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Journal of Consulting and Clinical Psychology

James F Boswell, Michael J Constantino, Jennifer M Oswald, Matteo Bugatti, Brien Goodwin, Recai Yucel
BACKGROUND: Research demonstrates significant variability in mental health clinicians' overall and domain-specific effectiveness with their patients. Despite calls to increase patient access to performance information, little is known about patients' relative valuing of this information in the context of other treatment factors. OBJECTIVE: We aimed to obtain an understanding of patients' relative valuing of provider performance track records and other therapist and treatment characteristics for their mental health care decision making...
March 8, 2018: Journal of Consulting and Clinical Psychology
Jacques Gaume, Nick Heather, Gillian Tober, Jim McCambridge
OBJECTIVE: To determine whether treatment outcomes are mediated by therapist behaviors consistent with the theoretical postulates on which two contrasting treatments are based. METHOD: We used data from the U.K. Alcohol Treatment Trial (UKATT), a pragmatic, multicenter, randomized controlled trial comparing the effectiveness of Motivational Enhancement Therapy (MET) and Social Behavior and Network Therapy (SBNT) in the treatment of alcohol problems. N = 376 clients (mean age 42...
March 5, 2018: Journal of Consulting and Clinical Psychology
Julian A Rubel, Eran Bar-Kalifa, Dana Atzil-Slonim, Sebastian Schmidt, Wolfgang Lutz
OBJECTIVE: The present study investigates the association between congruence of patients' and therapists' perceptions of the therapeutic bond and symptom improvement. METHOD: Bond congruence-outcome associations were examined on the within- and between-dyad level for 580 patients (mainly depression and anxiety) receiving cognitive-behavioral therapy. Symptom change was assessed on a session-to-session level as well as from pre- to posttreatment. For the between-dyad analyses, the truth and bias model was applied...
February 1, 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...
February 1, 2018: 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
Bei Bei, Lauren D Asarnow, Andrew Krystal, Jack D Edinger, Daniel J Buysse, Rachel Manber
OBJECTIVE: Insomnia and major depressive disorders (MDD) often co-occur, and such comorbidity has been associated with poorer outcomes for both conditions. However, individual differences in depressive symptom trajectories during and after treatment are poorly understood in comorbid insomnia and depression. This study explored the heterogeneity in long-term depression change trajectories, and examined their correlates, particularly insomnia-related characteristics. METHOD: Participants were 148 adults (age M ± SD = 46...
March 2018: Journal of Consulting and Clinical Psychology
Douglas S Mennin, David M Fresco, Mia Skytte O'Toole, Richard G Heimberg
OBJECTIVE: Generalized anxiety disorder (GAD) and major depression (MDD), especially when they co-occur, are associated with suboptimal treatment response. One common feature of these disorders is negative self-referential processing (NSRP; i.e., worry, rumination), which worsens treatment outcome. Emotion Regulation Therapy (ERT) integrates principles from affect science with traditional and contemporary cognitive-behavioral treatments to identify and modify the functional nature of NSRP by targeting motivational and regulatory mechanisms, as well as behavioral consequences...
March 2018: Journal of Consulting and Clinical Psychology
Hugo Hesser, Erik Hedman-Lagerlöf, Erik Andersson, Perjohan Lindfors, Brjánn Ljótsson
OBJECTIVE: Systematic exposure is potentially an effective treatment procedure for treating irritable bowel syndrome (IBS), but little is known about the processes by which it achieves its effect on outcome. The aim of this study was to identify mediators in a previously published randomized dismantling trial in which participants with IBS were randomized to Internet-delivered cognitive-behavioral treatment (ICBT) that incorporated systematic exposure or to the same treatment protocol without exposure (ICBT-WE)...
