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  Subjects -> SOCIAL SCIENCES (Total: 1345 journals)
    - BIRTH CONTROL (20 journals)
    - CHILDREN AND YOUTH (239 journals)
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    - SOCIAL SCIENCES (684 journals)
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    - WOMEN'S STUDIES (160 journals)

SOCIAL SCIENCES (684 journals)                  1 2 3 4     

Showing 1 - 136 of 136 Journals sorted alphabetically
3C Empresa     Open Access   (Followers: 1)
A contrario     Full-text available via subscription   (Followers: 3)
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: 13)
About Performance     Full-text available via subscription   (Followers: 10)
Academicus International Scientific Journal     Open Access   (Followers: 3)
Access     Full-text available via subscription   (Followers: 26)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 11)
ACCORD Occasional Paper     Open Access   (Followers: 4)
Accountability in Research: Policies and Quality Assurance     Hybrid Journal   (Followers: 16)
Acta Academica     Full-text available via subscription   (Followers: 5)
Acta Scientiarum. Human and Social Sciences     Open Access   (Followers: 4)
Acta Universitatis Sapientiae, Philologica     Open Access   (Followers: 1)
Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access  
Administrative Science Quarterly     Full-text available via subscription   (Followers: 148)
Administrative Theory & Praxis     Full-text available via subscription   (Followers: 6)
Adultspan Journal     Hybrid Journal  
Advances in Appreciative Inquiry     Hybrid Journal  
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 2)
África     Open Access   (Followers: 1)
Africa Spectrum     Open Access   (Followers: 11)
African Affairs     Hybrid Journal   (Followers: 60)
African Renaissance     Full-text available via subscription   (Followers: 2)
African Research Review     Open Access   (Followers: 5)
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: 4)
Al-Mabsut : Jurnal Studi Islam dan Sosial     Open Access   (Followers: 1)
Alliage     Free  
Alteridade     Open Access  
American Communist History     Hybrid Journal   (Followers: 18)
ANALES de la Universidad Central del Ecuador     Open Access   (Followers: 1)
Anales de la Universidad de Chile     Open Access  
Analysis     Full-text available via subscription   (Followers: 4)
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: 5)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 40)
Annuaire de l’EHESS     Open Access  
Anthropocene Review     Hybrid Journal   (Followers: 7)
Anthurium : A Caribbean Studies Journal     Open Access   (Followers: 6)
Approches inductives : Travail intellectuel et construction des connaissances     Full-text available via subscription  
Apuntes : Revista de Ciencias Sociales     Open Access  
Apuntes de Investigación del CECYP     Open Access  
Arbor     Open Access  
Argomenti. Rivista di economia, cultura e ricerca sociale     Open Access   (Followers: 2)
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: 4)
Asia Pacific Journal of Sport and Social Science     Hybrid Journal   (Followers: 5)
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: 6)
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: 9)
Australian and Aotearoa New Zealand Psychodrama Association Journal     Full-text available via subscription  
Australian Journal of Emergency Management     Full-text available via subscription   (Followers: 6)
Australian Journal on Volunteering     Full-text available via subscription   (Followers: 1)
Balkan Journal of Social Sciences     Open Access   (Followers: 3)
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: 36)
Basic Income Studies     Hybrid Journal   (Followers: 9)
Bayero Journal of Pure and Applied Sciences     Open Access  
Berkeley Undergraduate Journal     Full-text available via subscription   (Followers: 1)
Big Data & Society     Open Access   (Followers: 29)
Bildhaan : An International Journal of Somali Studies     Open Access   (Followers: 2)
BMC Medical Ethics     Open Access   (Followers: 16)
Bodhi : An Interdisciplinary Journal     Open Access   (Followers: 1)
Body Image     Hybrid Journal   (Followers: 13)
BOGA : Basque Studies Consortium Journal     Open Access   (Followers: 2)
Boletín Cultural y Bibliográfico     Open Access   (Followers: 2)
Border Crossing : Transnational Working Papers     Open Access   (Followers: 2)
Brain and Cognition     Hybrid Journal   (Followers: 31)
Brasiliana - Journal for Brazilian Studies     Open Access   (Followers: 1)
British Review of New Zealand Studies     Full-text available via subscription   (Followers: 3)
Bulletin de l’Institut Français d’Études Andines     Open Access   (Followers: 1)
Caderno CRH     Open Access  
California Italian Studies Journal     Full-text available via subscription   (Followers: 5)
California Journal of Politics and Policy     Hybrid Journal   (Followers: 1)
Caminho Aberto : Revista de Extensão do IFSC     Open Access  
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Caribbean Studies     Full-text available via subscription   (Followers: 12)
Carl Beck Papers in Russian and East European Studies     Full-text available via subscription   (Followers: 5)
Catalan Social Sciences Review     Open Access  
Catalyst : A Social Justice Forum     Open Access   (Followers: 10)
Catholic Social Science Review     Open Access   (Followers: 3)
CBU International Conference Proceedings     Open Access   (Followers: 1)
