David Tolin, PhD, ABPP
Adjunct Professor of Psychiatry, Yale Department of PsychiatryAbout
Research
Publications
2024
Changes in Hoarding-Related Beliefs and Associated Neural Changes during a Simulated Discarding Task after Cognitive-Behavioral Treatment for Hoarding Disorder
Knowles K, Stevens M, Levy H, Tolin D. Changes in Hoarding-Related Beliefs and Associated Neural Changes during a Simulated Discarding Task after Cognitive-Behavioral Treatment for Hoarding Disorder. Journal Of Psychiatric Research 2024, 180: 473-481. PMID: 39547046, DOI: 10.1016/j.jpsychires.2024.11.017.Peer-Reviewed Original ResearchCognitive-behavioral therapyHoarding-related beliefsFunctional magnetic resonance imagingHoarding disorderNeural activityMaladaptive beliefsCourse of CBTGroup cognitive-behavioral therapyLeft anterior cingulate cortexLeft middle frontal gyrusAssociated with cognitive changesCognitive-behavioral treatmentAssociated with increased activityAnterior ventral insulaAnterior cingulate cortexMiddle frontal gyrusInferior temporal lobeLeft middle insulaCognitive-behavioralAssociated with specific changesFrontal gyrusCingulate cortexMiddle insulaNeural regionsVentral insulaA Proposed Definition of Psychological Treatment and Its Relation to Empirically Supported Treatments
Tolin D, Grasso D, Boness C, Beck J, Keane T, Leichsenring F, Olatunji B, Otto M, Weinand J. A Proposed Definition of Psychological Treatment and Its Relation to Empirically Supported Treatments. Clinical Psychology Science And Practice 2024 DOI: 10.1037/cps0000220.Peer-Reviewed Original ResearchSociety of Clinical PsychologyPsychological treatmentAmerican Psychological AssociationMental health professionalsMechanisms of changeClinical psychologyPsychological AssociationInterpersonal processesPsychological scienceCore assumptionsPersonsHealth professionalsTaskInterventionPsychologyFunctional outcomesTask ForcePractice guidelinesTreatmentProposed definitionsMisuseClinical practice guidelinesScientific understandingAmericanThinkingTypologies of Psychiatric Diagnoses Among Inpatients with Recent Suicide Attempts
Lord K, Tolin D, Diefenbach G. Typologies of Psychiatric Diagnoses Among Inpatients with Recent Suicide Attempts. Archives Of Suicide Research 2024, ahead-of-print: 1-16. PMID: 39302084, DOI: 10.1080/13811118.2024.2405732.Peer-Reviewed Original ResearchLatent class analysisSuicide attemptsComorbidity classesBattery of self-report measuresComorbidity of psychiatric disordersSemi-structured diagnostic interviewHistory of suicide attemptsPerson-centered statistical approachPatterns of comorbiditySelf-report measuresSuicide risk assessmentSuicide risk factorsDiagnostic heterogeneityDiagnostic InterviewCognitive-affectivePsychiatric disordersSuicidal ideationPsychiatric diagnosingPsychiatric multimorbidityAttempted suicideInterrupted attemptsActual attemptsSuicideComorbidityClass analysisBrief Cognitive Behavioral Therapy for Suicidal Inpatients
Diefenbach G, Lord K, Stubbing J, Rudd M, Levy H, Worden B, Sain K, Bimstein J, Rice T, Everhardt K, Gueorguieva R, Tolin D. Brief Cognitive Behavioral Therapy for Suicidal Inpatients. JAMA Psychiatry 2024, 81 PMID: 39259550, PMCID: PMC11391362, DOI: 10.1001/jamapsychiatry.2024.2349.Peer-Reviewed Original ResearchBrief cognitive behavioral therapyCognitive behavioral therapySubstance use disordersSuicidal ideationBehavioral therapySuicide attemptsFollow-up assessmentUse disorderOccurrence of suicide attemptsPsychiatric readmissionRates of psychiatric readmissionSuicide prevention treatmentsEffect of treatment conditionPrivate psychiatric hospitalTreatment effectsSuicidal inpatientsSuicide riskSuicidal crisisPsychiatric hospitalIndividual sessionsIdeationSuicide reattemptsPost hoc analysisSelf-reportBlinded interviewersCentral and peripheral physiological responses to decision making in hoarding disorder
