COGNITIVE AND BEHAVIORAL PRACTICE认知与行为实践
COGNITIVE AND BEHAVIORAL PRACTICE(英文缩写 COGN BEHAV PRACT),ISSN 1077-7229,eISSN 1878-187X,中文译名:认知与行为实践 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 3.274 | Q2 |
| 2022 | 2.900 | Q2 |
| 2023 | 2.900 | Q1 |
| 2024 | 2.900 | Q1 |
| 2025 | 3.200 | Q1 |
COGNITIVE AND BEHAVIORAL PRACTICE 最新收录文献
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1. Prolonged Exposure and Emotion Regulation Skills Training: A Pilot Study Among Veterans with Military Sexual Trauma-Related PTSD and Difficulties with Emotion Regulation.
PMID:日期:2026-07-30Difficulty with emotion regulation is common among veterans with military sexual trauma-related posttraumatic stress disorder (PTSD). Although evidence-based treatments for PTSD are widely available for veterans with military sexual trauma, rate of treatment completion is low, particularly for those with problems of emotion regulation. Blending emotion regulation skills training with an existing evidence-based treatment for PTSD, such as prolonged exposure (PE), may be an innovative strategy for reducing PTSD symptoms, emotion dysregulation, treatment dropout. The current study describes a pilot of a blended PE and emotion regulation skills training treatment, including session-by-session descriptions, and presenting findings from an open pilot study. This pilot study assessed retention and changes in clinical symptoms after a blended PE and emotion regulation skills training treatment among veterans (n=27; 90% women) with military sexual trauma-related PTSD and emotion regulation problems. Rate of treatment completion for the blended PE and emotion regulation skills training treatment was 67%. Moreover, a blended PE and emotion regulation skills training treatment significantly reduced both PTSD symptoms, as well as difficulties with emotion regulation from baseline to post-treatment. This study demonstrated not only feasibility, but also preliminary treatment efficacy, despite the small sample size. Findings suggest that the efficacy of a blended PE and emotion regulation skills training treatment should be evaluated in a larger trial.
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2. Brief Narrative Exposure Therapy for Perinatal Trauma: A Case Study.
PMID:日期:2026-05-26Posttraumatic Stress Disorder (PTSD) during pregnancy and postpartum (i.e., perinatal PTSD) negatively affects maternal and neonatal health. Gold-standard PTSD interventions often overlook the unique features of complex trauma exposure during the perinatal period. Narrative Exposure Therapy (NET), a manualized, evidence-based treatment for trauma disorders, shows promise in addressing PTSD among perinatal populations but warrants further real-world, clinical investigation. This case study demonstrates how NET can be used to address multiple traumatic events that may occur during pregnancy and the postpartum period. "Sophia" sought treatment following multiple perinatal traumatic events. Treatment occurred at an urban academic medical center in the Midwestern United States. Patient completed the Life Events Checklist, Perinatal Life Events Measure at baseline, and PCL-5, GAD-7, PHQ-2 across treatment. A clinical psychology intern and licensed clinical psychologist conducted NET. NET treatment included psychoeducation, laying the lifeline, nine exposures, and a final testimony reading.. Patient demonstrated a substantial reduction in symptoms and subjective improvement across several life domains after completion of NET. At termination, patient no longer met criteria for PTSD. In conclusion, NET may offer a valuable treatment option for patients who experience multiple traumatic events during the perinatal period and endorse PTSD symptoms.
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3. An Open-Phase Pilot Trial of an Integration of Prolonged Exposure Therapy and the Coping Long-Term With Active Suicide Program.
PMID:日期:2026-05-05Posttraumatic stress disorder (PTSD) is associated with an increased risk for suicidal ideation and behavior, yet clinical practice guidelines for addressing suicide risk in the context of PTSD are not yet available. This open trial evaluated the safety and preliminary efficacy of an integration of a trauma-focused treatment, prolonged exposure therapy (PE), with the coping long-term with an active suicide program (CLASP). CLASP-PE was delivered to patients with PTSD who reported suicidal ideation with intent, a plan, or a past-month attempt. Veterans or active-duty military personnel with a confirmed PTSD diagnosis and suicide risk (N = 14; 86% male) began the CLASP-PE protocol, which was delivered via telemedicine in 10-16 sessions, including a session with a support person as feasible. Two participants only provided baseline data; of the remaining 12, 8 participants (n = 66.7%) completed their treatment sessions. Participants reported significant reductions in PTSD symptoms (p < .05), suicidal ideation (p < .05), and depression symptoms (p < .001). The degree of reduction in PTSD symptoms and depression symptoms in treatment predicted the degree of reduction in suicidal ideation in treatment. No suicide attempts or serious adverse events occurred in treatment. A case vignette is shared. CLASP-PE was safe, with preliminary evidence supporting its efficacy. Additional randomized controlled trial research is needed to evaluate its impact compared to a control group. If replicated, the CLASP-PE protocol would be a useful and safe clinical tool for individuals with PTSD who are experiencing significant suicide risk.
