Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems.     Features of Behaviour Change include:    original empirical studies using either single subject or group comparison methodologies   review articles   case studies   brief technical and clinical notes   book reviews   special issues dealing with particular topics in depth.

Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been regarded as a leader in its field. It is a quarterly journal that publishes research involving the application of behavioral and cognitive-behavioral principles and techniques to the assessment and treatment of various issues. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies, review articles, case studies, brief technical and clinical notes, book reviews, and special issues that delve deeply into particular topics.

《Behaviour Change》是澳大利亚认知与行为治疗协会的期刊，长期以来被认为是该领域的领导者。该期刊每季度出版，发表涉及行为和认知行为原则及技术在各种问题的评估和治疗中的应用研究。期刊的特点包括：使用单一对象或组比较方法的原创实证研究、综述文章、案例研究、简短的技术和临床笔记、书评以及深入探讨特定主题的特刊。

Behaviour Change

Abstract Routine outcome measurement and progress monitoring is well established to enhance quality assurance in clinical psychology service delivery but is not widely used in routine care. A major barrier to more widespread implementation is the lack of public domain, brief, psychometrically sound outcome measures that easily integrate into clinical information systems. The current study assessed a brief 10-item version of the widely used Depression Anxiety Stress (DASS)-42 scale, which we called the Depression Anxiety Stress-10 (DASS-10) scale. In two clinical samples of adults ( n = 1036, 445 men, 591 women; and n = 1084, 493 men, 591 women), the DASS-10 had a replicable two-level factor structure, which at the lower level had two factors assessing stress-anxiety and depression, which each loaded onto a superordinate psychological distress scale. The items in the distress score discriminated between a clinical sample ( n = 376) and a community sample ( n = 379) and were sensitive to clinical change. The measure has the potential to make routine outcome measurement and progress monitoring more cost-effective to implement than existing measures, particularly when integrated with practice management software to make administration, scoring, and use easy.

W. Kim Halford

Aaron D.J. Frost

Depression Anxiety Stress Scale-10: A Brief Measure for Routine Psychotherapy Outcome and Progress Assessment

抑郁焦虑压力量表-10：常规心理治疗结果与进展评估的简要工具

Abstract This study aims to determine the effects of the Parents Plus Children's Programme (PPCP) on children's symptoms of attention deficit and hyperactivity disorder (ADHD) and on family functionality and parenting stress. The children in the study were aged 6–11 years, and they had been diagnosed with ADHD and had residual symptoms despite effective dosage and timing of their medication. Forty-six couples, who with their children met the eligibility criteria, were enrolled and randomly allocated to the PPCP or the control group. The intervention involved a 9-week, 2 h a week, parenting group exercise. Those in the PPCP group improved significantly more over time on Conners’ Parent Rating Scale-Revised, Family Assessment Device, and Parent Stress Index than those in the control condition. The trial is the first clinical study involving the parents of children with ADHD that addresses residual symptoms and functional impairments that remain despite the administration of the maximum effective dose of pharmacological treatment.

Bahadir Turan

Ibrahim Selcuk Esin

Onur Burak Dursun

The Effect of Parenting Programme on the Symptoms and the Family Functioning of Children with Attention Deficit and Hyperactivity Disorder Who Have Residual Symptoms Despite Medical Treatment

家长干预计划对接受药物治疗后仍存在症状的注意缺陷多动障碍儿童症状及家庭功能的影响

Abstract Given the high prevalence and adverse outcomes associated with generalized anxiety disorder (GAD), development and expansion of effective treatment modalities are important. The present study compared the effectiveness of cognitive behavior therapy targeting intolerance of uncertainty (CBT-IU) and selective serotonin reuptake inhibitors (SSRIs) for treating GAD. A total of 30 Iranian patients with GAD ( M age = 25.16 ± 6.73) were randomised to receive either CBT-IU ( n = 15) or SSRI ( n = 15). Measures included the Structured Clinical Interview for DSM-5 (SCID-5), Penn State Worry Questionnaire (PSWQ), Why Worry-II (WW-II), Intolerance of Uncertainty Scale (IUS), and Negative Problem Orientation Questionnaire (NPOQ). Repeated measures analysis of variance tested differential treatment outcomes. The results of intention-to-treat (ITT) analysis indicated that although both CBT-IU and SSRI were effective treatments for GAD, CBT-IU produced significantly better results than SSRI at post-treatment. This clinical trial provides preliminary cross-cultural support for the treatment of GAD using CBT-IU, with findings suggesting that this non-medication intervention reduces GAD symptoms.