Levy H, Naples A, Collett S, McPartland J, Tolin D. Central and peripheral physiological responses to decision making in hoarding disorder. International Journal Of Psychophysiology 2024, 205: 112437. PMID: 39265723, PMCID: PMC11502253, DOI: 10.1016/j.ijpsycho.2024.112437.Peer-Reviewed Original ResearchError-related negativityHoarding disorderControl participantsAlpha asymmetryPsychophysiological responsesIncreased frontal negativityGo/No-Go taskHealthy control participantsDecision-making taskPeripheral nervous system activityResponse to decisionsAnxiety disordersFrontal negativityNeurobiological modelsGo taskNeutral taskPsychiatric diagnosisExcessive clutterPsychophysiological measuresPersonal possessionsExaggerated activationDisordersNull resultsNervous system activityTaskThe relationship between momentary experiential avoidance and anxiety symptoms
Sain K, Lord K, Knowles K, Everhardt K, Tolin D. The relationship between momentary experiential avoidance and anxiety symptoms. Anxiety Stress & Coping 2024, ahead-of-print: 1-13. PMID: 39104256, DOI: 10.1080/10615806.2024.2383769.Peer-Reviewed Original ResearchEcological momentary assessmentExperiential avoidanceAnxiety-related disordersAnxiety symptomsClinical sample of participantsSample of treatment-seeking patientsAssociated with greater anxietyAnxiety-related psychopathologySocial anxiety disorderBidirectional relationshipTreatment-seeking patientsTrend-level associationsSample of participantsIn-the-momentNonclinical undergraduatesAnxiety disordersMomentary assessmentGreater anxietyPerceived stressAnxietyBaseline assessmentClinical samplesDisordersTime pointsAssessment periodMoving beyond symptom reduction: A meta‐analysis on the effect of exposure therapy for PTSD on quality of life
Kaur K, Asnaani A, Levy H, Miller M, Tolin D, McLean C. Moving beyond symptom reduction: A meta‐analysis on the effect of exposure therapy for PTSD on quality of life. Journal Of Clinical Psychology 2024, 80: 2134-2146. PMID: 38875442, DOI: 10.1002/jclp.23727.Peer-Reviewed Original ResearchPosttraumatic stress disorderQuality of lifeExposure-based therapyExposure therapyControl conditionMeta-analysisPosttraumatic stress disorder treatment studiesAdult posttraumatic stress disorderEfficacy of exposure therapyEffectiveness of exposure therapyLow quality of lifeCochrane risk of bias toolRisk of bias toolExposure-based treatmentsFollow-upAssociated with greater improvementEmotional well-beingRisk of biasRandomized controlled trialsPTSD treatmentStress disorderPhysical healthSymptom reductionCochrane riskBias toolAcupressure in Psychotherapy as an Unsinkable Rubber Duck: A Reply to Feinstein (2023)
Boness C, Pfund R, Tolin D. Acupressure in Psychotherapy as an Unsinkable Rubber Duck: A Reply to Feinstein (2023). Journal Of Psychotherapy Integration 2024, 34: 190-199. PMID: 39006869, PMCID: PMC11244757, DOI: 10.1037/int0000315.Peer-Reviewed Original ResearchEmotional Freedom TechniquesEnergy meridiansEFT researchEthical practice of psychologyPractice of psychologyAcupressure pointsLack of evidenceFreedom TechniquesPsychological symptomsStudy designSystematic reviewClinical recommendationsAcupressureMethodological flawsIncrease qualityManual stimulationPsychological disordersBody of researchPsychotherapyEthical practicePseudoscientific conceptsAcupointsDisordersMeridianRubber ducksNeural Outcomes and Predictors of Cognitive-Behavioral Treatment for Hoarding Disorder
Stevens M, Levy H, Tolin D. Neural Outcomes and Predictors of Cognitive-Behavioral Treatment for Hoarding Disorder. Biological Psychiatry 2024, 95: s65. DOI: 10.1016/j.biopsych.2024.02.161.Peer-Reviewed Original ResearchBorderline Personality Traits Do Not Moderate the Relationship Between Depression, Beliefs, and Suicidal Thoughts and Behaviors
Stubbing J, Tolin D, Sain K, Everhardt K, Rudd M, Diefenbach G. Borderline Personality Traits Do Not Moderate the Relationship Between Depression, Beliefs, and Suicidal Thoughts and Behaviors. Archives Of Suicide Research 2024, ahead-of-print: 1-15. PMID: 38683542, DOI: 10.1080/13811118.2024.2345168.Peer-Reviewed Original ResearchBorderline personality disorder traitsSuicide beliefsSuicidal ideationSuicidal thoughtsMediation modelExploratory moderated mediation analysesPersonality disorder traitsHistory of STBSuicide attempt historyHistory of suicideModerated mediation analysisModerated mediation modelDisorder traitsEstimated mediation modelsAttempt historySuicidal patientsSuicide attemptsMediation analysisEmotional distressDepressionLongitudinal researchSuicideInpatient unitMediation effectTreatment target