Abstract：
:In this study, a computer-based feedback, decision and clinical problem-solving system for clinical practice will be described - the Trier Treatment Navigator (TTN). The paper deals with the underlying research concepts related to personalized pre-treatment recommendations for drop-out risk and optimal treatment strategy selection as well as personalized adaptive recommendations during treatment. The development sample consisted of 1234 patients treated with cognitive behavioral therapy (CBT). Modern statistical machine learning techniques were used to develop personalized recommendations. Drop-out analyses resulted in seven significant predictors explaining 12.0% of variance. The prediction of optimal treatment strategies resulted in differential prediction models substantially improving effect sizes and reliable improvement rates. The dynamic failure boundary reliably identified patients with a higher risk for no improvement or deterioration and indicated the usage of clinical problem-solving tools in risk areas. The probability to be reliably improved for patients identified as at risk for treatment failure was about half of the probability for other patients (35% vs. 62.15%; χ2df=1 = 82.77, p < .001). Results related to the computer-based feedback system are discussed with regard to the implication for clinical applications as well as clinical training and future research possibilities.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Lutz W,Rubel JA,Schwartz B,Schilling V,Deisenhofer AKdoi
10.1016/j.brat.2019.103438subject
Has Abstractpub_date
2019-09-01 00:00:00pages
103438eissn
0005-7967issn
1873-622Xpii
S0005-7967(19)30124-Xjournal_volume
120pub_type
杂志文章abstract：:The present study examines psychological and physiological indices of emotional regulation in non-clinical high worriers after a mindfulness-based training programme aimed at reducing worry. Thirty-six female university students with high Penn State Worry Questionnaire scores were split into two equal intervention gro...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2010.05.012
更新日期：2010-09-01 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：:The tendency to perceive anxious states as aversive and harmful is hypothesized to confer vulnerability to the development of anxiety disorders. The most commonly used measure of anxiety sensitivity, the Anxiety Sensitivity Index [ASI; Reiss, S., Peterson, R.A., Gursky, D.M., & McNally R.J. (1986). Anxiety sensitivity...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.09.017
更新日期：2007-08-01 00:00:00
abstract：:The harmful dysfunction (HD) analysis holds that disorder, mental or physical, requires harm, a value criterion, and dysfunction, a factual criterion referring to failure of a mechanism to perform a naturally selected function. Houts' arguments that the HD analysis does not offer an adequate factual account of dysfunc...
journal_title：Behaviour research and therapy
pub_type： 评论,杂志文章
doi：10.1016/s0005-7967(02)00131-6
更新日期：2003-08-01 00:00:00
abstract：:The current study investigated whether physical anxiety sensitivity (AS) is associated with selective attentional biases to affective stimuli in children. The dot-probe paradigm was used to examine the deployment of attention towards words pertaining to anxiety symptomatology, socially threatening words, and positive ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.04.001
更新日期：2007-03-01 00:00:00
abstract：:Persistent avoidance may be influenced by prior negative reinforcement rate (i.e., how effective the response is at controlling threat). In clinical settings, the effectiveness of extinction-based methods for treating anxiety-related avoidance may be impacted by prior reinforcement rate. Here, we conducted a laborator...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103711
更新日期：2020-08-12 00:00:00
abstract：:The present study investigated whether disgust-valenced information has an impact on children's fear beliefs about animals. Non-clinical children aged between 9 and 13 years (n=159) were presented with disgust-related and cleanliness-related information about unknown animals (Australian marsupials). Before and after i...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2007.09.005
更新日期：2008-01-01 00:00:00
abstract：:The features of severe health anxiety, intense and persistent anxiety about one's present and future health, are described. In common with other anxiety disorders such as GAD, PTSD and OCD, the core of HAD is distressing, uncontrollable anxiety, and is classifiable as an Anxiety Disorder, Health Anxiety Disorder (HAD)...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,评审
doi：10.1016/j.brat.2012.05.001
更新日期：2012-08-01 00:00:00
abstract：:Using a mixed within-between design, this study was designed to evaluate the sensorial and cognitive/evaluative aspects of bronchoconstriction induced by progressive methacholine inhalation. 25 asthmatic patients and 15 normal controls were given two consecutive bronchoconstriction tests, inducing a fall of > 30% of t...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(94)90016-7
更新日期：1994-07-01 00:00:00
abstract：:The Spence Children's Anxiety Scale (SCAS) is a child self-report measure designed to evaluate symptoms relating to separation anxiety, social phobia, obsessive-compulsive disorder, panic-agoraphobia, generalized anxiety and fears of physical injury. The results of confirmatory and exploratory factor analyses supporte...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(98)00034-5
更新日期：1998-05-01 00:00:00
abstract：:Contemporary models of generalized anxiety disorder (GAD) posit that worry functions as an avoidance strategy. During worry, individuals inhibit threat-related imagery in order to minimize autonomic reactivity to phobic topics. This conceptualization of worry suggests a role for the executive system in exerting top-do...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2007.06.007
更新日期：2007-11-01 00:00:00
abstract：:The present study explored whether endorphins have a short-term influence on behavioural approach to a phobic object and on the experience of fear. In a double-blind design, spider phobics (n = 30) received a placebo, a low dose (25 mg) or a high dose (100 mg) of naltrexone, an endorphin blocker. Approach to a spider ...
