Luke J Ney, Andrew FitzSimons-Reilly, Ottmar V Lipp
Recent studies have shown that fear conditioning experiments can be successfully conducted online. However, there is limited evidence that measures other than subjective ratings of threat expectancy can be collected, which means that online research may not be able to adequately replace laboratory experiments. In the current study, we conducted an online fear conditioning experiment consisting of habituation, acquisition, extinction and 48 h delayed extinction recall using ratings of threat expectancy and conditional stimulus pleasantness, and probe reaction time as outcome measures...
September 16, 2023: Behaviour Research and Therapy
John E Pachankis, Zachary A Soulliard, Eric K Layland, Kriti Behari, Ilana Seager van Dyk, Benjamin E Eisenstadt, Danielle Chiaramonte, Brjánn Ljótsson, Josefin Särnholm, Johan Bjureberg
OBJECTIVE: LGBTQ-affirmative cognitive-behavioral therapy (CBT) addresses the adverse impacts of minority stress. However, this treatment has rarely been tested in randomized controlled trials with LGBTQ youth and never using an asynchronous online platform for broad reach. This study examined the feasibility, acceptability, preliminary efficacy, and multi-level stigma moderators of LGBTQ-affirmative internet-based CBT (ICBT). METHOD: Participants were 120 LGBTQ youth (ages 16-25; 37...
September 9, 2023: Behaviour Research and Therapy
Mina Ma, Minyan Yang, Yanfei Li, Liangying Hou, Meixuan Li, Xinyi Wang, Zijun Li, Ke Guo, Xian Liu, Yuanyuan Cheng, Junqiang Niu, Kehu Yang
AIM: Although Cognitive behavioural therapy (CBT) potentially holds efficacy in addressing functional abdominal pain disorders (FAPDs) amongst children and adolescents, the persistent efficacy is uncertain. METHODS: We searched three databases to identify related randomized controlled trials (RCTs). Meta-analysis was performed using RevMan and Stata. Subgroup analyses were mainly conducted based on follow-up time. The GRADE approach was used to evaluate the certainty of the evidence...
September 6, 2023: Behaviour Research and Therapy
Stefanie De Smet, Noga Cohen, Marie-Anne Vanderhasselt
Affective control refers to the ability to regulate emotions and is considered a marker of mental health. Transcranial direct current stimulation (tDCS), a non-invasive brain stimulation technique, holds promise to enhance affective control. In this between-subjects study in healthy individuals, we investigated the effects of bifrontal tDCS on core processes and higher-level markers of affective control. As such, we assessed direct tDCS effects on emotional interference during an affective control task and indirect effects on an instructed reappraisal task afterward...
September 4, 2023: Behaviour Research and Therapy
Crick Lund
This paper makes the case for expanding the field of global mental health to give more attention to the social determinants of mental health. It does so by describing challenges and opportunities for intervening to address these social determinants, and by presenting some potential approaches to the choice, design and evaluation of such interventions, especially in low and middle-income countries. Challenges include distal interventions, limits to the modifiability of some social and economic determinants, poorly understood mechanisms, difficulty defining the boundaries of such interventions, the need for inter-disciplinary and inter-sectoral collaboration, limited datasets in LMIC, sample size challenges for prevention interventions, ethical issues and siloed research funding...
September 4, 2023: Behaviour Research and Therapy
Roberto López, Christianne Esposito-Smythers, Annamarie B Defayette, Katherine M Harris, Lauren F Seibel, Emma D Whitmyre
Social rejection predicts negative affect, and theoretical work suggests that problem-solving deficits strengthen this relation in real-time. Nevertheless, few studies have explicitly tested this relation, particularly in samples at risk for suicide. This may be particularly important as social rejection and negative affect are significant predictors of suicide. The aim of the current study was to examine whether cognitive (i.e., perceiving problems as threats) and behavioral (i.e., avoidance) facets of problem-solving deficits moderated the real-time relation between social rejection and negative affect...
September 2, 2023: Behaviour Research and Therapy
Gro Janne H Wergeland, Åshild T Haaland, Krister W Fjermestad, Lars-Göran Öst, Rolf Gjestad, Jon F Bjaastad, Asle Hoffart, Elisabeth Husabo, Solfrid Raknes, Bente S M Haugland
Meta-analyses of school-based CBT have shown that prevention for anxiety symptoms typically report small but significant effects. There is limited knowledge regarding which youths may benefit most and least from such programs, and characteristics of youth who respond differentially to interventions of different intensity. The present study examined predictors of school-based CBT outcomes among 302 youths (mean age 14.0 years, SD 0.8, 84% female) who participated in a randomized waitlist-controlled trial comparing a 10-session and a 5-session group intervention...