Cemoti, Cahiers d'études sur la méditerranée orientale et le monde turco-iranien     Open Access   (Followers: 2)
Challenges     Open Access   (Followers: 1)
China Journal of Social Work     Hybrid Journal   (Followers: 1)
Chinese Studies     Open Access   (Followers: 6)
Ciencia e Interculturalidad     Open Access  
Ciencia y Sociedad     Open Access   (Followers: 1)
Ciencia, Cultura y Sociedad     Open Access  
Ciencias Holguin     Open Access   (Followers: 1)
Ciências Sociais Unisinos     Open Access   (Followers: 3)
Ciencias Sociales y Educación     Open Access   (Followers: 2)
Ciencias Sociales y Humanidades     Open Access   (Followers: 1)
CienciaUAT     Open Access  
Citizen Science : Theory and Practice     Open Access  
Citizenship Teaching & Learning     Hybrid Journal   (Followers: 5)
Ciudad Paz-ando     Open Access  
Civilizar Ciencias Sociales y Humanas     Open Access   (Followers: 1)
Civitas - Revista de Ciências Sociais     Open Access   (Followers: 1)
Claroscuro     Open Access   (Followers: 1)
CLIO América     Open Access   (Followers: 1)
Cogent Social Sciences     Open Access   (Followers: 2)
Cognitive and Behavioral Practice     Hybrid Journal   (Followers: 10)
Colección Académica de Ciencias Sociales     Open Access  
Colonial Academic Alliance Undergraduate Research Journal     Open Access   (Followers: 2)
Communication, Politics & Culture     Open Access   (Followers: 12)
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: 3)
Contemporary Social Science     Hybrid Journal   (Followers: 13)
Contribuciones desde Coatepec     Open Access  
Convergencia     Open Access  
Corporate Reputation Review     Hybrid Journal   (Followers: 4)
CRDCN Research Highlight / RCCDR en évidence     Open Access  
Creative and Knowledge Society     Open Access   (Followers: 10)
Creative Approaches to Research     Full-text available via subscription   (Followers: 11)
Critical Psychology     Hybrid Journal   (Followers: 5)
Critical Studies     Full-text available via subscription   (Followers: 9)
Critical Studies on Terrorism     Hybrid Journal   (Followers: 26)
Crossing the Border : International Journal of Interdisciplinary Studies     Open Access   (Followers: 4)
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: 14)
Cultural Trends     Hybrid Journal   (Followers: 15)
Culturales     Open Access   (Followers: 2)
Culturas. Revista de Gestión Cultural     Open Access  
Culture Mandala : The Bulletin of the Centre for East-West Cultural and Economic Studies     Open Access  
Culture Scope     Full-text available via subscription   (Followers: 2)
De Prácticas y Discursos. Cuadernos de Ciencias Sociales     Open Access  
Demographic Research     Open Access   (Followers: 11)
Derecho y Ciencias Sociales     Open Access   (Followers: 1)
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: 20)
Development     Hybrid Journal   (Followers: 16)
Diálogo     Open Access   (Followers: 1)
DIFI Family Research and Proceedings     Open Access   (Followers: 1)
Discourse & Society     Hybrid Journal   (Followers: 64)
Distinktion : Scandinavian Journal of Social Theory     Hybrid Journal   (Followers: 6)
Doct-Us Journal     Open Access  
Drustvena istrazivanja     Open Access   (Followers: 2)
Dynamics of Asymmetric Conflict: Pathways toward terrorism and genocide     Hybrid Journal   (Followers: 13)
e-Gnosis     Open Access  
e-Hum : Revista das Áreas de Humanidade do Centro Universitário de Belo Horizonte     Open Access   (Followers: 1)
E-Journal of Cultural Studies     Open Access  
Eastern Africa Social Science Research Review     Full-text available via subscription   (Followers: 5)
Économie et Solidarités     Full-text available via subscription   (Followers: 1)
Education, Business and Society : Contemporary Middle Eastern Issues     Hybrid Journal  
Égypte - Monde arabe     Open Access   (Followers: 4)
Éire-Ireland     Full-text available via subscription   (Followers: 8)
Electoral Studies     Hybrid Journal   (Followers: 28)
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  
Enseñanza de las Ciencias Sociales     Open Access   (Followers: 1)
Entramado     Open Access  
Equality, Diversity and Inclusion : An International Journal     Hybrid Journal   (Followers: 14)
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: 20)
Ethiopian Journal of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 8)
Ethnic and Racial Studies     Hybrid Journal   (Followers: 37)
Ethnobotany Research & Applications : a journal of plants, people and applied research     Open Access   (Followers: 6)
Études canadiennes / Canadian Studies     Open Access   (Followers: 1)
Études rurales     Open Access   (Followers: 2)
Eureka Street     Full-text available via subscription   (Followers: 4)
European Journal of Futures Research     Open Access   (Followers: 1)
European Journal of Social Psychology     Hybrid Journal   (Followers: 31)
European Online Journal of Natural and Social Sciences     Open Access   (Followers: 10)
European Review of Latin American and Caribbean Studies - Revista Europea de Estudios Latinoamericanos y del Caribe     Open Access   (Followers: 6)
European Review of Social Psychology     Hybrid Journal   (Followers: 11)
European View     Hybrid Journal   (Followers: 1)
European Yearbook of Minority Issues Online     Hybrid Journal   (Followers: 3)
Exchanges : the Warwick Research Journal     Open Access   (Followers: 1)
ExT : Revista de Extensión de la UNC     Open Access  
Families, Relationships and Societies     Full-text available via subscription   (Followers: 7)
Family Matters     Full-text available via subscription   (Followers: 13)