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4. Development and Pilot Testing of Transdiagnostic Exposure Therapy/Behavioral Activation for Autistic Adolescents With Internalizing Disorders.
PMID:日期:2026-05-05Internalizing disorders disproportionately affect autistic adolescents, though limited research has focused on tailoring therapy for this population. The purposes of this paper were (1) to describe the development of a transdiagnostic exposure therapy/behavioral activation intervention for autistic adolescents with internalizing disorders, and (2) to present a pilot test of feasibility, acceptability, and efficacy of the intervention. The development of this therapy is described in detail, which prioritized the following domains: (1) building on the existing evidence base of exposure-based cognitive behavioral therapy for autistic youth with anxiety disorders, (2) involving caregivers considerably, (3) incorporating autism-specific considerations into case conceptualization and treatment planning, (4) using a neurodiversity-affirming lens, (5) considering changes in therapy delivery for autistic adolescents, and (6) providing a conceptualization-driven, flexible, transdiagnostic framework to therapy. This adapted, exposure-therapy/behavioral activation approach was pilot tested with 14 adolescent-caregiver dyads, and showed strong acceptability and feasibility based on qualitative and quantitative data. The treatment response rate was 78% (11/14; based on the Clinical Global Impression-Improvement scale), and the primary diagnosis remission rate was 57% at the posttreatment assessment (8/14; based on the absence of the primary diagnosis assessed at baseline with a structured diagnostic interview), which benchmarks well on similar treatments that have been published in this literature among nonautistic youth. These pilot data provide a strong justification for a follow-up randomized trial testing efficacy and mechanisms.
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5. Trauma-Informed Cognitive Behavioral Therapy for Insomnia in Women Veterans: An Intervention Development Study.
PMID:日期:2026-05-05This paper describes the methodology and outcomes of the development of a trauma-informed protocol for cognitive behavioral therapy for insomnia (CBT-I). Methods included (a) convening an expert panel of U.S. Department of Veterans Affairs providers (n = 4) to identify trauma-related symptoms that may interfere with standard CBT-I delivery and to assess trauma-informed adaptations to an existing CBT-I protocol, (b) presenting adapted protocol materials to veteran engagement groups for feedback, and (c) sequentially delivering the trauma-informed CBT-I protocol to women veterans (n = 5) with iterative refinement of the intervention materials and evaluation of clinical improvement (Insomnia Severity Index and Pittsburgh Sleep Quality Index total scores and sleep diaries). Trauma-informed adaptations to CBT-I included posttraumatic stress disorder (PTSD) diagnosis psychoeducation, nighttime hyperarousal reduction strategies, nightmare/sleep avoidance psychoeducation, behavior tracking to challenge avoidance, psychoeducation about trauma-related thoughts, and orientation to PTSD treatments. Veteran engagement group consensus supported expert feedback. Women who completed trauma-informed CBT-I reported improved sleep outcomes from baseline to 3-month follow-up and high perceived acceptability and clarity regarding trauma-informed adaptations. This efficient, multistep approach resulted in an acceptable, efficacious protocol for use in a randomized clinical trial. These methods can be applied to other protocols to systematically adapt other psychotherapies for patients with PTSD.
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6. Provider Perspectives: Feasibility, Acceptability, and Appropriateness of Online Parent Training With Therapist Coaching in a Community Practice Setting.
PMID:日期:2026-02-02A considerable body of evidence documents the detrimental impact of disruptive behavior disorders (DBDs) in childhood and their longstanding effects across development and into adulthood. While research has yielded evidence-based interventions for DBDs, such as parent management training, disparities in access to care persist. The growing ubiquity of consumer technologies underscores the potential to provide evidence-based treatments through online programs; however, structural barriers continue to impede dissemination in community settings. This paper examines clinic staff's perspectives on the implementation of an online parent management program in a community mental health center (CMHC) to integrate novel programming with existing therapeutic care to maximize resource efficiency in treatment delivery and increase family adherence and engagement. Quantitative and qualitative data were collected from 16 staff members who were trained to deliver the intervention at a CMHC. Quantitative data indicated positive perceptions across various domains, while qualitative findings highlighted feasibility, acceptability, and appropriateness. Facilitators to feasibility included program ease, integration into sessions, and flexible access. Time constraints and technology access were barriers. Acceptability was high, with videos reinforcing therapy and promoting family connection. The program's structure and psychoeducation were appreciated, while quiz format and time constraints were concerns. Appropriateness was positive, with broad relevance, insight-building impact, comprehensive coverage, evidence-based strategies, and support. Barriers existed for specific patient characteristics. Implications for implementation in practice and future directions of research are discussed.
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7. Integration of a Pedometer-Based Physical Activity Intervention with Cognitive Behavioral Therapy for Adults with Chronic Obstructive Lung Disease.
