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Journal of Clinical Psychology

Laura E Captari, Joshua N Hook, William Hoyt, Don E Davis, Stacey E McElroy-Heltzel, Everett L Worthington
Some religious or spiritual (R/S) clients seek psychotherapy that integrates R/S values, while others may be reticent to disclose R/S-related aspects of struggles in a presumably secular setting. We meta-analyzed 97 outcome studies (N = 7,181) examining the efficacy of tailoring treatment to patients' R/S beliefs and values. We compared the effectiveness of R/S-tailored psychotherapy with no-treatment controls, alternate secular treatments, and additive secular treatments. R/S-adapted psychotherapy resulted in greater improvement in clients' psychological (g = 0...
September 16, 2018: Journal of Clinical Psychology
Julia Huber, Ann-Kathrin Born, Christine Claaß, Johannes C Ehrenthal, Christoph Nikendei, Henning Schauenburg, Ulrike Dinger
OBJECTIVE: The aim of this study was to investigate associations between patients' subjective agency, their observable in-session behavior, and the patient-therapist interaction during the early phase of psychotherapy. METHODS: The sample included 52 depressed patients in psychodynamic psychotherapy. After Session 5, the patients' agency and the quality of the therapeutic alliance were assessed. Based on session recordings, two independent observers rated the patients' involvement, their interpersonal behavior, and the therapists' directiveness...
September 14, 2018: Journal of Clinical Psychology
Larry E Beutler, Satoko Kimpara, Christopher J Edwards, Kimberley D Miller
Over the course of 60 years of research, several personality traits have emerged as potential predictors of differential change in psychotherapy. Among them is the patient's coping style (CS), commonly distinguished between those who deal with change by looking inwardly (internalization) and those who deal with it outwardly (externalization). This study provides definitions of CSs, clinical examples, and frequent measures. We update a 2011 meta-analytic review that revealed a consistent interaction between CSs and treatment focus-symptom focus versus insight focus...
September 10, 2018: Journal of Clinical Psychology
Anthony D Bram, Kiley A Gottschalk, William M Leeds
OBJECTIVE: The process of somatization in chronic fatigue syndrome (CFS) was investigated using the concept of illusory mental health (IMH). IMH involves self-reporting low emotional distress alongside performance-based assessment of distress. METHOD: We studied IHM and physical symptoms in 175 women across four groups: (a) CFS plus depression; (b) CFS with no depression (CFS-ND); (c) depressive disorder without CFS; and (d) healthy controls (HC). IMH was assessed using a self-report measure plus the performance-based Early Memory Index (EMI)...
August 28, 2018: Journal of Clinical Psychology
David Boyda, Danielle McFeeters, Katie Dhingra, Laura Rhoden
OBJECTIVE: One potential mechanism that has received limited attention in psychosis research is early maladaptive schemas (EMS). Our aim was to examine whether EMS acts as a potential mediating pathway between early trauma and psychotic symptomology. METHODS: A quantitative survey was conducted online. N = 302 participants took part. The analysis used a multiple mediation framework. RESULTS: Analysis demonstrated significant specificity effects...
August 13, 2018: Journal of Clinical Psychology
Sérgio A Carvalho, David Gillanders, Lara Palmeira, José Pinto-Gouveia, Paula Castilho
OBJECTIVE(S): The aim of this study was to test a theory driven model in which pain acceptance (both pain willingness [PW] and activity engagement [AE]) mediates the relationships of mindfulness and selfcompassion with depressive symptoms, while controlling for pain intensity. METHODS: A path analysis was conducted using AMOS software to test a meditational model in a sample of women with chronic musculoskeletal pain (N = 231). RESULTS: Participants with higher levels of mindful awareness and selfcompassion presented lower levels of pain intensity and depressive symptoms, and higher levels of AE...
