Yeshiva Academic Institutional RepositoryThe DSpace digital repository system captures, stores, indexes, preserves, and distributes digital research material.http://repository.yu.edu:802024-03-28T13:46:55Z2024-03-28T13:46:55ZCognitive moderation of CBT: Disorder-specific or transdiagnostic predictors of treatment responseQuigley, LeanneKatz, Danielle E.Laposa, Judith M.Hawley, Lance L.Rector, Neil A.https://hdl.handle.net/20.500.12202/100702024-03-27T21:59:46ZTitle: Cognitive moderation of CBT: Disorder-specific or transdiagnostic predictors of treatment response
Authors: Quigley, Leanne; Katz, Danielle E.; Laposa, Judith M.; Hawley, Lance L.; Rector, Neil A.
Abstract: Cognitive vulnerability research has focused on cognitive variables that are hypothesized to confer risk to specific disorders within the mood and anxiety spectrum, while transdiagnostic research has emphasized common risk factors across disorders. The purpose of the present study was to test specific versus common cognitive predictors of treatment response across three treatment groups. Participants (N = 373) with major depressive disorder (MDD; N = 187, panic disorder with/without agoraphobia (PD/A; N = 85), and obsessive compulsive disorder (OCD; N = 101) completed measures of cognitive vulnerability (performance-oriented dysfunctional attitudes, anxiety sensitivity, and obsessive beliefs) and disorder-specific symptom measures at pre- and post CBT treatment. Based on latent difference score analysis, pre-treatment performance-oriented dysfunctional attitudes alone predicted improvement in depressive symptoms in the MDD group; pre-treatment anxiety sensitivity alone predicted reductions in anxious arousal symptoms in the PD/A group; and pre-treatment obsessive beliefs alone predicted change in OCD symptoms in the OCD group. These findings provide support for disorder-specific cognitive factors in the prediction of CBT treatment outcomes and provide guidance towards ways in which current CBT approaches may benefit from augmentation or adjustment.
Description: Scholarly paperWhy is it easier to get mad than it is to feel sad? Pilot study of Regulation Focused Psychotherapy for ChildrenProut, Tracy A.Rice, TimothyMurphy, SeanGaines, EmmaAizin, SophiaSessler, DanielleRamchandani, TalyaRacine, EmmaGorokhovsky, YuliaHoffman, Leonhttps://hdl.handle.net/20.500.12202/100692024-03-27T20:47:04Z2019-03-01T00:00:00ZTitle: Why is it easier to get mad than it is to feel sad? Pilot study of Regulation Focused Psychotherapy for Children
Authors: Prout, Tracy A.; Rice, Timothy; Murphy, Sean; Gaines, Emma; Aizin, Sophia; Sessler, Danielle; Ramchandani, Talya; Racine, Emma; Gorokhovsky, Yulia; Hoffman, Leon
Abstract: •Objective:: This article reports results of a pilot study of three participants receiving regulation-focused psychotherapy for children (RFP-C), a manualized, short-term, psychodynamic treatment for children with oppositional defiant disorder and other externalizing problems. RFP-C targets implicit emotion regulation while using an intensive, psychodynamic, play therapy approach to decrease the child's need for disruptive behaviors.
•Methods:: Three children with oppositional defiant disorder participated in a trial of RFP-C. Externalizing symptoms were assessed with the Oppositional Defiant Disorder Rating Scale, and emotion regulation was assessed with the Emotion Regulation Checklist.
•Results:: All three children improved in accordance with expectations. Participants exhibited clinically significant and reliable change, as assessed by the primary symptom measure, and demonstrated improved capacity for emotional regulation.
•Conclusions:: Results suggest that RFP-C has the potential to produce significant improvements in emotion regulation capacity and in symptoms of oppositional defiant disorder. This pilot study provides initial support for RFP-C as an efficacious and cost-effective intervention, with high treatment compliance rates, and lays the groundwork for a randomized controlled trial of the intervention.
