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  Subjects -> SOCIAL SCIENCES (Total: 1347 journals)
    - BIRTH CONTROL (20 journals)
    - CHILDREN AND YOUTH (240 journals)
    - FOLKLORE (28 journals)
    - MATRIMONY (16 journals)
    - MEN'S INTERESTS (17 journals)
    - MEN'S STUDIES (89 journals)
    - SEXUALITY (52 journals)
    - SOCIAL SCIENCES (683 journals)
    - WOMEN'S INTERESTS (42 journals)
    - WOMEN'S STUDIES (160 journals)

SOCIAL SCIENCES (683 journals)                  1 2 3 4     

Showing 1 - 136 of 136 Journals sorted alphabetically
3C Empresa     Open Access   (Followers: 2)
A contrario     Full-text available via subscription   (Followers: 3)
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 7)
Abant İzzet Baysal Üniversitesi Sosyal Bilimler Enstitüsü Dergisi     Open Access   (Followers: 1)
Abordajes : Revista de Ciencias Sociales y Humanas     Open Access   (Followers: 1)
Aboriginal and Islander Health Worker Journal     Full-text available via subscription   (Followers: 14)
About Performance     Full-text available via subscription   (Followers: 12)
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: 10)
ACCORD Occasional Paper     Open Access   (Followers: 4)
Accountability in Research: Policies and Quality Assurance     Hybrid Journal   (Followers: 17)
Acta Academica     Full-text available via subscription   (Followers: 5)
Acta Scientiarum. Human and Social Sciences     Open Access   (Followers: 6)
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: 155)
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: 1)
África     Open Access   (Followers: 1)
Africa Spectrum     Open Access   (Followers: 11)
African Affairs     Hybrid Journal   (Followers: 59)
African Renaissance     Full-text available via subscription   (Followers: 2)
African Research Review     Open Access   (Followers: 5)
African Social Science Review     Open Access   (Followers: 9)
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: 5)
Al-Mabsut : Jurnal Studi Islam dan Sosial     Open Access   (Followers: 1)
Alliage     Free  
Alteridade     Open Access  
American Communist History     Hybrid Journal   (Followers: 19)
ANALES de la Universidad Central del Ecuador     Open Access   (Followers: 2)
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: 42)
Annuaire de l’EHESS     Open Access  
Anthropocene Review     Hybrid Journal   (Followers: 6)
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   (Followers: 1)
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: 6)
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   (Followers: 1)
California Italian Studies Journal     Full-text available via subscription   (Followers: 5)
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: 11)
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: 9)
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   (Followers: 1)
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: 2)
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: 13)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 2)
Compendium     Open Access   (Followers: 1)
Comprehensive Therapy     Hybrid Journal   (Followers: 3)
Comuni@cción     Open Access  
Comunitania : Revista Internacional de Trabajo Social y Ciencias Sociales     Open Access   (Followers: 1)
Confluenze Rivista di Studi Iberoamericani     Open Access  
Contemporary Journal of African Studies     Full-text available via subscription   (Followers: 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: 25)
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  
Cuadernos Interculturales     Open Access  
Cultural Studies Review     Full-text available via subscription   (Followers: 16)
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  
Debats. Revista de cultura, poder i societat     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: 21)
Development     Hybrid Journal   (Followers: 16)
Diálogo     Open Access   (Followers: 1)
DIFI Family Research and Proceedings     Open Access   (Followers: 1)
Discourse & Society     Hybrid Journal   (Followers: 66)
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: 15)
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   (Followers: 1)
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  
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: 19)
Ethiopian Journal of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 8)
Ethnic and Racial Studies     Hybrid Journal   (Followers: 39)
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: 5)
European Review of Social Psychology     Hybrid Journal   (Followers: 11)
European View     Hybrid Journal   (Followers: 1)
European Yearbook of Minority Issues Online     Hybrid Journal   (Followers: 5)
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)

