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; American Psychiatric Association [APA], 2000) diagnostic criteria for chronic insomnia (Mduration: 14.5 years, SD: 12.8). Participants were randomized to behavior therapy (BT; n = 63), cognitive therapy (CT; n = 65), or CBT (n = 60). The outcome measure was the Insomnia Severity Index (ISI). Hypothesized BT mediators were sleep-incompatible behaviors, bedtime variability (BTv), risetime variability (RTv) and time in bed (TIB). Hypothesized CT mediators were worry, unhelpful beliefs, and monitoring for sleep-related threat. RESULTS:The behavioral processes mediated outcome for BT but not CT. The cognitive processes mediated outcome in both BT and CT. The subgroup scoring high on both behavioral and cognitive processes had a marginally significant better outcome if they received CBT relative to BT or CT. The subgroup scoring relatively high on behavioral but low on cognitive processes and received BT or CBT did not differ from those who received CT. The subgroup scoring relatively high on cognitive but low on behavioral processes and received CT or CBT did not differ from those who received BT. CONCLUSION:The behavioral mediators were specific to BT relative to CT. The cognitive mediators were significant for both BT and CT outcomes. Patients exhibiting high levels of both behavioral and cognitive processes achieve better outcome if they receive CBT relative to BT or CT alone. (PsycINFO Database Record
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Harvey AG,Dong L,Bélanger L,Morin CMdoi
10.1037/ccp0000244subject
Has Abstractpub_date
2017-10-01 00:00:00pages
975-987issue
10eissn
0022-006Xissn
1939-2117pii
2017-42717-003journal_volume
85pub_type
杂志文章abstract::The psychosocial adjustment of 87 inner-city African American children 6-11 years old whose mothers were HIV infected was compared with that of 149 children from a similar sociodemographic background whose mothers did not report being HIV infected. Children were not identified as being HIV infected. Mother reports, ch...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.66.3.513
更新日期:1998-06-01 00:00:00
abstract::Recent theoretical models of social phobia suggest that targeting several specific cognitive factors in treatment should enhance treatment efficacy over that of more traditional skills-based treatment programs. In the current study, 195 people with social phobia were randomly allocated to 1 of 3 treatments: standard c...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0014800
更新日期:2009-04-01 00:00:00
abstract::This study evaluated the impact of pretreatment depression severity and functional impairment on the response of 2 samples of older depressed adolescents to 2 group cognitive-behavioral treatments. Differences between the 2 active treatments and between active treatment and a waiting-list control condition were expect...
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.62.4.851
更新日期:1994-08-01 00:00:00
abstract::Asian Americans encounter barriers to mental health care, some of which are structural, whereas others may be cultural. Using data from a probability sample (N = 490) drawn from the largest Cambodian refugee community in the United States, the authors assessed the extent to which structural and cultural barriers were ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.74.6.1116
更新日期:2006-12-01 00:00:00
abstract::This study examines the effect of homework compliance on treatment outcome in 123 participants receiving cognitive-behavioral therapy (CBT) for cocaine dependence. Regression analyses revealed a significant relationship between homework compliance and cocaine use that was moderated by readiness to change. Homework com...
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.74.3.633
更新日期:2006-06-01 00:00:00
abstract::Most Americans have occasional problems with insomnia. The relationship of insomnia to illness is well known. However, insomnia may also relate to lower levels of well-being. Although there are various definitions of well-being, one of the most clearly articulated and comprehensive models identifies 2 overarching cons...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.75.6.939
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:The present study quantitatively reviewed the literature on sudden gains in psychological treatments for anxiety and depression. The authors examined the short- and long-term effects of sudden gains on treatment outcome as well as moderators of these effects. METHOD:The authors conducted a literature search ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析,评审
doi:10.1037/a0026455
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the importance of therapeutic processes in two brief school-based psychosocial treatments targeting homework problems in adolescents with attention-deficit/hyperactivity disorder (ADHD) as delivered by school mental health professionals. METHOD:A sample of 222 middle school students (72% male; Ma...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000300
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:Two psychological interventions for rheumatoid arthritis (RA) are cognitive-behavioral coping skills training (CST) and written emotional disclosure (WED). These approaches have developed independently, and their combination may be more effective than either one alone. Furthermore, most studies of each interv...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0036958
更新日期:2014-08-01 00:00:00
abstract::This is the 1st longitudinal examination of trajectories of resilience and resistance (rather than ill-being) among a national sample under ongoing threat of mass casualty. The authors interviewed a nationally representative sample of Jews and Arabs in Israel (N = 709) at 2 times during a period of terrorist and rocke...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0014360
更新日期:2009-02-01 00:00:00
abstract::The Strong African American Families Program, a universal preventive intervention to deter alcohol use among rural African American adolescents, was evaluated in a cluster-randomized prevention trial. This 7-week family skills training program is based on a contextual model in which intervention effects on youth prote...
