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British Journal of Clinical Psychology

Denise C Rogers, Antonia J Dittner, Katharine A Rimes, Trudie Chalder
OBJECTIVES: Trans-diagnostic approaches suggest that key cognitive and behavioural processes maintain symptoms across a wide range of mental health disorders. Fatigue is a common clinical feature of attention deficit hyperactivity disorder (ADHD) in adulthood; however, empirical data supporting its prevalence are lacking. This study aimed to collate outcomes from outpatient services to (1) investigate the prevalence of fatigue in adults with ADHD, (2) examine symptoms of ADHD in adults with chronic fatigue syndrome (CFS), and (3) consider secondary clinical characteristics common to both disorder groups...
December 5, 2016: British Journal of Clinical Psychology
Caroline Lawlor, Bina Sharma, Mizanur Khondoker, Emmanuelle Peters, Elizabeth Kuipers, Louise Johns
OBJECTIVES: Few studies have investigated service user satisfaction with cognitive behavioural therapy for psychosis (CBTp). This study explored its associations with clinical presentation and outcomes, retrospective expectations of progress, perceptions of the therapist, and demographic variables. DESIGN AND METHODS: One hundred and sixty-five service users completed self-report questionnaires pre- and post-CBTp in relation to the constructs of interest. Regression analyses explored associations with (1) overall satisfaction with therapy and (2) perceived progress, skills, and knowledge gained...
December 2, 2016: British Journal of Clinical Psychology
Joris F G Haagen, F Jackie June Ter Heide, Trudy M Mooren, Jeroen W Knipscheer, Rolf J Kleber
OBJECTIVES: Given the recent peak in refugee numbers and refugees' high odds of developing post-traumatic stress disorder (PTSD), finding ways to alleviate PTSD in refugees is of vital importance. However, there are major differences in PTSD treatment response between refugees, the determinants of which are largely unknown. This study aimed at improving PTSD treatment for adult refugees by identifying PTSD treatment response predictors. DESIGN: A prospective longitudinal multilevel modelling design was used to predict PTSD severity scores over time...
November 30, 2016: British Journal of Clinical Psychology
Marc-Andreas Edel, Vanessa Raaff, Giancarlo Dimaggio, Anna Buchheim, Martin Brüne
OBJECTIVES: Borderline personality disorder (BPD) is characterized by emotional instability, interpersonal dysfunction, and other features that typically develop before a background of insecure attachment and traumatic experiences. Dialectical behaviour therapy (DBT) has proven highly effective in reducing self-harm and improving emotion regulation, whereby problems concerning social cognition, which are also characteristic of BPD, may need additional approaches such as mentalization-based treatment (MBT)...
November 29, 2016: British Journal of Clinical Psychology
Franzisca V Froreich, Lenny R Vartanian, Matthew J Zawadzki, Jessica R Grisham, Stephen W Touyz
OBJECTIVES: Unfulfilled basic psychological needs have been associated with disordered eating behaviours, but the mechanisms underlying that associations are not well understood. This study examined a two-stage path model linking basic psychological need satisfaction to disordered eating behaviours via issues of control. METHODS: Female university students (N = 323; Mage  = 19.61), community participants (N = 371; Mage  = 29.75), and women who self-reported having been diagnosed with an eating disorder (ED; N = 41; Mage  = 23...
November 24, 2016: British Journal of Clinical Psychology
Darren L Bowring, Vasiliki Totsika, Richard P Hastings, Sandy Toogood, Gemma M Griffith
OBJECTIVES: Considerable variation has been reported in the prevalence and correlates of challenging behaviour (CB) in adults with intellectual disabilities (ID). To provide a robust estimate of prevalence, we identified the entire administrative population of adults with ID in a defined geographical area and used a behaviour assessment tool with good psychometric properties. METHODS: Data from 265 adults who were known to services were collected using a demographic survey tool and the Behavior Problems Inventory - Short Form...
