HSP Treatment Protocols & Procedures 3 — Questions and Answers
Question 1: Which treatment protocol is specifically validated for binge eating disorder in adults?
- Cognitive Behavioral Therapy-Enhanced (CBT-E) (Correct answer)
- Exposure and Response Prevention (ERP)
- EMDR
- Social Skills Training
Correct answer: Cognitive Behavioral Therapy-Enhanced (CBT-E)
CBT-E (Enhanced CBT) is the leading evidence-based treatment for eating disorders including binge eating disorder, targeting both behaviors and cognitions.
Question 2: In the context of pediatric health psychology, Parent-Child Interaction Therapy (PCIT) is primarily used to address:
- Disruptive behavior disorders in young children (Correct answer)
- Adolescent substance use
- Childhood anxiety disorders
- Pediatric chronic pain
Correct answer: Disruptive behavior disorders in young children
PCIT is an evidence-based behavioral treatment for young children with disruptive behavior disorders, focusing on improving the parent-child relationship and discipline strategies.
Question 3: A health psychologist is using Acceptance and Commitment Therapy (ACT) with a patient living with chronic illness. Which core process does ACT emphasize that is most relevant to this population?
- Psychological flexibility and values-based action (Correct answer)
- Cognitive restructuring of maladaptive beliefs
- Gradual extinction of avoidance behaviors
- Social reinforcement of healthy coping
Correct answer: Psychological flexibility and values-based action
ACT promotes psychological flexibility—the ability to accept difficult experiences and pursue meaningful, values-driven behavior despite illness-related limitations.
Question 4: When treating insomnia using Cognitive Behavioral Therapy for Insomnia (CBT-I), sleep restriction is intended to:
- Increase homeostatic sleep drive by limiting time in bed to actual sleep time (Correct answer)
- Reduce total sleep time to reset the circadian rhythm
- Eliminate napping as a behavioral intervention
- Desensitize the patient to sleep-related anxiety cues
Correct answer: Increase homeostatic sleep drive by limiting time in bed to actual sleep time
Sleep restriction consolidates sleep by limiting time in bed to match the patient's current actual sleep time, thereby building homeostatic sleep pressure.
Question 5: In delivering exposure-based treatment for OCD, which principle distinguishes Exposure and Response Prevention (ERP) from standard exposure therapy?
- Patients are also prevented from engaging in compulsive rituals following exposure (Correct answer)
- Exposures are imaginal only and never in-vivo
- Therapist models the feared behavior before the patient attempts it
- Relaxation techniques are used immediately after each exposure
Correct answer: Patients are also prevented from engaging in compulsive rituals following exposure
ERP combines exposure to feared stimuli with the deliberate prevention of compulsive responses, which is critical to breaking the obsession-compulsion cycle.
Question 6: Which element is essential when developing a behavioral activation plan for a patient with depression?
- Scheduling activities based on values and potential for pleasure/mastery regardless of mood (Correct answer)
- Waiting until the patient feels motivated before scheduling activities
- Focusing exclusively on social activities to reduce isolation
- Eliminating all activities that may trigger negative emotions
Correct answer: Scheduling activities based on values and potential for pleasure/mastery regardless of mood
Behavioral activation schedules activities linked to values and mastery/pleasure to counter depression's withdrawal cycle, regardless of current mood state.
Question 7: A health psychologist working with a patient post-myocardial infarction incorporates cardiac rehabilitation psychology. Which intervention is most evidence-based for reducing psychological distress in this population?
- CBT targeting health behaviors and depression (Correct answer)
- Psychodynamic therapy focused on loss and grief
- Hypnotherapy for anxiety reduction
- Biofeedback for heart rate variability
Correct answer: CBT targeting health behaviors and depression
CBT targeting depression and health behaviors (smoking, adherence, exercise) has the strongest evidence base for improving psychological and medical outcomes in cardiac rehabilitation.
HSP Treatment Protocols & Procedures 3
Which treatment protocol is specifically validated for binge eating disorder in adults?