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Journal of Consulting and Clinical Psychology

M P J Sommers-Spijkerman, H R Trompetter, K M G Schreurs, E T Bohlmeijer
OBJECTIVE: Despite promising results for compassion-focused therapy (CFT) as self-help, larger-scale trials including long-term follow-up data are needed to establish its effectiveness in the context of public mental health. Empirical evidence supporting its effectiveness in improving well-being is lacking. In a randomized controlled trial, the effects of CFT as guided self-help on well-being were evaluated. METHOD: Adults (mean age = 52.87, SD = 9.99, 74.8% female) with low to moderate levels of well-being were recruited in the Dutch population and randomized to CFT (n = 120) or a waitlist control group (n = 122)...
December 21, 2017: Journal of Consulting and Clinical Psychology
Emma E Bright, Annette L Stanton
OBJECTIVE: Nonadherence reduces the effectiveness of behavioral change regimens for promoting health and decreasing morbidities and mortality. Such is the case with endocrine therapies, which lower the likelihood of recurrence in the approximately 70% of women with hormone receptor-positive breast cancers. This investigation tests a model of contributors to objective adherence. METHOD: Women with breast cancer receiving their 1st endocrine therapy prescription (N = 130) were recruited from a large community oncology breast clinic...
December 21, 2017: Journal of Consulting and Clinical Psychology
Lu Dong, Adriane M Soehner, Lynda Bélanger, Charles M Morin, Allison G Harvey
BACKGROUND: Patient adherence has been identified as an important barrier to the implementation of evidence-based psychological treatments. OBJECTIVE: In cognitive behavioral treatments (CBT) for insomnia, the current study examined (a) the validity of therapist ratings of patient agreement and adherence against an established behavioral measure of adherence, and (b) the relationship between treatment agreement, adherence, and outcome. METHOD: Participants were 188 adults meeting DSM-IV-TR criteria for chronic insomnia who were randomized to receive behavior therapy, cognitive therapy, or CBT for insomnia...
December 21, 2017: Journal of Consulting and Clinical Psychology
Paula Errázuriz, Sigal Zilcha-Mano
OBJECTIVE: Our objective was to assess low-cost and feasible feedback alternatives and compare them to Lambert's OQ feedback system. We also studied patient, therapist, and process characteristics that could moderate the effect of feedback on outcome, session attendance, and alliance. METHOD: A total of 547 patients, 75% female, average age 41 (SD = 13), 95% Latino, treated in an outpatient individual psychotherapy setting in Chile were randomly assigned to five feedback conditions: no feedback, feedback on symptomatology, feedback on the alliance, feedback on both symptomatology and alliance, and Lambert's OQ progress feedback report...
December 21, 2017: Journal of Consulting and Clinical Psychology
Molly Magill, Timothy R Apodaca, Brian Borsari, Jacques Gaume, Ariel Hoadley, Rebecca E F Gordon, J Scott Tonigan, Theresa Moyers
OBJECTIVE: In the present meta-analysis, we test the technical and relational hypotheses of Motivational Interviewing (MI) efficacy. We also propose an a priori conditional process model where heterogeneity of technical path effect sizes should be explained by interpersonal/relational (i.e., empathy, MI Spirit) and intrapersonal (i.e., client treatment seeking status) moderators. METHOD: A systematic review identified k = 58 reports, describing 36 primary studies and 40 effect sizes (N = 3,025 participants)...
December 21, 2017: Journal of Consulting and Clinical Psychology
Norman Farb, Adam Anderson, Arun Ravindran, Lance Hawley, Julie Irving, Enza Mancuso, Tahira Gulamani, Greg Williams, Amanda Ferguson, Zindel V Segal
OBJECTIVE: Both Mindfulness Based Cognitive Therapy (MBCT) and Cognitive Therapy (CT) enhance self-management of prodromal symptoms associated with depressive relapse, albeit through divergent therapeutic procedures. We evaluated rates of relapse in remitted depressed patients receiving MBCT and CT. Decentering and dysfunctional attitudes were assessed as treatment-specific process markers. METHOD: Participants in remission from Major Depressive Disorder (MDD; N = 166) were randomized to 8 weeks of either MBCT (N = 82) or CT (N = 84) and were followed for 24 months, with process markers measured every 3 months...
December 21, 2017: Journal of Consulting and Clinical Psychology
Joshua M Langberg, Melissa R Dvorsky, Stephen J Molitor, Elizaveta Bourchtein, Laura D Eddy, Zoe R Smith, Lauren E Oddo, Hana-May Eadeh
OBJECTIVE: To evaluate the effectiveness of 2 brief school-based interventions targeting the homework problems of adolescents with attention-deficit/hyperactivity disorder (ADHD)-the Homework, Organization, and Planning Skills (HOPS) intervention and the Completing Homework by Improving Efficiency and Focus (CHIEF) intervention, as implemented by school mental health providers during the school day. A secondary goal was to use moderator analyses to identify student characteristics that may differentially predict intervention response...
