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Journal of Consulting and Clinical Psychology

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https://www.readbyqxmd.com/read/29781653/daily-assessment-of-interpersonal-factors-to-predict-suicidal-ideation-and-non-suicidal-self-injury-in-psychiatric-inpatients
#1
Michael J Kyron, Geoff R Hooke, Andrew C Page
OBJECTIVE: The study assessed suicidal ideation and interpersonal variables to explore the extent to which (a) changes in interpersonal factors predicted future suicidal ideation and (b) changes in either predicted nonsuicidal self-injury. METHOD: In total, 1,044 patients (72.3% Female; mean age = 41.95) at a psychiatric inpatient facility were assessed daily for suicidal thoughts. If patients indicated suicidal thinking (n = 417), their feelings of perceived burdensomeness and thwarted belongingness were assessed...
June 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29781652/the-agreement-between-clients-and-their-therapists-ratings-of-personality-disorder-traits
#2
Douglas B Samuel, Takakuni Suzuki, Meredith A Bucher, Sarah A Griffin
OBJECTIVE: Treating clinicians provide the majority of mental health diagnoses, yet little is known about the validity of their routine diagnoses, including the agreement with clients' self-reports. This is particularly notable for personality disorders (PDs) as the literature suggests weak agreement between therapists and clients. Existing research has been limited by a focus on PD categories and brief therapist-report measures. Furthermore, although self-reports of PD have been criticized for underreporting, very few data have compared them with therapist report in terms of mean level...
June 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29781651/exposure-and-cbt-for-chronic-back-pain-an-rct-on-differential-efficacy-and-optimal-length-of-treatment
#3
Julia Anna Glombiewski, Sebastian Holzapfel, Jenny Riecke, Johan W S Vlaeyen, Jeroen de Jong, Gunnar Lemmer, Winfried Rief
OBJECTIVE: Our aim was to establish whether Exposure, a specialized tailored treatment for chronic low back pain, has any advantages over cognitive-behavioral therapy (CBT) among individuals with high fear-avoidance levels. Second, we planned to compare short and long versions of Exposure. Third, we aimed to investigate whether Exposure can be delivered in an outpatient psychological setting. METHOD: A total of 88 Caucasian participants (55% women) were randomized to three different psychological treatment conditions, Exposure-long, Exposure-short, and CBT...
June 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29781650/randomized-controlled-trial-of-secondstory-an-intervention-targeting-posttraumatic-growth-with-bereaved-adults
#4
Ann Marie Roepke, Eli Tsukayama, Marie Forgeard, Laura Blackie, Eranda Jayawickreme
OBJECTIVE: People often report positive psychological changes after adversity, a phenomenon known as posttraumatic growth (PTG). Few PTG-focused interventions have been rigorously tested, and measurement strategies have had significant limitations. This study evaluated the effects of a new group-format psychosocial intervention, SecondStory, aimed at facilitating PTG by helping participants make meaning of the past and plan a purposeful future. METHOD: In a randomized controlled trial, adults (N = 112, 64% women) bereaved within 5 years were randomly assigned to SecondStory or an active control, expressive writing...
June 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29781649/treatment-of-social-approach-processes-in-adults-with-social-anxiety-disorder
#5
Lynn E Alden, Kristin Buhr, Melisa Robichaud, Jennifer L Trew, M Leili Plasencia
OBJECTIVE: Despite the social impairment associated with social anxiety disorder (SAD), little research has examined the impact of treatment on positive relational functioning. Accordingly, the authors conducted a treatment outcome study to evaluate a cognitive behavior therapy (CBT) regimen augmented by a relational focus (CBT-R) relative to a graduated exposure-applied relaxation (GEAR) regimen and wait list (WL) control. To examine the mechanism(s) that underlies treatment effects, they used structural equation modeling (SEM) to evaluate two potential mediators, change in judgment biases and in safety behaviors...