        1 2 3 4     

Journal Cover Cognitive and Behavioral Practice
  [SJR: 0.859]   [H-I: 41]   [10 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1077-7229
   Published by Elsevier Homepage  [3044 journals]
  • The Development of a Brief Distress Reduction Intervention for Individuals
           Recently Diagnosed With HIV in China
    • 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
       
  • Optimizing Contingency Management With Methamphetamine-Using Men Who Have
           Sex With Men
    • Abstract: Publication date: Available online 11 September 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Walter Gόmez, 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.

      PubDate: 2017-09-11T19:18:42Z
       
  • Guided Recovery: An Interpretative Phenomenological Analysis of Service
           Users’ Experiences of Guided Self-Help for Bulimic and Binge Eating
           Disorders
    • Abstract: Publication date: Available online 9 September 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Carolyn Rose 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 semistructured 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: 2017-09-11T19:18:42Z
       
  • Motivational Interviewing as an Adjunct to Cognitive Behavior Therapy for
           Anxiety Disorders: A Critical Review of the Literature
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Cameron L. Randall, Daniel W. McNeil
      Cognitive behavior therapy (CBT) is efficaciously and effectively used in the treatment of anxiety disorders; however, as CBT for anxiety routinely utilizes exposure components, clients often experience ambivalence about treatment and their clinicians often must deal with resistance. Motivational Interviewing (MI) is a therapeutic strategy that addresses ambivalence about change in clinical interventions. MI has been applied as an adjunct for treatments such as CBT in order to increase motivation for and commitment to the intervention, especially when components of the treatment may be challenging (e.g., exposure, cognitive restructuring). Though researchers have commented specifically on the use of MI as a supplement to CBT for anxiety disorders, no comprehensive review has systematically assessed the strengths and limitations of extant literature on the topic, nor across anxiety disorders. Findings are summarized from 6 case studies and uncontrolled trials and 11 randomized controlled trials published through March 2016. An integrated critique of this literature also is offered. Limitations and the preliminary nature of the work in this area notwithstanding, it appears that it is feasible to supplement or integrate CBT with MI and that doing so has the potential to improve treatment initiation and engagement, as well as clinical outcomes. A number of directions for future research are addressed, such as determining which MI approaches to implement, with whom, when, and in what contexts.

      PubDate: 2017-09-11T19:18:42Z
       
  • Correcting Misperceptions About Cognitive Processing Therapy to Treat
           Moral Injury: A Response to Gray and Colleagues (this issue)
    • Abstract: Publication date: Available online 17 June 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Jennifer Schuster Wachen, Katherine A. Dondanville, Patricia A. Resick
      We respond to the commentary by Gray, Nash, and Litz (this issue) regarding the use of cognitive processing therapy (CPT) to address moral injury as described in our previous publication (Wachen et al., 2016). In their commentary, Gray et al. posit that CPT is inappropriate when applied to the treatment of war-related traumas involving “real moral and ethical transgressions” (i.e., moral injuries). However, Gray and colleagues’ assertions are centered on a premise that is incorrect, namely that CPT is based on the idea that “self-blame and guilt are inherently illogical or inaccurate,” and that CPT assumes that all beliefs associated with moral injury are erroneous. On the contrary, we acknowledge that self-blame and guilt may be accurate responses to warzone trauma, yet disagree that CPT is not suitable in these situations. This response serves to clarify some of the inaccurate interpretations of the treatment as stated by Gray and colleagues, and reiterates the position of CPT on many of the issues that were raised. Specifically, we discuss the use of Socratic questioning within CPT to address the issue of moral injury. Furthermore, we highlight the strong evidence base for the use of CPT in treating veterans and active military. Until it has been determined through empirical study, it is premature to assert that CPT is insufficient in addressing moral injury in combat personnel.

      PubDate: 2017-09-11T19:18:42Z
       
  • Cognitive Behavioral Mobile Applications: Clinical Studies, Marketplace
           Overview, and Research Agenda
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): John Torous, Michael E. Levin, David K. Ahern, Megan L. Oser
      Objective To review the current literature for evidence regarding the feasibility and efficacy of smartphone-based cognitive-behavioral intervention mobile applications, compare such to the number of applications on the commercial marketplaces, and explore potential steps forward for research in the field. Methods A literature search was conducted for papers published before February 2015 featuring quantitative results on clinical outcomes regarding the use of a smartphone for cognitive behavioral therapy, dialectical behavioral therapy, behavioral activation, and acceptance and commitment therapy. A search for the number of related applications available to consumers on the Apple and Google Play commercial marketplaces was also conducted. Results Nine studies, described in 11 articles, were identified that featured the use of smartphones in cognitive-behavioral interventions. The majority of studies presented pilot results suggesting the potential feasibility/efficacy of such apps. Four hundred and forty-seven related applications were found to be available on the commercial marketplaces. Conclusions The research base for smartphone-based cognitive-behavioral intervention mobile applications is preliminary at this point although results are encouraging. There is a discrepancy between the published literature and commercial applications available to consumers. We suggest potential steps forward in research to advance clinical use and research on this topic.

      PubDate: 2017-09-11T19:18:42Z
       
  • Development and Feasibility of a Group Cognitive-Behavioral Therapy for
           Fear of Cancer Recurrence
    • Abstract: Publication date: Available online 5 September 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-09-06T13:54:48Z
       
  • Adaptation of CBT for Traumatized South African Indigenous Groups:
           Examples from Multiplex CBT for PTSD
    • Abstract: Publication date: Available online 28 July 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-09-06T13:54:48Z
       
  • Family-Focused Treatment for Childhood Depression: Model and Case
           Illustrations
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Martha C. Tompson, David A. Langer, Jennifer L. Hughes, Joan R. Asarnow
      Although the evidence base for treatment of depressive disorders in adolescents has strengthened in recent years, less is known about the treatment of depression in middle to late childhood. A family-based treatment may be optimal in addressing the interpersonal problems and symptoms frequently evident among depressed children during this developmental phase, particularly given data indicating that attributes of the family environment predict recovery versus continuing depression among depressed children. Family-Focused Treatment for Childhood Depression (FFT-CD) is designed as a 15-session family treatment with both the youth and parents targeting two putative mechanisms involved in recovery: (a) enhancing family support, specifically decreasing criticism and increasing supportive interactions; and (b) strengthening specific cognitive-behavioral skills within a family context that have been central to CBT for depression, specifically behavioral activation, communication, and problem solving. This article describes in detail the FFT-CD protocol and illustrates its implementation with three depressed children and their families. Common themes/challenges in treatment included family stressors, comorbidity, parental mental health challenges, and inclusion/integration of siblings into sessions. These three children experienced positive changes from pre- to posttreatment on assessor-rated depressive symptoms, parent- and child-rated depressive symptoms, and parent-rated internalizing and externalizing symptoms. These changes were maintained at follow-up evaluations 4 and 9months following treatment completion.

