Abstract:
BACKGROUND AND OBJECTIVES:The underlying mechanisms of symptom change in schema therapy (ST) for chronic major depressive disorder (cMDD) have not been studied. The aim of this study was to explore the impact of two potentially important mechanisms of symptom change, maladaptive schemas (proxied by negative idiosyncratic core-beliefs) and the therapeutic alliance. METHODS:We drew data from a single-case series of ST for cMDD. Patients with cMDD (N = 20) received on average 78 repeated weekly assessments over a course of up to 65 individual sessions of ST. Focusing on repeated assessments within-individuals, we used mixed regression to test whether change in core-beliefs and therapeutic alliance preceded, followed, or occurred concurrently with change in depressive symptoms. RESULTS:Changes in core-beliefs did not precede but were concurrently related to changes in symptoms. Repeated goal and task agreement ratings (specific aspects of alliance) of the same session, completed on separate days, were at least in part associated with concurrent changes in symptoms. LIMITATIONS:By design this study had a small sample-size and no control group. CONCLUSIONS:Contrary to what would be expected based on theory, our findings suggest that change in core-beliefs does not precede change in symptoms. Instead, change in these variables occurs concurrently. Moreover, alliance ratings seem to be at least in part colored by changes in current mood state.
journal_name
J Behav Ther Exp Psychiatryjournal_title
Journal of behavior therapy and experimental psychiatryauthors
Renner F,DeRubeis R,Arntz A,Peeters F,Lobbestael J,Huibers MJHdoi
10.1016/j.jbtep.2017.10.002subject
Has Abstractpub_date
2018-03-01 00:00:00pages
97-105eissn
0005-7916issn
1873-7943pii
S0005-7916(17)30079-4journal_volume
58pub_type
杂志文章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::A novel behavioral method is described for the treatment of psychogenic polydipsia in a patient suffering from chronic schizophrenia. The patient was given feedback on serum sodium concentration, likely physical consequences, and the value of reducing fluid intake. An ABAB single-case design was used, with changes in ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(93)90029-v
更新日期:1993-09-01 00:00:00
abstract::A number of cognitivists have claimed that it is somehow illegitimate for those people who do not accept that cognitions are the only cause of human behavior to enter into debate on the issue. Their argument appears to be that it is not possible to develop an argument without making use of the sort of cognition descri...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/s0005-7916(96)00046-8
更新日期:1996-12-01 00:00:00
abstract::Emotional expression is an essential function for daily life that can be severely affected in some psychological disorders. Laboratory-based procedures designed to measure prosodic expression from natural speech have shown early promise for measuring individual differences in emotional expression but have yet to produ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2009.11.008
更新日期:2010-06-01 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::The efficacy of a positive reinforcement contingency procedure was evaluated in the treatment of a 6-year old boy with reluctant speech. The intervention was conducted in the kindergarten classroom and the teacher served as therapist. Using an ABABB' single case experimental design, positive reinforcement was found to...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(82)90057-x
更新日期:1982-06-01 00:00:00
abstract::Implicit and explicit memory processes for panic-relevant and neutral word stimuli were examined in 16 panic patients and 16 healthy participants matched for sex, age, and education, using behavioral and electrophysiological measures. In the study phase, panic-relevant and neutral words were presented and the level of...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2004.08.003
更新日期:2005-06-01 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:BACKGROUND AND OBJECTIVES:This treatment study investigated the extent to which asymmetric dimensions of affective responding, specifically the positivity offset and the negativity bias, at pretreatment altered the rate of response to Behavioral Activation treatment for depression. METHOD:Forty-one depressed participa...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2015.09.011
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Researchers have conceived of post-traumatic stress disorder (PTSD) as a disorder of memory, and proposed that blocking the impact of stress-related noradrenaline release in the aftermath of trauma may be a way of preventing the 'over-consolidation' of trauma-related memories. Experimental res...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 临床试验,杂志文章
doi:10.1016/j.jbtep.2019.101480
更新日期:2020-06-01 00:00:00
abstract::In medicine, decisions about treatment selection are mainly based on clinical diagnoses, whereas behavior therapists have typically assumed that it is necessary to tailor treatments based on individual problem analyses. However, various studies (including our own using patients with phobic anxieties) have failed to de...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章,评审
doi:10.1016/0005-7916(96)00015-8
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:People who perform a cognitively demanding secondary task while recalling a distressing memory often experience the memory as less emotional, vivid, or accurate during subsequent recollections. In this experiment, we tested whether the emotional valence (positive versus neutral) and sensory mo...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2014.11.001
更新日期:2016-12-01 00:00:00
abstract::We tested whether performance on a progressive ratio schedule of reinforcement with increasing magnitudes of monetary reward could be used as a behavioral measure of response to reinforcement during depression. Performance on the task was recorded before, during and after treatment of depression in six melancholic pat...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(85)90068-0