August 13, 2018: Journal of Clinical Psychology
Tara Ward, Kaitlin Arnold, Marc Clint Cunningham, Laura Liljequist
OBJECTIVE: We examined the psychometric properties of the Personality Assessment Inventory-Short Form (PAI-SF). METHOD: Study 1 compared single-session short and full form PAI profiles of 200 outpatients, Study 2 examined PAI forms of 107 nonclinical adults across two administrations, and Study 3 compared correlations between full and short form scales and extratest variables. RESULTS: Study 1 correlations between short and full form scales ranged from 0...
August 8, 2018: Journal of Clinical Psychology
Alberto Soto, Timothy B Smith, Derek Griner, Melanie D Rodríguez, Guillermo Bernal
Mental health treatments can be more effective when they align with the culture of the client and when therapists demonstrate multicultural competence. We summarize relevant research findings in two meta-analyses. In the meta-analysis examining culturally adapted interventions, the average effect size across 99 studies was d = 0.50 (0.35 after accounting for publication bias). In the second meta-analysis on 15 studies of therapist cultural competence, the results differed by rating source: Client-rated measures measures of therapist cultural competence correlated strongly (r = 0...
August 8, 2018: Journal of Clinical Psychology
Joshua K Swift, Jennifer L Callahan, Mick Cooper, Susannah R Parkin
Client preferences in psychotherapy reflect specific conditions and activities that clients desire in their treatment, with increasing evidence pointing to preference accommodation as facilitating psychotherapy outcomes. This updated meta-analysis establishes the magnitude of the effect of client preference accommodation in psychotherapy. Based on data from 53 studies and over 16,000 clients, preference accommodation was associated with fewer treatment dropouts (OR = 1.79) and more positive treatment outcomes (d = 0...
August 8, 2018: Journal of Clinical Psychology
Thomas W Britt, James S McGhee, Martin D Quattlebaum
OBJECTIVES: Assess the prevalence of US Army aviation personnel with common mental disorders, the percentage that return to duty following mental health treatment, and predictors of return to duty. METHODS: Examined the prevalence over a 5-year period. The percentage of personnel who were granted a waiver to return to flying duty following treatment was also determined. RESULTS: The results revealed a 5-year prevalence of 0.036 (95% CI = 0...
August 8, 2018: Journal of Clinical Psychology
Melanie A Hom, Ian H Stanley, Sally Spencer-Thomas, Thomas E Joiner
OBJECTIVE: To examine experiences with suicide exposure and bereavement among women firefighters. METHODS: Women firefighters (N = 266, Mage  = 37.64y) completed self-report measures assessing their experiences with suicide exposure, history of suicidality, current psychiatric symptoms, and suicide risk. RESULTS: Three-fourths (74.4%) of participants reported knowing someone who had died by suicide; of these participants, 31.3% reported losing a fellow firefighter to suicide...
July 18, 2018: Journal of Clinical Psychology
Alexandru I Tiba, Laura Manea
OBJECTIVE: The vividness of imagining emotional feelings in positive situations (EFP) in non-clinically dysphoric and non-dysphoric individuals and its relation to dysphoric and positive feelings was examined. METHOD: Participants were university students in Study 1 (N = 106, 84 women; 18-45 years), in Study 2 (N = 43, 39 women; 20-47 years), in Study 3 (N = 109, 92 women; 18-50 years) who filled out a set of questionnaires assessing depressive symptoms, cognition measures, and then completed an affective imagery task, using a cross-sectional design...
July 16, 2018: Journal of Clinical Psychology
Markus C Hayden, Pia K Müllauer, Richard Gaugeler, Birgit Senft, Sylke Andreas
OBJECTIVES: Associations between interpersonal problems and mentalization have rarely been investigated. In this study, we explored patterns of interpersonal problems, mentalization, symptom severity, and attachment during inpatient treatment and at follow-up. Additionally, we investigated whether mentalization predicts a decrease in interpersonal distress. METHOD:  We analyzed time-series data from patients with mental disorders. Data were collected at the beginning and at the end of inpatient treatment, and approximately 6 months after discharge from hospital...