      PubDate: 2017-07-24T16:41:28Z
       
  • Dialectical Behavior Therapy Skills for Families of Individuals With
           Behavioral Disorders: Initial Feasibility and Outcomes
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Chelsey R. Wilks, Helen Valenstein-Mah, Han Tran, Alexandra M.M. King, Anita Lungu, Marsha M. Linehan
      Family members of individuals with behavioral disorders are a valuable source of logistical and emotional support for patients. Family members may take on tremendous financial and/or psychological responsibility to care for their loved ones, which can result in poor psychological outcomes for the family and, in turn, impede the recovery of the patient. Dialectical Behavior Therapy (DBT) skills training is an effective treatment that has been utilized with numerous populations, including family members of individuals with behavioral problems, and has shown efficacy in improving various interpersonal outcomes; however, no study has examined feasibility and outcomes of delivering all four unabridged DBT skills modules to this population. Twentyparticipants attended weekly DBT skills classes for 6 months, where they acquired skills in mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. There were significant pre-post improvements for emotion dysregulation, stress reactivity, and various interpersonal outcomes; there were no significant changes in depression or anxiety. These results suggest that DBT skills may be effective at improving broad clinical domains in a sample of family members of individuals with behavioral problems. This research is the first step in demonstrating that DBT skills might benefit family members of patients with heterogeneous mental health problems and, therefore, fits in to the field’s growing interest in cost-effective transdiagnostic interventions.

      PubDate: 2017-07-24T16:41:28Z
       
  • Metacognitive Therapy in Major Depression: An Open Trial of Comorbid Cases
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Odin Hjemdal, Roger Hagen, Stian Solem, Henrik Nordahl, Leif Edward Ottesen Kennair, Truls Ryum, Hans M. Nordahl, Adrian Wells
      This open trial investigated the transdiagnostic effects of metacognitive therapy (MCT) in patients with severe major depressive disorder and comorbid psychiatric disorder. Ten patients were treated with MCT over 10 sessions and were assessed with measures of depression, anxiety, rumination, and metacognitions at pre- and posttreatment and at 6 months follow-up. None of the patients were diagnosed as depressed at posttreatment, and of the initial 21 total diagnoses at pretreatment only 3 diagnoses remained at postintervention. The effect sizes were large for symptoms of depression, rumination, and worry. At 6 months follow-up standardized recovery criteria on the BDI showed that 70% were recovered, 20% improved, and 10% unchanged. The results indicate that MCT was associated with high rates of transdiagnostic improvement.

      PubDate: 2017-07-24T16:41:28Z
       
  • A Case Study of Cognitive-Behavioral Conjoint Therapy for Combat-Related
           PTSD in a Same-Sex Military Couple
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Tabatha H. Blount, Alan L. Peterson, Candice M. Monson
      Military deployments to Iraq and Afghanistan are associated with increased risk for posttraumatic stress disorder (PTSD), depression, and relationship impairment. Unfortunately, the perceived stigma associated with seeking deployment-related behavioral health care in military settings has been a significant barrier to care. Historically, active-duty military service members involved in same-sex intimate relationships have experienced further stressors and barriers to care related to additional stigma and lack of social support. Prior federal regulations excluded sexual minorities from openly serving in the military, thereby limiting the available behavioral health services for same-sex couples. Since this ban was lifted after the repeal of the U.S. policy known as "Don’t Ask, Don’t Tell" in 2010, gay and lesbian service members have increased opportunities to obtain behavioral health care. One therapy that is newly available to sexual minority military couples is Cognitive-Behavioral Conjoint Therapy (CBCT), which effectively addresses co-occurring PTSD and relationship dysfunction. This case study illustrates the use of CBCT for the treatment of deployment-related PTSD in a same-sex active-duty military couple. After completing all 15 CBCT sessions, the couple reported clinically meaningful changes in the service member’s PTSD symptoms, which was maintained at the 2-month follow-up. The results of this case study indicate that CBCT for PTSD can have positive treatment outcomes with military same-sex couples. Further clinical implications are discussed.

      PubDate: 2017-07-24T16:41:28Z
       
  • A New CBT Model of Panic Attack Treatment in Comorbid Heart Diseases
           (PATCHD): How to Calm an Anxious Heart and Mind
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Phillip J. Tully, Aline Sardinha, Antonio E. Nardi
      Treating anxiety comorbid with heart disease is challenging due to (a) diagnostic overlap between anxiety and heart disease, (b) the high risk associated with ignoring chest pain symptoms and delaying seeking medical attention, (c) that cognitive-behavioral therapy based on catastrophic misinterpretation of bodily symptoms requires adaption to incorporate the element of risk, and (d) that certain interoceptive symptom induction experiments may be harmful and are therefore fraught with liability. We describe Panic Attack Treatment in Comorbid Heart Diseases (PATCHD) that is based on enhancing coping skills, performing safe interoceptive exposures and supervised exercise, and countering avoidance to reduce panic attack frequency. Pre- and posttreatment data from 18 patients shows a significant reduction in cardiovascular hospital admissions and length of stay, panic attacks, general anxiety, and depression (all p <.05). Because of the complex nature of panic disorder comorbid with heart disease, health professionals should familiarize themselves with several necessary CBT adaptions.

