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Journal of Clinical Psychology

T Shaw, M A Campbell, K C Runions, S R Zubrick
BACKGROUND: Although developed for adults, the Depression Anxiety Stress Scales-Short Version (DASS-21) has been used in many research studies with adolescent samples. Evidence as to the applicability of the DASS subscale scores to represent the distinct states of depression, anxiety, and stress as experienced by adolescents is mixed, and the age at which it may be possible to differentiate these 3 states using the DASS-21 has not yet been determined. OBJECTIVE: This study evaluated evidence for a multifactor structure in the DASS-21 in adolescents and the specificity of the 3 subscales for adolescents in general and at different ages...
October 23, 2016: Journal of Clinical Psychology
Stefan E Schulenberg
This article serves as an introduction to the Journal of Clinical Psychology's special issue on disaster mental health and positive psychology. The special issue comprises two sections. The first section presents a series of data-driven articles and research-informed reviews examining meaning and resilience in the context of natural and technological disasters. The second section presents key topics in the area of disaster mental health, with particular relevance for positive psychology and related frameworks...
October 20, 2016: Journal of Clinical Psychology
Andrew J Flannery, Aaron M Luebbe, Stephen P Becker
OBJECTIVES: Few studies have examined sluggish cognitive tempo (SCT) in college students even though extant research suggests a higher prevalence rate of SCT symptoms in this population compared to general adult or youth samples. The current study examined SCT symptoms in relation to two domains related to college student's academic success, study skills and daily life executive functioning (EF), as well as specific domains of functional impairment. METHOD: 158 undergraduate students (Mage = 19...
October 20, 2016: Journal of Clinical Psychology
Linda Resnik, Sarah Ekerholm, Erin E Johnson, Marsha L Ellison, Thomas P O'Toole
OBJECTIVE: Veterans Affairs (VA) is expanding peer support. Research is limited on Veterans' perspective on benefits from peer services. We describe homeless Veteran perceptions of value and examine characteristics associated with benefit. METHOD: From a sample of Veterans in a multisite randomized control trial, we studied addition of peers in VA Primary Care and homeless-oriented primary care clinics. We used qualitative methods to study the perceptions of peer services among a subsample of homeless Veterans...
October 20, 2016: Journal of Clinical Psychology
Kim Glickman, M Katherine Shear, Melanie M Wall
OBJECTIVE: In this study, we examined the mechanisms of action of complicated grief treatment (CGT), an efficacious psychotherapy for complicated grief. METHOD: We explored 3 putative mediators (guilt/self-blame related to the deceased, negative thoughts about the future, and avoidance) among treatment completers assigned to either CGT (n = 35) or interpersonal psychotherapy (n = 34) in a previously reported randomized controlled trial. Antidepressant use was examined as a moderator of mediation effects...
October 18, 2016: Journal of Clinical Psychology
John B Fleming, Michelle Nicole Burns
OBJECTIVE: Internalized homonegativity is linked to psychological distress in sexual minorities and is thus a potential treatment target in this population. Previous studies have shown that evaluative conditioning (EC) can modify self-esteem, another self-directed attitude. The present study aimed to determine if EC deployed over the Internet could modify self-esteem and internalized homonegativity. METHOD: Gay men recruited online (N = 184) were randomly assigned to a control group or an experimental condition...
October 18, 2016: Journal of Clinical Psychology
Fabiano Koich Miguel, Luciano Giromini, Maíra Stivaleti Colombarolli, Ana Carolina Zuanazzi, Alessandro Zennaro
OBJECTIVE: About 10 years ago, Gratz and Roemer (2004) introduced the Difficulties in Emotion Regulation Scale (DERS), a 36-item self-report instrument measuring 6 areas of emotion regulation problems. Recently, Bjureberg et al. (2015) have introduced a new, briefer version of the DERS comprising only 16 of the 36 items included in the original version. Because no studies have yet cross-validated the recently introduced 16-item DERS and the 36-item DERS has never been tested in Brazil, we sought to inspect the psychometric properties of scores from both DERS versions with a nonclinical Brazilian sample...
