Abstract:
:In evidence-based mental health practice, decisions must often be made for which there is little or no empirical basis. A common example of this is when there are multiple empirically supported interventions for a person with a given diagnosis, where the aim is to recommend the treatment most likely to be effective for that person. Data obtained from randomized clinical trials allow for the identification of patient characteristics that could be used to match patients to treatments. Historically, researchers have focused on individual moderators, single variables that interact statistically with treatment type, but these have rarely proved powerful enough to inform treatment decisions. Recently, researchers have begun to explore ways in which the use of multivariable algorithms might improve clinical decision-making. Common pitfalls have been identified, including the use of methods that provide overoptimistic estimates of the gains that can be expected from the applications of an algorithm in a clinical setting. It is too early to tell if these efforts will pay off and, if so, how much their use can increase the efficiency and effectiveness of mental health systems. It behooves the field to continue to learn and develop the most powerful methods that can produce generalizable knowledge that will advance the aims of precision mental health.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
DeRubeis RJdoi
10.1016/j.brat.2019.103506subject
Has Abstractpub_date
2019-12-01 00:00:00pages
103506eissn
0005-7967issn
1873-622Xpii
S0005-7967(19)30192-5journal_volume
123pub_type
历史文章,杂志文章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::Cognitive defusion techniques are designed to reduce the functions of thoughts by altering the context in which they occur, rather than the attempting to alter the form, frequency, or situational sensitivity of the thoughts themselves. Applied technologies designed to produce cognitive defusion seem to lead to reducti...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2003.10.008
更新日期:2004-04-01 00:00:00
abstract:UNLABELLED:Cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD) may decrease social anxiety by training emotion regulation skills. This randomized controlled trial of CBT for SAD examined changes in weekly frequency and success of cognitive reappraisal and expressive suppression, as well as weekly inten...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2014.02.005
更新日期:2014-05-01 00:00:00
abstract::This study examined differences between socially anxious and nonanxious individuals' ability to use effective communication skills and social skills in the context of romantic relationships. Socially anxious (n = 13) and nonanxious (n = 14) individuals and their romantic partners were videotaped while participating in...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2004.03.010
更新日期:2005-04-01 00:00:00
abstract::Thought-action fusion (TAF) refers to a set of cognitive biases that are thought to play a role in the development of obsessional phenomena. To measure these biases, R. Shafran, D. S. Thordarson, and S. Rachman (1996; Journal of Anxiety Disorders, 10, 379-391) developed the TAF-scale. They concluded that the TAF-scale...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(00)00031-0
更新日期:2001-05-01 00:00:00
abstract::A confirmatory factor analysis of the factor structure of The Aggression Questionnaire created by Buss and Perry (1992) [Journal of Personality and Social Psychology, 63, 452-459] was conducted to assess whether the scale's purported 4 factors emerged. The results generally supported the 4-factor model. However, the h...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(95)00038-y
更新日期:1995-11-01 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::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 examined the contribution of three main cognitive factors (i.e., anxiety sensitivity, catastrophic misinterpretations of bodily symptoms, and panic self-efficacy) in predicting panic disorder (PD) severity in a sample of patients with a principal diagnosis of panic disorder. It was hypothesized that ...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2015.01.005
更新日期:2015-04-01 00:00:00
abstract::The effects of diazepam was assessed on a number of measures of phobic anxiety. Snake-phobic subjects underwent two sessions on either diazepam or placebo in a crossover design. In addition to a habituation series, a slide with the phobic object was displayed as well as a live snake which subjects were asked to approa...
journal_title:Behaviour research and therapy
pub_type: 临床试验,杂志文章
doi:10.1016/0005-7967(90)90078-w
更新日期:1990-01-01 00:00:00
abstract::The study compared the effects of Acceptance and Commitment Therapy (ACT) with Tinnitus Retraining Therapy (TRT) on tinnitus impact in a randomised controlled trial. Sixty-four normal hearing subjects with tinnitus were randomised to one of the active treatments or a wait-list control (WLC). The ACT treatment consiste...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2011.08.001
更新日期:2011-11-01 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::One-hundred and thirty-two victims of motor vehicle accidents (MVAs), who sought medical attention as a result of the MVA, were assessed at three points in time: 1-4 months post-MVA, 6 months later, and 12 months later. Of the 48 who met the full criteria for Post-Traumatic Stress Disorder (PTSD) initially, half had r...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(96)00038-1
更新日期:1996-10-01 00:00:00
abstract::A comparison was carried out of the efficacy of psychological and drug treatments for children with migraine. Forty-three children aged between 8 and 16 years (mean age: 11.3 years) who suffered from migraine received either progressive relaxation or cephalic vasomotor feedback, both with stress management training, o...
