Abstract:
OBJECTIVE:The aims were to predict cognitive therapy (CT) noncompletion and to determine, relative to other putative predictors, the extent to which the patient skills in CT for recurrent major depressive disorder predicted response in a large, two-site trial. METHOD:Among 523 outpatients aged 18e70, exposed to 12e14 weeks of CT, 21.6% dropped out. Of the 410 completers, 26.1% did not respond. To predict these outcomes, we conducted logistic regression analyses of demographics, pre-treatment illness characteristics and psychosocial measures, and midtreatment therapeutic alliance. RESULTS:The 17-item Hamilton Rating Scale for Depression (HRSD17) scores at entry predicted dropout and nonresponse. Patients working for pay, of non-Hispanic white race, who were older, or had more education were significantly more likely to complete. Controlling for HRSD17, significant predictors of nonresponse included: lower scores on the Skills of Cognitive Therapy-Observer Version (SoCT-O), not working for pay, history of only two depressive episodes, greater pre-treatment social impairment. Midphase symptom reduction was a strong predictor of final outcome. CONCLUSIONS:These prognostic indicators forecast which patients tend to be optimal candidates for standard CT, as well as which patients may benefit from changes in therapy, its focus, or from alternate modalities of treatment. Pending replication, the findings underscore the importance of promoting patients’ understanding and use of CT skills, as well as reducing depressive symptoms early. Future research may determine the extent to which these findings generalize to other therapies, providers who vary in competency, and patients with other depressive subtypes or disorders.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Jarrett RB,Minhajuddin A,Kangas JL,Friedman ES,Callan JA,Thase MEdoi
10.1016/j.brat.2013.01.006subject
Has Abstractpub_date
2013-05-01 00:00:00pages
221-30issue
4-5eissn
0005-7967issn
1873-622Xpii
S0005-7967(13)00017-Xjournal_volume
51pub_type
杂志文章,多中心研究abstract::Individuals with Hoarding Disorder (HD)-a dangerous problem and public health concern-are often ambivalent about treatment. Furthermore, family members of those with HD report high levels of distress and often attempt to intervene unsuccessfully. The current study reports outcome data from a pilot study of a new train...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2014.08.016
更新日期:2014-12-01 00:00:00
abstract::82 Ss were studied in a comparative evaluation of a behavioral vs supportive treatment for illegal drug use. Behavioral treatment included stimulus control, urge, control, contracting/family support and competing response procedures for an average of 19 sessions. 37% of Ss in the behavioral condition were drug-free at...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0005-7967(94)90166-x
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVE:Sleep disturbances are a core feature of post-traumatic stress disorder (PTSD), and are often resistant to first-line pharmacological and psychological PTSD interventions. The goal of this pilot study was to explore the effects of a very brief intervention for PTSD-related nightmares and insomnia in victims o...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章
doi:10.1016/j.brat.2006.04.009
更新日期:2007-03-01 00:00:00
abstract::The development of methods for demonstrating clinical (in addition to statistical) significance has been referred to as one of the major advances in outcome research. In a recent article, Speer (1992; Journal of Consulting and Clinical Psychology, 60, 402-408) suggested that the Reliable Change (RC) Index neglects pos...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(93)90122-b
更新日期:1993-09-01 00:00:00
abstract::The main aim of this study was to determine whether pre-treatment levels of child perfectionism impacted on anxiety treatment outcomes for school-aged children. In addition, it was investigated whether child perfectionism decreased following treatment for anxiety. Participants were sixty-seven clinically anxious child...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2013.05.015
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:The literature on preferences for behavioral interventions is limited in terms of understanding treatment-related factors that underlie treatment choice. The objectives of this study were to examine the direct relationships between personal beliefs about clinical condition, perception of treatment acceptabil...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2009.06.009
更新日期:2009-10-01 00:00:00
abstract::Dysfunctional reward from the pursuit of thinness presents a major challenge to recovery from Anorexia Nervosa (AN). We explore the neuroscientific basis of aberrant reward in AN, with the aim of generating novel hypotheses for translational investigation, and elucidate disease mechanisms to inform the development of ...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,评审
