Social and Behavioral Sciences Commons^™

Experimental Manipulations To Test Theory-Driven Mechanisms Of Cognitive Behavior Therapy, Matthew W. Southward, Shannon Sauer-Zavala

Psychology Faculty Publications

Despite decades of randomized-controlled trials demonstrating the efficacy of cognitive-behavior therapy (CBT), the mechanisms by which CBT achieves its effects remain unclear. Here, we describe how one adaptive intervention, the sequential multiple assignment randomized trial (SMART), can be used to randomize patients at multiple decision points in treatment to draw stronger causal claims about mechanisms unfolding in the course of CBT. We illustrate this design using preliminary data and case examples from an ongoing SMART in which we are testing the role of aversive reactions to negative emotions as a hypothesized mechanism of change in the Unified Protocol. Finally, we …

Anger Suppression In Late Childhood, Dana Williams

Child Development Theses

Research on anger in childhood typically refers to “difficult” children. In academic, social, and family settings, anger is not being addressed unless it is causing a noticeable disturbance such as screaming and/or hitting. The negative attention associated with anger expression is part of the socialization of anger. Society has labeled anger as a negative emotion and this view leads to the suppression of this emotion to avoid negative attention. The literature on emotions in childhood highlights the negative outcomes that emotional suppression can create. A child’s expression of emotions is a combination of their external environment and their ability to …

Cognitive Behavioral Therapies For The Management Of Chronic Pain, Kira Swensen, Maren Wright Voss, Alise Williams Condie, Ashley Yaugher

All Current Publications

Chronic pain is pain that lasts longer than six months and may continue even after illnesses or injuries have healed (Cleveland Clinic, 2017). Pain signals in the nervous system can remain active for several years if they are altered in the spinal cord, becoming stronger than they normally would or should be (Reichling & Levine, 2009). Chronic pain can also occur without illness or injury (National Institute of Neurological Disorders and Stroke, 2019). Fortunately, many evidence-based strategies for managing chronic pain are available to ease the discomfort. This fact sheet reviews those strategies.

Latino And Non-Latino Parental Treatment Preferences For Child And Adolescent Anxiety Disorders, Laura D. Seligman, Joseph D. Hovey, Marina Ibarra, Gabriela Hurtado, Carla E. Marin, Wendy K. Silverman

Psychological Science Faculty Publications and Presentations

There is frequently a presumption that Latino parents have a greater preference for involvement in their child’s treatment for anxiety compared to non-Latino white parents. However, parent involvement may increase burdens associated with treatment and research suggests that Hispanic individuals already face significantly greater barriers to obtaining mental health treatment. In the current study, we compared Latino and non-Latino parents’ preferences for parental involvement and perceptions of burdens in cognitive behavioral therapy (CBT) for youth anxiety. 117 parents (57 Latino) completed measures to assess child anxiety, perceptions of treatment involvement, and burdens associated with treatment. There were no significant differences …

The Creative Exposure Intervention As Part Of Clinical Treatment For Adolescents Exposed To Bullying And Experiencing Posttraumatic Stress Disorder Symptoms, Lisa S. Sosin

Faculty Publications and Presentations

This presentation introduces an eclectic intervention, incorporating these three techniques, designed for work with adolescents experiencing bully-related PTSD symptoms. The presentation includes a case example to illustrate Creative Exposure, which can be used in one session or across multiple sessions.

This technique is intended for use by counselors with the credentials and training to provide trauma treatment

Patients' Expectations' Effects On Treatment Outcome In Major Depressive Disorder (Mdd) In Intensive Short-Term Dynamic Psychotherapy (Istdp), Taylor Kahn

Scripps Senior Theses

Existing research has supported the influence of patients’ expectations on symptom reduction in both antidepressant trials and cognitive behavioral therapy (CBT) for individuals suffering from major depressive disorder (MDD). Intensive short-term dynamic psychotherapy (ISTDP) is effective in treating individuals with MDD, and its structured sessions, similar to the replicable format of CBT, offer a valid psychodynamic therapy that can be compared to past CBT research. This study will attempt to examine whether patients’ expectations will affect equal or greater symptom reduction when being treated with ISTDP than if treated with CBT. It will also examine whether patients’ expectations affect the …

The Efficacy Of Ketamine In Adult Patients With Obsessive Compulsive Disorder With Symptoms Refractory To Standard Of Care Treatment., Brooke Thornton

Capstone Showcase

First line pharmacologic treatments for adult patients with Obsessive Compulsive Disorder (OCD) involve selective serotonin/norepinephrine reuptake inhibitors (SSRI/SNRIs). These drug classes often fail to deliver timely relief of symptoms as well as maintain longevity of symptom recurrence. This research analyzed the use of ketamine in adult patients suffering with OCD for the purposes of more efficacious management of symptoms. Although ketamine demonstrated a timelier relief of symptoms in some small clinical studies, its effects were ultimately unable to be sustained long term. Additionally, a wide range of adverse effects including dissociation, and rebound symptoms were observed. As a result, large …