Abstract:
BACKGROUND:Previous psychotherapy research has examined the therapeutic alliance and therapist adherence as correlates or predictors of symptom change. While some initial evidence suggests the alliance is associated with risk of dropout in cognitive behavioral treatment for depression, evidence of such relations has been limited to date. We examined the relation of these psychotherapy process variables and dropout in the context of cognitive therapy for depression when provided in combination with pharmacotherapy. METHODS:Patients were randomized to the CT plus pharmacotherapy condition of a clinical trial for chronic or recurrent depression. Consistent with the spirit of personalized medicine, patients were treated until they met remission and recovery criteria (or reached the maximum allowable time in the study). In a sample of 176 patients, we examined observer-rated alliance and therapist adherence in the first three CT sessions as potential predictors of treatment dropout. RESULTS:The therapeutic alliance and one facet of therapist adherence (i.e., Behavioral Methods/Homework) predicted reduced odds of dropout. Therapist use of Negotiating/Structuring predicted greater likelihood of dropout, but only when other variables were included in the model. LIMITATIONS:Process ratings were not available for concurrent pharmacotherapy sessions. A minority of patients did not have session recordings available. CONCLUSIONS:Results are consistent with the possibility that the therapeutic alliance and therapists' focus on homework and behavioral methods promote treatment retention in combined treatment for depression.
journal_name
J Behav Ther Exp Psychiatryjournal_title
Journal of behavior therapy and experimental psychiatryauthors
Cooper AA,Strunk DR,Ryan ET,DeRubeis RJ,Hollon SD,Gallop Rdoi
10.1016/j.jbtep.2015.06.005subject
Has Abstractpub_date
2016-03-01 00:00:00pages
113-9eissn
0005-7916issn
1873-7943pii
S0005-7916(15)30006-9journal_volume
50pub_type
杂志文章,随机对照试验abstract::The present study examined the relations among a depressive ruminative response style, a general propensity to experience negative affectivity, and negative affect induced by a paced serial auditory addition task (PASAT). Ninety nonclinical individuals completed a computerized version of the PASAT, which elicits a gen...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2005.06.002
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:High levels of psychological control (PC), the (intentional or unintentional) attempt by parents to control their child's emotional experience, have been associated with increased risk for anxiety in youth. However, little is known regarding the association between PC and anxiety in emerging a...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2020.101563
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:It is well known that socially anxious individuals show biased processing towards threatening faces and better performance with low spatial frequencies information (LSF). It is unclear whether this bias is confined to facial processing or can be extended to other types of information. METHODS...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2019.03.002
更新日期:2019-09-01 00:00:00
abstract::Mean sleep onset latency was reduced from 124 to 29 min in 15 patients suffering from insomnia secondary to cancer; 15 subjects receiving routine care had means of 116 and 104 min in comparison. Muscle relaxation training was administered in individual sessions on three consecutive days. With 26 subjects available for...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章,评审
doi:10.1016/0005-7916(83)90056-3
更新日期:1983-09-01 00:00:00
abstract::This paper examines the interactive effects of acceptance-based coping and job control on task performance, subjective stress, and perceived control. Forty-eight undergraduate and graduate students first participated in brief educational programs based on either acceptance or control coping strategies. They then parti...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jbtep.2010.08.005
更新日期:2011-03-01 00:00:00
abstract::Cognitive-behavior therapy and exposure and response prevention are the most effective psychological treatments for obsessive-compulsive disorder (OCD). However, these approaches often produce variable results with the majority of treated individuals remaining symptomatic. This study evaluated a new form of cognitive ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2006.12.001
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:People exposed to trauma often experience intrusive thoughts and memories about that event. Research examining people's responses to trauma assumes that people can accurately notice the occurrence of symptoms. However, we know from the broader cognitive literature on 'mind-wandering' that peop...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2016.10.005
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND & OBJECTIVES:Ruminative self-focus is a maladaptive form of emotional processing and is linked to distress, whereas mindful self-focus is adaptive and linked to low distress. However, the effects of these different modes of self-focus have not yet been examined in symptoms associated with psychotic disorders...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2016.07.014
更新日期:2017-03-01 00:00:00
abstract::Swallow induction has been used to shape swallowing behavior in dysphagic children and to accelerate swallowing in nondysphagic children with profound mental retardation who display primitive swallows. Swallow induction may be considered a type of prompt. This project coupled swallow induction with a modified delayed ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(94)00067-v
更新日期:1995-03-01 00:00:00
abstract::Contemporary models suggest that persons with panic disorder inaccurately attribute somatic anxiety symptoms to catastrophic causes. This consequently exacerbates their physiological symptoms, triggering full-blown panic attacks. Researchers have modified catastrophic thinking using cognitive therapy, but typically ha...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(88)90029-8
更新日期:1988-06-01 00:00:00
abstract::In two covariation bias experiments, we investigated whether socially anxious women overestimate the contingency between social events and signs of rejection and/or to underestimate the contingency between social events and approval. Participants were exposed to descriptions of ambiguous or negative social events, sit...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2009.02.001
更新日期:2009-06-01 00:00:00
abstract::This paper discusses problems with field-based replications of behavioral interventions. Major issues identified include operational specificity, mislabelling of procedures, relative contributions of components in multi-faceted treatment packages, and impediments to systematic replication. The paper concludes with a c...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(85)90024-2
更新日期:1985-03-01 00:00:00
abstract::We employed a multiple-baseline design to test the efficacy of a recently developed approach for reducing school refusal behavior. This approach uses a systematic method for conducting a functional analysis for the target behaviors and suggests specific intervention strategies based upon this analysis. To maximize ext...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/s0005-7916(96)00023-7