doi:10.1016/j.brat.2014.07.007
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:This paper examines the effects of Acceptance and Commitment Therapy for depression (ACT-D), and the specific effects of experiential acceptance and mindfulness, in reducing suicidal ideation (SI) and depression among Veterans. METHOD:Patients included 981 Veterans, 76% male, mean age 50.5 years. Depression ...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2015.08.012
更新日期:2015-11-01 00:00:00
abstract::Overprediction of fear is a bias in which phobic individuals tend to overestimate the amount of fear they will experience in a subjectively threatening situation. The selective recall model states that this bias arises because memories of highly fearful experiences are more easily retrieved than memories of nonfearful...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(94)90031-0
更新日期:1994-09-01 00:00:00
abstract::Binge exposure with response-prevention of bingeing (ERP-B) was evaluated in 20 female Ss within an inpatient eating disorders unit over 9 sessions as an adjunct to standard milieu therapy. Subjects met DSM-III-R criteria for either bulimia nervosa (BN) (n = 13) or the bulimic subtype of anorexia nervosa (AN-B) (n = 7...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(95)00011-l
更新日期:1995-07-01 00:00:00
abstract::This is the first study that explores whether early maladaptive schemas are related to treatment outcome for patients with obsessive-compulsive disorder (OCD). The sample consisted of 88 outpatients with a diagnosis of OCD who completed exposure and response prevention treatment. The Yale-Brown Obsessive-Compulsive Sc...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章
doi:10.1016/j.brat.2011.08.007
更新日期:2011-11-01 00:00:00
abstract::In the present study, two groups of 21 subjects with either high or low fear of both snakes (or spiders) and damaged electrical outlets/appliances participated in a two phase experiment. After reading a description of an illusory correlation experiment, subjects were asked to imagine themselves participating in it. Th...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(96)00128-3
更新日期:1997-05-01 00:00:00
abstract::Hoarding is a serious form of psychopathology that has been associated with significant health and safety concerns, as well as the source of social and economic burden (Tolin, Frost, Steketee, & Fitch, 2008; Tolin, Frost, Steketee, Gray, & Fitch, 2008). Recent developments in the treatment of hoarding have met with so...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2012.08.004
更新日期:2012-11-01 00:00:00
abstract::The present study examined the efficacy of a brief, written exposure therapy (WET) for posttraumatic stress disorder (PTSD). Participants were 46 adults with a current primary diagnosis of motor vehicle accident-related PTSD. Participants were randomly assigned to either WET or a waitlist (WL) condition. Independent a...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2012.07.001
更新日期:2012-10-01 00:00:00
abstract::Recent cognitive accounts of psychotic symptoms have suggested that processes involved in the maintenance of emotional disorders may also be implicated in the maintenance of hallucinations and delusions, and particularly emphasise the appraisals of such symptoms as important. Imaginal appraisals have been identified i...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(01)00128-0
更新日期:2002-09-01 00:00:00
abstract::Sudden gains have been linked to improved outcomes in cognitive behaviour therapy for depression. The relationship between sudden gains and outcome is less clear in other treatment modalities, including interpersonal psychotherapy and supportive expressive therapy, which may indicate different mechanisms of change bet...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2014.06.008
更新日期:2014-09-01 00:00:00
abstract::Dysfunctional beliefs and attitudes about sleep are presumed to play an important mediating role in perpetuating insomnia. The present study evaluated the impact of cognitive-behavioral and pharmacological treatments for insomnia on sleep-related beliefs and attitudes and the relationship between those changes and sle...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0005-7967(01)00055-9
更新日期:2002-07-01 00:00:00
abstract::Nonsuicidal Self-Injury (NSSI) is prominent in individuals with Borderline Personality Disorder (BPD), and there is abundant evidence that affect regulation plays an important role in NSSI in the majority of patients. Affective variability is a core feature of BPD, and thus, we hypothesize that NSSI has an affect stab...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2017.02.003
更新日期:2017-05-01 00:00:00