        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  [3048 journals]
  • Treating Transgender Individuals in Inpatient and Residential Mental
           Health Settings
    • Abstract: Publication date: Available online 10 November 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Heather M. Walton, Sharon L. Baker
      This article describes the need for specific guidelines regarding how to manage inpatient and residential mental health programming with respect to transgender individuals. The article discusses what is known about transgender mental health and how it is related to sociopolitical factors, how inpatient and residential programs can address the impact of sociopolitical factors on transgender individuals and send a welcoming message to prospective consumers, how programs can attend to policies and procedures in ways that create the best milieu for an inpatient or residential unit that provides care for one or more transgender individuals, and how providers and interdisciplinary teams can meet the unique clinical needs of transgender individuals. These guidelines are designed to assist providers in creating a safe environment that affords quality inpatient and residential mental health care to transgender individuals.

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

      PubDate: 2017-11-15T19:18:56Z
       
  • Correcting Misperceptions About Cognitive Processing Therapy to Treat
           Moral Injury: A Response to Gray and Colleagues (this issue)
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      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: 2017-11-15T19:18:56Z
       
  • Addressing Weight Suppression to Improve Treatment Outcome for Bulimia
           Nervosa
    • Abstract: Publication date: Available online 29 October 2017
      Source:Cognitive and Behavioral Practice
      Author(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.

      PubDate: 2017-11-15T19:18:56Z
       
  • 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 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.

      PubDate: 2017-11-15T19:18:56Z
       
  • 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: 2017-11-15T19:18:56Z
       
  • Using Prolonged Exposure and Cognitive Processing Therapy to Treat
           Veterans With Moral Injury-Based PTSD: Two Case Examples
    • Abstract: Publication date: Available online 13 October 2017
      Source:Cognitive and Behavioral Practice
      Author(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.

      PubDate: 2017-10-14T04:15:27Z
       
  • Usability of a Smartphone Application to Support the Prevention and Early
           Intervention of Anxiety in Youth
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Ryan D. Stoll, Armando A. Pina, Kevin Gary, Ashish Amresh
      Mental, emotional, and behavioral disorders are common in youth with anxiety problems being among the most prevalent, typically failing to spontaneously remit, and placing some youth at risk for additional difficulties. Mobile health (mHealth) might be a novel avenue to strengthen prevention efforts for child anxiety, since program effects are generally small. However, although a significant number of mHealth tools have been developed, few have been evaluated in terms of usability (or even clinical effectiveness). Usability testing is the first level of evaluation in responsible mHealth efforts as it is one of the main barriers to usage and adoption. As such, the objective of this research was to evaluate the usability of a smartphone application (app) corresponding to an indicated prevention and early intervention targeting youth anxiety. To accomplish this, 132 children (M age =9.65, 63% girls) and 45 service providers (M age =29.13, 87% female) rated our app along five established dimensions of usability (ease of use, ease of learning, quality of support information, satisfaction, and stigma). Findings showed that the app was highly and positively rated by youth and providers, with some variations (lower ratings when errors occurred). Path analyses also showed that system understanding was significantly related to greater system satisfaction, but that such relation occurred through the quality of support information offered by the app. Together, this has research and clinical implications as it highlights avenues for advancing youth care via mHealth usability evaluation, including prior to establishing effectiveness.

      PubDate: 2017-10-12T04:02:10Z
       
  • A Dialectical Behavior Therapy Skills Group Case Study on Mothers With
           Severe Emotion Dysregulation
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Christina Gamache Martin, Leslie E. Roos, Maureen Zalewski, Nicole Cummins
      Parenting is an emotionally demanding endeavor, which can be particularly challenging for parents who struggle with psychopathology and lack the regulation skills to manage their own emotional lability. Although dialectical behavior therapy (DBT) is an effective treatment that directly targets emotion dysregulation, little is known about whether DBT might also improve parenting behaviors. A DBT skills group was employed to examine whether DBT skills are utilized by mothers in their parenting and whether skill use improves parenting. Four mothers with severe emotion dysregulation who met diagnostic criteria for at least one Axis I disorder were part of a case study, in which they completed a DBT skills group for mothers, and two of the mothers participated in an in-depth exit interview regarding their use of DBT skills in their parenting. The mothers reported substantial changes in their parenting during the exit interview and modest improvements were found for parenting in pre- to posttreatment parenting assessments. This paper describes the various parenting contexts in which DBT skills were used and discusses maternal emotion regulation as a potential pathway from DBT skills to improved parenting.

