Abstract:
:This study aimed to assess the efficacy of a minimal intervention focusing on hypnotic discontinuation and cognitive-behavioral treatment (CBT) for insomnia. Fifty-three adult chronic users of hypnotics were randomly assigned to an 8-week hypnotic taper program, used alone or combined with a self-help CBT. Weekly hypnotic use decreased in both conditions, from a nearly nightly use at baseline to less than once a week at posttreatment. Nightly dosage (in lorazepam equivalent) decreased from 1.67 mg to 0.12 mg. Participants who received CBT improved their sleep efficiency by 8%, whereas those who did not remained stable. Total wake time decreased by 52 min among CBT participants and increased by 13 min among those receiving the taper schedule alone. Total sleep time remained stable throughout withdrawal in both CBT and taper conditions. The present findings suggest that a systematic withdrawal schedule might be sufficient in helping chronic users stop their hypnotic medication. The addition of a self-help treatment focusing on insomnia, a readily available and cost-effective alternative to individual psychotherapy, produced greater sleep improvement.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Belleville G,Guay C,Guay B,Morin CMdoi
10.1037/0022-006X.75.2.325subject
Has Abstractpub_date
2007-04-01 00:00:00pages
325-35issue
2eissn
0022-006Xissn
1939-2117pii
2007-04141-013journal_volume
75pub_type
杂志文章,随机对照试验abstract::The home-based intervention program Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) was tested in a randomized controlled trial with 237 families screened for their 1- to 3-year-old children's relatively high scores on externalizing behavior. VIPP-SD, based on attachment th...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.74.6.994
更新日期:2006-12-01 00:00:00
abstract::This study evaluated the effectiveness of the Problem Solving For Life program as a universal approach to the prevention of adolescent depression. Short-term results indicated that participants with initially elevated depressions scores (high risk) who received the intervention showed a significantly greater decrease ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.71.1.3
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:Substantial research has accrued in support of a key role for social processes in substance use disorders (SUD). Researchers have developed a range of interventions that capitalize on these social processes to bolster treatment outcomes by involving significant others (e.g., romantic partners, family, friends...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
doi:10.1037/ccp0000495
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:Although both patients with schizophrenia and their caregivers report elevated levels of depression, anxiety, and stress (DASS), affective symptoms in patients and family members seldom constitute a primary treatment focus. The present study tested whether a culturally informed family therapy for schizophreni...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000257
更新日期:2018-01-01 00:00:00
abstract::Recent studies in animals and humans have begun to provide insight into the neuropsychopharmacologic basis of alcohol consumption and dependence. Studies involving the serotonergic and opioidergic neurotransmitter systems have shown the most consistent results. Concurrent nosologic developments have led to the identif...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.62.6.1116
更新日期:1994-12-01 00:00:00
abstract::The influence of treatment preferences on the development of the therapeutic alliance was investigated. Seventy-five patients were followed while participating in a randomized controlled trial comparing supportive-expressive psychotherapy with sertraline or pill placebo in the treatment of major depressive disorder. T...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.75.1.194
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:The prevalence of smoking among gay men is considerably higher than in the general population. To investigate possible causes of this health risk disparity, this study used multilevel modeling of daily diary data to examine the temporal relationship between smoking and both sexual orientation concealment and ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0022917
更新日期:2011-04-01 00:00:00
abstract::Cognitive therapy has emerged as 1 of the most promising psychosocial interventions for the treatment of depression. It appears to be at least the equal of alternative interventions (including pharmacotherapy) with respect to acute treatment. In addition, there are indications that it may reduce risk of symptom return...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.61.2.270
更新日期:1993-04-01 00:00:00
abstract::This study evaluated the utility of specific risk markers of wife assault in understanding the cessation and persistence of violence against women over a 3-year period. Longitudinal data were used to identify violent men who ceased the violence for 2 years and violent men who persisted in using violence. A group of no...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.64.5.1010
更新日期:1996-10-01 00:00:00
abstract::Although comorbidity with specific learning disabilities is less frequent than commonly reported, externalizing behavior disorders--particularly attention-deficit hyperactivity disorder (ADHD)--often overlap with various indices of academic underachievement during childhood. Furthermore, by adolescence, delinquency is...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.60.6.893
更新日期:1992-12-01 00:00:00
abstract::In this meta-analytic review, the authors summarized the effects of depression prevention programs for youth as well as investigated participant, intervention, provider, and research design features associated with larger effects. They identified 47 trials that evaluated 32 prevention programs, producing 60 interventi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
doi:10.1037/a0015168
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:The primary aim of the present investigation was to directly examine a theoretically based, self-awareness intervention manipulation for at-risk men's alcohol-related aggression toward women. This study was developed in response to a call in the literature for research to (a) empirically investigate specific ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000118
更新日期:2016-09-01 00:00:00
abstract::Low-socioeconomic-status (SES) Black children have a higher mean blood pressure than most other groups. The antihypertensive effects of a 12-week aerobic exercise program were examined on 11 low-SES Black children, ages 8-12, who had blood pressure above the 95th percentile. A multiple baseline across three groups of ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.58.2.237