July 11, 2018: Journal of Clinical Psychology
Yonit Schorr, Nathan R Stein, Shira Maguen, J Ben Barnes, Jeane Bosch, Brett T Litz
OBJECTIVE: Service members deployed to war are at risk for moral injury, but the potential sources of moral injury are poorly understood. The aim of this qualitative study was to explore the types of events that veterans perceive as morally injurious and to use those events to develop a categorization scheme for combat-related morally injurious events. METHOD: Six focus groups with US war veterans were conducted. RESULTS: Analysis based on Grounded Theory yielded two categories (and eight subcategories) of events that putatively cause moral injury...
July 9, 2018: Journal of Clinical Psychology
Katinka Franken, Sanne M A Lamers, Peter M Ten Klooster, Ernst T Bohlmeijer, Gerben J Westerhof
OBJECTIVE: The growing evidence for the dual continua model of psychopathology and well-being has important implications for measuring outcomes in mental health care. The aim of the current study is to validate a measure of well-being as well as the dual continua model in adults with mood, anxiety, personality, and developmental disorders. METHODS: 472 adult psychiatric outpatients filled out the Mental Health Continuum-Short Form (MHC-SF) and the Outcome Questionnaire before start of treatment...
July 5, 2018: Journal of Clinical Psychology
Shelley Viskovich, Kenneth I Pakenham
OBJECTIVE: This study evaluated a 4-week web-based acceptance and commitment therapy (ACT) mental health promotion program called YOLO (You Only Live Once) for university students. METHOD: A total of 130 participants were randomized to one of three intervention groups investigating varied program delivery methods. Primary outcomes assessed: depression, anxiety, stress, well-being, self-compassion, alcohol use, and life satisfaction. ACT processes assessed: acceptance, cognitive fusion, education values, valued living, and mindfulness...
July 1, 2018: Journal of Clinical Psychology
Julien Laloyaux, Frank Larøi, Filip Nuyens, Joël Billieux
OBJECTIVE: The aim of the present study is to examine the heterogeneity of attenuated psychotic symptoms (PS) and related personality factors using a cluster analytic approach. METHOD: A large sample of participants from the general population was evaluated in terms of attenuated symptomatology (psychotic and affective) and two personality factors: encoding style and impulsivity traits. RESULTS: Cluster analysis emphasized the existence of five independent clusters: High Psychosis, High Positive, High Negative, High Impulsive-Low Psychosis, and Low Psychosis...
June 22, 2018: Journal of Clinical Psychology
Matthias Knefel, Brigitte Lueger-Schuster, Thanos Karatzias, Mark Shevlin, Phil Hyland
OBJECTIVE: Complex post-traumatic stress disorder (CPTSD) will be introduced in ICD-11 and comprises symptoms of PTSD and disturbances in self-organisation (DSO). The association of trauma with PTSD and DSO is not yet fully understood. We investigated the path from child maltreatment to PTSD and DSO and examined the mediating role of emotion regulation (ER) and adult interpersonal re-victimisation. METHOD: Adult patients (N = 193) from a Scottish National Health Service clinic participated in the project...
June 22, 2018: Journal of Clinical Psychology
Sarah E Victor, Elisha David Klonsky
OBJECTIVE: Research investigating the social context of adolescent nonsuicidal self-injury (NSSI) has been limited. We therefore examined social characteristics of NSSI, such as knowledge of friends' NSSI and the role friends play in continuing NSSI, and their relationships to other known NSSI correlates, such as suicidality. METHOD: We assessed NSSI characteristics, including social features, in a community sample of 89 self-injuring adolescents. We also assessed psychosocial correlates of NSSI, including impulsivity, self-concept, and psychiatric symptoms...
June 22, 2018: Journal of Clinical Psychology
Julie R Hoye, Mary Dozier
Attachment and Biobehavioral Catch-Up (ABC) is an intervention designed for vulnerable children and their parents. This intervention enhances parental sensitivity and nurturance with the goal of promoting secure, organized attachments and strong self-regulatory capabilities among children. Here, we provide a brief rationale for the need for such interventions to be delivered to parent-child dyads in the child welfare system. Next, we review specific intervention targets of ABC. We include a case example of two birth parents and their daughter who became involved in Child Protective Services due to domestic violence...
August 2018: Journal of Clinical Psychology
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