      PubDate: 2017-10-12T04:02:10Z
       
  • Treating Depression Among Adolescent Perinatal Women With a Dialectical
           Behavior Therapy–Informed Skills Group
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Blair Vinson Kleiber, Jennifer N. Felder, Bethany Ashby, Stephen Scott, Janet Dean, Sona Dimidjian
      Depression is a prevalent and impairing problem affecting both women and offspring during the perinatal (pregnancy and the postpartum) period. Despite this, few studies have examined treatments for perinatal adolescents with depressive symptoms. The present study examined the feasibility and preliminary outcomes of a dialectical behavioral therapy (DBT) informed skills group among depressed adolescent perinatal women (N =25) recruited from both a public health parent education program and an adolescent obstetric clinic. A brief composite case example is included to illustrate how DBT skills were taught, practiced, and applied. Findings suggest the intervention was credible, acceptable, and associated with improvement in depression. Challenges with feasibility of enrolling and retaining adolescent perinatal women were evident, as approximately half of the enrolled participants did not complete the study. This study provides preliminary evidence that a DBT-informed skills group may be a promising intervention for depressed adolescent perinatal women and points to important directions for clinical practice and research, including treatment engagement and retention.

      PubDate: 2017-10-12T04:02:10Z
       
  • A Cultural Adaptation of Dialectical Behavior Therapy in Nepal
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Megan K. Ramaiya, Devika Fiorillo, Upasana Regmi, Clive J. Robins, Brandon A. Kohrt
      Growing evidence exists on the potential for adapting evidence-based interventions for low- and-middle-income countries (LMIC). One opportunity that has received limited attention is the adaptation of psychotherapies developed in high-income countries (HIC) based on principles from LMIC cultural groups. Dialectical behavior therapy (DBT) is one such treatment with significant potential for acceptability in South Asian settings with high suicide rates. We describe a tri-phasic approach to adapt DBT in Nepal that consists of qualitative interviews with major Nepali mental health stakeholders (Study 1), an adaptation workshop with 15 Nepali counselors (Study 2), and a small-scale treatment pilot with eligible clients in one rural district (Study 3). Due to low literacy levels, distinct conceptualizations of mind and body, and program adherence barriers, numerous adaptations were required. DBT concepts attributable to Asian belief systems were least comprehensible to clients. However, the 82% program completion rate suggests utility of a structured, skills-based treatment. This adaptation process informs future research regarding the effectiveness of culturally adapted DBT in South Asia.

      PubDate: 2017-10-12T04:02:10Z
       
  • Culturally Adapted Psychosocial Interventions for Schizophrenia: A Review
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Jessica Maura, Amy Weisman de Mamani
      Recent research examining the potential efficacy of culturally adapted interventions for various mental disorders illustrates increasing interest in the integration of cultural perspectives into mental health systems. Despite recent evidence demonstrating that culturally adapted interventions may be more effective than a one-size-fits-all approach, few psychosocial treatments for schizophrenia consider cultural factors that may enhance their efficacy with diverse populations. The aim of this review is to discuss the empirical evidence examining the potential utility of culturally adapted group interventions for schizophrenia, as a means to encourage further work and expansion in this area. Specifically, this article provides an in-depth review of the empirical literature on culturally adapted psychosocial interventions for individuals with schizophrenia and their family members, with a focus on group-based interventions. This review is followed by a discussion of a few cultural constructs that may impact patient and family member functioning, and therefore may be important to address in psychosocial treatments for schizophrenia. Finally, we end this review with a broad discussion of research limitations and potential areas for additional research, clinical implications for adapting EBTs to better address cultural concerns, and a case vignette to illustrate how cultural considerations can be integrated into a traditional multifamily group therapy approach.