June 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29781648/a-mobile-app-for-social-anxiety-disorder-a-three-arm-randomized-controlled-trial-comparing-mobile-and-pc-based-guided-self-help-interventions
#6
Timo Stolz, Ava Schulz, Tobias Krieger, Alessia Vincent, Antoine Urech, Christian Moser, Stefan Westermann, Thomas Berger
OBJECTIVE: Internet-based cognitive-behavioral treatments (ICBT) have shown promise for various mental disorders, including social anxiety disorder (SAD). Most of these treatments have been delivered on desktop computers. However, the use of smartphones is becoming ubiquitous and could extend the reach of ICBT into users' everyday life. Only a few studies have empirically examined the efficacy of ICBT delivered through a smartphone app and there is no published study on mobile app delivered ICBT for SAD...
June 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29683704/how-do-electronic-cigarettes-affect-cravings-to-smoke-or-vape-parsing-the-influences-of-nicotine-and-expectancies-using-the-balanced-placebo-design
#7
Amanda M Palmer, Thomas H Brandon
OBJECTIVE: Although electronic cigarettes (e-cigarettes) are frequently initiated for smoking cessation, results from the first two clinical trials testing this suggest that the perceived benefits of vaping may be influenced by non-nicotine factors, including cognitive outcome expectancies. The current study investigated the separate and combined effects of nicotine delivery and outcome expectancies on cravings for cigarettes and e-cigarettes using a balanced-placebo experiment. METHOD: Drug dosage (contains nicotine or not) was crossed with instructional set (told nicotine or non-nicotine) during ad lib e-cigarette use sessions by 128 current e-cigarette users (52 identifying as current cigarette smokers or "dual users")...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29683703/effects-of-anxiety-sensitivity-reduction-on-smoking-abstinence-an-analysis-from-a-panic-prevention-program
#8
Michael J Zvolensky, Lorra Garey, Nicolas P Allan, Samantha G Farris, Amanda M Raines, Jasper A J Smits, Brooke Y Kauffman, Kara Manning, Norman B Schmidt
OBJECTIVE: Scientific evidence implicates anxiety sensitivity (AS) as a risk factor for poor smoking cessation outcomes. Integrated smoking cessation programs that target AS may lead to improved smoking cessation outcomes, potentially through AS reduction. Yet, little work has evaluated the efficacy of integrated smoking cessation treatment on smoking abstinence. The present study prospectively examined treatment effects of a novel AS reduction-smoking cessation intervention relative to a standard smoking cessation intervention on smoking abstinence...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29683702/changes-in-posttraumatic-stress-disorder-ptsd-and-depressive-symptoms-over-the-course-of-prolonged-exposure
#9
Lily A Brown, Alissa Jerud, Anu Asnaani, Julie Petersen, Yinyin Zang, Edna B Foa
OBJECTIVE: Prior studies of prolonged exposure therapy (PE) suggested that reduction of posttraumatic stress disorder (PTSD) precedes reduction in depression, yet no research has collapsed data across multiple studies to examine whether the directionality of reduction remains consistent in larger and diagnostically diverse samples. Thus, the objective of this study is to conduct an evaluation of bidirectional associations between PTSD and depression in PE. METHOD: Participants (n = 216) from three randomized controlled trials of PE alone, PE + alcohol use disorder treatment, and PE + nicotine use disorder treatment completed weekly PTSD and depression severity measures...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29683701/exploring-evidence-of-a-dissociative-subtype-in-ptsd-baseline-symptom-structure-etiology-and-treatment-efficacy-for-those-who-dissociate
#10
Mark S Burton, Norah C Feeny, Arin M Connell, Lori A Zoellner
OBJECTIVE: With the inclusion of a dissociative subtype, recent changes to the DSM-5 diagnosis of posttraumatic stress disorder (PTSD) have emphasized the role of dissociation in the experience and treatment of the disorder. However, there is a lack of research exploring the clinical impact for highly dissociative groups receiving treatment for PTSD. The current study examined the presence and clinical impact of a dissociative subtype in a sample of individuals receiving treatment for chronic PTSD...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29683700/the-importance-of-therapeutic-processes-in-school-based-psychosocial-treatment-of-homework-problems-in-adolescents-with-adhd