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(93)90097-e
更新日期：1993-05-01 00:00:00
abstract：:Recently, there has been increasing evidence for information-processing deficits in individuals with obsessive-compulsive disorder (OCD). While impairments in selective attention have been identified to be central to the symptomatology of OCD, the role that situational anxiety plays in attentional processes has not be...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(03)00037-8
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:Psychological flexibility theory (PFT) suggests three key processes of change: increases in value-directed behaviors, reduction in struggle with symptoms, and reduction in suffering. We hypothesized that Acceptance and Commitment Therapy (ACT) would change these processes and that increases in valued action ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2017.01.013
更新日期：2017-04-01 00:00:00
abstract：:There is a growing body of empirical support for Rachman's (1994, 2004, 2006) conceptualization of mental contamination. The aim of this study was to tease apart manipulations of imagined physical descriptions (i.e., clean versus dirty), in the context of both morally sound and reprehensible acts (i.e., consensual ver...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2012.03.007
更新日期：2012-06-01 00:00:00
abstract：:Controlled studies have established manual-based cognitive-behavioral therapy (CBT) is the first-line treatment of choice for bulimia nervosa. Nevertheless, its effectiveness is limited. On average, only 50% of patients cease being eating and purging. Of the remainder, some show partial improvement, whereas a small nu...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,评审
doi：10.1016/0005-7967(95)00068-2
更新日期：1996-03-01 00:00:00
abstract：:The development and initial evaluation of a new, comprehensive and multicomponent behavioral treatment (Trauma Management Therapy, or TMT) for chronic combat-related Post-Traumatic Stress Disorder (PTSD) is described. The program utilizes elements of intensive exposure therapy, programmed practice, and structured soci...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(96)00020-4
更新日期：1996-07-01 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：OBJECTIVE:Knowledge of patients' in-session experiences that lead to symptom change in psychotherapy is limited. This study aims to investigate the within- and between-patient relationships between three in-session processes in psychotherapy (coping skills, therapeutic relationship quality, and emotional involvement) a...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2016.12.007
更新日期：2017-03-01 00:00:00
abstract：:Trichotillomania is an impairing condition that involves repetitive hair pulling. Habit reversal therapy is helpful for many persons with this disorder. Unfortunately, habit reversal therapy is not helpful for everyone and maintenance of gains is often problematic. Successful habit reversal therapy requires the indivi...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2008.06.013
更新日期：2008-10-01 00:00:00
abstract：:Breslau, Peterson, and Shultz (2008) reported that prior trauma alone, in the absence of PTSD, did not predict an increased PTSD risk, relative to no prior trauma. Only prior trauma that resulted in PTSD predicted an increased PTSD risk following a subsequent trauma. Recently, Cougle, Resnick, and Kilpatrick (2009) pr...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2010.07.001
更新日期：2010-10-01 00:00:00
abstract：:This study compared and combined fluoxetine and individual cognitive behavioral therapy in the treatment of bulimia nervosa. Participants were 76 women who sought treatment at the Eating Disorders Program of the Toronto Hospital and who met DSM-III-R criteria for bulimia nervosa. Subjects were randomly assigned to rec...
journal_title：Behaviour research and therapy
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1997-09-01 00:00:00
abstract：:Ehlers and Clark [(2000). A cognitive model of post-traumatic stress disorder. Behaviour Research and Therapy, 38, 319-345] cognitive model of post-traumatic stress disorder (PTSD) has been relatively untested with children. Seventy-five children (7-16 years) were interviewed within 4 weeks of an injury that led to ho...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2008.02.008
更新日期：2008-06-01 00:00:00
abstract：:This two-part study examined the role of the responsibility to continue thinking, beliefs that one needs prolonged thinking about stressful problems, in the prediction of excessive worry. This construct is considered to reflect high levels of motivation to continue inflexible thinking and the use of rigid stop rules. ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2006.08.001
更新日期：2007-07-01 00:00:00
abstract：:Recent studies have shown that avoidance behavior may become excessive and inflexible (i.e., detached from its incentive value and resistant to extinction). On the other hand, prospective intolerance of uncertainty (P-IU) has been defined as a factor leading to excessive responding in uncertain situations. Thus, uncer...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.brat.2018.02.008
更新日期：2018-05-01 00:00:00
abstract：:With the advent of DSM-III-R, the diagnostic criteria for generalized anxiety disorder (GAD) shifted in emphasis from the autonomic arousal to the cognitive component of the disorder, namely worry. The Penn State Worry Questionnaire was developed to assess the trait of worry and has proven to be a reliable and valid m...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/0005-7967(92)90093-v
更新日期：1992-01-01 00:00:00
abstract：:There is a growing interest on how mental imagery may be involved in the onset and maintenance of anxiety-related disorders. Here, we used an experimental design to investigate whether a key symptom across anxiety-related disorders, namely avoidance, can be induced via mental imagery. Healthy participants first learne...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2020.103652
更新日期：2020-06-01 00:00:00
abstract：:Failures to retrieve specific memories have been related to general tendencies to commit errors in executive functioning tasks, raising the question of whether they are simply a reflection of randomly occurring lapses in cognitive control or whether their occurrence is in any way related to memory content. This study ...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/j.brat.2007.02.006
更新日期：2007-08-01 00:00:00
abstract：:Suicide risk is thought to increase with a greater potential for activation of suicide-related schemas. Suicide schemas are less likely to be activated with reductions of emotional range associated with certain negative symptoms of schizophrenia. The study tested whether suicide risk would increase in patients with re...
journal_title：Behaviour research and therapy
pub_type： 杂志文章,多中心研究
doi：10.1016/j.brat.2007.03.007
更新日期：2007-09-01 00:00:00
abstract：:The cognitive theory of obsessive-compulsive disorder (OCD) is the most widely accepted account of the aetiology and maintenance of this disorder in adults. This paper investigated whether cognitive processes were evident in a sample of children with a primary diagnosis of OCD. Using an idiographic approach, as propos...
journal_title：Behaviour research and therapy
pub_type： 杂志文章
doi：10.1016/s0005-7967(02)00011-6
更新日期：2003-03-01 00:00:00