更新日期:1985-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Overgeneral memory (OGM), difficulty in retrieving specific autobiographical memories, is a robust phenomenon related to the onset and course of depressive and posttraumatic stress disorders. Inhibitory mechanisms are theorized to underlie OGM; however, empirical support for this link is equiv...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2018.06.003
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Perception of trustworthiness in other people is essential for successful social interaction. Facial expressions-as conveyers of feelings and intentions-are an important source of this information. We investigated how social anxiety is related to biases in the judgment of faces towards un/trus...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2016.04.003
更新日期:2016-09-01 00:00:00
abstract::Situational in vivo exposure has been widely used in the treatment of agoraphobia. However, only a low to moderate proportion of individuals treated with this approach have shown a high level of therapeutic gain. The recent recognition of panic as central to the development and maintenance of a great many cases of ago...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(90)90009-a
更新日期:1990-09-01 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::In this study, the nighttime problems of two girls diagnosed as having separation anxiety disorder were treated with cognitive-behavioral procedures. Through the use of a multiple baseline design across subjects, the additive effects of self-control training and self-control training plus contingent reinforcement were...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(91)90006-q
更新日期:1991-06-01 00:00:00
abstract::The Dysfunctional Attitude Scale (DAS) and the Young Schema Questionnaire (YSQ) have been suggested as relatively stable vulnerability markers for depression and entrenched psychological disorders, respectively. One-hundred-and-forty-nine clinically depressed (CDs), previously depressed (PDs) and never-depressed subje...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2010.04.002
更新日期:2010-12-01 00:00:00
abstract::Direct-care staff in long-term care institutions for the elderly are responsible for implementing behavioral treatment programs for an increasing number of patients with behavioral and psychiatric problems. Because the quality of life for these patients is a function of the quality of care provided, maximizing staff's...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/s0005-7916(97)00021-9
更新日期:1997-09-01 00:00:00
abstract::This study examined the clinical effects of correspondence training procedures in the management of a hyperactive-conduct disordered boy. During the reinforcement of promise-do correspondence procedure, a toy (reinforcer) was given contingent upon the presence of a promise to inhibit target behaviors (e.g., inattentio...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(90)90050-u
更新日期:1990-03-01 00:00:00
abstract::A case study is presented to illustrate the effectiveness of regular educational visits in reducing the over-utilization of emergency health care services. Frequent emergency room visits and help-seeking telephone calls were reduced substantially. The financial cost to the health system overall was reduced by 50%. ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(86)90010-8
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Social anxiety is associated with biased processing of threatening faces. Earlier research indicated that socially anxious individuals are biased towards processing low spatial frequency (LSF) information when judging facial expressions. However, it remains unclear whether this bias reflects b...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2014.06.008
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Cognitive bias to sleep-related information is thought to be a core feature of sleep disturbances. The bias may enhance pre-sleep arousal, such as excessive worry about sleeplessness, which prevents people from initiating normal sleep onset. The present study focused on (a) attention bias towa...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2018.02.005
更新日期:2018-09-01 00:00:00
abstract::Four mothers received toddler management training to teach basic behavior modification technology for use with their oppositional pre-school children. Clinic sessions included baseline, differential reinforcement I, reversal, differential reinforcement II, and follow-up. When training was completed, all mothers were p...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(82)90006-4
更新日期:1982-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The treatment of negative symptoms in schizophrenia is a major challenge for mental health care. One randomized controlled trial found that cognitive therapy for low-functioning patients reduced avolition and improved functioning, using an average of 50.5 treatment sessions over the course of ...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 临床试验,杂志文章
doi:10.1016/j.jbtep.2013.01.004
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The Seeking Proxies for Internal States (SPIS) hypothesis predicts that obsessive-compulsive disorder (OCD) is associated with a deficit in subjective convictions, which may lead to a reliance on external substitutes for the perceptions of an individual's internal states. Two well-designed stu...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2016.09.003
更新日期:2017-03-01 00:00:00
abstract::The present study examined the association between pain-related anxiety and an on-line interpretation bias for putative physical health threat. Healthy volunteers (n=80) completed measures on Anxiety Sensitivity, Injury/illness Sensitivity, Fear of Pain and Pain Catastrophizing. Furthermore, they performed an interpre...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/j.jbtep.2008.03.004
更新日期:2009-03-01 00:00:00
abstract::The hyperventilation syndrome is present in as many as 50% of patients with non-cardiac chest pain. This study evaluated a behavioral treatment of this disorder in three adult females. They had long histories of chest pain and were documented to be free of coronary artery disease. Each subject met the DSM-III-R diagno...
journal_title:Journal of behavior therapy and experimental psychiatry
pub_type: 杂志文章
doi:10.1016/0005-7916(89)90005-0
更新日期:1989-03-01 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