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(98)00081-3
更新日期:1998-12-01 00:00:00
abstract::The present study investigated the relationship between anxiety sensitivity and fear of pain in a large group of healthy adolescents (N=200). Participants completed the childhood anxiety sensitivity index for children-revised, a questionnaire measuring four specific domains of anxiety sensitivity: fear of cardiovascul...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(01)00018-3
更新日期:2001-11-01 00:00:00
abstract::Although it is well established that attentional biases exist in anxious populations, the specific components of visual orienting towards and away from emotional stimuli are not well delineated. The present study was designed to examine these processes. We used a modified spatial cueing task to assess the speed of eng...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2008.10.021
更新日期:2009-02-01 00:00:00
abstract::Unlike the multiple sleep latency test, pupillometry does not require sleep to test sleepiness, which may be an advantage in assessing insomniacs. Pupillometry was employed to study possible differences in daytime sleepiness between insomniacs and noninsomniacs. Thirty self-defined insomniacs and an equal number of no...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(94)90093-0
更新日期:1994-01-01 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::This study compared the effects of mother-child reminiscing coaching on mothers of typically developing children (community sample) and mothers of children with conduct problems (clinical sample). It also tested whether intervention effects generalize to mothers' preferences for elaborative and mental-state oriented t...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2018.09.004
更新日期:2018-12-01 00:00:00
abstract::Previous research suggests that formerly dysphoric individuals engage in effortful strategies (e.g., thought suppression) that may mask underlying depressive thinking. The addition of a cognitive load, such as recalling a 6-digit number, which interferes with effortful mental control, reveals depressive thinking in fo...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2007.05.001
更新日期:2007-12-01 00:00:00
abstract::Rumination about body weight/figure as well as food is common in patients with Anorexia Nervosa (AN) and may be a maintenance factor of the disorder. While rumination can generally be considered as a cognitive-affective process, food-related rumination may be driven primarily by a physiological response to undernutrit...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2018.10.001
更新日期:2018-12-01 00:00:00
abstract::The psychological consequences of traumatic stress may last even into old age. In persons in their 60s and 70s who had been victims of political detention and torture four decades ago, we compared the outcome of narrative exposure therapy (NET) to that of psychoeducation (PED) only. From a group of 59 former political...
journal_title:Behaviour research and therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.brat.2006.12.006
更新日期:2007-09-01 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::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::Anxiety sensitivity refers to the fear of anxiety-related bodily sensations that are interpreted as having potentially harmful somatic, psychological, or social consequences. The current study examined the factor analytic structure of anxiety sensitivity in a large sample of normal adolescents (N=518) using the revise...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/s0005-7967(00)00112-1
更新日期:2002-03-01 00:00:00
abstract::We investigated the effects of awareness on selective attention for masked and unmasked verbal threat material using a computerised version of the emotional Stroop. Participants were assigned to the high trait anxious (HTA) and low trait anxious (LTA) groups on the basis of questionnaire scores, and state anxiety was ...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2009.11.003
更新日期:2010-03-01 00:00:00
abstract::The role of avoidance behavior in perpetuating the experience of intrusive thoughts among burn survivors was investigated. The Impact of Events Scale (IES), which has subscales that measure the frequency of intrusive thoughts and avoidance behavior, was administered to burn survivors (n = 23) upon discharge and four m...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/0005-7967(96)00019-8
更新日期:1996-08-01 00:00:00
abstract::Little is known about the treatment of adolescents with an eating disorder who are not underweight. Enhanced cognitive behaviour therapy (CBT-E) is a potential option as it is a treatment for adult patients with eating disorders of this type and it has been shown to be effective with adolescent patients who are underw...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2015.07.014
更新日期:2015-10-01 00:00:00
abstract::Outcomes for cognitive-behaviour therapy (CBT) in randomised controlled trials (RCTs) have rarely been compared to those in routine clinical practice. Taking the case of CBT for chronic fatigue syndrome (CFS), we evaluated the results of a successful RCT against those of the same treatment given in the same setting as...
journal_title:Behaviour research and therapy
pub_type: 杂志文章
doi:10.1016/j.brat.2006.08.019
更新日期:2007-06-01 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