| 1. |
- Davis III, Thompson E., et al.
(author)
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Intensive Treatment of Specific Phobias in Children and Adolescents
- 2009
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In: Cognitive and Behavioral Practice. - : Elsevier. - 1077-7229 .- 1878-187X. ; 16:3, s. 294-303
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Journal article (peer-reviewed)abstract
- One-session treatment (OST), a variant of cognitive-behavioral therapy, combines graduated in vivo exposure, participant modeling, reinforcement, psychoeducation, cognitive challenges, and skills training in an intensive treatment model. Treatment is maximized to one 3-hour session. In this paper, we review the application of OST for specific phobia in youth and highlight practical matters related to OST and its use in a clinical setting. We also briefly review results of treatment outcome studies and suggest future directions for clinical research and practice. We conclude that OST is an efficient and efficacious treatment.
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| 2. |
- Falkenström, Fredrik, 1972-
(author)
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Data Analytic Advances That Bridge the Scientist-Practitioner Gap
- 2022
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In: Cognitive and Behavioral Practice. - : Elsevier. - 1077-7229 .- 1878-187X. ; 29:3, s. 585-590
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Journal article (peer-reviewed)abstract
- In this commentary, I advance the view that the scientist-practitioner gap is partly due to the research designs commonly used in psychotherapy research. Specifically, I believe that randomized controlled trials, which are important for establish-ing treatment efficacy and as leverage when making the case for the value of psychotherapy in relation to various stake-holders, are limited for further development of clinical theories. Instead, I find recent advances in cross-lagged panel modeling to be both clinically intuitive and stronger for causal inference than most other nonexperimental designs. In addi-tion to discussing causal inference and clinical interpretation of cross-lagged panel models, I discuss the potential of improving mediation analysis, personalization of research, and studying issues of clinical timing. Finally, I briefly discuss some limitations of cross-lagged panel models. It is my belief that the use of these data analytic advances can make empir-ical research better live up to the innovations in Beck's work.
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| 3. |
- Folke, Fredrik, et al.
(author)
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Acceptance and Commitment Therapy for Depression : A Preliminary Randomized Clinical Trial for Unemployed on Long-Term Sick Leave
- 2012
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In: Cognitive and Behavioral Practice. - : Elsevier BV. - 1077-7229 .- 1878-187X. ; 19:4, s. 583-594
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Journal article (peer-reviewed)abstract
- This preliminaly study investigated the feasibility of a brief Acceptance and Commitment Therapy (ACT) in a Swedish sample of unemployed individuals on long-term sick leave due to depression. Participants were randomized to a nonstandardized control condition (N = 16) or to the ACT condition (N = 18) consisting of 1 individual and 5 group sessions. From pretreatment to 18-month follow-up the ACT participants improved significantly on measures of depression, general health, and quality of life compared to participants in the control condition. The conditions did not differ regarding sick leave and employment status at any time point. The results indicate that ACT is a promising treatment for depression. The need for further refinements of future ACT protocols for this population is discussed.
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| 4. |
- Folke, Fredrik, et al.
(author)
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Behavioral Activation Between Acute Inpatient and Outpatient Psychiatry : Description of a Protocol and a Pilot Feasibility Study
- 2015
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In: Cognitive and Behavioral Practice. - : Elsevier BV. - 1077-7229 .- 1878-187X. ; 22:4, s. 468-480
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Journal article (peer-reviewed)abstract
- Abstract Gaps in the continuity of care between acute inpatient and outpatient psychiatric services are common and potentially detrimental for service users. In this paper we provide the rationale for and description of a 12-session behavioral activation intervention for acute inpatients with depression and comorbid psychiatric disorders. The intervention was tailored to be initiated during acute inpatient care and to continue after discharge into outpatient services. We also describe a small pilot investigation (N = 13) of the intervention’s preliminary feasibility. Treatment retention, self-ratings, and participants’ adherence to treatment principles indicate preliminary feasibility of behavioral activation in this complex context. Self-rated activation and avoidance improved during the intervention. The value of a parsimonious inpatient therapy that can bridge the gap between services is discussed along with the limitations of this study.
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| 5. |
- Heyne, David, et al.
(author)
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Differentiation Between School Attendance Problems : Why and How?