Description: Scholarly article / Open access2019-03-01T00:00:00ZResilience, defenses, and implicit emotion regulation in psychodynamic child psychotherapyProut, Tracy A.Malone, AntheaRice, TimothyHoffman, Leonhttps://hdl.handle.net/20.500.12202/100682024-03-27T21:42:02ZTitle: Resilience, defenses, and implicit emotion regulation in psychodynamic child psychotherapy
Authors: Prout, Tracy A.; Malone, Anthea; Rice, Timothy; Hoffman, Leon
Abstract: Resilience is associated with the internal capacity for the regulation of unpleasant emotions in the face of adversity. These self-regulatory processes, linked with both explicit and implicit emotion regulation systems, have wide ranging implications for overall psychological health. Child psychotherapy can be conceptualized as helping children adapt more effectively to the external environment and develop a more comfortable sense of self as a result of improved emotion regulation and, thus, greater resilience. Most available treatments for youth promote resilience by addressing the explicit emotion regulation system. These treatments include helping parents improve their parenting skills or helping youth modify dysfunctional thinking patterns. In these treatments there is less consideration of the key role of implicit emotion regulation in the enhancement of resilience. The psychodynamic construct of defense mechanisms offers an observable and measurable manifestation of implicit emotion regulation. Thus, addressing the nature of a child’s maladaptive defense mechanisms in the clinical situation can strengthen the implicit emotion regulation system without explicitly instructing the parent or the child to act in a more pro-social manner. This paper utilizes a Regulation Focused Psychotherapy for Children (RFP-C) model to describe how iterative, systematic interpretation of children’s maladaptive defense mechanisms can target the implicit emotion regulation system. This intervention aims to improve the capacity for self-regulation, increase the flexibility of responses to the environment, promote proactivity towards change, and improve interpersonal relatedness. As a result of increases in these adaptive implicit emotion regulation capacities, there is a resultant increase in resilience, especially for children who respond to stressful events with externalizing behaviors. A brief clinical illustration is provided.
Description: Scholarly articleCommentary (Invited): Considering the role of attachment and racial injustice in adolescent risk-seeking and justice involvement.Nehrig, NicoleProut, Tracy A.https://hdl.handle.net/20.500.12202/100672024-03-27T20:08:50Z2019-09-01T00:00:00ZTitle: Commentary (Invited): Considering the role of attachment and racial injustice in adolescent risk-seeking and justice involvement.
Authors: Nehrig, Nicole; Prout, Tracy A.
Abstract: Comments on an article by P. K. Kerig (see record 2019-17546-001). In this issue, Kerig (2019) has provided a comprehensive overview of the relationship between early trauma exposure and later engagement in self‐destructive and risky behaviors. She details prevailing models of the relationship between childhood trauma and subsequent risky behaviors in order to build a clear argument toward the proposal that risk‐seeking behaviors can help us understand how trauma becomes associated with juvenile offending. The sheer diversity of factors that create vulnerability to posttraumatic stress symptoms (PTSS) and involvement with the juvenile justice system requires a unifying framework that can aid in measurement, clinical assessment, and intervention with this population. This review article is timely in its response to recent changes in the DSM‐5 symptomatology of posttraumatic stress disorder (PTSD), and the author covers a broad range of literature that can inform contemporary psychotherapeutic approaches to trauma in the care and rehabilitation of young people involved with the justice system. Kerig brings together a wide body of literature to reveal the direct impact of trauma on adolescent risk‐seeking and justice involvement. Her argument is rooted in science and has important implications for treatment and future research. However, it can benefit from person‐centered, attachment‐ based, and intersectional perspectives. This commentary seeks to add to the view advanced by Kerig in order to further elaborate the phenomenological and social justice context. When empirical research is paired with developmental science of attachment and a critical and intersectional perspective, it has an even greater potential to transform communities, interrupt the cradle to prison pipeline, and provide healing from trauma and oppression. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Description: Comment / Reply2019-09-01T00:00:00Z