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Obsessive-compulsive disorder (OCD) is understudied in African Americans, thus little is known about factors that might predispose this group to obsessive-compulsive anxiety. Prior research has shown that African Americans endorse more concerns about contamination, but it is not known how thes...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2011.09.003
更新日期:2012-03-01 00:00:00
abstract::Adopting a dimensional approach to experimental psychopathology, and taking into account inconsistencies in the previous literature, we examined whether reports of psychotic-like experiences in undergraduate students were associated with shift-learning deficits, akin to those seen in schizophrenia. The participants (N...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2004.10.002
更新日期:2005-12-01 00:00:00
abstract::By the use of a multifaceted exposure program that lasted 16 weeks, a 27-year-old male was treated for debilitating and irrational fears of having a heart attack. The subject reported reductions in daily anxiety ratings and Valium intake at midtreatment and further reductions at the conclusion of treatment. These chan...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(85)90031-x
更新日期:1985-03-01 00:00:00
abstract::Persecutory delusions are proposed to be a defence against low self-esteem reaching conscious awareness (Bentall, Corcoran, Howard, Blackwood, & Kinderman, 2001). Key predictions of this proposal are that individuals with persecutory delusions will have lower implicit self-esteem and equivalent levels of explicit self...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2010.05.003
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Paediatric obsessive-compulsive disorder (OCD) and tic disorders (TD) often present together. However, there has been relatively little research on whether comorbid tic disorders influence response to cognitive behaviour therapy (CBT) for OCD. This study aimed to examine the outcomes of CBT fo...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2015.03.004
更新日期:2015-12-01 00:00:00
abstract::This study evaluated a multidimensional treatment of stuttering (awareness training, regulated breathing, cognitive restructuring and relapse prevention) for mild, moderate and severe stutterers. Behavioral measures (percentage of syllables stuttered and rate of speech) and cognitive measures (self-efficacy perception...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(89)90007-4
更新日期:1989-03-01 00:00:00
abstract::Efforts to curtail the spread of AIDS emphasize changing risk practices. An objective measure of practical knowledge about AIDS risk behaviors can permit the more accurate assessment of the impact of such prevention programs. This paper describes the construction of a standardized 40-item test of AIDS risk behavior kn...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(89)90027-x
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The emotion of guilt plays a pivotal role in the genesis and maintenance of Obsessive-Compulsive Disorder (OCD). But what kind of guilt do OC patients want to prevent? Several studies suggest the existence of two different types of guilt emotions, namely deontological and altruistic guilt. Thi...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2015.05.003
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:These days, a growing number of social interactions occur through video-mediated communication (VMC). However, little is known about how socially anxious individuals use this technology. Here, we examined the visual attention patterns of high and low socially anxious individuals during a live ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2020.101595
更新日期:2020-12-01 00:00:00
abstract::Twenty carefully selected snake phobics were exposed to a caged snake for eight trials via a conveyor apparatus. During the first and eighth trials the subjects brought the snake toward themselves as closely as tolerable; records were kept of the end-of-trial distances remaining between the subject and the snake. For ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0005-7916(99)00017-8
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:It has been proposed that worry in individuals with Generalized Anxiety Disorder may be reinforced by a positive effect of worry on decision making, as reflected by a steeper learning curve on the Iowa Gambling Task (IGT). We hypothesized that this apparent positive effect of worry is dependent on the IGT pa...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2013.08.001
更新日期:2014-03-01 00:00:00
abstract::Experiential avoidance is the unwillingness to experience unwanted thoughts, emotions, or bodily sensations and an individual's attempts to alter, avoid, or escape those experiences. The aim of the current studies was to broaden previous research indicating that experiential avoidance often leads to the development an...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2004.04.011
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Cognitive theories of aggression propose that biased information processing is causally related to aggression. To test these ideas, the current study investigated the effects of a novel cognitive bias modification paradigm (CBM-I) designed to target interpretations associated with aggressive b...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2017.08.003
更新日期:2018-03-01 00:00:00
abstract::The present study aimed to provide an empirical test of the proposal that catastrophic worry about the consequences of not sleeping is common among patients with primary insomnia and serves to maintain the sleep disturbance. It was predicted that relative to good sleepers, patients with primary insomnia would catastro...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/s0005-7916(03)00003-x
更新日期:2003-03-01 00:00:00
abstract::Previous research has demonstrated behavioral programs to be effective in treating children with selective food preferences. However, there are few examples of interventions for the child displaying almost total food refusal. The present program combined sensory reinforcement and texture fading procedures to treat a 4...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(87)90029-2
更新日期:1987-06-01 00:00:00
abstract::Repetitive, intrusive cognitive phenomena are central both to obsessive-compulsive patients - typically as obsessive thoughts - and to depressed patients - typically as ruminative thoughts. The objective of the present study is to compare obsessive and ruminative thoughts in non-depressed obsessive-compulsive and depr...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2011.03.002
更新日期:2011-12-01 00:00:00
abstract::The present study evaluated the extent to which children are able to learn to increase skin temperature with biofeedback training. Forty-nine children (ages 7-16) were randomly assigned to either standard biofeedback, novel biofeedback or control groups, which met for 16, 16, and 5 sessions, respectively. Results indi...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0005-7916(92)90023-c
更新日期:1992-03-01 00:00:00