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Journal of Consulting and Clinical Psychology

Lindee Morgan, Jessica L Hooker, Nicole Sparapani, Vanessa P Reinhardt, Chris Schatschneider, Amy M Wetherby
OBJECTIVE: This cluster randomized trial (CRT) evaluated the efficacy of the Classroom Social, Communication, Emotional Regulation, and Transactional Support (SCERTS) Intervention (CSI) compared with usual school-based education with autism training modules (ATM). METHOD: Sixty schools with 197 students with autism spectrum disorder (ASD) in 129 classrooms were randomly assigned to CSI or ATM. Mean student age was 6.79 years (SD 1.05) and 81.2% were male. CSI teachers were trained on the model and provided coaching throughout the school year to assist with implementation...
July 2018: Journal of Consulting and Clinical Psychology
Kristen G Benito, Jason Machan, Jennifer B Freeman, Abbe M Garcia, Michael Walther, Hannah Frank, Brianna Wellen, Elyse Stewart, Julie Edmunds, Joshua Kemp, Jeffrey Sapyta, Martin Franklin
OBJECTIVE: This study measured a variety of within-exposure fear changes and tested the relationship of each with treatment outcomes in exposure therapy. METHOD: We coded 459 videotaped exposure tasks from 111 participants in 3 clinical trials for pediatric obsessive-compulsive disorder (OCD; POTS trials). Within exposures, fear level was observed continuously and alongside exposure process. Fear change metrics of interest were selected for relevance to mechanistic theory...
July 2018: Journal of Consulting and Clinical Psychology
Ernest N Jouriles, Judith McFarlane, Nicole L Vu, John Maddoux, David Rosenfield, Lene Symes, Nina Fredland, Rene Paulson
OBJECTIVE: This study examines whether fluctuation in mothers' posttraumatic stress symptoms (PTSSs) predicts fluctuation in child adjustment problems in families seeking services for intimate partner violence (IPV). METHOD: Participants were 300 mothers (mean age = 30.65 years) of children (mean age = 6.88 years; 49% female) who were seeking shelter or legal services because of IPV. Most mothers identified as Hispanic (57%), followed by Black/African American (26%)...
July 2018: Journal of Consulting and Clinical Psychology
Nadia Bounoua, Caroline Abbott, Abigail Zisk, Joanna Herres, Guy Diamond, Roger Kobak
OBJECTIVE: Little is known about the extent to which previous weeks' stressful events spill over and influence adolescents' abilities to derive insight from treatment sessions. Even less is known about factors that moderate clients' vulnerabilities to these spillover effects. The current study examined the spillover of negative interpersonal events to postsession insight and the role of difficulties in emotion regulation in this spillover effect. METHOD: Participants were 129 adolescents with moderate to severe depressive symptoms and suicidal ideation (Mage = 14...
July 2018: Journal of Consulting and Clinical Psychology
Caroline Schwartz, Sven Hilbert, Sandra Schlegl, Alice Diedrich, Ulrich Voderholzer
OBJECTIVE: Alliance, Mastery/Self-Efficacy, Problem Actualization, and Problem Clarification exemplify common or nonspecific factors of change in psychotherapy (Grawe, 1997). In this study, we tested the hypothesis that other change factors mediate the alliance-outcome link on a within-person level over the treatment course. METHOD: Our sample consisted of 193 patients with major depression undergoing intensive inpatient cognitive-behavioral-based therapy. Each week, we assessed depressive symptoms (using the Beck Depression Inventory-II) and change factors during individual therapy...
July 2018: Journal of Consulting and Clinical Psychology
Maya C Schumer, Emily K Lindsay, J David Creswell
OBJECTIVE: Over the last 10 years, there has been a dramatic increase in published randomized controlled trials (RCTs) of brief mindfulness training (from single-session inductions to multisession interventions lasting up to 2 weeks), with some preliminary indications that these training programs may improve mental health outcomes, such as negative affectivity. This meta-analysis aimed to evaluate whether brief mindfulness training reliably reduces negative affectivity. METHOD: PubMed, PsycINFO, and the Mindfulness Research Monthly Newsletter were systematically searched for brief mindfulness intervention RCTs assessing negative affectivity outcomes (e...
July 2018: Journal of Consulting and Clinical Psychology
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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