      PubDate: 2017-07-24T16:41:28Z
       
  • Differentiating Sexual Thoughts in Obsessive-Compulsive Disorder From
           Paraphilias and Nonparaphilic Sexual Disorders
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Rachel A. Vella-Zarb, Jacqueline N. Cohen, Randi E. McCabe, Karen Rowa
      Recurrent sexual thoughts characterize several different psychological disorders, most notably obsessive-compulsive disorder (OCD), paraphilias, and nonparaphilic sexual disorders (NPSDs). Many clinicians are aware of the rule of thumb that sexual thoughts in OCD are personally distressing, whereas sexual thoughts in paraphilias and NPSDs are not distressing to the individual experiencing these thoughts, and they rely on this heuristic to inform diagnosis. This is problematic because distress alone is not a reliable diagnostic differentiator; as a result, misdiagnosis is common. Given the negative consequences of misdiagnosis, including worsening of symptoms, treatment dropout, and potential harm to individuals experiencing these thoughts or those who are targets of these thoughts, the purpose of this paper is to help clinicians identify and differentiate repetitive sexual obsessions in OCD from repetitive sexual thoughts in paraphilias and NPSDs. A clinical case example is provided along with pivotal areas of questioning to aid in differential diagnosis.

      PubDate: 2017-07-24T16:41:28Z
       
  • A Model to Transform Psychosis Milieu Treatment Using CBT-Informed
           Interventions
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Sally E. Riggs, Torrey A. Creed
      Although CBT for psychosis (CBTp) has been recommended as a best practice since 2002, CBTp’s availability is quite limited in the U.S. Integration of CBTp-informed interventions into the milieu of the treatment settings in which the majority of the 2.4 million Americans with psychosis receive treatment may greatly improve access to those services. This paper presents an evidence-based model for training line staff in CBTp principles, in order that more staff throughout the U.S. might better support the recovery of people with psychosis in this way. Examples are provided to illustrate effective strategies and approaches.

      PubDate: 2017-07-24T16:41:28Z
       
  • An Open Trial Targeting Food Cue Reactivity and Satiety Sensitivity in
           Overweight and Obese Binge Eaters
    • Abstract: Publication date: August 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 3
      Author(s): Kerri N. Boutelle, Stephanie Knatz, Jordan Carlson, Kristie Bergmann, Carol B. Peterson
      Data suggests that individuals who binge eat are more responsive to food cues in the environment and less sensitive to satiety cues. The aim of this open trial was to evaluate the feasibility, acceptability, and initial effectiveness of a novel treatment grounded in Schachter’s externality theory targeting food cue reactivity and satiety responsiveness with obese adults who binge eat. Treatment was provided in groups, and utilized appetite monitoring, cue-exposure treatment, in vivo exercises, self-monitoring, and coping skills. Twenty-eight overweight and obese adults who binge eat (82% female; mean age = 47.5 years [SD = 12.8]; BMI = 38.9 [SD = 10.3]; 79% White non-Hispanic) participated in a 4-month group-based treatment program. Assessments were conducted at baseline, posttreatment, and 3-month follow-up time points. Results indicated that this treatment was well accepted and had high retention at posttreatment. Initial effectiveness showed significant decreases in BMI, and improvements in loss of control and overeating episodes, food responsiveness, and power of food. The majority of results were maintained at the 3-month follow-up time point. This open trial provides preliminary evidence for the feasibility, acceptability, and initial effectiveness of this treatment on both eating disorder symptoms and weight in obese adults who binge eat. Because these data are preliminary, further treatment development and randomized controlled studies are needed.

      PubDate: 2017-07-24T16:41:28Z
       
  • Implementing Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) With
           Preteen Children Displaying Problematic Sexual Behavior
    • Abstract: Publication date: Available online 22 July 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-07-24T16:41:28Z
       
  • Development and Preliminary Feasibility Testing of a Decision Support Tool
           for Childhood Anxiety Treatment
    • Abstract: Publication date: Available online 21 July 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Oliver Lindhiem, Charles B. Bennett, Rinad 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: 2017-07-24T16:41:28Z
       
  • Adapting Cognitive Processing Therapy to Treat Co-Occurring Posttraumatic
           Stress Disorder and Mild Traumatic Brain Injury: A Case Study
    • Abstract: Publication date: Available online 15 July 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-07-24T16:41:28Z
       
  • Assessment-Driven Case Formulation and Treatment Planning in Dialectical
           Behavior Therapy: Using Principles to Guide Effective Treatment
    • Abstract: Publication date: Available online 10 July 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Shireen L. Rizvi, Jennifer H.R. Sayrs
      Dialectical Behavior Therapy (DBT) is a complex cognitive-behavioral treatment designed for a population with multiple problematic and high-risk behaviors. As with any behavioral treatment, the role of assessment in DBT is critical. Although there is a significant body of research supporting the efficacy of DBT, there is a relative dearth of practical and principle-based information that help therapists formulate cases and treatment from a DBT perspective. In this article, we provide a step-by-step guide for creating an assessment-driven DBT case formulation and treatment plan. We focus on identifying stage of treatment, determining goals, developing the target hierarchy, assessing and treating the primary target behavior, and tracking outcomes. We highlight the few rules that inform DBT assesssment and practice, note and correct several common misconceptions, and demonstrate how the use of thorough assessment can result in a more nuanced case formulation and treatment plan.