Mehdi Zemestani

Negar Beheshti

Farzin Rezaei

Colin van der Heiden

Philip C. Kendall

Cognitive Behavior Therapy Targeting Intolerance of Uncertainty Versus Selective Serotonin Reuptake Inhibitor for Generalized Anxiety Disorder: A Randomized Clinical Trial

针对广泛性焦虑障碍的认知行为疗法与选择性5-羟色胺再摄取抑制剂的随机临床试验：以不确定性容忍度为目标的比较

Abstract Emerging research suggests that death anxiety is a transdiagnostic construct, which may underpin a number of mental illnesses. Although cognitive behaviour therapy (CBT) has been found to be the most effective treatment for death anxiety, no self-guided treatments for this construct exist at present. Furthermore, there is a growing need for accessible, scalable and cost-effective psychological treatments. To address these gaps, we created Overcome Death Anxiety (ODA), an online CBT-based programme which specifically targets fears of death. ODA was designed to be a fully automated, standalone, yet individualised online treatment. The present study outlines the development and structure of this programme using responses from four users to illustrate feasibility. Research is needed to examine the efficacy and usability of ODA with a larger clinical sample.

Rachel E. Menzies

Louise Sharpe

Fjóla Dögg Helgadóttir

Ilan Dar-Nimrod

Overcome Death Anxiety: The Development of an Online Cognitive Behaviour Therapy Programme for Fears of Death

克服死亡焦虑：针对死亡恐惧的在线认知行为疗法项目的发展

Abstract Research from specialised hospital feeding programmes in the United States has shown effectiveness of a variety of treatments for packing (not swallowing food or liquid in the mouth) to increase swallowing and consumption. One potential component used in clinical practice has not been evaluated in the literature to our knowledge. This component is move-on and involves moving on to the next bite presentation rather than waiting for swallowing (i.e., clean mouth). A 5-year-old female with autism spectrum disorder and avoidant/restrictive food intake disorder participated in a home setting in Australia. We used a withdrawal/reversal single-case experimental design for a move-on component added to a treatment package. With move-on added, latency to clean mouth decreased and consumption increased to 100%. After the treatment evaluation, additional procedures (interspersal, redistribution) were needed in full plate and portion meals. Food variety was increased to 116 regular texture foods across all food groups. All (100%) of admission goals were met. Parents were trained to high procedural integrity, and the protocol was generalised to the community. Gains maintained to 1-month follow-up.

Tessa Taylor

Use of a Move-on Component to Increase Consumption for a Clinical Paediatric Feeding Case In-Home

使用移动组件增加临床儿科喂养案例在家中的摄入量

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Genevieve A. Dingle

A Tribute to the Behaviour Change Journal, 1984-2023

《行为改变期刊》1984-2023年致敬

Abstract During the COVID-19 pandemic, there was an increase in online gaming behaviour among college students. This study aimed to examine the impact of online self-help interventions consisting of different components within the Acceptance and Commitment Therapy (ACT) framework on college students’ gaming disorder and gaming frequency. Additionally, it evaluated the effectiveness of both interventions in addressing psychological distress among college students during the COVID-19 pandemic. One intervention was a full ACT program, which consists of six core components, while the other intervention focused on the engaged components of ACT (specifically targeting value-based actions). The study employed a 2 conditions (Full ACT vs. Engaged ACT) × 3 times (pre-, mid- and post-program) design to examine the effectiveness of these interventions. Each intervention consisted of 10 sessions, delivered at a frequency of five sessions per week over a 2-week period for both groups. The participants in this study were enrolled in two online classes. Participants with gaming disorder scores in the top 20% were selected and assigned to either the Full group ( N = 49) or the Engaged group ( N = 41) for the interventions. The study assessed outcome variables, including gaming disorder, psychological flexibility, daily gaming hours, weekly gaming days and psychological distress, at pre-intervention, mid-intervention, post-intervention and one-month follow-up for both groups. No significant differences were observed between the two groups on these outcomes at the pre-intervention stage. The findings of this study indicate that both interventions effectively reduced gaming disorder and weekly gaming frequency, while enhancing psychological flexibility. Nonetheless, the Engaged group exhibited a significant reduction in daily gaming hours. There was no substantial change in psychological distress in either group during and after the intervention. The implications and limitations of this study were also reported.

