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Hillevi Bergvall Credit: Karolinska Institutet A study showed therapists in routine psychiatric care delivered cognitive-behavioral therapy (CBT) with adherence and competence. 1 “Previous research suggests that therapist adherence is often low, with insufficient use of treatment protocols in clinical practice and non-supported treatment modifications even in controlled settings,” wrote investigators, led by Hillevi Bergvall, from the Centre for Psychiatry Research at Karolinska Institutet. An earlier study found that among 317 CBT therapists, only 11% reported frequently using protocols, and 30% reported never using them. 2 In another study, community-based therapists reported only using the prescribed CBT interventions a few years following their CBT training. 3 Investigators sought to examine the delivery quality of CBT in routine psychiatry care for depression and anxiety, looking at therapist adherence and competence, as well as therapy effectiveness. 1 The study included 23 therapists who recruited 85 patients with a depression or anxiety disorder from 2 routine psychiatric outpatient clinics in Stockholm, Sweden between August 2018 and February 2020. Therapists all had received university-level basic CBT training and licensed clinical psychologists (excluding 2 resident psychologists). The therapists were mostly female (75.9%), had an average age of 31.1 years, and had an average of 2.4 years of clinical experience delivering CBT on top of CBT supervision for 2.0 years. The therapists treated a mean of 3.7 patients, ranging from 1 – 11. Patients were included if they had a principal diagnosis of MDD (14.1%), OCD (29.4%), PTSD (10.6%), generalized anxiety disorder (27.1%), panic disorder (12.9%) or social anxiety disorder (5.9%) according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). They were excluded if they had acute suicidal ideation, current substance use disorder, and concurrent psychological treatment. Investigators developed The Therapist Adherence to Cognitive-Behavioral Therapy Scale (TACBT) instrument to assess therapist adherence to generic CBT techniques and procedures. To develop this, they reviewed many CBT protocols and reviewed research on therapist adherence to CBT from established instruments, such as the Multitheoretical List of Therapeutic Interventions, the Collaborative Study Psychotherapy Rating Scale, and the Cognitive-Behavioral Therapy Adherence Scale. TACBT includes structure, conceptualization, behavioral techniques, and cognitive techniques. The instrument also had different versions for patients, therapists, and observers, although patient and therapist versions are nearly identical. Patients received a median of 18.5 sessions of CBT (interquartile range [IQR], 13.0 – 24.0). Before and after CBT, patients rated symptoms, functional impairment, and global health. Observers assessed therapist adherence during CBT, and patients and therapists assessed therapist adherence using TACBT. In 95.3% of patient records, therapists reported using specific CBT protocols for different psychiatric disorders. 20% of patients received additional treatments targeting a comorbid diagnosis and had a median of 21.0 sessions (IQR, 17.5 – 26.5), compared with 17.5 sessions for single treatments (IQR, 12.8 – 22.5) ( P = .061). Patients viewed therapist adherence as high, therapists as moderate to high, and observers as moderate. Structural and conceptual items received greater scores than behavioral and cognitive items. Patients and therapists had low agreement of ratings of complete treatments (ICC, -0.14; 95% confidence interval [CI], -0.35 to -0.10). Most therapists showed competence in CBT, with a mean score of 40.5 on the competence score on the Cognitive Therapy Scale-Revised. 