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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
Bronwyn C Raykos, David M Erceg-Hurn, Peter M McEvoy, Anthea Fursland, Glenn Waller
OBJECTIVE: The present study aimed to examine whether Anorexia Nervosa (AN) illness severity or duration is associated with retention or treatment response in outpatient, enhanced cognitive-behavioral therapy (CBT-E). METHOD: Patients with a confirmed AN diagnosis (N = 134) completed measures of eating disorder symptoms and quality of life, and had their BMI objectively measured before, during, and after treatment. We evaluated whether illness severity or duration predicted treatment outcomes, using longitudinal regression models...
August 2018: Journal of Consulting and Clinical Psychology
Jeffrey B Jackson, Giada Pietrabissa, Alessandro Rossi, Gian Mauro Manzoni, Gianluca Castelnuovo
OBJECTIVE: Binge eating disorder (BED) is frequently linked with obesity and related health risks like cardiovascular disease and diabetes. The purpose of this randomized clinical trial (RCT) was to determine the effectiveness of brief strategic therapy (BST) compared with cognitive-behavioral therapy (CBT) 1 year after a two-phase inpatient and outpatient-telemedicine treatment for BED. METHOD: Italian women with BED and comorbid obesity were recruited from a self-referred inpatient treatment program for weight loss (N = 60) and randomly assigned to either the BST treatment condition (n = 30) or CBT treatment condition (n = 30)...
August 2018: Journal of Consulting and Clinical Psychology
Paul Rohde, Danielle Arigo, Heather Shaw, Eric Stice
OBJECTIVE: Frequent self-weighing is recommended in weight loss interventions and may prevent weight gain. However, concerns regarding the associations between self-weighing and eating disorders have been expressed and the relations between self-weighing and weight gain/eating pathology have not been examined prospectively. We tested whether (a) frequency of baseline self-weighing in college students with weight concerns predicted weight change over 2-year follow-up, (b) this relation was moderated by eating disorder symptoms, and (c) self-weighing predicted future eating disorder symptoms...
August 2018: Journal of Consulting and Clinical Psychology
Jessica M Alleva, Phillippa C Diedrichs, Emma Halliwell, Madelon L Peters, Emma Dures, Bobby G Stuijfzand, Nichola Rumsey
OBJECTIVE: Negative body image is prevalent in women with rheumatoid arthritis and can affect other areas of well-being. Patients have expressed desire for body image to be addressed in treatment. Yet, it is not routinely addressed and no experimental intervention research has been conducted, until now. This randomized trial evaluated a brief online body image intervention for women with rheumatoid arthritis, with a focus on body functionality (everything the body is capable of doing) as the primary technique...
August 2018: Journal of Consulting and Clinical Psychology
Juliana Y Valente, Hugo Cogo-Moreira, Walter Swardfager, Zila M Sanchez
OBJECTIVE: The objective of the study was to evaluate the impact of #Tamojunto, a Brazilian adaptation of the Unplugged prevention program, on patterns of drug use among adolescents and to characterize their trajectories of drug use over time. METHOD: An in-cluster randomized controlled trial was conducted in 2014-2015 with 2 parallel arms (intervention and control). The intervention group attended 12 weekly classes of the #Tamojunto intervention. The control schools did not offer a prevention program...
August 2018: Journal of Consulting and Clinical Psychology
Christopher W Kahler, David W Pantalone, Nadine R Mastroleo, Tao Liu, Gerald Bove, Bharat Ramratnam, Peter M Monti, Kenneth H Mayer
OBJECTIVE: This randomized controlled trial tested the efficacy of motivational interviewing (MI) to reduce alcohol use among heavy drinking men who have sex with men (MSM) who are engaged in HIV care but not currently receiving addictions treatment. METHOD: One hundred eighty MSM living with HIV-recruited regardless of interest in changing drinking-were randomly assigned to MI or an assessment-only treatment as usual (TAU) control. MI comprised one in-person session followed by two brief phone calls and in-person booster sessions at 3 and 6 months...
August 2018: 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
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