      PubDate: 2017-07-24T16:41:28Z
       
  • Development and Preliminary Feasibility Study of a Brief Behavioral
           Activation Mobile Application (Behavioral Apptivation) to be used in
           Conjunction with Ongoing Therapy
    • 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
       
  • Development and Open Trial of a Depression Preventive Intervention for
           Adolescents With Attention-Deficit/Hyperactivity Disorder
    • Abstract: Publication date: Available online 15 June 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-06-19T17:22:11Z
       
  • Implementation in a Changing Landscape: Provider Experiences During Rapid
           Scaling of Use of Evidence-Based Treatments
    • Abstract: Publication date: Available online 7 June 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-06-09T16:57:58Z
       
  • Brief Behavioral Activation Treatment for Depressed Adolescents Delivered
           by Nonspecialist Clinicians: A Case Illustration
    • Abstract: Publication date: Available online 7 June 2017
      Source:Cognitive and Behavioral Practice
      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 BA (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: 2017-06-09T16:57:58Z
       
  • Self-Acceptance Group Therapy: A Transdiagnostic, Cognitive-Behavioral
           Treatment for Shame
    • 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
       
  • Psychotherapy for the Spectrum of Sexual Minority Stress: Application and
           Technique of the ESTEEM Treatment Model
    • Abstract: Publication date: Available online 1 June 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Charles L. Burton, Katie Wang, John E. Pachankis
      Converging evidence points to minority stress as a risk factor that predisposes sexual minority individuals to a variety of negative psychosocial health outcomes, particularly depression and anxiety, substance use, and sexual risk-taking. This paper outlines the techniques and theoretical underpinnings for implementing an emerging empirically supported psychotherapy targeting the transdiagnostic mechanisms linking minority stress with these outcomes for sexual minority clients. We outline the essential therapeutic principles, psychoeducation content, as well as session- and homework-based activities that can be adapted for a variety of presenting problems that originate from and are exacerbated by minority stress via these transdiagnostic minority stress processes. As the development and dissemination of this therapeutic model is still within its early stages, we review the intervention’s empirical support thus far and outline potential directions for future development and dissemination via individual, clinic-based, and societal channels.

      PubDate: 2017-06-04T16:49:33Z
       
  • Updating the Textbook: A Novel Approach to Training Graduate Students in
           Evidence-Based Youth Practices
    • 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
    • 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
       
  • Activating Veterans Toward Sources of Reward: A Pilot Report on
           Development, Feasibility, and Clinical Outcomes of a 12-Week Behavioral
           Activation Group Treatment
    • Abstract: Publication date: Available online 9 May 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-05-10T08:36:55Z
       
  • Enhancing Parent–Child Interaction Therapy With Motivational
           Interviewing Techniques
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Amanda M. N’zi, Ryan E. Lucash, Leah N. Clionsky, Sheila M. Eyber
      Parent–child interaction therapy (PCIT) is an evidence-based family intervention for young children with disruptive behavior. Parents and children who complete PCIT show greater immediate and long-term treatment gains than those who discontinue treatment prematurely. PCIT is a time- and effort-intensive treatment, and parents ambivalent about its value for their child or their ability to master the treatment skills may discontinue treatment before engaging sufficiently to experience change. Motivational interviewing (MI) is a client-centered therapeutic method of increasing motivation for change through the resolution of ambivalence. This paper describes how clinicians may incorporate MI strategies into PCIT to enhance parental motivation when signs of ambivalence arise. Vignettes and scripted therapy exchanges illustrate use of the strategies to decrease ambivalence in PCIT, improve homework adherence, increase parenting self-efficacy, and reduce attrition, thereby improving outcomes for young children with disruptive behaviors and their families.

      PubDate: 2017-05-06T13:54:02Z
       
  • Summer Camp Program for Children With Obsessive–Compulsive Disorder:
           Description and Preliminary Observations
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Timothy R. Rice, Natasha Toralba Kostek, Shannon L. Gair, Ariz Rojas
      Summer camp programming has a rich history of promoting childhood development. In the care of children with specific childhood psychiatric disorders, the incorporation of targeted cognitive-behavioral principles provides an opportunity to marry targeted evidence-based practices with broader development, in particular social, emotional, and fine- and gross-motor development. This union is synergistic, providing the practitioner with an opportunity to employ cognitive-behavioral practices in an environment that may overcome common barriers to effective interventions outside the scope of the targeted illness. In this paper, the authors describe the preliminary findings concerning a weeklong, 25-hour summer camp program targeting childhood obsessive–compulsive disorder (OCD). Nine children ages 9–12 years participated in this pilot program. Child and parent feedback alike suggested strong treatment acceptability and efficacy in targeting both core symptoms of OCD as well as associated developmental deficits. The camp’s implementation of exposure and response prevention enables an opportunity to report on the capability of employing these strategies in a summer camp setting. In conjunction with an evidence-based treatment program for childhood OCD, a summer camp program specifically targeted for children with OCD presents a valuable tool for improving child welfare and reducing functional impairments.

      PubDate: 2017-05-06T13:54:02Z
       
  • Cognitive Behavioral Therapy for Attention-Deficit/Hyperactivity Disorder
           in College Students: A Review of the Literature
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): J. Allison He, Kevin M. Antshel
      The current review presents a theory-guided review of the existing cognitive behavioral therapy (CBT) interventions for attention-deficit/hyperactivity disorder (ADHD) in college students. Across the eight studies that investigated this topic, moderate reductions were shown in inattentive symptoms but little to no change was reported in hyperactive/impulsive symptoms. Results indicated a moderate treatment effect on self-reported quality of life and school/work functioning, yet less of an impact on GPA, response inhibition, social functioning, and executive functioning. Methodological and statistical problems and inconsistencies were noted. Since college students are emerging adults, it is likely that the optimum CBT intervention for college students with ADHD lies somewhere in between the existing clinic-based adult ADHD CBT interventions as well as the school-based adolescent ADHD psychosocial interventions. Directions for future research and recommendations for clinicians in university settings are provided in an attempt to further develop the existing college students CBT clinical research evidence base.