September 1, 2023: Behaviour Research and Therapy
Jorg Tanis, Carolien Martijn, Maartje S Vroling, Joyce Maas, Ger P J Keijsers
Binge eating disorder (BED) and bulimia nervosa (BN) are characterized by recurrent binge eating, episodes of consuming large amounts of food in a discrete period of time associated with a loss of control. Implementation intentions are explicit if-then plans that engender goal-directed action, and rely less on cognitive control than standard treatment options. In a sample with BED and BN, we compared two implementation intention conditions to a control condition. In the behavior-focused condition, implementation intentions targeted binge eating behaviors...
August 30, 2023: Behaviour Research and Therapy
Tobias Teismann, Julia Brailovskaia, Morgan Robison, Thomas E Joiner
Perceiving oneself as a burden to others (other-burdensomeness), as well as perceiving one's selfhood as a burden (self-burdensomeness), have been proposed as risk factors for suicidal ideation. Yet, it is unclear whether the altruistic motive of being a burden to others or the self-oriented motive of being a burden on oneself is more relevant to suicidal ideation. Given this background, two rival mediation models were tested. Data from N = 228 outpatients (64% female; age: M(SD) = 38.69 (12...
August 25, 2023: Behaviour Research and Therapy
S DeGrace, P Romero-Sanchiz, P Tibbo, S Barrett, P Arenella, T Cosman, P Atasoy, J Cousijn, R Wiers, M T Keough, I Yakovenko, R O'Connor, J Wardell, A Rudnick, R Nicholas Carleton, A Heber, S H Stewart
Trauma cue-elicited activation of automatic cannabis-related cognitive biases are theorized to contribute to comorbid posttraumatic stress disorder and cannabis use disorder. This phenomenon can be studied experimentally by combining the trauma cue reactivity paradigm (CRP) with cannabis-related cognitive processing tasks. In this study, we used a computerized cannabis approach-avoidance task (AAT) to assess automatic cannabis (vs. neutral) approach bias following personalized trauma (vs. neutral) CRP exposure...
August 21, 2023: Behaviour Research and Therapy
Megan Skelton, Ana Catarino, Stephanie Brown, Ewan Carr, Molly R Davies, Alicia J Peel, Christopher Rayner, Gerome Breen, Thalia C Eley
Underlying classes capture differences between patient symptom trajectories during psychological therapy. This has not been explored for one-to-one internet-delivered therapy or functional impairment trajectories. Patients experiencing depression or anxiety received cognitive-behavioural therapy with a therapist using an online chat platform (N = 52,029). Trajectory classes of depression symptoms (PHQ9), anxiety symptoms (GAD7) and functional impairment (WSAS) were investigated using growth mixture modelling...
August 12, 2023: Behaviour Research and Therapy
Katie L Burkhouse, Anh Dao, Alexandra Argiros, Maria Granros, Emilia Cárdenas, Lindsay Dickey, Cope Feurer, Kaylin Hill, Samantha Pegg, Lisa Venanzi, Autumn Kujawa
Reduced activation of the Research Domain Criteria (RDoC) positive valence systems (PVS) is observed in high-risk (HR) children of depressed mothers and predictive of future psychopathologies. We developed a dyadic, neuroscience-informed preventive intervention, Family Promoting Positive Emotions (FPPE), designed to prevent psychopathology in HR children by targeting PVS processes. We evaluated the initial efficacy of FPPE compared to written information (WI) psychoeducation in engaging PVS-related targets and reducing perceived stress and emotional distress symptoms in HR youth...
August 9, 2023: Behaviour Research and Therapy
Amy E Joubert, Ashlee B Grierson, Ian Li, Maria J Sharrock, Michelle L Moulds, Aliza Werner-Seidler, Eileen P Stech, Alison E J Mahoney, Jill M Newby
BACKGROUND: Rumination and worry, forms of repetitive negative thinking (RNT), are implicated in the onset, maintenance, severity, and relapse risk of depression and anxiety disorders. This randomised controlled trial evaluated an internet intervention targeting both rumination and worry in adults compared to treatment-as-usual (TAU) and compared treatment effects and adherence when delivered with and without clinician guidance. METHODS: Adults (N = 137) with elevated RNT were randomly allocated to a 3-lesson clinician guided (n = 45) or self-help (n = 47) online program delivered over 6 weeks, or a TAU control group which waited 18 weeks to receive the program (n = 45)...