Dongyan Ding

Mengdie Pan

Wenjuan Wang

Xiucheng Wang

Simin Ma

Yuqing Yang

Yonghui Huang

Menghui Guo

Yizhen Wu

Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study

COVID-19期间针对大学生高游戏障碍的在线自我帮助接纳与承诺疗法模块：一项初步研究

Abstract Post-event rumination (PER) has been seen as a key element in the persistence of social anxiety (disorder). Studies on PER-targeted intervention, e.g., cognitive restructuring (CR), has, however, received little attention in adults, not yet in youth. In addition, previous research showed that, compared to interaction, participants reported higher levels of PER after speech task. The main aim of the present study was to investigate the effect of CR targeting PER among socially anxious (Chinese) adolescents and also to compare the intervention effect between speech and interaction situations. The present study recruited a sample of 73 high socially anxious adolescents aged 12–16 years and then randomly assigned them into speech ( n = 37) or interaction ( n = 36) group, without control group. PER and social anxiety (SA) were measured before and after CR. Analysis of Covariance (ANCOVA) results showed that adolescents’ PER and SA symptoms were significantly improved with intervention with moderate to high effect size. Furthermore, the decrease in PER could significantly predict the improvement of SA. However, the intervention effect showed no difference between groups. Although no control group was included, one-session CR still showed its potential to improve participants’ PER and SA. Limitations and future directions were discussed.

Meng Yu

Yawen Zhu

Dingguo Gao

Qian Xu

Ye Wang

Jianping Wang

The Impact of Cognitive Restructuring on Post-Event Rumination and Its Situational Effect on Socially Anxious Adolescents

认知重构对事后反刍及其在社交焦虑青少年中的情境效应的影响

Marlee Bower

Eleisha Lauria

Olivia Green

Scarlett Smout

Julia Boyle

Amarina Donohoe-Bales

Genevieve Dingle

Emma Barrett

Erin Fearn-Smith

Kevin Gournay

Maree Teesson

The Social Determinants of Loneliness During COVID-19: Personal, Community, and Societal Predictors and Implications for Treatment – CORRIGENDUM

COVID-19期间孤独的社会决定因素：个人、社区和社会预测因素及其对治疗的启示——勘误

Abstract Objective The COVID-19 pandemic dramatically altered social determinants of health including work, education, social connections, movement, and perceived control; and loneliness was commonly experienced. This longitudinal study examined how social determinants at the personal (micro), community (meso), and societal (macro) levels predicted loneliness during the pandemic. Methods Participants were 2056 Australian adults surveyed up to three times over 18 months in 2020 and 2021. Multi-level mixed-effect regressions were conducted predicting loneliness from social determinants at baseline and two follow-ups. Results Loneliness was associated with numerous micro determinants: male gender, lifetime diagnosis of a mental health disorder, experience of recent stressful event(s), low income, living alone or couples with children, living in housing with low natural light, noise, and major building defects. Lower resilience and perceived control over health and life were also associated with greater loneliness. At the meso level, reduced engagement with social groups, living in inner regional areas, and living in neighbourhoods with low levels of belongingness and collective resilience was associated with increased loneliness. At the macro level, increased loneliness was associated with State/Territory of residence. Conclusions Therapeutic initiatives must go beyond psychological intervention, and must recognise the social determinants of loneliness at the meso and macro levels.

The Social Determinants of Loneliness During COVID-19: Personal, Community, and Societal Predictors and Implications for Treatment

COVID-19期间孤独的社会决定因素：个人、社区和社会预测因素及其对治疗的启示

Abbreviation	Behav. change
Journal Impact	1.49
Quartiles(Global)	PSYCHOLOGY, CLINICAL(Q3)

ISSN	0813-4839, 2049-7768
h-index	46

Publication Information	Publisher: Cambridge University Press，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1984，Proportion of original research papers: 95.83%，Self Citation Rate:0.00%， Gold OA Rate: 30.16%

Behaviour Change

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