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:Interventions for peer problems among children with attention-deficit/hyperactivity disorder (ADHD) typically focus on improving these children's behaviors. This study tested the proposition that an adjunctive component encouraging the peer group to be socially inclusive of children with ADHD would augment th...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0029654
更新日期:2013-02-01 00:00:00
abstract::The relationship between the therapeutic alliance and treatment participation and drinking outcomes during and after treatment was evaluated among alcoholic outpatient and aftercare clients. In the outpatient sample, ratings of the working alliance, whether provided by the client or therapist, were significant predict...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.65.4.588
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:Effects of brief motivational interventions (BMIs) for heavy drinkers identified by alcohol-related emergency department (ED) visits are mixed. The successes of including significant others (SOs) in behavioral treatment suggest that involving SOs in ED-delivered BMI might prove beneficial. This study investig...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0037658
更新日期:2014-12-01 00:00:00
abstract::Although early investigations were promising, no controlled follow-up studies have investigated the effectiveness of cue exposure treatment for alcoholics. In this study, inpatient alcoholics received either cue exposure integrated with urge coping skills training (CET, n = 22) or a contrast condition (CC) involving d...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.61.6.1011
更新日期:1993-12-01 00:00:00
abstract::Motivational interviewing (MI) is a directive, client-centered brief intervention to elicit behavior change by helping clients explore and resolve ambivalence. In this clinical trial, 152 outpatients and 56 inpatients entering public agencies for treatment of drug problems were randomly assigned to receive or not rece...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037/0022-006x.71.4.754
更新日期:2003-08-01 00:00:00
abstract::We examined the relationships among suicidal indices, hopelessness, and social desirability. Both hopelessness and a measure of social desirability that reflected a sense of general capability were significant indicators of suicidal manifestations. In particular, hierarchical multiple regression procedures demonstrate...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.57.4.500
更新日期:1989-08-01 00:00:00
abstract::Self-reports from 704 college students were content analyzed and used to develop the Marijuana Effect Expectancy Questionnaire and Cocaine Effect Expectancy Questionnaire. Responses were examined using exploratory and confirmatory principle components analysis. Six marijuana expectancies (34.6% of variance) were ident...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.59.4.558
更新日期:1991-08-01 00:00:00
abstract::A meta-analysis of studies on preparation for medical procedures and pain evaluated the relative effects of sensory; procedural, and combined sensory-procedural preoperational information on coping outcomes. Results indicated that, in contrast to sensory information, procedural information provided no significant bene...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.57.3.372
更新日期:1989-06-01 00:00:00
abstract::The Buss-Durkee Hostility Inventory (BDHI), the Hostility Toward Women Scale (HTWS), and the Minnesota Multiphasic Personality Inventory (MMPI) Social Desirability and Defensiveness scales were examined in a sample of 239 sexual offenders, 23 of whom had previously been studied. Sexual offenders against adolescents an...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.57.2.306
更新日期:1989-04-01 00:00:00
abstract::This article introduces a special series on "transporting" studies of the efficacy of psychotherapy into studies of their effectiveness. Models of the relationship between efficacy and effectiveness are described. Traditional linear models of the phases of scientific expansion suggest that findings from efficacy studi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.63.5.683
更新日期:1995-10-01 00:00:00
abstract::The structural analysis of social behavior (SASB) shows promise for systematically examining identity issues in clinical populations. In this study, identity is assessed with the SASB in a sample of women with dissociative disorder (n = 25) and a nonpatient clinical contrast group (n = 25). The SASB Introject--a multi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.64.6.1238
更新日期:1996-12-01 00:00:00
abstract::Philip Kendall's (1997) editorial encouraged authors in the Journal of Consulting and Clinical Psychology (JCCP) to report effect sizes and clinical significance. The present authors assessed the influence of that editorial--and other American Psychological Association initiatives to improve statistical practices--by ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.73.1.136
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:This study sought to extend findings from a randomized controlled trial of the Strength at Home Men's Program (SAH-M) for intimate partner aggression (IPA) in military veterans by examining the impact of pretreatment posttraumatic stress disorder (PTSD) symptoms on treatment efficacy, and by examining new dat...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000228
更新日期:2017-10-01 00:00:00
abstract::Experimental studies of prevention programs often randomize clusters of individuals rather than individuals to treatment conditions. When the correlation among individuals within clusters is not accounted for in statistical analysis, the standard errors are biased, potentially resulting in misleading conclusions about...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.64.5.919
更新日期:1996-10-01 00:00:00
abstract::This study examined the prevalence of consistent condom use among inner-city women at risk for HIV, measured the distribution of these women across the stages of change for condom use, determined psychosocial factors associated with the stages, and suggested intervention strategies based on the results. The 5-city sam...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.66.6.967
更新日期:1998-12-01 00:00:00
abstract::Treatment outcome findings suggest that cognitive-behavioral therapy (CBT) and pharmacotherapy offer similar short-term treatment gains for panic disorder and that CBT may afford more optimal maintenance of treatment gains without the need for ongoing treatment. However, efficacy is not the only consideration for pati...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:
更新日期:2000-08-01 00:00:00
abstract::Using a stress-coping framework, we designed a six-session educational support group offering family caretakers information about schizophrenia, training in problem-solving skills for managing patient behavior, and greater access to social support and community resources. Subjects were recruited though local community...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.57.2.232
更新日期:1989-04-01 00:00:00