August 2, 2023: Behaviour Research and Therapy
Isabelle Florence Schricker, Sibel Nayman, Iris Reinhard, Christine Kuehner
In Major Depressive Disorder, first evidence shows heightened mood-reactivity toward daily events. Related longitudinal studies in remitted patients with recurrent major depression are lacking. Long-term changes in such short-term within-person associations can be analysed via measurement burst designs. Two bursts, separated by approximately 4.4 years, consisted of a baseline session and an Ambulatory Assessment (burst-1: 3 days, burst-2: 5 days). Via smartphone, 54 initially remitted patients with recurrent major depression indicated their negative and positive affect, rumination, self-acceptance, and the occurrence of negative and positive daily events ten times and collected saliva cortisol samples five times per day...
August 2, 2023: Behaviour Research and Therapy
Damien Lekkas, Joseph A Gyorda, George D Price, Nicholas C Jacobson
Wearable technology enables unobtrusive collection of longitudinally dense data, allowing for continuous monitoring of physiology and behavior. These digital phenotypes, or device-based indicators, are frequently leveraged to study depression. However, they are usually considered alongside questionnaire sum-scores which collapse the symptomatic gamut into a general representation of severity. To explore the contributions of passive sensing streams more precisely, associations of nine passive sensing-derived features with self-report responses to Center for Epidemiologic Studies Depression (CES-D) items were modeled...
August 2, 2023: Behaviour Research and Therapy
Diana-Mirela Nechita, Daniel David
It is well-established that negative affect acts as predictor and maintenance factor of problematic eating behaviors. However, the relevance of different facets of negative affect is unclear. While guilt was consistently shown as having a relevant contribution in relation with problematic eating patterns, shame might play a similar role. The current study used an ecological momentary assessment design to assess associations between facets of shame and subsequent disturbed eating behaviors. The study included 57 females with high levels of eating disorders (ED) symptomatology who completed five surveys per day for 14 consecutive days...
July 29, 2023: Behaviour Research and Therapy
L S Merritt Millman, Eleanor Short, Biba Stanton, Joel S Winston, Timothy R Nicholson, Mitul A Mehta, Antje A T S Reinders, Mark J Edwards, Laura H Goldstein, Anthony S David, Matthew Hotopf, Trudie Chalder, Susannah Pick
Altered interoception may be a pathophysiological mechanism in functional neurological disorder (FND). However, findings have been inconsistent across interoceptive dimensions in FND including functional motor symptoms (FMS) and seizures (FS). Here, individuals with FMS/FS (n = 17) and healthy controls (HC, n = 17) completed measures of interoceptive accuracy and insight (adapted heartbeat tracking task [HTT] with confidence ratings), a time estimation control task (TET) and the Multidimensional Assessment of Interoceptive Awareness-2 (MAIA-2) to assess interoceptive sensibility...
July 25, 2023: Behaviour Research and Therapy
Laura Riddleston, Elizabeth Bangura, Olivia Gibson, Pamela Qualter, Jennifer Y F Lau
OBJECTIVE: Loneliness is common among young people and is associated with negative health outcomes. Because loneliness is associated with a bias for interpreting social situations as threatening, cognitive bias modification for interpretation (CBM-I) training is a potential early intervention tool. We developed and delivered a single session of mental imagery enhanced digital CBM-I training, assessing feasibility, acceptability, and magnitude of change in interpretational style and loneliness...
July 24, 2023: Behaviour Research and Therapy
Anna S Lau, Stanley J Huey, Ana A Baumann
This collection of six articles showcases innovative approaches to adapting and deploying evidence-based interventions with individuals from historically marginalized groups to advance mental health equity. The field of cultural adaptation has matured beyond initial questions about whether specific culturally adapted interventions work, and must now adopt designs that can yield generalizable knowledge concerning how and under what circumstances such adaptations can promote improved engagement and effectiveness with underserved groups...
July 21, 2023: Behaviour Research and Therapy
Ronald M Rapee, Cathy Creswell, Philip C Kendall, Daniel S Pine, Allison M Waters
Considerable work has advanced understanding of the nature, causes, management, and prevention of anxiety disorders in children and adolescents over the past 30 years. Prior to this time the primary focus was on school refusal and specific phobias. It is now recognised that children and adolescents experience the full gamut of anxiety disorders in very similar ways to adults and that anxiety disorders in the paediatric years can predict a lifelong mental-health struggle. Given the vast array of specific studies in this field, the current review summarises current knowledge about these high prevalence disorders, points to overarching limitations, and suggests potentially important future directions...
July 20, 2023: Behaviour Research and Therapy
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