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Journal of Consulting and Clinical Psychology

Michael J Constantino, Holly B Laws, Alice E Coyne, Roger P Greenberg, Daniel N Klein, Rachel Manber, Barbara O Rothbaum, Bruce A Arnow
Objective: Theories posit that chronically depressed individuals have hostile and submissive interpersonal styles that undermine their interpersonal effectiveness and contribute to the cause and maintenance of their depression. Recent findings support this theory and demonstrate that chronically depressed patients' interpersonal impacts on their therapist become more adaptive (i.e., less hostile and submissive, and more friendly and assertive) during a targeted chronic depression treatment: cognitive-behavioral analysis system of psychotherapy (CBASP)...
October 17, 2016: Journal of Consulting and Clinical Psychology
Denise D Walker, Thomas O Walton, Clayton Neighbors, Debra Kaysen, Lyungai Mbilinyi, Jolee Darnell, Lindsey Rodriguez, Roger A Roffman
Objective: Alcohol use disorders (AUDs) are prevalent in the military and are a major public health concern. Although efficacious AUD interventions exist, few service members seek treatment. Army-specific barriers to AUD treatment include treatment being recorded on health records, command being notified of participation, and perceptions that seeking treatment would interfere with promotion or retention in the military. Evaluate a telephone delivered motivational interviewing plus feedback (MIF) intervention designed to attract self-referral and reduce substance use from active-duty military with untreated AUD...
October 13, 2016: Journal of Consulting and Clinical Psychology
Andrew Pomerville, Rachel L Burrage, Joseph P Gone
Objective: Although the dire mental health needs of Indigenous communities are well established in the literature, the empirical evidence for psychotherapeutic treatment for these populations is perceived to be scant. This review is intended to determine gaps in the literature for this population by asking how much empirical work has been published, what types of research are being conducted, which topics are most prevalent among the existing literature, and what can be concluded about psychotherapy with Indigenous populations based on this literature...
October 13, 2016: Journal of Consulting and Clinical Psychology
Carmela Alcántara, Xinliang Li, Ye Wang, Glorisa Canino, Margarita Alegría
Objective: We conducted a secondary analysis of randomized controlled trial data to determine if the Engagement and Counseling for Latinos (ECLA) intervention, a brief, evidence-based, and culturally adapted cognitive-behavioral intervention specifically designed for and effective at treating depression, also reduced co-occurring worry symptoms. We also explored whether delivery modality (telephone, face-to-face) and sociodemographic patient characteristics moderated treatment effectiveness. Method: Between May 2011 and September 2012, low-income Latino primary care patients (N = 257) with depression from Boston and San Juan were randomized to usual care (n = 86), face-to-face ECLA (n = 84), or telephone ECLA (n = 87) and completed a psychosocial assessment at baseline and 4 months after randomization...
September 15, 2016: Journal of Consulting and Clinical Psychology
Carly Yasinski, Adele M Hayes, C Beth Ready, Jorden A Cummings, Ilana S Berman, Thomas McCauley, Charles Webb, Esther Deblinger
Objective: Involving caregivers in trauma-focused treatments for youth has been shown to result in better outcomes, but it is not clear which in-session caregiver behaviors enhance or inhibit this effect. The current study examined the associations between caregiver behaviors during Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and youth cognitive processes and symptoms. Method: Participants were a racially diverse sample of Medicaid-eligible youth (ages 7-17) and their nonoffending caregivers (N = 71 pairs) who received TF-CBT through an effectiveness study in a community setting...
September 12, 2016: Journal of Consulting and Clinical Psychology
Gregory A Fabiano, Nicole K Schatz, Karen L Morris, Michael T Willoughby, Rebecca K Vujnovic, Kevin F Hulme, Jessica Riordan, Marlana Howard, Dwight Hennessy, Kemper Lewis, Larry Hawk, Amanda Wylie, William E Pelham
Objective: Teenage drivers diagnosed with attention-deficit/hyperactivity disorder (ADHD) are at significant risk for negative driving outcomes related to morbidity and mortality. However, there are few viable psychosocial treatments for teens with ADHD and none focus on the key functional area of driving. The Supporting the Effective Entry to the Roadway (STEER) program was evaluated in a clinical trial to investigate whether it improved family functioning as a proximal outcome and driving behavior as a distal outcome...