November 27, 2017: Journal of Consulting and Clinical Psychology
Michael S Martin, Beth K Potter, Anne G Crocker, George A Wells, Rebecca M Grace, Ian Colman
OBJECTIVE: While there is general consensus about the need to increase access to mental health treatment, it is debated whether screening is an effective solution. We examined treatment use by inmates in a prison system that offers universal mental health screening. METHOD: We conducted an observational study of 7,965 consecutive admissions to Canadian prisons. We described patterns of mental health treatment from admission until first release, death, or March, 2015 (median 14-month follow-up)...
November 27, 2017: Journal of Consulting and Clinical Psychology
Brian Borsari, Timothy R Apodaca, Kristina M Jackson, Anne Fernandez, Nadine R Mastroleo, Molly Magill, Nancy P Barnett, Kate B Carey
OBJECTIVE: Brief motivational interventions (BMIs) are currently the most efficacious individual intervention for mandated college students. However, little is known about how BMIs facilitate client language in relation to subsequent changes in alcohol use and problems in mandated student samples. METHOD: The current study used the Motivational Interviewing Skills Code (MISC 2.0; Miller, Moyers, Ernst, & Amrhein, 2003) to code BMI sessions (N = 252) from 2 randomized clinical trials that led to significant reductions in alcohol use and alcohol-related problems in mandated student drinkers...
November 27, 2017: Journal of Consulting and Clinical Psychology
Jill M Newby, Jessica Smith, Shivani Uppal, Elizabeth Mason, Alison E J Mahoney, Gavin Andrews
OBJECTIVE: To examine the efficacy of an Internet-delivered cognitive-behavioral therapy (iCBT) program for health anxiety compared to an active psychoeducation control group. METHOD: Individuals (N = 86, mean age: 30 years, 87% female) with a Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnosis of illness anxiety disorder or somatic symptom disorder with health anxiety were randomized to either a 6-lesson clinician-guided iCBT program for health anxiety (n = 45) or an active control group who received anxiety psychoeducation, clinical support, and monitoring (control, n = 41) over a 12-week period...
November 27, 2017: Journal of Consulting and Clinical Psychology
Carol Chu, Melanie A Hom, Ian H Stanley, Anna R Gai, Matthew K Nock, Peter M Gutierrez, Thomas E Joiner
OBJECTIVE: Research has identified non-suicidal self-injury (NSSI) as a robust correlate of suicidal thoughts and behaviors; however, little is known regarding why these constructs may be related. Consistent with the interpersonal theory of suicide, this study investigated thwarted belongingness (TB), perceived burdensomeness (PB), and capability for suicide (CS) as explanatory links in the association between NSSI, ideation, and suicide attempt history. METHOD: Military service members and veterans (N = 973; agemean = 29...
November 27, 2017: Journal of Consulting and Clinical Psychology
Jafar Bakhshaie, Paulina A Kulesz, Lorra Garey, Kirsten J Langdon, Michael S Businelle, Adam M Leventhal, Matthew W Gallagher, Norman B Schmidt, Kara Manning, Renee Goodwin, Michael J Zvolensky
OBJECTIVE: Prevailing theory and research suggests the psychological and physiological discomfort associated with tobacco withdrawal may play a formative role in the risk of cessation failure. Yet, research elucidating cognitive-affective vulnerability characteristics that contribute to increased tobacco withdrawal severity during periods of planned abstinence is highly limited. In the current study, we explored whether smokers with greater reductions of Anxiety Sensitivity (AS) and dysphoria during a smoking cessation intervention would experience less severe postquit tobacco withdrawal...
November 27, 2017: Journal of Consulting and Clinical Psychology
Caitlin A Brown, Amy Weisman de Mamani
OBJECTIVE: Although both patients with schizophrenia and their caregivers report elevated levels of depression, anxiety, and stress (DASS), affective symptoms in patients and family members seldom constitute a primary treatment focus. The present study tested whether a culturally informed family therapy for schizophrenia (CIT-S) outperformed standard family psychoeducation (PSY-ED) not only in decreasing patient schizophrenia symptoms, but also in decreasing individual DASS. Because CIT-S fostered family cohesion throughout treatment, we predicted that increases in family cohesion would mediate treatment effects...