      PubDate: 2017-10-12T04:02:10Z
       
  • Culturally Sensitive Adaptations to Evidence-Based Cognitive Behavioral
           Treatment for Social Anxiety Disorder: A Case Paper
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Jessica R. Graham-LoPresti, Speshal Walker Gautier, Shannon Sorenson, Sarah A. Hayes-Skelton
      Cognitive Behavioral Group Therapy (CBGT), which involves restructuring maladaptive thoughts and exposures in social contexts in a group format, is an empirically supported treatment for social anxiety disorder (SAD). However, research on applying these skills to experiences of discrimination that may contribute to social anxiety in marginalized populations is limited. A case description is presented to demonstrate the ways in which culturally sensitive adaptations of CBGT were applied to treat social anxiety related to issues of discrimination. The case example includes outcome data from one individual diagnosed with SAD who experienced clinical improvement in symptoms of SAD after receiving CBGT as a part of a larger treatment trial for SAD. Specifically, this paper focuses on the way in which SAD manifested for a Latina woman based on a history, and current context of race-based and gender-based discrimination. We present strategies to address SAD related to experiences of discrimination within the context of CBGT as well as clinical implications related to the integration of multicultural principles and traditional cognitive behavioral therapies for SAD more generally.

      PubDate: 2017-10-12T04:02:10Z
       
  • The Impact of Cumulative Minority Stress on Cognitive Behavioral Treatment
           
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Nicholas S. Perry, Shannon D. Chaplo, Katherine J.W. Baucom
      For sexual minority individuals (i.e., lesbian, gay, and bisexual [LGB] persons), minority stress includes experiences of discrimination, expectations of rejection, internalized negativity, and concealment of identity. Sexual minority stress has been linked to various negative mental health outcomes (e.g., depression, anxiety), and levels of psychiatric comorbidity are high among LGB people. However, little is known about the extension of minority stress models to gender minority individuals (i.e., transgender and gender nonconforming persons) and its impact on mental health in this particular group. Further, the influence of gender minority stress on the delivery and outcome of traditional cognitive behavioral therapy (CBT) approaches is unclear. A case study of CBT for chronic depression with a young, transgender individual is presented. This case study highlights potential barriers that may arise with gender minority clients when implementing evidence-based clinical interventions in the context of an individual’s minority stress history. Implications for cognitive-behavioral treatments with gender minority individuals and recommendations for clinicians and researchers are discussed.

      PubDate: 2017-10-12T04:02:10Z
       
  • A Case Study of Individually Delivered Mindfulness-Based Cognitive
           Behavioral Therapy for Severe Health Anxiety
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Christina M. Luberto, Jessica F. Magidson, Aaron J. Blashill
      Health anxiety involves persistent worry about one's physical health, despite medical reassurance. Cognitive-behavioral therapy (CBT) is currently the most widely used, evidence-based treatment for health anxiety. Mindfulness-based cognitive therapy (MBCT) is an evidence-based cognitive-behavioral treatment approach that may be useful for health anxiety due to its focus on nonjudgmental awareness and acceptance of physical and emotional events. MBCT has largely been evaluated in a group format; however, the majority of outpatient CBT providers rely also on individual treatments. No research to date has examined the utility of MBCT delivered as an individual therapy for patients with health anxiety. The purpose of the current case study is to describe the delivery, acceptability, and effects of an individually delivered mindfulness-based cognitive-behavioral intervention on health anxiety symptoms for a young woman with severe health anxiety referred to outpatient behavioral medicine by her primary care provider. The treatment was a 16-session, patient-centered intervention largely delivered using MBCT techniques, supplemented by traditional cognitive-behavioral techniques. The patient completed a validated self-report measure of health anxiety symptoms (SHAI) at the beginning of each session. The treatment was found to be acceptable, as evidenced by high treatment attendance and patient feedback. The patient reported significant cognitive, affective, and behavioral improvements, including a 67% reduction in medial visits. Health anxiety scores on the SHAI showed a 52% decrease from the first to last session, reliable change index score of 12.11, and fell below the clinical cutoff at the final session, demonstrating clinical significance. These results suggest that it is feasible to adapt MBCT for the individual treatment of health anxiety, and that controlled trials of individual MBCT are warranted.