75% passed the competence threshold, which was a total core of ≥ 36 points. The study revealed a therapist’s competence level is not significantly correlated with years of CBT experience ( P = .077), years receiving CBT supervision ( P = .080), or age ( P = .522). Patients had significantly improved depression or anxiety symptoms following CBT (Cohen’s ds, 0.80 – 1.36). However, symptom improvements were not linked to patient symptom duration, number of psychiatric diagnoses, therapist, therapist CBT experience, therapeutic alliance, or psychiatric clinic. Across all symptom measures, 67.1% improved, 4.7% deteriorated, and 16.5% remained the same. 11.8% had incomplete data for all symptom measures. “While potential areas for quality improvement would be increased use of behavioral and cognitive techniques, and competence development for a few of the therapists, this study did not provide any support that they will affect patient outcomes,” investigators wrote. References Bergvall H, Linde J, Alfonsson S, Sunnhed R, Barber JP, Lundgren T, Andersson G, Bohman B. Quality of cognitive-behavioural therapy in routine psychiatric care: therapist adherence and competence, and patient outcomes for depression and anxiety disorders. BMC Psychiatry. 2024 Dec 4;24(1):887. doi: 10.1186/s12888-024-06328-4. PMID: 39633319; PMCID: PMC11616186. Webb CA, DeRubeis RJ, Barber JP. Therapist adherence/competence and treatment outcome: a meta-analytic review. J Consult Clin Psychol. 2010;78(2):200–11. https://doi.org/10.1037/a0018912 . Becker EM, Smith AM, Jensen-Doss A. Who’s using treatment manuals? A national survey of practicing therapists. Behav Res Ther. 2013;51(10):706–10. https://doi.org/10.1016/j.brat.2013.07.008 .BROOKINGS — In a rematch of last season's FCS national championship game, South Dakota State had little trouble dispatching Montana once again in a second-round contest on Saturday. No. 3 seed SDSU racked up 500 yards of total offense, at one point leading by 32 points early in the fourth quarter, as the Jackrabbits eliminated No. 14 seed Montana 35-18 at Dykhouse Stadium. ADVERTISEMENT The Griz scored first on a field goal midway through the first quarter, but from there, SDSU put up 35 consecutive points to take control and pull away. Quarterback Mark Gronowski scored two 1-yard rushing touchdowns and tossed two more touchdowns to Giffin Wilde. Linebacker Adam Bock returned an interception for a touchdown for SDSU's final touchdown. With the game out of reach, Keali'i Ah Yat threw two touchdown passes for the Griz in the fourth quarter. He finished with 231 passing yards, while Montana was limited to 75 rushing yards on 29 carries. South Dakota State (11-2) advances to the FCS national quarterfinals to play No. 6 Incarnate Word (11-2) next week, with the time to be announced. SDSU and UIW met earlier this season on Sept. 7 in Brookings, with the Jackrabbits pulling away for a 45-24 victory. The Cardinals earned a 13-6 win over No. 11 Villanova in Saturday's second-round action.
Alleman forced 17 turnovers and held Moline to just 25 percent shooting from the field to cruise to a 53-23 home victory on Saturday afternoon. “We came out ready to play, and we played organized and well together,” Alleman head coach Steve Ford said. “We played a lot smarter with the basketball against the (Moline) pressure compared to the pressure on Thursday night.” Alleman, ranked No. 7 in the latest Class 2A poll, fell to the 7-1 Sterling Golden Warriors 59-30 on Thursday, but turned around and had a complete performance against Moline on Saturday, sending the Maroons to their third straight defeat. “It was a great win. We knew Moline was going to be a rough game, but we came out and got the win right away,” junior Adalynn Voss said. Voss led all scorers with 21 points, while senior Carson Wendt had a career-high 15 points. The Pioneers were going after every 50-50 ball relentlessly, perfectly defined with one-third quarter possession. With under two minutes left in the quarter, Wendt got fouled while making a layup. She missed the ensuing free throw, but sophomore Alysa Brinkman and junior Megan Hulke grabbed and missed sequential putback attempts. Wendt again found herself under the rim and was fouled for a second consecutive and-1 on the same possession. That five-point swing turned a 46-19 Moline deficit into a 51-19 rout. “I was so proud of our team,” Voss said about that possession. "It was just an amazing moment for Carson.” The Alleman defense was in full show in the opening quarter. Their three-quarter press caused the Maroons’ offense to be sped up, and Moline turned the ball over six times and only made two baskets in the first quarter. “Our focus has been defense and rebounding lately,” Ford said. "To come in with that great focus and aggressiveness and intensity and forcing turnovers versus not turning the ball over was good to see.” On the other end of the court, Alleman was able to orchestrate its offense enough to hold a double-digit lead in the first quarter, shooting 44 percent from