#11
Rosanna P Breaux, Joshua M Langberg, Bryce D McLeod, Stephen J Molitor, Zoe R Smith, Elizaveta Bourchtein, Cathrin D Green
OBJECTIVE: To evaluate the importance of therapeutic processes in two brief school-based psychosocial treatments targeting homework problems in adolescents with attention-deficit/hyperactivity disorder (ADHD) as delivered by school mental health professionals. METHOD: A sample of 222 middle school students (72% male; Mage = 12.00 years, SD = 1.02) diagnosed with ADHD was randomized to receive either a contingency-management or a skills-based treatment for homework problems...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29683699/minority-stress-and-relationship-functioning-among-young-male-same-sex-couples-an-examination-of-actor-partner-interdependence-models
#12
Brian A Feinstein, Elizabeth McConnell, Christina Dyar, Brian Mustanski, Michael E Newcomb
OBJECTIVE: In different-sex couples, individual and partner stress can both have a negative impact on relationship functioning (actor and partner effects). Gay and bisexual men experience unique stress (sexual minority stress), but few studies have examined the effects of this stress on relationship functioning among young male couples. The current study examined (a) actor and partner effects of general and minority stress (internalized stigma, microaggressions, victimization, and outness) on relationship functioning (relationship quality and negative relationship interactions), (b) interactions between individual and partner stress as predictors of relationship functioning, and (c) dyadic coping and relationship length as moderators of actor and partner effects...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29683698/hidden-from-happiness-structural-stigma-sexual-orientation-concealment-and-life-satisfaction-across-28-countries
#13
John E Pachankis, Richard Bränström
OBJECTIVE: Although structural stigma (i.e., discriminatory laws, policies, and community attitudes) toward sexual minorities predicts adverse health and wellbeing, this association has typically only been examined within a single country and potential mechanisms remain unknown. Consequently, we examined the association between structural stigma and sexual minorities' life satisfaction across 28 countries, identity concealment as a potential mechanism of this association, and, in high-stigma countries, the potential for concealment to protect sexual minorities from discrimination and victimization, and therefore even poorer life satisfaction than they would otherwise experience in those countries...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29389142/a-randomized-controlled-trial-of-financial-incentives-to-low-income-pregnant-women-to-engage-in-smoking-cessation-treatment-effects-on-post-birth-abstinence
#14
Timothy B Baker, David L Fraser, Kate Kobinsky, Robert Adsit, Stevens S Smith, Lisette Khalil, Kristine M Alaniz, Tingting E Sullivan, Mimi L Johnson, Michael C Fiore
OBJECTIVE: Evaluate the effectiveness of monetary incentives for increasing engagement in smoking cessation treatment and improving 6-month abstinence in low-income pregnant smokers. METHOD: Two-group randomized clinical trial recruiting low-income (Medicaid-registered) pregnant smokers receiving assistance through a perinatal support program. Participants were randomized to either an incentive (n = 505) or control condition (n = 509). All participants were offered identical smoking cessation counseling at contacts...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29648859/when-therapist-estimations-of-the-process-of-treatment-can-predict-patients-rating-on-outcome-the-case-of-the-working-alliance
#15
Sigal Zilcha-Mano, J Christopher Muran, Catherine F Eubanks, Jeremy D Safran, Arnold Winston
OBJECTIVE: It has been demonstrated that patient perspective on alliance can predict subsequent treatment outcome as reported by the therapist but not the other way around. This study aimed to investigate the circumstances in which therapists can provide estimations of alliance capable of predicting patient perceptions of subsequent session outcome. The study focused on 2 potential indicators: time in treatment and treatment efficacy. METHOD: Data of 107 treatment completers assigned to either cognitive-behavioral therapy or alliance focused therapy were analyzed...