November 27, 2017: Journal of Consulting and Clinical Psychology
Shannon M Blakey, Holly Love, Lisa Lindquist, Jean C Beckham, Eric B Elbogen
OBJECTIVE: Although research using combat veteran samples has demonstrated an association between posttraumatic stress disorder (PTSD) and violence toward others, there has been relatively little research examining this relationship among individuals with no combat history. METHOD: Data representative of the United States population collected from the two wave National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were analyzed to determine the risk factors for violent behavior of individuals reporting no history of active military combat (N = 33,215)...
November 27, 2017: Journal of Consulting and Clinical Psychology
Kate Wolitzky-Taylor, Jennifer Krull, Richard Rawson, Peter Roy-Byrne, Richard Ries, Michelle G Craske
OBJECTIVE: Anxiety and substance use disorders are highly comorbid and mutually maintain each other. Treatments for anxiety disorders that are well integrated into substance use disorder treatment have the potential to improve both anxiety and substance use outcomes. METHOD: Ninety-seven individuals seeking treatment at a community-based, evidence-based intensive outpatient program for substance use disorders who also had anxiety disorders were randomized to either (a) usual care (UC) at the intensive outpatient program; or (b) UC + coordinated anxiety learning and management for addiction recovery centers (CALM ARC), a 7-session, group-based, computer-assisted but therapist-directed treatment for anxiety disorders adapted for individuals with anxiety disorder and substance use disorder comorbidity...
January 2018: Journal of Consulting and Clinical Psychology
Geri Donenberg, Erin Emerson, Mary Ellen Mackesy-Amiti, Faith Fletcher
OBJECTIVE: This study examined individual and social factors associated with sexual risk behavior among African American girls seeking outpatient mental health services across 2 years and key developmental transitions. METHOD: African American females 12-16 years old (M = 14.5; SD = 1.15; n = 266) were recruited from eight outpatient mental health clinics and completed interviewer-administered and computer-assisted measures at baseline, 12, and 24 months. Analyses tested individual attributes (externalizing and internalizing problems) and family context (maternal acceptance-rejection, mother-daughter communication about sex) at baseline, peer influences (peer support of substance use, girlfriend dating behavior) and partner relationship characteristics (rejection sensitivity, partner risk communication frequency and openness) at 12 months, and girls' sexual behavior at 24 months...
January 2018: Journal of Consulting and Clinical Psychology
Felix Wucherpfennig, Julian A Rubel, Stefan G Hofmann, Wolfgang Lutz
OBJECTIVE: Sudden gains are sudden symptom improvements from 1 psychotherapy session to the next. This study investigates the processes that may facilitate treatment outcome after a sudden gain occurred. METHOD: A sample of 211 depressed patients who underwent cognitive-behavioral therapy was analyzed. Sudden gains were identified using a session-by-session self-report symptom measure. Patient ratings of general change factors (therapeutic alliance; coping skills) in the sessions before and after a sudden gain were investigated as predictors of outcome...
December 2017: Journal of Consulting and Clinical Psychology
Tracy Epton, Sinead Currie, Christopher J Armitage
OBJECTIVE: Goal setting is a common feature of behavior change interventions, but it is unclear when goal setting is optimally effective. The aims of this systematic review and meta-analysis were to evaluate: (a) the unique effects of goal setting on behavior change, and (b) under what circumstances and for whom goal setting works best. METHOD: Four databases were searched for articles that assessed the unique effects of goal setting on behavior change using randomized controlled trials...
December 2017: Journal of Consulting and Clinical Psychology
Courtney Beard, Norik Kirakosian, Alexandra L Silverman, Jeffrey P Winer, Lauren P Wadsworth, Thröstur Björgvinsson
OBJECTIVE: Despite a greater need for mental health treatment in individuals identifying as lesbian, gay, bisexual, queer, and other sexual minority identities (LGBQ+), no prior study has examined mental health treatment outcomes for LGBQ+ populations receiving standard care. We compared individuals identifying as LGBQ+ or heterosexual on treatment outcomes following a partial hospital program based on cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). METHOD: A total of 441 participants (19% LGBQ+; mean age = 34...
December 2017: Journal of Consulting and Clinical Psychology
Karmel W Choi, Abigail W Batchelder, Peter P Ehlinger, Steven A Safren, Conall O'Cleirigh
OBJECTIVE: High rates of depression and posttraumatic stress disorder (PTSD) contribute to sexual risk, particularly in men who have sex with men (MSM) who have experienced childhood sexual abuse. The comorbidity between depression and PTSD and mechanisms by which they contribute to sexual risk in MSM remain unclear. This study sought to demonstrate the feasibility and utility of a network approach to (a) characterize symptom interconnections between depression and PTSD in MSM, (b) identify specific symptoms related to sexual risk behavior, and (c) compare symptom networks across groups at different levels of risk...
December 2017: Journal of Consulting and Clinical Psychology
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