October 7, 2016: Journal of Clinical Psychology
John Westbrook, Howard Berenbaum
OBJECTIVE: To examine pathways to borderline personality disorder (BPD), focusing on childhood abuse and emotional attention and clarity. METHOD: Among 293 community residents (mean age = 43.1; 53.9% female), measured associations between the BPD symptom factors of disturbed relatedness, affective dysregulation, and behavioral dysregulation and (a) childhood abuse (emotional, physical, and sexual); (b) emotional attention and clarity; and (c) negative affect, using structured interviews, the Schedule for Non-Adaptive and Adaptive Personality-2, the Trait Meta Mood Scale, and the Positive and Negative Affect Scale, respectively...
October 4, 2016: Journal of Clinical Psychology
Cristina Mogoașe, Oana Cobeanu, Oana David, Cezar Giosan, Aurora Szentagotai
INTRODUCTION: Internet-based cognitive behavioral therapy for depression (iCBT) has been advanced as a valuable alternative treatment option, generating promising results. However, little is known about its underlying mechanisms of change. OBJECTIVE: We aimed to provide an overview of the state of the art regarding the mechanisms of iCBT for adult depression, in the context of iCBT efficacy. METHOD: We conducted a systematic qualitative review of 37 randomized clinical trials, assessed the risk of bias in the included studies, and used a systematic evaluative framework to establish the scientific status of iCBT, based on evidence regarding clinical efficacy and mechanisms of change...
September 29, 2016: Journal of Clinical Psychology
Edward C Chang, Tina Yu, Alexandria S-M Najarian, Kaitlin M Wright, Wenting Chen, Olivia D Chang, Yifeng Du, Jameson K Hirsch
OBJECTIVE: We tested a hypothesized model consistent with the notion that self-compassion mediates the association between negative life events and suicidal risk (viz., depressive symptoms and suicidal behaviors) in college students METHOD: The sample was comprised of 331 college students. Self-compassion facets (viz., self-kindness, self-judgment, common humanity, isolation, mindfulness, and overidentification) were used in testing for multiple mediation, controlling for sex. RESULTS: Common humanity, mindfulness, and overidentification were found to mediate the association between negative life events (NLE) and depressive symptoms...
September 22, 2016: Journal of Clinical Psychology
Wiede Vissers, Ger P J Keijsers, Mirjam Kampman, Gert-Jan Hendriks, Paul Rijnders, Giel J M Hutschemaekers
OBJECTIVE: Treatment effects in psychotherapy outcome research are generally based on the reduction of symptoms. Standard inclusion of other beneficial treatment effects such as remoralization (increase of hope, self-efficacy, well-being) might lead to more elaborate findings in the field of psychotherapy. On the other hand, it is also possible that symptom reduction and remoralization always go hand in hand in the experience of patients. The present study sought to experimentally test this assumption...
September 14, 2016: Journal of Clinical Psychology
Shelly Nicolai, Gadi Zerach, Zahava Solomon
OBJECTIVES: This prospective study aims to assess the role of fathers' posttraumatic stress disorder (PTSD) symptoms (PTSS), the course of these symptoms over the years, and the relationship between these symptoms and their adult offspring's own PTSS and level of differentiation of self. METHOD: A sample of 123 Israeli father-child dyads (79 ex-prisoners of war [ex-POWs] dyads and a comparison group of 44 veterans' dyads) completed self-report measures. The fathers participated in 2 waves of measurements (1991 and 2008), while the offspring took part in 2013-2014...
September 13, 2016: Journal of Clinical Psychology
Laura C Wilson, Katherine E Miller, Emma K Leheney, Alesha D Ballman, Angela Scarpa
OBJECTIVE: Although the majority of rape survivors do not label their experiences as rape (i.e., unacknowledged rape), the literature is mixed in terms of how this affects survivors' psychological functioning. To elucidate the discrepancies, the present study examined the interaction between rape acknowledgement and ambivalent sexism in relation to depression and posttraumatic stress disorder (PTSD) symptoms. METHOD: The analyzed sample included 128 female rape survivors who were drawn from a larger college sample of 1,595 participants...