the field and only coughing up the ball once. “The girls moved the ball well and got some really good looks,” Ford said. “It always looks great when they make shots. They were shooting with a little more confidence there in that first quarter and it was a really good start.” The Pioneers were able to widen the lead to to much as 20 points in the first half, thanks to the continued pressure and rushing the Moline offense to quick shots and double teams at midcourt. The Maroons committed 10 first half turnovers and were only 5 of 20 from the field, trailing 35-13 after two quarters of play. Voss led all scorers with 13 points at halftime, with Wendt adding another 10 and Hulke five points. For Moline, senior Tahlea Tirrell had a team-high six points, with sophomore starting point guard Aniya Dixon contributing another four points at the half. The Pioneers (6-2, 2-1) continue WB6 conference play with their second straight home game against Rock Island (5-2, 1-1) on Thursday at 7 p.m. The Maroons (4-4, 1-2) play at United Township (0-7, 0-2) next, also on Thursday at 7 p.m. Sent weekly directly to your inbox! {{description}} Email notifications are only sent once a day, and only if there are new matching items.SEO Poisoning: How Cybercriminals Are Turning Search Engines into Traps
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Sales include up to 50% off original ticketed price on all merchandise Boston, Dec. 23, 2024 (GLOBE NEWSWIRE) -- Gordon Brothers , the global asset experts, announced store closing sales are underway at 692 Party City locations nationwide. The party store retailer is offering up to 50% off the original ticketed price on all merchandise. These sales provide a final opportunity for shoppers to take advantage of massive savings on top of Party City's everyday low prices on everything needed for birthday and theme parties, the holidays and New Year's Eve, wedding receptions, retirement parties, costumes and more. "Customers are encouraged to shop early and stock up for upcoming celebrations while supplies last,” said Durien Sanchez, Managing Director, Retail at Gordon Brothers . "Stores are fully stocked, and, with the announcement of these sales, top categories are expected to sell out fast.” The discounts will apply at retail stores. All sales are final during the store closing event. To locate the nearest store visit Party City's website . Party City Holdco Inc. recently announced plans to commence a wind down of its retail and wholesale operations following exhaustive efforts to find a path forward that would allow the company to remain operating. For nearly 40 years, Party City has served as the go-to one-stop-shop for all things celebration, offering a wide selection of merchandise to help customers mark life's special moments and milestones. About Party City Holdco Inc. Party City is a global leader in the celebrations industry, delivering joy and inspiration to customers across more than 70 countries. As North America's largest party goods retailer, Party City is the go-to shopping destination for every type of celebration, offering an extensive and innovative selection of products at exceptional value. The company has approximately 700 company-owned and franchise store locations across North America and sells online to consumers at www.partycity.com . The company also operates Amscan, a premier designer, manufacturer, and distributor of celebration products including décor, tableware, costumes, and accessories. Headquartered in Woodcliff Lake, N.J., with additional locations in the Americas and Asia, Party City is committed to helping customers create unforgettable moments for every occasion. About Gordon Brothers Since 1903, Gordon Brothers has maximized liquidity through realizable asset value by providing the people, expertise and capital to solve business challenges. Our solutions-oriented approach across asset services, lending, financing and trading gives clients the insights, strategies and time to optimize asset values throughout the business cycle. We work across the full spectrum of assets globally with deep expertise in retail, commercial, industrial, brands and real estate. We are headquartered in Boston with over 30 offices across North America, Europe, the Middle East and Africa, and Asia Pacific. CONTACT: Lauren Nadeau Gordon Brothers +1.617.422.6599 [email protected]
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