and Preliminary Feasibility Testing of a Decision Support Tool
           for Childhood Anxiety Treatment
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Implementation in a Changing Landscape: Provider Experiences During Rapid
           Scaling of Use of Evidence-Based Treatments
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Guided Recovery: An Interpretative Phenomenological Analysis of Service
           Users’ Experiences of Guided Self-Help for Bulimic and Binge Eating
           Disorders
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • The Development of a Brief Distress Reduction Intervention for Individuals
           Recently Diagnosed With HIV in China
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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 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.
       
  • Adaptation of CBT for Traumatized South African Indigenous Groups:
           Examples from Multiplex CBT for PTSD
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Virtual Reality and Cognitive-Behavioral Therapy for Driving Anxiety and
           Aggression in Veterans: A Pilot Study
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(s): Heidi M. Zinzow, Johnell O. Brooks, Patrick J. 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.
       
  • Development and Feasibility of a Group Cognitive-Behavioral Therapy for
           Fear of Cancer Recurrence
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Adapting Cognitive Processing Therapy to Treat Co-Occurring Posttraumatic
           Stress Disorder and Mild Traumatic Brain Injury: A Case Study
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Optimizing Exposure Therapy for Pathological Health Anxiety:
           Considerations From the Inhibitory Learning Approach
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Optimizing Contingency Management With Methamphetamine-Using Men Who Have
           Sex With Men
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(s): Walter Gómez, David Olem, Rick Andrews, Michael V. Discepola, Patricia Ambrose, Samantha E. Dilworth, Adam W. Carrico Among men who have sex with men (MSM), methamphetamine use is associated with multiple, overlapping syndemic conditions including increased risk for HIV seroconversion and onward HIV transmission. Contingency management (CM) is an evidence-based behavioral intervention implemented to curb methamphetamine use and optimize HIV/AIDS prevention among MSM in San Francisco since 2003. We conducted a program evaluation to document the evolution of this 12-week CM program to include delivery of brief, individual counseling incorporating motivational interviewing and behavioral skills. A drop-in group delivered concurrently with CM urine-screening visits also provides peer support as well as referrals for other social and medical services. From December 2011–October 2013, a total of 131 clients enrolled in the CM program and provided a median of 22 urine samples (Interquartile Range = 10–34) that were nonreactive for methamphetamine. Findings support the feasibility and acceptability of integrating individual and group counseling with community-based CM for methamphetamine-using MSM.
       
  • Implementing Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) With
           Preteen Children Displaying Problematic Sexual Behavior
    • Abstract: Publication date: May 2018Source: Cognitive and Behavioral Practice, Volume 25, Issue 2Author(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.
       
  • Providing Relationship Interventions to Same-Sex Couples: Clinical
           Considerations, Program Adaptations, and Continuing Education
    • Abstract: Publication date: Available online 27 April 2018Source: Cognitive and Behavioral PracticeAuthor(s): Shelby B. Scott, Sarah W. Whitton, Brian A. Buzzella Despite remarkable similarities to different-sex couples in terms of core relationship processes and outcomes, same-sex couples differ from different-sex couples in important ways, including relational strengths (e.g., more egalitarian) and challenges associated with their sexual minority identity (e.g., discrimination). Given that most cognitive-behavioral relationship interventions have been designed for and tested on different-sex couples, clinicians wishing to serve same-sex couples will need to make appropriate adaptations to these interventions in order to remove heterosexist bias and sensitively meet the unique needs of same-sex couples. Further, clinicians should strive to be culturally competent in serving this population by developing knowledge of same-sex couple dynamics and issues, and by building a sense of comfort working with these families, which may involve addressing personal biases. The current paper seeks to provide an introduction to same-sex couple relational processes, and offers clinical recommendations and intervention adaptations to better serve this population. Some examples will refer to the development of the Strengthening Same-Sex Relationships programs, culturally sensitive relationship education programs specifically designed for and successfully piloted with male and female same-sex couples.
       
