{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T15:02:59Z","timestamp":1779721379128,"version":"3.53.1"},"reference-count":74,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T00:00:00Z","timestamp":1745712000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T00:00:00Z","timestamp":1745712000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian J Psychology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The aim of the present study was to evaluate the feasibility and analyze preliminary data of the effectiveness of affect phobia therapy (APT) adapted to a structured group format. APT is a treatment that targets emotional avoidance and deficiency in emotion regulation that often leads to psychological dysfunction. The target group was patients with comorbid substance use disorder (SUD) and ADHD with core features of affect phobia\/emotion dysregulation. Patients in three group treatments with the aim of having eight participants in each group (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200922) were included in an open design, where targeted symptoms psychological distress, craving, affect phobia, self\u2010compassion, emotion dysregulation, and substance use were evaluated, with repeated measurements every week from the start of therapy to follow\u2010up 4\u2009weeks after the end of treatment. The results showed an increase in self\u2010compassion and a decrease in affect phobia, but no change in symptoms of psychological distress or emotional dysregulation. No reliable reduction in alcohol or drug use could be related to treatment. Craving fluctuated throughout the study period and patients' drinking patterns changed toward more social drinking. The main finding of the study was that affect phobia therapy in a structured group format is a feasible treatment for the patient group and that the therapy showed preliminary effectiveness in increasing adaptive affective functioning and self\u2010compassion. Future randomized controlled trials are needed for conclusive evidence on efficacy, also examining whether the therapy can help reduce substance use.\n                  <\/jats:p>","DOI":"10.1111\/sjop.13118","type":"journal-article","created":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:59:22Z","timestamp":1745751562000},"page":"738-752","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Affect Phobia Group Therapy for Patients With Substance Use Disorders and Comorbid\n                    <scp>ADHD<\/scp>"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7080-5209","authenticated-orcid":false,"given":"My","family":"Frankl","sequence":"first","affiliation":[{"name":"Scandinavian Academy for Psychotherapy Development (H\u00f6gskolan Sapu)  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Wennberg","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maija","family":"Konstenius","sequence":"additional","affiliation":[{"name":"Stockholm Center for Dependency Disorders  Stockholm Sweden"},{"name":"Division of Psychiatry, Department of Clinical Neuroscience Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Philips","sequence":"additional","affiliation":[{"name":"Department of Psychology Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291706008713"},{"key":"e_1_2_11_3_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorder","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2008.05.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1586\/14737175.5.4.525"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u2010295X.111.1.33"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0890\u20108567(10)80010\u20103"},{"key":"e_1_2_11_8_1","volume-title":"Attention\u2010Deficit Hyperactivity Disorder: A Clinical Workbook","author":"Barkley R. A.","year":"2006"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/arclin\/acq014"},{"key":"e_1_2_11_10_1","volume-title":"Single\u2010Case Experimental Designs. Strategies for Studying Behavior Change","author":"Barlow D. H.","year":"2008"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000081413"},{"key":"e_1_2_11_12_1","volume-title":"AUDIT and DUDIT: Identifying Problematic Use of Alcohol and Drugs","author":"Berman A.","year":"2012"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171100153X"},{"key":"e_1_2_11_14_1","volume-title":"Brown Attention Deficit Disorder Scales for Adolescents and Adults","author":"Brown T. E.","year":"1996"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1977.38.426"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/1089\u20102699.7.1.3"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/15289168.2015.1069235"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u20103514.69.5.990"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12402\u2010012\u20100097\u2010z"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.06111851"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010244X\u201011\u2010116"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u2010006x.68.1.134"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312457468"},{"key":"e_1_2_11_24_1","volume-title":"Affektfobiterapi\u2014teori, praktik och anv\u00e4ndarmanual f\u00f6r gruppterapi","author":"Frankl M.","year":"2022"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/sjop.12308"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12021"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/00222194070400010401"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550887.2019.1658513"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406\u2010002\u20100379\u20100"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2011.01.001"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2014.08.008"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.163.4.716"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/10673229709030550"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521\u20100391.2012.00234.x"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2010.04.001"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2009.11.006"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12369"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12372"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2005.06.002"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099\u20100879(199612)3:4<249::AID\u2010CPP106>3.0.CO;2\u2010S"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2006.07.004"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2005.06.012"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.41"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/02668734.2023.2197617"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000024"},{"key":"e_1_2_11_46_1","unstructured":"Lilliengren P.2017. \u201cComprehensive Compilation of Randomized Controlled Trials (RCTs) Involving Psychodynamic Treatments and Interventions.\u201dhttps:\/\/www.researchgate.net\/publication\/317335876_Comprehensive_compilation_of_randomized_controlled_trials_RCTs_involving_psychodynamic_treatments_and_interventions."},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2017.1305416"},{"key":"e_1_2_11_48_1","volume-title":"Individual Psychotherapy and the Science of Psychodynamics","author":"Malan D.","year":"1979"},{"key":"e_1_2_11_49_1","volume-title":"Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors","author":"Marlatt G. A.","year":"2005"},{"key":"e_1_2_11_50_1","volume-title":"Treating Affect Phobia: A Manual for Short\u2010Term Dynamic Psychotherapy","author":"McCullough L.","year":"2003"},{"key":"e_1_2_11_51_1","volume-title":"Changing Character: Short\u2010Term Anxiety\u2010Regulating Psychotherapy for Restructuring Defenses, Affects, and Attachment","author":"McCullough Vaillant L.","year":"1997"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010012\u20100303\u2010x"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010\u2010440X(96)90022\u2010X"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1080\/15298860309027"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/15298860902979307"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2016.1269334"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agn014"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.2146"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.07.001"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/1064\u20101297.10.3.286"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2013.13070966"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.10.011"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e32834776bd"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-0357-5_3"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09081123"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12402\u2010012\u20100100\u20108"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.161.5.810"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/1040\u20103590.1.3.207"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2019.106228"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12370"},{"key":"e_1_2_11_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.12.007"},{"key":"e_1_2_11_72_1","first-page":"62","article-title":"The Timeline Follow Back Technique: Psychometric Properties of a 28\u2010Day Timeline for Measuring Alcohol Consumption","volume":"2","author":"Wennberg P.","year":"1998","journal-title":"German Journal of Psychiatry"},{"key":"e_1_2_11_73_1","doi-asserted-by":"publisher","DOI":"10.1348\/147608309X478715"},{"key":"e_1_2_11_74_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.2.190"},{"key":"e_1_2_11_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0740-5472(01)00193-3"}],"container-title":["Scandinavian Journal of Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sjop.13118","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/sjop.13118","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sjop.13118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T14:11:14Z","timestamp":1779718274000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sjop.13118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,27]]},"references-count":74,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/sjop.13118"],"URL":"https:\/\/doi.org\/10.1111\/sjop.13118","archive":["Portico"],"relation":{},"ISSN":["0036-5564","1467-9450"],"issn-type":[{"value":"0036-5564","type":"print"},{"value":"1467-9450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,27]]},"assertion":[{"value":"2024-07-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}