November 23, 2016: British Journal of Clinical Psychology
Benjamin E Buck, Amy E Pinkham, Philip D Harvey, David L Penn
OBJECTIVE: The ongoing Social Cognition Psychometric Evaluation (SCOPE) study is in the process of forming a gold-standard battery of social cognition tests for use in clinical trials. Previous SCOPE phases have not acknowledged key differences between social cognition skills and biases, and psychometric validity analyses might provide important information if tailored to bias-related outcomes. This study aims to validate these measures with such bias-related outcomes. METHODS: Two measures of social cognitive bias - the Ambiguous Intention Hostility Questionnaire (AIHQ; hostile attribution bias) and Trustworthiness Task (distrust bias) - were reviewed according to their relationships to (1) current and prospective symptom levels, (2) questionnaires of trait paranoia and hostility and informant-rated hostility, (3) interpersonal conflict, as well as (4) relationships to measures of trait paranoia, hostility, and interpersonal conflict above and beyond the influence of clinically rated symptoms...
November 2016: British Journal of Clinical Psychology
Annabel Broyd, Suzanne Jolley, Louise Johns
OBJECTIVES: Improving subjective well-being (SWB) for people with mental health problems is a United Kingdom national health priority and is increasingly important in justifying funding of mental health services. Aside from the economic advantages, maximizing SWB confers obvious individual and clinical benefits for people with severe mental illness, such as psychosis. Gaining a better understanding of well-being and its determinants will enable current evidence-based interventions to be targeted and refined appropriately...
November 2016: British Journal of Clinical Psychology
Catharina Strid, Claes Andersson, Yvonne Forsell, Agneta Öjehagen, Lars-Gunnar Lundh
OBJECTIVES: Mental ill-health has become a large health problem and it is important for caregivers to provide effective treatment alternatives. REGASSA is a randomized controlled study performed in primary care to study the effects of 12 weeks of Internet-based cognitive behaviour therapy (ICBT) and physical exercise (PE) compared with treatment as usual (TAU) in patients with mild-to-moderate mental ill-health. The present study aimed to examine the results of these treatment alternatives on psychological functioning, stress, and sleep disturbances...
November 2016: British Journal of Clinical Psychology
Helen Startup, Katherine Pugh, Graham Dunn, Jacinta Cordwell, Helen Mander, Emma Černis, Gail Wingham, Katherine Shirvell, David Kingdon, Daniel Freeman
OBJECTIVES: Worry may be common in patients with paranoia and a contributory causal factor in the occurrence of the delusions. A number of psychological mechanisms have been linked to the occurrence of worry in emotional disorders but these are yet to be investigated in psychosis. The primary aim of the study was to test the links between five main worry mechanisms - perseverative thinking, catastrophizing, stop rules, metacognitive beliefs, and intolerance of uncertainty - and the cognitive style of worry in patients with persecutory delusions...
November 2016: British Journal of Clinical Psychology
Kimberly Mercuri, Gill Terrett, Phoebe E Bailey, Julie D Henry, Helen Valerie Curran, Peter G Rendell
OBJECTIVES: Episodic foresight refers to the capacity to mentally travel forward in time and has been linked to a wide variety of important functional behaviours. Evidence has recently emerged that chronic opiate use is associated with deficits in this critical capacity and that these difficulties are not simply a secondary consequence of broader cognitive dysfunction. The current study aimed to better understand the circumstances in which chronic opiate users might be expected to have problems with episodic foresight, by addressing whether deficits reflect compromised scene construction, self-projection, or narrative ability...
November 2016: British Journal of Clinical Psychology
Aimee L Hayter, Paul M Salkovskis, Eli Silber, Robin G Morris
OBJECTIVES: Multiple sclerosis (MS) is a progressive disease with an unpredictable prognosis. Previous studies have reported health anxiety within the MS population. This study examines the effect of health anxiety on MS patients' quality of life (QoL) and evaluates the potential contribution of cognitive factors in maintaining health anxiety. METHODS: A total of 84 patients with relapsing remitting multiple sclerosis (RRMS) were screened for health anxiety. From this sample, a group with relatively high and another group with low anxiety (n = 21 in each group) were identified...
November 2016: British Journal of Clinical Psychology
Andrew M Subica, Jon G Allen, B Christopher Frueh, Jon D Elhai, J Christopher Fowler
OBJECTIVES: Little is known about depression-anxiety comorbidity and its association with personality traits and suicide/self-harm in adult psychiatric inpatients with serious mental illness (SMI), impacting clinical assessment and treatment. This study sought to determine the symptom structure of depression-anxiety comorbidity and its relation to neuroticism, extraversion, and suicide/self-harm behaviour in this high-risk population. DESIGN: Nine hundred and sixty-two adults receiving inpatient care at a private psychiatric hospital completed questionnaires at admission...