  • A Novel, Integrated Cognitive-Behavioral Therapy for Co-Occurring
           Posttraumatic Stress and Substance Use Disorders: A Case Study
    • Abstract: Publication date: Available online 27 April 2018Source: Cognitive and Behavioral PracticeAuthor(s): Anka A. Vujanovic, Lia J. Smith, Kathryn P. Tipton, Joy M. Schmitz Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. No preferred, evidence-based treatments for PTSD/SUD comorbidity are presently available. Promising integrated treatments have combined prolonged exposure therapy with cognitive-behavioral relapse prevention therapy for SUD. We describe a case study that showcases a novel, integrated cognitive-behavioral treatment approach for PTSD/SUD, entitled Treatment of Integrated Posttraumatic Stress and Substance Use (TIPSS). The TIPSS program integrates cognitive processing therapy with cognitive-behavioral therapy for SUD for the treatment of co-occurring PTSD/SUD. The present case report, based upon a woman with PTSD comorbid with both cocaine and alcohol dependence, demonstrates that TIPSS has the potential to effectively reduce PTSD symptoms as well as substance use.
       
  • Special Considerations in the Adaptation of Cognitive Behavioral Therapy
           for Insomnia With Active-Duty U.S. Army Personnel
    • Abstract: Publication date: Available online 21 April 2018Source: Cognitive and Behavioral PracticeAuthor(s): Kristi E. Pruiksma, Brooke Fina, Jessica R. Dietch, Katherine A. Dondanville, Jacob Williams, Edward C. Wright, Alma Molino, Brittany Hall-Clark, Karin L. Nicholson, Alan L. Peterson, Daniel J. Taylor, STRONG STAR Consortium Insomnia is highly prevalent among active-duty military service members. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-established and effective treatment; however, research and treatment recommendations have primarily focused on civilian or veteran populations. A multitude of military-specific factors directly impact service members’ sleep and the subsequent treatment recommendations. This article provides treatment considerations for the use of CBT-I with active-duty U.S. Army personnel. First, an overview of the theoretical model of insomnia, including military-specific predisposing, precipitating, and perpetuating factors, is presented, followed by a review of common comorbid conditions among service members with insomnia. Finally, discussion focuses on considerations and strategies for implementing components of CBT-I with service members, managing sleep during deployments, and adjusting sleep to accommodate overnight duties. Additional training resources and supplemental video examples (with actors) are provided.
       
  • An Interdisciplinary Model for Meeting the Mental Health Needs of
           Transgender Adolescents and Young Adults: The Mount Sinai Adolescent
           Health Center Approach
    • Abstract: Publication date: Available online 14 April 2018Source: Cognitive and Behavioral PracticeAuthor(s): Matthew Oransky, Elizabeth Zacher Burke, John Steever 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.
       
  • Dropping Safety Aids and Maximizing Retrieval Cues: Two Keys to Optimizing
           Inhibitory Learning During Exposure Therapy
    • Abstract: Publication date: Available online 7 April 2018Source: Cognitive and Behavioral PracticeAuthor(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.
       
  • Be a Mom: Formative Evaluation of a Web-Based Psychological Intervention
           to Prevent Postpartum Depression
    • Abstract: Publication date: Available online 8 March 2018Source: Cognitive and Behavioral PracticeAuthor(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.
       
  • Using the Linehan Risk Assessment and Management Protocol With a
           Chronically Suicidal Patient: A Case Report
    • Abstract: Publication date: Available online 5 March 2018Source: Cognitive and Behavioral PracticeAuthor(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.
       
  • State of the Field of Mental Health Apps
    • Abstract: Publication date: Available online 5 March 2018Source: Cognitive and Behavioral PracticeAuthor(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 untested 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.
       
  • An Inhibitory Learning Approach to Cognitive-Behavioral Therapy for
           Children and Adolescents
    • Abstract: Publication date: Available online 1 February 2018Source: Cognitive and Behavioral PracticeAuthor(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.
       
  • Hope for the Worst: Occasional Reinforced Extinction and Expectancy
           Violation in the Treatment of OCD
    • Abstract: Publication date: Available online 31 January 2018Source: Cognitive and Behavioral PracticeAuthor(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.
       
  • Enhancing Inhibitory Learning: The Utility of Variability in Exposure
    • Abstract: Publication date: Available online 31 January 2018Source: Cognitive and Behavioral PracticeAuthor(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.
       
 
 
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