Abstract:
OBJECTIVE:Rapid response to cognitive behavior therapy (CBT) for eating disorders (i.e., rapid and substantial change to key eating disorder behaviors in the initial weeks of treatment) robustly predicts good outcome at end-of-treatment and in follow up. The objective of this study was to determine whether rapid response to day hospital (DH) eating disorder treatment could be facilitated using a brief adjunctive CBT intervention focused on early change. METHOD:44 women (average age 27.3 [8.4]; 75% White, 6.3% Black, 6.9% Asian) were randomly assigned to 1 of 2 4-session adjunctive interventions: CBT focused on early change, or motivational interviewing (MI). DH was administered as usual. Outcomes included binge/purge frequency, Eating Disorder Examination-Questionnaire and Difficulties in Emotion Regulation Scale. Intent-to-treat analyses were used. RESULTS:The CBT group had a higher rate of rapid response (95.7%) compared to MI (71.4%; p = .04, V = .33). Those who received CBT also had fewer binge/purge episodes (p = .02) in the first 4 weeks of DH. By end-of-DH, CBT participants made greater improvements on overvaluation of weight and shape (p = .008), and emotion regulation (ps < .008). Across conditions, there were no significant baseline differences between rapid and nonrapid responders (ps > .05). CONCLUSIONS:The results of this study demonstrate that rapid response can be clinically facilitated using a CBT intervention that explicitly encourages early change. This provides the foundation for future research investigating whether enhancing rates of rapid response using such an intervention results in improved longer term outcomes. (PsycINFO Database Record
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
MacDonald DE,McFarlane TL,Dionne MM,David L,Olmsted MPdoi
10.1037/ccp0000221subject
Has Abstractpub_date
2017-09-01 00:00:00pages
896-908issue
9eissn
0022-006Xissn
1939-2117pii
2017-24204-001journal_volume
85pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:Using a randomized factorial design, we examined the efficacy of a brief motivational intervention (BMI) and a parent-based intervention (PBI) as universal preventive interventions to reduce alcohol use among incoming college students. METHOD:Participants (N = 1,014) were assessed prior to matriculation and ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0019166
更新日期:2010-06-01 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:OBJECTIVE:This study reports outcomes from a randomized effectiveness trial testing modular treatment versus multiple community-implemented evidence-based treatments for youth. METHOD:An ethnoracially diverse sample of 138 youth ages 5 to 15 (62 girls, 76 boys) whose primary clinical concerns involved diagnoses or cli...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000133
更新日期:2017-01-01 00:00:00
abstract::Few investigators studying alcohol abuse among individuals with a severe mental illness (SMI) have examined predictors of posttreatment alcohol outcomes. In the present study, a multivariate approach based on a theoretical model was used to study the relationship between psychosocial factors and post-treatment-initiat...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0017320
更新日期:2009-12-01 00:00:00
abstract::The distinguishing and overlapping features of attention-deficit hyperactivity disorder (ADHD) and conduct disorder (CD) are discussed. Conclusions regarding comorbidity, treatment efficacy, and long-term outcome can be influenced by several factors, including diagnostic procedures and sample characteristics. The need...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.60.6.881
更新日期:1992-12-01 00:00:00
abstract::This study involved 137 participants who were assessed on 12 relevant predictor variables and then randomly assigned to social support or self-control treatment. Outcome across treatments was predicted by cotinine levels, treatment history, previous abstinence, happiness, self-efficacy, and perceived social support fo...
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.63.2.290
更新日期:1995-04-01 00:00:00
abstract::The effects of nicotine chewing gum and cigarettes on resting energy expenditure (REE) were evaluated. Twenty smoking women participated in nicotine gum and smoking administration, after which their REEs were measured. Results indicate an acute increase in REE for both nicotine gum and cigarettes. Metabolic rates for ...