      PubDate: 2017-10-12T04:02:10Z
       
  • Development and Refinement of a Targeted Sexual Risk Reduction
           Intervention for Women With a History of Childhood Sexual Abuse
    • Abstract: Publication date: November 2017
      Source:Cognitive and Behavioral Practice, Volume 24, Issue 4
      Author(s): Theresa E. Senn, Amy Braksmajer, Heidi Hutchins, Michael P. Carey
      Childhood sexual abuse (CSA) is associated with sexual risk behavior in adulthood. Traditional sexual risk reduction interventions do not meet the unique needs of women who have been sexually abused. In the current paper, we describe the four-stage process we followed to develop and refine a targeted sexual risk reduction intervention for this population. First, initial quantitative work revealed that the intervention should address how maladaptive thoughts related to traumatic sexualization, trust, powerlessness, and guilt/shame (traumagenic dynamics constructs) influence current sexual behavior. Second, qualitative interviews with 10 women who reported a history of CSA (M age=34 years; 90% African American) as well as current sexual risk behavior provided support for targeting maladaptive thoughts associated with these traumagenic dynamics constructs. Third, based on the qualitative and quantitative results, we developed a 5-session, group-delivered intervention to address the maladaptive thoughts that occurred as a result of CSA, as well as the cognitive-behavioral determinants of sexual risk behavior. This intervention drew heavily on cognitive behavioral techniques to address cognitions associated with CSA and the links between these cognitions and current sexual risk behavior. Techniques from trauma-based therapies, as well as motivational techniques, were also incorporated into the intervention. Finally, we refined the intervention with 24 women (M age=33 years; 79% African American), and assessed feasibility and acceptability. These women reported high levels of satisfaction with the intervention. The resultant intervention is currently being evaluated in a small, randomized controlled trial.

      PubDate: 2017-10-12T04:02:10Z
       
  • Virtual Reality and Cognitive-Behavioral Therapy for Driving Anxiety and
           Aggression in Veterans: A Pilot Study
    • Abstract: Publication date: Available online 29 September 2017
      Source:Cognitive and Behavioral Practice
      Author(s): Heidi M. Zinzow, Johnell O. Brooks, Patrick Rosopa, Stephanie Jeffirs, Casey Jenkins, Julia Seeanner, Alyssa McKeeman, Larry F. Hodges
      Within the U.S. military, motor vehicle accidents (MVAs) are the leading cause of preventable morbidity and mortality. Prior combat exposure and anxiety symptoms are associated with risky and aggressive driving, which is responsible for over half of MVA fatalities. Therefore, interventions are needed to reduce driving anxiety and aggression in veterans in order to mitigate the public health impact of MVAs. Virtual reality exposure therapy (VRET) offers safe, controlled exposure to distressing stimuli. The current study piloted a novel virtual reality and cognitive behavioral intervention (VRET + CBT) for veterans that integrated both anxiety and anger management components. Virtual reality driving scenarios were delivered in a driving simulator and tailored for the military population. Six previously deployed veterans completed eight intervention sessions, as well as pre/post, one month follow-up and six to nine month follow-up assessments. Repeated measures ANOVAs demonstrated significant decline and large effect sizes for PTSD symptoms, driving phobia, hyperarousal in driving situations, anxiety/anger-related thoughts and behaviors, and risky driving. Hyperarousal in driving situations declined by 69%, aggressive driving declined by 29%, and risky driving declined by 21%. Treatment gains were maintained at follow-up. Recruitment, retention, immersion, simulator sickness scores, and qualitative feedback demonstrated feasibility of the intervention. Implications for future research and adaptation are discussed.

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

      PubDate: 2017-10-05T03:57:09Z
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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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