September 12, 2016: Journal of Consulting and Clinical Psychology
Brittany M Merrill, Anne S Morrow, Amy R Altszuler, Fiona L Macphee, Elizabeth M Gnagy, Andrew R Greiner, Erika K Coles, Joseph S Raiker, Stefany Coxe, William E Pelham
Objective: Evidence indicates that children with Attention Deficit Hyperactivity Disorder (ADHD) experience acute and prolonged academic impairment and underachievement including marked difficulty with completing homework. This study is the first to examine the effects of behavioral, psychostimulant, and combined treatments on homework problems, which have been shown to predict academic performance longitudinally. Method: Children with ADHD (ages 5-12, N = 75, 71% male, 83% Hispanic/Latino) and their families were randomly assigned to either behavioral treatment (homework-focused parent training and a daily report card; BPT + DRC) or a waitlist control group...
September 12, 2016: Journal of Consulting and Clinical Psychology
Severin Haug, Raquel Paz Castro, Tobias Kowatsch, Andreas Filler, Michelle Dey, Michael P Schaub
Objective: To test the efficacy of a combined web- and text messaging-based intervention to reduce problem drinking in young people compared to assessment only. Method: Two-arm, parallel-group, cluster-randomized controlled trial with assessments at baseline and 6-month follow up. The automated intervention included online feedback, based on the social norms approach, and individually tailored text messages addressing social norms, outcome expectations, motivation, self-efficacy, and planning processes, provided over 3 months...
September 8, 2016: Journal of Consulting and Clinical Psychology
Greg M Reger, Patricia Koenen-Woods, Kimberlee Zetocha, Derek J Smolenski, Kevin M Holloway, Barbara O Rothbaum, JoAnn Difede, Albert A Rizzo, Amanda Edwards-Stewart, Nancy A Skopp, Matthew Mishkind, Mark A Reger, Gregory A Gahm
Objective: Prolonged exposure (PE) is an evidence-based psychotherapy for posttraumatic stress disorder (PTSD) but there is limited research with active-duty military populations. Virtual reality exposure (VRE) has shown promise but randomized trials are needed to evaluate efficacy relative to existing standards of care. This study evaluated the efficacy of VRE and PE for active duty soldiers with PTSD from deployments to Iraq and Afghanistan. Method: Active-duty soldiers (N = 162) were randomized to 10-sessions of PE, VRE, or a minimal attention waitlist (WL)...
September 8, 2016: Journal of Consulting and Clinical Psychology
Robert D Keeley, David S Brody, Matthew Engel, Brian L Burke, Kimberly Nordstrom, Ernesto Moralez, L Miriam Dickinson, Caroline Emsermann
Objective: To examine the effects of Motivational Interviewing (MI) conducted by primary care providers on rates of improvement over time for depressive symptoms and remission among low-income patients with newly diagnosed Major Depressive Disorder. Method: Ten care teams were randomized to MI with standard management of depression (MI-SMD; 4 teams, 10 providers, 88 patients) or SMD alone (6 teams, 16 providers, 80 patients). Patients were assessed at 6, 12 and 36 weeks with the Patient Health Questionnaire-9 (PHQ-9)...
September 5, 2016: Journal of Consulting and Clinical Psychology
Jillian C Shipherd, Kristalyn Salters-Pedneault, Joanne Fordiani
Objective: Although intrusive cognition (IC) is remarkably common in soldiers postdeployment and successful coping with ICs may predict better long-term psychological health, few elements of current programmatic postdeployment trainings have directly addressed adaptive strategies for managing intrusive deployment-related cognitions. The current study explored the efficacy of a brief acceptance-based skills training for coping with ICs relative to a change-based skills training, a psychoeducation-only training, or training as usual...
September 5, 2016: Journal of Consulting and Clinical Psychology
Tea Trillingsgaard, Hanne N Fentz, Matt Hawrilenko, James V Cordova
Objective: This study examined the effectiveness of the Marriage Checkup (MC), adapted for independent practice. Method: A total of 233 couples were recruited from 2 metropolitan areas of Denmark and randomized to the MC adapted for independent practice (MC-P, n = 116) or a waitlist condition (WL, n = 117). Self-report measures of relationship health were obtained online at 3 (WL) or 6 (MC-P) time points across 54 weeks. MC-P couples received 2 checkups (Week 7 and 51). WL couples received tickets to a movie night (Week 10)...
September 5, 2016: Journal of Consulting and Clinical Psychology
Emily B Winslow, Elizabeth Poloskov, Rachelle Begay, Jenn-Yun Tein, Irwin Sandler, Sharlene Wolchik
Objective: This study examined the efficacy of motivational strategies for increasing engagement into evidence-based, parenting interventions delivered through schools. Method: Participants were 122 mothers of kindergarten and third grade students attending an urban school that predominantly served Mexican American families living in low-income conditions. At pretest, mothers reported sociocultural characteristics, and teachers rated children's behavior. Mothers randomly assigned to the experimental condition received a multicomponent engagement package; mothers assigned to the control condition received a brochure plus a nonengagement survey interview...
