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Journal of Consulting and Clinical Psychology

Ian H Stanley, Joseph W Boffa, Megan L Rogers, Melanie A Hom, Brian J Albanese, Carol Chu, Daniel W Capron, N Brad Schmidt, Thomas E Joiner
OBJECTIVE: Suicide is a global public health concern. To inform the prevention and treatment of suicidality, it is crucial to identify transdiagnostic vulnerability factors for suicide and suicide-related conditions. One candidate factor is anxiety sensitivity (AS)-the fear of anxiety-related sensations-which has been implicated in the pathogenesis of a host of mental health outcomes, including suicidal thoughts and behaviors. Importantly, AS is distinct from trait anxiety and negative affectivity, highlighting its potential incremental utility in the understanding of psychopathology...
November 2018: Journal of Consulting and Clinical Psychology
Terri Scott, Shelley L Brown
OBJECTIVE: Debate ensues regarding female-specific risk and strength factors among adolescent offenders. Using meta-analysis, we examined whether risk and strength factors predicted recidivism differentially between male and female youth. METHOD: Database searches identified 22 studies, representing 50,601 justice-involved youth (11,952 females and 38,649 males) and a total of 584 effect sizes. RESULTS: For the global risk domains, there is some evidence for gender neutrality (i...
November 2018: Journal of Consulting and Clinical Psychology
Stanley J Huey, Jacqueline L Tilley
OBJECTIVE: Evidence demonstrating treatment efficacy for ethnic minorities has grown in recent years; however, Asian Americans (i.e., of East Asian or Southeast Asian heritage) are mostly excluded from recent reviews. In this review we (a) synthesize the literature on mental health treatment effects for Asian Americans and (b) evaluate support for competing theoretical perspectives on cultural tailoring. METHOD: A literature search supplemented with other search strategies identified 21 randomized trials of mental health interventions for Asian Americans (n = 6,377 total participants)...
November 2018: Journal of Consulting and Clinical Psychology
Bryan W Heckman, Jennifer Dahne, Lisa J Germeroth, Amanda R Mathew, Elizabeth J Santa Ana, Michael E Saladin, Matthew J Carpenter
OBJECTIVE: Long-term abstinence can be undermined by cessation fatigue-an exhaustion of coping resources attributable to quitting smoking/staying quit. The current study examines the predictive validity of a Cessation Fatigue Scale (CFS; three subscales). Among current smokers, we hypothesized higher fatigue would predict longer latency to both quit initiation and achieving 7-day point prevalence abstinence (7-day PPA). Among recent quitters, we expected higher cessation fatigue would confer greater lapse/relapse risk...
November 2018: Journal of Consulting and Clinical Psychology
Jonathan G Shalom, Eva Gilboa-Schechtman, Dana Atzil-Slonim, Eran Bar-Kalifa, Ilanit Hasson-Ohayon, Patricia van Oppen, Anton J L M van Balkom, Idan M Aderka
OBJECTIVE: Sudden gains are robust predictors of outcome in psychotherapy. However, previous attempts at predicting sudden gains have yielded inconclusive findings. The aim of the present study was to examine a novel, transdiagnostic, transtherapeutic predictor of sudden gains that would replicate in different settings and populations. Specifically, we examined intraindividual variability in symptoms. METHOD: We examined data from a randomized controlled trial (RCT) of prolonged exposure therapy for posttraumatic stress disorder (PTSD) in children and adolescents (n = 63), an RCT of cognitive and behavioral therapies for obsessive-compulsive disorder (OCD) in adults (n = 91), and psychodynamic therapy delivered under routine clinical conditions in a naturalistic setting for diverse disorders (n = 106)...
November 2018: Journal of Consulting and Clinical Psychology
Heath A Schechinger, John Kitchener Sakaluk, Amy C Moors
OBJECTIVE: Drawing on minority stress perspectives, we investigated the therapy experiences of individuals in consensually nonmonogamous (CNM) relationships. METHOD: We recruited a community sample of 249 individuals engaged in CNM relationships across the U.S. and Canada. Confirmatory factor analysis structural equation modeling was used to analyze client perceptions of therapist practices in a number of exemplary practices (affirming of CNM) or inappropriate practices (biased, inadequate, or not affirming of CNM), and their associations with evaluations of therapy...
November 2018: Journal of Consulting and Clinical Psychology
Paul R Duberstein, Erin A Ward, Linda H Chaudron, Hue He, Sheree L Toth, Wenjuan Wang, Kimberly A Van Orden, Stephanie A Gamble, Nancy L Talbot
BACKGROUND: Women with depression and childhood sexual abuse histories constitute more than 20% of the female patient population in publicly funded community mental health centers (CMHCs). Interventions are needed that address depression and posttraumatic stress disorder (PTSD) symptoms and social health. METHOD: We compared Interpersonal Psychotherapy-Trauma (IPT-T), an IPT adaptation for this population and setting, to Clinic Psychotherapy (CP). CP clinicians were free to implement the psychotherapy of choice...
