Thomas Hull

Thomas Hull
Columbia University | CU · Department of Counseling and Clinical Psychology

About

39
Publications
5,796
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407
Citations
Citations since 2016
31 Research Items
327 Citations
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Introduction
Thomas Hull currently works at the Department of Counseling and Clinical Psychology, Columbia University. Thomas does research in Behavioral Health Psychology, Technology-enhanced Psychotherapy, Psychoanalysis and Clinical Psychology.

Publications

Publications (39)
Article
Full-text available
Background At-home Ketamine-assisted therapy (KAT) with psychosocial support and remote monitoring through telehealth platforms addresses access barriers, including the COVID-19 pandemic. Large-scale evaluation of this approach is needed for questions regarding safety and effectiveness for depression and anxiety. Methods In this prospective study,...
Article
Full-text available
Numerous studies have found that long term retention is very low in remote clinical studies (>4 weeks) and to date there is limited information on the best methods to ensure retention. The ability to retain participants in the completion of key assessments periods is critical to all clinical research, and to date little is known as to what methods...
Article
Full-text available
Objective Digital Mental Health Interventions (DMHI) can diminish inequities in mental health care provision. As DMHIs increase in popularity, however, older adults may be unintentionally excluded due to barriers such as lack of awareness, internet access, digital tools, technological socialization and education, physiological accessibility, and co...
Article
Full-text available
Background While message-based therapy has been shown to be effective in treating a range of mood disorders, it is critical to ensure that providers are meeting a consistently high standard of care over this medium. One recently developed measure of messaging quality–The Facilitative Interpersonal Skills Task for Text (FIS-T)–provides estimates of...
Preprint
BACKGROUND Digital mental health interventions such as two-way, asynchronous messaging therapy are a growing part of the mental healthcare treatment ecosystem, yet little is known about how users engage with these interventions over the course of their treatment journeys. Mapping the user experience in digital therapy may be facilitated by integrat...
Article
Full-text available
Significance Using language to “distance” ourselves from distressing situations (i.e., by talking less about ourselves and the present moment) can help us manage emotions. Here, we translate this basic research to discover that such “linguistic distancing” is a replicable measure of mental health in a large set of therapy transcripts ( N = 6,229)....
Article
Introduction: Suicide is one of the leading causes of death worldwide, and it can be prevented by psychotherapy. The objective of this study was to examine the risk factors predicting suicide ideation during messaging psychotherapy, and the moderating role of working alliance (WA) in the association between baseline depression and later suicide ide...
Preprint
BACKGROUND Depression is a common psychiatric condition, with an estimated lifetime prevalence for Major Depression of 16.6% among the U.S. adult population, and is effectively treated through psychotherapy. The widespread availability of personal devices such as smartphones have led to an increase in technology-mediated psychotherapy; however, lit...
Article
Background: Depression is a common psychiatric condition with an estimated lifetime prevalence for major depression of 16.6% in the US adult population and is effectively treated through psychotherapy. The widespread availability of the internet and personal devices such as smartphones are changing the landscape of delivery of psychotherapy; howev...
Article
Full-text available
This study aimed to identify subgroups of depressed older adults with distinct trajectories of suicidal ideation during brief psychotherapy and to detect modifiable predictors of membership to the trajectories of suicidal ideation. Latent growth mixed models were used to identify trajectories of the presence of suicidal ideation in participants to...
Article
Full-text available
Effective psychotherapies for late-life depression are underutilized, mainly because of their complexity. “Engage” is a novel, streamlined psychotherapy that relies on neurobiology to identify core behavioral pathology of late-life depression and targets it with simple interventions, co-designed with community therapists so that they can be deliver...
Article
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The study aimed to: (1) Identify distinct trajectories of change in depressive symptoms by mid-treatment during psychotherapy for late-life depression with executive dysfunction; (2) examine if nonresponse by mid-treatment predicted poor response at treatment end; and (3) identify baseline characteristics predicting an early nonresponse trajectory...
Preprint
Full-text available
Using language to distance oneself from negative stimuli (e.g., by reducing use of the word “I” and present-tense verbs) is associated with effective emotion regulation. Given that internalizing disorders like anxiety and depression are characterized by maladaptive emotion regulation, stronger linguistic distance may be both a diagnostic marker of...
Article
Background Behavioral activation (BA) is rooted in the behavioral theory of depression, which states that increased exposure to meaningful, rewarding activities is a critical factor in the treatment of depression. Assessing constructs relevant to BA currently requires the administration of standardized instruments, such as the Behavioral Activation...
Preprint
BACKGROUND Suicide is one of the leading causes of death worldwide, and it can be prevented by psychotherapy. Nowadays, it is crucial to identify individuals at risk of suicide in technology-based therapies, such as messaging therapy. OBJECTIVE The objective of the study is to examine the risk factors predicting suicide ideation during a messaging...
Preprint
BACKGROUND Behavioral activation (BA) is rooted in the behavioral theory of depression, which states that increased exposure to meaningful, rewarding activities is a critical factor in the treatment of depression. Assessing constructs relevant to BA currently requires the administration of standardized instruments, such as the Behavioral Activation...
Article