      PubDate: 2017-05-06T13:54:02Z
       
  • Development, Acceptability, and Effectiveness of an Acceptance-Based
           Behavioral Stress/Anxiety Management Workshop for University Students
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Elizabeth H. Eustis, Sarah Krill Williston, Lucas P. Morgan, Jessica R. Graham, Sarah A. Hayes-Skelton, Lizabeth Roemer
      College is a critical time in which individuals experience transition and stress, and may experience subthreshold or clinical symptoms of anxiety and depression. In addition, educational contexts offer a unique opportunity to serve the needs of a diverse group of students who may experience additional stressors related to experiences with discrimination; acculturative stress; financial strain; and balancing family, work, and school demands. Therefore, college appears to be an ideal time for students to learn about evidence-based skills to use in response to anxiety and depression. However, there are multiple barriers that may make it less likely that evidence-based skills and services are available to or utilized by students, including lack of funding and services available on campus, as well as concerns about mental health stigma. This study examines the preliminary acceptability and effectiveness of an acceptance-based behavioral stress/anxiety management workshop for university students on a diverse urban campus. Results indicate that participants found the workshop to be acceptable and helpful. Mixed-effect regression models examining symptom and impairment measures at preworkshop, 1-week follow-up, and 4-week follow-up showed a significant effect for time on anxious arousal, general anxiety symptoms, and social anxiety, but no significant effect for time on impairment. Implications and future directions for mindfulness and acceptance-based approaches in educational contexts are discussed.

      PubDate: 2017-05-06T13:54:02Z
       
  • Acceptance and Commitment Therapy for Posttraumatic Stress Disorder in
           Early Psychosis: A Case Series
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Jens Einar Jansen, Eric M.J. Morris
      Persons with psychosis often report high levels of posttraumatic stress disorder (PTSD) symptoms, which render them more vulnerable to relapse, symptom exacerbation, and reduced well-being. However, less is known about how to adequately accommodate the needs of persons recovering from a first episode of psychosis, presenting with PTSD. Further, the existing evidence-based interventions for PTSD seem less equipped to deal with serious mental disorder and comorbid conditions. This study aimed to assess the efficacy, acceptability, and safety of Acceptance and Commitment Therapy (ACT) for persons suffering from PTSD with comorbid trauma and psychosis. Three consecutively referred participants meeting ICD-10 criteria for PTSD and a first-episode nonaffective psychotic disorder were treated in an outpatient service within a case-series analysis. A manual-guided ACT intervention of 12 sessions showed clinically relevant improvement on self-report measures of PTSD symptoms and emotional distress. These initial findings are promising and appear to justify a more controlled evaluation of this brief intervention.

      PubDate: 2017-05-06T13:54:02Z
       
  • Demonstration of an Integrated Treatment for Smoking Cessation and Anxiety
           Symptoms in People With HIV: A Clinical Case Study
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Allison K. Labbe, Julianne G. Wilner, Jesse D. Kosiba, Adam Gonzalez, Jasper A. Smits, Michael J. Zvolensky, Peter J. Norton, Conall O’Cleirigh
      Despite high rates of co-occurring tobacco use and anxiety symptoms and disorders among persons with HIV, evidence-based interventions for these individuals are not yet available. The present study sought to evaluate an integrated treatment model addressing smoking cessation and anxiety sypmtoms among HIV-positive smokers. Treatment was an 8-week intervention integrating a standard smoking cessation protocol (i.e., cognitive-behavioral therapy [CBT], nicotine replacement therapy) with CBT for anxiety. Inclusion criteria were 18–65years of age, ≥10 cigarettes/day, State–Trait Anxiety Inventory [STAI-T] score of >39, and moderate motivation (i.e., ≥5 out of 10 on a 10-point Likert scale) to quit smoking. Primary outcomes included scores on the Anxiety Sensitivity Index (ASI) and cigarettes smoked per day. Self-reported abstinence was biochemically verified by carbon monoxide breath analysis. Three male participants (mean age 49.3, SD =9.1) completed through 2-month follow-up. At baseline all participants reported smoking an average of 20 cigarettes per day. Two participants quit smoking and maintained abstinence by the 2-month follow-up, and demonstrated a reduction in ASI scores. Participant 3 continued to smoke but at a reduced rate. Participants’ response to cognitive and behavioral strategies (e.g., creating balanced thoughts, interoceptive exposures) will be discussed. Clinical lessons learned include use of a flexible approach to cognitive restructuring, use of imaginal and in vivo exposures in session to better prepare patients for homework practice, and flexibility in delivering the treatment in an individual or group format. This clinical presentation provides preliminary support for the feasibility and initial effectiveness of an integrated treatment to reduce anxiety symptoms and aid in smoking cessation in anxious, HIV-positive smokers.

      PubDate: 2017-05-06T13:54:02Z
       
  • Enhancing Stress Management Coping Skills Using Induced Affect and
           Collaborative Daily Assessment
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Jessica A. Chen, Amanda K. Gilmore, Nicole L. Wilson, Ronald E. Smith, Kevin Quinn, A. Paige Peterson, Eliot Fearey, Yuichi Shoda
      The purpose of this paper is to highlight the use of induced affect (IA) and collaborative (therapeutic) assessment (CA) as components of Cognitive-Affective Stress Management Training (CASMT). IA is a technique for rehearsing cognitive and physical relaxation coping skills under conditions of high affective arousal, which has been shown to result in high levels of coping self-efficacy. CA provides diary-based feedback to clients about the processes underlying their stress experiences and helps identify affect-arousing experiences to be targeted by IA. We include descriptions of the IA technique and an online stress and coping daily diary, as well as sample transcripts illustrating how CA is integrated into CASMT and how IA evokes high affective arousal and skills rehearsal. To illustrate idiographic assessment, we also describe three treatment cases involving female clients between the ages of 20 and 35 with anxiety symptoms who participated in 6 weeks of CASMT and reported their daily stress and coping experiences (before, during, and following the intervention) for a total of 10 weeks. The resulting time series data, analyzed using Simulation Modeling Analysis (SMA), revealed that all clients reported improved negative affect regulation over the course of treatment, yet they exhibited idiographic patterns of change on other outcome and coping skills variables. These results illustrate how IA and CA may be used to enhance emotional self-regulation and how time-series analyses can identify idiographic aspects of treatment response that would not be evident in group data.