September 5, 2016: Journal of Consulting and Clinical Psychology
David D Luxton, Larry D Pruitt, Amy Wagner, Derek J Smolenski, Michael A Jenkins-Guarnieri, Gregory Gahm
Objective: Evidence of feasibility, safety, and effectiveness of home-based telebehavioral health (HBTBH) needs to be established before adoption of HBTBH in the military health system can occur. The purpose of this randomized controlled noninferiority trial was to compare the safety, feasibility, and effectiveness of HBTBH to care provided in the traditional in-office setting among military personnel and veterans. Method: One hundred and twenty-one U.S. military service members and veterans were recruited at a military treatment facility and a Veterans Health Administration hospital...
September 5, 2016: Journal of Consulting and Clinical Psychology
Casey T Taft, Suzannah K Creech, Matthew W Gallagher, Alexandra Macdonald, Christopher M Murphy, Candice M Monson
Objective: We evaluated the efficacy of Strength at Home Couples, a cognitive-behavioral trauma-informed intimate partner violence (IPV) preventive intervention for married or partnered military service members or veterans. No prior randomized controlled trial had supported the efficacy of such an intervention in this population. Method: Participants included 69 male service members or veterans and their female partners. Recruitment was conducted from February 2010 through August 2013, and participation occurred within 2 Department of Veterans Affairs hospitals...
September 5, 2016: Journal of Consulting and Clinical Psychology
Robert F Leeman, Kelly S DeMartini, Ralitza Gueorguieva, Christine Nogueira, William R Corbin, Clayton Neighbors, Stephanie S O'Malley
Objective: Tertiary Health Research Intervention via Email (THRIVE), a very brief, freely available, multicomponent Web-based alcohol intervention originally developed and tested among students in Australia and New Zealand, was tested in the United States. We also evaluated effects of systematically varying the protective behavioral strategies (PBS) component of the intervention to include shorter, focused lists of direct (e.g., alternating alcoholic with nonalcoholic drinks) or indirect (e.g., looking out for friends) strategies...
September 5, 2016: Journal of Consulting and Clinical Psychology
Gerard J Connors, Stephen A Maisto, Robert C Schlauch, Ronda L Dearing, Mark A Prince, Mark R Duerr
Objective: The therapeutic alliance is recognized as an important contributor to treatment outcomes. In this study, the session-to-session interplay of the alliance (as perceived by the patient) and alcohol involvement (drinking days and heavy drinking days between successive treatment sessions) was examined. The analyses also tested the extent to which pretreatment changes in drinking altered these interrelationships. Method: Participants (N = 63) seeking treatment for an alcohol use disorder received 12 weeks of CBT for alcohol dependence and completed weekly assessments of the alliance...
August 22, 2016: Journal of Consulting and Clinical Psychology
Bruce F Chorpita, Eric L Daleiden, Alayna L Park, Alyssa M Ward, Michelle C Levy, Taya Cromley, Angela W Chiu, Andrea M Letamendi, Katherine H Tsai, Jennifer L Krull
Objective: This study reports outcomes from a randomized effectiveness trial testing modular treatment versus multiple community-implemented evidence-based treatments for youth. Method: An ethnoracially diverse sample of 138 youth ages 5 to 15 (62 girls, 76 boys) whose primary clinical concerns involved diagnoses or clinical elevations related to anxiety, depression, disruptive behavior, and/or traumatic stress were treated by community therapists randomly assigned to 1 of 2 conditions: (a) modular treatment, which involved a single modular protocol (i...
August 22, 2016: Journal of Consulting and Clinical Psychology
Denise D Walker, Robert S Stephens, Claire E Blevins, Kelsey E Banes, Lauren Matthews, Roger A Roffman
OBJECTIVE: Brief interventions for adolescent marijuana users offered in schools reach users who would not otherwise present for treatment. The current study builds on previous trials of a school-based, 2-session motivational enhancement therapy (MET) intervention by adding periodic, brief motivational check-ins to reinforce gains and bolster motivation. METHOD: Adolescent participants were randomly assigned to a motivational check-in (MCI; n = 128) or assessment-only check-in (ACI; n = 124) comparison condition...
November 2016: Journal of Consulting and Clinical Psychology
Richard Spoth, Linda Trudeau, Cleve Redmond, Chungyeol Shin
OBJECTIVE: This brief report summarizes a replication and extension of a developmental outcome modeling study, by examining whether delayed substance initiation during adolescence, resulting from universal middle school preventive interventions, reduces problematic use in young adults Ages 25 and 27, up to 14.5 years after baseline. METHOD: Participants were middle school students from 36 Iowa schools randomly assigned to the Strengthening Families Program plus Life Skills Training (SFP 10-14 + LST), LST-only, or a control condition...
October 2016: Journal of Consulting and Clinical Psychology
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