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Olatunji, Bunmi O.; Rosenfield, David; Tart, Candyce D.; Cottraux, Jean; Powers, Mark B.; Smits, Jasper A. J. – Journal of Consulting and Clinical Psychology, 2013
Objective: To examine symptom change over time, the effect of attrition on treatment outcome, and the putative mediators of cognitive therapy (CT) versus behavior therapy (BT) for obsessive-compulsive disorder (OCD) using archival data. Method: Sixty-two adults with OCD were randomized to 20 sessions of CT (N = 30) or BT (N = 32) that consisted of…
Descriptors: Behavior Disorders, Behavior Modification, Therapy, Anxiety Disorders
Kushner, Matt G.; Maurer, Eric W.; Thuras, Paul; Donahue, Chris; Frye, Brenda; Menary, Kyle R.; Hobbs, Jennifer; Haeny, Angela M.; Van Demark, Joani – Journal of Consulting and Clinical Psychology, 2013
Objective: Treatment for alcohol use disorder (AUD) is far less effective for those with a co-occurring anxiety disorder. Surprisingly, adding an independent anxiety treatment to AUD treatment does not substantially improve the poor alcohol outcomes of these patients. This may reflect the lack of attention from independent treatments to the…
Descriptors: Cognitive Restructuring, Behavior Modification, Relaxation Training, Alcoholism
Newman, Michelle G.; Fisher, Aaron J. – Journal of Consulting and Clinical Psychology, 2013
Objective: This study examined (a) duration of generalized anxiety disorder (GAD) as a moderator of cognitive behavioral therapy (CBT) versus its components (cognitive therapy and self-control desensitization) and (b) increases in dynamic flexibility of anxious symptoms during the course of psychotherapy as a mediator of this moderation. Degree of…
Descriptors: Cognitive Restructuring, Behavior Modification, Psychotherapy, Anxiety Disorders
White, Kamila S.; Payne, Laura A.; Gorman, Jack M.; Shear, M. Katherine; Woods, Scott W.; Saksa, John R.; Barlow, David H. – Journal of Consulting and Clinical Psychology, 2013
Objective: We examined the possibility that maintenance cognitive behavior therapy (M-CBT) may improve the likelihood of sustained improvement and reduced relapse in a multi-site randomized controlled clinical trial of patients who met criteria for panic disorder with or without agoraphobia. Method: Participants were all patients (N = 379) who…
Descriptors: Behavior Modification, Therapy, Anxiety Disorders, Maintenance
Boswell, James F.; Gallagher, Matthew W.; Sauer-Zavala, Shannon E.; Bullis, Jacqueline; Gorman, Jack M.; Shear, M. Katherine; Woods, Scott; Barlow, David H. – Journal of Consulting and Clinical Psychology, 2013
Although associations with outcome have been inconsistent, therapist adherence and competence continues to garner attention, particularly within the context of increasing interest in the dissemination, implementation, and sustainability of evidence-based treatments. To date, research on therapist adherence and competence has focused on average…
Descriptors: Anxiety Disorders, Cognitive Restructuring, Behavior Modification, Patients
Witkiewitz, Katie; Donovan, Dennis M.; Hartzler, Bryan – Journal of Consulting and Clinical Psychology, 2012
Objective: Many trials have demonstrated the effectiveness of cognitive behavioral interventions for alcohol dependence, yet few studies have examined why particular treatments are effective. This study was designed to evaluate whether drink refusal training was an effective component of a combined behavioral intervention (CBI) and whether change…
Descriptors: Outcomes of Treatment, Self Efficacy, Intervention, Age
Cognitive Change Predicts Symptom Reduction with Cognitive Therapy for Posttraumatic Stress Disorder
Kleim, Birgit; Grey, Nick; Wild, Jennifer; Nussbeck, Fridtjof W.; Stott, Richard; Hackmann, Ann; Clark, David M.; Ehlers, Anke – Journal of Consulting and Clinical Psychology, 2013
Objective: There is a growing body of evidence for the effectiveness of trauma-focused cognitive behavior therapy (TF-CBT) for posttraumatic stress disorder (PTSD), but few studies to date have investigated the mechanisms by which TF-CBT leads to therapeutic change. Models of PTSD suggest that a core treatment mechanism is the change in…
Descriptors: Behavior Modification, Therapy, Posttraumatic Stress Disorder, Cognitive Restructuring
Moss-Morris, Rona; Dennison, Laura; Landau, Sabine; Yardley, Lucy; Silber, Eli; Chalder, Trudie – Journal of Consulting and Clinical Psychology, 2013