      PubDate: 2017-05-06T13:54:02Z
       
  • Seeing Is Believing: Using Video Feedback in Cognitive Therapy for Social
           Anxiety Disorder
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Emma Warnock-Parkes, Jennifer Wild, Richard Stott, Nick Grey, Anke Ehlers, David M. Clark
      Distorted negative self-images and impressions appear to play a key role in maintaining Social Anxiety Disorder (SAD). In previous research, McManus et al. (2009) found that video feedback can help people undergoing cognitive therapy for SAD (CT-SAD) to develop a more realistic impression of how they appear to others, and this was associated with significant improvement in their social anxiety. In this paper we first present new data from 47 patients that confirms the value of video feedback. Ninety-eighty percent of the patients indicated that they came across more favorably than they had predicted after viewing a video of their social interactions. Significant reductions in social anxiety were observed during the following week and these reductions were larger than those observed after control periods. Comparison with our earlier data (McManus et al., 2009) suggests we may have improved the effectiveness of video feedback by refining and developing our procedures over time. The second part of the paper outlines our current strategies for maximizing the impact of video feedback. The strategies have evolved in order to help patients with SAD overcome a range of processing biases that could otherwise make it difficult for them to spot discrepancies between their negative self-imagery and the way they appear on video.

      PubDate: 2017-05-06T13:54:02Z
       
  • In-Session Stuck Points and Pitfalls of Community Clinicians Learning CBT:
           Qualitative Investigation
    • Abstract: Publication date: May 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 2
      Author(s): Scott Waltman, Brittany C. Hall, Lynn M. McFarr, Aaron T. Beck, Torrey A. Creed
      Given the preponderance of evidence supporting the efficacy of cognitive behavior therapy (CBT), there has been an increased emphasis on dissemination to community mental health systems (CMH). Trainers from two large-scale dissemination initiatives (n =27) were surveyed regarding the common pitfalls and difficulties encountered by CMH clinicians learning CBT. Common pitfalls were organized according to the items of the Cognitive Therapy Rating Scale (CTRS; Young & Beck, 1980) and reviewed. Guided discovery was reported to be the most challenging CBT competency to learn. Qualitative methods were used to construct a grounded theory; trainer responses indicated they viewed the practice of CBT as not only a set of discrete skills, but also a way of thinking. Efforts may be needed to provide support, assistance, and resources to these CMH clinicians as they continue to build CBT competency.

      PubDate: 2017-05-06T13:54:02Z
       
  • A Single-Subject Evaluation of the Treatment of Morphing Fear
    • Abstract: Publication date: Available online 20 April 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-05-06T13:54:02Z
       
  • 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)
    • 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
       
  • Implementing Group CBT for Depression Among Latinos in a Primary Care
           Clinic
    • Abstract: Publication date: Available online 17 April 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-05-06T13:54:02Z
       
  • A Couple-Based Psychological Treatment for Chronic Pain and Relationship
           Distress
    • Abstract: Publication date: Available online 21 March 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-03-26T15:33:08Z
       
  • Delivering Acceptance and Commitment Therapy for Weight Self-Stigma
           Through Guided Self-Help: Results From an Open Pilot Trial
    • Abstract: Publication date: Available online 9 March 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-03-15T15:15:17Z
       
  • Stopping the Nonadherence Cycle: The Clinical and Theoretical Basis for
           Dialectical Behavior Therapy Adapted for Adolescents With Chronic Medical
           Illness (DBT-CMI)
    • Abstract: Publication date: Available online 6 March 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-03-08T15:06:14Z
       
  • Adapting Parent–Child Interaction Therapy for Deaf Families That
           Communicate via American Sign Language: A Formal Adaptation Approach
    • Abstract: Publication date: Available online 6 March 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-03-08T15:06:14Z
       
  • Intensive Outpatient Comprehensive Behavioral Intervention for Tics: A
           Clinical Replication Series
    • Abstract: Publication date: Available online 2 March 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-03-02T20:30:07Z
       
  • A Novel Integrated Cognitive-Behavioral Therapy for Anxiety and Medication
           Adherence Among Persons Living With HIV/AIDS
    • Abstract: Publication date: Available online 2 March 2017
      Source:Cognitive and Behavioral Practice
      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: 2017-03-02T20:30:07Z
       
  • Multi-Media Field Test: Tic Treatment Goes Tech: A Review of TicHelper.com
    • Abstract: Publication date: Available online 8 February 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Christine A. Conelea, Brianna C.M. Wellen
      TicHelper.com (“TicHelper”) is an interactive online treatment program for youth with chronic tic disorders (CTDs) or Tourette Syndrome (TS) and their parents. It is based on Comprehensive Behavioral Intervention for Tics (CBIT), an individual, outpatient therapy protocol shown to effectively reduce tics in randomized controlled trials. The TicHelper website offers a user-friendly dashboard that is effective in making it easy to navigate through different treatment modules. Modules parallel core CBIT procedures and consist of interactive exercises, informational videos, and self-report ratings. TicHelper has some weaknesses (e.g., no outcomes research specific to the program has been published to date); however, its strengths (easily navigable, clear instructions, appropriate content) outweigh its weaknesses, making it a potentially useful dissemination tool to make CBIT more accessible to families and youth with tics.

      PubDate: 2017-02-10T10:18:00Z
       
 
 
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