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.59.5.749
更新日期:1991-10-01 00:00:00
abstract::Posttraumatic stress disorder (PTSD) typically follows an acute to chronic course. However, some trauma victims do not report significant symptoms until a period of time has elapsed after the event. Although originally dismissed as an artifact of retrospective methodologies, recent prospective studies document apparen...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.72.5.909
更新日期:2004-10-01 00:00:00
abstract::Given the availability of violence risk assessment tools, clinicians are now better able to identify high-risk patients. Once these patients have been identified, clinicians must monitor risk state and intervene when necessary to prevent harm. Clinical practice is dominated by the assumption that increases in psychiat...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.74.5.967
更新日期:2006-10-01 00:00:00
abstract::This article describes the role of the psychologist in the evaluation of erectile dysfunction. It begins by reviewing current diagnostic criteria and providing a historical overview. Next, current epidemiologic knowledge is summarized, including data on prevalence and recent research examining cognitive, affective, dy...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.63.6.862
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVE:Research has demonstrated that gay men are at increased risk for internalizing disorders compared with heterosexual men and that minority stressors are risk factors. However, the mechanisms underlying the associations between minority stressors and internalizing symptoms remain unclear. The current study exam...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000236
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:Few guidelines are available regarding optimal training models for practitioners delivering cognitive-behavioral therapy (CBT) for anxiety in youth with autism spectrum disorder (ASD). The present study systematically compared 3 instructional conditions for delivering the Facing Your Fears program (FYF) to ch...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000285
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:To advance understanding of the effectiveness of evidence-based treatments for comorbid posttraumatic stress disorder (PTSD) and substance use disorder (SUD), research must provide a more nuanced picture of how substance use affects change in PTSD symptoms over the course of treatments and whether prolonged e...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000345
更新日期:2018-10-01 00:00:00
abstract::A fidelity index of program implementation for assertive community treatment (ACT) was developed. In Study 1, 20 experts rated the importance of 73 elements proposed as critical ACT ingredients, also indicating ideal model specifications for elements. Agreement among experts on ratings of importance was high (intracla...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.62.4.670
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVE:Although low-income couples experience greater relationship challenges, they have limited access to effective relationship interventions. Furthermore, most previous efforts to improve low-income couples' relationships have yielded very small effects (Hawkins & Erickson, 2015). In an effort to overcome these l...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000479
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:Providing care to one's child during and after a hematopoietic stem cell transplant (HSCT) is a universally stressful experience, but few psychological interventions have been developed to reduce caregiver distress. The goal of this study was to test the efficacy of a brief cognitive-behavioral intervention d...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000087
更新日期:2016-05-01 00:00:00
abstract::The authors developed a measure for categorizing the nature of the topic that clients and therapists discuss from moment to moment during psychotherapy. The Counseling Topic Classification System (CTCS) contains 55 topics and 8 emotional categories. It was used to code the thematic content of Donald Meichenbaum's and ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.64.4.701
更新日期:1996-08-01 00:00:00
abstract::Using data from the National Institute of Mental Health Treatment for Depression Collaborative Research Program, the authors examined the impact on treatment outcome of the patient's perception of the quality of the therapeutic relationship and contribution to the therapeutic alliance. Shared variance with early clini...
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.74.1.130
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To examine the mediators and the potential of treatment matching to improve outcome for cognitive behavior therapy (CBT) for insomnia. METHOD:Participants were 188 adults (117 women; Mage = 47.4 years, SD = 12.6) meeting the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; text rev.; DSM-IV-TR...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000244
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:Military couples need and desire relationship interventions. Online interventions improve access; however, their effectiveness within the military population is untested. Using a subsample from a larger randomized controlled trial of OurRelationship and ePREP online relationship programs for low-income couple...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000606
更新日期:2020-10-01 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::Families of 54 behaviorally disturbed preschool-aged children (3 to 5 years) were randomly assigned to 1 of 3 treatment conditions: standard parent-child interaction therapy (PCIT; STD); modified PCIT that used didactic videotapes, telephone consultations, and face-to-face sessions to abbreviate treatment; and a no-tr...
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.71.2.251
更新日期:2003-04-01 00:00:00
abstract::The authors examined the therapeutic alliance in evidence-based treatment for children (N = 185, 47 girls, 138 boys; ages 3-14 years) referred clinically for oppositional, aggressive, and antisocial behavior. Different alliances (child-therapist, parent-therapist) were assessed from each participant's perspective at 2...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.73.4.726
更新日期:2005-08-01 00:00:00
abstract::This article describes the use of concept mapping to develop a pictorial multivariate conceptual framework of staff views of a program of supported employment (SE) for individuals with severe mental illness. The SE program involves extended individualized supported employment for clients through a mobile job support w...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.62.4.766
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVE:Teenage drivers diagnosed with attention-deficit/hyperactivity disorder (ADHD) are at significant risk for negative driving outcomes related to morbidity and mortality. However, there are few viable psychosocial treatments for teens with ADHD and none focus on the key functional area of driving. The Supportin...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000137
更新日期:2016-12-01 00:00:00
abstract::This study investigated the effects of an Internet-based intervention for insomnia. Participants who met criteria for insomnia (N = 109) were randomly assigned to either a cognitive-behavioral self-help treatment or a waiting list control condition. The 5-week intervention mainly consisted of sleep restriction, stimul...
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.72.1.113
更新日期:2004-02-01 00:00:00
abstract::Mental health clinics and managed care organizations assess treatment effectiveness with consumer satisfaction measures and ad hoc measures of improvement obtained from a single informant; some of these measures are as simple as asking clients whether they improved during treatment. In the present correlational study ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.66.2.270
更新日期:1998-04-01 00:00:00
abstract::Impaired quality of life is associated with increased mortality in patients with advanced lung disease. Using a randomized controlled trial with allocation concealment and blinded outcome assessment at 2 tertiary care teaching hospitals, the authors randomly assigned 328 patients with end-stage lung disease awaiting l...
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.74.3.535
更新日期:2006-06-01 00:00:00
abstract::Although most reviews of comparative psychotherapy literature have failed to find significant differences among treatments, it is premature to give up the search for differential effects. There are a large number of patient, therapist, and treatment variables that may mediate the effects of treatments. Given the enorm...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.59.2.226
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:We examined the possibility that maintenance cognitive behavior therapy (M-CBT) may improve the likelihood of sustained improvement and reduced relapse in a multi-site randomized controlled clinical trial of patients who met criteria for panic disorder with or without agoraphobia. METHOD:Participants were al...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1037/a0030666
更新日期:2013-02-01 00:00:00