- 2019
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In: Cognitive and Behavioral Practice. - : Elsevier. - 1077-7229 .- 1878-187X. ; 26:1, s. 8-34
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Journal article (peer-reviewed)abstract
- School attendance problems (SAPs) are heterogeneous with respect to etiology and presentation. The long history of conceptualizing SAPs has led to a vast array of terms and definitions as well as different perspectives on the most helpful approach to classification. For educators, practitioners, researchers, and policymakers, this presents a challenge in understanding, assessing, and intervening with SAPs. This paper outlines evolution in the conceptualization of SAPs, focusing on two contemporary approaches to differentiating between them. One approach draws on the longstanding differentiation between SAP types labeled school refusal, truancy, and school withdrawal. A fourth type of SAP, labeled school exclusion, is also considered. The other approach focuses on the function of absenteeism, measured via the School Refusal Assessment Scale (SRAS). Anecdotal and scientific support for the SAP typology is presented, along with the benefits and shortcomings of the SRAS approach to differentiation. The paper offers suggestions for how to differentiate between SAPs and introduces the SNACK, a brief screening measure that permits differentiation by SAP type.
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| 6. |
- Lundgren, Tobias, et al.
(author)
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The Bull's-Eye Values Survey : A Psychometric Evaluation
- 2012
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In: Cognitive and Behavioral Practice. - : Elsevier BV. - 1077-7229 .- 1878-187X. ; 19:4, s. 518-526
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Journal article (peer-reviewed)abstract
- Purpose: Two studies were conducted to develop and evaluate an instrument attempting to identify and measure personal values, values attainment and believability in thoughts functioning as obstacles in living a valued life. Study one describes a content validity approach to the construction and preliminary validation of the Bull’s Eye Values Survey (BEVS), using a sample of institutionalized patients suffering from Epilepsy. Study Two investigated the psychometric properties of the BEVS with a sample of Swedish university students. Results indicate that the BEVS is sensitive to treatment effects and can differentiate between clients who receive values based interventions and those that do not. The BEVS subscales and total score appear to measure an independent dimension of psychological functioning that is negatively correlated with measures of depression, anxiety and stress and positively correlated with a measure of psychological flexibility. The BEVS also exhibits acceptable temporal stability and internal consistency. The study provides preliminary support for the BEVS as both a research and clinical tool for measuring values, valued action discrepancies and barriers to value based living.
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| 9. |
- Wahlund, Tove, et al.
(author)
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Intolerance of uncertainty-focused treatment for adolescents with excessive worry - A pilot feasibility study
- 2020
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In: Cognitive and Behavioral Practice. - : Elsevier BV. - 1077-7229. ; 27:2, s. 215-230
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Journal article (peer-reviewed)abstract
- Bouts of excessive worry are common across the lifespan, increasing in frequency and complexity during adolescence and adulthood, and are found in several psychiatric disorders, particularly the anxiety disorders. There are evidence-based treatments for adolescents with anxiety disorders but psychological treatments designed specifically to target excessive worrying in adolescents are rare. Intolerance of uncertainty (IU), a cognitive predisposition described as a fear of the unknown, is highly associated with worry among adolescents. This study investigated the feasibility, acceptability, and preliminary efficacy of IU-focused cognitive behavioral therapy (IU-CBT) for adolescents with excessive worry. Twelve participants (aged 13–17 years) with excessive worry, irrespective of psychiatric diagnosis, were provided weekly face-to-face sessions, primarily including therapist and self-guided exposure to situations involving uncertainty. Sessions were supplemented with an internet-delivered educational program for parents, designed to teach parents about worry, IU and helpful parental behaviors. The main outcome measure was the Penn-State Worry Questionnaire for Children (PSWQ-C). The treatment was well tolerated with no dropouts and families reporting being satisfied with the treatment. Participants were able to grasp the notion of IU and its relationship to worry and avoidance. Significant reductions were observed for self-reported worry, anxiety, depression, IU, and parent-reported worry, as were significant increases in global functioning. Based on a clinician rating, 58.3% were categorized as much or very much improved at posttreatment, rising to 66% at 3-month follow-up. Participants with generalized anxiety disorder (GAD) benefitted more from treatment than those with social anxiety disorder. The findings suggest that this IU-focused psychological intervention is acceptable and feasible to adolescents with excessive worry but may be most effective for those with GAD.
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