March 2018: Journal of Consulting and Clinical Psychology
Mojtaba Talaei-Khoei, Neal Chen, David Ring, Ana-Maria Vranceanu
OBJECTIVE: Satisfaction with life buffers the effect of stress on health, but its role in the mechanism through which pain may impact engagement in activities of daily living is not known. We tested whether satisfaction with life protects against engaging in pain catastrophizing and through this explains individual differences in the extent to which pain interferes with activities of daily living. METHOD: One-hundred and 42 patients with upper extremity musculoskeletal illness participated in this cross-sectional study and completed the PROMIS pain intensity, PROMIS pain interference, pain catastrophizing scale (PCS), satisfaction with life scale (SWLS), and demographic variables...
March 2018: Journal of Consulting and Clinical Psychology
Erin J Rotheram-Fuller, Mark Tomlinson, Aaron Scheffler, Thomas W Weichle, Panteha Hayati Rezvan, Warren Scott Comulada, Mary Jane Rotheram-Borus
OBJECTIVE: The consequences of maternal depressed mood on children's growth, health, and cognitive and language development are examined over the first 3 years of life. METHOD: Pregnant women in 24 periurban township neighborhoods in Cape Town, South Africa (N = 1,238 mothers) were randomized by neighborhood to a home visiting intervention or a standard care condition. Reassessments were conducted for 93%-85% of mothers at 2-weeks, 6-, 18-, and 36-months postbirth...
March 2018: Journal of Consulting and Clinical Psychology
Judy Reaven, Eric J Moody, Laura Grofer Klinger, Amy Keefer, Amie Duncan, Sarah O'Kelley, Allison Meyer, Susan Hepburn, Audrey Blakeley-Smith
OBJECTIVE: Few guidelines are available regarding optimal training models for practitioners delivering cognitive-behavioral therapy (CBT) for anxiety in youth with autism spectrum disorder (ASD). The present study systematically compared 3 instructional conditions for delivering the Facing Your Fears program (FYF) to children with ASD and anxiety. METHOD: Thirty-four clinicians (Mage = 34 years; 94% women, 88% Caucasian) and an intent-to-treat sample of 91 children with ASD and anxiety (Mage = 11; 84% male 53% Caucasian) met eligibility criteria across 4 sites...
March 2018: Journal of Consulting and Clinical Psychology
Jamie C Kennedy, Boadie W Dunlop, Linda W Craighead, Charles B Nemeroff, Helen S Mayberg, W Edward Craighead
OBJECTIVE: This study followed remitted patients from a randomized controlled trial of adults with major depressive disorder (MDD). The aims were to describe rates of recurrence and to evaluate 3 clinical predictor domains. METHOD: Ninety-four treatment-naïve patients (50% female; Mage = 38.1 years; 48.9% White; 30.9% Hispanic) with MDD who had remitted to 12-week monotherapy (escitalopram, duloxetine, or cognitive behavior therapy [CBT]) participated in a 21-month maintenance phase (i...
February 2018: Journal of Consulting and Clinical Psychology
Marguerite E O'Haire, Kerri E Rodriguez
OBJECTIVE: Psychiatric service dogs are an emerging complementary treatment for military members and veterans with posttraumatic stress disorder (PTSD). Yet despite anecdotal accounts of their value, there is a lack of empirical research on their efficacy. The current proof-of-concept study assessed the effects of this practice. METHOD: A nonrandomized efficacy trial was conducted with 141 post-9/11 military members and veterans with PTSD to compare usual care alone (n = 66) with usual care plus a trained service dog (n = 75)...
February 2018: Journal of Consulting and Clinical Psychology
Trevor N Coyle, Jennifer A Shaver, Marsha M Linehan
OBJECTIVE: Although previous research has suggested that people with a history of using psychiatric crisis services are at higher risk for suicide, it is unclear whether this link is attributable to individual risk factors or iatrogenic effects of service utilization. We examined this question by analyzing data from a randomized controlled trial of dialectical behavior therapy (DBT), a treatment for highly suicidal individuals in which patients took advantage of crisis services less than those in the comparison condition...
February 2018: 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...
February 2018: Journal of Consulting and Clinical Psychology
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