April 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29648858/the-effect-of-alliance-focused-training-on-a-cognitive-behavioral-therapy-for-personality-disorders
#16
J Christopher Muran, Jeremy D Safran, Catherine F Eubanks, Bernard S Gorman
OBJECTIVE: To improve success rates in psychotherapy, we developed and evaluated an alliance-focused training (AFT) protocol with regard to patient-therapist interpersonal behavior in a 30-session protocol of cognitive-behavioral therapy (CBT) for outpatients comorbid with Axis I and II conditions. METHOD: Participants included 40 patients treated by 40 therapists in a multiple baseline design in which novice therapists trained to fidelity standards in CBT were introduced to AFT at different time intervals (after either 8 or 16 sessions) during a 30-session CBT protocol...
April 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29648857/associations-of-patient-rated-emotional-bond-and-vocally-encoded-emotional-arousal-among-clinicians-and-acutely-suicidal-military-personnel
#17
Craig J Bryan, Brian R Baucom, Alex O Crenshaw, Zac Imel, David C Atkins, Tracy A Clemans, Bruce Leeson, T Scott Burch, Jim Mintz, M David Rudd
OBJECTIVE: To determine if synchrony in emotional arousal and affective regulation between patients and clinicians reflect emotional bonding during emergency behavioral health appointments. METHOD: Audio recordings of suicide risk assessment interviews and crisis intervention planning with 54 suicidal active duty soldiers presenting to an emergency department or behavioral health clinic were analyzed. Emotional arousal was assessed using mean fundamental frequency...
April 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29648856/treatment-expectancy-and-working-alliance-in-pharmacotherapy-as-predictors-of-outcomes-in-complicated-grief
#18
Elizabeth M Goetter, Christine M Mauro, Xin Qiu, Natalia A Skritskaya, Charles F Reynolds, Sidney Zisook, M Katherine Shear, Naomi M Simon
OBJECTIVE: Nonspecific factors, such as treatment outcome expectancy and working alliance, can influence treatment outcome. No studies to date have examined the role of expectancy and alliance on pharmacotherapy outcomes in individuals with complicated grief (CG). METHOD: This secondary analysis of a larger randomized, control trial (RCT) examined the relationship between pharmacotherapy expectancy and alliance on treatment outcome in adults with CG who were participating in a multisite, double-blind, RCT examining the efficacy of citalopram and complicated grief treatment (CGT)...
April 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29648855/session-to-session-effects-of-alliance-ruptures-in-outpatient-cbt-within-and-between-patient-associations
#19
Julian A Rubel, Sigal Zilcha-Mano, Viola Feils-Klaus, Wolfgang Lutz
OBJECTIVE: The concept of alliance ruptures has had a large impact on contemporary studies of the alliance. Although this debate mainly focuses on the effect of ruptures and repairs on subsequent alliance and outcome levels within patients, to date no study has actually examined these within-patient effects. The present study fills this lacuna by examining the effect of alliance ruptures and in-session repairs on alliance ratings and symptom impairment in the subsequent session, accounting for the temporal sequence of ruptures and symptom impairment...
April 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29648854/potential-mechanisms-involved-in-the-effect-of-cognitive-behavioral-therapy-on-fatigue-severity-in-type-1-diabetes
#20
Juliane Menting, Cees J Tack, Rogier Donders, Hans Knoop
OBJECTIVE: To identify mediators of the beneficial effect of cognitive-behavioral therapy (CBT) on fatigue severity in chronically fatigued patients with Type 1 diabetes. METHOD: We performed secondary analyses of a randomized controlled trial testing the efficacy of CBT. Primary outcome was fatigue severity assessed with the Checklist Individual Strength, subscale fatigue severity. We used multiple mediation analysis to determine potential mediators of the treatment effect...
April 2018: Journal of Consulting and Clinical Psychology
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