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.74.2.356
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVE:Although cognitive processing therapy (CPT) has strong empirical support as a treatment for posttraumatic stress disorder (PTSD), studies have not directly examined the proposed change mechanisms that underlie CPT-that change in trauma-related cognitions produces change in PTSD and depression symptoms. To imp...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000040
更新日期:2015-12-01 00:00:00
abstract::Cocaine-using methadone-maintenance patients were randomized to standard contingency management (abstinence group, n = 49) or to a contingency designed to increase contact with reinforcers (shaping group, n = 46). For 8 weeks, both groups earned escalating-value vouchers based on thrice-weekly urinalyses: The abstinen...
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.69.4.643
更新日期:2001-08-01 00:00:00
abstract::This study identified coping strategies associated with caregiver outcomes following pediatric injury and examined injury type as a moderator of coping efficacy. Families of 103 children with traumatic brain injury (TBI) and 71 children with orthopedic injuries were followed prospectively during the initial year posti...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.69.3.406
更新日期:2001-06-01 00:00:00
abstract::Some of the problems and issues that have characterized process research in psychotherapy are discussed, as is the complexity of research that attempts to combine process and outcome adequately. The diversity of topics studied, the variety of scales used, the individual theoretical constructs investigated, the investi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.58.3.273
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVE:The purpose of the current study was to demonstrate the replicable nature of statistical suppressor effects in coping research through 2 examples with African American adolescents from low-income communities. METHOD:Participants in the 1st example included 497 African American adolescents (mean age = 12.61 y...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0020063
更新日期:2010-12-01 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::Clinical depression is frequently unrecognized, even in health care settings. This study (a) reports high levels of major depressive episodes (MDEs) and depressive symptoms in a public sector women's clinic, (b) compares computerized voice recognition with live interviews, and (c) compares Spanish and English versions...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.67.4.502
更新日期:1999-08-01 00:00:00
abstract::The authors conducted a meta-analytic review to assess the prevalence of major depressive disorder and depressive symptoms among Latinos compared with non-Latino Whites in the United States using community-based data. Random-effects estimates were calculated for 8 studies meeting inclusion criteria that reported lifet...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析,评审
doi:10.1037/0022-006X.76.3.355
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:Cigarette smoking is the leading cause of preventable death in the United States. In addition, smoking rates among depressed and anxious smokers are higher than in the population at large. Furthermore, treating depressed and anxious smokers effectively is particularly challenging because of their significant ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037/a0027793
更新日期:2013-04-01 00:00:00
abstract::The outcomes and costs of 6 different methods of motivating therapists to meet service delivery goals at a community mental health center for children and adolescents were evaluated over a 5-year period. The costs and cost-savings benefits of each motivational method were compared with each other and with two baseline...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.62.3.627
更新日期:1994-06-01 00:00:00
abstract::Regular drinkers from the general public whose drinking behavior was known to be unaffected by a previous antidrug advertising campaign were involved in a field experiment to assess the impact of a television commercial based on controlled-drinking principles. In a 2 x 2 factorial arrangement of exposure to the advert...
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.57.5.613
更新日期:1989-10-01 00:00:00
abstract::Prospective longitudinal studies that pertain to the stability, developmental pathways, and long-term outcome for the 2 primary forms of externalizing behavior problems (conduct problems [CP] and hyperactivity [HA]) are described. Treatment outcome studies for CP and HA with at least 1 year of follow-up data are revie...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.62.5.901
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVE:Gender minority youth (i.e., children/adolescents whose gender identity and/or expression is inconsistent with their birth-assigned sex) experience elevated rates of emotional and behavioral problems relative to cisgender youth (who identify with their birth-assigned sex), which are not intrinsic to gender id...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000597
更新日期:2020-12-01 00:00:00
abstract::This article examined marital interactions in 50 couples with a depressed husband, 41 couples with a depressed wife, and 50 nondepressed control couples. As expected, couples with a depressed partner evidenced more disturbed marital interaction than control couples. Furthermore, couples with a depressed wife demonstra...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.65.1.15
更新日期:1997-02-01 00:00:00
abstract::This article reports the 4- and 5-year follow-up results of evaluating the effects of a marital distress prevention program. The program, Prevention and Relationship Enhancement Program (PREP), is a 5-session program designed to teach couples effective communication and conflict management skills. At the 5-year follow...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.61.1.70
更新日期:1993-02-01 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::Previous research has linked depression to difficulties in smoking cessation. The authors followed 269 smokers who attempted to quit smoking for 3 months. Participants were given nicotine gum (2 or 4 mg) or placebo gum and brief counseling. The study found that 34% of the smokers met the criterion for current depressi...
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.64.4.791
更新日期:1996-08-01 00:00:00
abstract::The influence of personality and childhood abuse on suicidal behaviors and psychopathy was examined among female prisoners. Scores on the affective/interpersonal component (Factor 1; F1) and the antisocial deviance (Factor 2; F2) component of psychopathy were obtained from the Psychopathy Checklist--Revised (R. D. Har...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.73.6.1065
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:Anxiety and substance use disorders are highly comorbid and mutually maintain each other. Treatments for anxiety disorders that are well integrated into substance use disorder treatment have the potential to improve both anxiety and substance use outcomes. METHOD:Ninety-seven individuals seeking treatment at...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000276
更新日期:2018-01-01 00:00:00