October 2018: Journal of Consulting and Clinical Psychology
Elizabeth C Shelleby, Daniel S Shaw, Thomas J Dishion, Melvin N Wilson, Frances Gardner
OBJECTIVE: The Family Check-Up (FCU) is a preventive intervention found to significantly reduce child conduct problems (CP). This study examined the extent to which parents reported that their child's CP were a problem for them at baseline (baseline CP) as a moderator of FCU effects into middle childhood and moderated mediation models to explore positive parent-child dyadic interaction and maternal depressive symptoms as mediators. METHOD: Participants included 731 mother-child dyads followed from child ages 2 to 9...
October 2018: Journal of Consulting and Clinical Psychology
Irwin Sandler, Heather Gunn, Gina Mazza, Jenn-Yun Tein, Sharlene Wolchik, Hanjoe Kim, Tim Ayers, Michele Porter
OBJECTIVE: Effects are reported of the Family Bereavement Program (FBP) on the mental health of bereaved youth and their surviving parent 15 years following the program. METHOD: On-hundred and 56 families (244 children ages 8-16; 54% male; 67% Non-Hispanic White) were randomly assigned to receive either the FBP (N = 90) or a literature control condition (N = 66). At the 15-year follow-up 80% of the youth and 76% of the bereaved parents were reinterviewed. Mental health problems and service use were self-reported by young adults and their parents...
October 2018: Journal of Consulting and Clinical Psychology
Thomas L Rodebaugh, Natasha A Tonge, Marilyn L Piccirillo, Eiko Fried, Arielle Horenstein, Amanda S Morrison, Philippe Goldin, James J Gross, Michelle H Lim, Katya C Fernandez, Carlos Blanco, Franklin R Schneier, Ryan Bogdan, Renee J Thompson, Richard G Heimberg
OBJECTIVE: Network analysis allows us to identify the most interconnected (i.e., central) symptoms, and multiple authors have suggested that these symptoms might be important treatment targets. This is because change in central symptoms (relative to others) should have greater impact on change in all other symptoms. It has been argued that networks derived from cross-sectional data may help identify such important symptoms. We tested this hypothesis in social anxiety disorder. METHOD: We first estimated a state-of-the-art regularized partial correlation network based on participants with social anxiety disorder (n = 910) to determine which symptoms were more central...
October 2018: Journal of Consulting and Clinical Psychology
Annette L Stanton, Joshua F Wiley, Jennifer L Krull, Catherine M Crespi, Karen L Weihs
OBJECTIVE: Although numerous studies address the relationships of depression with coping processes directed toward approaching or avoiding stressful experiences, the large majority are cross-sectional in design, assess coping processes at only one timepoint, or solely include prediction of the linear slope of depressive symptoms. In this research, coping processes were investigated as predictors of depressive symptoms, symptom trajectory classes (consistently high, recovery, consistently low), and major depressive episodes (MDEs) over 12 months in the cancer context...
October 2018: Journal of Consulting and Clinical Psychology
Denise A Hien, Kathryn Z Smith, Max Owens, Teresa López-Castro, Lesia M Ruglass, Santiago Papini
OBJECTIVE: To advance understanding of the effectiveness of evidence-based treatments for comorbid posttraumatic stress disorder (PTSD) and substance use disorder (SUD), research must provide a more nuanced picture of how substance use affects change in PTSD symptoms over the course of treatments and whether prolonged exposure techniques can be efficacious during active substance use. A data set that included patients with PTSD/subthreshold-PTSD and SUD treated with an exposure-based intervention provided an opportunity to conduct a secondary analysis to test how patients' substance use impacted PTSD change over treatment...
October 2018: Journal of Consulting and Clinical Psychology
Nancy M Petry, Sheila M Alessi, Carla J Rash, Danielle Barry, Kathleen M Carroll
OBJECTIVE: Contingency management (CM) interventions that reinforce attendance have rarely been evaluated in terms of reducing drug use. Using a sequential randomized design, this study examined the efficacy of three attendance CM conditions compared to usual care (UC) on drug use outcomes. It evaluated whether the duration (6 vs. 12 weeks) and timing (early vs. later treatment) of CM delivery impact treatment response. METHOD: Upon initiating outpatient treatment, patients with cocaine use disorders (N = 360) were randomized to UC or CM for attending treatment for 6 weeks...
October 2018: Journal of Consulting and Clinical Psychology
Kate B Carey, Jennifer L Walsh, Jennifer E Merrill, Sarah A Lust, Allecia E Reid, Lori A J Scott-Sheldon, Seth C Kalichman, Michael P Carey
OBJECTIVE: Brief motivational interventions (BMIs) reduce drinking in the short term, but these initial effects often decay. We tested the hypothesis that theory-based e-mail boosters would promote maintenance of change after a BMI. METHOD: Participants were students (N = 568; 72% male) who violated campus alcohol policy and were mandated to participate in an alcohol-risk-reduction program. Participants provided baseline data, received a BMI, and then completed a 1-month post-BMI survey...