Posttraumatic stress disorder (PTSD) is a condition characterized by symptom heterogeneity and persistent avoidance patterns. These characteristics hinder the identification of candidates for early intervention and identification of treatment recommendations appropriate for an individual person’s needs. Moreover, treatment barriers (particularly in...
Preprint
BACKGROUND The novel coronavirus disease 2019 (COVID-19) has negatively impacted mortality, economic conditions, and mental health and these impacts are likely to continue after the pandemic comes to an end. OBJECTIVE At present, no method has characterized the mental health burden of the pandemic distinct from pre-COVID-19 levels. Accurate detect...
Article
Full-text available
Background: The novel coronavirus disease 2019 (COVID-19) has negatively impacted mortality, economic conditions, and mental health and these impacts are likely to continue after the pandemic comes to an end. Objective: At present, no method has characterized the mental health burden of the pandemic distinct from pre-COVID-19 levels. Accurate de...
Preprint
Background: The novel coronavirus disease 2019 (COVID-19) has negatively impacted mortality, economic conditions, and mental health. A large scale study on psychological reactions to the pandemic to inform ongoing population-level symptom tracking and response to treatment is currently lacking.Methods: Average intake scores for standard depression...
Article
Objective: To design a Natural Language Processing (NLP) algorithm capable of detecting suicide content from patients’ written communication to their therapists, to support rapid response and clinical decision making in telehealth settings. Method: A training dataset of therapy transcripts for 1,864 patients was established by detecting patient con...
Article
Full-text available
Background: Telemedicine is a strategy for overcoming barriers to access evidence-based psychotherapy. Digital modalities that operate outside session-based treatment formats, such as ongoing two-way messaging, may further address these challenges. However, no study to date has established suitability criteria for this medium. Methods: A large o...
Article
Objective: To design a Natural Language Processing (NLP) algorithm capable of detecting suicide content from patients’ written communication to their therapists, to support rapid response and clinical decision making in telehealth settings. Method: A training dataset of therapy transcripts for 1,864 patients was established by detecting patient co...
Article
Full-text available
Background Individuals with posttraumatic stress disorder (PTSD) face symptoms that can hinder access to treatment, such as avoidance and guilt. Telemedicine offers a technological solution to increase access to mental health care and overcome barriers to treatment. Although an increasing body of literature focused on synchronous telehealth (eg, li...
Preprint
Background Telemedicine is an ongoing strategy for overcoming access barriers to evidence-based psychotherapy and modes that operate outside pre-scheduled, session-based formats (e.g., two-way messaging) may further address these challenges. However, no study to date has established suitability criteria for this medium.Methods We evaluated individu...
Preprint
Full-text available
Background: Telemedicine is a strategy for overcoming barriers to access evidence-based psychotherapy. Digital modalities that operate outside session-based treatment formats, such as ongoing two-way messaging, may further address these challenges. However, no study to date has established suitability criteria for this medium. Methods: A large outp...
Article
Full-text available
The World Health Organization estimates that more than 300 million people suffer from depression worldwide, and mental and behavioral disorders top the list of the leading categories of diseases and disorders in the USA, coming in second only to cardiovascular disease. Such impact is seen to disproportionately affect the workplace since over 70% of...
Article
Background: Many obstacles to obtaining psychotherapy continue to diminish its reach despite its documented positive effects. Using short message service (SMS) texting and Web platforms to enable licensed psychotherapists to deliver therapy directly to the lived context of the client is one possible solution. Introduction: Employing a feasibilit...
Article
The function of emotion and its underlying neural mechanisms are often left underspecified. I extend the GANE (glutamate amplifies noradrenergic effects) model by examining its success in accounting for findings in emotion regulation. I also identify points of alignment with construction models of emotion and with the hypothesis that emotion states...
Article
Full-text available
This paper discusses the theoretical and empirical foundations of the use of storytelling in instruction. The definition of "story" is provided, and four instructional methods related to storytelling are identified: case-based instruction, narrative-based instruction, scenario-based instruction, and problem-based instruction. The article describes...
Article
This is a preliminary outcome study of an online recovery program for hypersexuality, with an emphasis on problematic pornography use and masturbation. The sample included 138 (M age = 37.97, SD = 12.40; 97% male; 86% European American) individuals enrolled in the Candeo online recovery program. The survey included questions regarding the helpfulne...
Article
Full-text available
The goal of this paper is to discuss the theoretical and empirical foundations of the use of storytelling in instruction. The definition of a “story” is given and four instructional methods are identified related to storytelling: case-based, narrative-based, scenario-based and problem-based instruction. The article puts forth descriptions of the fo...
Article
Full-text available
The penetration of US national security by foreign agents as well as American citizens is a historical and current reality that's a persistent and increasing phenomenon. Surveys, such as the e-crime watch survey, reveal that current or former employees and contractors are the second greatest cybersecurity threat, exceeded only by hackers, and that...
Article
This book stems from a workshop organized by the US Air Force Research Laboratory. The military is interested in better instructional storytelling because military instructors have historically relied heavily on that technique. One of the workshops major goals was to explore different ways to produce more instructionally effective stories. This boo...

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