September 9, 2016: Journal of Clinical Psychology
Adam Bryant Miller, Caitlin Williams, Catherine Day, Christianne Esposito-Smythers
PURPOSE: The purpose of the present study was to examine whether cognitive distortions (e.g., cognitive errors; negative views of self, world, and future) influence the association between dating violence and problematic substance use behaviors in a sample of psychiatrically hospitalized adolescents. METHOD: Participants included 155 adolescents, aged 13-17 years, who had initiated dating. Adolescents completed measures of dating violence, substance-related problems (alcohol and marijuana), and cognitive distortions...
August 23, 2016: Journal of Clinical Psychology
Samantha Richtberg, Marion Jakob, Volkmar Höfling, Florian Weck
OBJECTIVE: Psychotherapy for hypochondriasis has greatly improved over the last decades and cognitive-behavioral treatments are most promising. However, research on predictors of treatment outcome for hypochondriasis is rare. Possible predictors of treatment outcome in cognitive therapy (CT) and exposure therapy (ET) for hypochondriasis were investigated. METHOD: Characteristics and behaviors of 75 patients were considered as possible predictors: sociodemographic variables (sex, age, and cohabitation); psychopathology (pretreatment hypochondriacal symptoms, comorbid mental disorders, and levels of depression, anxiety, and somatic symptoms); and patient in-session interpersonal behavior...
August 17, 2016: Journal of Clinical Psychology
Autumn Lanoye, Karen E Stewart, Bruce D Rybarczyk, Stephen M Auerbach, Elizabeth Sadock, Arpita Aggarwal, Rachel Waller, Susan Wolver, Kristin Austin
OBJECTIVE: The integration of psychological and behavioral health services into safety net primary care clinics has been viewed as a step toward reducing disparities in mental health treatment and addressing behavioral factors in chronic diseases. Though it is posited that integrated behavioral health (IBH) reduces preventable medical costs, this premise has yet to be tested in a safety net primary care clinic. METHOD: Retrospective pre- and posttreatment analysis with quasi-experimental control group was constructed using propensity score matching...
August 9, 2016: Journal of Clinical Psychology
Randal P Quevillon, Brandon L Gray, Sara E Erickson, Elvira D Gonzalez, Gerard A Jacobs
Self-care strategies and system supports employed in preparation for, during, and after disaster relief operations (DROs) are crucial to relief worker well-being and the overall effectiveness of relief efforts. Relief organizations and management must structure DROs in a manner that promotes self-care and workers must implement proper self-care strategies. Proper self-care before, during, and after a DRO can reduce negative reactions to stressful emergency work and promote growth, mastery, and self-efficacy after the experience...
August 9, 2016: Journal of Clinical Psychology
Holly Hazlett-Stevens, Yelena Oren
OBJECTIVE: This randomized controlled investigation examined the effectiveness of a self-help bibliotherapy format of the evidence-based mindfulness-based stress reduction (MBSR) intervention. METHOD: College students seeking stress reduction were randomly assigned to a 10-week MBSR bibliotherapy intervention group (n = 47) or a no-treatment control group (n = 45). Self-report measures were collected at baseline and postintervention. RESULTS: A total of 25 bibliotherapy and 43 control group participants provided final data following the intervention period...
August 3, 2016: Journal of Clinical Psychology
Kristin W Samuelson, Christina K Wilson, Elena Padrón, Suellen Lee, Lauren Gavron
OBJECTIVES: Maternal posttraumatic stress disorder (PTSD) is a risk factor for negative child adjustment, but it is unclear whether this association is direct (e.g., a mother's PTSD symptoms are observed, learned, and internalized by children which results in behavioral and emotional problems) or indirect, through parent-child relationship difficulties or parenting stress. We hypothesized that parenting stress and maternal emotional availability would exhibit indirect effects on relationships between maternal PTSD and children's functioning...
August 3, 2016: Journal of Clinical Psychology
Sophie Walsh, Megan Cassidy, Stefan Priebe
OBJECTIVE: Positive psychotherapy (PPT) stems from the positive psychology movement and is a multicomponent model promoting therapeutic change by developing engagement, pleasure, and meaning. There is some evidence it is effective for depression. PPT is recommended as a flexible model that can be applied to other patient groups alongside other treatments approaches. However, it remains unclear which of the many components are applied. The study aimed to identify how PPT is applied in mental health care...
August 2, 2016: Journal of Clinical Psychology
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