September 2018: Journal of Consulting and Clinical Psychology
Elizabeth J D'Amico, Layla Parast, William G Shadel, Lisa S Meredith, Rachana Seelam, Bradley D Stein
OBJECTIVE: The primary care (PC) setting provides a unique opportunity to address adolescent alcohol and other drug (AOD) use. METHOD: We conducted a randomized controlled trial in 4 PC clinics from April 2013 to November 2015 to determine whether a 15-min brief motivational interviewing (MI) AOD intervention, delivered in PC, reduced alcohol and marijuana use and consequences. Adolescents ages 12-18 who came for an appointment during the 2.5-year study period were asked to be in the study and screened using the National Institute of Alcohol Abuse and Alcoholism Screening Guide...
September 2018: Journal of Consulting and Clinical Psychology
Kelly S DeMartini, Dawn W Foster, William R Corbin, Lisa M Fucito, Denise Romano, Robert F Leeman, Henry R Kranzler, Stephanie S O'Malley
OBJECTIVE: Drinking goals set at treatment onset predict treatment outcome in patients with alcohol use disorders. Yet the cognitive constructs of goal setting and goal attainment are understudied in young adult drinkers. This study sought to examine how the interplay of goal setting and goal attainment during treatment impacts treatment outcome in a sample of young adult heavy drinkers. METHOD: Participants were 128 young adult heavy drinkers (Mage = 21.5 years) who participated in a double-blind, placebo-controlled, 8-week efficacy trial of naltrexone plus brief counseling...
September 2018: Journal of Consulting and Clinical Psychology
Marianne A Villabø, Martina Narayanan, Scott N Compton, Philip C Kendall, Simon-Peter Neumer
OBJECTIVE: To compare the effectiveness of individual cognitive-behavioral therapy (ICBT) and group CBT (GCBT) for referred children with anxiety disorders within community mental health clinics. METHOD: Children (N = 165; ages 7-13 years) referred to 5 clinics in Norway because of primary separation anxiety disorder (SAD), social anxiety disorder (SOC), or generalized anxiety disorder (GAD) based on Diagnostic and Statistical Manual of Mental Disorders (4th ed...
September 2018: Journal of Consulting and Clinical Psychology
Anna J Swan, Philip C Kendall, Thomas Olino, Golda Ginsburg, Courtney Keeton, Scott Compton, John Piacentini, Tara Peris, Dara Sakolsky, Boris Birmaher, Anne Marie Albano
OBJECTIVE: To report functional outcomes from the multisite Child/Adolescent Anxiety Multimodal Extended Long-term Study (CAMELS), which examined the impact of youth anxiety treatment (cognitive-behavioral therapy [CBT], coping cat; Sertraline, SRT; COMB [CBT + SRT]; pill placebo) on (a) global and (b) domain-specific functioning assessed an average of 3.1 times, 3- to 12-years postrandomization (first assessment = mean 6.5 years postrandomization). METHOD: Three-hundred and 19 of 488 families from the Child/Adolescent Anxiety Multimodal Study (CAMS; Walkup et al...
September 2018: Journal of Consulting and Clinical Psychology
John R Weisz, Ana M Ugueto, Jenny Herren, Lauren K Marchette, Sarah Kate Bearman, Erica H Lee, Kristel Thomassin, Alisha Alleyne, Daniel M Cheron, J Lindsey Tweed, Jacqueline Hersh, Jacquelyn N Raftery-Helmer, Adam S Weissman, Amanda Jensen-Doss
OBJECTIVE: We assessed sustainability of an empirically supported, transdiagnostic youth psychotherapy program when therapist supervision was shifted from external experts to internal clinic staff. METHOD: One hundred sixty-eight youths, aged 6-15 years, 59.5% male, 85.1% Caucasian, were treated for anxiety, depression, traumatic stress, or conduct problems by clinicians employed in community mental health clinics. In Phase 1 (2.7 years), 1 group of clinicians, the Sustain group, received training in Child STEPs (a modular transdiagnostic treatment + weekly feedback on youth response) and treated clinic-referred youths, guided by weekly supervision from external STEPs experts...
September 2018: Journal of Consulting and Clinical Psychology
Kristoffer Magnusson, Gerhard Andersson, Per Carlbring
OBJECTIVE: Psychotherapy trials frequently generate multilevel longitudinal data with 3 levels. This type of hierarchy exists in all trials in which therapists deliver the treatment and patients are repeatedly measured. Unfortunately, researchers often ignore the possibility that therapists could differ in their performance and instead assume there is no difference between therapists in their average impact on patients' rate of change. In this article, we focus on scenarios in which therapists are fully and partially nested within treatments and investigate the consequences of ignoring even small therapist effects in longitudinal data...
September 2018: Journal of Consulting and Clinical Psychology
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