Objective: The aims were (a) to test the effectiveness of a nurse-led cognitive behavioral therapy (CBT) program to assist adjustment in the early stages of multiple sclerosis (MS) and (b) to determine moderators of treatment including baseline distress, social support (SS), and treatment preference. Method: Ninety-four ambulatory people with MS…
Descriptors: Therapy, Cognitive Restructuring, Patients, Diseases
Hans, Eva; Hiller, Wolfgang – Journal of Consulting and Clinical Psychology, 2013
Objective: The primary aim of this study was to assess the overall effectiveness of and dropout from individual and group outpatient cognitive behavioral therapy (CBT) for adults with a primary diagnosis of unipolar depressive disorder in routine clinical practice. Method: We conducted a random effects meta-analysis of 34 nonrandomized…
Descriptors: Dropouts, Outcomes of Treatment, Therapy, Depression (Psychology)
Constantino, Michael J.; Laws, Holly B.; Arnow, Bruce A.; Klein, Daniel N.; Rothbaum, Barbara O.; Manber, Rachel – Journal of Consulting and Clinical Psychology, 2012
Objective: Interpersonal theories posit that chronically depressed individuals have hostile and submissive styles in their social interactions, which may undermine their interpersonal effectiveness and maintain their depression. Recent findings support this theory and also show that patients' interpersonal impact messages, as perceived by their…
Descriptors: Depression (Psychology), Psychotherapy, Patients, Correlation
Grilo, Carlos M.; Crosby, Ross D.; Wilson, G. Terence; Masheb, Robin M. – Journal of Consulting and Clinical Psychology, 2012
Objective: The longer term efficacy of medication treatments for binge-eating disorder (BED) remains unknown. This study examined the longer term effects of fluoxetine and cognitive behavioral therapy (CBT) either with fluoxetine (CBT + fluoxetine) or with placebo (CBT + placebo) for BED through 12-month follow-up after completing treatments.…
Descriptors: Psychopathology, Eating Disorders, Therapy, Depression (Psychology)
Cobham, Vanessa E. – Journal of Consulting and Clinical Psychology, 2012
Objective: This study compared 3 experimental conditions: wait-list, therapist-supported bibliotherapy, and individual therapy, in the treatment of child anxiety. Method: Participants were 55 children (25 girls and 30 boys), aged 7 to 14 years diagnosed with an anxiety disorder, and their parents. Families were assigned using a modified random…
Descriptors: Outcome Measures, Behavior Modification, Anxiety Disorders, Anxiety
Fisher, Aaron J.; Newman, Michelle G.; Molenaar, Peter C. M. – Journal of Consulting and Clinical Psychology, 2011
Objective: The present article aimed to demonstrate that the establishment of dynamic patterns during the course of psychotherapy can create attractor states for continued adaptive change following the conclusion of treatment. Method: This study is a secondary analysis of T. D. Borkovec and E. Costello (1993). Of the 55 participants in the…
Descriptors: Statistical Analysis, Outcomes of Treatment, Change, Psychotherapy
Donegan, Eleanor; Dugas, Michel J. – Journal of Consulting and Clinical Psychology, 2012
Objective: Generalized anxiety disorder (GAD) is characterized by excessive worry and somatic symptoms of anxiety (e.g., restlessness, muscle tension). Several psychological treatments lead to significant reductions in GAD symptoms by posttreatment. However, little is known about how GAD symptoms change over time. Our main goal was to examine how…
Descriptors: Therapy, Anxiety Disorders, Anxiety, Symptoms (Individual Disorders)
Curry, John; Silva, Susan; Rohde, Paul; Ginsburg, Golda; Kennard, Betsy; Kratochvil, Christopher; Simons, Anne; Kirchner, Jerry; May, Diane; Mayes, Taryn; Feeny, Norah; Albano, Anne Marie; Lavanier, Sarah; Reinecke, Mark; Jacobs, Rachel; Becker-Weidman, Emily; Weller, Elizabeth; Emslie, Graham; Walkup, John; Kastelic, Elizabeth; Burns, Barbara; Wells, Karen; March, John – Journal of Consulting and Clinical Psychology, 2012
Objective: This study tested whether positive response to short-term treatment for adolescent major depressive disorder (MDD) would have the secondary benefit of preventing subsequent alcohol use disorders (AUD) or substance use disorders (SUD). Method: For 5 years, we followed 192 adolescents (56.2% female; 20.8% minority) who had participated in…
Descriptors: Behavior Modification, Therapy, Adolescents, Drinking