November 2016: British Journal of Clinical Psychology
Lauren Luther, Ruth L Firmin, Jenifer L Vohs, Kelly D Buck, Kevin L Rand, Paul H Lysaker
OBJECTIVE: Poor functioning has long been observed in individuals with psychosis. Recent studies have identified metacognition - one's ability to form complex ideas about oneself and others and to use that information to respond to psychological and social challenges-as being an important determinant of functioning. However, the exact process by which deficits in metacognition lead to impaired functioning remains unclear. This study first examined whether low intrinsic motivation, or the tendency to pursue novel experiences and to engage in self-improvement, mediates the relationship between deficits in metacognition and impaired functioning...
September 2016: British Journal of Clinical Psychology
Filippo Varese, Anthony P Morrison, Rosie Beck, Suzanne Heffernan, Heather Law, Richard P Bentall
OBJECTIVES: Research has suggested that the extent to which voices (i.e., auditory verbal hallucinations) are experienced as distressing might be influenced by negative beliefs about voices as well as maladaptive metacognitive styles involving the negative appraisal and maladaptive control of mental experiences. This cross-sectional study examined the contribution of both specific appraisals of voices and a metacognitive factor (i.e., experiential avoidance) to voice-related distress...
September 2016: British Journal of Clinical Psychology
Bernd G Heubeck, Thomas A Otte, Gerhard W Lauth
OBJECTIVES: The objective of this study was to investigate the social validity of cognitive-behavioural parent training (CBPT) delivered in two formats to parents who have children with hyperkinetic disorder (HKD) with and without medication. DESIGN: Compared individual with group treatment as part of a multicentre randomized controlled trial. METHOD: Obtained a broad range of evaluations and satisfaction ratings post-treatment and related them to pre-treatment and treatment factors...
September 2016: British Journal of Clinical Psychology
Martin Brüne
OBJECTIVES: Interpersonal dysfunction is central to borderline personality disorder (BPD). Recent research has focused on the role of oxytocin (OT) in BPD, particularly regarding associations of OT activity with symptoms, genetic polymorphisms of the oxytocin receptor coding gene (OXTR) in BPD, and experimental modification of interpersonal core problems of patients with BPD such as hypervigilance towards threat detection, mistrust, and non-verbal behaviour during social interaction by intranasal application of OT...
September 2016: British Journal of Clinical Psychology
Nicolai Ladegaard, Poul Videbech, Paul H Lysaker, Erik R Larsen
OBJECTIVES: Research has suggested that patients suffering from major depressive disorder (MDD) experience deficits in the related domains of social cognition and metacognition. Most research has focused on detecting deficits among persons who are acutely symptomatic. Thus, little is known about whether these deficits persist after symptoms have remitted. As a first, this study investigated social cognitive and metacognitive deficits in patients with MDD in the acute and remitted state...
September 2016: British Journal of Clinical Psychology
Danny C K Lam, Paul M Salkovskis, Lorna I Hogg
OBJECTIVES: Diagnosis is ubiquitous in Psychiatry, and whilst it does bring benefits; adverse effects of 'labelling' may also be possible. This study aimed to evaluate experimentally whether clinicians' judgements about a patient with panic disorder were influenced by an inappropriately suggested diagnosis of comorbid borderline personality disorder (BPD). DESIGN: An experimental design was used to evaluate clinician's judgements when the nature of the information they were given was varied to imply BPD comorbidity...
September 2016: British Journal of Clinical Psychology
Katherine Berry, Gillian Haddock, Stephen Kellett, Chris Roberts, Richard Drake, Christine Barrowclough
OBJECTIVES: Recent inquiries highlight the anti-therapeutic nature of inpatient psychiatric care. We aim to assess the feasibility and potential efficacy of a ward-based psychological intervention to improve staff-patient relationships in psychiatric rehabilitation settings. METHODS: A single-blind cluster randomized design compared the intervention with treatment as usual (TAU) on measures of relationships, staff well-being, and patient functioning. Assessments were carried out at baseline and at 6 months...
September 2016: British Journal of Clinical Psychology
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