abstract::Research examining the diathesis-stress component of the hopelessness theory (HT) in youth has provided mixed support for the theory. One explanation for inconsistent findings is the failure to consider relationships among the three inferential styles posited to serve as vulnerability factors by the theory. The weakes...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2007.03.012
更新日期:2007-10-01 00:00:00
abstract::The present study examined the effects of repeated exposure of flight phobics to flights in virtual reality (VR). Flight phobics were randomly assigned either to complete one VR test flight followed by four VR exposure flights (VR group; N=15) in one lengthy session or to complete one VR test flight followed by a leng...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0005-7967(00)00076-0
更新日期:2001-09-01 00:00:00
abstract::Increased understanding of the nature and role of intrusive imagery has contributed to the development of effective treatment protocols for some anxiety disorders. However, intrusive imagery in severe health anxiety (hypochondriasis) has been comparatively neglected. Hence, the current study investigates the prevalenc...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2010.05.008
更新日期:2010-08-01 00:00:00
abstract::The present study explores driving skills in a group of 50 media-recruited driving-fearful and 50 control drivers, all of whom were women. Participants completed an on-road practical driving assessment with a professional driving instructor. Diagnostic as well as pre-post self-report and instructor driving assessments...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2006.07.007
更新日期:2007-04-01 00:00:00
abstract::Using the lick-suppression methodology of Jacobs, Buttrick & Kennedy (Pavlovian Journal of Biological Science, 23, 29-34, 1988), a conditioned emotional response (CER) was established in 24 rats using off-the-baseline pairings of a light (the conditional stimulus) and brief footshock (the unconditioned stimulus). Foll...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(90)90055-n
更新日期:1990-01-01 00:00:00
abstract::It is generally held that anxiety is characterized by an attentional bias for threatening information. In recent years there has been an important debate whether these biases reside at the level of attentional selection (threat detection) or attentional processing after threat detection (attentional disengagement). In...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2010.08.009
更新日期:2010-12-01 00:00:00
abstract::With an ageing population and a decline in cardiac mortality rates, the number of patients with cardiac disease is increasing, which in turn poses a major challenge for secondary prevention. For this end, appropriate, sensitive, and validated instruments to assess health complaints and quality of life are required. Th...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(02)00027-x
更新日期:2002-10-01 00:00:00
abstract::The cognitive-behavioural theory of Obsessive Compulsive Disorder (OCD) proposes that a key factor influencing obsessional behaviour is the way in which the intrusive cognitions are interpreted. The present paper reports an investigation of links between clinical symptoms (of anxiety, depression and obsessionality) an...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(99)00071-6
更新日期:2000-04-01 00:00:00
abstract::Fear conditioning and extinction serve as a dominant model for the development and maintenance of pathological anxiety, particularly for phasic fear to specific stimuli or situations. The validity of this model would be supported by differences in the physiological or subjective fear response between patients with fea...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2020.103610
更新日期:2020-06-01 00:00:00
abstract::This study tested a contextual model of disaster reaction by examining regional differences in the psychosocial impact of Hurricane Katrina. A total of 386 individuals participated in this study. All were recruited in the primary areas affected by Hurricane Katrina and included residents of metropolitan New Orleans (O...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2007.04.013
更新日期:2007-10-01 00:00:00
abstract::Animal research has shown that anxiety may inhibit pain through the release of endogenous opioids. On the other hand, anxiety is often believed to exacerbate pain in clinical situations, and anxiety reduction has been shown to attenuate the affective component of pain. In the present study phobic anxiety was induced b...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章
doi:10.1016/s0005-7967(98)00100-4
更新日期:1999-01-01 00:00:00
abstract::Around one in three of the UK population suffer from sleep problems, resulting in high costs to society. Cognitive behaviour therapy for insomnia (CBT-I) has been shown to be effective. Community-based workshops may be a cost-effective way to provide CBT-I to groups that are usually hard to reach or reluctant to seek ...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2014.01.005
更新日期:2014-04-01 00:00:00