PMID:日期:2025-07-18Physical activity interventions effectively improve physical activity (i.e., daily step count) and reduce the risk of adverse health outcomes in persons with chronic obstructive pulmonary disease (COPD), but effects on depression and anxiety are poorly understood. Behavioral interventions concurrently targeting both physical activity and mood symptoms are needed in this population. This paper describes acceptability testing and refinement of Step-CBT, a synchronous, video-delivered, pedometer-based physical activity intervention integrated with cognitive behavioral therapy (CBT) to improve step count in individuals with COPD; physical disability and depression and anxiety symptoms are secondary outcomes. Adults (N = 5) with COPD and clinically significant depression and/or anxiety symptoms were enrolled; three completed Step-CBT. During the run-in period (i.e., after consent, before intervention), one participant did not meet eligibility criteria, and one withdrew due to disliking the Fitbit Inspire and preferring to attend to other health conditions. Completers rated high satisfaction with the intervention and virtual modality, and high adherence, with improvements in physical activity and/or depression and/or anxiety. Findings illuminate the complexities, barriers, and facilitators that emerged for each participant suggesting additional testing of the intervention is warranted.
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8. Preliminary Feasibility, Acceptability and Referral Efficacy of a Drop-In Dialectical Behavior Therapy (DBT) Skills Group to Promote Enrollment in Standard DBT Skills Group.
PMID:日期:2025-05Pretreatment interventions have been shown to increase treatment readiness, initiation, and participation in evidence-based treatments. To promote enrollment in an evidence-based Dialectical Behavior Therapy Skills Group (DBT; Linehan, 2015; Linehan et al., 2015), we developed a pretreatment Drop-In DBT Skills Group and evaluated the group's feasibility, acceptability, and referral efficacy. Each session included a mindfulness practice and one of four introductory DBT skills. We assessed the Drop-In DBT Skill Group's feasibility (clients attending ≥1 session), acceptability (clients attending ≥2 sessions), and referral efficacy (clients who sought referrals to the standard DBT Skills Group). In 8 months, 44 clients were referred to the Drop-In DBT Skills Group; 37 clients completed the screening process (84%). Of the 37 clients who responded to outreach, 32 attended ≥1 group or had already started the DBT Skills Group (86.5%; feasibility). Of the 32 clients who attended at least one group, 29 clients attended ≥2 Drop-In DBT Skills Groups or started the DBT Sills Group (90.6%; acceptability). Ultimately, 17 clients, including 13 DBT-ambivalent clients and 4 waitlisted clients, requested a referral to the standard DBT Skills Group. The Drop-In DBT Skills Group shows strong feasibility, acceptability, and referral efficacy in helping more ambivalent clients enroll in DBT Skills Group.
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9. Conceptualizing Pathways to Depression and Anxiety in Autistic Youth Using the Cognitive and Behavioral Model of Low Self-Esteem.
PMID:日期:2024-12-09Autistic youth are more likely to experience both anxiety and depression than their nonautistic peers, yet treatment options are extremely limited. Clinicians working with this population lack a robust evidence base of psychological models within which to formulate and treat these enduring internalizing disorders in autistic youth. Negative self-esteem is a robust risk factor-and treatment target-for internalizing disorders in nonautistic youth that remains largely understudied in autistic youth. The Cognitive and Behavioral Model of Low Self-Esteem (Fennell, 1997) was conceived to guide the development of cognitive-behavioral interventions targeting this construct in the general population. The model highlights how low-self-esteem develops from the interacting effects of temperament and negative experiences, leading to the formation of dysfunctional assumptions, and the subsequent development and maintenance of anxiety and depression. Autistic individuals are known to have specific vulnerabilities across the core elements of this model, making it potentially pertinent for this population. In this paper, we describe a theoretical extension of the model for autistic youth. We then use a blended case example to inform case conceptualization using the model to understand how low self-esteem may develop in an autistic youth and act to maintain anxiety and depression. Future directions for research into the use of the Low Self-Esteem Model in autistic youth are also discussed.
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10. Evaluating the Relationship Between Therapist Negative Beliefs About Exposure Therapy and Delivery Behavior.
PMID:日期:2024-09-24Therapist negative beliefs about exposure have been identified as a key contributor to underutilization and suboptimal delivery of exposure-however, supporting evidence is derived from laboratory analogue studies and therapist self-report. Benito and colleagues (2021b) completed a training trial that included rigorous coding of videotaped in-session delivery behavior among a sample of therapists ( = 16) who received workshop training followed by ongoing consultation. The present study is a secondary analysis evaluating the relationship between Therapist Beliefs About Exposure Scale (TBES) scores and actual delivery behavior with anxious children/adolescents in the community. Marginally significant findings suggested that lower pretraining TBES scores (i.e., fewer negative beliefs about exposure) were associated with more frequent exposure usage, and that increased use of anxiety-increasing behaviors was related to greater reduction in therapist negative beliefs about exposure over the course of training. Belief levels did not demonstrate a statistically significant difference based on setting (community mental health vs. private practice). Although future studies with larger samples are needed, current findings extend growing evidence highlighting therapist beliefs about exposure as a potential influence on exposure utilization and delivery quality in real-world settings. Dissemination efforts involving the development of training strategies to promote exposure use in community settings are discussed.